bluuebunny/crossref_metadata_2025_split huggingface dataset:
Characterization of patients with Systemic Inflammatory Response Syndrome
Authors: Santaya López Rolando , Cecilia Paredes Eduardo Enrique , Echevarría Cruz Ángel , Guillen Cánovas Ana Mercedes , Echevarría Martínez Luis Enrique 
Published: June 2024

Introduction: Sepsis is an important health problem, considered the main cause of death worldwide in pediatric ages.
Objective: to clinico-epidemiologically characterize children with systemic inflammatory response syndrome in the intensive care service of the Pediatric Provincial Teaching Hospital “Pepe Portilla Pinar del Río, from January 2020 to December 2021.
Method: observational, descriptive and transversal research. A universe of 118 patients was studied in its totality. The information was extracted from medical records. Descriptive statistical methods were used.
Results: Children under 5 years of age and males accounted for 58.5% and 52.5% respectively. Admissions came similarly from the emergency department and hospital wards. Sixty-seven.8 % arrived in the early stages, of which 82.2 % were community-acquired infections. The respiratory tract was the most frequent site of infection with 55.9%. Only 7.5 % of the children were malnourished. Exclusive breastfeeding was not maintained until the sixth month of life in 70.6 % of the children. Mortality was low (10.2 %), with patients admitted in severe sepsis and severe septic shock stage having the highest mortality.
Conclusions: The number of admissions in sepsis stage is decreased in the study, especially in advanced stages with lower mortality, which contributed to the low mortality rate in the province.
Analysis of the impact of a research subject on medical students
Authors: Alves Bellezzia María Fernanda , Blanco Dr. Norberto 
Published: June 2024

Background: Teaching in health sciences needs to be constantly being renewed in order to build professionals who are always more qualified and up-to-date. In this study we evaluated the impact of a research subject during the medical degree, we consulted students and alumni through different questions in order to evaluate their experiences after having participated in an initiation subject to scientific research. Material and methods: An observational study of medical education will be carried out, analyzing the information obtained from the questions addressed to the students. Results: The results of the research indicate that of the 45 participants who answered the survey online, 75.5% believe that the subject is important, 62.2% consider that having studied a research subject in the medical career has a positive influence. When preparing a scientific article, 35.6% think that the organization of the course was not adequate, 68.9% of those surveyed state that they feel little prepared to carry out an investigation Conclusion: In objective terms, we can conclude that the result of the impact of a research subject in the medical career is widely recognized as important among students and alumni and that research in the area of medicine is fundamental. The respondents finished the subject stimulated to participate in a research work in the future
Cognitive impact of chronic opioid use: A systematic review
Authors: Macedo Soares Lara , Estrin Marcelo Adrián 
Published: June 2024

Background: The impact of chronic opioid use has been linked to a wide range of cognitive disorders, ranging from minor deficits in cognitive abilities such as attention, learning, memory and executive functions. The objective of this work is to carry out a systematic review to investigate the cognitive impact in patients who chronically use opioids and to evaluate the severity of this impact. Material and methods: Randomized clinical trials, case-control studies, prospective and retrospective cohorts werw evaluated in two databases: PubMed and Cochrane Central. The search in english, spanish and portuguese languages of stududies carried out in adult humans an chronic use of opioids and their cognitive impact. Results: 7 studies were selected, 5 of wich the patients used Tramadol and the negative cognitive impact was verified, 1 study with the use of Tapentadol with a positive impact on cognition and 1 study with the use of Hydrocodone with a positive impact on neurocognition of the patients. Conclusion: (In conclusion, despite the limitations found here, we consider that tramadol has a negative impact on neurocognition, which does not occur in relation to tapentadol and hydrocodone, which presents an improvement in the quality of life and cognition of patients
Destructive midline facial lesions secondary to cocaine use in the otolaryngology office of the Diagnostic Otolaryngology Instituteotorhinolaryngological office of the Instituto de Diagnósticoand Surgery Institute of Rosario (Argentina), year 2023
Authors: Hadad Agustin Francisco , Hadad Dr. Gustavo , Bassagaisteguy Dr. Luis 
Published: June 2024

Introduction: Cocaine use is associated with chronic inflammation of the sinonasal mucosa that can result in destruction of the nose, palate, and pharyngeal and paranasal tissues. Objective: To describe the destructive lesions of the facial midline secondary to cocaine consumption presented by patients attending the otorhinolaryngological office of the Diagnostic and Surgical Institute of the city of Rosario in the year 2023. Materials and methods: Quantitative, descriptive, observational, cross-sectional and retrospective study, carried out at the Instituto de Diagnóstico y Cirugía. The study population consisted of all patients of legal age, regardless of sex, who presented destructive lesions of the facial midline secondary to cocaine use. Data collection was performed through medical records after informed consent of the patients. Variables were analyzed through absolute and relative percentage frequencies and summarized through central position measures and dispersion measures. Results: Five patients with destructive lesions of the facial midline were analyzed, 100% of them were men with a mean age of 33.20 ± 16.07 years (min. 17; max. 55). Eighty percent presented necrotizing ulceration, accompanied by crusting (40%), hemorrhage (40%), edema and swelling of the turbinates (20%). Eighty percent (n=4) presented lesions in the quadrangular cartilage, 40% (n=2) in the head of the middle and inferior turbinates and the anterior portion of the vomer respectively. The frequent symptoms of the destructive lesions of the facial midline were nasal congestion, hypoesthesia and anesthesia of the area, serous mucorrhea and bloody mucorrhea in 100% of the cocaine users. Secondary complications were rhinitis due to S.aureus, osteitis and ostiomyelitis, intense and intermittent hemorrhage, saddle nose due to quadrangular cartilage lesion and wide nasolaryngeal communication. Conclusion: in the study it was observed that cocaine users during the third decade of life frequently develop destructive lesions of the facial midline, which produce symptoms such as nasal congestion, hypoesthesia and bloody mucorrhea. In the study, 80% had ulcers and scabs in multiple locations, including the quadrangular cartilage, turbinates and vomer. Complications included S. aureus rhinitis, osteitis, ostiomyelitis, saddle nose and nasal-oral communication
Pharmacological and non-pharmacological management of Polycystic Ovary Syndrome: a systematic review
Authors: Costa Almeida Andressa Rayssa , Estrin Marcelo Adrian 
Published: June 2024

Background: Polycystic ovarian syndrome (PCOS) is a common endocrine disorder characterized by menstrual irregularities and elevated serum androgen levels, accompanied by insulin resistance. This review emphasizes the importance of knowledge of health professionals about lifestyle interventions and weight loss as a form of non-pharmacological treatment, appropriate clinical management, and the pharmacological options available according to the profile. of each patient. Objective: - Integrate, analyze, identify and manage through the signs and symptoms the key options for the management of the treatment in an individualized way of the polycystic ovary syndrome based on the available scientific publications. Material and Methods: Data collection was carried out through a search in online databases: PUBMED. The articles were downloaded from the cited platforms, and Zotero was used to make the proper citations and references. The research will be made up of published and updated literature that reflects the importance of knowledge about the pharmacological and non-pharmacological management of polycystic ovary syndrome. Results and Discursion: Thirteen studies that met the criteria that were related to the object of study were included. According to the results achieved the study allowed obtaining a more detailed view of studies that emerged from the data search, highlighting categories a such as those that reflect the importance of pharmacological and no pharmacological treatment of PCOS, individualized treatment management for each patient focusing on the improvement of the symptoms generated by the syndrome and avoiding possible complications such as infertility. Conclusion: Treatment for polycystic ovary syndrome consist lifestyle changes, such as weight reduction, especially in obese women, physical exercise, and pharmacotherapy, which is a supportive measure to improve results. Abbreviations: (A4) Androstenediones, (DHEA) Dehydroepiandrosterone, (FAI) Androgens free (FT) Free testosterone, (IGT) Glucose intolerance, (LH): Luteinizing hormone, (PCOS) Polycystic ovary syndrome, (SHBG) Sex hormone binding globulin, (TT) Total testosterone
Influence of Sociocultural Proximity on Emotional Induction through Music.Perspectives for Therapeutic and Educational Interventions
Authors: López Morena , Justel Nadia , Diaz Abrahan Verónika 
Published: June 2024

Music-based interventions consist of the implementation of musical experiences for educational and/or therapeutic purposes, and their effect resides mainly in the emotional states they generate.(1) Based on the evidence on the mechanisms underlying Emotional Induction through Music (EIM), European musical pieces are usually used which, due to their acoustic characteristics, are classified as arousing and relaxing.(2) These have been tested and validated in other sociocultural contexts, but it is unknown if they can induce the same states in our population, or if it would be more effective to work with local pieces. With the purpose of knowing if EIM depends only on musical characteristics, or if other sociocultural factors intervene in the process, an experiment was carried out comparing the psychophysiological response (heart rate variability, dermal conductance and subjective assessment) of 28 participants (M = 27.45; SD = 1.31) while listening to musical pieces of Latin American and European origin, both arousing and relaxing. Subjectively, the arousing pieces were rated as more exciting and positive than the relaxing Latin American piece; and this, more than the relaxing European piece. Likewise, the pattern of physiological activity suggests that there was greater sympathetic activity during listening to the arousing Latin American piece, and greater parasympathetic activity during the relaxing pieces, especially the Latin American one. These findings show that sociocultural proximity to music is a central factor in EIM, and it should be considered when designing music-based educational and/or therapeutic intervention strategies
Appropriate use of antibiotics in outpatient pediatrics
Authors: Martins Mauricio , Sosa Cecilia Lilian 
Published: June 2024

Background: The appropriate use of antibiotics in outpatient pediatrics is essential and should be based on a thorough evaluation, taking into account the prevalence of diseases and the variability of pathogens, based on solid clinical evidence and adapted to individual needs, achieving therapeutic efficacy. optimal while minimizing the risk of developing microbial resistance. Therefore, it is essential to follow evidence-based prescription guidelines, correct dosage, and duration of treatme. Objectives: Systematic review of the appropriate use of antibiotics in pediatrics in the context of the most common outpatient infectious diseases and Point out the importance of following current clinical guidelines for each of the nosological entities, determining appropriate use of ATB. Material and methods: They used various sources of information, including publications from the Argentine Society of Pediatrics, databases of academic articles in SCIELO and PUBMED, using key terms obtained from the search in the Medical Subject Headings (MESH). Results: It has been identified by the United States Center for Disease Control and Prevention (CDC), which has indicated that around 50% of antimicrobial prescriptions are inappropriate, both in hospital and outpatient settings. A study supported by the World Health Organization (WHO) examined bacterial resistance data in 114 countries, revealing the presence of seven bacteria resistant to broad-spectrum antimicrobials. Conclusion:The careful analysis of each clinical situation becomes a fundamental component of therapeutic decision making. So that misuse of antimicrobials does not occur, it is important to focus on the prescription of ATB, taking into account the recommendations in guides proposed by infectious disease committees, which have an approach based on the time of evolution of the pathologies according to the etiology associated with them. signs and symptoms that increase the possibility of being a bacteria justifying the prescription of the microorganism.
SO SÁNH HIỆU QUẢ ĐIỀU TRỊ BỆNH TRỨNG CÁ ĐỎ BẰNG ISOTRETINOIN LIỀU THẤP VÀ TRUNG BÌNH
Authors: Nguyễn Thị Linh Lan , Đỗ Thị Thu Hiền 
Published: June 2024

Mục tiêu: So sánh kết quả điều trị bệnh trứng cá đỏ thể sẩn mủ bằng isotretinoin liều thấp (0,15-0,25 mg/kg/ngày) và liều trung bình (0,4-0,5mg/kg/ngày).
Đối tượng và phương pháp: Thử nghiệm lâm sàng đối chứng ngẫu nhiên: 54 bệnh nhân trứng cá đỏ thể sẩn mủ được phân ngẫu nhiên vào 2 nhóm: nhóm 1 sử dụng liều thấp và nhóm 2 sử dụng liều trung bình trong thời gian 8 tuần.
Kết quả: Sau 8 tuần điều trị, cả hai nhóm đều cải thiện tổn thương ban đỏ và sẩn mủ rõ ràng. Tổn thương ban đỏ theo thang điểm CEA cải thiện tương đương giữa hai liều isotretinoin (52,7% so với 45,4% ; p>0,05). Tỷ lệ phần trăm giảm tổn thương sẩn mủ trên các bệnh nhân có IGA mức độ nhẹ và trung bình không khác biệt giữa hai nhóm điều trị. Trong khi tỷ lệ phần trăm giảm tổn thương sẩn mủ trên các bệnh nhân có IGA mức độ nặng ở nhóm 2 cao hơn có ý nghĩa so với nhóm 1 tại thời điểm 8 tuần (84,7% so với 76,8%, p<0,05). Tác dụng phụ chỉ gặp trên da và liên quan chủ yếu tới tình trạng khô và kích ứng; trong đó nhóm 2 có xu hướng gặp các vấn đề này với tần suất và mức độ nặng hơn nhóm 1.
Kết luận: Isotretinoin an toàn và hiệu quả trong điều trị trứng cá đỏ thể sẩn mủ. Hiệu quả điều trị không khác biệt giữa hai liều điều trị trên các bệnh nhân có IGA mức độ nhẹ và trung bình. Tuy nhiên, mức cải thiện tổn thương sẩn mủ trên các bệnh nhân có IGA mức độ nặng ở nhóm sử dụng isotretinoin liều trung bình cao hơn có ý nghĩa so với nhóm liều thấp ở thời điểm 8 tuần.

Thời gian nhận bài: 12/01/2022Ngày phản biện: 17/02/2022Ngày được chấp nhận: 21/02/2022
Cortocircuitos reflexivos en comunicación
Authors: Masegosa Sánchez Rosa 
Published: June 2024

Se trata de una Reseña del libro "Cortocircuitos reflexivos en comunicación", coordinado por los profesores de la Universidad Europea Miguel de Cervantes, Rosa María Arráez, Darío Martín y Raquel Pajares, quienes se plantearon dibujar un mapa de fácil lectura para un público muy diverso, que va desde el ámbito investigador y docente hasta el de los profesionales del Periodismo y de la Comunicación, tanto los que cuentan con una abultada trayectoria como los que inician sus pasos en alguno de estos ámbitos.
En esta compilación de artículos, los autores seleccionados para ejercer de guías nos invitan a reflexionar sobre la Comunicación y hacia dónde se dirige desde muy diferentes perspectivas, como son la docencia y la investigación, pero también desde el punto de vista de su aplicación práctica en el mundo de la Comunicación Organizacional, la Publicidad y, por supuesto, el Periodismo y la Comunicación audiovisual.
How Do Junior High School Students Solve Problems in Non-Routine Mathematics Problems
Authors: Zulkipli Zulkipli , Saidah Muthiah as 
Published: June 2024

One indicator of success in learning mathematics is problem solving ability. There are two types of mathematics questions that are generally known, namely routine and non-routine questions. Based on these reasons, the question arises of how junior high school students represent mathematically in solving non-routine mathematics problems. This research uses a qualitative approach with descriptive research type. Data was collected using research instruments in the form of non-routine mathematics test instruments to measure students' mathematical representation abilities in problem solving. Then the subject will be interviewed about how he represents the answer to the question. The data will be analyzed by researchers using the Miles, Huberman, Saldana model to describe and provide mathematical problem solving skills. There are findings that need attention, namely the existence of differences in variations in problem solving. This can happen because students have different mathematical interpretation and representation abilities.
CAMEL Indicators as Tools for Predicting Bank Financial Health Conditions in Nigeria
Authors: Udofia  , Okhae  
Published: June 2024

The series of reform initiatives and consolidation strategies in the banking sector was created to improve the financial health of banks in Nigeria and strategically reposition the Nigerian economy. This paper used the CAMEL predictor model to examine the financial health of selected banks in Nigeria after adopting these reforms from 2012 to 2021. Data for the study was collected from the audited annual reports of the eight banks. The study applied the discriminant (Z-score) technique and regression analysis to scrutinize the effect of Capital Adequacy, Assets Quality, Management Quality, Earnings Quality, And Liquidity Efficiency (CAMEL) variables on the bank's financial health conditions. The discriminant analysis revealed that 5 banks, i.e. (62.5%) of the banks investigated, may fall into distress status shortly if adequate measures are not applied. In comparison, only 3 banks (37.5%) are financially sound. The study reveals that CAMEL indicators significantly predict bank financial health in Nigeria. However, whilst capital adequacy (CA) and liquidity sufficiency are insignificant predictors of a bank's financial health, assets quality, management quality, and earnings quality significantly predict the bank ‘s financial health in Nigeria. The pivotal role of banks in Nigeria’s economy requires that the findings of this study should not be downplayed. Thus, bank managers should focus on managing their CAMEL indicators to avoid distress. Supervisory authorities should also intensify surveillance by conducting a CAMEL analysis of banks annually to reduce corporate failure incidences and positively reposition Nigeria's economy.
Microbiota Fúngica em sistema de ar condicionado de automóveis
Authors: Barboza Rebeca Ingrid dos Santos , Guedes-Coelho Elica Amara Cecilia , Pinto Coelho Fernando , Da Silva Costa Manoel Messias , Alves da Silva Filho Euripedes 
Published: June 2024

Fungos são seres eucariontes, cosmopolitas encontrados em ambientes externos e internos que podem ser propagados de diversas formas e uma delas é pelo ar denominados fungos anemófilos. Devido ao seu potencial patogênico, toxigênico e alergênico eles podem estar associados a doenças como rinites, sinusites e câncer devido a presença de micotoxinas. Bioaressóis fúngicos são encontrados em ar condicionados nos diversos ambientes, e um destes são veículos de passeio e utilitários, porém a falta de manutenção destes equipamentos pode causar problemas à saúde de seus ocupantes. O objetivo deste estudo foi avaliar a diversidade biológica dos fungos possivelmente patogênicos, toxigênicos e alergênicos em filtros de ar condicionado de automóveis. Para isso foram recolhidos 30 filtros de automóveis em concessionárias durante a manutenção de veículos em Maceió. Os filtros recolhidos dos automóveis foram medidos, cortados e colocados em tubo Falcon com água destilada, autoclavados, levados à centrífuga á 7000 rotação por minuto (rpm), plaqueada em meio ágar sabouraud dextrose e colocados na estufa a 28ºC por aproximadamente sete dias. Após crescimento dos fungos, realizou-se a contagem das unidades formadoras de colônias (UFC), seguido pelo isolamento das colônias de interesse, utilizando a técnica de cultura central. Para identificação taxonômica das espécies foram utilizadas chaves com base nas características morfológicas. Foram identificadas 11 espécies de fungos, potencialmente patogênicas e toxigênicas, porém testes feitos com ágar coco deram negativos (100%) para a presença de micotoxinas. Após as análises dos filtros, os gêneros de fungos anemófilos mais frequentes foram Paecilomyces spp. (80%), Acremonium spp. (56,7%) e Cladosporium spp. (40%). É importante que sejam realizados manutenção periódica nos filtros dos ar condicionado de automoveis pois serve de substrato para crescimento de fungos potencialmente patogênicos e toxigênicos.
Nivel de cumplimiento de metas internacionales de seguridad en un Sanatorio privado 2023.
Authors: Sucre Gabriela , Peralta David , Rodríguez Mónica , Chiquillito Melisa , Villagra Carolina 
Published: June 2024

Introduction: This research aims to evaluate the level of compliance with international goals, which represent the main focus for improving the quality and safety of patient care. Patient safety involves all studies, practices and actions promoted by health institutions to reduce and eliminate the risks of unnecessary harm related to health care. Methodology: Descriptive, observationaland transversal study. From primary and secondary sources, Results: goals No. 1 were addressed, which consists of Identifyingpatients correctly and goal No. 6, which refers to Reducing the risk of injuries in patients as a result of falls. Firstly, compliance withcorrect patient identification stands out and secondly, improvement in compliance with fall prevention measures. Conclusion: Thisproximity of the values obtained generates a positive aspect to improve patient safety and that, although the fulfillment of thegoals is not as desired, it is close to the proposed percentage. Which ultimately makes this study an important precedent in continuous improvement for the near future.