bluuebunny/crossref_metadata_2025_split huggingface dataset:
Yttrium-90 radiosynoviorthesis hosszú távú (10 éves) eredményei inflammált térdarthrosisban
Authors: Szentesi Margit , Nagy Zoltán , Géher Pál , Papp István , Kampen W. Uwe 
Published: October 2020

Absztrakt:
Bevezetés: A radiosynoviorthesist (RSO) fájdalmas,
terápiarezisztens, krónikus synovitis kezelésére alkalmazzuk az 1950-es évek
óta, de a hosszú távú hatások felmérésére eddig nem készültek prospektív
ellenőrzött vizsgálatok. Célkitűzés: Ennek a prospektív,
obszervációs vizsgálatnak az volt a célkitűzése, hogy felmérje az izotópos
synovectomia hatékonyságát inflammált térdosteoarthritisben (OA) 10 éves nyomon
követésben. Módszer: Alapos előkészítés után a
radionuklid-kezelést 90-Yttrium-citráttal végeztük Kellgren–Lawrence I–II. (n =
69) és III. stádiumú (n = 72) osteoarthritises betegekben, intraarticularis
injekció formájában. Eredmények: A korai radiológiai stádiumban
levő osteoarthritises betegekben „kiváló/jó” eredményeket értünk el már 1 év
után az esetek 82,5%-ában, és 73,7%-ot a 8 éves kontrollvizsgálatokon. A
felmérés az ízületi fájdalomra, a mobilitásra és a mozgásfunkciók megtartására
vonatkozott. 10 évvel a beadás után az eredményesség 50%-ra csökkent,
feltehetően a korral járó degeneratív folyamatok progressziója miatt. A III.
stádiumú betegekben (akiknél az osteoarthritis előrehaladottabb volt) kezdetben
45,9%-os eredményt értünk el, és ez 41,2%-ra esett vissza a 8 éves utánkövetés
során. Ebben a csoportban a betegek száma csökkent a 8–10. évre, azaz a 8. évben
51 beteg maradt, majd a 9. évben 30 beteg, a 10. évben pedig 9 beteg. Az utolsó
évben az alacsony betegszám miatt a klinikai válaszok nem voltak biztonságosan
megítélhetők. Következtetés: Az osteoarthritises ízületekben
alkalmazott RSO hosszú távú eredménye a legtöbb betegben „kiváló” vagy „jó”
volt. A radiokolloid hatása hosszú távon fennmarad, a 8–10. éves gyengébb
eredmények az életkor előrehaladásával jelentkező degeneratív folyamatoknak és
az alacsony betegszámnak tudható be. Ismert, hogy a hatékonyság függ a kezdeti
diagnózistól (OA, RA, SpA, PsA, AHA, ReA stb.), a radiológiai stádiumtól
(Kellgren–Lawrence I–IV.), illetve a synovitis score-tól. Eredményeink a
nemzetközi tapasztalatokhoz hasonlóan arra utaltak, hogy a radiációs
synovectomia alkalmazása elsősorban az alacsonyabb radiológiai stádiumban levő
betegeknek javallott. Orv Hetil. 2020; 161(43): 1831–1839.
A pars petrosa cholesteatomák korszerű ellátása
Authors: Gerlinger Imre , Végh Ildikó , Nepp Nelli , Pap István , Révész Péter , Bakó Péter , Szanyi István , Rostás Tamás , Tóth István 
Published: October 2020

Absztrakt:
A pars petrosa cholesteatoma egy lassan növekvő, a temporalis csontot roncsoló,
elhúzódóan tünetmentes kórkép. A diagnózis felállítása gyakran késlekedik,
hiszen ritka volta miatt még a tapasztalt klinikusok sem gondolnak rá időben. A
végső diagnózist jellemzően számos eredménytelen középfülsebészeti beavatkozás
előzi meg. A modern radiológiai módszerek nemcsak a diagnózist, hanem a betegek
hosszú távú követését is lehetővé teszik. Retrospektív klinikai tanulmányunkban
a pars petrosa cholesteatomák sikeres műtéti kezelésére kívánjuk felhívni a
figyelmet, hazai beteganyagon első alkalommal elemezve a műtéti megoldások
eredményességét. Kezdeti tapasztalatainkat a nemzetközi irodalomból nyerhető
adatokkal hasonlítottuk össze. 2015 januárja és 2020 januárja között 6 beteget
(4 férfi, 2 nő) kezeltünk különböző lokalizációjú pars petrosa cholesteatomával.
Valamennyi beteg a cholesteatoma lokalizációjának megfelelő agyalapi sebészeti
beavatkozáson esett át. A betegek átlagos követési ideje 2,7 év volt. A betegek
átlagéletkora 47 év volt. A leggyakoribb panaszok a halláscsökkenés, gennyes
fülfolyás, szédülés, fülzúgás voltak. Egy beteg már a felvételekor a komplett
facialis paralysis tüneteit mutatta. A Sanna-féle osztályozás szerint 2-2
betegünk szenvedett supralabyrinthaer, illetve apicalis, 1-1 beteg pedig
masszív, illetve infralabyrinthaer pars petrosa cholesteatomában. Komplikáció
sem a peri-, sem a posztoperatív időszakban nem fordult elő. Egy betegnél
észleltük a residualis betegség radiológiai jeleit. A pars petrosa cholesteatoma
diagnózisa és terápiája komoly nehézséget jelent még a tapasztalt klinikusok
számára is. A korai diagnózist a nem jellegzetes tünettan ismerete és a modern
képalkotó modalitások teszik lehetővé. A sziklacsontot roncsoló patológiás
folyamat eltávolítására korszerű agyalapi sebészeti módszerek állnak
rendelkezésre. Ezek a műtétek napjainkban kombinálhatók a modern
hallásrehabilitációs módszerekkel. Orv Hetil. 2020; 161(43): 1840–1848.
Családi halmozódást mutató papillaris pajzsmirigy-carcinoma
Authors: Tóth Géza , Győry Ferenc , Bodor Miklós , Molnár Csaba , Nagy V. Endre 
Published: October 2020

Absztrakt:
A differenciált pajzsmirigydaganatok körébe tartozó papillaris és follicularis
carcinomákat együttesen nem medullaris pajzsmirigyráknak nevezzük, melyek az
összes pajzsmirigy-carcinoma 90%-át teszik ki. Ezen daganatok 5–10%-a családi
halmozódást mutat, és csak elenyésző hányaduk, mintegy 3–5%-uk köthető monogénes
öröklődést mutató tumorszindrómához. Az összes többi familiaris nem medullaris
pajzsmirigy-carcinoma hátterében egyértelmű genetikai eltérés nem észlelhető. A
családi halmozódást mutató nem medullaris pajzsmirigyrákok viselkedése,
agresszivitása és kimenetele rosszabb a sporadikus formáénál. Tizenhét évvel
ezelőtt, az akkor 45 éves nőnél derült fény pajzsmirigy szolid göbjének
hátterében papillaris carcinomájára. Műtétet és radiojód-ablatiót követően
levotiroxinkezelés mellett azóta tumormentes. Egy éve 41 éves leányánál
multinodularis struma műtéte során tokinfiltrációval és nyaki
nyirokcsomóáttétekkel járó papillaris carcinoma igazolódott. 39 éves másik
leányánál szűrővizsgálatot követően derült fény multiplex pajzsmirigygöbjeire. A
műtét során multiplex papillaris daganatot találtunk tokáttöréssel,
érinvázióval, valamint nyaki nyirokcsomóáttétekkel. Totális thyreoidectomiára,
valamint centrális nyaki blokkdissectióra került sor. Ezt követően
radiojód-terápiát, majd levotiroxint kapott. Esetünkkel szeretnénk felhívni a
figyelmet a familiaris nem medullaris pajzsmirigy-carcinomák jelenlétére, azok
agresszívebb természetére és emiatt a családszűrés, valamint a kezelési
stratégia megválasztásának fontosságára. Orv Hetil. 2020; 161(43):
1849–1854.
Gastroesophageal reflux disease in residents of the Trans-Baikal Territory
Authors: Zhilina A A , Lareva N V , Luzina E V 
Published: October 2020

Aim. To study the prevalence of gastroesophageal reflux disease (GERD) symptoms and lesions of the esophageal mucosa in residents of Zabaikalsky krai, taking into account ethnicity.
Methods. The first stage: 371 residents of Zabaikalsky krai over 18 years old, were door-to-door interviewed by using the GERD questionnaire (GerdQ). The respondents with 8 or more points were classified as having GERD symptoms. Additionally, we collected passport data, smoking status, alcohol and coffee consumption, anthropometric data and social status. The second stage: we analyzed 2130 upper gastrointestinal (GI) endoscopy reports from Regional Clinical Hospital in Chita.
Results. 48 (12.9%) of 371 respondents had GERD symptoms. 135 (36.4%) respondents were Buryats, and 236 (63.6%) were non-Buryats, with the latter more often had GerdQ total score of 8 or more [38 (16.1%) non-Buryats and 10 (7.4%) Buryats, p=0.009]. The average age of non-Buryats respondents with GERD symptoms was 53.417.47 years and exceeded that in the group without symptoms (46.219.2 years), p=0.035. The age of Buryats with and without GERD symptoms did not differ (42.6711.52 and 37.8915.54 years, respectively, р=0.087). The prevalence of obesity, smoking, alcohol and coffee consumption of respondents with and without GERD symptoms, both among Buryats and non-Buryats was the same. Of the 2130 patients who underwent endoscopy, 164 (7.8%) had morphological changes in the esophagus, 105 (4.9%) had erosive esophagitis (EE). Catarrhal and erosive changes in the esophagus were detected in 156 non-Buryats (91 men and 66 women) (7.7%), while EE was diagnosed in 97 (4.8%) patients. 6.5% (5 women and 3 men) Buryats had the esophagus pathology, which caused by erosion. It was found that in non-Buryats group EE develop more often in male respondents (p=0.0019). Only non-Buryats had catarrhal changes in the esophagus (37.8%, 59 people), p=0.0312. At the same time, the incidence of complicated disease course in groups with EE was the same (p=0.8934).
Conclusion. About 13% of residents of Zabaikalsky krai have weekly symptoms of GERD, male of a non-Buryat ethnic group are more likely to develop erosive esophagitis than women; the incidence of complications of esophagitis is the same in Buryats and non-Buryats respondents groups.
When the Hydrophone Works as an Accelerometer
Authors: Iannaccone Giovanni , Pucciarelli Giuseppe , Guardato Sergio , Donnarumma Gian Paolo , Macedonio Giovanni , Beranzoli Laura 
Published: October 2020

Abstract
We show the equivalence of earthquake-induced ground acceleration and water-pressure waveforms for the case of collocated hydrophones and seafloor seismometers installed in shallow water. In particular, the comparison of the waveforms and amplitude spectra of the acceleration and water-pressure signals confirms the existence of a frequency range of “forced oscillations” in which the water-pressure variations are proportional to the vertical component of the ground acceleration. We demonstrate the equivalence of the acceleration and water-pressure signals for a set of local earthquakes (epicenter distance of a few tens of kilometers) and regional earthquakes with a wide range of magnitude (2.7&lt;Mw&lt;6.8), recorded by seismometers and hydrophones operating in shallow water (depth less than 80 m) in the Campi Flegrei caldera (southern Italy). We describe the “forced oscillations” theory, and we demonstrate the signals equivalence in the frequency range 0.1–10 Hz, thus extending the frequency range of application of the hydrophones as accelerometers. The high correlation between the ground acceleration, derived from the ground velocity, and hydrophone pressure signals in the mentioned frequency range enables the use of the hydrophone waveforms for standard seismological studies (i.e., earthquake source). The calibration of hydrophones by comparison with collocated accelerometers, or seismometers, is also enabled in a range of frequencies that is very difficult to reproduce in a laboratory. The results of our work also open the possibility of hydrophones being more extensively used in place of accelerometers in marine environments where accurate installation of seismic sensors is difficult or unaffordable.
A critical review on the study of threatening in English
Authors: Zheng Yan , Zhao Yongfeng 
Published: October 2020

Despite the fact that threatening in languages is common in ordinary verbal communication, it has not received much attention from academic studies because of its “negative” nature. Muschalik’s monograph Threatening in English: A Mixed Method Approach, mainly based on the theory of Face Threatening Speech Act by Brown and Levinson (1987), takes 301 categories of threatening expressions in judicial proceedings as the corpus with qualitative and quantitative methods, brings a new perspective for pragmatic research, especially speech act research, and deepens people’s understanding of relevant issues. Initiated by Muschalik’s book Threatening in English: A Mixed Method Approach, the paper is to make a critical review on the studies of threatening in English and propose some new directions for the study of threatening in languages.
Role of hysterolaparoscopy in management of infertility a retrospective clinical analysis
Authors: Wadadekar Geeta S. , Inamdar Dattaprasad B. , Nimbargi Vandana R. 
Published: October 2020

Background: Diagnosis and treatment of infertility is an elaborate process. The goal of treating clinician is to decide upon the plan of management best suited to the couple by selecting relevant investigations and procedures from available options. Objective was to determine the role of hysterolaparoscopy in the management of infertility. Methods: This retrospective study was conducted at a tertiary canter (Department of reproductive medicine and surgery) over a period of 12 months-January 2019 to December 2019. Women aged 20-40 years with primary or secondary infertility, except male factor infertility, undergoing hysterolaparoscopy were included. Results: Out of 41 cases, 71.84% patients had primary infertility. Common laparoscopic abnormalities were adhesions (36.5%) and endometriosis (17.07%) Hysteroscopy revealed polyps (9.7%) and intrauterine synechia (4.8%) as common pathologies. The diagnosed pathologies were dealt surgically in the same sitting. Plan of infertility treatment could be outlined in all patients based on intraoperative findings. Conclusion: Hysterolaparoscopy serves both diagnostic and therapeutic purpose. Various pelvic, peritoneal, tubal, endometrial and uterine factors can be diagnosed and treated at the same time. The clinician has to be well versed and skilled in selecting and performing the appropriate surgery. Clinical information gained from hysterolaparoscopy helps in decision making and designing individualized, evidence-based treatment plan can for the patients.
Maternal sepsis- an audit in a tertiary care center in South India
Authors: Shivananda Roopa P. , Bhanuteja Gurram , Rao Shubha , Hegde Nivedita , Paladugu Sangamithra , Vasudeva Akhila 
Published: October 2020

Background: Objective of this study was to audit the cases of maternal sepsis and analyze their maternal and fetal outcomes.Methods: A retrospective analysis of cases of maternal sepsis was undertaken for one year. Cases were taken as infection with fever, tachycardia, tachypnea, low oxygen saturation, high or low white blood counts and clinical or laboratory evidence of organ dysfunction and were analyzed. Demographic profile, gestational age at the time of diagnosis, organisms & their sources of infection was noted. Maternal outcomes of abortion, preterm delivery, need for intensive care unit (ICU) / high dependency unit (HDU) stay, blood and blood products, surgical interventions for the control of infection, culture-positive rate, source of organism, antibiotic usage and maternal mortality were analyzed. Fetal outcomes of early fetal demise, preterm birth, intrauterine death, stillbirth and term birth were studied. Results: There were a total of 2327 deliveries, with 2333 live births during the study period. Twenty-two cases were diagnosed with sepsis, of which 17 survived, and five died. The incidence of maternal sepsis was 9.4/1000 live births & maternal deaths were 22.7%. Ninety percent were in the age group of 21-39 years, 68% were referred, 59% were post-delivery. Fifty nine percent of women who survived, and none of the women who died had medical co-morbidities. Respiratory tract followed by genitourinary tract were the most common source of infection, though culture was negative in 54.5% of the cases. The organisms grown were varied, with Escherichia coli (3/10) contributing to 30% of the culture positive cases. Spontaneous abortion and preterm delivery were 18% each, 36% required surgical intervention, 81% required ICU and 64.7 HDU stay. Seventy-seven had live birth.Conclusions: Maternal sepsis is an evolving preventable health burden. Early recognition requires a high index of clinical suspicion, even in the absence of risk factors. Mortality to morbidity ratio is very high in maternal sepsis. The timing of sepsis determines the fetal outcomes.
Epidemiology and phenotype variation in young diabetes patients
Authors: Arya Shivani , Panchal Dharmendra , Saboo Banshi 
Published: October 2020

More and more people are diagnosed with type 2 diabetes at a younger age nowadays. It is need of an hour to study epidemiology and phenotype variations in this group. To study phenotype among the young diabetes population. We retrospectively analysed data of all type 2 diabetes patients attending OPD from Jan 2019 to march 2019. Total 106 patients attended OPD during this period. BMI, PBF (% BODY FAT), VFI (Visceral fat index), Hba1c, Triglyceride, LDL and NON HDL, Total Calorie intake and % daily carbohydrate intake were reviewed for all 106 patients. All 106 subjects were divided in two groups based on their age; group A age ≤ 40 years (n=33), group B age &#62; 40 years (n=73). Group B was further divided into group B1 (age 41-60 years) (n=58) and group B2 (age ≥ 61 year) (n=15). Average of BMI, Body fat analysis and biochemical parameters were compared between these two groups. Student's T test was used to calculate the p value for all parameters. We analysed data of all 106 patients and average of BMI, PBF, VFI, HbA1c, TG, LDL, NON HDL, TOTAL CALORIES, % Carbohydrate was compared between Group A and Group B. Average TG, LDL, NON HDL and % daily carbohydrate intake were higher in group A as compared to total as well as group B. out of this all parameters NON HDL and % of daily carbohydrate intake was higher in group A as compared to group B [(NON HDL (p value 0.0412); % carbohydrate intake (p value 0.064)]. In sub analysis the difference was more significant in group B2 (NON HDL) p value 0.0118; % of carbohydrate intake (p value 0.0275). NON HDL level and % of daily carbohydrate intake are significantly associated with a young Type 2 diabetes population (≤ 40 years) as compared to the adult population particularly type 2 diabetes population with age ≥ 60 years. NON HDL cholesterol and % of daily carbohydrate intake can be more easy targets to reduce prevalence of type 2 diabetes in the younger population. However, it may require further research in mass population.
Survival and Behavior of Melanotus communis (Coleoptera: Elateridae) in Florida Sugarcane Soils
Authors: Karounos Michael , Cherry Ron , McCray Mabry , Ji Shangning 
Published: October 2020

AbstractWireworms (Coleoptera: Elateridae) are major economic pests of Florida sugarcane (Saccharum spp. hybrid). The corn wireworm, Melanotus communis (Gyllenhal), is the most important wireworm pest of Florida sugarcane occurring in both sandy and muck soils. The objective of this study was to determine survivability, preference, and dispersal of wireworms in sandy and muck soils. There was no significant difference in starved wireworm survival between the soils after 2 mo. However, the starved wireworms gained more weight in muck soil than in sand. Wireworms dispersed at similar rates toward oat baits in both soil types. Interestingly, in free choice tests wireworms showed a high preference to reside in muck versus sandy soil, which corresponds to the greater wireworm weight change found in muck versus sandy soil. The high preference for muck and greater weight gain in muck found in this study partially explains why M. communis is more abundant in muck soils than in sandy soils in Florida sugarcane.
Incidence and Abundance of Bees and Wasps (Hymenoptera) in Centipedegrass Lawns in Georgia
Authors: Joseph Shimat V. , Harris-Shultz Karen , Jespersen David , Vermeer Brian , Julian Caleb 
Published: October 2020

Abstract
We surveyed the occurrence of bees and wasps (Hymenoptera) in nine centipedegrass lawns in central and south Georgia in 2019 that had no prior exposure to insecticides. In each lawn, an area of 9.3 m2 was marked and not mowed while the remainder of the lawn area was mowed regularly. When each centipedegrass lawn reached anthesis, pan traps filled with soapy water were placed in nonmowed and mowed areas of each lawn. After 3 d, trap contents were collected and transported to the laboratory for insect sorting and identification. Each lawn site was sampled 3–5 times. Of 173 total bees collected from the centipedegrass lawns, 79.2% were Lasioglossum spp. followed by 6.9% Halictus and 4% Melissodes. Only four Bombus spp. were collected, while other bees collected were Augochlorella spp., Agapostemon spp., Megachile, Apis, Peponapis, Ceratina, Ptilothrix, Svastra, and Nomia spp. Most of the Lasioglossum spp. were collected in August (48.6%) and September (26.6%). Lasioglossum spp. were sampled from all centipedegrass lawns; however, Halictus spp. and Melissodes spp. were collected only from one lawn in south Georgia. Captures were similar regardless of collection from mowed or nonmowed areas. Most of the bees were collected in pan traps that were blue or yellow in color; whereas, wasps were captured primarily in yellow-colored traps.
Los órganos internacionales como herramienta en la lucha contra la pobreza en España después de la Gran Recesión (2008-2014)
Authors: Avellaneda San Antonio Silvia 
Published: October 2020

Este trabajo analiza las conclusiones y recomendaciones de órganos de Naciones Unidas y del Consejo de Europa, derivadas de los últimos informes periódicos de España, sobre la situación de los derechos directamente conectados con la pobreza: el derecho a un nivel de vida adecuado y a la protección económica y social. La conclusión es que estos órganos han mostrado su preocupación por la persistencia de altos niveles de pobreza en los años de recuperación económica y se han pronunciado sobre asuntos como la vivienda o las prestaciones; en términos de Derecho y de Derechos Humanos. El objetivo es contribuir al enfoque de los derechos humanos de la pobreza en España, argumentando que la lucha contra ella y la mejora de cuestiones concretas como la protección económica, la vivienda pública o la redistribución no son solo asuntos de agenda política sino también de cumplimiento de obligaciones internacionales contraídas por nuestro país.Recibido: 11 marzo 2020Aceptado: 14 septiembre 2020Publicación en línea: Artículos en Prensa 23 octubre 2020
La cerámica provincial inca como producto y como expresión de estatus en la población mitmaquna de Pueblo Viejo-Pucará
Authors: Castillo Mayra Carmen , Makowski Hanula Krzysztof 
Published: October 2020

Continuando la línea de investigaciones iniciada hace quince años por los integrantes del Programa Arqueológico – Escuela de Campo «Valle de Pachacamac», los autores del presente artículo discuten los resultados del análisis de cerámica que corresponden a imitaciones de estilos imperiales inca que han sido seleccionados entre varios estilos en uso durante el Horizonte Tardío en el valle bajo de Lurín. La muestra proviene de pisos y de contextos excavados en dos residencias palaciegas del asentamiento Pueblo Viejo-Pucará, a 15 km de Pachacamac, fundado por los mitmaquna procedentes de Huarochirí por iniciativa de la administración imperial inca. Los resultados de análisis de pastas y acabados por medio de microscopía digital fueron confrontados con los estudios previos sobre la procedencia de las fuentes de arcilla, que implicaron el análisis LA-TOF-ICP-MS y el estudio de la variedad de alfares. Este enfoque permite revisar, de manera crítica, dos supuestos ampliamente difundidos en las investigaciones sobre la relación entre el estilo inca y las tradiciones locales en el contexto de debate sobre las identidades cultural, étnica y política del productor y del usuario: 1) El hipotético control que ejerce el Estado Inca sobre los ceramistas, que se expresaría en la imposición de cánones morfo-estilísticos y tecnológicos cuzqueños a los alfareros locales y 2) La supuesta relación directaentre la identidad étnica y las preferencias estilísticas del usuario local de cerámica, verbigracia el estilo Ychsma o Puerto Viejo. La validez de ninguno de estos supuestos pudo ser confirmada en la producción de la cerámica Inca provincial a cargo de alfareros locales y probables mitmaquna norteños; asimismo en su uso, se refleja un complejo proceso de construcción de identidades nuevas en el contexto cosmopolita del imperio, no sin que algunos aspectos de la identidad de origen se hayan racionalizado, afirmado y materializado.