bluuebunny/crossref_metadata_2025_split huggingface dataset:
Robot-assisted radical cystectomy for bladder cancer: single-center experience
Authors: Pavlov Valentin , Urmantsev Marat , Safiullin Ruslan , Denejko Anton , Gilmanova Rita , Abdrakhimov Ruslan 
Published: February 2022

Abstract

Objective
Radical cystectomy remains the most effective treatment for patients with localized, invasive bladder cancer and recurrent noninvasive disease. Recently some surgeons have begun to describe outcomes associated with less invasive surgical approaches to this disease, such as laparoscopic or robotic assisted techniques. We report our maturing experience with 100 consecutive cases of robotic assisted laparoscopic radical cystectomy regarding perioperative results, pathological outcomes, and surgical complications.

Methods
A total of 100 consecutive patients (73 male and 27 female) underwent robotic radical cystectomy with intracorporeal urinary diversion at our institution from February 2018 to February 2021 for clinically localized bladder cancer. Outcome measures evaluated included operative variables, hospital recovery, pathological outcomes, and complication rate.

Results
The mean age of this cohort was 60.4 years (range 38 to 82). Ninety-five patients underwent ileal conduit diversion, 5 received a neobladder). The mean operating room time for all patients was 184 min (min time was 160 min) and mean surgical blood loss was 286 ml. On surgical pathology, 2% of the cases were pT1, 35% were pT2, 51+12% were pT3/T4 disease and 17% were node positive. The mean number of lymph nodes removed was 16 (range 10 to 40). In no case was there a positive surgical margin. The mean days to flatus were 2.6, bowel movement 2.8 and discharge home 8.2. There were 21 postoperative complications in 20 patients with 4% having a major complication (Clavien grade 3 or higher) and 15% being readmitted within 30 days after surgery. At a mean follow-up of 12 months 3 patients had disease recurrence and died 4 of disease.

Conclusions
We report a relatively large cohort and maturing experience with robotic radical cystectomy for the treatment of bladder cancer, providing acceptable surgical and pathological outcomes. These results support continued efforts to refine the surgical management of muscle-invasive bladder cancer.
Percepción del sistema de acreditación sanitaria en Colombia
Authors: Franco Herrera Astolfo León , Fernández Osorio Adrián David , De La Torre Alejandro , Cañón Muñoz Martín , Ordoñez Hernandez Cecilia Andrea , Gonzalez Carolina 
Published: February 2022

Introducción:
la acreditación es un proceso de evaluación externo, sistemático, periódico y voluntario al que se someten instituciones de salud para demostrar el cumplimiento de niveles superiores de calidad en la atención. El Icontec, Instituto colombiano de normas técnicas, es la organización colombiana no gubernamental designada por el Ministerio de Salud para ser la entidad que acredita la calidad de las instituciones de salud en Colombia. El objetivo del presente estudio fue evaluar la percepción del valor que agrega la acreditación a la calidad de la atención en clínicas y hospitales en Colombia.

Métodos:
estudio transversal observacional. Se encuestaron 22 profesionales con experiencia en el proceso de acreditación Icontec. El instrumento evaluó tres ejes temáticos del proceso: valor agregado que aporta el proceso de acreditación, proceso de evaluación e informe final. La percepción de las fases del proceso fue medida a través de una escala tipo Likert y un análisis estadístico descriptivo. .

Resultados:
los ítems con mejor percepción fueron la humanización de la atención (86.4%), la seguridad de los pacientes y el trabajo en equipo (81.8%). Laacreditación mejora la calidad de los procesos (77.4%), la prevención y el control de infecciones (68.1%) y el compromiso de los médicos (63.6%). El 54.6% consideró que los evaluadores utilizan métodos diferentes de evaluación.

Conclusión:
el sistema de acreditación Icontec en Colombia, agrega valor a las instituciones de salud en la mayoría de los ejes temáticos evaluados. La percepción más baja se presenta en el incremento de compromiso de los médicos.
ANALYSIS OF NATURAL TOURISM POTENTIAL OF SEMANGAT GUNUNG VIILAGE KARO REGENCY, NORTH SUMATERA WITH QUANTITATIVE QUALITATIVE DESCRIPTIVE METHOD
Authors: Sinuraya Sherly Ennina Maretha , Rostian Titien Suryanti , Pangaribowo R L 
Published: February 2022

A brief, clear and comprehensive summary of the contents of the article containing :North Sumatra Province has natural, cultural, historical and culinary tourism resources well-known at home and abroad. There are many natural and cultural attractions which is the advantage of North Sumatra Province, one of the regencies located in North Sumatra, has a very interesting landscape for it’s culture and nature, namely Karo Regency.One of the villages in Karo Regency, North Sumatra has a various natural and cultural attraction, namely Desa Semangat Gunung, among others the state of the flora and fauna of an area with natural landscape such as forests, mountains, and so on which includes the physical condition of an area. How is the potential for natural tourism which if found in the Desa Semangat Gunung with qualitative descriptive method techniques quantitative?This study aims to analyze the natural tourism potential of Desa Semangat Gunung as tourism villages. The method used in this research is descriptive quantitative qualitative. The tools and materials used are hardware such as laptops, writing, software such as miscrosoft, photoshop, autocad and etc.The results of this study plan Desa Semangat Gunung as a tourism village based on nature tourism by looking at visuals the existing landscape in the village area Keywords: analysis of the potential for natural tourism, tourist villages, mountain spirit villages, disticts karo
Dermoscopic criteria of discoid lupus erythematosus: An observational cross-sectional study of 28 patients
Authors: Fathy Hanan , Ghanim Bothaina Mahrouth , Refat Sherine , Awad Amany 
Published: February 2022

Background:
Discoid lupus erythematosus (DLE) affects mainly the head and neck and lesions heal with scaring. Early diagnosis of DLE is crucial; dermoscopy may enable early diagnosis and help to assess the prognosis of well-established lesions.

Aims:
To describe the dermoscopic features of DLE and to correlate them with the histological findings, site and duration of DLE.

Material and Method:
This study included 28 patients diagnosed as DLE based on clinical and histopathological examination. We examined the lesions clinically, dermoscopically and histopathologically. Evaluated dermoscopic variables were based on data in the available literature and on our observations.

Results:
Whitish scales (89.3%), arborizing blood vessels (85.7%), follicular plugging (82.1%), and pigmentation (82.1%) were the commonest dermoscopic findings. Radial arrangement of arborizing blood vessel in between a radially arranged perifollicular whitish halo (starburst pattern) (39.3%) was noticed for the first time in this study. Rosettes (57.1%) were also seen. There was significant agreement between many dermoscopic and pathological findings with high sensitivity and specificity of many dermoscopic variants in the diagnosis of DLE. Follicular plugging, perifollicular whitish halo, starburst pattern, follicular red dots and rosettes were detected in early stages of the disease but structureless whitish areas and telangiectasia need more time to develop.

Limitations:
We examined our patients at the time of presentation only without prospective monitoring and we had a relatively small sample size.

Conclusion:
Dermoscopy helps in the diagnosis of DLE at different body sites.
Four stages of oxytherapy for the stage-by-step change of fractality of neurooscillations
Authors: Тараненко А.М. 
Published: February 2022

При оксидативном (ОС-1 и ОС-2) и воспалительном (ВС-1 и ВС-2) стрессе «верхний» и «нижний» генераторы мозга, могут увеличивать до нормы взаимодействие фракталов, что обозначает излечение мозга. Это дает 4 «ступени» состояний мозга, в виде каскада мультифрактальных режимов. Параметр оксигенации может управлять этими переходами, что объясняет роль окситерапии в лечении неврозов и психозов. Цитокины воспаления и оксидативный стресс тесно связаны, поэтому существует универсальный механизм лечения нейрозаболеваний, оксидативным стрессом или воспалительным стрессом, или же их сочетанием (и психотерапией).
Under oxidative (OS-1 and OS-2) and inflammatory (IC-1 and IC-2) stress, the “upper” and “lower” generators of the brain can increase the interaction of fractals to normal, which means the brain is healed. This gives 4 “stages” of brain states, in the form of a cascade of multifractal modes. The oxygenation parameter can control these transitions, which explains the role of oxytherapy in the treatment of neuroses and psychosis. Inflammatory cytokines and oxidative stress are closely related; therefore, there is a universal mechanism for the treatment of neuroses, oxidative stress or inflammatory stress, or a combination of both (and psychotherapy).
Some aspects of ecology and biology of representatives detachment Odonata (Incesta) terrestrial ecosystems of the tundra and forest-tundra of the Yenisei Siberia
Authors: Баранов А.А. , Стамбровская Э.В. , Городилова С.Н. , Мельник О.Н. , Банникова К.К. 
Published: February 2022

В статье представлены материалы по экологии и биологии представителей отряда Оdonata: Коромысло голубое, или камышовое Aeshna juncea L., 1758; Коромысло чешуйчатое Aeshna caerulea Strom., 1783; Бабка Зальберга Somatochlora sahlbergi Trybom, 1889. Собран материал по численности, плотности и сезонной активности вида Aeshna juncea за период 2017–2020 гг. По всем видам даны точки находок и сезонная активность в условиях тундры и лесотундры Приенисейской Сибири. Представители отряда отмечались на открытых, хорошо прогреваемых полянах с характерной тундровой растительностью – кипрей узколистный Chamerion angustifolium L., пижма обыкновенная Tanacetum vulgare L., купырь лесной Anthriscus sylvestris L., одуванчик рогоносный Taraxacum ceratophorum L.
The article presents materials on the ecology and biology of representatives of the order Odonata: Blue rocker, or reed Aeshna juncea L., 1758; Scaly rocker Aeshna caerulea Strom., 1783; Salberg's grandmother Somatochlora sahlbergi Trybom, 1889. Material was collected on the abundance, density and seasonal activity of the species Aeshna juncea for the period 2017–2020. Find points and seasonal activity in the tundra and forest-tundra conditions of the Yenisei Siberia are given for all species. Representatives of the order were observed in open, well-warmed clearings with characteristic tundra vegetation – narrow-leaved fireweed Chamerion angustifolium L., common tansy Tanacetum vulgare L., forest bush Anthriscus sylvestris L., horned dandelion Taraxacum ceratophorum L.
The state of study and distribution of the drophe (Otis tarda dybowskii Taczanowski, 1874) and steppe kestrel (Falco naumanni Fleischer, 1818) in Central Siberia in the XX–XXI centuries
Authors: Баранов А.А. , Шелягина Д.В. , Еринкова А.Н. , Булычева О.В. , Дегтяренко А.Ю. , Банникова К.К. , Городилова С.Н. , Мельник О.Н. 
Published: February 2022

В данной работе рассматривается состояние изученности и распространение двух типичных представителей степных экосистем – дрофы (Otis tarda dybowskii Taczanowski, 1874) и степной пустельги (Falco naumanni Fleischer, 1818) – на территории Средней Сибири. Степи в пределах описываемого региона носят островной характер и размещены в крупных межгорных котловинах: Минусинской, Тувинской, Убсунурской и Урэгнурской. На основании анализа литературных источников и собственных материалов, собранных во время полевых работ, проводится сравнительный анализ изменений границ ареалов дрофы и степной пустельги на территории Средней Сибири. Найденные места гнездования и встречаемости нанесены на электронную интерактивную карту значковым методом, что позволило определить довольно точно границы и динамику ареалов видов.
This work examines the state of study and distribution of two typical representatives of steppe ecosystems – drouphs (Otis tarda dybowskii Taczanowski, 1874) and steppe kestrel (Falco naumanni Fleischer, 1818) – in Central Siberia. The steppes within the described region are island in nature and are located in large intermountain basins: Minusinsk, Tuva, Ubsunur and Uregnur. Based on the analysis of literary sources and own materials collected during field work, a comparative analysis of changes in the boundaries of the ranges of the dropha and steppe kestrel in the territory of Central Siberia is carried out. The found nesting and occurrence sites are marked on an electronic interactive map by an icon method, which made it possible to determine quite accurately the boundaries and dynamics of species ranges.
ANALYSIS OF THE STATE OF DEVELOPMENT OF FLOODED FORMATIONS OF MESOZOIC DEPOSITS OF THE GROZNY OIL REGION EXPOSED TO TECHNOGENIC IMPACT
Authors: Халадов А.Ш. 
Published: February 2022

Проблема крайне короткого периода эксплуатации обводняющихся добывающих скважин на примере мезозойских залежей Грозненского нефтяного района. Механизм вытеснения нефти в безводный и водный периоды эксплуатации залежей как один из наиболее рациональных способов увеличения степени извлечения углеводородного сырья.
The problem of an extremely short period of operation of watering production wells on the example of the Mesozoic deposits of the Grozny oil region. The mechanism of oil displacement during anhydrous and water periods of reservoir exploitation, as one of the most rational ways to increase the degree of extraction of hydrocarbons.
ON THE ISSUE OF IDENTITY FORMATION IN THE CONTEMPORARY SOCIO-CULTURAL SPACE
Authors: Удалова Лариса Викторовна , Горшкова Светлана Евгеньевна , Мещерякова Лариса Яковлевна 
Published: February 2022

Статья посвящена особенностям формирования идентичности в современном социокультурном пространстве. Рассматриваются различные подходы к определению идентичности и ее типологизация. Формирование идентичности человека в современном социокультурном пространстве сегодня связано с целым рядом особенностей, которые вызваны глобализацией в мире, затрагивающей процессы реальной идентификации (национально-культурной и самоидентификации), а также расширением влияния массовой культур, все это порождает формирование новых идентичностей. Рассмотрены вопросы национально-культурной идентичности, а также феноменологии реальной и симулятивной идентичности в постмодернистическом пространстве в связи с расширением влияния массовой культуры. Отдельное внимание уделено теме о совершенствовании человека, где NBIC-технологии предлагают внедрение практик, которые находятся в зоне между лечением и улучшением организма человека, где медицинское вмешательство выходит за пределы лечения, что ведет к переформатированию идентичности человека в будущем, к антропологическим рискам, сопряженным с деформацией природной основы человека.
The article is devoted to the peculiarities of identity formation in the contemporary socio-cultural space. Various approaches to the definition of identity and its typology are considered. The formation of a person's identity in the modern socio-cultural space today is associated with a number of features that are caused by globalization in the world, affecting the processes of real identification (national-cultural and self-identification), as well as the expansion of the influence of mass cultures, all this generates the formation of new identities. The issues of national and cultural identity, as well as the phenomenology of real and simulated identity in the postmodern space in connection with the expansion of the influence of mass culture are studied. Special attention is paid to the topic of human improvement, where NBIC technologies offer the introduction of practices that are in the zone between treatment and improvement of the human body, where medical intervention goes beyond treatment, which leads to the reformatting of a person's identity in the future, to anthropological risks associated with the deformation of the natural basis of a person.
Impact of Behavioral Biases and Decision Analysis Methods on Investment Performance of Individual Investors at PSX
Authors: Chauhdary Nasir Sharif , Ghufran Bushra , Khakwani Maria Shams 
Published: February 2022

Purpose: Market bubbles and crashes remain unexplainable by classical finance theories. Because the history of the Pakistan Stock Exchange has been marked by occasional market bubbles and crashes, a behavioral study is conducted to investigate the impact of investor’s behavioral biases on investment performance. Design/Methodology/Approach: Our research investigates behavioral biases and examines the role of such biases in the selection of investment decision methods. We then investigate the direct impact of behavioral biases on investors' investment performance, as well as how investment analysis methods play a role in mediating the impact of behavioral biases on investment performance. We identified 11 irrational behavior biases based on existing literature and in-depth interviews with brokers, and two decision analysis methods are used: fundamental and technical.
Findings: Our findings show that PSX investors exhibit moderately high levels of irrational behavior. Despite their moderately high level of irrationality, investors can use fundamental analysis to make better decisions and achieve better results. Since they use fundamental analysis method, they are boundedly rational rather than completely irrational.
Implications/Originality/Value: The fundamental analysis does not fully mediate three determinants of irrationality, namely anchoring, control, and overconfidence. Individual investors and brokers are concerned about reducing the impact of these three biases in order to achieve optimal performance. Brokerage firms and fund managers are recommended to consider the behavioral aspects of investors to predict the future because behavioral factors of investors can not only shape the investment trend of individuals but also the market at large.
Makna Visual dalam Ilustrasi Naskah Sajarah Banten
Authors: Ramadina Savitri Putri 
Published: February 2022

Sajarah Banten merujuk pada kumpulan naskah tentang Kesultanan Banten yang dibuat sekitar abad ke-17 hingga abad ke-19. Dari total 29 naskah yang bertahan dan sudah diteliti, hanya ada satu naskah yang memiliki ilustrasi. Visualisasinya tidak menyertakan gambaran mahluk hidup dan hanya terdiri dari benda mati seperti kapal, furniture, bangunan, dan bendera. Meskipun demikian, komposisi obyek-obyek tersebut menandakan peristiwa dan aktivitas tertentu yang ada dalam narasi naskah.Penelitian ini bermaksud untuk menelaah bagaimana visualisasi dan komposisi obyek tanpa penggambaran karakter digunakan untuk mengilustrasikan cerita dalam naskah Sajarah Banten. Metode yang digunakan adalah analisis kualitatif dengan pendekatan semiotika visual C.S. Peirce untuk memahami bagaimana makna visual pada obyek digunakan untuk menandai aktivitas tertentu. Kata kunci: Banten, ilustrasi, naskah, semiotika, visual.
Perkembangan Kesenian Beluk di Desa Ciapus Banjaran
Authors: Shidiq Muhammad , Rizki Bangbang Muhammad 
Published: February 2022

Soepandi (1985, hlm. 23) menyatakan bahwa seni Beluk merupakan bentuk seni suara bebas dengan pupuh sebagai sumber rumpaka yang banyak dinyanyikan dengan nada yang tinggi. Selain itu, menurut Aep Yanyan (Praktisi Beluk) Beluk secara bahasa memiliki arti “Celuk” atau memanggil. Hal ini berdasarkan kebiasaan masyarakat peladang pada zaman dahulu yang menggunakan suara tinggi dan meliuk untuk berkomunikasi dan agar dapat terdengar dari kejauhan. Kesenian Beluk inilah yang akan menjadi fokus penjabaran dalam tulisan ini. Metode yang digunakan untuk menjelaskan kesenian ini adalah dengan kualitatif deskriptif, yang mana penulis akan menjelaskan bagaimana kesenian ini dipertunjukan dalam kehidupan masyarakat di Desa Ciapus, Banjaran. Metode yang digunakan dalam penelitian ini adalah kualitatif deskriptif. I Made Wirartha (2006, hlm. 155) menyatakan bahwa metode analisis deskriptif kualitatif adalah menganalisis, menggambarkan, dan meringkas berbagai kondisi, situasi dari berbagai data yang dikumpulkan berupa hasil wawacara atau pengamatan mengenai masalah yang diteliti yang terjadi di lapangan. Kesenian Beluk merupakan kesenian hasil karya budaya manusia akan kebutuhan berkomunikasi pada zaman dahulu. Kesenian ini lahir atas inisiatif warga yang butuh saling berkomunikasi kala sedang bertani atau berladang.
Behavioral and Psychological attributes of the smokeless tobacco consumers in Karachi
Authors: Aslam Sadia , Javed Ahad , Usman Hafiz Muhammad , Naz Lubna , Mushtaq Samia 
Published: February 2022

Background: Prevalence of smokeless tobacco (ST) consumption has been observed worldwide in the twentieth century, especially in Asian and African countries, with estimated 47% ST consumers in Pakistan. Therefore, the present study aimed to investigate the potential rationale of individuals for ST-initiation and various behavioural and psychological attributes of ST-consumers.
Methodology: The study was conducted in an underprivileged area of Surjani town, West district of Karachi, Pakistan. 150 study participants were selected for the study, in which consumers of the current ST consumers (Betel nuts, Gutka and Oral Snuff) were recruited. In contrast, the individuals not taking ST served as controls. Individuals with smoking, any other type of addiction, medications for any chronic disease (hypertension, diabetes), or having any other behavioural/psychological problems were excluded from the study. A structured questionnaire was designed to evaluate the level of stress (Modified Hassles scale), addiction, and nicotine dependence. The participants were explained about the purpose of the study and the interviews were conducted by personal meet-up in their homes. Data was collected and analyzed via SPSS version 16.0.
Results: Curiosity and peer pressure appeared to be among the most important factors for ST consumption initiation. 25% of ST consumers were found to be at the end stage of addiction, while 36% categorized to be in the second stage of addiction. Irritation, Anger, Headache and laziness were among the most prevalent types of feelings experienced by the study participants. The reduced stress levels in ST consumers compared to the controls were due to their euphoric condition attributed to the ST. Approximately 30% of the consumers were categorized to have an increased risk of obesity.
Conclusion: As a readily available and affordable addictive agent, smokeless tobacco consumption has been raised in Pakistan more than in the west. Smokeless tobacco consumption-initiation has been linked to increased curiosity and peer pressure.