bluuebunny/crossref_metadata_2025_split huggingface dataset:
Diagnosis and Treatment of Ulcerative Colitis in Children
Authors: Назаренко О.Н. , Кастюкевич Л.И. , Горная Н.Н. , Василец Ю.Н. , Сокол Ю.А. 
Published: February 2022

Воспалительные заболевания кишечника (ВЗК) в настоящее время являются частой причиной гемоколитов у детей в возрасте от 1 года до 17 лет. В последние 10-15 лет имеет место существенное нарастание частоты встречаемости данной патологии. С учетом тяжести течения ВЗК и высокой вероятности неблагоприятного прогноза, знание основ диагностики и лечения данной патологии, а также периодическое изучение ее региональных особенностей является актуальным. В соответствии с «Porto критериями» диагностики воспалительных заболеваний кишечника у детей и подростков последнего (2014 г.) пересмотра, разработанными педиатрической рабочей группой по воспалительным заболеваниям кишечника Европейской ассоциации детских гастроэнтерологов, гепатологов и нутрициологов (ESPGHAN), выделены 5 классов педиатрических воспалительных заболеваний кишечника, или «PIBD-Classes»: типичный язвенный колит (ЯК), атипичный ЯК, неклассифицированный колит, Крон-колит и болезнь Крона. Подробно в данной публикации будет описан типичный язвенный колит.
Inflammatory bowel disease (IBD) is now a common cause of hemocolitis in children aged 1 to 17 years. In the last 10-15 years, there has been a significant increase of the incidence of this pathology. Taking into account the severity of the course of IBD and high probability of unfavorable prognosis, knowledge of the basics of diagnosis and treatment of this pathology, as well as the periodic study of their regional characteristics is relevant. In accordance with the "Porto Criteria" for the diagnosis of inflammatory bowel diseases in children and adolescents of the last (2014) revision, developed by the pediatric working group on inflammatory bowel diseases of the European Association of Pediatric Gastroenterologists, Hepatologists and Nutritionists (ESPGHAN), 5 classes of pediatric inflammatory bowel disease, or "PIBD-Classes" were distinguished: typical ulcerative colitis (UC), atypical UC, unclassified colitis, Crohn colitis and Crohn’s disease. Typical ulcerative colitis will be described in detail in this publication.
Bağdere Tufası’nın Jeolojik, Jeokimyasal ve Jeokronolojik Özellikleri (Elazığ, D Türkiye)
Authors: ÇOLAK EROL Serap , AKSOY Ercan , ÖZKUL Mehmet 
Published: February 2022

Çalışmaya konu olan tufa yüzleği, Türkiye’nin ikinci büyüklükteki neotektonik yapısı olan sol yanal doğrultu atımlı Doğu Anadolu Fay Sistemi’nin önemli zonlarından biri olan Elazığ Fay Zonu üstünde, Elazığ şehir merkezinin yaklaşık 20 km güneybatısında bulunur.
Tufaların yanal-düşey ilişkili olduğu Kuvaterner yaşlı Palu Formasyonu, karasal kökenli kırıntılı çökellerle karakterize edilir. Tufa oluşumunda kaynak kaya rolü oynayan Devoniyen-Jura yaşlı Keban Metamorfitleri’nin Elazığ çevresindeki yüzlekleri, çoğunlukla mermerlerle karakterize edilir. Keban Metamorfitleri’nin litolojisi ve sol yanal doğrultu atımlı Elazığ Fay Zonu’nun meydana getirdiği kırıklı yapı, akışkan dolaşımında ve bundan dolayı tufanın oluşmasında önemli bir görev almıştır.
Tufa örneklerinde belirlenen element miktarları, Ca: 384719-390151 ppm, Mg: 3498-4764 ppm, Sr: 112-338 ppm düzeyindedir. δ13C değerleri, 0.4 ila 2.6 (‰ PDP), δ18O değerleri ise -9.9 ila -11.4 (‰PDB) arasındadır. Çalışmadan elde edilen veriler birlikte değerlendirildiğinde, Bağdere tufasının, sığ göl ortamında oluştuğu düşünülmektedir. Örneklerden elde edilen U-Th yaş verileri, tufa çökeliminin günümüzden en azından 524,597 yıl önce başlamış olduğuna işaret etmektedir.
EXACTITUD DIAGNÓSTICA DE LA TOMOGRAFÍA COMPUTARIZADA EN LA ESTADIFICACIÓN DEL CÁNCER DE COLON
Authors: Carcamo Gruebler Leonardo Cristian , Henriquez Hector , Figueroa Daniela , Imigo Felipe , San Martin Rodrigo , Molina Maria Elena , Urrejola Gonzalo 
Published: February 2022

Objetivo: Una terapia emergente para el cáncer de colon es la neoadyuvancia, en casos seleccionados. Dicha selección se basa en el análisis preoperatorio de imágenes mediante tomografía computada. Nuestro objetivo es determinar la exactitud diagnóstica del examen para estadificar el cáncer de colon y su correlación entre radiólogos expertos.Material y métodos: Estudio de exactitud diagnóstica. Previo cálculo muestral se seleccionaron aleatoriamente 47 pacientes con adenocarcinoma colónico resecado con intención curativa e imágenes hasta 60 días previo cirugía. Se evaluó profundidad de invasión tumoral e invasión linfonodal por 2 radiólogos expertos y ciegos entre sí. Las diferencias fueron auditadas por un tercer radiólogo experto. Se compararon resultados con la biopsia, calculando la sensibilidad, especificidad, valor predictivo negativo, valor predictivo positivo y exactitud diagnóstica del examen. Se calculó la concordancia entre radiólogos mediante el índice de kappa.Resultados: La exactitud para diferenciar tumores T3-T4 de T1-T2 fue del 89,4%. En cambio, la capacidad para diferenciar tumores T4 de los T3 fue de un 65,9%. La exactitud para determinar un N (+) fue de un 66%. La concordancia entre radiólogos fue de 0,929 para identificar tumores T1-2, de 0,602 para T3, de 0,584 para T4. Para determinar un N (+), la concordancia fue de 0,521.Discusión y Conclusión: La exactitud diagnóstica de la tomografía computada en cáncer de colon es adecuada para distinguir tumores avanzados. Sin embargo, su capacidad para discriminar entre T3 y T4, los N (+) y la baja concordancia entre radiólogos, sugiere la necesidad de buscar técnicas imagenológicas complementarias.
Hidrops vesicular secundario a vólvulo: reporte de un caso
Authors: Gaete Dañobeitía María Inés , Rao Shuai Isabel , Manzor Véliz Manuel Francisco 
Published: February 2022

Introducción: El vólvulo de vesícula biliar (VVB) es una causa extremadamente rara de colecistitis aguda. Aproximadamente 500 casos han sido reportados en la literatura mundial. Puede generar una obstrucción total del drenaje vesicular e isquemia con alto riesgo de progresar a perforación y peritonitis biliar. Caso clínico: Mujer de 90 años consultó por dolor hipogástrico de inicio súbito, asociado a masa abdominal palpable y dolorosa en flanco y fosa ilíaca derecha. Tomografía axial computada de abdomen y pelvis demostró una acentuada distensión de la vesícula biliar, ubicada por fuera de la fosa vesicular y con un punto sugerente de torsión. Fue sometida a laparotomía exploradora, desvolvulación seguida de colecistectomía, con evolución postoperatoria favorable. Discusión: Para el desarrollo de un VVB se requiere una “vesícula flotante”, su cuadro clínico es inespecífico y muchas veces es confundido con una colecistitis aguda litiásica, su diagnóstico preoperatorio es difícil pese al estudio con imágenes. La intervención quirúrgica oportuna es el único tratamiento resolutivo, con excelentes resultados. Conclusión: La VVB es una patología rara, representa un desafío diagnóstico tanto para cirujanos como radiólogos.
Anesthetic management of a patient with myotonia congenita
Authors: Hasan Syed Shakir 
Published: February 2022

Myotonia congenita is also known as Becker’s disease. It is a genetic disorder in which skeletal muscles are unable to relax quickly after voluntary movements. Symptoms may vary from person to person and may include muscle stiffness and weakness initiated by movement after rest.
Myotonia congenita was first described by Thomsen in 1876 as a disorder of skeletal muscles. Patients suffer from muscle contractility and fatigue which occurs as a consequence of the mutation of the chloride channel gene on the 17th chromosome. These patients have a high risk of developing malignant hyperthermia during anesthesia, and call for full preparation to prevent and deal with this complication.
Key words: Becker’s disease; Myotonia congenita; Anesthesia; Malignant hyperthermia
Citation: Hasan SS. Anesthetic management of a patient with myotonia congenita. Anaesth. pain intensive care 2021;25(6):816–818 ;
DOI: 10.35975/apic.v25i6.1712
Received: August 25, 2021, Reviewed: September 19, 2021, Accepted: October 03, 2021
Ultrasound-guided interscalene block is effective for anesthesia and postoperative analgesia for clavicle fracture surgery
Authors: Susila Dedi , Laksono Ristiawan Muji 
Published: February 2022

Background & Objective: General anesthesia is commonly used during clavicular fracture surgery; however, it has been associated with hemodynamic fluctuations, airway and respiratory problems, stress response, and postoperative nausea and vomiting. We assessed the effectiveness and side effects of ultrasound-guided interscalene block when used for anesthesia and postoperative analgesia for clavicle fracture surgery.
Methodology: This study was conducted on 48 patients who were planned for clavicle fracture surgery. Patients were given premedication with midazolam 0.05 mg/kg and pethidine 0.5-1 mg/kg intramuscularly. Patients received ultrasound-guided interscalene block using nerve stimulator and 0.5% ropivacaine 30 ml or bupivacaine 0.375%. Postoperatively, almost all patients received non-steroidal anti-inflammatory drugs (NSAIDs) (COX–1 or COX–2). Postoperative pain was evaluated using a visual analog scale (VAS) at 12, 24, 36, and 48 h postoperatively. Patients received a rescue dose of intravenous fentanyl when the VAS > 4. Block was successful if the surgery was completed without shifting to general anesthesia. The data was analyzed using the T-test and Man Whitney-test using SPSS 20.
Result: 95.83% of patients received a successful block. The mean pre-operative VAS was 3.48 ± 1.27 and significantly decreased in the post-operative period; 1.48 ± 0.77 (12 h post-op), 1.79 ± 1.05 (24 h post-op), 1.21 ± 0.41 (36 h postop), and 1.04 ± 0.20 (48 h postoperative) (p=0.000). The preoperative and postoperative mean arterial pressure (MAP) and pulse rate of the patients remained stable. There was no incidence of nausea, vomiting, or other complications.
Conclusion: Ultrasound-guided interscalene block is effective and safe as an anesthetic and for postoperative analgesia in clavicle fracture surgery.
Key words: Clavicular fracture; Interscalene block; Analgesia; Anesthesia
Cittion: Susila D, Laksono RM. Ultrasound-guided interscalene block is effective for anesthesia and postoperative analgesia for clavicle fracture surgery. Anaesth. pain intensive care 2021;26(1):25–30
DOI: 10.35975/apic.v26i1.1762
Received: May 6, 2921, Reviewed: November 5, 2021, Accepted: December 21, 2021
Comparison of intrathecal fentanyl and buprenorphine as adjuvants to bupivacaine in gynecological surgery
Authors: Singh Yashpal , Yadav Adarsh Kumar , Bajpai Vijeta , Diwedi Priyanka , Verma Shekhar , Verma Ravi Kumar 
Published: February 2022

Background & Objective: Hyperbaric bupivacaine is the most commonly used local anesthetic for spinal anesthesia, alone or in combination with various adjuvants. Opioids are frequently used for their rapid onset and intense block characteristics. Fentanyl is the preferred intrathecal opioids with rapid onset of action but has a shorter duration of action. Buprenorphine is a mixed agonist-antagonist with high affinity at both mu and kappa opioid receptors. We compared administration of buprenorphine with fentanyl as adjuvants with intrathecal hyperbaric bupivacaine in gynecological surgeries.
Methodology: After Institutional Ethical Committee approval and written informed consent, 60 patients aged 18–65 y, scheduled for lower abdominal gynecological surgery, were divided into two equal groups; Group F to receive 0.5% hyperbaric bupivacaine 2.5 ml with fentanyl 25 µg intrathecal and Group B to receive 0.5% hyperbaric bupivacaine 2.5 ml with buprenorphine 75 µg intrathecal. Block characteristics and associated side effects were compared between two groups. The data was analyzed using Chi square test and Fisher’s exact test. For comparing two group of mean, independent student’s t test was used. P-value < 0.05 was considered as statistically significant.
Results: The mean onset of sensory and motor block was significantly earlier in Group F than Group B (p < 0.001). Mean duration of sensory block was significantly prolonged in Group B compared to Group F (p < 0.05). Whereas, the duration of motor was comparable in both of the groups (p > 0.05). Duration of analgesia was significantly prolonged in Group B than Group F (p < 0.001).
Conclusion: We conclude that when a longer duration of postoperative pain relief is needed, buprenorphine can be a suitable drug to be used with intrathecal hyperbaric bupivacaine for gynecological surgeries because of prolonged duration of action.
Key words: Spinal anesthesia; Fentanyl; Buprenorphine; Bupivacaine
Citation: Singh Y, Yadav AK, Vijeta Bajpai, Diwedi P, Verma S, Verma RK. Comparison of intrathecal fentanyl and buprenorphine as adjuvants to bupivacaine in gynecological surgery. Anaesth. pain intensive care 2021;26(1):39-43.
DOI: 10.35975/apic.v26i1.1764
Injection of local anesthetic lateral to vertebral transverse process instead of conventional method for interscalene block in difficult cases with poor view
Authors: Heidarifar Reza , Amini Seyyed Mohammadreza , Lotfi Sarah , Ahmadi Abbas 
Published: February 2022

Ultrasound guided (USG) peripheral nerve block techniques have become increasingly popular in regional anesthesia in the recent few years. USG interscalene brachial plexus block provides effective analgesia after a variety of of surgeries and have been shown to reduce opioid consumption, decrease postoperative nausea and vomiting (PONV), improve patient satisfaction, and decrease recovery room length of stay.1 Regardless of all of these advantages, there have been some complications associated with this technique. The most important complication is the phrenic nerve block. Therefore, impaired respiratory function is considered a relative contraindication to interscalene plexus block. It has been shown to cause ipsilateral hemidiaphragmatic paresis almost always due to phrenic nerve block.2, 3
Key words: Nerve Block/methods; Anesthetics, Local; Peripheral Nerves / diagnostic imaging; Ultrasonography, Interventional / methods
Citation: Heidarifar R, Amini SM, Lotfi S, Ahmadi A. Injection of local anesthetic lateral to vertebral transverse process instead of conventional method for interscalene block in difficult cases with poor view. Anaesth. pain intensive care 2021;26(1):126-127.
DOI: 10.35975/apic.v26i1.1783
Ah ch'ibal canob: rethinking celestial animals in the Paris Codex 23-24
Authors: Iwaniszewski Stanisław 
Published: February 2022

Pages 23 and 24 of the Post-Classic Paris Codex contain figures of thirteen celestial beasts interpreted as Maya zodiacal constellations. Traditional scholarship has long attempted to identify those animals with Western zodiacal constellations. Assuming this is correct, it would mean the Maya had chosen thirteen figures or names to represent groupings of stars located on or near the ecliptic. Thus, contrary to twelve Western (Greek-Roman) zodiacal constellations, each representing about 30° of the ecliptic, the hypothetical Maya constellations would occupy 13 locations within the ecliptic band covering only 27°-28° of its circle. Implicit in this is the idea that Maya zodiacal animals constituted forms of being similar to those played by Western zodiacal ones. However, this almost automatic identification of the Paris Codex figures with the Western zodiac creates an epistemic barrier in understanding what celestial beasts could mean for the Maya. To describe them in a purely astronomical light may lead us to impose our own Western concepts upon theirs, merging different cultural concepts on one epistemic level, thus restricting the further exploration of ontologically different perspectives.
This paper aims to clarify the nature of the animals pictured in the Paris Codex 23-24.
Teaching Narrative Text Using TAI Method To Increase Students' Writing Ability
Authors: Zakaria Rahmanita , Batubara Muhammad Hasyimsyah , Bukit Kurniati 
Published: February 2022

The research is the teaching narrative text using team assisted individualization (TAI) method to increase students' writing ability at second years SMPN 31 Takengon. The researcher used quantitative research with experimental design. The second year of SMPN 31 Takengon (VIII1 and VIII2) as the sample. Technique data analysis in this investigation uses statistics with the score t-test and formulate uses to compare the actual difference between control and experimental samples. The result of the using the team-assisted individualization (TAI) method is increase the students' writing in narrative text. It can be seen from the result of test tobs > ttable value tobs 2.88 and ttable 1,60 or tobs ? ttable. The team-assisted individualization (TAI) method also helps the students increase imagination and make the students easy to write in narrative text.
Peritoneal inclusion cyst after postsurgical adhesions
Authors: Pérez Naranjo P , Moya Sánchez E , Fernández Navarro L 
Published: February 2022

Resumen

El quiste de inclusión peritoneal o mesotelioma quístico benigno es una lesión poco común del peritoneo que aparece con mayor frecuencia en mujeres en edad reproductiva. Se trata de una proliferación mesotelial reactiva no neoplásica de células peritoneales que resulta de una agresión al peritoneo, incluyendo como factores predisponentes cirugía abdominal o pélvica previa, traumatismo, enfermedad pélvica inflamatoria o endometriosis, entre otros.

Presentamos el caso de una mujer de 43 años con antecedentes personales de intervenciones quirúrgicas abdominales que acudió por dolor abdominal inespecífico y se diagnosticó mediante RM de quiste de inclusión peritoneal.
Outpatient treatment in acute uncomplicated diverticulitis
Authors: Forneiro Pérez R , Hernández García MD , Zurita Saavedra MS , Oehling de los Reyes H , Mirón Pozo B 
Published: February 2022

Resumen

Introducción: La eventración perineal es una complicación poco común de la resección abdominoperineal del recto y en raras ocasiones precisan tratamiento quirúrgico.

Caso clínico: Varón de 60 años con eventración perineal estrangulada que provoca cuadro de obstrucción intestinal. Se realiza cirugía urgente: resección mecánica del asa de íleon afectada y confección de anastomosis laterolateral manual isoperistáltica y colocación de una malla de composite Symbotex para el cierre de la pelvis menor.

Discusión: Debido a su baja incidencia, el tratamiento quirúrgico no se encuentra estandarizado. Debemos tener en cuenta esta patología en mente ante un paciente con clínica de obstrucción de intestino delgado y con antecedente de proctectomía.
The Connection between Conservatory Students’ Creativity and their Picture of the World
Authors: Белоусова А.К. , Белоусова Е.Е. , Кряжкова Е.В. , Самарская А.В. 
Published: February 2022

В статье рассматривается актуальная проблема исследования креативности личности, выступающей и как высокий уровень интеллекта, и как проявление творческих способностей, и как характеристика одаренности, основу которой составляют мыслительные способности человека решать задачи, генерировать идеи, создавать уникальные и новые продукты, и позволяющей строить различные индивидуальные траектории обучения и развития молодых людей.В статье раскрываются особенности невербальной креативности студентов консерватории, выявленные с помощью краткого варианта теста Торренса, и их картины мира, а также связи между ними.Авторами в процессе исследования 65 студентов консерватории были выделены три группы: с низким, средним и высоким уровнем креативности.У представителей каждой из выделенных групп определены с помощью индексов оригинальности и уникальности и описаны особенности развития невербальной креативности.Кроме того, представлена выраженность у музыкантов с высоким, средним и низким уровнями развития невербальной креативности абстрактной, метафорической или пейзажной картин мира.Также выявлены значимые взаимосвязи креативности и особенностей картины мира у различных групп студентов консерватории.
The article investigates a relevant issue of modern education, namely the issue of creativity as a manifestation of high intelligence and giftedness, which enable a person to solve problems, generate ideas, create unique products, design individual educational paths and paths of development.The article uses a shortened version of the Torrance test to investigate the manifestations of conservatory students’ nonverbal creativity and their picture of the world, as well as the connection between students’ creativity and their worldview.Involving 65 conservatory students, the investigation divides them into three tentative groups: those with high creativity, those with medium creativity and those with low creativity.Relying on such creativity indexes as originality and uniqueness, the authors discuss the peculiarities of non-verbal creativity development in students with high, medium and low creativity.The authors also treat the manifestations of abstract and metaphorical pictures of the world in musicians with high, medium and low levels of non-verbal creativity.The article underlines the interconnection between conservatory students’ levels of creativity and their picture of the world.
Enhancing Parental Competencies Pertaining to the Development of Tolerance to Peers with Limited Abilities in Senior Preschool Children
Authors: Приходько Е.В. 
Published: February 2022

В статье рассмотрена проблема формирования толерантности детей дошкольного возраста к сверстникам с ограниченными возможностями здоровья. Особую актуальность она приобретает в связи с тем, что дошкольная ступень образования является первой ступенью включающего общества. В дошкольном возрасте дети более терпимы к людям с ограниченными возможностями здоровья при условии поддержки родителей и семьи.Роль родителей и их личного примера в воспитании нравственных качеств ребенка, в том числе эмпатийности и толерантности, неоспорима. Совместная работа педагогов и родителей по воспитанию толерантности будет эффективнее, так как проблема толерантного отношения является общей для всех участников образовательного процесса.В статье кратко описаны результаты эмпирического исследования уровня толерантности и эмпатии у родителей дошкольников общеобразовательного учреждения и показано, что большая часть родителей имеет средний уровень толерантности и эмпатийности.Кроме того, описаны рекомендуемые и использованные автором формы и методы работы с родителями по повышению их компетентности в вопросах толерантности и нравственного воспитания дошкольников, к которым отнесены ролевые игры, коммуникативные творческие дела (КТД), анализ проблемных ситуаций, проектная деятельность, собрания, семинары по вопросам развития представлений об идеях инклюзии и психолого-педагогических особенностях детей с ОВЗ на основе использования интерактивных технологий, тренинги по развитию эмоционального и поведенческого уровня компетентности родителей.Эффективность отмеченных форм и методов работы с родителями была подтверждена результатами контрольного этапа эксперимента.
The article focuses on the issue of developing tolerance to peers with limited abilities in preschool children. The issue is highly relevant since preschool education prepares children to live in society. Preschool children whose families promote tolerance are more tolerant to people with limited abilities.Parental example plays a significant role in developing children’s moral qualities, including empathy and tolerance. Parent-teacher collaboration enhances the development of tolerance.The article describes the results of an empirical assessment of tolerance and empathic abilities in parents of preschool children according to which the majority of parents have average tolerance and empathic abilities.The article describes forms and strategies the author recommends using when enhancing preschool children’s parents’ tolerance and empathy, such as role play, collective creativity, problem analysis, project activities, workshops, interactive discussions devoted to the issue of inclusion, psychological peculiarities of children with disabilities, workshops devoted to the development of parents’ emotional and behavioural skills.The article maintains that the effectiveness of the described forms and strategies is experimentally proven.