bluuebunny/crossref_metadata_2025_split huggingface dataset:
Estimation of the efficiency of the use of «early» valve bronchoblocation at complications after thoracoscopic operations in patients with bullous emphysema
Authors: Drobyazgin E. A. , Chikinev Yu. V. , Litvintsev A. Yu. , Shcherbina K. I. , Khusainov V. F. , Anikina M. S. , Sudovikh I. E. 
Published: September 2019

The OBJECTIVE of the study was to evaluate the effectiveness of the use of «early» (up to 3 days) valve bronchial blocking in the complication of postoperative period in patients with bullous emphysema. MATERIAL AND METHODS. For the period from 2009 to 2017, 32 patients with bullous pulmonary emphysema had a long (more than 3 days) air leakage from the pleural cavity. Depending on the time of the valve bronchial blocker installation, the patients were divided into 2 groups: 1 group («late» blocking): the valve bronchial blocker was placed later than 3 days after the operation (11 patients); 2 group («early» blocking): the valve bronchial blocker was placed for 2–3 days from the operation (21 patients). RESULTS. During the first two days, air discharge through the pleural drainage was discontinued in 16 patients of the «early» blocking group and in 2 patients of the «late» blocking group (р=0.0022). The duration of air leakage in the «early» blocking group was 1.59 days less (44.91 %) than in patients of the «late» blocking group (р=0.0024). The positive blocking effect was fixed in 85.71 % (18) of the patients of the group with «early» blocking, which was 3.6 times higher than in the patients of the «late» blocking group (р= 0.04). The frequency of repeated intervention in the «early» blocking group was 3.81 times less than in the «late» blocking group (54.54 % vs. 14.28 %) (р=0.08). CONCLUSION. «Early» valve bronchoblocation (performed on the 2–3rd day of the postoperative period) had an indisputable advantage in comparison with bronchial blocking performed at the time of more than 3 days postoperative period, allowing reliably faster lung dilatation and eliminating air discharge through drainage from the pleural cavity, without resorting to repeated interventions, which was important, both for the surgeon and for the patient.
The patency of internal iliac arteries and its role in the development of buttock claudication syndrome in the remote period after open infrarenal aortic aneurysm repair
Authors: Bedrov A. Ya. , Moiseev A. A. , Belozertseva A. V. , Morozov A. N. , Khubulava G. G. , Pugachenko Yu. A. , Baykova A. V. 
Published: September 2019

The OBJECTIVE was to study the patency of the internal iliac artery and its effect to gluteus muscles blood supply and frequency of buttock claudication occurrence in the remote period after open infrarenal aortic aneurysm repair. MATERIAL AND METHODS. Examination of 37 patients after open infrarenal aortic aneurysm repair included collection of complaints, anamnesis, making CT scan with contrast and pelvic perfusion tomography. These methods allowed to assess the patency of the prosthesis and iliac arteries, calculate average blood flow rate in buttock muscles and frequency of buttock claudication occurrence depending on the lesion of the internal iliac arteries. RESULTS. Five-year patency of the internal iliac artery was 93 %. In case of passable internal iliac artery, the average blood flow rate in the ipsilateral buttock muscles was authentically higher than the same indicator in groups with stenotic or occlusive lesion of the internal iliac artery and its branches. In case of the disturbed internal iliac artery patency, the frequency of occurrence of the buttock claudication in the same side reached 50 %. CONCLUSION. High five-year internal iliac artery patency after open infrarenal aortic aneurysm repair attested the necessity of preservation the main blood flow in these arteries during the open infrarenal aortic aneurysm repair for the purpose of buttock claudication prevention. The CT scan allowed to evaluate the internal iliac artery patency and the average blood flow rate in the buttock muscles through perfusion tomography method which was necessary for differential diagnosis of the buttock claudication syndrome.
Acute upper limb ischemia: 30 years’ experience
Authors: Mel'nikov M. V. , Sotnikov A. V. , Susla P. A. , Papava G. G. 
Published: September 2019

The OBJECTIVE of the study was to assess the current trends in the surgery of acute upper limb ischemia (AULI). MATERIAL AND METHODS. We performed the comparative analysis of clinical data and treatment results of 261 patients with AULI urgently treated between 2008 and 2018 years (main group) and 162 patients with AULI treated between 1975 and 1985 years (control group). RESULTS. For the past 30 years, there were the growing rate of AULI. In 92.7 % of cases, the main cause of AULI was embolism. The main disease leading to embolism became atrial fibrillation in 80.8 % of cases. For the past decades, there was a significant improvement of treatment results in patients with AULI: complete extremity blood flow supply was achieved in 95 % in main group vs 90.5 % in control group (p<0.05); postoperative mortality rate significantly decreased to 3.5 vs 8.8 % respectively (p<0.05). CONCLUSION. AULI continued to remain the actuality in modern vascular surgery.
Saint`s triade with diverticulosis of jejunum – rare variety of the syndrome
Authors: Benian A. S. , Ayrapetova M. P. , Medvedchikov-Ardiia M. A. , Mukhambetaliev S. A. 
Published: September 2019

The objective was to present the case report of the patient with rare clinical finding – Saint`s triade. The examination diagnosed giant paraesophageal hernia (III type) with gastric torsion and cholelithiasis. The 72-years old woman was admitted to hospital with complaints of acute dysphagia. During the laparotomy operation, jejunal diverticulosis was also detected. The patient underwent crural repair, fundoplication, and cholecystectomy. The postoperative period was uneventful. She was discharged on the 14th day after surgery with recovery. The features of the presented case were the prevalence of the clinical picture of complicated hiatal hernia and the localization of diverticula in the jejunum. The clinical significance of the Saint`s triade was to assess the probability of this combination in identifying one of the components.
Acute myeloid leukemia with central nervous system extension and subdural seeding of vancomycin-resistantEnterococcus faeciumafter bilateral subdural hematomas treated with subdural daptomycin administration
Authors: Dietz Nicholas , Barra Megan , Zhang Mingjuan , Zacharaiah Marcus , Coumans Jean-Valery 
Published: September 2019

Background:We present a rare case of comorbid relapsed acute myeloid leukemia (AML) with the involvement of the central nervous system (CNS) and subdural seeding of vancomycin-resistantEnterococcusfaecium(VRE). The safety profile, treatment approach with pharmacokinetic considerations, and evaluation of success for bilateral subdural administration of daptomycin after subdural hematoma (SDH) are assessed.Case Description:A 45-year-old male with a history of AML who underwent chemotherapy (induction with 7 + 3) was admitted to oncology with relapsed AML confirmed by bone marrow biopsy, complicated by neutropenic fever and VRE bacteremia. After acute neurological changes with image confirmation of mixed- density bilateral SDHs secondary to thrombocytopenia, the patient was admitted to the neurosurgery unit and underwent bilateral burr hole craniotomies for subdural evacuation with the placement of the left and right subdural drains. Culture of the subdural specimen confirmed VRE seeding of the subdural space. The patient received the first dose of daptomycin into the bilateral subdural spaces 2 days after evacuation and was noted to have acute improvement on neurological examination, followed by a second administration to the left subdural space 5 days after evacuation with bilateral drains pulled thereafter.Conclusion:In this patient, the complication of relapsed AML may have contributed to the rare extension of VRE into the CNS space. Screening for patients at risk of AML with CNS involvement and addressing coagulopathy and risk of infection may help mitigate morbidity. Bilateral administration of subdural daptomycin bolus into the subdural space was tolerated and possibly contributed to the patient’s neurological improvement during an extended hospital course.
Postoperative intracranial migration of a C2 odontoid screw: A case report and literature review
Authors: Chandra Ankush , Moon Seong-Jin , Walker Blake , Yilmaz Emre , Moisi Marc , Johnson Robert 
Published: September 2019

Background:
Intracranial migration of odontoid screws is a rare but serious complication of anterior odontoid screw fixation not often reported in literature by neurosurgeons. Here, we describe the second case in literature of intracranial migration of an odontoid screw.

Case Description:
A 64-year-old neurologically intact patient with a type II odontoid fracture secondary to trauma underwent anterior odontoid screw fixation without any intraoperative complications. He tolerated the procedure well, and postoperative imaging demonstrated near anatomic correction of the fracture with satisfactory placement of the lag screw. Unfortunately, the patient was subsequently lost to follow up and he presented 7 months later for a routine outpatient computed tomography (CT) of the cervical spine, which demonstrated upward migration of the screw into the intracranial cavity abutting the medulla, with CT angiography of the neck also confirming the screw lying between the two vertebral arteries. Magnetic resonance imaging of the cervical spine also demonstrated the odontoid screw lying within close proximity to the ventral cervicomedullary junction, marginating the left vertebral artery. Subsequently, the patient was managed with removal of the odontoid screw and posterior cervical arthrodesis and instrumented fusion.

Conclusion:
Our case demonstrates the rare but serious complication of intracranial odontoid screw migration, which we bring to the attention of the neurosurgical community. The recognition of risk factors for this complication and optimized management of this rare occurrence is important for surgeons to recognize.
Springsteen & I: A Documentary Analysis of Springsteen’s Fan Base
Authors: Esposito Anthony , Raymond Ronald K. 
Published: September 2019

Music is an international code of interaction which allows listeners to enhance their knowledge of other countries and cultures. This paper offers a study of music fandom, of the ways in which people form special, sustained attachments to musical performers or genres. The focus for this study is to analyze the 2013 documentary, Springsteen & I through the lens of studies of fandom. This documentary is comprised of fan clips and, using this movie as a cultural artifact, we examine the documentary to see how Springsteen fans, both in the United States and internationally, employ their activities and experiences with the music of this artist.
Los Cerros Orientales hoy. Una reflexión sobre la cartografía juvenil, artística y popular
Authors: Lozano Sotelo Selene , Betancurth Bedoya Diego Alejando 
Published: September 2019

Este escrito surge de la necesidad de recuperar y poner en discusión el desenlace de la Cartografía juvenil, artística y popular de los Cerros Orientales: una apuesta política y pedagógica orientada hacia la construcción de conocimientos y acciones pertinentes frente a la coyuntura de la Sentencia del Consejo de Estado sobre la Reserva Forestal Protectora Bosque Oriental de Bogotá, emitida el 5 de noviembre del año 2013. Para tal efecto, tejeremos algunas de las reflexiones construidas como resultado del proyecto y las perspectivas de algunas organizaciones sociales que trabajan por la defensa de los Cerros Orientales a la luz de las principales demandas y propuestas que existen hoy en día en el territorio. El punto de partida será una presentación del contexto de emergencia del proyecto, continúa con la descripción de la propuesta en sus aspectos conceptuales y metodológicos y finaliza con el análisis de tres elementos críticos asociados al estado actual de ejecución del fallo, con relación a los resultados del proceso de investigación.
Desarrollo social y humano y su aporte a la paz en Turbaco (Bolívar, Colombia)
Authors: Carrero Sepúlveda Elvis Antonio , Gómez Morales Óscar Fernando 
Published: September 2019

Este artículo de investigación interpreta la contribución al desarrollo sostenible y a la paz en el municipio de Turbaco (Bolívar, Colombia), a través de programas desarrollados por parte de una empresa privada. El análisis de estos programas, en compañía de los líderes de los desplazados, señala aquellos programas e iniciativas aportantes al desarrollo sostenible y a la paz y abre un abanico de posibilidades para que el sector empresarial público y privado siga nuevos modelos que contribuyan a la paz y al desarrollo social en aquellas comunidades donde tienen presencia.
Se revisó un periodo entre 2014 y 2016, incluyendo 107 encuestas con miembros de la comunidad desplazada y entrevista a la directora de la empresa privada que implementó los programas.
Aprendizajes que promueven los profesores en un enfoque curricular por competencia en educación superior
Authors: León Urquijo Ana Patricia , Risco del Valle Eduardo , Alarcón Salvo Cristina 
Published: September 2019

Las instituciones de educación superior (IES) han adoptado el enfoque curricular por competencias, lo cual suscita el cuestionamiento de qué tipos de aprendizaje están promoviendo los profesores en sus estudiantes y si esos aprendizajes corresponden a este modelo curricular. Por tal motivo, se realizó un estudio sobre tipificación de aprendizajes promovidos por los profesores en estudiantes de seis carreras de la Universidad de Los Lagos Campus Osorno, que implementó dicho enfoque. Para tal fin se adapta el cuestionario ‘Aprendizaje que promueven los profesores’, de Ospina, León y Ruiz (2009). La muestra corresponde a 215 estudiantes que respondieron 568 cuestionarios de los espacios académicos de 52 profesores. El enfoque de investigación es mixto y el diseño metodológico es transversal descriptivo. La información se procesa en el paquete estadístico SPSS versión 20.0.
Se encuentra que más o menos la mitad de los profesores promueven aprendizajes constructivos y significativos en sus estudiantes, que se relacionan con el enfoque curricular por competencias; sin embargo, los estudiantes no encuentran aplicabilidad de estos aprendizajes a la vida práctica. Las estrategias didácticas que generan aprendizajes memorísticos y repetitivos aún persisten, muy pocos utilizan estrategias didácticas que generan aprendizajes conductuales. Las IES deben capacitar a todos los profesores antes de innovar con un enfoque curricular para lograr los propósitos educativos.
Enseñanza de estrategias de aprendizaje desde la monitoria académica del área de Acompañamiento y Permanencia -MAIE- en UNIMINUTO Sede Principal
Authors: Celemín Angarita Miguel Orlando , Varón Zuñiga Diego Alejandro 
Published: September 2019

Este artículo expone, con base en un diseño descriptivo, la enseñanza de estrategias de aprendizaje por parte de ocho monitores del área de Acompañamiento y Permanencia –MAIE– a estudiantes que asistieron a monitoria académica durante el semestre 2017-2. Para la recolección de la información se implementó una ficha de sistematización donde se consignaba la asignatura en la cual los estudiantes presentaron dificultad, junto con la estrategia de aprendizaje, su técnica y el procedimiento abordado por el monitor en respuesta a ello. Como resultado se evidencia la utilización de estrategias mnemotécnicas, de elaboración y organización para la codificación; prevaleciendo el uso de técnicas como relación intracontenido, metáfora, diagramas,palabras clave, mapas conceptuales, acrósticos y acrónimos. A partir de esto, se puede decir que enseñar estrategias de aprendizaje desde la monitoria favorece procesos de aprender-a-aprender, puesto que los estudiantes y monitores pueden adquirir y desarrollar sus propias habilidades, así como superar las dificultades temáticas, apuntando juntos al éxito académico a partir de la premisa de la personalización del proceso de enseñanza-aprendizaje de acuerdo a las necesidades de la población estudiantil.
Kepekaan Mikrobiota Akne Terhadap Antibiotik Pada Pelajar SMA Penderita Akne Derajat Sedang-Berat Di Mataram, Nusa Tenggara Barat
Authors: Yunita Hapsari  , Dedianto Hidajat  , Farida Hartati  
Published: September 2019

Latar Belakang: Antibiotik merupakan terapi utama penatalaksanaan Akne vulgaris derajat sedang-berat namun peningkatan prevalensi resistensi mikrobiota akne merupakan tantangan bagi keber-hasilan terapi. Identifikasi dan pola kepekaan bakteri pada akne di Mataram, NTB belum pernah dilaporkan. Penelitian ini bertujuan untuk mengidentifikasi bakteri pada lesi akne derajat sedang-beratdan kepekaannya terhadap antibiotik yang bermanfaat sebagai pedoman penatalaksanaan akne di Indonesia.
Metode: Penelitian ini merupakan penelitian deskriptif dengan desain potong lintang. Sampel diperoleh dari 43 pelajar SMA penderita akne derajat sedang-berat. Isolat diambil dari lesi akne, dikultur dalam kondisi aerobik dan anaerobik, diidentifikasi dan diuji kepekaannya terhadap beberapa antibiotik.
Hasil: Subjek terdiri dari 25 laki-laki (58,1%) dan 18 perempuan (41,9%) dengan dominan Acne vulgaris derajat sedang (98%). Identifikasi bakteri didapatkan S. epidermidis (48.8%), S. aureus (27.9%), Bacillus cereus (14%), dan Bacillus subtilis (2.3%), Providencia stuartii (4.7%) dan Aeromonas veronii (2.3%). Kepekaan Staphylococci terhadap levofloksasin (97%), ciprofloksasin (95%), tetrasiklin, doksisiklin dan kotrimoksasol (90.0%). Resistensi tertinggi didapatkan pada azitromisin (24.2%), eritromisin (21.2%), dan klindamisin (18.2%). Staphylococci merupakan penyebab utama Akne vulgaris yang ditandai dominasi Firmicutes dan Proteobacteria pada isolat pasien akne. Pada akne, Staphylococci telah dilaporkan resistensinya terhadap golongan Î²-Laktam, Makrolida, Klindamisin dan Gentamisin. Resistensi diperankan oleh gen erm(C) dan gen MLSBâˆ’ yang menyebabkan resistensi terhadap makrolida, dan klindamisin.
Kesimpulan: S. epidermidis dan S. aureus merupakan bakteri utama pada lesi akne derajat sedang-berat dengan kepekaan yang baik terhadap levofloksasin, ciproflokasin, tetrasiklin, doskisiklin dan kotrimoksasol namun resisten terhadap azitromisin, eritromisin dan klindamisin.
Hubungan Kepribadian dengan Kontrol Glikemik Pasien Diabetes Mellitus Tipe 2 di RSUD Dr. Soetomo Surabaya
Authors: Emmy Amalia  , Suksmi Yitnamurti  , Sony Wibisono  
Published: September 2019

Latar Belakang: Diabetes Mellitus (DM) adalah penyakit kronis yang paling umum diderita orang dewasa dengan angka kematian yang besar akibat komplikasi, sehingga penting untuk mengidentifikasi faktor-faktor yang berhubungan dengan kontrol glikemik pada pasien DM, salah satunya faktor kepribadian. Selama ini, peran kepribadian relatif diabaikan. Penelitian ini bertujuan untuk menganalisis hubungan antara unsur kepribadian dengan kontrol glikemik pasien DM tipe 2 di Unit Rawat Jalan Poli Diabetes RSUD dr. Soetomo.
Metode: Penelitian analitik observasional cross sectional dengan metode consecutive sampling terhadap pasien DM tipe 2 yang berkunjung ke Unit Rawat Jalan Poli Diabetes RSUD Dr Soetomo Surabaya. Instrumen yang digunakan meliputi skala Personality Psychopathology Five (PSY-5) Tes Kesehatan Mental Indonesia (TKMI), Perceived Stress Scale (PSS), dan kadar HbA1c darah. Data disajikan dalam tabel dan grafik dengan uji regresi logistik ganda dan analisis statistik menggunakan SPSS 19.0. Hasil: Skor unsur psychoticism pasien DM tipe 2 di Poli Diabetes RSUD Dr. Soetomo Surabaya lebih tinggi dari unsur kepribadian lain (mean 57,54; median 56; skor terendah 38; skor tertinggi 93); 59,8% pasien mempunyai tingkat perceived stress sedang; 77% pasien mempunyai kadar HbA1c yang tidak terkontrol; unsur kepribadian psychoticism secara bermakna berhubungan dengan perceived stress (p 0,031; Î² 0,064) dan unsur kepribadian discontraint secara bermakna berhubungan negatif dengan perceived stress (p 0,018; Î² -0,108); didapatkan hubungan negatif antara perceived stress dengan kontrol glikemik (p 0.001; Î² -3,571).
Kesimpulan: Kepribadian berhubungan dengan kontrol glikemik pada pasien DM tipe 2 di unit rawat jalan Poli Diabetes RSUD Dr. Soetomo Surabaya melalui perceived stress.
Hubungan antara Dukungan Sosial dengan Penerimaan Diri pada Pasien Pasca Stroke
Authors: I Gede Andre Putra Rio  , Ilsa Hunaifi  , Pujiarohman  
Published: September 2019

Dukungan sosial merupakan dukungan hidup berupa bantuan dan interaksi sosial yang diberikan oleh keluarga dan lingkungan kepada seseorang. Dukungan sosial dapat meningkatkan kualitas hidup. Pasien pasca stroke dapat mengalami suatu depresi dan penurunan kualitas hidup akibat kondisi yang dialaminya sehingga akan menjadi kurang responsif dalam proses rehabilitasi. Hal tersebut menyebabkan pasien pasca stroke membutuhkan dukungan sosial terutama dari keluarga dan orang-orang terdekat sehingga dapat menerima kondisinya setelah mengalami serangan stroke. Kemampuan seseorang menerima kondisi hidupnya disebut penerimaan diri. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara dukungan sosial dengan penerimaan diri pada pasien pasca stroke. Penelitian ini menggunakan metode kuantitatif dengan teknik pengambilan data secara cross-sectional. Pengambilan data dilakukan dengan menggunakan kuesioner yang terdiri dari kuesioner dukungan sosial dan kuesioner penerimaan diri. Responden yang telah memenuhi kriteria inklusi dan eksklusi dipilih dengan tehnik consecutive sampling. Analisis statistik yang digunakan adalah analisis deskriptif dan analisis bivariat dengan menggunakan uji korelasi Spearman. Jumlah responden pada penelitian ini adalah 55 orang. Sebanyak 43 orang (78,2%) responden memiliki dukungan sosial baik dan sebanyak 12 orang (21,8%) responden memiliki dukungan sosial cukup. Sebanyak 13 orang (23,6%) responden memiliki penerimaan diri baik, sebanyak 39 orang (70,9%) memiliki penerimaan diri cukup, dan sebanyak 3 orang (5,5%) memiliki penerimaan diri kurang baik. Hasil uji korelasi Spearman menunjukkan nilai p=0,008 dengan r=0,356. Terdapat hubungan yang signifikan antara dukungan sosial dengan penerimaan diri pada pasien pasca stroke