bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cuidados perioperatorios en el paciente adulto mayor
Authors: Vargas Castillo Priscilla María , Mora Quesada Irene María , Cordero Cordero Jose Miguel 
Published: June 2022

La población adulta mayor es el segmento de la población mundial de más rápido crecimiento, y con ello el número de intervenciones quirúrgicas, tanto electivas como de emergencia, aumenta cada día. Los pacientes mayores representan una complejidad mayor, en comparación con los paciente jóvenes, en cuanto a factores fisiológicos, sociológicos y psicológicos que desafían los modelos de atención actuales. El objetivo de realizar una intervención quirúrgica debe ser ofrecer la mejor calidad de vida posible, a pesar de que representan un desafío médico a causa de la comorbilidad asociada y la reserva cardiopulmonar disminuida.
Sarcoidosis: una actualización de la enfermedad multisistémica
Authors: Gómez Chaves Gastón , Rojas Jimenez Sofia 
Published: June 2022

La sarcoidosis es una enfermedad granulomatosa sistémica de etiología desconocida que puede afectar pacientes de ambos sexos, de todas las edades y razas. Tiene un pico de incidencia en la tercera y cuarta década de vida. La fisiopatología de la enfermedad se basa en la exposición a antígenos ambientales en un paciente con predisposición genética generando en él una respuesta inflamatoria granulomatosa. Su presentación clínica cubre una amplia gama de manifestaciones, desde una afectación leve y limitada hasta daño a multiorgánico y muerte. Clásicamente el órgano más afectado es el pulmón, sin embargo, también llega a afectar órganos como la piel, el ojo, el hígado, el bazo, los ganglios linfáticos periféricos y el sistema nervioso central. El diagnóstico es basado en la clínica del paciente, que debe ser asociada a imágenes radiológicas y biopsia de tejido u órgano afectado, donde histológicamente se observan de forma típica, granulomas no caseificantes asociados a células gigantes. El tratamiento es individualizado para la necesidad del paciente, se puede dar un manejo expectante esperando resolución espontánea o manejo farmacológico con corticoesteroides.
Caracterización clínico-epidemiológica de los pacientes con VIH/SIDA que padecieron COVID-19 en 2021 en Florida - Cuba"
Authors: Alonso Carballo Jimmy , Gómez Gutiérrez Mayelín , Pérez Rodríguez Annelis , De la Fe Mora Yaimirelis 
Published: June 2022

Introducción: Dos pandemias quedarían unidas en pleno siglo 21, el VIH-SIDA y la COVID-19. La primera con control en la mayoría de los países desarrollados y en vías de desarrollo, con tendencia a la disminución de las muertes; y la COVI-19 con rebrotes con incremento de contagios y muertes. Objetivo: Describir el comportamiento clínico-epidemiológico de la COVID-19 en los pacientes viviendo con el virus en Florida, 2021. Métodos: Estudio descriptivo y retrospectivo realizado a 21 pacientes que viven con VIH-SIDA que sufrieron infección de COVID-19 evaluando las variables socio-demográficas de la muestra: edad, sexo, procedencia; además formas de contagio epidemiológico, formas clínicas de presentación y evolución del cuadro clínico. Resultados: Predominaron los pacientes de 19 a 39 años 49,9%, el sexo masculino 57,1% y de procedencia urbana 71,4%; más de la mitad eran universitarios. La mayoría eran pacientes con control del VIH 61,9% y el 95,2% recibían tratamiento antirretroviral. La rinorrea (52,4%), obstrucción nasal y cefalea (33,3% cada uno), junto a la fiebre (28,6%) fueron los síntomas predominantes. En 42,9% el principal factor de riesgo fue ser contacto de un confirmado. Sólo 4,8% de los pacientes presentaron formas críticas, ninguno falleció. Discusión: La infección de VIH/SIDA asociada al contagio de COVID-19 no predispone a un incremento en la mortalidad y desarrolló un comportamiento similar a lo revisado en la bibliografía consultada. Conclusiones: El comportamiento clínico y epidemiológico de la infección de COVID-19 en pacientes que viven con el virus es similar a los que no portan esta condición.
Características epidemiológicas de la mortalidad por insuficiencia cardíaca congestiva en costa rica de 1990 a 2016
Authors: Sandoval Espinoza Verónica Isabel , Benítez Arrieta Melanny María , Mendoza Rodríguez Fiorella Franchesca 
Published: June 2022

Introducción: La insuficiencia cardiaca pertenece a las enfermedades del sistema circulatorio, representa el primer lugar de los grandes grupos de causas de muerte en Costa Rica, se presenta principalmente en población envejecida, las mejoras en el sistema de salud han dirigido su atención en reducir factores de riesgo de enfermedades crónicas no trasmisibles. Método: Se procedió a la recolección de datos de mortalidad del INEC con la codificación I50, desde 1990 hasta el 1996, se utilizaron los códigos del CIE 9, y a partir de 1997 con los códigos en el CIE 10; para cada año de estudio, por provincia y cantón, sexo y número de muertes de cada año según edad por quinquenios, para la causa específica. Resultado: Se observó que el grupo de edad mayormente afectado fue mayor de 85 años y en segundo lugar de 80 a 84 años, seguido de 75 a 79 años, principalmente el género femenino y que las provincias con mayor mortalidad por insuficiencia cardiaca son Alajuela y San José, además Limón fue la menos afectada a lo largo del período. La implementación de EBAIS, las Estrategias Nacionales para reducir el impacto de las enfermedades crónicas no transmisibles han sido cruciales y efectivas para disminuir la mortalidad y mejorar la calidad de vida de los costarricenses. Conclusiones: la promoción de estilos de vida saludables, disminuir factores de riesgo de enfermedades crónicas no transmisibles y las primeras estrategias en 1998 demostró un impacto positivo en las cifras de mortalidad.
Generalidades de displasia fibrosa
Authors: Brenes Méndez Marco Antonio , Hidalgo Solís María Jesús , Sandoval Benavides Guillermo Antonio 
Published: June 2022

La displasia fibrosa es una patología ósea benigna causada por una anomalía genética del gen GNSA1. Se caracteriza por el reemplazo de tejido óseo normal por tejido fibroso. Se presenta en dos modalidades; la monostótica que afecta un solo hueso y poliostótica que afecta a múltiples huesos con predilección por los huesos largos y craneofaciales. La presentación y manifestación clínica es variable y depende de la ubicación y la extensión de las lesiones esqueléticas; va desde lesiones solitarias incidentales sin relevancia clínica, hasta enfermedad grave asociada a deformidad, fracturas, dolor y deterioro funcional. La patología ósea podría ocurrir aislada o asociada a manifestaciones endocrinas. El síndrome de McCune-Albright se caracteriza por la tríada de displasia fibrosa poliostótica, pubertad precoz y manchas café con leche. El diagnostico se basa en las características clínicas, radiológicas e histopatológicas y en la mayoría de los casos, el diagnóstico puede ser clínico mediante una adecuada evaluación de las características esqueléticas, endocrinas y dermatológicas. El tratamiento puede ser médico o quirúrgico. Y según la severidad de la presentación clínica y en casos severos se requiere de manejo multidisciplinario. El manejo quirúrgico incluye múltiples modalidades y tiene como objetivo prevenir, manejar las fracturas y minimizar las deformidades.
ORGANIZATION OF MEDICAL CARE FOR INFECTIOUS PATIENTS IN UKRAINE: THE PRIMARY ISSUES OF THE CURRENT TIME
Authors: Lytvynova L.О. , Hrechyshkina N.V. , Donik O.M. , Artemchuk L.I. , Tonkovyd O.B. 
Published: June 2022

Aim. Analyze changes in the performance of specialized institutions providing medical care to infectious patients in the context of the Covid-19 pandemic, compare them with the “pre-Covid” period (2015–2019) and suggest ways to improve the activities of the infectious service.
Material and methods. The materials of the study were the official statistical data of the reports of the Center for Medical Statistics of the Ministry of Health of Ukraine "Medical personnel and the network of healthcare institutions of the system of the Ministry of Health of Ukraine" for 2015-2020.
Results. The dynamics of providing medical care to infectious patients is analyzed. A decrease in the provision of the population with doctors and infectious beds against the background of a decrease in the incidence of certain infectious diseases was determined. The inefficient use of beds with an infectious profile was established. The main reasons for the problems of organizing an infectious disease service have been established, taking into account the experience of medical institutions in the context of the Covid-19 pandemic.
Conclusions. Possible ways of optimizing medical care for infectious patients are identified: improving the epidemiological monitoring of infectious morbidity and calculating the needs of medical support, taking into account regional characteristics, improving the training of family doctors in the diagnosis and treatment of infectious diseases.
STUDY OF PATIENT AWARENESS AND AUTONOMY FOR PUBLIC HEALTH NEEDS (ON THE EXAMPLE OF A CROSS-SECTIONAL STUDY OF PEOPLE WITH HYPERTENSION IN DNIPRO)
Authors: Kriachkova L.V. , Krotova V.Yu. , Krotova L.O. , Zayarsky M.I. 
Published: June 2022

The aim of the study is to find out awareness about the presence of high blood pressure (BP), to investigate the autonomy in medical decision-making and to determine the factors influencing the situation on the example of people with hypertension.
Material and methods. The study was made on the basis of data obtained during the project "May measurement month" of the International Society of Hypertension (2017-2019), which involved employees and students of the Dnipro State Medical University. A cross-sectional study of blood pressure was made among 757 adult residents of Dnipro. The presence of hypertension was determined according to the approaches of this project. General information, data on risk factors and health behaviors were determined based on the results of the survey. Data processing was performed using standard statistical tools.
Results. The study involved 476 (62.9%) women and 281 (37.1%) men aged 18 to 90 years. Hypertension was detected in 31.8% (95% CI 28.5 % - 35.3%). Hypertension was more common in the elderly. Among the controlled risk factors in the respondents were the most common – high BMI, smoking, alcohol consumption. More than two-thirds of people with high blood pressure were unaware of their condition and did not receive appropriate treatment, while almost half of patients did not achieve blood pressure control even while taking medication. Only 17.4% (95% CI 14.8% - 20.3%) of persons received appropriate antihypertensive treatment, which corresponds to 54.8% of detected cases of hypertension.
The use of these antihypertensive drugs, which is a manifestation of patients' autonomy, their conscious decision to adhere to the prescribed treatment, according to the study depends on the age of patients and the presence of aggravating factors: increased BMI, myocardial infarction and/or stroke.
Conclusions. According to the study, the facts were revealed that people with hypertension are poorly informed about their own health and low propensity to make decisions about its support. This justifies the need for more thorough involvement of the population in the process of health care with increasing their awareness and autonomy, including awareness of opportunities in making medical decisions about their own health.
Counseling Using the Simulation Method of Brushing Teeth Skills Using the Bass Technique
Authors: Pelle Aldo Mario , Nubatonis Melkisedek O. , Krisyudhanti Emma 
Published: June 2022

The main factor that can cause cavities (caries) is the presence of bacteria that can cause cavities, namely bacteria types streptococcus and lacto bacillus, foods that are often consumed are foods that are sticky and stick to the teeth such as candy and chocolate which greatly facilitate the occurrence of cavities and the shape of the teeth. irregular teeth and thick, profuse saliva. Other factors that can also cause cavities and other dental diseases are the level of oral hygiene, frequency of food, gender and age. The purpose of this study was to determine the skills of elementary school students in brushing their teeth using the bass technique at SD Negeri 2 Baumata Timur. The population in this study was class IV with 19 students and class V with 21 students at SD Negeri 2 Baumata Timur. The sample in this study was the total population studied for grades IV and V with a total of 40 students. The results showed that the skill level of students before being given counseling with pantom, about brushing teeth with the bass technique was still very low at 85%, after being given counseling using pantom about brushing teeth with the bass method the skill level became better, namely 92.5 %. It was concluded that the knowledge of elementary school students' skills in brushing teeth using the bass technique at SD Negeri 2 Baumata Timur was good.
Faktor utama yang dapat menyebabkan terjadinya lubang gigi (Karies) adalah adanya bakteri yang dapat menyebabkan lubang gigi yaitu bakteri jenis streptococcus dan lacto basilus, makanan yang sering dikonsumsi yaitu makanan yang lengket dan menempel di gigi seperti permen dan coklat sangat memudahkan terjadinya lubang gigi serta bentuk gigi yang tidak beraturan dan air liur yang kental dan banyak. Faktor lain yang juga dapat mengakibatkan lubang gigi dan penyakit gigi lainya yaitu tingkat kebersihan gigi dan mulut, frekuensi makanan, jenis kelamin dan usia. Tujuan penelitian ini adalah untuk mengetahui keterampilan siswa-siswi sekolah dasar dalam menggosok gigi menggunakan teknik bass di SD Negeri 2 Baumata Timur. Populasi dalam penelitian ini adalah kelas IV dengan jumlah siswa 19 orang dan kelas V dengan jumlah siswa 21 orang di SD Negeri 2 Baumata Timur. Sampel dalam penelitian ini adalah total populasi yang diteliti kelas IV dan V dengan jumlah 40 siswa. Hasil penelitian menunjukkan bahwa tingkat keterampilan siswa sebelum diberikan penyuluhan dengan pantom, tentang teknik menyikat gigi dengan teknik bass masih sangat rendah yaitu sebesar 85%, setelah diberikan penyuluhan dengan menggunakan pantom tentang teknik menyikat gigi dengan metode bass tingkat keterampilannya menjadi lebih baik yakni 92,5%. Disimpulkan bahwa pengetahuan keterampilan siswa-siswi sekolah dasar dalam menggosok gigi menggunakan teknik bass di SD Negeri 2 Baumata Timur baik.
ANALYSIS BETWEEN ANIMATED VIDEO AND DENTAL PHANTOM IN TOOTH BRUSHING EDUCATION
Authors: Harapan I Ketut , Ratuela Jeineke E. , Salikun Salikun , Tahulending Anneke A. 
Published: June 2022

Dental caries have been a problem in childhood. Poor knowledge causes poor dental hygiene. Health promotion is urged to conduct to give children of school age an understanding of how important is dental hygiene. Tooth brushing is a way to prevent dental caries. We initiated tooth brushing education research with a quasi-experimental design with a two-group pre-posttest design. The sample was taken with purposive sampling with 66 students in SDN Kalase, SDN Butong, and SDN Tateli located in a working area of Tateli Public Health Service, Minahasa, North Sulawesi, Indonesia. We employed animated video and dental phantom as the media and compare their effectiveness. First, we performed a normality test, the data is found not normally distributed. Hence, the Wilcoxon test was used to analyze whether the difference in the data exists, and the Mann-Whitney test was conducted to know whether the difference is significant. From the mean value of the Mann-Whitney test results, the effectiveÂ of the methods is obtained. The results show that the Mann-Whitney test obtained Asymp.Â Sig (2 tailed) value of 0.000, less than a probability value of 0.005. Thus,Â there is a significant difference inÂ knowledge level increase. The result ofÂ Mean value of a group with animated videoÂ is 49.26, higher than the dental phantom media group with only 17.74. So, in conclusion,Â animated video media is more effective than dental phantom media in improving students' knowledge level of tooth brushing.
MOTHER'S KNOWLEDGE AND HYGIENE SANITATION AGAINST STUNTING IN TODDLERS
Authors: Darmawan Agus , Basry Nur Rahmy , Wahyuddin Wahyuddin 
Published: June 2022

Toddler development can be disrupted if there are nutritional problems such as stunting. One of the factors that influence stunting is knowledge about nutrition and sanitation hygiene. Knowledge of maternal nutrition will affect children's food intake, while hygiene behavior is related to the incidence of infection in children. This study aimsÂ to determine the relationship between the incidence of stunting in children under five and mothersâ€™Â knowledge about nutrition and sanitation. This type of studyÂ wasÂ analytic observational with a cross-sectionalÂ study design. The number of samples in this study wasÂ 90 people in two villages (Laburunci and Dongkala villages, Pasarwajo sub-district, and Buton district). Sampling usedÂ the Non-ProbabilityÂ Sampling technique. The variable incidence of stunting was the dependent variable of this researcher, while the independent variable consistedÂ of the mother's knowledge and sanitation hygiene.Â Univariate and bivariate data analysis with a chi-squareÂ test was carried out in this study.Â ThereÂ was a relationship between the motherâ€™s knowledgeÂ (p=0.000) and sanitation hygiene (p=0.000) of the incidence of stunting in the working area of the Banabungi Public Health Center. This study concluded that to prevent the toddlerÂ from stunting we need to increaseÂ the motherâ€™s knowledge againstÂ stunting and efforts to improve sanitation hygiene toÂ minimize the risk of infection which can affect the nutritional status of toddlers. Therefore, this study should be a base for the government to provide socialization about nutrition and hygiene sanitation to the community so that it can be applied in dailyÂ life.
Comparison of the rare earth complexes iodides and polyiodides with biuret
Authors: Kornilov A. D. , Grigoriev M. S. , Savinkina E. V. 
Published: June 2022

Objectives. Currently, several hundred polyiodide compounds have been synthesized and structurally characterized, but so far, no formation patterns for certain polyiodide ions have been revealed. The purpose of this work is to continue the search for formation regularities of polyiodides, including polyiodides of lanthanide complexes.Methods. Iodide and polyiodide of samarium complexes with biuret (BU), [Sm(BU)4]I3·BU·2H2O and [Sm(BU)4][I5][I]2, were first synthesized and characterized by X-ray diffraction analysis and infrared spectroscopy, respectively.Results. The obtained compounds complement the row of isostructural lanthanide (La–Gd) complexes. Structures of corresponding iodides and polyiodides were compared in detail. Both types of the compounds contain complex cations of the same composition; however, their structures differ significantly. The central atom coordination polyhedron can be described as a distorted square antiprism and a distorted dodecahedron, respectively. Even greater differences are observed in the outer sphere of complex compounds. The iodide compound crystals contain uncoordinated iodide ions, a biuret molecule and two water molecules. In the polyiodide compound, cations together with isolated I– ions form a three-dimensional framework with the channels, in which linear I5– ions are united in infinite linear chains by weak interactions.Conclusions. The replacement of an iodide ion with a polyiodide ion in complex compounds of lanthanides with BU leads to changes in both the inner sphere and the outer sphere of the cation complex, including the supramolecular level. The presence of iodine atom infinite linear chains in polyiodides allows expecting the presence of anisotropic electrical conductivity along this direction.
Features of distillation separation of multicomponent mixtures
Authors: Frolkova A. K. , Frolkova A. V. , Raeva V. M. , Zhuchkov V. I. 
Published: June 2022

Objectives. To improve the process of developing energy-efficient flowsheets for the distillation separation of multicomponent aqueous and organic mixtures based on a comprehensive study of the phase diagram structures, including those in the presence of additional selective substances.Methods. Thermodynamic-topological analysis of phase diagrams; modeling of phase equilibria in the AspenTech software package using the equations of local compositions: Non-Random Two Liquid and Wilson; computational experiment to determine the column parameters for separation flowsheets of model and real mixtures of various nature.Results. The fractionation conditions of the origin multicomponent mixture due to the use of sharp distillation, pre-splitting process, extractive distillation with individual and binary separating agents were revealed. The columns operation parameters and the energy consumption of the separation flowsheets ensuring the achievement of the required product quality with minimal energy consumption were determined.Conclusions. Using the original methods developed by the authors earlier and based on the generalization of the results obtained, new approaches to the synthesis of energy-efficient multicomponent mixtures separation flowsheets were proposed. The provisions that form the methodological basis for the development of flowsheets for the separation of multicomponent mixtures and supplement the standard flowsheet synthesis plan with new procedures were formulated.
Clinical Pattern and Associated Comorbidities of Corpus Callosum Agenesis- A Tertiary Hospital Study
Authors: Kundu Gopen Kumar , Anower Anjir , Islam Rumana 
Published: June 2022

Background: The corpus callosum is the main commissural bundle of fibers interconnecting the two cerebral hemispheres. Defective embryogenesis during 8 and 20 weeks of gestation can lead to partial or complete agenesis of the corpus callosum.
Objective: To see the patient’s clinical, neurophysiological profile, and comorbidities with corpus callosum agenesis presented in tertiary care hospital.
Materials &Methods: This descriptive cross-sectional study was conducted in the department of Paediatric Neurology, BSMMU, Dhaka, from January to December 2018. Patients who were diagnosed clinically and neuro-radiologically as corpus callosum agenesis were included in this study.
Results:Out of 20 patients, 45% were in 13-24 months and 30% were in the 0-12 months’ age group. Female patients (55%) were predominant.Forty percent of patients had microcephaly and 30% facial dysmorphism. The majority of patients presented with developmental delay (90%), followed by epilepsy, speech impairment, and mental retardation. About one-fourth (25%) of patients were diagnosed as quadriplegic cerebral palsy and one-third (30%) dyskinetic cerebral palsy. Abnormal ophthalmological findings were found in 40% of cases. EEG showed hypsarrhythmia in 30%, partial seizure with secondary generalization in 15%, and myoclonic epilepsy in 15% of patients.
Conclusion: In this study, common clinical features of patients with corpus callosal agenesis were developmental delay, facial dysmorphism, and microcephaly. About half of the patients had epilepsy, speech impairment, and mental retardation. About two-thirds of the patients had EEG changes and the most common EEG change was hypsarrhythmia.
BANGLADESH J CHILD HEALTH 2021; VOL 45 (1) : 10-14
X-linked Agammaglobulinemia (XLA) Associated with Progressive Neurodegenerative Syndrome: A Case Report
Authors: Jahan Ismat , Islam Mohammad Imnul , Monami Kanij Fatema , Rahman Shahana A 
Published: June 2022

Primary immune deficiency disorders (PIDs) are not an uncommon entity, but the diagnosis is often delayed or even missed due to lack of awareness. Central nervous system involvements due to various reasons are documented in patients with PIDs. This case report describes a 10- year old boy, diagnosed as X-linked agammaglobulinemia (XLA) who developed progressive encephalopathy. He had severe cognitive impairment along with cerebellar and pyramidal dysfunction. MRI of the brain showed generalized cerebral and cerebellar atrophy. Therefore, this boy was diagnosed as a case of XLA with progressive neurodegenerative syndrome.
BANGLADESH J CHILD HEALTH 2021; VOL 45 (1) : 55-58