bluuebunny/crossref_metadata_2025_split huggingface dataset:
Brugada Syndrome: Fatal Consequences of a Must-Not-Miss Diagnosis
Authors: Smith L. Douglas , Gast Sarah , Guy Danielle F. 
Published: October 2021

Background
Brugada syndrome is a genetic disorder of cardiac conduction that predisposes patients to spontaneous ventricular arrhythmia and sudden cardiac death. Although Brugada syndrome is one of the most common causes of sudden cardiac death, patients presenting with the syndrome often go misdiagnosed. This error has potentially fatal consequences for patients, who are at risk for sudden cardiac death without appropriate management.

Objective
To increase the critical care professional’s knowledge of Brugada syndrome through detailed description of the characteristic electrocardiographic findings, an algorithmic approach to electrocardiogram evaluation, and a case report of a patient with a previously missed diagnosis of Brugada syndrome. The essential concepts of epidemiology, pathophysiology, clinical presentation, risk stratification, and management are reviewed for critical care professionals who may encounter patients with the syndrome.

Diagnosis
Patients typically present with syncope or cardiac arrest and an abnormal electrocardiographic finding of ST-segment elevation in the precordial leads. The diagnosis of Brugada syndrome centers on identification of its electrocardiographic characteristics by critical care professionals who routinely evaluate electrocardiograms. Critical care professionals, especially nurses and advanced practice nurses, should be proficient in recognizing the electrocardiographic appearance of Brugada syndrome and initiating appropriate management.

Interventions
Management strategies include prevention of sudden cardiac death through lifestyle modification and placement of an implantable cardioverter-defibrillator. Critical care professionals should be aware of commonly used medications that may exacerbate ventricular arrhythmia and place patients at risk for sudden cardiac death.

Conclusion
Increased awareness of Brugada syndrome among critical care professionals can decrease patient morbidity and mortality.
Increasing the Effectiveness of Targeted Temperature Management
Authors: Moreda Melissa , Beacham Pamela S. , Reese Angela , Mulkey Malissa A. 
Published: October 2021

Topic
Targeted temperature management and therapeutic hypothermia are essential components of the multimodal approach to caring for compromised patients after cardiac arrest and severe traumatic brain injury.

Clinical Relevance
The continuously evolving science necessitates summation of individual facets and concepts to enhance knowledge and application for optimally delivering care. Targeted temperature management is a complex therapy that requires fine-tuning the most effective interventions to maintain high-quality targeted temperature management and maximize patient outcomes.

Purpose
To describe the underlying pathophysiology of fever and the importance of manipulating water temperature and of preventing and treating shivering during that process.

Content Covered
This article discusses nursing considerations regarding the care of patients requiring targeted temperature management that are necessary to improve patient outcomes.
A Cross-Sectional Study on Extensive Gaming in Adolescents
Authors: André Frida , Claesdotter-Knutsson Emma , Fridh Maria , Delfin Carl , Håkansson Anders , Lindstrom Martin 
Published: October 2021

Background Extensive gaming and the consequences thereof is frequently reported from child and adolescent psychiatry and school health care. The behavior is associated with compulsion, psychiatric and physical symptoms, impaired cognitive development, and poorer school performance. This phenomenon has been described as an emergent health issue for men and little is known about its potential gender-specific characteristics. The aim of this study was to explore extensive gaming among male and female adolescents and to investigate whether the frequency of often feeling low, often feeling anxious, self-reported ADHD, self-reported ASD, being satisfied with one's own general health, poor sleep, loneliness, and having tried smoking, alcohol, and/or other substances differed among those with and without extensive gaming. Design and methods This study was based on data collected through a public health survey distributed in 2016 to pupils in 9th grade of primary school and in second grade of secondary school, including a total of 13498 participants. The association between extensive gaming and different factors was estimated among male and female respondents separately. Results Roughly 30% of the male and 5% of the female respondents were categorized as extensive gamers. Extensive gaming was associated with a higher prevalence of poor sleep and a lower prevalence of being satisfied with one's own health among boys and (to a higher degree) among girls. Conclusions Altogether, our results contribute to the impression that extensive gaming is more heavily related to subjective health complaints among female than male adolescents.
Prevalence, severity and associated factors of restless leg syndrome in inflammatory bowel disease patients
Authors: AlHarbi Othman R. , Bahammam Ahmad , Olaish Awad H. , Azzam Nahla A. , Aljebreen Abdulrahman A. , Almadi Majid A. , Alsaleh Suhail A. 
Published: October 2021

Background:
The association between restless leg syndrome (RLS) and inflammatory bowel disease (IBD) has often been an under-investigated and clinically misdiagnosed entity. An emphasis should be made on the severity and associated factors, as the prevalence of both entities is on the rise globally. In this study we aimed to investigate the prevalence, severity and associated risk factors of RLS in patients with IBD.

Methods:
A multi-center, prospective cross-sectional study was conducted with age and gender matched controls in the ratio of 1:3. Cases of IBD were confirmed according to European Crohns and Colitis Organization guidelines. The study recruited 377 cases and 1131 age and gender-matched controls. RLS severity and prevalence was determined using a validated International Restless Legs Syndrome Study Group questionnaire. The anthropometric and blood biochemical measurements were retrieved from the patient's medical records. Associated factors were analyzed by regression analysis.

Results:
The prevalence of RLS in patients with IBD and non-IBD control groups was 21.5% and 9.7%, respectively (P = 0.001). The severity index of RLS symptoms in all the three categories of mild, moderate and severe RLS was higher in the IBD group (P = 0.001). Obesity (BMI >30 Kg/m2) was more prevalent in patients with IBD with RLS than without RLS (21.9%: 10.3%, P = 0.009). Ages between 46 and 59 years (OR = 18.7 [2.6–29.4], P = 0.008), obesity (OR = 22 [2.6–29.4], P = 0.005), higher TSH levels (OR = 1.7 [1.0–3.0], P = 0.033), and lower hemoglobin levels (P = 0.028) showed a greater risk associated with RLS.

Conclusion:
Prevalence and severity of RLS was higher in patients with IBD. The risk factors for RLS in IBD include increasing age, obesity, higher TSH, and lower hemoglobin.
A randomized controlled trial to compare antibiotic prophylaxis in elective gynecological surgeries
Authors: Garg Shivani , Chopra Seema , Gainder Shalini , Bagga Rashmi , Shafiq Nusrat , Aggarwal Neelam 
Published: October 2021

Objectives:
To evaluate if addition of an anti-anaerobic agent to standard drug-cefazolin for antimicrobial prophylaxis would further decrease postoperative infectious morbidity or not. This is relevant as most of the infections in gynecological surgeries are anaerobic but cefazolin does not protect against anaerobes.

Materials and Methods:
The study design was a parallel randomized controlled trial. Two hundred patients undergoing benign gynecological surgeries were divided into two groups of 100 each. Group A received 2 g cefazolin 30–60 min before incision and Group B received 2 g cefazolin 30–60 min and 1.6 g tinidazole 60–120 min before incision. The patients were followed for any infectious morbidity for 1 month postoperatively. The analysis was done separately for abdominal, laparoscopic, and vaginal surgeries. The analysis was also done for surgeries according to the wound category, i.e. clean and clean-contaminated.

Results:
The two groups were comparable for age and body mass index (BMI). The two groups were comparable for the factors affecting infectious morbidity such as duration of surgery, blood loss, blood transfusions, duration of hospital stay, and need for additional antibiotics. The postoperative infectious morbidity was analyzed in terms of fever, surgical site infection (SSI), and urinary tract infection (UTI). No patient in vaginal and laparoscopic groups suffered from infectious morbidity. In abdominal surgeries group, postoperative fever occurred in 6/74 (8.1%) and 11/74 patients (14.8%) in Groups A and B, respectively (P = 0.38). SSI occurred in 1/74 (1.3%) and 2/74 (2.7%) patients in Groups A and B, respectively (P = 1.0). UTI occurred in 5/74 patients (6.7%) and 2/74 patients (2.7%) in Groups A and B, respectively (P = 0.44). The data were also analyzed for infectious morbidity for clean and clean-contaminated wound categories, and the results were nonsignificant between both groups for each type of wound category (P > 0.05).

Conclusion:
Cefazolin alone is a sufficient antibiotic prophylaxis for benign gynecological procedures.
Biodiversity of Heteroptera in Puerto Rico: Part III. Conspectus of Pentatomomorpha: Aradoidea, Pyrrhocoroidea, Coreoidea, and Concluding Notes on Endemism and Biogeography
Authors: Segarra-Carmona Alejandro E. , Franqui Rosa A. , Pérez-Martínez Hariette 
Published: October 2021

Superfamilies Aradoidea, Pyrrhocoroidea and Coreoidea from Puerto Rico are discussed as part of an updated account of Hemiptera: Heteroptera. In this final part, we present 48 species belonging to the three superfamilies, with six families known from Puerto Rico: Aradoidea: Aradidae (12); Pyrrhocoroidea: Largidae (1) and Pyrrhocoridae (3); and Coreoidea: Alydidae (5), Rhopalidae (7) and Coreidae (20). Taxonomic accounts presented here include synonymies, known distribution, lists of host plants and a listing of examined specimens. Taxonomical keys are also provided for the identification of all taxa included. Color plates for 43 species are included. Five species are new records for Puerto Rico: Brachyrhynchus membranaceus (F.), Leptoglossus confusus Alayo and Grillo, Eubule scutellata (Westwood), Mamurius cubanus Barber and Bruner, and Merocoris typhaeus (F.). Most species are widespread in the West Indies, with the largest number of island endemics in the Aradidae. A discussion of the origins, biodiversity, biogeography, and endemism of all Puerto Rican Pentatomomorpha is presented.
A Review of Blood and Blood Products Requisition and Utilization in Post-neonatal Ward of a Tertiary Hospital in South Western Nigeria
Authors: Akodu SO , Adekanmbi FA , Ogunlesi TA 
Published: October 2021

Background: Blood and its products ordering is a common practice in paediatrics. The ready availability of blood and blood components has resulted in liberal use. Inappropriate use of blood and blood products exposes patients to the risk of transfusion transmissible diseases and allergic and haemolytic reactions.
Objective: To assess blood and blood products requisition and utilization in a post-neonatal ward in a semi-urban tertiary hospital in Nigeria
Methods: Retrospective analysis of medical records of all transfused post-neonatal patients during the study period from 1st July 2015 to¬ 31st December 2016 to calculate the cross-match to transfusion ratio, transfusion probability and transfusion index.
Results: The units of blood cross-matched were 98 and 90 blood units transfused. The cross-match to transfusion ratio was 1.09 indicative of significant blood usage. The transfusion probability was 100% indicative of significant blood usage. The transfusion index was 1.10 indicative of significant blood utilization.
Conclusion: Transfusion of blood and blood products in the post-neonatal ward of our setting meet the standard criteria for quality indicators for blood utilization.
Desafíos de la educación digital: experiencias de estudiantes universitarios durante el COVID-19
Authors: Peña Estrada Claudia Cintya 
Published: October 2021

El objetivo del presente artículo es analizar las experiencias y los desafíos frente a las exigencias de una educación digita ya que coexisten en la llamada educación digital, la conectividad, la creatividad, la colaboración, la convergencia y la comunidad. La investigación es cuantitativa, su diseño es correlacional y con muestreo no probabilístico. La principal ventaja que se identifica es la adaptación, la organización del tiempo y la eficacia para cumplir con las nuevas exigencias de atender las clases en línea y a distancia. Las desventajas son la brecha digital, los recursos limitados para trabajar en línea, y la incertidumbre que genera la propia contingencia sanitaria derivada de la COVID-19.
Abstract
The objective of this article is the analysis of experiences and challenges in response to demands made by digital education in which connectivity, creativity, collaboration, convergence and community co-exist. The research is quantitative with a correlational design and includes non-probabilistic sampling. The main advantages identified were, adaptation, time management, and efficiency to fulfill the new demands that online distance classes imply. Conversely, the disadvantages found are the digital divide, limited resources which prevent students to work online, and the uncertainty derived from health contingency actions taken against COVID-19.
diario como herramienta de práctica de la expresión escrita
Authors: Monroy Segundo Yedid 
Published: October 2021

Para los profesores de inglés, el dominio del idioma extranjero supone una importancia vital para el desarrollo de su práctica docente, lo es desde el instante mismo en el que ingresa a la Escuela Normal. En este sentido, el trabajo de investigación que se presenta en este documento tiene como objetivo describir como el diario de clases de un profesor en formación es una herramienta de práctica de la expresión escrita (Writing), durante el último año de su formación inicial. Para ello los materiales utilizados han sido los diarios de clase de los estudiantes normalistas, de los últimos tres ciclos escolares, a partir del ciclo escolar 2017 - 2018, asignados para asesoría con la autora del presente documento. Con respecto al método empleado, se han considerado los principios que establece el análisis de contenido y del discurso, lo que permite dar cuenta de la utilidad de trabajar el diario para recuperar aspectos de su práctica docente, con la finalidad de ejercitar la habilidad de escritura en el idioma inglés.
Abstract
For English teachers, the mastery of a foreign language is considered of vital importance for the development of teacher training from the moment a student begins their academic formation at a Normal School [Teacher’s College]. In this sense, this research aims to describe how the class diary of a trainee teacher is a tool for practicing writing skills during the last year of their preparation as teachers. To do so, during the last three academic periods, beginning from 2017-2018 school year, the author of this paper has assigned diaries as tools used by trainee teachers. Regarding the method applied, the principles that the content and essay analysis establish have been considered allowing us to render a report of the usefulness of working with a diary to retrieve aspects of their training as teachers in order to practice writing skills in English.
Comparación del nivel de desempeño de una competencia usando tres instrumentos, dos basados en rúbrica y otro basado en lógica difusa
Authors: Sánchez García José Emilio , Valdez Sandoval Alberto , Soto Vega Jesús Eduardo , Gutiérrez Herrera Brenda Edith 
Published: October 2021

En la presente investigación se persigue el objetivo de comparar las aproximaciones en el nivel de desempeño de una competencia usando tres instrumentos de medición, dos basados en rúbrica y otro basado en lógica difusa. Se planteó para lograr este objetivo un diseño metodológico de carácter cuantitativo. En los resultados, se encontró suficiente evidencia para decretar que el instrumento basado en Lógica Difusa resultó más preciso y exacto. El estudio reafirma la superioridad y poder de cómputo de los modelos matemáticos que la Inteligencia Artificial pone a nuestra disposición contra algoritmos basados en lógica clásica o bi-valuadas.
Abstract
This investigation is intended to compare approximations in the level of competency using three measurement instruments two of which are rubric based and the third is based on Fuzzy logic. To be able to accomplish this objective, we proposed a qualitative methodological design. Within the results, we found sufficient evidence to conclude that the instrument based on Fuzzy logic was more precise and exact. The study reaffirms the superiority and greater computation power from mathematical models provided by artificial intelligence compared to algorithms based on classical or 2-valued logic.
IMPACTO EN LA HUMANIDAD CON LA GENERACIÓN DE COMUNICACIÓN DE DATOS EN EL CAMPO ELECTROMAGNÉTICAS ENCIMA DE LA SALUD EN PERSONA.
Authors: Marcillo Merino Mario Javier , González Bonilla Kerly , Vera Guale Roosebel Adonys 
Published: October 2021

El presente artículo científico se enfoca en la nueva realidad con las nueva red 5G, porque lo que me llevo a investigar sobre los impacto que tendrá esta tendencia, como pregunta principal ¿Está red de 5G provocara enfermedades en a la piel a comenzar a transitar como ondas magnéticas en todo los países?
En el desarrollo de mi tema contare con herramientas principales que me ayudara a obtener resultados en la investigación. Esta ideas y curiosidades de saber la realidad en como la tecnología en vez de inclinar está subiendo de una manera extraordinaria con nuevos inventos e innovaciones, como principalmente hay un país subdesarrollado que es CHINA.
Es desde hay que nace mi ideas porque según las noticias internacionales china ya lanzo el satélite de Taiyuan junto con el satélite STAR-ERA-12 que lo denominaron experimental con la tecnología de telecomunicación de sexta generación.
Para definir lo que vamos a redactar son este artículo científico con el fin de dar con la realidad sin distorsionarla con el futuro, aunque esto avanza de manera rápida, pero tratare de reducir las falacias con citas bibliográficas.
EL INTERNET DE LAS COSAS Y SU APLICACIÓN EN LA PANDEMIA CONTRA EL COVID-19
Authors: Lucas Arteaga Roddy Steven , Cevallos Flores Shayla Ayllin , Pita Salazar Raquel Azucena , Quijije Quiroz Hilda Brigitte , Marcillo Merino Mario Javier 
Published: October 2021

RESUMEN
Esta investigación se llevó a cabo para presentar la existencia acerca de la IoT y los avances contemplados desde su implementación, desde la perspectiva enmarcada en su utilización en los diversos ámbitos tecnológicos, así como y a nivel material en el desarrollo de prototipos teniendo en cuenta el apogeo de los avances tecnológicos actuales para generar nuevos inventos. El objetivo primordial del internet de las cosas es mejorar los desafíos que podrían dificultar la realización de sus potenciales beneficios, uno de ellos se centró en la pandemia del covid-19 que afecto innumerables ámbitos sociales políticos y económicos, así como investigaciones de campo que en estos tiempos pudieron haberse lanzado al mercado facilitando las tareas en diversas áreas. Dentro del desarrollo de la investigación se abordaron los diferentes métodos científicos tales como métodos teóricos que implica histórico-lógico, análisis–síntesis y método bibliográfico. Los resultados demostraron el progreso de la tecnología y la calidad tecnológica por lo tanto se concluyó que el internet de las cosas es la herramienta del futuro que se conjuga con ramas de la mecatrónica y la inteligencia artificial para desbordar el boom de innovación.
PALABRAS CLAVE:
Apogeo; investigaciones; tecnología
Rémi BaudouÏ (Ed). Le Corbusier. 1930-2020. Polémiques, mémoire et histoire
Authors: Torres Cueco Jorge 
Published: October 2021

<p>Rémi BaudouÏ (Ed). Le Corbusier. 1930-2020. Polémiques, mémoire et histoire Paris : Éditions Tallandier, 2020</p><p>ISBN : 979-10-210-4275-9</p><p> </p>
El mito de Adonis y Venus en la comedia mitológica de Lope de Vega y Calderón de la Barca
Authors: García Fuentes Mª Cruz 
Published: October 2021

Este artículo centra su atención en el mito de Venus y Adonis, tratado por Lope de Vega en su comedia mitológica Adonis y Venus y en la de Calderón La púrpura de la rosa. Analizamos el texto de Ovidio (Met. X 525-739), fuente de inspiración para estos dramaturgos, indicamos los ecos ovidianos y las innovaciones que estos poetas, gracias a su creatividad, incluyeron en sus obras para enriquecer y complicar la acción. Lope reescribe la totalidad del mito, presenta una obra desmitificada y con personalidad propia. Calderón sólo desarrolla el mito principal y ofrece una interpretación filosófica y ejemplarizante
The effect of chayote leaves (Sechium edule)’s flavonoid fraction on the reduction of the serum uric acid levels through the inhibition of xanthine oxidase activity
Authors: Putri Diah Pitaloka , Wahyuningtyas Aulia Putri , Al-Baarri Ahmad Ni'matullah , Maharani Nani 
Published: October 2021

Uric acid is the final product of purine metabolism and is categorized as hyperuricemia when it reaches >6.0 mg.dL-1 for women and >7.0 mg.dL-1 for men. The chayote leaves (Sechium edule) contain a high amount of flavonoid and might be used as an alternative to reduce hyperuricemia. The purpose of this study is to analyze the effect of chayote leaves (Sechium edule)’s flavonoid fraction on the level of uric acid and the activity of xanthine oxidase (XO) in Sprague Dawley Rats. The flavonoid fraction (FF) was obtained by extracting the chayote leaves, fractionating with n-hexane, hydrolyzing with HCl, and finally re-fractionating with ethyl acetate. Thirty male Sprague Dawley rats were induced for hyperuricemia by potassium oxonate and broth block for 21 days, and the interventions were given orally for 14 days. The rats were divided randomly into five groups: normal control (K-), hyperuricemia control (K+), hyperuricemia with FF dose 50 mg.200g-1 body weight (P1), hyperuricemia with FF dose 100 mg.200g-1 body weight (P2) and hyperuricemia with allopurinol 1.8 mg.200g-1 body weight. Xanthine oxidase activity was measured by CheKineTM Xanthine Oxidase Assay Kit, with simple colorimetry methods. The statistical analysis for XO activity was done using Kruskal-Wallis followed by Mann Whitney. The results showed that chayote leaves (Sechium edule)’s flavonoid fraction contains apigenin, apigenin o-glucoside, and luteolin. It also has antioxidant activity with 98.45% inhibition. There was a significant reduction in xanthine oxidase activity in groups treated with FF (p <0.005). The best dose of FF affecting XO activity was 100 mg.200g-1 body weight. The combination of FF and allopurinol can be more effective in decreasing uric acid levels by inhibiting XO activity.
STRESS AND CONSTIPATION (VIBANDHA) - CRITICAL REVIEW
Authors: Deep DIPASHRI BORSE 
Published: October 2021

Thoughts and emotions triggered by stress can have an effect on stomach and bowel movement. Physical signs and symptoms of stress overload include chest pain, rapid heartbeat, loss of sexual drive, diarrhoea/ constipation. In this article we have tried to enlighten the association of stress and constipation. The mainly observed clinical features of Vibandha are Hard Stools, Excessive Straining, Sense of Incomplete Evacuation, Flatulence and Lower Abdominal Fullness. The stress hormone may contribute to constipation.