bluuebunny/crossref_metadata_2025_split huggingface dataset:
Bilateral pathological hip dislocation in children
Authors: Garkavenko Yuriy E. 
Published: June 2017

Introduction. Pathological dislocation of the hip is one of the most severe complications of acute hematogenous osteomyelitis. The program of treatment for children with pathological hip dislocation is complex, but it has been sufficiently developed and implemented very successfully. At the same time, the available literature provides no cases of treating children with bilateral pathological hip dislocations after hematogenous osteomyelitis. There is no information on the incidence of such cases or in regards to remote functional results.
Materials and methods. The results of the treatment of 18 children with bilateral pathological dislocation of the hip after hematogenous osteomyelitis are presented, which constituted 23.1% of the total number of patients (78) who underwent surgery in 2000–2016 for the diagnosis of pathological hip dislocation. Both hip joints were surgically operated on in 12 patients, while one hip joint was operated on in 6 patients. To assess the anatomical and functional state of hip joints, the clinical and roentgenological diagnostic techniques were used.
Results and discussion. To stabilize and restore the function of the hip joints, 18 children underwent 30 surgical interventions: simple open hip reduction (19) and open hip reduction with hip arthroplasty with one (6) or two (5) demineralized osteochondral allogeneic grafts. The decision regarding the possibility of performing surgical intervention on the second hip joint was made only after a child's check-up examination was complete and after positive information about the anatomical and functional state of the operated hip joint was obtained. According to these criteria, 14 (77.8%) children underwent surgical treatment of the second hip joint 1–1.5 years after the course of conservative measures to restore the range of motion in the previously operated hip joint.
Over a period of 1–12 years, 17 patients were examined, 10 of which underwent an operation on both sides (27 joints). The preservation of up to 80º or more of motion amplitude was noted in 17 (62.9%) of 27 operated hip joints. When assisting patients with pathological hip dislocation, it is necessary to understand that it is practically impossible to restore the affected joint to the anatomical state of the opposite unaffected joint. As for the bilateral lesion, this is most certainly impossible, and the development of arthrosis is inevitable. Therefore, the most important factor reflecting the degree of well-being and stability of the affected joint is the amplitude of active movements. Preserving this amplitude in the affected joints with a careful and attentive attitude is a fundamental and feasible task.
Errors and complications in surgical treatment of non-stable equino-plano-valgus foot deformity in patients with cerebral palsy, with use of the calcaneus correcting osteotomy technique
Authors: Umnov Valery V. , Umnov Dmitry V. 
Published: June 2017

Aims. To examine the results of treatment for patients with a non-stable form of equino-plano-valgus foot deformity in cerebral palsy with the use of corrective osteotomy of the calcaneus. To further analyze the errors and complications that occurred in patients treated with this technique.
Materials and methods. From 2006 to 2014, 64 patients (103 feet) aged 3 to 17 years were operated using the described method of calcaneus correcting osteotomy. The equinus contracture was eliminated by transection of the gastrocnemius muscle tendon and extending achilloplastic surgery. The abnormal muscle tone was reduced either by administering the drug Dysport into the gastrocnemius muscle or by selective neurotomy of the tibial nerve.
Results. The analysis revealed that there were good results for 75%, satisfactory results for 18%, and unacceptable results for 7% of patients. The unacceptable results of treatment were due to several technical and tactical errors, which were grouped and analyzed.
Conclusion. The analysis of errors and complications of calcaneus corrective osteotomy for patients with cerebral palsy with a mobile form of talipes equinoplanovalgus will enable their future avoidance and improvement of the treatment quality.
Free skin grafting in reconstructive surgery of burns in children
Authors: Afonichev Konstantin A. , Nikitin Maksim S. , Proshchenko Yaroslav N. 
Published: June 2017

When performing reconstructive surgery in children suffering from extensive post-burn hypertrophic scars, the main problem is deficiency of donor intact skin.
Aim. This study aimed to determine the possibility of using the expander skin balloon expansion method for obtaining free, large area split-thickness skin autografts.
Materials and methods. A comparative analysis of treatment for 39 children with extensive post-burn hypertrophic scars was performed. In 16 children (experimental group), balloon skin expansion of a donor site for obtaining large area split-thickness skin grafts (more than 100 cm²) was performed. In 23 children (control group), the large area grafts were cut off without prior balloon skin expansion of the donor site.
Results. In cases where it is necessary to close a wound defect over 100 cm², it is advisable to perform prior balloon skin expansion of the donor site. This technique enables attainment of an injury-resistant free implant full grafting material and also provides multiple uses of a donor site without disturbing the esthetics.
Arthroscopic treatement of patella fractures in children
Authors: Timofeev Igor V. , Dyakonova Elena Yu. , Gusev Aleksei A. , Romanova Ekaterina A. , Khrolenko Polina V. 
Published: June 2017

Introduction. The frequency of patellar fractures is approximately 0.5% to 1.5% of all skeletal injuries. The following types of fractures can be distinguished: avulsive, transverse, longitudinal, and comminuted. In cases of displacement of more than 2–3 mm and quadriceps tendon injuries open reduction and internal fixation with the restoration of the articular surface is more preferable. In cases of longitudinal fractures, arthroscopy is regarded as a highly effective method of surgical treatment.
Materials and methods. Using arthroscopy, we have operated on 4 patients with longitudinal fracture of the patella. The average age of the injured persons was 15.4 years (14–17). These were 3 males and 1 female. All patients had sport-related injuries.
Because of the longitudinal fracture of the patella, the lateral knee extensor mechanism remained intact, and arthrosopy-assisted surgical intervention with closed reposition of fragments and transcutaneous wire fixation was performed without wire suturing.
Results and discussion. Minimal invasiveness, the possibility of visual control over the recovery quality of patellar surface, the reliability of fragment fixation, and a significant reduction in the subsequent rehabilitation make arthroscopy a highly effective method of surgical treatment for patellar fractures.
Bioelements in hair of children with selected neurological disorders
Authors: Józefczuk Jan , Wiktoria Kasprzycka , Czarnecki Rafał , Graczyk Alfreda , Józefczuk Paweł , Magda Krzysztof , Lampart Urszula , Mrozowska-Ząbek Ewa , Surdy Weronika , Kwiatkowska- Graczyk Róża 
Published: June 2017

We analyzed hair concentrations of magnesium (Mg), calcium (Ca), copper (Cu), zinc (Zn) and iron (Fe) in a group of 82 children with mental retardation, in which 9 patients suffered from epilepsy, 18 from Down's's syndrome and 55 from cerebral palsy. Girls comprised little over 50% of the patients.In a group of boys with epilepsy we found a Mg, Ca, Cu and Fe deficiency, and normal level of Zn. In a group of girls with epilepsy, apart from low Fe concentration, a high levels of Ca, Mg, Zn, and Cu was noted.In girls with Down's syndrome a high or normal level of Ca, Mg, Zn and Cu was found, whereas Fe concentration presented itself in a non-characteristic way.Both boys and girls, in the group of children with cerebral palsy had low Fe concentration, as well as low Cu levels was found in older patients. In this group we also noted high concentrations of Ca, Mg and Zn in girls and normal in boys.A high concentration of Ca in girls with cerebral palsy requires separate analysis.Obtained results could be useful as a guidance in the direction and determination of the amount of possible supplementation.
Proposta de uma Teoria Político-Jurídica: a relação entre o direito e o poder em sua articulação com a política e a violência
Authors: Garbellini Carnio Henrique , Guerra Filho Willis Santiago , Pereira Joaquim Eduardo 
Published: June 2017

O presente artigo aborda a relação entre direito e poder em sua articulação com a política e a violência. Há no trabalho a pretensão de demonstrar que tal relação revela uma zona de indeterminação entre os meandros do direito e da política. Com isso, pretende-se apresentar as bases introdutórias de uma teoria política do direito, que contribua de maneira enfática e crítica na discussão dos atuais problemas jurídicos, em especial, das características situações que evidenciam um uso do direito enquanto força manipuladora de governabilidade que ocasiona desorientação da própria vida e revela uma dimensão em que o direito e as instituições que dele se utilizam voltam-se contra si mesmas, gerando uma profunda banalização das noções de legalidade e legitimidade em um contexto de crise autoimunitária.
Investigations of wall effect on permeability through porous media at low flow rates
Authors: Kango Rajat , Alam M. A. , Shankar Vijay 
Published: June 2017

Abstract
The study of percolation of fluids through permeable subsoil strata has always been a subject of great significance from engineering point of view. The permeability depends upon both material properties and fluid characteristics. Previous studies are concentrated on the influence of regularly shaped particles on permeability, whereas the present study aims to analyse its variation due to natural randomly shaped particles. Seepage velocity of the fluid and hydraulic gradient of the soil bed materials are evaluated with the help of discharge and pressure measurements in a constant head permeameter. Specific gravity tests are conducted on different materials in order to calculate their porosities. The dependence of permeability on Dp/dg (i.e. ratio of permeameter size (Dp) to particle size (dg)) for various wall effect conditions is analysed through standard experimental procedures. The present study examines the effect of relative resistance of permeameter wall (i.e. the ratio of permeability of confined to unconfined bed) on Dp/dg. The results reveal that the aquifer confinement i.e. the distance up to which the region of randomly packing occurs directly influences the measure of permeability at lower values of Dp/dg. This effect decreases with increasing values of Dp/dg and becomes negligible at values 120 and above.
Gas composition of sludge residue profiles in a sludge treatment reed bed between loadings
Authors: Larsen Julie D. , Nielsen Steen M. , Scheutz Charlotte 
Published: June 2017

Abstract
Treatment of sludge in sludge treatment reed bed systems includes dewatering and mineralization. The mineralization process, which is driven by microorganisms, produces different gas species as by-products. The pore space composition of the gas species provides useful information on the biological processes occurring in the sludge residue. In this study, we measured the change in composition of gas species in the pore space at different depth levels in vertical sludge residue profiles during a resting period of 32 days. The gas composition of the pore space in the sludge residue changed during the resting period. As the resting period proceeded, atmospheric air re-entered the pore space at all depth levels. The methane (CH4) concentration was at its highest during the first part of the resting period, and then declined as the sludge residue became more dewatered and thereby aerated. In the pore space, the concentration of CH4 often exceeded the concentration of carbon dioxide (CO2). However, the total emission of CO2 from the surface of the sludge residue exceeded the total emission of CH4, suggesting that CO2 was mainly produced in the layer of newly applied sludge and/or that CO2 was emitted from the sludge residue more readily compared to CH4.
Midterm eGFR and Adverse Pregnancy Outcomes: The Clinical Significance of Gestational Hyperfiltration
Authors: Park Sehoon , Lee Seung Mi , Park Joong Shin , Hong Joon-Seok , Chin Ho Jun , Na Ki Young , Kim Dong Ki , Oh Kook-Hwan , Joo Kwon Wook , Kim Yon Su , Lee Hajeong 
Published: June 2017

Background and objectives
Although hemodynamic adaptation plays a crucial role in maintaining gestation, the clinical significance of midterm renal hyperfiltration (MRH) on pregnancy outcomes is unknown.

Design, setting, participants, & measurements
This was an observational cohort study. Women with a singleton pregnancy and a serum creatinine measurement during their second trimester were followed at two university hospitals in Korea between 2001 and 2015. Those with substantial renal function impairment or who delivered during the second trimester were not considered. MRH was represented by the highest eGFR, which was calculated using the Chronic Kidney Disease Epidemiology Collaboration method. An adverse pregnancy event was defined by the composition of preterm birth (gestational age <37 weeks), low birth weight (<2.5 kg), and preeclampsia.

Results
Data from 1931 pregnancies were included. The relationship between midterm eGFR and adverse pregnancy outcomes, which occurred in 538 mothers, was defined by a nonlinear U-shaped curve. The adjusted odds ratio and associated 95% confidence interval (95% CI) of an adverse pregnancy outcome for eGFR levels below and above the reference level of 120–150 ml/min per 1.73 m2 were 1.97 (95% CI, 1.34 to 2.89; P<0.001) for ≥150 ml/min per 1.73 m2; 1.57 (95% CI, 1.23 to 2.00; P<0.001) for 90–120 ml/min per 1.73 m2; and 4.93 (95% CI, 1.97 to 12.31; P<0.001) for 60–90 ml/min per 1.73 m2. Moreover, among mothers without baseline CKD, women with adverse pregnancy outcomes had less prominent MRH than those without (P<0.001).

Conclusions
We identified a unique U-shaped relationship between midterm eGFR and adverse pregnancy outcomes, and the optimal range of midterm eGFR levels was 120–150 ml/min per 1.73 m2. In those without evident functional renal impairment, the absence of prominent MRH might be a significant risk factor for poor pregnancy outcomes.
PENGARUH PEREMAJAAN DENGAN KLON UNGGUL BARU TERHADAP KELAYAKAN INVESTASI BUDIDAYA KARET
Authors: Agustina Dwi Shinta , Herlinawati Eva 
Published: June 2017

AbstractIn condition of low rubber price currently, the planting of old rubber clone such as GT 1 should be replaced by the new high yielding clones. If smallholders replant their old rubber tree with new high yielding clone, the income could be increased and the return of investment could be shortened. This paper was aimed to present the feasibility of rubber investment of GT1 and PB260 clones at various rubber prices and economic life of the plant. From the analysis known that the planting of PB260 was more feasible compared to GT1 if tapping was conducted properly based on the recommended tapping system.Keywords: Hevea brasiliensis, high yielding clone, feasibility, replanting, price, rubber, investment AbstrakDengan kondisi harga saat ini, penanaman karet dengan klon-klon lama (seperti GT1) sudah harus digantikan dengan klon-klon unggul baru yang produksinya lebih tinggi. Apabila petani meremajakan kebun karet tuanya dengan tanaman karet klon unggul, pendapatan yang diterima dapat lebih baik dibandingkan dengan produksi yang diperoleh dari kebun karet tua rusak serta serta pengembalian biaya investasi lebih cepat.. Tulisan ini menampilkan kelayakan investasi tanaman karet dengan klon GT 1 dan PB260 pada berbagai tingkat harga dan umur ekonomis tanaman. Melalui informasi ini diharapkan petani dapat memperbaiki sistem sadap yang selama ini mereka lakukan. Dari hasil analisis diketahui bahwa pengusahaan klon PB260 adalah lebih menguntungkan dibandingkan dengan pengusahaan klon GT1 apabila dilakukan sesuai dengan rekomendasi teknis yang dianjurkan.Kata kunci: Hevea brasiliensis, klon unggul, kelayakan, peremajaan, harga, karet, investasi
Gram stain and Giemsa stain as a rapid diagnostic tool for diagnosis of vaginal infections” in Western Nepal
Authors: Bajracharya Kishor , Kaur Narinder , Pant Sushama Suresh 
Published: June 2017

Abstract:
Introduction: Infective vaginitis accounts for about 90% of all the cases of vaginal discharge in the women of reproductive age group. This includes triad of bacterial vaginosis, candidiasis and trichomoniasis.
Method: The study was carried out in Lumbini Medical College and Teaching Hospital, Palpa, Nepal for a time period of 4 months. Total 125 high vaginal swabs from posterior fornix of vagina were collected from November 2014 to February 2015 in the department of Obstetrics and Gynecology, in the patients complaining of vaginal discharge. PH of the vaginal discharge was also determined by using litmus paper. Gram’s and Giemsa stain of vaginal swab smear were done to diagnose Bacterial vaginosis, Candidiasis and Trichomoniasis. Age, parity and pregnancy status of the patients were noted.
Result: Out of 125 patient, bacterial vaginosis was found in 16% and candidiasis in 37%.Candidiasis and bacterial vaginosis were observed in child bearing sexually active women. Surprisingly bacterial vaginosis was not observed in pregnant women. Trichomoniasis infection was present in one case (0.8%) while severe invasive Candidiasis was observed in one woman.
Conclusion: A definitive diagnosis can easily be made by Gram’s and Giemsa stain and microscopic examination of high vaginal swab. This may help in specific treatment and prevent associated morbidity and recurrence.
Key words: Bacterial vaginosis, candidiasis, high vaginal swab, Gram’s stain, Giemsa stain.
Características epidemiológicas y clínicas de la leishmaniasis visceral en Paraguay de enero de 2008 a diciembre de 2014.
Authors: Rios González Carlos Miguel 
Published: June 2017

Objetivo: Determinar las características epidemiológicas y clínicas de la leishmaniasis visceral en Paraguay de enero de 2008 a diciembre de 2014.Material y Métodos: Estudio observacional, descriptivo tipo serie de casos de leishmaniasis visceral reportados por las regiones sanitarias al SENEPA durante los meses de enero del 2008 a diciembre del 2014. Los datos proveídos por fichas epidemiológicas fueron cargados en una planilla de Microsoft Office Excel 2013, diseñado para el efecto. Los datos se presentan en tablas de frecuencias, y medidas de tendencia central y dispersión.Resultados: fueron reportados 646 pacientes con leishmaniasis visceral, siendo la mediana de edad 23 años de edad y estuvo comprendida entre 2 años, 6 meses y 47 años, la edad mínima registrada fue de 1 mes y la máxima 87 años. 66,61%(424), y 67,39% (436) fue del sexo masculino provino del departamento Central. Se encontró una coinfección con VIH en 6,66% (40) de los casos.Conclusión: la leishmaniasis sigue siendo endémica en el país, siendo más frecuente de diagnóstico en el sexo masculino.Palabra claves: Leishmaniasis; Leishmaniasis Visceral; Epidemiologia. Fuente: DeCS BIREME
Cumplimiento en la notificación de casos probables de dengue en el Área Metropolitana Centro Occidente de Colombia en el año 2014
Authors: Moreno Gómez Germán Alberto , Moreno Germán Alberto , Moreno Gómez Jhon Gerardo , Cabezas Restrepo Ángela María , Moreno Villegas Valentina , Munera Benavides Juan Esteban , Ocampo Alzate Katherin Paola 
Published: June 2017

Resumen Objetivo: Cuantificar el cumplimiento de notificación de casos probables de dengue en el área Metropolitana Centro Occidente de Colombia, en el año 2014.Métodos: Esta investigación corresponde a un estudio observacional, descriptivo de corte transversal a partir de los registros de diagnósticos de dengue y sus diagnósticos diferenciales identificados en los Registros Individuales de Prestación de Servicios (RIPS) y el Sistema Nacional de Vigilancia en Salud Pública (SIVIGILA) del año 2014, de las Unidades Primarias Generadoras de Datos (UPGD) del Área Metropolitana Centro Occidente del Departamento de Risaralda. Se seleccionaron todos los registros de dengue (Censo) y se obtuvo una muestra de los diagnósticos diferenciales con un nivel de confianza del 95%, una p de 0.5 y una precisión del 5%. Posteriormente se calcularon porcentajes de cumplimiento en la notificación para dengue y para casos probables. Resultados: El 64% de los pacientes con diagnósticos de dengue fueron notificados al SIVIGILA en el año 2014. El 10,7% de los diagnósticos diferenciales cumplieron con el criterio de caso probable de dengue y el 12,9% de los casos probables de dengue fueron notificados al SIVIGILA en el año 2014.Discusión: Los resultados de este estudio son importantes porque brindan información sobre el cumplimiento de la notificación obligatoria de los casos de dengue al Sistema de Vigilancia Epidemiológica del dengue de las UPGD públicas del Área Metropolitana Centro Occidente del Departamento de Risaralda, evidenciando un incumplimiento en la notificación. Además, al comparar los resultados con otros estudios realizados tanto a nivel internacional (Costa Rica, Brasil y Chile) y a nivel nacional (Santander y Valle) se observan problemas similares de notificación en los Sistemas de Vigilancia Epidemiológica respectivos.
Fundamentos para una metodología de diagnóstico del síndrome del ojo seco basado en la termografía infrarroja
Authors: LLamosa Luis Enrique 
Published: June 2017

El Síndrome del ojo seco afecta aproximadamente el 40% de la población, si no se trata a tiempo puede llegar a causar trastornos en la salud visual de las personas. En este trabajo se presentan los fundamentos para el diseño y la implementación de una metodología para el diagnóstico de esta enfermedad,la cual se basa en la variación de la temperatura de la superficie ocular de sujetos normales comparados con pacientes con ojo seco, utilizando la técnica de termografía infrarroja. Este protocolo se fundamenta en el cambio de la temperatura de la córnea después de mantener los ojos abiertos sin parpadeo durante un tiempo determinado, seguida de la disminución de la misma en una etapa de parpadeo durante 30 segundos. De acuerdo a los resultados obtenidos para una muestra de 40 individuos, 20 de ellos con Síndrome del ojo seco, se determinó que el comportamiento de la variación de la temperatura ocular entre sujetos sanos y con ojo seco difiere significativamente en lo que respecta a la tasa de disminución de la temperatura de la córnea con cada parpadeo, lo que permite fundamentar la metodología propuesta utilizando la termografía infrarroja como una herramienta de diagnóstico cuantitativa y no invasiva para el estudio de esta enfermedad