bluuebunny/crossref_metadata_2025_split huggingface dataset:
Symptomatic lymphatic cysts after oncourological operations on the pelvic organs and influence of their anatomical localization on the clinical appearance
Authors: Kotov S. V. , Prostomolotov A. О. 
Published: December 2020

Introduction. Lymphatic cysts (LC) are the accumulation of free lymphatic fluid in a limited space (between tissues and organs), in the place where the lymphadenectomy was performed. They are the most frequent complications in pelvic oncourology. LC are divided into symptomatic and asymptomatic.Purpose of the study. To assess the influence of the anatomical localization of symptomatic lymphatic cysts (sLC) on the clinical appearance.Materials and methods. 203 radical prostatectomies (RPE) and 42 radical cystectomies (RC) were performed with pelvic lymph node dissection (PLND) in the N.I. Pirogov City Clinical Hospital № 1 from January 2017 to March 2020. Of 203 patients, 13 (6.4%) developed SLC, and of 42 patients, 6 (14.3%). All patients who developed complications underwent complex ultrasound studies and multispiral computed tomography (MSCT) of the retroperitoneal space, abdomen, and pelvic area to assess the localization and volume of the sLC.Results. Four anatomical localizations of the sLC can be distinguished after analyzing the clinical picture of 19 patients with sLC and comparing the obtained data with MSCT: paravasal-iliac, paravesical, prevesical, and pelvic-retroperitoneal. The frequency of paravasaliliac sLC was higher, they developed in 13 (68.5%) patients. The clinical picture included: pain in the pelvic area, lymphedema of the lower limb, body temperature ≥ 39.0 °C, due to LC infection and compression of the iliac vessels. Paravesical sLC were found in 2 (10.5%) patients. There was a failure of the urethrovesical anastomosis, according to retrograde cystography, due to displacement of the bladder. Prevesical sLC were found in 2 (10.5%) patients. Patients noted progressive urinary incontinence and pain above the pubic symphysis. Pelvic-retroperitoneal sLC was observed in 2 (10.5%) patients, with the clinical appearance of nagging pain in the lumbar region, body temperature ≥ 38.0 °C, due to ureteral compression and the development of obstructive pyelonephritis, as well as compression of the inferior vena cava by a lymphatic cyst. The repeated intervention was performed in 18 cases: percutaneous drainage of the LC under ultrasound guidance in 12 (63.2%) patients, laparoscopic marsupialization of the LC in 3 (15.7%) patients, an open technique in 3 (15.7%). In 1 patient (5.4%) the treatment was conservative.Conclusion. Symptomatic LC can be classified according to 4 anatomical locations, which define their clinical symptoms. Most sLC require reoperation.
Possibilities of effective antitumor therapy of patients with chronic lymphocytic leukemia depending on the clinical and laboratory characteristics of the disease
Authors: Shatokhin Yu. V. , Snezhko I. V. , Zeltser A. N. , Mordanov S. V. , Burnasheva E. V. , Sizyakina L. P. , Kharitonova M. V. , Ryabikina E. V. , Gerasimova O. V. , Nagornaya G. Yu. , Matsuga A. A. , Dyatchina L. I. 
Published: December 2020

Purpose: to determine the optimal therapy regimens in patients with CLL, depending on age, comorbidity, prognostic (genetic) factors, clinical picture. Materials and methods: analysis of case histories of 400 patients with CLL observed at the Rostov State Medical University, Ministry of Health of the Russian Federation from 2010 to 2020.Results: Immunochemotherapy according to the FCR and FCR-Lite regimens has shown high efficiency in primary and pre-treated patients in terms of the frequency of achieving complete and partial remissions and achieving progression-free survival. In untreated patients, complete remissions were obtained in 61 (71.7%), partial remissions - in 14 (16.4%); among pre-treated patients, respectively - 40 (20.5%) and 65 (33.8%).Conclusion: combination therapy according to the FCR and FCR-Lite regimens is an affordable and effective method of treatment for most patients with CLL. When the level of leukemic blood cells with 17p13 deletion is less than 15%, rituximab should be used in the first line of immunochemotherapy, and ibrutinib (imbruvica) in case of more than 15%. In mono-regimen, rituximab is effective in supportive - anti-relapse therapy and in the treatment of autoimmune complications.
Using Consumer-Grade Physical Activity Trackers to Measure Frailty Transitions in Older Critical Care Survivors: Exploratory Observational Study
Authors: Kim Ben , Hunt Miranda , Muscedere John , Maslove David M , Lee Joon 
Published: December 2020

Background
Critical illness has been suggested as a sentinel event for frailty development in at-risk older adults. Frail critical illness survivors are affected by increased adverse health outcomes, but monitoring the recovery after intensive care unit (ICU) discharge is challenging. Clinicians and funders of health care systems envision an increased role of wearable devices in monitoring clinically relevant measures, as sensor technology is advancing rapidly. The use of wearable devices has also generated great interest among older patients, and they are the fastest growing group of consumer-grade wearable device users. Recent research studies indicate that consumer-grade wearable devices offer the possibility of measuring frailty.

Objective
This study aims to examine the data collected from wearable devices for the progression of frailty among critical illness survivors.

Methods
An observational study was conducted with 12 older survivors of critical illness from Kingston General Hospital in Canada. Frailty was measured using the Clinical Frailty Scale (CFS) at ICU admission, hospital discharge, and 4-week follow-up. A wearable device was worn between hospital discharge and 4-week follow-up. The wearable device collected data on step count, physical activity, sleep, and heart rate (HR). Patient assessments were reviewed, including the severity of illness, cognition level, delirium, activities of daily living, and comorbidity.

Results
The CFS scores increased significantly following critical illness compared with the pre-ICU frailty level (P=.02; d=−0.53). Survivors who were frail over the 4-week follow-up period had significantly lower daily step counts than survivors who were not frail (P=.02; d=1.81). There was no difference in sleep and HR measures. Daily step count was strongly correlated with the CFS at 4-week follow-up (r=−0.72; P=.04). The average HR was strongly correlated with the CFS at hospital discharge (r=−0.72; P=.046). The HR SD was strongly correlated (r=0.78; P=.02) with the change in CFS from ICU admission to 4-week follow-up. No association was found between the CFS and sleep measures. The pattern of increasing step count over the 4-week follow-up period was correlated with worsening of frailty (r=.62; P=.03).

Conclusions
This study demonstrated an association between frailty and data generated from a consumer-grade wearable device. Daily step count and HR showed a strong association with the frailty progression of the survivors of critical illness over time. Understanding this association could unlock a new avenue for clinicians to monitor and identify a vulnerable subset of the older adult population that might benefit from an early intervention.
Мультимодальноое обезболивание как составная часть лечебного комплекса у больных с несращением костей голени в периоперационном периоде
Authors: Rushay A.K. , Martynchuk A.A. , Baida M.V. , Zhagdal A.A. 
Published: December 2020

С учетом выявленных нарушений кровообращения в конечности при несращении оптимальным видом пери­операционного обезболивания является долгосрочное обез­боливание в периоперационном периоде. Количественные показатели реовазограммы свидетельствовали о достоверном снижении пульсового кровенаполнения пораженной нижней конечности, которое было вызвано повышением тонуса сосудов — артерий и вен среднего и малого калибра. Выраженный болевой синдром в периоперационном периоде мог усугубить сосудистые нарушения, что является неблагоприятным фактором при сращивании костей. Поэтому оптимальным вариантом является проведение спинномозговой анестезии в комбинации с введением декскетопрофена. Осложнений лечения не выявлено. Динамика показателей визуально-аналоговой шкалы свидетельствует о высокой эффективности проведенного обезболивания.
Взаимосвязь между ожирением и уровнем тиреотропного гормона у взрослых
Authors: Efendioğlu Eyyüp Murat , Kavuncuoğlu Duygu 
Published: December 2020

Актуальность. Ожирение — серьезная социальная эпидемия XXI века. Особого внимания заслуживает частое сочетание патологии щитовидной железы (ЩЖ) и ожирения. Ожирение связано с многочисленными эндокринными нарушениями, включая дисфункцию ЩЖ и центральное ожирение. Однако неясно, является ли заболевание ЩЖ у людей с ожирением причиной или следствием этого состояния. Целью исследования было выяснить взаимосвязь между ожирением и уровнем тиреотропного гормона (ТТГ) в плазме крови. Материалы и методы. Под наблюдением находились 73 пациента с ожирением (индекс массы тела (ИМТ) ≥ 30 кг/м2) в возрасте 18–65 лет и группа из 27 человек без ожирения с нормальным ИМТ. Ретроспективно регистрировали возраст, пол, антропометрические измерения, уровень ТТГ, глюкозы в плазме натощак (ГПН), инсулина, общего холестерина, триглицеридов и холестерина липопротеидов высокой плотности (ХС ЛПВП). Для анализа данных использовались t-критерий, U-критерий Манна — Уитни, критерий хи-квадрат и корреляционные тесты Пирсона и Спирмена. Значение p < 0,05 считалось статистически значимым. Результаты. В исследование были включены 73 пациента с ИМТ ≥ 30 кг/м2 и 27 лиц, которые не страдают от ожирения. Среди обследованных было 59 женщин и 41 мужчина, средний возраст которых составил 36,4 ± 10,4 года. Значительные различия наблюдались в значениях ИМТ, ГПН, инсулина, HbA1c, ХС ЛПВП и ТТГ между группами (p < 0,05). ТТГ достоверно положительно коррелировал с ТТГ и ИМТ, HbA1c, инсулином и ГПН (p < 0,001, r = 0,360; p = 0,031, r = 0,231; p = 0,021, r = 0,231 и p = 0,017, r = 0,237 соответственно). Отрицательная корреляция наблюдалась между ТТГ и ХС ЛПВП (p = 0,006, r = –0,272). Выводы. Значения ТТГ, глюкозы в крови натощак, HbA1c и инсулина были выше в группе с ожирением по сравнению с группой здоровых людей с нормальным весом, в то время как значения ХС ЛПВП были ниже. Определена достоверная положительная корреляция между ТТГ и ИМТ. Эти данные подтверждают мнение о том, что у людей с ожирением может наблюдаться небольшое повышение уровня ТТГ.
Frida Kahlo, à Revolução: O uso da fotoetnografia como narrativa emotiva na peça teatral
Authors: Constante Robson Da Silva , Graeff Lucas , Caye Arlete , Andrade Anderson Maciel de 
Published: December 2020

Você já parou para pensar como uma fotografia pode ser paradoxal? Que sentimentos podem surgir quando se está diante de uma imagem, o olhar por ser congelado, você pode fixar-se-a ela por segundos... minutos… horas… Para Samain 2003), a fotografia pode ser comparada a uma múmia, ela pode estar imóvel há anos, enclausurada em sua urna, silenciosa, ou seja muda, ela não mais irá falar, porém no entanto nossa imaginação, mil palavras podem surgir. Neste momento o autor menciona o que podemos classificar de “discursos do silêncio” de uma determinada imagem - “Discurso por ela provocados, que surgem dos fundos da nossa interioridade, da caverna obscura de nosso pensamento. Pois, se é verdade que olhamos para ela, também ela olha para nós, nos aponta, nos questiona, nos perscruta, nos desvenda, nos desnuda.” (Samain, p. XVIII, in. ACHUTTI, 1997).Para esse estudo a peça de teatro “Frida Kahlo, à revolução” será o foco. O espetáculo vem sendo apresentado nos palcos, desde 2009, quando foi criado conjuntamente a Companhia de teatro, intitulada de Cia Dramática. Quem fica à frente da companhia é quem protagoniza a personagem Frida, a atriz Juçara Gaspar. Seu parceiro e colega de cena, é o músico e ator Luciano Alvez.
Anotações sobre o estudo da cultura visual através de documentos históricos e exemplares subsistentes: o caso do mobiliário Baiano dos Séculos XVIII e XIX realizado por Maria Helena Ochi Flexor.
Authors: Souza Claudio Rafael Almeida de 
Published: December 2020

O artigo discute o estudo da cultura visual a partir dos documentos históricos inventários, testamentos e autos de partilha, bem como da localização e análise de exemplares subexistentes em instituições museais. Para tanto, buscamos subsídios e apontamos como principal exemplo, os estudos e metodologia utilizada pela historiadora da arte baiana Maria Helena Ochi Flexor na publicação intitulada O Mobiliário Baiano: Séculos XVIII e XIX (1970) e suas reedições, Mobiliário Brasileiro – Bahia (1978) e Mobiliário Baiano (2009). Desse modo, verificamos que os documentos são riquíssimas fontes para compreensão de diversos aspectos sociais, em especifico o mobiliário, os estilos artísticos vigentes e os materiais comuns empregados. AbstractThe paper discusses the study of visual culture based on historical inventories, wills and sharing documents, as well as the location and analysis of sub-existing examples in museum institutions. To this end, we sought subsidies and pointed as the main example, the studies and methodology used by bahian art historian Maria Helena Ochi Flexor in the publication entitled The Bahian Furniture: 18th and 19th Centuries (1970) and its reissues, Brazilian Furniture- Bahia (1978) and Bahian Furniture (2009). Thus, we find that the documents are very rich sources for understanding various social aspects, in particular the furniture, the current artistic styles and the common materials employed.
Epistemologia e arte: a questão do conhecimento estético em Francis Ponge
Authors: Perius Cristiano 
Published: December 2020

Este ensaio analisa a relação entre arte e conhecimento a partir da obra poética de Francis Ponge. O teor cognitivo está na iniciativa de edificação de uma mathesis singularis a partir do contato com os objetos em sua apreensão direta. A emoção poética, como fato original e causa do poema, é conduzida à descrição do objeto até a forma de uma lei estética apta à configuração objetiva do mundo. A forma estética visa a adequação entre as palavras e as coisas a partir de um recuso semiótico da linguagem, a saber, a onomatopéia. No interior do projeto cognitivo e intencional de Francis Ponge, a onomatopéia é o recurso que define o objeto, seguido por uma descrição fiel aos objetos em sua manifestação concreta. À luz da experiência poética de Francis Ponge, que correlaciona explicitamente a relação entre arte e conhecimento, estão abertas as possibilidades de pensar o conhecimento estético a partir de outras artes e artistas, como a pintura de Cézanne, entre outros. AbstractThis essay analyzes the relationship between art and knowledge from the poetry of Francis Ponge. The cognitive content is in the initiative of building a mathesis singularis from the contact with the objects in its direct apprehension. Poetic emotion, as the original fact and cause of the poem, is led to the description of the object into the form of an aesthetic law apt to the objective configuration of the world. The aesthetic form aims at matching words and things through a semiotic refusal of language, namely onomatopoeia. Within Francis Ponge's cognitive and intentional project, onomatopoeia is the defining feature of the object, followed by a faithful description of the objects in their concrete manifestation. In the light of Francis Ponge's poetic experience, which explicitly correlates the relationship between art and knowledge, the possibilities of thinking aesthetic knowledge from other arts and artists, such as Cezanne's painting, among others, are open.
Derivative of Unitary is not always -iHU
Authors: Muddu A S 
Published: December 2020

$i\dot{U} = HU$ (or $\dot{U} =
-iHU$) is the equation that is said to govern the evolution of a
unitary matrix $U$ given the Hamiltonian $H$ of the system. This
equation is said to hold true even if the Hamiltonian is time dependent.
We show iU = HU (or $\dot{U} = -iHU$) is the equation
that is said to govern the evolution of a unitary matrix $U$ given
the Hamiltonian $H$ of the system. This equation is said to hold true
even if the Hamiltonian is time dependent. We show in this paper that
$i\dot{U} = HU$ may not always hold for time
dependent Hamiltonians.this paper that $i\dot{U} =
HU$ may not always hold for time dependent Hamiltonians.
Improvements of the US BI-RADS Assessment – A Necessity for a Non-Invasive Positive and Differential Diagnosis of Breast Cancer. Application of the New Full Breast Ultrasonography Concept
Authors: Colan-Georges Aristida 
Published: December 2020

Objective: Despite the engineering progress, the diagnosis of breast cancer (BC) is unsatisfactory due to less specific descriptors and non-anatomical scanning and interpretation, proving that physicians lag behind technology. We aimed to improve the noninvasive positive and differential diagnosis of BC using modern technology applied to the new integrative concept of Full Breast Ultrasonography (FBU): anatomical radial scanning, color Doppler and Strain Sonoelastography (SE).
Methods: We analyzed retrospectively 1841 consecutive FBUs in 1333 patients from screening, diagnosis, or follow-up, in two centers. We searched three descriptors: the ductal connection of the lesions, the incident angle of the plunging artery, and the SE (Ueno score). We compared the initial BI-RADS assessment with pathological reports or follow-up examinations of benign findings.
Results: Radial scanning and ductal connection provided a standardized examination of the entire breast, with 100% sensitivity, early detection, precise location, and easy follow-up. We found no correlation BC-Density-Age, but a significant association BC - Benign pathology. The benign lesions, usually multiple, associated the proliferative and secretory types. The incident angle of the plunging artery was the best descriptor for the BC mass-type and associated with a score 4 or 5 Ueno led to PPV of 97.01%, specificity of 99.67%, and accuracy of 99.69%. Inflammatory BC illustrated high glandular strain and diffuse hyperemia.
Conclusion: FBU had optimal accuracy, independent of the mammographic model, in screening and diagnosis. The vascular angle correlated with strain SE (adapted to the breast heterogeneity) raised the specificity and is recommended for inclusion in US BI-RADS.
New Thermodynamics: Inelastic Collisions and Cosmology
Authors: Mayhew Kent W. 
Published: December 2020

The sciences have evolved around elastic collisions although most collisions are inelastic. Elastic collisions allow for simpler mathematical modelling, that may not be particularly suitable for cosmology.
Inelastic collisions create photons. This has led to consideration of an ensemble of inelastic collisions producing CMB. This will further lead to brief discussions concerning the nature of dark matter, and dark energy. This will then be followed by a simpler analogy concerning the creation of Hawking’s radiation.
A consequence of collisions being inelastic is that as a mathematical contrivance, entropy may only be an approximation when applied to the real world. And this fits well with this author’s “New Thermodynamics”.
Temporary contracts and Okun?s law in Poland
Authors: Bartosik Krzysztof 
Published: December 2020

Research background: The share of temporary workers in Poland is one of the largest of any EU country, which may affect the output unemployment relationship. The Polish case seems to be a natural experiment. Contrary to many advanced European countries, the spread of temporary contracts in Poland was not caused by labor market reform but instead resulted mainly from spontaneous processes.
Purpose of the article: This paper investigates the effect of the widespread use of temporary contracts on the relationship between output and unemployment in Poland.
Methods: The analysis is based on the ?dynamic? version of Okun?s law and uses OLS regression, OLS split-sample regression and OLS rolling regression. The sample period is 1996?2018.
Findings & Value added: The study found that unemployment?s sensitivity to output increased over time and was related to the greater use of temporary contracts, particularly among young people and women. Initially, at the turn of the 21st century, the expansion of temporary jobs changed the employment composition and had an insignificant effect on unemployment since firms mainly replaced permanent contracts with temporary contracts. Then, starting around 2006, temporary contracts began affecting unemployment levels and unemployment?s responsiveness to output. During this period, firms used temporary contracts as the main workforce adjustment device during the business cycle.
Common Process Extraction pada Model Proses Bisnis Tebang Muat Angkut (TMA)
Authors: Fatia Salma , Yaqin Muhammad Ainul , Utomo Adi Heru 
Published: December 2020

Abstract— In an organizational environment, there are various business process models with the same procedures. If an organization builds a system with the same procedure repeatedly, it will undoubtedly incur a lot of effort and money. Therefore, it is necessary to extract common fragments to save effort. This research uses four scenarios of business process models: sequence, branching, nested branching, and looping. This study uses Business Process Modeling Notation (BPMN) notation so that the process model consists of activities, connectors, and gateways. Structural similarity is measured using the Jaccard similarity formula by comparing the process model. The similarity of behavior is measured using the Transition Adjacency Relations (TARs) method to obtain common fragments. The results show that the sequence process model will produce a common fragment that tends to be sequential too. The branching will produce a common fragment that tends to branch, and nested branching will produce a common fragment that tends to be branched and nested, as well as looping will produce a common fragment contains looping too. The experimental results show that the proposed method can extract common fragments based on the available business process models.
Keywords—BPMN; common fragment; behavioral similarity; TARs

Abstrak— Dalam lingkungan organisasi, terdapat berbagai model proses bisnis dengan prosedur yang sama. Jika suatu organisasi membangun sistem dengan prosedur yang sama secara berulang-ulang, niscaya akan mengeluarkan banyak tenaga dan biaya. Oleh karena itu, perlu mengekstrak fragmen umum untuk menghemat tenaga. Penelitian ini menggunakan empat skenario model proses bisnis yaitu sequence, branching, nested branching, dan looping. Penelitian ini menggunakan notasi Business Process Modeling Notation (BPMN) sehingga model proses terdiri dari aktivitas, konektor, dan gateway. Kemiripan struktural diukur menggunakan rumus kemiripan Jaccard dengan membandingkan model proses. Kesamaan perilaku diukur menggunakan metode Transition Adjacency Relations (TARs) untuk mendapatkan fragmen yang sama. Hasil penelitian menunjukkan bahwa model sequence process akan menghasilkan common fragment yang cenderung berurutan juga. Percabangan akan menghasilkan fragmen umum yang cenderung bercabang, dan percabangan bersarang akan menghasilkan fragmen umum yang cenderung bercabang dan bersarang, serta perulangan akan menghasilkan fragmen umum yang berisi perulangan juga. Hasil eksperimen menunjukkan bahwa metode yang diusulkan dapat mengekstrak fragmen umum berdasarkan model proses bisnis yang tersedia.
Keywords—BPMN; common fragment; kemiripan perilaku; TARs