bluuebunny/crossref_metadata_2025_split huggingface dataset:
Insufficiency Fracture Occurring 3 Years After Union of an Intertrochanteric Hip Fracture
Authors: Yoon Byung-Ho , Park Sung Bae 
Published: January 2017

Case:
We present a rare case of insufficiency fracture at the level of the distal interlocking screw following union of an intertrochanteric hip fracture. A 74-year-old woman reported chronic thigh pain for 1 month. She had a history of an osteoporotic stable intertrochanteric fracture that was successfully treated with a short intramedullary nail 3.5 years prior. However, after union, the neck-shaft angle of the femur changed from 125° to 117°. She had been on alendronic acid therapy to prevent a secondary osteoporotic fracture. A recent radiograph and bone scan suggested an insufficiency fracture around the level of the distal interlocking screw. Revision surgery with a long intramedullary nail was performed, and complete union was observed 1 year postoperatively.

Conclusion:
This case suggests that subsequent insufficiency fracture can occur after complete union of an intertrochanteric hip fracture. Physicians should be aware of the possibility of a stress fracture when a patient has thigh pain after an intertrochanteric fracture has healed following repair with a short intramedullary nail.
Open Hip Dislocation Through the Scrotum without Osseous Injury
Authors: Snoap Tyler , Habeck Jason , Roberts Jason 
Published: January 2017

Case:
A 36-year-old bicyclist sustained an open anterior hip dislocation through the scrotum after being struck by 2 motor vehicles. There was no osseous injury present. The hip was irreducible by closed means and required open reduction via a Smith-Petersen approach. Postoperatively, the patient did not develop osteonecrosis of the femoral head but did have signs of mild osteoarthritis and heterotopic ossification.

Conclusion:
Open anterior hip dislocation into the scrotum is an exceedingly rare injury. Closed reduction can be attempted, but open intervention is often required. A Smith-Petersen approach allows visualization for reduction and does not violate the vascularity to the femoral head.
Peripheral Nerve Blocks for Surgery About the Knee
Authors: Howell Richard , Hill Brenton , Hoffman Christopher , Treacy Erin , Mulcahey Mary K. 
Published: January 2017

➢ Peripheral nerve blocks are an often-utilized and efficacious method of analgesia for orthopaedic surgery about the knee.➢ Benefits include decreased pain and narcotic use, increased participation in postoperative physical therapy, and decreased length of hospital stay.➢ Adductor canal blocks have the advantage of preserving quadriceps function for early postoperative range of motion and walking.➢ The risk of serious complications resulting from a peripheral nerve block is relatively low, ranging from 0% to 3%.
Riesgos potenciales de salud por consumo de agua con arsénico en Colima, México
Authors: Mendoza-Cano Oliver , Sánchez-Piña Ramón Alberto , Barrón-Quintana Julián , Cuevas-Arellano Herguin Benjamin , Escalante-Minakata Pilar , Solano-Barajas Ramón 
Published: January 2017

Objetivo. Estimar los riesgos potenciales de salud debidos a la ingestión crónica de arsénico (As) en agua en Colima, México. Material y métodos. Se muestrearon aleatoriamente 36 pozos en 10 acuíferos locales. El análisis se hizo mediante ICP-OES siguiendo estándares internacionales. Se realizó una interpolación geoestadística con ArcGIS, implementando un modelo de ponderación del inverso de la distancia, para estimar la ruta de exposición de consumo en cada localidad. Se calcularon los coeficientes de peligro (HQ)y riesgo carcinogénico (R). Resultados. El HQ promedio ponderado de As para Colima es 2.41. Existen valores de HQ>1 para As que indican efectos adversos no carcinogénicos para la salud por ingestión continua y prolongada de agua; esto podría afectar a 183 832 individuos en el estado. El riesgo calculado de desarrollar cáncer debido a las concentraciones de arsénico en aguas subterráneas (R) es de 1.089E-3; estadísticamente esto podría ocasionar 446 casos de cáncer. Conclusiones. Los niveles actuales de arsénico en el agua de pozo incrementan los riesgos carcinogénicos y no carcinogénicos de salud humana en Colima.
Valores de hemoglobina en mujeres embarazadas residentes en zonas de altitud media
Authors: Jatziri Gaitán-González Mercedes , Echeverría-Arjonilla Juan Carlos , Vargas-García Carlos , Camal-Ugarte Sergio , González-Camarena Ramón 
Published: January 2017

Objetivo. Determinar el comportamiento de la concentración de hemoglobina materna durante el embarazo en mujeres que residen en zonas de altitud media y compararlo con el reportado para poblaciones con y sin suplemento de hierro. Material y métodos. Valores hematológicos de 227 mujeres embarazadas, residentes a 2 240 metros de altitud (Ciudad de México), sin complicaciones obstétricas ni perinatales y recibiendo suplemento de hierro, fueron comparados con valores de referencia para mujeres embarazadas de otras altitudes. Resultados. Durante el primer y segundo trimestre, los valores de hemoglobina en nuestra población fueron similares a los observados en poblaciones con y sin suplemento de hierro (p mayor que 0.05). Durante el tercer trimestre, los valores fueron similares únicamente a los de poblaciones sin suplemento de hierro (p mayor que 0.05). Conclusiones. No obstante recibir hierro suplementario, el comportamiento de la concentración de hemoglobina durante el embarazo en mujeres residentes de la altitud media es similar al reportado para poblaciones sin hierro suplementario.
Screen time in Mexican children: findings from the 2012 National Health and Nutrition Survey (ENSANUT 2012)
Authors: Janssen Ian , Medina Catalina , Pedroza Andrea , Barquera Simón 
Published: January 2017

Objective. To provide descriptive information on the screen time levels of Mexican children. Materials and methods. 5 660 children aged 10-18 years from the 2012 National Health and Nutrition Survey (ENSANUT 2012) were studied. Screen time (watching television, movies, playing video games and using a computer) was self-reported. Results. On average, children engaged in 3 hours/day of screen time, irrespective of gender and age. Screen time was higher in obese children, children from the northern and Federal District regions of the country, children living in urban areas, and children in the highest socioeconomic status and education categories. Approximately 33% of 10-14 year olds and 36% of 15-18 year olds met the screen time guideline of ≤2 hours/day. Conclusions. 10-18 year old Mexican children accumulate an average of 3 hours/day of screen time. Two thirds of Mexican children exceed the recommended maximal level of time for this activity
Sweetened beverages intake, hyperuricemia and metabolic syndrome. The Mexico City Diabetes Study
Authors: López-Molina Rubén , Parra-Cabrera Socorro , López-Ridaura Ruy , E González-Villalpando María , Ferrannini Ele , González-Villalpando Clicerio 
Published: January 2017

Objective. To determine prevalence of hyperuricemia and its relation with intake of sweetened beverages (SB) and metabolic syndrome (MS) in low income urban Mexican population. aterials and methods. A cross-sectional analysis of The Mexico City Diabetes Study, a prospective population-based investigation (1 173 participants) was performed. We used logistic egression, adjusted by pertinent variables. We determined prevalence of hyperuricemia and explored associations of uric acid levels with MS and intake of SB. Results. Prevalence of hyperuricemia was 26.5 and 19.8% in males and females respectively. In an djusted multivariate model, body mass index, waist circumference,and triglyceride were higher as uric acid quartiles increased (p<0.005-0.001). The odds ratio for MS was 1.48 for 3rd uric acid quartile and 2.03 for 4th quartile. Higher consumption of SB was associated with higher uric acid levels (p<0.001). Conclusion. Prevalence of hyperuricemia is high. Potential association with intake of SB, resulting in metabolic altera- tions should be considered.
Análisis de costo-beneficio: prevención del VIH/sida en migrantes en Centroamérica
Authors: Alarid-Escudero Fernando , G. Sosa-Rubí Sandra , Fernández Bertha , Galárraga Omar 
Published: January 2017

Objetivo. Cuantificar los costos y beneficios de tres intervenciones de prevención del VIH en migrantes en Centroamérica: consejería y pruebas voluntarias, tratamiento de infecciones de transmisión sexual y distribución de condones. Material y métodos. Este estudio se basa en información proveniente de 11 estaciones de tránsito, ubicadas en las fronteras de cinco países que fue recolectada en el período de marzo de 2007 a marzo de 2009 e incluye datos de atención a pacientes en temas de VIH/sida. El número total de registros recibidos de personas con ITS y que recibieron consejería y pruebas rápidas voluntarias (CPV) es de 3 210 y 4 917 individuos, respectivamente. El análisis de costo-beneficio se realizó en tres etapas: a) identificación y cuantificación de costos; b) cuantificación de beneficios (ahorros potenciales en terapia antirretroviral por casos prevenidos de VIH) y c) estimación de la razón costo-beneficio. Resultados. El modelo estima prevención de 9, 21 y 8 casos del VIH por CPV, TxITS y distribución de condones por cada 10 000 migrantes, respectivamente. En Panamá la distribución de condones y TxITS tienen un retorno de US$131/USD y US$69.8/USD, respectivamente. En El Salvador, los retornos son de US$2.0/USD y US$42.3/USD en CPV y distribución de condones, respectivamente. Conclusión. Los ahorros potenciales por prevención varían entre países. Las estimaciones de costo-beneficio sugieren que los programas de prevención del VIH en países centroamericanos representarían ahorros monetarios a largo plazo.
Utilización correcta de las técnicas de detección de cáncer de mama en mujeres mexicanas
Authors: López-Carrillo Lizbeth , Torres-Sánchez Luisa , Blanco-Muñoz Julia , Hernández-Ramírez Raúl U , Knaul Felicia Marie 
Published: January 2017

Objetivo. Identificar las características asociadas con la prevalencia de utilización correcta de la autoexploración manual (AE), el examen clínico (EC) y la mamografía (MA) para la detección de cáncer mamario (CaMa). Material y métodos. Se entrevistó a 1 030 mujeres mexicanas, sanas, de entre 20 y 88 años sobre su historia reproductiva y sociodemográfica. Con base en la forma y frecuencia de realización de estas técnicas de detección, se construyó un índice de utilización correcta. Resultados. La prevalencia de utilización correcta de la AE fue de 11% y del EC de 5.4%. El 7.6% de las mujeres entre 40 y 49 años y 31.6% de las mujeres con 50 años o más se realizaron una MA de acuerdo con la norma vigente al momento del estudio. El aseguramiento por parte del Instituto Mexicano del Seguro Social, del Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado o del Seguro Popular fue el principal determinante de la utilización de la MA. Conclusiones. Se evidencia la necesidad de incrementar la correcta utilización de la AE, el EC y la MA.
Control de criaderos de Aedes aegypti con el programa Recicla por tu bienestar en Mérida, México
Authors: Pérez Mario Barrera , Ruz Norma Pavía , Mézquita Jorge Eduardo Mendoza , Arcila Nerio Torres , Hernández Ramón Hernández , Gamboa Francisco Castro , Moreno Eduardo Geded , Rodríguez Azael Cohuo , Barreiro Anuar Medina , Cardeña Edgar Koyoc , Dantés Héctor Gómez , Kroeger Axel , Prokopec Gonzalo Vázquez , Saide Pablo Manrique 
Published: January 2017

Objetivos. Determinar la importancia de los criaderos de Ae. aegypti en Mérida; evaluar el impacto del programa Recicla or tu bienestar (RxB) sobre la presencia/abundancia de éstos y la percepción de los habitantes. Material y métodos. Se calculó la importancia de los criaderos por su productividad pupal. Se realizaron muestreos pre y post RxB en colonias para cuantificar el total de recipientes/criaderos. Se aplicó una encuesta a participantes sobre la percepción sobre RxB en colonias seleccionadas. Resultados. Los botes, cubetas y diversos objetos chicos fueron los criaderos más importantes. RxB tuvo un impacto significativo en la reducción del número de recipientes (IRR=0.74), en los recipientes positivos (IRR=0.33) y en la positividad de las viviendas para Ae. aegypti (OR=0.41). Todos los entrevistados opinaron que RxB es necesario la gran mayoría piensa que es útil. Conclusiones. RxB debe ser considerada una buena práctica para el control del vector del dengue.
Salud mental de migrantes centroamericanos indocumentados en tránsito por la frontera sur de México
Authors: Infante-Xibille César , Temores-Alcántara Guadalupe , Caballero Marta , Flores-Palacios Fátima , Santillanes-Allande Nadia 
Published: January 2017

Objetivo. Conocer las necesidades percibidas de salud mental de migrantes centroamericanos indocumentados en tránsito por la ciudad de Tapachula, Chiapas. Material y métodos. Estudio cualitativo realizado en Casa de Migrantes de Tapachula, Chiapas. Se realizaron 20 entrevistas semiestructuradas a diez mujeres y diez hombres migrantes. Se exploró el estado de salud mental y las expectativas de atención. Se retomaron nociones teórico-metodológicas de la fenomenología sociológica. Resultados. Los migrantes presentaban signos y síntomas de daños en su salud mental relacionados con experiencias vividas en el lugar de origen y en el tránsito por México. La percepción sobre su salud mental es influida por el modelo biomédico hegemónico. Las expectativas de servicios se relacionaron con la satisfacción de necesidades básicas. Conclusiones. Es necesario fortalecer la respuesta del sistema de atención en salud mental a partir de estrategias de cooperación y emprender acciones que promuevan la superación de una construcción biomédica de salud mental que estigmatiza, medicaliza, segrega y dificulta el acceso a servicios.
Internet y vacunas: análisis de su uso por padres de familia, sus percepciones y asociaciones
Authors: Pérez-Gaxiola Giordano , Castrejón-García Galo Vladimir , León-Sicairos Nidia , Cuello-García Carlos A. 
Published: January 2017

A pesar de que la vacunación representa una de las estrategias preventivas más efectivas en salud pública, su aplicación siempre ha generado cierto escepticismo...
The Effect of Adipose Tissue-Derived Mesenchymal Stem Cells on Regeneration of Uterine Scars
Authors: Bender R. Ada , Yücel Aykan , Noyan Volkan , Gürpınar Aylin , Atasoy Pınar , Comu Faruk 
Published: January 2017

OBJECTIVE: The mesenchymal stem cell application to uterine healing scars may provide better tissue strength.STUDY DESIGN: Hysterectomy was performed on rats, and the wound recovery as a result of primary suturing was evaluated as tissue stretching and the positive histopathological effects. The mesenchymal stem cells originating from the adipose tissue were used during the healing period of the wound and would differentiate to mesenchyme-originated cells present in intact tissue for an optimum level of healing.RESULTS: The weights of non-incised uterine horns in the control group were found to be significantly higher than the weights of the incised uterine horns (z=2.52, p=0.012). In the experiment group, the weights of the incised uterine horns were found to be significantly higher than the non-incised uterine horns (z=2.527, p=0.012). In the control group, the non-incised uterine horns withstood the stretching test to a higher extent than the incised horns, and a significant difference was found between the stretching values (z=2.51, p=0.012). In the experiment group, the incised uterine horns withstood the stretching tests to a higher extent than the non-incised uterine horns; however, there was no significant difference between the stretching tests (z=1.540, p=0.123).CONCLUSION: Adipose tissue-originated mesenchyme stem cells were observed to increase the tissue stretching during wound healing.
Potential changes in the number of wet days and its effect on future intense and annual precipitation in northern Oman
Authors: Gunawardhana Luminda Niroshana , Al-Rawas Ghazi A. , Kwarteng Andy Y. , Al-Wardy Malik , Charabi Yassine 
Published: January 2017

AbstractThe changes in the number of wet days (NWD) in Oman projected by climate models was analyzed, focusing mostly on variation of precipitation intensity and its effect on total annual precipitation (PTOT) in the future. The daily precipitation records of 49 gage stations were divided into five regions. Of the five general circulation models studied, two of them were selected based on their performance to simulate local-scale precipitation characteristics. All regions studied, except the interior desert region of the country, could experience fewer wet days in the future, with the most significant decreases estimated in southern Oman. The contribution from the cold frontal troughs to the PTOT in the northeast coastal region would decrease from 85% in the 1985–2004 period to 79% during the 2040–2059 period and further decrease to 77% during the 2080–2099 period. In contrast, results depict enhanced tropical cyclone activities in the northeast coastal region during the post-monsoon period. Despite the decreases in the NWD, PTOT in all regions would increase by 6–29% and 35–67% during the 2040–2059 and 2080–2099 periods, respectively. These results, therefore, show that increases in precipitation intensity dominate the changes in PTOT.
Impact of calculation method, sampling frequency and hysteresis on suspended solids and total phosphorus load estimations in cold climate
Authors: Valkama Pasi , Ruth Olli 
Published: January 2017

Abstract
Load calculations of nutrients and suspended solids (SS) transported by rivers are usually based on discrete water samples. Water quality changes in cold climate regions often occur very rapidly and therefore discrete samples are unrepresentative of the range of water quality occurring. This leads to errors of varying magnitude in load calculation. High-resolution turbidity data were used to determine the SS and total phosphorus (TP), and paired with discharge to determine loads from two small catchments in southern Finland. The effect of sampling frequency was investigated by artificially sub-sampling the high frequency concentrations. Regardless of the sampling frequency, the TP load was more likely underestimated while using discrete samples. To achieve ±20% accuracy compared with the reference load, daily sampling should be performed. Hysteresis was detected to have an impact on TP load. Hysteresis analysis also revealed the main source of the TP to be in the fields of the catchment. Continuous measuring proved to be a valuable method for defining loads and short-term fluctuations in water quality in small clayey watercourses in a boreal cold climate, where the climate change will increase the frequency of winter floods.
INFEKSI GANDA BEGOMOVIRUS DAN CRINIVIRUS PADA TANAMAN TOMAT DI KABUPATEN MAGELANG , JAWA TENGAH (DOUBLE INFECTIONS OF BEGOMOVIRUS AND CRINIVIRUS ON TOMATO PLANTS AT MAGELANG REGENCY, CENTRAL JAVA)
Authors: Kusumaningrum Fitri , Hartono Sedyo , Sulandari Sri , Somowiyarjo Susamto 
Published: January 2017

ABSTRACTSince 2006, a yellowing disease has been observed in tomato (Lycopersicon esculentum) fields in Central Java, Indonesia. Epidemics of the diseases were mainly associated with populations of the whitefly Trialeurodes vaporariorum and Bemisia tabaci, the major whitefly pests in vegetable crops. The main symptoms were severe yellowing on lower leaves, and curling on upper leaves of plant. Total DNA was extracted from tomato leaves using CTAB methods, while total RNA was extracted using NucleoSpin RNA Plant extraction kit (Macherey-Nagel). Because of occurring mixed symptom on an individual plant, hereby it is important to detect the causal agent to manage of the disease. Samples from symptomatic plants were analyzed by polymerase chain reaction (PCR) and shown to be infected with Tomato infectious chlorosis virus (TICV) (family Closteroviridae, genus Crinivirus) and a virus species belongs to the genus Begomovirus, family Geminiviridae. The research result is the first report of Crinivirus and Begomovirus double infection in single tomato fields in Indonesia.Keywords: Begomovirus, Crinivirus, double infection, PCR, tomato INTISARIPenyakit kuning pada tanaman tomat (Lycopersicon esculentum) telah ditemukan sejak tahun 2006 di Jawa Tengah, Indonesia. Epidemi penyakit tersebut terutama berkaitan dengan keberadaan dua spesies whitefly (Trialeurodes vaporariorum dan Bemisia tabaci). Gejala utama yang ditemukan adalah daun-daun pada tanaman bagian bawah berwarna kuning sedangkan daun daun pada tanaman bagian atas menunjukkan gejala keriting. Adanya gejala campuran pada satu individu tanaman maka perlu dideteksi penyebabnya untuk pengelolaannya. DNA total diekstraksi dari daun tomat yang terinfeksi menggunakan metode CTAB, sedangkan total RNA diekstraksi dengan menggunaan NucleoSpin RNA Plant extraction kit (Macherey-Nagel). Analisis sampel tanaman sakit menggunakan teknik poymerase chain reaction (PCR) menunjukkan adanya infeksi Tomato infectious chlorosis virus (TICV) (famili Closteroviridae, genus Crinivirus) dan satu spesies virus anggota genus Begomovirus, famili Geminiviridae. Hasil penelitian ini merupakan laporan pertama kali adanya infeksi ganda kelompok Crinivirus dan Begomovirus pada satu individu tanaman tomat di Indonesia.Kata kunci: Begomovirus, Crinivirus, infeksi ganda, PCR, tomat
Faktor Risiko Terjadinya Karies Baru dengan Pendekatan Kariogram pada Pasien Anak di Klinik Kedokteran Gigi Anak RSGMP Prof. Soedomo Yogyakarta
Authors: Wardani Putri Kusuma , Supartinah Al , Titien S Indah , Rantinah SB Sri , Lukito Emut , Utomo Rinaldi Budi , Kuswandari Sri 
Published: January 2017

Latar belakang. Faktor risiko karies adalah faktor yang berhubungan dengan kejadian karies pada individu dan populasi. Faktor risiko karies berbeda antar individu. Untuk menggambarkan interaksi antara faktor-faktor yang berhubungan dengan karies digunakan kariogram. Tujuan. Penelitian ini adalah untuk mendapatkan gambaran urutan faktor risiko karies dengan pendekatan kariogram pada pasien anak di klinik Kedokteran Gigi Anak RSGMP Prof. Soedomo. Metode. Subjek terdiri dari 26 anak dalam periode gigi-geligi bercampur. Dilakukan pemeriksaan tentang pengalaman karies, riwayat penyakit sistemik, frekuensi makan, skor plak, aktivitas Streptococcus mutans, volume sekresi saliva, pH saliva dan program fluoridasi. Hasil pemeriksaan dianalisis menggunakan program kariogram. Hasil. Penelitian menunjukkan bahwa rerata persentase faktor bakteri adalah 21,1%, faktor pola makan: 18,1%, faktor kerentanan gigi: 16,1% dan faktor lain-lain: 9,5%. Kesimpulan. Dapat disimpulkan bahwa urutan faktor risiko karies dengan pendekatan kariogram adalah bakteri, pola makan, kerentanan gigi dan faktor lain-lain. Background. Caries risk factor is factor related with caries incidence in individu and population. The caries risk factor is different between individu. For illustrating the interaction between caries related factors may be used cariogram. Aim. The aim of this research was to find out the sequence of caries risk factors from cariogram on children patients at the Clinic of Pediatric Dentistry Prof. Soedomo dental hospital. Method. Subjects were comprised 26 children in the periode of mixed dentition. Examinations were included: experience of caries, the history of systemic disease, daily meal frequency, plaque scoring, activity of Streptococcus mutans, the volume of saliva secretion, pH of saliva, and the participations of fluoridation program. The examination result were analyzed with programme cariogram. Result. The result showed that the mean of percentage bacteria factor was 21,1%, meal pattern factor: 18,1%, susceptible teeth factor: 16,1% and others factors 9,5%. Conclusion. It could be concluded that the sequence of caries risk factors from cariogram were bacteria, meal pattern, susceptible teeth and others factors.