bluuebunny/crossref_metadata_2025_split huggingface dataset:
Paramedian transparietal approach to a dominant hemisphere intraventricular meningioma: illustrative case
Authors: Andrews John P. , Arora Tarun , Theodosopoulos Philip , Berger Mitchel S. 
Published: August 2021

BACKGROUND
Meningiomas of the atrium of the lateral ventricle present a unique operative challenge. Parietal transcortical approaches have been described with an oblique approach, but a strictly paramedian approach may offer advantages in a dominant hemisphere atrial meningioma.

OBSERVATIONS
The patient presented with several weeks of intermittent headaches. Magnetic resonance imaging (MRI) showed an enhancing intraventricular mass in the atrium of the left lateral ventricle. Three-dimensional reconstructions were created from a preoperative MRI, with 1-mm slices for neuronavigation. Diffusion tensor imaging (DTI) was obtained, and tracts were reconstructed in the patient’s three-dimensional brainspace. DTI tractography delineated a paramedian transparietal corridor devoid of functional white matter tracks. The patient was positioned supine, in a semislouch position. A left parietal craniotomy was performed. Neuronavigation identified a gyrus posterior to the sensory cortex, anterior to the optic radiations and medial to superior longitudinal and arcuate fasciculus fiber tracts. The tumor was debulked to allow mobilization to coagulate capsular blood supply. Gross total resection was achieved. The patient was discharged postoperatively on day 3 without neurological deficits.

LESSONS
A paramedian transparietal approach to a dominant hemisphere meningioma of the lateral ventricle can be a safe and effective way to resect tumors in this anatomically unique operative corridor.
Spontaneous intracranial hypotension secondary to congenital spinal dural ectasia and genetic mosaicism for tetrasomy 10p: illustrative case
Authors: Nisson Peyton L. , Schreck Rhona , Graham John M. , Maya Marcel M. , Schievink Wouter I. 
Published: August 2021

BACKGROUND
Spontaneous intracranial hypotension has historically been a poorly understood pathology that is often unrecognized and undertreated. Even more rarely has it been described in pediatric patients with an otherwise benign past medical history.

OBSERVATIONS
Herein the authors describe one of the youngest patients ever reported, a 2-year-old girl who developed severe headaches, nausea, and vomiting and experienced headache relief after lying down. Imaging revealed tonsillar herniation 14 mm below the foramen magnum, presumed to be a Chiari malformation, along with extensive dural cysts starting from thoracic level T2 down to the sacrum. She was found to have streaky skin pigmentary variation starting from the trunk down to her feet. Genetic analysis of skin biopsies revealed mosaicism for an isodicentric marker chromosome (10p15.3–10q11.2 tetrasomy) in 27%–50% of cells. After undergoing a suboccipital and cervical decompression at an outside institution, she continued to be symptomatic. She was referred to the authors’ hospital, where she was diagnosed with spontaneous intracranial hypotension.

LESSONS
After receiving a series of epidural blood patches, the patient experienced almost complete relief of her symptoms. To the authors’ knowledge, this is the first time this chromosomal anomaly has ever been reported in a living child, and this may represent a new genetic association with dural ectasia.
Human herpesvirus DNA occurrence in intracranial aneurysmal wall: illustrative case
Authors: Rabelo Nícollas Nunes , Samaia da Silva Coelho Antonio Carlos , Telles João Paulo Mota , Coelho Giselle , de Souza Caio Santos , Tozetto-Mendoza Tania Regina , Galvani de Oliveira Natan Ponzoni , Braz-Silva Paulo Henrique , Teixeira Manoel Jacobsen , Figueiredo Eberval Gadelha 
Published: August 2021

BACKGROUND
Subarachnoid hemorrhages secondary to intracranial aneurysms (IAs) are events of high mortality. These neurological vascular diseases arise from local and systemic inflammation that culminates in vessel wall changes. They may also have a possible relationship with chronic viral infections, such as human herpesvirus (HHV), and especially Epstein–Barr virus (EBV), which causes several medical conditions. This is the first description of the presence of HHV deoxyribonucleic acid (DNA) in a patient with IA.

OBSERVATIONS
A 61-year-old woman with a downgraded level of consciousness underwent radiological examinations that identified a 10-mm ruptured aneurysm in the anterior communicating artery. A microsurgery clip was performed to definitively treat the aneurysm and occurred without surgical complications. Molecular analysis of the material obtained revealed the presence of EBV DNA in the aneurysm wall. The patient died 21 days after admission due to clinical complications and brain swelling.

LESSONS
This is the first description of the presence of herpesvirus DNA in a patient with IA, presented in 2.8% of our data. These findings highlight that viral infection may contribute to the pathophysiology and is an additional risk factor for IA formation, progression, and rupture by modulating vessel wall inflammation and structural changes in chronic infections.
Providencia rettgeri infection complicating cranial surgery: illustrative cases
Authors: Sapkota Shabal , Karn Mitesh , Regmi Sanjib Mani , Thapa Sushma , Miya Farhan Uddin , Yonghang Sapana 
Published: August 2021

BACKGROUND
Providencia rettgeri is a rare cause of nosocomial infection in humans. These organisms are capable of biofilm production and are intrinsically resistant to commonly used antibiotics, leading to high rates of morbidity and mortality. P. rettgeri may very rarely cause postneurosurgical infection.

OBSERVATIONS
In this report, the authors describe two patients in whom P. rettgeri infection complicated the postoperative course. Both the patients underwent craniotomy at approximately the same time under similar environments. The organism isolated was resistant to most of the commonly used antibiotics, and therapy tailored to the results of susceptibility testing led to resolution of infection in both cases.

LESSONS
P. rettgeri is a rare cause of postneurosurgical nosocomial infection. Timely identification and early tailoring of antibiotic therapy based on susceptibility testing is the key to treatment. Every effort should be made to identify the source of infection and rectify it so that mortality, morbidity, and financial burden are reduced. Contact isolation and use of sterile gloves after each patient contact are effective in preventing its spread, as in most cases of nosocomial infection.
Malignant ossifying fibromyxoid tumor of the calvaria: illustrative case
Authors: Hachmann Jan T. , Graham R. Scott 
Published: August 2021

BACKGROUND
Ossifying fibromyxoid tumor (OFMT) is a rare entity of soft tissue tumor that most commonly occurs in the subcutaneous tissues of trunk or extremities with occasional cases involving the head and neck; however, primary involvement of the skull has not been reported. While historically considered slow-growing benign to intermediate malignant, few cases of atypical or malignant features have been described.

OBSERVATIONS
Herein, the authors present a case of malignant OFMT with primary skull and transcranial extension. The tumor caused lytic calvarial destruction with intra- and extracranial soft tissue components. Gross total resection was performed, and histopathology revealed malignant OFMT with 40 mitoses per 50 high-power fields and moderate nuclear atypia.

LESSONS
OFMT can rarely occur in the head and neck and, as reported herein, may involve the skull with intracranial extension. While no uniformly recognized histological criteria for malignancy exist, a three-tiered classification has been proposed: typical, atypical, and malignant, based on features such as hypercellularity, mitotic activity, infiltrative growth, and/or nuclear atypia. Malignant variants should be considered along the high-grade sarcoma spectrum with elevated risk for recurrence or metastatic spread. Routine adjuvant radiotherapy is not typically recommended; however, surveillance imaging is advised.
Duroplasty in iatrogenic dorsal spinal cord herniation: illustrative case
Authors: Ogbu Ikenna , Eltoukhy Mohamed , Tzerakis Nikolaos 
Published: August 2021

BACKGROUND
The case report detailed an unusual presentation of an iatrogenic dorsal cord herniation at the level of the thoracic cord after insertion of an epidural catheter 8 months before presentation to the neurosurgical clinic.

OBSERVATIONS
Only 13 cases of iatrogenic dorsal cord herniation, most of which occurred after spinal surgery, have been described in the literature. This was the first case of a spinal cord hernia described after the insertion of an epidural catheter. In this case study, the authors described a 38-year-old man who presented with progressive lower limb weakness, sensory deficits, perianal numbness, and urinary/fecal incontinence. He was diagnosed with a spinal cord hernia that reherniated after an initial sandwich duroplasty repair. Definitive repair was made after his re-presentation using an expansile duroplasty.

LESSONS
In patients with previous spinal instrumentation who present with neurological symptoms, spinal cord herniation should be considered a likely differential despite its rarity. In this case, a simple duroplasty was insufficient to provide full resolution of symptoms and was associated with recurrence. Perhaps a combination of graft and expansile duroplasty may be used for repair, especially when associated with a tethered cord and in the presence of significant adhesions.
Anti-salmonella potential and antioxidant activity of fermented fruit-based juice by lactic acid bacteria and its biotransformation
Authors: Kantachote Duangporn , Chansuwan Worrapanit , Thongraung Chakree , Sirinuipong Nualpun 
Published: August 2021

Background: Lactic acid bacteria-based fermentation clearly contributes to improving nutritional value and exhibits various health benefits. The demand for non-dairy functional beverages, such as fruit beverages, as an alternative vehicle for probiotics is increasing because of lifestyle choices or health conditions. Therefore, the objective of this study was to evaluate the anti-Salmonella potential and antioxidant activity of fermented fruit-based juice by lactic acid bacteria and its biotransformation. Methods: In this study, to produce the fermented fruit-based juice (FFJ), the mixed fruit juice (MFJ) was fermented by Lactobacillus plantarum TISTR 1465 and Lactobacillus salivarius TIST 1112 for 72 hrs. The potential function, anti-Salmonella by the minimum inhibitory concentration (MIC), minimum bactericidal concentration (MBC), and antibiofilm activities of FFJ against Salmonella Typhi DMST 22842 was evaluated. The antioxidative capacity was determined by DPPH and FRAP assay. The active volatile compounds were identified by GC-MS. Results: A novel functional FFJ showed excellent growth capacity with 8 log CFU/mL of probiotics Lactobacillus plantarum TISTR 1465 and Lactobacillus salivarius TIST 1112. MIC and MBC values in the FFJ were 500 mg/mL after 72 hrs of fermentation. After 48hrs of fermentation, biofilm formation inhibition was significant (p < 0.05) with 95.27% ± 2.26% inhibition; biofilm metabolic activity inhibition was also significant (p < 0.05) with 89.25% ± 0.18% inhibition. The volatile compounds present in the FFJ were fruity flavors and aromas, most of have antimicrobial and antioxidant properties. These compounds comprise various classes, including alcohols, organic acid, ester, and ketone. In both LAB fermentations, the most abundant volatile alcohol was isoamyl alcohol, followed by 1-hexanol and 2,3-Butanolone; acetic acid was only present in L. plantarum fermentation. In addition, DPPH radical scavenging and FRAP assay showed the mixed fruit juice had dramatically increased antioxidant activity after 48 hrs of fermentation.Conclusion: The findings of this work indicate that the obtained fermented fruit-based juice (FFJ) showed excellent growth capacity of probiotics, Lactobacillus plantarum TISTR 1465 and Lactobacillus salivarius TIST 1112, and produced the volatile compounds from biotransformation. This not only improved fruit flavor and aroma, but also influenced antibacterial activity against the pathogen Salmonella Typhi DMST 22842, as well as increased antioxidant activity. Therefore, the FFJ could be a novel functional fermented drink for vegan and non-diary consumption.Keywords: Lactic acid bacteria, Probiotics, Biotransformation, Non-dairy functional beverage, Anti-Salmonella
CLINICAL PROFILE OF NEONATES WITH RESPIRATORY DISTRESS
Authors: Kulhari Sandeep , Choudhary Deepak 
Published: August 2021

Background: Respiratory distress (RD) is a challenging problem and is one of the most common causes of admission in neonatal intensive care unit (NICU).
Methods: A prospective study was conducted on 50 cases. Term, pre-term and post-term babies both in-borns and out-borns cases were included in the study.
Results: Of the 50 cases admitted with RD, 31 babies (62%) were delivered vaginally and 19 (38%) by lower segment caesarean section (LSCS). There were 33 (66%) males and 17 (34%) females in the study. There were 23 (46%) pre-term babies, 26 (52%) term and 1 (2%) post-term neonates who were admitted with RD. The majority of cases 42 (82%) presented with increased respiratory rate, chest in drawings. 41 (82%) babies had flaring of alae nasi.
Conclusion: Increased respiratory rate along with chest in drawing, flaring of alae nasi are the presentation of RD in majority of cases.
Keywords: Respiratory distress (RD), Flaring of alae nasi are, Tachypnea.
Uso de los sistemas de posicionamiento global en el control de carga en procesos de rehabilitación y retorno seguro al juego en un trasplante autólogo de cartílago articular
Authors: Alfonso Mantilla Jose Ivan 
Published: August 2021

Introducción los sistemas de posicionamiento global, son dispositivos que permiten determinar la posición exacta en tiempo real y su relación con el movimiento en la cuantificación de variables físicas en futbolistas profesionales. Objetivo realizar un estudio de caso sobre el proceso de retorno al juego de un jugador de fútbol profesional con lesión de rodilla Metodología se realizó un estudio de caso en un jugador de fútbol profesional con lesión de rodilla donde se hizo su respectiva rehabilitación y se realizó un control en su fase de readaptación deportiva mediante un GPS Playertek durante 12 sesiones de readaptación controlando variables como distancia, tiempo total de sesión, Número total de sprint, velocidad en el sprint. Resultados se llevó al jugador al 92% del porcentaje total de rendimiento deportivo con variables como 9760 metros recorridos durante una sesión de 80 minutos realizando 49 sprints en promedio a 8,56M/s de velocidad y acumulando un total de 1096 metros en la totalidad de los sprints. Conclusión Los sistemas de posicionamiento global deben ser utilizados en la medición del proceso de rehabilitación y retorno seguro al juego con el fin de diseñar planes de entrenamiento, adecuando la carga aguda y crónica.

Palabras clave: Gps, carga, futbol, rendimiento, retorno al juego.
Conductas Fisioterapéuticas en la Rehabilitación Temprana del Paciente con Terapia de Soporte Circulatorio Extracorpóreo (ECMO)
Authors: Alejo Luz Angela 
Published: August 2021

INTRODUCCION: La oxigenación con membrana extracorpórea (ECMO), es una técnica de asistencia circulatoria y/o respiratoria durante un período de días o meses, para lo cual, se somete al paciente a sedación de bloqueo neuromuscular y analgesia asegurando vía aérea, por medio de un soporte ventilatorio. Aunque, es una intervención potencial, puede llegar a afectar la calidad de vida por los tiempos prolongados de inmovilización. OBJETIVO: Describir la evidencia disponible sobre las conductas fisioterapéuticas dirigidas a pacientes sometido a terapia de membrana extracorpórea y de esta manera demarcar la importancia del fisioterapeuta especialista en cuidado crítico dentro del grupo transdisciplinar que genera atención en salud a este tipo de pacientes al interior de la UCI. METODO: Se realizó una revisión integradora de la literatura, bajo la metodología de Ganong donde se analizó datos relacionados con las conductas fisioterapéuticas utilizadas en pacientes con esta técnica. RESULTADOS: Se evidencia poca literatura científica que proporcione altos niveles de evidencia y grado de recomendación que permitan analizar la importancia del trabajo fisioterapéutico en pacientes sometidos a esta terapia CONCLUSION: La mayoría de los artículos analizados sobre la terapia ECMO son estudios con un nivel de evidencia y grado de recomendación bajo que se enfocan en la participación del fisioterapeuta desde los dominios osteo y/o neuromuscular, dejando de lado dominios en que el especialista en cuidado crítico actúa, desde asegurar vía aérea hasta la optimización de la función multisistémica con el uso de dispositivos de asistencia como es el soporte ventilatorio.
Estudio sobre el estigma percibido y el estigma experimentado según los usuarios de servicios de salud mental en la Ciudad de Buenos Aires: Su impacto en la recuperación
Authors: Geffner Norma Irene , Agrest Martín 
Published: August 2021

Testimonios en primera persona de personas con padecimiento mental permiten observar que el estigma es una dinámica social que conforma uno de los más importantes obstáculos para la recuperación personal. La defensa frente a las percepciones de estigma se relaciona de manera dinámica con el proceso de recuperación y parte de una redefinición de la enfermedad como algo inesencial de la persona. Realizamos un estudio cualitativo para conocer la percepción del estigma y sus implicancias en la recuperación de veintiún usuarios que recibían tratamiento ambulatorio de salud mental en una ONG de la Ciudad Autónoma de Buenos Aires. El análisis siguió una estrategia fenomenológica. Los usuarios mencionaron con frecuencia que la ignorancia y la falta de información propia y ajena sostienen el estigma. Asimismo, destacaron las consecuencias percibidas en la falta de abordaje de esta dinámica en los tratamientos. La familia, los amigos, el trabajo, el apoyo entre compañeros y los tratamientos que se centran en la persona y sus capacidades fueron destacados como valores fundamentales. La recuperación se percibe como un proceso relacional que incluye: cuestionar la “mirada social” (estigma) y salir del estancamiento, nuevos aprendizajes y el reconocimiento y apropiación de las transformaciones y cambios positivos a partir de los aprendizajes. El análisis de las dinámicas de estigmatización y recuperación en las palabras de los “expertos por experiencia” puede significar un avance importante para que la comprensión de estos procesos gane terreno en la formación y en las prácticas en salud mental en América Latina.
Recovery e saúde mental: uma revisão da literatura latinoamericana
Authors: Oliveira Walter Ferreira de , Renato Pinto de Aquino Paulo , Cidade Ana , Bessa Sara Letícia , Bess Eduarda 
Published: August 2021

A abordagem Recovery emergiu nos anos 1970 nos Estados Unidos a partir dos movimentos em defesa dos direitos dos usuários dos serviços de saúde mental, ex-pacientes ou sobreviventes da psiquiatria. A partir da década de 2000 recovery vem orientando serviços de saúde mental em diversos países e muitos acreditam que possa contribuir com os processos de reforma do modelo de atenção em saúde mental em todo o mundo. No campo acadêmico, um número de publicações vem analisando as formas diversas de aplicação da abordagem em níveis nacionais e internacional. O objetivo desta revisão integrativa, realizada em 2019, foi analisar como a abordagem recovery vem sendo tratada na literatura científica na América Latina. A análise gerou categorias temáticas desvelando os principais assuntos abordados nestas publicações, entre eles discussões sobre terminologia, conceito de recovery, práticas, políticas e serviços orientados por recovery e possibilidades da incorporação da abordagem no contexto da Reforma Psiquiátrica Brasileira que, apesar dos obstáculos, ainda pode ser considerada como orientadora da Política Nacional de Saúde Mental no Brasil. A revisão aponta que o número de publicações sobre recovery na América Latina é escasso, comparado com o número de publicações nos Estados Unidos, Canadá, Hong Kong, Europa e Oceania, e são oriundas principalmente do Brasil. Percebe-se, ainda, que os autores brasileiros, em geral, entendem que recovery pode representar uma importante contribuição ao avanço da Reforma Psiquiátrica Brasileira e alguns defendem a necessidade de cautela sobre a incorporação da abordagem sem uma devida adaptação ao contexto social, cultural e econômico local. Também foi apontado que recovery tem sido aplicado em outros contextos sociais.
RETRACTED: Comparative Evaluation of the Incidence of Postoperative Pulmonary Complications After Minimally Invasive Valve Surgery vs. Full Sternotomy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials and Propensity Score-Matched Studies
Authors: Mohamed Mohamed Abdulkadir , Ding Shuai , Ali Shah Sayed Zulfiqar , Li Rui , Dirie Najib Isse , Cheng Cai , Wei Xiang 
Published: August 2021

Background: Postoperative pulmonary complications remain a leading cause of increased morbidity, mortality, longer hospital stays, and increased costs after cardiac surgery; therefore, our study aims to analyze whether minimally invasive valve surgery (MIVS) for both aortic and mitral valves can improve pulmonary function and reduce the incidence of postoperative pulmonary complications when compared with the full median sternotomy (FS) approach.Methods: A comprehensive systematic literature research was performed for studies comparing MIVS and FS up to February 2021. Randomized controlled trials (RCTs) and propensity score-matching (PSM) studies comparing early respiratory function and pulmonary complications after MIVS and FS were extracted and analyzed. Secondary outcomes included intra- and postoperative outcomes.Results: A total of 10,194 patients from 30 studies (6 RCTs and 24 PSM studies) were analyzed. Early mortality differed significantly between the groups (MIVS 1.2 vs. FS 1.9%; p = 0.005). Compared with FS, MIVS significantly lowered the incidence of postoperative pulmonary complications (odds ratio 0.79, 95% confidence interval [0.67, 0.93]; p = 0.004) and improved early postoperative respiratory function status (mean difference −24.83 [−29.90, −19.76]; p &lt; 0.00001). Blood transfusion amount was significantly lower after MIVS (p &lt; 0.02), whereas cardiopulmonary bypass time and aortic cross-clamp time were significantly longer after MIVS (p &lt; 0.00001).Conclusions: Our study showed that minimally invasive valve surgery decreases the incidence of postoperative pulmonary complications and improves postoperative respiratory function status.