bluuebunny/crossref_metadata_2025_split huggingface dataset:
Geriatrik Yaş Grubunda Over Kanseri Tanısıyla Takip Ettiğimiz Hastaların Kliniko-patolojik Özellikleri
Authors: AYHAN Sevgi , KİMYON CÖMERT Günsu , BATUR Meltem , CEYLAN Özgün , ÖZKAYA UÇAR Yeşim , ÜNSAL Mehmet , TURAN Taner 
Published: August 2023

Giriş: Bu çalışma geriatrik yaş grubunda over kanseri tanısıyla primer sitoredüktif cerrahi ile neoadjuvan kemoterapi sonrası interval cerrahi uygulanan hastaların kliniko- patolojik sonuçları ve postoperatif morbiditelerini karşılaştırmak amacıyla planlanmıştır.
Gereç ve Yöntem: 01.03.2019-01.03.2023 tarihleri arasında geriatrik yaş grubunda over kanseri olgularını içeren 103 hastanın kayıtları retrospektif olarak incelenmiş ve hastalar primer sitoredüktif cerrahisi ile neoadjuvan kemoterapi sonrası uygulanan interval cerrahi olarak iki grupta incelenmiştir. Hatalar komorbit hastalıkları, CA-125, hemoglobin düzeyleri, uygulanan tedavi seçenekleri, cerrahi sonrası histo-patolojik sonuçları, hastanede yatış süresi ve postoperatif komplikasyonlar açısından karşılaştırmalı olarak incelenmiştir.
Bulgular: 108 hastanın %47.6’sı (n:49) primer sitoredüksiyon alan grup, %52.4’ü (n:54) neoadjuvan kemoterapi sonrası interval cerrahi alan grup oluşturmaktaydı. Neoadjuvan alan grup istatiksel olarak anlamlı düzeyde daha fazla seröz histoloji (p=0.04), ileri evre (p=0.002), lenf nodu diseksiyonu operasyonu (p=0.002), ve ca-125 (p< 0.001) yüksekliği ile ilişkiliydi. Hastaların % 98.1’ine maksimal sitoredüksiyon ve %1.9’una suboptimal cerrahi uygulandı. Neoadjuvan kemoterapi sonrası interval cerrahi alan grup ile primer sitoredüksiyon alan grup arasında operasyon tipi, hastanede yatış süreleri, komorbidite ve yara yeri komplikasyonu açısından istatiksel olarak anlamlı fark izlenmedi.
Sonuç: Geriatrik yaş grubundaki over kanseri hastalarında maksimal sitoredüksiyon oranları yüksekti. Neoadjuvan kemoterapi sonrası interval cerrahi alan grup ile primer sitoredüktif cerrahi alan grub arasında maksimal sitoredüksiyon ve postoperatif komplikasyonlar açısından fark izlenmedi. Cerrahi sonuçları ve postoperatif morbiditeyi en aza indirmek için tersiyer merkezlerde jinekoloji onkoloji konusunda spesifikleşmiş merkezlerde hastaların tetkik ve tedavi edilmesi önem taşıyabilir.
WHO ARE ANESTHESIOLOGISTS AFTER THE COVID-19 PANDEMIC? EVALUATION OF PUBLIC AWARENESS ABOUT WHO ARE ANESTHESIOLOGISTS?
Authors: GÜLER Aygün , ÖZCAN Namık 
Published: August 2023

Coronavirüs 2019 (COVID-19) hastalığından önce yapılan çalışmalarda, anestezistlerin ameliyathane içinde ve dışında görev ve rollerinin halk tarafından tam olarak bilinmediği görülmüştür. Bu çalışmada amacımız Türkiye’de COVID-19 pandemi sonrasında halkın gözünden anestezistlerin görevlerinin bilinip bilinmediği ölçülecektir.
Gereç ve yöntem: Çalışmada, 24 soru içeren bir anket, birçok farklı online platformlarla 16 yaşından büyük ve herhangi bir sağlık sektörüyle ilgisi olmayan halka sorulacaktır.
Bulgular: 2222 kişi anketi cevapladı ve yalnızca %37,6 ‘sı anesteziolojistlerin yoğun bakımda hasta takip ettiğini bilmiş ve ayrıca %68,4 cevaplayıcı ise anesteziyolojinin bir tıbbi uzmanlık olduğunu bilmiştir. %82,1 cevaplayıcı ise pandemi sırasında hastalarının hangi branş hekimi tarafından yoğun bakımda takip edildiğini bilememiştir. Cevaplayanların %59,9 gibi büyük bir kısmı COVID-19 pandemi sonrasında anesteziyolojistlerin görevleri hakkında bir düşüncelerinde bir değişiklik olmadığını bildirmişlerdir.
Sonuç: Çalışma anket cevaplayıcıları arasında eğitim seviyesi arttıkça, sağlık sistemi hakkında
daha çok bilgi sahibi olunduğunu ve Türkiye’de anesteziyolojistlerin görevlerinin pandemi sonrasında halen anlaşılamadığı görülmüştür. Bu çalışma, anesteziyolojistlerin görevlerinin halk tarafından daha iyi bilinmesi için daha fazla çalışma yapılması gerektiği gösterilmiştir.
Anahtar kelimeler: COVID-19, SARS-CoV-2, anestezi, anesteziyolojist, yoğun bakım, ağrı, halk sağlığı
Detection of a High-velocity Jet from MWC 349A Traced by Hydrogen Recombination Line Maser Emission
Authors: Prasad Sirina , Zhang Qizhou , Moran James , Cao Yue , Jimenéz-Serra Izaskun , Martín-Pintado Jesus , Martínez-Henares Antonio , Báez-Rubio Alejandro 
Published: August 2023

Abstract
MWC 349A is one of the rare stars known to have hydrogen radio recombination line (RRL) masers. The bright maser emission makes it possible to study the dynamics of the system at milliarcsecond (mas) precision. We present Atacama Large Millimeter/submillimeter Array observations of the 1.4 and 0.8 mm continuum emission of MWC 349A, as well as the H30α and H26α RRLs. Using the most extended array configuration of C43-10 with a maximum baseline of 16.2 km, we spatially resolved the H30α line and 1.4 mm continuum emission for the first time. In addition to the known H30α and H26α maser emission from a Keplerian disk at LSR velocities from −12 to 28 km s−1 and from an ionized wind for velocities between −12 to −40 km s−1 and 28 to 60 km s−1, we found evidence of a jet along the polar axis at V
LSR from −85 to −40 km s−1 and +60 to +100 km s−1. These masers are found in a linear structure nearly aligned with the polar axis of the disk. If these masers lie close to the polar axis, their velocities could be as high as 575 km s−1, which cannot be explained solely by a single expanding wind as proposed in Báez-Rubio et al. We suggest that they originate from a high-velocity jet, likely launched by a magnetohydrodynamic wind. The jet appears to rotate in the same direction as the rotation of the disk. A detailed radiative transfer modeling of these emissions will further elucidate the origin of these masers in the wind.
An Analysis of Glacial and Fluvial Morphologies within Impact Craters in the Equatorial Region in Arabia Terra, Mars
Authors: Nocera Kailly , Zeilnhofer Michael F. 
Published: August 2023

Abstract
Arabia Terra is an ancient and large terrain which is located north of the Martian equator. Due to its ancient nature, it is heavily cratered, and these craters hold evidence of geologic processes during Mars’ history. During periods of high obliquity (>35°) it has been suggested that polar ice migration can occur at the lower latitudes. By investigating the impact craters within a localized area in the equatorial region of Arabia Terra, it can be determined how far this migration once occurred. This study aimed to investigate craters ≥1 km in diameter within the 0°N–10°N, 340°E–350°E area of Arabia Terra and determine the frequency of glacial and fluvial morphologies within this region. We divided the search area into two sections, 0°N–5°N, 340°E–350°E and 5°N–10°N, 340°E–350°E, to help identify any latitudinal variations between the glacial and fluvial morphologies.
GJ 9404 b: A Confirmed Eccentric Planet, and not a Candidate
Authors: Baycroft Thomas A. , Badnell Harry , Blacker Samuel , Triaud Amaury H. M. J. 
Published: August 2023

Abstract
Eccentric orbits can be decomposed into a series of sine curves which affects how the false alarm probability is computed when using traditional periodograms on radial-velocity data. Here we show that a candidate exoplanet orbiting the M dwarf GJ 9404, identified by the HADES survey using data from the HARPS-N spectrograph, is in fact a bona fide planet on a highly eccentric orbit. Far from a candidate, GJ 9404b is detected with a high confidence. We reach our conclusion using two methods that assume Keplerian functions rather than sines to compute a detection probability, a Bayes Factor, and the false-inclusion probability periodogram. We compute these using nested sampling with kima.
Cardiac findings in multisystem inflammatory syndrome in children: Short term follow up in a large Indian series
Authors: Shah Sejal Suresh , Naidu Praveen Kumar K. , Selvam Sumithra , Shetty Rakshay , Bhat Chandrika S. , Maheshwari Sunita 
Published: August 2023

ABSTRACT

Background:
We present a large Indian series of Multisystem inflammatory syndrome in children (MIS-C) associated with coronavirus disease 2019 (COVID-19) infection. The aim of the study is to present the incidence and pattern of cardiac involvement in children with MIS-C and their short-term follow-up.

Methods and Results:
Consecutive 144 children younger than 18 years of age diagnosed with MIS-C referred for cardiac evaluation between June 1 and November 30, 2021, were included and were followed up till February 2022. In addition to the demographics, details of COVID-19 infection, and biomarkers, their cardiovascular assessment (echocardiogram and electrocardiogram) was documented at baseline and on follow-up. The median age of children with MIS-C was 60 (24–104) months. Abnormal cardiac imaging was noted in 59% of children. Ventricular dysfunction was noted in 13.9% and coronary abnormalities were noted in 25.7% of children. The median duration when the first cardiac abnormality was reported was 7 (5–10) days. The distribution of age categories between children with and without cardiac abnormality was comparable. Children with cardiac abnormalities were followed up for a median duration of 47 (30–58) days. Complete resolution was documented in 92% of children after a median duration of 20 (9–38) days. There were no readmissions or deaths during follow-up.

Conclusion:
Cardiac involvement in children with MIS-C is frequent with coronary abnormalities and ventricular dysfunction being the most common manifestations. Most children exhibit complete clinical and myocardial recovery with appropriate anti-inflammatory therapy. Studies on long-term outcome of these children are needed.
Multiple atrial septal defects closure with a single device using radiofrequency energy-assisted wire atrial septostomy: A new method
Authors: Numata Ryusuke , Takigiku Kiyohiro , Obinata Haruka , Akazawa Yohei , Takei Kohta 
Published: August 2023

ABSTRACT
Percutaneous closure of multiple atrial septal defects can be more challenging. It is often discussed whether a single or dual device closure is appropriate for two or more large atrial septal defects with insufficient distance between defects. In this case, we used radiofrequency energy-assisted wire atrial septostomy to break intervening tissue between two adjacent oval fossa defects, thereby combining them into a single hole and facilitating device closure using a single device. This technique could be considered in patients with multiple adjacent secundum defects separated by intervening tissue.
Intravenous immunoglobulin-resistant Kawasaki disease: Risk factors in children in a middle-income country
Authors: Zahari Norazah , Bah Mohd Nizam Mat , Sulieman Muhamad Faiz , Choo Hung Liang 
Published: August 2023

ABSTRACT

Background:
Identifying risk factors in patients with intravenous immunoglobulin (IVIG) resistance Kawasaki disease (KD) is vital in managing and preventing coronary artery aneurysms (CAAs). We aimed to study the risk factors for IVIG resistance KD in Malaysian children.

Methods:
This retrospective observational study of children with KD was conducted at two tertiary hospitals in Malaysia from January 2014 to December 2019. Multivariable binary logistic regression was used to analyze the risk factors associated with IVIG resistance.

Results:
A total of 174 patients, 118 males (67.8%) with a median age of 1.4-year-old (interquartile range: 0.1–12.1-year-old), were analyzed. Early (<5 days) and late (>10 days) IVIG treatments were observed in 14 (8.1%) and 19 (11.0%), respectively. Thirty-two patients (18.4%) had IVIG resistance. The independent factors associated with IVIG resistance were high white cell count, hypoalbuminemia, and extremities changes with an odd ratio of 4.7, 3.0, and 4.0, respectively. In addition, CAA was significantly higher in IVIG resistance compared to IVIG responder patients (57.5% [19/33] vs. 23.4% [33/141], P < 0.001). The sensitivity was high in Harada (93.8%) but low in Kobayashi and Egami (46.9% and 34.4%, respectively). The specificity was high with Egami (79.6%) but low in Harada and Kobayashi (22.5% and 64.1%, respectively).

Conclusion:
Leukocytosis, hypoalbuminemia, and extremities changes were independent risk factors for IVIG resistance. The variation in sensitivity and specificity of the Japanese scoring makes it unsuitable for predicting IVIG resistance in Malaysian children.
A Cross-Sectional Study of Dermatologic Manifestations in Patients with Chronic Renal Failure on Hemodialysis
Authors: Potthuri Indira , Arun Inamadar C. 
Published: August 2023

Background:
Chronic renal failure patients undergoing dialysis suffer from various side effects and complications where skin ailments are one of them. Skin is the largest and one of the most dynamic organs of the body and can be used as a window since it is easily accessible for observation and reflects changes seen in multiple organs including kidneys.

Objective:
The objective of this study is to describe various cutaneous manifestations in chronic kidney disease patients undergoing hemodialysis.

Materials and Methods:
A hospital-based, cross-sectional, observational study was conducted in the department of dermatology, venereology, and leprosy at a tertiary care center from November 2019 to May 2021. The demographic details and clinical manifestations were recorded. Data were recorded as numbers and percentages. For categorical data, the number and percentage were used in the data summaries, and data were analyzed by the Mann‒Whitney U test for the comparison of two data.

Results:
A total of 94 patients were included in the study. The most common manifestation observed was pruritus (85.1%), followed by xerosis (84%). Other findings seen in the study were mainly nonspecific changes such as pallor (59.57%), diffuse hyperpigmentation (3.2%), and ecchymosis (16%). Nail changes (56.38%) observed were half-and-half nails (22.6%), onycholysis (11%), and Beau’s lines (9%). Mucosal changes (36.17%) included depapillated tongue (12.8%) and macroglossia (8.5%). Other findings such as skin infections and keloid were also noted. New finding such as angina bullosa hemorrhagica was seen in one patient. Specific change like Kyrle’s disease was seen in 6.4% of the study group and 50% of these patients had concomitant diabetes mellitus.

Conclusion:
Patients on hemodialysis present with an array of cutaneous manifestations. The most common include pruritus and xerosis. Prompt diagnosis and early treatment help alleviate many of the cutaneous manifestations posed due to hemodialysis.
The commodification of academic publishing – Relevance to cancer palliative care literature
Authors: Ghoshal Arunangshu 
Published: August 2023

ABSTRACT
The commodification of academic publishing refers to the process of turning academic research and scholarship into a marketable product that can be bought and sold for profit. This has become an increasingly prevalent issue in recent years, as academic publishing has become dominated by a small number of large commercial publishers who control access to research and charge exorbitant fees for access to academic articles. In the context of cancer palliative care literature, the commodification of academic publishing has several important implications. First, it means that access to important research on cancer palliative care may be restricted to those who can afford to pay for it, effectively limiting its dissemination and impact. This is particularly problematic in low-income countries or regions where resources for cancer palliative care are already limited. Second, the commodification of academic publishing can lead to the proliferation of predatory journals that publish low-quality or even fraudulent research for profit, which can lead to misleading or harmful information being disseminated to practitioners, policymakers and the public. Finally, the emphasis on profit in academic publishing can create pressure for researchers to prioritise publishing in high-impact journals rather than focusing on research that is most relevant to the needs of cancer palliative care patients and their families. This can create a skewed incentive structure that values prestige over impact, potentially undermining the quality and relevance of research in this field. In summary, the commodification of academic publishing has significant implications for cancer palliative care literature, including issues of access, quality and relevance. It is important for researchers, policymakers and publishers to work together to address these challenges and ensure that the best research is made accessible to all those who need it, regardless of their ability to pay.
A Study of Emergency Room Presentations of Suicidal Behavior Cases during the COVID-19 Pandemic
Authors: Ravishankar Vinutha , Suresh Thejus , Komal Samantha , Hongally Chandrashekar 
Published: August 2023

Abstract

Context:
COVID-19 illness and the measures taken to contain its spread have had a serious impact on mental health. An increase in the emergency room (ER) presentations of suicidal behavior cases could reflect the extent of the psychological distress in the community.

Aims:
To estimate the prevalence of ER presentations of suicidal behavior cases during the COVID-19 pandemic.

Methods:
Retrospective review of registers and 305 case files of suicidal behavior registered during the period of April 1, 2019–March 30, 2020 (prepandemic) and compared to the April 1, 2020–March 30, 2021 (during the pandemic). Data were collected in a semi-structured pro forma prepared for this purpose. Data were tabulated, and statistical analysis was performed.

Results:
There was a decrease in the total number of medico-legal cases (MLCs) presenting to ER during the pandemic period (N1 = 584 vs. N2 = 387). However, there was a proportionate increase in the cases of suicidal behavior observed during the pandemic compared to the prepandemic period (35.2% vs. 29.5%). 55.4% of compound consumption and 45.7% of hanging cases had interpersonal conflicts as precipitating factors during the pandemic period. There was an increase noted in poisoning by tablet consumption by 8.3% during the pandemic period.

Conclusions:
To conclude, our study showed a decrease in the number of total MLCs during the pandemic. However, there was a proportionate increase in the cases of suicidal behavior during the pandemic compared to the prepandemic period. Poisoning was seen to be the most common method of suicidal behavior. Interpersonal conflicts were the most common reported precipitating factor.
Geriatric anesthesia: Demographics, epidemiology, state of the art at international level, educational needs, and future perspectives
Authors: Bettelli Gabriella 
Published: August 2023

ABSTRACT
Population aging has induced in the last year a corresponding aging inside the surgical population, currently accounting for 45%.50% of the total surgical population in the majority of the advanced countries. This has induced a number of new challenges in the daily anesthesia practice, ranging from the need of implementing specific education in the field of geriatric medicine, organizational adjustments aimed to adapt our preoperative evaluation methodology to the needs older patients present, and a careful redesign of the whole perioperative course for these patients. Today’s anesthesiologists are called to became familiar with the aging processes and their impact on the patho.physiological perioperative course, with the concept of functional impairment and frailty and with the dimensions of polypathology, polymedication, and reduced functional reserves. The introduction of new trends such as the team-based approach and interdisciplinary culture are essential to overcome these emerging criticalities.
Procedural sedation analgesia in the elderly patient
Authors: Eldawlatly Abdelazeem Ali , Delvi Mohamed Bilal , Ahmad Abdulaziz 
Published: August 2023

ABSTRACT
Elderly patients are perceived as a high-risk group for procedural sedation. Procedural sedation analgesia (PSA) is generally safe in older adults. What is not acceptable is undertreating pain or inadequately sedating a stable patient. All the usual precautions should be taken. One should consider any comorbidities that could make the patient more at risk of adverse reactions or complications. Older patients may be at higher risk for oxygen desaturation, but they usually respond quickly to supplemental oxygen. Geriatric patients usually require lower doses of medications. They tend to be more sensitive to medications, with slower metabolism, less physiologic reserve to handle side effects, and a smaller volume of distribution. The use of drugs for sedation in elderly patients requires careful consideration of their age-related changes in physiology and pharmacokinetics. The choice of drug should be based on the patient’s medical condition, comorbidities, and potential adverse effects. Moreover, the administration should be done by trained personnel with close monitoring of vital signs and level of consciousness to prevent complications such as respiratory depression.
PENGARUH LATIHAN RESISTANCE BAND DAN LATIHAN BEBAN (BARBEL 1KG) TERHADAP POWER OTOT LENGAN PADA ATLET TAEKWONDO PESAWARAN PROVINSI LAMPUNG
Authors: Fajar Ramadhan Ziko 
Published: August 2023

Penelitian ini bertujuan untuk mengetahui pengaruh latihan resistance band dan latihan beban (barbell 1kg) terhadap power otot lengan pada atlet taekwondo pesawaran lampung.
Metode yang digunakan dalam penelitian ini adalah eksperimen (true experiment), sedangkan desain penelitian yang digunakan yakni pre test-post test group design. Populasi pada penelitian ini adalah atlet dojo raja Bandar Lampung dengan sampel yang digunakan keseluruhan jumlah populasi sebanyak 24 atlet dari total sampel sehingga penelitian ini disebut penelitian populasi yang dibagi menjadi 2 kelompok. Teknik pengambilan data untuk hasil power otot lengan menggunakan medicine band
Hasil penelitian menunjukkan bahwa ada pengaruh yang signifikan dari latihan reistance bance mendapatkan hasil sebesar 16.58 > 1.782 sedangkan Latihan beban mendapatkan nilai t hitung sebesar 20.76 > 1.782 memiliki pengaruh yang signifikan di lihat dari perhitungan yang menunjukan t hitung > t tabel.
Sistem Pakar Penentuan Jenis Kulit Wajah Menggunakan Metode Dempster Shafer
Authors: Kotimah Kusnul , Chandra Albert Yakobus 
Published: August 2023

Omah Milla is a beauty treatment center that provides services from head to toe. One of the existing facilities is consulting services to determine the right treatment, but until now the consultation facility is only served offline. In order to continue to develop in improving services, Omah Milla wants to present an online consultation system that can be accessed by everyone so that customers can consult at anytime and anywhere. In addition, the general public can also use this system to check facial skin types, so they don't need to hesitate to determine the type of facial skin and use the right skincare.
In this study, an expert system was created to determine the type of facial skin. The method used was the dempster shader. The flow of using this system is firstly the user is asked to choose the symptoms experienced, then the system processes it by calculating the dempster shafer and the results of the skin type can be directly seen by the user.
This system has gone through the functionality test phase and everything is running and functioning well. To determine the accuracy of the system, the researcher compared 50 data from experts with an expert system and this study has an accuracy value of 100%.