bluuebunny/crossref_metadata_2025_split huggingface dataset:
Can Carpal Tunnel Syndrome be Appropriately Diagnosed in a Cold Hand?
Authors: Andary Michael T. , Parkhurst Drew B. , Bernaiche Maurice R. , Figueroa Jose S. , Kumaraswamy Lata , Manzi Suzanne M. , O'Connor Ryan A. , Parrington Ingrid P. , Sylvain Jim R. 
Published: August 2021

INTRODUCTION The diagnosis of carpal tunnel syndrome (CTS) with nerve conduction studies traditionally involves warming the hand to avoid misleading prolongation of distal latency (DL). Comparing the median nerve DL to the ulnar and radial nerves using the combined sensory index (CSI) has been reported to improve the accuracy of CTS diagnosis. During this study, the authors examined the effect of hand temperature on the CSI and diagnosis of CTS. METHODS The authors conducted a prospective, controlled, cohort study with 20 asymptomatic control patients and 21 symptomatic patients with confirmed CTS. Symptomatic patients underwent nerve conduction studies with the CSI calculated under both cold and warm conditions. RESULTS Control subjects with warm hands had an average CSI of 0.0 milliseconds (ms), and -0.3ms with cold hands. CTS subjects with warm hands had an average CSI of 3.2ms, and 3.7ms with cold hands. Although hand temperature was shown to slow sample latencies, differences calculated with the CSI did not misclassify any of the 41 sample subjects. CONCLUSIONS During this study, cold temperature did not result in misclassification of either control patients or CTS patients when CSI was diagnostically used. Based on these results, peak latency comparisons in cold hands can be considered as diagnostically reliable as under standard hand temperature ranges for the diagnosis of CTS, with caution warranted in borderline cases. This diagnostic technique can save time for the patient, physician, and care team without compromising quality of care. Future larger sample blinded studies at multiple electrodiagnostic sites are indicated.
An Omitted Radiological finding in the Pediatric Age Group: Physiological Sacroiliac Joint Vacuum Normal Variant
Authors: Doğan Emrah , Aydoğmuş Hüseyin , Aydoğmuş Sinem 
Published: August 2021

INTRODUCTION Gas accumulation in human joint spaces has been generally described as the vacuum phenomenon (VP). To date, the sacroiliac joint VP has been associated mostly with pathological, particularly degenerative conditions (e.g., arthritis, obesity, discal degenerations, fractures, dislocations, avascular necrosis). OBJECTIVE The study aimed to examine the characteristics of the physiological form of VP and its radiological patterns in a sample of pediatric patients. METHODS A sample of seventy patients between 0 and 17 years old (mean age, 11.4 ± 5.54) were included in the study. Sample VP cases was evaluated according to types, age group, anatomic localization, gender, and sides. RESULTS: Two (2.9%) of sample children had degenerative VP, with 24 (34.2%) of patients demonstrating physiological VP in the sacroiliac joints. VP rates significantly increased after nine years of age (p < 0.01) and 83% of physiological VP cases were determined to be bilateral. CONCLUSIONS Although degenerative VP is a rare entity in children, non-pathological VP can be a more common aspect of sacroiliac anatomy. Although sacroiliac VP is frequently an underreported or omitted finding in imaging studies, this condition may be clinically important as a clue for other degenerative diagnoses. Normal variants of VP may be clinically important in children since they may mimic inflammatory and infectious pathologies during magnetic resonance imaging and computed tomography images.
Lung-RADS usado no rastreamento do câncer de pulmão: a doença granulomatosa faz diferença?
Authors: Noschang Julia , Chaves Karen , Haddad Fabio , Barbosa Paula , Bitencourt Almir , Sales dos Santos Ricardo , Luiz Gross Jefferson , Andrade Cleusa , Naue Carine , Guimarães Marcos Duarte 
Published: August 2021

Objetivo: o objetivo é analisar os resultados do rastreamento do câncer de pulmão por tomografia computadorizada de baixa dose (LDCT) por meio do Sistema de Relatórios e Dados de Triagem de TC de Pulmão (Lung-RADS) em um centro de câncer brasileiro.
Materiais e métodos: revisamos retrospectivamente os prontuários de pacientes submetidos ao programa de rastreamento de câncer de pulmão de LDCT basal no A.C. Camargo Cancer Center. Os critérios de inclusão e exclusão foram iguais aos do National Lung Cancer Screening Trial (NLST). Os critérios para achados de imagem foram aqueles classificados de acordo com as categorias de avaliação do Lung Imaging Reporting and Data System (Lung-RADS).
Resultados: Dos 287 indivíduos avaliados neste estudo, 72,1% apresentaram TC de triagem negativa (categorias 1 ou 2 do Lung-RADS), o restante teve TC de triagem positiva, considerando 5,6% na categoria 4A de Lung-RADS, 2,1% na categoria 4B e 1,0% na categoria 4X. Os principais achados foram avaliados em 218 (75,9%) indivíduos, com nódulos sólidos (64,8%), parcialmente sólidos (2,7%) e não sólidos (8,3%). A maioria dos pacientes (59,1%) apresentaram nódulos sólidos menores que 6 mm. Os resultados histológicos confirmaram câncer de pulmão em 2 casos (prevalência de 0,7% de todos os pacientes triados).
Conclusões: A prevalência de câncer de pulmão em nossa amostra foi compatível com a literatura. No entanto, tivemos uma prevalência maior das categorias 3 e 4A do Lung-RADS do que o esperado. Isso pode estar associado à maior incidência de doenças granulomatosas, principalmente tuberculose, na população brasileira.
Effects of elevated CO2 and extreme climatic events on forage quality and in vitro rumen fermentation in permanent grassland
Authors: Niderkorn Vincent , Morvan-Bertrand Annette , Le Morvan Aline , Augusti Angela , Decau Marie-Laure , Picon-Cochard Catherine 
Published: August 2021

Abstract. The aim of this study was to analyze changes in botanical and chemical
composition, as well as in vitro rumen fermentation characteristics of an upland
grassland exposed to climate changes in controlled CO2
concentration, air temperature and precipitation conditions. Grassland was
exposed to a future climate scenario coupled with CO2 treatments (390
and 520 ppm) from the beginning of spring. During summer, an extreme
climatic event (ECE; 2 weeks of a +6 ∘C increase in temperature,
together with severe drought) was applied and then followed by a recovery
period. Three cutting dates were considered, i.e. in April, June and
November. The results indicate that increases in greenness, nitrogen (N)
content and changes in water-soluble carbohydrate profile in association with
botanical composition changes for the November cut lead to higher in vitro
dry matter degradability (IVDMD) in the rumen. The neutral detergent
fiber : nitrogen (NDF:N) ratio appeared to be a key driver of forage
quality, which was affected in opposite ways by elevated CO2 and
ECE, with a strong impact on rumen fermentation. Atmospheric CO2
concentration in interaction with ECE tended to affect IVDMD, indicating that
the effects of elevated CO2 and ECE may partly offset each
other. Our findings indicate that the various factors of climate change need
to be considered together in order to properly characterize their effects on
forage quality and use by ruminants.
Lessons Learnt from Operationalising an International Collaborative Multi-Centre Study
Authors: Raj Rhea , Dominic Catherine , Gandhi Suraj , Taylor Elliott H. , Politis Marina , Hussain Syeda Namayah Fatima , Parwani Divya , Bandyopadhyay Soham , Peter Noel , Lakhoo Kokila 
Published: August 2021

Many medical students are both skilled and experienced in healthcare research, statistical analysis and evidence synthesis; assets that can be deployed to great effect in order to conduct research and contribute to the body of evidence - particularly in outbreak situations where senior doctors may be redeployed to clinical duties, thus ensuring that the next generation of academic clinicians’ interest and knowledge does not go in vain. Here, we document the process by which a group of medical students across the world, with senior support, harnessed their enthusiasm and the power of technology to play leading roles in an international multi-centre study run by the Global Health Research Group on Children’s Non-Communicable Diseases (Global Children’s NCDs). Many lessons have been learnt from the successful operationalisation of this study, which we hope to impart in this article. Our operations team consisted of: a social media team who manage our various accounts; a graphic design team who produce visuals to illustrate milestones achieved or highlight countries from which we did not yet have representatives; a network team who constructed a database to manage our extensive collaborator network; a communications team who managed emails and maintained regular contact with collaborators as well as producing a guide of common issues; a researcher support team who worked to ensure that any issues faced were dealt with promptly by hosting drop-in sessions; and finally a research capacity building team. We found that medical students bring fresh perspectives and an open-minded approach which is useful in reframing challenges and generating innovative solutions; thus it is vital to give them the opportunity to collaborate with, and learn from senior academics and policy-makers.
El hiperpartiroidismo secundario es un factor de riesgo asociado con la sobrevida del injerto en pacientes pediátricos con trasplante renal: Un estudio de centro único
Authors: Moreno Sánchez Luis , Astudillo Neira Paúl , Cáceres Aucatoma Freud , Jimenez Jaramillo Fernando 
Published: August 2021

Introducción: El trasplante renal en pediatría constituye el tratamiento de elección para la enfermedad renal crónica terminal (ERCT) con ventajas ampliamente comprobadas sobre los tratamientos dialíticos. El objetivo del presente estudio fue determinar los factores de riesgo relacionados con la sobrevida global y del injerto en un grupo de pacientes pediátricos con trasplante renal atendidos en un hospital de referencia nacional con observación de factores asociados al hiperparatiroidi7smo secundario.
Métodos: En el presente estudio observacional, retrospectivo, se realizó en el Hospital Metropolitano de Quito - Ecuador desde el primero de enero del 2010 al treinta de junio del 2013. Se registró la mortalidad y la supervivencia del injerto, presencia de hiperparatiroidismo pre trasplante, variables demográficas, clínicas (compatibilidad). Se usa el método de Kaplan Meier para el análisis y se presentan riesgos relativos.
Resultados: Ingresaron al estudio 33 pacientes, de edad 12±3.8 años. Donante cadavérico 21 casos (63.6%), donante vivo 12 pacientes 36.4%. 18 hombres (54.5%). La etiología de la ERCT fue indeterminada en 63.6%; nefropatías en 24.2% y uropatías en 12.1%. Rechazo agudo 1 paciente, rechazo tardío 10 pacientes. Las variables con significancia en la sobrevida del injerto fueron: hiperparatiroidismo RR= 6.0 (IC95%= 1.078-45.902) P=0.032. No recibir inmunosupresión completa RR=14.5 (IC95%= 3.807-55.225) P<0.001. La necesidad de diálisis pos trasplante la primera semana y biopsia temprana tuvieron RR=15 (IC95%= 3.9-57.2).
Conclusiones: Este estudio demostró que el hiperparatiroidismo secundario es un factor de riesgo negativo para la sobrevida del injerto renal en pacientes pediátricos trasplantados.
Aplicación de la odontología forense en la identificación de cadáveres calcinados por catástrofes aéreas
Authors: Ríos-Contreras Evelyn Monserrat , Pérez-Campos Mayoral Eduardo , Pérez-Campos Mayoral Carlos , Martínez-Helmes Rocío , Guevara-Contreras Yeimi Nayely 
Published: August 2021

An air disaster is a tragic event, usually brutal and unforeseeable, which often involves human and material losses. The investigation of such events requires extraordinary measures in order to apply state-of-the-art forensic technology, aiming to identify both the causes of the accident and the victims. Forensic dentistry is among the most important methods of identification, as it allows the use of techniques that can identify an individual based on the systematic study of corpses or bone remains, physiological and hereditary aspects, and, the specific variations of a person's teeth.
The aim of this paper is to review the available elements that can be used within the field of forensic dentistry to identify corpses and bone remains in the event of an air disaster.
Smuggling reduction of gas cylinders through the implementation of radio frequency identification technology
Authors: Revelo Marco David , Montenegro Victor Javier 
Published: August 2021

Ecuador subsidizes fuels, the problem with this benefit is that, many citizens are dedicated to illegally market these resources in border cities,
among these fuels there are the cylinders of liquefied petroleum gas; the existing fragile control greatly benefits smuggling, representing a loss of resources for Ecuador.

There is no subsidy in neighboring countries such as Peru and Colombia, and unfortunately some citizens have chosen to engage in illegal fuel marketing, generating economic losses for the country. The actual cost of a 15 kilo gas cylinder is 12.00 dollars, however, it is sold at 1.60 dollar. It means that the government subsidizes 89% of the price of gas, with barely 11% being paid by consumers. (Diario el Comercio, 2013)

People who take advantage of the poor control of illegal marketing, reduce the number of cylinders in border areas of Ecuador and therefore increase the price, this situation has generated inconveniences for Ecuadorian citizens when they can not acquire gas cylinders. Currently, given the advance of technology in particular of microelectronics, it is very common to use portable electronic devices such as RFID (Radio Frequency Identifier) tags, for this project the active labels of 2.4 GHz allow the unique identification of each gas cylinder, as well as the portability of the information and the relation of belonging between gas cylinders and citizens, facilitating their monitoring and control.
MENEJEMEN NYERI NON FARMAKOLOGI POST OPERASI DENGAN TERAPI SPRITUAL “DOA DAN DZIKIR”: A LITERATURE REVIEW
Authors: Ari Budiati Sri Hidayati Tina Muzaenah, 
Published: August 2021

Latar belakang: Manajemen nyeri sangat penting bagi pasien bedah untuk mencegah efek samping nyeri post operasi dan memfasilitasi pemulihan. Manajemen nyeri non farmakologi mengurangi efek emosional dari nyeri, meningkatkan penyesuaian dan membuat pasien percaya dapat mengendalikan rasa nyerinya, sehingga mengurangi nyeri dan meningkatkan tidur. Tujuan: Melakukan literature review terhadap artikel-artikel yang meneliti tentang menejemen nyeri non farmakologi pada pasien post operasi dengan terapi spiritual “doa dan dzikir”. Desain: Literature review. Metode: Menggunakan database dengan penelusuran elektronik pada Google, Google Scholar dan PubMed yang dipublikasikan pada tahun 2013-2018. Hasil: Lima artikel dipakai dalam review. Tiga artikel menyebutkan manajemen nyeri non farmakologi dengan membaca doa dan dzikir: melafalkan bacaan Tasbih 33 kali, Tahmid 33 kali, Takbir 33 kali, Tahlil 33 kali, Alhauqalah 33 kali selama 10-15 menit atau 30 menit. Diawali dengan melakukan tehnik napas dalam selama 5 menit atau membaca dzikir Hazrate Zahra (menyebut nama “Allah”) 100 kali. Dilanjutkan membaca surat Al-fatihah dan diakhiri doa menghilangkan rasa sakit 7 kali. Dipraktikkan dengan posisi duduk/berbaring dengan nyaman, dengan mata tertutup. Dua artikel lain dengan mendengarkan doa "Ya man esmoho davaa va zekroho shafa, Allahomma salle ala mohammad va ale mohammad" selama 20 menit pada post operasi atau pembacaan doa salawat syifa ' dan dzikir pada intraoperasi. Kesimpulan: Doa dan dzikir adalah teknik non farmakologi berbiaya rendah, mudah, nyaman dilakukan kapanpun dan dimanapun, tidak memiliki efek samping. Membaca doa dan dzikir maupun mendengarkannya terbukti menurunkan intensitas nyeri post operasi
Résultats d'une enquête d'incidence des cas d'infections nosocomiales à bactéries multirésistantes dans un centre hospitalier à Dakar (Sénégal)
Authors: Fortes Déguénonvo L , Traoré K , Dia Badiane N M , Ka R , Cissoko Y , Diouf A , Lakhe N A , Ka D , Diop S A , Cisse V MP , Manga M N , Ndour C T , Soumaré M , Sow A I , Seydi M 
Published: August 2021

Objectifs : Déterminer l'incidence et décrire le profil bactériologique des infections nosocomiales (IN) à bactéries multirésistantes au centre hospitalier universitaire de Fann à Dakar. Méthode : Enquête de surveillance prospective menée du 1erseptembre au 31 décembre 2010. Ont été inclus tous les patients hospitalisés depuis au moins 48 heures et ayant présenté une infection à bactérie multirésistante (BMR). L'analyse des données a éé effectuée grâce au logiciel SPSS16.0 Résultats : Durant la période d'étude, nous avons colligé 97 cas d'IN à BMR. L'incidence globale était de 5,5% avec une densité d'incidence de 5 cas pour 1000 patient-jours. Les densités les plus élevées étaient observées dans les services de Maladies Infectieuses (9,3 cas /1000 patient-jours) et de Pneumologie (7cas /1000 patient-jours). Les infections urinaires (53 %) et les bactériémies (21 %) étaient prédominantes. Les germes les plus fréquemment isolés étaient : entérobactéries productrices de bêtalactamase à spectre élargi (EBLSE) (62 %), Pseudomonas aeruginosa (13 %) et les staphylocoques à coagulase négative (12 %). Toutes les souches d'EBLSE étaient sensibles à l'imipénème et à la colistine. Aucune souche de staphylocoque n'était résistante à la vancomycine. La létalité était de 46 %. Conclusion : L'incidence des IN à BMR est élevée au CHNU de Fann. Les activités de prévention doivent être renforcées afin de réduire la morbidité et la mortalité liées à ces infections.
Writing and Identity: A Narrative Inquiry on Two Saudi Arabian ESL Females
Authors: Hersi Mustafa A. 
Published: August 2021

Writing in a second language is considered extremely challenging for several reasons. Concerns that perplex second-language learners include cognitive complications, the composing process, building arguments, and constructing an identity as a writer. Cultural issues related to writing also pose problems for second-language writers This paper focuses exclusively on how international students, female Saudi ESL students, construct their writing identity in the ESL milieu and navigate critical issues in cross-cultural writing. This paper explores how two ESL Saudi Arabian female students in an English program in the United States negotiate and construct their identities while writing in English. The study will also investigate challenges faced by those students in acquiring English writing skills and how those challenges inform their thinking and shape or reshape their identities as writers.&nbsp;
The study involves two female Saudi students who are studying the English language at a mid-size diverse Southwest public university in the United States. The researcher collected the data through semi-structured interviews with the participants and then performed a textual analysis of their responses. The researcher transcribed and analyzed the data and describes the results thematically herein. The findings of this study augment our understanding in how female Saudi ESL students construct their identities as writers. The analysis covers some sociocultural factors that shape their writing. The paper concludes with pedagogical implications for ESL teachers and suggestions for future study.&nbsp;
Afrodescendentes na América Latina: da liberdade aos processos de (in)exclusão
Authors: Inácio de Souza Dávila Carolina , Vieira Vagner , Da Silva Hoepers Idorlene 
Published: August 2021

Com o objetivo de discutir as interferências sobre as questões etnico-raciais no contexto da América Latina e os desdobramentos para os processos de (in)exclusão da população afrodescendente, a partir dos relatórios e documentos dos organismos internacionais, realizou-se estudo bibliográfico e documental. As discussões foram articuladas com Munanga (2015), Goes e Silva (2013), Sousa, (2009), Gentili (2001) e Barreto (2009), além de outros. A partir do estudo é possível perceber que, apesar de conquistar a liberdade, no contexto da América Latina, a população afrodescendente ainda sofre com as mazelas históricas que negam e invisibilizam a cultura e os aspectos históricos que provocaram tal exclusão. Nos documentos dos Organismos Internacionais encontram-se informações que ora denunciam as situações de (in)exclusão presentes na América Latina e ora fazem indicações/recomendações para desencadear pretensas ações visando os processos inclusivos dos afrodescendentes, porém alinhadas aos interesses do capitalismo.
A influência da integração da cadeia de suprimentos no desempenho de entrega do fornecedor
Authors: Ribeiro Jurema Suely de Araújo Nery , França Renata de Souza , Corrêa Fábio , Ferreira Eric de Paula 
Published: August 2021

Este trabalho busca analisar as influências da integração da cadeia de suprimentos para alcance de um desempenho superior de entrega do fornecedor. Nos procedimentos metodológicos, é delineada uma pesquisa quantitativa e descritiva. Quanto aos procedimentos, foi realizado um levantamento (survey) transversal auto-administrado on-line e impresso. Como ferramenta de tratamento e análise dos dados dos questionários, foi utilizado o software SPSS (Statistic Package for Social Study) e a Modelagem de Equações Estruturais com estimação por Mínimos Quadrados Parciais (PLS-SEM). Como resultado, obteve-se que o modelo proposto é válido e confiável. Os testes realizados não confirmaram a hipótese da pesquisa, pois na percepção dos respondentes, a influência da integração da cadeia de suprimentos não têm efeito positivo no desempenho de entrega do fornecedor. Já para os construtos de primeira ordem todas as dependências foram relacionadas positivamente e estatisticamente significantes. Foram apresentadas contribuições e limitações do estudo, e sugestões de trabalhos futuros.
Modelo descritivo de atuação sustentável para o desenvolvimento de inovações sociais
Authors: Costa Priscila Rezende Da , Itelvino Lucimar da Silva , Monken Sonia Francisca 
Published: August 2021

Purpose: The concept of social innovation as open, collaborative and social transformation process opens room to reinforce the need of legitimizing social impact businesses and of expanding partnerships for social change, as well as the urgency of establishing professional and more sustainable social innovation environments. Accordingly, we tried to answer the following research question: How can social business performance boost the development of social innovations?Design/methodology/approach: Therefore, we adopted the inductive approach of qualitative paradigm, based on the Grounded Theory, to investigate 24 social businesses. In addition, we adopted the Atlas.ti software for data organization and recovery.Aggregate results allowed us to propose a descriptive model of sustainable performance for the development of social innovations in social business, based on the following propositions: sustainable performance in processes and social innovation, the prevalence of a cooperative environment to solve social issues, professional governance as causal factor to social innovation development, the development of actions focused on public interests as influencing conditions for social innovation development, technical and scientific evaluation of social impacts as strategy to measure the outcomes of developed innovations and the expansion of social impacts as the consequence of the self-negotiation of social affairs.Originality/value: A descriptive model of sustainable acting was proposed for the development of social innovations in social businesses.