bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Case of Proximal Colon Bowel Volvulus after Low Anterior Resection for Rectal Cancer
Authors: Berezovskaja T. P. , Silanteva N. K. , Nevolskih A. A. , Erygin D. V. , Ruhadze G. O. , Agababian T. A. 
Published: February 2019

Colonic volvulus is responsible for 4–5% of all cases of intestinal obstruction and most often found in the sigmoid colon, in elderly patients with chronic constipation, where patients develop a large redundant sigmoid colon and with a violation of diet. Twisting and compression of mesenteric blood vessels leads to disruption of intestinal wall nutrition followed by necrosis. Most cases of volvulus require the surgical treatment. Abdominal radiography (barium enema, MSCT) is frequently obtained as the initial diagnostic imaging and has characteristic appearances. We present a case of MRI diagnosis of the colon volvulus after the closure of the transverse loop colostomy after low anterior resection for rectal cancer. The cause of the volvulus was the twisting of the mobilized part of colon with the mesentery when it was lowered into the pelvis. The protective transverse loop colostomy caused the absence of clinical manifestations. After its closure patient was present the clinical features of bowel obstruction and the appearance of MR symptoms typical for this pathology. A retrospective analysis of MR tomograms obtained before the closure of the transverse loop colostomy, allowed revealing of signs of its subclinical ischemia. This case demonstrates the possibilities of MRI in identifying both the typical symptoms of colon volvulus and the signs indicating the possibility of colon twisting in patients after low anterior rectal resection, examined before closing the transverse loop colostomy.
Fibrotic Changes in the Myocardium as an Independent Predictor of Rhythm Disturbance in Patients with Hypertrophic Cardiomyopathy
Authors: Bazylev V. V. , Karpukhin V. G. , Mikulyak A. I. , Palkova V. A. 
Published: February 2019

The aim: to show the possibilities of the method of magnetic resonance imaging (MRI) in the detection and characterization of hypertrophic cardiomyopathy (HCM). Identify the relationship between the presence of foci of fibrosis in the myocardium of the left ventricle (LV) and the occurrence of arrhythmia.Materials and methods.The study involved 31 patients with HCM and obstruction of the LV outflow tract, who subsequently underwent Morrose's myoseptectomy. In order to detect abnormalities of rhythm, all patients underwent daily Holter monitoring. The presence and nature of the accumulation of contrast medium was assessed by the MRI method in the early and delayed phases of contrasting.Results.The use of MRI with contrast enhancement made it possible to identify areas of delayed contrast in the hypertrophied walls of the LV - fibrotic changes in the myocardium. The centers of fibrosis were revealed in 14 (45.2%) patients. In 5 patients (16.1%), there were no cardiac rhythm disturbances in the presence of changes in the myocardium. Multivariate regression analysis of risk factors showed the relationship between the presence of foci of fibrosis in the myocardium of the LV and the occurrence of arrhythmia (p = 0.021). The presence of violation zones of local contractility (p = 0.327) and the thickness of the hypertrophic wall (p = 0.146) have no significant effect on cardiac rhythm disturbance.Conclusions.The presence of foci of delayed contrast (fibrosis) in the wall of the left ventricle, detected by MRI, increases the chance of arrhythmia in patients with HCM in 12.9 times. MRI with contrast enhancement should be included in the algorithm for diagnosis of HCM, including for evaluating the onset of structural changes in the myocardium.
CONTRAST-ENHANCED MRI WITH MAGNETIZATION TRANSFER EFFECT IN THE IMAGING OF BRAIN METASTATIC LESIONS
Authors: Ermakova A. A. , Borodin O. Yu. , Sannikov M. Yu. , Koval S. D. , Usov V. Yu. 
Published: February 2019

Purpose: to investigate the diagnostic opportunities of contrast magnetic resonance imaging with the effect of magnetization transfer effect in the diagnosis of focal metastatic lesions in the brain.Materials and methods.The material of the study was images of contrast MRI of the brain of 16 patients (mean age 49 ± 18.5 years). Diagnosis of the direction is focal brain lesion. All MRI studies were carried out using the Toshiba Titan Octave with magnetic field of 1.5 T. The contrast agent is “Magnevist” at concentration of 0.2 ml/kg was used. After contrasting process two T1-weighted studies were performed: without T1-SE magnetization transfer with parameters of pulse: TR = 540 ms, TE = 12 ms, DFOV = 24 sm, MX = 320 × 224 and with magnetization transfer – T1-SEMTC with parameters of pulse: ΔF = −210 Hz, FA(МТС) = 600°, TR = 700 ms, TE = 10 ms, DFOV = 23.9 sm, MX = 320 × 224. For each detected metastatic lesion, a contrast-to-brain ratio (CBR) was calculated. Comparative analysis of CBR values was carried out using a non-parametric Wilcoxon test at a significance level p < 0.05. To evaluate the sensitivity and specificity of the techniques in the detection of metastatic foci (T1-SE and T1-SE-MTC), ROC analysis was used. The sample is divided into groups: 1 group is foci ≤5 mm in size, 2 group is foci from 6 to 10 mm, and 3 group is foci >10 mm.Results.Comparative analysis of CBR using non-parametric Wilcoxon test showed that the values of the CBR on T1-weighted images with magnetization transfer are significantly higher (p < 0.001) that on T1-weighted images without magnetization transfer. According to the results of the ROC analysis, sensitivity in detecting metastases (n = 90) in the brain on T1-SE-MTC and T1-SE was 91.7% and 81.6%, specificity was 100% and 97.6%, respectively. The accuracy of the T1-SE-MTC is 10% higher in comparison with the technique without magnetization transfer. Significant differences (p < 0.01) between the size of the foci detected in post-contrast T1-weighted images with magnetization transfer and in post-contrast T1-weighted images without magnetization transfer, in particular for foci ≤5 mm in size, were found.Conclusions.1. Comparative analysis of CBR showed significant (p < 0.001) increase of contrast between metastatic lesion and white matter on T1-SE-MTC in comparison with T1-SE. 2. The sensitivity, specificity and accuracy of the magnetization transfer program (T1-SE-MTC) in detecting foci of metastatic lesions in the brain is significantly higher (p < 0.01), relative to T1-SE. 3. The T1-SE-MTC program allows detecting more foci in comparison with T1-SE, in particular foci of ≤5 mm (96% and 86%, respectively, with p < 0.05).
PREOPERATIVE RADIOLOGIC EVALUATION OF BRONCHO-PLEURAL FISTULA AS PREPARATION FOR TRANSSTERNAL MAIN BRONCHIAL STUMP OCCLUSION
Authors: Pechetov A. A. , Gritsiuta A. Yu. , Davydenko P. I. 
Published: February 2019

Objective:retrospective assessment of preoperative radiologic evaluation of patients with chronic pleural empyema and bronchopleural fistula after pneumonectomy and its influence on the choice of transsternal main bronchial stump occlusion as definitive surgical treatment.Methods.From April 2005 to December 2016 in A.V. Vishn evsky Institute of Surgery 25 patients with chronic pleural empyema (>12 weeks from the onset of the disease) and bronchopleural fistula (BPF) after pneumonectomy were treated. The main methods of preoperative diagnosis were fibrobronchoscopy and multispiral computed tomography. The results of treatment of BPF after pneumonectomy by transsternal bronchial occlusion as a method of choice were retrospectively analyzed.Results.Depending on the length of the bronchial stump and the diameter of the BPF, evaluated with CT, patients were divided into two groups. In 9 (36%) patients with bronchial stump length ≥20 mm and BPF diameter ≥3mm performed transsternal bronchial closure. In 16 patients (64%) with short (less than 20 mm) bronchial stump BPF was covered with muscle flap (87.5%) or omental flap transposition (12.5%) was done. Perioperative mortality rate was 2 (8 %) of 25 (95% CI: 2.2–24.9) cases due to ARDS and severe sepsis in muscleflap group. Recurrence rate was 2 (12.5%) of 16 (95% CI: 3.5–36) patients in control group vs no recurrence rate in basic group according to 18–110 months follow up.Conclusion. Radiologic methods are the gold standard in the diagnosis of pleural empyema with BPF. A differential approach based on the assessment of risk factors (the etiology of empyema, length of the stump of the main bronchus, diameter of bronchial fistula and initial state of residual pleural cavity) makes it possible to reduce morbidity and mortality in patients with BPF.
COMPARISON OF COMPUTED TOMOGRAPHY WITH INTRAVASCULAR ULTRASOUND IN EVALUATION OF CORONARY PLAQUES PARAMETERS
Authors: Shariya M. A. , Shabanova M. S. , Veselova T. N. , Merkulova I. N. , Mironov V. M. , Gaman S. A. , Ternovoy S. K. 
Published: February 2019

Purpose.To determine the possibilities of coronary CT-angiography (CTA) in evaluation of qualitative and qualitative parameters of coronary plaques in comparison with intravascular ultrasound (IVUS).Matherials and methods.37 patients (29 men, 8 women) with symptoms of acute coronary syndrome (ACS) were included in the study. Unstable angina was detected in 24 patients, acute myocardial infarction (AMI) – in 13 patients. Averageage was 58 [44; 65] years. CTA had been performed as the first method of beam diagnostics in all cases if it was not necessary to use the emergency selective coronary angiography (CAG). IVUS was performed in one, two or three coronary arteries of every patient. Total, 60 coronary lesionsin 55 arteries were examined with IVUS. IVUS data was compared with CTA data.Results.Methods well correlated in detection of plaque burden (r = 0.823; p < 0.0001), plaque length (r = 0.932, p < 0.0001), remodeling index(RI) (r = 0.906; p < 0.0001). Sensitivity and specificity of CTA in detection of irregular contour was 96.1% and 88.9% (area under ROC-curve 0.925), positive remodeling – 100% and 97.4% (area under ROC-curve 0.974). CTA and IVUS in evaluation of spotty calcinates was not coincide in 9 plaques, sensitivity and specificity of CTA in detection of 71% and 100% (area under ROC-curve 0.855).Discussion.Comparison of CTA and IVUS was performed in evaluation of plaques features in patients with ACS. This analysis showed high comparability of methods for evaluation of coronary stenosis degree, RI, plaque burden, length and contour. Thus, the characteristics of plaques according to CTA data can be used to stratify the risk of development of ACS.Conclusion.CTA – fast non-invasive method of coronary plaques evaluation. CTA correlates well with IVUS.
Cholangiocarcinoma: classification and staging
Authors: Shchegolev A. I. , Tumanova U. N. , Karmazanovsky G. G. , Mishnev O. D. 
Published: February 2019

The main classifications of cholangiocarcinoma (CC) are currently the TNM classification, as well as the Bismuth–Corlette and MSKCC classifications. The criteria of T, N and M categories and characteristics of the stages of cholangiocarcinoma of the proximal and distal bile ducts, which are specified in the modern 8th edition of the international TNM classification, are presented. TNM classification is the most common for the development of treatment methods and the determination of disease prognosis. The Bismuth–Corlette classification, which characterizes the CC of the bile ducts in the region of the gate of the liver, is used to determine the type and volume of surgery. MSKCC classification of the CC of proximal bile ducts is designed to assess the prognosis of resectability, the risk of metastases and long-term survival of patients.
Standartization of ultrasound examination of the pelvic organs in women
Authors: Ozerskaya I. A. 
Published: February 2019

Introduction. In Russia, there has been no research comparing data obtained by ultrasound scanners of different firms, with a comprehensive assessment of pelvic organs in women.Purpose of the study. Compare the results of the study of the internal genitalia of healthy women, obtained on devices from Philips and GE Healthcare. Materials and methods. A comparison of the results of pelvic ultrasound examination in healthy patients of reproductive age (18–45 years), conducted on the expert level devices of GE Healthcare (Austria) and Philips (Netherlands) by the same doctor. Each group consisted of 30 people (15 women in the first and second phase of the cycle). Age did not have significant differences (p > 0.05). Organometry (uterine volume, endometrial thickness, ovarian volume), dopplerometric parameters of blood flow in uterine arteries, such as maximum systolic and average blood flow rate (Vmax, Vmean), uterine artery diameter, arterial perfusion index (API) was calculated, vascularization index (VI), flow index (FI) and vascularization-flow index (VFI) of the uterus and endometrium were obtained in 3D Doppler.Summary. When implementing new techniques should study the information about this method and rely on the regulatory parameters obtained on the devices of similar firms.
A Practice Based Chronic Pain Management Registry (CPMR): Structure and Content of Proposed Patient and Patient/Provider Platforms
Authors: Langley Paul 
Published: February 2019

Previous commentaries in the Formulary Evaluation section of INNOVATIONS in Pharmacy have pointed to the difficulties of establishing the credibility of trial-based and modeled claims for therapy interventions. Claims for interventions in the management of chronic pain are no exception. To meet this challenge, the Chronic Pain Management Registry (CPMR) has been designed to provide an evidence base for physician practices and health care decision makers to evaluate the impact of pain management interventions. The purpose of this commentary is to detail the development, structure and content of the CPMR in two versions: (i) a patient response version and (ii) a combined patient/provider response version. The CPMR has a potentially critical role to play in providing a framework for the effective auditing of practice compliance in the prescribing and monitoring of opioids in the management of chronic pain. The CPMR tracks, with on-line input from the patient and the treating physician, the process and outcomes of therapy interventions. These reports cover the overall pain experience of patients as well as pain intensity and functional status by eleven specific pain locations, covering both pharmacological and non-pharmacological interventions. Prior to each practice visit patients complete reports which are entered to the CPMR with a summary transmitted to the physician practice. Over time, these reports track the cumulative response to therapy as well as the perception of the patients as to whether or not the therapy has led to any substantive improvement in activity limitations, symptoms and quality of life. A particular focus of the CPMR is on monitoring and evaluating the experience with, and impact of opioid medications, to include the effectiveness of opioid formulations on reducing pain intensity and improving functional status, including an intensive assessment of the potential for and experience of opioid substance abuse for individual patients. The CPMR can also support monthly reports to the practice to summarize patient throughput, the response to care by target pain patients and profiles of opioid use and abuse. The CPMR can be customized to meet the needs of individual practices.

Article Type: Commentary
APLIKASI LIMBAH CAIR PABRIK KELAPA SAWIT DENGAN METODA BIOPORI TERHADAP PERTUMBUHAN TANAMAN KELAPA SAWIT (ELAEIS GUINEENSIS JACQ.) BELUM MENGHASILKAN
Authors: Tambunan Demson Saputra , Nelvia Nelvia , Amri Al Ichsan 
Published: February 2019

The wider the area of oil palm plantations in Indonesia, the more palm oil mills will process more oil palm fruit bunches and produce waste one of them is liquid waste. The amount of liquid waste that is more and more if not treated properly will cause environmental pollution. The research aim to study the effect of liquid waste of oil palm factory (LWOPF) with biopori method to the growth of immature oil palm plant. The experiment was conducted in oil palm plantation of Agricultural Faculty of Riau University from May to July 2017. The experiment was arrange drandomized complete design consisting of 13 treatments (without LWOPF; 5; 7.5 and 10 liters LWOPFeachapplied in 1, 2, 3 and 4 biopore/plants), each repeated three times.The parameters observed were plant height, number of midrib, length of midrib, number of leaves, width and length of leaves. The results showed that the application ofLWOPF dose 7.5 liters applied in 4 biopore holes / plants increased addition the number of midrib and the leaves, the width and length of the leaves compared to without LWOPF and the highest than another treatment, but the addition of plant high increased at doses 7.5 liters in 3 biopore/plant and highest than another treatment.Key words : Liquid Wastes of Oil Palm Factory, Biopore Holes, Oil Palm Plants
HUBUNGAN ANTARA FAKTOR PENYEBAB DENGAN KEKAMBUHAN PADA PENYALAHGUNA NARKOBA DI YAYASAN MAHA KASIH KUNINGAN TAHUN 2013
Authors: Pranatha Aria 
Published: February 2019

Penyalahgunaan Narkoba terjadi akibat penggunaan zat yang disalahgunakan pemakaiannya, sehingga menimbulkan efek ketergantungan. Penyalahguna Narkoba dapat direhabilitasi dan dilakukan upaya pemulihan. Penyalahguna Narkoba yang telah direhabilitasi maupun masa pemulihan memungkinkan kembali menggunakan Narkoba (kambuh). Penyebab kekambuhan dapat disebabkan oleh tiga faktor, yaitu faktor individu, keluarga dan lingkungan. Penelitian ini bertujuan untuk mengetahui hubungan antara faktor penyebab dengan kekambuhan pada penyalahguna Narkoba di Yayasan Maha Kasih Kuningan.
Penelitian termasuk jenis analitik, dengan rancangan penelitian cross sectional. Populasi dalam penelitian ini adalah penyalahguna Narkoba yang berada di Yayasan Maha Kasih Kuningan. Pengambilan sampel dilakukan dengan teknik total sampling yaitu sebanyak 61 orang. Data penelitian diambil melalui kuesioner. Data diolah dan dianalisis dengan menggunakan uji korelasi Rank Spearman Test.
Hasil analisis univariat menunjukan bahwa sebanyak 54,1% individu penyalahguna Narkoba memiliki kepribadian yang melanggar, sebanyak 85,2% sikap keluarga terhadap penyalahguna Narkoba mendukung, dan sebanyak 78,7% masyarakat dapat menerima penyalahguna Narkoba berada di lingkungannya. Uji hipotesis menunjukan bahwa terdapat hubungan yang positif dalam derajat kuat (r = 0,777) antara faktor individu dengan terjadinya kekambuhan, terdapat hubungan yang positif dalam derajat kuat (r = 0,651) antara faktor keluarga dengan terjadinya kekambuhan, dan terdapat hubungan positif dalam derajat sedang (r = 0,533) antara faktor lingkungan dengan terjadinya kekambuhan pada penyalahguna Narkoba di Yayasan Maha Kasih Kuningan.
Diharapkan bagi para penyalahguna Narkoba agar dapat meningkatkan motivasi dan berusaha terus untuk hidup sehat tanpa Narkoba, serta dapat mencegah terjadinya kekambuhan, dengan mengalihkan perhatian pada kegiatan-kegiatan positif.
Hubungan Pengetahuan, Efikasi Diri dan Dukungan Keluarga dengan Self Management Pasien Hemodialisis di Kota Bekasi
Authors: Astuti Puji , Herawati Tuti 
Published: February 2019

Management of end stage renal disease requires to modify the patient's lifestyle in regulated diet, limited fluid, medication regimen, treatment of vascular access and adherence undergoing hemodialysis. Haemodialysis patients can optimize their own health, prevented complication and minimize the effects of the disease by carrying out self management. The objective research is to determinants influencying Self Management patients undergoing hemodialysis. The research disign was cross sectional with consecutive sampling with 100 of a sample. The result showed there is a significant relationship between knowledge, family support and self efficacy with self-management (α =0.05, CI 95%). The most influential variable is the level of knowledge. This study recommends for educational activities as a forum to improve knowledge and control Interdialystic Weight Gain.
Toros Sediri’nde (Cedrus libani A. Rich.) Fidan Tipi x Fidan Morfolojisi Etkileşimi
Authors: ÇETİNKAYA Durmuş , BİLİR Nebi 
Published: February 2019

Tohum meşceresi orijinli Toros Sediri’nin (Cedrus libani A. Rich) 1+0 yaşlı tüplü
ve çıplak köklü fidanları üzerinde gerçekleştirilen bu çalışmada fidan tipinin
morfolojik fidan özelliklerine (boy, kök boğazı çapı, kök uzunluğu, dal,
tomurcuk ve kök sayıları ile kuru ve yaş ağırlıklar) olan etkisi
araştırılmıştır. Çalışma sonucunda tüplü fidanların çıplak köklü fidanlara
göre daha yüksek gelişim gösterdiği belirlenmiştir. Örneğin fidan boyu ve kök
boğazı çapı, tüplü fidanlarda 13,1 cm, 3,02 mm bulunurken çıplak köklü fidanlarda
6,2 cm ve 2,07 mm bulunmuştur. Bununla birlikte, Türk Standartları Enstitüsü
fidan kalite sınıflarına göre tüplü fidanların tamamının dikime elverişli olduğu
belirlenirken, çıplak köklü fidanların boy için %45’i, kök boğazı çapı için
%53’ünün dikime elverişsiz olduğu belirlenmiştir.

Uygulanan varyans analizi sonucunda çalışmaya konu
özellikler bakımından fidan tipleri arasında istatistiksel bakımdan anlamlı (p&lt;0.05) fark belirlenirken;
korelasyon analizi sonucunda özellikler arasında genel olarak istatistiksel
bakımdan anlamlı (p&lt;0.05) pozitif
ilişkiler ortaya çıkmıştır.
PENDEKATAN PENANGGULANGAN KEBAKARAN PADA PERMUKIMAN PADAT PERKOTAAN
Authors: Deni Deni , Pane Mariaty , Rejoni Rahmat 
Published: February 2019

Sebagai kaum marjinal yang bertinggal di lingkungan padat perkotaan tidak memiliki daya dalam memperbaiki kualitas bertinggal mereka agar tahan terhadap bahaya kebakaran yang sewaktu-waktu dapat menimpa. Kecamatan Tanjungbalai Utara merupakan salah satu wilayah yang sangat rentan terhadap bencana kebakaran yang ditetapkan sebagai wilayah studi penelitian untuk menemukan rumusan sistem yang bagaimana dapat menanggulangi bencana kebakaran. Sebagai pendekatan dilakukan identifikasi terhadap wilayah studi dengan menggunakan rumusan Model Crunch yang menerjemahkan bahwa tingkat resiko bencana kebakaran (R) merupakan penjumlahan atas sumber bahaya (H) dan kerentanan (V) yang dikurangi dengan ketahanan (C). Sedangkan tindakan mengungkap keberadaan lingkungan mereka digunakan pemikiran tipologi perumahan masyarakat berpenghasilan rendah di perkotaan dan didukung dengan pemikiran-pemikiran para ahli dan instansi, standarisasi serta peraturan pemerintah untuk mengetahui keberadaan lingkungan permukiman mereka terhadap tingkat resiko kebakaran yang ada. Kemudian dilakukan penilaian yang dimuat melalui variabel-variabel tolok ukur tertentu berdasarkan sumber bahaya, kerentanan dan ketahanan terhadap lingkungan permukiman mereka. Setelah dilakukan penilaian melalui model Crunch yang didukung dengan rumus Sturges atas interval penilaian yang ada, ternyata wilayah studi memiliki status tingkat resiko bencana kebakaran yang cukup tinggi dengan nilai -7. Berdasarkan status tingkat resiko bencana kebakaran wilayah studi, dilakukan analisis praktis dengan melihat potensi yang dimiliki wilayah studi untuk diolah menjadi suatu sistem penanggulangan kebakaran yang dapat meningkatkan nilai ketahanan. Kemudian lahirlah sistem swadaya penanggulangan bencana kebakaran di lingkungan padat perkotaan sebagai rumusan pemikiran yang diharapkan ideal bagi lingkungan permukiman mereka.