bluuebunny/crossref_metadata_2025_split huggingface dataset:
Left hemicolectomy and low anterior resection in colorectal cancer patients: Knight–griffen vs. transanal purse-string suture anastomosis with no-coil placement
Authors: Ammendola Michele , Filice Francesco , Battaglia Caterina , Romano Roberto , Manti Francesco , Minici Roberto , de'Angelis Nicola , Memeo Riccardo , Laganà Domenico , Navarra Giuseppe , Montemurro Severino , Currò Giuseppe 
Published: April 2023

BackgroundColorectal cancer (CRC) is considered one of the most frequent neoplasms of the digestive tract with a high mortality rate. Left hemicolectomy (LC) and low anterior resection (LAR) with minimally invasive laparoscopic and robotic approaches or with the open technique are the gold standard curative treatment.Materials and methodsSeventy-seven patients diagnosed with CRC were recruited between September 2017 and September 2021. All patients underwent a preoperative staging with a full-body CT scan. The goal of this study was to compare both types of surgeries, LC-LAR LS with Knight–Griffen colorectal anastomosis and LC-LAR open with Trans-Anal Purse-String Suture Anastomosis (the TAPSSA group), by positioning a No-Coil transanal tube (SapiMed Spa, Alessandria, Italy), in terms of postoperative complications such as prolonged postoperative ileus (PPOI), anastomotic leak (AL), postoperative ileus (POI), and hospital stay.ResultsThe patients were divided into two groups: the first with 39 patients who underwent LC and LAR in LS with Knight–Griffen anastomosis (Knight–Griffen group) and the second with 38 patients who underwent LC and LAR by the open technique with the TAPSSA group. Only one patient who underwent the open technique suffered AL. POI was 3.76 ± 1.7 days in the TAPSSA group and 3.07 ± 1.3 days in the Knight–Griffen group. There were no statistically significant differences in terms of AL and POI between the two different groups.ConclusionThe important point that preliminarily emerged from this retrospective study was that the two different techniques showed similarities in terms of AL and POI, and therefore, all the advantages reported in the previous studies pertaining to No-Coil also hold good in this study regardless of the surgical technique used. However, randomized controlled trials are needed to confirm these findings.
Five Level Triage vs. Four Level Triage in a Quaternary Emergency Department: National Analysis on Waiting Time, Validity, and Crowding—The CREONTE (Crowding and RE-Organization National TriagE) Study Group
Authors: Savioli Gabriele , Ceresa Iride Francesca , Bressan Maria Antonietta , Piccini Gaia Bavestrello , Varesi Angelica , Novelli Viola , Muzzi Alba , Cutti Sara , Ricevuti Giovanni , Esposito Ciro , Voza Antonio , Desai Antonio , Longhitano Yaroslava , Saviano Angela , Piccioni Andrea , Piccolella Fabio , Bellou Abdel , Zanza Christian , Oddone Enrico 
Published: April 2023

Background and Objectives: Triage systems help provide the right care at the right time for patients presenting to emergency departments (EDs). Triage systems are generally used to subdivide patients into three to five categories according to the system used, and their performance must be carefully monitored to ensure the best care for patients. Materials and Methods: We examined ED accesses in the context of 4-level (4LT) and 5-level triage systems (5LT), implemented from 1 January 2014 to 31 December 2020. This study assessed the effects of a 5LT on wait times and under-triage (UT) and over-triage (OT). We also examined how 5LT and 4LT systems reflected actual patient acuity by correlating triage codes with severity codes at discharge. Other outcomes included the impact of crowding indices and 5LT system function during the COVID-19 pandemic in the study populations. Results: We evaluated 423,257 ED presentations. Visits to the ED by more fragile and seriously ill individuals increased, with a progressive increase in crowding. The length of stay (LOS), exit block, boarding, and processing times increased, reflecting a net raise in throughput and output factors, with a consequent lengthening of wait times. The decreased UT trend was observed after implementing the 5LT system. Conversely, a slight rise in OT was reported, although this did not affect the medium-high-intensity care area. Conclusions: Introducing a 5LT improved ED performance and patient care.
Assessment of the Prevalence of Behavioral Risk Factors and Their Impact on the Health of the Adult Population in the Russian Federation
Authors: Salagay O. О. , Sakharova G. M. , Antonov N. S. , Nikitina S. Yu. , Stadnik N. M. , Starodubov V. I. 
Published: April 2023

The objective of this study is to substantiate the system of indicators for assessing behavioral risk factors (tobacco use, alcohol consumption, detrimental diet patterns, lack of physical activity) and their impact on public health in the Russian Federation based on the authors’ methodology for assessing the impact of behavioral risk factors on the health of the adult population using the materials of the statistical survey of the health status of the population (conducted by Rosstat in 2021). For each risk factor, two main indicators were calculated: the prevalence of the risk factor and its impact on public health according to demographic characteristics. The scale of such a risk factor as smoking was assessed in terms of consumption of various types of tobacco and nicotine-containing products and the prevalence of nicotine addiction of varying severity. Alcohol consumption as a behavioral risk factor was assessed in the context of the relationship between the amount of consumption of various alcoholic products and the degree of health risk. The impact of a detrimental diet was estimated by the body mass index for overweight and obesity, with the account to the physical activity of Russian citizens. According to the authors, the proposed set of indicators and specific calculation results can be used to organize continuous monitoring of the prevalence of behavioral risk factors and their impact on the health of the population of the Russian Federation. As a result, a more effective response of the healthcare system and strengthening of interagency cooperation to reduce non-communicable diseases is possible.
Analisi di alcuni "outils de grammaire" in uso nelle Facolta' di Lingue e Letterature Straniere e nei corsi omonimi delle Facolta' di Lettere e Magistero dal dopoguerra ad oggi
Authors: Schena Leo 
Published: April 2023

La pratique grammaticale a notoirement constitué l'option privilégiée de l'enseignement universitaire jusque vers la moitié des années soixante.
Parmi les outils de grammaire en usage à cette époque-là, La grammaire française de H. Gambier (Ca' Foscari, Venise), occupe une place de choix pour l'extrême clarté de son exposé, la pertinence et la richesse des exemples, la finesse des observations de syntaxe comparée. On peut y lire en filigrane la première sérieuse tentative d'analyse contrastive entre les deux codes (français/italien). Elle a été pour toute une génération d'étudiants un moyen d'apprentissage irremplaçable : la première, et peut-être l'unique grammaire destinée à un public universitaire.
La grammatica ragionata della lingua francese de B. Revel - F. Izzi, (Université Bocconi, Milan) se présente comme une étude normative de la langue française valable encore aujourd'hui pour la manière "raisonnée" de découvrir le sens historique de l'évolution linguistique dans les deux systèmes.
La grammatica e sintassi del francese moderno d'E. Giudici est le manuel le plus répandu dans les cours de langues de l'Institut Oriental de Naples. Il est caractérisé par une formule de compromis entre la pratique grammaticale liée à la traduction et la méthode active attestant l'évolution de l'enseignement linguistique vers ces principes fondamentaux que la nouvelle science linguistique formulait justement à ce moment-là (v. à ce propos : Les exercices structuraux pour le laboratoire de langues d'I. Basso -S. Baridon, et surtout : Regards sur le français contemporain d'E. Arcaini -D. Laroche-Bouvÿ, manuel axé sur un nouveau type d'enquête destinée à remplacer la grammaire normative traditionnelle).
Si les années soixante-dix coïncident avec l'affirmation des nouvelles méthodes massivement importées de France, les années quatre-vingts marquent en revanche le retour progressif à l'enseignement explicite de la grammaire, grâce aussi à l'Editeur Zanichelli (Pratique de la grammaire française, Grammaire pratique , Grammaire secours) et au Département de Langues et littératures étrangères de l'Université Catholique de Milan (Propédeutique au test, Grammaire descriptive de la langue française à l'usage des spécialistes italophones). Cette réviviscence, loin d'apparaître comme une restauration de la grammaire traditionnelle, dénonce l'exigence de réfléchir de façon explicite sur les structures grammaticales, sur leur fonction dans la communication orale et écrite sans jamais perdre de vue l'approche contrastive.
Computer e didattica delle lingue. Problemi e prospettive
Authors: Di Sparti Antonino 
Published: April 2023

Les réactions à l'utilisation de l'ordinateur en classe pour l'enseignement des langues (E.F.A.O. ou C.A.L.L.) ont été très diverses, le plus souvent exagérées ou stéréotypées, ne s'appuyant sur aucune expérience significative. Cela résulte du fait que la qualité des didacticiels actuels n'a pas atteint un degré acceptable et que leur emploi reste limité.
Ce cadre, qui n'est pas satisfaisant, doit être mis en relation avec les conditions sous-jacentes de toute activité didactique : la capacité cognitive et la condition psychosociale de l'élève.
En effet, aujourd'hui l'élève a des instruments neurocognitifs et un bagage sémantique différent de ceux que possédaient les apprenants d'autrefois quand le maître, la classe et la méthode étaient au centre de tout processus d'enseignement/apprentissage. Il est appelé "enfant de la télé" à cause du temps qu'il passe devant la télé ou devant d'autres appareils audiovisuels. Cela lui permet d'élargir ses pouvoirs de connaissance sensorielle et cognitive, exploitant la richesse d'un monde multimédia.
Le rôle de l'enseignant a changé parce que la possibilité d'utiliser les nouveaux médias d'une manière interactive et individualisée lui demande une plus forte implication dans son activité didactique. A la lumière des nouvelles technologies, il doit renouveler sa professionalité : il faut moins enseigner l'utilisation des ordinateurs que développer une culture de l'emploi didactique de l'informatique.
C'est un défi : l'utilisation de ces technologies peut, soit le rendre passif, soit l'amener à devenir protagoniste de l'acte éducatif.
C'est à lui de choisir.
Interdisciplinary telehealth team positively impacts difficult to control hypertension in chronic kidney disease
Authors: Dopp John M. , Lange Austin , Maursetter Laura 
Published: April 2023

Background:
Hypertension (HTN) is the most common chronic health condition worldwide and impacts chronic kidney disease patients at increasing rates as kidney function falls. Uncontrolled blood pressure can have a significant impact on cardiovascular disease, kidney disease progression, and mortality. In this study, we implemented an interdisciplinary team to assess the impact a fully virtual management system, on top of usual nephrology care, could have on HTN control among Veterans Administration patients with difficult to manage HTN.

Methods:
Patients with difficult to control HTN were referred to a collaborative nephrology telemedicine clinic for care by a nephrologist and a clinical pharmacist. Blood pressure was managed via telephone visits conducted by the pharmacist every four to 12 weeks. Patients were sent a home blood pressure monitor, provided education about its use, and were instructed to monitor home blood pressure regularly. Those with at least three phone visits who had objective home blood pressure measurements at each visit were included in the pragmatic analysis. Change in systolic blood pressure from baseline was the primary outcome variable.

Results:
Of the 55 patients meeting inclusion criteria, a mean reduction of 16±14 mm Hg in systolic blood pressure and 6±7 mm Hg in diastolic blood pressure was shown. In 12±7 months 44% of patients achieved goal blood pressure (<130/80) and 31% were discharged back to primary care management in an average of 8±5 months with apparent sustained effect.

Conclusion:
An interdisciplinary team of a pharmacist and nephrologist using a virtual care model is an effective method for managing difficult to control HTN in this pragmatic assessment.
Abordagem da febre no paciente cirúrgico
Authors: Sardinha Rafael Torres de Abreu Machado , Filete Michely , Campos Sophia Maria Rocha , Mazorque Thaís Corrêa , Martins Elizandra Ross , Misaka Isabela Mika de Oliveira , Maia Mayalu Alane Amaral , Lopes Jonathan Oliveira , Lima Isabella Ferreira Faioli 
Published: April 2023

A febre pós operatória é definida por temperaturas superiores a 38°C. Esse quadro é comum no pós-operatório imediato e precoce. Essa resposta febril pode ser devida a resposta endócrino-metabólica com liberação de citocinas, endotoxinas bacterianas circulantes da flora intestinal endógena ou outras causas. Pacientes internados com febre perioperatória devem ser avaliados com uma história e um exame físico para garantir que não haja causa preexistente de infecção ou uma infecção do sítio cirúrgico rapidamente progressiva. Embora a atelectasia seja frequentemente citada como causa de febre no paciente cirúrgico, a associação é provavelmente coincidência e não causal. A radiografia de tórax não é indicada na maioria dos pacientes febris no pós-operatório imediato. Outras avaliações e estudos laboratoriais devem ser adaptados ao paciente individual com base na história, sintomas e achados físicos. A partir do 4º dia de pós-operatório, o diagnóstico diferencial de febre no paciente cirúrgico evolui para incluir etiologias infecciosas e não infecciosas. Infecção do sítio cirúrgico, pneumonia, infecção do trato urinário e infecção do cateter intravascular são as causas infecciosas predominantes de febre após a cirurgia e muitas vezes são devidas a organismos multirresistentes nosocomiais. A causa não infecciosa de febre mais comum no paciente cirúrgico é uma reação medicamentosa.
Doença da arranhadura de gato com apresentação atípica: um relato de caso
Authors: Jales Blenda Cunha , Pinheiro Jefferson Augusto Piemonte 
Published: April 2023

OBJETIVO: Relatar o caso de paciente do sexo feminino com Doença da Arranhadura de Gato com apresentação atípica , relacionando-o com a literatura. DESCRIÇÃO DO CASO: Paciente feminina,11 anos, iniciou quadro de adenomegalia axilar e epitroclear unilateral dolorosa progressiva associada a púrpuras em membros inferiores e plaquetopenia. Submetida à azitromicina por cinco dias, além de imunoglobulina intravenosa em dose única. A sorologia para Bartonella henselae resultou positiva em alto título. No 12º dia de evolução da doença, recebeu alta hospitalar. Evoluiu com melhora e sem intercorrências após o acompanhamento ambulatorial. COMENTÁRIOS: Paciente com quadro clínico sugestivo de Doença da Arranhadura de Gato e evolução para Púrpura trombocitopênica. Foram observadas alterações compatíveis com quadros descritos por outros autores. Tal associação, assim como observado na literatura, é de descrição escassa. A suspeição diagnóstica é fundamental para o tratamento e seguimento adequados.
O impacto do isolamento social determinado pela pandemia do COVID-19 na saúde mental dos idosos: uma revisão sistemática
Authors: Michels Catarina Depieri , Ferreira Isabela Junqueira , E Lamas Júlia Maria Morena Afonso Campos , Santos Larissa Fernandes de Souza , Santos Lara Fernandes de Souza , Azara Laylla Luiza Ferreira , Rodrigues Yasmin Rosa Storck Rocha , Corrêa Laysa Rodrigues 
Published: April 2023

INTRODUÇÃO: Devido a pandemia da COVID-19, tem-se discutido o impacto do isolamento social na saúde mental da população. Entretanto, poucos estudos avaliaram o impacto aos idosos. Desse modo, é importante avaliar a real consequência a esse grupo etário, assim como poder demonstrar a necessidade de instituir medidas preventivas que objetivam reduzir e minimizar o sofrimento mental deles. OBJETIVO: Avaliar o impacto do isolamento social, devido à pandemia pela Covid-19, na saúde mental dos idosos. METODOLOGIA: É uma revisão sistemática, na qual foi realizado buscas de alta sensibilidade, por estudos qualitativos e observacionais.Os resultados foram exportados para o Rayaan, plataforma na qual os pesquisadores se basearam em critérios de inclusão e exclusão pré definidos para a seleção final. RESULTADO: Foram analisados 475 artigos, sendo selecionados sete ao final. Os artigos analisados permitiram apontar a situação da saúde mental em idosos durante o isolamento social. Quatro estudos avaliaram que indivíduos acima de 50 anos apresentaram maiores problemas em relação à saúde mental; em contrapartida, três estudos apresentaram resultados divergentes, uma vez que a saúde mental dos jovens foi afetada de modo semelhante ou em maiores proporções que a dos idosos, em relação ao humor e à insônia. CONCLUSÃO: Foi perceptível a influência do isolamento social nos idosos com piora dos distúrbios psiquiátricos, destacando-se a depressão e ansiedade. Logo, são necessárias medidas preventivas e paliativas para apoio psicológico desse grupo etário, com o objetivo de minimizar e prevenir o sofrimento mental.
TRAINER FUZZY SEBAGAI SARANA PRAKTIKUM MAHASISWA
Authors: Ahlak Muhammad Lutfi Mahasinul , Kristanto Adi , Amin Imam Husni Al 
Published: April 2023

Materi Kuliah Logika Fuzzy diajarkan dengan tujuan agar mahasiswa memahami konsep dasar Logika Fuzzy. Hasil kuisioner terhadap 10 responden mahasiswa menunjukkan bahwa responden tidak memahami teori fuzzyfication (40%), teori inference (40%) dan teori defuzzyfication (60%), hal ini disebabkan karena tidak adanya alat bantu praktikum. Oleh karena itu tujuan penelitian ini adalah membuat Trainer Fuzzy sebagai sarana praktikum mahasiswa. Metode penelitian menggunakan Metode Penelitian dan Pengembangan dengan Model pengembangan ADDIE melalui lima tahapan pengembangan yaitu; (1) Analisis, (2) Desain, (3) Pengembangan, (4) Implementasi dan (5) Evaluasi. Hasil penelitian berupa Trainer Fuzzy yang memiliki 3 modul yang telah diuji coba. Modul pertama bertujuan mengendalikan kecerahan LED menggunakan 2 potentiometer. Modul kedua bertujuan mengendalikan kecepatan motor DC menggunakan 2 potentiometer. Modul ketiga bertujuan mengendalikan kecepatan motor DC menggunakan sensor DHT11. Hasil pengujian menunjukkan bahwa semua skenario berhasil diujikan di semua modul. Hal ini menunjukkan bahwa Trainer Fuzzy berfungsi dengan baik. Berdasarkan pengisian kuisioner oleh responden yang berisi panduan pemakaian (manual book) kemudian dipraktekkan oleh responden disimpulkan bahwa alat bantu praktikum ini mudah di rangkai, mudah digunakan dan mempermudah mahasiswa dalam memahami teori Logika Fuzzy dengan mayoritas responden sangat setuju (SS) berjumlah 86,1 % dan setuju (S) sebesar 13.6 %.
IMPLEMENTASI METODE NAÏVE BAYES PADA SISTEM PAKAR DIAGNOSA PENYAKIT GIGI BERBASIS WEB
Authors: Firdaus Taufik , Yanti Fitri 
Published: April 2023

Gigi merupakan organ yang terdapat pada rahang atas dan bawah yang berfungsi sebagai pengunyah makanan. Gigi terdiri dari tiga bagian, yaitu mahkota, akar, dan leher. Mahkota gigi adalah bagian yang terlihat di mulut, akar gigi adalah bagian yang terbenam di dalam gusi, sementara leher gigi adalah bagian yang terletak di antara mahkota gigi dan akar gigi. Minimnya informasi kesehatan gigi dan terbatasnya jumlah dokter gigi serta mahalnya biaya untuk berkonsultasi secara langsung, mengakibatkan rendahnya kesadaran masyarakat terhadap kesehatan gigi. Dengan adanya sistem pakar diagnosa penyakit gigi ini dapat membantu pengguna dalam mendiagnosa secara mandiri dan tanpa mengeluarkan biaya. Sistem pakar ini dapat memberikan informasi mengenai penyakit kepada pengguna atau penderita penyakit gigi serta solusi penanganan awal pada penyakit tersebut. Untuk mendapatkan hasil yang akurat, cepat dan efisien menggunakan metode Naïve Bayes, yaitu pengklasifikasian menggunakan metode probabilitas dan statistik. Perhitungan Naïve Bayes berdasarkan data penyakit dan data gejala dengan variable Data, Hipotesa dan Probabilitas. Sistem pakar ini akan menampilkan pilihan gejala-gejala yang dapat dipilih oleh pengguna, selanjutnya akan mendapatkan hasil akhir menggunaka perhitungan naïve bayes dengan memberikan hasil diagnosis berupa nilai probabilitas kemunculan setiap jenis penyakit dan solusi. Aplikasi sistem pakar yang dibangun ini berbasis web menggunakan HTML, PHP, CSS, Booststrap 4 dan menggunakan database MySql.
ASSESSMENT OF THE SOCIO-ECONOMIC SITUATION OF THE MUNICIPAL DISTRICTS OF THE YAROSLAVL REGION BASED ON CLUSTER ANALYSIS
Authors: Жолудева В.В. 
Published: April 2023

В статье представлены результаты кластерного анализа муниципальных образований Ярославской области. Обоснована возможность его применения на территории исследуемой области. Выбраны и проанализированы статистические показатели для оценки социально-экономического положения районов Ярославской области. Проведённый кластерный анализ позволил выделить группы районов области с похожим сочетанием значений признаков, а также определить место и роль каждого из них в экономике региона. Определён рейтинг социально-экономического положения муниципальных районов Ярославской области.
The article presents the results of a cluster analysis of municipalities of the Yaroslavl region. The possibility of its application in the territory of the studied area is substantiated. Statistical indicators were selected and analyzed to assess the socio-economic situation of the districts of the Yaroslavlregion. The conducted cluster analysis made it possible to identify groups of districts of the region with a similar combination of feature values, as well as to determine the place and role of each of them in the region's economy. The rating of the socio-economic situation of the municipal districts of the Yaroslavl region has been determined.
Tolerance to hygrothermal and high-voltage stresses for Si-related photovoltaic modules with newly-developed polyvinyl butyral encapsulants
Authors: Masuda Atsushi , Ogawa Kinichi , Chiba Yasuo , Yasuda Hirotaka , Muguruma Shinichi 
Published: April 2023

Abstract
Newly-developed polyvinyl butyral (PVB) encapsulants were employed for Si-related photovoltaic modules. Modules of amorphous Si with a glass–glass structure and those of crystalline Si with glass and a back-sheet structure were subjected to hygrothermal stresses by a damp-heat (DH) test and high-voltage stress by a potential-induced degradation (PID) test, respectively. Even after a quite long DH test at 85 °C and 85% relative humidity for 49 000 h, retention of output power of about 85% was obtained without edge sealant. No decrease in output power was also observed after a PID test with −1000 V at 60 °C and 85% relative humidity for 168 h. These facts suggest that newly-developed PVB is well applicable to encapsulant materials for highly reliable photovoltaic modules.
Patrick Chamoiseau : "Guerrier de l'imaginaire" en langue française
Authors: Thermes Camille 
Published: April 2023

L’œuvre de Patrick Chamoiseau, souvent classée dans la « littérature francophone », s’écrit à la croisée des langues créole et française. Initialement conflictuelle, la relation entre ces langues a évolué dans l’écriture de l’auteur martiniquais contemporain pour donner naissance à une éthique et une esthétique capables de renouveler les modalités de la fiction littéraire. L’article se concentre sur son œuvre romanesque et sur deux de ses essais. Ces textes me permettront de montrer en quoi l’écriture de Patrick Chamoiseau, née d’une relation complexe entre langue française et langue créole, parvient à dépasser les conflits linguistiques et à proposer un imaginaire mixte et singulier, répondant aux soupçons portés sur le récit littéraire dans le contexte postmoderne.