bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sexual Dysfunction Following Aortoiliac Surgery
Authors: Benallal Souad , Raiah Mourad , Chenni Karima 
Published: December 2021

Objective:
The purpose is to determine the incidence of erectile dysfunction (ED) in patients with aortoiliac occlusive disease and compare the change of ED after open surgery and endovascular repair.

Materials and Methods:
A prospective and comparative study in a single center from January 2013 to October 2015, 103 male patients admitted for extensive aortoiliac occlusive lesions. The erectile function (EF) was evaluated using a questionnaire. All patients filled out the questionnaire preoperatively and postoperatively after 1 year.

Results:
This study enrolled two groups: 48 patients underwent endovascular treatment and 55 patients underwent open surgery (aortofemoral or aorto-iliac bypasses). Preoperatively, 45.8% of patients were functionally impotent; there was no difference EF depending on the stage of peripheral arterial disease or the severity of obstructive aortoiliac lesions. Postoperative impotence was twice as common in those with minor dysfunction preoperatively, deterioration of EF occurred in 16.2% in the surgical group, and 2.1% in the endovascular group, with a very significant difference (P = 0.0001). In multivariate analysis, adjusted to preoperative EF was significantly more impaired postoperatively after median laparotomy (heart rate: 24.80 confidence interval = 95% [3.17–51.80], P < 0.0001).

Conclusion:
Sexual dysfunction is a frequent and often missed comorbidity in vascular surgery patients, especially after aortoiliac surgery. Hence, it must be diagnosed and evaluated in preoperatively in the choice of the therapeutic approach. For that endovascular treatment offers a less invasive alternative to open surgery and allows patients to maintain its sexual function intact and improve the quality of life.
Learning Curve for Arteriovenous Fistula Creation
Authors: Neretljak Ivan , Smojver Hrvoje , Sučić Mario , Erdelez Lidija 
Published: December 2021

Objective:
Amount of time and number of procedures required in junior surgeon (JS) to achieve arteriovenous fistula (AVF) patency rate of surgeon with 20 years of experience.

Methods:
A single-center, retrospective, case–control study of AVF primary patency rate at 1 year postoperatively was observed among junior and experienced surgeon (ES) over a 4-year period. Fistula was created by terminolateral anastomosis in a fashion of continuous suture with nonabsorbable double-armed 7-0 monofilament. Maturation was grounded on the physical examination and fistula ultrasound 6 weeks postoperatively.

Results:
One hundred and twelve patients, 65% male and 35% female, were included in the study in 4 year period, 2015–2018. There were 51% radiocephalic and 49% brachiocephalic fistulas constructed by JS. Patency rate for JS was 66% overall, combining 64% for radiocephalic and 67% for brachiocephalic, compared to ESs 79%, performing only brachiocephalic fistulas. In the first 3 years, patency rate was 63%, 60%, and 66%, while significant improvement was accomplished in the the 4th year with patency rate of 75%. Average time for hemodialysis initiation was 88 days postoperatively.

Conclusions:
Three years and approximately 60 procedures are required for JS to produce results comparable to ES in creation of AVF.
Extra- Anatomical Bypass Applications Still as an Alternative in Progressive Aortoiliac Occlusive Disease Manegement
Authors: Borulu Ferhat , Calik Eyup Serhat , Arslan Umit , Kilic Yasin , Jalalzai Izatullah , Erkut Bilgehan , Unlu Yahya 
Published: December 2021

Aims:
Extra-anatomical bypass (EAB) is still an important alternative treatment method in patients with aortoiliac occlusive disease (AIOD).

Settings and Design:
In this study, we assessed the results of EAB procedures, over a 22-year period, based on 30-day morbidity and mortality, 1st month, 1st, 3rd, and 5th year patient survival, primary patency, and limb salvage rates.

Subjects and Methods:
A retrospective review and analyze was performed on a single-center database of consecutive 46 patients who underwent femorofemoral or axillofemoral bypass grafting procedures from 1998 to 2020. All patients were called to followed up and were performed clinical examination and color duplex ultrasound (CDUS) evaluation for determination of graft patency. The surviving patients were followed-up for 5 years.

Statistical Analysis Used:
Five-year survival, graft patency, and limb salvage rates were calculated by the Kaplan–Meier method.

Results:
The 46 subjects included 25 (54.3%) femoral and 21 (45.7%) axillary bypass applications. The mean age was 64.2 ± 12.8 years (28–82) and 36 were male (78.3%). Critical limb ischemia was the most accounted indication for EAB surgery (25/54.4%). The cumulative mortality rate was 34.8% at 5 years' period. The graft patency and limb salvage rates for femoral and axillary applications were 59.2% versus 57.4% and 86.4% versus 80% at 5 years, respectively.

Conclusions:
Femorofemoral and axillofemoral bypasses are suitable for patients with AIOD requiring revascularization for relief of symptoms or limb salvage, who are not candidates for endovascular therapy or who are at high risk for direct anatomical revascularization.
Randomised controlled study of seroma rates after mastectomy with and without quilting the skin flap to pectoralis muscle
Authors: Yilmaz S , Aykota MR , Baran TY , Sabir N , Erdem E 
Published: December 2021

ABSTRACT

Aims:
The aim of this study was to determine whether seroma formation was affected by reduction of the potential dead space with the flap fixation method and obliteration of the axillary region in patients with breast cancer who underwent either mastectomy and axillary lymph node dissection or sentinel lymph node biopsy. A total of 105 patients with breast cancer were divided into two groups according to wound closure patterns.

Patients and Methods:
The operating time, postoperative pain and complications, time to drain removal, seroma formation, amount of fluid aspirated and number of aspirations were recorded prospectively.

Results:
No significant difference was found between groups in the rates of seroma development (P = 0.7), complication rates (P = 0.6), time to drain removal (P = 0.5), length of hospital stay (P = 0.3) or numbers of aspiration (P = 0.7). The operating time for fixation was determined to be longer than that of the classic procedure (P = 0.02).

Conclusions:
Reducing potential dead space with flap fixation and obliteration of the axillary region may be useful in decreasing the development of seroma in patients who have undergone mastectomy because of breast cancer. However, surgical technique must be careful, and appropriate patient follow-up must be conducted.
Atherogenic and cardiovascular risks of women on combined oral contraceptives
Authors: Jimoh OS , Abdul IF , Balogun OR , Biliaminu SA , Adeniran AS , Jimoh-Abdulghaffaar HO , Adesina KT , Ahmed A , Oladosu WO 
Published: December 2021

ABSTRACT

Background:
Although combined oral contraceptive (COC) is commonly used in sub-Saharan Africa, data on its cardiovascular disease risk remains scanty. The study aimed to determine serial serum lipid profiles and cardiovascular disease risks among COC-users.

Methods:
This is a prospective, comparative multicentered study conducted at four health facilities in Nigeria. Participants were new users of contraceptives; 120 each of women initiating COCs (group I) and those initiating other forms of nonhormonal contraceptives (group II) were recruited and monitored over a 6-month period. Serial lipid profile, blood pressure, and atherogenic risk for cardiovascular diseases were measured at recruitment (start) and scheduled follow-up clinic visits at 3 months and 6 months for all participants. Statistical analysis was performed with SPSS (version 21.0) and P value < 0.05 was considered significant.

Results:
In all, 225 participants (111 COC-users, 114 nonCOC-users) that completed the study were aged 18 to 49 years. There was a statistically significant increase in the diastolic blood pressure (P = 0.001), Low Density Lipoprotein- Cholesterol (P = 0.038) and higher atherogenic risk (P = 0.001) among COC-users compared to nonCOC-users. The serial total serum cholesterol, triglyceride, High Density Lipoprotein, systolic blood pressure, and body mass index were higher among COC-users but were not statistically significant compared to nonCOC-users.

Conclusion:
Alterations in lipid profile and increased short-term atherogenic risk for cardiovascular disease were reported among the COC-users in this study. Serial lipid profile and atherogenic risk assessment for cardiovascular diseases are recommended for monitoring of COC-users.
Results of the switch from intravitreal ranibizumab to intravitreal aflibercept therapy in patients with neovascular age-related macular degeneration
Authors: Ertan E , Efe N , Sabaner MC , Doğan M 
Published: December 2021

ABSTRACT

Aim:
The study aimed to evaluate the functional and anatomical results of patients treated with intravitreal ranibizumab (IVR) for neovascular age-related macular degeneration (n-AMD) but switched to intravitreal aflibercept (IVA) treatment due to insufficient response treatment.

Material and Methods:
At least six doses of n-AMD were administered IVR to 33 patients who were switched to IVA treatment due to insufficient response and were included in the study. The patients were evaluated at the beginning of the IVR treatment during the transition to IVA treatment and at 6, 12, 18, 24, 30, 36, and 42 months of IVA treatment.

Results:
After an average of 10.1 ± 5.04 IVR injections, the patients who were accepted as insufficient response were treated with IVA. The central macular thickness of the patients was evaluated at the beginning of the treatment, immediately before, and after the initiation of IVA treatment at 6, 12, 18, 24, 30, 36, 42 months. It was as follows: 325.21 ± 123.04, 351.42 ± 126.09, 284.81 ± 112.65, 296.68 ± 89.17, 282.61 ± 81.58, 292.27 ± 109, 92,269.75 ± 97.14, 267.50 ± 87.56, and 266.82 ± 88.35 μm. According to the best-corrected visual acuity (BCVA), it was initially 0.89 ± 0.65; 1.08 ± 0.53 during the transition to IVA; 0.91 ± 0.46 6 months after IVA; 12th 1.14 ± 0.59; 0.94 ± 0.55 at 18th; 1.07 ± 0.49 at 24th; 1.15 ± 0.57 at 30th; 1.06 ± 0.45 at 36th, and 1.13 ± 0.46 LogMAR (Logarithm of the Minimum Angle of Resolution) at the 42nd month.

Conclusion:
In conclusion, in n-AMD patients with inadequate response to intravitreal ranibizumab or with relapse, and therefore, switched to aflibercept treatment, the anatomical improvement and sustainment were observed, however, functional recovery could not be achieved.
Mechanic ileus due to retroperitoneal migration of total hip prosthesis; A case report
Authors: Ocak Karataş ŞF , Beyhan M , Yildiz MI , Gökçe E 
Published: December 2021

ABSTRACT
Intrapelvic migration of total hip prosthesis is a rare but severe complication of total hip arthroplasty that can cause severe outcomes for elderly patients. A 78-year-old female patient was referred to our hospital with the complaint of no gas-stool excretion for 3-4 days, abdominal distension, nausea, vomiting, and a preliminary diagnosis of ileus. Computed tomography showed the migration of the left total hip prosthesis to the pelvis, causing a hematoma around the prosthesis and mechanical ileus due to the compression of the hematoma. To our knowledge, this case report is the only reported mechanic ileus due to migration of total hip prosthesis. Although postop paralytic ileus is one of the complications of total hip arthroplasty, mechanical ileus has not been described before. This case report shows that mechanical ileus might be an unreported complication of total hip arthroplasty. It should be kept in mind that mechanical ileus complications may also occur after hip arthroplasty.
Exploring the role of management in the implementation of talent management
Authors: Ndou Mathildah Mashudu , Mofokeng Jacob Tseko , Khosa Dorcas 
Published: December 2021

The South African public sector institutions are faced with the challenges of proper implementation of talent management. The aim of this research is to explore the role of management in the implementation of talent management within the Department of Public Works, Roads and Infrastructure in the Limpopo Province. The inability by management to properly show their role in the management and implementation of talent management at all levels in the public sector has brought poor performance of duties by employees due to lack of motivation and low morale. A qualitative research approach was used. Purposive sampling was adopted using semi-structured interviews to gather data from participants. The findings revealed that challenges like career development, skills development, motivation, succession planning and remuneration packages including benefits allowances were the main limits which mainly prevented proper implementation of talent management in the Department.
Family Planning Unmet Need; Determinant Factors and Strategy Design through Health Management Approach and Fishbone Analysis in Riau Province, Indonesia
Authors: Ismainar Hetty , Mishbahuddin Mishbahuddin 
Published: December 2021

The high number of unmet needs for Family Planning (FP) in Indonesia has an effect on birth spacing and the number of parities so that there is a high risk of maternal and infant mortality. Based on data from the Family-Program Performance and Accountability Survey (PPAS) from the National Population and Family Planning Board (NPFPB) in 2019, 51% of Fertile Age Women (FAW) were not willing to use FP. This study aims to describe the determinant factors and strategies to reduce the incidence of unmet needs for FP. The method used was a quantitative descriptive study conducted in July-September 2021. The data collection technique analyzed the program performance and accountability survey report data from NPFPB in 2019 (secondary data). The result was that the determinant factors of the unmet need for FP include: age 30-49 years (60.1%), parity having 6 or more children (73.6%), reasons for fertility (32.89%), being against using (7.9%), lack of knowledge about 8 modern FP tools/methods (15.5%), reasons for FP tools/methods (34.65%). Meanwhile, the majority of information on FP was obtained through television (91.9%), direct information through midwives/nurses (77.5%). The strategy to reduce the number of unmet need for FP was through a health management approach with five stages, namely: 1. Assessment to identify the number of Fertile Age Couple (FAC) unmet need for FP, demographic characteristics, and reasons for not using contraceptive tools/methods: 2. Mapping step, case mapping per region, 3. Planning, service planning process, 4. action, service delivery based on planning, 5. Evaluation monitoring stage, monitoring process, and activity evaluation. Six management elements are used for fishbone analysis, namely: man, money, method, material, machine, and market. It requires a high commitment to all stakeholders so that the implementation of the strategy can be realized.
Neuro-Linguistic Programming & VR via the 8 Pillars of Metacognition X 8 Layers of Consciousness X 8 Intelligences
Authors: Drigas Athanasios , Mitsea Eleni 
Published: December 2021

Neuro-linguistic programming (NLP) has already achieved great popularity as a method for personal development and excellence. It is already used by successful educators, managers, trainers, salespeople, market researchers, counselors, consultants, medics, top athletes and lawyers. However, there is a lack of understanding about the secrets behind the success of neuro-linguistic training in various areas of human life. What are the pillars of its success? What is the role of metacognition? The specific aim of the present review is to explore the relationship between neuro-linguistic programming and metacognition as well as their role in building human excellence. In addition, we investigate, for the first time to our knowledge, the effectiveness of NLP in virtual reality in order to promote metacognitive development in terms of behavior change, subconscious reshaping and consciousness-raising. The results of this review showed that there is a mutually reinforcing relationship between Neuro-linguistic programming and Metacognition. Research has also shown that virtual reality provides the ideal environment for the application of subconscious training techniques like those of NLP. We conclude with a new layered model of NLP based on the principles of metacognition. This model aims to condition people to become awake, transcend their limitations, and enter a higher state of consciousness.
HOUSEHOLDER TRANSFORMATION IN THE INVERSE PROBLEM FOR A COMPLEX VIBRONIC ANALOGUE OF THE FERMI RESONANCE
Authors: Kuzmitsky V. A. 
Published: December 2021

In the inverse problem for a complex vibronic analogue of the Fermi resonance, the matrix elements of the electron-vibration interaction should be obtained from experimental data, energies Ek and intensities Ik (k = 1, 2, …, n; n ≥ 3), a “conglomerate” of lines in the spectrum. This problem in the direct-coupling model, where the Hamiltonian HDIR is specified by the energies of the “dark” states Ai and the matrix elements of their coupling with the “bright” state Bi (i = 1, 2, …, n –1), was solved by the author on the basisof algebraic methods. It is shown that the Hamiltonian HDW of the doorway-coupling model, in which the “bright” state has “interaction” with only single distinguished |DW> state, can be obtained from the Hamiltonian HDIR using the Householder triangularization method, namely, by the similarity transformation
HDW = PHDIRP, where P is the reflection matrix which is constructed from the Bi values. The expressions for main elements of the doorway model, namely, the energy of the |DW> state and the matrix element of its coupling with the "bright" state, are obtained. For pyrazine and acetylene molecules, the matrix elements of the Hamiltonian HDW are calculated using the data of the electronic-vibrational-rotational spectra.
EUSKARA ERABILTZEKO EUSKALDUNON ESKUBIDEA: EUSKAL AUTONOMIA ERKIDEGOAN, NAFARROAN ETA IPAR EUSKAL HERRIA
Authors: AGIRREAZKUENAGA ZIGORRAGA IÑAKI , PRIETO ETXANO EUNATE 
Published: December 2021

¿Cuál es la realidad de los derechos lingüísticos de quienes quieren
utilizar el euskera en la Comunidad Autónoma del País Vasco, en la Comunidad
Foral de Navarra y en el País Vasco francés? Es evidente que los efectos jurídicos del
reconocimiento como oficial o no del euskera en cada uno de los territorios de Euskal
Herria, lleva aparejado un estatus distinto de los derechos lingüísticos de que
gozan los ciudadanos en el uso del euskera y en su incorporación al ámbito educativo
obligatorio. En el presente trabajo se analiza todo ello, desde el examen de la
realidad de los datos sociolingüísticos y la normativa jurídica aplicable.
Zein tzuk dira euskaldunen hizkun tza-eskubideak, Euskal Autonomia
Erkidegoan, Nafarroan eta Ipar Euskal Herrian? Agerikoa da, Euskal Herriko
lurralde bakoi tzean, euskara ofizial tzat aitor tzearen ala ez aitor tzearen ondorio juridikoak,
biztanleen hizkun tza-eskubideen estatus ezberdina dakarrela euskararen
erabileran eta derrigorrezko hezkuntza-esparruan. Lan honetan hori guztia aztertzen
da, datu soziolinguistikoek erakusten diguten errealitatetik abiatuz eta ezargarria
den araudia ikertuz.
Which is the real situation of the linguistic rights of those who want
to use the Basque language in the Autonomous Region of the Basque Country, Navarre
and the Northern Basque Country? It¿s clear that the legal effects of recognising
¿or not recognising¿ Basque as an official language in each of the territories of
the Basque Country will have a different impact on the status of the language rights
that the citizens will be able to enjoy, both in terms of the use of the language, as
well as the consequent inclusion of Basque as a subject in the mandatory education.
This essay will analyse all these aspects, based on the study of sociolinguistic
data and the current law.
EL PROCEDIMIENTO DE ELABORACIÓN DE DISPOSICIONES GENERALES: BALANCE DE UNA DÉCADA DE LA COMISIÓN JURÍDICA ASESORA Y NUEVAS APROXIMACIONES
Authors: BEITIA RUIZ DE ARBULO IÑAKI 
Published: December 2021

Han trascurrido diez años desde la constitución, en el año 1999, de
la Comisión Jurídica Asesora. Por ello, en este artículo se analiza, primero, su doctrina
sobre el procedimiento de elaboración de las disposiciones generales que
sirvió para confi gurar los trámites que recoge la Ley que regula el citado procedimiento.
Después, se examinan con detalle las previsiones de la Ley del Procedimiento
de Elaboración de las Disposiciones de Carácter General, el contenido de
las fases pre-reguladora y reguladora. Se sigue el estudio poniendo de manifi esto
aquellos defectos observados en el cumplimiento de las previsiones legales y se
plantean las consecuentes mejoras. A continuación, se exponen las características
de la evaluación de impacto normativo que se lleva a cabo en la Unión Europea.
Finalmente, se sugieren posibles reformas en el procedimiento e incluso en la
confi guración de la Comisión Jurídica Asesora.
Hamar urte igaro dira Aholku Batzorde Juridikoa eratu zenetik,
1999tik hain zuzen ere. Horregatik, artikulu honetan, lehenengo eta behin, Batzordearen
doktrina azalduko dugu, xedapen orokorrak egiteko prozedurari dagokionez,
prozedura hori arautzeko Legeak kontuan hartu baitzuen gero. Ondoren,
sakon aztertuko ditugu xedapen orokorrak egiteko prozedurari buruzko Legeak
ezarritako izapideak, bai fase aurre-arautzaileari bai arautzaileari arreta berezia eginez.
Azterketari jarraipena emateko, agerian utziko dugu zeintzuk izan diren ohiko
akatsak lege hori betetzerakoan, eta akats horiek saihesteko egin daitezkeen hobekuntzak
planteatuko ditugu. Segidan, Europar Batasunean egiten diren arauen
inpaktuaren ebaluaketaren ezaugarriak islatuko ditugu. Bukaerarako, zenbait berrikuntza
ere iradoki ditugu, prozedurari eta Aholku Batzorde Juridikoaren barne antolaketari
begira.
Ten years have passed since the inception of the Advisory Legal
Commission in 1999. Therefore, this article analyzes fi rstly its doctrine on the procedure
for drafting general administative provisions which was used to shape the
stages incorporated by the Act on the aforementioned procedure. Next, the provisions,
the content of the pre-regulatory and regulatory stage of the Act on the
procedure for drafting general administrative provisions are studied in detail. The
study follows highlighting those fl aws observed in the fullfi lment of legal provisions
and the consistent improvements suggested. Then, the features of the analysis
over the legal impact taken in the European Union are put forward. Finally,
some possible changes to the procedure and even to the confi guration of the Advisory
Legal Commission are suggested.