bluuebunny/crossref_metadata_2025_split huggingface dataset:
Особливості хірургічного лікування спортивної грижі у футболістів
Authors: Ioffe O. Y. , Omelchenko A. V. , Stetsenko O. P. , Tarasiuk T. V. 
Published: March 2021

Мета роботи: визначити оптимальну тактику вибору хірургічного лікування спортивної грижі у футболістів.
Матеріали і методи. Проведено аналіз результатів хірургічного лікування 36 футболістів професійних та аматорських клубів віком від 18 до 34 років із діагнозом спортивна грижа, які перебували в хірургічному відділенні КМКЛ № 3 впродовж 2014–2019 рр.
Хворих було розподілено на дві групи дослідження залежно від методики хірургічного втручання. В першій групі виділено дві підгрупи, до першої підгрупи хворих увійшли 10 футболістів, яким виконували лапароскопічну інтраперитонеальну герніо­алопластику за методикою IPOM. До другої підгрупи увійшли 8 футболістів, яким виконували лапароскопічну інтраперитонеальну герніоалопластику за методикою IPOM із субдермальним ушиванням внутрішніх пахових кілець. До другої групи увійшли 18 футболістів, яким виконували лапароскопічну трансабдомінальну преперитонеальну герніоалопластику за методикою TAPP. Для оцінки показників якості життя застосовували опитувальник The Copenhagen Hip and Groin Outcome Score (HAGOS) та Eura HS Quality of Life score (Eura HS-QoL у модифікації).
Результати досліджень та їх обговорення. При аналізі показників за шкалою HAGOS якість життя до операції не відрізнялась в обох групах дослідження, тоді як після проведення хірургічного лікування значно підвищилась у другій групі з 47 до 96 балів та в першій групі з 45 до 80 балів (р<0,05). Також в другій групі встановлено достовірне зменшення больового синдрому в пахвинній ділянці після лапароскопічної герніоалопластики за методикою ТАРР з 8 балів до 2 балів за шкалою ВАШ і після застосування методики IPOM у першій групі з 7,5 до 3 балів (р<0,05). Найкоротший термін повернення спортсмена до тренувань становить 3 тижні після хірургічного лікування спортивної грижі виявлено при лапароскопічній пластиці задньої стінки пахового каналу за методикою ТАРР зі встановленням самофіксуючої сітки.
У дослідженні проведено порівняльний аналіз результатів лапароскопічних хірургічних втручань та визначено оптимальну тактику вибору хірургічного лікування спортивної грижі у футболістів.
Пролонгована місцева анестезія при інгвінальній герніопластиці
Authors: Boiko V. V. , Parkhomenko K. Yu. 
Published: March 2021

Мета роботи: поліпшення результатів хірургічного лікування пахових гриж шляхом розробки ефективного та безпечного методу післяопераційного знеболення.
Матеріали і методи. Наведено опис нового методу післяопераційного знеболення у пацієнтів, що перенесли відкриту алопластику пахової грижі за Ліхтенштейном. Суть методу полягає у введенні під час операції (перед закриттям рани) під прямим візуальним контролем катетера для пролонгованого введення місцевого анестетика в ділянку післяопераційної рани. Герніопластику виконували в умовах спінальної анестезії, у післяопераційному періоді через катетер болюсно вводили 0,25 % розчин лідокаїну. Методику застосовано у 11 пацієнтів.
Результати досліджень та їх обговорення. В усіх випадках вдалося відмовитись від застосування наркотичних анальгетиків та досягти гарного контролю післяопераційного болю. Порівняно з традиційним веденням післяопераційного періоду в пацієнтів із пролонгованою місцевою анестезією швидше відновилась рухова активність, зменшилась тривалість госпіталізації; ускладнень не спостерігали.
ЦУКРОВИЙ ДІАБЕТ 2 ТИПУ ТА ЙОГО КОМОРБІДНІСТЬ
Authors: Hevko U. P. , Dikova I. G. , Maksiv Kh. Ya. , Dzyha S. V. , Bakalets O. V. , Behosh N. B. 
Published: March 2021

Резюме. Цукровий діабет є складною проблемою охорони здоров’я, яка за останні кілька десятиліть викликає занепокоєння міжнародного рівня.
Мета дослідження – проаналізувати літературні джерела щодо коморбідних патологій, які поєднано перебігають з цукровим діабетом 2 типу (T2DM).
Матеріали і методи. У дослідженні опрацьовано наукові публікації за останнє десятиліття, які доступні у мережі «Інтернет», ключовими словами були: «цукровий діабет 2 типу», «коморбідність», «супутні захворювання».
Результати. Мультиморбідність, наявність двох або більше хронічних захворювань, є характерним для пацієнтів з T2DM, що робить мультиморбідність у цій популяції важливим клінічним пріоритетом. Через схожі фактори ризику, такі, як ожиріння, ендотеліальна дисфункція, запалення судин та дисліпідемія, хворі на T2DM мають більш високий ризик серцево-судинних ускладнень, хвороб нирок та гіпертензії. Також у пацієнтів із T2DM встановлено більш високий ризик депресії, захворювань шлунково-кишкового тракту, щитоподібної залози та хронічного обструктивного захворювання легень. T2DM тісно пов’язаний із надмірною масою тіла та низькою фізичною активністю. Ще одним ускладненням T2DM є еректильна дисфункція. Хоча більшість наукової літератури присвячена розвитку T2DM у хворих на панкреатит, існує й зворотна залежність: екзокринна недостатність підшлункової залози виявляється у 35 % хворих на T2DM. Крім того, високий рівень дефіциту вітаміну D є ще одним фактором, пов’язаним як із ожирінням, так і з діабетом 2 типу.
Висновки. Аналіз літературних джерел свідчить про значну поширеність коморбідності у хворих на цукровий діабет 2 типу, що обґрунтовує необхідність детальнішого й всебічного дослідження механізмів розвитку поєднаної патології, особливостей перебігу, методів профілактики, лікування та попередження ускладнень.
Competências sancionadoras dos Tribunais de Contas no sistema do direito positivo brasileiro
Authors: França Vladimir da Rocha 
Published: March 2021

A atividade financeira compreende todo um conjunto de atos jurídicos legislativos e administrativos vinculados à receita pública, à despesa pública, ao planejamento fiscal e ao orçamento público. O objetivo do presente ensaio é examinar as competências dos Tribunais de Contas a punição de atos ilícitos praticados durante essa atividade estatal, no âmbito do sistema do Direito Positivo brasileiro.
Prevalence of Intracranial Aneurysm in Patients With Aortic Disease in Korea: A Nationwide Population‐Based Study
Authors: Song Jihye , Lim Yong Cheol , Ko Inseok , Kim Jong‐Yeup , Kim Dong‐Kyu 
Published: March 2021

Background
Patients with aortic disease (AD) might have a higher prevalence of intracranial aneurysm (IA). The present study evaluated the prevalence of IA in patients with AD and identified potential risk factors of IA using nationwide representative cohort sample data.

Methods and Results

We defined AD as both aortic dissections and aortic aneurysms. This study used a nationwide representative cohort sample from the Korea National Health Insurance Service–National Sample Cohort database from 1.1million patients. Using
χ
2
or Fisher’s exact tests, the prevalence of the IA in patients with AD and potential risk factors for their concurrence were analyzed. The prevalence of IA in patients with AD was 6.8% (155/2285). The adjusted odds ratios (OR) for having concurrent IA in patients with AD was 3.809 (95% CI, 3.191–4.546;
P
<0.01). Patients with AD and hypertension were >19 times more likely to be affected by IA (adjusted OR, 18.679; 95% CI, 16.555–21.076;
P
<0.01). Patients with AD and diabetes mellitus, old age (>60 years), and male sex were >4, 3, and 2 times more likely to be affected by IA, respectively (adjusted OR, 4.291, 3.469, and 1.983, respectively; 95% CI, 3.914–4.704, 3.152–3.878, and 1.779–2.112, respectively). Subgroup analysis with socioeconomic status or disability revealed that the prevalence of IA was significantly higher in all groups.

Conclusions
In the current population‐based study, the prevalence of IA in patients with AD was quadrupled compared with that in the general population. Early IA screening might be considered among patients with AD for appropriate management.
The Scale and Activity of Symmetric Instability Estimated from a Global Submesoscale-Permitting Ocean Model
Authors: Dong Jihai , Fox-Kemper Baylor , Zhang Hong , Dong Changming 
Published: March 2021

AbstractSymmetric instability (SI) extracts kinetic energy from fronts in the surface mixed layer (SML), potentially affecting the SML structure and dynamics. Here, a global submesoscale-permitting ocean model named MITgcm LLC4320 simulation is used to examine the Stone linear prediction of the maximum SI scale to estimate grid spacings needed to begin resolving SI. Furthermore, potential effects of SI on the usable wind work are estimated roughly: this estimate of SI “activity” is useful for assessing if these modes should be resolved or parameterized. The maximum SI scale varies by latitude with median values from 568 to 23 m. Strong seasonality is observed in the SI scale and activity. The median scale in winter is 188 m globally, 2.5 times of that of summer (75 m). SI is more active in winter: 15% of the time compared with 6% in summer. The strongest SI activity is found in the western Pacific, western Atlantic, and Southern Oceans. The required grid spacings for a global model to begin resolving SI eddies in the SML are 24 m (50% of regions resolved) and 7.9 m (90%) in winter, decreasing to 9.4 m (50%) and 3.6 m (90%) in summer. It is also estimated that SI may reduce usable wind work by an upper bound of 0.83 mW m−2 globally, or 5% of the global magnitude. The sensitivity of these estimates to empirical thresholds is provided in the text.
Aboriginal children’s health, playgroup participation and early learning outcomes in two remote Northern Territory communities
Authors: Page Jane , Murray Lisa , Cock Megan L , Eadie Patricia , Nossar Victor , Niklas Frank , Scull Janet , Sparling Joseph 
Published: March 2021

Objectives: This study aimed to explore the impact of early health risks on young Aboriginal children’s attendance in playgroups and their early learning outcomes. Design: The study used a cross-sectional design to identify associations between children’s early health characteristics, their attendance at a Families as First Teachers (FaFT) playgroup and their early learning outcomes. Setting: A total of 128 Aboriginal children from two remote Northern Territory (NT) communities attending FaFT playgroups participated in the study. Method: Health data were coded as risk factors and associated with children’s attendance and learning outcome data. Results: Children in the cohort experienced relatively high rates of health risks: ear infections (otitis media, 57%), anaemia (37%), skin infections (28%), low birthweight (22%), low weight for age (19%) and a high proportion were born to teenage mothers (26%). However, these rates were lower than previously recorded rates for Aboriginal children in remote NT communities. Despite the presence of multiple health risks, low weight for age was the only risk factor found to be negatively associated with children’s learning outcomes (language skills) and only two health risks (teenage motherhood and lower child haemoglobin levels) were negatively associated with children’s attendance at playgroup. Most children (65%) experienced one or two health risks during the study and no significant associations were found between the number of health risks experienced and children’s attendance or learning outcomes. Conclusion: The study highlights the importance of culturally responsive, evidence-based and integrated health and education programmes within remote Aboriginal Australian communities as a means to mitigate risks to poor learning and development outcomes.
COVID-19: A systematic evaluation of personal protective equipment (PPE) performance during restraint
Authors: Dix Roland , Straiton David , Metherall Peter , Laidlaw James , McLean Lisa , Hayward Andy , Ginger Gary , Forrester Louise , O’Rourke Paul , Jefferies Rob 
Published: March 2021

Background Restraint is widely practised within inpatient mental health services and is considered a higher-risk procedure for patients and staff. There is a sparsity of evidence in respect of the efficacy of personal protective equipment (PPE) used during restraint for reducing risk of infection. Methods A series of choreographed restraint episodes were used to simulate contact contamination in research participants playing the roles of staff members and a patient. For comparison, one episode of simulated recording of physical observations was taken. Ultraviolet (UV) fluorescent material was used to track the simulated contact contamination, with analysis undertaken using established image registration techniques of UV photographs. This was repeated for three separate sets of PPE. Results All three PPE sets showed similar performance in protecting against contamination transfer. For teams not utilising coveralls, this was dependent upon effective cleansing as part of doffing. There were similar patterns of contamination for restraint team members assigned to specific roles, with hands and upper torso appearing to be higher-risk areas. The restraint-related contamination was 23 times higher than that observed for physical observations. Discussion A second layer of clothing that can be removed showed efficacy in reducing contact contamination. PPE fit to individual is important. Post-restraint cleansing procedures are currently inadequate, with new procedures for face and neck cleansing required. These findings leave scope for staff to potentially improve their appearance when donning PPE and engaging with distressed patients.
Health Care Access Among Essential Critical Infrastructure Workers, 31 States, 2017-2018
Authors: Boal Winifred L. , Li Jia , Silver Sharon R. 
Published: March 2021

Objectives Essential workers in the United States need access to health care services for preventive care and for diagnosis and treatment of illnesses (coronavirus disease 2019 [COVID-19] or other infectious or chronic diseases) to remain healthy and continue working during a pandemic. This study evaluated access to health care services among selected essential workers. Methods We used the most recent data from the Behavioral Risk Factor Surveillance System, 2017-2018, to estimate the prevalence of 4 measures of health care access (having health insurance, being able to afford to see a doctor when needed, having a personal health care provider, and having a routine checkup in the past year) by broad and detailed occupation group among 189 208 adults aged 18-64. Results Of all occupations studied, workers in farming, fishing, and forestry occupations were most likely to have no health insurance (46.4%). Personal care aides were most likely to have been unable to see a doctor when needed because of cost (29.3%). Construction laborers were most likely to lack a personal health care provider (51.1%) and to have not had a routine physical checkup in the past year (50.6%). Compared with workers in general, workers in 3 broad occupation groups—food preparation and serving; building and grounds cleaning and maintenance; and construction trades—had significantly lower levels of health care access for all 4 measures. Conclusion Lack of health insurance and underinsurance were common among subsets of essential workers. Limited access to health care might decrease essential workers’ access to medical testing and needed care and hinder their ability to address underlying conditions, thereby increasing their risk of severe outcomes from some infectious diseases, such as COVID-19. Improving access to health care for all workers, including essential workers, is critical to ensure workers’ health and workforce stability.
The socio-ecological model as a framework for understanding junk food consumption among schoolchildren in Nepal
Authors: Upreti Yadu Ram , Bastien Sheri , Bjønness Birgitte , Devkota Bhimsen 
Published: March 2021

Background: The consumption of industrially processed food, popularly known as junk food, is a growing public health concern worldwide, including in Nepal. Schoolchildren are a vulnerable group and they consume junk food at school. Aim: The aim of this study was to examine multi-level determinants of junk food consumption among basic schoolchildren using the socio-ecological model as a framework. Methods: A cross-sectional study was conducted among students ( n = 404), and a self-reported questionnaire was used to collect the data. The chi-square test and logistic regression were applied to analyse the results using SPSS version 26. Results: Nearly half (47%) of the students reported that they consumed junk foods at snack time. Important variables for explaining junk food consumption were knowledge of food and nutrition—a micro-level determinant; sharing knowledge of food and nutrition with classmates at school—a meso-level determinant; grade of student—an exo-level determinant; and occupation of parents—a macro-level determinant. However, multivariate analysis found that knowledge of food and nutrition ( p < 0.05), and sharing knowledge of food and nutrition with classmates at school ( p < 0.05) were the significant predictors of junk food consumption. Conclusions: Junk food consumption is common among basic-level students in the study schools. Multi-level determinants explain the factors associated with this behaviour, extending from micro to macro as the socio-ecological model asserts. This study points to the need for comprehensive school-based nutrition education that targets multiple levels of influence, focusing on active learning approaches to promote healthy dietary behaviour in students.
Measurement of ocular counter-roll using iris images during binocular fixation and head tilt
Authors: Oh Kwang-Keun , Moon Byeong-Yeon , Cho Hyun Gug , Kim Sang-Yeob , Yu Dong-Sik 
Published: March 2021

Objective To compare the ocular counter-roll (OCR) measured using iris images during binocular fixation and head tilt with OCR measured via fundus photography. Methods Fifty-three healthy college students participated in this study. The mean OCR was measured by collection of iris images and fundus images under seven head tilt conditions (0 degrees; 10, 20, and 30 degrees right; and 10, 20, and 30 degrees left). Three iris images (crossed pupil center, pupil center, and pupil periphery) were taken using a slit-lamp biomicroscope with an ophthalmic camera and a half-silvered mirror; fundus images were collected via fundus photography. The mean OCR values were compared between images taken with each method. Results No iris images or head tilt conditions revealed any significant differences in mean OCR comparison with fundus images. The mean difference in OCR was smallest, and the correlation was greatest, between the crossed pupil center and fundus images. Conclusion A half-silvered mirror and iris images can replace fundus photography for the measurement of OCR.
The effect of play-based occupational therapy on symptoms and participation in daily life activities in children with cancer: A randomized controlled trial
Authors: Mohammadi Ahmad , Mehraban Afsoon Hassani , Damavandi Shahla Ansari , Zarei Mehdi Alizadeh , Haghani Hamid 
Published: March 2021

Introduction This study aimed to investigate the effect of play-based occupational therapy on symptoms and participation in daily life activities in hospitalized children with cancer undergoing chemotherapy. Method A total of 25 children (mean age = 9.28 ± 0.95 years, range = 7–12 years) with cancer undergoing chemotherapy were enrolled and randomly assigned to a play-based occupational therapy group ( n = 12) or control group ( n = 13). The intervention group received eight 1-hour play-based occupational therapy sessions, and the control group received traditional occupational therapy services. Participation in daily life activities, therapy-related symptoms, pain, anxiety, and fatigue were evaluated. Results Total mean scores of participation in daily life activities in the intervention group in the diversity of activities ( p = 0.001, d = 1.39), intensity of participation ( p = 0.001, d = 1.86), with whom done ( p = 0.005, d = 1.22), enjoyment ( p = 0.003, d = 1.33), and parents’ satisfaction ( p = 0.003, d = 1.33) were significantly higher than the control group. Symptoms decreased in both groups; however, this trend had a significant difference in the intervention group for the therapy-related symptom checklist ( p = 0.001, d = 1.68), pain ( p = 0.001, d = 1.61), anxiety ( p = 0.001, d = 1.58), and fatigue ( p = 0.002, d = 1.39) scores. Conclusion A 2-week course of inpatient play-based occupational therapy is an effective approach in the reduction of cancer symptoms, therapy-related symptoms, and the participation facilitation, of children with cancer in daily life activities.
Incidental discovery of endourethral clip migration 10 years after radical prostatectomy: A case report and review of the literature
Authors: Symeonidis Evangelos N , Memmos Dimitrios , Langas Georgios , Bouchalakis Athanasios , Baniotis Panagiotis , Savvides Eliophotos , Stefanidis Panagiotis , Mutomba Wilbert F , Dimitriadis Georgios 
Published: March 2021

Introduction: Surgical clips (SCs) have been widely used for a variety of surgical procedures over the years. Despite their advantages and proven effectiveness, several clip-related complications have been reported, creating dilemmas as to their optimal use. Case description: Herein, we present a rare delayed and incidental discovery of two endourethral metallic SCs in a 77-year-old male seeking treatment for acute renal colic. The patient had undergone open radical retropubic prostatectomy 10 years ago, and had an uneventful postoperative recovery. Computed tomography scan revealed left-sided hydronephrosis secondary to proximal ureteral calculus, as well as SCs at the level of vesico-urethral (VUR) anastomosis. Flexible cystoscopy confirmed the imaging findings, showing two endourethral clips, partly obstructing the VUR. Firstly, a serial wire-guided dilation took place, followed by left ureteral double-J stent placement. Unfortunately, the clips could not be concurrently removed due to their firm attachment to the bladder neck. Hence, our patient was scheduled for transurethral resection of the bladder neck and simultaneous endoscopic clip removal. Conclusions: To the best of our knowledge, this is the first report to highlight such a delayed incidental finding, 10 years after open retropubic radical prostatectomy (RRP), during a JJ stent insertion for obstructive uropathy without previous clip-induced lower urinary tract symptoms. Although rare, physicians should be aware of the potential clip-related complications arising either in the short- or long-term postprostatectomy setting.