bluuebunny/crossref_metadata_2025_split huggingface dataset:
Neovagina con revestimiento peritoneal por laparascopia
Authors: Altez Carlos , Molina Ernesto , Ortega Félix , Angulo David 
Published: July 2021

La agenesia vaginal o Síndrome de Mayer-Rokitansky es una rara anomalía congénita, cuya prevalencia aproximada es de 1 de cada 5 000 mujeres recién nacidas. El tratamiento de estos pacientes representa un reto para el cirujano; se requieren buenos resultados cosméticos y funcionales. Se presenta el caso de una paciente de 41 años con síndrome de Mayer-Rokitansky, a la cual se le construyó una neovagina asistida por laparoscopia, según la técnica de Davydov modificada. No hubo complicaciones inmediatas o mediatas. Se obtuvo una adecuada longitud de vagina, de 7 cm una semana después de la cirugía, y adecuada función sexual seis meses después.Palabras clave: Síndrome de Mayer-Rokitansky, neovagina, Davidov, Vecchietti.
Quiste de colédoco fetal: diagnóstico prenatal y manejo perinatal
Authors: Sáenz Igor H. Huerta , Elías José Carlos , Torres Esperanza 
Published: July 2021

Los quistes de colédoco son malformaciones congénitas infrecuentes de las vías biliares. Se presenta un caso de diagnóstico ecográfico prenatal de un quiste fetal abdominal en una gestante a término, su evolución, manejo y tratamiento posnatal.Palabras clave: Quiste de colédoco. Diagnóstico prenatal. Ecografía prenatal.
Un nuevo caso de publicación duplicada
Authors: Benzaquen M Palacios , Tello N Malca 
Published: July 2021

La Revista Peruana de Ginecología y Obstétrica (Rev peru ginecol obstet) publicó en el número 1 del 2012 el artículo original de Tipiani O, titulado “Curvas de crecimiento personalizadas para optimizar el diagnóstico de restricción de crecimiento intrauterino”(1), el cual es un estudio comparativo, observacional y descriptivo sobre las características maternas y de sus fetos y recién nacidos atendidos en el Hospital Nacional Edgardo Rebagliati Martins, con el objetivo de diseñar un software con curvas de crecimiento personalizadas para optimizar el diagnóstico de RCIU en EsSalud. Para lo cual, construyeron una curva de crecimiento con mediciones ultrasónicas de fetos de gestantes de dicho hospital; sin embargo, la metodología y los resultados son similares a otro estudio publicado en la misma revista en el número 2 del año 2011(2).
Factores pronósticos para sobrevida en pacientes con carcinosarcoma uterino
Authors: Torres Magaly Malca , B. Aldo López , O. Carlos Santos , L. Manuel Alvarez 
Published: July 2021

Objetivos: Evaluar los factores pronósticos para sobrevida en pacientes con carcinosarcoma uterino. Diseño:Estudio retrospectivo de cohortes. Institución: Instituto Nacional de Enfermedades Neoplásicas, Lima, Perú.Participantes: Pacientes con carcinosarcoma uterino. Intervenciones: Se revisó las historias clínicas y resultados de anatomía patológica en pacientes con diagnóstico de carcinosarcoma uterino tratadas durante el periodo 2005 a 2011. El análisis estadístico fue desarrollado usando el SPSS 19,0 para Windows, con frecuencias y medidas resumen. La sobrevida fue estimada con el método de Kaplan-Meier. Todas las pruebas tuvieron una significancia de 95%, p< 0,05. El análisis multivariado se realizó con el modelo de Cox proportional hazards para efectos de las variables pronóstico. Principales medidas de resultados: Factores pronósticos de sobrevida.Resultados: Se identificó 37 pacientes con carcinosarcoma uterino. La edad media fue 63 años; la mayoría de los pacientes (67%) se presentó en estadio avanzado. En 33 pacientes (89%), la cirugía inicial fue desarrollada de manera no estandarizada. Solo siete pacientes tuvieron linfadenectomía pélvica (19%), lo que no influyó en la sobrevida global. Quince pacientes tuvieron omentectomía (40%), de las cuales ocho tenían metástasis a epiplón, lo cual influyó en la sobrevida global. El tiempo mediano de seguimiento fue cuatro meses (rango 0,5 a 59 meses). La sobrevida global estimada a tres años para todos los estadios fue 48,9%. Hubo ocho (21,6%) pacientes con recurrencia. Conclusiones: El tratamiento quirúrgico y adyuvante fue realizado de manera no estandarizada. El estadio al momento del diagnóstico y la metástasis a epiplón fueron los únicos factores que influyeron en la sobrevida. La terapia adyuvante no mejoró la sobrevida. Se debe considerar omentectomía como parte del estadiaje.Palabras clave: Carcinosarcoma uterino, factores pronósticos, sobrevida, estadios FIGO.
Requerimiento de micronutrientes y oligoelementos
Authors: Ciudad Reynaud Antonio 
Published: July 2021

Se hace una revisión basada en evidencias de la importancia de los micronutrientes y oligoelementos en la dieta, durante el embarazo y posparto. El enfoque integral de la nutrición debe ser atendido en toda la vida reproductiva de la mujer, incluso antes de estar embarazada. La deficiencia de micronutrientes se ha visto asociada a diferentes riesgos que tienen que ver con defectos estructurales fetales. La suplementación multivitamínica en el embarazo ha probado ser muy efectiva para prevenir diversos problemas de salud, como la reducción de los recién nacidos con peso bajo, los pequeños para edad gestacional, así como la disminución de una serie de malformaciones congénitas, como los defectos del tubo neural, defectos cardiovasculares, paladar hendido y anomalías del tracto urinario. No se encuentra beneficios en la protección de defectos genéticos, como el Down, y tampoco parece que tienen alguna influencia en la mortalidad perinatal.
Tumor de células de Sertoli-Leydig: a propósito de un caso
Authors: Sandoval Díaz Ither , Hernández Alarcón Ronald , Torres Arones Esperanza , Latorre Zúñiga Alan 
Published: July 2021

Se comunica el caso de una paciente de 53 años con presencia de tumor de Sertoli-Leiydig de ovario, estadio clínico I, quien recibió tratamiento quirúrgico. Dada la baja frecuencia de este tipo de tumores, se realiza una revisión de la evidencia disponible en la literatura, a fin de sugerir algunas pautas para el manejo de esta rara entidad.
La determinación de los 17 hidrocorticoides libres en el plasma a nivel del mar y en la hipoxia crónica
Authors: Subauste P. Carlos , Aliaga Ruth , Llerena Hugo 
Published: July 2021

Se realiza la determinación plasmática en condiciones basales de los 17-hidroxicorticoides libres en 39 sujetos del nivel del mar (Lima) y en 30 sujetos en hipoxia crónica (Morococha 4,540 mts.). En el grupo del nivel del mar la Media ± D. S. fue de 13.7 ± 4 .09 ug% con valores extremos de 6.8 ug% y 23.2 ug%. En el grupo de la altura la Media ± D.S. fue de 18.7 ± 7.93 ug% con valores extremos de 5.1 y 33.8%. Las diferencias entre las medias de ambos grupos tienen significado estadístico. Aceptando la posibilidad de que pigmentos no precisados pueden falsear estas determinaciones en el grupo de la altura, se plantea, también, la posibilidad de que los valores más elevados de este grupo sean realmente traducción de un stress crónico por hipoxia crónica.
ФОРМУВАННЯ ЦИФРОВОЇ КОМПЕТЕНТНОСТІ В МАЙБУТНІХ ВЧИТЕЛІВ ПОЧАТКОВИХ КЛАСІВ У ЗАКЛАДІ ВИЩОЇ ОСВІТИ
Authors: Косянчук Марина 
Published: July 2021

The article considers issues of formation of digital competence of future teachers of primary classes in Ukraine and abroad. The educational process of socialization of primary school pupils through the introduction of cross-cutting skills will be optimal on the basis of the use of competent and personalized education, innovative technologies and teaching methods, and educational design activities. Some modern aspects of digital competence-building in practical training are presented, modern approaches to the problems of forming a new model are considered and analysed. The relevance of the formation of digital competence of future teachers of primary classes in conditions of modernization of higher pedagogical education was considered, the content and volume of the concepts «competence», «digital competence» were determined. It has been found that the decisive factor in achieving the basic goals of modern education is the formation of the core competencies that are necessary for any professional activity. It has been proved that the creation of digital competence of students in pedagogical institutions of higher education is one of the main tasks for the preparation of qualified workers at the level of international requirements.
Predictive value of C-reactive protein/albumin ratio in predicting poor outcome of hospitalized patients with COVID-19
Authors: BAHADIRLI Suphi , KURT Erdem 
Published: July 2021

Introduction
For more than a year, COVID-19 has caused a high number of mortality and morbidity, and negatively affects life all over the world. Early detection tools that can be used to predict prognosis are particularly important in patients who need critical care. Among the acute phase reactants, CRP can be higher without any other findings. Otherwise, the cytokine storm that occurs in hospitalized COVID-19 cases can cause critical hypoalbuminemia, and low albumin levels can predict the course of the disease independently of other indicators. Our aim in this study is to determine the relationship between CRP / albumin ratio (CAR) and prognosis of COVID-19 patients.
Material and Method
In this study, from February 1, 2021 to April 30, 2021, patients who visited to the emergency department, diagnosed with COVID-19 and hospitalized, were selected to examine retrospectively.
Results
The study was completed with total of 273 patients. We divided the patients into two groups as those who require ICU and those who do not. The CAR was found to be more than 2 times higher in the ICU required group than the non-ICU need group (1.43 - 0.61, respectively). The area under the curve (AUC) of CRP, albumin and CAR were 0.708, 0.321 and 0.729 for the prediction of ICU admissions, respectively. In terms of mortality, AUC values were calculated as 0.660, 0.304 and 0.725, in the same order, and the predictive power of CAR was higher than CRP and albumin alone in both outcomes.
Conclusion
We found that the patients with high CAR values had further ICU requirements and further mortality rates. CAR is a simple, convenient and inexpensive prognostic marker that can be used in predicting the severity of COVID-19.
DIAGNOSTIC ACCURACY OF ULTRASOUND IN THE DETECTION OF PNEUMOTHORAX IN CHEST TRAUMA PATIENTS WITH CT AS THE GOLD STANDARD
Authors: Kynshikhar Danquale Vance , Kaushal Chaman Lal , Tomar Ashwani , Aggarwal Neeti 
Published: July 2021

Background: To study the diagnostic accuracy of ultrasound in the detection of pneumothorax in chest trauma patients with CT as the Gold Standard
Methods: The present study was conducted from 31th July 2018 to 30th July 2019. A total of 36 patients were enrolled in the study.
Results: By chest ultrasound, pneumothorax was detected in 15 of 24 patients. The sensitivity of chest ultrasound for the diagnosis of pneumothorax was 62.5%, specificity was 100%, positive predictive value (PPV) was 100%, negative predictive value (NPV) was 54.14% and accuracy was 75%.
Conclusion: Chest ultrasound can play an important role in the emergency department aiding a physician for bedside rapid and accurate diagnosis of pneumothorax without interruption in the resuscitation process and without transferring the patient to the radiology section.
Keywords: Ultrasound, CT, Pneumothorax
ASSOCIATION OF PATTERN OF MYOCARDIAL FIBROSIS WITH ADVANCED AND EARLY HEART FAILURE
Authors: Kaushal Chaman Lal , Kynshikhar Danquale Vance , Jhobta Anupam , Kaushal Dimple 
Published: July 2021

Background: The cardiomyopathies are defined as “hetrogenous group of diseases of the myocardium associated with mechanical or electrical dysfunction that usually (but not invariably) exhibit inappropriate ventricular hypertrophy or dilatation and are due to variety of causes that frequently are genetic. They usually present clinically with heart failure.
Methods: The cross sectional hospital based study was conducted in the Department of Radiodiagnosis in patients with heart failure with LVEF (Left Ventricular Ejection Fraction) of <45% without RWM(Regional Wall Motion) abnormality on echocardiography evaluated in department of cardiology at IGMC, Shimla over a period of one year.
Results: The myocardial fibrosis was seen in the 10 (47.62%) patients of advanced heart failure and 6(35.29%) patients of early heart failure with insignificant P value of 0.52 and odd ratio of 1.64.The subendocardial myocardial fibrosis in coronary territory was seen in the 3(14.29%) patients of advanced heart failure and 2(11.76%) patients of early heart failure with insignificant P value of 1.00 and odd ratio of 1.24.
Conclusion: The association of pattern of myocardial fibrosis with advanced and early heart failure was found statistically Insignificants
Keywords: MRI, Myocardial, Heart failure.
THE CORRELATION BETWEEN ORAL HEALTH AND CARDIOVASCULAR DISEASE INCIDENCE
Authors: Hassan Khaled 
Published: July 2021

A population-based cluster sampling method was used to recruit 5900 Kerman residents aged 15 to 75 years old. Participants were interviewed for CVD risk factors after providing informed consent. Some oral health markers were evaluated, including DMFT, Gingival Inflammation Index, and Community Periodontal Index. Multivariate regression models were used to investigate the link between oral health indicators and CVD risk variables. Results. The participants' average age was 33.5 years, and 45.1 percent of them were men. In 67.6% of the subjects, there was moderate gingival irritation. Participants were more likely to have sub- or supragingival calculus (90 percent). Cigarette smoking, increased with age (RR from 2.7 to 3.88). (RR = 1.49), and high blood glucose (RR = 1.41) showed an increased risk for oral diseases after adjustment for different covariates including established CVD risk factors. In the presence of some CVD risk factors, the study found an increase in periodontal disorders. As a result, both illnesses may have a bilateral but independent relationship, and a joint risk factor approach preventive program is strongly recommended.
Keywords: Periodontal disease, cardiovascular disease (CVD), atherosclerotic cardiovascular disease (ASCVD).
Critical Pedagogy and Its Implication in the Classroom
Authors: Uddin Muhammad Sharif 
Published: July 2021

Critical pedagogy is a vital teaching strategy, one designed to strengthen the awareness of learners about justice and social equality, while improving their knowledge. Teachers today are busy in the classroom; they prepare the student for high stakes testing and, in the process, work to save the school from closing. As a result, teaching is most often test-oriented rather than knowledge-centered. This paper aims to provide a few examples of how several teachers use critical strategies in the classroom and how these teaching methods affect student thinking and learning positively. Lastly, the paper argues that classroom teachers should employ critical pedagogy in the classroom to prepare students to gain critical thinking skills and to help create a just society.
Staphylococcus aureus of raw cow's milk
Authors: Kukhtyn M. D. , Horiuk Y. V. , Salata V. Z. , Klymyk V. T. , Vorozhbit N. M. , Rushchinskaya T. M. 
Published: July 2021

The presence of Staphylococcus aureus in raw milk is considered a direct danger to consumers. Almost all types of dairy products normalize the amount of Staphylococcus aureus in 1 g (cm3) of product, due to their ability to produce thermostable enterotoxins. The aim of the study was to investigate the role of incision of teats of healthy and sick mastitis cows and milking equipment for irradiation of cow's milk with Staphylococcus aureus. Sanitation of milking equipment in farms was carried out with alkaline detergents based on sodium hypochlorite and acid based on phosphoric acid. Blood agar with 5 % sodium chloride was used to isolate staphylococci from washes and milk. Species identification of pure cultures of staphylococci was performed using RapID Staph Plus kits. At the same time before and after milking the skin of teats with Udder Wash and Udder Forte reduces the incidence of Staphylococcus aureus to 4.1 ± 0.3 % of cases. Quantitative determination of staphylococci, including golden on the skin of the teats revealed a decrease in the latter from 283.5 ± 21.2 to 27.6 ± 2.1 CFU/cm3 flush after milking. It has been established that the number of staphylococci, including golden, on the skin of teats increases sharply under subclinical or clinical ointment. Thus, it was found that in the subclinical form of staphylococcal mastitis from the skin of teats isolated S. aureus in the amount of 790.6 ± 65.4 CFU/cm3 of wash. At the same time, in the clinical form of mastitis, the amount of S. aureus increased, on average to 8 thousand CFU/cm3 of flush. It was found that under the condition of sanitary treatment of milking equipment with alternate use of alkaline and acid detergents and disinfectants, only 25 % of washes were staphylococci, and gold – up to 5 % of samples. It was found that in 43.7 ± 3.9 % of raw milk samples Staphylococcus aureus was not detected in 1 cm3. The number of milk samples containing Staphylococcus aureus up to 100 CFU/cm3 was 39.1 ± 3.3 %, and 17.2 ± 1.4 % of milk samples were contaminated with Staphylococcus aureus in the amount of 101 to 200 CFU/cm3. Therefore, the presence of more than 200 CFU/cm3 in freshly milked Staphylococcus aureus in milk indicates the ineffectiveness of antimastitis measures, skin remediation of teats and sanitation of milking equipment.
Road Quality Information Based Adaptive Semi-active Suspension Control
Authors: Basargan Hakan , Mihály András , Gáspár Péter , Sename Olivier 
Published: July 2021

This paper introduces an adaptive semi-active suspension control by considering global positioning system-based and historical road information. The main idea of this study is to find a corresponding trade-off between comfort and stability at different road irregularities. The introduced semi-active controller is designed based on the Linear Parameter-Varying framework. The behavior of the designed controller can be modified by the use of a scheduling variable. This scheduling variable is selected by considering the various road category. TruckSim simulation environment is used in order to validate the introduced adaptive semi-active suspension control system by comparing it with the non-adaptive scenario. The results show that both driving comfort and vehicle stability have been improved with the proposed adaptive semi-active suspension control.
SINTESIS DAN KARAKTERISASI XEROGEL HASIL KOPRESIPITASI DARI PASIR PANTAI PANJANG BENGKULU
Authors: Meyori Finni , Elvia Rina , Candra I Nyoman 
Published: July 2021

[SYNTHESIS AND CHARACTERIZATION OF XEROGEL RESULTS OF COPRECIPITATION OF LONG BEACH BENGKULU BEACH]. This research aims to synthesize and characterization to Xerogel which synthesizes from Pantai Panjang sands Bengkulu. The method used for this study to synthesizes Xerogel is to use the coprecipitation method. Qualitative XRF test against raw sand materials that were used show that the content of the element is the most significant element of Si. The first stages of the synthesis of Xerogel is a purification of the sand sample.. Xerogel synthesis is carried out in two phases, namely the manufacture of aqueous solutions of Sodium Silicate and continued with the formation of a gel. The production of Sodium Silicate solution is done using the NaOH concentration at 5, 6 and 7 M. Gel formation process is done by adding a solution of HCl 10 M into the solution of Sodium Silicate, followed by process of filtration, washing and drying in the oven. The results showed that the optimum conditions of synthesis of Xerogel obtained using 6 M NaOH , with a yield obtained is amounting at 0.8%. The results of the test by XRD shows that the silica crystal structure on Xerogel are amorphous-shaped. SEM-EDS test results show that the acquired Xerogel on research has a smooth texture and size is not homogeneous with the highest content of elements are the elements Si and O. PSA test shows that particle size in Xerogel an average at 191.4 nm.
PERBANDINGAN HASIL BELAJAR SISWA MENGGUNAKAN PEMBELAJARAN KOOPERATIF TIPE TEAM GAMES TOURNAMENT (TGT) DENGAN MEDIA ULAR TANGGA DAN MEDIA PUZZLE DI KELAS XI SMA NEGERI 01 BENGKULU TENGAH
Authors: Syafitri Aisha , Amir Hermansyah , Elvinawati Elvinawati 
Published: July 2021

This study aims to determine the comparison of student learning outcomes using cooperative learning type Teams Games Tournament (TGT) with media snake ladder and media puzzle in class XI SMA Negeri 01 Bengkulu Tengah Year 2017/2018 on the subject of colloidal system. This research is a quasi experimental research with the population of all students of class XI SMA Negeri 01 Bengkulu Tengah and the sample is XI MIPA 3 experiment I applying Snake Ladder media and XI MIPA 4 as experiment class II which apply puzzle media. Student learning outcomes in this study is seen from the difference between pretest and posttest values. In the experimental class I which uses snake ladder media, the average value of the increase in students' cognitive learning outcomes is 43.30. Whereas in the experimental class II that uses media puzzle, the average value of the increase in students' cognitive learning outcomes is 35.97. From a series of statistical tests conducted hypothesis testing using t-test with a significant level of 0.01 obtained tHitung> tTable (2.42> 2.39). The results showed that there was a significant difference between the learning outcomes of students who were taught by cooperative learning using Snake Media Appliance and Puzzle media. The result of this research can be concluded that in general the result of student learning by applying cooperative learning model of Team Games Tournament (TGT) type with snake ladder media is higher than with puzzle media on colloidal system subject.
Análisis comparativo de ‘podcasts’ y series televisivas de ficción. Estudio de casos en España y Estados Unidos
Authors: Olmedo Salar Silvia , López Villafranca Paloma 
Published: July 2021

La ficción sonora se impone tras la irrupción de producciones norteamericanas como Serial en el año 2014 y cuyo éxito impulsó su emisión en otros medios como la serie del mismo nombre ofrecida por HBO. En España, todavía no se ha producido el fenómeno de la conversión de podcast a serie televisiva, pero sí podcasts que derivan de las series de televisión, concretamente, en la plataforma de RTVE. El objetivo de este trabajo es realizar un análisis comparativo formal y de contenido de los podcasts y las series de plataformas televisivas en España y Estados Unidos aplicado a la primera temporada de las siguientes ficciones: los podcasts Homecoming (Gimlet, 2016) y Dirty John (Wondery, 2017), emitidos como series en Amazon y en Netflix en Estados Unidos. En España, analizamos el podcast Carlos de Gante (rtve.es, 2015), comparándolo con la serie Carlos, Rey Emperador (TVE, 2015-2016) y el podcast Bienvenido a la Pasarela (rtve.es, 2017) y la serie Estoy Vivo (TVE, 2017-). En EE.UU., lo sonoro adquiere una nueva dimensión en su adaptación en el formato televisivo y como unidad independiente mientras que en España, aunque es un complemento del universo transmedia, goza de una calidad y una proyección que augura un redescubrimiento del formato sonoro. Palabras clave: ficción sonora; series; televisión; radio; transmedia; podcast.