bluuebunny/crossref_metadata_2025_split huggingface dataset:
Vertebral body infection due to esophageal perforation caused by ingestion of fishbone: a case report
Authors: Zhang Ling-Yun , Liang Hong , Sun Xue-Guo 
Published: July 2020

Abstract

Background
Esophageal injury is a common complication of foreign bodies in the upper gastrointestinal tract, but bilateral pleural effusion or vertebral infection is a rare condition due to a swallowed fishbone. It is considerably difficult for a physician to diagnose quickly because of incomplete patient history of foreign bodies ingestion and/or insufficient experiences.

Patient concerns
We describe the case of a 56-year-old man who was admitted to an emergency medical department owing to a low to moderate fever for 7 days. After a series of examinations, the patient was diagnosed with esophageal perforation (EP) caused by a fishbone that was swallowed half a month ago.

Diagnoses
About 12 days after the onset of fever, he was diagnosed with EP based on the gastric endoscopic images combined with histological section and sufficient history of the disease. About 2 months later, the patient has obvious back pain and lack of strength in two legs and was diagnosed with vertebral body infection.

Interventions
Antibiotic therapy, multi-disciplinary team (MDT), and surgical intervention had been exerted.

Outcomes
It is very fortunate for this patient to have a good prognosis due to a timely diagnosis and proper management. Muscle power has attained level 5.

Lessons
Several lessons can be learned from this case; for example, physicians should be alerted to the EP, endoscopic intervention should be prompt, antibiotics should be used regularly, and so on.
Preliminary construction of evaluation indicator system for inpatients’ nursing service needs in tertiary general hospital
Authors: Li Shao-Ling , Cui Yan , Lu Xiao-Hong , Liu Xiao-Min , Gu Ru-Ting , Wei Li-Li 
Published: July 2020

Abstract

Objectives
To construct a comprehensive evaluation indicator system for inpatients’ nursing service needs in tertiary general hospital and to provide evidence for identifying and meeting the needs of inpatients’ nursing services.

Method
We used the Delphi method to conduct two rounds of expert consultations with 41 experts.

Result
The indicator system consisting of 5 first-level indicators and 48 second-level indicators was preliminarily constructed.

Conclusions
We formed an evaluation indicator system for inpatients’ nursing service needs in tertiary general hospital and classified it into five categories: hospital environment, nursing attitude, nursing skills, information exchange, and emotional support. The indicator system is scientific and reliable. It can provide a basis for nursing staffs to identify and meet the needs of inpatients’ care services.
Characteristics, causality, and suicidal behavior: a qualitative study of family members with suicide history in Wonogiri, Indonesia
Authors: Nurtanti Susana , Handayani Sri , Ratnasari Nita Yunianti , Husna Putri Halimu , Susanto Tantut 
Published: July 2020

Abstract

Objective
This study explored the characteristics, causality, and suicidal behavior among family members with suicide history in Wonogiri, Central Java, Indonesia.

Methods
Qualitative semistructured interviews were conducted with 15 family members who had made suicide attempts. The interviews directly explored the relationships among characteristics, causality, and suicidal behavior. The research data were analyzed using the Miles and Huberman approach.

Results
The results indicate that there are relationships among characteristics, causality, and suicidal behaviors. The characteristics contributing to suicide attempts were male gender, age (adolescence and old age), lack of religious activities, introvert nature, low economic status, chronic diseases, unemployment, and a history of family members with suicide attempts. The causality of suicide was joblessness, economic crisis, unemployment, family conditions, personality disorder, depression, sickness, and suicide ideation.

Conclusions
The findings highlight the relationships among characteristics, causality, and suicidal behaviors. Suicide occurs when individuals have some problems that they cannot solve because of the lack of family support. The causal factors were related to one another, which caused the suicidal behavior. One of the most effective suicide prevention strategies is educating the community on how to identify suicidal signs and increase social supports.
Curative effect observation on deformed auricle treated with EarWell Infant Ear Correction System with modular parents’ nursing education
Authors: Wei Wei , Luo Ren-Zhong , Huang Zhen-Yun , Mi Rui 
Published: July 2020

Abstract

Objective
To investigate the efficacy and patient satisfaction of the EarWell Infant Ear Correction System combined with modular parents’ nursing education's curative effect on deformed auricle.

Methods
A total of 42 patients (29 boys and 13 girls; 73 ears; age ≤3 months) with auricle deformities who had received EarWell Infant Ear Correction System's treatment and modular parents’ nursing education in Guangzhou Children and Women's Medical Center between April and October 2018. The modular parents’ education program is standardized by EarWell system. Physician and patients’ parents compared the severity of auricle deformity separately before and after the treatment by using the auricle deformities visual analogue scales (VAS) rating system. Patient satisfaction was evaluated by using global aesthetic improvement scale (GAIS). The data collected of auricle deformities VAS and GAIS satisfaction score were applied to measure the treatment's effectiveness.

Results
All the 42 patients (73 external ears) completed the treatment with EarWell Infant Ear Correction System and modular parents’ nursing education. The mean age at initiation of treatment was 37.87 ± 19.44 days and the therapeutic time span was 47.21 ± 17.36 days. At the end of treatment, the physician's and patients’ guardians rating of the severity of auricle deformity were significantly improved separately compared to the initial rating (8.33 ± 1.27 vs. 6.51 ± 0.84; P < 0.005) (5.77 ± 1.59 vs. 8.19 ± 2.38 P < 0.05). During the treatment and parents’ home nursing care period, the side effect and complications were minor like skin eczema and irrigation; there were no severe complications such as necrosis of the skin and cartilage. The patient tolerance for the treatment was acceptable with the adequate parents’ nursing care. Most patients’ guardians were satisfied with the treatment outcomes of EarWell Infant Ear Correction System with more engagement of nursing care, the GAIS's rating were increased from pretreatment stage's 26.19% to treatment completed stage's 90.48%, and the difference was statistically significant (P < 0.05).

Conclusions
In this study, we proved that EarWell Infant Ear Correction System with its unique parents’ modular nursing care education, as a noninvasive treatment, reasonably improved auricle morphological malformation, and patients’ guardians satisfaction with few complications, which is worthy of a wildly clinical promotion.
ANALISIS ALIH FUNGSI LAHAN PERTANIAN DI KABUPATEN KEDIRI
Authors: Hidayat Syarif Imam , Rofiqoh Lisanul Latifatul 
Published: July 2020

Kabupaten Kediri sebagai salah satu Lumbung Pangan di Jawa Timur mengalami penurunan luas lahan pertanian akibat alih fungsi lahan pada periode 2005-2016. Alih fungsi lahan pertanian merupakan suatu ancaman yang serius terhadap keberlanjutan dan swasembada pangan, terutama untuk komoditas pangan utama yaitu padi, jagung dan kedelai. Alih fungsi lahan pertanian dapat menyebabkan ketersediaan lahan pertanian pangan berkelanjutan berkurang. Penelitian ini bertujuan untuk : menganalisis faktor-faktor potensial yang mempengaruhi alih fungsi lahan pertanian, serta menganalisis sejauh mana pengaruh alih fungsi lahan terhadap komoditas utama pangan (padi, jagung, kedelai). Penelitian menggunakan data sekunder dari beberapa instansi terkait, sedangkan penentuan lokasi ditetapkan secara purposive. Data yang dikumpulkan kemudian diolah dan dianalisis menggunakan regresi linear berganda. Hasil penelitian menunjukkan bahwa faktor yang berpengaruh signifikan terhadap alih fungsi lahan pertanian adalah jumlah penduduk, jumlah industri dan PDRB Non Pertanian sedangkan Â produktivitas (padi, jagung, kedelai) dan NTP tidak berpengaruh signifikan.Kata Kunci : Alih fungsi lahan pertanian, produksi pangan utama
Instrumentation-related complications of lumbar degenerative disc diseases treated by minimally invasive transforaminal lumbar interbody fusion
Authors: Yang Xinyu , Liu Xinyu 
Published: July 2020

Objective: To analyze the instrumentation-related complications of patients with lumbar degenerative disc diseases (LDD) who underwent minimally invasive transforaminal lumbar interbody fusion (MIS- TLIF) and to discuss the potential strategy for the control of these complications. Methods: A total of 87 patients with LDD were treated with the MIS-TLIF procedure. Complications, including malposition or breakage of guide pin, percutaneous pedicle screw (PPS) or cages, neurological deficit, and superior-level facet joint violations, were determined during and after the surgery. Computed tomography (CT) was used to evaluate the PPS accuracy and the superior-level facet joint violations. Results: A total of 386 PPSs were used. During the surgery, 3 (0.8%) guide pin and 1 (0.3%) PPS perforated the anterior wall of the vertebral body, respectively. One (0.3%) PPS was pulled out during the reduction of slip. Malposition of the cages occurred in 6 (1.6%) PPSs. These were all adjusted accordingly during the surgery. All the patients received > 2 years of follow-up. No loosening or breakage of PPS and cage was observed, but CT showed 27 (7.0%) PPSs misplaced. No neurological deficit related to misplaced PPS was observed. The total facet joint violation (FJV) rate was 36.2%, with grade 2 and grade 3 violations is 21 (12.1%) and 6 (3.4%), respectively. Conclusion: MIS-TLIF has similar instrumentation-related complications with open TLIF. Accurate preoperative evaluation and improved surgical techniques can effectively reduce these instrumentation-related complications.
La olvidada "Escuela Jesuítica" en la Italia prerromántica. De la conciencia criolla al nacionalismo emergente (La Provincia del Nuevo Reino de Granada)
Authors: Fajardo José Del Rey 
Published: July 2020

El presente artículo trata de diseñar un mapa conceptual de los aportes de “lo local” al nacionalismo emergente en la Provincia del Nuevo Reino de Granada. Se inicia con un inventario de la producción en el área de la geo-historia en donde emerge la figura del italiano Felipe Salvador Gilij con su Saggio di Storia Americana (Roma, 1780-1784). Escritor más conocido en la literatura científica europea de finales del siglo XVIII, quien además supo convocar los conocimientos de muchos de sus conmisioneros. Se completa su visión con los autores todavía inéditos como Antonio Salillas y Roque Lubián. En la historia de la cartografía se mencionan a Joaquín Subías y a Antonio Julián amén del propio Gilij. Otro ramo importante es el relativo a la Lingüística indígena tal como lo recoge el polígrafo Lorenzo Hervás y Panduro en su Catálogo de las lenguas de las naciones conocidas (Madrid, 1801). Un capítulo aparte merecería el estudio de la obra de los tres hermanos Julián, Antonio, Ignacio y Francisco Javier, por su excelente aporte a los haberes intelectuales de la Universidad Javeriana colonial tanto en el Nuevo Reino como más tarde en el destierro de Italia. En síntesis, se ofrece un modo de adentrarse en futuras investigaciones sobre temas todavía inéditos.
A Prospective Drug Utilisation Study and Pharmacoeconomic Analysis in Paediatric Dentistry at a Tertiary Hospital
Authors: Shrestha Binaya , Pradhan Megha 
Published: July 2020

Introduction: Paediatric dentistry is the branch of dentistry dealing with children from birth to adolescence. Children tend to suffer from various dental conditions which can be primarily infective in nature and hence requires drugs that can be expensive. Drug utilisation data are needed for developing and monitoring policies because data on drug expenditure are not sufficient.
Methods: This was a prospective cross-sectional study conducted in the Department of Pedodontics (paediatric dentistry) of a tertiary care teaching institute in Kathmandu, Nepal from July 2019 to December 2019. During the study period a total of 200 prescriptions were collected. Analysis was conducted using MS excel 2016 and further required analysis was done using Statistical Package for the Social Sciences v22.0.
Results: A total of 200 prescriptions were analysed during the study period, of which 126 were males whereas 74 were females. The most common drug prescribed was paracetamol whereas amoxicillin was the most commonly prescribed antibiotics. Most common condition was periapical abscess but space infection was the most expensive condition.There was no statistically significance between the cost of drugs prescribed for the male and female patients.
Conclusions: The drug prescription pattern was found to be rational. Every institution must have their own Drugs and Therapeutics Committee as has been suggested by WHO, so that patients will be benefited through decreasing economical burden, and adverse drug reactions and that by this, therapeutic effect will be increased.
Defining the role of the condylar–C2 sagittal vertical alignment in Chiari malformation type I
Authors: Ravindra Vijay M. , Iyer Rajiv R. , Awad Al-Wala , Bollo Robert J. , Zhu Huirong , Brockmeyer Douglas L. 
Published: July 2020

OBJECTIVEThe authors’ objective was to better understand the anatomical load-bearing relationship between the atlantooccipital joint and the upper cervical spine and its influence on the clinical behavior of patients with Chiari malformation type I (CM-I) and craniocervical pathology.METHODSIn a single-center prospective study of patients younger than 18 years with CM-I from 2015 through 2017 (mean age 9.91 years), the authors measured the occipital condyle–C2 sagittal vertebral alignment (C–C2SVA; defined as the position of a plumb line from the midpoint of the occiput (C0)–C1 joint relative to the posterior aspect of the C2–3 disc space), the pB–C2 (a line perpendicular to a line from the basion to the posteroinferior aspect of the C2 body on sagittal MRI), and the CXA (clivoaxial angle). Control data from 30 patients without CM-I (mean age 8.97 years) were used for comparison. The primary outcome was the need for anterior odontoid resection and/or occipitocervical fusion with or without odontoid reduction. The secondary outcome was the need for two or more Chiari-related operations.RESULTSOf the 60 consecutive patients with CM-I identified, 7 underwent anterior odontoid resection or occipitocervical fusion and 10 underwent ≥ 2 decompressive procedures. The mean C–C2SVA was greater in the overall CM-I group versus controls (3.68 vs 0.13 mm, p < 0.0001), as was the pB–C2 (7.7 vs 6.4 mm, p = 0.0092); the CXA was smaller (136° vs 148°, p < 0.0001). A C–C2SVA ≥ 5 mm was found in 35% of CM-I children and 3.3% of controls (p = 0.0006). The sensitivities and specificities for requiring ventral decompression/occipitocervical fusion were 100% and 74%, respectively, for C–C2SVA ≥ 5 mm; 71% and 94%, respectively, for CXA < 125°; and 71% and 75%, respectively, for pB–C2 ≥ 9 mm. The sensitivities and specificities for the need for ≥ 2 decompressive procedures were 60% and 70%, respectively, for C–C2SVA ≥ 5 mm; 50% and 94%, respectively, for CXA < 125°; and 60% and 76%, respectively, for pB–C2 ≥ 9 mm. The log-rank test demonstrated significant differences between C–C2SVA groups (p = 0.0007) for the primary outcome. A kappa value of 0.73 for C–C2SVA between raters indicated substantial agreement.CONCLUSIONSA novel screening measurement for craniocervical bony relationships, the C–C2SVA, is described. A significant difference in C–C2SVA between CM-I patients and controls was found. A C–C2SVA ≥ 5 mm is highly predictive of the need for occipitocervical fusion/ventral decompression in patients with CM-I. Further validation of this screening measurement is needed.
Actoprotective activity of some 5-(thiophen-3-ylmethyl)-4-R1-1,2,4-triazole-3-thiols derivatives
Authors: Bihdan O. A. 
Published: July 2020

Today, the process of body fatigue has many definitions, but in general it is characterized as a feeling of heaviness arising from the initiation or support of voluntary physical or mental activity associated with working at the level of one’s normal abilities. Fatigue of the body, as a physiological norm, can be divided into physical fatigue and mental fatigue. The solution to the problem of therapy for the process of fatigue should be expressed in the creation of new effective compounds that can affect the mechanisms of fatigue development and can be oriented towards restoration of cell function, as well as increase the activity of enzymes of the antioxidant defense system of the body in a certain way.
The aim of our work was to investigate the actoprotective activity of new derivatives of 5-(thiophen-3-ylmethyl)-4-R1-1,2,4-triazole-3-thiol and to establish certain patterns between the chemical structure and pharmacological activity of the studied compounds.
The studies used new derivatives of 5-(thiophen-3-ylmethyl)-4-R1-1,2,4-triazole-3-thiol, which were first synthesized in the laboratory of organic synthesis of the Department of Natural Sciences for foreign students and toxicological chemistry of Zaporizhzhia State Medical University. o determine the dosage conditions of the studied compounds, a preliminary study was made of the general toxic effect and acute toxicity of the studied compounds, which was carried out according to the well-known express method of V. B. Prozorovsky, and the degree of toxicity was evaluated by K. K. Sidorov. The experiments were performed on a group of white nonlinear rats weighing 230–245 g. In the study of actoprotective activity was used the method of forced immersion in water with a load of 10% of the weight of the rat.
The data obtained were processed statistically using the standard Microsoft Office 2007 software package and “STATISTICA @ for Windows 6.0”. The reliability of intergroup differences according to the experimental data was established using Student’s t-test. The level of statistical significance of differences in research results is p < 0.01. Analyzing the results of the experiment, it was found that some compounds that were studied in a number of new derivatives of 5-(thiophen-3-ylmethyl)-4-R1-1,2,4-triazole-3-thiol have a pronounced actoprotective effect.
The actoprotective activity of the new derivatives of 5-(thiophen-3-ylmethyl)-4-R1-1,2,4-triazol-3-thiol was studied. A number of compounds have been identified that are superior in activity to the comparison drug riboxin. In some cases, patterns of the influence of various substituents on the indices of the actoprotective action of the synthesized compounds were established.
Hubungan Stigma Gangguan Jiwa dengan Perilaku Masyarakat Pada Orang dengan Gangguan Jiwa di Wilayah Kerja Puskesmas Karya Wanita Pekanbaru
Authors: Usraleli Usraleli , Fitriana Dedek , Magdalena Magdalena , Melly Melly , Idayanti Idayanti 
Published: July 2020

Stigma is one of the inhibiting factors in healing people with mental disorders. Many people do not behave well in people with mental disorders and the public does not care about people with mental disorders. Community understanding of mental disorders is very minimal, this causes sufferers to get unpleasant attitudes from the community and from their own families. The aim was to find out the relationship between the stigma of mental disorders and community behavior in people with mental disorders (ODGJ) in the work area of KaryaWanita Community Health Center RW 07 Pekanbaru in 2019. The design of this study was descriptive analytic withaapproach cross sectional with a sample of 68 respondents with criteria that were has been established. The instrument in this study was a questionnaire. The results of this study have a significant relationship between the stigma of mental disorders and community behavior in ODGJ in people's knowledge and attitudes. Knowledge is closely related to stigma towards ODGJ (ρ value = 0.013 and OR = 0.067). The meaning of the community that has a negative stigma of mental disorder has a chance of 0.067 times to have bad knowledge on ODGJ. The attitude is closely related to stigma towards ODGJ (p value = 0.017 and OR = 9.2). That meanspeople who have the stigma of negative mental disorder have a chance 9.2 times to have a bad attitude towards ODGJ. It was concluded that there was a significant relationship between the stigma of mental disorders and community behavior in people with mental disorders in the work area of Karya Wanita RW 07 Pekanbaru in 2019. It was recommended to the puskesmas to improve socialization regarding the attitude and initial handling of mental disorders to the community.
How Effective are Paramedics at Interpreting ECGs in Order to Recognize STEMI? A Systematic Review
Authors: Funder Jordan Lily , Ross Linda , Ryan Steven 
Published: July 2020

Introduction The use of an out-of-hospital 12-lead electrocardiograph (ECG) has long been the salient test used when assessing ischaemic chest pain and is the only clinical tool available to paramedics that allows for early diagnosis and triage of acute coronary syndromes. This ultimately indicates whether urgent percutaneous coronary intervention is indicated. Therefore, the ability to apply and interpret a 12-lead ECG are key skills for paramedics with potentially signifcant effect on patient outcomes. This study's objective was to review and summarise existing literature pertaining to the ability of paramedics to correctly identify STEMI via 12-lead ECGs. Methods Ovid Medline, Ovid Emcare and CINAHL Plus were all searched using synonyms of keywords such as paramedic, ECG, diagnosis and STEMI. Two investigators independently screened the titles, abstracts and full texts of the articles against the inclusion and exclusion criteria. Any con?icts that arose were discussed between the two investigators to meet consensus. Results Of the 2,126 articles initially identified, 9 studies were relevant and examined the ability of paramedics to identify STEMI on out-of-hospital ECGs. Results indicated that increased additional education provided to paramedics, and the implementation of protocols and/or tools demonstrated positive results regarding STEMI recognition. Conclusions Seven of the 9 articles had a strong general consensus that paramedics can independently interpret 12-lead ECGs in order to diagnose STEMI, however not all studies were of good quality. While the importance of the pre-hospital ECG in the setting of STEMI is well established, the ability of paramedics to independently interpret them is less so and requires further study.
Pedagogical introduction to the Sachdev–Ye–Kitaev model and two-dimensional dilaton gravity
Authors: Trunin D A 
Published: July 2020

Abstract
The Sachdev–Ye–Kitaev model and two-dimensional dilaton gravity have recently been attracting increasing attention of the high-energy and condensed-matter physics communities. The success of these models is due to their remarkable properties. Following the original papers, we broadly discuss the properties of these models, including the diagram technique in the limit of a large number of degrees of freedom, the emergence of conformal symmetry in the infrared limit, effective action, four-point functions, and chaos. We also briefly discuss some recent results in this field. On the one hand, we attempt to be maximally rigorous, which means considering all the details and gaps in the argument; on the other hand, we believe that this review can be suitable for those who are not familiar with the relevant models.