bluuebunny/crossref_metadata_2025_split huggingface dataset:
Toxic Myocardial Injury in a Patient With Coronary Atherosclerosis, Caused by Acute Poisoning With Gaseous Chlorine
Authors: Alidzhanova K. G. , Moiseyeva A. Yu. , Pashayeva A. M. , Potskhveriya M. M. , Gazaryan G. A. , Kambarov S. Yu. 
Published: April 2021

Acute chlorine gas poisoning leads to activation of the sympathetic nervous system and, as a consequence, dysfunction of the cardiovascular system (CVS). We report a clinical case of toxic myocardial injury with gaseous chlorine. In a man with coronary artery disease and polypathy, toxic myocardial injury mimicked acute coronary syndrome (ACS) and was accompanied by a large area of left ventricular microvascular dysfunction, which did not coincide with the areas of blood supply of altered coronary arteries; the dynamics of electrocardiographic changes resembled myocardial stunning in Takotsubo syndrome (TS). The effect of chlorine on CVS, features of clinical and instrumental diagnostics and differentiation of primary / secondary CT and ACS are discussed.
Surgical Aspects of the Treatment of Patients With Generalized Peritonitis
Authors: Sigua B. V. , Zemlyanoy V. P. , Petrov S. V. , Ignatenko V. A. , Kotkov P. A. 
Published: April 2021

BACKGROUND Much attention is currently given to the issues of surgical treatment of common forms of secondary peritonitis, which is associated with unsuccessful results of treatment of this group of patients and the lack of a unified approach to surgical tactics among patients requiring repeated surgical interventions for adequate sanitation of the abdominal cavity.AIM OF STUDY Improvement of the immediate results of treatment of patients with generalized secondary peritonitis by determining the approaches to choosing the optimal surgical tactics.MATERIAl AND METHODS We analyzed the results of treatment of 220 patients with common forms of secondary peritonitis who were treated at the Elizavetinskaya hospital of St. Petersburg in the period from 2013 to 2019. The indicated patients were divided into two groups, comparable in terms of the main features, including the depth pathomorphological changes in the abdominal cavity, assessed by calculating abdominal cavity index (ACI) and the Mannheim peritonitis Index (MPI). The main group consisted of 109 patients, where developed algorithm was used, which supposed planned sanitation relaparotomies within up to 2 days in patients with high values of ACI and MPI. The comparison group included 111 patients who underwent sanitation interventions “on demand”, that is, in the presence of signs of persistence of the infectious process in the abdominal cavity. The results of treatment were compared by assessing the level and structure of postoperative mortality, the frequency of complications, and the length of stay in intensive care units and hospital. Mathematical-statistical dataprocessing, calculations of intensive and extensive coefficients of features, assessment of the statistical significance of differences in features for the studied groups were carried out.RESUlTS The use of a differentiated approach to performing planned relaparotomy in patients with generalized peritonitis made it possible to reduce the overall mortality 1.7-fold (from 51.3 to 30.2%) (p=0.001) due to a decrease in the proportion of abdominal sepsis as a cause of unfavorable the outcome. No significant effect of the use of this algorithm on the frequency and structure of complications, as well as the duration of multiple organ failure, was found.FINDINGS The use of planned relaparotomy among the selected patients helps to reduce postoperative mortality without significantly negatively affecting other treatment results.
Stereotactic Radiosurgery in the Complex Treatment of Patients With Epilepsy Associated With Various Structural Brain Lesions
Authors: Krylov V. V. , Rak V. A. , Tokarev A. S. , Sinkin M. V. , Trifonov I. S. , Yevdokimova O. L. , Stepanov V. N. , Rozhnova E. N. , Koinash G. V. 
Published: April 2021

BACKGROUND Structural damage to the brain substance in adults is one of the most common causes of epilepsy. Currently, such patients are prescribed drug therapy and/or surgery. With this approach, epileptic symptoms can persist in a significant proportion of patients (up to 30%, depending on the disease).AIM OF STUDY To clarify the efficacy of stereotactic radiosurgery (STS) as part of the complex treatment of patients suffering from pharmacoresistant symptomatic epilepsy with hippocampal sclerosis, vascular malformations, and some benign tumors of the brain and its membranes.MATERIAl AND METHODS Examination and radiosurgical treatment were carried out in 45 patients with various brain diseases accompanied by symptomatic epilepsy, provided that the previous conservative or surgical treatment was insufficiently effective. During the observation period, the frequency of seizures was assessed and the presence and nature of postoperative complications were recorded.RESUlTS With a median follow-up of 30 months, good outcomes (class I–II according to J. Engel’s scale) were observed in 5 out of 8 patients with hippocampal sclerosis who underwent STS after amygdaloghippocamplobectomy; seizure frequency decreased in all patients. Complications of STS were noted in 2 patients and had a transient nature. In the group of patients with meningiomas, in 4 out of 8 patients, seizures completely stopped, in 3 patients the frequency of seizures decreased by more than 90%, in another 1 the frequency of seizures decreased by 60%. There were no complications of STS during the observation period. Inintracerebral tumors (diffuse astrocytoma), Engel Ia outcome was observed in both patients. In the group of patients with cavernous angiomas, there were good outcomes (class I–II according to J. Engel’s scale) in 17 patients (85%). Deterioration (Engel IVc outcome) was observed in 1 patient (5%), 2 patients (10%) had complications of STS. In the group of patients with arteriovenous malformations, good outcomes (classes I–II according to J. Engel’s scale) were found in all 7 patients. The complication after STS was revealed in 1 patient.CONClUSION The presented results confirm the high efficiency and low risk of side effects when using stereotactic radiosurgery in the complex treatment of patients with epilepsy associated with common structural brain lesions.
Clasificación de riesgo para enfermedad tromboembólica venosa y tromboprofilaxis durante el puerperio, Tunja 2017
Authors: Camacho-Torres Deiby Marcela , Arenas Yury Marcela 
Published: April 2021

Introducción. La mortalidad materna se define como la muerte durante el embarazo o el puerperio, por causas relacionadas con la gestación. Las principales causas de mortalidad materna han variado en países desarrollados, donde la enfermedad tromboembólica venosa se encuentra en ascenso. Objetivo. Evaluar el nivel de riesgo para enfermedad tromboembólica venosa en el puerperio, en pacientes atendidas en la clínica Esimed de Tunja, año 2017. Método. Estudio observacional con diseño transversal analítico en una población de 1538 gestantes, con una muestra de 304 pacientes seleccionadas mediante muestreo aleatorio simple, a partir de la base de datos reportada por el sistema de información de la institución prestadora de salud. Se tuvieron en cuenta variables sociodemográficas, así como vía del parto, presencia de clasificación de riesgo para enfermedad tromboembólica venosa en la historia clínica y empleo de tromboprofilaxis. Resultados. Se encontró mayor probabilidad de tener parto por cesárea en pacientes mayores de 35 años, con respecto al grupo de comparación. Un 75,9% de la población no presentó clasificación de riesgo para enfermedad tromboembólica venosa, por tanto, solo el 10,1% presentó indicación de tromboprofilaxis en pacientes que la requerían. Conclusiones. Es necesario realizar una adecuada clasificación de riesgo a todas las pacientes que están siendo atendidas en la institución; así como la relevancia de controlar los factores de riesgo que mayor implicación demostrada tienen para el desarrollo de enfermedad tromboembólica venosa, como es el caso de la cesárea.
Sarcoma cardíaco metastático a miembros inferiores
Authors: Picón-Jaimes Yelson Alejandro , Orozco-Chinome Javier E , Ortega-Uribe Leec Fabían David 
Published: April 2021

Introducción. Las neoplasias de corazón son patologías infrecuentes con tasas de incidencias en reportes de autopsias menores al 0.02 %. El 75 % de esos tumores son de comportamiento benigno y solo el 25 % restante se considera cáncer. Aunque se presentan en ambos sexos, la relación hombres mujeres es de 2.5:1 respectivamente. Presentación del caso. Reportamos el caso de un paciente de 41 años a quien se diagnosticó con un sarcoma primario de corazón, en atrio izquierdo, con inmunohistoquímica compatible con sarcoma indiferenciado con metástasis a miembros inferiores, que debutó con deterioro de la clase funcional y pérdida de peso involuntaria, lo cual lo llevó a consultar al médico. Discusión. Los sarcomas indiferenciados constituyen una patología poco frecuente en la literatura médica, encontrando solo unos pocos reportes de casos que comparten datos relacionados con el sitio de localización de la lesión y los síntomas clínicos de los pacientes. Sin embargo, aquí se pone de manifiesto un extraño caso de metástasis a miembros inferiores, el cual fue considerado luego de descartar la presencia de un foramen oval permeable o lesiones pulmonares que hicieran pensar en una secuencia de migración tumoral diferente. Conclusiones. Se trata de una patología compleja con pobre pronóstico a largo plazo, la cual requiere mayor investigación y tratamiento multifactorial con equipos multidisciplinarios para mejorar la calidad de vida de los pacientes.
El reflejo de la lectura de Monterroso en El Hombre Duplicado
Authors: López Ruano Raquel , Jiménez Pérez Elena 
Published: April 2021

En la novela El hombre duplicado, Saramago intertextualiza el brevísimo relato de El dinosaurio de Augusto Monterroso y hace una peculiar interpretación del mismo. La genialidad de Saramago consiste en desplegar una doble complicidad, hacia Monterroso y hacia el lector. El hombre duplicado admite varios niveles de lectura y puede llegar a distintos tipos de lectores porque en esta obra se entrecruzan continuamente lo culto y lo popular del pensamiento y del lenguaje.
Redes sociales de lectura: del libro de caras a la LIJ 2.0
Authors: Rovira Collado José 
Published: April 2021

Entre las múltiples posibilidades que nos ofrecen los distintos servicios de redes sociales y microblogging, algunos objetivos fundamentales para su uso didáctico pueden ser el fomento de la lectura y el desarrollo de la competencia lectoliteraria. Contrariamente a lo que muchas voces plantean, que las ven como una distracción frente a la lectura tradicional, las redes sociales son un espacio de conversación y lectura donde, con dinámicas adecuadas, se puede trabajar la comprensión lectora desde muy distintas perspectivas, siendo un espacio central de lo que se ha definido como LIJ 2.0 (Literatura y Lectura Infantil y Juvenil en la Web Social).
La importancia de la lectura y de las nuevas tecnologías en el aprendizaje del español para inmigrantes
Authors: Ortega Segrera Francisco José 
Published: April 2021

El presente estudio científico tiene como objetivo considerar el aprendizaje de la lectura en el aula de español para extranjeros y la importancia de las nuevas tecnologías en el fomento del hábito lector de los aprendices. En un primer apartado se reconoce la necesidad del aprendizaje del español como lengua extranjera debido al incremento de la población no nativa en en país y en la UE. Más adelante se detallarán las principales características del reconocimiento delas palabras en los primeros pasos lectores del aprendiz, valorando los distintos métodos y temáticas de lectura en el aula de español para extranjeros. Para finalizar se expone la necesidad de recurrir a las nuevas tecnologías que refuerzan la consecución de los objetivos para la mejora de la comprensión y expresiónoral y escrita en el aprendizaje del español como segunda lengua.
The Impact of Garrick Braide's Revival on the Growth of Methodism in Eastern Nigeria between 1910 and 1932
Authors: Ekebuisi Chinonyerem Chijioke 
Published: April 2021

Abstract
The missionaries of the Primitive Methodist Mission pioneered into Igboland in 1910 and encountered opposition and difficulties. Efforts to become established were hindered by several factors. However, starting from 1914, a religious awakening led by Garrick Braide, an African convert of Niger Delta Pastorate Church (i.e. Anglican Church in the Niger Delta), spread throughout Igboland causing widespread religious revival. Using original source material, this article examines how the Primitive Methodist Mission benefitted greatly from this religious awakening, and subsequently witnessed phenomenal growth and consolidation in Igboland.
FAKTOR RISIKO CARPAL TUNNEL SYNDROME PADA SISWA SEKOLAH MENENGAH ATAS PEMAIN GAME ONLINE DI KOTA DENPASAR
Authors: Pramandani Ni Luh Made Susanthi , Wirawan I Made Ady 
Published: April 2021

ABSTRAK
Carpal Tunnel Syndrome (CTS) merupakan salah satu gangguan pada lengan tangan akibat penyempitan terowongan karpal sehingga terjadi penekanan terhadap nervus medianus. Gerakan tangan saat menggunakan keyboard dan mouse dalam bermain game online memiliki tingkat repetisi tinggi pada jari tangan sehingga dapat berpengaruh terhadap kejadian CTS. Penelitian ini bertujuan untuk mengetahui proporsi dan faktor risiko CTS pada siswa SMA pemain game online di Kota Denpasar. Penelitian kuantitatif analitik dengan rancangan cross-sectional study. Responden berjumlah 70 siswa dengan teknik pengambilan sampel purposive sampling. Hasil menunjukan proporsi CTS responden sebesar 31,43% dengan kategori ringan. Seluruh variabel karakteristik individu yang mencakup usia (p=0,25) dan jenis kelamin (p=0,50) tidak memiliki hubungan yang bermakna dengan kejadian CTS, sedangkan variabel pola bermain, perangkat bermain, dan repetitive motion (p=0,00) terbukti memiliki hubungan bermakna dengan kejadian CTS. Pola bermain merupakan faktor risiko yang paling berpengaruh terhadap kejadian CTS pada siswa pemain game online dengan OR= 23,74. Oleh karena itu diperlukan adanya dukungan pemerintah berupa program preventif - rehabilitatif bagi pecandu game untuk mengedukasi siswa dan orangtua terkait dampak game online.

Kata Kunci: Carpal Tunnel Syndrome, Siswa, Game Online
PEMETAAN CAKUPAN IMUNISASI MR DAN KASUS CAMPAK RUBELLA DI PROVINSI BALI TAHUN 2019
Authors: Handayani Ni Made Suweni , Kardiwinata Made Pasek 
Published: April 2021

ABSTRAK
Informasi mengenai cakupan imunisasi MR dan kasus campak rubella di Dinas Kesehatan pada umumnya disajikan dalam bentuk tabel dan grafik sehingga belum dapat digunakan untuk melihat detail informasi mengenai kedua hal tersebut secara geografis. Penelitian ini bertujuan untuk menggambarkan distribusi kejadian campak rubella dan cakupan imunisasi MR dalam bentuk kewilayahan di Provinsi Bali. Jenis penelitian yang digunakan adalah deskriptif. Analisis yang digunakan yaitu deskriptif dengan menyajikan peta. Hasil penelitian menunjukkan bahwa cakupan kampanye imunisasi MR di setiap desa di Provinsi Bali belum merata dan masih terdapat desa yang belum mencapai target 95%. Masih ditemukan beberapa kasus pasca kampanye imunisasi MR di Provinsi Bali. Sebaran kasus suspek campak ditemukan paling banyak di daerah perkotaan dan padat penduduk seperti Kabupaten Badung, Klungkung, dan Kota Denpasar. Sedangkan kasus positif rubella ditemukan di daerah pedesaan terkait dengan status imunisasi yang belum lengkap. Dinas Kesehatan dapat memanfaatkan peta digital dalam pengambilan keputusan untuk mengendalikan campak dan rubella serta meningkatkan cakupan imunisasi MR dengan mempertimbangkan aspek kewilayahan, melakukan monitoring dan evaluasi terhadap suatu program pengendalian campak dan rubella yang telah dilaksanakan setiap tahunnya.
Kata Kunci: Pemetaan, Campak Rubella, Imunisasi
The Inability of the Victorian Gentleman to Reconcile Hedonism and Guilt in The Picture of Dorian Gray
Authors: Wallace Tamarra 
Published: April 2021

The conflict between the rules of society and the rights of the individual can lead to a chaotic moral state. In Michael Brander’s The Victorian Gentleman, Brander details how Victorian gentlemen are permitted freedom as long as they adhere to social norms in public. In Joris-Karl’s Huysmans’ À Rebours, Huysmans details how a member of the Decadent movement, Des Esseintes, prioritizes the fulfilment of his own desires over societal expectations. In Oscar Wilde’s The Picture of Dorian Gray, Wilde demonstrates how the tension between the Victorian pressure to conform and the Decadent philosophy to seek pleasure leads to Dorian Gray’s downfall. In his condemnation of the Victorians for their equation of appearancewith morality, and the Decadents for their preference of sensation over morality in The Picture of Dorian Gray, Wilde endeavours to show the consequences of the suppression of guilt.In The Picture of Dorian Gray, the tension between the Victorian notion of the appearance of morality and the Decadent tendency to subvert the significance of art to moralityculminates in Dorian Gray’s inability to accept that he possesses guilt. As his participation in the Decadent lifestyle leads to his indulgence and vice, and he cannot distinguish between his looksand his conscience, he experiences the loss of the primary component of morality: the soul.
11. Substituting Biofuel for Coal: Determining the Optimal Perennial Grass Species and Nitrogen Fertilization Level for Bioenergy Production in Eastern Ontario
Authors: Mendelson Andrew 
Published: April 2021

Renewable energy production has become an increasingly important issue in recent years due to climate change and energy security issues, and bioenergy crops may be able to supply a large amount of the world’s energy needs. Bioenergy is a carbon-neutral energy source, and perennial grasses are an ideal bioenergy crop due to their high growth rates and ability to grow under a range of conditions. To enhance grass productivity, nitrogen fertilization is often applied to this crop, but this can lead to increased Lafarge Cement in Bath, Ontario, three perennial grass species (Panicum virgatum, Schizachyrium scoparium and Andropogon gerardii) are being grown in conjuction with three fertilization treatments (0, 50 and 150 lbs. per acre of nitrogen as urea) to explore the tradeoffs associated with using nitrogen fertilizer in these bioenergy systems. Soil N2O emissions were measured weekly during the growing season following fertilizer application in May 2013. At the same time, various soil properties known to influence N2O emissions (e.g. pH, soil nitrate, soil temperature, soil moisture) were measured. Crop productivity was measured at the end of the growing season to determine the species and fertilization level at which GHG emission benefits are maximized. The results of this study will demonstrate the viability of perennial grasses as a bioenergy crop for industrial purposes in Eastern Ontario by identifying the maximum GHG benefits that this bioenergy system can achieve in this region.
Maryla Hopfinger, Zygmunt Ziątek, Tomasz Żukowski (red.). 2017. Debaty po roku 1989. Literatura w procesie komunikacji – w strone nowej syntezy (2), Warszawa: Instytut Badań Literackich PAN, ss. 507
Authors: Chrobaczyńska-Plucińska Edyta 
Published: April 2021

Book review:
Maryla Hopfinger, Zygmunt Ziątek, Tomasz Żukowski (red.). 2017. Debaty po roku 1989. Literatura w procesie komunikacji – w strone nowej syntezy (2), Warszawa: Instytut Badań Literackich PAN, ss. 507
David Graeber. 2016. Utopia regulaminów. O technologii, tepocie i ukrytych rozkoszach biurokracji, Warszawa: Wydawnictwo Krytyki Politycznej, ss. 288
Authors: Tomal Dawid 
Published: April 2021

Book review:
David Graeber. 2016. Utopia regulaminów. O technologii, tepocie i ukrytych rozkoszach biurokracji, Warszawa: Wydawnictwo Krytyki Politycznej, ss. 288
Agroindustry Business Analysis of Ilham Creativepreneur Nature Kerinci (ICN Kerinci) Coffee Perfume in Kemantan Village, Kerinci Regency, Jambi Province, Indonesia
Authors: Zakir Zelfi , Wahyuni Sri , Tanjung Faidil 
Published: April 2021

This study aims to analyze the ICN Kerinci Coffee Perfume agroindustry. Data collected from June 2019 to August 2019 were analyzed using the descriptive analysis to describe the business profile and quantitative analysis using the variable costing approach to explore profit and breakeven point. The results showed that the ICN Kerinci coffee perfume business is a medium-scale business with ten workers, including business owners as leaders who concurrently marketers and wives as administrative and financial staff. In fulfilling raw materials in green beans from the Robusta type, business owners collaborate with partner farmers. At the time of research, ICN Kerinci only produced one kind of product with two packaging variants, namely Kerinci original perfume for Rp.22,000/pack (45 grams) and an original variant + oil coffee (package) for Rp.35,000/pack. The study suggested expanding the market, especially to Eastern Indonesia, and increasing good cooperation with farmers to ensure the certainty of supply of raw materials; and provide prices based on sorting and grading to stimulate farmers to improve the quality of their green bean products.
Identification of Eco-friendly Practices in the Industries of EGREE Region for Sustainable Development, Andhra Pradesh, India
Authors: Surayya Teki , Prasad Gudivada Rajendra , Rao Arigela Srinivasa , Ravisankar Jetti Srinivasa , Khrisna Matcha Johar , Raju Indukuri Satyanarayana 
Published: April 2021

This study has been conceived with the basic objective to investigate the role played by industries in the East Godavari River Estuarine Ecosystem (EGREE) region to reduce the level of industrial pollution and other eco-friendly initiatives taken for eco-friendly and sustainable development. Effluent treatment systems prevalent in the majority of the studied industries are in working conditions. 57% of industries' effluent treatment plants are working conditions, 29% of the industries are using landing filling methods for disposal of agro-based waste. There is a strong common understanding among the EGREE region industries to lower the CO2 footprint by substituting coal consumption with bio-fuel. In some companies like ITC, biofuel consumption is 80%, and the remaining 20% is Coal. Government and policymakers have to make provision for industrial waste disposal, especially for small and medium enterprises (SME). Waste transporting cost is high for SME. Effluent treatment plant (ETP) and sewage treatment plant (STP) conditions to be verified by the pollution control board periodically