bluuebunny/crossref_metadata_2025_split huggingface dataset:
Proximal and extended aortic arch replacement in acute DeBakey type I aortic dissection
Authors: Narita Masahiko , Tsutsui Masahiro , Ushioda Ryouhei , Kikuchi Yuta , Shirasaka Tomonori , Ishikawa Natsuya , Kamiya Hiroyuki 
Published: February 2023

ObjectiveThis study aimed to compare the short- and long-term outcomes of proximal repair vs. extensive arch surgery for acute DeBakey type I aortic dissection.SubjectsFrom April 2014 to September 2020, 121 consecutive patients with acute type A dissection were surgically treated at our institute. Of these patients, 92 had dissections extending beyond the ascending aorta.MethodsOf the 92 patients, 58 underwent proximal repair, including aortic root and/or hemiarch replacement, and 34 underwent extended repair, including partial and total arch replacement. Perioperative variables and early and late postoperative results were statistically analyzed.ResultsThe duration of surgery, cardiopulmonary bypass, and circulatory arrest was significantly shorter in the proximal repair group (p &lt; 0.01). The overall operative mortality rate was 10.3% in the proximal repair group and 14.7% in the extended repair group (p = 0.379). The mean follow-up period was 31.1 ± 26.7 months in the proximal repair group and 35.3 ± 26.8 months in the extended repair group. During follow-up, the cumulative survival and freedom from reintervention rates at 5 years were 66.4% and 92.9% in the proximal repair group, and 76.1% and 72.6% in the extended repair group, respectively (p = 0.515 and p = 0.134).ConclusionsNo significant differences were found in the rates of long-term cumulative survival and freedom from aortic reintervention between the two surgical strategies. These findings suggest limited aortic resection achieves acceptable patient outcomes.
Reliability of end, stable, neutral, first coronal reverse vertebrae identification in degenerative lumbar scoliosis: Intra- and interobserver consistency analysis
Authors: Wang Hui , Liang Xiao , Xu Jiaxin , Sun Jiayuan , Yang Dalong , Li Weishi , Ding Wenyuan 
Published: February 2023

ObjectiveTo assess the intra- and interobserver reliability by observer training level used for selecting the end vertebra (EV), neutral vertebra (NV), stable vertebra (SV), and first coronal reverse vertebrae (FCRV) in degenerative lumbar scoliosis (DLS) patients.MethodsFifty consecutive upright long-cassette radiographs and CT examination of operative cases of DLS were evaluated by three surgeons at various levels of training. For each iteration, the observers attempted to identify the UEV, NV and SV from x-ray, and FCRV from the CT examination. Intra- and interobserver reliability was assessed by means of Cohen's Kappa correlation coefficient, and raw percentages of agreement were recorded.ResultsIntraobserver reliability was excellent for determining FCRV (Ka = 0.761–0.837), fair to good for determining UEV (Ka = 0.530–0.636), fair to good for determining SV (Ka = 0.519–0.644), and fair to good for determining NV (Ka = 0.504–0.734), respectively. Additionally, we also noted a trend towards better intraobserver reliability with increasing levels of experience. Interobserver reliability was poor between observers beyond chance for UEV, NV, SV (Ka = 0.105–0.358), and good reliability for FCRV (Ka = 0.581–0.624). All three observers agreed on the same level of the FCRV in 24 patients of the time, which presented less Coronal imbalance type C compared to the other 26 patients.ConclusionExperience and training level of the observers are important factors affecting the accurate identification of these vertebrae in DLS, intraobserver reliability increases along with increasing levels of observer experience. FCRV is superior to UEV, NV, and SV in the accuracy of identification, Type C coronal malalignment could affect the accurate identification of FCRV.
Post-intubation iatrogenic tracheobronchial injuries: The state of art
Authors: Passera Eliseo , Orlandi Riccardo , Calderoni Matteo , Cassina Enrico Mario , Cioffi Ugo , Guttadauro Angelo , Libretti Lidia , Pirondini Emanuele , Rimessi Arianna , Tuoro Antonio , Raveglia Federico 
Published: February 2023

Iatrogenic tracheobronchial injury (ITI) is an infrequent but potentially life-threatening disease, with significant morbidity and mortality rates. Its incidence is presumably underestimated since several cases are underrecognized and underreported. Causes of ITI include endotracheal intubation (EI) or percutaneous tracheostomy (PT). Most frequent clinical manifestations are subcutaneous emphysema, pneumomediastinum and unilateral or bilateral pneumothorax, even if occasionally ITI can occur without significant symptoms. Diagnosis mainly relies on clinical suspicion and CT scan, although flexible bronchoscopy remains the gold standard, allowing to identify location and size of the injury. EI and PT related ITIs more commonly consist of longitudinal tear involving the pars membranacea. Based on the depth of tracheal wall injury, Cardillo and colleagues proposed a morphologic classification of ITIs, attempting to standardize their management. Nevertheless, in literature there are no unambiguous guidelines on the best therapeutic modality: management and its timing remain controversial. Historically, surgical repair was considered the gold standard, mainly in high-grade lesions (IIIa-IIIb), carrying high morbi-mortality rates, but currently the development of promising endoscopic techniques through rigid bronchoscopy and stenting could allow for bridge treatment, delaying surgical approach after improving general conditions of the patient, or even for definitive repair, ensuring lower morbi-mortality rates especially in high-risk surgical candidates. Our perspective review will cover all the above issues, aiming at providing an updated and clear diagnostic-therapeutic pathway protocol, which could be applied in case of unexpected ITI.
Impact of Different Levels of Crude Protein on Production Performance and Meat Quality in Broiler Selected for Slow Growth
Authors: Usturoi Marius Giorgi , Radu-Rusu Răzvan-Mihail , Usturoi Alexandru , Simeanu Cristina , Doliș Marius Gheorghe , Rațu Roxana Nicoleta , Simeanu Daniel 
Published: February 2023

The production performance and meat quality of the slow-growing hybrid Hubbard JA757 were monitored under conditions of diets differentiated by crude protein content. A total of 1200 as-hatched day-old chickens were equally and randomly allotted into two treatments (T-1 and T-2), with six replicates provided for each treatment (100 chickens/replicate). T-1 chickens received standard diets (according to Hubbard Company recommendations), and those in T-2 were fed diets supplemented with crude protein (+0.5% CP in the growing phase and +1.0% CP in the finishing phase). At the end of the investigations (age 56 days), the T-2 chickens performed better than the T-1 chickens for growth traits (+2.72% body weight; +2.77% daily growth gain; −0.34% mortality; and −4.15% feed conversion ratio); for slaughtering (+0.66% dressed yield; +1.10% breast weight; and +1.25% thigh weight); and for quality meat (+0.55% dry matter in thigh muscles and +1.52% dry matter in breast muscles) (p > 0.05). Statistically significant differences (p < 0.05) occurred between treatments for body weight, daily weight gain, and feed conversion ratio due to the 0.5% CP feed supplementation during the 15–28 day age period, justifying the usefulness of the CP increasing throughout the grower diet only and not during the finishing period.
High-Molecular-Weight Plasmids Carrying Carbapenemase Genes blaNDM-1, blaKPC-2, and blaOXA-48 Coexisting in Clinical Klebsiella pneumoniae Strains of ST39
Authors: Kuzina Ekaterina S. , Kislichkina Angelina A. , Sizova Angelika A. , Skryabin Yury P. , Novikova Tatiana S. , Ershova Olga N. , Savin Ivan A. , Khokhlova Olga E. , Bogun Alexander G. , Fursova Nadezhda K. 
Published: February 2023

Background: Klebsiella pneumoniae, a member of the ESKAPE group of bacterial pathogens, has developed multi-antimicrobial resistance (AMR), including resistance to carbapenems, which has increased alarmingly due to the acquisition of carbapenemase genes located on specific plasmids. Methods: Four clinical K. pneumoniae isolates were collected from four patients of a neuro-intensive care unit in Moscow, Russia, during the point prevalence survey. The AMR phenotype was estimated using the Vitec-2 instrument, and whole genome sequencing (WGS) was done using Illumina and Nanopore technologies. Results: All strains were resistant to beta-lactams, nitrofurans, fluoroquinolones, sulfonamides, aminoglycosides, and tetracyclines. WGS analysis revealed that all strains were closely related to K. pneumoniae ST39, capsular type K-23, with 99.99% chromosome identity. The novelty of the study is the description of the strains carrying simultaneously three large plasmids of the IncHI1B, IncC, and IncFIB groups carrying the carbapenemase genes of three types, blaOXA-48, blaNDM-1, and blaKPC-2, respectively. The first of them, highly identical in all strains, was a hybrid plasmid that combined two regions of the resistance genes (blaOXA-48 and blaTEM-1 + blaCTX-M-15 + blaOXA-1 + catB + qnrS1 + int1) and a region of the virulence genes (iucABCD, iutA, terC, and rmpA2::IS110). Conclusion: The spread of K. pneumoniae strains carrying multiple plasmids conferring resistance even to last-resort antibiotics is of great clinical concern.
Temporal Dynamics of Anaplasma marginale Infections and the Composition of Anaplasma spp. in Calves in the Mnisi Communal Area, Mpumalanga, South Africa
Authors: Makgabo S. Marcus , Brayton Kelly A. , Biggs Louise , Oosthuizen Marinda C. , Collins Nicola E. 
Published: February 2023

Bovine anaplasmosis, caused by Anaplasma marginale, is one of the most important tick-borne diseases of cattle. Anaplasma marginale is known to be present in the Mnisi community, Mpumalanga Province, with frequent cases of anaplasmosis reported. This study investigated the infection dynamics in calves (n = 10) in two habitats in the study area over 12 months. A duplex real-time PCR assay targeting the msp1β gene of A. marginale and the groEL gene of A. centrale confirmed the presence of A. marginale in five calves in a peri-urban area from the first month, but in only two calves at the wildlife–livestock interface and only after six months. These results were confirmed by 16S rRNA microbiome analysis. Over 50 A. marginale msp1α genotypes were detected in the calves along with five novel Msp1a repeats. Calves in the peri-urban area were more likely to be infected with A. marginale than calves in the wildlife–livestock interface. Cattle management, acaricide treatment, and cattle density could explain differences in infection prevalence in the two areas. Our results revealed that most calves were superinfected by distinct A. marginale strains within the study period, indicating continuous challenge with multiple strains that should lead to robust immunity in the calves and endemic stability in the area.
La batalla naval por Tenochtitlan
Authors: Montero García Ismael Arturo 
Published: February 2023

La batalla por Tenochtitlan fue una conflagración motivada por el descontento que causaba el excesivo tributo y la demandante imposición de fuerza de trabajo exigida por el Estado Mexica a los pueblos sometidos. El movimiento bélico en contra de Tenochtitlan fue estimulado por la irrupción de Occidente en Mesoamérica y el debilitamiento de la Triple Alianza. Poco a poco desde 1519, se fue conformando una numerosa hueste indígena multiétnica adversaria de los mexicas, que alentada por la capacidad de fuego de los europeos se hacía suficientemente poderosa para enfrentar al Pueblo del Sol en 1521. Hernán Cortés sabía que solo atacando por el Lago de Texcoco obtendría la victoria definitiva sobre México-Tenochtitlan; por tierra, arremetiendo por las calzadas no tendría éxito, eran estrechas y bien defendidas. Requería de una fuerza naval suficiente y eficiente para capturar la capital insular.
Las mujeres en la defensa de Tenochtitlan
Authors: Ramírez Ruiz María del Pilar 
Published: February 2023

Este artículo analiza el papel que desempeñaron las mujeres en la conquista. El cual sólo puede entenderse si conocemos el contexto dentro de la sociedad mexica. Si bien, en el México prehispánico las mujeres no solían tener un trato igualitario, existe registro sobre sus actividades en términos de rol de género, así como un papel complementario en una cosmogonía dual.
Es a través del dato arqueológico, así como en los códices y fuentes historiográficas que se revela la participación de las mujeres en temas bélicos, que estaba destinado a los varones. En este se pretende analizar desde una perspectiva diferente su identidad económica y social, creando condiciones para la defensa de su familia, comunidad y ciudad, de la cual formaban parte.
Lagunas, David (2022). Dislocaciones. Etnografía y antropología en Iberoamérica
Authors: Gómez Jiménez Jesús 
Published: February 2023

Esta obra supone un artefacto extraño dentro del panorama actual antropológico poco dado a obras de envergadura, donde recojan en una sola publicación los textos más representativos de toda la trayectoria intelectual de un autor. Esta obra pretende justamente eso: presentar una vista panorámica del viaje intelectual de David Lagunas, tanto para aquellos que quieran hacerse una idea de su pensamiento como los que busquen profundizar en aspectos concretos. Por lo tanto, el lector que se anime a adentrarse en esta obra se encontrará una grata sorpresa por dos motivos.
Stable-operation design and fabrication results of a battery-less wireless-sensor interface IC with a switched-capacitor frequency-locked-loop circuit
Authors: Sato Hiroki , Ishiwata Hiroyuki , Murata Shinji , Ishihara Noboru , Ito Hiroyuki 
Published: February 2023

Abstract
This paper describes a method of designing a wireless-sensor interface integrated circuit that operates without a battery. Stable operation at low power is realized by integrating three kinds of circuit techniques: (i) a radio-frequency backscatter circuit for wireless sensing without power consumption, (ii) a sensor interface circuit with a frequency-locked loop for stable operation, (iii) and an energy harvester circuit with a power management function for battery-less operation. The circuit was fabricated using 0.13 μm CMOS process technology for design verification. We realized battery-less wireless sensing with intermittent operation and achieved high stability against process, voltage and temperature variations. The sensor information was obtained from the frequency variation of the radio-frequency backscatter signal. The integrated circuit was operated with radio-frequency signal power input exceeding −5 dBm. The integrated circuit dissipated less than 107.5 μA. The communication distance was 0.8 m at 920 MHz for 250 mW equivalent isotopically radiated power.
Effects of a DMPC molecular film surrounding microbubbles on the sound-pressure threshold for collapse
Authors: Kobayashi Reina , Narita Jun , Krafft Marie Pierre , Koyama Daisuke 
Published: February 2023

Abstract
We investigated the effects of a 1,2-dimyristoyl-sn-glycerol-3-phosphocholine (DMPC) molecular film surrounding microbubbles on their collapse under ultrasound irradiation. We defined the ejection of the internal gas from the microbubble (i.e. “daughter” bubbles) as bubble collapse. In particular, we measured the sound-pressure thresholds for microbubble collapse in water and a DMPC solution. Bubbles with the DMPC film had a smaller resonance size than naked bubbles. The measured contact angles of the bubbles were lower after collapse, implying that DMPC molecules on the bubble surface partially desorbed between the processes of vibration and collapse.
Faktor-Faktor yang Mempengaruhi Motivasi Perawat Untuk Melanjutkan Pendidikan Tinggi Keperawatan
Authors: Qinara Alfitria , Yulia Sri , Romiko Romiko 
Published: February 2023

Latar Belakang : Fasilitas pelayanan kesehatan mempunyai tugas utama memberikan pelayanan kesehatan yang berkualitas dan aman bagi masyarakat. Keberhasilan pemberian asuhan keperawatan oleh perawat baik di Rumah Sakit maupun di pelayanan primer ini perlu didukung oleh mekanisme upaya peningkatan profesionalisme perawat. Salah satunya adalah melalui pendidikan keperawatan. Penelitian bertujuan untuk mengetahui faktor – faktor yang berhubungan dengan motivasi perawat untuk melanjutkan pendidikan pada jenjang pendidikan yang lebih tinggi di Rumah Sakit Muhammadiyah Palembang Tahun 2018. Metode : Penelitian ini merupakan penelitian kuantitaf yang menggunakan metode survey analitik dengan pendekatan cross sectional. Survey analitik adalah survey atau penelitian yang mencoba menggali bagaimana dan mengapa fenomena kesehatan itu terjadi. Hasil : Hasil penelitian menunjukkan bahwa semua variabel tidak berhubungan dengan motivasi perawat untuk melanjutkan pendidikan: sosial ekonomi (p-valeu : 1,000), jenjang karir (p-value : 0,626), penghargaan (p-value : 0,802) dan dukungan atasan (P-value : 0,873). Simpulan : Faktor sosial ekonomi, jenjang karir, penghargaan dan dukungan atasan tidak berhubungan dengan motivasi perawat untuk melanjutkan pendidikan.
Faktor Penyebab Kejadian Gastritis di Indonesia : Literature Review
Authors: Suwindri Suwindri , Tiranda Yulius , Cahya Ningrum Windy Astuti 
Published: February 2023

Latar belakang: Kejadian gastritis di Indonesia masih memiliki prevalensi yang tinggi. Kejadian gastritis di Indonesia dapat menyerang semua lapisan masyarakat dari semua lapisan umur. Sehingga sampai saat ini kejadian gastritis masih menjadi salah satu masalah penyakit terbesar di Indonesia. Gaya hidup yang tidak sehat dapat dilihat dari apa yang dikonsumsi, kebiasaan makan dan minum yang buruk, hal ini dapat menyebabkan terjadinya peradangan pada lambung. maka dari sekian banyak faktor yang ditemukan dalam penelitian peneliti tertarik untuk mengkaji faktor-faktor penyebab terjadinya gastritis. Tujuan: Tujuan literature review ini untuk mengeksplorasi faktor-faktor penyebab kejadian gastritis di Indonesia. Metode Penelitian: Penelitian ini menggunakan pendekatan literature riview dengan 4 database elektronik yakni, perpusnas, pubmed, garuda, dan neliti yang dipilih antara tahun 2015-2020. Kata kunci yang digunakan yaitu gastritis akut dan gastritis kronis dan faktor penyebab. Dari 462 artikel yang diidentifikasi, di dapatkan 16 artikel yang memenuhi inklusi. Artikel yang di review didapatkan dari hasil diskusi dan validasi antara peneliti dan pembimbing dengan menggunakan Prisma Guideline. Hasil: Dari 16 artikel yang di review terdapat 9 faktor yang menjadi penyebab kejadian gastritis. Faktor jenis makanan, frekuensi makan, porsi makan, stress, konsumsi alkohol, konsumsi kopi, merokok, jenis kelamin dan usia. Kesimpulan: Dari literature riview artikel yang didapatkan peneliti, terdapat 9 faktor penyebab gastritis. Faktor pola makan meliputi jenis makanan, frekuesi makan dan porsi makan, dan stress, konsumsi kopi, kebiasaan merokok, jenis kelamin dan usia merupakan faktor yang bisa menyebabkan terjadinya gastritis. Dan dari 2 artikel didapatkan bahwa minum alkohol bukan merupakan faktor resiko terjadinya penyakit gastritis.
HUBUNGAN PERNIKAHAN DINI DENGAN KEJADIAN ANEMIA PADA IBU HAMIL DI KABUPATEN KEPAHIANG PROVINSI BENGKULU
Authors: Purnama Yetti , Pratiwi Rani Indah , Dewiani Kurnia , Maryani Deni , Yusanti Linda , Ramadhaniati Fitri 
Published: February 2023

ABSTRAK
Kejadian anemia pada ibu hamil di Indonesia masih mendapat perhatian serius dari pemerintah. Berdasarkan data dari Badan Pusat Statistik tercatat sebanyak 48,9 persen ibu hamil mengalami anemia pada tahun 2018.1 Salah satu penyebab anemia pada ibu hamil adalah usia menikah dan hamil yang terlalu muda.2 Penelitian ini bertujuan untuk mengetahui hubungan pernikahan dini dengan kejadian anemia pada ibu hamil di kabupaten Kepahiang, provinsi Bengkulu.
Desain penelitian ini adalah survei anaitik. Pendekatan yang digunakan dalam penelitian ini adalah pendekatan cross sectional. Sampel dalam penelitian ini adalah seluruh ibu hamil yang terdaftar di buku register KIA Puskesmas Pasar Kepahiang, Kelobak, Ujan Mas, Cugung Lalang, dan Durian Depun dengan jumlah 117 orang.
Hasil penelitian di kabupaten Kepahiang menunjukkan bahwa sebagian besar responden mengalami pernikahan dini (72,6%). Selain itu, sebagian besar responden juga mengalami anemia (73,5%). Hasil analisis bivariat menunjukkan bahwa terdapat hubungan yang bermakna antara pernikahan dini dengan kejadian anemia pada ibu hamil dengan nilai p diperoleh 0,000.
Kesimpulan dari penelitian ini adalah terdapat hubungan antara pernikahan dini dengan kejadian anemia pada ibu hamil di kabupaten Kepahiang Provinsi Bengkulu.

ABSTRACT
The incidence of anemia in pregnant women in Indonesia still receives serious attention from the government. Based on data from the Central Statistics Agency, it was recorded that as many as 48.9 percent of pregnant women experienced anemia in 2018.1 One of the causes of anemia in pregnant women is the age of marriage and pregnancy that is too young.2 This study aims to determine the relationship between early marriage and the incidence of anemia in pregnant women in Kepahiang regency, Bengkulu province.
The design of this study is an anaitik survey. The approach used in this study is a cross sectional approach. The samples in this study were all pregnant women who were registered in the KIA register book of the Pasar Kepahiang, Kelobak, Ujan Mas, Cugung Lalang, and Durian Depun Health Centers with a total of 117 people.
The results of the study in Kepahiang district showed that most respondents experienced early marriage (72.6%). In addition, most respondents also had anemia (73.5%). The results of the bivariate analysis showed that there was a meaningful relationship between early marriage and the incidence of anemia in pregnant women with a p value of 0.000.
The conclusion of this study is that there is a relationship between early marriage and the incidence of anemia in pregnant women in Kepahiang district, Bengkulu Province.
KORELASI NILAI LAJU ENDAP DARAH (LED) DENGAN HIGH SENSITIVITY C-REACTIVE PROTEIN (hs-CRP) PADA PEROKOK AKTIF DI WARUNG KOPI WILAYAH SURABAYA TIMUR
Authors: Ramadhany Rieke Dwi , Woelansari Evy Diah , Rahayuningsih Christ Kartika , Aprilyadi Nadi 
Published: February 2023

Background Smoking has become one of the leading causes of death worldwide. The negative impact of smoking usually occurs after a few years when a person starts actively smoking can harm the body's organs and become a major risk factor for diseases with inflammatory components. Systemic inflammatory reactions are characterized by an increase in inflammatory cytokines, blood cell counts and blood viscosity. Examination CRP and ESR are the two most frequently measured laboratory tests in assessing the response of a systemic inflammatory process. This study aims to determine and analyze the correlation between ESR values ​​and hs-CRP in active smokers at coffee shops, East Surabaya.
Methods: The type of research used is correlation research with cross sectional. The sample used is 30 active smokers who meet the inclusion criteria. This research was carried out on February 21 – April 11, 2022. The examination of ESR values ​​and hs-CRP levels was carried out at Balai Besar Laboratorium Kesehatan (BBLK) Surabaya.
Results: It was found that 30 respondents had been actively smoking >5 years with a percentage of 100%. as many as 8 respondents consumed 1-10 cigarettes/day with a percentage of 27%, 19 respondents consumed 10-20 cigarettes per/with a percentage of 63%, and 3 respondents consumed >20 cigarettes/day with a percentage of 10%. The average value of ESR is 8.37 mm/Hr and The The average value of the of hs-CRP 1.11 mg/L.
Conclusion: Based on statistical tests, There is no correlation between the value of ESR and hs-CRP in active smokers in a coffee shop in the East Surabaya area (p value = 0.099) with a sufficient relationship and a positive direction of relationship (r = 0.307).