bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perfil epidemiológico de las atenciones en emergencia del Hospital Básico de Machachi en el año 2018. Estudio descriptivo para determinar la pertinencia de la atención brindada
Authors: Viteri Mora Andrés 
Published: April 2019

Introducción: El servicio de emergencia del Hospital Básico de Machachi presenta una gran demanda lo cual causa el congestionamiento del servicio y de el resto de servicios del hospital en general superando la oferta tanto de camas hospitalarias como profesionales, el presente estudio se lo realiza para poder establecer cuales son las principales causas de consulta al servicio de emergencia y determinar el porcentaje de las mismas que ameritaban un tipo de atención especifica por el servicio y obtener un perfil epidemiológico de las patologías que se atienden en la emergencia determinar el patrón de utilización del servicio por la población local y la relación con variables demográficas con toda esa información brindar un instrumento de análisis para tomar medidas orientadas a optimizar el uso del servicio por parte de la población con un adecuado y eficaz manejo de los recursos del hospital
Objetivos: Establecer el porcentaje de atenciones en el servicio de emergencias del Hospital Básico Machachi entre enero y diciembre de 2018 que eran pertinentes de acuerdo a la clasificación de triaje usada en la institución.
Métodos: Estudio epidemiológico descriptivo transversal. Base de datos con información obtenida de la revisión de los formularios 008 de atención de emergencia de todo el año 2018 en el servicio de emergencia del Hospital Básico Machachi para clasificar la atención como emergente o no emergente de acuerdo al sistema de triaje de Manchester.
Resultados esperados: Demostrar la sub utilización del servicio de emergencia del Hospital Básico Machachi para determinar los correctivos a implementar
Asociación Asociación entre Polifarmacia y Prescripción inapropiada según la clase social en adultos mayores de Bucaramanga
Authors: Bueno Silvia Juliana 
Published: April 2019

Resumen: La polifarmacia y la PI se han visto relacionadas con múltiples variables, incluidas variables socioeconómicas, sin embargo, la evidencia en cuanto a lo anterior es escasa y heterogénea. Objetivo: Evaluar la prevalencia de polifarmacia y prescripción inapropiada de medicamentos en adultos mayores de 60 años según su clase social. Material y métodos: Estudio piloto de diseño descriptivo corte transversal en la ciudad de Bucaramanga, con una muestra de 135 adultos mayores de 60 años. Se realizó una encuesta donde se registraron datos sociodemográficos, estado de salud en el último mes, comorbilidades, medicamentos de uso crónico y funcionalidad en base a escalas. Resultados:
No se encontró asociación estadísticamente significativa entre prescripción inapropiada, polifarmacia, e infra prescripción con la clase social y con el nivel educativo (P=0,639). Sin embargo, el tener una afiliación al sistema de seguridad social de tipo subsidiado estuvo significativamente asociada a la infra prescripción (P<0,029), la presencia de ingresos mensuales se vio asociado con la presencia de polifarmacia (P<0,029) y prescripción inadecuada (P<0,033). Conclusiones: Existe una asociación entre algunas variables socioeconómicas con polifarmacia y PI, además el número de médicos tratantes y algunas especialidades médicas como cardiología y ortopedia son más propensas a presentar mayor porcentaje de polifarmacia.
INFECCION URINARIA POR Kluyvera ascorbata: REPORTE DE UN CASO
Authors: Sanchez-Buitrón Susan Katherine , Sigüenza-Asmad John Dexter , Vargas-Narro Roberto Carlos , Vargas-Pesantes Antony Francescoli , Aguilar-Urbina Edi William 
Published: April 2019

La bacteria Kluyvera ascorbata forma parte de la microbiota normal del tubo digestivo humano; pero en ocasiones, puede ocasionar infecciones potencialmente graves. Se presenta el caso de una paciente con pancreatitis aguda que luego de un antecedente de hospitalización y de portar sonda vesical, reingresa al hospital por una reagudización de su enfermedad acompañada de molestias urinarias, aislándose en urocultivo a Kluyvera ascorbata multirresistente. Este cuadro clínico pudo deberse a una infección intrahospitalaria relacionada al uso de sonda vesical; además, existe la posibilidad de que la paciente desarrollara una bacteriemia asociada a Kluyvera ascorbata.
PALABRAS CLAVE: Kluyvera, Infecciones Urinarias, Pancreatitis (DeCS)
Los medios estatales de Argentina a partir de la asunción de la alianza Cambiemos en el gobierno nacional (2016-2018)
Authors: Linares Alejandro , Mallimaci María Andrea 
Published: April 2019

Este trabajo releva el desempeño institucional de los medios del Estado nacional de la Argentina de 2016 a 2018, a partir de la asunción de la alianza Cambiemos en el gobierno nacional. Se analiza las principales decisiones que delinearon una política para su funcionamiento.
Para esto, se reseñan las modificaciones normativas, las iniciativas concretas y se recuperan las definiciones de los responsables institucionales. El diagnóstico sobre las tendencias y perspectivas en esta política se nutre de documentos públicos, entrevistas periodísticas y personales a sus directores, la normativa específica y textos académicos vinculados a la cuestión.
El trabajo concluye que a partir de la llegada de un nuevo gobierno nacional argentino en el cierre de 2015 se evidencia un cambio de perspectiva en la gestión de los medios estatales nacionales. En esta tendencia, las emisoras estatales se desplazan de un rol complementario y protagonista a otro subsidiario y marginal dentro del sistema mediático.
Insertable cardiac monitor detection of silent atrial fibrillation in candidates for percutaneous patent foramen ovale closure
Authors: Scacciatella Paolo , Jorfida Marcella , Biava Lorenza M. , Meynet Ilaria , Zema Domenica , D’Ascenzo Fabrizio , Pristipino Christian , Cerrato Paolo , Giustetto Carla , Gaita Fiorenzo 
Published: April 2019

AimAn underlying atrial vulnerability or a preexisting misdiagnosed atrial fibrillation in some patients who are candidates for patent foramen ovale (PFO) closure may lead to an unnecessary percutaneous intervention. The aim of this work was to define paroxysmal atrial fibrillation rate, through a 6-month insertable loop-recorder monitoring, in patients over 55 years old with cryptogenic stroke and PFO.MethodsPFO closure criteria: significant right-to-left shunt and at least one high-risk feature (permanent right-to-left shunt, atrial septal aneurysm, prominent Eustachian valve, recurrent brain ischemia, previous deep vein thrombosis, thrombophilia). Insertable cardiac monitoring criteria: previous cryptogenic stroke, more than 55 years and at least one atrial fibrillation risk factor (heart failure, hypertension, age older than 65 years, diabetes, atrial runs, left atrium dilatation, left ventricle hypertrophy, pulmonary disease, thyroid disease, obesity). Atrial fibrillation detection threshold: arrhythmia duration longer than 5 min.ResultsFrom January 2008 to March 2017, 195 patients underwent to loop-recorder monitoring. A total of 70 (36%) patients were candidates for PFO closure. The 6-month silent atrial fibrillation rate was 11.4%. In the arrhythmia-free cohort, 28 patients (45.2%) underwent percutaneous foramen ovale closure (group A) and 34 (54.8%) were medically treated (group B). Atrial fibrillation detection rate was 14.3% in group A and 0% in group B. The 36-month atrial fibrillation-free survival was 76%.ConclusionAn occult preexisting atrial fibrillation may lead to unnecessary percutaneous foramen ovale closure in a significant proportion of patients. A 6-month loop-recorder monitoring may improve the patient oriented decision-making.
Arrhythmic risk stratification in patients with dilated cardiomyopathy and intermediate left ventricular dysfunction
Authors: Merlo Marco , Gentile Piero , Artico Jessica , Cannatà Antonio , Paldino Alessia , De Angelis Giulia , Barbati Giulia , Alonge Marco , Gigli Marta , Pinamonti Bruno , Ramani Federica , Zecchin Massimo , Pirozzi Fabrizio , Stolfo Davide , Sinagra Gianfranco 
Published: April 2019

Aims
Arrhythmic risk stratification is a challenging issue in patients with dilated cardiomyopathy (DCM), particularly when left ventricular ejection fraction (LVEF) is more than 35%. We studied the prevalence and predictors of sudden cardiac death or malignant ventricular arrhythmias (SCD/MVAs) in DCM patients categorized at low arrhythmic risk because of intermediate left ventricular dysfunction under optimal medical treatment (OMT).

Methods
DCM patients considered at low arrhythmic risk (LVEF >35% and New York Heart Association class I-III after 6 ± 3 months of OMT) were analysed. An arrhythmogenic profile was defined as the presence of at least one among a history of syncope, nonsustained ventricular tachycardia, at least 1000 premature ventricular contractions/24 h, at least 50 ventricular couplets/24 h at Holter ECG monitoring. SCD/MVAs was considered as the study end-point.

Results
During a median follow-up of 152 months (interquartile range 100–234), 30 out of 360 (8.3%) patients at low arrhythmic risk (LVEF 47 ± 7%) experienced the study end-point [14 (3.9%) SCD and 16 (4.4%) MVA]. Compared with survivors, patients who experienced SCD/MVAs had more frequently an arrhythmogenic profile and a larger left atrium. Their LVEF at the last available evaluation before the arrhythmic event was 36 ± 12%. At multivariable analysis, left atrial end-systolic area [hazard ratio 1.107; 95% confidence interval (95% CI) 1.039–1.179, P = 0.002 for 1 mm2 increase] and arrhythmogenic profile (hazard ratio 3.667; 95% CI 1.762–7.632, P = 0.001) emerged as predictors of SCD/MVAs during follow-up.

Conclusion
A consistent quota of DCM patients with intermediate left ventricular dysfunction receiving OMT experienced SCD/MVA during follow-up. Left atrial dilatation and arrhythmogenic pattern were associated with a higher risk of SCD/MVA.
Transdermal patches: Design and current approaches to painless drug delivery
Authors: Al Hanbali Othman A. , Khan Haji Muhammad Shoaib , Sarfraz Muhammad , Arafat Mosab , Ijaz Shakeel , Hameed Abdul 
Published: April 2019

Abstract
Use of transdermal patches can evade many issues associated with oral drug delivery, such as first-pass hepatic metabolism, enzymatic digestion attack, drug hydrolysis and degradation in acidic media, drug fluctuations, and gastrointestinal irritation. This article reviews various transdermal patches available in the market, types, structural components, polymer role, and the required assessment tools. Although transdermal patches have medical applications for smoking cessation, pain relief, osteoporosis, contraception, motion sickness, angina pectoris, and cardiac disorders, advances in formulation development are ongoing to make transdermal patches capable of delivering more challenging drugs. Transdermal patches can be tailored and developed according to the physicochemical properties of active and inactive components, and applicability for long-term use. Therefore, a number of chemical approaches and physical techniques for transdermal patch development are under investigation.
The Value of Integrating 21st Century Skills into the Enterprise of Teaching Sociology
Authors: Nnebedum Chigozie 
Published: April 2019

Abstract
The 21st Century labour market is changing fast with unprecedented acceleration. Training in the field of sociology follows the pattern of education which is a process of leading out of ignorance and bringing one up to another plain, a higher one, within a societal context. Its organisation and curricular should be done within the frame work of the general society and life. It ought to follow the trend of the time. This article discusses the discipline of sociology, its concept and teaching approach from the ambiance of integrating 21st century skills into it. Using the qualitative method, the article examines the study of sociology in the light of the 21st Century, and reveals that students will be confronted with the effects social institutions, globalization, and technological advancement have on education in general. In responding to this challenge, the article reveals that sociology, through studies and statistical research across societies, will be able to establish that the more technical skills and knowledge one gains, the easier it is to move up to the upper class in the society (Max Weber). As a study of social life, sociology adapts and allows its fields to be re-structured to meet up with the demands of the “ever-changing” social life. Since the world in the 21st century has experienced technological and social developments and challenges, which have many impacts on the lives of individuals living in it, the teaching of sociology has to be abreast with the demands of the current century.
Market Regulation and Marketing of Enterprises as a Factor for the Development of SMEs in Kosovo
Authors: Ukaj Fatos , Bibuljica Husnija 
Published: April 2019

Abstract
Based on observation, enterprises are an economic organization established to make a profit. On the other hand, marketers are responsible for ensuring customer’s satisfaction. This is done firstly by increasing the growth of sales which will bring good business results. To reconcile these two approaches, we have to distinguish what entrepreneurs that run SMEs do. The environment has a significant influence on the development of SMEs. Furthermore, we consider the Legal issues and Legislation as the main factor that will let SMEs satisfy customer needs and generate profits. Also, we conducted field research where we used survey questionnaire as an instrument for data collection. Based on the findings of this study, we drew out conclusions and recommendations that will be useful for the future treatment of SMEs, and as a real force of the economic development of a country. All this, therefore, should be based on marketing concept requirements and appropriate legislation as support and insurance for investments made.
Ontology–based access to temporal data with Ontop: A framework proposal
Authors: Güzel Kalayci Elem , Brandt Sebastian , Calvanese Diego , Ryzhikov Vladislav , Xiao Guohui , Zakharyaschev Michael 
Published: April 2019

Abstract
Predictive analysis gradually gains importance in industry. For instance, service engineers at Siemens diagnostic centres unveil hidden knowledge in huge amounts of historical sensor data and use it to improve the predictive systems analysing live data. Currently, the analysis is usually done using data-dependent rules that are specific to individual sensors and equipment. This dependence poses significant challenges in rule authoring, reuse, and maintenance by engineers. One solution to this problem is to employ ontology-based data access (OBDA), which provides a conceptual view of data via an ontology. However, classical OBDA systems do not support access to temporal data and reasoning over it. To address this issue, we propose a framework for temporal OBDA. In this framework, we use extended mapping languages to extract information about temporal events in the RDF format, classical ontology and rule languages to reflect static information, as well as a temporal rule language to describe events. We also propose a SPARQL-based query language for retrieving temporal information and, finally, an architecture of system implementation extending the state-of-the-art OBDA platform Ontop.
A novel de novo paracentric inversion [inv(20)(q13.1q13.3)] accompanied by an 11q14.3-q21 microdeletion in a pediatric patient with an intellectual disability
Authors: Zachaki S , Kouvidi E , Mitrakos A , Lazaros L , Pantou A , Mavrou A , Tzetis M , Manola KN 
Published: April 2019

Abstract
A novel de novo paracentric inversion of the long arm of chromosome 20 [inv(20)(q13.1q13.3)], detected by conventional karyotyping in a 14-year-old boy with mental retardation is described. Further investigation by array comparative genomic hybridization (aCGH) revealed that the 20q inversion was not accompanied by microdeletions/microduplications containing disease-associated genes near or at the breakpoints. Two deletions at chromosomal regions 11q14.3q21 and 20q12 of 4.5 and 1.97 Mb size, respectively, containing important online Mendelian inheritance in man (OMIM) genes, were detected. The 4.5Mb 11q14.3q21 microdeletion was contained within a region that is involved, in most of the reported cases, with the interstitial 11q deletion and may be related to the mental retardation and developmental delay present in the patient. On the other hand, the published data about the 20q12 microdeletion are very few and it is not possible to correlate this finding with our patient’s phenotype. This case report contributes to the description of a new chromosomal entity, not previously reported, and is therefore important, especially in prenatal diagnosis and management of patients. Array comparative genomic hybridization has proven a useful technique for detecting submicroscopic rearrangements and should be offered prenatally, especially in cases of de novo karyotypically balanced chromosomal inversions or translocations in order to unveil other unbalanced chromosomal abnormalities such as deletions and amplifications.
The role of next generation sequencing in the differential diagnosis of caroli’s syndrome
Authors: Smolović B , Muhović D , Hodžić A , Bergant G , Peterlin B 
Published: April 2019

Abstract
We report the case of a 41-year-old man on conservative treatment for more than 20 years for chronic renal insufficiency, chronic hepatitis and recurrent cholangitis. Following lengthy and extensive diagnostics, the differential diagnosis included primary sclerosing cholangitis and Caroli’s disease (CD). To solve the diagnostic challenge, next generation sequencing (NGS) was performed to distinguish between the disorders possibly present in the patient. The diagnosis of CD became evident after two rare known pathogenic mutations were detected in the poly-ductin 1 (PKHD1) gene, c.370C>T (p.Arg124Ter) and c.4870C>T (p.Arg1624Trp). In this case, NGS was instrumental in solving the diagnostic challenge, allowing differentiation among the proposed genetic and non-genetic ethiologies.
A Review of Feature Selection and Its Methods
Authors: Venkatesh B. , Anuradha J. 
Published: April 2019

Abstract
Nowadays, being in digital era the data generated by various applications are increasing drastically both row-wise and column wise; this creates a bottleneck for analytics and also increases the burden of machine learning algorithms that work for pattern recognition. This cause of dimensionality can be handled through reduction techniques. The Dimensionality Reduction (DR) can be handled in two ways namely Feature Selection (FS) and Feature Extraction (FE). This paper focuses on a survey of feature selection methods, from this extensive survey we can conclude that most of the FS methods use static data. However, after the emergence of IoT and web-based applications, the data are generated dynamically and grow in a fast rate, so it is likely to have noisy data, it also hinders the performance of the algorithm. With the increase in the size of the data set, the scalability of the FS methods becomes jeopardized. So the existing DR algorithms do not address the issues with the dynamic data. Using FS methods not only reduces the burden of the data but also avoids overfitting of the model.
Hybrid Recommender System via Personalized Users’ Context
Authors: Nosshi Anthony , Asem Aziza , Senousy Mohamed Badr 
Published: April 2019

Abstract
In movie domain, finding the appropriate movie to watch is a challenging task. This paper proposes a recommender system that suggests movies in cinema that fit the user’s available time, location, mood and emotions. Conducted experiments for evaluation showed that the proposed method outperforms the other baselines.
Surface temperature of plant tissues. Which method of air temperature measurement fits best?
Authors: Litschmann Tomáš , Středa Tomáš 
Published: April 2019

Abstract
Climate change is contributing to an increased risk of flower damage by late spring frosts. Monitoring flower temperature is critical for the timely start of frost protection systems. However, there are many weak points that complicate the use of this method. The aims of this study were to: i) find the method of air temperature measurement with the best relationship to the surface temperature of plant tissues and ii) quantify the differences between plant tissues surface temperature and ambient temperature during different weather situations. The surface temperature of plant tissues (budding leaves of grapevine, apricot flower, and unripe pear fruit), air temperature and humidity in the radiation shield, wet bulb temperature and air temperature with an unsheltered thermometer were measured at ten-minute intervals in the spring months. The average temperatures obtained by the individual methods as well as the lowest temperatures were determined from each measurement. Differences between air temperatures and plant surface temperatures, including variation ranges, were also determined. An unsheltered thermometer, in which the energy balance corresponds approximately to that of the evaluated plant surfaces, provided the best relationship with plant tissue temperature. The air temperature measured by the standard method (in a Stevenson screen or in the radiation shield) was almost always higher than the temperature of the plant tissue during periods of negative energy balance. The difference between the minimum temperatures was approximately 0.5 °C. Temperatures more than 1.5 °C higher than the actual temperature of plant tissues were measured in extreme cases.
Evidences of the charge fundamental asymmetry
Authors: Lutephy Mohsen 
Published: April 2019

Abstract
There is an infinitesimal small non polarizable electric inertial charge in the individual atoms or in a number neutral matter included to equal number of the electrons and protons. We refer to the pure calculations verified by the experimental laboratorial results, also planetary phenomena and cosmic observations. This inertial electric charge is origin of a part of the measurable magnetic field in addition to self-consistent dynamo, together as complementary origins to generate very complex magnetism of the celestial bodies. Ultimately we refer to the null results of the test experiments for the spinning bodies magnetic field and we see that neither used bodies in the experiments have been number neutral (no equal number of the electrons and protons), nor the simple formula of the Patrick Blackett is accurate in detail. But we have extracted a new formula in agreement for all spinning bodies magnetic fields, in agreement with both terrestrial and cosmic bodies. We verify the effect of electric charge asymmetry in expanding universe and acceleration of the universe expansion and anisotropy of cosmic microwave background and singularity paradox and solar wind and acceleration of solar wind and corona high temperature puzzle as an equilibrium between the gravity and antigravity and mysterious heat generation of the Sun and planets interiors and missing neutrino and the comets plasma tail outward direction and pendulums mysterious precessions and some other mysteries phenomena too.