bluuebunny/crossref_metadata_2025_split huggingface dataset:
NHẬN XÉT KẾT QUẢ ĐIỂU TRỊ TRIỆU CHỨNG TRẦM CẢM Ở NGƯỜI BỆNH RỐI LOẠN PHÂN LIỆT CẢM XÚC LOẠI TRẦM CẢM
Authors: Nguyễn Ngọc Trần , Minh Tâm Dương 
Published: April 2022

Chúng tôi thực hiện nghiên cứu với mục tiêu mô tả kết quả điều trị triệu chứng trầm cảm ở người bệnh rối loạn phân liệt cảm xúc loại trầm cảm điều trị nội trú tại Viện Sức khỏe Tâm thần – bệnh viện Bạch Mai. Đây là một nghiên cứu sử dụng phương pháp mô tả cắt ngang, thực hiện trên 40 người bệnh được chẩn đoán rối loạn phân liệt cảm xúc loại trầm cảm theo tiêu chuẩn chẩn đoán của ICD – 10 (F25.1). Kết quả cho thấy người bệnh rối loạn phân liệt cảm xúc có tuổi trung bình là 30,3±8,2 tuổi, thường xuất hiện ở nữ giới hơn nam giới và tỉ lệ nữ / nam ≈ 1,4 /1. Trong các thuốc chống trầm cảm, sertraline được sử dụng nhiều nhất (90,0%) với liều trung bình cao nhất là 125 ± 52,8 mg/ngày. Khi bắt đầu điều trị, 100% bệnh nhân có khí sắc trầm, tiếp theo là 87,5% bệnh nhân biểu triệu chứng giảm quan tâm thích thú và 82,5% bệnh nhân biểu hiện giảm năng lượng, dễ mệt mỏi. Kết thúc điều trị, các triệu chứng đều có sự thuyên giảm. Trong đó, giảm nhiều nhất là triệu chứng giảm quan tâm thích thú, từ 87,5% xuống còn 22,5%. Các triệu chứng phổ biến của trầm cảm cũng cho thấy có sự thuyên giảm mạnh trước và sau điều trị. Sau điều trị, tỷ lệ bệnh nhân rối loạn giấc ngủ, ăn uống kém ngon miệng đã giảm xuống còn khoảng 10% và 20%. Một số triệu chứng còn lại như giảm chú ý, giảm dục năng, nhìn tương lai ảm đạm và bi quan chiếm tỷ lần lượt là 20%, 20% và 30%. Các triệu chứng đặc trưng của trầm cảm vẫn còn chiếm tỷ lệ tương đối cao như khí sắc trầm (57,5%), giảm năng lương, dễ mệt mỏi, giảm hoạt động, mất lòng tin vẫn chiếm tỷ lệ tương đối cao, lần lượt là 67,5% , 62,5%và 42,5%.
ĐẶC ĐIỂM VÀ MỘT SỐ YẾU TỐ NGUY CƠ CO GIẬT DO SỐT Ở TRẺ EM TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN
Authors: Văn Bắc Nguyễn , Thi Xuân Hương Nguyễn , Bích Hoàng Nguyễn , Quốc Trưởng Dương , Thị Phượng Nguyễn , Hà Thành Bế , Nhân Duật Trần 
Published: April 2022

Mục tiêu: Nhận xét đặc điểm và xác định một số yếu tố nguy cơ co giật do sốt ở trẻ em tại bệnh viện Trung ương Thái Nguyên. Đối tượng: Tất cả bệnh nhân nhập trung tâm Nhi khoa bệnh viện trung ương Thái nguyên được chẩn đoán co giật do sốt. Phương pháp: Nghiên cứu mô tả. Kết quả: Co giật do sốt gặp nhiều ở trẻ 6-36 tháng chiếm 81,5%. Tuổi trung bình lúc nhâp viện là 22,66 ± 12,71 tháng. Cơn co giật xuất hiện khi thân nhiệt trẻ ở mức 39-400 C có tỉ lệ cao nhất 69,3%. Co giật do sốt đơn thuần chiếm ưu thế 82,5% số trường hợp, co giật do sốt phức hợp chiếm 16,6%, trạng thái CGDS chiếm 0,9%. Nguyên nhân gây sốt trong CGDS chủ yếu là bệnh lý ở đường hô hấp trên 62,5%. Tỷ lệ ngạt chu sinh trong nhóm CGDS phức hợp là 21,1 % cao hơn so với nhóm CGDS đơn thuần là 2,1%. Kết luận: Co giật do sốt chủ yếu xảy ra ở trẻ 6-36 tháng đa số là cơn giật đơn thuần, nguy cơ cao xuất hiện cơn giật khi thân nhiệt trẻ ở mức trên 390C, nhiễm trùng đường hô hấp trên, tình trạng ngạt lúc sinh là yếu tố nguy cơ gây co giật do sốt.
KHẢO SÁT SỰ ỨC CHẾ TỔNG HỢP SẮC TỐ MELANIN TRÊN DÒNG TẾ BÀO U HẮC TỐ B16F10 CỦA CAO CHIẾT VỎ KHÓM (Ananas Comosus (L) Merr.) THU HÁI Ở VÙNG TẮC CẬU, KIÊN GIANG
Authors: Thị Thu Hậu Nguyễn , Nhân Dũng Trần , Đức Độ Nguyễn , Minh Chơn Nguyễn , Văn Bá Huỳnh , Kim Yến Huỳnh , Thị Yến Vũ , Việt Quyền Trần , Thị Kim Bình Trịnh , Nguyên Chất Trần , Thị Cẩm Tú Ngô 
Published: April 2022

Khóm là loại trái cây có giá trị dinh dưỡng cao. Mục đích khảo sát sự ức chế tổng hợp hắc tố trên dòng tế bào B16F10 của cao chiết methanol vỏ khóm. Sử dụng phương pháp phân tích đặc điểm hình thái kết hợp giải trình tự để định danh mẫu khóm thu hái ở Tắc Cậu, tỉnh Kiên Giang, đánh giá khả năng kháng oxy hóa qua khả năng trung hòa gốc tự do DPPH, khử ion Fe3+ và phương pháp khử ion Cu2+. Khảo sát khả năng ức chế hoạt động của enzym tyrosinase in vitro và sự ức chế hình thành melanin trên dòng tế bào hắc tố B16F10. Kết quả, mẫu khóm thu hái ở Tắc Cậu, tỉnh Kiên Giang có tên khoa học là Ananas comosus (L.) Merr.; khả năng khử DPPH, khử ion Fe3+, ion Cu2+ của vỏ khóm thông qua chỉ số IC50 lần lượt là: 62,63µg/mL, 97,72µg/mL, 220,95µg/mL; ức chế hoạt động enzym tyrosinase in vitro với IC50 là 73,13µg/mL; ức chế sự sản sinh melanin trên dòng tế bào B16F10 đạt 59,37% ở nồng độ 10µg/mL. Nghiên cứu đã bước đầu cho thấy cao chiết methanol vỏ khóm là nguồn nguyên liệu tiềm năng trong lĩnh vực sản xuất dược liệu và mỹ phẩm.
TÌM HIỂU NGUYÊN NHÂN GÂY SUY GAN CẤP TẠI BỆNH VIỆN BẠCH MAI
Authors: Công Long Nguyễn , Thị Quỳnh Hương Hoàng 
Published: April 2022

Mục tiêu: Nghiên cứu phân loại nguyên nhân gây ra suy gan cấp. Đối tượng và phương pháp: Tổng số 60 bệnh nhân được chẩn đoán suy gan cấp tại Trung tâm tiêu hóa gan mật bệnh viện Bạch mai được đưa vào nghiên cứu từ tháng 01/2020 đến 7/2021. Kết quả: Nguyên nhân của suy gan cấp, 35% nguyên nhân là do thuốc đông ty, 18,3% là do viêm gan virus B, 10% do paracetamol, còn lại 18,3% là các nguyên nhân khác. Kết luận: Nguyên nhân thường gặp gây ra suy gan cấp là thuốc đông y và viêm gan virus B.
KẾT QUẢ PHẪU THUẬT TẠO HÌNH THÂN ĐỐT SỐNG BẰNG BƠM CEMENT CÓ BÓNG ĐIỀU TRỊ XẸP ĐỐT SỐNG DO LOÃNG XƯƠNG TẠI BỆNH VIỆN BẠCH MAI
Authors: Gia Du Hoàng , Xuân Phước Vũ 
Published: April 2022

Đặt vấn đề: Bơm cement có bóng điều trị xẹp đốt sống (XĐS) do loãng xương giúp giảm đau sớm, khôi phục chiều cao đốt sống xẹp, giảm biến chứng rò cement. Nghiên cứu được thực hiện nhằm đánh giá kết quả bơm cement có bóng tại Bệnh viện Bạch Mai. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả tiến cứu, can thiệp không đối chứng 60 bệnh nhân (BN), được chẩn đoán XĐS do LX điều trị bằng bơm cement có bóng tại Khoa Chấn thương chỉnh hình và Cột sống - Bệnh viện Bạch Mai từ tháng 01/2019 đến tháng 02/2020. Kết quả: BN nữ 76,7%, BN nam 23,3%; VAS trung bình trước mổ 6,6 ± 0,8 điểm; T-score trung bình đo ở cột sống -3,5 ± 0,7. Mức độ đau theo thang điểm VAS, góc gù thân đốt, góc gù vùng trên Xquang sau bơm cement cải thiện rõ rệ so với trước bơm (p < 0,001). Tai biến tràn cement qua bờ trước thân đốt sống 8,3%; 2,7% tràn cement qua đĩa đệm; 2,7% vỡ bóng. Đánh giá điểm MacNab sau 6 tháng 88,5 % BN có chất lượng cuộc sống tốt và rất tốt; 11,5% chất lượng cuộc sống trung bình. Kết luận: Tạo hình thân đốt sống bằng bơm cement sinh học có bóng điều trị xẹp đốt sống do loãng xương cho kết quả cải thiện lâm sàng tốt, hiệu quả chỉnh gù cao, ít biến chứng.
Enablers for Remote Monitoring Programs for Cardiac Conditions: Lessons From the COVID-19 Pandemic
Authors: Naor Aaron 
Published: April 2022

Throughout the COVID-19 pandemic, Canada’s health care system has experienced a dramatic shift toward virtual care. Patients with cardiac conditions are at an increased risk of adverse outcomes from COVID-19 infections, and for many, remote monitoring has been viewed as a safer form of health care delivery.
This Policy Insight summarizes key facilitators and barriers to the implementation and expansion of remote monitoring programs for patients with cardiac conditions based on lessons learned during the COVID-19 pandemic. These include:

Technology adoption — Health care decision-makers should be aware of barriers to technology adoption, including both patient and clinician hesitation and varying levels of health and digital literacy. Developing an effective education program to train staff and patients can help overcome technological barriers to adoption.
Program adaptation — Transitioning programs to remote monitoring requires the consideration of a programs’ operational elements, such as eligibility requirements, onboarding and assessments, appointment logistics, program equipment, roles and responsibilities of clinicians and staff, health human resource planning, and data infrastructure and management.
Regulatory and legislative changes — Policies that support enhanced interprovincial licensure and reimbursement for remote monitoring services are examples of policy changes that would foster a regulatory environment conducive to remote monitoring programs.

While significant government investment has enabled the transition to virtual care (including remote monitoring), continued coordination between governments is needed to enhance the adoption of virtual care within Canadian health systems.
Further research is needed on the cost-effectiveness and clinical appropriateness of remote monitoring across cardiac conditions. This analysis can support health system decision-makers in determining when and how to apply remote monitoring services safely and effectively.
The taxonomy of Moroccan fir Abies marocana Trab. (Pinaceae): conceptual clarifications from phylogenetic studies
Authors: Ben-Said Mariem 
Published: April 2022

Western Mediterranean firs are endemic and illustrate the Tertiary flora heritage in the Mediterranean basin. Due to their morphological and anatomical similarities, the classification of certain relict firs still debated especially those belonging to the Piceaster section. Moroccan fir Abies marocana is one of these taxa whose taxonomy has remained unresolved for a long time. Many authors recognized two species in the Rif Mountains A. marocana and A. tazaotana while others considered these taxa as varieties or subspecies of A. pinsapo. Recently, several biometrical and molecular studies contributed to a better understanding of their phyletic relationships. In this review, the main findings of recent studies are synthetized with the aim of shedding light on the evolution of the taxonomical position of Moroccan relict fir. The main hypotheses explaining the phylogenetic relationships between Moroccan and Spanish firs are also discussed. The results converged towards the separation of Moroccan and Spanish firs at the species level, while they did not support the distinction between A. marocana and A. tazaotana as different species.
Fatal cryptococcal meningitis in a non-HIV patient
Authors: Yadav Pushpa , Sen Manodeep , Srivastava Janamejai Kumar , Das Anupam , Chatterji Tanushri 
Published: April 2022

Cryptococcal infections (Cryptococcosis) are fatal fungal infections typically caused by Cryptococcus neoformans, a saprophyte frequently found in soil contaminated with pigeon droppings and frequently seen in immunocompromised (specifically HIV Positive) individuals. Now a day’s awareness is emerging on cryptococcal disease among non-immunocompromised patients also. We present a case of Cryptococcus meningitis (CM) in a patient with cardiopulmonary arrest. A 55 year old male patient came with history of headache and fever with neck rigidity since last 3 months. The patient was admitted as a case of CM based on clinical findings and radiological features. Investigations were done to rule out other disorders of the immune system. He was treated with Amphotericine B (IV) and Fluconazole orally for 2 weeks. Culture of CSF was done which showed presence of Cryptococcus neoformans. It is concluded from the findings that Cryptococcus may also affect non-HIV patients regardless to their immune system.
To compare the levels of salivary Interleukin 6 between oral potentially malignant disorders and oral squamous cell carcinoma
Authors: Harshy Harshy , Kaur Gunveen , Bala Tanu , Leekha Swati , Kler Shikha , Dahiya Vivek Singh 
Published: April 2022

To compare the levels of salivary Interleukin 6 between oral potentially malignant disorders and oral squamous cell carcinoma. After ethical clearance and informed consent, the saliva samples were collected from 20 patients of OPMD’S, 20 patients of OSCC and 10 controls. Salivary IL-6 levels were detected by enzyme linked Immunosorbent essay and appropriate statistical analysis was done. Significant differences in IL-6 concentration between OSCC, OPMD’S and controls were noted. Salivary IL-6 levels were higher in OSCC. The results of present study concluded that the level of salivary IL-6 in OSCC is significantly higher than oral potentially malignant disorders like OSMF and oral epithelial dysplasia and controls. This biomarker can be utilized as a major asset for early detection of cancer and can open a new horizon for treatment plans of targeted therapy.
Vehicular pollution in Jammu city
Authors: Jasrotia Arvind , Sharma Nitan , Bakshi Kartika 
Published: April 2022

There is a close relationship between environment and life because destruction of the environment would lead to the destruction of all the living creatures, including human beings. Regrettably, recent years have witnessed an unprecedented industrial and technological advancement which on one side may be of great benefit for human welfare but has brought in its wake colossal problem of environmental pollution. The dawn of the 20th century brought a new kind of air pollution in its wake due to the modernization of the transportation system and the large-scale use of petrol and diesel as fuels. Motor vehicles are a significant source of urban air pollution and are increasingly important contributors of various anthropogenic pollutants having deleterious effect on environment and human health. The vehicular pollution assumes special significance in Jammu city owing to constant increase in level of air pollutants resulting in its categorisation under ‘non-attainment’ city and a rapid increase in the fleet of vehicles moves in and around the city. Numerous national and international studies revealed the growth of diseases in the last few years, and the impact on life expectancy rate of Jammuites due to breathing polluted air.
Association of thyroid dysfunction and anemia in pregnancy
Authors: Santpure Anjanadevi , Santpure Shivkumar , Mane Sujata , Tandale Mahesh 
Published: April 2022

Background: Thyroid dysfunction in pregnancy is clinically important as insufficient thyroxine is associated with an increased risk of premature birth, low birth weight and miscarriage. This prospective, cross sectional study, single-center study was carried out to identify the thyroid dysfunction in pregnancy in Indian antenatal mothers. Methods: This prospective, cross sectional study, single-center study was conducted in the Department of Obstetrics and Gynecology, Indian Institute of Medical Science & Research, Warudi, Badnapur, Jalna, India. The study period was of 20 months from January-2018 to August-2019. One hundred and sixty six antenatal mothers with age population in range of 18-35 years were included in the study. All the study subjects were randomly selected & rendered to serological testing’s like T3, T4, TSH. All The study protocol was performed in accordance with the principle of the declaration of Helsinki and after approval by the Institutional ethical scientific committee. The data was entered and tabulated in MS-Excel 2007, and statistical analysis was performed by using Statistical Package for the Social Sciences (SPSS 22.0). Data had been summarized as mean for numerical variables and count and percentages for categorical variables.
Raja Rao's Serpent and the Rope and Kanthapura
Authors: Jagadeesh Anjali , Beulah G. 
Published: April 2022

Rao is a great accomplishing man who has written The Serpent and the Rope and Kanthapura, the elevating and redefining works which show man’s relationship to the supernatural absolute in terms consistent with the depiction of Indianness. Evidences are sought to analyse Indianness as marks of values and philosophy behind the character analysis and physical features. Rao imbues his English with a Dravidian tinge in whole and the taste of the Kannada village dialect in specifically. The themes of self-awareness, self-transcendence, and self-fulfillment are deliberately emphasized. The Serpent and the Rope is philosophical in that it examines the essence of conceptual and metaphysical inquiry in some of its more complex implications, as well as trying an unique fusion of Indian and European civilizations. . He had an exhaustive understanding of Indian religion and theory and watched Indian life rather minutely. In his books and stories, he is said to have given a realistic portrayal of Indian life. Kanthapura is an outspoken opponent of British authority. Kanthapura as opposed to British rule. Harikatha is remythologized by the novelist in order to make national people mythological, and she finally becomes a model to emulate.
Cooperative and antagonistic reactions of heavy metallic elements and its impact on health that are supplemented with selenium and zinc in Kurdi sheep
Authors: Palani Zirak M R , Ahmed Karzan A. , Al-Obaidy Marwan H. A. , Palani Dilsher M R 
Published: April 2022

The purpose of present study was to determine the variations in the levels of Selenium, Zinc, Iron, Copper, Molybdenum and Manganese in the serum of Kurdi sheep and to compare the age difference in the levels of minerals between lambs and rams that are supplemented with Selenium and Zinc individually or their combination.It was on two experiences.The males of the Kurdi sheep from lambs and rams for four coefficients each as follows; First Treatment: (control) without adding, Second Treatment: added Selenium with a dose of 0.5 mg /kg fed,Third Treatment: added Zinc with a dose of 100 mg /kg fed, Fourth Treatment: added Selenium with Zinc with a dose of 0.5 + 100 mg/kg fed, then they were given gelatinous capsules daily for 60 days.Selenium and Zinc supplementation and their combination led to significant increase in the Selenium and Zinc concentration in the blood serum of lambs and Rams. Selenium, Zinc and their combinationsignificantly contributed to changes in the analysed minerals (Selenium, Zinc, Iron, Copper Molybdenum and Manganese).
Influence of digital marketing in students’ decision-making process for enrollment in higher education institutes in Coimbatore, India
Authors: Rajkumar Samuel Giftson , Saranya E. , Joseph C. Samuel , Sudhahar J. Clement 
Published: April 2022

Digitalization has resulted in a significant shift in marketing channels and consumer behaviors. Easy accessibility and convenience have made digital media a popular channel of information among the youth. The objective of the present work was to study the influence of digital marketing communications on students’ decision-making process for enrollment in higher education institutes in Coimbatore, India. A well-structured questionnaire was used to collect data about several aspects of digital marketing and its usefulness while selecting a higher education institute. Most respondents agreed that the use of digital platforms while selecting a higher education institute helps in decision making because of factors like easily accessible information, easier admission process and online payment of fees. The study also found that most higher education institutes in Coimbatore use digital tools like advertisements on Facebook, Instagram and YouTube, and third party websites like College Dunia to share information. Despite the wide availability of digital information, respondents claimed that they would take advice from past and current students of an institute before coming to a decision. This was primarily due to difficulty in getting reliable information about the institute and particular course details, and getting prompt response to queries on official websites.
influence of inter-bracket distance on load deflection characteristics of nickel-titanium wires
Authors: Bhutani Ankush , Juneja Achint , Vaishnav Prabhat , Mohan Stuti , Punia Komal , Sharma Neetu 
Published: April 2022

Aim: Aim of this study was to compare and evaluate load deflection characteristic of NiTi wires of different cross-section between labial and lingual straight wire system in aligned and crowded condition. Materials & Methods: The study was divided into two parts one with the aligned teeth and in other part typodont set was manipulated to simulate the crowded arch. Crowding was created in the anterior region by displacing one central incisor and one lateral incisor 2 mm palataly and canine were rotated in mesio-buccal direction. Typodont was sent to laboratory for lingual setup and CAD-CAM based Avant grade laser sintered 3D lingual brackets were and bonded using Cyanoacrylate by the laboratory. A modified three point bending test simulating the clinical conditions was carried out to investigate load deflection characteristics of Cu-NiTi arch-wires using Instron Universal Testing Machine. Results: Shapiro-wilk test and Kolmogorov-Smirnov test were used to check the normality of the sample and values. Intergroup comparison of LDR of wires between labial and lingual group in aligned and crowded condition showed that LDR of wires in the lingual bracket system was significantly higher as compared to labial bracket system.
Description of clinical manifestations of COVID-19 patients in the isolation treatment room
Authors: Heriyadi Sriyono Sugeng , Armiyati Yunie , Widodo Sri , Warsono Warsono , Khoiriyah Khoiriyah 
Published: April 2022

Cases of patients infected with Covid-19 are still quite high. The emergence of Covid-19 was followed by the emergence of various variants of this disease. The consequences of the emergence of various variants of Covid-19 will be followed by the occurrence of various new clinical manifestations in patients. These clinical manifestations need to be evaluated. This study aims to determine the description of the clinical manifestations of Covid-19 patients. This study was a quantitative descriptive study. The study was conducted from January to February 2021. The sample consisted of 100 patients who were confirmed positive for Covid-19 and underwent treatment at Dr. Kariadi General Hospital, Semarang, Indonesia. The results showed that most common clinical manifestations of Covid-19 patients including increase in D-dimer (97%), lymphopenia (85%), pneumonia (82%), heart to breath (62%), cough (59%), increasing od prothrombin (57%), fever (56%), SpO2 < 90% (at room temperature) / happy hypoxia (43%), tachycardia (39%), fatigue (37 %), nausea (26%), headache (24%), sore throat (16%). The clinical manifestations of Covid-19 that are not experienced by many patients in isolation rooms include: ronchi (6%), platelets <100x103 / uL (5%) decrease of smell ability (3%), fibrinogen <200 mg / dl (2%), bradycardia (1%).
Variability in the Follow-up Management of Pediatric Femoral Fractures
Authors: Sanatani Gabrielle E. , Habib Eva , Bone Jeffrey N. , Sandhu Ash , Schaeffer Emily K. , Mulpuri Kishore 
Published: April 2022

Introduction:
Variability in follow-up has previously been identified in orthopaedic trauma. Variability in follow-up for pediatric femur fractures has not previously been documented. The aim of this study was to document the variability in clinical and radiographic follow-up for pediatric femur fractures based on the fixation method and the treating surgeon.

Methods:
This retrospective case series identified isolated femoral fractures in patients younger than 18 years, treated by eight surgeons at a single center from 2010 to 2015. The total number and frequency of clinical visits, radiographic visits and discrete radiograph views, demographic data, fracture classification, treatment method, and presence of complications were extracted. Variability in follow-up was assessed through descriptive statistics and linear and Poisson regression models.

Results:
One hundred sixty-four femoral fractures in 160 patients were included. Fractures were stratified by the treating surgeon. The mean length of follow-up ranged from 6.5 to 13.6 months. Complications increased follow-up time by mean 1.7 months (1.3 to 2.4). Patients who were treated with rigid locking nails were followed for the shortest amount of time, averaging 9.9 months, while traction followed by rigid locking nails averaged 24.4 (0.5 to 9.3) months of follow-up.

Discussion:
Variation in the length of follow-up was identified and was associated with the fixation method and the treating surgeon. Few patients were followed long enough to definitively identify complications and sequelae known to occur after femur fractures such as femoral overgrowth or growth arrest. The results of this study indicate a need for additional study and consensus on an appropriate follow-up for pediatric femur fractures.