bluuebunny/crossref_metadata_2025_split huggingface dataset:
Combinación de toxina botulínica A y neumoperitoneo preoperatorio progresivo abreviado como técnica adyuvante para la reparación de grandes hernias de la región inguinal. Reporte de un caso.
Authors: Palmisano Ezequiel Mariano , Pérez Grassano Andrés , Schmidt María Laura 
Published: April 2018

Introducción. El tratamiento de las hernias inguinales gigantes representa un verdadero desafío terapéutico. Todavía no existe un consenso sobre la mejor forma de preparar a estos pacientes. El objetivo de éste trabajo es reportar un caso donde se utiliza de forma combinada el efecto de la toxina botulínica A y el neumoperitoneo preopertorio progresivo abreviado, como técnica adyuvante preoperatoria. Caso clínico. Varón de 76 años con hernia inguinal gigante sintomática. Estudio de tomografía preoperatorio para medir espesor y longitud de la pared abdominal lateral y diámetro transverso máximo de la cavidad abdominal. Preparación con toxina botulínica A y a los 14 días con neumoperitoneo durante 7 días. Control de tomografía tras previo a la cirugía. Resultado. Se muestran los datos de modificación de la pared abdominal tras la preparación. La reparación quirúrgica fue una hernioplastia tipo Lichtenstein y no se registraron complicaciones.Conclusión. El uso combinado de toxina botulínica y neumoperitoneo como técnica adyuvante en los casos de hernias inguinales gigantes aumenta el volumen de la cavidad abdominal y facilita la técnica quirúrgica.
Anatomía quirúrgica de la pelvis femenina (con especial atención al tejido conectivo)
Authors: Kock Erwin 
Published: April 2018

Introducción. Las características anatómicas de las fascias de la pelvis han sido descritas e interpretadas de forma distinta por anatomistas y cirujanos. Actualmente, todavía no sabemos cuál de dichas anatomías es la verdadera. El objetivo de este estudio es describir las fascias y espacios de la pelvis femenina e interpretar la anatomía desde una perspectiva quirúrgica.Material y Método. Estudio realizado en 29 cadáveres humanos, entre los años 2010 y 2015, en la Universidad de Tucumán, Argentina. Los cadáveres fueron disecados siguiendo la técnica quirúrgica habitual. Las vías de abordaje fueron superior, inferior o perineal, disección de cortes sagitales, vertico-frontales y horizontales, y resección en bloque del contenido pelviano y su posterior preparación - disección. Resultados. Se describe el diafragma aponeurótico y muscular, los espacios regionales, láminas y fijaciones de la pelvis femenina.Conclusión. La disposición anatómica de la pelvis femenina presenta como estructuras fasciales: 1) lámina iliogenital, 2) lámina interuretérica, 3) fascia de cubierta del espacio perirectal, 4) fascia de cubierta del espacio perivesical, 5) diafragma pelviano aponeurótico y 6) lámina perivisceral interdiafragmática. Y como espacios delimitados por estas fascias los siguientes: I) espacio perivesical, II) espacio perirectal, III) espacio intermedio, IV) espacio vesicogenital, V) espacio rectogenital y VI) el espacio interdifragmático.Palabras clave: pelvis femenina; anatomía; lámina iliogenital; periné
Manejo multimodal de la eventración gigante
Authors: Juárez Muas Derlin 
Published: April 2018

Antecedentes: La eventración gigante es una patología que afecta la calidad de vida de los pacientes, con altos índices de morbimortalidad y recidiva. Una correcta planificación prequirúrgica mejora las condiciones para la cirugía. El uso de descargas musculares y doble malla aumenta la seguridad de la eventroplastia. Objetivo: Describir el manejo multimodal de las eventraciones gigantes. Diseño: Estudio retrospectivo.Material y métodos: Presentamos dos pacientes mujeres con eventraciones gigantes manejadas con toxina botulínica A, neumoperitoneo preoperatorio, separación anatómica de componentes (a una anterior y a otra posterior) y eventroplastia con doble malla. Resultados: A ambas pacientes se les infiltró toxina botulínica tipo A (100 UI). A los 15 días se les efectuó neumoperitoneo preoperatorio progresivo durante 20 días. Se les realizó resección de cicatriz previa (diéresis por planos) y apertura y tratamiento del saco y se creó plano retrorrectal. En una paciente se efectuó descarga del oblicuo externo a lo Albanese bilateral, y en la otra, descarga del músculo transverso bilateral. Se efectuó cierre de aponeurosis posterior, se colocó malla de polipropileno pesado retromuscular y se fijó al pubis-Cooper, EIAS y transmuscular. Se cerró aponeurosis anterior, se colocó una segunda malla preaponeurótica de polipropileno liviano macroporoso y se fijó con sutura absorbible. Se dejaron drenajes prefasciales. Síntesis por planos. Se colocó faja en quirófano. El tiempo quirúrgico promedio fue de 217 minutos. Tuvieron buena evolución posquirúrgica, con alta hospitalaria a las 96 h y retorno laboral a los 30 días. Seguimiento PO de 14 meses, sin complicaciones ni recidiva clínico-ecográfica.Conclusiones: El manejo multimodal de las eventraciones gigantes permite a los pacientes llegar en mejores condiciones quirúrgicas. La toxina botulínica, el neumoperitoneo preoperatorio y las descargas musculares aumentan el porcentaje de restitución de la línea media sin tensión, minimizando el riesgo de hipertensión intraabdominal posoperatoria. La colocación de doble malla aumenta la seguridad de la plástica y disminuye la recidiva en pacientes con defectos complejos de la pared abdominal.
The Potential of Outing Class Acitivities to Enhance Environmental Awareness for Elementary School Pre-Services Teacher
Authors: Patonah Siti , Rahardjo Sentot Budi , Cari Cari , Sajidan Sajidan 
Published: April 2018

Environmental damage in various places requires concrete steps to be resolved. The purpose of this research is to make environmental awareness work for Elementary School Pre-services Teacher through outing class activities. Post-test only group design is used as a method of this research. The instruments used are environmental awareness questionnaire where adapted. There are 71 elementary pre-service teacher (60 male and 11 female) who fill in questioner. Students devide into 2 groups: experiment group and control group. Data analysis is an independent sample test using SPSS vol. 22. Experiment group, learning is done by outing class while the control group is done in the classroom. Obtained significance of 0.029 &lt; 0.05, indicating that there is a difference between the experimental group and the control group. Outing class has an effect on environmental awareness to elementary school pre service teacher. An in-depth study is required to modify outing class activities in enhancing environmental awareness.
Computer Supported Collaborative Writing: Does it Work among ESL Learners?
Authors: Ithnin Nur Hazirah Che , Fikray Farhanahbinti Mohamad , Razak Noor Zainab Abdul 
Published: April 2018

This study examines the effectiveness of using Wiki as a platform to enhance EL learners’ writing skill in English language. In particular, the aim of this research is to examine learners’ performance in composing English language essays as well as to identify the challenges which the students faced throughout the process of writing through Wiki. This study involved the respondents from secondary school who were in Form 2 and it consists of three levels of language proficiency which the researchers have identified. Specifically, the research data is collected through writing assessments (pre-test and post-test). For pre-test and post-test, the website selected as a platform was ZOHO Wiki which is a free user friendly online server designed for collaborative writing. The data from pre-test and post-test was analysed according to the marks obtained. Particularly, the research findings showed that students positively show an encouraging improvement in their English language essays and writing skill. Besides, some challenges on the Wiki website and technological related issues that occurred during the process of Wiki mediated writing have also been identified such as difficulties in terms of Wiki tools software, technological related problem, collaborative writing issues, and other relevant challenges related to the research topic. In addition, the pedagogical implications, limitations as well as recommendations on the future research which are relevant to the present study are discussed and elaborated. In short, collaborative learning through Wiki provides learners with an interactive platform for writing English language composition.
CLINICAL VALUE OF DETERMINING GALECTIN-3 IN PATIENTS WITH CHRONIC HEART FAILURE
Authors: Gyamdzhyan K. A. , Kukes V. G. , Maksimov M. L. 
Published: April 2018

Relevance:today, the task of finding new biomarkers that could help monitor the effectiveness of pharmacotherapy, ensuring early diagnosis and predicting the clinical outcome of the disease continues to be relevant.Purpose:the purpose of the study was to assess the clinical value of determining galectin-3 in patients with chronic heart failure (CHF).Material and methods:the study included 53 patients (women n = 31, men n = 22) with CHF II-III FC NYHA. The mean age of patients was 71 (95% CI 68.99-74.37). The group of patients with CHF II NYHA included 14 people, and the group with CHF III NYHA - 39. The median baseline level for NT-proBNP was 65.7 pmol/L, the median baseline for galectin-3 - 8.37 pmol/L.Results:increased levels of galectin-3 correlated with reduced EF (%) (R = -0.26, p = 0.04), increased serum creatinine (r = 0.26, p = 0.04) and elevated plasma levels of NT-proBNP (r = 0.3, p = 0.02). No statistically significant relationship was obtained with other clinical indicators, such as SBP, DBP, heart rate, BMI, the 6-minute test, LVMI, LVM, glucose, TC, GFR. We obtained a moderate correlation between the plasma levels of NT-proBNP and galectin-3 (r = 0.3, p = 0.02). Reduced levels of galectin-3 after treatment were observed in 84.3% of patients.Conclusion.Galectin-3 can be used as an additional diagnostic biomarker for CHF. The incidence of congestive heart failure (CHF) is 1–2% among the population in the developed countries reaching >10% in patients aged over 70 years. [1] Despite a significant progress in the treatment of CHF over the past decades, the mortality rate is very high reaching 60% in men and 45% in women after 5 years after the initial diagnosis. [2] Therefore, the development of new methods for the prevention and treatment of CHF is a relevant medical and social problem.
Investigating the effect of hydroclimatological variables on Urmia Lake water level using wavelet coherence measure
Authors: Nourani Vahid , Ghasemzade Mahsa , Mehr Ali Danande , Sharghi Elnaz 
Published: April 2018

Abstract
In this paper, wavelet transform coherence is implemented to examine the impacts of hydroclimatological variables on water level fluctuations in two large saline lakes in the Middle East with a similar geographical location, namely, Urmia Lake in north-west Iran, which has an extremely simple ecological pyramid where water level decrease produces a very sensitive ecosystem, and Van Lake in north-east Turkey. The present study investigates trends in higher order moments of hydrological time series. The aim of this paper is to investigate the complexity of Urmia Lake water level time series which could lead to decrease fluctuations of time series. To this end, the strength and relationships between five hydroclimatological variables, including rainfall, runoff, temperature, relative humidity, as well as evaporation and water level fluctuations in the lakes were determined and discussed in terms of high common power region, phase relationships, and local multi-scale correlations. The results showed that among the hydroclimatological variables, runoff has the most coherencies (0.9–1) with water level fluctuations in the lakes. Although both lakes are located in a similar climatic region, for the recent 15 years, adverse trend in water level fluctuations of Urmia Lake indicates a critical condition for this lake.
Geo-spatial analysis of radon in spring and well water using kriging interpolation method
Authors: Khan Abdul Razzaq , Rafique Muhammad , Rahman Saeed Ur , Basharat Muhammad , Shahzadi Chand , Ahmed Ishtiaq 
Published: April 2018

Abstract
Radon activity concentration was measured in 101 springs and well water samples collected from Muzaffarabad city and its outskirts. Sixty springs and 41 well water samples were analyzed, using RAD7, an electronic radon detector manufactured by Durridge Company Inc., for the estimation of radon borne activities and their relevant effects. Results obtained show that for spring water, the water borne radon activity varied from 0.246 ± 0.348 to 34.36 ± 5.54 Bq L−1 with an average value of 10.16 ± 2.42 Bq L−1. For well water, the water borne radon activity varied from 0.86 ± 0.10 to 16.12 ± 0.22 Bq L−1 with an average value of 4.21 ± 0.13 Bq L−1. Concentration of radon borne activities were subsequently used for determination of inhalation and ingestion doses. The inhalation and ingestion doses for spring water samples varied from 0.0062 ± 0.0087 to 0.865 ± 0.14 mSv y−1 and 0.052± 0.073 to 7.22 ± 1.16 mSv y−1, respectively. The inhalation and ingestion doses for well water varied from 0.022 ± 0.0025 to 0.41 ± 0.0054 mSv y−1 and 0.18± 0.021 to 3.38 ± 0.045 mSv y−1, respectively. 33.33% of spring and 7.32% of well water samples were found with values above the recommendation levels of the United States Environmental Protection Agency (∼11.1 Bq L−1). As a single measurement cannot serve as a best estimate of the unsampled areas in the region, Kriging interpolation method, a geo-statistical method, was used to get an estimate of spatial distribution of water borne radon in the area of study. Kriging mapping shows that higher radon concentrations are found in areas with lithology consisting of sandstones, siltstones, shales and claystones.
Simultaneous removal of cationic methylene blue and anionic reactive red 198 dyes using magnetic activated carbon nanoparticles: equilibrium, and kinetics analysis
Authors: Abuzerr Samer , Darwish Maher , Mahvi Amir Hossein 
Published: April 2018

Abstract
For the simultaneous adsorption of cationic dye (methylene blue, MB) and anionic dye (reactive red 198, RR198) from aqueous solution, magnetic activated carbon (MAC) nanocomposite as a promising adsorbent was prepared and used. The concentration of MB at different time intervals was determined using a UV-Vis spectrophotometer while the concentration of RR198 was determined using a high performance liquid chromatography (HPLC) system. The effect of solution pH, contact time, adsorbent amount, and dye concentration were investigated. Also, both kinetic and isotherm experiments were studied. The optimum pH was 10 and 5.5 for adsorption of MB and RR198, respectively, and the equilibrium status was achieved after 120 min. The adsorption kinetics was controlled by the pseudo-second order kinetic model more than pseudo-first order. The best-fitted isotherms were Freundlich and Langmuir models for MB and RR198, respectively. The higher values of Freundlich adsorption capacity (Kf) for MB in comparison with RR198 refer to MAC affinity to remove cationic dyes more than anionic dyes. Apparently, there was no substantial change in the adsorption efficiency among the 10 adsorption–desorption cycles. Overall, MAC can be considered as an effective and efficient viable adsorbent for cationic and anionic dyes removal from industrial wastewaters.
Management of Antithrombotic Therapy in Patients with Coronary Artery Disease or Atrial Fibrillation who Underwent Abdominal Surgical Operations
Authors: Schizas Dimitrios , Kariori Maria , Boudoulas Konstantinos Dean , Siasos Gerasimos , Patelis Nikolaos , Kalantzis Charalampos , Moldovan Carmen-Maria , Vavuranakis Manolis 
Published: April 2018

Background:
Patients treated with antithrombotic therapy that require abdominal surgical procedures
have progressively increased over time. The management of antithrombotics during both the peri- and postoperative
period is of crucial importance.

Methods:
The goal of this review is to present current data concerning the management of antiplatelets in patients
with coronary artery disease and of anticoagulants in patients with atrial fibrillation who had to undergo abdominal
surgical operations. For this purpose, the incidence of major adverse cardiovascular events (MACE) and risk
of antithrombotic use during surgical procedures, as well as the recommendations based on recent guidelines were
reported. A thorough search of PubMed, Scopus and the Cochrane Databases was conducted to identify randomized
controlled trials, observational studies, novel current reviews, as well as ESC and ACC/AHA guidelines on
the subject.

Results:
Antithrombotic use in daily clinical practice leads to two different pathways: reduction of thromboembolic
risk, but a simultaneous increase of bleeding risk. This may cause a therapeutic dilemma during the perioperative
period. Nevertheless, careless cessation of antithrombotics can increase MACE and thromboembolic
events. However, maintenance of antithrombotic therapy may increase bleeding complications. Studies and current
guidelines can help clinicians in making decisions for the treatment of patients that undergo abdominal surgical
operations while on antithrombotic therapy. Aspirin should not be stopped perioperatively in the majority of
surgical operations. Determining whether to discontinue the use of anticoagulants before surgery depends on the
surgical procedure. In surgical operations with a low risk for bleeding, oral anticoagulants should not be discontinued.
Bridging therapy should only be considered in patients with a high risk of thromboembolism. Finally, in
patients with an intermediate risk for thromboembolism, management should be individualized according to patient’s
thrombotic and bleeding risk.

Conclusion:
Management of antithrombotics therapy during the perioperative period in patients undergoing abdominal
surgery should follow a patient-centered approach according to a patient’s medical history and thrombotic
risk weighted for bleeding risk.
Long-Term Effects of Acute Myeloid Leukemia Treatment on the Oral System in a Pediatric Patient
Authors: Lupi Saturnino Marco , Rodriguez y Baena Arianna , Cervino Gabriele , Todaro Claudia , Rizzo Silvana 
Published: April 2018

Introduction:Acute Myeloid Leukemia (AML) in pediatric patients is a serious disease, although, for the subgroup of patients who receive proper treatment, a long-term survival rate above 50% is typical. The cycles of chemo- and radiotherapy used to treat AML can impair dental development.Case Report:Herein, we describe the oral condition of a 25-year-old male patient treated for AML with chemo- and radiotherapy from 5 to 7 years of age; his AML has remained in remission for the past 18 years. He had lost only one permanent tooth, but the remaining teeth demonstrated serious deformations and radicular hypoplasia. Two teeth required immediate extraction and subsequent replacement by implant-supported crowns. We found that the decayed, missing, filled teeth (DMFT) index was not representative of the real oral condition. Here, we report the full case and provide a brief review of the literature.Conclusion:Antitumor treatment of pediatric leukemia can induce total impairment of dental development and function. These adverse effects may become clinically evident many years after the resolution of cancer, and can be significantly detrimental to the patient’s quality of life.
MANAGEMEN KELELAHAN SAAT PERSALINAN MENGGUNAKAN JUS SEMANGKA
Authors: Wahyuni Islah 
Published: April 2018

<em>The condition of fatigue during labor has received little attention for meditative intervention, so it is important in suppressing the adverse effects of fatigue during labor on the mother and fetus, and preventing the incidence of maternal and fetal mortality and morbidity. The purpose of the study to determine the handling of fatigue using watermelon juice in maternal mothers. Anaerobic fatigue was measured using blood lactic acid values, and Visual Analoque Scale-Fatique (VAS-F) quetioner from 68 respondents were divided into 2 groups: treatment and control group were selected concencutive sampling. Measurement of blood lactate level was performed 2x at before and after treatment. Data analysis was using univariate and bivariate by dependent T test. The results showed that there were significant differences between lactate levels before and after treatment and control group (.003). The VAS-Fatique analysis resulted the difference in fatigue experienced stage 1 (.015) and fatigue experienced 24 hour post partum (.001) is lower treatment group compared with the control group. In conclusion, watermelon juice is effective as fatigue handling in maternal mothers, it is recommended that watermelon juice be given to the mother during normal delivery</em>
UJI AKTIFITAS ANTINYAMUK MINYAK ATSIRI SEREH DAPUR DALAM BENTUK SEMPROT
Authors: S.Farm, M.Farm, Apt Yulianis 
Published: April 2018

<p>Minyak atsiri daun sereh dapur mengandung citronella dan geraniol, kandungan ini mempunyai aktivitas sebagai antinyamuk. Penelitian ini dilakukan dengan isolasi minyak atsiri menggunakan metoda destilasi air. Minyak atsiri daun sereh dapur diuji dengan konsentrasi 1%, 5%, 10%, dan 15%, kemudian disemprotkan kepada nyamuk, uji ini juga menggunakan kontrol (-) berupa zat pembawa tanpa minyak atsiri dan kontrol (+) berupa obat semprot yang beredar dipasaran. Hasil uji aktivitas antinyamuk terhadap 100% kematian nyamuk dengan konsentrasi 1%, 5%, 10%, dan 15% berturut turut diperoleh waktu kematian 3.05, 2.03, 1.1 dan 0.6 (menit dan detik), untuk kontrol (-) tidak mempunyai aktivitas membunuh nyamuk, sedangkan kontrol (+) diperoleh waktu 20 detik. Kesimpulan uji aktivitas antinyamuk minyak atsiri daun sereh dapur diperoleh semakin besar konsentrasi, aktivitasnya semakin tinggi.</p><p>Kata Kunci : Antinyamuk; Minyak atsiri; Sereh dapur.</p>
Assessing Management Integrity: Insights from Big 4 Auditors in Egypt
Authors: Kassem Rasha 
Published: April 2018

SUMMARY
Recent corporate scandals have raised concerns about the quality and value of the audit profession and have generated demands for improving auditors' evaluation of management integrity. The literature lacks evidence regarding methods of assessing management integrity, while audit standards provide little if any guidance on this matter. This raises questions about how external auditors can comply with the audit standards in this area and what best practices and deficiencies exist in the assessment of management integrity. This study examines methods of assessing management integrity by providing insights from the Big 4 auditors in Egypt. The findings of this study will benefit audit firms in their professional audit training programs, as well as auditors conducting fraud risk assessments.