bluuebunny/crossref_metadata_2025_split huggingface dataset:
Dynamics of gunshot wound microbial contamination during complex surgical treatment
Authors: I. P. Khomenko  , Ie. V. Tsema  , V. Yu. Shapovalov  , S. V. Tertyshny  , P. O. Shklyarevych  
Published: May 2018

The aim — to improve results of surgical treatment for victims with infected gunshot wounds in soft tissues due to implementation of the complex multifactor surgical treatment.Materials and methods. The comparative analysis of the treatment results in 80 victims during the war at the east of Ukraine from 2014 — 2017 years has been carried out. All injured had either bullet or projectile soft tissue wounds of different localization, light or moderately severity of the injury, with infectious complications and without reciprocal aggravated syndrome. All wounded were males. Patents’ age was from 19 to 58 years old (34.3 ± 1.1 years). Based on the surgical approach the studied patients were divided into two groups. The main group was composed of 49 injured which were treated by traditional surgical methods with additional use of the complex multifactor therapy: impulse negative pressure, hybaroxia, low­frequent supersonic cavitation of wound surface, local administration of buffer antiseptic solutions. The control group was consisted of 31 wounded which were treated only by traditional surgical methods: daily dressings with antiseptics and ointment compositions, stage­by­stage surgical interventions. The bacteriological study was carried out by direct wound culture to the dense nutrient media, the material was dyed according to Gram, the study had identified the germ and the dissemination level.Results and discussion. We have identified the infectious agent in all studied cases of infected gunshot wounds in soft tissue. All infectious agents had an opportunistic origin: Pseudomonas aeruginosa — 22.5 %, Proteus mirabilis — 21.3 %, Staphylococcus aureus — 23.8 %, Streptococcus pyogenes — 18.8 % and Escherichia coli — 13.8 %. The bacterial spectrum of infectious wound was similar in both the main and the control patient groups. The main group showed significantly greater results in bacterial inoculation (sterile collection) (13; 25.6 %) on 5 — 7th day after hospital admission compared to the control group patients (2; 6.5 %; p < 0.05). The use of the complex surgical treatment for septic complications of gunshot wounds in soft tissues allowed to accelerate microflora elimination in the nidus of infection and led to a decrease in general bacteria number within wounds on 8th day by 15 times (р < 0.01), on 10th day by 22 times (р < 0.001) as well as achieved a complete elimination of pathogenic microflora (р < 0.001) on 15th day.Conclusions. The complex multifactor surgical approach for infected gunshot wounds treatment (impulse negative pressure, low­frequent supersonic wound cavitation, hybaroxia, local antiseptic solutions) allows to substantially improve wound sanation (46.9 % of sterile culture on the 10th day vs 16.1 % for traditional surgical treatment) and certainly decrease the concentration of pathogenic microflora in the wound (by 22 times on 10th day of treatment).
Diagnosis and treatment of disseminated intravascular coagulation in burn patients
Authors: О. М. Kovalenko  , G. P. Kozinets  , V. P. Tsygankov  , A. О. Kovalenko  
Published: May 2018

The aim — to study the violations of the hemostasis system in the acute period of burn disease in severely burned as a prophylaxis for thrombotic complications and provision of early surgical treatment.Materials and methods. The state of the blood clotting system was studied in 80 patients with deep dermal burns from 20 % to 60 % TBSA in the period from the first to the 14th day after the trauma. The age — 18 to 65 years. The following parameters of hemostasis were investigated: the number of platelets; serum fibrinogen, soluble fibrin, antithrombin III, protein C, partially activated thromboplastin time (APTT), prothrombin index, total fibrinolytic activity of blood plasma.Results and discussion. A moderately prolonged clotting time with the remaining level of platelets and fibrinogen were observed in all patient groups during the first day after the burn injury. The parameters of APTT were lowered on the 1st — 2nd day after the trauma in patients with IST for more than 90 units could have indicated the first phase of DIC syndrome; on the 3rd—5th day, an extension of the APTT was determined, which could have indicated a tendency for bleeding, especially during early operations. The level of antithrombin III was decreased in severely burned patients during the first 3 days after the burn injury, the plasma recalcification time decreased to 45 ± 5.4 s. Patients with extremely severe burns received 1.5 ± 0.3 L of fresh frozen plasma daily for 6.0 ± 1.5 days and also 0.6 ± 0.1 L of plasma for the following 10 days after the injury.Conclusions. Patients with deep common burns have are at high risk for thrombotic complications. Such include an increase in level of fibrinogen (> 5.5 g/L), soluble fibrin (> 4 mg/100 mL), prolongation of APTT (> 45 s), decrease in antithrombin III and protein C (< 75 %), fibrinolytic activity (< 65 %). The hemostasis system has the phase character of its functional state with widespread deep burns. Acceleration of blood coagulation was determined during the first two days after the trauma with the depression of physiological anticoagulants: antithrombin III and protein C. From day 3 — 4, intravascular coagulation corresponds to the hypocoagulation phase with the main inhibitors spending. Correction of the hemostasis system is achieved by fresh­frozen blood plasma prescription at a dose of 10 — 20 ml/kg and direct anticoagulants at a dose of heparin 200 — 400 un/kg until the PTT level reaches 40 — 60 s, the recalciation time is up to 2 minutes, the level of antithrombin III is above 60 — 70 %.
Conservative therapy vs active surgical tactics in the treatment of patients with оrоstomas and pharyngostomas
Authors: S. Yu. Karp  , О. О. Нalay  , O. V. Lukavets’kyy  
Published: May 2018

The aim — to develop an integrated therapeutic algorithm and to evaluate its effectiveness for surgical treatment optimizing in patients with оrоstomas and pharyngostomas.Materials and methods. The treatment results of 90 (3 (3.33 %) women and 87 (96.77 %) men, mean age 56.98 ± 0.42 years) with orostomas and pharyngostomas that occurred in the postoperative period of radical treatment for malignant extracranial tumors of the head and neck. The localization of the primary tumor was as follows: 37 (41.11 %) had oral tumors, 29 (32.22 %) — different parts of the pharynx, 24 (26.67 %) had recurrent and residual tumors of the larynx after radical course of radiotherapy. Patients were treated with conservative and surgical methods. The quality of life was assessed using a specialized scale (Performance status scale for head and neck patients).Results and discussions. It is established that the application of the developed algorithm allows to optimize the medical process and statistically significantly improve the quality of life of patients in terms of «habitual diet completeness « and «the possibility of public food intake» in 1.8 and 2.5 times respectively (p < 0.05).Conclusions. The integrated algorithm with application of both conservative and surgical methods, in particular, plastic closure, allows to achieve stable healing of the orostomas and pharyngostomas and to improve the social adaptation of this category of patients.
Focal necrosis of the caecum
Authors: K. O. Vander  , V. I. Lupaltsov  
Published: May 2018

The current work presents the observation of a rare pathology simulating an acute appendicitis — a caecum focal necrosis or a nonocclusive infarction of a blind gut. Based on the analysis of literature and gained material, authors give original classification primary and secondary variants of this pathology. As well, authors have formulated a more exact and accurate definition of this pathology — primary isolated focal single transmural necrosis of the caecum. Authors demonstrate options for intraoperative tactics and types of operations in such pathology.
Reevaluation and Delineation of Protected Areas in the Framework of Optimizing the Implementation of Protected Areas of Nunukan Island In the Nunukan District of North Kalimantan Province
Authors: Sulistiono Eko 
Published: May 2018

This research has purpose (1) setting back the position of forest conservation in Nunukan Island that is free from the settlement, encroachment population, and also the location of public facilities from local community, (2) Knowing conflict matter of tenure and social that is accumulate so the forest conservation in Nunukan Island that is needed has function as water infiltration and water function for the life of Nunukan Island Community overall.The object research consists of doing the scoring in Nunukan Island by paramaters (1), the slope, (2) the land cover, (3) the population density and the rain intensity. Based on the score of scoring four (4) parameters so it will get the location that should be the forest conservation in Nunukan Island.Based on the analysis result by the processing of scoring sum, it can not be gotten the score that shows over 175. But the determination of forest conservattion in Nunukan Island can be gotten from the class of the field slopes > 40% the width is 871,48 hectares and the type of land organosol slope > 15 % the width is 1.4777,28 hectares and the spring 9,62 hectares. Based on the fact that Nunukan Island as residential areas needs the availability of water for the special necessities that is set by the government. It will be submitted by Directorate General of Forestry, agriculture as forest conservation , so it is needed to set the forest conservation area in Nunukan Island to ensure the availability of clean water for the community needs.Tarakan merupakan satu-satunya Kota serta sekaligus Pulau kecil di Provinsi Kalimantan Utara yang memiliki kawasan hutan tersisa relatif sempit. Sejak tahun 2007 Pemerintah Kota melalui Dinas Kehutanan (sekarang bernama Dinas Kehutanan, Pertambangan dan Energi) berkeinginan kuat merintis kawasan hutan guna dijadikan Kesatuan Pengelolaan Hutan Lindung (KPHL). Keinginan Tarakan membentuk KPH direspon baik oleh Kementerian Kehutanan dengan menerbitkan SK Menhut No. 783/Menhut-II/2009, dimana Tarakan sebagai salah satu lokasi implementasi model Kesatuan Pengelolaan Hutan.
Erken Dönem Uyumsuz Şemalar ve Göç: Bir Olgu Sunumu
Authors: Okray Zihniye 
Published: May 2018

Savaş ve göç yaşayan toplumlardaki bireyler travmatik
yaşantılarını yaşamları boyunca taşımaktadırlar. Bireyler dünya ile ilgili
algılarını ve yaşantılarını belirli kalıplar içerisinde sınıflandırırlar. Bu
sınıflandırma, yaşam deneyimleri ile elde edilen bilgilerdir. Bu
sınıflandırmalar erken çocukluk ve ergenlik döneminde oluşmaya başlar ve yaşam
boyu gelişmeye devam eder. H. erken çocukluk ve ergenlik döneminde zorunlu göç
yaşamış bir olgudur. Erken çocukluk ve ergenlik döneminde geliştirmiş olduğu
örüntülerin, onun yetişkinlik yaşantısında birçok uyumsuzluğa neden olduğu
görülmüştür. Erken çocukluk ve ergenlik dönemlerinde yaşadığı göç olgusunun
gelişen ve gelişmekte olan şemalara etkisi ve
yetişkinlik yaşantısında kendisini ve kurmuş olduğu diğer ilişkileri
nasıl etkilediği tartışılmaya çalışılmıştır.
Yeme Tutumunun, Düşünce Beden Biçimi Kaynaşması, Cinsiyet ve Vücut Kitle İndeksi ile İlişkisinin Araştırılması
Authors: Okumuşoğlu Sultan 
Published: May 2018

Belli psikopatolojilerin
belli bilişsel çarpıtmalar ile karakterize olduğu kabul edilir. Yeme
bozuklukları ve Obsesif-Kompulsif Bozukluklar (OKB), komorbidite, benzer
çarpıtmalar ve girici düşünceler içermeleri sebebiyle ilişkillendirilirler. Beden
biçimi ve ağırlığına ilişkin çarpıtılmış düşünceler yeme bozukluklarıyla ilişkilendirilir ve ‘Düşünce
Beden Biçimi Kaynaşması’ olarak kavramlaştırılmış bilişsel çarpıtma, OKB’de
yaygın olan Düşünce Eylem Kaynaşması’nın bir çeşitlemesidir. Tedavi ve tanılamada potansiyel yararları açısından
bu çalışmada yeme tutumu’nun, düşünce beden biçimi kaynaşması, cinsiyet ve vücut
kitle indeksi ile ilişkisinin araştırılması amaçlanmıştır. Katılımcılar 18-28
yaşlarında,73 öğrencidir (58 erkek). Yeme Tutumu testi (YTT) ve Düşünce Beden Biçimi Kaynaşması (DBBK) ölçekleri
ile veri toplanmıştır. DBBK ile YTT arasında (r= 0.53, P=0.01) ve VKİ arasında
(r=0,34, p=0,01) pozitif korelasyon saptanmıştır. Adımsal Regresyon bulgularına
göre DBBK’nin en önemli yordayıcısı, YTT puanlarıdır. YTT puanları DBBK
varyansının %28’ini, VKİ, cinsiyet eklendiğinde
%47’sini açıklamaktadır. YTT puanları açısından kadınlar daha yüksek
ortalamalarla farklılaşmıştır. YTT puanları patolojik kesme noktasına (≥30) göre
ayrılan gruplar arasında 30 ve üzerinde puan alan grubun DBBK puanları
açısından daha yüksek ortalamalarla farklılaştığı saptanmıştır. Yeme bozukluklarının
karakteristiği olan yemeye, beden biçim ve ağırlığına aşırı değer biçmenin, OKB
benzeri girici düşüncelerin bu
çarpıtmayla ifade bulmasıyla paralel bulgular saptanmıştır.Pratik ve teorik açıdan
anlamları olan bulgular elde edildiği düşünülmektedir. Bulguların, gelecek
araştırmalarla çalışıldıktan sonra, terapide hangi bilişlerin hedef alınacağı
konusunda yol gösterici bilgi birikimine katkı sağlayacağı umulmaktadır.
Koleje Giriş Sınavına Hazırlanan Çocuklarda Başarı, Benlik Saygısı, Depresyon ve Kaygının Değerlendirilmesi
Authors: Direktör Cemaliye 
Published: May 2018

Bu
çalışmada kolej sınavına hazırlanan çocukların akademik başarı, depresyon,
benlik saygısı ve sürekli-durumluk kaygı düzeyleri arasındaki ilişkinin
incelenmesi amaçlanmıştır. Kuzey Kıbrıs’ta kolej sınavına hazırlanan 285
öğrenci örnekleme alınmıştır. Veriler Sosyodemografik Veri Formu, Çocuklar için
Rosenberg Benlik Saygısı, Çocuklar için Depresyon Ölçeği ve Durumluk-Sürekli
Kaygı Envanteri kullanılarak 15-23 Ekim 2016 tarihleri arasında toplanmıştır.
Erkek öğrencilerin kız öğrencilerden anlamlı düzeyde daha yüksek benlik saygısı
ve akademik başarı puanı aldıkları bulunmuştur. Öğrencilerin benlik saygısı ile
depresyon düzeyleri arasında negatif yönde anlamlı bir ilişki olduğu
görülmüştür. Benlik saygısı ile depresyon düzeylerinin, öğrencilerin akademik
başarısının birer yordayıcısı olduğu bulunmuştur. Çocuk eğitimi alanında sınavlara ilişkin daha
kapsamlı çalışmalar yapılmalı ve ulusal sınavların öğrencilerin psikolojik
problemlerini hangi yollarla etkilediğinin üzerinde durulmalıdır. Elde edilen
sonuçlar literatür ışığında tartışılmıştır.
The Analysing of Family Policies, Family Counseling and Social Work Relations in The Context of Human Rights
Authors: Demirbilek Melahat 
Published: May 2018

Discussions
on human rights usually pace on the two elements, namely the “rights” owner on
one side and the “duty” owner which is the state/official organizations on the
other. The Universal Declaration of Human Rights emphasize on the right among
many other, which enables all people to create a family and this has been seen
as the fundamental unit of the society. However, due to a variety of reasons
families may lose their healthy functioning and therefore need assistance.
States are expected to develop policies in order to create solutions for the
troubles which the families are facing, offer family counseling services and
making regulations on the foundation of human rights to accomplish these. Yet
there are discussions on the approaches towards family counseling and family
policies in regards to human rights, for human rights seems to represent the
first generation human rights which are the political and civil rights, rather
than the others. In order to change this
understanding, social workers who are considered to be also as human rights
workers can play an important role for the creating of family policies based on
human rights. Among the groups which social work is functioning, families have
the largest interest and their focus is human rights. Within this scope, the
social workers can be prominent in the family counseling practices under the
framework of empowerment approach and can closely cooperate with the family
physicians that are in the first layer of the public health system.
Delivering a primary care-based social prescribing initiative: a qualitative study of the benefits and challenges
Authors: Skivington Kathryn , Smith Mathew , Chng Nai Rui , Mackenzie Mhairi , Wyke Sally , Mercer Stewart W 
Published: May 2018

BackgroundSocial prescribing is a collaborative approach to improve inter-sectoral working between primary health care and community organisations. The Links Worker Programme (LWP) is a social prescribing initiative in areas of high deprivation in Glasgow, Scotland, that is designed to mitigate the negative impacts of the social determinants of health.AimTo investigate issues relevant to implementing a social prescribing programme to improve inter-sectoral working to achieve public health goals.Design and settingQualitative interview study with community organisation representatives and community links practitioners (CLPs) in LWP areas.MethodAudiorecordings of semi-structured interviews with 30 community organisation representatives and six CLPs were transcribed verbatim and analysed thematically.ResultsParticipants identified some benefits of collaborative working, particularly the CLPs’ ability to act as a case manager for patients, and their position in GP practices, which operated as a bridge between organisations. However, benefits were seen to flow from new relationships between individuals in community organisations and CLPs, rather than more generally with the practice as a whole. Challenges to the LWP were related to capacity and funding for community organisations in the context of austerity. The capacity of CLPs was also an issue given that their role involved time-consuming, intensive case management.ConclusionAlthough the LWP appears to be a fruitful approach to collaborative case management, integration initiatives such as social prescribing cannot be seen as ‘magic bullets’. In the context of economic austerity, such approaches may not achieve their potential unless funding is available for community organisations to continue to provide services and make and maintain their links with primary care.
The Dual Role of Starbursts and Active Galactic Nuclei in Driving Extreme Molecular Outflows
Authors: Gowardhan Avani , Spoon Henrik , Riechers Dominik A. , González-Alfonso Eduardo , Farrah Duncan , Fischer Jacqueline , Darling Jeremy , Fergulio Chiara , Afonso Jose , Bizzocchi Luca 
Published: May 2018

Abstract
We report molecular gas observations of IRAS 20100−4156 and IRAS 03158+4227, two local ultraluminous infrared galaxies (ULIRGs) hosting some of the fastest and most massive molecular outflows known. Using Atacama Large Millimeter Array and Plateau de Bure Interferometer observations, we spatially resolve the CO (1−0) emission from the outflowing molecular gas in both and find maximum outflow velocities of v
max ∼ 1600 and ∼1700 km s−1 for IRAS 20100−4156 and IRAS 03158+4227, respectively. We find total gas mass outflow rates of

and ∼350 M
⊙ yr−1, respectively, corresponding to molecular gas depletion timescales

and ∼16 Myr. This is nearly 3 times shorter than the depletion timescales implied by star formation,

and ∼46 Myr, respectively. To determine the outflow driving mechanism, we compare the starburst luminosity (L
*) and active galactic nucleus (AGN) luminosity (L
AGN) to the outflowing energy and momentum fluxes, using mid-infrared spectral decomposition to discern L
AGN. Comparison to other molecular outflows in ULIRGs reveals that outflow properties correlate similarly with L
* and L
IR as with L
AGN, indicating that AGN luminosity alone may not be a good tracer of feedback strength and that a combination of AGN and starburst activity may be driving the most powerful molecular outflows. We also detect the OH 1.667 GHz maser line from both sources and demonstrate its utility in detecting molecular outflows.
The Gould's Belt Distances Survey (GOBELINS). IV. Distance, Depth, and Kinematics of the Taurus Star-forming Region
Authors: Galli Phillip A. B. , Loinard Laurent , Ortiz-Léon Gisela N. , Kounkel Marina , Dzib Sergio A. , Mioduszewski Amy J. , Rodríguez Luis F. , Hartmann Lee , Teixeira Ramachrisna , Torres Rosa M. , Rivera Juana L. , Boden Andrew F. , Evans II Neal J. , Briceño Cesar , Tobin John J. , Heyer Mark 
Published: May 2018

Abstract
We present new trigonometric parallaxes and proper motions of young stellar objects in the Taurus molecular cloud complex from observations collected with the Very Long Baseline Array as part of the Gould’s Belt Distances Survey. We detected 26 young stellar objects and derived trigonometric parallaxes for 18 stars with an accuracy of 0.3% to a few percent. We modeled the orbits of six binaries and determined the dynamical masses of the individual components in four of these systems (V1023 Tau, T Tau S, V807 Tau, and V1000 Tau). Our results are consistent with the first trigonometric parallaxes delivered by the Gaia satellite and reveal the existence of significant depth effects. We find that the central portion of the dark cloud Lynds 1495 is located at d =129.5 ± 0.3 pc, while the B216 clump in the filamentary structure connected to it is at d = 158.1 ± 1.2 pc. The closest and remotest stars in our sample are located at d = 126.6 ± 1.7 pc and d = 162.7 ± 0.8 pc, yielding a distance difference of about 36 pc. We also provide a new distance estimate for HL Tau that was recently imaged. Finally, we compute the spatial velocity of the stars with published radial velocity and investigate the kinematic properties of the various clouds and gas structures in this region.
The Sun's Seismic Radius as Measured from the Fundamental Modes of Oscillations and Its Implications for the TSI Variations
Authors: Jain Kiran , Tripathy S. C. , Hill F. 
Published: May 2018

Abstract
In this Letter we explore the relationship between the solar seismic radius and total solar irradiance (TSI) during the last two solar cycles using the uninterrupted data from space-borne instruments on board the Solar and Heliospheric Observatory (SoHO) and the Solar Dynamics Observatory (SDO). The seismic radius is calculated from the fundamental (f) modes of solar oscillations utilizing the observations from SoHO/Michelson Doppler Imager (MDI) and SDO/Helioseismic and Magnetic Imager (HMI), and the TSI measurements are obtained from SoHO/VIRGO. Our study suggests that the major contribution to the TSI variation arises from the changes in magnetic field, while the radius variation plays a secondary role. We find that the solar irradiance increases with decreasing seismic radius; however, the anti-correlation between them is moderately weak. The estimated maximum change in seismic radius during a solar cycle is about 5 km, and is consistent in both solar cycles 23 and 24. Previous studies ;suggest a radius change at the surface of the order of 0.06 arcsec to explain the 0.1% variation in the TSI values during the solar cycle; however, our inferred seismic radius change is significantly smaller, hence the TSI variations cannot be fully explained by the temporal changes in seismic radius.