bluuebunny/crossref_metadata_2025_split huggingface dataset:
Incontinencia urinaria: factores de riesgo y frecuencia en mujeres mayores de 60 años, en el sureste de México
Authors: Maldonado Luis Alberto González , Erosa-Villareal Roger Armando , Janssen-Aguilar Reinhard , Laviada-Molina Hugo Antonio , Méndez-Domínguez Nina Isabel 
Published: February 2022

Objetivo: Determinar la frecuencia, factores de riesgo e impacto en la calidad de vida de la incontinencia urinaria en mujeres mayores.
Material y Métodos: Se trata de un estudio analítico observacional de corte transversal realizado en una población de mujeres mayores de 60 años. Se recolectaron variables sociodemográficas, ginecobstétricas, de estilo de vida, antecedentes clínicos y el cuestionario iciq-sf (International Consultation on Incontinence Questionnaire).
Resultados: Se incluyeron 96 mujeres en el estudio con una media de edad de 71 ±0.66 años. El 56.25% cursó con incontinencia urinaria. El 37.04% padecía incontinencia de urgencia, 33.33% incontinencia de esfuerzo, 16.67% incontinencia mixta y 13% no clasificable. Las variables que se asociaron con incontinencia urinaria fueron: el número de partos (p=0.027), haber tenido más de 3 hijos (p=0.032) y diabetes mellitus (p=0.028). La variedad de incontinencia que más se asoció con la afectación de la calidad de vida fue la de tipo mixto (p<0.001).
Limitaciones e implicaciones: El estudio se realizó mediante cuestionarios auto-aplicados. La muestra fue recogida de un programa educativo de adultos mayores con nivel socioeconómico medio-alto.
Originalidad. Se llevó a cabo en la península de Yucatán, actualmente no se han realizado estudios descriptivos de incontinencia en esta población.
Discusión y conclusiones. La incontinencia urinaria afecta a más de la mitad de las mujeres estudiadas. En ellas, la afectación de la calidad de vida fue relevante, clasificándose como moderada. La alta paridad fue el factor de riesgo más destacado.
Nefrectomía laparoscópica unipuerto con Colecistectomía concomitante: Reporte de un caso
Authors: Muñoz-Lumbreras Eddy Gabriel , Michel-Ramírez José Manuel , Gaytán-Murguía Michelle , Arias-Patiño José Juan , Gil-García José Fernando , Morales-Ordáz Omar , Lujano-Pedraza Heriberto , Valdéz-Colín Jorge Antonio 
Published: February 2022

La cirugía laparoscópica por puerto único (LESS), ofrece ciertas ventajas, como la disminución del trauma quirúrgico, menor dolor postoperatorio, menor necesidad de analgésicos y excelentes resultados estéticos. El empleo de un único puerto quirúrgico otorga la oportunidad de combinar procedimientos en una sola sesión.
Presentamos el caso de una paciente de 59 años con antecedente de cólico renal izquierdo e infecciones de vías urinarias de repetición, así como cuadros de cólico biliar de larga evolución, ambos tratados de forma sintomática. El estudio tomográfico demuestra la presencia de riñón izquierdo atrófico, sin captación de medio de contraste, así como patología biliar concomitante. Es sometida a Nefrectomía y Colecistectomía laparoscópica con técnica LESS, con adecuados resultados quirúrgicos y estéticos.
La técnica LESS, es una opción viable en el manejo mínimamente invasivo de diferentes patologías. Realizar procedimientos quirúrgicos simultáneos por un mismo abordaje, podría evitar la necesidad de otra hospitalización y otra cirugía; hacerlo por un único puerto proporciona adecuados resultados estéticos, así como, permitir el abordaje de sitios anatómicos distantes entre sí a través de una sola incisión.
Eficacia de la neuromodulacion transcutánea vs percutánea del nervio tibial en el síndrome de vejiga hiperactiva no neurogénica
Authors: Ayala-Quispe Vianey Brigida , Guerrero-Reyes Guadalupe , Gutiérrez-González Adrián , Hernández-Velázquez Ricardo , Moysén-Marín Claudia Montserrat , Barragán-Ochoa Cristóbal 
Published: February 2022

Antecedentes: El tratamiento del síndrome de vejiga hiperactiva incluye desde modificaciones del estilo de vida, fisioterapia, anticolinérgicos, neuromodulacion y toxina botulínica. Debido a la refractariedad ha cobrado interés la neuromodulacion periférica. El objetivo fue evaluar la eficacia de la neuromodulacion transcutánea vs percutánea del nervio tibial en el síndrome de vejiga hiperactiva idiopática no neurogénica.
Material y Métodos: Ensayo clínico aleatorizado en 61 pacientes durante enero-octubre de 2019. Se dividió en dos grupos: transcutánea (n=33) o percutánea (n=28). Se uso el estimulador (BioTENS) con 10 Hz, 200 us, durante 12 sesiones, con duración de 20 minutos cada sesión. Se valoro la eficacia mediante el diario vesical de 3 días, cuestionario de síntomas y calidad de vida, y escala de beneficio de tratamiento en la sesión 1, 6 y 12. Se realizo estadística descriptiva y correlación de variables con programa SPSS v22.0, y p ≤ 0.05 estadísticamente significativo.
Resultados: La edad media fue 66 años. La frecuencia urinaria diurna y nocturna disminuyo, aumento el volumen urinario promedio, disminuyo el número de episodios de urgencia e incontinencia de urgencia sin diferencias estadísticamente significativa al comparar ambos tratamientos. La percepción de calidad de vida y mejoría en relación al tratamiento mejoro con ambas técnicas (p=>0.05). No hubo efectos secundarios y la adherencia al tratamiento fue del 83.6 % (n=51). Se uso menor intensidad en la percutánea (4 mA vs 7 mA; p=0.0001).
Conclusiones: Primer ensayo clínico aleatorizado realizado en el país que evalúa a eficacia en ambas técnicas, demostrando la no inferioridad.
Angioembolización previa a nefrectomía en el síndrome de Wünderlich: reporte de caso de un angiomiolipoma mixto y carcinoma renal de células claras
Authors: Hernández-Aranda Katherine Lyn , Pallares-Méndez Rigoberto , Cervantes-Miranda Daniel Eduardo , Gutiérrez-González Adrian , Arrambide-Gutiérrez Gustavo 
Published: February 2022

A 29-year-old man with previously undiagnosed tuberous sclerosis complex arrived at the emergency department due to anemia-related gross hematuria. A computed tomography scan revealed a bilateral renal mass consistent with angiomyolipoma and a right retroperitoneal hematoma. Angioembolization of the right renal artery was performed prior to nephrectomy. The histopathologic results were collision angiomyolipoma and clear cell renal cell carcinoma.
Relevance: The multisystemic presentation of tuberous sclerosis complex combined with the histologic findings of collision angiomyolipoma and clear cell renal cell carcinoma is a rare entity in the medical literature.
Clinical implications: Angioembolization results in fewer postoperative complications of ileus, pain, or infection, and its utility in the present case was important for facilitating the approach during nephrectomy and reducing the risk for intraoperative bleeding.
Conclusions: The present case report provides a description of Wunderlich syndrome in a patient with tuberous sclerosis complex and the histopathologic diagnosis of a collision tumor, consisting of angiomyolipoma and clear cell renal cell carcinoma. Angioembolization of the right renal artery was performed before nephrectomy, reducing the risk for intraoperative bleeding.
Impacto de la prostatectomía radical y la radioterapia en la calidad de vida de pacientes con cáncer de próstata clínicamente localizado
Authors: Sáiz-Marenco Rocío , Campanario-Pérez Rubén , Amores-Bermúdez Javier , Arroyo-Maestre José Miguel , Juárez-Soto Álvaro 
Published: February 2022

Objectives: The evaluation of quality of life associated with different treatments in patients with prostate cancer is a key factor in making informed therapeutic decisions. Nevertheless, results in clinical practice are heterogeneous and insufficient.
Material and methods: A prospective, observational study was conducted on patients that were going to begin treatment with external beam radiotherapy or laparoscopic radical prostatectomy (LPR) due to localized prostate cancer. The EPIC-CP quality of life questionnaire was completed before starting treatment (baseline) and then 6, 12, and 24 months after treatment.
Results: Fifty-nine patients were included in the analysis: 34 (58%) underwent radical prostatectomy and 25 (42%) received radiotherapy. Mean quality of life worsened in the two treatment groups and in all the domains. Maximum decline was at 6 months, and normal scores were recovered at 24 months. At months 6 and 12 after treatment, the percentage of patients that experienced a minimal important difference in quality of life was significantly higher in the LPR group than in the radiotherapy group for the incontinence and sexual function domains. There was no difference between the two groups at 24 months.
Discussion: Minimal important difference could be calculated using the EPIC-CP questionnaire, thus facilitating the clinical interpretation of the results.
Conclusions: At the medium term, LPR and radiotherapy had a different impact on the quality of life associated with incontinence and sexual function. At 24 months after treatment, quality of life was restored, regardless of treatment.
Cirugía renal percutánea, experiencia inicial en el Hospital General de Morelia “Dr. Miguel Silva”
Authors: Ponce de León-Ballesteros Fernando 
Published: February 2022

Abstract
Background: The first reports of percutaneous nephrolithotomy date back to 1941, when Rupel and Brown performed the extraction of a pyelic stone by introducing an endoscope through a mature nephrostomy tract. Over the years, multiple improvements have been made in the equipment used, variations in the positions of the patients for a better approach, a decrease in the diameter of the tract, currently being considered by the European and North American guidelines as the treatment of first choice for kidney stones.
Primary Objective: show the experience in this type of surgery after its introduction in the Urology Department in a second level hospital.
Secundary Objetives: To evaluate the safety and efficacy of percutaneous renal surgery in a hospital where open surgery is traditionally performed for the treatment of renal lithiasis.
Materials and methods: A retrospective study is carried out in patients undergoing Percutaneous Renal Surgery (PCNL) at the General Hospital of Morelia of the Ministry of Health between February 2011 and March 2012. Surgical time, complications, days of hospital stay, percentage of residual lithiasis and fluoroscopy time.
Results: Sixty four patients were studied, of which 41 (64%) were male and 23 (36%) female; average age of 34 years; 13 (20.31%) patients with staghorn stones, 20 (31.25%) with stones in several calyces and 31 (48.43%) with single stones, 10 (15.62%) patients with bilateral stones; calculation free rate 87.5%; The complications presented according to the Claiven-Dindo was 14%; average fluroscopy time of 2.2 minutes.Conclusions: Percutaneous nephrolithotomy is a surgical technique that, despite being considered the treatment of choice for kidney stones, is still little performed in provincial medical centers. To carry it out, training in endourology of the surgeon, persistence, and conviction of the rest of the surgical service, anesthesiologists and hospital managers of the benefits granted to the patient in the treatment of lithiasis as well as economic benefits to the institution is required. Percutaneous renal surgery is a safe surgery, with a high success rate, rapid patient recovery and shorter hospital stay.
Circulando entre o Neoliberalismo e a Necropolítica: o caso dos entregadores via plataformas na pandemia COVID-19
Authors: Vidigal Viviane 
Published: February 2022

Esse artigo tem como escopo analisar a necropolítica em uma dimensão, que compreende as relações entre o Estado neoliberal e o capital. Recorta-se o caso dos entregadores de aplicativos e os impactos da pandemia da COVID-19 nas condições de trabalho. Pesquisas realizadas apontam para longos tempos de trabalho, associado à queda da remuneração desses trabalhadores. Diante da demanda alta do mercado por esse tipo de serviço, a adesão às plataformas aumentou no período pandêmico, criando um exército de reserva. Responsáveis pela circulação, eles desempenham um serviço essencial para a população brasileira, ao contribuírem para a implementação e a manutenção do isolamento social de parcela da população, ficando expostos às condições mortíferas. A necropolítica será pensada como a distribuição desigual de condições mortíferas e sua imbricação com décadas de políticas neoliberais que tornaram possível essa morfologia do trabalho contemporâneo no Brasil.
Sociolinguistics Analysis of Address Terms in English and Enrekang-Durinese
Authors: Zainal Nurfitriana , Dewa Kumara Tungga 
Published: February 2022

This research is a sociolinguistics study that explores the relationship between language and society. The research aims to identify the address terms used in English and Enrekang-Durinese based on daily conversation. The research method used in this research is descriptive qualitative. The Enrekang-Durinese data is obtained by Recording and interviewing, which is done by Massenrempulu people in Duri, Alla’ Sub-district, Enrekang District. The English data is obtained from English Movie and Series, which contain utterances of address terms. The research result shows the kind of address terms used in English and Enrekang-Durinese in daily conversations. They are 1) Pronoun (Second Person Pronoun), 2) Kinship Terms, and 3) Non-Kinship Terms. The difference between both languages appeared in Pronoun, Enrekang-Durinese has two types of Pronoun, Polite and Polite, while In English, there is only one-second person pronoun; you. Another difference is found in kinship and non-kinship terms. Enrekang-Durinese people usually use mockery to address family and relatives, while using mockery to address family and relatives is not found in English Data. Another result found in this research is that some aspects influence the use of the address terms in English and Enrekang-Durinese, they are Sex and Age, Situation, and Social Rank/ Social status.
FINANCIAL STABILITY OF THE ENTERPRISE IN THE CONTEXT OF THE CUSTOMS REGULATION OF THE EAEU
Authors: Есенжолова Г.Д. , Yessenzholova G. 
Published: February 2022

В данной публикации рассмотрена финансовая устойчивость предприятия с точки зрения ее применимости в сфере таможенного регулирования согласно Рамочных стандартов Всемирной таможенной организации.Основной задачей определения финансовой устойчивости в данной области является выявление способности юридического лица, претендующего на получение статуса уполномоченного экономического оператора (УЭО), отвечать по своим финансовым обязательствам перед бюджетом государства.В статье проанализированы основные подходы исследователей к понятию «финансовая устойчивость»; проведено сравнение сути финансовой устойчивости предприятия, претендующего на получение статуса УЭО, с таким смежным явлением таможенного дела как обеспечение исполнения обязанностей УЭО; автором дано определение финансовой устойчивости предприятия, отвечающее целям и функциям таможенного регулирования внешней торговли товарами, а также сделан вывод о целесообразности применения финансовой устойчивости в целях таможенного регулирования.Основой для построения исследования стали нормативные-правовые акты ЕАЭС и Республики Казахстан, а также акты Всемирной таможенной организации. Методология работы основана на проведении системного, комплексного и сравнительного анализа.Результаты данного исследования имеют научное значение, так как позволяют глубоко и всесторонне рассмотреть показатели и значения финансовой устойчивости, в соответствии с которыми юридическое лицо признается финансово устойчивым.
This publication examines the financial stability of the enterprise from the point of view of its applicability in the field of customs regulation according to the Framework Standards of the World Customs Organization.The main task of determining financial stability in this area is to identify the ability of a legal entity applying for the status of an authorized economic operator (AEO) to meet its financial obligations to the state budget.The article analyzes the main approaches of researchers to the concept of «financial stability»; compares the essence of the financial stability of an enterprise applying for AEO status with such a related phenomenon of customs affairs as ensuring the fulfillment of AEO duties; the author gives a definition of the financial stability of an enterprise that meets the goals and functions of customs regulation of foreign trade in goods, and also concludes that it is advisable to use financial stability for customs regulation.The basis for the construction of the study was the regulatory and legal acts of the EAEU and the Republic of Kazakhstan, as well as the acts of the World Customs Organization. The methodology of the work is based on a systematic, comprehensive and comparative analysis.The results of this study are of scientific importance, as they allow us to deeply and comprehensively consider the indicators and values of financial stability, according to which a legal entity is recognized as financially stable.
P PERENCANAAN TEKNIS SEQUENCE PENAMBANGAN GUNA MENUNJANG TARGET PRODUKSI PADA TRIWULAN II TAHUN 2020 PT DUTA ALAM SUMATERA
Authors: Fikri Muhammad Napis , Haridanti Siti 
Published: February 2022

PT Duta Alam Sumatera (DAS) merupakan salah satu perusahaan swasta yang memiliki IUP produksi dengan lahan konsesi sebesar 357 hektar. Sistem penambangan yang diterapkan adalah open pit, menggunakan metode penambanagn secara konvensional. Desain pit dilakukan menggunakan bantuan software minescape 5.7. Penentuan desain geometri jenjang dan jalan yang akan dirancang yaitu tinggi bench 10 meter, lebar bench 5 meter, kemiringan bench 45º (single slope), 33º (overall slope) berlaku terhadap highwall dan lowwall, sedangkan tahapan desain jalan dirancang untuk lebar jalan angkut lurus 10 meter, lebar jalan angkut pada tikungan 12 meter, dan kemiringan jalan maksimum 8%. Bentuk desain pit triwulan II memiliki luas area plan 5,20 Ha, sehingga didapatkan hasil cutting material overburden pada desain pit triwulan II sebesar 305.284 BCM, dan untuk batubara sebesar 52.029 ton dengan kualitas seam batubara A bituminous deangan SR 5,8:1. Didapatkan kebutuhan alat untuk pengupasan overburden dibutuhkan 2 unit alat gali-muat PC 400 dan alat angkut untuk overburden sebanyak 8 unit dumptruck CWB, sedangkan untuk fleet excavator Zaxis 470 dan untuk alat angkutnya sebanyak 4 unit dumptruck CWB. Design pit pada triwulan II dilakukan pengujian Faktor Keamanan (FK) kestabilan lereng di dua section penampang dua dimensi sehingga didapat FK dengan nilai 6,074 pada section A – A’, dan 2,909 pada section B – B’, sehingga lereng dikatakan aman.
5651 Sayılı İnternet Kanunu ve Toplumsal Algısı
Authors: GÜZ Nurettin , SERDAR TEKELİ Esra 
Published: February 2022

5651 Sayılı “İnternet Ortamında Yapılan Yayınların Düzenlenmesi ve Bu Yayınlar Yoluyla İşlenen Suçlarla Mücadele Edilmesi Hakkında Kanun”, kabul edildiği günden bu yana sıklıkla tartışma konusu olmuştur. Özellikle Kanun’a getirilen düzenlemelerle eklenen maddeler, devlet eliyle gerçekleştirilen gözetimi, çevrimiçi gizlilik ve mahremiyet ihlâlleri gibi konular bağlamında tartışmaya açmıştır.
Bu çalışma, 5651 sayılı İnternet Kanunu’nu ile ilgili değerlendirmeleri ele almakta ve vatandaşların kanun ile ilgili algılarını ortaya koymak üzere yapılan alan araştırmasını içermektedir. Çalışma ile gözetimin iki unsurundan biri olan “gözlenenler”in, Kanun’u tartışmalı kılan gözetim, çevrimiçi gizlilik, mahremiyet ve paylaşım özgürlükleri gibi haklara yönelik düşüncelerini ve gözetim farkındalıklarını ortaya koymak amaçlanmıştır. Bu amaca yönelik olarak Ankara ilinden 620 kişiye yüz yüze anket uygulanmış ve araştırma ile ilgili elde edilen veriler değerlendirilmiştir. Araştırma sonuçlarında katılımcıların yapılan kanuni düzenleme çerçevesinde getirilen ve bir anlamda gözetim mahiyeti taşıyan yeniliklere rıza gösterdikleri ortaya çıkmıştır. Araştırma ile, gözetim çalışmalarında sıklıkla dile getirilen fakat aynı sıklıkla göz ardı edilen “gözlenenler” görünür kılınmak istenmiştir.
EVALUASI PEMBELAJARAN DARING PADA MATA PELAJARAN BAHASA INDONESIA DI SMK MUTIARA KEBUMEN
Authors: Muh. Akbar Kurniawan  , Omby Ramdhan Wiji Handoko  , Ari Susanto  
Published: February 2022

The pandemic pushed government to issue implement policies the study in Indonesia which is that learning must be performed online or long distance. This research is aimed to describe the online learning performance of Indonesian language subject during the Covid-19 pandemic at Mutiara Vocational High School of Kebumen. It belongs to a kind of qualitative research, which describe all forms of actions and the phenomena performed by subject examined in the implementation of online learning. The technique of data collection in this research used observation, interviews and documentation. The results of this research illustrated that the performance of online learning in Mutiara Vocational High School of Kebumen at Indonesian language subject reasonably well done, both learners and teachers have had basic facilities what is needed. It described the readiness to perform online learning. In the implementation of online learning, teachers have already done the lesson plan and performed good learning using the learning media, strategies, learning methods and learning approaches are adjusted with the student. Online learning had flexibility in practice and be able to encourage the teachers to be more creative in teaching. Furthermore, students are required to be more self-reliant and motivated to be more active study. However, online learning had a constraints in the implementation of conditions unstable networks and learners' difficulties understood the learning materials is the unique challenge of learning online in Indonesian language subject.
Keywords: Evaluation, Online Learning, Covid-19, Indonesian language subject
Some Geomagnetic Disturbances At Alibag Observatory (India)& Allied Radio And Solar Effects (1937-1946).
Authors: SIVARAMAKRISHNAN M. V. 
Published: February 2022

The paper presents an account of some magnetic disturbances associated with solar flares and radio fade out during the period 1937-1946. The ionospheric irregularities associated with four great magnetic storms recorded at the magnetic Observatory Alibag (Bombay) are discussed. On some occasions in intense solar flare is followed about a day later by a great magnetic storm, This occurs far more often than by chance. The presence of a , Crochet " in the magnetic records occurring simultaneously with a radio fade out and the appearance of a solar eruption or flare has been interpreted as showing that radiation from the flare traveling with the speed of light causes the " Crochet", while the magnetic storm which appears between 18 and 30 hours later is attributed to corpuscular radiation traveling at a speed of 1,000 to 2,000 miles/sec.
A list of sudden ionospheric disturbances or the Dellinger type from observations made in India during the period 1937-1946 has been collected and the principal features of the observations discussed.
Air-Masses and fronts in the Monsoon Depression in India
Authors: Desai B.N. , Koteswaram P. 
Published: February 2022

From a synoptic and aerological studt of the data of radiosonde acents at Vizagapatam, Cuttack, Culcutta and Akyab during a depression in the Bay of Bengal in the beginning of July 1945, it is observed that different airmasses took part in both in the formation stage of the depression and during its subsequent intensification into a storm and movement westnorth westwards.
The study supports the mechanism of the formation of depression in the north bay of Bengal during the monsoon season suggested by Desai in an earlier paper.