bluuebunny/crossref_metadata_2025_split huggingface dataset:
Resultados postoperatorios de las colectomías electivas abiertas y laparoscópicas por cáncer de colon en el Complejo Hospitalario Doctor Arnulfo Arias Madrid
Authors: Rodriguez Laura , Orillac Alfredo , Alemnán Edgar , Rodríguez Sara , Bravo Harold , Ale You , Villareal Alcibíades , Haro Cruz Jorge Said 
Published: October 2024

Introducción: Metaanálisis internacionales muestran que la cirugía laparoscópica presenta mejores resultados postoperatorios que la cirugía abierta en el manejo del cáncer de colon. La tendencia en Panamá es la transición a la cirugía laparoscópica; sin embargo, no existen estudios que comparen ambas técnicas quirúrgicas. Objetivo: Comparar los resultados postoperatorios de las colectomías electivas abiertas y laparoscópicas por cáncer de colon en el Complejo Hospitalario Dr. Arnulfo Arias Madrid, de enero de 2015 a diciembre de 2019. Metodología: Se realizó un estudio observacional, transversal, correlacional causal (analítico), retrospectivo mediante la revisión de expedientes clínicos de los pacientes operados de colectomías electivas abiertas y laparoscópicas por cáncer de colon en el Complejo Hospitalario Doctor Arnulfo Arias Madrid, de enero de 2015 a diciembre de 2019. Resultados: De 87 casos estudiados, 45 correspondían a cirugía abierta y 42 a cirugía laparoscópica. Encontramos que el abordaje abierto se asocia a una mayor mortalidad intrahospitalaria (χ² 4.951, p 0.026), mortalidad a los 30 días postoperatorios (χ² 6.014, p 0.014), íleo postoperatorio (χ² 5.803, p 0.015), fuga de anastomosis (χ² 12.833, p 0.0003) y dehiscencia de herida quirúrgica (χ² 7.105, p 0.007) que el laparoscópico. El riesgo relativo de infección con abordaje abierto es 8.9 veces mayor que con abordaje laparoscópico [RR = 8.865 (95% IC = 1.058 – 74.286) p=0.044]. Conclusiones: La epidemiología del cáncer colorrectal en nuestra institución se asemeja a la de la literatura mundial. Nuestros resultados incentivan a implementar la cirugía mínimamente invasiva para brindar mejores resultados.
Very Large and Long-lasting Anisotropies Caused by Sunward Streaming Energetic Ions: Solar Orbiter and STEREO A Observations
Authors: Wei Wenwen , Lee Christina O. , Dresing N. , Khoo L. Y. , Jian L. K. , Luhmann J. G. , Cohen C. M. S. , Fraschetti F. , Zhuang B. , Huang J. , Owen C. J. , Nicolaou G. , Rodríguez-García L. , Palmerio E. , Jebaraj I. C. , Lynch B. J. , Carcaboso F. 
Published: October 2024

Abstract
The anisotropy of energetic particles provides essential information to help resolve the underlying fundamental physics of their spatial distributions, injection, acceleration, and transport processes. In this work, we report an energetic ion enhancement that is characterized by very large and long-lasting anisotropies observed by STEREO A and Solar Orbiter, which are nearly aligned along the same nominal Parker spiral. This ion enhancement appears at the rising phase of a widespread solar energetic particle event that was associated with the farside coronal mass ejection on 2022 February 15. According to our analysis, the long-lasting anisotropy resulted from the continuous injection of energetic ions from a well-connected particle source located beyond the STEREO A’s orbit. Solar Orbiter also observed an interval of very large anisotropy dominated exclusively by sunward streaming ions but with the additional implication that it detected the very early phase of ion injections onto magnetic field lines that newly connected to the particle source, which is likely the first reported event of this kind. These results further illustrate how energetic particle anisotropy information, in particular from multiple observer locations, can be used to disentangle the sources and transport processes of energetic ions, even when their heliospheric context is not simple.
International Burn Disaster Nursing: Care, Commitment, Compassion, and Cost
Authors: Agyenim-Boateng Gideon , Ridkodim Natalia , Leitch Elizabeth , Hafer Kati , Ng Nina , Arbour Richard 
Published: October 2024

Background
Burn mass casualty incidents can overwhelm local resources, challenging effective communication, triage, and provision of care. International responders can help by providing education and direct patient care.

Local Problem
On November 5, 2021, a fuel tanker truck exploded in Freetown, Sierra Leone, killing or injuring hundreds of people. The needs of the severely burned survivors overwhelmed local resources, requiring an international response. Burn specialist teams from several countries, including the United States, were deployed to provide assistance.

Methods
Members of the US burn care team educated local health care practitioners about wound care, physical therapy, and fluid and pain management. Educational content was delivered through lecture and discussion, case studies, clinical application, and bedside teaching. Demonstration of cultural competence and humility, as well as attentiveness to nuances of local communication, helped avoid ethnocentrism and other barriers to collaboration. Public congratulations and formal completion certificates were used to provide meaningful recognition of successful class participation.

Results
Before the lecture and discussion intervention, 57 students participating in a pretest assessment had an average score of 53.9% (high, 80%; low, 27.5%). After the intervention, 38 students participating in a posttest assessment had an average score of 79.3% (high, 95%; low, 55%), and local health care providers delivered care with more attention to patient comfort and shared new knowledge with colleagues.

Conclusions
Providing optimal burn care and education under austere conditions requires cultural humility and a spirit of inquiry. Attentiveness to communication and cultural nuances promotes collaboration, improves educational effectiveness, and builds local burn care capacity.
Orthotopic renal autotransplantation: A step forward during postchemotherapy retroperitoneal lymph node dissection for germ cell tumor
Authors: Mor Akash , Gujela Ajit , Patel Sachin , Kumar Vineet , Prakash Gagan 
Published: October 2024

ABSTRACT
We present the first and a rare case of orthotopic renal auto-transplantation in the management of postchemotherapy residual retroperitoneal mass encasing the left renal vessels but sparing the parenchyma in a 24-year-old patient with Stage IIIC nonseminomatous germ cell tumor after 4 cycles of chemotherapy. Immediate postoperative and 6 months’ follow-up renograms confirmed the maintained glomerular filtration rate of the transplanted kidney with no residual disease. This case report shows the feasibility of renal autotransplantation in carefully selected patients as they are young and have long-term survival.
Chikungunya encephalitis: A case report
Authors: Bhardwaj Nidhi , Kumar Vivek , Singh Pritam , Kaur Jaspreet 
Published: October 2024

Rationale:
Transmitted to humans via the Aedes mosquito, Chikungunya virus (CHIKV) is associated with multi-system complications, sometimes collectively referred to as “atypical features.” However, a disorder of the nervous system appears to be the most common severe complication of CHIKV infection.

Patient’s Concern:
A seventy-five-year-old patient from India presented to the hospital with fever, chills, rigors, and multiple joint pains for which he was worked up.

Diagnosis:
CHIKV encephalitis.

Interventions:
The patient was treated initially on supportive therapy with antipyretics, intravenous fluids; however, during his hospital stay, the patient had altered sensorium during which he was managed in the intensive care unit; required mechanical ventilation.

Outcomes:
The patient sccumbed to his illness.

Lessons:
Treating clinicians should keep CHIKV disease in the differential diagnosis in cases of febrile exanthems associated with disabling arthritis, especially in a CHIKV-endemic country like India.
Unplanned intensive care admission leading to an adverse event: Incidence, preventability and feature analysis
Authors: Fuster-Cabré Maria , Ezquerro-Sáenz Santiago , Sánchez-Chueca Pilar , Tejada-Artigas Antonio , Esteban-Zubero Eduardo 
Published: October 2024

Objective:
To compare the characteristics of patients between adverse event (AE) group and non-AE group, and to assess the causes, preventability, and severity of AE.

Methods:
A retrospective triple-phase medical record study was conducted at a Spanish tertiary hospital. Data was collected over a 6-month period, including all patients with an unplanned intensive care admission. Demographic characteristics, APACHE Π, length of ICU stay, mortality were compare between AE and non-AE group causes, preventability and severity were analyzed in AE cases.

Results:
597 Patients were included in the study. The overall incidence of AEs was 17.3% (n=103), of which 83.5% were considered preventable. Mortality within the AE group was higher than in the non-AE group (23.3% vs. 13.6%), making it 1.7 times more frequent in the AE group (95% CI: 1.143-2.071). The primary cause of AE was associated with surgical procedures (43.7%). Of the AEs, 18.4% were classified as mild, 58.3% as moderate, and 23.3% as severe.

Conclusions:
The incidence of unplanned intensive care admissions due to AE is high and potentially preventable. This is concerning given the high mortality observed in patients admitted to the intensive care unit because of an AE, although direct causality cannot always be established. The findings emphasize the importance of patient safety and underscore the need for improved quality and management of care resources. They also indicate where efforts should be directed to enhance care risk management.
Saliva as a Diagnostic Biomarker in Postmenopausal Women: A Systematic Review
Authors: Chandrasekar Muthulakshmi , Divya Bose , Narayan Madhu , Vasanthi V. , Kumar A. Ramesh , Rajkumar Krishnan 
Published: October 2024

Abstract

Background:
The main health problems faced by postmenopausal women include osteoporosis, vasomotor symptoms, cardiovascular diseases, urogenital atrophy, cancer, psychiatric symptoms, and cognitive problems. These manifestations can lead to postmenopausal syndrome, and the management of these manifestations has become a prime area of investigation in recent times.

Aim:
The aim of this systematic review is to critically analyze the literature to identify the salivary markers that can be used to diagnose diseases in postmenopausal women.

Materials and Methods:
Articles related to saliva as a diagnostic tool in postmenopausal women were collected in databases like PubMed and Google Scholar. Keywords used in this systematic review are saliva, diagnosis, postmenopausal women and disease. Articles included were based on the PRISMA guidelines.

Results:
A total of 692 articles were screened, out of which 674 articles were excluded as they failed to meet the expected criteria. Eighteen articles were selected based on title and abstract. After excluding all the articles which did not meet the criteria, totally 12 articles were included for review.

Conclusion:
The efficacy of salivary calcium levels to detect early bone changes in postmenopausal women has been studied the most in the literature. Studies with larger sample size are needed for saliva used as a substitute to serum calcium to diagnose osteoporosis. More studies are needed to analyze the significance of salivary alkaline phosphatase, parathormone, cortisol, salivary c-terminal of type I collagen, osteocalcin, and osteopontin in postmenopausal women.
Deviated Nasal Septum: A Comprehensive Review
Authors: Ashwinirani S. R. , Suragimath Girish , Telrandhe Shital , Suragimath Disha G 
Published: October 2024

Abstract
Deviated nasal septum (DNS) is a condition where the nasal septum, the partition between the two nasal cavities, is misaligned from the midline. This deviation can significantly impact airflow, leading to various respiratory disorders such as nasal obstruction, sinusitis, and impaired breathing. DNS is diagnosed through clinical examination, including anterior rhinoscopy, nasal endoscopy, and imaging methods such as computed tomography (CT), magnetic resonance imaging, and cone-beam CT. These diagnostic tools help to assess the severity of the deviation and its impact on the nasal structures. The classification of DNS is crucial for defining the appropriate treatment plan. Various classification systems have categorized DNS depending on the type, location, and extent of the deviation. Treatment choices of DNS range from conservative nonsurgical remedies such as nasal decongestants and corticosteroids to surgical interventions like septoplasty, which aims to realign the septum and restore normal nasal airflow. This article reviews the prevalence of DNS, different classifications, and various diagnostic approaches for accurate determination and symptoms of DNS. The article also explores the most effective treatment strategies, highlighting the importance of accurate diagnosis and personalized treatment approaches to improve patient outcomes.
Unveiling Sex through Radiological Insights: Exploring the Potential Approach to Sex Estimation Using Hyoid Bone in Multi-detector Computed Tomography Scans
Authors: Patel Mansi , Debnath Manna , Ojha Santosh , Sharma Dolly A. 
Published: October 2024

Abstract

Background:
The identification of the individual from the corpse remains is one of the most difficult tasks in forensic science. Multiple markers in the human body can be used to generate a profile of a person. Using computed tomography (CT) scan images, we are attempting to determine the relevance of the hyoid bone for sexual dimorphism.

Materials and Methods:
Using the axial reconstructed images, 10 different measurements were taken using a digital imaging and communications in medicine viewer and analyzed for significance.

Results:
The hyoid body height, hyoid body length, maximum length of greater cornua of hyoid bone of the right side, and width of the proximal end of greater cornua of the right side measurements show statistically significant differences between males and females. The majority of male measures were much larger than those of females and also shows right side is more significant than the left side. The present study shows 82.1% correct classification for males and 81.5% for females.

Conclusions:
The present study concluded that the estimation of sex by hyoid bone using a multidetector CT scan can be useful in determining the sex.
Educational Institutions and Youth Contributing towards Meeting the Vision of Viksit Bharat
Authors: Singh Brij Raj , Gajbe Ujwal , Shrivastava Saurabh RamBihariLal , Bankar Nandkishor 
Published: October 2024

Abstract
In developing nations, resources of the country are being exploited in a limited manner, and there is an indispensable need to optimize material and human resources for the development of human society. Right now, the resources which are utilized are the employees whose number is limited. Apart from this, the human resources which can be utilized for welfare of nation are youth, and they will prove to be valuable assets in welfare of developing country like India. If we can use youth as a resource person with the knowledge of their stream, we can do miracle and contribute to make our country as Viksit Bharat in a fastest way. If the approach of education is 2-dimensional, it will be horizontal in nature with surface learning by students, but when the 3-dimensional approach is introduced, one can explore space and in-depth knowledge and understanding. To cater this, we are proposing a “Modified Attitude-Ethics-Communication (AETCOM) Model”, wherein interdisciplinary integration i.e. humanity, attitude, ethics and communication domains will be there and this will be the only tool which will make them disciplined healthy human resources workforce. In conclusion, the youth of today can act as either co-learner or as a human resource who can contribute their own knowledge and perspectives in the development of the society. In-fact, it won’t be wrong to state that their contribution in meeting the national vision of Viksit Bharat has immense potential.
An Insight into the Impact of Ergonomics on the Clinical Practice of Dentists in Gujarat: A Cross-sectional Study
Authors: Verlianey Nisha , Patel Nayana , Vachchani Radha , Sant Ankit , Panwar Sandhya , Desai Nehal , Jain Prachi Sanjeev 
Published: October 2024

Abstract

Background and Objective:
The role of knowledge, awareness, and practice of the principles of ergonomics in the dental profession needs to be highlighted to the dental fraternity as the prevalence and severity of musculoskeletal disorders (MSDs) are increasing in higher numbers leading to a shortened clinical life span of the dentist.

Materials and Methods:
A valid close-ended questionnaire was designed and circulated as a Google Form, and 200 dentists all over Gujarat consented to take part in the cross-sectional study. Data were collected and analyzed statistically to understand the relation between understanding and practice of the principles of dental ergonomics.

Results:
The result revealed approximately 89% of the dentists who had <5 years of clinical experience faced pain in their lower back/shoulder/arm/neck area irrespective of their gender. It was observed that the association between understanding the importance between proper illumination and magnification on a daily routine in a neutral posture was highly statistically significant with 73.8% of dentists aware and practicing it. However, we need a larger sample size to be followed for a longer time to establish and highlight the risk factors for the prevention of work-related injuries.

Conclusion:
As oral care needs are increasing in the Indian population at an alarming rate, the need for a competent experienced dental fraternity will be a necessity for preventive as well as treatment-based dentistry. An ergonomically established dental setup in line with the practical implementation of the principles of ergonomics and lifestyle changes will lead to a reduction in MSD.
In vitro fertilization-induced extreme hypertriglyceridemia with secondary acute pancreatitis in emergency department: A case report and literature review
Authors: Thanh Nguyen Huu , Duong Trinh Van , Huyen Nguyen Thu , Hai Pham Dang 
Published: October 2024

Abstract
Acute pancreatitis is one of the severe complications of hypertriglyceridemia, which needs to be recognized early to provide appropriate treatment. Hypertriglyceridemia-induced pancreatitis has several causes, in which in vitro fertilization (IVF) is a rare etiology that is becoming increasingly popular. We report a 33-year-old female patient with a history of hypertension who has failed an IVF cycle and started a new IVF procedure 1 month before admission. She was diagnosed with severe triglyceridemia-induced acute pancreatitis with extremely high serum triglycerides (TGs) levels (18,547 mg/dL). We combined plasmapheresis and intravenous (IV) insulin and significantly reduced blood TG over a short time. She was discharged with a TG level of 366.7 mg/dL on the 10th day. It is essential to monitor serum TG levels in plasma before, during, and after this therapy, especially in the 1st month after initiating IVF. Although plasmapheresis combined with IV insulin is not officially recommended for acute triglyceridemia-induced pancreatitis, the therapy can be considered in cases with extremely high serum TG levels.
Unexpected consequences: A case of ketamine-induced seizure in procedural sedation
Authors: Az Adem , Doğan Yunus 
Published: October 2024

Abstract
This case report describes a 32-year-old male who underwent ketamine procedural sedation and experienced a generalized tonic–clonic seizure. Despite its rapid onset and favorable tolerance profile, this case emphasizes the potential convulsive side effects of ketamine, which is commonly used for procedural sedation. While ketamine has shown promise in treating acute pain, refractory status epilepticus, and treatment-resistant depression and schizophrenia, it is associated with side effects such as hallucinations, visual disturbances, dizziness, nausea, and vomiting. The patient in this case received a carefully titrated dose of 40 mg of ketamine intravenously and underwent successful shoulder reduction while under sedation. However, within 60 s of receiving the ketamine, the patient experienced a 60-s seizure that was stopped with the administration of 5 mg of diazepam intravenously. The patient was hospitalized for further evaluation, including an electroencephalography (EEG) that showed no abnormalities. This case highlights the need for health-care professionals to be aware of the potential convulsive side effects of ketamine and to carefully monitor patients who receive ketamine sedation.
Integrated Disease Management, Combining Chemical and Bio-control Agents, is Effective Against Agroathelia rolfsii Infecting Eggplants
Authors: Ndifon Elias Mjaika 
Published: October 2024

The seeds of Guibourtia coleosperma serve as potential Agroathelia rolfsii severely infects 500 plant species causing stem and root rots on plants including eggplants. This study evaluated the compatibility of integration of chemical fungicides x biological agents for the management of recalcitrant disease agents like A. rolfsii. A factorial trial was set up using the completely randomized design with each treatment being replicated thrice. Interaction of Mancozeb (at 50 and 100% concentrations) x Trichoderma species caused 29.3-100% inhibition of A. rolfsii and Ketoconazole (at 50 and 100% concentrations) x Trichoderma species caused 95.8-100% inhibition of A. rolfsii. Mancozeb (100% concentration) x T. harzianum controlled the pathogen most, followed by the T. viride combination. The percentage inhibition by chemical fungicide (main effects) ranged from 100% inhibition by Ketoconazole (100% concentration) to 97.9-100% for Ketoconazole (50% concentration), to 65.2-93.6% for Mancozeb (100% concentration) and lastly 23.3-78.6% for Mancozeb (50% concentration) with time. The percentage inhibition (main effects) ranged from 60.3-96.7% for T. virens, 60.8-92.1% for T. harzianum, and 69.3-95.8% for T. viride with time. The chemical fungicides and Trichoderma species were highly positively correlated (0.522** at p ≤ 0.05). The high concentrations of the fungicides antagonized the Trichoderma species as well, so more work should be carried out on this aspect. This approach to disease management for eggplants is highly effective using chemical x bio-control agents to safeguard eggplants from A. rolfsii. Applying this method can protect crops and result in long-term profitability. The combination of fungicides and biocontrol agents is strongly recommended for the management of this fungal pathogen.