bluuebunny/crossref_metadata_2025_split huggingface dataset:
Remote magnetic-guided catheter ablation versus manual ablation in patients with repaired congenital heart disease and atrial tachyarrhythmias: propensity-matched observational study of long-term results
Authors: Romanov A. B. , Filippenko A. G. , Shabanov V. V. , Beloborodov V. V. , Boboshko V. A. , Khrushchev S. E. , Ruzankin P. S. 
Published: October 2023

Aim. To compare the long-term outcomes of the catheter ablation (CA) using remote magnetic-guided navigation (RMN) and manual radiofrequency CA (MAN) in patients with congenital heart defect (CHD) and incisional atrial tach-yarrhythmias (AT).Methods. In this retrospective study cohort, 67 patients were included with CHD and AT. CHD were classified based on complexity (simple, moderate, and complex) according to ACC/AHA guidelines 2008. Fifty-seven (85%) patients underwent at least one surgical procedure for CHD correction before CA. The patients were divided into the two groups regarding CA approach: the MAN group (n=42) and the RMN group (n=25). The primary endpoitnts was long-term freedom from any AT, including atrial fibrillation. Key secondary endpoints included perioperative and late complications. To compare freedom from any AT between the groups, 1:3 propensity score matching was applied, and 63 patients were matched. The matching was exact on CHD complexity. The weighted matched observations were assessed with univariate Cox regression with any AT as the outcome.Results. The median follow-up period was 20 months. In the matched MAN and RMN groups, 92.3% and 83.3% patients, respectively, had incisional АТ (p=0.27), the other patients having additionally AF. The mean fluoroscopy time was statistically significant lower in the RMN group compared with MAN (р=0.009) with longer procedural duration in the RMN group (p<0.001). There was no statistically significant difference in perioperative and late complications. The freedom from any AT 36 months after CA was 78.9% in the matched RMN group and 47.2% in the matched MAN group. The comparison of freedom from any AT between the groups yielded p=0.040, hazard ration 0.32 [95% confidence interval 0.11; 0.95].Conclusion. RMN CA was superior over manual CA with respect to long-term freedom from AT in patients with CHD with similar safety profile.
Prospecção tecnológica sobre nanobiopolímeros
Authors: Andrade Ivo Henrique Pinto , Santana Lorena Lima de , Carneiro Idaiana Oliveira , Camilloto Geany Peruch , Cruz Renato Souza 
Published: October 2023

Nanomateriais podem ser extraídos de diversas matérias-primas, entre elas os biopolímeros. Eles são abundantes e aplicados em várias áreas, pois proporcionam estruturas em nanoescala com diversas propriedades como biodegradabilidade, atoxicidade, biocompatibilidade e maior reatividade. Este estudo prospectivo mapeou documentos de patentes sobre nanobiopolímeros, com o objetivo de obter informações sobre as tendências do setor, por meio da base de dados European Patent Office, pela combinação de palavras-chave. Os Estados Unidos são o principal país depositante de patentes e têm também os principais inventores, institutos e empresas depositantes. Países asiáticos e emergentes, como o Brasil, também figuram entre os países de destaque. Os polissacarídeos são as principais matrizes utilizadas para a obtenção e/ou aplicação dos nanobiopolímeros, e a celulose e o amido são os mais empregados. Observou-se uma boa diversidade de compostos nanobiopoliméricos. De maneira muito explícita, o setor da saúde é o que mais se destaca nas aplicações das nanoestruturas biopoliméricas (em que figuram as áreas médica e farmacêutica). Outros setores como embalagens, aplicação de aglutinantes, encapsulação e tratamento de água também figuraram entre as aplicações.
ЧИСЛОВІ ДОСЛІДЖЕННЯ ДВОСТАДІЙНОГО ПРОЦЕСУ ТЕРМОХІМІЧНОЇ ПЕРЕРОБКИ БІОМАСИ В УСТАНОВЦІ З ФІКСОВАНИМ ШАРОМ ПРОДУКТИВНІСТЮ 1250 КГ/Ч
Authors: Рохман Б. Б. , Кобзар С. Г. 
Published: October 2023

З використанням побудованих моделей, що описують процеси піролізу біомаси (Bagasse) та газифікації її коксозольного залишку, отримано детальну інформацію про конструктивні характеристики реактора, вихід і склад піролізних газів, аеродинаміку, тепломасообмін і хімічне реагування газодисперсного середовища. Ці результати були використані під час розробки двох оригінальних конструкцій установок термохімічної переробки біомаси продуктивністю за Bagasse 1250 кг/год і 232,3 кг/год (на суху масу). В установці з великою продуктивністю, 1250 кг/год, на один піролізер припадає два газифікатори для конверсії коксозольних частинок Bagasse: внутрішній газифікатор продуктивністю 68 кг/год та зовнішній – 271 кг/год. У разі малої продуктивності, 232,3 кг/год, на один піролізер встановлюється лише зовнішній газифікатор.
На відміну від існуючих установок термохімічної переробки біомаси, тут з реактора виходять два різні за складом та теплотворною здатністю синтетичні гази: низькокалорійний генераторний газ (об'ємні частки) − CO2 = 3,38 %, CO = 32,56 %, H2 = 17,2 %, H2О = 4,29 % та N2 = 42,570 % з теплотворною здатністю 5971 кДж/нм3 і середньокалорійний піролізний газ − CO2 = 11,2 %, CO = 38,56 %, H2 = 26,9 %, C1.16H4 = 22,76 % (70 % CH4+30 % C2H4), C6H6.2O0.2 = 0,31 % та N2 = 0,32 % з калорійністю 17904 кДж/нм3.
Choque Anafilático Durante Cirurgia De Colecistectomia Com Colangiopancreatografia Retrógrada: Relato De Caso
Authors: Scantamburlo Samuel Plinio , Piccinin Carolina Izzo 
Published: October 2023

Contexto: O choque anafilático (CA), também conhecido como anafilaxia, é uma grave reação multissistêmica aguda, resultante da liberação de uma infinidade de mediadores inflamatórios, que culmina em manifestações respiratórias, cardiovasculares e mucocutâneas muitas vezes fatais. Infelizmente, apesar de muitos avanços na compreensão da etiologia, mecanismos etiopatogênicos e manejo, o CA permanece subdiagnosticado e subtratado.
Objetivo: Relatar um caso de CA durante uma cirurgia de colecistectomia com colangiopancreatografia retrógrada.
Método: Trata-se do relato do caso de um paciente atendido no Hospital Universitário São Francisco na Providência de Deus, localizado em Bragança Paulista - SP. Relato do Caso: Tratou-se de uma paciente do sexo feminino de 37 anos que foi internada para uma colecistectomia videolaparoscópica com colangiopancreatografia (CPRE) devido à colelitíase e coledocolitíase sintomáticas. Durante a cirurgia, após a introdução de uma sonda orogástrica onde houve contato da mucosa oral com uma luva de látex, a paciente apresentou aumento da frequência cardíaca, queda na saturação de oxigênio, hipotensão grave, hiperemia e placas urticariformes, sugerindo um choque anafilático provavelmente devido ao material da luva. Adrenalina e outros insumos foram administrados e, com a estabilização do quadro, a colecistectomia foi realizada e a CPRE adiada. A paciente foi transferida para a unidade de tratamento intensivo, onde se recuperou. Apesar de testes negativos de IgE ao látex, o histórico da paciente e a natureza de sua exposição ocupacional ao material levaram à suspeita de alergia ao material, e medidas de precaução foram adotadas para a realização da CPRE sem látex, tendo a alta ocorrido no dia seguinte, sem intercorrências.
Conclusão: Com base nas evidências apresentadas, é altamente provável que a reação alérgica ao látex relatada tenha sido desencadeada por sua exposição ocupacional prévia ao material. Isso destaca a importância da triagem de alergia ao látex, especialmente em pacientes com histórico de exposição repetida ao material, a fim de prevenir reações alérgicas potencialmente graves durante procedimentos cirúrgicos.
Estrategia de Ehrlichia Chaffeensis para Evitar el Mecanismo de Defensa Celular en Ehrlichiosis Monocítica Humana
Authors: Delgado Arellano Nayelli , Hernández Jiménez José Bernardo 
Published: October 2023

Introducción. Existen diferentes vectores en la transmisión de enfermedades en los animales y el humano; después de los mosquitos, las garrapatas son el segundo vector, los cuales son motivo de preocupación para la salud pública, por su morbilidad y mortalidad en seres humanos alrededor del mundo. Por ejemplo la Ehrlichiosis monocítica la pueden padecer tanto perros como humanos, transmitida por Ehrlichia canis y Ehrlichia chaffensis, es una bacteria Gram negativa obligatoria intracelular. Estas son transmitidas por dos especies de garrapatas: Rhipicephalus sanguineus vector de la Ehrlichia canis y Ambyloma americanum para E.Chaffeensis quien origina Ehrlichiosis Monocítica Humana la cual es una enfermedad infecciosa febril emergente transmitida por la mordedura de garrapatas y latentemente mortal. Objetivo. Describir la enfermedad, mecanismo de transmisión y la estrategia principal de Ehrlichia chaffeensis para evitar el mecanismo de defensa en leucocitos causado en Ehrlichiosis Monocítica Humana. Metodología: Revisión descriptiva por medio de una búsqueda en la literatura en diversas bases de datos Google Académico, PubMed, SciELO, Redalyc, utilizando los términos “Ehrlichiosis Monocitica Humana”, “Ehrlichia Chaffensis”. Resultados y conclusión: se revisaron y consultaron artículos científicos, encontrando la estrategia de Ehrlichia Chaffensis, distribución, mecanismo de transmisión, patogenia, cuadro clínico y diagnóstico de la Ehrlichiosis Monocitica Humana.
The Effect of Training Program Given to Multiple Pregnants by Motivational Interview Method on Fear of Birth and Delivery Style
Authors: ALKAN AKALIN Senem , ÖCAL Ece , ÖZÇELİK OTCU Serap Mutlu 
Published: October 2023

Aim: Within the scope of our research, it was aimed to evaluate the effects of the training programs given with the motivational interview attitude given specifically to the mothers with multiple pregnancies on possible fears of childbirth and self-perception. In this direction, case and control studies were conducted with two groups. In summary, it focused on the effect of self-efficacy experienced during birth and self-efficacy experienced at the same time.
Material and Methods: Our study was carried out between August 2022 and November 2022 in Adana Seyhan State Hospital Obstetrics and Gynecology Polyclinic with 73 multiple pregnant women (intervention: 37, control: 36) who met the study. More than one pregnant mother in the sample was randomly selected according to the intervention and control groups. "Training Program Based on Motivational Interview Method for Fear of Birth" was given to 37 pregnant women in the case group, four sessions individually, once a week.
Results: In obtaining the relevant data within the scope of our study; Descriptive Personal Form, Wijma Birth Expectation/Experience Scale (W-DEQ) Versions A and B, Birth Self-Efficacy Scale (DSS) Short Version and Birth Evaluation Form were used. During the evaluation of the data, descriptive statistics such as the number of patients and the percentage of gender were recorded. Data are shown as mean±standard deviation, median (percentage). Chi-square test, Independent Groups t test, Mann Whitney U test, Wilcoxon test, repeated measures ANOVA test and Friedman test were used in statistical analysis.
Conclusion: In the training program conducted with the motivational interview approach with pregnant mothers, it was revealed that possible fears of birth were minimized, positive increases were observed in birth self-efficacy, and the effect on birth types was not much. Looking at the results of the research; In order to minimize the fear of birth in the prenatal period and to increase self-efficacy during birth, it is recommended to include it in nursing care in a training program based on the motivational interview approach for fear of birth.
Evaluation of Demographic and Clinical Characteristics of the Patients with Syphilis Who Applied to the Dermatology Clinic of a Tertiary Referral Hospital Between the Years 2019-2023
Authors: ERDURAN Funda 
Published: October 2023

Aim: The aim of this study is to evaluate the demographic and clinical features of syphilis patients followed up in a tertiary referral hospital, and thus to provide current contributions to epidemiological data related to syphilis.
Material and Methods: The demographic characteristics, clinical and laboratory findings, and treatments received of all patients diagnosed with syphilis and followed up in our clinic between January 2019 and June 2023 were evaluated retrospectively.
Results: We included a total of 118 patients, 24 women and 94 men. The average age of the patients was 36.56±5.1 years. Forty-one of the patients (34.7%) were married, 56 were single (47.4%) and the marital status of 21 (17.8%) was unknown. Sixty-two of the patients (52.5%) had primary syphilis , 29 (24.6%) had secondary syphilis and 27 (22.9%) had latent syphilis. When the patients' admission symptoms were evaluated, genital chancre was found in 58 (49.1%), roseola syphilitica in 24 (20.3%), mucous plaque in 11 (9.3%), condyloma lata in 7 (5.9%) and syphilis papulosa psoriasiformis in 3 (2.5%) patients. Twenty-five patients (21.1%) were asymptomatic. Transmission from spouse was in 14 (11.9%) patients while suspicious sexual contact was in 77 (65.3%) patients. The source of transmission was unknown in 27 (22.9%) patients. Response to treatment was obtained in all of the patients who were not lost to follow up. Twenty-two of the patients (18.64%) were HIV positive.
Conclusion: Rising syphilis incidence which is observed globally in the recent years indicates the need to raise the level of public awareness about the disease and its transmission routes. In addition, since it can mimic many diseases, it should always be considered in the differential diagnosis, especially in patients with a history of suspicious sexual contact. It is necessary to investigate other sexually transmitted diseases, especially HIV, in patients diagnosed with syphilis.
Role of SARS-CoV2 Virus in the Etiology of Acute Pancreatitis
Authors: KIZILOĞLU İlker , DERELİ AKDENİZ Didem , UĞUR KANTAR Funda 
Published: October 2023

Aim: To investigate whether severe acute respiratory syndrome coronavirus is involved in the etiology of acute pancreatitis.
Material and Methods: This study was conducted in Çiğli Educational Hospital, Bakırçay Univesity. The study included 2060 patients with AP admitted to hospital between March, 2020 and August, 2023. The patients were assigned into 2 groups based on presence of COVID-19 infection. Ethiological factors for AP were determined in all patients.
Results: Gallstone was the etiological factor in 614 patients (32.9%) who were COVID (-) but it was the etiological reason in only 19 patients (19%) in COVID (+) group. No etiology was identified in 217 (11.6%) of COVID (-) patients who were diagnosed as idiopathic pancreatitis. Idiopathic pancreatitis was diagnosed in 107 cases (54%) in COVID (+) group. There was significant difference presence of the diagnosis, which was made according to etiological factor, between groups.
Conclusion: There was no definitive etiological link between COVID-19 and AP; however, the fact that same team diagnosed such a different idiopathic AP in the same hospital with same diagnostic facilities implies an etiological role for SARS-CoV-2 virus in AP.
Investigation of Work Motivation and Anxiety Levels of Trainers Working in Antalya
Authors: KARADEMİR Mehmet Bilgin 
Published: October 2023

The universe and sample of this research, which was carried out with trainers working in individual and team sports, consists of a total of 163 trainers actively working in 50 sports branches in Antalya. Within the scope of the research, the work motivation scale whose validity and reliability studies were conducted by Yılmaz (2012) and the state and trait anxiety scale adapted to Turkish by Öner and Le Compte (1983) were used. The SPSS 26 package program was used in the analysis of the data obtained in this study, in which participation was made on a voluntary basis, and it was determined that the data provided a normal distribution. In this context, independent sample t-test from parametric tests and one-way analysis of variance (ANOVA) were used in the study. Homogeneity of variances was found to be significant with Levene's test. For this reason, Scheffe test was used in multiple comparisons. The relationship between work motivation and anxiety was examined by Pearson correlation analysis.
As a result of the research carried out with individuals actively coaching in team and individual sports branches; It has been determined that as the anxiety levels of the coaches decrease, there is an increase in the work motivation levels.
The Destiny of Dark Matter
Authors: Tracanna Fabiano , Hansen Steen H. 
Published: October 2023

Abstract
The majority of baryons, which account for 15% of the matter in the Universe, will end their lives as carbon and oxygen inside cold black dwarfs. Dark matter (DM) makes up the remaining 85% of the matter in the Universe; however, the fate of DM is unknown. Here we show that the destiny of purely gravitationally interacting DM particles follows one of two possible routes. The first possible route, the “radiation-destiny” scenario, is that massive DM particles lose sufficient energy through gravitational radiation, causing them to spiral into a supermassive black hole that ultimately disappears through Hawking radiation. The second possible route, the “drifting-alone” destiny, applies to lighter DM particles, where only the central DM halo region spirals into the central BH, which is then Hawking radiated away. The rest of the DM halo is ripped apart by the accelerated expansion of the Universe.
Polarization Evolution of Fast Radio Burst Sources in Binary Systems
Authors: Xia Zhao-Yang , Yang Yuan-Pei , Li Qiao-Chu , Wang Fa-Yin , Liu Bo-Yang , Dai Zi-Gao 
Published: October 2023

Abstract
Recently, some fast radio bursts (FRBs) have been reported to exhibit complex and diverse variations in Faraday rotation measurements (RM) and polarization, suggesting that dynamically evolving magnetization environments may surround them. In this paper, we investigate the Faraday conversion (FC) effect in a binary system involving an FRB source and analyze the polarization evolution of FRBs. For a strongly magnetized high-mass companion binary, when an FRB with ∼100% linear polarization passes through the radial magnetic field of the companion star, the circular polarization (CP) component will be induced and oscillate symmetrically around the point with the degree of CP equal to zero, the rate and amplitude of the oscillation decrease as the frequency increases. The very strong plasma column density in the HMCBs can cause CP to oscillate with frequency at a very drastic rate, which may lead to depolarization. Near the superior conjunction of the binary orbit, the DM varies significantly due to the dense plasma near the companion, and the significant FC also occurs in this region. As the pulsar moves away from the superior conjunction, the CP gradually tends toward zero and then returns to its value before incidence. We also investigate the effect of the rotation of the companion star. We find that a sufficiently significant RM reversal can be produced at large magnetic inclinations and the RM variation is very diverse. Finally, we apply this model to explain some polarization observations of PSR B1744-24A and FRB 20201124A.
La frontière franco-britannique à Calais : des évolutions opérationnelles permanentes pour faire face aux enjeux internationaux
Authors: Billant Jacques 
Published: October 2023

Calais a toujours été au centre des grands enjeux internationaux entre le Royaume-Uni et l’Europe, en raison de sa situation géographique, mais aussi de ses liens historiques avec la Grande-Bretagne. Le premier enjeu est économique avec deux plateformes transmanche – le port de Calais et le Tunnel sous la manche – qui agissent comme un vrai poumon économique aux niveaux local et régional. Calais est également l’épicentre d’une forte pression migratoire, au cœur des politiques et des relations gouvernementales françaises et britanniques, et dont la physionomie est changeante (problématique des « small-boats », troubles à l’ordre public…). Le Brexit a par ailleurs complexifié la gestion de la frontière franco-britannique de Calais en imposant désormais des contrôles sur les marchandises et les voyageurs, tout en assurant le défi de la fluidité du trafic qui est la base du modèle économique local. Si les différents accords entre la France et le Royaume-Uni ont permis d’avoir une frontière juxtaposée spécifique à Calais et d’accompagner financièrement la lutte contre l’immigration clandestine, c’est bien toujours grâce à l’adaptation des services de l’État et à la bonne coopération franco-britannique sur le terrain – au plan opérationnel et sur le volet du renseignement – que ces défis frontaliers peuvent être relevés au quotidien.
Les opérations de la gendarmerie en forêt équatoriale guyanaise
Authors: Sintive Jean-Christophe 
Published: October 2023

La gendarmerie nationale a toujours su s’adapter aux territoires qu’elle protège. En Guyane, elle fait face à des menaces spécifiques liées principalement à l’orpaillage illégal qui se propage au cœur de la forêt équatoriale. Pour y répondre et protéger les populations autochtones, ainsi que la biodiversité amazonienne, elle développe des savoir-faire particuliers et met en œuvre, en étroite coopération avec ses partenaires, une véritable stratégie de lutte multi-domaine qui évolue en permanence pour contrer un adversaire « garimpeiros » particulièrement résilient.
L’Europe et les frontières
Authors: Schott Cyrille 
Published: October 2023

« Limites qui séparent un État d’un autre État » : c’est la définition lapidaire de la frontière retenue dans la seconde moitié du XIX e siècle par Émile Littré dans son dictionnaire de la langue française. Appliquée à l’Union européenne, qui n’est pas un État, cette vision si simple apparaît plutôt obsolète. La construction européenne a été bâtie sur le dépassement en son sein des frontières des États et à l’extérieur elle n’a cessé, en Europe sans frontière, de s’élargir pacifiquement. Toutefois, cette construction souffrant la diversité, des Europes avec des frontières différentes coexistent. Par ailleurs, face au phénomène des migrations humaines, l’Europe s’est repliée derrière ses frontières présentes et a exporté sa frontière. Plusieurs réalités se font jour lorsque l’on associe les termes Europe et frontière. Essayons de les saisir.
Liturgie et participation de la vie divine
Authors: Nassif Charbel 
Published: October 2023

Cet article propose une lecture critique de l’ouvrage de Mgr Job Getcha paru en 2020 sur la spiritualité orthodoxe intitulé Participants de la nature divine. La spiritualité orthodoxe à l’âge de la sécularisation. Après avoir présenté les thèmes majeurs (spiritualité et vie liturgique, témoignage du Christ dans un monde sécularisé, la confession et la direction spirituelle, la création et la beauté) des différents chapitres, nous évaluerons cet ouvrage en s’attardant sur trois points évoqués par l’auteur : la langue liturgique, l’orthodoxie et l’inculturation et la sécularisation. Il est indispensable de traduire les textes liturgiques dans les langues modernes pour rendre la liturgie accessible aux fidèles orthodoxes et ce, tout en mettant en avant la nécessité de prendre en compte des éléments tels que l’hymnographie, l’architecture et l’iconographie pour rendre la liturgie compréhensible et participative. L’inculturation de la liturgie ne doit pas être négligée. La liturgie doit s’adapter à différentes cultures tout en préservant sa dimension spirituelle. La sécularisation doit être perçue comme inhérente au monde mais cela ne doit pas entraver la propagation du message évangélique.