bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analisis Faktor-Faktor yang Mempengaruhi Pilihan Jenis Minuman pada Situasi Konsumsi Hang-Out dan Celebration
Authors: Alamsyah Zeffry , Sumarwan Ujang , Hartoyo Hartoyo , Yusuf Eva Z. 
Published: May 2018

Soft-drink market in Indonesia continuously grows in the last ten years; however the growth is varied among soft-drink categories in different years. This encourages practitioners in soft-drink industry to understand what factors influencing the consumer when they buy soft-drink to consume, as this will be beneficial to formulate an effective marketing strategy. This research elaborates factors that are predicted as influencer for consumer in choosing soft-drink to buy and consume during hang-out and celebration situation. From 26 factors of product attributes, consumer characteristics, social, and environmental, there are 11 factors which significantly influence respondent decision to choose any type of soft-drink. These are: age, education, household expenditure, hang-out frequency, product availability, taste, aroma, product freshness, manufacturer reputation, and peer’s choice of drink. Bottled water, carbonated soft-drink, and ready to drink tea are the most chosen soft-drink categories by respondent.
O romance histórico <em>Figura na Sombra</em>: a história e a ficção na literatura de Assis Brasil
Authors: Raabe Camilo Mattar 
Published: May 2018

Figura na sombra (2012), romance do escritor Luiz Antonio de Assis Brasil, retrata a vida do aclamado botânico Aimé Bonpland, em especial sua relação com Alexander von Humboldt, com quem realizou expedições na América e elevou-se aos mais honrados nomes da academia, e sua posterior reclusão na América do Sul, onde viveu seus últimos dias confundindo-se entre os trabalhadores do campo, obcecado pelo cultivo da erva-mate. A precisão de Assis Brasil com a produção ficcional ambientada no passado histórico e fundada por densa pesquisa desenvolve-se desde a década de 1970, distinguindo-se do modelo de romance histórico proposto por Lukács e aproximando-se das leituras de Menton e Hutcheon sobre a novas modalidades de romances históricos. O objetivo do presente estudo é considerar a construção do romance Figura na sombra buscando precisar o modo como a ficção relaciona-se com a história, análise precedida por uma ampla e superficial leitura da relação entre história e a ficção.
Sociolinguística, formação crítica e livro didático
Authors: Alves Martins Neto Irando 
Published: May 2018

Partindo do pressuposto de que cabe à escola respeitar, valorizar e partir da realidade do estudante, e não o oposto, este trabalho, embasado na Sociolinguística (CYRANKA, 2014; FARACO, 2015), por meio de uma perspectiva crítica (HAWKINS e NORTON, 2009), tem como objetivo desvelar de que forma conceitos acerca da variação linguística são aplicados em um livro didático de circulação nacional. Trata-se, portanto, de pesquisa documental qualitativa, cujo corpus consiste em três volumes do livro Linguagens: português, de Cereja e Magalhães (2012), distribuídos pelo governo federal a escolas públicas do Brasil. Os resultados apontam que o material analisado contempla, em geral, variações linguísticas de maneira coerente, mas evita as mais estigmatizadas, além de não as relacionar com as relações de poder.
Planning for the Next Generation of Health Care Delivery: Designing for Telemedicine Spaces
Authors: Hume Robert , Looney Jeff 
Published: May 2018

The increase in telemedicine adoption has been driven by expanding reimbursements, the shortage of physicians due to the growing and aging population, the increase in insurance enrollment, changing health care delivery models, and technological innovations.
Telemedicine offers promise in reducing costs, increasing accessibility to care, and reducing the risk of healthcare-associated infections. Telehealth is explicitly listed as a strategy in three out of the four goals in the Health & Human Services’ Federal Health IT Strategic Plan for 2015–2020.
Delivering Healthcare to Rural Ghana: telmedx and Mahiri Mobile Serve Patients in Remote Areas
Authors: Carney Clint 
Published: May 2018

The quality of healthcare varies greatly throughout Ghana. Urban centers are well served, with hospitals, clinics, and pharmacies. In comparison, rural areas often lack modern healthcare. Patients in these areas either rely on traditional African medicine or travel great distances for western healthcare.
In 2010, the Government of Ghana launched the national e-health strategy. The key components included streamlining the regulatory framework for health data and information management, building sector capacity for wider application of eHealth solutions in the health sector, increasing access and bridging equity gap in the health sector through the use of information and communication technology, and development of a paperless records and reporting system.
Trends in Telemedicine Use for Addiction Treatment
Authors: Molfenter Todd , Boyle Mike , Holloway Don , Zwick Janet 
Published: May 2018

Methods: A project conducted from February 2013 to June 2014 investigated the adoption of telemedicine services among purchasers of addiction treatment in five states and one county. The project assessed purchasers’ interest in and perceived facilitators and barriers to implementing one or more of the following telemedicine modalities: telephone-based care, web-based screening, web-based treatment, videoconferencing, smartphone mobile applications (apps), and virtual worlds.
Results: Purchasers expressed the most interest in implementing videoconferencing and smartphone mobile devices. Anticipated facilitators for implementing a telemedicine app included funding available to pay for the telemedicine service, local examples of success, influential champions at the payer and treatment agencies, and meeting a pressing need. Greatest barriers identified were costs associated with implementation, lack of reimbursement for telemedicine services, providers’ unfamiliarity with technology, lack of implementation models, and confidentiality regulations.
Conclusions: Despite the considerable interest in telemedicine, implementation challenges exist. Future studies should broaden the sample analyzed and track technology implementation longitudinally to help the research and practitioner communities develop a greater understanding of technology implementation trends and practices.
Reconfiguration of Healthcare for Bottom Line Results
Authors: Gruber David , McMenamin Joseph P. , Reich Joel 
Published: May 2018

This discussion about factors that are influencing progress in telehealth and the U.S. healthcare system was recorded on March 16, 2017, during the TMT-sponsored 1st Annual Conference: Profitable, Scalable & Sustainable Tactics Transforming Long-term Care in Telehealth and Medicine.
Technology Now: Assessing Tools and Devices and Technology Tomorrow
Authors: Griffin Margaret 
Published: May 2018

No abstract available.
Editor’s note: What follows is a podcast and timecode transcript of the presentation by Margaret Griffin who is Deputy Director, Ideation, with Healthcare Innovation Technology (HITLAB). It was presented on March 16th and 17th, 2017, during Telehealth and Medicine Today a national conference of opinion leaders to discuss and debate “Technologies and Tactics Transforming Long-term Care.”
HIPAA Breach Report for October 2017
Authors: Greevy Hoala 
Published: May 2018

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) privacy rule uses Protected Health Information (PHI) to define the type of patient information that’s protected by law.1 PHI is an important factor for HIPAA compliance. PHI isn’t confined to medical records and test results. Any information distributed by a business associate that can identify a patient and is used or disclosed to a covered entity during the course of care is considered PHI. Even if that information doesn’t reveal a patient’s medical history, it is still considered PHI.
Reintervenciones quirúrgicas en pacientes con traumatismo torácico, abdominal o ambos
Authors: Rodriguez Rolando , Ferrero Liz , Escalona Milagro , Garcias Lucas 
Published: May 2018

Se realizó un estudio descriptivo, longitudinal, retrospectivo y prospectivo en el Hospital Universitario “Dr. Carlos J. Finlay” de La Habana, Cuba; para determinar el comportamiento de las reintervenciones quirúrgicas después de un traumatismo torácico, abdominal o ambos durante el período comprendido entre septiembre del 2010 hasta agosto del 2015. De 1558 pacientes operados por traumatismo torácico, abdominal o de ambos se realizaron 68 reintervenciones quirúrgicas en 44 pacientes, lo que representa una incidencia de un 2.8%. Predominaron las reintervenciones de enfermos operados inicialmente por trauma abdominal, resaltando como causas principales la colección y el sangrado postoperatorio en los operados por esta modalidad de trauma, mientras que el empiema pleural y el neumotórax resultaron las variantes más frecuentes en los operados por traumas de tórax. Las lesiones inadvertidas al acto operatorio inicial resultaron las causales predominantes de las reintervenciones, dato que se relacionó con respecto a los fallecidos por esta causa versus el grupo de enfermos reintervenidos sin evidencia de estas lesiones. La mortalidad predominó en los enfermos reintervenidos en 4 ó más oportunidades, deviniendo como principales causas el shock hipovolémico y el séptico. Del análisis y la discusión de los resultados concluimos que la mortalidad en pacientes con traumas de tórax, abdomen o ambos está asociada a la presencia de lesiones inadvertidas y a la frecuencia de reintervenciones por complicaciones postoperatorias.
Recibido: 12-01-2017 / Aceptado: 02-02-2017
La medicina como tema de representación en la historia de la pintura. Apuntes para una iconografía necesaria .
Authors: Valdivia Gerardo , Nazario Dollz A. María. , García Orozco Lucas 
Published: May 2018

La función testimonial y comunicativa de las artes plásticas. La pintura como registro visual del devenir médico.
Recibido: 15-03-2017 / Aceptado: 19-05-2017
Variaciones del peso corporal en ratas macho adolescentes tratadas con dosis moderadas de alcohol.
Authors: García Barceló, Maria de la Caridad. , Malherbe Pérez Teresita , Batista Castro Zenia , Escalona Rabaza Milagros , Aguilar  González Vivian 
Published: May 2018

Introducción: El alcoholismo constituye un problema psicosocial. El promedio del consumo de alcohol en América es mayor que en otras regiones del mundo y su consumo como droga portera, debe ser seguido de cerca en adolescentes ya que las complicaciones médicosociales que produce en el período citado pueden ser fatales. Referentes teóricos consideran que el consumo de alcohol se relaciona con la disminución del peso corporal y más aún durante la adolescencia. Objetivo: Determinar la ganancia del peso corporal en ratas machos adolescentes sometidas al consumo de alcohol. Método: Se emplearon 78 ratas Wistar albina macho de 30 días, las que se incluyeron en cuatro grupos: experimental y control. Se les administró durante un mes y dos meses tratamiento con etanol diluido en agua al 40%, por vía oral a 3 g/kg de peso al grupo experimental y agua en igual dosis al grupo control, una vez al día, por cánula intraesofágica. Resultados y discusión: Las ratas del grupo tratado con etanol tuvieron una ganancia de peso significativamente menor en los dos tiempos de tratamiento que las ratas del grupo control. A los dos meses de tratamiento con etanol el peso fue menor que al mes de su consumo, hallazgos que coinciden con los reportados por otros autores, quienes relacionan la ingestión de etanol con una disminución en la ganancia del peso corporal en animales jóvenes. Conclusiones: El consumo de este tóxico en ratas adolescentes disminuye el peso corporal, aún en dosis moderadas.
Recibido: 19-06-2017 / Aceptado: 04-08-2017
Sepsis en pediatría. Eventos moleculares y consideraciones actuales.
Authors: Paredes Patricia , Aguayo Escobar Alejandra , Espinoza Barbosa Amparo , Bravo Paredes Alejandro 
Published: May 2018

La sepsis constituye una de las causales más representativas de la morbi-mortalidad en los pacientes pediátricos a nivel mundial, condicionando uno de los principales problemas del sistema de salud y la sociedad, que requiere de cuidados especiales y tratamientos costosos; en relación a su fisiopatología en los últimos años se ha descubierto la participación de varios factores genéticos que predisponen al paciente a padecerla, y mecanismos por los que actúan las citoquinas inflamatorias y antiinflamatorias ; además estudios prometedores basados en ellos son esperanzadores para el pronóstico. El presente artículo pretende desarrollar un manuscrito con conceptos actuales de sepsis recopilados de distintas bases de datos. Es importante el diagnóstico oportuno de la entidad para lo que actualmente se disponen de reactantes de fase aguda de alta sensibilidad y especificidad como la procalcitonina, IL-6 y TNF-alfa. Se debe adoptar la mejor estrategia terapéutica con el fin de mejorar el pronóstico y causar impacto en la mortalidad.
Recibido: 29-06-2017 / Aceptado: 04-08-2017
Luxación glenohumeral compleja. A propósito de un caso.
Authors: Guerrero Bolívar , Zumbana Diego 
Published: May 2018

Introducción: La luxación glenohumeral aparece con graves complicaciones generalmente procesos de luxación. Objetivos: Presentar un caso de traumatismo del miembro superior y sus complicaciones.
Presentación del caso clínico: Se presenta el caso de un paciente de 28 años que posterior a un traumatismo a nivel de miembro superior presenta dolor y limitación funcional al mismo nivel, en los estudios radiográficos se evidencia una luxación glenohumeral anterior, fractura del troquiter humeral y luxación acromioclavicular RockWood GII, se realiza maniobra de reducción cerrada e inmoviliza la articulación. Conclusiones: El manejo con la reducción de las luxaciones glenohumerales, seguido de la valoración del desplazamiento del troquiter para de acuerdo con esto manejar quirúrgicamente la reinserción del troquiter con osteosíntesis en caso de un desplazamiento importante, es el protocolo de elección.
Recibido: 08-08-2017 / Aceptado: 12-09-2017
Uso de factores plaquetarios en afecciones tendinosas.
Authors: Garrido Aguilar Segundo Rodrigo 
Published: May 2018

Actualmente las afecciones tendinosas son muy comunes en nuestro medio especialmente en deportistas. Existen numerosos tipos de tratamiento en el manejo conservador de la patología tendinosa. Se requiere un tiempo de recuperación prolongado por lo que se ha visto la necesidad de investigar nuevos tratamientos que logren mejorar la evolución de los pacientes permitiendo la reinserción temprana a sus actividades cotidianas. Los factores plaquetarios constituyen una técnica de regeneración tisular utilizada para acelerar la curación y cicatrización de lesiones musculo esqueléticas, principalmente en afecciones ligamentarias y tendinosas. Es una técnica mínimamente invasiva que puede ser utilizada como complemento en una cirugía convencional o se puede aplicar localmente de forma ambulatoria. Su acción permite reducir el dolor y acelerar la curación de las lesiones, permitiendo una recuperación más rápida del paciente. El objetivo del presente artículo es realizar una revisión bibliográfica actualizada sobre las bases biológicas del plasma rico en plaquetas, las indicaciones en el tratamiento de lesiones musculo esqueléticas haciendo un enfoque especial en las lesiones tendinosas.
Recibido: 15-11-2017 / Aceptado: 25-01-2018
Hernia Diafragmática Congénita: A Propósito de un Caso.
Authors: Alulema César , Martinez Alejandro , Rodriguez José , Medina Iván , Marizande Fernanda 
Published: May 2018

La hernia diafragmática congénita ocurre cuando el contenido abdominal protruye dentro de la cavidad torácica, debido a una alteración en el desarrollo embriológico del diafragma. Reportamos el caso de un neonato diagnosticado con hernia diafragmática congénita en nuestro servicio. La hernia produjo signos de dificultad respiratoria mientras permanecía en alojamiento conjunto, se estabilizó con apoyo de oxígeno para manejo quirúrgico en hospital de tercer nivel, donde fue sometido a reparación quirúrgica con buena evolución.
Recibido: 01-12-2017 / Aceptado: 25-01-2018
Microsurgical anatomy of the subthalamic nucleus: correlating fiber dissection results with 3-T magnetic resonance imaging using neuronavigation
Authors: Güngör Abuzer , Baydın Şevki Serhat , Holanda Vanessa M. , Middlebrooks Erik H. , Isler Cihan , Tugcu Bekir , Foote Kelly , Tanriover Necmettin 
Published: May 2018

OBJECTIVEDespite the extensive use of the subthalamic nucleus (STN) as a deep brain stimulation (DBS) target, unveiling the extensive functional connectivity of the nucleus, relating its structural connectivity to the stimulation-induced adverse effects, and thus optimizing the STN targeting still remain challenging. Mastering the 3D anatomy of the STN region should be the fundamental goal to achieve ideal surgical results, due to the deep-seated and obscure position of the nucleus, variable shape and relatively small size, oblique orientation, and extensive structural connectivity. In the present study, the authors aimed to delineate the 3D anatomy of the STN and unveil the complex relationship between the anatomical structures within the STN region using fiber dissection technique, 3D reconstructions of high-resolution MRI, and fiber tracking using diffusion tractography utilizing a generalized q-sampling imaging (GQI) model.METHODSFiber dissection was performed in 20 hemispheres and 3 cadaveric heads using the Klingler method. Fiber dissections of the brain were performed from all orientations in a stepwise manner to reveal the 3D anatomy of the STN. In addition, 3 brains were cut into 5-mm coronal, axial, and sagittal slices to show the sectional anatomy. GQI data were also used to elucidate the connections among hubs within the STN region.RESULTSThe study correlated the results of STN fiber dissection with those of 3D MRI reconstruction and tractography using neuronavigation. A 3D terrain model of the subthalamic area encircling the STN was built to clarify its anatomical relations with the putamen, globus pallidus internus, globus pallidus externus, internal capsule, caudate nucleus laterally, substantia nigra inferiorly, zona incerta superiorly, and red nucleus medially. The authors also describe the relationship of the medial lemniscus, oculomotor nerve fibers, and the medial forebrain bundle with the STN using tractography with a 3D STN model.CONCLUSIONSThis study examines the complex 3D anatomy of the STN and peri-subthalamic area. In comparison with previous clinical data on STN targeting, the results of this study promise further understanding of the structural connections of the STN, the exact location of the fiber compositions within the region, and clinical applications such as stimulation-induced adverse effects during DBS targeting.
Defining the relationship of the optic radiation to the roof and floor of the ventricular atrium: a focused microanatomical study
Authors: Koutsarnakis Christos , Kalyvas Aristotelis V. , Komaitis Spyridon , Liakos Faidon , Skandalakis Georgios P. , Anagnostopoulos Christos , Stranjalis George 
Published: May 2018

OBJECTIVEThe authors investigated the specific topographic relationship of the optic radiation fibers to the roof and floor of the ventricular atrium because the current literature is ambiguous.METHODSThirty-five normal, adult, formalin-fixed cerebral hemispheres and 30 focused MRI slices at the level of the atrium were included in the study. The correlative anatomy of the optic radiation with regard to the atrial roof and floor was investigated in 15 specimens, each through focused fiber microdissections. The remaining 5 hemispheres were explored with particular emphasis on the trajectory of the collateral sulcus in relation to the floor of the atrium. In addition, the trajectory of the collateral sulcus was evaluated in 30 MRI scans.RESULTSThe atrial roof was observed to be devoid of optic radiations in all studied hemispheres, whereas the atrial floor was seen to harbor optic fibers on its lateral part. Moreover, the trajectory of the intraparietal sulcus, when followed, was always seen to correspond to the roof of the atrium, thus avoiding the optic pathway, whereas that of the collateral sulcus was found to lead to either the lateral atrial floor or outside the ventricle in 88% of the cases, therefore hitting the visual pathway.CONCLUSIONSOperative corridors accessing the ventricular atrium should be carefully tailored through detailed preoperative planning and effective use of intraoperative navigation to increase patient safety and enhance the surgeon’s maneuverability. The authors strongly emphasize the significance of accurate anatomical knowledge.
Laser ablation after stereotactic radiosurgery: a multicenter prospective study in patients with metastatic brain tumors and radiation necrosis
Authors: Ahluwalia Manmeet , Barnett Gene H. , Deng Di , Tatter Stephen B. , Laxton Adrian W. , Mohammadi Alireza M. , Leuthardt Eric , Chamoun Roukoz , Judy Kevin , Asher Anthony , Essig Marco , Dietrich Jorg , Chiang Veronica L. 
Published: May 2018

OBJECTIVELaser Ablation After Stereotactic Radiosurgery (LAASR) is a multicenter prospective study of laser interstitial thermal (LITT) ablation in patients with radiographic progression after stereotactic radiosurgery for brain metastases.METHODSPatients with a Karnofsky Performance Scale (KPS) score ≥ 60, an age > 18 years, and surgical eligibility were included in this study. The primary outcome was local progression-free survival (PFS) assessed using the Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM) criteria. Secondary outcomes were overall survival (OS), procedure safety, neurocognitive function, and quality of life.RESULTSForty-two patients—19 with biopsy-proven radiation necrosis, 20 with recurrent tumor, and 3 with no diagnosis—were enrolled. The median age was 60 years, 64% of the subjects were female, and the median baseline KPS score was 85. Mean lesion volume was 6.4 cm3 (range 0.4–38.6 cm3). There was no significant difference in length of stay between the recurrent tumor and radiation necrosis patients (median 2.3 vs 1.7 days, respectively). Progression-free survival and OS rates were 74% (20/27) and 72%, respectively, at 26 weeks. Thirty percent of subjects were able to stop or reduce steroid usage by 12 weeks after surgery. Median KPS score, quality of life, and neurocognitive results did not change significantly for either group over the duration of survival. Adverse events were also similar for the two groups, with no significant difference in the overall event rate. There was a 12-week PFS and OS advantage for the radiation necrosis patients compared with the recurrent tumor or tumor progression patients.CONCLUSIONSIn this study, in which enrolled patients had few alternative options for salvage treatment, LITT ablation stabilized the KPS score, preserved quality of life and cognition, had a steroid-sparing effect, and was performed safely in the majority of cases.Clinical trial registration no.: NCT01651078 (clinicaltrials.gov)