bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Comparative Study of TAVR versus SAVR in Moderate and High-Risk Surgical Patients: Hospital Outcome and Midterm Results
Authors: Abdelgawad Ahmed Moustafa Ewiss , Hussein Mohamed A. , Naeim Hesham , Abuelatta Reda , Alghamdy Saleh 
Published: August 2019

Background: Although the use of transcatheter aortic valve replacement (TAVR) has recently become an attractive strategy in prohibitive surgical high-risk patients undergoing aortic valve replacement (AVR), the most appropriate treatment option in patients with an intermediate- to high-risk profile— whether conventional surgery (SAVR) or TAVR—has been widely debated.
Methods: One hundred and forty-three consecutive patients with intermediate to high risk were prospectively enrolled and selected to undergo SAVR (Group 1 [G1], n = 63) or TAVR (Group 2 [G2], n = 80) following a multidisciplinary evaluation including frailty, anatomy, and degree of atherosclerotic disease of the aorta/peripheral vessels. The mean logistic EuroSCORE (G1 = 20.11 ± 7.144 versus G2 = 23.33 ± 8.97; P = .022), STS score (G1 = 5.722 ± 1.309 versus G2 = 5.958 ± 1.689; P = .347), and preoperative demographics such as sex, left ventricular ejection fraction (LVEF), body mass index (BMI), peripheral vascular disease, diabetes, atrial fibrillation, renal impairment and syncope were similar. Of note, chronic obstructive pulmonary disease was more frequent in TAVR patients (G2 [46.2%] versus G1 [19.0%]; P = .001), whereas pulmonary hypertension was more frequent in SAVR group (G1 [47.6%] versus G2 [17.5%]; P = .000). The SAVR was performed with either a mechanical or tissue valve; meanwhile, TAVR was performed with either Core valve prosthesis or Edwards-Sapiens XT valve.
Results: SAVR group showed higher incidence of some postoperative complications compared to TAVR, namely, postoperative bleeding (4.8% versus 0.0%; P = .048), tamponade (4.8% versus 0.0%; P = .048) and postoperative atrial fibrillation (34.9% versus 10.0%; P = .000), whereas TAVR group had a higher incidence of other sets of postoperative complications, namely, left bundle branch block (58.8% versus 4.8%; P = .000), need for permanent pacemaker implantation (25.0% versus 1.6%; P = .000) and peripheral vascular complications (15.0% versus 0.0%; P = .001). On the contrary, when the two groups were compared they did not show any significant difference regarding anemia requiring more than two units of blood transfusion, postoperative renal failure, stroke, myocardial infarction, and hospital mortality. P = .534, .873, .258, .373 and .072 respectively. Hospital mortality was similar among the two groups (G1 = 0% versus G2 = 5%; P = .072). At the 24-month follow-up, overall mortality, major adverse cardiac and cerebrovascular events were comparable between the two groups but prosthetic regurgitation was better in SAVR group (G2 = 8 patients [10.0%] versus G1 = 1 patient [1.6%] in SAVR group; P = .040).
Conclusion: In this study, we could not detect an advantage in survival when SAVR or TAVR were utilized in intermediate to high surgical risk patients needing aortic valve replacement for severe aortic stenosis.
Lo cotidiano: una forma básica de mirar la diversidad
Authors: Hernández Vargas Dora María 
Published: August 2019

A partir de una estrofa de un poema de Jorge Debravo, la autora de este ensayo lleva al lector a reflexionar sobre la manera en que el respeto y la valoración de la diversidad presente en todo ser y hacer humano, deben abordarse desde lo cotidiano, desde esa necesidad diaria de ternura, cena, silencio, pan y casa.
Nuestro célebre poeta hace una de las afirmaciones más consistentes y enérgicas cuando dice, con gran belleza poética y como si toda la humanidad dijera con él: “Soy hombre, he nacido, tengo piel y esperanza…”. Debravo logra expresar e identificar algunas de las necesidades y derechos básicos de las personas en este breve poema, con una fuerza impresionante. La autora considera importante que, la persona no pide “eternidades llenas de estrellas blancas”. Y concuerda con el poeta cuando explica suavemente: “Pido ternura, cena, silencio, pan y casa…”.
Creencias y prácticas de autoevaluación del aprendizaje vigentes en los procesos de formación profesional desarrollados en el CIDE durante el 2007
Authors: Ovares Barquero Sandra , Ruiz Guevara Susana , Zúñiga León Irma 
Published: August 2019

Recibido 18 de enero 2008 • Aprobado 12 de marzo 2008

El presente artículo identifica creencias y prácticas de autoevaluación del aprendizaje vigentes en los procesos de formación profesional desarrollados en el CIDE durante el 2007, para lo cual se desarrolló un trabajo de investigación con dos grupos de informantes conformados por académicos del CIDE que, durante la década de los años 90 participaron en experiencias de autoevaluación de los aprendizajes como docentes o como estudiantes.
Las prácticas actuales que realizan por los académicos informantes en materia de autoevaluación de los aprendizajes en el CIDE, evidencian que ellos conceden gran importancia a este proceso en los cursos que imparten, y concuerdan en la necesidad de implementarlo de manera concreta, por cuanto las experiencias se convierten en iniciativas aisladas que no se enmarcan dentro de alguna política, lineamiento u orientación planteada por la comunidad CIDE.
Las creencias de los participantes con respecto a la posibilidad de aplicar procesos de autoevaluación de los aprendizajes en la formación profesional que desarrolla el CIDE, ponen de manifiesto la necesidad de capacitar al grupo de docentes y estudiantes en esta materia, y además, crear más espacios para la participación de éstos últimos. Por otra parte, los académicos creen que la autoevaluación de los aprendizajes es una estrategia para el desarrollo de procesos metacognitivos y reflexivos, lo que se considera de medular importancia en la formación profesional a cargo del Centro.
Experiencia sobre educación rural en el municipio de Samacá, Boyacá. Colombia
Authors: Rodríguez Rueda María Cecilia , Piñeros Piñeros Marco Antonio 
Published: August 2019

Recibido 3 de noviembre de 2006 • Aprobado 30 de noviembre de 2006

La experiencia, que a continuación se describe, es el resultado del trabajo con comunidades e instituciones educativas rurales que viene desarrollando el Grupo de Investigación Educación Rural de la Universidad Pedagógica y Tecnológica de Colombia desde 1999, en el municipio de Samacá, Boyacá. Esta se realiza en dos fases: la primera, recoge una visión holística de carácter socio-cultural y pedagógico de las familias que habitan en las veredas de Guantoque, Páramo Centro y Gacal y sus respectivas instituciones educativas. La segunda fase, coherente con los resultados obtenidos, busca diseñar y ejecutar, a través de la investigación-proyección social, una propuesta alternativa pedagógica y de atención primaria en salud, que contribuya a mejorar las condiciones de los menores y sus familias en el sector. La metodología utilizada en este proceso es la investigación-acción participativa, donde se han involucrado, los maestros de las escuelas, los padres y las madres de familia, las instituciones y organizaciones del municipio, la administración municipal y la Secretaria de Educación Departamental. Los resultados obtenidos se relacionan con los compromisos adquiridos por los diferentes sujetos participantes, pero además, con el conocimiento de la realidad cultural, pedagógica y física de los menores.
Global analysis of a deterministic and stochastic nonlinear SIRS epidemic model
Authors: Lahrouz A. , Omari L. , Kiouach D. 
Published: August 2019

We present in this paper an SIRS epidemic model with saturated incidence rate and disease-inflicted mortality. The Global stability of the endemic equilibrium state is proved by constructing a Lyapunov function. For the stochastic version, the global existence and positivity of the solution is showed, and the global stability in probability and pth moment of the system is proved under suitable conditions on the intensity of the white noise perturbation.
Exact solutions of the 2+1-dimensional Camassa–Holm Kadomtsev–Petviashvili equation
Authors: Ebadi Ghodrat , Fard Nazila Yousefzadeh Yousefzadeh , Triki Houria , Biswas Anjan 
Published: August 2019

This paper studies the (2 + 1)-dimensional Camassa–Holm Kadomtsev–Petviashvili equation. There are a few methods that will be utilized to carry out the integration of this equation. Those are the G'/G method as well as the exponential function method. Subsequently, the ansatz method will be applied to obtain the topological soliton solution of this equation. The constraint conditions, for the existence of solitons, will also fall out of these.
Orchid diversity in antropogenic-induced degraded tropical rainforest, an extrapolation towards conservation
Authors: Besi Edward E. , Nikong Dome , Mustafa Muskhazli , Go Rusea 
Published: August 2019

The uncontrolled logging in Peninsular Malaysia and the resulting mudslides in the lowland areas have been perilous, not to just humans, but also to another biodiversity, including the wild orchids. Their survival in these highly depleted areas is being overlooked due to the inaccessible and harsh environment. This paper reports on the rescue of orchids at risk from the disturbed forests for ex-situ conservation, the identification of the diversity of orchids and the evaluation of the influence of micro-climatic changes induced by clear-cut logging towards the resilience of orchids in the flood-disturbed secondary forests and logged forests in Terengganu and Kelantan, located at the central region of Peninsular Malaysia, where the forest destruction by logging activities has been extensive. 109 orchid species belonging to 40 genera were collected from the disturbed areas. The diversity and data analyses show that the disturbed secondary forests had a higher orchid density (0.0133 plants/m2) than the logged sites (0.0040 plants/m2) as the habitat conditions were more dependable. Nevertheless, the logged forests harboured a higher diversity of orchids (H=4.50 and D=0.99) of which 97.9% were epiphytes. Eleven rare species were found along with six species endemic to Peninsular Malaysia, with two species new to science. The results highlighted the factors that allow the orchids to flourish or suffer in the disturbed forests. The logged forests had a higher ambient temperature and lower moisture level than the mud flood-disturbed and canopy-covered secondary forests. Apart from the extensive ground vegetation due to logs dragging extraction, low soil moisture and absence of leaf litter were believed to be the major attributes causing the low abundance of terrestrial orchids. The high abundance and diversity of epiphytic orchids and the large difference of their densities between the logged sites were influenced by the densities of fallen trees hosting orchid(s), disturbance-induced dryness stresses, durations of exposure to the anthropogenic-induced disturbance, and less favourable soil conditions for the terrestrial orchids.

Key words: conservation, diversity, dryness stress, ecology, epiphyte, logged forest, mudslides, Orchidaceae
A Great Lesson of Spirituality and Humanism. Pope John Paul II at the Headquarters of UNESCO in Paris (2 June 1980)
Authors: Królikowski Janusz 
Published: August 2019

The speech given by St. Pope John Paul II at the UNESCO headquarters in Paris on June 2, 1980 has a special place among his numerous addresses concerning culture. Referring to the cultural changes which took place in the last three centuries the pope stood up for culture, emphasising that, in an individual dimension, culture represents the constitutive element of life of every man and, correspondingly, in a social dimension, it provides a support for self-determination and for the freedom of nations. Formulating such a message, the pope referred to Polish experiences, in order to highlight the significance and the primacy of the person and to point out the subjective meaning of a nation and the ethical dimension of culture. In the papal message one can also find a call for cultural opposition against contemporary subjectivism and other tendencies heading towards the disinheritance of man and to the shutting of the door of the universal horizon of hope and love, which is based on manifold human experiences from the past.
Mieczysław Kotlarczyk – a Teacher and Artistic Friend of John Paul II
Authors: Kuta Cecylia 
Published: August 2019

Mieczysław Kotlarczyk played an important role in the life of Pope John Paul II. The spiritual bond between friends born in the same city exerted a significant impact on both their lives and work. And yet it remains unknown to the public, just as Kotlarczyk himself. Raised in a theatre-related family, Kotlarczyk remained affiliated with the theatre throughout his life. This paper presents his life path and the fate of the Rhapsodic Theatre, which Kotlarczyk was managing from 1941, and which operated under the auspices of the “Unia” (“Union”) underground organization. After World War II, despite reprisals from the communist authorities and the subordination to thesecret service, Kotlarczyk tried to continue his activity. In 1953, the Rhapsodic Theatre was liquidated by the authorities. Even though in 1957, as part of the so-called thaw, there was a consent to reactivate the theatre, ten years later however, it was definitely shut down. Among those protesting against the decision, was Karol Wojtyła, the then Archbishop of Kraków.
Assessment of quality of care provided at a tertiary hospital of Sikkim by patient's degree of responsiveness
Authors: Rahman Hafizur , Khalda Ezzat 
Published: August 2019

Background: Quality of care is concerned with the interface between provider and patients, between health services and community. The aim of the current study was to evaluate the quality of provided health care and patient experiences at a tertiary hospital based on the concept of responsiveness.Methods: This was a cross-sectional survey among reproductive women of Central Referral Hospital over a period of 5 months from August 2016 to December 2016. A pre-designed, pretested, self-administered response questionnaire on rate of service utilization using the WHO health system responsiveness modulewas used.Results: A total of 450 women were approached and requested to participate during the study period of which 374 women completed the survey. According to the evaluation of in-patient care (Table 2), "able to change doctor if wanted" showed the lowest degree of responsiveness (52.7%). A significant proportion of patients experienced discrimination for different reasons: 9.6% reported feeling they had been treated worse than others because of lack of money, while a similar proportion reported they had been discriminated for the language they speak or because they were having insurance from a company.Conclusions: Health care access in terms of prolong waiting time in the reception and before being attended by doctor, difficulty to change doctor when wanted and discriminatory experiences were identified as priority areas for actions to improve responsiveness and patient satisfaction.
Correlation of serum magnesium levels in eclampsia with pritchard and single dose magnesium sulphate regimen
Authors: S. Shreya M. , H. Nayana D. 
Published: August 2019

Background: Magnesium sulphate is anticonvulsant of choice for eclampsia. Single dose magnesium sulphate therapy was tried for the management of Eclampsia and Imminent Eclampsia considering the low body mass index of Indian population.Methods: A prospective interventional study comprising of total 80 patients having either eclampsia or imminent eclampsia, to whom the Pritchard or a single dose MgSO4 was given alternatively in a tertiary hospital from October 2014 to October 2017. Serum magnesium levels, maternal and perinatal outcome and recurrence of convulsions were evaluated using Student- t test and chi square test.Results: Mean Serum Magnesium levels in eclampsia and imminent eclampsia group at 0 min, 30 min, 4 hours in Pritchard regimen were 1.96mg/dl, 5.85mg/dl, 4.68mg/dl while in single dose regimen it was 1.78mg/dl, 462mg/dl, 3.63mg/dl respectively. Those who received Pritchard regimen showed higher level of Serum magnesium levels at 30 minutes and 4 hours than those receiving single dose. By applying T-test it was found that there is a significant difference in serum magnesium levels range in both group but no statistical difference in the control of convulsions in both groups.Conclusions: With increased and almost widespread use of magnesium sulfate in obstetrics there has been concerns regarding its safety. In the study, although P-values are not significant because of small sample size, there is considerable difference in serum magnesium levels 30 min and 4 hours, recurrence of convulsions and maternal morbidity between Pritchard regimen and single dose regimen. The goal which was achieved with Pritchard regimen previously, now can be achieved with single dose regimen in Indian women. Single dose magnesium sulphate is safe and effective in controlling convulsions with improved maternal and perinatal outcome.
Case report of Anotia with ipsilateral facial nerve palsy
Authors: Buhaibeh Qasem , Madad Sulaiman , Dhaiban Tawfik 
Published: August 2019

Anotia is the severe form of microtia anomalies that involve pinna and external auditory canal present at birth is rare to be associated with congenital facial nerve palsy. The author reports a man with Right side Anotia and ipsilateral facial nerve palsy. This is rare report of such an association in adult patient had right Anotia and ipsilateral right facial palsy.
A clinical study of gastrointestinal obstruction among children in a tertiary referral centre of North India
Authors: Singh J. K. , Singh Mayank 
Published: August 2019

Background: Children are a unique lot in that, since, in contrast to adults, in which post op adhesive obstruction and inflammatory causes predominate, in children congenital causes also make a significant part.Methods: This study was a retrospective analysis of the clinico pathological data of patients (between 1 month and 12 years of age) who presented to the department of surgery, MLNMC, Prayagraj with clinical diagnosis of intestinal obstruction. The study included patients who were admitted to the department between April 2013 and April 2019.Results: A total of 130 patients were admitted in pediatric unit of general surgery department during the study period. Of these 83 were males and 47 were females. In the end, 116 fulfilled the inclusion or exclusion criteria. 21 patients were successfully managed conservatively. 95 were operated.Conclusions: Intussusception is the most common cause. Kochs abdomen is the most common cause in children >5years with a vast majority being females. Majority of the patients whose clinical diagnosis is Koch’s abdomen, post-operative adhesive obstruction or worm infestation can be conservatively managed. Obstructed inguinal hernia still remains a potential preventable cause of intestinal obstruction.
Pathoradiological association between depth of invasion and neck node metastasis in oral cavity tumours
Authors: Venugopalan Shruti , Mistry Sejal N. , Lavana Yash D. , Mehta Manish R. , Khavdu Paresh J. 
Published: August 2019

<p class="abstract"><strong>Background:</strong> The aims of the study were to know whether the increase in the depth of invasion in oral cavity carcinoma assessed histopathologically and radiologically co-relates with neck node metastasis and to accurately co-relate the radiological thickness at which neck dissection is required.</p><p class="abstract"><strong>Methods:</strong> A retrospective study has been conducted over thirty patients with oral cavity carcinoma (buccal mucosa and tongue) in the time period of April 2018 to December 2018 who were operated in our tertiary care hospital. </p><p class="abstract"><strong>Results:</strong> Depth of invasion is relatable histopathologically and radiologically, is directly proportional to neck node metastasis. Pre-operative radiology is a reliable modality to rule out the need of neck node dissection.</p><p><strong>Conclusions:</strong> Depth of invasion is directly proportional to the incidence of neck node metastasis and pre-operative radiology has been reliable to rule out the need of neck dissection and reduce its morbidity.</p>
Facial nerve paralysis: a clinical study
Authors: Sudhakaran Shilpa K. , Madayambath Sagesh 
Published: August 2019

<p class="abstract"><strong>Background:</strong> A facial paralysis is one of the most emotionally traumatic deficits a person can experience. It is essential to understand the cause and nature of nerve injury and undertake proper measures for restoration and rehabilitation of facial symmetry. The present study was conducted to evaluate the various aetiologies of lower motor neuron facial paralysis that presented to our department. The aim of the present study is to investigate into the demographic data and etiology associated with peripheral facial nerve paralysis and to assess the site of lesion, severity grade and treatment outcome of peripheral facial nerve paralysis.</p><p class="abstract"><strong>Methods:</strong> A prospective longitudinal study conducted in a tertiary care hospital, over a time period of one and a half years from November 2014 to April 2016. All the patients were assessed regarding the time of onset of symptoms, rapidity of progression, duration and completeness of paralysis. Topo diagnostic tests were done to assess the site of lesion and response to treatment monitored. </p><p class="abstract"><strong>Results:</strong> The most common cause for LMN facial nerve paralysis was external trauma and Bell’s palsy. The mean age group was 37.5 years with a male preponderance. Majority of the lesions were suprageniculate and had a House Brackmann grade IV severity score.</p><p class="abstract"><strong>Conclusions:</strong> Peripheral facial paralysis showed a good response to treatment and timely intervention would result in a full or partial recovery at the end of a follow up.</p><p align="left"> </p>
A study on association between thyroid disorders and sensorineural hearing loss
Authors: Nedunchezhian Ponrajkumar , Murugesan Gowri Shankar , Vadivel Suresh , Mariappan Vivek 
Published: August 2019

<p class="abstract"><strong>Background:</strong> Thyroid hormones are important for overall growth and maturation. They play a significant role in the development of cochlea. Hearing loss is commonly seen in thyroid disorders. This study attempts at understanding the association between thyroid disorders and sensorineural hearing loss.</p><p class="abstract"><strong>Methods:</strong> 106 subjects with thyroid disorders were evaluated for hearing loss. They were classified according to their thyroid status and pure tone audiometry was done. The cases were compared with age and sex matched controls. </p><p class="abstract"><strong>Results:</strong> SNHL was the common type of hearing loss seen. The prevalence of SNHL found to be 32.1% in cases. SNHL is bilateral and commonly high frequency type in the early stage of the disease. The severity and prevalence of hearing loss is more with longer duration of the disease state. 29.4% of the cases showed improvement in hearing with therapy for three months.</p><p class="abstract"><strong>Conclusions:</strong> In patients with thyroid disorders, hearing evaluation helps in the detection of hearing loss earlier and thus treatment could be started.</p>