bluuebunny/crossref_metadata_2025_split huggingface dataset:
Subcutaneous Quadrantectomy Is a Safe Procedure in Management of Early-Stage Breast Cancer
Authors: Lieto Eva , Auricchio Annamaria , Erario Silvia , Sorbo Giovanni Del , Cardella Francesca 
Published: April 2022

BackgroundA less-invasive surgery is often required today for many tumors, when oncologic radicality is strictly ensured, both to minimize hospital stay and health costs and to guarantee aesthetical results. Breast surgery for cancer has been radically changed in the last years since conservative interventions are widely performed everywhere.MethodsThe authors present 75 cases of early breast cancer, randomly treated with standard quadrantectomy and subcutaneous quadrantectomy; the totally subcutaneous surgical technique implies only a short periareolar skin incision and a complete quadrant resection with skin and subcutaneous layer preservation. Continuous data were analyzed by unpaired Student's t-test. The Chi-square test was used to cumulate categorical variables. The Kaplan–Meyer method and log-rank test were used to compare the overall survival and disease-free survival.ResultsNo difference was found among the two groups in terms of the type of tumor, overall survival (OS), disease-free survival (DFS), early complications, radicality, and mortality. The only significant differences were both found in the length of hospital stay and in postoperative breast deformity that required further intervention in some cases.ConclusionIn the era of mini-invasive surgery and quality assurance, the authors conclude that subcutaneous quadrantectomy is a safe procedure that allows less health cost and a better aesthetical result.
Case Report: Ileo-Ileal Intussusception Secondary to Inflammatory Fibroid Polyp: A Rare Cause of Intestinal Obstruction
Authors: Guerci Claudio , Colombo Francesco , Goi Gloria , Zerbi Pietro , Pirrò Barbara , Danelli Piergiorgio 
Published: April 2022

IntroductionIntussusception is a telescoping of a bowel segment into another and it can be a surgical urgency. Most adult intussusceptions arise from a lead point which can be benign or malignant. For this reason, intussusception in adults should undergo surgery. Here we describe a case of ileal inflammatory fibroid polyp (IFP), presenting with ileo-ileal intussusception and obstruction.Case reportA 54-year-old Caucasian woman presented for acute abdominal pain. A radiography and a CT of the abdomen were performed, which showed signs of occlusion due to an ileo-ileal intussusception. An urgent laparoscopy was performed, the intussusception was extracorporeally reduced, the ileal segment involved was resected, and an ileo-ileal anastomosis was performed. The intussusception seemed to be caused by a 3-cm intra-mural lesion.DiscussionIntussusception is a surgical concern. While most cases are idiopathic in children, 90% of adult intussusceptions are caused by underlying diseases. Therefore, intussusception in adults should undergo surgery. Radiology is necessary for the diagnosis: the CT scan helps localizing the lesion and shows pathognomonic signs. This case report analyzes an intussusception caused by an inflammatory fibroid polyp. Accurate diagnosis of IFP is only possible with histopathological examination, helped by immunohistochemistry. The differential diagnosis is important because some lesions are malignant.ConclusionWe reported a case of intussusception caused by an IFP. The diagnosis was made with a CT scan together with intraoperative findings and histopathological examination, which excluded potential differential diagnoses. The patient underwent an explorative laparoscopy, with an ileal resection and anastomosis. Due to the risk of malignancy, surgery is mandatory.
The Impact of Triangle Hierarchical Management on Self-Management Behavior and Quality of Survival in Parkinson's Patients
Authors: Zeng Yahua , Huang Jianghua , Tang Xuan , Wang Ting , Chen Shuangqin 
Published: April 2022

ObjectiveTo investigate the effect of Triangle tiered and graded management on the self-management behavior and quality of survival of Parkinson's Disease (PD) patients.MethodsEighty ambulatory PD patients admitted to the neurology outpatient clinic of our hospital from June 2020 to January 2021 were selected for the study. Eighty patients were divided into 40 cases each in the test group and the control group using the random number table method. Patients in the control group were given conventional treatment and care, while in the test group, Triangle hierarchical management was applied on the basis of the control group. Non-motor symptoms [assessed by the Montreal Cognitive Inventory (MoCA), the Scale for Outcomes in PD for Autonomic Symptoms disability Scale (SCOPA-DS) and the Nocturnal Scale (SCOPA-NS)], motor symptoms [assessed by the Functional Gait Assessment (FGA), the Modified Ashworth Scale, and the Unified Parkinson's Disease Rating Scale (UPDRS-III)], quality of life (assessed by Barthel Index), medication adherence (self-administered medication adherence questionnaire), quality of survival (assessed by the 39-item Parkinson's Disease Quality of Survival Questionnaire, PDQ-39), and self-management effectiveness (assessed by the Chronic Disease Self-Efficacy Scale, symptom management and disease co-management) were compared between the two groups before and after the intervention. The two groups were also observed for satisfaction with care.ResultsAfter the intervention, the MoCA score, FGA score, Barthel Index, Medication adherence and all scores of self-management effectiveness were significantly higher in the test group than in the control group (P &lt; 0.05); the SCOPA-DS score, SCOPA-NS score, Ashworth score, UPDRS-III score and PDQ-39 score were significantly lower than in the control group (P &lt; 0.05). Satisfaction with nursing care was significantly higher in the test group than in the control group (P &lt; 0.05).ConclusionThe application of Triangle's tiered and graded management to the home care of ambulatory PD patients was effective in improving their non-motor and motor symptoms, their ability to perform daily activities, medication adherence and self-management effectiveness, and their overall survival outcome.
The Main Objective of Antitumor Targeted Therapy in Lung Cancer
Authors: Камышов С.В. , Тилляшайхов Н.М. , Теджпар C. 
Published: April 2022

Данная статья представляет собой обзор основных задач в таргетной терапии немелко-клеточного рака легкого, а также последних достижений по этой тематике.
This article is an overview of the main tasks in targeted therapy of non-small cell lung cancer, as well as the latest achievements in this field.
Antibiotic Susceptibility of the Nosocomial Bacterial Strains
Authors: Манкевич Р.Н. , Дмитрущенкова А.О. , Лазарев А.В. , Клюйко Н.Л. 
Published: April 2022

В статье представлены результаты исследования спектра чувствительности внутрибольничных штаммов бактерий (Acinetobacter baumannii, Achromobacter xylosoxidans, Klebsiella pneumonia и Stenotrophomonas maltophilia), выделенных у детей отделения анестезиологии и реанимации за 5 лет, к антибиотикам. Определен высокий уровень устойчивости данных микроорганизмов к основным группам современных антибиотиков, включая карбапенемы и колистин.
This article presents the results of the study about the sensitivitys spectrum of the nosocomial bacterial strains (Acinetobacter baumannii, Achromobacter xylosoxidans, Klebsiella pneumonia and Stenotrophomonas maltophilia), isolated from the children of Intensive care and Resustitation Department, to antibiotics for 5 years. A high resistance level of these microorganisms was determined to the main groups of modern antibiotics, including carbapenems and colistin.
Measures to Identify, Diagnose and Treat Patients with Respiratory Tuberculosis in Inpatient Conditions during the Epidemic of Coronavirus Infection
Authors: Будрицкий А.М. , Левянкова А.Л. 
Published: April 2022

Появление SARS-CoV-2 поставило перед специалистами здравоохранения задачи, связанные с быстрой диагностикой и оказанием медицинской помощи пациентам, а также необходимостью интенсивно изучать клинические и эпидемиологические особенности заболевания, разрабатывать новые средства его профилактики и лечения. Пациенты с туберкулезом считаются одной из самых уязвимых групп населения. У таких людей поражены легкие и ослаблен иммунитет, что делает данную категорию населения более тяжелыми пациентами, у них чаще возникают осложнения, приводящие к летальному исходу.Данные рекомендации основываются на материалах по диагностике, профилактике и лечению COVID-19 и туберкулеза органов дыхания, опубликованных специалистами ВОЗ, китайского, американского и европейского центров по контролю за заболеваемостью, на анализе отечественных и зарубежных научных публикаций, нормативно-правовых документах Правительства Республики Беларусь и Министерства здравоохранения Республики Беларусь.
The advent of SARS-CoV-2 has given health professionals the tasks related to rapid diagnosis and provision of medical services to patients, as well as the need to intensively study the clinical and epidemiological features of the disease, to develop new means of its prevention and treatment. Tuberculosis (TB) patients are considered one of the most vulnerable groups in the population. In such people, the lungs are affected and immunity is weakened, which makes this category of the population more severe, they more often have complications leading to death.These recommendations are based on materials on the diagnosis, prevention and treatment of COVID-19 and respiratory tuberculosis (RT), published by specialists from WHO, the Chinese, American and European prices for disease control, analysis of domestic and foreign scientific publications, regulatory documents of the Government of the Republic of Belarus and the Ministry of Health of the Republic of Belarus.
Clinical Case of Severe Tick-Borne Encephalitis in a Child
Authors: Реут С.У. , Оскирко А.Н. , Романова О.Н. , Ключарева А.А. , Койро О.С. , Дюбченко Н.А. 
Published: April 2022

В статье представлен клинический случай тяжелого клещевого энцефалита у ребенка 10 лет, протекавшего в форме менингоэнцефаломиелорадикулоневропатии. Продемонстрированы сложности постановки диагноза и дифференциальной диагностики. Сделаны выводы о необходимости усиления настороженности в отношении клещевого энцефалита у детей.
The article presents a clinical case of severe tick-borne encephalitis in 10 years old child, occurring in the form of meningoencephalomyeloradiculoneuropathy. The difficulties of a diagnosis and differential diagnosis have been demonstrated. Conclusions were made about the need to increase caution regarding tick-borne encephalitis in children.
Selected Aspects of Outpatient Care for Patients with COVID-19
Authors: Артишевский С.Н. 
Published: April 2022

В работе рассмотрены основные характеристики инфекции COVID-19, определяющие дальнейший характер течения заболевания и прогноз. Дается общее представление о структуре иммунной системы и особенностях иммунного ответа при COVID-19, а также характере и возможных причинах иммунологического поражения организма за счет неконтролируемого воспаления с высокими уровнями С-реактивного белка и интерлейкина-6. Рассмотрена роль интерферонов в формировании иммунного ответа и распространенности инфекционного повреждения при COVID-19. Автор подробно останавливается на классификации интерферонов и их биологической роли в организме человека на разных этапах инфекционного повреждения. Проведен анализ проспективных рандомизированных научных исследований использования препаратов на основе интерферонов, а также их эффективности в зависимости от времени начала заболевания, типа интерферона и способа введения препарата в организм пациента с COVID-19. Кроме того, представлен свой опыт использования интерферонов в лечении COVID-19 на амбулаторно-поликлиническом этапе оказания медицинской помощи с выводами о необходимости раннего назначения интерферонов для профилактики тяжелого течения заболевания, а также применения ингаляционных форм интерферонов в стационарах для ускорения клиренса вируса и снижения системного воспалительного процесса.
The paper considers the main characteristics of the COVID-19 infection, which determine the further nature of the course of the disease and the prognosis. A general idea is given about the structure of the immune system and the features of the immune response in COVID-19, as well as the nature and possible causes of immunological damage to the body due to uncontrolled inflammation with high levels of C-reactive protein and interleukin-6. The role of interferons in the formation of the immune response and the prevalence of infectious damage in COVID-19 is considered. The author dwells in detail on the classification of interferons and their biological role in the human body at different stages of infectious damage. An analysis was made of prospective randomized scientific studies of the use of interferon-based drugs, as well as their effectiveness depending on the time of onset of the disease, the titer of interferon, and the route of administration of the drug into the body of a patient with COVID-19. In addition, our experience of using interferons in the treatment of COVID-19 at the outpatient stage of medical care is presented with conclusions about the need for early prescribing of interferons to prevent a severe course of the disease. As well as the use of inhaled forms of interferons in hospitals to accelerate the clearance of the virus and reduce the systemic inflammatory process.
Pediatric Skull Base Fractures. Part 2: Conservative Treatment
Authors: Миронец Е.В. , Талабаев М.В. 
Published: April 2022

В статье приводится обзор отечественной и зарубежной литературы, посвященный современным подходам к консервативному лечению переломов основания черепа (ПОЧ) и их осложнений. Подняты вопросы ведения пациентов с посттравматической ликвореей, сроки наблюдения за ними, дана оценка факторам риска развития менингита. Уделяется внимание показаниям к назначению, необходимости профилактического приема и длительности лечения антибактериальными препаратами при ПОЧ. Представлены литературные данные использования диуретиков у пациентов с ПОЧ и ликвореей. Уточняются показания для постановки люмбального дренажа в комплексе консервативного лечения. Изложены основные принципы и особенности консервативного лечения ПОЧ с акцентом на пациентов детского возраста.
There is the foreign and native literature review in the article. It describes the modern methods in conservative treatment of the skull base fractures and their complications. It is paid a lot of attention of necessity to do treatment by diuretics, antibacterial drugs the patients with the skull base fractures. It is clarified dates for installing of lumbar drainage as a step of conservative treatment. It is set out the main principles of conservative treatment with the stress for patients of childhood.
A 46.7% efficient GaInP photonic power converter under high-power 638 nm laser uniform irradiation of 1.5 W cm−2
Authors: Kurooka Kazuki , Honda Takahiro , Komazawa Yuto , Warigaya Ryota , Uchida Shiro 
Published: April 2022

Abstract
Photonic power converters for optical wireless power transmission have challenged improving photoelectric conversion efficiency under high-power laser irradiation. We developed the efficiency under high-power irradiation by making the laser intensity distribution uniform and narrowing the distance L (μm) between the comb-shaped electrodes on the converter cell surface. As a result, the GaInP converter cell with L = 234 μm showed the highest conversion efficiency of 46.7% under uniform 638 nm laser irradiation of 1.5 W cm−2. The exceeding 45.5% efficiencies under 1.0–6.2 W cm−2 uniform 635 nm laser irradiation were also obtained in the GaInP converter cell with L = 106 μm.
Kemandirian Belajar Siswa Dalam Pembelajaran Daring (Masa Pandemi Covid-19)
Authors: Fatmawati Endang , Firdausiyah Luluk , Jasmaniah Jasmaniah 
Published: April 2022

<p><em>Kemandirian belajar penting bagi peserta didik, terutama pada saat pembelajaran dilaksanakan secara daring.</em> <em>Pembelajaran jarak jauh adalah pendidikan formal berbasis lembaga yang peserta didik dan instrukturnya berada di lokasi terpisah sehingga memerlukan sistem telekomunikasi interaktif untuk menghubungkan keduanya dan berbagai sumber daya yang diperlukan di dalamnya</em>. <em> </em><em>Penelitian ini bertujuan untuk memperoleh gambaran bagaimana kemandirian belajar anak yang melakukan pembelajaran daring.</em><em> </em><em>Metode yang digunakan dalam penelitian ini </em><em>adalah metode slr (systematic literature review). Pengumpulan data dilakukan dengan mendokumentasi serta mereview artikel jurnal atau buku mengenai kemandirian belajar siswa dalam pembelajaran daring (masa pandemi covid-19). Artikel yang digunakan dalam penelitian ini kurang lebih 15 referensi. Berdasarkan kajian literatur yang dilakukan bahwa kemampuan kemandirian belajar siswa sangat diperlukan di dalam pembelajaran daring, karena memiliki pengaruh positif bagi siswa dalam pembelajaran.</em> <em>Pembelajaran ini menuntut siswa untuk lebih proaktif dalam mencari materi pendukung aktivitas belajar, mengambil keputusan yang tepat, bertanggung jawab atas aktivitas yang dilakukan dalam pembelajaran.</em></p>
ANALISIS PENGARUH SISTEM PENGENDALIAN INTERN PEMERINTAH, PEMANFAATAN TEKNOLOGI INFORMASI, DAN KOMPETENSI SUMBER DAYA MANUSIA TERHADAP KUALITAS INFORMASI LAPORAN KEUANGAN (STUDI KASUS PADA DINAS PEMBERDAYAAN MASYARAKAT DAN DESA KABUPATEN TAPIN)
Authors: Djoko Wibowo  
Published: April 2022

Abstrak: Tujuan penelitian ini adalah mengetahui dan menganalisis pengaruh secara parsial dan simultan sistem pengendalian intern, pemanfaatan teknologi informasi dan kompetensi sumber daya manusia terhadap kualitas informasi laporan keuangan pada Satuan Kerja Dinas Pemberdayaan Masyarakat dan Desa Kabupaten Tapin. Jenis penelitian menggunakan desain deskriptif kuantitatif. Populasi dan sampel penelitian ini adalah seluruh pegawai bagian keuangan di Dinas Pemberdayaan Masyarakat dan Desa Kabupaten Tapin, sehingga diperoleh sampel sebanyak 40 orang. Teknik analisis data menggunakan metode regresi linier berganda, Uji F, dan uji T. Hasil pengolahan data diketahui sistem pengendalian intern pemerintah berpengaruh signifikan terhadap kualitas informasi laporan keuangan. Pemanfaatan teknologi informasi berpengaruh signifikan terhadap kualitas informasi laporan keuangan. Kompetensi sumber daya manusia tidak berpengaruh signifikan terhadap kualitas informasi laporan keuangan. Sedangkan, sistem pengendalian intern pemerintah, pemanfaatan teknologi informasi, dan kompetensi sumber daya manusia berpengaruh signifikan secara simultan terhadap kualitas informasi laporan keuangan Dinas Pemberdayaan Masyarakat dan Desa Kabupaten Tapin.

Kata kunci: sistem pengendalian intern pemerintah, pemanfaatan teknologi informasi, kompetensi sumber daya manusia, dan kualitas informasi laporan keuangan
PENGARUH KUALITAS LAYANAN TERHADAP KINERJA LAYANAN DAN IMPLIKASINYA PADA KEPUASAN PASIEN (Studi Terhadap Layanan Rapid Antigen Covid 19 di Laboratorium Klinik Medika Banjarbaru)
Authors: Zahdi Azadiannoor Achmad  
Published: April 2022

Abstrak : Pelayanan kesehatan yang semakin banyak menyebabkan sebuah klinik harus melakukkan pelayanan yang baik terhadap pasien yang datang, agar menimbulkan rasa senang di hati pasien dan dapat menciptakan kepuasan layanan yang maksimal. Penelitian ini bertujuan untuk melihat pengaruh dari kualitas layanan terhadap kinerja layanan, kualitas layanan terhadap kepuasan pasien, dan kualitas layanan berpengaruh terhadap kinerja layanan dan implikasinya pada kepuasan pasien dalam layanan Rapid Test Antigen Covid 19 di Laboratorium Klinik Medika Banjarbaru. Variable yang digunakan dalam penelitian ini adalah variable laten. Analisis data menggunakan metode Structural Equation Modelling-Partial Least Square (SEM-PLS) dengan aplikasi Smart PLS. Sampel yang digunakan dalam penelitian ini sebanyak 100 orang sampel. Berdasarkan hasil analisis data menunjukkan bahwa semua indikator yang digunakan memenuhi unsur inner model, outer model, dan pengujian hipotesa. Nilai dan hasil hipotesa yang diperoleh yaitu Kualitas Layanan berpengaruh terhadap Kinerja Layanan dengan p value 0,000 < 0,05 (α) atau T Statistik 9,880 > 1,96, dengan pengaruh sebesar 0,633. Kualitas Layanan berpengaruh terhadap Kepuasan Pasien dengan p value 0,000 < 0,05 (α) atau T Statistik 5,978 > 1,96, dengan pengaruh sebesar 0,473. Kinerja Layanan berpengaruh terhadap Kepuasan Pasien dengan p value 0,008 < 0,05 (α) atau T Statistik 5,353 > 1,96, dengan pengaruh sebesar 0,411.
Kata kunci : Kualitas Layanan, Kinerja Layanan, Kepuasan Pasien
اختلافات الشافعية والحنابلة في صفات الصلاة الفعلية
Authors: Sirajuddin Sirajuddin , Nuraeni Novira  , Awal Rifai Wahab  , Dian Novita Nur  
Published: April 2022

Abstract
This study aims to determine the differences between the Shafii and Hanbali schools in the prayer movement and its foundations. This research is a qualitative descriptive study with a comparative study technique. The results showed that: (1) the differences between the Shafii and Hambali schools in the movement of prayer were the limit of raising the hand during takbiratul ihram, the state of the fingers when lifting, the position of the right hand on top of the left hand when holding hands, raising the hand when standing from tasyahud for the third rak'ah, the position of the hands after standing from bowing, and the law of sitting and resting before giving, how to raise the index finger when pointing, and how to hold hands when tasyahud; (2) the difference between the Shafii and Hambali schools in the prayer movement is caused by differences in taking, understanding, compromising and tarjih hadith.