bluuebunny/crossref_metadata_2025_split huggingface dataset:
Osteomielitis de calcáneo en niños. Observaciones de una serie de casos.
Authors: Vergara Amador Enrique , Hernandez Manuel 
Published: May 2019

Objetivos: la osteomielitis de calcáneo es una infección osteoarticular poco frecuente en niños, con manifestaciones clínicas sutiles y ausencia de compromiso sistémico, requiriendo ayuda de imágenes diagnosticas para confirmarlo. El propósito del trabajo fue describir unas características clínicas de una serie de pacientes con osteomielitis de calcáneo. Materiales y métodos: es un estudio retrospectivo de pacientes con Osteomielitis del calcáneo, en un periodo de 5 años. Variables analizadas fueron: edad, sexo, lateralidad, enfermedades o traumas previos, tiempo trascurrido para el diagnóstico y tratamiento. Resultados: Se analizaron nueve pacientes, en seis de ellos con cultivos de secreción se aislo S. aureus en 4 pacientes (tres casos meticilino resistente, un caso meticilinosensible) y Pseudomonas aeruginosa en dos casos. Se realizó resonancia en 6 pacientes todas sugestivas de osteomielitis. Conclusiones: es necesario un alto índice de sospecha para el diagnóstico, además de imágenes y laboratorios complementarios. Los valores de VSG (eritrosedimentación) y PCR (proteína C reactiva) iniciales fueron positivos en todos los pacientes y disminuyeron progresivamente durante el tratamiento. La PCR se correlaciono con mejoría clínica y fue parámetro importante para el cambio a vía oral del antibiótico. La Resonancia y la gammagrafía fueron contundentes para el diagnóstico. Staphylococcus aureus es la bacteria más aislada en este y en otros estudios. La P. aeruginosa se asocia a heridas en el talón. El tratamiento temprano con antibiótico es la elección. En algunos casos se requiere cirugía para drenaje y lavado.
CHILD INJURIES AND SPECIALIZED CARE FOR CHILDREN IN A CITY (for Saint Petersburg)
Authors: Baindurashvili A. G. , Vissarionov S. V. , Solovyova K. S. , Zaletina A. V. 
Published: May 2019

Introduction.Based on the state statistics and in-house research the rates of child injury in SaintPetersburg in 2015–2017 were examined. As compared with the previous years, the rates of injury prevalence in children of 0–14 years (145.2%) and adolescents of 15–17 years (247.5%) don’t tend to the decrease and exceed the overall rates for Russia.Materials and methods.The structure of child injury by gender, age, type of injury, injury localization, and number of bone fractures in various locations as per chapter XIX of ICD-10 were presented.Results and discussion.External causes include road accidents, physical assault (chapter XX of ICD-10). Low disability index associated with musculoskeletal disorders in children is an advantage (0.7 per 10 thousand). The activity of outpatient and inpatient medical facilities providing specialized aid to children with musculoskeletal diseases in Saint-Petersburg was analyzed. The unique research centers for treatment of severe injuries of the musculoskeletal system and their consequences in children located in the municipal and federal institutions of Saint-Petersburg were presented.
ESTIMATING THE EFFECTIVENESS OF SURGICAL TREATMENT OF CHILDREN WITH THRYOID NEOPLASMS
Authors: Grachev N. S. , Vorozhtsov I. N. , Babaskina N. V. , Iaremenko Е. Iu. 
Published: May 2019

Aim. To estimate the effectiveness of the developed design of perioperative examination of patients and surgery of children and adolescents with thyroid neoplasms.Materials and methods. The data of surgical treatment and perioperative control of 70 patients’ condition from 2012 to July 2017 were presented. The features of perioperative control included prevention of postoperative hypoparathrosis, use of ACR TI-RADS system to interpret the thyroid ultrasound findings as the first line diagnosis of a malignant neoplasm and intraoperative electrophysiological neuromonitoring of the laryngeal nerves. The follow-up was 1 to 56 months. The quality of life was estimated using a questionnaire.Results. The basic risk factors of an intraoperative injury to the recurrent laryngeal nerve, postoperative hypocalcemia and hypoparathyrosis were found during the study. The disease duration and aggressive course and a number of surgeries in a patient significantly decrease their life quality (p<0.05).Conclusions. Comparison of quality of life indicators before and after a surgery and popula tion indicators of healthy adolescents revealed the advantage of using the developed scheme of perioperative control of surgical treatment of thyroid neoplasms in children and adolescents.
MORPHOLOGICAL CHANGES OF THE SMALL INTESTINE IN ACUTE STRANGULATIVE INTESTINAL OBSTRUCTION IN THE STAGE OF DECOMPOSITION IN CHILDREN
Authors: Solovev A. E. , Vasin I. V. , Kul’chitskij O. А. 
Published: May 2019

Purpose. The purpose was to determine the depth and prevalence of pathomorphological changes in the small intestine of children at the distance from the visible border of necrosis with decompensated acute strangulated intestinal obstruction (ASIO) to determine the minimum possible length of intestinal resection.Material and methods. Morphological studies of a resected fragment of the small intestine were performed in 24 children aged 3 days to 18 years who had undergone a surgery for ASIO with intestinal necrosis. Strangulated adhesive obstruction was found in 17 children, five children had congenital intestine torsion and two children faced small intestinal strangulation in the congenital mesenteric defect. The postsurgical material was studied morphologically using histological stains with the distance of 3 cm between the section.Results. The depth, prevalence of the morphological changes in the small intestinal wall, intensity and length of morphological changes in children with decompensated ASIO were determined.Conclusion. A differentiated approach to the selection of resection scope in the proximal and distal directions from the visible border of ASIO-related necrosis is necessary. The distances are twice shorter in children as compared to adults. Refusal from extensive resections will enable to reduce the rate of short bowel syndrome in children.
STRESS-RESPONSE EXPRESSION IN DIFFERENT ANESTHESIA TECHNIQUES DURING OPHTHALMOSURGICAL INTERVENTIONS IN CHILDREN
Authors: Korobova L. S. , Lazarev V. V. , Balashova L. M. , Kantarzhi E. P. 
Published: May 2019

Just like any surgery, a surgical operation pertaining to the eye and its appendages is a common cause of stress that changes the functions of all organs and systems. Numerous previous studies have shown this. The task of anesthesia is to protect a body from stress.The purpose of the studywas to estimate the severity of a stress reaction when using different methods of anesthesia during eye surgeries in children.Material and methods.Plasma concentrations of glucose, lactate and cortisol were measured in children aged 4 to 18 years old at three surgical stages. Various methods of anesthesia were used in 5 groups. The patients were distributed at random with 20 children in every group.Results.All estimated values were within the age-specific reference range. Glucose and cortisol levels tended to increase, whereas lactate level was decreasing.Conclusion.The suggested anesthesia types can sufficiently protect patients during eye surgeries and be applied in the practice.
ESOPHAGOPLASTY WITH STOMACH OR COLON ESOPHAGOPLASTY IN CHILDREN? COMPARISON OF TREATMENT OUTCOMES
Authors: Razumovsky A. Yu. , Alkhasov A. B. , Bataev S. M. , Chumakova G. Yu. , Zadvernyuk A. S.. 
Published: May 2019

Purpose. A prospective study was carried out. It compared treatment outcomes in children who underwent esophagoplasty with stomach or colon esophagoplasty.Materials and methods. Clinical records of 172 patients who underwent esophagoplasty at N. F. Filatov Children’s Clinical Hospital No. 13 of Moscow from 2009 to 2015 were analyzed. The operated children were divided into two groups. 46 children from group 1 (basic group) aged 2 months to 13 years underwent esophagoplasty with stomach. 126 children aged 2 months to 18 years who had colon esophagoplasty were enrolled in group 2 (control group). In both groups, the majority was presented by children with atresia and corrosive strictures of esophagus. Clinical observation, esophagogastroduodenoscopy, contrast radiography, CT and MRI study, survey of patients were used to estimate direct and remote treatment outcomes.Results. The analyzed groups were comparable for the course of the early postoperative period. The early postoperative period had no complications in 54% of cases in group I and in 54.4% of cases in group II. Recurrent surgeries for complications were more frequent in group I (23.9%) as compared to group II until signifcant indices were reached (10.3%, p = 0.04). In the comparison groups, patients’ quality of life were signifcantly diﬀerent by the rate of almost any complications in the remote period. They demonstrated better quality of life for children after colon esophagoplasty.Conclusion. Higher quality of life in children after colon esophagoplasty compared to children following esophagoplasty with stomach indicates that this is a surgery of choice in children.
STRUCTURE OF SURGICAL ABNORMALITY IN NEWBORNS OF THE NIZHNY NOVGOROD REGION
Authors: Karpova I. Yu. , Parshikov V. V. , Rozhdenkin E. A. , Batanov G. B. , Pivikov V. E. , Pyatova E. D. , Molchanova D. V. , Bebenina A. A. 
Published: May 2019

Introduction.A tendency to the decline in birth rate and reduced number of diseases of the neonatal period has been lately observed in the Nizhny Novgorod region.Materials and methods. 494 neonates with a surgical pathology aged from the frst hours to several weeks were treated in hospitals serving as clinical bases for the Volga Research Medical University from 2013 to 2017. 305 (62%) boys and 189 (38%) girls were observed. The majority of children (88%) were taken to surgical departments from maternity homes and perinatal centers of the city and region. 62 (12%) of children were hospitalized following the referral from local pediatricians. Admitted patients had a clinical and instrumental examination and initial therapy that stabilized their conditions and prepared them for surgeries.Results. Congenital malformations (CM) were diagnosed in 330 (67%) children only. According to analysis of diseases related to the neonatal period, purulent and septic processes were found in 104 (21%) patients. Surgeries were performed in children aged from day 1 to several months of life.Conclusion. Modern antenatal diagnostics and complex examination of newborns in the neonatal period enable timely detection of congenital abnormalities and initiation of adequate treatment.
EXPERIENCE WITH TREATMENT OF DENTIGEROUS CYSTS OF THE JAWS IN CHILDREN
Authors: Slesareva O. A. , Karpova I. Yu. 
Published: May 2019

Introduction A tendency to the increasing rate of follicular jaw cysts in children has been observed in Nizhny Novgorod region lately. Material and methods. 240 children (131 (54.6%) boys and 109 (45.4%) girls) with follicular jaw cysts aged 4 to 17 inclusive were treated at the maxillofacial department of Nizhny Novgorod Regional Children’s Clinical Hospital between 2003 and 2018. The follicular jaw cyst was diagnosed based on complaints, past medical history, and X‑ray examination (orthopantomography, computed tomography) done on the outpatient basis. All patients were operated using standard methods such as cystectomy, cystotomy, cystectomy with maxillary sinusotomy (when a cyst penetrates the maxillary sinus). Results. Within the last years, duration of hospitalization was reduced from 17.0±0.6 to 4.0±0.3 calendar days (2017) and to 4.8±0.4 calendar days (2018). The amount of immature permanent teeth increased as well. Conclusions. Thus, in spite of a greater number of children with follicular jaw cysts in Nizhny Novgorod region, it was possible to reduce duration of hospitalization and increase the number of preserved immature permanent teeth due to better diagnostics, earlier cyst detection and use of cystectomy.
Self-prescribed nutrition supplements for hair loss following laparoscopic sleeve gastrectomy bariatric surgery: extent of the problem in a cohort of Chinese patients
Authors: Bhagat Sachin , Guo Haijun , Gupta Radheshyam , Zhu Jiangfan , Shah Jay Narayan 
Published: May 2019

Introductions: Hair loss is common after bariatric surgery. This study analyzes the extent and risk factors of hair loss following laparoscopic sleeve gastrectomy (LSG), and satisfaction of self-prescribed supplements.
Methods: All patients of LSG bariatric surgery during June 2013 to August 2016 at Shanghai East Hospital affiliated to Tongji University, Shanghai, China were included in the study. Study variables were- age, gender, preoperative body mass index, hemoglobin, albumin, total cholesterol, iron, zinc, copper, folic acid, vitamin B12, vitamin D, and postoperative excess weight loss (% EWL), time and degree of hair loss, satisfaction of using supplements. Logistic regression was used to analyze risk factors for hair loss.
Results: Total of 86 patients underwent LSG. After exclusion data on 54 patients (M=11, F=43) were analyzed. Hair loss was reported by 42/54 (77.8%, M=6, F=36), starting at 3.43±1.36 months and ending at 8.59±3.38. All of 11 severe hair losses were in female. The female gender, preoperative serum folic acid, and %EWL were significant risk factors for hair loss. Hair regrowth was reported by 39/42 (92.86%). The 15 patients who used various self-prescribed iron and zinc supplements reported no satisfactory benefit.
Conclusions: Hair loss was seen in 3/4th of patents after LSG bariatric surgery. Self-prescribed nutrition supplements were used by 1/3 of patients without satisfaction. Female gender, preoperative serum folic acid, and %EWL were significant risk factors for hair loss.
Percutaneous trigger finger release using 18G hypodermic needle
Authors: Yadav Sandip Kumar , Sah Deb Narayan , Gupta Manoj Prasad 
Published: May 2019

Introductions: Patients of stenosing tenosynovitis or trigger finger presents with pain, swelling, limitation of finger movement, and triggering. Thickening of the A1 pulley, with resultant entrapment of flexor tendons, is the primary pathology. In failed conservative treatment, surgical release by open or percutaneous technique is used. The aim of this study was to evaluate the results of percutaneous release of trigger fingers using hypodermic 18-gauge needle under local anesthesia.
Methods: A cross sectional study of percutaneous release of trigger fingers using hypodermic 18-gauge needle under local anesthesia was performed in outpatient clinic at Janaki Medical College Teaching Hospital, Janakpur, Nepal, from July 2016 to September 2017. Informed consent was obtained. All the patients were followed up on 3rd day, 1st week and one month in outpatient department, and further telephone follow up at three and six months after surgery.
Results: There were 38 patients, female 25 and male 13, age 24 to 67 years. Successful release was achieved in 36/38 (95%) with normal activities within 48 hours. None had complications like digital neurovascular injury or tendon bowstringing. One patient had superficial skin infection and was treated successfully with oral antibiotics. Two (5.2%) had pain and recurrent triggering requiring open release in the first week. At one, three and six months follow up patients reported no triggering of released fingers.
Conclusions: Percutaneous release with hypodermic 18-gauge needle under local anesthesia in the treatment of trigger finger was an effective and convenient method with a low complication rate.
RANCANG BANGUN SISTEM INFORMASI PERSEDIAAN OBAT BERBASIS WEB DI APOTEK XYZ
Authors: Suryadi Andri , Harahap Erwin , Rachmanto Adi 
Published: May 2019

Meskipun telah memasuki abad digital yang dimana berbagai aspek ini kini telah terkomputerisasi, masih ditemukan pengelolaan data obat pada beberapa apotek yang masih dilakukan secara konvensional. Hal ini kurang efektif karena membutuhkan waktu yang cukup lama dalam pembuatan laporan dan kemungkinan buruk bisa terjadi jika data tersebut hilang atau rusak. Ruang lingkup permasalahan penelitian ini adalah bagaimana merancang sistem informasi pada suatu Apotek yang tujuannya akan mempermudah proses pengolahan suatu data untuk sebuah informasi yang lebih akurat dan lebih tepat waktu sesuai dengan yang diharapkan dan diinginkan oleh pengguna, khususnya pegawai apotek yang bersangkutan, demi menciptakan efisiensi dan efektivitas kerja perusahaan atau instansi itu sendiri maupun dalam meningkatkan pelayanan Apotek terhadap pelanggan atau kliennya. Tujuan penelitian ini adalah merancang dan membuat sebuah sistem informasi berbasis web yang berguna dalam mengolah data obat - obatan serta informasi tentang jenis obat yang ada pada suatu apotek secara lengkap. Metode yang digunakan dalam penelitian ini adalah SDLC (System Development Life Cycle) dan dalam pembuatan sistem ini, kami menggunakan bahasa pemrograman PHP, dan database MySQL. Hasil dari sistem yang telah selesai dibuat adalah berupa sistem informasi apotek yang dapat mengelola informasi dan data obat – obat yang tersedia.
Sermaye Şirketlerinin Birleşmesinde Vergi Sorumluluğu
Authors: DAYANÇ KUZEYLİ N. Nilay 
Published: May 2019

Bu makale kapsamında sermaye şirketlerinin birleşmesi ve birleşme neticesinde birleşilen şirketin vergi sorumluluğu incelenecektir. Vergi sorumluluğu, vergi alacağına ilişkin maddi ve şekli ödevlerin, vergiyi doğuran olay kendi kişiliğinde gerçekleşmemiş olan üçüncü kişilerden talep edilebilmesi olarak tanımlanabilir. Şirketlerin birleşmesinde ise birleşilen şirketin, birleşen şirketin vergi ödevlerini yerine getirmemesinden doğan sorumluluğun kendisine atfedilip atfedilemeyeceği, birleşilen şirkete sorumluluk atfedilecek ise, bunun kapsamına ilişkin çeşitli kanunlarda yer alan ve birbirlerinden farklılık gösteren düzenlemeler, bu makale kapsamında değerlendirilecektir.
Monitoring Home Sales Data with Optimization of Information Systems
Authors: Rahayu Sri , Nurhaeni Tuti , Pangestu Panji Bangun 
Published: May 2019

PT. Sinar Property Group is a company that deals in home sales. Marketing Division of the company is the most dominating division in home sales data processing and it is very needed. Consumers data who buy a home become the basic reference in monitoring, it is also used for monitoring consumer payment transaction status and payment transaction archiving. The research is using SWOT as its method that used for knowing strength of the company, weakness, opportunity, and its threat. The results of the analysis show the company needs a system that capable to monitoring centered home sales data which functionally, marketing manager knows the total of consumer and total of sold home using a system which can be accessed in realtime using web-based system, so it will be easier in making decision.

Keywords​: Sales, Monitoring, Sales Report, Website.
Análisis de la señalización horizontal, calidad de servicio y seguridad vial en la Espoch
Authors: Guerrero Godoy Alexandra Patricia , Villa Uvidia Ruffo Neptalí , Ureña Moreno Juan Enrique , Salas Salazar Miriam Del Rocío 
Published: May 2019

El presente estudio está enfocado en realizar una investigación sobre la relación que existe entre la señalización horizontal y la seguridad vial dentro de los predios de La Escuela superior Politécnica de Chimborazo ubicada en la parroquia Lizarzaburu del cantón Riobamba. Esto permitirá medir el impacto que tiene la señalización horizontal en la seguridad vial de las personas que conforman la comunidad politécnica y a su vez plantear una estrategia técnica para mitigar la problemática de seguridad vial como un referente para toda la sociedad.
Por este motivo, el análisis está enfocado en medir el impacto que tiene la señalización horizontal en la seguridad vial de las personas que integran la comunidad politécnica; así como también a los conductores de los diferentes vehículos motorizados y no motorizados que interactúan en las actividades cotidianas de este centro de educación superior; y generar la propuesta técnica para la señalización horizontal en las vías internas y de esta manera contribuir a la mejora de la movilidad y por ende la calidad de vida de los involucrados a través de la reducción de incidentes en el área de seguridad vial.
Fractura de fémur atípicas por medicamentos bifosfonato. A propósito de un caso.
Authors: Correa Vivanco Edwin Javier , Luzuriaga Luzuriaga Juan Alberto , Garces Granoble Karla Pilar , Valdez Vallejo Magna Mercedes 
Published: May 2019

Los medicamentos de mayor línea de utilizacion en la osteoporosis son los bifosfonatos y dentro de nuestro pais el mayor medicamento utilizado en las instituciones hospitalarias del estado es el alendronato, se utilizan los bifosfonatos por su mecanismo de accion atirresortivos potentes y han demostrado su gran eficasia para reducir fracturas tanto vertebrales como no vertebrales, pero como todo medicamento presenta efectos secundarios, los mayormente mencionados son las fracturas de femur atipicas al mantener el tratamiento continuo mayor de 5 años. A continuacion se presenta un caso de una paciente de 57 años de edad que a mantenido tratamiento con alendronato por 10 años con supervision medica, con cuadro clinico de inicio de dolor en muslo izquierdo, que presenta fractura cerrada de femur tipo III Según clasificacion de Winquist y Hansen de pierna izquierda al recibir un traumatismo leve en rodilla izquierda, que posteriormente se complico con trombosis pulmonar bilateral.
PREDIKSI POLA KELULUSAN MAHASISWA MENGGUNAKAN TEKNIK DATA MINING CLASSIFICATION EMERGING PATTERN
Authors: Farida Ida , Hendric Spits Warnars Harco Leslie 
Published: May 2019

Mercu Buana University is one of the private universities in Indonesia, especially in DKI Jakarta, which has a large number of students and a number of graduations. However, the University management has difficulty predicting a pattern and graduation rate from existing student data in each academic year. Most researchers use data mining techniques to find a regularity of patterns or relationships set on large data. In this paper, to predict patterns and analyze student graduation rates researchers use data mining by focusing on the classification process using emerging pattern algorithms on the timeliness of student studies. In this study the data used came from combined data between student master data and graduation data. The results of testing the data carried out by researchers in the data mining application produce graduation patterns with various variations according to the learning attributes used, namely gender, class, study program, lecture system and student GPA.
By using the results of testing this study, it is expected that the resulting data can help the management of the University as a basis for analysis in planning the teaching and learning process strategy to increase the graduation rate on time and as a support for the management of Mercu Buana University