bluuebunny/crossref_metadata_2025_split huggingface dataset:
Postoperative Refractive Error After Simultaneous Vitrectomy and Cataract Surgery
Authors: Suzuki Yukihiko , Sakuraba Tomoki , Mizutani Hideyuki , Matsuhashi Hideaki , Nakazawa Mitsuru 
Published: April 2021

* PURPOSE: To evaluate the effect of vitrectomy on postoperative refraction after simultaneous vitrectomy and cataract surgery.
* METHODS: We compared the spread between predicted and actual refractions in 206 eyes after a simultaneous vitrectomy, phacoemulsification, aspiration and acrylic lens insertion (combined surgery group), and in 67 eyes after cataract surgery only (cataract surgery group) as control. A vitrectomy was performed for diabetic retinopathy in 127 eyes, macular hole in 32 eyes, rhegmatogenous retinal detachment in 16 eyes, branch retinal vein occlusion in 15 eyes, and other conditions in 26 eyes. In the combined surgery group, 79 eyes had a gas tamponade after insertion of the intraocular lens.
* RESULTS: The spread between predicted and actual refractions was -0.05 - 1.18 diopters (average ± SD) in the combined surgery group and +0.55 ± 1.32 D in the cataract surgery group. The actual refractive errors in the combined surgery group were found to shift toward myopia when compared with the controls. Among the combined surgery group, 127 eyes without a gas tamponade showed a postoperative refractive error of +0. 14 ± 1.11 D, while 79 eyes with a gas tamponade demonstrated an error of -0.36 ± 1.22 D.
* CONCLUSIONS: Use of a gas tamponade in the combined surgery group increased the myopic change and was thought to have pressed the intraocular lens forward.
[Ophthalmic Surg Lasers 2000;31:271-275]
Characterizing Progression to Neovascular AMD in Fellow Eyes of Patients Treated With Intravitreal Anti-VEGF Injections
Authors: Starr Matthew R. , Xu David , Boucher Nicholas , Saroj Namrata , Patel Luv G. , Ammar Michael , Pandit Ravi R. , Jenkins Thomas L. , Ho Allen C. 
Published: April 2021

BACKGROUND AND OBJECTIVE:
The purpose of this study was to assess the real-world incidence of conversion to bilateral neovascular age-related macular degeneration (nAMD) following treatment initiation of nAMD in the initial eye.

PATIENTS AND METHODS:
This was a retrospective cohort of electronic health records from retinal centers across the United States (Vestrum Database) of all patients with unilateral nAMD treated with anti-vascular endothelial growth factor therapy.

RESULTS:
A total of 22,553 patients with unilateral nAMD were included. Fellow eyes of 8,522 patients (38%) converted to nAMD. Among these, 2,639 (12%), 2,030 (9%), and 1,802 (8%) patients converted in Years 1, 2, and 3, respectively, after diagnosis in the first eye. Fellow eyes had better vision at conversion and 1 year following conversion.

CONCLUSIONS:
The fellow eye should be monitored at regular intervals to detect signs of neovascularization. Fellow eyes presented with significantly better vision at diagnosis than the initial eye and maintained better visual acuity with less injections.

[
Ophthalmic Surg Lasers Imaging Retina.
2021;52:123–128.]
Differentiation of Features of Inflammatory Neovascular Membrane Versus Active Posterior Uveitis by SS-OCTA
Authors: Arias Juan D. , Parra M. Margarita , Arango Francisco J. , Hoyos Andrea T. , Rangel Carlos M. , Sánchez-Ávila Ronald M. 
Published: April 2021

BACKGROUND AND OBJECTIVE:
Neovascularization is a sight-threatening, uncommon complication of posterior uveitis that often goes undetected until persistent clinical findings appear, or in light of treatment failure. This could be attributed to the relative similarity of activity signs in inflammatory neovascular membranes (NVM) and active posterior uveitis. The purpose of the present study is to recognize imaging features that distinguish uveitic neovascularization from active uveitis using swept-source optical coherence tomography angiography (SS-OCTA).

PATIENTS AND METHODS:
Cross-sectional study. Patients with posterior uveitis with visual acuity (VA) decrease and at least one of the following findings were assessed by SS-OCTA: retinal thickening, subretinal or intraretinal fluid, and retinal hyperreflective areas. The change of VA and imaging features after treatment with anti-vascular endothelial growth factor (VEGF) therapy were analyzed in cases with inflammatory NVM.

RESULTS:

Forty-five eyes of 40 patients were evaluated. Twenty-four eyes (53.3%) showed signs of activity, of which eight (33.3%) presented inflammatory NVM. Imaging features that differentiate inflammatory neovascularization from active posterior uveitis included: vitreous cellularity (
P
= .003), outer retinal infiltration (
P
= .08), choroidal thickness (
P
= .003), posterior shadowing (
P
= .013), subretinal fluid (
P
= .04), and neovascular network (
P
≤ .001). According to NVM characteristics by OCTA, multiple anastomoses and peripheral arcades were visualized at baseline in 85.7% of cases. Mean pre-operative best-corrected VA of inflammatory NVM was 20/150 (logMAR: 0.88 ± 0.60) with significant improvement to 20/40 (logMAR: 0.32 ± 0.22) after anti-VEGF treatment (
P
= .027).

CONCLUSIONS:
SS-OCTA achieves the distinction of inflammatory NVM from active posterior uveitis through specific imaging features. Inflammatory neovascularization presents a suitable response after anti-VEGF therapy.

[
Ophthalmic Surg Lasers Imaging Retina
. 2021;52:129–137.]
Scleral Buckle Removal: Indications, Timing, Complications, and Long-Term Outcomes
Authors: Eshraghi Hamoon , Prenner Jonathan L. , Zhang Rui , Roth Daniel B. , Wheatley H. Matthew , Fine Howard F. , Mantopoulos Dimosthenis 
Published: April 2021

BACKGROUND AND OBJECTIVE:
To report indications, timing, complications, and outcomes of scleral buckle (SB) removal surgery.

PATIENTS AND METHODS:
Retrospective observational case series. Eyes that underwent SB removal between 2010 and 2016 with greater than 1 year of follow-up were included. Main outcome measures were post-SB removal complications and best-corrected visual acuity (BCVA).

RESULTS:

Fifty eyes that underwent SB removal met the inclusion criteria. Indications include exposed SB (54%), infection (26%), diplopia (16%), and recurrent retinal detachment (4%). Mean and median intervals between SB placement and removal were 65 months and 30 months. Complications include recurrent retinal detachment (12%), transient ocular hypertension (6%), and persistent diplopia (4%). There was no significant change in mean BCVA after SB removal (
P
= .979).

CONCLUSIONS:
Exposed SB, infection, and diplopia are the most common indications for SB removal. The single-surgery success rate is high and the risk for complications is relatively low.

[
Ophthalmic Surg Lasers Imaging Retina.
2021;52:138–144.]
Directional Reflectivity of the Ellipsoid Zone in Dry Age-Related Macular Degeneration
Authors: Griffin Shane M. , Jia Yali , Johnson Alicia J. , Antony Bhavna J. , McDonald H. Richard , Johnson Robert N. , Lujan Brandon J. 
Published: April 2021

BACKGROUND AND OBJECTIVE:
Ellipsoid zone (EZ) reflectivity on optical coherence tomography (OCT) is affected by the orientation of the scanning beam. The authors sought to determine how directional reflectivity changes in dry age-related macular degeneration (AMD).

PATIENTS AND METHODS:
Retrospective image analysis included 17 control and 20 dry AMD subjects. Directional OCT (D-OCT) was performed using multiple displaced pupil entrance positions. EZ pixel values and apparent incidence angles were measured.

RESULTS:

EZ reflectivity decreased in off-axis scans in controls (
P
< .001), AMD areas between drusen (
P
< .001), and AMD areas overlying drusen (
P
< .001). The magnitude of decrement in EZ reflectivity was significantly higher when incidence angles exceeded 10° in controls than in AMD areas between drusen (
P
= .024).

CONCLUSION:
EZ reflectivity in dry AMD may vary by incident angle of light less than in controls, possibly indicating alteration of photoreceptor orientation or integrity.

[
Ophthalmic Surg Lasers Imaging Retina.
2021;52:145–152.]
Respiratory pathogens in patients with acute exacerbation of non-cystic fibrosis bronchiectasis from a developing country
Authors: Shahid Shayan , Jabeen Kausar , Iqbal Nousheen , Farooqi Joveria , Irfan Muhammad 
Published: April 2021

Bronchiectasis unrelated to cystic fibrosis (non-CF bronchiectasis) has become a major respiratory disease in developing nations. The dilated mucus filled airways promote bacterial overgrowth followed by chronic infection, bronchial inflammation, lung injury and re-infection Accurate pathogen identification and antimicrobial susceptibility allowing appropriate treatment, in turn, may break this vicious cycle. To study the spectrum and antimicrobial spectrum of pathogen yielded from respiratory specimens in adult patients with acute exacerbation of non-cystic fibrosis (CF) bronchiectasis. This cross-sectional study was performed at the pulmonology clinics of the Aga Khan University, Karachi, Pakistan from 2016-2019. Respiratory specimens were collected from adult patients with acute exacerbation of non-CF bronchiectasis presenting in pulmonology clinics. Microbial cultures were performed using standard methodology. Susceptibility testing was performed and interpreted using Clinical Laboratory Standard Institute criteria. A total of 345 positive cultures from 160 patients presenting with acute exacerbation were evaluated. The most frequent organisms were Pseudomonas aeruginosa (n=209) followed by Hemophilus influenzae (n=40) and Staphylococcus aureus (n=24). High rates of antimicrobial resistance were found in all these pathogens. Proportion of Pseudomonas aeruginosa strains resistant to ciprofloxacin, imipenem, ceftazidime and piperacillin-tazobactam were 27.1%, 16.8%, 14.8% and 13.1% respectively. 65% of Hemophilus influenzae strains were resistant to cotrimoxazole and ciprofloxacin and 66.7% of Staphylococcus aureus strains were resistant to methicillin. High antimicrobial resistance in non-CF bronchiectasis patients against commonly used antimicrobials is a concern and highlight need for urgent community level interventions to improve clinical outcome in these patients.
Incidência de Neoplasias Malignas de Esôfago na População de Volta Redonda, Rio de Janeiro
Authors: Nóbrega Junior Walter Manuel Tavares , Barreto Nathalia Monerat Pinto Blazuti , Guerra Silvio Delfini , Carvalho Marcus Vinicius Ribeiro , Luderer Loreley Andrade , Machado Juliana De Paula , Cury Sergio Elias Vieira 
Published: April 2021

Objetivo: Avaliar a incidência de neoplasias malignas do esôfago na população de Volta Redonda, através de um estudo retrospectivo em 10 anos nos registros de diagnósticos histopatológicos. Método: foram obtidos 10.000 registros, pertencentes ao acervo da disciplina de Patologia Geral do Curso de Odontologia do UniFOA, oriundos do extinto Hospital da Companhia Siderúrgica Nacional na cidade de Volta Redonda, Rio de Janeiro, Brasil, registrados no período compreendido entre os anos de 1990 a 2000. Foram selecionados os casos diagnosticados como de neoplasias malignas que apresentaram o esôfago como sítio primário. Neoplasias metastáticas não foram consideradas. Resultados: Foram encontrados 1280 casos diagnosticados como de neoplasias malignas no referido serviço. Dentre esses, 3,90% (n=50) apresentaram como sitio primário o esôfago. A idade variou de 42 a 76 anos, com média de 65,6 anos, com predominância na faixa etária entre 60 e 69 anos (n=29). Ocorreram 38 casos no gênero masculino (76%) e 12 no feminino (24%). Em relação ao diagnostico histopatológico, a maioria dos casos foi de carcinomas epidermóides (n=35, 70%), tendo sido encontrados 15 casos (30%) de adenocarcinomas. Conclusões: A incidência encontrada foi de 3,9%, com maior ocorrência na faixa etária entre 60 e 69 anos e no gênero masculino. O principal tipo histológico foi o Carcinoma epidermóide.
Teoria da complexidade sob a perspectiva da gestão
Authors: Vieira Ernesto José , Martins Henrique Cordeiro , Gonçalves Carlos Alberto 
Published: April 2021

Resumo Este trabalho procura verificar se existem elementos típicos da Teoria da Complexidade em empresas que operam em ambiência turbulenta, dinâmica e não linear; e se a visão, missão e objetivos consistem em atratores que evitam que a bifurcação ou ponto de ruptura se instale. Para responder à estas perguntas, tornou-se necessário incluir nesta pesquisa um objetivo geral além dos específicos. Como suporte desenvolveu-se um referencial teórico, com um capitulo sobre Teoria da Complexidade e um outro sobre gerenciamento que por sua vez descreve sobre estratégias emergentes. Em seguida aborda-se a metodologia que é classificada como qualitativa, por meio de um estudo exploratório para avaliação de dez empresas da Grande Belo Horizonte. Analisou-se os dados obtidos nas entrevistas quando concluiu-se que os resultados observados validam as proposições iniciais.
Informar ou Determinar? - Liberdade de Imprensa, Propaganda Política e Jornalismo Político.
Authors: Machado Vitor Barletta , Nishimura Katia Mika , Brandão Bianca Monsores Gomes , Braz Camila De Souza , Rodrigues Cristiane Arantes Castro , Da Conceição João Paulo Cordeiro dos Santos 
Published: April 2021

O presente artigo discute, a partir dos resultados de uma pesquisa de Iniciação Científica, realizada durante o segundo semestre de 2010, a questão da relação entre a produção da informação e a escolha do eleitorado brasileiro. O objetivo da pesquisa consistia em avaliar se alguns dos principais telejornais brasileiros adotavam posturas políticas deliberadas em suas matérias, procurando influenciar a decisão de voto da população. A partir da observação e acompanhamento, durante todo o período da campanha eleitoral, de três telejornais da Rede Globo: Jornal Hoje, Jornal Nacional e Jornal da Globo, selecionada por ser a emissora que ainda apresenta os maiores índices de audiência e por seu envolvimento em polêmicas eleitorais no passado recente, o grupo de pesquisa avaliou a ocorrência de situações que configurassem favorecimento ou desfavorecimento a algum candidato. Os resultados da pesquisa não apontaram situações em que se observasse uma tomada explícita de posicionamento político. O levantamento e a discussão da bibliografia temática apontam conclusões que coincidiram com as alcançadas em nossas observações, de que ainda que as mídias atuem como agentes políticos partidários, isso não basta para provocar alterações nas intenções de voto. O artigo também avança em algumas reflexões preliminares sobre os impactos das novas formas de comunicação no contexto político contemporâneo.
Psychogenic orofacial pain: literature review, development of a diagnostic questionnaire and three cases report.
Authors: Molina Omar Franklin , Santos Zeila Coelho , E Silva Natalia De Paula , Gama Karla Regina , Marchezan Rogério Ferreira , Cury Sérgio Elias , Dib Jamil Elias 
Published: April 2021

Objectives: Review the literature on psychogenic face or head pain, develop a diagnostic questionnaire for psychogenic head and face pain and present three clinical cases presenting psychogenic pain. Material and Methods: Review of 18 papers on psychogenic pain to develop a diagnostic questionnaire with questions to be answered by patients that presented these three clinical cases. Results: The common things observed in three patients presenting psychogenic pain were higher scores in bruxing behavior, depression, somatization, severe pain and the presence of psychic conflict. Conclusions: Various types of other face and headaches occur in subjects with psychogenic face and head pain. Psychogenic pain individuals usually present severe pain associated with depression. Psychic conflict, somatization and depression are usually associated with psychogenic pain.
Aspectos relevantes do licenciamento ambiental municipal. Estudo de caso: Volta Redonda/RJ
Authors: Gurgel Júnior Francisco Jácome 
Published: April 2021

A gestão ambiental pública eficaz é indispensável para a melhoria da qualidade de vida dos citadinos e para a preservação e/ou conservação de nossos recursos ambientais, sendo o Poder Público municipal o grande responsável pela coordenação, articulação, controle, monitoramento e fiscalização de todas as ações jurisdição de seu território que visem um meio ambiente ecologicamente equilibrado, necessário e indispensável para a nossa sobrevivência e coexistência com os demais seres vivos. Neste contexto, faz-se urgente a discussão acerca do licenciamento ambiental adotado pelo município de Volta Redonda para instrumentalizar suas ações com vistas ao desenvolvimento sustentável urbano, enveredando pela análise deste importante instrumento previsto pela Política Nacional de Meio Ambiente conforme disposto na lei 6.938/81.A pesquisa ora proposta visa à avaliação do licenciamento ambiental municipal promovido pela Secretaria Municipal de Meio Ambiente de Volta Redonda no período compreendido entre 2008 e 2011 pela mensuração das atividades desenvolvidas e interpretação dos resultados obtidos.
MATERNAL SATISFACTION WITH INTRAPARTUM CARE IN HEALTHCARE FACILITIES IN KERICHO COUNTY, KENYA
Authors: Chepkorir Emily , Kipmerewo Mary , Wanyonyi Mable , John Arudo 
Published: April 2021

Purpose: The main objective was to determine maternal satisfaction with intrapartum care in healthcare facilities in the Kericho County and specifically to determine the association between mothers’ experience of intrapartum care and satisfaction with quality of nursing, analyze the influence of psychosocial aspects on satisfaction with intrapartum care and evaluate the relationship between hospital factors and maternal satisfaction on intrapartum care among women delivering in healthcare facilities in Kericho County
Materials and Methods: This was a cross sectional analytical research design and data was collected using mixed method approach. The study targeted women who delivered in the facilities used for study and 441 mothers were sampled. Data was analyzed using (SPSS) version 24. Descriptive statistics was used to describe the findings on socio-demographic characteristics and inferential statistics employed Chi square and logistic regression to determine maternal satisfaction with intrapartum care. Odds ratio was used to test the strength of association, and a p-value of ≤ 0.05 considered as statistically significant.
Findings: Several factors influence mothers’ satisfaction with intrapartum care. Employment (OR: 3.0; 95% CI: 1.2 – 7.4; p = 0.02) delivery through instrument/Caesarian section were 2.6 more likely to have been satisfied with the care unlike those who delivered through SVD (OR: 2.6; 95% CI: 1.1 – 6.0; p = 0.03). On the other hand, mothers who got encouragement and reassurance by midwives and doctors (OR: 0.2; 95% CI: 0.1 – 0.8; p = 0.02) were more likely to be satisfied with care. Mothers who were shown their babies immediately after delivery to identify sex of the baby (OR: 3.2; 95% CI: 1.5 – 7.0; p = 0.002) were 3 times more satisfied than their counterparts. Mothers who were asked for their opinion about unplanned procedure before it was performed (OR: 3.7; 95% CI: 1.1 – 12.6; p = 0.02) were four times more likely to be satisfied. In conclusion, determinants of intrapartum care satisfaction in public hospitals in the study area are: level of education, employment status and type of delivery, showing the baby to the mother immediately after delivery to identify sex, midwives and doctors asking clients their opinion about unplanned procedure before it is performed. Provision of linen and beds, provision of hot drinks and hot shower after delivery and provision of a locker are all associated with satisfaction.
Unique Contribution to Theory, Practice and Policy: Therefore, the hospitals should allow mothers to stay with their birth companions and health care providers should be taught on importance of good relation and good communication skills.
Student perceptions of university internationalisation in Brazil – a case study
Authors: Guimarães Felipe Furtado , Mendes Ana Rachel Macedo , Hildeblando Júnior Carlos Alberto 
Published: April 2021

This study aims to reflect on the relationship between internationalization and foreign languages (L2) as perceived by learners of a language and internationalization program, funded by the Brazilian government at a federal university. The discussion addresses the role of national/local language policies, relating them to the internationalization of higher education in Brazil. Answers to an online questionnaire used here suggest that the idea of internationalization is associated mainly with academic mobility. The importance of learning L2 for internationalization was also highlighted in the data. Problems such as the low number of language courses offered outside the main campus and the low language proficiency of lecturers at the university were also mentioned. The discussion of data leads to some suggestions to approach these problems, including Internationalization at Home (IaH) strategies and reallocation of resources for L2 offer, in order to deal with misconceptions still associated with internationalization.
Perspectivas sobre as mulheres no campo do futebol/futsal feminino: o que as pesquisas nos periódicos nacionais evidenciam
Authors: Ferreira José Ricardo Lopes , Melo Lucas Xavier de , Lima Hadonay Jonys Souza , Lima Robson Arthur Moura , Melo Lucas Fellype Buarque De 
Published: April 2021

Este estudo se propôs a analisar a produção acadêmica brasileira no campo da Educação Física acerca do futebol/futsal feminino afins de identificar quais os indícios científicos os estudos em questão apresentam. A pesquisa possui caráter qualitativo, já que opera uma Revisão Sistemática da Literatura (RSL). Como critério para a seleção dos periódicos, foram priorizados aqueles voltados para a área de Educação Física, com estratificação B e A segundo a avaliação da CAPES (Qualis) e publicados entre 2015 e 2020. No transcurso da pesquisa, doze artigos de seis revistas, na perspetiva quanti-qualitativa, foram analisados. Para proceder com a análise, foram criadas duas categorias: (i) aspectos históricos, sociais e culturais; (ii) performance e alto rendimento. O campo de pesquisa sobre futebol/futsal feminino destaca discussões sobre gênero, incentivos e preconceitos.
De la construcción social de la realidad a la reconstrucción mediática de los sucesos. Análisis de la cobertura de los incidentes del 5 de julio por la prensa escrita
Authors: González José Manuel , Guzmán Nátaly , Peraza Xiomara 
Published: April 2021

No abstract available.
ECA Estudios Centroamericanos, Vol. 61, No. 693-694, 2006: 645-662.
Implementasi Rest Untuk Membangun Aplikasi Pemeriksaan Pasien Pada Klinik Koent Berbasis Website
Authors: Agung Pradana Luthfi , Krisbiantoro Dwi 
Published: April 2021

Kesehatan merupakan kebutuhan primer bagi umat manusia dan layanan kesehatan merupakan suatu aspek penting dalam kehidupan. Efisiensi dan efektivitas suatu layanan kesehatan sangat penting bagi masyarakat. Klinik Koent merupakan suatu badan layanan kesehatan. Layanan utamanya berupa rekam medis, rekam medis ini masih dilakukan secara manual menggunakan kertas, sehingga kurang optimal dalam proses layanan kesehatan selain itu para pasien harus menunggu 5 sampai 10 menit sampai obat disiapkan oleh apoteker, karena apoteker harus menunggu datangnya resep dari dokter belum lagi mengintegrasikan data pasien dengan data di bagian apotek untuk riwayat pengobatan masih diinput lagi oleh apoteker tentunya hal ini akan membuat kurang efektif dan mengalami penginputan berulang ulang oleh tiap petugas. Dalam penelitian ini penulis mengimplementasikan Rest untuk membangun aplikasi pemeriksaan pasien pada klinik koent berbasis website menggunakan metode waterfall. Penelitian ini menghasilkan sebuah perangkat lunak yang terintegrasi dengan beberapa bagian diantaranya pendaftaran, apoteker dan dokter, dengan adanya implementasi Rest pada aplikasi pemeriksaan pasien pada klinik koent berbasis website lebih mudah,cepat dan akurat dalam proses pelayanan kesehatan.