bluuebunny/crossref_metadata_2025_split huggingface dataset:
Incidence and mortality results of intestinal obstruction in geriatric and adult patients: 10 years retrospective analysis
Authors: Nuri Koşar Mehmet , Görgülü Özkan 
Published: January 2022

Objective: People with ileus is one of the patient groups with the highest admission rates to the emergency departments. In this study, it was aimed to determine the effects of age groups and etiological factors on mortality when evaluated together with gender.
Material and Methods: In our study, patients who were consulted from the Emergency Service to the General Surgery department with a pre-diagno- sis of abdominal pain between 2009 and 2020 were retrospectively screened. Patients hospitalized for ileus were analyzed in terms of age (18-65 years and over 65 years), gender, operation, etiology, incidence, and mortality.
Results: Between 2009 and 2020, 534 (3.03%) of 17.601 patients who received emergency consultation from the general surgery clinic were diagnosed with ileus. While 253 (47.4%) of the patients were operated, 317 (59.4%) patients and 101 (18.9%) patients were diagnosed with brid and malignancy, respectively; and 21 (3.9%) patients died in the complete patient group (Table 1). While the incidence of brid was high in non-operated patients, in operated patients, malignancy and other pathologies was found to be higher (p< 0.001) (Table 2). While, in patients 65 years and older, mortality was observed in 10.6% of women and 2.6% of men, it was determined that the mortality rate was higher in women (p= 0.008) (Figure 4).
Conclusion: The mortality rate in patients hospitalized with the diagnosis of mechanical bowel obstruction was found to be statistically significantly higher in female patients aged 65 and over.
How can surgical continuity be maintained during the COVID-19 pandemic? A quality improvement study in the pre-vaccination period
Authors: Pişkin Erol , Kadri Çolakoglu Muhammet , Öter Volkan , Mehmet Özgün Yiğit , Aydın Osman , Güven Alper , Ahmet Sürel Aziz , Özmen M. Mahir , Birol Bostancı Erdal 
Published: January 2022

Objective: During the COVID-19 pandemic, most of the elective surgeries had to be postponed. However, it is not possible to delay the surgical treat- ment of cancer patients for a long time. The aim of this study was to present how gastrointestinal system surgery operations are managed without delay and how employee safety is ensured , together with the results of the last five months. For this purpose, a preclinical and clinical screening system was created.
Material and Methods: Data of the patients who presented to our outpatient clinic between April 1st 2020 and August 31st 2020 were retrospectively reviewed.
Results: During the last five months of the pandemic, a total of 387 patients were hospitalized and 309 of these patients underwent surgical procedures. 165 of the patients who underwent surgery were newly diagnosed malignancy patients. All patients who were hospitalized were subjected to a screening for COVID-19 during the preclinical, clinical and surgical period. In the preclinical period, five patients were found positive and were directed to COVID-19 treatment without hospitalization. In the clinical period, six patients were isolated by showing symptoms during the hospitalization period. Only one of these patients received surgical treatment. The remaining five patients underwent endoscopic and interventional procedures. In this process, COVID-19 positivity was detected in a total of five healthcare workers.
Conclusion: With this preclinical and clinical screening method, it is shown that a COVID-19 sterile environment can be provided by early detection of positive cases in both patients and healthcare workers. In this way, the possibility of surgical continuity was demonstrated.
The effect of the use of the Gail model on breast cancer diagnosis in BIRADs 4a cases
Authors: Karakaya Emre , Erkent Murathan , Turnaoğlu Hale , Şirinoğlu Tuğçe , Akdur Aydıncan , Kavasoğlu Lara 
Published: January 2022

Objective: The BI-RADS classification system and the Gail Model are the scoring systems that contribute to the diagnosis of breast cancer. The aim of the study was to determine the contribution of Gail Model to the diagnosis of breast lesions that were radiologically categorized as BI-RADS 4A.
Material and Methods: We retrospectively examined the medical records of 320 patients between January 2011 and December 2020 whose lesions had been categorized as BI-RADS 4A. Radiological parameters of breast lesions and clinical parameters according to the Gail Model were collected. The relationship between malignant BI-RADS 4A lesions and radiological and clinical parameters was evaluated. In addition, the effect of the Gail Model on diagnosis in malignant BI-RADS 4A lesions was evaluated.
Results: Among radiological features, there were significant differences between lesion size, contour, microcalcification content, echogenicity, and presence of ectasia with respect to the pathological diagnosis (p< 0.05). No significant difference was found between the lesions’ pathological diagnosis and the patients’ Gail score (p> 0.05). An analysis of the features of the Gail model revealed that there was no significant difference between the age of menarche, age at first live birth, presence of a first-degree relative with breast cancer, and a history of breast biopsy and the pathological diagnosis (p> 0.05).
Conclusion: As a conclusion Gail Model does not contribute to the diagnosis of BC, especially in patients with BI-RADS 4A lesions.
Development of a local model for measuring the work of surgeons
Authors: Forootan Sara , Hajebrahimi Sakineh , Janati Ali , Najafi Behzad , Asghari-Jafarabadi Mohammad 
Published: January 2022

Objective: The Relative Value Unit (RVU) is the main method of calculating surgeons’ reimbursements and a tool for measuring the work of surgeons. Existing evidence shows that the work Relative Value Unit (wRVU) does not accurately represent surgeon’s work. Therefore, the current study attempted to develop a local model to measure surgeons’ work.
Material and Methods: This study was conducted in two main phases of determining the metrics and model development using quantitative and qualitative approaches from December 2019 to April 2021. Literature review, focused group discussions, and interviews were used to collect data. Con- tent analysis and Exploratory Data Analysis techniques were applied to analyze data.
Results: The findings demonstrated that patient’s conditions (age, severity of disease at referring time, and comorbidities), disease specifications (time, complexity, physical effort, and risk), and provider characteristic (surgeon’s willingness, imposed stress, and surgeon’s skill) were important by 17, 51, and 32%, respectively, in determining surgeons’ work.
Conclusion: Determining a fixed value for each procedure does not accurately estimate the amount of required surgeon’s work for any procedure. Many factors, such as the patient’s condition, surgeon’s characteristics, and disease specification affect surgeons’ work in the operation room. Proper measurement of the surgeon’s work is an important step towards establishing equity in payment in the health system.
The diagnosis and management of a pathological fracture: a case report
Authors: Loh, Melissa , Heewa Allaan , Molloy Rory , Duncan Miles 
Published: January 2022

A 64 year old female patient presented to the Accident and Emergency (A&E) department at the Royal Lancaster Infirmary (RLI) with a significant left sided jaw pain. This patient reported paraesthesia and a shooting pain radiating down her left mandible. There was also marked trismus on examination. Her medical history included a history of a previously diagnosed Squamous Cell Carcinoma (SCC) of the left soft palate. This was staged at T2N0M0 and treated with radiotherapy and chemotherapy. Following a clinical examination, special investigations via imaging were obtained prior to a formal diagnosis of pathological fracture of the left mandible following previous radiotherapy for her SCC treatment.
This case report will discuss the incidence, background, management and treatment of osteoradionecrosis (grade 3) (ORN) of the mandibular jaw bone as well as the associated pathological fractures and the detrimental effects following the use of radiotherapy to the head and neck region.
Literature Review : Gambaran Karakteristik Pasien TB
Authors: Noviyanti Ilva , Irnawati I 
Published: January 2022

AbstractIndonesia is ranked as the second-highest TB-infected country in the world. Analysis of the characteristics of TB patients is useful for increasing case finding and early treatment. To determine the characteristics of pulmonary TB patients. Using a literature review design. There were five articles used in this study. These articles were published in 2016-2021 and form Google Scholar and ProQuest. The instrument used for a critical appraisal was Strobe. There were some characteristics of the respondents. Most of them were male (60,2% or 147 respondents), aged 15-55 years (79,1% or 193 respondents), elementary school graduates (36,5% or 89 respondents), and still working (63,9% or 156 respondents). The characteristics of pulmonary TB patients are mostly male, productive age, primary school education, and still working.Keywords: Descriptive; characteristics; tuberculosis
AbstrakIndonesia menduduki peringkat kedua dalam kasus TB paru di dunia. Analisis karakteristik penderita TB bermanfaat untuk meningkatkan angka penemuan kasus dan pemberian pengobatan dini. Mengetahui gambaran karakteristik pasien TB Paru. Menggunakan desain literature review, menggunakan 5 artikel dari database dengan penelusuran elektronik pada Google Scholar dan ProQuest yang dipublikasikan pada Tahun 2016-2021. Instrumen yang digunakan untuk critical appraisal adalah Strobe. Karakteristik responden berdasarkan jenis kelamin sebagian besar dengan jenis kelamin laki-laki yaitu sebanyak 147 (60,2%) responden, sebagian besar berusia 15-55 tahun yaitu sebanyak 193 (79,1%) responden, sebagian besar dengan pendidikan SD yaitu sebanyak 89 (36,5%) responden dan sebagian besar responden masih bekerja yaitu sebanyak 156 (63,9%) responden. Ditemukan karakteristik pasien TB paru mayoritas laki-laki, berusia produktif, pendidikan SD dan masih bekerja.Kata Kunci : Deskriptif; karakteristik; tuberkulosis
Terapi Musik Klasik Untuk Menurunkan Tingkat Depresi Pada Pasien Psikososial : Kehilangan
Authors: Fitriya Suci , Satria Ramadhan Putra , Samun S 
Published: January 2022

AbstractDepression is an emotional disorder or mild mental disorder characterized by prolonged sadness, hopelessness, feelings of guilt and meaninglessness. Loss is a condition of the individual parting with something that previously existed into nothing. Classical music can have a calming effect, reduce anxiety, feel relaxed and stabilize emotions. The prevalence of depression in the population aged 15 years in Tegal Regency is 6.87% or 2,689 people. This study aims to determine the administration of classical music therapy to reduce the level of depression in psychosocial: loss patients in the Dukuhwaru Health Center work area, Tegal Regency. This research method is descriptive analytical method with a case study approach. The results of a case study with classical music therapy have an effect that can reduce the level of depression in psychosocial patients: loss. There was a decrease in depression level scores in the subjects of both studies, from a score of 25 points (moderate depression) to a score of 19 points (mild depression). In conclusion, classical music therapy can reduce the level of depression in psychosocial patients.Keywords: Depression; loss; classical music
AbstrakDepresi merupakan gangguan emosional atau gangguan jiwa ringan yang ditandai dengan kesedihan yang berkepanjangan, putus harapan, perasaan bersalah dan tidak berarti. Kehilangan adalah suatu keadaan individu berpisah dengan sesuatu yang sebelumnya ada menjadi tidak ada. Musik klasik dapat memberikan efek yang menenangkan, mengurangi kegelisahan, membuat perasaan menjadi rileks dan dapat menstabilkan emosional. Prevalensi depresi pada penduduk usia ≥ 15 tahun di Kabupaten Tegal sebesar 6,87% atau sebanyak 2.689 jiwa. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian terapi musik klasik untuk menurunkan tingkat depresi pada pasien psikososial : kehilangan di wilayah kerja Puskesmas Dukuhwaru Kabupaten Tegal. Metode penelitian ini merupakan metode deskriptif analitis dengan pendekatan studi kasus. Hasil penelitian studi kasus dengan terapi musik klasik memberikan pengaruh yang dapat menurunkan tingkat depresi pada pasien psikososial : kehilangan. Terjadi penurunan skor tingkat depresi pada kedua subjek penelitian yaitu dari skor 25 poin (depresi sedang) menjadi skor 19 poin (depresi ringan). Simpulan, terapi musik klasik dapat menurunkan tingkat depresi pada pasien psikososial kehilangan.Kata kunci : Depresi; kehilangan; musik klasik
Pre-aperture slewing mirror with pointing area of 50 ◦ ×120 ◦ for 30 cm aperture telescope for the system of observation of day time asteroids (SODA project)
Authors: Буслаева А.И. , Шмагин В.Е. , Шугаров А.С. 
Published: January 2022

В работе предложена концепция управляемого предапертурного зеркала для быстрого перенаведения широкоугольного телескопа с полем зрения 3.75 ◦ и апертурой 30 см для космической системы обнаружения декаметровых астероидов (проект СОДА). Область наведения составляет 50 ◦ × 120 ◦ , время перенаведения между соседними площадками не более 3 с. Рассмотрены ближайшие российские и зарубежные аналоги, даны рекомендации по использованию управляемого зеркала в проекте СОДА.
We propose a conceptual design of a controlled pre-aperture mirror for the fast repositioning of a wide field telescope with a field of view of 3.75 ◦ and an aperture of 30 cm for a space system to detect decameter sized asteroids (the SODA project). The pointing area is 50 ◦ × 120 ◦ and the repointing time between the adjacent fields is less than 3 seconds. Similar systems, equipped with a pre-aperture mirror, from different Russian and foreign projects have been considered, as well as recommendations on the use of a controlled mirror in the SODA project.
Doppler measurements of stars: evolution of accuracy and some perspectives
Authors: Панчук В.Е. , Афанасьев В.Л. , Пельменев А.Г. , Юшкин М.В. , Жуклевич Г.С. , Ларионов С.В. 
Published: January 2022

Перечислены основные этапы повышения точности доплеровских измерений спектров звезд и связанные с этимтехнологические прорывы. Упоминаются методы интерференционной спектроскопии, ориентированные как на сни-жение стоимости массовых доплеровских измерений, так и на увеличение спектрального разрешения до значений,превосходящих спектральное разрешение согласованного спектрографа высокого разрешения.
The main stages of increasing the accuracy of Doppler measurements of stellar spectra and related technological break-throughs are listed. Methods of interference spectroscopy are mentioned, which are aimed at both reducing the cost of massDoppler measurements and increasing the spectral resolution to values exceeding the spectral resolution of a conventionalhigh-resolution spectrograph.
Local-thermal-gradient and large-scale-circulation impacts on turbine-height wind speed forecasting over the Columbia River Basin
Authors: Liu Ye , Qian Yun , Berg Larry K. 
Published: January 2022

Abstract. We investigate the sensitivity of turbine-height wind speed forecast to initial condition (IC) uncertainties over the Columbia River Gorge (CRG) and Columbia River Basin (CRB) for two typical weather phenomena, i.e., local-thermal-gradient-induced marine air intrusion and a cold frontal passage. Four types of turbine-height wind forecast anomalies and their associated IC uncertainties related to local thermal gradients and large-scale circulations are identified using the self-organizing map (SOM)
technique. The four SOM types are categorized into two patterns, each
accounting for half of the ensemble members. The first pattern corresponds
to IC uncertainties that alter the wind forecast through a modulating weather system, which produces the strongest wind anomalies in the CRG and CRB. In the second pattern, the moderate uncertainties in local thermal gradient and large-scale circulation jointly contribute to wind forecast anomaly. We analyze the cross section of wind and temperature anomalies through the gorge to explore the evolution of vertical features of each SOM type. The turbine-height wind anomalies induced by large-scale IC uncertainties are more concentrated near the front. In contrast, turbine-height wind anomalies induced by the local IC thermal uncertainties are found above the surface thermal anomalies. Moreover, the wind forecast accuracy in the CRG and CRB is limited by IC uncertainties in a few specific regions, e.g., the 2 m temperature within the basin and large-scale circulation over the northeast Pacific around 140∘ W.
Pemanfaatan Internet sebagai Media Pemasaran Pondok Wisata di Desa Pelaga, Kabupaten Badung
Authors: Suastini Ni Made , Witarsana I Gusti Agung Gede , Jata I Wayan , Sulistyawati Ni Luh Ketut Sri , Sukerti Ni Nyoman , Sadjuni Ni Luh Gde Sri 
Published: January 2022

Pelaga Village, Badung Regency is famous for its beautiful and natural view. Therefore, the community is very enthusiastic to manage homestay as a means of support. In Pelaga Tourism Village, agro-tourism development has also been carried out centered in the Kiadan environment. However, when the field survey was carried out, there were still obstacles in its management of the homestay. Therefore, training related to accommodation management is needed which will be carried out in stages to improve the community's ability to manage homestay. In 2021, the Hotel Administration Study Program has carried out community service in Pelaga Village, Badung Regency regarding the use of the internet as a marketing tools for homestay in Pelaga Village, Badung Regency.
Penerapan Group Investigation Pada Pembelajaran Sejarah Kebudayaan Islam Guna Peningkatan Prestasi Belajar Siswa Kelas IV Madrasah Ibtidaiyah Negeri 2 Gunungkidul Tahun Pelajaran 2019 / 2020
Authors: Sulastri Sulastri 
Published: January 2022

The Use of Investigational Group Strategies in SKI Learning To improve Student Achievement of Class IV MIN 2 Gunungkidul Academic Year 2019/2020. Implementation of the 2013 Curriculum for Islamic Education and Arabic at the MI level in Gunungkidul.
The number of students whose learning achievement is lacking in learning is due to one of the reasons for the learning process so far not involving students actively, so that student achievement is far from expected, therefore this study aims to determine whether there is an increase in student achievement in learning SKI through the Investigational Group Strategy. for Class IV Students of MIN 2 Gunungkidul Academic Year 2019/2020
This research is a Classroom Action Research which consists of two cycles and involves four components, namely: Planning (plan), Action (action), Observation (observation), Reflection (reflection). The subjects in this study were students of Class IV MIN 2 Gunungkidul in the 2019/2020 academic year, totaling 14 students. Methods of data collection using observation and documentation. The collected data were analyzed using descriptive statistical methods.
From the results of the study, it was found that the Investigational Group method in Jurisprudence learning was able to improve the learning achievement of students in Class 2 Gunungkidul in the 2019/2020 academic year. In the first cycle the students' learning achievement in Jurisprudence increased after the implementation of the Investigational Group Strategy. This can be seen from the percentage of classical learning completeness, namely in the first cycle of 57%, and in the second cycle of 83.78%.
The results of these studies can be used as reference material for us to improve student learning achievement.
Mode of transmission of COVID-19, Oral Manifestations, Precautionary Measures/Clinical Strategies and Treatment Considerations in dentistry
Authors: Javaid Mohsin , Chaudhary Farooq Ahmad , Fazal Ayesha , Khan Ejaz Ahmad , Hyder Mawra , Din Shahab ud 
Published: January 2022

Background: So far more than 253 million cases & more than 5 million casualties worldwide, while more than 1 million cases and more than 28 thousand casualties have been reported in Pakistan due to pandemic of Novel Corona Virus (COVID19). At the end of December 2019, a pneumonia outbreak began in Wuhan China, which then quickly spread to entire world. The viral pneumonia was named “Corona Virus Disease (COVID19)” by WHO on 11th February 2020. On March 11, 2020; WHO declared this outbreak as “Pandemic”. Its mode of transmission includes contact transmission through mucous membranes of nose, mouth & fomites, and direct transmission through sneeze, cough and inhalation of droplets. It can be transmitted indirectly or directly via saliva, aerosols formed throughout clinical procedures and via contact. Clinical symptoms included fever, muscle ache or pain, cough. Incubation period of 1–14 days. In this pandemic, dentists are rated as highly exposed health care professionals to this disease Aims: To describe Coronaviruses and its modes of transmission and to discuss treatment considerations and precautionary measures or clinical strategies adopted by Oral health professionals to protect themselves and to prevent the spread of coronavirus in the dental setup Methodology: Since it’s a Literature review article, so no methodology was required as such Results: It’s a Literature review article	Conclusion Standard precautionary measures and highly responsible behavior of a dentist will prevent the spread of this disease especially from asymptomatic patients. Keywords Aerosols generation, COVID-19, Dental procedures, Oral health professionals, Pandemic, Precautionary measures
Identify Social Determinants of Health Related to Ambulatory Care Sensitive Conditions: Decreasing Hospitalizations and Emergency Department Visits
Authors: Gjini Maria , Khan Nasim , Vuljaj Gjovana , Stefanovski Adriana , Kaminski Abbey , Weber Brooke , Dean Caress 
Published: January 2022

Introduction: Ambulatory care sensitive conditions (ACSCs) have been linked to higher emergency room and hospitalization rates. Research suggests social determinants of health (SDOH) may play a role; however, there is a limited understanding of the relationship between ACSCs and SDOH. This study's objective was to examine the relationship between structural and intermediary SDOH and chronic ACSC status among United States adults (U.S.).
Methods: Data were drawn from the 2017 Behavioral Risk Surveillance System for 12 states and U.S. territories that completed the SDOH module (N= 111,828). Descriptive statistics and binary logistic regression analysis identified SDOH associated with a chronic ACSC status.
Results: More than 45% of participants had a chronic ACSC. Individuals with ACSCs had higher odds of reporting their neighborhood as unsafe (AOR=1.25; 95%CI=1.05-1.49) than those who reported their neighborhood as extremely safe. Similarly, participants with ACSCs were significantly more likely to report challenges paying their utilities/rent/mortgage (AOR=1.18; 95%CI=1.03-1.36) than to report not experiencing challenges.
Conclusions: To address chronic ACSCs, intersectoral public policies are warranted to diminish educational inequalities and racial disparities. This population would also benefit from community-based interventions that connect them to local resources that reduce stress and improve their financial stability and neighborhood safety level.