bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE RETROSPECTIVE ANALYSIS OF TRIGEN INTERTAN NAIL IN THE TREATMENT OF UNSTABLE INTERTROCHANTERIC FEMORAL FRACTURES AT HOSPITAL FOR TRAUMATOLOGY AND ORTHOPAEDICS
Authors: Nguyen Tuan Anh , Hoang Anh Quoc , Phan Tam Ngoc , Nguyen Truong Xuan , Nguyen Nam Ngoc , Nguyễn Phi Duong 
Published: March 2024

Background Intertrochanteric fractures are highly prevalent among the elderly population, with approximately 90% occurring in individuals aged over 65. These geriatric fractures are associated with elevated mortality rates and significant functional impairment. Common treatment modalities for unstable intertrochanteric fractures include proximal femoral nail antirotation (PFNA) and the InterTan nail (IT). PFNA and IT are frequently employed due to their lower failure rates and favorable biomechanical properties, resulting in positive clinical outcomes for the management of unstable intertrochanteric fractures. The unique design of the IT nail, featuring two cephalocervical screws within an integrated mechanism, permits linear intraoperative compression and rotational stability of the neck and head fragment. In this study, we assess the clinical outcomes of IT nail utilization in the treatment of intertrochanteric fractures at the Hospital for Traumatology and Orthopedics. Methods This study comprises a retrospective analysis and case series report. Between February 2021 and August 2021, we retrospectively evaluated 35 patients who underwent treatment with the IT nail for unstable intertrochanteric fractures. Epidemiological data, operative duration, intraoperative blood loss, intraoperative blood transfusion requirements, length of hospital stay, bone healing rates, and IT nail-related complications were recorded. Results The mean age of the patients was 70.97 ± 16.97 years, with a mean operative time of 60 minutes, mean intraoperative blood loss of 160.86 ± 72.8 ml, mean intraoperative blood transfusion volume of 203.43 ± 189.29 ml, and a mean hospital stay of 7 days. Bone healing was observed in 97.14% of cases. Conclusions The treatment of unstable intertrochanteric fractures using the IT nail in elderly patients was successful. Our findings indicate favorable clinical outcomes in terms of surgical duration, intraoperative blood loss, hospitalization duration, and union rates for elderly patients. Further investigations are warranted to validate these early results.
MICROSURGICAL REIMPLANTATION OUTCOMES FOR COMPLETE AND INCOMPLETE AMPUTATIONS OF DISTAL PHALANGES OF FINGERS
Authors: Mai Tuong Trong , Nguyen Thach Ngoc , Phan Thang Dzu Le , Vo Khanh Hoa , Nguyen Phi Duong 
Published: March 2024

Introduction The intricate endeavor of replanting the distal phalanx of the finger remains a persistent challenge. In the pursuit of addressing this concern, microsurgical replantation procedures have been systematically examined for distal phalanx injuries encircling the distal interphalangeal (DIP) joint, conducted at the Orthopaedic Hospital situated in Ho Chi Minh City. Materials and Methods This investigation encompassed a cohort of 31 patients, comprising individuals with 17 instances of complete and 21 instances of incomplete amputations of the distal phalanges. The subjects’ ages spanned a range from 3 to 56 years. Results The study divulged that eight fingers, involving four complete amputations and four incomplete amputations, did not achieve successful outcomes. In contrast, the remaining 30 fingers exhibited survival. A meticulous long-term follow-up of 17 fingers, extending over a period exceeding six months, unveiled commendable achievements encompassing satisfactory sensory recovery, cosmetic enhancement, and the resumption of pre-injury occupational activities by the patients. Discussion Vein anastomosis was revealed as a notably challenging aspect of the surgical procedures. In scenarios where conventional vein suturing was rendered unfeasible, the innovative recourse of one-way drainage emerged as a viable alternative. Conclusion The endeavor to replant the distal phalanx of the finger engenders a substantial level of complexity, particularly in the realm of venous anastomosis. This research underscores the need for focused efforts to address and surmount the intricacies associated with this aspect of surgical intervention.
Spanish and euro area households’ response to rising prices
Authors: Martínez Carrascal Carmen 
Published: March 2024

Rationale
Faced with the recent inflationary episode, households have employed different strategies to adjust their consumption, saving and labour supply decisions in response to higher prices. This article discusses what those strategies have been and how they have varied based on household characteristics.
Takeaways
•The strategies most widely used by households to cope with the price increases, both in Spain and in the euro area, were shopping around for better alternatives (e.g. offers) and reducing their saving and spending levels.
•Spanish households have resorted to credit and increased their labour supply (by taking a second job or working longer hours) to cushion the impact of higher prices on consumption more than their euro area counterparts. This is especially true among households with low liquidity buffers.
•Young people, women, people with a lower educational level and those living in rented housing have showed a greater propensity to work more hours to cope with inflation.
Respuesta fenológica y productiva del pasto estrella a la fertilización orgánica e inorgánica
Authors: Solano Lopez Marvin J. , Villalobos Villalobos Luis Alonso 
Published: March 2024

La fertilización es utilizada para mejorar los índices productivos de las especies forrajeras para la alimentación animal, y se enfoca en lograr niveles de producción de leche y carne acorde al sistema productivo.. El objetivo de este estudio fue evaluar la respuesta fenológica y productiva del pasto Estrella Africana (Cynodon nlemfuensis Vanderyst.) a cinco fertilizantes.. El experimento se realizó en la Estación Experimental Alfredo Volio Mata ubicada en El Alto de Ochomogo en la provincia de Cartago, Costa Rica, durante los meses de mayo a noviembre de 2019 y 2021. Se utilizó un diseño en bloques completos aleatorizados (DBCA) y fue analizado mediante un modelo lineal generalizado que incluyó días de cosecha, año y fertilizante como factores principales.. Se identificó que los días de cosecha tuvo efecto significativo (p<0,05) sobre la producción de biomasa fresca y seca, altura de la pastura y edad fenológica. Los fertilizantes evaluados no mostraron diferencias (P>0,05) sobre las variables analizadas, pero se evidenció diferencias numéricas a favor de los tratamientos inorgánicos en algunos indicadores. La urea protegida con azufre presentó mayor biomasa fresca (15 813 kg ha-1) y seca (3 649 kg ha-1) y mayor altura de la planta (47,29 cm). El tratamiento de purines presentó mayor número de hojas promedio (7,17 hojas.planta -1) y el nitrato de amonio mostró mayor capacidad cobertura (571,83 rebrotes.m-2) y mayor proporción de hojas (56%), y menor de tallos y senescencia (36% y 9%, respectivamente). La edad de cosecha fue el factor primordial que influyó sobre las variables productivas de la pastura mientras que los fertilizantes evaluados no mostraron efectos consistentes ni concluyentes para escoger una fuente en particular. Los ganaderos pueden considerar una combinación de diferentes fertilizantes según su estrategia de manejo y época del año.
Prévalence des infections nosocomiales au Centre Hospitalier Universitaire du Point G de Bamako, Mali.
Authors: Beye SA , Al Et 
Published: March 2024

Objectifs de cette étude était de déterminer la prévalence hospitalière des infections nosocomiales. Patients et méthodes : Il s’agissait d’une étude prospective transversale descriptive sur une période de six (6) semaines. Résultats : 463 patients ont séjourné pendant au moins 48 heures. Parmi eux, 57 patients inclus soit une prévalence de 12,3%. L’âge moyen était de 45,4 ± 20,8 ans. La durée moyenne du séjour était de 21,7 ± 12,7 jours. Les patients provenaient de la réanimation (17,5%), la médecine interne et la neurologie dans 15,8% chacune. L’immunodépression au VIH a été retrouvée dans 14%. Un dispositif invasif était présent dans 93% des cas. Les prélèvements microbiologiques réalisés étaient : un examen cytobactériologique des urines (36 cas), un prélèvement de pus (19 cas), une hémoculture (23 cas). Les infections étaient urinaires (30 cas), du site opératoire (16 cas), une bactériémie (15 cas), une pneumopathie acquise sous ventilation mécanique (2 cas). Un germe était isolé dans ces prélèvements dans 94,4%. Les germes retrouvés étaient des entérobactéries (33 cas), des bacilles à Gram négatif non fermentant (12 cas), des cocci à Gram positif (6 cas) et des levures (3 cas). L’écologie était dominée par une résistance élevée des germes impliqués dans ces infections. Conclusion : Ce travail a montré une prévalence élevée des infections nosocomiales avec un profil de résistance varié des germes impliqués. Il est important d'élargir ce travail afin d'en tirer des recommandations fortes.
Solidariedade e relacionamento entre gerações nos lares multigeracionais: uma revisão sistemática da literatura
Authors: Cunha Ubiracelma Carneiro da , Dias Cristina Maria de Souza Brito 
Published: March 2024

Diante do aumento na proporção de lares multigeracionais devido à recoabitação, muitos idosos chefes de família recebem de volta seus filhos, netos e até bisnetos. Neste cenário, ocorrem mudanças na dinâmica relacional dos membros da família, influenciando os aspectos que permeiam a solidariedade intergeracional familiar. Este artigo teve como objetivo sintetizar as pesquisas nacionais e internacionais sobre a solidariedade e os relacionamentos entre as gerações nos lares multigeracionais entre 2010 e 2022. Utilizou-se o método de revisão sistemática da literatura nas bases de dados MEDLINE, LILACS, SciELO e PePSIC. Foram encontrados 368 artigos e foram seguidas as recomendações do formulário internacional PRISMA. Após a etapa de elegibilidade, 12 artigos constituíram a amostra final. Inicialmente, a análise foi dividida de acordo com o local da pesquisa, o que permitiu um panorama das características culturais desses lares multigeracionais. Os resultados indicaram diferenças multiculturais na dinâmica desses lares multigeracionais. Posteriormente, foi realizada uma análise dos estudos a partir das dimensões do modelo da Solidariedade Intergeracional Familiar (SIF) desenvolvido por Vern L. Bengtson. Verificou-se que a formação destes lares geralmente está associada a situações de separação conjugal, crise financeira dos filhos adultos, problemas de saúde dos pais idosos e necessidade de suporte no cuidado dos netos. Ainda com relação a este tipo de arranjo familiar notou-se que os vínculos de solidariedade são fortalecidos por meio de relações intergeracionais baseadas no cuidado, apoio emocional e trocas de recursos financeiros e materiais. Entretanto, também foram identificados conflitos e tensões, provenientes das diferenças de valores sociais e de estilo de vida entre as gerações, bem como decorrentes das obrigações parentais e filiais e das dificuldades de extensão do papel parental pelos avós diante da recoabitação dos filhos.
Etika Politik Sebagai Jalan Penyempurnaan Humanisme Relijius
Authors: Danil Muhammad , Rosa Melia 
Published: March 2024

The ethics of a politician are a necessity to pay attention to in perfecting religious humanism in the world of politics so that it can produce policies that support a prosperous and prosperous society. However, so far what we have encountered has only been limited to campaigning in the stage of gaining the most votes. The speakers related to political ethics, religious ethics, and the relationship between religion and politics have been discussed by figures such as Al Farabi, Ibnu Taymiyah, Miroljub Jevtic, Anthony Gill and others. Therefore, research like this should continue to be carried out so that the results will have a positive impact on politics and our society in the future.
Research related to ethics was carried out using library research where the sources were taken from materials that focused on highlighting ethics, politics and religion with a data processing process that went through several stages starting with data coding and ending with drawing conclusions. The results of this research determine that the ethics that must be present in a politician to perfect his religious humanism are related to justice, honesty, responsibility, and broad knowledge which are crucial to the formation of a prosperous and prosperous society which can give birth to a civilization of high value.
Perbandingan Profil Hematologi Antara Pasien COVID-19 Bergejala Dan Tanpa Gejala Di RSU Kota Tangerang Selatan
Authors: Marziah Cut , Parwati Ida , Lismayanti Leni 
Published: March 2024

Amplifikasi RNA virus oleh RT-PCR merupakan baku emas untuk konfirmasi infeksi penyakit COVID-19. Parameter hematologi berperan dalam respon imun suatu infeksi, di antaranya adalah jumlah leukosit, neutrofil absolut, limfosit absolut, monosit absolut, jumlah trombosit, Neutrofil Limfosit Rasio. Parameter-parameter tersebut berpotensi menjadi parameter skrining pada penderita COVID-19.
Tujuan penelitian ini adalah untuk menganalisis perbedaan profil hematologi antara penderita COVID-19 bergejala dan tidak bergejala pada berbagai periode lonjakan kasus (masa varian Alpha/Beta, Delta dan Omicron).
Metode penelitian berupa observasional deskriptif komparatif dengan rancangan potong lintang yang dilakukan pada bulan Mei-Agustus 2020, Juni-Juli 2021, dan Januari-Februari 2022 di RSU Kota Tangerang Selatan, Banten, sebanyak 380 subjek.
Hasil penelitian ini menunjukkan sebagian besar subjek memiliki gejala (88,9%), subjek terbanyak pada periode Januari – Februari 2022. Median usia subjek 42 tahun, dengan proporsi yang hampir sama antara laki-laki dan perempuan. Hasil uji beda profil hematologi menunjukkan terdapat perbedaan bermakna untuk parameter jumlah trombosit (p=0,002), eosinofil (p<0,001), limfosit (p<0,001), NLR (p<0,001) antara kelompok COVID-19 bergejala dibandingkan dengan kelompok tidak bergejala. Tidak terdapat perbedaan bermakna untuk parameter jumlah leukosit (p=0,702), neutrofil (p=0,061) dan monosit (p=0,368) di antara kedua kelompok tersebut.
The Effect of The Insecticide Hulk on Some Genetic Characteristics of The Whitefly and The Cucumber Plant That Parasitizes It
Authors: Abd Rania Ghasan , AlSugmiany Rafea Zaidan Mikhlif 
Published: March 2024

Background: Whitefly, Bemisia tabaci is one of the major injurious sucking pests in tropical and subtropical regions. The effect of the insecticide Hulk, which is used to kill the whitefly, was revealed, and its effect on some of its genes and the genes of the cucumber plant that parasitizes it, was revealed.
Materials and Methods: The current study was conducted in Kirkuk Governorate. DNA was extracted from whiteflies treated with Hulk pesticides and not treated with pesticides as a control, and DNA was also extracted from cucumber leaves treated with the Hulk pesticide and not treated with the pesticide as a control in order to compare them. detecting the specific primer of gene 28s in the whitefly Bemisia tabaci and Matk gene in the plant Cucumis sativus. Three treatments of each pesticide at three concentrations (25% a quarter lethal, 50% half lethal, 100% lethal).
Results: The research found that 25% of the pesticide Halk killed 20% of the insects, 50% killed 40%, and 100% killed 70% within 24 hours. Pesticide Hulk found that cucumber plant mutations in the Matk gene and gene 28s had the best insecticidal effects against whitefly Bemisa tabaci.
Conclusions: Overall, results suggest that ethanolic DNA extracts pesticide Hulk is the occurrence of mutations in the Matk gene in the plant Cucumis sativus and gene 28s in the whitefly Bemisia tabaci showed the highest insecticidal effects on whitefly Bemisa tabaci.
Identificação fenológica da espécie Hovenia dulcis Thunberg em ambientes nativos por meio de fotos aéreas
Authors: Pyl Bruno Alexandre , Pyl Adriana Gibathe , Iurk Mariângela Ceschim , Dlugosz Fernando Luís 
Published: March 2024

Entende-se como espécie invasora, aquela que supera três obstáculos, sendo eles: o limite geográfico; o êxito na sobrevivência e reprodução da espécie; e se perpetuar em áreas distintas. A Hovenia dulcis Thunberg, é considerada uma espécie exótica invasora no Brasil, a qual domina e degrada facilmente os ecossistemas nativos, sendo assim, de suma importância a avaliação e o monitoramento da espécie exótica invasora H. dulcis. Este monitoramento, tem sido facilitado com o uso do sensoriamento remoto, que se baseia principalmente em imagens obtidas por sensores ópticos multiespectrais, que ficam a bordo de satélites e em imagens coletadas por Veículos Aéreos Não Tripulados (VANT’s). O presente trabalho tem como objetivo, avaliar o uso de fotos aéreas para a espécie H. dulcis em diferentes estágios fenológicos, com o intuito de descobrir a melhor época para a sua identificação. Assim, foi realizada a análise de fotos aéreas em diferentes meses, que contemplam os estágios fenológicos da espécie, com voos realizados com VANT, sobre a vegetação arbórea presente no Campus da UNICENTRO de Irati-PR. O processamento das fotos, foi realizado com o software Agisoft Metashape para a geração de ortomosaico RGB, e aplicação dos índices de vegetação GLI (Índice Folha Verde) e VARI (Índice Resistente à Atmosfera na Região Visível), enquanto que no software QGIS 3.26.2, foi plotado pontos para a fotointerpretação dos indivíduos de H. dulcis, com base no ortomosaico RGB. Também para a obtenção da verdade de campo, foram coletadas as coordenadas geográficas dos indivíduos desta espécie, com o auxílio de um receptor GNSS. Com esta pesquisa, foi possível obter a comprovação de que há diferença na identificação da H. dulcis nos distintos estágios fenológicos, podendo assim definir, como o período de frutificação (maio) o ideal para fazer o monitoramento da espécie por meio VANT’s.
Pap smear in Early Detection of Cervical Precancerous Lesions in Erbil
Authors:   M.B.Ch.B, Trainee at Kurdistan Higher Council of Medical Specialties, Erbil-Iraq, Muhammad Avin Wlya 
Published: March 2024

Background and objectives: Cervical cancer remains common. This may be because Iraq has no cervical cancer screening or human papilloma virus vaccination program. The goal of the study is to figure out how well the Pap smear works as a way to find cervical precancerous lesions also identify the prevalence of cervical cancer among women and to identify the potential risk factors for cervical cancer. Methods: A prospective cross-sectional study conducted using closed end questionnaire tool for the purpose of data collection which started from 1st of October 2021 until 1st of September 2022. Convenient type of sampling was used in collecting data which include 470 women attending to cervical screening unit in Maternity Teaching Hospital, Erbil, Kurdistan Region /Iraq. The questionnaire composed of two main parts including the socio-demographic data of the patients such as age, gender, occupation, education level, religion, income status, age at the marriage, duration of marriage…etc. The result of pap smear and cone biopsy performed during colposcopy procedure to match the accuracy of pap smear. Results: The findings revealed that 36% of the women aged between 40-49 years, the majority (80%) of them were married at the age of 15-24 years, 30% of their marriage lasted from 4-14 years, and most (72.6%) of them were housewives. The result of sensitivity, accuracy, positive and negative predicted value was equal to 45.6%, 97.7%, 80%, 89.9% respectively. The kappa test was 0.52 which indicate agreement between screening and gold standard test is a diagnosis of cervical cancer is still colposcopy-guided biopsy, which is then staged on the basis of the clinical examination and the outcome of imaging procedures, most obtained results were statistically significant. Conclusion: Pap smear had a lower sensitivity, but a higher specificity in the current study. The most common complaint of the women was post-coital bleeding. Severe acute cervicitis was the most common finding for the Pap smear.
O IMPACTO DAS REDES SOCIAIS NA SÍNDROME DE TOURETTE: UMA REVISÃO SISTEMÁTICA
Authors: Novaes Maria Eduarda Dib , Novaes João Victor Dib 
Published: March 2024

A Síndrome de Tourette (ST), descrita pela primeira vez no ano de 1885, é uma doença do âmbito neuropsiquiátrico que possui como principais características o acometimento do individuo por tiques motores e vocais, além de poder ter associação com outras patologias psiquiátricas. Com a pandemia da COVID-19 e o consequente crescimento das redes sociais, diversos distúrbios de Saúde Mental apareceram e se intensificaram, tanto pelo isolamento, quanto pela intensa e massiva quantidade de informação veiculada nos ambientes virtuais. Em detrimento disso, surge uma importante demanda de discussão sobre o bem-estar psicossocial e o impacto das redes sociais no mesmo.
Contreras, Manuel. El surgimiento de la ingeniería en Bolivia. Formación y ejercicio de la profesión, 1900-1964. Plural Editores, 2022. 293 pp.
Authors: Nasra Tomás 
Published: March 2024

Reseña de El surgimiento de la ingeniería en Bolivia. Formación y ejercicio de la profesión, 1900-1964 de Manuel Contreras.