bluuebunny/crossref_metadata_2025_split huggingface dataset:
Extended Endonasal Solo Endoscopic Approach for the Resection of Craniopharyngiomas
Authors: Alam Samsul , Uddin A N Wakil , Ahmed Anis , Mojumder Moshiur Rahman , Hossain Kamrunnessa , Obaida Asm Abu 
Published: December 2021

Background: Extended endonasal solo endoscopic approach for the non-pituitary lesions of the sellar and suprasellar regions are not new in the field of neurosurgery. Following endoscopic surgical approach of the pituitary adenoma, endoscopic neurosurgeon is eager to develop the skill for non-pituitary sellar & suprasellar lesions. Common sellar & suprasellar lesions are pituitary adenoma, craniopharyngioma, tuberculumselle meningioma and suprasellar germinoma.
Objective: Traditional transsphenoidal approach gives exposure to the pituitary fossa, whereas extended approach provides exposure to the optic nerve, chiasm, acom complex and basal frontal lobe ,mammillary body, mid brain and laterally to the cavernous sinuses.
Material & method: From November 2007 to March 2012, 12 cases of done by extended endonasal solo endoscopic approach among 12 cases of craniopharyngiomas. Patient’s history, clinical findings, pre-operative and post-operative visual acuity, visual field and radiological data were collected and analyzed. All patients underwent solo endoscopic extended transsphenoidal approach with or without nasoseptal flap technique for closure. Most of the patients were given lumbar drain as a treatment for CSF leak.
Result: All patients were of age group of 10 to 60 years. Male were 8 (66.67%), female were 4 (33.33%) in number. Gross total removals were done in 7 cases out of 12 (58.33%) craniopharyngiomas and subtotal removal done in 5 (41.67%) cases. Visual acuity and field of vision were improved in all cases of craniopharyngiomas. One case (8.33%) of craniopharyngioma had prolong period of unconsciousness probably from hypothalamic disturbance. CSF leak developed in 2 (16.67%) cases. Patients with craniopharyngioma were required thyroxin and cortisol for replacement. Permanent diabetes insipidus developed in 5 cases (41.67%). Three patients required permanent CSF diversion via a ventriculoperitoneal shunt after documentation of postoperative HCP. There was one case of chemical meningitis, and two cases confirmed bacterial infections. Craniopharyngioma can be successfully resected via a purely endoscopic, endonasal approach. Craniopharyngioma have a higher rate of perioperative hydrocephalus and postoperative CSF leak compared with other tumor types in the same area.
Conclusion: Extended transsphenoidal approach is an excellent alternative of skull base approach for the removal of most of the craniopharyngioma.The endoscopic endonasal route provides a good exposure, especially of the sub-chiasmatic and retro-chiasmatic areas, as well as of the stalk– infundibulum axis and the third ventricle chamber. It gives better visualization, improved postoperative visual outcome for less manipulation and low complication then craniotomy. However CSF leak and diabetes insipidus is common known complications which have to be manage promptly and appropriately.
Bangladesh Journal of Neuroscience 2013; Vol. 29 (2) : 108-114
Association of Serum Uric Acid with Parkinson Disease
Authors: Zahid Rashed Imam , Rahman Hasan Zahidur , Barman Kanuj Kumar , Eusuf Nuruddin Mohammad , Salahuddin Abu Jafor Muhammad , Ahmed Ashfaq , Salauddin Mohammad , Patwary Md Khairul Kabir , Md Kabiruzzaman - , Sarkar Provat Kumar , Alim Md Abdul , Mazumdar Sukumar , Kader Sheikh Abdul , Rana Md Masud 
Published: December 2021

Background: Several studies have identified that low serum uric acid (UA) is a possible risk factor for Parkinson Disease (PD). The aim of my study was based on evaluation of association of serum uric acid with Parkinson Disease (PD).
Objective: To evaluate the association of serum uric acid with Parkinson Disease(PD).
Methodology: It was a case control study carried out in the Department of Neurology of Bangabandhu Sheikh Mujib Medical University. A total 50 patients of PD aged 45 years or above were taken as cases; and age and sex matched 50 healthy subjects or patients other than PD were taken as control. Serum UA levels were measured in both groups. Besides, any association was searched between serum UA with age, sex, duration and stage of PD, BMI and dietary habit.
Results: The mean serum uric acid level in case group was 4.25±1.00 mg/dl and that of control group was 4.73±1.29 mg/dl. The mean serum uric acid in case group was statistically significant (p=0.038 which was <0.05) lower than that of control group. Serum UA levels gradually diminished as Hoehn & Yahr stage of PD increased. Also, disease duration of PD was found inversely related with serum UA. Male subjects in both case and control group had higher serum UA level than their female counter-part, but they had statistically significant higher UA in control group. In this study no correlation was found between age and BMI with serum UA in both case and control. Any association between serum UA and dietary habit was not found in this study because maximum subjects of this study used to take average protein diet.
Conclusion: The aim of the study was to explore the association between serum uric acid with Parkinson Disease. The present study found statistically significant association between low serum uric acid with Parkinson Disease.
Bangladesh Journal of Neuroscience 2013; Vol. 29 (2) : 115-123
Effectiveness of use of local hemostatic agents for external bleeding by visiting ambulance teams
Authors: Plavunov N. F. , Kadyshev V. A. , Goncharova N. A. , Bataev T. A. , Afanasov I. M. 
Published: December 2021

The alternative use of local hemostatic agents based on chitosan is the gentlest method of stopping bleeding, with minimal damaging effect on tissues, in comparison with the imposition of a hemostatic tourniquet or a pressure bandage.Goal. To evaluate the effectiveness of temporary stopping of external bleeding with the help of local hemostatic agents based on chitosan in powder and bandage forms and to determine the expediency of their use by visiting ambulance teams.Materials and methods. Specialists of the field teams of Ambulance and Medical Emergency Care Station n. a. A. S. Puchkov (Moscow, Russia) used local hemostatic agents based on chitosan in the form of a powder, a bandage in comparison with traditional hemostatic agents (a hemostatic tourniquet to stop arterial bleeding and a pressure bandage). The criteria for hemostasis were the absence of wetting of the pressure bandage and the absence of the need for a hemostatic tourniquet.Results. 103 patients were included in the main group, and 106 patients with arterial and venous bleeding from wounds of various localization were included in the control group. The age of patients in the compared groups ranged from 18 to 94 years. When using hemostatic powder and bandage, primary hemostasis was achieved in 99 patients in 96.1 % of cases, compared with the control group in 76 patients in 67.9 % of cases.Conclusions. Simplicity and ease of use, the speed of stopping bleeding and achieving results, as well as the absence of the need for special skills among specialists in the use of hemostatic agents, improved the quality of emergency medical care for patients with bleeding and allowed them to be recommended as a dressing for emergency medical care.
Anesthetic management of emergency and planned endovideoscopic gynecological operations in the context of the COVID-19 novel coronavirus infection pandemic (review of the problem)
Authors: Neimark M. I. , Khaustova S. A. , Titova Z. A. , Epp D. P. 
Published: December 2021

Purpose of the study. Extract original operational data containing information on the effect of non-steroidal anti-inflammatory drugs (NSAIDs) and the inclusion in the outcomes of the new coronavirus infection SARS-CoV‑19, descriptive analyzes and meta-analyzes, as in emergency and planned in gynecology, NSAIDs are used for the purpose of pain relief.Materials and methods. A systematic literature search was carried out to identify suitable studies in the electronic databases MEDLLINE, the Cochrane Central Register of Controlled Trials, the Chinese Biomedical Literature Database (CBM), domestic publications of the Russian information and analytical portal eLibrary.ru. The time horizon of publications on the problems of pain relief in women during endovideoscopic operations was 20 years. The search for publications in all languages on the use of NSAIDs in the conditions of SARS-CoV‑19 in all patient populations, regardless of gender, age, severity of the condition, was carried out for 2019–2021. The last search query is of 12/20/2021.Results and conclusions. The solution to a number of problems of anesthesia can be the refusal to use narcotic analgesics for endovideoscopic operations for female infertility. There is no clear clinical indication of the effect of NSAIDs on the risk of infection or an increase in the severity of SARS-CoV‑19 disease.
MAKNA UKIRAN BOLA-BOLA PETI MATI PADA MASYARAKAT TORAJA DI DESA TO’BANGA KABUPATEN TORAJA
Authors: Sirindeng Mariana Ruru , Keke Ahmat 
Published: December 2021

Tujuan dari penelitian ini adalah untuk mengetahui makna dari ukiran bola-bola peti mati pada masyarakat Toraja di Desa To’banga Kabupaten Toraja Utara. Penelitian ini menggunakan Teori Interpretatif Simbolik (Cliford Geertz). Metode pengumpulan data dalam penelitian ini dilakukan dengan menggunakan metode penelitian lapangan. Dengan menggunakan teknik pengumpulan data yaitu : Pengamatan (observation) dan wawancara (interview). Untuk menjawab permasalahan dilakukan analisis data, teknik analisis data yang digunakan dalam penelitian ini adalah deskriptif kulaitatif. Analisis data dilakukan sejak pengumpulan data sampai akhir penelitian. Hasil penelitian menunjukkan bahwa masyarakat Desa To’banga masih menggunakan bola-bola dalam proses upacara rambu solo’. Bola-bola dalam upacara rambu solo’ adalah salah satu hal yang penting karena penggunaan bola-bola memperlihatkan strata sosial yang ada pada masyarakat Toraja di Desa To’banga Kabupaten Toraja Utara.
MENGEJAR RUPIAH: HILIR MUDIK ORANG MUNA DARI DESA KE KOTA
Authors: Nurhayani Nurhayani 
Published: December 2021

Penelitian ini bertujuan untuk mengidentifikasi dan mendeskripsikan mobilitas Orang Muna dalam meningkatkan perekonomian di Desa Kampobalano Kecamatan Sawerigadi Kabupaten Muna Barat. Teori yang digunakan adalah teori push and pull dari Everett S Lee. Metode penelitian yang digunakan adalah metode etnografi berupa uraian mendalam, dan pengumpulan data dilakukan dengan menggunakan pengamatan terlibat (observasi partisipan) dan wawancara mendalam (in-depth interview).
Hasil penelitian menunjukkan bahwa mobilitas masyarakat Munar di Desa Campobalano dapat dibedakan menjadi dua kategori: (1) Mobilitas ulang-alik (pomainsuli segholeo) artinya penduduk berpindah kembali ke daerah semula dalam batas waktu tertentu. Pindah dari daerah asal ke daerah tujuan dalam batas waktu tertentu; (2) Mobilitas menetap (pomainsuli nelate), yaitu meninggalkan tempat asal di daerah tujuan selama beberapa hari kemudian kembali ke tempat asal. Batas waktu perjalanan masyarakat Muuna di Desa Kampobalano lebih dari satu hari hingga dua bulan. Keputusan Orang Muna Muna Desa Kampobalano untuk melakukan mobilitas disebabkan oleh dua faktor, yaitu (1) Faktor pendorong daerah asal, (a) Lingkungan alam yang tidak mendukung; (b) Tidak memiliki modal yang besar dalam membuka usaha; (c) Perbaikan sarana transportasi; (d) Faktor ekonomi; (2) Faktor penarik di daerah tujuan; (a) Lapangan kerja terbuka di daerah tujuan, (b) Upah tinggi di daerah tujuan, (c) Barang dagangan di daerah asal dan daerah tujuan lebih murah , (d) Fasilitas hiburan tersedia, dan (3) Keuntungan dalam melakukan mobilitas
AMMATOA
Authors: Widijayanti Lisa , Danial Danial 
Published: December 2021

Penelitian ini bertujuan untuk mengetahui bentuk otonomi dan kekuasaan serta untuk mengetahui bagaimana kepemimpinan Ammatoa pada orang Kajang. Teori praktik oleh Pierre Bourdieu, yang melihat dari empat modal yaitu modal ekonomi, modal budaya, modal sosial, dan modal simbolik. Penulis menggunakan etnografi dengan menggunakan teknologi pengumpulan data yaitu : pengamatan atau observasi, dan wawancara. Analisis data yang diperoleh dilakukan secara deskriptif kualitatif.Hasil penelitian menyatakan bahwa Orang Kajang memiliki sistem pemerintahan sendiri yaitu seperti halnya beberapa pemangku adat yang memiliki fungsi dan peran masing-masing dalam membantu Ammatoa untuk mengurus masyarakatnya. Pelaksanaan peraturan dalam lingkungan hidup orang Kajang berdasarkan peraturan adat dan juga ketentuan dari Pasang yang menjadi pedoman hidup. Ammatoa Sebagai pemimpin adat memiliki tugas untuk mengayomi masyarakatnya, menunjukkan perilaku yang baik dan dapat dijadikan sebagai pedoman sebagai seorang pemimpin sesuai dengan ketentuan Pasang. Ammatoa juga sebagai penegak hukum dan berhak memberikan sanksi kepada orang yang melanggar peraturan sesuai dengan pelanggaran yang dilakukan. Ammatoa memiliki fungsi berdasarkan dengan Pasang. Yaitu : (1) Ammatoa sebagai kepala adat memiliki peranan penting dalam struktur pemerintahan adat. (2) Ammatoa sebagai pemimpin adat dalam melestarikan Pasang, sebab Pasang sebagai pedoman hidup untuk masyarakat adat Ammatoa dalam menjalankan kesehariannya.(3) Ammatoa sebagai kepala adat dalam melestarikan lingkungan alamnya. (4) Ammatoa sebagai kepala adat memiliki peran dalam menyelesaikan pelanggaran-pelanggaran yang tejadi.
KELOR (BHANGGAI) PADA ORANG MUNA DI DESA MASALILI KECAMATAN KONTUNAGA KABUBUPATEN MUNA
Authors: Haliza Nur , Suyuti Nasruddin 
Published: December 2021

Penelitian ini bertujuan untuk mengetahui dan mendeskripsikan alasan orang Muna di Desa Masalili tidak mengembangkan kelor sebagai ketahanan ekonomi keluarga dan untuk mengetahui upaya pemerintah setempat dalam mengembangkan tanaman kelor sebagai ketahanan ekonomi keluarga. Penelitian ini dilakukan pada bulan Desember-Februari 2020. Penelitian ini menggunakan teori Ekonomi Subtantif dari Scott Cook, Teknik pengumpulan data yang digunakan dalam penelitian ini adalah teknik penelitian lapangan dengan dua metode yakni pengamatan (observation) dan wawancara mendalam (indeepth interview). Penelitian ini adalah penelitian kualitatif dan menggunakan metode penelitian etnografi.Hasi penelitian ini menunjukan bahwa masyarakat Desa Masalili belum mengetahui manfaat dan nilai ekonomis dari tanaman kelor dan juga mayoritas masyarakat setempat berprofesi sebagai pengrajin tenun, sementara Pemerintah Desa Masalili Kecamatan Kontunaga masih berupa perencanaan untuk mengembangkan dan membudidayakan tanaman kelor agar menjadi sumber pendapatan ekonomi masyarakt. Penyuluhan dan pemberdayaan masyarakat di Desa Masalili perlu dilakukan sebagai upaya pemerintah untuk mengembangkan tanaman kelor sebagai ketahanan ekonomi keluarga.
Anticholinergic Burden and Cognitive Performance in Patients With Schizophrenia: A Systematic Literature Review
Authors: Georgiou Rafaella , Lamnisos Demetris , Giannakou Konstantinos 
Published: December 2021

Objective: Cognitive impairment in schizophrenia forms the key cause of the disease's disability, leading to serious functional, and socioeconomic implications. Dopaminergic-cholinergic balance is considered essential to cognitive performance in schizophrenia and patients are often treated with many drugs with anticholinergic properties. This study aims to examine the cognitive impact of anticholinergic burden in patients with schizophrenia.Methods: A systematic literature review was performed on English-language studies published on PubMed, Embase, and Web of Science, from inception to June 2021, to identify research studies that examined the effect of anticholinergic load on cognition in clinically stable patients with schizophrenia. No restrictions on study design, age of participants, or geographical distribution were applied. Two researchers performed independently the screening and shortlisting of the eligible articles. A narrative synthesis of the main characteristics and findings of studies included was reported.Results: In total, 17 articles of varying methodological design met the inclusion criteria. Three of them found statistically significant improvement in cognition after anticholinergic tapering without adverse effects. Thirteen studies found a statistically significant association between high anticholinergic burden and cognitive impairment (neurocognitive composite scores and individual cognitive domains such as learning and memory, executive function, processing speed), apart from a study, related to the specific characteristics of clozapine.Conclusions: Medication with increased anticholinergic load has been found in most of the studies to negatively affect neurocognitive performance of patients with schizophrenia. However, the clinical and methodological heterogeneity of studies included limit our interpretation and conclusions.
Anomalía de Ebstein, presentación de un caso
Authors: Intriago Cedeño Carlos Fabricio , Murillo Mera Andrea Monserrate , Alcívar García Melania Del Consuelo , Mendoza Guillem Egny María 
Published: December 2021

La anomalía de Ebstein es una cardiopatía congénita de frecuencia inusual, por lo que la presentación de este caso es de interés médico investigativo. Esta patología consiste en una implantación baja de la válvula tricúspide. Se describe el caso de recién nacido de 27 horas de vida, que debutó clínicamente con cianosis generalizada, soplo holosistólico más frémito y acidosis metabólica descompensada. Se confirmó el diagnóstico mediante ecocardiograma, se derivó al tercer nivel de atención y a pesar del esfuerzo de mantener hemodinámicamente estable al paciente, fallece a las 72 horas de vida. Se concluye destacando la importancia del control prenatal a nivel ecográfico y postnatal mediante la identificación de hallazgos clínicos exhaustivos, con especial atención en la oximetría de pulso, herramienta útil, sencilla y económica de gran importancia para detección precoz de malformaciones congénitas cardiovasculares, que requieran tratamiento especializado en un nivel de atención acorde a las expresiones clínicas de la enfermedad, para incrementar la supervivencia del neonato, mejorar la calidad de atención y disminuir los índices de mortalidad.
Palabras clave: Ebstein, cardiopatías congénitas, tricúspide.
ABSTRACT:
Ebstein’s anomaly is a congenital heart disease of unusual frequency, so the presentation of this case is of investigative medical interest. This pathology consists of a low implantation of the tricuspid valve. We describe the case of a newborn of 27 hours lifetime that debuted clinically with general- ized cyanosis, holosystolic murmur more frightened and decompensated metabolic acidosis, the diagnosis is confirmed by echocardiogram, it is derived to the third level of care and despite the effort to maintain the patient hemodynamically stable, he died in 72 hours’ time. We conclude by highlighting the importance of prenatal control at the ultrasound and postnatal level by identifying comprehensive clinical findings with special attention to pulse oximetry, a useful, simple and eco- nomical tool of great importance for the early detection of congenital cardiovascular malformations requiring specialized treatment in a level of attention according to the clinical expressions of the disease, to increase the survival of the neonate, to improve the quality of attention and to decrease the mortality rates.
Key Words: Ebstein, congenital heart disease, tricuspid.
Los Cuidados Paliativos, una revisión documental
Authors: Rodríguez León Amarelys , Garcés González Roberto , Paz Enrique Luis Ernesto 
Published: December 2021

Los cuidados paliativos u hospice son un modelo de cuidados de salud que mejora la calidad de vida del paciente con enfermedades crónicas, debilitantes. Existe escasa literatura publicada que sistematice las características y evolución de los cuidados hospice. Se planteó como objetivo del estudio, examinar el surgimiento y desarrollo de los cuidados paliativos a partir de una revisión documental de la literatura científica publicada. Se realizó un estudio documental con el propósito de describir el desarrollo evolutivo de los Cuidados Paliativos desde su surgimiento y las tendencias que han caracterizado su desarrollo. Se recopiló gran cantidad de información acerca los orígenes de los cuidados hospice en distintos contextos tanto de salud como en el la comunidad y hogar. Se realizó un estudio de varias fuentes de información histórica. Como resultado se obtuvieron datos de gran relevancia sobre cómo se introdujeron y evolucionaron los cuidados paliativos en la atención al paciente críticamente enfermo. Igualmente, se describieron los principios sobre los que se sustentan los cuidados paliativos y las funciones del equipo de salud interdisciplinario.
Palabras clave: Cuidados paliativos, enfermedades crónicas, equipo interdisciplinario, cuidados hospice, calidad de vida.
Abstract
Palliative care or hospice is a model of health care that improves the quality of life of the patient with chronic, debilitating diseases. There is scarce published literature that systematizes the characteristics and evolution of hospice care. The objective of the study was to examine the emergence and development of palliative care based on a documentary review of published scientific literature. A documentary study was carried out with the aim of describing the evolutionary development of palliative care since its emergence and the trends that have characterized its development. A great deal of information was gathered about the origins of hospice care in different health contexts, as well as in the community and at home. A study of several sources of historical information was carried out. As a result, very relevant data were obtained on how palliative care was introduced and developed in the care of the critically ill patient. The principles on which palliative care and the functions of the interdisciplinary health team are supported were also described.
Key words: Palliative care, chronic diseases, interdisciplinary team, hospice care, quality of life.