bluuebunny/crossref_metadata_2025_split huggingface dataset:
A EDUCAÇÃO INTERPROFISSIONAL, APRENDIZAGEM SIGNIFICATIVA E A PRÁTICA COLABORATIVA NO CENÁRIO DAS POLÍTICAS INDUTORAS DE REORIENTAÇÃO DA FORMAÇÃO EM SAÚDE
Authors: Holanda de Medeiros Nara Maria , Camargo Gonçalves Germani Ana Claudia , Dos Santos Lemos Evelyse 
Published: July 2021

Este artigo discute a Formação em Saúde em uma perspectiva inovadora e provém de uma pesquisa qualitativa e quantitativa, que avalia a concepção de discentes egressos do Programa Nacional de Reorientação da Formação Profissional em Saúde (Pró-Saúde) e Programa de Educação pelo Trabalho para Saúde (PET-Saúde) em relação a participação no processo ensino/aprendizagem/avaliação das instituições de ensino superior do Estado de São Paulo, Brasil. Fundamenta-se nas perspectivas da educação interprofissional, aprendizagem significativa, trabalho em equipe e práticas colaborativas. A abordagem com complexidade em saúde se faz necessário para qualificação da assistência à saúde e as formas uniprofissionais de atuação, de forma isolada, são insuficientes. A interdisciplinaridade e interprofissionalidade são estimuladas a fim de superar esse descompasso e visando a investigação dessa situação, aplicou-se instrumento tipo likert e perguntas abertas à 50 egressos dos Programas. Os resultados evidenciaram o desenvolvimento de competências para interprofissionalidade e atuação com crítica, através do reconhecimento dos princípios, conceitos, pressupostos e de ações conjuntas que estimularam reformas curriculares, contudo, prevalece a desigualdade de acesso aos Programas. Assim, esse artigo reforça a necessária interferência das Políticas Indutoras de Reorientação da Formação em Saúde para a qualificação dos processos formativos e assistenciais da saúde.
PHASES score and treatment scoring with cigarette smoking in the long-term prediction of rupturing of unruptured intracranial aneurysms
Authors: Juvela Seppo 
Published: July 2021

OBJECTIVE
Treatment indications in unruptured intracranial aneurysms (UIAs) are challenging because of the lack of prospective natural history studies without treatment selection and the decreasing incidence of aneurysm rupture. The purpose of this study was to test whether the population, hypertension, age, size of aneurysm, earlier aneurysm rupture, site of aneurysm (PHASES) score obtained from an individual-based meta-analysis could predict the long-term rupture risk of UIAs.

METHODS
The series included 142 patients of working age with UIAs diagnosed before 1979, when these were not treated but were followed up until the first rupture, death, or the last contact. PHASES scores were recorded for all patients by using the baseline variables and compared with the new treatment score obtained from a recent cohort, consisting of age, smoking status, and aneurysm size and location.

RESULTS
Of the 142 patients, 34 had an aneurysm rupture during a total follow-up of 3064 person-years. The median time between diagnosis and an aneurysm rupture was 10.6 years. The PHASES score at baseline was higher in those with an aneurysm rupture than in the others (5.3 ± 2.3 vs 4.2 ± 2.2, p = 0.012), and the difference relative to the new treatment score was 5.3 ± 2.4 versus 3.0 ± 2.2 (p < 0.001). The receiver operating characteristic curve of the PHASES score for predicting rupture showed a fair area under the curve (0.674, 95% CI 0.558–0.790) where the optimal cutoff point was obtained at ≥ 6 versus < 6 points for sensitivity (0.500) and specificity (0.811). The area under the curve of the new score was 0.755 (95% CI 0.657–0.853), with the optimal cutoff point at ≥ 5 versus < 5 points for sensitivity (0.607) and specificity (0.789).

CONCLUSIONS
The PHASES and the new scores predicted the long-term aneurysm rupture risk moderately well, with the latter, which also included smoking, being slightly better and easier in clinical practice. The findings suggest that treatment decisions about UIAs in patients of working age can be done with an improved cost-effectiveness.
Antimicrobial prophylaxis in noninstrumented spine surgery: a prospective study to determine efficacy and drawbacks
Authors: Amelot Aymeric , Riche Maximilien , Latreille Samuel , Degos Vincent , Carpentier Alexandre , Mathon Bertrand , Korinek Anne-Marie 
Published: July 2021

OBJECTIVE
The authors sought to evaluate the roles of perioperative antibiotic prophylaxis in noninstrumented spine surgery (NISS), both in postoperative infections and the impact on the selection of resistant bacteria. To the authors’ knowledge, only one prospective study recommending preoperative intravenous (IV) antibiotics for prophylaxis has been published previously.

METHODS
Two successive prospective IV antibiotic prophylaxis protocols were used: from 2011 to 2013 (group A: no prophylactic antibiotic) and from 2014 to 2016 (group B: prophylactic cefazolin). Patient infection rates, infection risk factors, and bacteriological status were determined.

RESULTS
In total, 2250 patients (1031 in group A and 1219 in group B) were followed for at least 1 year. The authors identified 72 surgical site infections, 51 in group A (4.9%) and 21 in group B (1.7%) (p < 0.0001). A multiple logistic regression hazard model identified male sex (HR 2.028, 95% CI 1.173–3.509; p = 0.011), cervical laminectomy (HR 2.078, 95% CI 1.147–3.762; p = 0.016), and postoperative CSF leak (HR 43.782, 95% CI 10.9–189.9; p < 0.0001) as independent predictive risk factors of infection. In addition, preoperative antibiotic prophylaxis was the only independent favorable factor (HR 0.283, 95% CI 0.164–0.488; p < 0.0001) that significantly reduced infections for NISS. Of 97 bacterial infections, cefazolin-resistant bacteria were identified in 26 (26.8%), with significantly more in group B (40%) than in group A (20.9%) (p = 0.02).

CONCLUSIONS
A single dose of preoperative cefazolin is effective and mandatory in preventing surgical site infections in NISS. Single-dose antibiotic prophylaxis has an immediate impact on cutaneous flora by increasing cefazolin-resistant bacteria.
Impact of predominant symptom location among patients undergoing cervical spine surgery on 12-month outcomes: an analysis from the Quality Outcomes Database
Authors: Devin Clinton J. , Asher Anthony L. , Alvi Mohammed Ali , Yolcu Yagiz U. , Kerezoudis Panagiotis , Shaffrey Christopher I. , Bisson Erica F. , Knightly John J. , Mummaneni Praveen V. , Foley Kevin T. , Bydon Mohamad 
Published: July 2021

OBJECTIVE
The impact of the type of pain presentation on outcomes of spine surgery remains elusive. The aim of this study was to assess the impact of predominant symptom location (predominant arm pain vs predominant neck pain vs equal neck and arm pain) on postoperative improvement in patient-reported outcomes.

METHODS
The Quality Outcomes Database cervical spine module was queried for patients undergoing 1- or 2-level anterior cervical discectomy and fusion (ACDF) for degenerative spine disease.

RESULTS
A total of 9277 patients were included in the final analysis. Of these patients, 18.4% presented with predominant arm pain, 32.3% presented with predominant neck pain, and 49.3% presented with equal neck and arm pain. Patients with predominant neck pain were found to have higher (worse) 12-month Neck Disability Index (NDI) scores (coefficient 0.24, 95% CI 0.15–0.33; p < 0.0001). The three groups did not differ significantly in odds of return to work and achieving minimal clinically important difference in NDI score at the 12-month follow-up.

CONCLUSIONS
Analysis from a national spine registry showed significantly lower odds of patient satisfaction and worse NDI score at 1 year after surgery for patients with predominant neck pain when compared with patients with predominant arm pain and those with equal neck and arm pain after 1- or 2-level ACDF. With regard to return to work, all three groups (arm pain, neck pain, and equal arm and neck pain) were found to be similar after multivariable analysis. The authors’ results suggest that predominant pain location, especially predominant neck pain, might be a significant determinant of improvement in functional outcomes and patient satisfaction after ACDF for degenerative spine disease. In addition to confirmation of the common experience that patients with predominant neck pain have worse outcomes, the authors’ findings provide potential targets for improvement in patient management for these specific populations.
Brain growth after surgical treatment for infant postinfectious hydrocephalus in Sub-Saharan Africa: 2-year results of a randomized trial
Authors: Schiff Steven J. , Kulkarni Abhaya V. , Mbabazi-Kabachelor Edith , Mugamba John , Ssenyonga Peter , Donnelly Ruth , Levenbach Jody , Monga Vishal , Peterson Mallory , Cherukuri Venkateswararao , Warf Benjamin C. 
Published: July 2021

OBJECTIVE
Hydrocephalus in infants, particularly that with a postinfectious etiology, is a major public health burden in Sub-Saharan Africa. The authors of this study aimed to determine whether surgical treatment of infant postinfectious hydrocephalus in Uganda results in sustained, long-term brain growth and improved cognitive outcome.

METHODS
The authors performed a trial at a single center in Mbale, Uganda, involving infants (age < 180 days old) with postinfectious hydrocephalus randomized to endoscopic third ventriculostomy plus choroid plexus cauterization (ETV+CPC; n = 51) or ventriculoperitoneal shunt (VPS; n = 49). After 2 years, they assessed developmental outcome with the Bayley Scales of Infant Development, Third Edition (BSID-III), and brain volume (raw and normalized for age and sex) with CT scans.

RESULTS
Eighty-nine infants were assessed for 2-year outcome. There were no significant differences between the two surgical treatment arms in terms of BSID-III cognitive score (p = 0.17) or brain volume (p = 0.36), so they were analyzed together. Raw brain volumes increased between baseline and 2 years (p < 0.001), but this increase occurred almost exclusively in the 1st year (p < 0.001). The fraction of patients with a normal brain volume increased from 15.2% at baseline to 50.0% at 1 year but then declined to 17.8% at 2 years. Substantial normalized brain volume loss was seen in 21.3% patients between baseline and year 2 and in 76.7% between years 1 and 2. The extent of brain growth in the 1st year was not associated with the extent of brain volume changes in the 2nd year. There were significant positive correlations between 2-year brain volume and all BSID-III scores and BSID-III changes from baseline.

CONCLUSIONS
In Sub-Saharan Africa, even after successful surgical treatment of infant postinfectious hydrocephalus, early posttreatment brain growth stagnates in the 2nd year. While the reasons for this finding are unclear, it further emphasizes the importance of primary infection prevention and mitigation strategies along with optimizing the child’s environment to maximize brain growth potential.
Stochastic models for ensuring parametric reliability of the construction machines
Authors: Getun Galyna , Les'ko Vitalii , Bezklubenko Iryna , Balina Olena , Butsenko Yurii 
Published: July 2021

The solution of technical problems to ensure the working capacity is largely determined by the effectiveness of theoretical and applied developments in an area of estimation and prediction of their reliability indicators. An effective approach to the analysis of failures and the development of operability and parametric reliability models provides an opportunity to obtain more adequate models of reliability of hydraulic drives of machines, as they more fully take into account the specifics of the structure and functioning of the hydro drive elements of construction machines, their relationships and features of the formation of parameters failures. And this will allow to get more real and accurate results of estimation of reliability indicators of hydraulic drives of both construction and other hydraulic machines. They do not exhaust all possible variants of models that can take place when analyzing the reliability of hydraulic drives of machines, but at the same time they to a certain extent extend and refine the set of known reliability models.
Specific in terms of formation of parametrical failures are such consistently connected in terms of the layout of hydraulic elements, as working sections of hydraulic distributors and hydraulic cylinders, which are part of the subsystems of GPs and form the so-called functional areas (FA). Reaching the FA limit is a compatible result of the combined random process of evolution of the volumetric efficiency JCUA these elements, and the technical condition of the FA is estimated to be generalized by the JCUA, which equals the product of the JCUA of consecutively connected elements: .
In this case, the probability of maintaining the capacity of the FA will be: .
The processing of diagnostic information and the study of the reliability of GPs in real conditions of their operation showed that the distribution of JCUD hydraulic elements with a sufficient degree of consistency can be described under several theoretical laws. It is considered when the JCUA sections of the hydraulic distributor and hydraulic cylinder are distributed by gamma distribution and exponential distribution.
The use of the general methodological approach to the analysis of failures and the construction of models of operability and parametric reliability provides an opportunity to obtain more adequate models of reliability of hydraulic drives of machines, as they more fully take into account the specifics of the structure and functioning of the hydraulic drive elements, They don't exhaust all possible models that can take place when analyzing the reliability of hydraulic drives, but at the same time they are to some extent expanding and refining the range of already known models of reliability.
Exocentric Compounds in English and Punjabi: A Morpho-Semantic Analysis of NN Formations
Authors: Jamshaid Saima , Nasim Akhtar Raja 
Published: July 2021

The paper provides new insight into the analysis of exocentric compounds in English and Punjabi by introducing a new step-by-step mechanism devised with the help of cognitive and cultural linguistics. The main purpose of the study is to show that exocentric compounds are very productive in the Indo -European languages. The current study claims that every exocentric compound is metaphoric in nature. Every constituent in an exocentric compound carries several interpretations based on specific metonymic relations and cultural knowledge. The meaning of one constituent aids and activates the interpretation of another constituent. In this paper*, only four examples of NN compounds are discussed in detail. Although the study is not a comparative analysis in actual sense, however, the formations of such compounds in English are also analyzed to show the applicability of the mechanism in other languages as well. The results revealed that the above mechanism is equally applicable in both the languages and supports the metaphoric interpretation in exocentric compounds. The study also nullifies the claims about the non-productivity and unpredictability of the exocentric compounds.
Plantas utilizadas en la medicina popular paraguaya para tratar afecciones relacionadas al estrés
Authors: Ebenhoch Ruben , Saenger Karen , Crosa Fiorella , Gonzalez Yenny , Degen de Arrua Rosa Luisa 
Published: July 2021

La medicina tradicional ha mantenido su popularidad en todo el mundo. En Paraguay, la medicina tradicional es ampliamente practicada por sus habitantes para tratar las diversas afecciones que se les presenten, empleando principalmente plantas medicinales. Este trabajo tuvo como objetivo identificar las especies vegetales que se utilizan en la medicina popular paraguaya para tratar afecciones relacionadas al estrés. El estudio fue observacional; consistió en consultar a vendedores de plantas medicinales sobre aquellas que recomiendan para contrarrestar el estrés y sus síntomas, de 3 puestos de venta de “yuyos” de cada mercado situado en las ciudades de Limpio, San Lorenzo y Villa Elisa, Departamento Central. Se realizaron tres recolecciones entre julio y noviembre del 2019. Las plantas adquiridas fueron identificadas, fotografiadas, secadas, etiquetadas y depositadas en el Herbario FCQ. Como resultado se identificaron 16 especies, de las cuales 8 especies fueron recomendadas (en estado fresco) en el mercado de Limpio, 10 especies (6 especies en estado fresco y 4 especies en polvo grueso en estado seco dispuesto en bolsita) en Villa Elisa y 10 especies (en estado fresco) en San Lorenzo. Las especies citadas en los tres mercados son “menta'i”, Mentha x piperita; “kapi'i kat?”, Kyllinga vaginata y “cedrón Paraguay”, Aloysia citriodora. La familia más representada fue Lamiaceae, con tres especies, seguida de Verbenaceae con dos especies.
Stigma pada Penderita Penyakit Infeksi Menular: Literatur Review
Authors: Nurhajar Nurhajar , Kadar Kusrini Semarwati , Said Syahrul 
Published: July 2021

Morbiditas dan mortalitas penyakit infeksi menular memunculkan stigma di masyarakat maupun petugas kesehatan. Belum ada penelitian yang menggambarkan stigma pada orang dengan infeksi menular secara spesifik berdasarkan jenis-jenis stigma. Tujuan penelitian ini untuk menggambarkan stigma pada penderita penyakit infeksi menular. Desain penelitian ini yaitu literatur review. Pencarian artikel menggunakan 4 database elektronik yaitu Pubmed, Ebsco, ScienceDirect, dan Proquest. Telaah artikel menggunakan alur diagram prisma terdiri dari pengecekan studi double publikasi. Skrining titel dan abstrak oleh 3 peneliti. Kelayakan studi sesuai pertanyaan penelitian dipublikasikan sejak tahun 2011-2020, dalam bahasa inggris, dengan kata kunci stigma dan, atau penyakit infeksi menular. Inklusi artikel yang sesuai dari hasil penelitian. Terdapat 15 artikel yang diinklusi dalam penelitian ini. Berdasarkan hasil penilaian kritis pada artikel yang diinklusi, Penderita Penyakit Infeksi Menular mengalami stigma intrapersonal yaitu merasa berbeda dari orang lain, kesepian, malu, kecewa pada diri sendiri, merasa tidak bersih, dan merasa bersalah karena penyakitnya. Stigma interpersonal yaitu pengucilan sosial, pelecehan verbal, tidak mendapat dukungan dari keluarga, dan penghindaran publik. Stigma struktural yaitu kehilangan hak asasi manusia, tidak mendapat jaminan sosial, mendapat penolakan pelayanan kesehatan, kehilangan pekerjaan, dan pemberitaan negatif dimedia pada petugas kesehatan yang menangani ebola. Penyakit infeksi menular berdampak pada stigma intrapersonal, stigma interpersonal, dan stigma struktural.
Método didáctico para promover la calidad educativa en el aprendizaje de las ciencias naturales
Authors: Freire Pazmiño Julio César 
Published: July 2021

La educación en el Ecuador Durante los últimos tiempos ha enfrentado cambios e innovaciones enmarcadas en el modelo de enseñanza y la calidad educativa que tienen como finalidad alcanzar la igualdad y la inclusión social. Objetivo. Método didáctico para promover la calidad educativa en el aprendizaje de las ciencias naturales. Metodología. Se emplea el enfoque cuantitativo y cualitativo, además se utiliza una descripción documental que conduce a la construcción del conocimiento enmarcando la recolección de información en el tipo descriptivo que propone detallar aspectos trascendentales relacionados con las variables de análisis. Los participantes fueron un total de 53 niños y niñas de octavo y noveno grado, se maneja un cuestionario difundido por (Chiva & Ramos, 2015), conformado por 20 ítems con cuatro alternativas de elección pasados en la escala de Likert mientras el instrumento fue validado por el Programa Estadístico SPS a través del Alfa de Cronbach obteniendo el valor 0,91 indicador excelente. Resultados. En la dimensión de planificación los maestros no realizan planificaciones (57%), los educandos no comprenden el contenido (64%), escasa utilización de tecnología (64%), restringido trabajo en equipo (68%), inseguridad y desconfianza (72%) insuficiente motivación (68%); en materias curriculares, reducida aplicación de videos proyectores diapositivas (74%), descuido en la elaboración de material manipulativo (57%), evaluación oral (66% ) inexistencia de retroalimentación (68%) Conclusión. En la institución educativa los educadores aún permanecen utilizando métodos tradicionales que incrementan la transmisión de contenidos desde la disciplina, la dependencia y memorización esencias que aquejan a la didáctica, autonomía y solución de problemas. Por otra parte existe la necesidad de emplear programas informáticos donde el estudiante tenga un papel activo en base a las conexiones de ideas, la práctica innovadora y el refuerzo académico.
Bullous Tinea Pedis – Misdiagnosed for Long Time
Authors: Rahaman Md Mahabubur , Wahab MA , Kader Md Rezaul , Siddique Md Rahmat Ullah , Kumar Saha Bijoy , Rahman Md Moksedur , Uddin Md Kamal 
Published: July 2021

Fungal infection is very common in Dermatological practice in Bangladesh. Most of the cases can be diagnosed clinically and simple laboratory examination. But here we present a case of recurrent bullous tinea pedis that had been misdiagnosed for a long time and treated with oral steroids. Initially, direct microscopy of potassium hydroxide preparations was negative and culture did not reveal any fungal organism. In a biopsy taken simultaneously from the edge of a bulla and stained with periodic acid-Schiff, septate mycelia were clearly visible. Trichophyton mentagrophytes was later identified in repeated cultures. The patient was treated with oral Terbinafine 250 mg daily for 2 months cured completely.
CBMJ 2017 January: Vol. 06 No. 01 P: 28-30
"Maternal Birth Injury" Case Report
Authors: Busreea Reeva Aireen , Jahan Akter , Begum Ferdousi , Siddika Mohosina , Siddiquee Fayela Sabrun 
Published: July 2021

Injury to the birth canal following vaginal delivery is not an uncommon condition. It causes PPH. Early detection of injury site and control of bleeding is an emergency. Delay detection of injury may causes the maternal morbidity and or mortality as well as. Here we present three cases of birth canal injury following vaginal delivery. We managed those patient's accordingly.
CBMJ 2017 January: Vol. 06 No. 01 P: 31-33
Fecal Halitosis: A Case Report
Authors: Biswas Suttam Kumar , Roy Shilpi Rani , Paul Arup Roton 
Published: July 2021

There are many causes of fecal halitosis like poor oral hygene, bowel obstruction, GERD, oral malignancy, liver failure etc. Gastrocolic fistula is a rare cause of fecal halitosis. Gastrocolic fistula is a rare complication of adenocarcinoma of the colon. Despite radical resections, these patients usually have a poor prognosis with a mean survival of 23 months and long-term survival is rarely reported. A 40-year-old man of Netrokona district presented with diffuse abdominal pain, vomiting, fecal smell from mouth and weight loss for 3 months. A Barium enema revealed fistulous communication in between left colic flexure upto body of the stomach. Upper gastrointestinal tract endoscopy done repeatedly but report was normal. Colonoscopic report was a growth seen at 60 cm from anal verge and the scope couldn't be passed up. Histopathological report of colonoscopic biopsy was non specific chronic colitis. His part of colon, sleeve resection of stomach were resected en bloc. As per histopathological report, sections from the transvers colon tumor revealed an adenocarcinoma composed of malignant glands with an infiltrative pattern. Adjuvant chemotherapy with capecitabine and oxaliplatin was administered after surgery. Our patient is alive. En bloc resection with adjuvant chemotherapy offers the best treatment option for gastrocolic fistulas. This is one of the patients with greater survival reported in the medical literature.
CBMJ 2017 January: Vol. 06 No. 01 P: 34-38