bluuebunny/crossref_metadata_2025_split huggingface dataset:
ADOLESAN VARİKOSELEKTOMİ HASTALARININ DEĞERLENDİRİLMESİ
Authors: KİZİLKAN Yalcin , ŞENEL Samet , AYKANAT İbrahim , BALCI Melih , ÖZDEN Cüneyt , TUNCEL Altuğ 
Published: October 2020

Amaç
Bu çalışmada, adolesan yaş grubunda varikoselektomi
operasyonunun endikasyonlarının, ameliyat sonrası
etkilerinin ve komplikasyonlarının değerlendirilmesi
amaçlanmıştır.
Gereç ve Yöntem
Ocak 2010 ve Aralık 2018 tarihleri arasında 11-17
yaş aralığındaki varikoselektomi yapılan 40 hastanın
bilgileri retrospektif olarak incelendi. Hastaların demografik
verileri, şikayetleri, operasyon öyküleri, varikoselektomi
endikasyonları, fizik muayene bulguları,
semen analizleri (Tanner 5 evresinde olanlar), skrotal
renkli doppler ultrasonografi sonuçları, takip süreleri,
varikoselektomi sırasında tercih edilen anestezi türü,
varikoselektomi tarafı ve komplikasyonlar değerlendirildi.
Bulgular
Hastaların yaş ortalaması 14.2±1.8 (11-17) yıl idi. Fizik
muayenesi yapılan hastaların 36‘sında (%90) 3.
derece varikosel mevcut iken, 3 hastada (%7) varikosele
ek olarak testiküler hipoplazi, 1 hastada (%3) ise
testiküler atrofi mevcut idi. Semen analizi verebilecek
olan 4 hastanın 2’sinde semen analiz sonuçları normal
iken, 1 hastada azospermi, 1 hastada ise oligoastenospermi
saptandı. Operasyon sonrası oligoastenospermik
ve azospermik hastanın semen analizinde
düzelme izlendi. Operasyon sonrası erken dönemde
1 hastada orşit gelişirken, geç dönem takiplerde 1
hastada varikosel nüksü ve 1 hastada ise testiste hipoplazi
izlendi.
Sonuç
Varikosel testiküler hipoplazi, atrofi yaparak hipogonadizme
yol açabilen, buna ek olarak skrotal ağrıya
neden olabilen bir hastalıktır. Adolesan varikoselli
hastalar değerlendirilirken cerrahi endikasyonu olan
hastaların geciktirilmemesi oluşabilecek fertilite problemlerinden
kaçınılması açısından önemlidir.
Energetic Rupture and Tsunamigenesis during the 2020 Mw 7.4 La Crucecita, Mexico Earthquake
Authors: Melgar Diego , Ruiz-Angulo Angel , Pérez-Campos Xyoli , Crowell Brendan W. , Xu Xiaohua , Cabral-Cano Enrique , Brudzinski Michael R. , Rodriguez-Abreu Luis 
Published: October 2020

AbstractThe La Crucecita earthquake ruptured on the megathrust, generating strong shaking and a modest but long-lived tsunami. This is a significant earthquake that illuminates important aspects of the behavior of the megathrust as well as the potential related hazards. The rupture is contained within 15–30 km depth, ground motions are elevated, and the energy to moment ratio is high. We argue that it represents a deep megathrust earthquake, the 30 km depth is the down-dip edge of slip. The inversion is well constrained, ruling out any shallow slip. It is the narrow seismogenic width and the configuration of the coastline that allow for deformation to occur offshore. The minor tsunamigenesis can be accounted for by the deep slip patch. There is a significant uplift at the coast above it, which leads to negative maximum tsunami amplitudes. Finally, tide-gauge recordings show that edge-wave modes were excited and produce larger amplitudes and durations in the Gulf of Tehuantepec.
HEAVY METALS CONTENT (Ba, La, Ce) IN THE SOILS OF CHEREPOVETS TECHNOGEACHEMICAL ANOMALY
Authors: Vodianitsky Yu. , Savichev A. , Rogova O. 
Published: October 2020

With the help of X-ray radiometric method modified for diagnostics of superheavy metals Ba, La, Ce, their content in soils of Cherepovets geochemical anomaly is studied. Values Ultra-heavy metal technogeneities reach their maximum nearness of the Severstal mill. This is especially true for La and Ce, the share of whose technogenicity reaches up to 30-43%. This reflects the accumulative nature of the profile distribution of La and Ce, while in the background areas in humidal landscapes the distribution is eluvial.
GENESIS, GEOGRAPHY OF NANOSCOPIC MATTER AND ITS IMPORTANCE FOR FERTILITY AND ECOLOGICAL FUNCTIONING OF SOILS
Authors: Gradusov B. 
Published: October 2020

The questions of using the concepts and methods of nanoscopic research in soil science are considered. These include the concept of nanoscopic particles, fundamental features of nanoscopic substances, genesis and geography of a large number of minerals with pronounced nanoscopic properties in soils. A number of regularities of nanoscopic minerals placement in soils of Russia and neighboring countries have been revealed. The differences between the main soil types from a nanoscopic point of view. The problem of introduction of nanoscopic research methods in soil science is discussed, and the prospects of using nanosized minerals and formations in improvement of land productivity, including fertilizer production and reclamation, as well as assessment of environmental situations, and design of soil protection measures.
IMPACT OF AGROMETEOROLOGICAL CONDITIONS TO CHANGE OF PROPERTIES OF THE RECLAIMED SOLONETZES IN THE DRY STEPPE ZONE
Authors: Lyubimova I. , Aksenov A. , Gorobets A. 
Published: October 2020

Estimation of the impact of weather conditions on the change in the content of readily soluble salts and metabolic bases and humus in the reclaimed automorphic high-carbonate solonetzes of the dry-steppe zone at different of types of meliorative effects. The given results of researches show that weather conditions first of all render effects on rapidly changing soil properties, such as readily soluble salt content and exchangeable elements. There is no evidence of reliable correlations between humus content and weather conditions. Directionality and the share of the impact of climate indicators on different properties of reclaimed solonetzes is different, but in most cases it's is less than 30% of the share of influence of other factors.
MINERALOGICAL COMPOSITION OF ELUVIAL-GLEY ZHELTOZEMS AS EXEMPLIFIED BY SOILS OF THE ARBORETUM IN SOCHI CITY
Authors: Chizhikova N. P. , Gurov I. A. 
Published: October 2020

The composition of fine-dispersed fractions (<1, 1-5 5-10 mkm) extracted from zheltozems located in the northern part of humid-subtropical zone in the North-Western Caucasus is represented by clay and accompanying minerals, which have been fixed earlier in weathering crusts and their derivates characteristic of the given natural zone. The clay fraction consists of a set of mixed-layer minerals, in which chlorite-vermiculite and mica-smectite are dominating within the soil profile. Hydromicas of dioctahedric type and kaolinite are subordinates. In the course of soil formation the profile became differentiated according to the content of the fraction < 1 mkm and the composition of minerals in it. In the eluvial part of the profile the individual smectite is absent but hydromicas, kaolinite, chlorite-vermiculite reveal accumulation. Among destruction products the lepidocrocite is segregated in the AYEL horizon to a considerable extent.. The 1-5, 5-10 mkm fractions are evenly distributed, quartz is dominated.
Interface entre saúde e educação no processo de inclusão escolar
Authors: De Souza Meriele Sabrina , De Souza Rhillary Lorrayne , De Paula Nayara Cristine Protte , Braga Patrícia Pinto 
Published: October 2020

Objetivo: Analisar como se configura a articulação entre profissionais da educação, da saúde e familiares no processo de inclusão
escolar. Método: Estudo qualitativo interpretativo, orientado pelo referencial de Boaventura de Sousa Santos que contou a com
participação de 43 entrevistados. As entrevistas guiadas por roteiro semiestruturado foram submetidas à análise de conteúdo.
Resultados: A análise permitiu identificar três categorias: a família no contexto da inclusão escolar e a relação com a escola; a
atenção à criança no Sistema Único de Saúde na perspectiva dos profissionais da educação e a desarticulação entre profissionais da
educação e da saúde. Conclusão: Há ausência de interação entre a enfermagem e outros profissionais de saúde com a educação.
Na perspectiva dos profissionais da educação e dos cuidadores, as dificuldades relacionadas aos atendimentos de saúde no SUS,
como a demora dos procedimentos e a falta de especialistas, constituem-se em desafios para o processo de inclusão, considerando
que conhecer a condição da criança é um aspecto que favorece adaptações ao seu processo de aprendizagem. Os profissionais
reconhecem que, no cenário de investigação, a articulação entre profissionais da educação e da saúde poderia contribuir,
consideravelmente, para o aprendizado infantil. Entretanto este estudo ressalta a importância da atuação do enfermeiro no
cenário da inclusão escolar com equipe multidisciplinar.
Concurrent administration of oxytocin with Foley catheter versus Misoprostol for induction of labor: A systematic review and meta-analysis
Authors: Aziz Mohamed A. Abdel , Jahanfar Shayeste , Abedi Parvin , Faal Shahla 
Published: October 2020

Abstract
Background: Around one- third of pregnancies require labor induction due to several reasons such as post-term pregnancy, stillbirth, and medical complications. This systematic review aimed to evaluate the effect of concurrent administration of Foley catheter plus oxytocin versus Misoprostol on labor induction.Methods: The search was conducted in April 2019 and updated in September 2020. The following databases were searched: PubMed, SCOPUS, Cochrane Central Register of controlled trials, and Web of Science. Primary outcome included cesarean section rate. Secondary outcomes were the mean duration of induction to delivery and delivery in less than 12 hours from induction. Data were analyzed using RevMan. For binary outcomes, the odds ratio with 95% confidence intervals (CI), and for continuous outcomes, the mean difference (MD) with 95% CI was measured.Results: Four studies were included in this review. The cesarean section rate in Foley plus oxytocin was not significantly different from vaginal Misoprostol (OR = 0.95; 95 % CI: 0.70, 1.30) and (OR = 0.92; 95 % CI: 0.66, 1.29) respectively. Foley plus oxytocin decreased the mean duration of induction to delivery compared to vaginal Misoprostol in nuligravida (MD = -6.74; 95% CI -9.20, -4.28), and increased delivery in less than 12 hours from induction (OR = 2.08; 95 % CI: 1.43, 3.02).Conclusion: Although the rate of cesarean and vaginal delivery was not different in two groups of Foley catheter plus oxytocin and vaginal Misoprostol, the mean time of induction to delivery reduced and delivery in less than 12 hours from induction increased in the Foley plus oxytocin.
Palliative treatment of endometrial cancer: which is the role of Anastrozole in elderly women?
Authors: Gardella Barbara , Dominoni Mattia , Bogliolo Stefano , Cassani Chiara , Carletti Giulia Vittoria , De Silvestri Annalisa , Spinillo Arsenio 
Published: October 2020

Abstract
Background: Type I endometrial cancer is the most common gynaecological tumour in developed countries and its incidence is increasing also because of population aging. The aim of this work is to test the feasibility and safety of anastrozole as palliative treatment of endometrial cancer in elderly women ineligible for standard surgical treatment. Methods: Patients with histological diagnosis of type I endometrial cancer not suitable for surgical treatment were enrolled in this pilot study. Anastrozole was administered 1 mg daily orally after performing an accurate clinical and radiological staging. Validated questionnaire and self-reported outcomes were used to evaluate quality of life and compliance during the study period.Results: Eight patients with a mean age of 85 (range 80-88years) were enrolled. All patients had endometrial cancer confined to the uterus, and none progression of disease was observed during the study period. A partial response to the therapy was reported in seven patients, while one patient had stable disease. Tumour symptoms improvement such as pain, vaginal bleeding and vaginal discomfort was reported. The endometrial thickness after twelve months has showed a reduction of 9.25 ± 4.77 mm. The average follow-up time was 18.25 months. Four women died for non oncological reasons, none death related to endometrial cancer was reported. Evaluation of symptoms showed a significant reduction of appetite loss and insomnia, while a significant increase of global health status and fatigue was reported. Conclusions: Our preliminary data suggested that the palliative use of anastrozole may be a suitable therapy for the proper management of early stages endometrial cancer in elderly women not suitable for surgical treatment with good compliance and tolerance.Trial registration: 20130008401, 21/09/2013
Validation of the Psychometric Properties of the Malay Advance Care Planning Questionnaire
Authors: Lim Mun Kit , Lai Pauline Siew Mei , Wong Pei Se , Othman Sajaratulnisah , Mydin Fadzilah Hanum Mohd 
Published: October 2020

Abstract
Background There is a growing interest among the developing countries on advance care planning (ACP) due to the reported benefits of planning ahead in the developed countries. Validated instruments in various languages have been developed to facilitate study on the views of public prior to its implementation. However, instrument to explore the views on ACP in Malay has not been developed and validated yet, even though Malay is spoken extensively by approximately 220 million people in the Malay Archipelago. There is also a need for instrument in Malay language to facilitate the assessment of knowledge, attitude and practice (KAP) of Malaysians regarding ACP. Therefore, the aim of this study was to validate the psychometric properties of the Malay Advance Care Planning Questionnaire (ACPQ-M). Methods The ACPQ was translated according to international guidelines. This validation study was conducted from January to June 2018. Participants who were ≥21 years old, and able to understand Malay were recruited from an urban primary care clinic and a tertiary education institution in Malaysia. A researcher administered the ACPQ-M to participants via a face-to-face interview at baseline and two weeks later. Each interview took approximately 15-20 minutes. Results A total of 222/232 participants agreed to participate (response rate=96.0%). Exploratory factor analysis and confirmatory factor analysis found that the ACPQ-M was a 4-factor model. The Cronbach’s α values for the four domains ranged from 0.674-0.947. Only 157/222 participants completed the test-retest (response rate=71%). At test-retest, quadratic weighted kappa values for all domains ranged from 0.340-0.674, except for two domains which ranged from -0.200-0.467. Conclusions The ACPQ-M was found to be a 4-factor model, and a valid and reliable instrument to assess the KAP regarding ACP. This instrument can contribute to profound understanding of the KAP of Malaysians regarding ACP, and assist policy makers in determining the readiness for legislation of ACP in Malaysia.
Seroprevalence of the hepatitis E virus among blood donors in the Qassim Region, Saudi Arabia
Authors: Alhatlani Bader , Aljabr Waleed , Almarzouqi Mohammed , Alhatlani Sami , Alzunaydi Rayan , Alsaykhan Abeer , Almaiman Sulaiman , Aleid Ahmed , Alsughayir Ammar , Beshawri Yara , Almusallam Abdulrahman 
Published: October 2020

Abstract
ObjectivesTo evaluate the seroprevalence of hepatitis E virus (HEV), a major public health issue worldwide with the potential for transmission via blood transfusion, in blood donors in the Qassim Region, Saudi Arabia. Serum samples (n = 1,078) were collected from volunteer blood donors from January to April 2019 and tested for the presence of anti-HEV IgG and IgM by indirect enzyme-linked immunosorbent assays.ResultsOverall, the seroprevalence of anti-HEV IgG among blood donors was 5.7%. Additionally, the seropositive rates of anti-HEV IgG and IgM were significantly higher in non-Saudi donors (22.1% and 35.3%) than in Saudi donors (3% and 7.4%). The seroprevalence of anti-HEV IgG increased with age; however, there was no correlation between gender and anti-HEV IgG and/or IgM. The seroprevalence of HEV among blood donors in the Qassim Region was lower than previous estimates for other regions of the country. Further studies covering a wider geographical area are needed to validate and expand the findings and to determine the importance of HEV screening in the region.
Hepatic encephalopathy increases the risk of hip fracture: a nationwide cohort study
Authors: Yeh Kuang-Ting , Yu Tzai-Chiu , Lee Ru-Ping , Wang Jen-Hung , Liu Kuan-Lin , Peng Cheng-Huan , Chen Hao-Wen , Chen Ing-Ho , Hsu Chung-Yi , Wu Wen-Tien 
Published: October 2020

Abstract
Background: Osteoporotic hip fracture is a common general health problem with significant impact of human life because it debilitates the patients and largely decrease their life quality. Early prevention of the fracture is essential in the recent decades by finding out the related risk factors as reference of further intervention, especially for the vulnerable patient group with comorbidities. Hepatic encephalopathy, a major complication of liver cirrhosis, may increase the rate of falling down and weaken the bone quality. This paper is aimed to finding out the correlation between hepatic encephalopathy and osteoporotic hip fracture in the aged patients from our national population. Methods: This retrospective cohort study used data from Taiwan’s National Health Insurance Research Database between 2000 and 2012. We focus on people who were older than 50 years old, using hepatic encephalopathy as compare grouping accordance, and finding the influence of the other common chronic illness. Patients with and without hepatic encephalopathy were matched at a ratio of 1:4 for age, sex, and index year. The incidence and hazard ratios of comorbidities related to aging and poor lifestyle were calculated using Cox proportional hazard regression models. Results: The average age of the enrolled patients was approximately 66.5 years. The incidence ratio of hip fracture in HE group was 68/2496 (2.7%), which was significantly higher than that in non-HE group as 98/9984 (0.98%). Patients with hepatic encephalopathy were 2.15-times more likely to develop osteoporotic hip fractures than patients without hepatic encephalopathy in the whole group and the risk ratio was also significantly higher in female and older patients. The results were also similar in the comorbidity subgroups of hypertension, diabetes mellitus, hyperlipidemia, senile cataract, gastric ulcer and depression. Alcohol-illness seemed to be not confound the results of this study. Conclusions: Hepatic encephalopathy is significantly associated with an increased risk of osteoporotic hip fractures and the significance was not affected by the comorbidities in people aged more than 50 years old from the results of our study, and the fracture cumulative risk increased with age based on log-rank test.
Stakeholder perceptions about the establishment of medical simulation-based learning at a university in a low resource setting: A qualitative study in Uganda
Authors: Najjuma Josephine Nambi , Bajunirwe Francis , Twine Margaret , Namata Tamara , Kyakwera Catherine , Cherop Moses , Data Santorino 
Published: October 2020

Abstract
Background: Simulation based learning (SBL) is a technique where teachers recreate “real life” clinical experiences for health care teams for purposes of gaining clinical skills in a safe environment. There is evidence that SBL is superior to the traditional clinical teaching methods for acquisition of clinical skills. Although it is well established in resource rich settings, there is limited experience in resource limited settings and there is uncertainty regarding how SBL will be perceived among the stakeholders in medical education. As part of the steps leading to implementation of a SBL program at a university in Uganda, we sought to describe the perceptions of various stakeholders regarding the introduction of SBL methodology into learning at a medical school in Uganda. Methods: We conducted a formative qualitative assessment using key informant interviews (KIIs) among faculty members and university administrators and focus group discussions (FGDs) among medical and nursing students at Mbarara University of Science and Technology. Data were collected till saturation point and were transcribed and analyzed manually using open and axial coding approaches to develop themes. Results: We conducted 7 KIIs and 3 FGDs. Overall, findings were categorized into five broad themes: 1. Motivation to adopt simulation-based learning 2. Prior experience and understanding of simulation-based education 3. Outcomes arising from introduction of medical simulation 4. Drawbacks to establishment of medical simulation; and 5. Potential remedies to the drawbacks. Overall, our data show there was significant buy-in from the institution for SBL, stakeholders were optimistic about the prospects of having a new method of teaching, which they perceived as modern to complement the traditional methods. There was significant knowledge but very limited prior experience of medical simulation. Also, there was some concern regarding how students and faculty would embrace training on lifeless objects, the human resources needed and sustainability of simulation-based learning in the absence of external funding. Conclusion: Stakeholders perceive SBL positively and are likely to embrace the learning methods. Concerns about human resource needs and sustainability need to be addressed to ensure acceptability.
A Pilot Study on Autism Spectrum Disorders in Mali: Parental concerns about child developmental milestones and late diagnostic age
Authors: Sangare Modibo , Diarra Ya , Konate Djeneba , Haidara Mohamed S , Karembe Adama , Keita Boureima , Dolo Housseini , Kouyate Modibo , Doumbia Fatoumata , Sidibe Oumar , Diakite Seidina , Kayentao Kassoum , Traore Drissa , Toure Amadou , Doumbia Seydou , Diakite Mahamadou , Kim Hyung-Goo , Awandare Gordon A 
Published: October 2020

Abstract
Background: In Mali, the health facility-based prevalence of autism spectrum disorders (ASD) in Mali was 4.5% (105/2,343) and the age of first medical visit for autistic children was around 7 years old in 2018. Parental recognition of developmental abnormalities initiates the early autism detection and diagnosis. In this pilot study, our aim was to investigate if parental concerns were associated with early first medical visits and subsequent ASD diagnostic in Mali. Methods: We conducted a pilot study from November 2017 to July 2019. We surveyed 57 parents of autistic children aged 3-14 years old. Results: Parents were concerned over verbal communication in 54.1% and reciprocal social interaction in 43.8%. Children with ASD had their first medical visit after 18 months old in 66.7%, ≥ two medical visits in 87.7%, and were identified after 36 months old in 76.8%. Conclusion: Parental concerns were not significantly associated with early first medical visit and ASD identification. This pilot study will help in the design of larger studies on the same topic in Mali.