bluuebunny/crossref_metadata_2025_split huggingface dataset:
Between Orders and Relationships: Autonomy and Conscientious Objection in Health Care
Authors: Michel Agustina Ramón , Navarrete Sonia Ariza 
Published: December 2023

Abstract
Health professionals may refuse to provide health care because they consider it against their moral or religious beliefs by resorting to conscientious objection (CO). The right to abortion in the 1970s disrupted health professional practice, as well as the racing principle of patient autonomy, turning OC into a last resort for professionals to maintain hegemony over their practice. This article focuses on the link between the autonomy in doctor-patient relationship and the appearance of conscience-based refusals in health care, arguing that one of the problems is in the liberal notion of autonomy that interprets it as independence, where “others” are regarded as unwanted interferences, whether they are health professionals, loved ones, or an ethics committee. The perspective of relational autonomy is introduced, explaining the contributions that this alternative understanding might bring into CO in health care.
Adenoma de células basales de parótida. Caso clínico y revisión de la literatura
Authors: Herrera L. Josefina , Cabané T. Patricio , Morales H. Claudia 
Published: December 2023

Objetive: To report a case of basal cell adenoma in an adult patient. Introduction: The basal cell
adenoma is a rare tumor, it represents the 1-2% of the major salivary gland tumors. It has a
low malignancy rate and a good prognosis, but it has high recurrency. It is tipically presented
during the fifth decade of life, and its usually as a firm and movable mass of slow growth.
Case Report: A 58-year-old man with a left parotid tumor of 4 months of evolution, with no
other symptoms. A total parotidectomy is performed without any incidents, or sequels. The
deferred biopsy showed a basal cell adenoma. Discussion: The histopathological analysis is
essential for the differential diagnosis with malignant tumors. As there are case reports that
shows malignancy of the basal cell adeno
Manejo inicial del politraumatizado
Authors: Cortés M. César , Acuña R. Loreto , Álvarez M. Fernando , Álvarez L. Natalia 
Published: December 2023

Trauma is today the first cause of death in young population; Motor vehicle crashes (MVC’s) are the main specific cause. The initial approach of the trauma patient takes place in the prehospital and hospital environment, following a systematic evaluation and priorizing some systems above others. Primary evaluation (with the classic sequence: ABCDE), sets intervention priorities that
ultimately target a reduction in trauma early mortality. The in-corporation of ultrasonography in the evaluation of the trauma patient, has been fundamental in searching for injuries that may have been overlooked in the primary evaluation. Injuries that compromise ventilation may cause hypoxemia and hemodynamic instability. Early bleed control is the main therapeutic target in the trauma patient with active hemorrhage, which leads to reduction of early mortality and also prevents future complications. Fluid resuscitation is the main intervention to restore tissue perfusion. Also, the use of transfusional therapy, permissive hypotension and tranexamic acid
must also be considered. Emergency Ultrasound is today a fundamental instrument in the initial trauma patient evaluation, because it greatly contributes to the evaluation of ventilatory derangement and hemodynamic instability causes. Finally, one must remember that trauma is a dynamic process, and therefore reevaluating is imperative, especially because findings of neurological deficit or deterioration in time, will ultimately conduct to the diagnose of injuries that cause brain hypoperfusion.
Dolor abdominal en Urgencia
Authors: Betancur G. Raúl , Salazar A. Juan P. , Brinkmann B. Manuela , Quezada I. Ricardo 
Published: December 2023

Abdominal pain is one of the most important and frequent complaints that seek resolution in the emergency departments arround the globe. Despite its high frequency and the improvement in diagnostic resources, delays and pitfalls are still present now a days. Emergency Medicine approach towards these patients focusses in ruling out severe and life threatening pathology, and appropriate management (amount of exams either blood tests or images), and pain medication of those patients which are rated as with minor risk. One of the most important goals is fast and effective pain management, while the use of new complementary diagnostic
tools allow risk stratification, specially considering atypical presentations, as elderly population, immunocompromised patients or those with previous bariatric surgery.
Enfrentamiento del cólico renal en Urgencia
Authors: González B. Ulises , Díaz P. Carla , Martínez O. Matías 
Published: December 2023

Ureteral colic as a nosologic entity, is part of a select group of pathologies that present themselves in an intense and acute form, in which the patient suffers excruciating pain and demands quick diagnosis and treatment. It’s also a common disease in our emergency
service, like in other countries. The aim of the present study is to standardize and deepen the management and treatment of ureteral colic, from the perspective of the emergency medicine.
Traslado de pacientes críticos
Authors: Martínez S. Felipe , Avendaño A. Galo , Brinkmann B. Manuela , Cortés M. César 
Published: December 2023

Critical care transport is a raising need in health care because patients who have medical conditions that exceed the capabilities of the initial treating facility require timely safe transport to referral centers. Therefore, indications for inter-hospital transfer include the need for specialist intervention, a critical bed not available or ongoing support not provided in the referring hospital.
The aim of transferring a critically ill patient to a reference center is to improve prognosis, and this potential benefit must outweigh potential harm derived of eventual complications or adverse events that could happen during transportation, because critically ill patients have a high risk of morbidity and mortality during transport. The most frequent indications of transfer involve time-dependent pathologies, such as Cardiovascular and Neurologic Emergencies. Pre-transport evaluation and stabilization is critical, as it contributes to minimize in-transport risks, and it must consider aspects as adequate monitoring, transportation times and conditions.
Comparación de hallazgos electrocardiográficos y clínicos a la radiografía de tórax en pacientes portadores de CIA con o sin repercusión hemodinámica ecocardiográfica
Authors: Sanhueza Z. Andrés , Gattini S. Francesca , Zegers C. Claudia 
Published: December 2023

Background: Atrial septal defect (ASD) is the most frequent congenital heart disease reaching adulthood without diagnosis. It can be presented as a heart anorganic murmur. Some ASD require surgical closure, before irreversible pulmonary hypertension and / or arrhythmias. Objective: Describe imagenologic, electrocardiographic and clinical findings in patient with ASD with or without hemodynamic repercussion. Methods and Materials: We reviewed medical records of patients with echocardiographic ASD in Félix Bulnes Hospital, in a 1 year period. ASD was considered as ≥ 3 millimeters diameter septal defects, without associated heart
disease, hemodynamic repercussion was considered as right ventricular enlargement. We also analyzed: reason for referral, sex, age, cardiologic examination, electrocardiography, chest radiography, treatment and outcome. Results: We analyzed 56 patients, 59% female. The median diagnosis age was 5 months. Of the total referral causes, 70% was heart murmur and 30% for other reasons. Ten showed hemodynamic repercussion, most of them referred for heart murmur, 2 for radiological cardiomegaly, 7 had ECG changes. Eight required treatment, three of them surgical. Conclusions: The most common finding in children with ASD diagnosis is heart murmur. Timing on referral is important, especially if the murmur is associated with ECG changes and/or radiological cardiomegaly, because in these cases is more frecuent to find hemodynamic repercution and some may require a faster and specific treatment.
Um estudo inclusivo sobre permanências e mudanças em ambientes litorâneos com maquetes e educomunicação com o stop motion
Authors: Santos Cibelle Dirce dos , Souza Celia Regina Gouveia 
Published: December 2023

Este trabalho busca refletir e discutir sobre as práticas escolares no Ensino Fundamental II, no componente curricular de Geografia sobre o tema Permanências e Mudanças em ambientes do litoral. Buscando utilizar recursos visuais, táteis e construções onde favoreçam a interação e participação do aluno de forma lúdica e concreta respeitando seu processo de construção e organização mental do pensamento. A Base Nacional Comum Curricular tem o objetivo de balizar a educação brasileira onde estabelece as habilidades e competências a serem desenvolvidas por disciplina e ano/série e assim um trabalho inclusivo é aquele que proporcione de alguma forma o entendimento de todos, oportunizando diferentes formas de aprendizagem e neste caso será utilizado recursos concretos e tecnologia. O objetivo é reconhecer a geografia como resultado da ação do ser humano no tempo e no espaço, com base na identificação de mudanças e permanências ao longo do tempo e identificar as transformações ocorridas em praias ao longo do tempo e discutir suas interferências nos modos de vida de seus habitantes, tomando como ponto de partida o presente.
Concreto autoconsolidable conteniendo aditivos naturales como agentes modificadores de viscosidad
Authors: Blandón López Ana Y. , Hernández Eddisson F. , Arauz Navarro Sofía A. , Mayorga Parrales Xaviera L. 
Published: December 2023

Este trabajo presenta el efecto del uso de mucílago de pitahaya y polímero de linaza como agente modificador de viscosidad en la elaboración de concreto autoconsolidable. Se utilizaron dos tipos de cementos y soluciones conteniendo aditivos naturales a dos concentraciones. Se elaboraron especímenes cilíndricos de 100 mm de diámetro x 200 mm de altura, curados en húmedo por 7 y 28 días. Se evaluó la resistencia a la compresión, velocidad de pulso ultrasónico y porosidad a diferentes edades. Los resultados muestran que los concretos que contenían polímero de linaza presentan una mayor resistencia a la compresión con respeto al resto de mezclas. La porosidad de los concretos con adiciones orgánicas fue mayor en comparación con las mezclas control.
TAMIL NADU CONTRACT FARMING: A CASE OF RICE SEED AND GHERKIN CULTIVATION
Authors: A. Durgadevi  , DR. M. Rajeswari  
Published: December 2023

ABASTRACT
In this essay, the performance of contract farming in Tamil Nadu is discussed. It contracts non-contract farming with contract farming for gherkins and rice seed. It demonstrates how the traits of farm households with contracts and those without contracts differ. The main challenges contract farmers encounter is determined to be late payments, credit issues, water shortages, and the inability to achieve quality standards. The concerned contracting firm typically shifts output to other farms and to other regions whenever productivity declines.
THE SOLUTIONS OF BLOCKCHAIN TECHNOLOGY IN ACCOUNTING PERSPECTIVE: A SYSTEMATIC LITERATURE REVIEW
Authors: Heni Suryanti  , Dhieka Avrilia Lantana  , Syamsudin  , Kumba Digdowiseiso  , Nur Haiza Muhammad Zawawi  
Published: December 2023

The emergence of blockchain technology has the potential to revolutionize the accounting field with substantial consequences. These challenges encompass issues in traditional accounting practices, such as the potential for fraudulent activities, human mistakes, and manipulation of data. The objective of this study is to assess the potential of blockchain technology as a means to address these issues from an accounting standpoint. The employed approach is Systematic Literature Review (SLR), which entails a thorough exploration and examination of relevant literature. The findings of this systematic literature review (SLR) demonstrate that the utilization of blockchain technology in the field of accounting holds the promise of enhancing security, transparency, and efficiency in financial record-keeping and reporting. Blockchain technology also facilitates the implementation of triple-entry based accounting principles and real-time reporting, thereby enhancing financial performance. Furthermore, blockchain provides a robust level of data security via advanced encryption technology. Despite the existing technical and regulatory obstacles, the advantages presented by blockchain technology in the field of accounting are substantial and have the capacity to revolutionize accounting methodologies entirely. The study concludes that blockchain technology holds significant potential in addressing various challenges in accounting, enhancing the accuracy of financial information, and reinforcing integrity throughout the accounting process.
O USO DO MELÃO DE SÃO CAETANO (MOMORDICA CHARANTIA) NO TRATAMENTO DE DIABETES TIPO 2 : UMA REVISÃO SISTEMÁTICA DA LITERATURA
Authors: De Menezes Constancia Tavares , De Almeida Elisandra Souza , Paiva Janaina Cavalcante , Dos Santos Tatiane Coelho , De Almeida Anne Cristine Gomes 
Published: December 2023

INTRODUÇÃO: O tratamento do Diabetes Mellitus em geral é multifatorial, evidenciado na mudança dos hábitos do paciente, na monitoração frequente da glicemia e no emprego de medicamentos orais ou injetáveis, Há tratamentos auxiliares como por exemplo a utilização de Momordica charantia (Melão de São Caetano). OBJETIVO: Este estudo busca investigar a eficácia do uso do melão de São Caetano no tratamento da diabetes tipo II, descrever seu mecanismo de ação, além de analisar os efeitos relacionados a proteção da atividade renal. METODOLOGIA: Trata-se de uma revisão sistemática da literatura baseada no método PRISMA. Foram realizadas buscas nas bases de dados ScienceDirect, PubMed e LILAcs, com emprego de filtro temporal de artigos publicados nos últimos 10 anos, empregando os descritores em ciência da saúde (DeCS): “Melão de São Caetano (Momordica charantia, Diabetes, Eficácia ”. RESULTADOS: Foi possível identificar na literatura 15 artigos que descrevem evidências em relação a eficácia, mecanismos de ação e de proteção renal. A eficácia está ligada aos mecanismos de ação envolvendo a captação de glicose no sangue devido a capacidade de ligação dos seus bioativos como a Charantia que se liga receptores de ativação das vias de captação de glicose mediadas por AMPK, além de ter possuírem compostos inibidores da degradação de insulina na corrente sanguínea sendo os principais sendo Momordicosideo G e o ácido gentisico. A proteção renal está associada a sua atividade antioxidante e hiperglicemiante que reduz o estresse das células renais predispondo o seu melhor funcionamento. CONCLUSÂO: A Mormodica Charantia possui um promissor efeito terapêutico no tratamento da DM. Mais estudos são necessários para detalhar as lacunas de aplicação em potenciais fármacos e tratamento para DMT2.
Desafíos y Oportunidades en la Gestión de Tumores Hepáticos: Un Análisis Integrado de Enfoques Quirúrgicos y Terapias Médicas
Authors: Limones Espín Diana Mercedes , Gallardo León Emily Estefanía , Montalvo Escobar Laura Marcela , Crespo Zamora María Verónica , Fiallo Rodríguez Milena Doménica , Robles Barahona Nahin Isaac , Naranjo Albán Samijazath Alexander 
Published: December 2023

Introducción: La gestión efectiva de tumores hepáticos constituye un desafío complejo que requiere una comprensión integral y la aplicación de estrategias avanzadas. Este análisis examina la intersección de enfoques quirúrgicos y terapias médicas en la atención de pacientes con tumores hepáticos, destacando desafíos actuales, avances y futuras direcciones de investigación. La integración de la resección quirúrgica con terapias innovadoras emerge como un enfoque prometedor para mejorar los resultados clínicos.
Desarrollo: El marco teórico aborda desafíos y avances en la gestión de tumores hepáticos, explorando tanto enfoques quirúrgicos como terapias médicas. Se destaca la importancia de evaluar la reserva hepática, considerar la localización y tamaño tumorales, y gestionar riesgos de recurrencia. Avances incluyen técnicas quirúrgicas mejoradas, terapias médicas innovadoras y estrategias combinadas. La integración de terapias médicas se enfoca en inhibidores de angiogénesis, inmunoterapia y quimioterapia.
Aplicaciones prácticas: La integración de enfoques quirúrgicos y terapias médicas ofrece aplicaciones prácticas mejoradas, desde estrategias adyuvantes hasta medicina de precisión.
Conclusiones, En síntesis, la gestión integral de tumores hepáticos demanda estrategias combinadas. La integración quirúrgica y terapias médicas mejora resultados, pero desafíos persisten. La medicina de precisión y terapias emergentes señalan el camino futuro hacia tratamientos más efectivos y personalizados.
Recent Ornithological Literature from the Caribbean: 2015
Authors: Latta Steven C. 
Published: December 2023

A regular feature of the Journal of Caribbean Ornithology, this column alerts readers to recent ornithological literature from the Caribbean basin that has appeared elsewhere. We would also like to include any unpublished theses or other reports that may be difficult to find in more universally available abstract services. We invite readers of the Journal of Caribbean Ornithology to alert our compiler, Steven Latta, to other articles that should be highlighted in this section. Our hope is that by providing these summaries we will increase the exchange of knowledge among Caribbean ornithologists and conservationists. Please direct correspondance for Dr. Latta to steven.latta@aviary.org
Registros de nuevas especies de aves accidentales y exóticas en la isla de Margarita, Venezuela
Authors: Sanz Virginia , Silva Elysa , Angelozzi Gianco 
Published: December 2023

Resumen: Se presenta información sobre registros recientes de cinco nuevas especies de aves en la isla de Margarita, Venezuela. Dos de las especies registradas, Columbina minuta y Setophaga cerulea, son seguramente aves que llegaron a la isla en forma accidental, dada la distribución de la C. minuta, restringida a tierra firme de América Central y del Sur, y la isla de Trinidad, y las localidades de invernada de S. cerulea, hacia los Andes y el occidente de Venezuela. Otra especie, Jacana jacana, puede ser un ave que llegue a establecerse en la isla, como ha ocurrido recientemente con otras aves acuáticas capaces de usar cuerpos de agua degradados. También se observó la presencia de dos especies de psitácidos en zonas urbanas, Ara severus y Psittacara wagleri, ambas probablemente escapadas de jaulas debido a que son comercializadas en el país como aves de ornato.
Palabras clave: Columbina minuta, isla Margarita, Jacana jacana, psitácidos, Setophaga cerulea
Abstract: We present information on recent observations of five new birds from Margarita Island, Venezuela. Two of them, Columbina minuta and Setophaga cerulea, are species that likely arrived at the island accidentally; C. minuta is distributed only in mainland Central and South America, and Trinidad, and the main overwintering sites of S. cerulea are the Andes and western Venezuela. Another species, Jacana jacana, could become established on the island in the future, as has recently happened with other aquatic birds able to use degraded lagoons. We also observed two psittacid species in urban areas, Ara severus and Psittacara wagleri, both of which were probably escaped cage birds, as they are commonly traded in national markets as ornate birds.
Keywords: Columbina minuta, Jacana jacana, Margarita Island, parrots, Setophaga cerulea
Résumé: Nous présentons des informations récentes sur cinq nouvelles espèces d’oiseaux récemment observées sur l'île de Margarita, Venezuela. Deux d'entre elles, Columbina minuta et Setophaga cerulea, sont très certainement arrivées sur cette île de manière accidentelle, C. minuta étant présente uniquement sur la partie continentale de l’Amérique centrale et de l’Amérique du Sud ainsi que sur Trinidad, et les principaux quartiers d’hivernage de S. cerulea se situant dans les Andes et dans l’ouest du Venezuela. Une autre espèce, Jacana jacana, pourrait à l'avenir s’installer sur l'île, comme cela s’est passé récemment pour d'autres oiseaux d’eau capables d'utiliser des habitats lagunaires dégradés. Nous avons également observé en zone urbaine deux espèces de psittacidés, Ara severus et Psittacara wagleri. Il s’agissait probablement d’individus échappés de captivité, ces espèces faisant communément l’objet d’un commerce national en tant qu’oiseaux d’ornement.
Mots clés: Columbina minuta, île de Margarita, Jacana jacana, perroquets, Setophaga cerulea
Corpus de escrituras expuestas para la historia del español: exvotos pintados de la provincia de Guadalajara
Authors: Castellote Herrero Eulalia , Fernández López M.ª del Carmen 
Published: December 2023

El objetivo del presente trabajo es dar a conocer un especial corpus de escrituras expuestas populares ubicadas en los centros de devoción de la provincia de Guadalajara; en concreto un corpus de exvotos pintados datados entre los siglos XVII al XX. Los cuadros representan el suceso que dio origen al milagro o favor recibido con su cartela; pero en nuestro corpus solo se recogen aquellos exvotos que van acompañados de texto explicativo, en el que se da testimonio del favor recibido con datos precisos, como nombre, causa, fecha, lugar, etc.
En el Corpus que presentamos se incluye la reproducción del exvoto, la transcripción paleográfica del documento y su presentación crítica. El estudio detenido de estos tres elementos permitirá extraer interesantes conclusiones de gran valor para la historia del español en aspectos relacionados con las grafías, la ortografía, la puntuación, las estructuras sintácticas y fórmulas empleadas, el léxico, etc.
Uncodified system of animal health care in Eastern Himalaya and Indo-Burma hotspots of India: Plant use and their distribution
Authors: JHA Kaushalendra Kumar , JHA Radhika 
Published: December 2023

Northeastern states, Sikkim, Arunachal Pradesh, Assam, Meghalaya, Nagaland, Manipur, Mizoram and Tripura – falling in Eastern Himalaya and Indo-Burma hotspots, house a large number of indigenous communities, mostly forest and forest fringe dwellers, whose economy is also dependent on livestock. To maintain the health of various livestock they practice ethnoveterinary medicine (EVM) which is so important yet scarcely studied. This review is based on eleven core research publication on EVM practices representing these states. Several other peer reviewed publications were also consulted for analysis and synthesis of the contents like, Physiography and Phyto-diversity, Indigenous Communities, Livestock and Common Ailments, Healer Plants, Bio-Active Components and Drugs, Potential Distribution. Analysis revealed that only twenty-three communities out of >200 are researched upon. All most all the livestock are covered in the studied area by using herbal preparation from 195 plants. However, research on pharmacological and distributional details is scanty and needs further exploration since similar plants (Asparagus racemosus, Allium sativum, Azadirachta indica, Cannabis sativa, Centella asiatica, Curcuma longa, Drymaria cordata) for ethnomedicine use (for humans) are recorded from various locations and used by different communities. Nevertheless, current compilation of data seems to be useful in the sense of preservation of the indigenous knowledge, otherwise on decline due to oral transfer from one to another generation.