bluuebunny/crossref_metadata_2025_split huggingface dataset:
Unilateral hydrocephalus from a gangliocytoma-somatotrophinoma: first reported case
Authors: Ryder Simon , Robusto Jed , Robertson Thomas , Alexander Hamish , Duncan Emma L 
Published: July 2021

Summary
Although pituitary macroadenomas often cause mass effects on surrounding structures, it is extremely rare for pituitary lesions to disturb cerebrospinal fluid circulation. Sellar gangliocytoma-pituitary adenomas (SGPAs) are also extremely rare. Here we report the unique case of a man with the unusual combination of acromegaly from an SGPA, who presented with unilateral hydrocephalus. A 60-year-old man presented with rapid neurological deterioration, bitemporal hemianopia, and acromegalic features. Neuroimaging revealed a large sellar lesion extending superiorly into the left foramen of Monro, causing acute obstructive unilateral hydrocephalus. External ventricular drain placement improved consciousness immediately. Biochemical assessment confirmed acromegaly. Following trans-sphenoidal debulking, histology revealed a mixed gangliocytoma/sparsely-granulated somatotrophinoma. Despite the residual disease, his vision recovered remarkably, low-dose cabergoline controlled residual excess growth hormone (GH) secretion, and the residual tumour has remained extremely stable over 2 years. Hydrocephalus is an extremely rare complication of pituitary lesions, and unilateral hydrocephalus has never been reported previously. GH secretion in SGPAs is more common than for pituitary adenomas in general, raising questions regarding the aetiology and therapeutic approach to this rare combination tumour.

Learning points

Pituitary tumours most commonly present with symptoms related to endocrine disturbance or mass effects upon visual pathways (e.g. optic chiasm, nerves in the lateral cavernous sinus). However, extremely rarely, pituitary masses may disrupt cerebrospinal fluid (CSF) circulation resulting in hydrocephalus.

Sellar gangliocytomas are very rare tumours and most of them are hybrid tumours with pituitary adenomas (SGPAs).

SGPAs are typically indolent and may be functioning or non-functioning tumours.

Growth hormone (GH)-producing SGPAs are less likely to respond to somatostatin agonists than classic somatotrophinomas.

Primary surgical debulking via a trans-sphenoidal approach was effective in this individual, leading to the restoration of CSF circulation and improvement in visual disturbance, while also negating the need for permanent CSF diversion despite the residual tumour burden.
Дослідження механізмів і рушійних сил самоорганізації матриць природних твердих вуглеводнів
Authors: Булат А.Ф. , Богданов В.Л. , Трачевський В.В. , Бурчак О.В. , Сєріков Ю.А. 
Published: July 2021

З метою візуалізації шляхів структурно-функціональної еволюції та виявлення рушійних сил і механізмів трансформації метастабільних матриць природних вуглеводнів із залученням структурно-чутливих методів діагностики самоорганізації конденсованих середовищ вперше запропонована активно діюча модель — віртуальний нанореактор, що відображає динаміку ієрархічної атомно-молекулярної архітектури композиції та дає змогу сформулювати і свідомо реалізувати алгоритм інформаційно ємного експерименту щодо вивчення особливостей перебігу механохімічних та магнітнокерованих впливів, а також з’ясування стану системи, який виник внаслідок дії чинників різної природи. Узагальнення масиву накопичених даних відкриває перспективи опанування методологією спрямовано ініційованих процесів за раніше невідомими напрямами — створенням вуглецевмісних матеріалів з наперед заданими властивостями.
Вплив проміжних прошарків на взаємну дифузію за умов мартенситних перетворень
Authors: Коваль Ю.М. , Мазанко В.Ф. , Герцрікен Д.С. , Богданов Є.І. , Міронов В.М. , Богданов С.Є. 
Published: July 2021

Методами, які базуються на застосуванні радіоактивних індикаторів, рентгеноструктурного і мікродюрометричного аналізів досліджено фазовий склад дифузійної зони, що утворюється при низькотемпературному імпульсному впливі. Деформування здійснювали шляхом використання значного об’ємного ефекту при атермічних мартенситних α → γ (при охолодженні в рідкому азоті) та γ→ α (при нагріванні до 923 К) перетвореннях у сплаві Fe-30 %Ni. Після різних умов попередньої обробки сплав заліза з 30 % нікелю існував при кімнатній температурі у вигляді гомогенного твердого розчину у двох модифікаціях: з ОЦК ґратами (α-фаза) та з ГЦК ґратами (γ-фаза). Зі сплаву у ГЦК-фазі робили кубічні зразки, а з ОЦК — П-подібні. Кубічні зразки з нанесеними шарами мічених атомів поміщали в П-подібні таким чином, щоб був забезпечений контакт між шарами ізотопу і металевими прошарками, що примикають з іншого боку до залізних фольг, які, в свою чергу, контактують з паралельними внутрішніми поверхнями (ніжки літери П). З’єднані таким чином за ковзною посадкою зразки занурювали у рідкий азот (перетворення відбувається в кубічному зразку) або поміщали у піч, нагріту до 923 К (перетворення у П-подібному). В обох випадках об’ємний ефект при перетвореннях зумовлює імпульсне деформування контактуючих поверхонь. Дана схема навантаження до- зволяє отримувати зразки, що зазнають як дію імпульсної деформації, так і спільну дію γ ⇄ a перетворень і створюваної ними пластичної деформації. Контрольні зразки зазнавали γ→ α та α → γ перетворення за тих самих умов, але без прошарків, а також відчували перетворення без оправлення, тобто без додаткової імпульсної деформації. Показано вплив проміжних прошарків на швидкість масоперенесення і особливості фазоутворення за умов мартенситних перетворень з вибуховою кінетикою. Встановлено взаємозв’язок між видом проникаючих атомів і утвореними фазами в нерівноважних умовах.
Faculty Perceptions on Objective Structured Clinical Exam in Dental Education
Authors: Wali Othman , Vanka Amit , Vanka Shanthi 
Published: July 2021

Structured Clinical Exam (OSCE) uses standardized content and procedures to assess students across multiple domains of learning. The study is aimed to assess knowledge, attitudes, practices and observations of dental faculty on OSCE. The survey was distributed into dental faculty members in randomly selected government and private institutions in Saudi Arabia. The questionnaire was pre-tested and consisted of 4 categories including general characteristics of respondents, knowledge on utility of OSCE in curriculum and it’s reliability, attitudes regarding OSCE on a 5 point Likert scale, practices and observations on OSCE on Multiple choice questions (both single answer and multiple answer) and responses on a 5 point Likert scale. The sample size was determined to be 93 and the survey was sent electronically to 10 institutes. 101 complete responses from 7 institutions were considered from the 122 received. Faculty participation in OSCE was high within evaluators 94% (n=94) and administrators 61% (n=61). Majority of respondents (62%) believed that OSCE is most suited for competency based education, to assess cognitive skills (73%) and diagnostic interpretation (79%). Reliability of OSCE can be increased by standardization of evaluators (77%) with highest number believing that 6-8 stations (42%) are the minimum required in an OSCE. Institution guidelines (49%) coupled with workshops (47%) was the preferred method of preparation for OSCE. Majority felt that OSCE is most suitable for high stakes exams (mean=3.37) and it is an indispensable part of dental assessment (mean=3.78). Minimum number of stations for adequate reliability was reported to be lesser that in reported literature, specially so for high stakes assessments. Logistics required for arranging an OSCE and difficulty in standardized patients, may suggest that OSCE should be used in select situations.
Rafael Estrada y la formación de la crítica estético-literaria costarricense
Authors: Rodríguez Cascante Francisco 
Published: July 2021

Tomando en consideración la teoría de Pierre Bourdieu acerca de los campos culturales, se analizan, en primer lugar, dos estudios del poeta ramonense Rafael Estrada sobre la literatura y la estética: “Al margen de los Fantaseos de Andrés Avelino” (1923) y Sobre los estudios estéticos (1926). Se argumenta que en ellos plantea Estrada sus concepciones sobre el arte de vanguardia frente a las tradiciones romántica y modernista. Tales ideas acerca de la “nueva literatura” convierten a Estrada en un contemporáneo de su tiempo. En segundo lugar, se estudia el prólogo del último libro del autor: Canciones y ensayos (1929). Sobre este, se plantea que Estrada, en tanto recurso de legitimación, busca relacionar su obra con la tradición.
Predictores de las prácticas sobre autoexamen de mama en estudiantes de enfermería de una universidad privada, Lima, Perú
Authors: Ortiz Romaní Katherine Jenny , Gonzales Paredes María Celeste , Ortiz Montalvo Yonathan Josué 
Published: July 2021

Objetivo: El objetivo del estudio fue analizar los predictores de las prácticas sobre el autoexamen de mamas en estudiantes de Enfermería de la universidad Católica Sedes Sapientiae, Lima, Perú, 2019.
Metodología: Es un estudio observacional, analítico y transversal. La población estuvo conformada por 92 personas universitarias de ambos sexos. Se ejecutó una guía de evaluación para medir la técnica del autoexamen de mamas, un cuestionario autodirigido para evaluar el conocimiento de esta técnica y por último una ficha de datos para la variable realización de autoexamen de mamas, entre otras variables sociodemográficas y de formación académica.
Resultados: Entre los resultados principales, se muestra que el 65.22 % de las personas estudiantes no realizó el autoexamen de mamas y el promedio de la técnica fue bajo (M=4.41) de un rango de 0 a 12 puntos. Asimismo, se evidenció que los predictores de la realización del autoexamen de mamas fueron el nivel alto de conocimiento de esta técnica (PR: 8.73; p = 0.022), la edad (PR: 1.04; p = 0.021) y capacitación (PR: 2.42; p = 0.005). Además, los predictores de la técnica fueron el conocimiento de esta (coeficiente: 1.70; p = 0.023) y la edad (coeficiente: 1.70; p = 0.023).
Conclusión: En conclusión, la mayoría de estudiantes no realiza las prácticas sobre el autoexamen de mamas, además, los predictores de estas prácticas son el conocimiento sobre la técnica la edad y la capacitación. Ante estos hallazgos se deberían brindar intervenciones educativas promocionales y preventivas al estudiantado.
Starotestamentalne „zaświaty” jako mundus inversus
Authors: Paszko Paweł 
Published: July 2021

Poglądy starożytnych na temat życia pozagrobowego mogą być poddawane wielorakim interpretacjom. Niniejszy artykuł prezentuje wyobrażenia o „zaświatach” obecne w Starym Testamencie na tle uniwersalnej koncepcji, zwanej mundus inversus, czyli „świat na opak”. Idea ta nie tylko dobrze nadaje się do ukazania w szerszej perspektywie kulturowej poszczególnych fragmentów biblijnych, ale dzięki swej powszechności i interdyscyplinarnemu charakterowi może stanowić punkt wyjścia w poszukiwaniu nowych kierunków interpretacji biblijnej. Życie pozagrobowe powszechnie jawi się człowiekowi jako „świat odwrócony do góry nogami”.
Kontekst pastoralny śmierci dziecka przed urodzeniem
Authors: Dziedzic Jan 
Published: July 2021

Strata dziecka martwo urodzonego jest bardzo dotkliwa. Odchodzi bowiem dziecko, z którym rodzice wiązali swoją przyszłość. Pojawia się także poczucie winy związane z odpowiedzialnością za zaistniałą sytuację. Rodzice przeżywający żałobę potrzebują często wsparcia ze strony otoczenia i Kościoła. W towarzyszeniu w żałobie ważne są: obecność, aktywne słuchanie, praktyczna pomoc.Pogrzeb dziecka martwo urodzonego jest możliwy w Kościele, mimo to nie zostało ono ochrzczone. Białe szaty liturgiczne symbolizują niewinność dziecka, a sprawowana Eucharystia za rodziców pogrążonych w żałobie daje im nadzieję, że ich dziecko jest w rękach Boga.
The Role of the Holy Spirit during Parousia in the Eschatology of Sergius Bulgakov
Authors: Raczyński-Rożek Maciej 
Published: July 2021

In Parousia, Jesus Christ is undoubtedly the central figure. However, since Parousia is the revelation of the glory of the entire Trinity, it is worth asking about the role of the remaining Divine Persons in this event. In the article, the main focus will be on the role of the Holy Spirit and its interpretation in the eschatology of Sergius Bulgakov. According to the Russian theologian, Parousia is a revelation not only of Christ’s glory, but also of the hypostatic Glory of God, i.e. the Holy Spirit, and in this way it’s the final realization of Pentecost.
Renal dysfunction in patients with pulmonary embolism: data from the SIRENA register
Authors: Menzorov M. V. , Filimonova V. V. , Erlikh A. D. , Barbarash O. L. , Berns S. A. , Shmidt E. A. , Duplyakov D. V. 
Published: July 2021

Aim. To assess the prevalence, severity and prognostic value of renal dysfunction (RD) in patients with pulmonary embolism (PE) of the Russian population, as well as to determine the RD significance as a marker that improves the predictive ability of current risk stratification systems.Material and methods. From April 2018 to April 2019, patients hospitalized due to PE were sequentially included in the Russian multicenter observational prospective registry SIRENA. RD was diagnosed at a glomerular filtration rate (GFR) <60 ml/ min/1,73 m2. Risk of early (hospital or 30-day) death was stratified in accordance with the current 2019 ESC Clinical Guidelines. During the study, we analyzed inpatient mortality and complication rate.Results. A total of 604 patients (men, 293 (49%); women, 311 (51%)) were in the study. RD was detected in 320 (53%) patients, while severe dysfunction — in 63 (10%) ones. In addition, 71 (12%) patients had high death risk, 364 (61%) — intermediate, 164 (27%) — low. During hospitalization, 107 (18%) patients died, including 32% from the high-risk group, 20% — moderate, and 7% — low. RD in the deceased patients was diagnosed more often, while GFR <50 ml/min/1,73 m2 reliably predicted hospital mortality (sensitivity, 67%; specificity, 72%; AUC=0,72; p<0,001). In patients with simplified Pulmonary Embolism Severity Index (sPESI) of 0 and ≥ 1, the presence of RD led to at least a 2-fold increase in mortality. Multivariate Cox regression revealed that RD is a predictor of in-hospital mortality (hazard ratio (HR), 3,41; 95% confidence interval (CI): 2,15-5,41; p<0,001), regardless of the presence of death risk reclassifies, such as high troponin (HR, 1,31; 95% CI: 0,80-2,14; p=0,28) and right ventricular dysfunction (HR, 1,23; 95% CI: 0,74-2,04; p=0,42).Conclusion. In patients with PE of the Russian population, there is a high incidence of RD, which is diagnosed in every second patient and is severe in 10% of cases. The presence of RD is associated with a significant increase in in-hospital mortality, while the risk of death increases with a decrease in GFR. The addition of RD, considered as a decrease in the estimated GFR <60 ml/min/1,73 m2, to the sPESI improves risk stratification and allows identification of patients at high risk of in-hospital death.
ACESSO E USO DE APARATOS TECNOLÓGICOS E INTERNET NA EDUCAÇÃO SUPERIOR EM MINAS GERAIS
Authors: Braga Daniel Santos , Brescia Amanda Tolomelli , Dantas Dina Mara Pinheiro 
Published: July 2021

Este estudo tem como objetivo identificar aspectos relativos ao acesso e uso de aparatos tecnológicos e redes de internet por professores e alunos de cursos de graduação em Minas Gerais, especificamente, os pertencentes à comunidade acadêmica da Universidade do Estado de Minas Gerais, no contexto da pandemia de Covid-19, no ano de 2020. O referencial teórico e analítico são os pressupostos da teoria crítica da tecnologia. Quanto aos procedimentos metodológicos, foi aplicado questionário online (survey) aos professores e alunos da universidade foco da pesquisa, respondido por uma amostra de 229 docentes e 669 estudantes. Identificou-se que o Ensino Remoto Emergencial exigiu grandes adequações didático-pedagógicas dos professores, bem como aquisições ou melhorias de aparatos tecnológicos e redes de internet por docentes e discentes. Este estudo também possibilitou traçar o perfil sócio-econômico da comunidade discente e verificar as desigualdades de oportunidades educacionais vivenciadas na Educação Superior.
Propiedades flexurales y estabilidad de color de materiales restauradores estéticos indirectos.
Authors: Mederos Matias , Cáceres Maria Elisa De León , Tessore Romina , García Andrés , Cuevas-Suarez Carlos , Grazioli Guillermo 
Published: July 2021

Introducción: Las diferencias en las propiedades mecánicas de los materiales cerámicos y a base de resina plantean la interrogante de qué material puede tener un mejor desempeño a largo plazo.
Objetivos. Evaluar la resistencia flexural y estabilidad de color de diferentes materiales restauradores estéticos indirectos.
Métodos. Los materiales seleccionados fueron Filtek™ Z250 XT (3M ESPE), Ceramage (SHOFU Dental), VITA VM®LC y VITA ENAMIC® (VITA Zahnfabrik), IPS e.max® (Ivoclar-Vivadent) y Zolid FX (Amann Girrbach AG). El ensayo de Resistencia Flexural (n=10) fue realizado en una máquina universal de ensayos mecánicos. Las lecturas de color (n=5) se midieron en un espectrofotómetro VITA Easyshade V®.
Resultados. Los materiales totalmente cerámicos mostraron un mejor desempeño mecánico (p < 0,001). Los resultados de estabilidad de color muestran que Ceramage, IPS e.max® y Zolid FX, mostraron una diferencia estadísticamente significativa (p ≤ 0,002) con Filtek Z250 XT, VITA VM®LC y VITA ENAMIC®.
Conclusiones. Los resultados del presente trabajo muestran que los materiales totalmente cerámicos presentaron una mayor resistencia flexural y estabilidad de color que los materiales de base polimérica.
Applicability of Fuzzy and Fuzzy Analytic Hierarchy Process (Fuzzy AHP) Methods to Determine the Optimum Soil Depth in Land Suitability Evaluation for Irrigated Rice
Authors: Mahabadi Nafiseh Yaghmaeian , Mahmoud Soltani Shahram 
Published: July 2021

<p>The conventional Boolean logic models of land suitability assessment disregard the continuity concepts of the soil and landscape which might cause inaccurate evaluation and classification. To overcome this uncertainty and consequent constraints, the fuzzy set theories were introduced. Therefore, the current study was undertaken to estimate the optimum soil depth that is used in land suitability evaluation for irrigated rice through the fuzzy sets theory and analytic hierarchy process (fuzzy AHP) in Guilan Province, Iran. The square root and quantitative land suitability evaluation methods were employed to calculate traditional land suitability indices (for depths, 0-25, 0-50, 0-75, and 0-100 cm). Also, fuzzy and fuzzy AHP methods were used to explore new land indices. The Sarma similarity indices were used to compare the results of traditional and fuzzy methods for different soil depths. The results showed that the compatibility percentage between the representative pedons (0-100 cm) and the findings of this research (0-50 and 0-75 cm) were remarkable. Furthermore, the highest compatibility percentage of land suitability class was related to the comparison of these two former depths and 0 to 100 cm depths in each of the two used fuzzy methods. Besides, except for 0-25 cm depths, actual yield revealed a significant and positive correlation with the rest three soil pedon depths. These findings show that considering 0 to 50 cm soil depth might be a relevant alternative as the optimal depth to evaluate land suitability for rice in paddy fields in the Guilan rice-growing area. </p>
INFORMACIÓN FINANCIERA EN MIPYMES DEL ORIENTE ANTIOQUEÑO (COLOMBIA)
Authors: SALAZAR JIMENEZ ERIKA JANETH , CASTAÑO RÍOS CARLOS EDUARDO , ZAMARRA LONDOÑO JULIÁN ESTEBAN 
Published: July 2021

En el contexto local y latinoamericano, las Mipymes son consideradas un importante motor productivo y económico, llegando a representar entre 95% y 98% de la población total de las empresas de la región. El propósito de esta investigación es caracterizar las prácticas de gestión contable y financiera de las Mipymes del oriente antioqueño colombiano. Para ello, se tomó una muestra de 379 Mipymes de dicha región y se les aplicó un cuestionario de 42 preguntas vinculadas con el uso, el tipo de información que preparan y otras características relacionadas con estas prácticas de revelación de información financiera. Los resultados evidenciaron que la información preparada por estas empresas, en la mayoría de los casos, cumple los requisitos mínimos de presentación; sin embargo, sus características y usos no trascienden la intencionalidad de cumplimiento legal hacia un proceso real y consciente de toma de decisiones gerenciales.
Does UK licensed NSAID administration reduce signs of postoperative pain in calves castrated without local anaesthesia?
Authors: Bartlett Alexandra 
Published: July 2021

PICO question
In calves undergoing castration without local or general anaesthesia, do non-steroidal anti-inflammatory drugs (NSAIDs) licensed for use in cattle in the UK administered either before, during or after the procedure reduce signs of postoperative pain?

Clinical bottom line
Category of research question
Treatment
The number and type of study designs reviewed
Twenty studies were critically appraised. All were controlled trials, of which 17 were randomised. Only NSAIDs licensed for use in cattle in the UK were included in the search strategy and in appraised papers
Strength of evidence
Moderate
Outcomes reported
Five studies reported an improvement in both physiological and behavioural indicators of postcastration pain following NSAID administration and a further eight reported improvements in either physiological or behavioural parameters. Seven studies found no improvements in pain indicators
Conclusion
There is moderate evidence to suggest that NSAID administration before, during or after castration is able to reduce the signs of postoperative pain in calves castrated without anaesthesia. The degree to which pain is reduced is variable and depends upon factors including but not limited to castration method, specific NSAID given, dosage, administration and calf age
PENGARUH MOTIVASI KERJA TERHADAP KINERJA PENDIDIK DAN TENAGA KEPENDIDIKAN DI SEKOLAH MENENGAH KEJURUAN NEGERI 1 PALEMBANG
Authors: Rosiah Rosiah , Nur Dalinur M , Dewi Emi Puspita 
Published: July 2021

This study uses quantitative research methods, which in processing the data in the form of numbers. In this study, the regression variable (X) of work motivation and variable (Y) of performance aims to determine whether motivation has an effect on the performance of educators and education staff at the state vocational high school 1 Palembang. Motivation at work can have an impact on the performance carried out, this motivation can affect the behavior of each individual at work to get maximum work results. In this study, the data was processed through a questionnaire with the number of respondents totaling 87 people, both from educators and education staff with civil servant and non-civil servant status at SMKN 1 Palembang. The data collection technique uses a questionnaire with a statement of 30 questions. The variables in this study are motivation as the independent variable (X) and performance as the dependent variable (Y). The data collected was then analyzed using a simple linear regression analysis technique by testing the test hypothesis (T) and the coefficient of determination (R2). To prove the decision-making using the SPSS For Windows Version 25 application. Based on the results of the study, it can be concluded that motivation affects the performance of educators and education staff at the Palembang 1 state vocational high school seen from the t-count value (2.965) which is greater than t- table (0.677742) with a significant level of 5% this means that H0 is rejected and Ha is accepted. Meanwhile, the percentage of the effect is 36.9% and the rest is influenced by other factors not examined in this study.
Keywords: Work Motivation, Performance.