bluuebunny/crossref_metadata_2025_split huggingface dataset:
Estudos sobre durabilidade das alvenarias de blocos de gesso
Authors: Sobrinho Carlos 
Published: October 2023

O objetivos deste artigo e apresentar e discutir sobre os mecanismos de degradação dos elementos construtivos em componentes de gesso frente a ação do meio, buscando estabelecer uma função de degradação característica, através da parametrização de ensaios laboratoriais normalizados como subsídios as ação-resposta entre ensaios acelerados e exposição natural, conforme a metodologia preconizada na norma ISO 15686-2, constituem-se como uma alternativa para contribuir para o desenvolvimento de uma metodologia para avaliação de vida útil para este tipo de elemento. São apresentados resultados de ensaios laboratoriais normalizados, como os de choque térmico e de estanqueidade, associado a uma proposta de avaliação de desgaste superficial, utilizada como comparativo de avaliação da degradação em fachadas de uma casa térrea em alvenaria de blocos de gesso sob exposição natural durante 15 anos. Com a definição do IDS (indice de desgaste superficial) foi possível estabelecer uma correlação entre as condições de exposição dos ensaios acelerados laboratoriais e a exposição natural no protótipo. Resultados mostraram que foi possível constatar o comportamento diferenciado entre as alvenarias construídas com blocos standard e com blocos hidro, com correlação entre IDS relativamente semelhante, entre tipos de blocos e níveis de exposição.
Contribuição para estimativa de vida útil das alvenarias de blocos de gesso
Authors: Sobrinho Carlos 
Published: October 2023

A previsão da estimativa de vida útil de elementos que compõem uma edificação, quando não conhecido seu comportamento, necessita de metodologia que considere a influência dos mecanismos depreciativos que interferem no desempenho ao longo do tempo. Neste artigo serão apresentados os principais contributos que podem auxiliar na formulação da metodologia da determinação da vida útil de referência de fachadas em alvenaria de blocos de gesso, utilizando métodos fatoriais e análise de regressão linear dos diversos indicadores de falhas, bem como os critérios para quantificar os fatores modificadores da formulação semi-empírica do método dos fatores. A metodologia fatorial foi empregada tendo por base resultados obtidos na campanha de inspeção em 115 edificações construídas em componentes de gesso em três regiões do estado de Pernambuco, considerando os principais fatores associados as curvas de tendência apresentados pela análise de regressão linear, propiciando a determinação da estimativa da vida útil para este tipo de edificação. Na aplicação desta metodologia, os resultados mostram que a influência decisiva das condições climáticas das casas construídas nas três zonas bioclimáticas investigadas.
Survival of elderly patients with glioblastoma after hypofractionated radiation therapy
Authors: Zemskova O.V. , Glavatskyi O.Ya. , Gryazov A.B. , Stulei V.A. , Starenkyi V.P. , Zakrutko A.O. 
Published: October 2023

Background. Glioblastoma (GB) is the most common primary brain tumor that is malignant, and its incidence increases with age. The prognosis for elderly patients with GB (GBe) is significantly worse than that of younger patients. Due to the global trend of aging population and age-related features of the GB cohort, the number of GBe patients is expected to increase. Although there is no full consensus regarding the clinical management of GBe, hypofractionated radiation therapy (RT) has become a common therapeutic option for elderly and/or poor prognosis GB patients.
Purpose. To analyze the survival of patients with glioblastoma in the age group ≥60 years old after standard and hypofractionated regimens of adjuvant radiation therapy.
Materials and methods. A retrospective single-center non-randomized study based on a total cohort of 53 patients (≥60 years old) with histogically verified diagnosis of GB was performed at the State Institution «Romodanov Neurosurgery Institute of the National Academy of Medical Sciences of Ukraine» over the period of 6 years, from 2014 to 2020. According to the RT regimen, patients were stratified into 2 groups: standard RT (SRT group) – 16 (30.2%) patients (30 fractions, 2.0 Gy per fraction, total radiation dose – 60.0 Gy) and hypofractionated RT (HRT group) – 37 (69.8%) patients (15 fractions, 3.5 Gy per fraction, total dose – 52.5 Gy). Cancer-specific survival (CSS) and progression-free survival (PFS) were analyzed in the total cohort and both groups separately.
Results. With a median follow-up of 21.9 months (95% CI (confidence interval) 20.7 – 32.3), the median CSS in the total cohort was 15.0 (95% CI 13.3 – 17.3) months; the median PFS – 9.0 (95% CI 8.0 – 10.6) months. In the HRT group, the median CSS was 14.7 (95% CI 10.5 – 18.5) months; in the SRT group – 15.0 (95% CI 12.4 – 19.3) months. In the HRT group, the median PFS was 9.0 (95% CI 7.0 – 11.9) months; in the SRT group – 9.0 (95% CI 8.0 – 11.0) months. Before and after the stratification point of 15 months, the HRT and SRT groups did not differ significantly in CSS (Log-rank test p = 0.0588 and p = 0.2009, respectively). There was no significant difference in PFS between the HRT and SRT groups before and after the stratification point of 9 months (Log-rank test p = 0.0653 and p = 0.0722, respectively). Conclusions. Improving survival of GBe pts is an urgent issue, especially taking into account global trends in population aging and age-specific features of GB. The proposed hypofractionated RT regime can be considered as an optional approach in the complex treatment of GBe pts.
Current issues of post-covid syndrome consequences
Authors: Krasnoselskyi M.V. , Starenkyi V.P. , Artamonova N.O. , Kulinich H.V. , Prokhorova E.B. , Havrylenko M.V. 
Published: October 2023

Background. The World Health Organization (WHO) has confirmed the outbreak of covid infection and defined it as a global pandemic. Recently, complications have been increasingly reported in patients who have had COVID-19. At the same time, clinical symptoms of the long-term course of this disease overlap, differing from acute manifestations of the infection, and may persist in recovered patients for several weeks, months or years, adding a number of other problems. Therefore, the importance of a thorough study of the post-COVID-19 syndrome as a modern phenomenon has increased. And this syndrome requires proper research to improve the efficiency of its prevention and treatment.
Purpose. To evaluate the current state of the problem of post-COVID-19 syndrome, in particular in cancer patients.
Materials and methods. A literature review was performed based on the array of digital publications found in the world databases PubMed, Scopus and Web of Science Core Collection for 2020–2023. The sources were systematized in separate groups, i.e., issues related to post-Covid, in particular, the mechanisms and pathogenesis of its development; treatment features, including cancer patients; long-term consequences in recovered patients, etc.
Results and discussion. The terminology on the subject of the study has been analyzed: post-COVID, post-COVID syndrome, PASC, long-COVID, acute COVID, chronic COVID, etc. The views regarding the pathogenesis of post-COVID syndrome and its main symptoms were systematized. It is determined that in the field of oncology, research is conducted in certain fields and the risk of progression and occurrence of cancer in the post-COVID period is evaluated; the efficiency of the process of cancer care organization in the post-COVID period and the level of complications and mortality of cancer patients who have suffered from COVID-19. The pandemic has also led to multiple changes in the field of radiological diagnosis of the consequences of cancer patients with COVID. Evaluating the impact of the pandemic on the outcomes and adaptation of radiotherapy and chemotherapy, it was determined that delays in the provision of timely care and changes in treatment regimens will affect long-term survival of cancer patients.
Conclusion. Assessing the current state of the problem of post-COVID syndrome, most researchers believe that cancer progression during delay in cancer care will negatively affect the long-term survival of cancer patients, and coincidence of cancer-related symptoms and symptoms of long-term COVID is another major challenge for oncologists in the future.
Adenocarcinoma of the Gartner’s duct. A case from practice
Authors: Mikhanovskij О.A. , Sukhina О.М. , Kharchenko Yu.V. , Krugova I.М. , Shchyt N.М. , Zhelezniakov O.Yu. 
Published: October 2023

Background. A malignant tumour of the Gartner’s duct is one of the rarely encountered tumours in gynaecological oncology. Only in rare cases does the epithelium of the Gartner’s duct become a source of vaginal and cervical adenocarcinoma, as the Gartner’s duct is present in 25% of women, and mesonephric cysts occur in 1% of cases.
Purpose. To familiarise the medical community with the peculiarities of the clinical course of malignant tumours of the Gartner’s duct and methods of their treatment.
Materials and methods. Patient L., born in 1974, who underwent special treatment at the State Organization «Grigoriev Institute for Medical Radiology and Oncology of the National Academy of Medical Sciences of Ukraine» with a diagnosis of grade II adenocarcinoma of the Gartner’s duct (T2NxM0), clinical group 3.
Results and discussion. After examination, the patient underwent two cycles of neoadjuvant polychemotherapy and a preoperative course of external beam radiation therapy (EBRT) on the vulvar area with a total radiation dose of 30 Gy. Two weeks later, surgery was performed to remove the tumour of the Gartner’s duct from the surrounding tissues. Three weeks after the surgery, the patient’s course of EBRT was extended to the total dose of 50 Gy, and 3 cycles of adjuvant polychemotherapy were performed. The follow-up period was 3 years, with no evidence of disease recurrence.
Conclusions. The dissemination of information about this rare but serious disease will allow doctors to be informed, as well as to predict and diagnose it in a timely manner. As a result, they can plan adequate special treatment and determine the prognosis of this disease.
Parasitic Craniopagus with Cervical Myelomeningocele and Hydrocephalus: Reporting the rarely Reported
Authors: Koko Aliyu Muhammad , Lasseini Ali , Jinjiri Isma Nasiru , Bala Shehu Bello 
Published: October 2023

Objective: parasitic craniopagus is an extremely rare neurosurgical condition globally, additional anomalies such as hydrocephalus and myelomeningocele make it even more uncommon and complex to manage. The objective of this report was to describe successful management of a child with triad of craniopagus parasiticus, congenital hydrocephalus and cervical myelomeningocele
Case presentation: we successfully managed a five-month-old female infant with parasitic craniopagus, cervical myelomeningocele and congenital hydrocephalus.
Conclusion: parasitic craniopagus remains an uncommon neurosurgical condition and can be associated with many congenital anomalies such as hydrocephalus and myelomeningocele, careful evaluation and management will confer favourable outcome.
Objective: parasitic craniopagus is an extremely rare neurosurgical condition globally, additional anomalies such as hydrocephalus and myelomeningocele make it even more uncommon and complex to manage. The objective of this report was to describe successful management of a child with triad of craniopagus parasiticus, congenital hydrocephalus and cervical myelomeningocele
Case presentation: we successfully managed a five-month-old female infant with parasitic craniopagus, cervical myelomeningocele and congenital hydrocephalus.
Conclusion: parasitic craniopagus remains an uncommon neurosurgical condition and can be associated with many congenital anomalies such as hydrocephalus and myelomeningocele, careful evaluation and management will confer favourable outcome.
Nama Jurus Silat di Perguruan Cacag Lembang sebagai Refleksi Karakteristik Masyarakat Betawi
Authors: Kurniasih Wida , Widiatmoko Sigit 
Published: October 2023

The characteristics of the Betawi people cannot only be seen from their behavior, but can be found in many ways. Generally, people will instill their character in important things that can indicate their identity. Example, such as pouring it into the distinctive culture of the community itself, one thing that can be seen is pencak silat. The purpose of this research is to describe the meaning of the Betawi martial arts moves and reveal the reflection of the characteristics of the Betawi people in the name of the martial arts moves at the Cacag Lembang college. The method used in this study is a qualitative descriptive research method with an anthropolinguistic approach. The data or corpus in this study are the names of the martial arts moves at the Cacag Lembang Silat College which includes the names of all the moves, their meanings, and the origins of their names. Data was taken directly through observation by observing when there were routine exercises and interviews with the head of the college. Analysis begins with searching data through the process of field notes, documentation, and interviews. Data found is arranged systematically by organizing the data in a category, describing it in units, synthesizing it, rearranging it in a pattern, selecting important data, and ending with drawing conclusions. The results of the study from 20 naming data, there are 6 characteristic reflections that are reflected in the naming of the martial arts, belief in religion, peace-loving, tough and principled, spontaneous, hardworking, and brave.
The Implementation Science of Financial Intelligence in Evidence-Based Medicine Using Select Criteria Mechanism as Treatment Process towards Healthcare Corporate Governance
Authors: Llarena Zharama 
Published: October 2023

Purpose: Implementation science is the broader aspect of corporate social responsibility (CSR) translating healthcare education to clinical research and practice for public health and patient safety encompassing the hierarchy of evidence-based medicine (EBM), hence, serving as an integrative method of combing CSR towards healthcare corporate governance. This paper aims to model EBM under principles of valid contract formation as compliance to CSR theories of promoting positive health outcomes of patient safety leading to financial success and lessening the risks of mortality cases.
Methodology: The elements of valid contract formation and sources of errors are the systematic plan for behavioral guidance of EBM practice. These determinants are crucial in refining the clinical judgment of medical experts together with other healthcare professionals in support with high-ranking databases of research publication, resulting to a greater impact of positive health outcomes of patient safety under “judicious” application of CSR. These principles of contract law are integrated for “measuring” the EBM’s financial success towards healthcare corporate governance.
Findings: EBM is a scientific approach to handle medical cases and reports towards patient safety under clinical judgment of medical expert and healthcare team in corroboration with reliable sources of databases for medical research and review for reducing death rates in healthcare setting. SELECT Criteria Mechanism elucidated EBM as implementation science integrating CSR for behavioral compliance to healthcare corporate governance. First, the modeling of CSR as method to comply with EBM delineates the elements formed for valid contract formation in producing an “ethical” standard as responsibility for optimal patient safety as bargained promise under acceptance of the clinical team. Second, the illustration of the healthcare corporate governance in EBM practice as theory “measures” the reduction of healthcare expenditures from the exhibited means of diminishing mortality cases. Therefore, implementation science serves as an initiation for remediation process of reducing risks of death cases.
Recommendation: Implementation science is very important in EBM practice in treating ways of lessening the probability of mortality cases under “ethical” or “judicious” patient safety guidelines as corporate social responsibility. Hence, it is recommended to develop systems for behavioral guidance in a more organized plan of targeting death reduction cases towards financial intelligence as fulfillment in implementation science.
Aplikasi Monitoring Jaringan Berbasis Web Di Dinas Komunikasi dan Informatika Kabupaten Sragen
Authors: Didik Hermawan Nanda , Atina Vihi , Srirahayu Agustina 
Published: October 2023

Kabupaten Sragen merupakan salah satu pioner dalam pemanfaatan teknologi informasi dan komunikasi dalam bidang e-government di Indonesia. Dinas Komunikasi dan Informatika Kabupaten Sragen berperan penting dalam menyediakan teknologi informasi di lingkungan pemerintah kabupaten termasuk Pembangunan infrastruktur teknologi hingga ke pelosok desa. Dengan kompleksitas infrastruktur yang ada ternyata tidak di iringi dengan sistem monitoring jaringan yang memadai. Tujuan dari penelitian ini adalah membangun aplikasi sistem informasi monitoring jaringan berbasis web di wilayah pemerintahan Kabupaten Sragen. Dalam penelitian ini sistem dibangun dengan menggunakan metode pengembangan waterfall, sebuah metode yang menyediakan pendekatan siklus hidup perangkat lunak berurutan dari analisis, desain, pengkodean, dan pengujian. Sistem diuji dengan menggunakan Blackbox testing, dan untuk pengembangan sistem, bahasa pemrograman yang digunakan yaitu PHP MySQL dengan framework codeigniter 3. Penelitian ini menghasilkan aplikasi sistem informasi monitoring jaringan berbasis web yang memudahkan admin untuk monitoring jaringan intranet dan berkoordinasi dengan tim teknisi di lapangan dalam pemetaan kerusakan jaringan di wilayah Kabupaten Sragen.
Cumhuriyetin 100. Yılında Arkeolojik Kazılar Ankara
Authors: KÖSE Sefa 
Published: October 2023

Ankara ilinde keşfedilmiş en eski tarih öncesi kalıntılar Eski Taş Çağına kadar uzanmaktadır. Ankara Tunç Çağında Hatti Uygarlığına ev sahipliği yapmaktaydı. Bunu Milattan Önce 2. Bin yılda Hitit Uygarlığı dönemi, Milattan Önce 10. yy’de ki Frigya Uygarlığı dönemi takip etmiştir. Sonrasında bölgede Lidya hâkimiyeti görülmektedir. Bu hâkimiyeti Farslar, Makedonlar, Galatyalılar, Roma İmparatorluğu, Bizans İmparatorluğu, Selçuklu ve Osmanlı İmparatorluğu dönemleri takip etmektedir.
Ankara sınırlarında çeşitli arkeolojik alanlarında bahsi geçen medeniyetlerin maddi kalıntılarına ulaşmak için bilimsel kazılar ve kurtarma kazıları şeklinde birçok kazı çalışmaları gerçekleştirilmiştir. Bunların hiç şüphesiz çok büyük bir kısmı Türk müzeciliği adına köklü bir yapıya sahip olan Anadolu Medeniyetleri Müzesi Başkanlığında gerçekleştirilen kazılardır. Bu makalede tüm kazıların tek bir çatı altında toplanması hedeflenmektedir. Ankara Tarihine ışık tutan, kazısı yapılan merkezlerin bilgileri tek bir çalışmada bilim dünyasına sunulmuştur. Cumhuriyetin 100. Yılına değin Ankara özelinde soluksuz devam eden arkeolojik kazıların bilimsel çıktılarıyla beraber elde ettiğimiz veriler hazırladığımız kazı haritasına işlenerek görsellik ön plana çıkarılmaya çalışılmıştır.
Pediatri Hekimlerinin Bağımlı Hastaları Damgalama Düzeylerine Bağımlılık Eğitiminin Etkisi
Authors: KARDAŞ Ömer , GÜMÜŞSOY Ahmet Sefa , TANIR Muhammed Furkan , BAŞKAN Ayşe Hilal 
Published: October 2023

Amaç: Ruhsal hastalıklar arasında en sık damgalanan hastalar bağımlı bireylerdir. Bağımlılıkta damgalama; daha kötü prognoz, daha sık relaps, daha az tedavi başvurusuyla ilişkilendirilmiştir. Bu nedenle bu çalışmada pediatri hekimlerinin bağımlılık ile ilgili damgalama düzeyinin ölçülmesi, bu hekimlere verilecek eğitimin damgalama düzeyine etkisi araştırılmıştır.
Yöntem: Pediatri anabilim dalı’nda çalışan hekimlere “Bağımlı Ergene Yaklaşım” adlı seminer verilmiştir. Katılımcılara, sosyodemografik bilgiler ile kullanılması planlanan “Yedam Madde Bağımlılığı Stigmatizasyon Ölçeği (YMSÖ)” maddelerinin yer aldığı form tek sayfa halinde eğitim öncesinde ve sonrasında uygulanarak analiz edilmiştir.
Bulgular: Örneklemin 18 (%69,2)’i kadın, 8 (%30,8)’i erkek, yaş ortalaması 37,8±11,6’di. Tüm örneklemin YMSÖ ortalama puanı eğitim öncesi 17,7±5,1, eğitim sonrası 16±5,3 olarak saptanmıştır. Bu değişim istatistiksel olarak anlamlıydı (p
Rituksimab Dışı Biyolojik İlaç Kullanan Hastalarda Hepatit B Seroprevalansı ve Reaktivasyon Sıklığı; Tek Merkez Sonuçları
Authors: ÖZDEMİR IŞIK Özlem , BASARAN Enes , GÖKÇEN Neslihan , TEMİZ KARADAĞ Duygu , YAZICI Ayten , ÇEFLE Ayşe 
Published: October 2023

Amaç: Biyolojik ilaçlar, romatolojide önemli tedavi alternatifleridir. Bu ilaçların kullanımı sırasında hepatit B reaktivasyonu gelişebilmektedir. Rituksimab (RTX) dışı biyolojik ilaçlarla hepatit B reaktivasyon sıklığı net değildir. Çalışmada, RTX dışı biyolojik ilaç tedavisi alan hastalarda hepatit B seroprevalansı ve reaktivasyon sıklığını değerlendirmek amaçlanmıştır.
Yöntem: 2010-2022 yılları arasında farklı endikasyonlarla RTX dışı biyolojik ilaç tedavisi alan 170 hastanın HBsAg, anti-HBs, anti-HBcIgG verileri retrospektif olarak incelendi. Reaktivasyon açısından viral yük, karaciğer enzim yüksekliği ve HBeAg reversiyonu değerlendirildi.
Bulgular: Hastaların %53,5'i erkek, yaş ortalamaları 47,4±10,6 yıl idi. Tüm grupta hastaların %80’i anti-tümör nekroz faktör (TNF), %20’si TNF dışı biyolojik ilaç tedavisi kullanılmaktaydı. HBsAg (+) olanlar grup 1 (%2,9), HBsAg (-), anti-HBs (+) ve anti-HBcIgG (+) olanlar grup 2 (%7,6), anti-HBcIgG (+) olanlar grup 3 (%8,2), viral serolojisi negatif olanlar grup 4 (%67,1) ve aşı ile bağışıklanmış anti-HBs (+) olanlar ise grup 5 (%14,1) olarak sınıflandırıldı.
Grup 1'deki hastalar antiviral tedavi almaktaydı. Diğer gruplarda antiviral profilaksi tedavisi alan yoktu. Grup 3'te ankilozan spondilit tanısı ile takip edilen ve infliksimab tedavisi alan bir hastada reaktivasyon gözlendi.
Sonuç: RTX dışı biyolojik ilaç kullanan hastalarda reaktivasyon orta riskli gösterilmektedir. Çalışmamızda reaktivasyon oldukça düşük bir oranda gözlenmiştir. Bununla birlikte hastalar biyolojik ilaç kullanımı öncesi tarama ve tedavi sırasında reaktivasyon açısından dikkatle takip edilmelidir.
SAĞ VENTRİKÜL ÇIKIŞ YOLU REKONSTRÜKSİYONU UYGULANAN FALLOT TETRALOJİLİ OLGULARDA VENTRİKÜL FONKSİYONLARININ DEĞERLENDİRİLMESİ
Authors: DEVECİ Murat , LEVENT R.ertürk , BULUT Mustafa Orhan , ATAY Yüksel 
Published: October 2023

Amaç: Fallot tetralojisi (FT) tam onarımı için transanüler yama (TAP) kullanılan olgular ile kapaklı kondüit olarak heterogreft (Contegra®) kullanılan olguların ventrikül fonksiyonlarının ekokardiyografik parametreler kullanılarak karşılaştırılması amaçlanmıştır.
Yöntem: Çalışmaya aynı merkezde opere olmuş ve izlemde olan 1-18 yaş arası çocuklar dâhil edildi. TAP uygulanan 41 olgu ve Contegra kullanılan 23 olgu ile sağlıklı 40 çocukta, konvansiyonel ekokardiyografinin yanında doku Doppler ekokardiyografik (DDE) yöntem kullanıldı.
Bulgular: TAP (6,26±3,35 yıl) ve Contegra (6,19±3,81 yıl) grupları arasında yaş, cinsiyet, vücut kitle indeksi, ortalama operasyon yaşı ve postoperatif izlem süreleri açısından farklılık yoktu. TAPSE z skoru TAP grubunda -1,97±1,36, Contegra grubunda -2,07±0,88 bulundu (p=0,728). Kontrol grubunda ise TAPSE z skoru -0,39±1,13 ölçüldü ve 3 grup arasında fark anlamlı idi (p