bluuebunny/crossref_metadata_2025_split huggingface dataset:
Retrospective assessment of pediatric patients with tube thoracostomy inserted in a tertiary pediatric intensive care unit
Authors: DURAK Cansu , ŞAHİN Ceyhan 
Published: December 2023

Aims: The aim of this study was to examine the indications for tube thoracostomy (TT) procedures in pediatric intensive care units and to analyze the role of chest X-rays in the subsequent monitoring and management of patients.
Methods: A retrospective evaluation of 31 pediatric patients aged 1 month to 18 years who had been admitted between January 2023 to July 2023 at Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, were performed. Children who underwent TT were included. Demographic data, clinical variables, and outcome data were analyzed
Results: The median age was 50 (4-214) months, and the gender distribution of the patients was almost equal. The median duration of a PICU stay was 10 (4-100) days. Pneumothorax (PTX) was diagnosed in 45,1%, pleural effusion in 38,7%, and hemothorax in 16,1% of patients. Six (19,4%) patients experienced complications related to chest tubes. Invasive mechanical ventilation (IMV) was required in 19 patients (61,3%), and the median duration of IMV was 9 (3-93) days. A total of 23 patients (74,2%) required non-invasive mechanical ventilation (NIMV) support during their stay in PICU. There was no statistically significant difference between indications of TT and length of stay, NIMV and IMV requirement, duration of TT, complications, and mortality.
Conclusion: TT is a life-saving interventional procedure in emergencies. The absence of proper execution of this technique may result in considerable morbidity and fatality. Hence, all clinicians must possess a comprehensive understanding of the tube thoracostomy operation.
Investigation of dermatological manifestations in maintenance hemodialysis patients
Authors: DEMİRCİ SAADET Elif , DEMİR Mehmet Emin 
Published: December 2023

Aims: Skin findings are common in patients with both chronic kidney disease and undergoing hemodialysis. These findings are observed as nonspecific and specific dermatological manifestations. Our study aimed to describe the characteristics of dermatologic findings of patients with end-stage renal disease undergoing maintenance hemodialysis treatment and to investigate the relationship between these findings and the demographic and clinical features of those patients.
Methods: Patients who were admitted to a private hemodialysis clinic in August 2023 were prospectively analyzed. Age, gender, type of vascular access, hemodialysis duration, etiology of end-stage renal disease, duration and frequency of hemodialysis sessions, dermatological findings, and the most recent complete blood count, parathyroid hormone, calcium, phosphorus, urea, and creatinine levels were examined and the findings were documented. Calcium x phosphorus levels were calculated. Statistical significance was accepted as p
An evaluation of spinal anesthesia results in pediatric patients undergoing pilonidal sinus surgery: a retrospective study
Authors: AKDENİZ Sevda 
Published: December 2023

Aims: The aim of this retrospective study was to evaluate the efficacy, side-effects, and complications of spinal anesthesia (SpA) in children undergoing pilonidal sinus surgery with SpA.
Methods: The records of pediatric patients who underwent pilonidal sinus surgery with SpA from January 2019 to March 2023 were retrospectively evaluated from the database in the Samsun University Samsun Maternity & Children's Training and Research Hospital, Department of Anesthesiology and Reanimation, Türkiye. Children's sociodemographic characteristics, clinical and vital signs, motor block duration, operative time, and complications were recorded.
Results: Eighty-one patients underwent pilonidal sinus surgery with SpA, 54 (66.7%) boys and 27 (33.3%) girls, with a mean age of 14.38±1.29 years. The patients’ mean body mass index was 26.83±1.1 kg.m-2, and the success rate was 96.3% (n=78). Eleven (13.6%) patients received supplemental anesthesia among the 78 procedures completed using SpA. The incidence of complications was 5.1% (n=4). Intraoperative hypotension developed in two cases and postoperative vomiting in two, all of which resolved with no sequelae.
Conclusion: Our retrospective analysis suggests that pediatric SpA is a safe and effective technique for children undergoing pilonidal sinus surgery. However, further prospective studies are warranted to confirm these findings.
Assessment of sonication-based culture in diagnosing orthopedic implant infections: a comparative analysis with microbiological diagnostic approaches
Authors: ÇEKLİ Yavuz , EGE Demet 
Published: December 2023

Aims: This study aimed to investigate the diagnostic advantages of microbiological culture, histopathological examination, and the management of sonication in the diagnosis of infections related to orthopedic implants and prostheses.
Methods: The study included 21 patients suspected of orthopedic implant or prosthesis-related infections. The classification of implant and prosthesis-related infections and the choice of treatment were based on the Infectious Diseases Society of America diagnostic and treatment guidelines. During the operations, samples were taken from the implant and inflamed tissue around the implant for each patient, and these samples were evaluated using standard culture, histopathological examination, and sonication methods.
Results: The sonication method exhibited a higher sensitivity in comparison to both tissue cultures and cultures acquired from implants and prostheses without the application of sonication (61.1% vs. 38.8% vs. 27.7%, P < 0.05, respectively). The count of isolated microorganisms was greater in the sonication method when compared to both tissue cultures and conventional cultures taken from implants and prostheses (16 vs. 10 vs. 6, P < 0.05, respectively). The sensitivity of the sonication method was found to be higher compared to conventional cultures, even among patients who had been administered preoperative antibiotics (p
Comparison of preoperative MRI and surgical findings in perianal fistulas and factors affecting recurrence
Authors: BAYSAL Hakan , KAZCI Zeynep Nihal , ALİMOĞLU Orhan 
Published: December 2023

Aims: Anal fistula occurs most commonly when the anal glands become obstructed and infected in the intersphincteric plane. Although it has a high recurrence rates, its treatment is surgical. Magnetic resonance imaging (MRI) is the gold standard for accurate preoperative evaluation of the patient and detection of the relationship to the muscle groups that provide continence. The aim of this study was to evaluate the compatibility of MRI with surgery and to determine the parameters effective on recurrence.
Methods: Primary perianal fistulas with MRI between 2016 and 2023 were retrospectively evaluated. Patient demographics were documented. Fistula classifications according to MRI findings, abscess locations, internal and external opening regions on MRI were compared with surgical findings. The surgical procedures performed were documented. Univariate and multivariate evaluations of recurrence performed by Cox regression analysis. Disease-free survival data were analyzed.
Results: A total of 180 cases with a mean age of 43.75±12.57 years were included in the study. At the end of MRI, there were 69 (38.3%) cases with an fistula external orifice > 3 cm. The largest group in Parks classification were intersphincteric patients with 127 (66.7%), 52 (28.9%) of the patients were in the complex group. The level of agreement between surgery and MRI internal opening was 13.4% and statistically significant (Kappa coefficient of agreement 0.134; p3 cm, transsphincteric, complex and patients requiring loose seton in surgery (p=0.001, p=0.001, p=0.001, p=0.001, p=0.007; p
Exploration of Logical Meta-functions in ICLE: An Analysis of Pakistani Argumentative Essays
Authors: Rasool Attia , Mehmood Asim , Ashraf M. Raheel 
Published: December 2023

Systemic functional linguistics (SFL) studies how a language functions in a social context, concerning the meaning of clauses at three different levels: interpersonal, ideational, and textual. The aim of this corpus-based research is to find out the logical structures of clauses in Pakistani academic writings by evaluating two main elements of clause complexity: taxis and logico-semantics relations. For this purpose, Halliday & Matthiessen’s (2014) system of clause complexing was employed as an analytical framework. A sample size of 100 argumentative essays was taken from the ICLE corpus, which was written by Pakistani students. This corpus was annotated by using the UAM corpus tool manually. Furthermore, the comparative distributions of different types of clause complexes were studied and evaluated accordingly. It helped to identify and understand lexico-grammatical variations at the clause level in non-native Pakistani academic writings. The findings showed that Pakistani students composed hypotactic and paratactic with almost the same ratio in their writing with a minor deviation. They also tend to build different types of logico-semantic relations of clauses during the argumentation; however, the occurrences of expansion were high in contrast to projection. The null hypothesis was tested by deploying the Wilcoxon signed rank test. It revealed no significant difference between paratactic and hypotactic approaches. However, their various logico-semantic relations displayed significant differences (p<0.05).
Immunological status of sows during the reproductive cycle and correction of its condition with an antigen-directed biostimulator
Authors: Burkov P. V. , Derkho M. A. , Rebezov M. B. , Shcherbakov P. N. , Derkho A. O. , Stepanova K.  V. 
Published: December 2023

Relevance. Reproductive insufficiency of sows associated with circovirus infection is widespread in pig breeding enterprises. Therefore, an increase in the effectiveness of immunity formed in animals during the post-vaccination period is of crucial importance in the formation of the reproductive potential of sows.Methods. The work was performed on sows, which at the end of the suckling period during weaning of piglets (on the 21st day after delivery) were vaccinated against CVS-2 with the “Ingelvak Circoflex” vaccine (Germany). In the experimental group, vaccination was combined with a two-time administration of a targeted immunobiostimulator “Transfer Factor” at a dose of 5 ml per head with an interval of 7 days (the second administration of “Transfer Factor” was carried out during vaccination). The effectiveness of post-vaccination immunity was evaluated based on the results of immunological, zootechnical and statistical studies.Results. It was found that the formation of post-vaccination immunity in control group sows occurs under conditions of an increase in the concentration of immunoglobulins in the blood (∑G + M + A) by 1.25–1.59 times due to IgG and IdM, a decrease in the absolute number of T- and B-lymphocytes by 11.84–15.51% and 14.12–17.51% while maintaining their percentage share in the total pool of lymphocytes, a decrease in the level of T-helpers by 34.27–36.47 against the background of an increase in cytotoxic lymphocytes and killers by 4.47–66.67%, which determines the yield of piglets per farrow in the amount of 12.5 heads and stillbirth at the level of 9.67%. The combination of vaccination with the introduction of a specific targeted immunobiostimulator in sows of the experimental group determines in the post–vaccination period; an increase in the concentration of immunoglobulins in the blood by 24.93–71.56% due to IgG; a decrease in the number of T-lymphocytes by 19.50–23.76% against the background of an increase in B-lymphocytes by 20.00–21.25%; preservation of the absolute number of T-helpers and reducing the number of cytotoxic lymphocytes and killers by 2.14–3.00 times, contributing to a 3.24% reduction in stillbirth and an increase in the yield of piglets per farrowing to 13.0 heads.
Drug-resistant Tuberculosis in Pediatric
Authors: Lubis Halisyah Hasyim 
Published: December 2023

Introduction: Drug-resistant tuberculosis (DR TB) is a condition where Mycobacterium tuberculosis is resistant to isoniazid, rifampicin or resistant to isoniazid and rifampin as well as other first-line anti-tuberculosis drugs (OAT). Tuberculosis (TB) is a contagious infectious disease, caused by Mycobacterium tuberculosis germs where the source of transmission is through droplets containing TB germs.
Case Report: A 10 years 7 months girl, came to the MDR Polyclinic at the Haji Adam Malik Medan Central General Hospital (RSUP HAM Medan) on March 21 2023 bringing the results of the TB Molecular Rapid Test (TCM-TB) examination from the Teladan Barat Health Center with Rifampicin results were resistant and on March 24 2023 the patient was hospitalized. Currently, the patient is complaining of a cough that has been experiencing for ± 3 weeks. Cough with the impression of a dry cough and is continuous so that it interferes with daily activities. The cough does not improve even though the patient has taken cough medicine. There is no fever, there is also no history of previous fever. According to the anamnesis from the patient's parents, there has been a weight loss in the last 2 months, around ± 4 kg. There is no family history of long-term cough, but according to parents, there is a neighbor of the patient who suffers from pulmonary TB and is undergoing treatment.
Discussion: After the diagnosis of drug-resistant tuberculosis is confirmed, an evaluation is carried out whether the patient meets the criteria for drug-resistant TB treatment guided by short-term or long-term oral drug-resistant tuberculosis. Patients who meet the evaluation criteria for treatment can immediately be given short-term oral drug-resistant tuberculosis therapy. If the patient does not meet the criteria for short-term treatment, long-term drug-resistant tuberculosis treatment is given. Routine evaluations are carried out during treatment and when the results of drug sensitivity tests are available, treatment is adjusted according to the examination results.
Conclusion: A case of drug-resistant tuberculosis in a girl aged 10 years 7 months has been reported which was diagnosed based on anamnesis, physical examination, and supporting examinations, there was also a history of close contact with TB sufferers, and the results of TCM examination of sputum fluid showed rifampicin resistant MTB growth. Patients are treated as drug-resistant TB cases with a short-term regimen with regular monitoring of treatment response and side effects.
Análisis histórico jurídico del cumplimiento de la pena en el Penal García Moreno
Authors: Vaca Acosta Gabriel Rigoberto 
Published: December 2023

INTRODUCCIÓN El presente trabajo relata de forma breve el origen del Ex penal García Moreno y la concepción del castigo y de la pena que se debía de cumplir en dicho lugar, en relación con los valores vigentes. Así, como la propia estructura del panóptico estaba concebido desde la idea de vigilar y atemorizar a las personas que residían en ella. OBJETIVO. De esta manera, se busca dar a conocer cómo el panóptico que estaba en Quito representaba un lugar oscuro y tétrico para aquellos sancionados por la administración de justicia de la época. MÉTODO. Para tal cometido, se emplea el método de revisión bibliográfico y descriptivo sobre la construcción del panóptico para relacionarlo con la concepción de una sociedad que únicamente buscaba que las personas que infringen la ley paguen por su error. DISCUSIÓN Y CONCLUSIONES. El Ex Penal García Moreno eran un lugar de represión y castigo, para aquellas personas que violaban la norma, alejados del concepto de rehabilitación social y los derechos que tienen las personas privadas de la libertad.
Sentencia Delfina Torres vs Petroecuador, Petrocomercial, Petroindustrial y Petroproduccion Un aterrizaje hacia el valor jurídico, sobre el valor económico
Authors: Betancourt Pereira EriK Javier 
Published: December 2023

INTRODUCCIÓN. El presente trabajo analiza el caso “Delfina Torres vs PETROECUADOR, PETROCOMERCIAL, PETROINDUSTRIAL, PETROPRODUCCION”, que se constituye en un proceso judicial importante ya que se configura la responsabilidad objetiva y se concede la reparación material a favor del medio ambiente en contra del propio Estado que provocó daños invalorables. OBJETIVO. Se analiza los argumentos por los que la Alta Corte en materia ordinaria falla a favor de la reparación a favor de la naturaleza y configura la responsabilidad objetiva. MÉTODO. Para lo cual, se empleó el método de revisión de casos de la jurisprudencia de la Corte Suprema de Ecuador, método de revisión bibliográfico bajo un enfoque cualitativo. CONCLUSIONES Y DISCUSIÓN. La justicia ordinaria del Ecuador analiza nuevos parámetros para la administración de justicia a favor del medio ambiente, que trae consigo interesantes resultados como la inversión de la carga de la prueba para aquellos con los recursos necesarios para demostrar su gestión adecuada.
APROXIMACIÓN AL ESTADO DEL ARTE DE LA SOSTENIBILIDAD DE LA MINERÍA METÁLICA EN EL ECUADOR, ENTRE LOS AÑOS 2002 Y 2023
Authors: Toledo Rivadeneira Jaime , Lozano Ruiz Edison Roberto , Moncayo Moncayo Pablo Santiago 
Published: December 2023

La actividad minera en el Ecuador tiene una presencia milenaria, con un amplio potencial de desarrollo. Debido a ello, se convierte en una permanente necesidad el estudio de la sostenibilidad de la industria. Mediante la presente investigación se pretende identificar una aproximación al estado del arte de la actividad en el país. Para ello se utilizaron metodologías cualitativas enmarcadas en el análisis documental. Bajo esta premisa se emplearon, tanto codificación, como revisión de literatura y análisis de contenido. Dentro de los primeros resultados, a partir de la búsqueda realizada en la base de datos Scopus, se identificaron artículos relacionados con: agricultura, agua, big data, minería, salud y turismo. Al revisar a profundidad los artículos relacionados con la sostenibilidad de la minería metálica en el Ecuador, se pudo evidenciar que existe producción científica relacionada con el tema. Las posiciones varían de acuerdo con la visión de cada uno de los investigadores. Las posiciones pasan desde favorables, hasta contrarias. Se proponen alternativas de sustitución, así como también de integración. Inclusive concluyen como traiciones a proyectos políticos. Pero, en realidad se evidencia que la sostenibilidad es inherente al sector económico.
Palabras clave: Minería, Ecuador, Economía, Patrimonio, Sostenibilidad.
AbstractMining activity in Ecuador has a millenary presence, showcasing significant development potential. Consequently, the exploration of the industry’s sustainability has become an ongoing necessity. The aim of this research is to delineate the current state of the mining activity in the country. To achieve this, qualitative methodologies within the framework of documentary analysis theory were employed. Under this premise, codification, literature review, and content analysis were utilized. Among the initial findings from the Scopus database search, articles related to agriculture, water, big data, mining, health, and tourism were identified. A comprehensive review of articles pertaining to the sustainability of metallic mining in Ecuador revealed a notable body of scientific production on the subject. The perspectives on sustainability varied based on the stance of individual researchers, ranging from favorable to contrary. Various alternatives, including substitutions and integrations, were proposed, with some even characterizing certain approaches as betrayals to political projects. Nevertheless, it is evident that sustainability is an inherent aspect of the economic sector.
Keywords: Mining, Ecuador, Economics, Heritage, Sustainablility.
EVALUASI PENGGUNAAN ANTIBIOTIK PADA PASIEN ICU Intensive Care Unit DI RUMAH SAKIT MITRA SEHAT DENGAN METODE DDD Defined Daily Dose DAN GYSSENS
Authors: Molly Pucthree , Susanto FX Haryanto , Nugraha Dhanang Prawira 
Published: December 2023

Tingginya kejadian angka infeksi pada pasien dewasa menyebabkan peningkatan kuantitas penggunaan antibiotik. Penggunaan antibiotik yang tidak tepat dapat memicu terjadinya resistensi antibiotik. Resistensi antibiotik dapat menyebabkan peningkatan morbiditas, mortalitas dan biaya kesehatan oleh karena itu perlu adanya evaluasi untuk penggunaan antibiotika. Evaluasi penggunaan antibiotik ini dilakukan di ruang ICU (Intensive Care Unit) Rumah Sakit Mitra Sehat. Metode yang digunakan dalam penelitian ini adalah deskriptif dengan pengambilan data retrospektif dari periode 1 Januari sampai 31 Maret 2023. Evaluasi penggunaan antibiotik ini menggunakan metode ATC/ DDD dan Gyssens. Metode ATC/DDD merupakan sistem klasifikasi yang mengelompokkan obat berdasarkan struktur kimia, farmakologi dan tujuan terapetik. Metode Gyssens didefinisikan sebagai metode kualitatif yang digunakan untuk mengevaluasi pada penggunaan antibiotika dengan menilai ketepatan dalam penggunaan antibiotik yang digolongkan menjadi kategori 0-VI. Sampel penelitian terdiri dari 53 pasien dewasa rawat inap Rumah Sakit Mitra Sehat, dimana didasarkan pada kriteria inklusi dan eksklusi yang ditentukan. Berdasarkan hasil metode ATC/DDD menunjukkan antibiotik yang memiliki nilai DDD/100 hari rawat inap tertinggi adalah levofloxacin. Berdasarkan metode gyssens diperoleh penggunaan tertinggi adalah kategori penggunaan antibiotik secara tepat .
Kata kunci: Antibiotik, ATC/DDD/100 Patient-days, Gyssens, ICU
Turnover Intention among employees of Small and Medium Enterprises (SMEs): the moderating role of Employee Engagement
Authors: Wulandari Siti Zulaikha , Pariyanti Eka , Febriyanto Febriyanto 
Published: December 2023

Purpose – This study was conducted to ascertain the influence of person-organization fit (P-O fit) and job satisfaction on turnover intention within Small and Medium Enterprises (SMEs). Moreover, the mediating role of employee engagement in both of these associations was explored.
Methodology – A cross-sectional survey was administered, targeting Small and Medium Enterprises (SMEs) in Lampung, Indonesia. The study involved 198 participants and data collection was conducted through the utilization of a questionnaire. To test the hypotheses, a quantitative approach incorporating structural equation modeling (SEM) was employed, using the AMOS software package version 24.0.
Findings – The study showed that P-O Fit and job satisfaction had a negative impact on turnover intention. Employee engagement was also identified as a mediating factor in both of these relationships.
Originality – There was a lack of extensive study examining the correlation between the variables within the specific context of SMEs, particularly in Lampung. Therefore, this study was carried out to introduce a study model grounded in social exchange theory.