bluuebunny/crossref_metadata_2025_split huggingface dataset:
Reoperations after the correction of partial abnormal venous return: a clinical case series
Authors: Akatov D. S. , Belov V. A. , Bukhareva O. N. , Khomich D. E. , Makarov A. A. , Kotov S. N. , Schneider Yu. A. 
Published: January 2020

Rationale: The surgical procedure for partial abnormal pulmonary venous return (PAPV) implies the formation of a tunnel between the orifices of the right pulmonary veins and the left atrial cavity with the interatrial septum repair. To avoid any obstruction of the tunnel, a direct anastomosis between the superior vena cava (SVC) and the right atrial appendage is placed in a number of cases. However, the reparative procedure is potentially associated with such complications as SVC stenosis and/or pulmonary vein stenosis. Aim: To present our experience of reoperations for stenosis of systemic and pulmonary veins after primary PAPV repair. Materials and methods: From 2014 to 2018, seven patients (boys, 4) with SVC stenosis and/or with stenosis of the right pulmonary veins have been admitted to the FCHMT (Kaliningrad). Their mean bodyweight was 29.1 kg (± 12.5 kg), mean age 9.3 years (± 3.6 years). Three patients had an isolated SVC stenosis. In two patients, there was a combination of SVC stenosis and pulmonary vein obstruction (from stenosis to complete occlusion); in one patient the right pulmonary vein stenosis had been caused by thrombosis. SVC stenosis with subaortal obstruction after the repair of double-outlet right ventricle was diagnosed in one case. In six patients, various procedures for correction of SVC and/or pulmonary vein stenosis were performed. Only in one case the obstruction of systemic veins, confirmed by cardiac catheterization, turned out to be non-significant, making a reoperation unnecessary. Results: There were no deaths in this patient group. Endovascular procedures were performed in two patients. In one case, there was an unsuccessful attempt of transluminal balloon angioplasty for SVC stenosis, with subsequent Warden procedure. In another case, a 16-year old patient with SVC stenosis and high pulmonary hypertension was admitted after two previous surgeries had failed. We used a homograft as SVC prosthesis; however, after one year, a re-stenosis was identified. In this case, a SVC stent placement was successful. Due to sick sinus syndrome at one year after the Warden procedure and the repair of pulmonary veins by a homograft, an implantation of electric cardiac pacemaker was necessary in one patient. Conclusion: The curative repair of partial abnormal venous return is a well-established surgical technique with satisfactory shortand long-term results. A potential complication of the procedure is an obstruction of systemic and pulmonary veins. To prevent such complications during primary defect repair, as well as with reoperations for vein stenosis, the Warden procedure seems effective and highly reproducible technique associated with lower surgical risks.
Results of superior vena cava resection in patients with lung and mediastinal tumors
Authors: Alexandrov O. A. , Pikin O. V. , Ryabov A. B. 
Published: January 2020

Background: Thoracic tumors involving the superior vena cava (SVC) are common in the practice of a thoracic surgeon treating cancer patients. Extended combined procedures that allow for complete removal of the tumor improves overall and disease-free survival and as such are justified from an oncologist’s perspective. In some patients, due to a long-standing SVC syndrome, the development of venous collaterals would increase the early postoperative risk of thrombus formation in the prosthesis. In such a case, it is possible to perform circular SVC resection without subsequent prosthetic replacement. Aim: To evaluate the short-term results of SVC resection in patients with chest tumors, to develop an algorithm and to identify the patient group in whom circular SVC without prosthetic replacement is feasible. Materials and methods: Twenty eight (28) patients were included into the study (22 men and 6 women, with the mean age of 55 [range, 21 to 70 years]; all of them had undergone SVC resection within the intervention for a lung or mediastinal malignancy for 10 years (from 2008 to 2018) in the Department of Thoracic Surgery, Moscow Research Institute of Oncology named after P.A. Herzen. We analyzed their short-term results of the procedures, the postoperative course, and technical particulars of the procedures. Results: Locally advanced lung cancer was diagnosed in 19 (67%) of the patients, thymoma in 3 (10%), lung metastatic disease in 2 (7%), germ-cell mediastinal tumors in 2 (7%), thymus cancer in 1 (3%), and residual lymphoma in 1 (3%) patient. In the majority of the patients (15 cases, 53%), the complicated clinical course had been diagnosed before surgery. In 4 patients with protracted SVC syndrome, we performed circular resection without any prosthetic replacement. In 22 patients (78%), the postoperative course was uneventful. Postoperative mortality was 7%. Conclusion: SVC resection can be safely performed in patients with primary mediastinal and lung tumors. With a long-standing SVC syndrome, the newly developed cava-caval anastomoses can provide significant functional support; in such patients with compensatory collateral blood flow, the circular SVC resection without prosthetic replacement is relatively safe.
A clinical case of stepwise correction of the chest wall complications after combined treatment for breast cancer
Authors: Korymasov E. A. , Medvedchikov-Ardiia M. A. , Benian A. S. 
Published: January 2020

Radiation-induced sternal osteomyelitis as a complication of combined therapy for breast cancer is quite rare. As a rule, these patients are treated not by oncologists, but by thoracic and general surgeons. We present a clinical case report of successful treatment of chronic radiation-induced sternal osteomyelitis in a 52-yearold woman, who developed it at 2 years after radical mastectomy for breast cancer. The patient recovered after long-term, stepwise treatment including surgical procedures. The infectious process was stopped by wound debridement and vacuum-assisted dressings. The reconstruction stage included the use of a flap from m. pectoralis major. Treatment of radiation-induced sternal osteomyelitis fits to a widely accepted algorithm of surgical care for patients with anterior thoracic wall infections; however, at each step of care the surgeon can come across difficulties related to the pathological effects of the ionizing radiation.
La cuestión político-educativa desde la filosofía de la animalidad: hacia una nueva humanidad en América Latina
Authors: Vallejos Ana Laura 
Published: January 2020

En una de las obras fundacionales de la filosofía política moderna, el Leviatán publicado en el año 1651, Thomas Hobbes trata de elucidar los fundamentos y razones con conducen a los hombres a conformar un cuerpo político. Para la tradición contractualista el orden civil se basa en un pacto social donde cada individuo miembro de la multitud abandona su derecho natural a toda cosa y decide someterse a un poder común soberano, convirtiéndose así en ciudadano de una República. Resulta interesante notar que el sostén de todo el sistema filosófico-político de la modernidad surge de marcar una distancia ontológica: la distancia del hombre con el Animal. El animal humano es, para esta tradición, un ser político, un animal dotado de logos, de lenguaje, capaz de construir un cuerpo político artificial. El animal no humano no puede ser ciudadano de la res-pública, puesto que no es un ser político. Esta firme separación fundada en una jerarquía ontológica que sitúa al ser humano (al sujeto hombre, blanco, burgués, heterosexual y ciudadano del primer mundo) en la cúspide de las formas de vida ha recorrido toda la historia de Occidente, y se hace manifiesta y más patente aún en la filosofía política, para la cual esta jerarquía no sólo es fundamental sino necesaria. En este trabajo me propongo analizar dicha problemática utilizando por un lado la crítica radical a la metafísica de la subjetividad moderna que encontramos en la obra de Friedrich Nietzsche, principalmente del corpus nietzscheano de la década de 1880, y también una critica al concepto de humanidad realizada desde la perspectiva de la deconstrucción, el legado filosófico de Jacques Derrida que puede ser interpretado como un corpus dedicado a desentrañar la lógica de la zoopolítica occidental.
Rancang Bangun Games Pengenalan Fosil Purba Melalui Kartu Permainan Dengan Teknologi AR
Authors: Purnomo Fendi Aji 
Published: January 2020

<p>Penelitian ini telah dilakukan rancang bangun pembuatan aplikasi games AR yang bertujuan untuk mengenalkan fosil-fosil purba yang ada di ruang pamer Museum Purbakala Sangiran. Metode yang digunakan dalam pembuatan aplikasi game AR ini adalah Multimedia Development Life Cycle (MDLC) dimulai dengan konsep, desain, material collecting, assembly, testing dan distribution. Pembuatan Aplikasi Game Battle Card Museum Purbakala Sangiran menggunakan Augmented Reality berbasis Android ini menggunakan berbagai software yaitu Vuforia Developer untuk membuat fitur marker, Vuforia SDK untuk mendapatkan ARCamera dan ImageTarget, Unity3D untuk membuat Augmented Reality, Blender untuk pembuatan objek 3D dan Corel Draw untuk membuat desain marker dan layout. Pengujian game dilakukan secara black box, pengujian terhadap compatibilitas perangkat dan pengujian hasil penilaian end user melalui kuisioner. Hasil penelitian menyebutkan bahwa telah berhasil dibuat game AR pengenalan fosil purba. Game tersebut minimal dapat berjalan pada perangkat dengan minimal memori RAM 2GB. Jarak ideal kamera mendeteksi kartu marker 10 cm sampai dengan 30 cm. Sudut deteksi marker terhadap kamera antara 30<sup>o</sup> sampai dengan 90<sup>o</sup>. Hasil penilaian mengenai tampilan visual game dinilai 88.4% menarik dan sangat menarik, model 3D yang disajikan 84.6% menarik dan sangat menarik. </p>
Hubungan Tingkat Konsentrasi Dengan Keterampilan Bermain Futsal Unit Kegiatan Mahasiswa Futsal Universitas Suryakancana
Authors: Taufik Muhamad Syamsul 
Published: January 2020

Tujuan penelitian ini yaitu Untuk mengetahui hubungan tingkat kosentrasi dengan keterampilan bermain futsal Metode yang digunakan dalam penelitian ini adalah metode deskriptif korelasi untuk mengetahui gambaran tingkat konsentrasi terhadap keterampilan bermain futsal unit kegiatan mahasiswa Universitas Suryakancana. Dalam penelitian ini, peneliti menggunakan teknik pengambilam sample yaitu purposive sampling.dengan jumlah 15 orang dengan instrument penelitian nya adalah (1) Untuk mengukur konsentrasi (2) keterampilan bermain. Dari data tabel di atas nilai Sig variabel (X) = 0.920 > 0.05 maka hipotesis yang mengatakan distribusi Normal Diterima. Sedangkan nilai sig variabel (Y) = 0.561 > 0.05 maka hipotesis yang mengatakan distribusi normal diterima. Jadi dapat disimpulkan bahwa kedua distribusi tersebut “Normal” karena masuk dalam kriteria terima Ho nilai sig > 0.05. bahwa koefisien korelasi antara tingkat konsentrasi dan tingkat keterampilan bermain yaitu sebesar rxy = - 0.728 , dimana nilai Sig menunjukkan 0.002 < 0.05 Ho ditolak. Jadi dapat disimpulkan bahwa terdapat hubungan yang positif dan signifikan antara tingkat konsentreasi dan tingkat keterampilan bermain unit kegiatan mahasiswa futsal Universitas Surykancana. Artinya bahwa “ semakin tinggi tingkat konsentrasi seorang atlit futsal maka tingkat keterampilannya kemungkinan semakin bagus”
Pengaruh Power Lengan, Panjang Lengan Dan Koordinasi Mata Tangan Terhadap Keterampilan Passing Bawah Dalam Permainan Bola Voli Pada Siswa Smk Negeri 10 Makassar
Authors: Alimin  
Published: January 2020

Penelitian ini bertujuan untuk mengetahui pengaruh power lengan, panjang lengan serta koordinasi mata tangan terhadap keterampilan passing bawah pada cabang olahraga voli. Penelitian ini merupakan penelitian deskriptif dengan menggunakan desain analisis jalur dengan pengelolaan secara statistik menggunakan aplikasi SPSS versi 21.00 dan taraf signifikansi 0.05 atau 95 %. Populasi dalam penelitian ini adalah seluru siswa SMK Negeri 10 Makassar yang ikut dalam kegiatan ekstrakurikuler bola voli sebanyak 30 orang. Dan sampel dalam penelitian ini adalah peneliti mengambil seluruh populasi sebanyak 30, teknik pengambilan sampel yaitu dengan teknik purposive sampling. Hasil penelitian dari hasil pengujian analisis regresi struktur 1 dan struktur 2 menunjukkan bahwa pengaruh langsung power lengan terhadap koordinasi mata-tangan sebesar 0,844. Pengaruh langsung panjang lengan-terhadap koordinasi mata-tangan sebesar 0.266. Pengaruh langsung power lengan terhadap keterampilan passing bawah sebesar 0.845. Pengaruh langsung panjang lengan terhadap keterampilan passing bawah sebesar 0.429. Pengaruh langsung koordinasi mata-tangan terhadap keterampilan passing bawah sebesar 0,765. Dilihat dari nilai α 0,05 maka pengaruh langsung power lengan, panjang lengan terhadap koordinasi mata-tangan dan power lengan, panjang lengan, koordinasi mata-tangan terhadap keterampilan passing bawah diterima karena nilai signifikansi di bawah α 0,05. Hasil penelitian dari nilai standardized coefficients beta. Pengaruh tidak langsung power lengan melalui koordinasi mata-tangan terhadap keterampilan passing bawah sebesar 0,645 lebih kecil dari pengaruh langsung power lengan terhadap keterampilan passing bawah sebesar 0,845. Pengaruh tidak langsung panjang lengan melalui koordinasi mata-tangan terhadap keterampilan passing bawah sebesar 0.203 lebih kecil dari pengaruh langsung panjang lengan terhadap keterampilan passing bawah sebesar 0,429.
Aves del Cañón del Chicamocha, Colombia: un llamado para su conservación
Authors: Collazos-González Sergio Andrés , Zuluaga-Carrero Juliana , Cortés-Herrera José Oswaldo 
Published: January 2020

Presentamos el listado de la avifauna actual del Cañón del Chicamocha ubicado entre los departamentos de Boyacá y Santander, Colombia. La región tiene una extensión de 3342 km2 y un gradiente altitudinal entre 300 y 2300 m s. n. m. Los datos para el desarrollo de este listado fueron recolectados de investigaciones en campo, de la revisión de información secundaria y de registros en bases de datos. Se presenta un total de 291 especies de aves, entre las que se encuentran 239 residentes y 53 migratorias neárticas, de las cuales 8 se encuentran en alguna categoría de amenaza a nivel global y nacional, 7 son endémicas y 12 casi endémicas, destacándose el colibrí amazilia ventricastaño (Amazilia castaneiventris) y el cucarachero de Nicéforo (Thryophilus nicefori). Con esta información se aporta al desarrollo de iniciativas para la creación de áreas protegidas, fomento del aviturismo comunitario y proyectos de restauración ecológica.
Development Strategy for Farmers Corporation Based of Coffee-Cattle Bioindustry in Rejang Lebong Regency, Bengkulu
Authors: Afrizon Afrizon , Ishak Andi 
Published: January 2020

<em>Farmer-Owned Enterprise (FOE) of Bukit Kaba Mandiri in Rejang Lebong Regency is one of the economic institutions that is beneficial for farmers to increase the productivity and efficiency of coffee and cattle integrated farming suitable for its regional potentials. However, FOE is still in constraints due to its lack of organizational management capability in developing the coffee-cattle bioindustry hence the research aimed to build a strategy in developing the FOE in coffee and cattle bioindustry. The study was conducted at FOE of Bukit Kaba Mandiri in Rejang Lebong Regency, Bengkulu, from January to October 2018. Focus Group Discussion (FGD) was carried out to collect data with 16 respondents and in-depth interviews with FOE administrators. Data collected included strengths, weaknesses, opportunities, and threats faced by FOE which were then analyzed using Strength, Weaknesses, Opportunities, Threats (SWOT) method to formulate an FOE development strategy. The strategy was then compiled based on priorities with Analytical Hierarchy Process (AHP). The results formulated three strategies, namely: (1) increasing production of quality feed to meet the needs of dairy cattle, (2) producing competitively priced compost from cow manure, and (3) establishing market partnerships with coffee exporters. Producing competitively priced compost from cow manure is the first priority that FOE needs to develop.</em>
Classifying inpatient perception of hospitalization experience across the US 50 states using the convolutional neural networks
Authors: Jen Tung-Hui , Chou Willy , Chien Tsair-Wei , Chou Po-Hsin 
Published: January 2020

Abstract
Backgrounds The grade of hospital-service quality is required for the classification which is never applicable in the literature. We aimed to classify the grade of inpatients’ perceptions of patients’ hospitalization experience of states in the US using convolutional neural networks(CNN).Methods We downloaded HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Services) data from the 2007-2014 summaries of survey results. The data collection was carried out to the k-mean and the CNN that were used as unsupervised and supervised learnings for (1) dividing the US sates into two classes (n = 19 and 32 of lower and higher grades) and (2) building a hospital service predictive model to estimate 38 parameters. We calculated the sensitivity, specificity, and receiver operating characteristic curve [area under the curve (AUC)] across studies for comparison. An app predicting the hospital service for a specific US state was developed involving the model’s 38 estimated parameters for a website assessment.Results We observed that (1) the two-year 20-item model yields a higher accuracy rate (0.98) with an AUC (0.99; 95% CI 0.95–1.00) based on the 51 states; and (2) an available app for predicting hospital-service quality was successfully developed and demonstrated in this study. A smartphone app was designed to classify the grade of hospital service for each US state.Conclusions The 20-item model with the 38 parameters estimated by using CNN for improving the accuracy of the grade about the inpatients’ perceptions of patients’ hospitalization experience of states in the US for hospital service. An app developed for helping patients’ self-assess hospital service quality in each US state is required for application in the future.
An Integrated RNA and DNA Molecular Signature for Colorectal Cancer Classification
Authors: Mohammed Mohanad , Mwambi Henry , Omolo Bernard 
Published: January 2020

Abstract
Background: Colorectal cancer (CRC) is the third most common cancer among women and men in the USA and recent studies have shown an increasing incidence in less developed regions such as Sub-Saharan Africa (SSA). The KRAS gene is mutated in 40% of the CRC cases and hence the RAS pathway activation has become a major focus of drug targeting efforts. However, nearly 60% of patients with wild-type KRAS fail to respond to RAS-targeted therapies, for example the anti-epithelial growth factor receptor inhibitor (EGFRi) combination therapies. Thus, there is a need to develop more reliable molecular signatures to better predict mutation status. In this study, we develop a hybrid (DNA mutation and RNA expression) signature and assess its predictive properties for the mutation status and survival of CRC patients. Methods: Publicly-available microarray and RNASeq data from 54 matched formalin-fixed paraffin embedded (FFPE) samples from the Affymetrix GeneChip and RNASeq platforms, were used to obtain differentially expressed genes between mutant and wild-type samples. For classification, the support-vector machines, artificial neural networks, random forests, k-nearest neighbor, naïve Bayes, negative binomial linear discriminant analysis, and the Poisson linear discriminant analysis algorithms were employed. Results: Compared to the genelist from each of the individual platforms, the hybrid genelist had the highest accuracy, sensitivity, specificity and AUC for mutation status, across all the classifiers, and is prognostic for survival in patients with CRC. Conclusions: This signature could be useful in clinical practice, especially for colorectal cancer diagnosis and therapy.
Understanding the ”Extra-Corporeal Membrane Oxygenation Gap" in Veno-Arterial Configuration for Adult Patients: Timing and Causes of Death. Defining the Veno-Arterial Extracorporeal Membrane Oxygenation Gap
Authors: Makhoul Maged , Heuts Samuel , Mansouri Abdulrahman , Taccone Fabio Silvio , Obeid Amir , Natour Ehsan , Johnson Daniel M , Bidar Elham , Meani Paolo , Raffa Giuseppe Maria , Delnoij Thijs , Bolotin Gil , Maessen Jos , Lorusso Roberto 
Published: January 2020

Abstract
Background Timing and causes of hospital mortality in adult patients undergoing veno-arterial extracorporeal membrane oxygenation (V-A ECMO) have been poorly described. Aim of the current review was to investigate the timing and causes of death of adult patients treated with V-A ECMO, and subsequently define the “V-A ECMO gap”, which represents the patients who are successfully weaned of ECMO but eventually die during hospital stay.Methods A systematic search was performed using electronic MEDLINE and EMBASE databases through PubMed. Studies reporting on adult V-A ECMO patients from January 1993 to October 2018 were screened. Timing, rates and causes of in-hospital mortality were analyzed.Results Sixty studies with 9,181 patients were included in this systematic review. Overall mortality was 37.6% during V-A ECMO support (reported by 60 studies) and 28.9% (57 studies) after weaning. Finally, 32.6% were discharged from hospital (60 studies). Most common causes of death on ECMO were multiple organ failure (MOF, 49.8%), followed by cardiac failure (20.6%) and neurological causes (15.7%). Most common causes of death after weaning were MOF (55.3%), followed by neurological complications (12.6%), persistent heart failure (10.7%) and pulmonary infections (6.8%).Conclusions More than one-third of adult V-A ECMO patients die during ECMO therapy. Additionally, almost one half of successfully weaned patients still decease during hospital stay, defining the “V-A ECMO gap”. Underreporting and lack of uniformity in reporting of important parameters remains problematic in ECMO research. Future studies should uniformly define timing and causes of death in V-A ECMO patients to better understand the effectiveness and complications of this therapy. Systematic review registration PROSPERO 2019 number CRD42019130815