bluuebunny/crossref_metadata_2025_split huggingface dataset:
A coarctatio aortae kezelése újszülöttkortól a felnőttkorig
Authors: Hartyánszky István , Varga Sándor , Hartyánszky István , Bogáts Gábor 
Published: May 2020

Absztrakt:
A veleszületett szívhibák sebészi kezelése a technika fejlődésével folyamatosan
változik. Az egyik legegyszerűbb, legközismertebb fejlődési rendellenesség a
coarctatio aortae. A szerzők az elmúlt évtizedek során alkalmazott műtéti
megoldásokat (’end-to-end’ anasztomózis, foltplasztikák, interpositumok), a
műtéti lehetőségeket mutatják be, hazai és nemzetközi tapasztalatok alapján
ismertetik a különböző megoldások eredményeit, előnyeit, hátrányait. Nagy
sebészi kihívást jelent az újszülöttkori súlyos aorta-hypoplasiával járó
eseteknek, a későbbiekben a kialakuló restenosisoknak és az esetleges
szövődményeknek (aneurysmák, dissectiók) a megoldása. A coarctatio aortae
megoldásai még napjainkban is nehézségeket, sebészi kihívást jelentenek, hiszen
ezeknek mások a megoldásai csecsemőkben és nagyobb gyermekekben, illetve
felnőttkorban. Itt már sokszor kell alkalmazni a katéterintervenciós
megoldásokat is, melyek helyes időzítése még napjainkban is nagy kihívást
jelent. Orv Hetil. 2020; 161(21): 861–866.
O nieistnieniu i normatywności wartości
Authors: Niemczuk Andrzej 
Published: May 2020

<p>Celem artykułu jest uzasadnienie dwóch twierdzeń: 1) że wartości nie należą do zakresu pojęcia bytu; 2) iż są dla podmiotu obowiązujące, pomimo że nie mają obiektywnego istnienia. Pierwszy fragment artykułu zawiera krytykę ontologii wartości. We fragmentach następnych autor przedstawia argumentację za następującymi tezami pozytywnymi: 1) obiekty wartościowe to obiekty uczuć słusznych; 2) kryterium słuszności uczuć jest, stwierdzana przez samowiedzę i rozum, niesprzeczność ich treści ze szczęściem podmiotu; 3) treść szczęścia, afirmowana przez wolną decyzję (pradecyzję), jest treścią pierwszej aksjologicznej przesłanki w rozumowaniach praktycznych; 4) źródłem normatywności wartości jest ludzkie pragnienie bycia podmiotem, które obejmuje afirmację własnej wolności i racjonalności. Proponowane w artykule stanowisko aksjologiczne sytuuje się pomiędzy dwiema krytykowanymi skrajnościami: pomiędzy obiektywistyczną ontologią wartości i subiektywistycznym emotywizmem.</p>
Ecrire et traduire les émotions dans le roman pour la jeunesse. Les frères Coeur-de-Lion d'Astrid Lindgren.
Authors: Pergher Alizon 
Published: May 2020

<p class="Standard">Children's literature reflects society and conveys new models. This field evolves depending on the representations of childhood that adults build. Recent research shows that children experience deep emotions and that reading contributes to their social and affective development. This paper examines the different issues related to writing the affects aimed at young readers through the study of Astrid Lindgren's novel <em>Les frères Coeur-de-Lion. </em>It focuses on ethical, aesthetic and linguistic questions involved in translating the book from Swedish to French.</p><p class="Standard" align="center"><strong> </strong></p><p class="Standard" align="center"><strong><br /></strong></p>
Utwory fotograficzne w regulacjach prawa autorskiego od czasów II Rzeczypospolitej do chwili obecnej. Analiza prawnoporównawcza.
Authors: Pers Łukasz 
Published: May 2020

<p>Tematem niniejszego artykułu jest analiza regulacji prawa autorskiego dotyczących utworów fotograficznych, na tle historycznym. Pierwszą ustawą normującą sytuację prawną fotografii była ustawa z dnia 29 marca 1926 roku o prawie autorskim. Na jej gruncie utwory fotograficzne mogły stanowić przedmiot prawa autorskiego, ale powstanie praw uzależnione było od spełnienia szeregu warunków formalnych, w szczególności umieszczenia zastrzeżenia praw autorskich. Następna ustawa z dnia 10 lipca 1952 roku o prawie autorskim nie przyniosła wielu zmian w tym zakresie, nadal w znacznym stopniu ograniczając zakres ochrony prawnoautorskiej przyznanej fotografiom. Z kolei obecnie obowiązująca ustawa z dnia 4 lutego 1994 roku o prawie autorskim i prawach pokrewnych zrezygnowała z większości rozwiązań ograniczających zakres ochrony prawnoautorskiej w stosunku do fotografii. Po przeanalizowaniu najważniejszych przepisów odnoszących się do utworów fotograficznych na gruncie kolejnych ustaw z zakresu prawa autorskiego, autor dokonuje oceny zmian, jakie zaszły na tle regulacji prawa autorskiego dotyczących fotografii w XX wieku.</p>
Wymiar prawny systemu kierowania bezpieczeństwem narodowym RP
Authors: Kołodziejczak Malwina Ewa 
Published: May 2020

<p>W polskim prawodawstwie nie ustanowiono – jak do tej pory ustawy, która kompleksowo regulowałaby organizację i funkcjonowanie systemu bezpieczeństwa narodowego czy też - wezej - systemu kierowania bezpieczeństwem narodowym RP. Nie oznacza to jednak, że system kierowania nie funkcjonuje (albo przynajmniej jego elementy). Trudno jednak wskazać istnienie systemu nadrzędnego. Dlatego w niniejszym artykule przedstawione zostaną aspekty prawne systemu kierowania bezpieczeństwem narodowym RP, które są rozproszone w kilkunastu aktach prawnych.</p>
A comparative study to assess efficacy of Tzanakis score and Alvarado score for effective diagnosis of patients with acute appendicitis at a tertiary care centre in North Karnataka: a one-year prospective analytical study
Authors: Sharma Dron , Koujalagi R. S. 
Published: May 2020

Background: Acute appendicitis standout amongst the most widely recognized reasons for intense stomach torment. There is no ideal symptomatic assessment apparatus to distinguish acute appendix if indications are ambiguous, bringing about longer analytic procedure and it might prompt deferring of medical procedure and related increment in morbidity and fatality. In the meantime, speedy management may prompt negative appendectomy with expanded morbidity and consumption of healthcare resources.Methods: A Hospital based one year prospective study was conducted at KLEs Dr Prabhakar Kore Hospital Belagavi, Karnataka from 1st January 2018 to 31st December 2018 and required data was collected from 100 patient who were clinically diagnosed to have acute appendicitis and all patients were assessed using Alvarado score and Tzanakis score and HPR for all patients were used as gold standard to evaluate the efficacy of both scoring systems.Results: The sensitivity and specificity of Tzanakis score was 80.6% (at score >8) and 100% (at score >8) respectively. positive predictive value in present study being 100% and negative predictive value being 41.3%. The sensitivity and specificity of Alvarado score was 11.3% (at score >8) and 100% (at score >8) respectively.Conclusions: Tzanakis Score outperformed Alvarado score displaying higher sensitivity with similar specificity.
Microbiology and antibiotic sensitivity pattern of peritonsillar abscess
Authors: Choolakkaparambu Aboobakker Anwar Sadath , Sreedhar Sandeep , Jacob Amith , Anchukandan Abdulla 
Published: May 2020

<p class="abstract"><strong>Background:</strong> Peritonsillar abscess is a life threatening infection which requires immediate attention and care. If not treated immediately it may lead to several complications. But the culture and sensitivity results can be obtained after a minimum of 72 hours and hence empirical antibiotic therapy is needed. The objective of the study was to study the microbiological profile of peritonsillar abscess and the antibiotic sensitivity pattern of peritonsillar abscess.</p><p class="abstract"><strong>Methods:</strong> This cross sectional study was carried out on 47 quinsy patients who attended the ENT OPD of a tertiary care hospital. Abscess was drained and the pus was sent for culture and sensitivity. </p><p class="abstract"><strong>Results:</strong> 65.95% of the study population were males. prevalence of peritonsillar abscess was high in the age group of 21-30 (42.55%). Only one patient had bilateral abscess. Group-A beta hemolytic streptococcus was the common organism isolated followed by <em>Staphyloccus aureus</em>. Fluroquinolones and cefotaxime had a better sensitivity to nearly all the organisms.</p><p class="abstract"><strong>Conclusions:</strong> <em>Staphylococcu</em>s and <em>Streptococcus</em> were the highly prevalent organisms. Immediate empirical antibiotic therapy must be advocated after draining the collection.</p>
ANTECEDENTS FACTORS AFFECTING CYBERBULLYING RISKS: A STUDY IN JORDANIAN SECONDARY SCHOOLS
Authors: Almomani Hesham , Al-Jabali Diya , Bni Mufarrej Fayez , Ahmad Heba 
Published: May 2020

Purpose of the study: In this study, the primary aim is to identify the effects of self-efficacy and cyber bullying knowledge on cyber bullying risks among Jordanian students.
Methodology: The population of the study specifically comprised of Jordanian students in Irbid students, with the study sample being 153 students. Accordingly, a questionnaire was developed and disseminated among the students to gather data for the achievement of the study objectives. The study used Structural Equation Modeling (SEM). The study also employed AMOS 23.0 and SPSS 25.0 software in SEM.
Main Findings: self-efficacy and cyber bullying knowledge factors do have significant effects on cyber bullying risks.
Applications of this study: This research can be used for academic purposes for universities, lecturers of education and management, researchers and undergraduate and postgraduate students.
Novelty/Originality of this study: The phenomenon that existed in cyber bullying and referring from various previous research results, the study regarding the cyber bullying was conducted and presented comprehensively and completely. It is necessary examine the effect of self-efficacy and cyber bullying knowledge factors on cyber bullying risks.
Candidiasis en patología gineco-obstetricia
Authors: Lapides de Duplat Raquel , Guarin Umaña Felisa , López Avila Luis Vicente 
Published: May 2020

Con el fin de establecer la prevalencia de candidiasis vaginal y las diferentes especies comprometidas en la infección cervicovaginal productora de leucorrea, se tomó una muestra representativa de la población que asiste a la consulta externa de ginecoobstetricia, en el Instituto Materno Infantil de Santafé de Bogotá durante el año de 1991 y los resultados fueron los siguientes:1. La candidiasis vaginal representa un 26% de la muestra examinada (559 pacientes).2. No se observa diferencia estadísticamente significativa en los diferentes grupos de edad.3. Las especies de candida encontradas en orden de frecuencia fueron: C. albicalls, C. stellatoidea, C. krussei, C. guillermondii, C. parapsilosis y C. pseudotropicalis.4. En relación con el tipo de consulta se observó un marcado predominio de la candidiasis en la consulta prenatal (35%), en relación con la ginecológica (20%), diferencia estadísticamente significativa (p. 001).5. En relación con la edad del embarazo y la frecuencia de candidiasis se observó que ésta aumenta a medida que avanza el embarazo (13%) en el primer trimestre y (44%) en el segundo.6. Los factores predisponentes más frecuentes fueron en su orden: embarazo, diabetes, obesidad y uso de prostágenos.7. En relación con la consulta ginecológica encontramos, que si bien es cierto, que C. albicalls es la más frecuente, otras especies como stellatoidea y krussei tienen también una alta frecuencia. C. krussei presenta una frecuencia seis veces mayor en consulta ginecológica en relación con la consulta prenatal.
The Validity and Reliability of Professional Self-Concept in Nursing in Accelerated Bachelor's and Master's Nursing Students
Authors: McCoy Thomas P. , Hoffart Nancy , Lewallen Lynne P. , Thorpe Shemeka 
Published: May 2020

Background and PurposeAccelerated bachelor's and master's nursing students supported through the New Careers in Nursing program were surveyed (n = 3,506) using subscales from Arthur's Professional Self-Concept in Nursing Instrument (PSCNI). Reliability and validity of the instrument was assessed.MethodsFactor analysis using a random split-half design was conducted and differences investigated based on characteristics.ResultsFour factors were revealed: leadership (α = .85), skill (α = .89), career positivity (α = .72), and career negativity (α = .72), with acceptable confirmatory fit. Gender and race/ethnicity differences were found in self-perceived leadership and skill and in career positivity by race/ethnicity. Accelerated bachelor's and master's students were different on skill and career positivity.ConclusionsSelf-perceived leadership, skill, career positivity, and career negativity are distinct PSCNI concepts.
Comprensión y resolución de problemas matemáticos desde la macroestructura del texto
Authors: Montero Leidi Viviana , Mahecha Jair Andrés 
Published: May 2020

Una preocupación en docentes de básica primaria en Colombia es el bajo desempeño de los estudiantes en el área de matemáticas y en las pruebas de estado, pues a pesar de que existe aptitud en la solución de algoritmos, hay dificultad en los procesos de comprensión de los enunciados de los problemas matemáticos.
El propósito principal de este artículo es compartir una propuesta metodológica que contribuya al mejoramiento de los niveles de comprensión y resolución de problemas matemáticos, desde el concepto de macroestructura textual, integrando las áreas de matemáticas y lenguaje.
El proceso investigativo de carácter cualitativo se desarrolló en el marco de la investigación acción; contó con la revisión y fundamentación teórica y tres fases claves: el diagnóstico, el análisis de la información y, con base en estos dos, la elaboración de la propuesta metodológica.
Como resultados principales se presenta: El diagnóstico de las dificultades y fortalezas a la hora de resolver problemas matemáticos, el diseño de la propuesta metodológica integrando la reconstrucción de macroestructuras en el análisis de enunciados, y el principio de interdependencia entre matemáticas y lenguaje.
Psicose Associada a Produtos de Ervanária: Perturbação Delirante Orgânica de Carácter Iatrogénico
Authors: Machado Ana Sofia , Dias-Amaral Ana , Silva Alzira , Grangeia Rosa 
Published: May 2020

Sintomas psicóticos podem constituir a forma de apresentação de alterações estruturais, metabólicas ou tóxicas. As perturbações delirantes orgânicas são caraterizadas pela presença de ideias delirantes com evidência de disfunção cerebral. A iatrogenia pode ser uma causa desta disfunção. Apresentamos um caso de sintomas neuropsiquiátricos, incluindo perturbação delirante, secundária ao uso de produtos de ervanária. A noção de inocuidade associada a estes produtos origina que o consumo dos mesmos não seja referido espontaneamente pelo doente na recolha da história clínica, pelo que a sua utilização deve ser ativamente questionada.
Physical and Microstructural Characteristics of Kefir Made of Milk and Colostrum
Authors: Setyawardani Triana , Sumarmono Juni , Widayaka Kusuma 
Published: May 2020

This research set out to compare the physical and microstructural characteristics of kefir made of milk, colostrum, and milk-colostrum mixes at various proportions. Kefir was made by adding kefir grains to 100% milk (P0), 80% milk + 20% colostrum (P1), 60% milk + 40% colostrum (P3), 40% milk + 60% colostrum (P4), 80% milk + 20% colostrum (P5), and 100% colostrum (P6). Fermentation was allowed under room temperature for 24 hours. The characteristics observed were color values, viscosity, pH, water holding capacity (WHC), syneresis, and microstructure. The result showed that the color of kefir (L* value, lightness); (b* value, yellow-blue), (a*, red-green), and whiteness index (WI) was significantly affected by raw materials. The viscosity of kefir was also affected by the raw materials (p<0.05), in which the kefir made from a mix of 80% milk and 20% colostrum showed the highest viscosity (1524.20 m.Pa.S). However, other characteristics such as pH, WHC, and syneresis were not significantly affected by raw materials. The microstructure of kefir made from 20 to 40% colostrum showed a string and compact protein tissues, while that made from 80 to 100% colostrum showed a clumping gel and concentration dominated by protein and fat tissues. This study demonstrated that milk kefir produced from milk-colostrum mixes posses a yellowish color (b*), low whitenes index, negative a* value, low lightness, whereas kefir made from 100% colostrum showed slightly greenish with low lightness level. Kefir with highest viscosity was produced from combined 80% milk and 20% colostrum. The microstructure of kefir produced from mixes with 40% and 60% colostrum showed a strong, tight, and compact microstructure of protein tissues.
DVT and Pulmonary Embolism Following Knee Arthroscopy: The Role of Genetic Predisposition and Autoimmune Antibodies
Authors: Plancher Kevin D. , Chan Jimmy J. , Bishai Shariff K. , Silane Michael , Ibrahim Tarik F. , Petterson Stephanie C. 
Published: May 2020

Deep vein thrombosis (DVT) after arthroscopy has been considered a rare event; however, recent studies using ultrasound and venography have shown that the incidence of DVTs is underestimated.Cases:This report describes 3 patients with DVT and/or PE after knee arthroscopy who were attributed to a genetic predisposition of hypercoagulability unknown to the patient and surgeon.Conclusions:Genetic predisposition and autoimmune antibodies may play a role in the development of DVT after knee arthroscopy. We recommend focused questions regarding family history be added to the standard DVT/PE preoperative questionnaire.
Isolated Proximal Radioulnar Joint Instability
Authors: Jamieson Richard P. , Ek Eugene T. 
Published: May 2020

» Isolated proximal radioulnar joint instability is an uncommon and often challenging problem that may manifest as recurrent instability of the proximal aspect of the radius, usually during forearm pronation and supination.» Instability is due to deficiency of the stabilizing structures around the proximal aspect of the radius, and biomechanical studies have highlighted the importance of the annular ligament and the interosseous membrane in both transverse and longitudinal plane stability.» Reconstruction of the stabilizing structures around the radial head often is indicated in cases of recurrent instability and includes joint-preserving procedures such as annular ligament reconstruction, proximal ulnar osteotomy, and interosseous membrane reconstruction. Rarely, salvage procedures such as interpositional arthroplasty or 1-bone forearm reconstruction are necessary.» A thorough understanding of the anatomic structures that stabilize the proximal aspect of the radius and the complexities of forearm biomechanics is required in order to successfully diagnose and manage this condition.
Closing the Gender Gap
Authors: Summers Melissa A. , Matar Robert N. , Denning Jaime Rice , Dixon Tonya L. , Ramalingam Wendy G. , Asghar Ferhan A. , Grawe Brian M. 
Published: May 2020

» Orthopaedic surgery reports one of the lowest proportions of female residents among all medical specialties. While the number of female medical students has increased, our field has been particularly slow to respond to the gender gap.» There are several barriers to increased female representation in orthopaedics, including “jock” culture and male dominance, the residency application process, pregnancy and lifestyle concerns, a limited number of mentors and role models, and lack of early exposure to the field.» Organizations such as the American Academy of Orthopaedic Surgeons (AAOS), the Ruth Jackson Orthopaedic Society, The Perry Initiative, Nth Dimensions, and the J. Robert Gladden Society, as well as social media channels, are working to close the gender gap, but there is still more that needs to be done.» By acknowledging and addressing these barriers, both at an individual and institutional level, we can hopefully bring more women into the field. This will ultimately benefit not only ourselves, but our patients as well.
Complications of Thoracolumbar Adult Spinal Deformity Surgery
Authors: Patel Shyam A. , McDonald Christopher L. , Reid Daniel B.C. , DiSilvestro Kevin J. , Daniels Alan H. , Rihn Jeffrey A. 
Published: May 2020

» Adult spinal deformity (ASD) is a challenging problem for spine surgeons given the high risk of complications, both medical and surgical.» Surgeons should have a high index of suspicion for medical complications, including cardiac, pulmonary, thromboembolic, genitourinary and gastrointestinal, renal, cognitive and psychiatric, and skin conditions, in the perioperative period and have a low threshold for involving specialists.» Surgical complications, including neurologic injuries, vascular injuries, proximal junctional kyphosis, durotomy, and pseudarthrosis and rod fracture, can be devastating for the patient and costly to the health-care system.» Mortality rates have been reported to be between 1.0% and 3.5% following ASD surgery.» With the increasing rate of ASD surgery, surgeons should properly counsel patients about these risks and have a high index of suspicion for complications in the perioperative period.
Ankle Impingement
Authors: Carreira Dominic S. , Ueland Thomas E. 
Published: May 2020

» Ankle impingement presents with painful and limited range of motion with dorsiflexion or plantar flexion, originating from pathological contact between bone and/or soft-tissue structures.» Diagnosis is made primarily through clinical examination with adjunct radiographs and magnetic resonance imaging, with care taken to rule out a plethora of similarly presenting pathologies.» Arthroscopic surgical approaches bring satisfactory short, mid, and long-term outcomes, with the current body of evidence dominated by Level-IV studies.» Minimally invasive techniques offer improvements in time to return to play and complication rates relative to open approaches.» Recent advances in the arthroscopic management of ankle impingement include long-term outcome studies, novel prognostic classification systems, and strategies for concomitant lesion management.
No one accelerometer-based physical activity data collection protocol can fit all research questions
Authors: Bergman Patrick , Hagströmer Maria 
Published: May 2020

Abstract

BACKGROUND Measuring physical activity and sedentary behavior accurately remains a challenge. When describing the uncertainty of mean values or when making group comparisons, minimising Standard Error of the Mean (SEM) is important. The sample size and the number of repeated observations within each subject influence the size of the SEM. In this study we have investigated how different combinations of sample sizes and repeated observations influence the magnitude of the SEM. METHODS A convenience sample were asked to wear an accelerometer for 28 consecutive days. Based on the within and between subject variances the SEM for the different combinations of sample sizes and number of monitored days was calculated. RESULTS Fifty subjects (67% women, mean±SD age 41±19 years) were included. The analyses showed, independent of which intensity level of physical activity or how measurement protocol was designed, that the largest reductions in SEM was seen as the sample size were increased. The same magnitude in reductions to SEM was not seen for increasing the number of repeated measurement days within each subject. CONCLUSION The most effective way of reducing the SEM is to have a large sample size rather than a long observation period within each individual. Even though the importance of reducing the SEM to increase the power of detecting differences between groups is well-known it is seldom considered when developing appropriate protocols for accelerometer based research. Therefore the results presented herein serves to highlight this fact and have the potential to stimulate debate and challenge current best practice recommendations of accelerometer based physical activity research.