bluuebunny/crossref_metadata_2025_split huggingface dataset:
Neonatal Outcome of Macrosomia
Authors: Shah Subhash Chandra , Guragain Anusmriti , Pandey Shreejana , Dhakal Ajaya Kumar 
Published: November 2020

Introduction: Macrosomia is an emerging public health problem, both in the developed as well as in the developing countries. This study was aimed to examine the maternal and neonatal risk factors associated with macrosomia and compare adverse neonatal outcome between appropriate for gestational age (AGA) and macrosomia.
Methods: Records of all live singleton AGA and macrosomic babies delivered at a tertiary care teaching hospital in Lalitpur, Nepal, between 14th April 2013 and 13th April 2014 were retrospectively reviewed.
Results: Of the 769 deliveries, 684 neonates were eligible of which 93 were born macrosomic with an incidence of 12.1%. We observed the most significant neonatal outcome to be neonatal sepsis (14%; p = 0.005) compared to AGA babies (5.9%). Macrosomia was found to be associated with increasing maternal age and parity (p = 0.007) relative to mothers of AGA babies, most of whom underwent caesarean section (55.9%) whilst the same outcome was fewer for mothers of AGA babies (29.9%). A higher incidence of pregnancy induced hypertension (PIH) as maternal comorbidity (5.4%) was associated with macrosomia contrasted with mothers of AGA babies (4.4%).
Conclusion: Macrosomic birth was found to be associated with relatively higher adverse neonatal outcome, warranting prolonged hospital admission than AGA births.
Partos en gestantes remitidas de un territorio disperso e indígena a un hospital universitario
Authors: Bayona Camelo Andrea , Ardila -Sierra Adriana , Rivera Triana Diana , Inés Sarmiento María , Piñeros Perrila Cesar 
Published: November 2020

Introducción: en el marco del nuevo modelo de atención en salud, piloto en Colombia, el cuarto nivel de referencia para el departamento de Guainía correspondió a un hospital universitario localizado en Bogotá. Objetivo: caracterizar las gestantes procedentes de Guainía con atención del parto en el Hospital de San José entre junio 2016 y junio 2018. Metodología: serie de casos con análisis descriptivo de variables. Resultados: 29 fueron embarazos de alto riesgo, edad mediana 24.5 años (rango: 15 a 40), 73% procedían de zona urbana, 72% partos por cesárea, 52% pretérmino. 45% multíparas y dos embarazos gemelares. Todos los diagnósticos de remisión y egreso coincidieron, 55% tuvieron preeclampsia, 24% amenaza de parto pretérmino y 7% restricción del crecimiento intrauterino. En los neonatos 45% tuvieron bajo peso o bajo extremo al nacer, 41% requirieron cuidado intensivo y 38% ingresaron a plan canguro. No hubo casos de mortalidad materna ni perinatal. Discusión: las cero muertes reflejan el beneficio clínico con la remisión extradepartamental. La alta procedencia urbana puede deberse a fallas de registro y/o difícil acceso de las zonas dispersas. Conclusión: la remisión aérea de gestantes con riesgo alto a una institución predefinida de alta complejidad tiene beneficio clínico. Se requiere optimizar en el territorio de origen la atención prenatal y las acciones de salud pública, en especial preeclampsia y bajo peso al nacer.
The impact of increasing interbody fusion levels at the fractional curve on lordosis, curve correction, and complications in adult patients with scoliosis
Authors: Amara Dominic , Mummaneni Praveen V. , Burch Shane , Deviren Vedat , Ames Christopher P. , Tay Bobby , Berven Sigurd H. , Chou Dean 
Published: November 2020

OBJECTIVERadiculopathy from the fractional curve, usually from L3 to S1, can create severe disability. However, treatment methods of the curve vary. The authors evaluated the effect of adding more levels of interbody fusion during treatment of the fractional curve.METHODSA single-institution retrospective review of adult patients treated for scoliosis between 2006 and 2016 was performed. Inclusion criteria were as follows: fractional curves from L3 to S1 > 10°, ipsilateral radicular symptoms concordant on the fractional curve concavity side, patients who underwent at least 1 interbody fusion at the level of the fractional curve, and a minimum 1-year follow-up. Primary outcomes included changes in fractional curve correction, lumbar lordosis change, pelvic incidence − lumbar lordosis mismatch change, scoliosis major curve correction, and rates of revision surgery and postoperative complications. Secondary analysis compared the same outcomes among patients undergoing posterior, anterior, and lateral approaches for their interbody fusion.RESULTSA total of 78 patients were included. There were no significant differences in age, sex, BMI, prior surgery, fractional curve degree, pelvic tilt, pelvic incidence, pelvic incidence − lumbar lordosis mismatch, sagittal vertical axis, coronal balance, scoliotic curve magnitude, proportion of patients undergoing an osteotomy, or average number of levels fused among the groups. The mean follow-up was 35.8 months (range 12–150 months). Patients undergoing more levels of interbody fusion had more fractional curve correction (7.4° vs 12.3° vs 12.1° for 1, 2, and 3 levels; p = 0.009); greater increase in lumbar lordosis (−1.8° vs 6.2° vs 13.7°, p = 0.003); and more scoliosis major curve correction (13.0° vs 13.7° vs 24.4°, p = 0.01). There were no statistically significant differences among the groups with regard to postoperative complications (overall rate 47.4%, p = 0.85) or need for revision surgery (overall rate 30.7%, p = 0.25). In the secondary analysis, patients undergoing anterior lumbar interbody fusion (ALIF) had a greater increase in lumbar lordosis (9.1° vs −0.87° for ALIF vs transforaminal lumbar interbody fusion [TLIF], p = 0.028), but also higher revision surgery rates unrelated to adjacent-segment pathology (25% vs 4.3%, p = 0.046). Higher ALIF revision surgery rates were driven by rod fracture in the majority (55%) of cases.CONCLUSIONSMore levels of interbody fusion resulted in increased lordosis, scoliosis curve correction, and fractional curve correction. However, additional levels of interbody fusion up to 3 levels did not result in more postoperative complications or morbidity. ALIF resulted in a greater lumbar lordosis increase than TLIF, but ALIF had higher revision surgery rates.
A comparison of radial versus femoral artery access for acute stroke interventions
Authors: Khanna Omaditya , Velagapudi Lohit , Das Somnath , Sweid Ahmad , Mouchtouris Nikolaos , Al Saiegh Fadi , Avery Michael B. , Chalouhi Nohra , Schmidt Richard F. , Sajja Kalyan , Gooch M. Reid , Tjoumakaris Stavropoula , Rosenwasser Robert H. , Jabbour Pascal M. 
Published: November 2020

OBJECTIVE
In this study, the authors aimed to investigate procedural and clinical outcomes between radial and femoral artery access in patients undergoing thrombectomy for acute stroke.

METHODS
The authors conducted a single-institution retrospective analysis of 104 patients who underwent mechanical thrombectomy, 52 via transradial access and 52 via traditional transfemoral access. They analyzed various procedural and clinical metrics between the two patient cohorts.

RESULTS
There was no difference between patient demographics or presenting symptoms of stroke severity between patients treated via transradial or transfemoral access. The mean procedural time was similar between the two treatment cohorts: 60.35 ± 36.81 minutes for the transradial group versus 65.50 ± 29.92 minutes for the transfemoral group (p = 0.451). The mean total fluoroscopy time for the procedure was similar between the two patient cohorts (20.31 ± 11.68 for radial vs 18.49 ± 11.78 minutes for femoral, p = 0.898). The majority of patients underwent thrombolysis in cerebral infarction score 2b/3 revascularization, regardless of access site (92.3% for radial vs 94.2% for femoral, p = 0.696). There was no significant difference in the incidence of access site or periprocedural complications between the transradial and transfemoral cohorts.

CONCLUSIONS
Acute stroke intervention performed via transradial access is feasible and effective, with no significant difference in procedural and clinical outcomes compared with traditional transfemoral access. Larger studies are required to further validate the efficacy and limitations of transradial access for neurointerventional procedures.
Influence of near-wall PIV data on recirculation hemodynamics in a patient-specific moderate stenosis: Experimental-numerical comparison
Authors: Sharma Neha , Sastry Sudeep , Sankovic John M. , Kadambi Jaikrishnan R. , Banerjee Rupak K. 
Published: November 2020

BACKGROUND: Recirculation zones within the blood vessels are known to influence the initiation and progression of atherosclerotic lesions. Quantification of recirculation parameters with accuracy remains subjective due to uncertainties in measurement of velocity and derived wall shear stress (WSS). OBJECTIVE: The primary aim is to determine recirculation height and length from PIV experiments while validating with two different numerical methods: finite-element (FE) and -volume (FV). Secondary aim is to analyze how FE and FV compare within themselves. METHODS: PIV measurements were performed to obtain velocity profiles at eight cross sections downstream of stenosis at flow rate of 200 ml/min. WSS was obtained by linear/quadratic interpolation of experimental velocity measurements close to wall. RESULTS: Recirculation length obtained from PIV technique was 1.47 cm and was within 2.2% of previously reported in-vitro measurements. Derived recirculation length from PIV agreed within 6.8% and 8.2% of the FE and FV calculations, respectively. For lower shear rate, linear interpolation with five data points results in least error. For higher shear rate either higher order (quadratic) interpolation with five data points or lower order (linear) with lesser (three) data points leads to better results. CONCLUSION: Accuracy of the recirculation parameters is dependent on number of near wall PIV data points and the type of interpolation algorithm used.
Pediatric neuromuscular disorders: Care considerations during the COVID-19 pandemic
Authors: Stratton Anne Troike , Roberts III Richard Ogden , Kupfer Oren , Carry Terri , Parsons Julie , Apkon Susan 
Published: November 2020

COVID-19, the respiratory and frequently systemic disease caused by the novel SARS-COV-2 virus, was first recognized in December 2019 and quickly spread to become a pandemic and world-wide public health emergency over the subsequent 3–4 months. While COVID-19 has a very low morbidity rate across approximately 80% of the population, it has a high morbidity and mortality rate in the remaining 20% of the population.1 These numbers have put a significant strain on medical systems around the world. Patients with neuromuscular diseases such as those with Duchenne muscular dystrophy (DMD) and spinal muscular atrophy (SMA), tend to be more medically fragile and have higher health care needs than the general population. Respiratory insufficiency, cardiac disease, obesity, and immunocompromised status due to chronic steroid treatments in certain patient populations with neuromuscular conditions are specific risk factors for severe COVID-19 disease. In general, the pediatric population has shown to be less severely impacted with lower infection rates and lower morbidity and mortality rates than the adult population, however, as expected, children with underlying medical conditions are at higher risk of morbidity from COVID-19 than their peers.2 Many patients with neuromuscular disease also rely heavily on caregiver support through their lifetime and thus maintaining the health of their primary caregivers is also a significant consideration in the health and well-being of the patients. This paper will address routine and emergency medical care, rehabilitation services, and other considerations for the pediatric patient with a neuromuscular condition during the COVID-19 pandemic.
Disorders of social functioning and quality of life in patients with gastroesophageal reflux disease while combined with undifferentiated connective tissue dysplasia
Authors: Romash Iryna 
Published: November 2020

Introduction. It has been scientifically confirmed that the risk of developing gastroesophageal reflux disease (GERD) increases especially with generalized or regional disruption of connective tissue structure, which is widespread among the population. Patients with such comorbid pathology may have a wide range of symptoms that may go beyond the general symptoms of heartburn and regurgitation. The symptoms and complications of GERD affect general health, daily and social functioning, physical and emotional activity. It also affects the quality of life (QoL) associated with health through frequent breaks during sleep, work and social activities.
Purpose. study the dynamics of the level of quality of life and social functioning in patients with gastroesophageal reflux disease in combination with the syndrome of undifferentiated connective tissue dysplasia.
Methodology. A total of 120 patients were included in the study: 65 men and 55 women: in 75 of them (Group II) GERD occurred on the background of UCTD, in 45 (Group I) as an independent disease. The control group consisted of 12 healthy individuals. The study was comprehensive. The Medical Outcomes Study 36-Item Short-Form Health Status (SF-36),the Gastrointestinal Symptom Rating Scale (GSRS) and the scale of "Personal and social performance" (PSP) - were used to study patients in detail.
Results and Discussion. Analyzing the results obtained on the basis of the GSRS questionnaire (Table 1), in patients with GERD on the background of UCTD, compared with patients of group I and the control group, there is a significant increase in three and four from the five scales. QoL in patients of Group II on the scale "Abdominal pain" were 14.3 ± 0.4 points, in Group I - 5.6 ± 1.3 points, in the Control Group - 2.4 ± 0.8 points, on the scale "Reflux syndrome": 13.7 ± 0.9, 10.5 ± 1.3 and 3.1 ± 0.9, respectively. "Dyspeptic syndrome" - 15.3 ± 0.4 points in Group II, 12.2 ± 0.6- in Group I and 6.1 ± 0.3- in the control group. "Constipation syndrome" 9.5 ± 0.8, 5.6 ± 1.03 and 5.7 ± 0.4, respectively (p <0,05).
Conclusions: In this research we investigated the effect of comorbid pathology on QoL in patients with GERD, which developed against the background of UCTD. The results confirm that patients with such combined pathology have a lower level of quality of life and social functioning, and the tactics of treatment of such patients should take into account these changes
The Hippocratic account of Mental Health: Humors and Human Temperament
Authors: Tsagkaris Christos , Kalachanis Konstantinos 
Published: November 2020

Introduction: A quintessential element of Hippocratic medicine is treatment of mental diseases which was based on a detailed examination of the symptoms as well as the study of human physiology and final outcome of the diseases which is based on humoral theory.
Purpose: The aim of the work is to highlight the contribution of Hippocrates to the study of mental illness based on his theory of humors
Methodology: Our study consists of interpretations of the original text of Hippocrates including extensive observations of anatomy and physiology of human body based on humoral theory. Then the information was evaluated on the basis of modern literature in order to establish their validity. A major limitation of the research is the lack of a systemic methodology to screen the Hippocratic corpus for relevant passages which actually requires interdisciplinary research in order to determine which aspects of Hippocratic medicine can be developed.
Results: In Corpus Hippocraticum, it is highlighting that maintaining a relative proportion of humors in human body (apart from maintaining health) regulates the human temperament and its behavioral manifestations. Hippocrates, has included in his work observations not only on human physiology and diseases but also studies the environmental and geographical impact on them, thus setting the stage for holistic approaches
Conclusion: Summarizing, Hippocratic medicine and particularly his observations on mental disorders provides a clear picture of the methodology used by Hippocrates which can be a guide for the adoption of good practices for contemporary scholars and clinicians on their everyday practice
Stigma and mental health: The curious case of COVID-19
Authors: Snider Connie J. , Flaherty Maureen P. 
Published: November 2020

Introduction: This article considers the impact of COVID-19 on stigma and mental health across the life spectrum and the ways that people access services.
Purpose: To explore the ways that a pandemic (COVID-19) has changed/shifted the relationship between mental illness or mental ill health and stigma across the life spectrum and call to re-focus resources on sustainable healthy societies, building cultures of peace.
Methodology: A literature search was employed, combined with informal interviews and observation.
Results and Discussion: On the one hand, the pandemic has opened public discussion of mental health challenges such as anxiety and depression, reducing some of the stigma attached as the experience is more common amongst people who have not previously declared mental health challenges. On the other hand, people previously experiencing mental ill health have mostly had that health challenge exacerbated by the pandemic. With fewer resources available, and changes in service delivery to largely on-line resources, the reduction in stigma has not meant better mental health care and services, but rather further marginalized some of the population. Cultures of peace are inclusive and provide space for full growth of all citizens, in contrast to reactive approaches now more readily applied. Mental health services are a basic right for all people and should be considered as such in all planned health strategies.
Limitations: The article focuses on literature review, anecdotal and observation and is focused over a short term, in North America. It is a preliminary study.
Strengths: As a preliminary study, the article highlights an emergent and present dilemma. It also highlights the need for a much more holistic, global approach to mental health and wellbeing across the lifespan.
Conclusion: While there are calls for national strategies for mental health services and services for people with dementia, in particular, there is still a need to take a more holistic approach to mental health as part of a whole health strategy to support human dignity and inclusion across the lifespan
APAKAH MEMILIH SAHAM DAFTAR EFEK SYARIAH INDONESIA DENGAN ANALISIS TEKNIKAL AKAN MENGUNTUNGKAN?
Authors: Basrowi Basrowi , Fauzi Fauzi , Utami Pertiwi 
Published: November 2020

Tujuan penelitian adalah untuk mengetahui apakah saham daftar efek syariah Indonesia dengan menggunakan analisis teknikal akan memberikan keuntungan. Karena, kemungkinan besar bagi pemula akan kesulitan menggunakan analisis teknikal yang nampak seperti chart. Metode penelitian menggunakan studi literatur dengan pendekatan ekonomi syariah. Hasil studi menemukan bahwa ada strategi khusus yang digunakan untuk membaca pergerakan harga menggunakan analisis teknikal dan apabila tidak memahami dan memprediksi pergerakan harga dengan baik maka kerugian yang akan diperoleh. Analisis teknikal yang digunakan untuk mengetahui pergerakan harga dengan memberi sinyal waktu masuk dan keluar pasar saham pada emiten yang terdaftar di daftar efek syariah tidak banyak berbeda dengan umumnya yang digunakan pada pasar modal. Hanya saja larangan dan ketentuan baik produk, distribusi, dan operaionalnya yang harus sesuai dengan prinsip syariah dan teknik ini disarankan tidak digunakan untuk memperhitungkan keuntungan jangka panjang namun dalan jangka pendek dapat menghasilkan pengembalian yang positif pada investor.
KEMAMPUAN MAHASISWA DALAM PENYUSUNAN SOAL PILIHAN GANDA
Authors: Akbar Aulia 
Published: November 2020

Penelitian ini didasari keingintahuan peneliti mengenai kemampuan mahasiswa calon guru sekolah dasar dalam membuat soal-soal evaluasi berbentuk pilihan ganda. Kemampuan ini dianggap sangat penting dimiliki oleh mahasiswa calon guru, mengingat mereka akan menjadi seorang guru yang harus memiliki kompetensi yang baik agar tercapai mutu pendidikan berkualitas tinggi. Metode penelitian yang digunakan adalah metode deskriftif dengan populasi sebanyak 119 dan sample sebanyak 24 mahasiswa. Adapun data yang diperoleh peneliti diambil dari hasil mahasiswa dalam menyusun soal pilihan ganda. Berdasarkan hasil penelitian, diperoleh data bahwa kemampuan membuat soal pilihan ganda mahasiswa berada pada perentasi 88,8 dengan kategori sangat baik. Namun, masih terdapat kesalahan di beberapa indikator dalam aspek pedoman penyusunan soal. Indikator-indikator tesebut yaitu, indikator pengecoh harus berfungsi berada pada kategori baik dengan perolehan skor 75, indikator pokok soal harus dirumuskan secara jelas memperoleh skor 83 dengan kategori baik, indikator pilihan jawaban harus homogen dan logis ditinjau dari segi materi mahasiswa hanya memerolah skor 75 dengan kategori baik, dengan indikator setiap soal harus menggunakan bahasa yang sesuai dengan kaidah bahasa Indonesia, mahasiswa mendapat nilai 83 dengan kategori baik, dan indikator bahasa yang digunakan harus komunikatif, sehingga pernyataannya mudah dimengerti warga belajar/ peserta didik, berada pada kategori baik, dengan slor perolehan 83.
UPAYA PENINGKATAN GURU PROFESIONAL DALAM MENGHADAPI PENDIDIKAN DI ERA GLOBALISASI
Authors: Sakti Bayu Purbha 
Published: November 2020

Guru seharusnya dihormati karena guru memiliki kepedulian terhadap keberhasilan pembelajaran di sekolah. Pendidikan yang dilakukan di sekolah berkaitan dengan era globalisasi. Guru yang bekerja secara profesional masih diperlukan kemampuannya dalam menata segala aspek kehidupan di masyarakat. Namun ada berbagai masalah yang dihadapi guru di Indonesia. Guru sekolah dasar yang memiliki ijazah sarjana masih sedikit di Indonesia. Guru didistribusikan di Indonesia kurang merata. Kesejahteraan guru yang bekerja di Indonesia masih memprihatinkan. Jenis penelitian yang digunakan adalah penelitian kualitatif. Penelitian ini dilakukan dengan cara mencari berbagai bahan pustaka. Upaya pemerintah untuk meningkatkan guru profesional dilakukan dengan cara pemberian ijin perkuliahan melalui pendidikan tinggi. Upaya peningkatan guru profesional juga dilakukan pemerintah melalui kegiatan misalnya seminar, pelatihan, dan program sertifikasi guru. Upaya pemerintah untuk meningkatkan guru profesional dilakukan dengan cara pemberian UKG (Ujian Kompetensi Guru). Upaya pemerintah untuk meningkatkan guru profesional dilakukan melalui kegiatan yang dilembagakan misalnya PKG (Pusat Kegiatan guru) dan KKG (Kelompok Kerja Guru). Upaya pemerintah untuk meningkatkan guru profesional dilakukan melalui kegiatan sistem zonasi.