bluuebunny/crossref_metadata_2025_split huggingface dataset:
Unusual finding in giant inguinoscrotal hernia: acute diverticulitis.
Authors: Rodriguez Sanz MB , Aguado de Benito A , Moreno Racionero F , Louredo Méndez AM 
Published: February 2024

Resumen

La patología herniaria y la diverticulitis aguda son patologías comunes en la cirugía de urgencias. Sin embargo, la asociación de hernia inguinal gigante con diverticulitis aguda es rara. Presentamos un caso clínico de un paciente con una hernia inguinal con pérdida de derecho a domicilio de años de evolución que consultó por dolor inguinal siendo diagnosticado de diverticulitis aguda con prueba de imagen.
Monitoring of Procalcitonin and C-Reactive Protein. Has it contributed to reducing the time to reoperation in colorectal surgery complications?
Authors: Rosales Goas J , Perez Grobas J , Madarro Pena C , Abril Banet JA , Baamonde de la Torre I , Martinez Rodriguez E , Diaz Tíe M 
Published: February 2024

Resumen

Introducción: Actualmente, la dehiscencia de anastomosis representa una de las grandes complicaciones tanto en la cirugía colorrectal programada como en la cirugía urgente. Esta se asocia a una gran morbimortalidad, aumento de la estancia hospitalaria y mayor consumo de recursos. Continúa en estudio la búsqueda de reactantes de fase aguda como inductores para la detención y la anticipación de la dehiscencia de anastomosis tras la cirugía. La Procalcitonina y la Proteína-C-Reactiva son los marcadores utilizados en nuestro centro para el seguimiento de complicaciones postoperatorias.

La necesidad de reintervención y la dehiscencia de anastomosis son dos conceptos íntimamente ligados; toda unidad de Cirugía Colorrectal debería conocer y protocolizar para realizar un tratamiento más eficaz, eficiente y seguro.

Métodos:Estudio observacional y retrospectivo anidado en una cohorte de 435 pacientes intervenidos por cáncer colorrectal del Complejo Hospitalario Universitario de Ferrol (CHUF) entre 2017-2020.El análisis estadístico consistió en test de contraste y modelos de regresión.

Resultados:La incidencia de dehiscencia de anastomosis fue del 7,59%; la medición de PCT y PCR al segundo y al cuarto día postoperatorio mostró una tendencia al alza en los casos que necesitaron reintervención, sobre todo la seriación PCR que, en términos de Odd ratio (OR), implica 3,30 veces más probabilidad de dicho evento.

Conclusiones:La seriación de PCT y PCR al segundo y cuarto día postoperatorio no presenta un gran impacto en el tiempo hasta la reintervención. No obstante, los valores en ascenso tanto de la PCR como de la PCT sugieren la necesidad de realización de pruebas complementarias.
Microwave and irreversible electroporation. The most applied techniques in the ablation of liver metastases.
Authors: Rodríguez Sanz MB 
Published: February 2024

Resumen

Cada año aumenta el número de casos de cáncer en España. Del total, más de 3.000 nuevos diagnosticados se corresponden con cáncer de hígado. Más del 50% de estos pacientes son candidatos a un tratamiento con técnicas mínimamente invasivas de ablación tumoral, metodología que, según los últimos estudios, mejora las tasas de recurrencia de la enfermedad, así como las expectativas y la calidad de vida de los pacientes.

La ablación tumoral es un tratamiento mínimamente invasivo, guiado por imágenes, que utiliza el calor o el frío extremo para destruir células tumorales cancerosas. Las técnicas de ablación tumoral guiadas por la imagen agrupan al conjunto de procedimientos en el que el "estímulo terapéutico" es administrado selectivamente en el área tumoral conservando indemne el resto del parénquima no tumoral. Están descritas siete técnicas de ablación, sin embargo, las más utilizadas en la actualidad es la ablación con microondas y la electroporación irreversible, por tal motivo, el objetivo del artículo es la revisión y actualización de estas dos técnicas.
Rectal duplication cyst as an uncommon cause of pelvic pain.
Authors: Pérez-Domene MT , Levano-Linares DC , Castellón-Pavón CJ , Sánchez-Infante S , Laiz-Diez B , Franco-Herrera R , Alias-Jiménez D , Duran-Poveda M 
Published: February 2024

Resumen

Los quistes de duplicación rectal son malformaciones congénitas infrecuentes. Según sus características pueden ser quísticas o tubulares y estar comunicadas o no con la luz intestinal. Su diagnóstico representa un reto en la práctica clínica, debido a su presentación variable, la ausencia de pruebas de imagen específicas y el amplio diagnóstico diferencial. El tratamiento quirúrgico está indicado para contrarrestar la sintomatología del paciente, evitar las complicaciones y la degeneración maligna.
Penerapan Model Pembelajaran Mind Map Berbasis Media Audiovisual untuk Meningkatkan Hasil Belajar IPA Peserta Didik Kelas III
Authors: Setyowati Ririn , Khasanah Aulia Fajar , Rochma Defi Rue 
Published: February 2024

Penelitian ini bertujuan untuk: (1) meningkatkan hasil belajar IPA peserta didik; dan (2) meningkatkan minat belajar peserta didik kelas III SDN Banjarejo Kota Madiun. Penelitian ini dilakukan dengan metode penelitian tindakan kelas yang dilaksanakan di kelas III SDN Banjarejo tahun pelajaran 2017/2018 dengan jumlah peserta didik sebanyak 26 anak. Tindakan dilakukan dengan menerapkan model pembelajaran mind map berbasis media audiovisual dalam mata pelajaran IPA. Metode pengumpulan data dilakukan melalui tes, angket dan dokumentasi. Penelitian ini dilaksanakan dalam dua siklus. Persentase ketuntasan klasikal peserta didik yang dinyatakan lulus KKM pada hasil belajar IPA pra siklus sebesar 42,31%, meningkat pada siklus I menjadi 61,54% dan meningkat pada siklus II mencapai persentase 84,62%. Persentase ketuntasan klasikal minat belajar peserta didik pada pra siklus sebesar 30,77% meningkat pada siklus I mencapai persentase 73,08% dan meningkat pada siklus II yang menyatakan 92,31% peserta didik telah berminat dalam pembelajaran. Model pembelajaran mind map berbasis media audiovisual dapat meningkatkan hasil belajar IPA peserta didik kelas III SDN Banjarejo Kota Madiun.
Resolving Clumpy versus Extended Lyα in Strongly Lensed, High-redshift Lyα Emitters
Authors: Navarre Alexander , Khullar Gourav , Bayliss Matthew B. , Dahle Håkon , Florian Michael , Gladders Michael , Kim Keunho J. , Owens M. Riley , Rigby Jane , Roberson Joshua , Sharon Keren , Shibuya Takatoshi , Walker Ryan 
Published: February 2024

Abstract
We present six strongly gravitationally lensed Lyα emitters (LAEs) at z ∼ 4–5 with Hubble Space Telescope (HST) narrowband imaging isolating Lyα. Through complex radiative transfer Lyα encodes information about the spatial distribution and kinematics of the neutral hydrogen upon which it scatters. We investigate the galaxy properties and Lyα morphologies of our sample. Many previous studies of high-redshift LAEs have been limited in Lyα spatial resolution. In this work we take advantage of high-resolution Lyα imaging boosted by lensing magnification, allowing us to probe subgalactic scales that are otherwise inaccessible at these redshifts. We use broadband imaging from HST (rest-frame UV) and Spitzer (rest-frame optical) in spectral energy distribution fitting, providing estimates of the stellar masses (∼108–109
M
⊙), stellar population ages (t
50 < 40 Myr), and amounts of dust (A

V
∼ 0.1–0.6, statistically consistent with zero). We employ nonparametric star formation histories to probe the young stellar populations which create the Lyα. We also examine the offsets between the Lyα and stellar continuum, finding small upper limits of offsets (<0.″1) consistent with studies of low-redshift LAEs, indicating our galaxies are not interacting or merging. Finally, we find a bimodality in our sample’s Lyα morphologies: clumpy and extended. We find a suggestive trend: our LAEs with clumpy Lyα are generally younger than the LAEs with extended Lyα, suggesting a possible correlation with age.
UNCOVER: JWST Spectroscopy of Three Cold Brown Dwarfs at Kiloparsec-scale Distances
Authors: Burgasser Adam J. , Bezanson Rachel , Labbe Ivo , Brammer Gabriel , Cutler Sam E. , Furtak Lukas J. , Greene Jenny E. , Gerasimov Roman , Leja Joel , Pan Richard , Price Sedona H. , Wang 王 Bingjie 冰洁 , Weaver John R. , Whitaker Katherine E. , Fujimoto Seiji , Kokorev Vasily , Dayal Pratika , Nanayakkara Themiya , Williams Christina C. , Marchesini Danilo , Zitrin Adi , van Dokkum Pieter 
Published: February 2024

Abstract
We report JWST/NIRSpec spectra of three distant T-type brown dwarfs identified in the Ultradeep NIRSpec and NIRCam ObserVations before the Epoch of Reionization (UNCOVER) survey of the Abell 2744 lensing field. One source was previously reported as a candidate T dwarf on the basis of NIRCam photometry, while two sources were initially identified as candidate active galactic nuclei. Low-resolution 1–5 μm spectra confirm the presence of molecular features consistent with T dwarf atmospheres, and comparison to spectral standards infers classifications of sdT1, T6, and T8–T9. The warmest source, UNCOVER-BD-1, shows evidence of subsolar metallicity, and atmosphere model fits indicate T
eff = 1300 K and [M/H] ∼ −1.0, making this one of the few spectroscopically confirmed T subdwarfs known. The coldest source, UNCOVER-BD-3, is near the T/Y dwarf boundary with T
eff = 550 K, and our analysis indicates the presence of PH3 in the 3–5 μm region, favored over CO2 and a possible indicator of subsolar metallicity. We estimate distances of 0.9–4.5 kpc from the Galactic midplane, making these the most distant brown dwarfs with spectroscopic confirmation. Population simulations indicate high probabilities of membership in the Galactic thick disk for two of these brown dwarfs, and potential halo membership for UNCOVER-BD-1. Our simulations indicate that there are approximately 5 T dwarfs and 1–2 L dwarfs in the Abell 2744 field down to F444W = 30 AB mag, roughly one-third of which are thick disk members. These results highlight the utility of deep JWST/NIRSpec spectroscopy for identifying and characterizing the oldest metal-poor brown dwarfs in the Milky Way.
Integrative taxonomy reveals first record of Loxosceles rufescens (Dufour, 1820) (Araneae, Sicariidae) in the Philippines
Authors: Barrion-Dupo Aimee Lynn , Lit, Jr. Ireneo , Duran Camille Faith , Cammayo Ma. Francia Kyla , Alviola Marnelli , Mercado Sheila Mae , Osio Cecille Ann , Eusebio Orlando , Lucañas Cristian , Barrion Alberto 
Published: February 2024

The spider family Sicariidae Keyserling, 1880 represented by the synanthropic Mediterranean recluse spider, Loxosceles rufescens (Dufour, 1820), is reported in the Philippines for the first time, based on morphological and molecular data. The introduced spider was observed in a small cave (Kamantigue Cave) in Lobo, Batangas Province. Considering the medical importance of this spider, the proximity of its habitat to human habitation and tourist sites poses a potential public health concern.
This study reports on the first record of the family Sicariidae in the Philippines and the fourth recorded occurrence of L. rufescens in Southeast Asia.
Comparing New-onset Diabetes in Post Moderate-to-severe Coronavirus Disease 2019 Patients with Newly Diagnosed Diabetes Patients with Mild or without Prior Coronavirus Disease 2019 Infection
Authors: Chatterjee Rupak , Mukherjee Shatavisa , Bhattacharyya Supratik , Basu Debasis , Pramanik Netai 
Published: February 2024

Background:
Systemic inflammation and various drugs used for treating coronavirus disease 2019 (COVID-19) including high-dose corticosteroids play a role in the development of new-onset diabetes (NOD). Patients of all ages and genders recovering from COVID-19 reportedly have an increased incidence and relative risk of developing diabetes. The present study thus tried to compare NOD in post moderate-to-severe COVID-19 patients with newly diagnosed diabetes patients with mild or without prior COVID-19 infection.

Methods:
This cross-sectional study included 100 newly diagnosed diabetes patients with a previous history of moderate-to-severe COVID-19 and those with no or mild history of previous COVID-19 infection (50 each in both groups). A detailed history was taken, and a clinical examination was done. Data on symptomatology, family history of diabetes, behavioral habits, anthropometry, and glycemic parameters was captured. Stress levels were assessed using the 5-point Perceived Stress Scale-10. The data obtained were statistically analyzed.

Results:
Assessing for the glycemic indices – fasting blood glucose, postprandial blood glucose, and glycosylated hemoglobin – was significantly higher in the moderate/severe COVID-19 arm as in comparison to the no/mild COVID-19 arm (P < 0.0001). C-peptide was significantly higher in the moderate/severe COVID-19 arm (P < 0.0001). The stress score was as high as 23.54 for the moderate/severe COVID-19 arm in comparison to 15.00 for the no/mild COVID-19 arm.

Conclusion:
NOD following COVID-19 pneumonia differs to some extent from NOD without COVID-19 in terms of having increased insulin resistance and worsened glycemic parameters. Clinicians should be aware of this entity as more aggressive control of dysglycemia is warranted to avoid complications arising out of it.
Effect of Positive Discipline Programme on Knowledge and Attitude amongst Parents of Preschool Children (3–5 Years)
Authors: Jose Rainy , Anto Tresa , Edward Monsi 
Published: February 2024

Abstract

Background:
Positive discipline is a type of non-physical disciplinary method for disciplining children. The present study aimed to assess the effect of positive discipline programme (PDP) on knowledge and attitude amongst parents of preschool children (3–5 years) in a selected school in Thrissur.

Objective:
The objective of the study was to assess the level of knowledge and attitude of parents of preschool children regarding positive discipline, compare the effect of PDP on the level of knowledge and attitude of parents and associate the pre-test level of knowledge and attitude of parents with selected socio-demographic data.

Methods:
A pre-experimental, one-group pre-test, post-test design was used. Data were collected from 30 samples by non-probability purposive sampling method using a self-structured knowledge questionnaire and attitude scale followed by PDP. Post-test was conducted after 10 days.

Results:
In the present study, most of the samples 16 (53.3%) were in the age group of 24–33 years, and most of them 20 (66.7%) were female, with 15 (50%) samples having preschool children in the age group of 5 years. In pre-test, 18 (60%) had inadequate knowledge and 18 (60%) had unfavourable attitude, while in post-test, 17 (56.7%) had adequate knowledge and 13 (43.3%) each had favourable and moderately favourable attitude. The overall mean post-test knowledge score (21.267 ± 4.386) was significantly higher than the mean pre-test knowledge score (13.400 ± 4.399) with a calculated paired ‘t’ value (t29 = 18.730, P < 0.01). The pre-test means attitude score level for parents of preschool children regarding positive discipline was 47.100 ± 14.5180, and it had increased to (75.300 ± 14.7420) in post-test, with a calculated paired ‘t’ value (t29 = 23.481, P < 0.01). There is a significant association (P < 0.05) between pre-test level of knowledge of parents regarding positive discipline and age of parent, education of mother, education of father and child age with χ
2 = 13.375, 30.000, 11.949, 6.986 and 11.931 and P = 0.037, 0.001, 0.018, 0.030 and 0.007, respectively. There was a highly significant association (P < 0.05) between pre-test level of attitude and type of family and child age with χ
2 = 6.914 and 13.990 and P = 0.009 and 0.001, respectively.

Conclusion:
PDP was an effective programme for increasing knowledge and attitude amongst parents regarding positive discipline.
Nursing Students’ Perception towards Mind Mapping Learning
Authors: Jayanthi K. , Renuka K. , Shivasakthy M , Malliga M 
Published: February 2024

Abstract

Background:
Educational changes happen that are innovative, and various strategies of teaching worldwide in nursing increase the active participation and the responsibility of nursing students for their learning. Nursing students learning strategies through mind mapping promote a meaningful way of learning than traditional methods.

Methods:
An exploratory-descriptive study was conducted to explore the nursing student’s perception towards mind mapping learning at RAAK Nursing and Paramedical College, Puducherry, with a sample size of 95 nursing students. Samples were selected through a purposive sampling technique. Data were collected after orienting the mind mapping technique, and the students applied the mind mapping technique on the topic of vital signs on the nursing foundation. The questionnaire is administered to 95 students individually at a time through a self-administered method using a structured tool to assess the demographic pro forma of students and a tool to assess the level of perception on mind mapping learning.

Results:
The level of perception about mind mapping learning technique amongst nursing students was 56 (58.9%) had good perception, 28 (29.5%) had average perception and 11 (11.6%) had poor perception. The association between the level of perception and the demographic variable gender (0.0177) is significant as P < 0.05.

Conclusion:
This study revealed that nursing students’ perception of mind mapping learning is effective and enhances learning easier amongst nursing students. The study made a good perception amongst nursing students to a qualitative study to assess the experience of midwives caring for women in COVID-19 Wardswards mind mapping learning.
Child Abuse and Neglect
Authors: Amin Ulfat , Rashid Batula , Jan Rohi , Jan Roohi , Malla Adil Mudasir 
Published: February 2024

Abstract
Abuse and neglect are major worldwide issues that can take the form of sexual, spiritual, emotional or completely failing to provide for the child’s needs. These issues can trigger serious, long-term mental harm to the child. Child abuse is a complex and dynamic life experience when a parent or caregiver causes harm or threat to a child, including acts of omission and commission. The large variability in notified prevalence and incidence across studies makes determining the true number of maltreated children difficult. Following PRISMA guidelines, databases from MEDLINE, EMBASE, Web of Science and PubMed were used to review the literature. The terms ‘Child Abuse, Child Neglect, Impact of Child abuse, Forms of Abuse’ were used as keywords as per the Medical Subject Headings. Studies in English have always been included. Grey literature was also examined to learn more about the epidemiology and treatment of this particular issue. Child abuse and neglect of any kind leave a child with long-lasting scars, which can be physiological or emotional. Childhood exposure to violence can raise a child’s vulnerability to adverse health outcomes such as social anxiety, distress and so on, as well as make people more likely to become victimisers later in life. Preventative policies and programs must specifically address children, their guardians and the social and cultural contexts to minimise future abuse and effectively deal with instances of violence and neglect that have occurred.
A Qualitative Study to Assess the Experience of Midwives Caring for Women in COVID-19 Wards
Authors: Jenifer Mary , Benjamin Ebenezer Ellen 
Published: February 2024

AbstractBackground:The COVID-19 pandemic has created unique challenges to the world, especially for the healthcare professionals. Although nurses are well able to think outside the box and develop creative and innovative solutions to all manner of problems and are able to cope up to the situation, there remains much about this current situation that is new and frightening. Like anyone else nurses are also experiencing fear of the unknown. Hence, the investigator was interested to know the experience of midwives working at a tertiary care hospital, South India, so that appropriate measures will be taken to help the midwives to face the crisis.Objective:The objective of this study is to explore the unique experiences of the midwives while caring for women in COVID-19 wards and identify the themes related to it during the crisis which will help the health professionals to understand and tailor interventions in the healthcare setting.Methods:The data in this study were generated by in-depth one-to-one, face-to-face interview with the midwives who fulfil the inclusion criteria until data saturation was achieved. A semi-structured questionnaire was used to elicit participants experience in COVID-19 wards. The sample size was 20.Analysis:Data from the translated interviews were coded and categorised to identify the themes. The unique experiences of midwives while caring for COVID-19 patients were presented as research reports.Results:The results of the qualitative study were categorised under four themes such as resistance and hesitation, acceptance, adaptation and recognition. Initially, the midwives were having resistance and hesitation, which was due to the various fears, lack of self-confidence and burden of personal protective equipment. Although they had hesitation and resistance, they started to accept the situation understanding that as frontline health workers they cannot escape the situation hence worked under pressure, in spite of lack of support, facility and the stigma around them. As they accepted to work, they were able to adapt to the situation by taking care of themselves.Conclusion:The qualitative study helped to explore the experiences of the midwives while caring for COVID-19 suspected and affected woman which has brought to the notice of the administrators the needs of the midwives so that appropriate interventions can be planned.
Epidemiology of myelomeningocoele in Africa: An experience in a Regional Neurosurgical Center in Northern Nigeria
Authors: Obanife Henry Olayere , Nasiru Ismail Jinjiri , Lagbo Jacob , Otorkpa Ega Joseph , Shehu Bello Bala 
Published: February 2024

Abstract

Background:
Myelomeningocoele is a common birth defect with strong associations with folate deficiency and maternal illiteracy. The aim of this study is to describe the distribution and pattern of myelomeningocoele in a resource-poor community and determine the factors responsible for the rising incidence in Africa.

Patients and Methods:
Prospective cohort study of 90 patients with myelomeningocoele who were treated at the Regional Centre for Neurosurgery (RCNS), Sokoto between September 2015 and December 2016. Data were collected through a structured questionnaire and analyzed by using SPSS 21 version.

Results:
Ninety patients were recruited into this study with a male: female ratio of 1:1 and a mean age of 102±213 days at presentation. The majority of patients’ mothers were between 19 and 35 years of age, with 70% having no formal education; however, most of the patients’ fathers were either unskilled casual workers or subsistent farmers (56.7%). Of the 36.7% of the patients’ mothers who had antenatal care, only 35.6% of them took a folic acid supplement mostly after the first trimester.
More than 90% of the mothers had persistent sources of heat irradiation during pregnancy, majorly from firewood cooking. Most of the myelomeningocoele (MMC) sacs (72.9%) were located in the lumbar and sacral regions. Wound infection was the most common complication (50.0%), whereas trans-fontanelle ultrasound scan (TFUSS) showed hydrocephalus in 45.6% of patients.

Conclusion:
Myelomeningocoele is a common medical problem with increased incidence in poor countries. Poverty and illiteracy play major roles in its occurrence, and challenges are faced with its prevention and management. Long-time exposure to heat from firewood cooking and multiparity were identified as significant risk factors for myelomeningocoele.