bluuebunny/crossref_metadata_2025_split huggingface dataset:
Management of primary spontaneous pneumothorax in children: Current practices among Turkish pediatric surgeons
Authors: Sag Sefa , Elemen Levent 
Published: September 2023

Background: This study aims to evaluate current practices in the management of primary spontaneous pneumothorax among Turkish pediatric surgeons.
Methods: Between October 2021 and November 2021, an online survey comprising 19 questions was delivered to all members of the Turkish Association of Pediatric Surgeons (TAPS). A total of 74 respondents (42 males, 32 females; mean age: 42.3±7.9 years; range, 29 to 61 years) were included.
Results: The response rate was 17.1% among all society members. The rate of utilization of computed tomography in the initial admission was 27.4%, and the rate of use in cases requiring surgical treatment was 78.4%. A total of 81% of surgeons reported that the size of the pneumothorax influenced management. For the first episode of primary spontaneous pneumothorax, 75.7% of surgeons opted for chest tube drainage, 14.9% for only oxygen administration, 4.1% for needle aspiration, and none of the surgeons preferred video-assisted thoracoscopic surgery. For patients with a persistent air leak after chest tube placement, there was a wide variation in the duration of observation before performing surgery. Video-assisted thoracoscopic surgery was the most preferred surgical intervention (75.3%) and the most preferred surgical method was stapled bullectomy (43.8%).
Conclusion: There are practice variations in the management of pediatric primary spontaneous pneumothorax among the society members. However, the majority of members seem to agree on the use of computed tomography, initial treatment, and surgical interventions.
The prognostic effect of concomitant COVID-19 with spontaneous pneumothorax
Authors: Akyil Mustafa , Bayram Serkan , Erdizci Pelin , Tokgoz Akyil Fatma , Ulusoy Ayse , Evman Serdar , Alpay Levent , Baysungur Volkan 
Published: September 2023

Background: The aim of this study was to investigate the prevalence of novel coronavirus disease 2019 (COVID-19) in patients hospitalized with primary spontaneous pneumothorax and to evaluate its possible effects on the clinical course, treatment, and the prognosis.
Methods: Between April 2020 and January 2021, a total of 86 patients (78 males, 8 females; mean age: 27±5 years; range, 16 to 40 years) who had no underlying lung disease and were diagnosed with the first episode of spontaneous pneumothorax were retrospectively analyzed. At the same time of diagnosis, all patients were screened for COVID-19 via polymerase chain reaction test of nasopharyngeal swabs. According to the test results, the patients were divided into two groups as COVID-19(+) and COVID-19(–). The duration of air leak, hospital stay, recurrence rates and treatment modalities, and mortality rates of the two groups were compared.
Results: Following a pneumothorax diagnosis, 18 (21%) patients were diagnosed with COVID-19. In COVID-19(+) patients, the mean air leak and lung expansion duration were significantly longer (p<0.0001 for both). In these patients, the mean length of hospital stay was also significantly longer (p<0.0001). During the median follow-up of six months, no mortality was observed and the recurrence rate was similar between the two groups (p=0.998).
Conclusion: Our study results suggest that COVID-19 negatively affects the recovery time in patients with spontaneous pneumothorax.
Evaluation of donor-derived bacterial infections in lung transplant recipients
Authors: Doğan Kaya Sibel , Taşçı Erdal , Kırali Kaan 
Published: September 2023

Background: This study aims to evaluate the etiology and outcomes of donor-derived bacterial infections in patients undergoing lung transplantation.
Methods: Between January 2013 and December 2017, a total of 71 lung transplant recipients (56 males, 15 females; median age: 43.3 years) were retrospectively analyzed. The diagnosis of donor-derived bacterial infection was defined as the isolation of the same bacteria with the same antibiotic susceptibility patterns in a lung sample of donor and in one sample obtained from patients after transplantation and the presence of clinical evidence of infection.
Results: Ten (14%) patients were found to have donor-derived bacterial infection. Acinetobacter baumannii was found in three, Pseudomonas aeruginosa in three, Klebsiella pneumoniae in one, Enterobacter cloacae in one, Staphylococcus aureus in one, and both Klebsiella pneumoniae and Acinetobacter baumannii in one patient. Twenty-four of lung-transplant recipients and four patients with donor-derived infection died.
Conclusion: Lung transplants are usually performed in hospitalized patients or in those admitted to the intensive care unit. These patients commonly experience infection and colonization with resistant microorganisms.
A valuable endobronchial ultrasound scoring system predicting malignant lymph nodes
Authors: Guler Nurcan , Can Tertemiz Kemal , Gurel Duygu 
Published: September 2023

Background: This study aims to determine the sonographic criteria of lymph nodes to predict malignancy with endobronchial ultrasound.
Methods: A total of 1,987 lymph nodes of 967 patients (666 males, 301 females; mean age: 62.1±11.9 years; range, 21 to 90 years) between May 2016 and July 2020 were retrospectively analyzed. The endobronchial ultrasound images of lymph nodes were evaluated according to the following criteria: size (short axis >1 cm), shape (round or oval), margin (distinct or indistinct), coagulation necrosis sign (present or absent), central hilar structure (present or absent) and echogenicity (homogeneous or heterogeneous). A scoring system was developed for predicting malignancy.
Results: A total of 765 (38.5%) of the lymph nodes were malignant. In the univariate analysis, size >1 cm, round shape, distinct margin, absence of central hilar structure, presence of coagulation necrosis sign, and heterogeneity were significant predictors of malignancy (p<0.001 for all). In the multivariate analysis, the main independent predictors were heterogeneity and presence of coagulation necrosis sign (odds ratio=5.9, 95% confidence interval: 4.2-8.2 vs. odds ratio=3.1 95% confidence interval: 2.2-4.5, respectively). A cut-off value for endobronchial ultrasound score of ≥4 increased the malignancy risk 30 times with a sensitivity of 84.7%, and specificity of 84.5%.
Conclusion: Our study results show that endobronchial ultrasound scoring system with six criteria has a high sensitivity and specificity for predicting malignant lymph nodes.
The effect of cold application on pain during the chest tube removal: A meta-analysis
Authors: Simsek Yaban Zuleyha , Álvarez-García Cristina , Bozdemir Havva 
Published: September 2023

Background: In this meta-analysis, we aimed to investigate the effect of cold application on chest tube removal-related pain compared to conventional analgesic care.
Methods: A systematic review and meta-analysis were conducted (PROSPERO, 2021: CRD42020179867). We searched studies in PubMed, Ovid-LWW, Scopus, Taylor & Francis, Science Direct, EBSCO, Google Scholar, Medline Complete, Cochrane Library and ULAKBIM databases and grey literature for this study. We included the articles published from January 2009 to December 2019. We limited the language to Turkish and English and the design to randomized-controlled trials. All studies were reviewed by two independent researchers. Meta-analysis was performed using the Comprehensive Meta-Analysis version 3.3 software. Heterogeneity was investigated by meta-regression.
Results: A total of 2,462 records were identified, of which 16 studies were included in a random model meta-analysis. The cold application was used in combination with a pharmacological agent in six studies and alone in 13 studies. All patients were older than 16 years and they had at least one chest tube. Cold application was found to be effective in relieving pain during chest tube removal (d=-1.265).
Conclusion: The use of a non-pharmacological method such as cold application is helpful to reduce pain or reduce painkiller doses during chest tube removal. Its use is recommended, as it is effective, easy to use, and cost-effective without any side effects.
Cardiovascular surgery during the first wave of COVID-19 pandemic
Authors: Baş Tolga , Çevirme Deniz , Zengin Ahmet , Baltacı Hakan , Aksoy Rezan , Kırali Kaan 
Published: September 2023

Background: In this study, we aimed to evaluate primary outcomes and main characteristics of emergency and elective/urgent cardiovascular surgeries which were performed in the first three months of the novel coronavirus disease 2019 (COVID-19) pandemic in our center.
Methods: Between March 11th, 2020 and June 11th, 2020, a total of 209 patients (44 males, 165 females; mean age: 57.3±12.8 years; range, 20 to 80 years) who underwent emergency or elective/urgent surgery with cardiovascular pathologies were retrospectively analyzed. The patients were classified as emergency and elective/urgent according to the level of necessity of the surgical procedure at the time of hospital admission. Pre-, intra-, and postoperative data of the patients were recorded.
Results: During the study period, 156 elective/urgent and 74 emergency cardiovascular surgeries were performed. Six COVID-19 (+) patients were operated emergently. The number of acute aortic dissection and peripheral vascular surgery was higher in the emergency group (p<0.05). Two patients who were COVID-19 (–) preoperatively became COVID-19 (+) in the postoperative period. In these patients, acute respiratory distress syndrome developed, and extracorporeal membrane oxygenation support was needed. Four patients who needed post-cardiotomy extracorporeal membrane oxygenation support due to low cardiac output were COVID-19 (–) both in the pre- and postoperative periods. The overall in-hospital mortality rate was 9.1%.
Conclusion: Even during pandemic such as COVID-19, referral centers with experienced personnel can provide non-pandemic healthcare with a quality close to the daily routine.
Revisiting the central aortopulmonary shunt procedure
Authors: Simsek Baran , Ozyuksel Arda , Saygi Murat , Demiroluk Sener , Basaran Murat 
Published: September 2023

Background: In this study, we present our experience with the central aortopulmonary shunt technique with interposing a polytetrafluoroethylene graft between main pulmonary artery (end-to-end) and the ascending aorta (side-to-side) in a variety of cyanotic congenital heart defects.
Methods: Between January 2019 and June 2022, a total of 10 patients (6 males, 4 females; mean age: 4.3±2.8 months; range, 5 days to 10 months) with hypoplastic central pulmonary arteries who underwent central aortopulmonary shunt procedure were retrospectively analyzed. Demographic characteristics, preoperative, operative, and postoperative data of the patients were recorded. The Nakata indices of the patients were also noted before the procedure, as well as before the second stage of palliation or definitive repair.
Results: Four (40%) patients were operated as the first-step palliation for univentricular circulation. Six (60%) patients had well-developed ventricles and were palliated to be treated with total correction. The median follow-up after the procedure was 12 (range, 8 to 16) months. The mean systemic arterial saturation level at room air was 89.3±2.9% during follow-up. No mortality was observed in any patient.
Conclusion: A central aortopulmonary shunt procedure provides a reliable antegrade blood flow with a relatively non-challenging surgical technique that offers sufficient growth for the hypoplastic and confluent central pulmonary arteries with a very low risk of shunt thrombosis and overflow.
Ош областынын аймагында ички туризмдин өнүгүү багыттары
Authors: Куйчиев Асадулло , Абдылдаева Мээр 
Published: September 2023

Борбордук Азия мамлекеттеринин ичинен жаратылышынын өзгөчөлүгү, ыңгайлуу географиялык жайгашуусу жана көп улуттуу маданияты менен Кыргызстан айырмаланып турат. Кыргызстандын бардык аймактары өз алдынча табигый артыкчылыктарга ээ. Ошондой эле Ош областынын аймагы да кайталангыс жаратылышы менен белгилүү. Макалада Ош областынын аймагында орун алган эс алуучу жайлар, рекреациялык аймактар жана объектилерге жалпы мүнөздөмө берилген. Ошондой эле аймактын тоолуу жана түздүктүү рельефинин микроклиматы жана жаратылыш шарттары каралган. Теманы изилдөөдө автор алдын ала түзүлгөн пландын негизинде иш алып барган. Тиешелүү илимий адабияттардан маалыматтар алынып, аларга шилтемелер берилген. Макалада жыйналган маалыматтар илимий–практикалык мааниге ээ экендиги менен айырмаланат. Макала илимий басылмалар койгон талаптарга толук жооп берет жана басмага сунушталат.
Сабактардын эффективдүүлүгүн жогорулатууда жогорку окуу жайларда Plikers QR-код платформасы колдонуу
Authors: Алибекова Гулбарчын 
Published: September 2023

Бул макалада окуучуларды заманбап технологиялар менен иштөөгө үйрөтүү жана аларга бул жаңы платформаларды калыптандыруу маселелери каралат. Plickers бул интерактивдүү усулга негизделген каражат, ал окуучулардын сабакка катышуусуна көмөктөшөт. Ал интерактивдүү викториналарды же сурамжылоолорду өткөрүү үчүн физикалык карталарды жана мобилдик тиркемени колдонууну айкалыштырат. Plickers платформасын колдонуу ар кандай маалыматтык булактарга жетүүнү камсыз кылуу менен билим берүүнүн мазмунун байытууга өбөлгө түзөт. Мында Plickers платформасын колдонуу аркылуу окуучуларга белгилүү бир өлчөмдөгү билимди жеткирүү гана эмес, алардын таанып-билүүсүн, өз алдынча ой жүгүртүүсүн, умтулуусун өнүктүрүү жана алар алган билимдерин практикада колдонуусуна жетишүү, заманбап жетишкендиктер менен тааныштыруу болуп саналат. Макалада Plickers платформасынын функционалдык мүмкүнчүлүктөрү, артыкчылыктары жана аны табигый илимдерге колдонуусу каралат.
ОШ ШААРЫНЫН ШАРТЫНДА КРЫМ КЫЗЫЛ КАРАГАЙЫНЫН ИНТРОДУКЦИЯСЫН БААЛОО
Authors: Абсатаров Равшанбек , Игамбердиев Талантбек , Мурзакулов Советбек 
Published: September 2023

Бул макалада Крым кызыл карагайынын Ош шаарынын шарттарындагы интродукциясына баалоо жүргүзүлдү. Анткени дарак өсүмдүктөрүнүн интродукциясы - бул туура теориялык жана практикалык изилдөөнү талап кылуучу маселе. Интродукцияланган түрлөрдүн географиялык келип чыгышына жана интродукциялоо аймагынын шарттарына жараша өсүү жана өнүгүү закон ченемдүүлүктөрүн аныктоо иштери жүрүшү абзел. Изилдөө иштеринде интродукциялык туруктуулук шкаласы пайдаланылды. Илимий изилдөө жумуштарын жүргүзүүдө биз талапка ылайык өзгөртүү жана толуктоо менен токой геоботаникасы, токой таксациясы, токойчулук, биогеоценология, токой экологиясы илимдеринде изилдөөдө колдонулуучу методикаларды колдондук. Дарактын сөңгөгүнүн диаметрин аныктоо үчүн 1,3 м бийиктиктен чен айры менен, бийиктикти өлчөө үчүн- телескоптук шыргый (Кристен бийиктик ченегичи) колдонулду.
Rib Fracture Management in Older Adults: A Scoping Review
Authors: Qureshi Ibraheem , Kharel Ramu , Mujahid Nadia , Neupane Iva 
Published: September 2023

Background Unique challenges posed by caring for patients of geriatric age, require concurrent management of chronic comorbidities and strategies to avoid or minimize complications related to the injury and/or hospitalization. The presentation in this population of two or more rib fractures is associated higher morbidity and mortality compared to a younger age group. A lack of guidelines regarding the management of multiple rib fractures in the elderly for primary care providers in the community and the complexity of rib fracture management led to reviewing available evidence regarding various approaches to rib fracture management. Methods Online databases (PubMed and MEDLINE) were used to identify 57 publications between 2000 and 2022 regarding the management of multiple rib fractures. Results The majority of publications were retrospective studies and observational cohort studies (56%). 32% of studies were review articles, meta-analyses, and guidelines. Three articles (5.3%) were randomized control studies. Four articles (7%) cited statistics from a national resource. Conclusions The management of rib fractures is predominantly non-surgical, managed with pain control and respiratory rehabilitation. Triaging protocols, available to healthcare providers in outpatient clinics, urgent care centers, and emergency departments, to identify the most vulnerable patients with rib fractures in a timely fashion likely help expedite the level of care they need. A comprehensive treatment team includes not only the primary trauma team (consisting of emergency physicians/trauma surgeons, trauma nurses, and mid-level practitioners) but also incorporates a multidisciplinary team with the early involvement of a geriatrician, physical therapist, anesthesiologist, social worker, and respiratory therapist when required to improve ventilation, breathing and patient comfort.
PEMANFAATAN LIMBAH SABUT KELAPA BERBASIS POTENSI LOKAL UNTUK MENINGKATKAN PENDAPATATAN KELUARA
Authors: Jufri Muhammad , Sahril Muhammad 
Published: September 2023

Program Holistik Pembinaan dan Pemberdayaan Desa (PHP2D dilaksanakan di Desa Sikara yang memiliki potensi kelapa yang cukup luas. Produksi kelapa diolah menjadi kopra dan dibuat menjadi minyak kelapa dan VCO dll. Tiga tahun terakhir kelapa banyak jual dalam bentuk biji dan dikirim ke Jawa. Olahan kelapa ini meninggalkan limbah sabut kelapa yang cukup banyak sehingga merusak sanitasi lingkungan. Limbah sabut kelapa saat ini masih dibuang dan dibakar pada hal bila disentu dengan teknologi tepat guna (TTG) akan menjadi produduk yang bernilai ekonomi. Sehubungan itu melalui Program Holistik Pembinaan dan Pemberdayaan Desa (PHP2D) mengembangkan limbah sabut kelapa menjadi produk bernilai ekonomi di Desa Sikara. Olehnya itu dilakukan pelatihan teknis pengolahan sabut kelapa yang meliputi pembauatan sapu, pot bunga dan pupuk organic padat. Dengan sentuhan PHP2D ini sabut kelapa yang selama ini dibuang dan dibakar beruba menjadi produk yang yang bernilai ekonomi sehingga dapat meningkatkan pendapatan keluarga di Desa Sikara.
â€œPEMBERDAYAAN MASYARAKAT DALAM DAUR ULANG SAMPAH UNTUK PENINGKATAN YANG BERNILAI EKONOMIâ€
Authors: Tenriwaru Tenriwaru , Junaid Asriani , Buana Sri , Nazhifah Agussalim Naurah , Qadri Nurul 
Published: September 2023

ABSTRACT
Sampah menjadi permasalahan utama di berbagai daerah tidak terkecuali di Kelurahan Batupute, Kecamatan Soppeng Riaja, Kabupaten Barru yang akan menjadi lokasi pengabdian. Kegiatan yang akan dilakukan yaitu untuk mendaur ulang limbah plastik menjadi produk yang bermanfaat dan bernilai ekonomis. Disamping itu, dapat membantu pemerintah untuk mengurangi permasalahan limbah plastic.
Adapun tujuan dilakukannya pengabdian ini yaitu: Sharing pengetahuan mengenai cara membuat kerajinan yang terbuat dari limbah plastic serta memberikan wawasan kepada masyarakat setempat mengenai manfaat limbah plastic. Untuk menyukseskan program PKM ini, maka telah dilakukan beberapa metode pelaksanaan kegiatan yang dapat mendukung terhadap tercapainya target luaran dari program PKM ini, yaitu: (1) mengadakan penyuluhan tentang pentingnya menciptakan lingkungan yang bersih dan nyaman, (2) mengadakan pelatihan keterampilan daur ulang limbah plastik, (3) melakukan pendampingan kegiatan daur ulang yang dilakukan oleh masyarakat. Hasil dari program pengabdian kami evaluasi melalui kunjungan langsung ke tempat mitra dan melihat aktivitas yang terkait dengan materi.
Melakukan pre tes memberikan penjelasan langsung, tatacara pembuatan dan pengolahan dari gelas plastic menjadi gantungan jilbab yang unik dan posttest berkaitan dengan materi pengabdian dan hasilnya kami evaluasi untuk melihat pemahaman dan penerimaan mereka atas apa yang telah kami ajarkan mengenai keterampilan mereka membuat gantungan jilbab dari sampah plastic.
Kegiatan pengabdian masyarakat yang dilakukan oleh mahasiswa Jurusan Akuntansi Keuangan UMI Makassar sangat memberi manfaat kepada masyarakat terutama ibu rumah tangga mengenai cara pengolahan sampah plastik menjadi barang yang bermanfaat serta bernilai ekonomis yaitu gantungan jilbab dari sampah plastik bekas minuman. Cara pembuatan yang mudah serta bahan-bahan yang dibutuhkan sangat mudah diperoleh disamping itu dapat mengurangi sedikit dari limbah plastik yang ditumbulkan oleh sampah rumah tangga.

Kata Kunci: Daur Ulang, Sampah Plastik dan Gantungan Jilbab
Isotretinoin-Induced Peripheral Neuropathy: An Enigma
Authors: Yılgor A. , Ozaydin Yavuz G. , Yavuz I. H. , Boyvadoglu C. , Korkmaz P. , Inaloz H. S. 
Published: September 2023

Isotretinoin, a first-generation nonaromatic retinoid, leads to numerous diseases including eye disorders and neurological, gastrointestinal, psychiatric, metabolic, connective tissue, and musculoskeletal diseases. The aim of this study was to investigate the effects of isotretinoin on peripheral nerve functions. The study included 30 patients that were started on isotretinoin due to nodulocystic acne. A thorough neurological and general examination was performed for each patient by a neurologist both at the beginning and end of the study. Laboratory investigations including complete blood count (CBC), serum biochemical analysis, vitamin B12 levels, thyroid function tests, and urine tests were performed to identify the other factors that may affect the functions of peripheral nerves. A neurophysiological examination was performed using an electroneuromyography (EMG) device. The 30 patients comprised 7 (23.3%) men and 23 (76.7%) women, with a mean age of 21.9±3.56 years. No serious side effect occurred in any patient. No motor or sensory values suggestive of neuropathy were observed in any patient. However, significant differences were found between the pre-and post-treatment sensory and motor values of some nerves. Although it did not cause peripheral polyneuropathy, isotretinoin resulted in alterations in the latency, amplitude, and velocity values of peripheral nerves.
Knowledge and Attitudes of Medical Faculty Intern Students in the Diagnosis and Treatment of Hypertension: A Cross-sectional Study
Authors: GÜRSOY Ersan , YAĞIZ Mercan 
Published: September 2023

Objective: Hypertension is an important public health problem with high morbidity and mortality and seen in approximately 1 in 3 people all over the world. Hypertension can cause direct or indirect labor losses, but despite this, awareness in the society remains at low levels. This research was conducted to examine the awareness of hypertension in newly graduated medical school students.

Methods: There search is across-sectional descriptive study. The population of the study consisted of 55 students studying in the last year of XXX University Faculty of Medicine. For the study, a questionnaire consisting of 26 questions was sent to the students electronically (Google forms), which was prepared by there searcher and questioned the presence of hypertension risk factors in the participants, the knowledge and attitudes of the participants about the diagnosis and treatment of hypertension.

Results: 96,3% (n=53) of 55 people were reached. 43.4% (n=23) of the participants were female and 56.6% (n=30) were male. When the risk factors in the Turkish Hypertension Consensus Report were questioned among the participants, it was seen that the most common risk factor was having a stressful personality with 66% (n=35). 34% (n=18) of the participants had not had their blood pressure measured in the last 6 months. Only 3.8% (n=2) stated that they could completely manage a hypertension patient with their current knowledge. It was seen that the average of correct answers given by the participants to 6 information questions about hypertension was 3.55±1.21.
Conclusion: Although the theoretical knowledge of the participants is partially sufficient, it is a situation that should be questioned well what makes them think that they cannot follow up hypertension patients. This may be due to the fact that medical faculties do not give as much importance to practical education as theoretical courses. More emphasis should be placed on the follow-up of common diseases such as hypertension in medical education, and students should be trained on routine practical approaches.