bluuebunny/crossref_metadata_2025 huggingface dataset:
De otras Revistas y Publications - About la Revista de Enfermedades Infecciosas en Pediatría
Authors: Estripeaut Dora
Published: October 2020

Introducción
El recuento de plaquetas es considerado un biomarcador para el desarrollo de anomalías de arterias coronarias en pacientes con enfermedad de Kawasaki (EK). Sin embargo estudios previos han reportado resultados inconsistentes. En este estudio, los investigadores abordan la controvertida asociación del recuento de plaquetas y las anomalías de arterias coronarias, utilizando un conjunto de datos de gran escala.
 
Metodología
Se realizó un estudio retrospectivo de cohortes, utilizando datos de encuestas de Enfermedad de Kawasaki (EK)de Japón (2015–2016; n = 25,448). Se clasificaron los pacientes según respuesta a al tratamiento con Inmunoglobulina intravenosa (IGIV) y se describieron las tendencias en el recuento de plaquetas utilizando los valores más bajos y más altos junto con los días específicos de la enfermedad. Se realizó un análisis multivariado de regresión logística para evaluar la asociación entre el recuento de plaquetas y las anomalías de las arterias coronarias, ajustando los factores relevantes.
Complex Application of Laser Radiation and Interference
Currents in Medical Rehabilitation of Children with Neurogenic Dysfunction of the Bladder
Authors: Novikova E.V. , Menovshikova L.B. , Prikuls V.F. , Trunova O.V.
Published: October 2020

The article is devoted to the medical rehabilitation of children with neurogenic bladder dysfunction. Medical rehabilitation of children with neurogenic bladder dysfunction includes behavioral therapy, medication, biofeedback, and physical therapy. The popularity of physiotherapy methods is explained by the influence on the main links of pathogenesis, the absence of side effects and the possibility of use in young children.
The aim of the study was to study the effectiveness of complex application of laser radiation and interference currents in the medical rehabilitation of children with PDMP.
Materials and methods. Clinical observations and special studies were conducted in 40 children with hyperactive bladder aged 3 to 10 years. The main group consisted of 20 children who received laser therapy and interference currents, 20-a comparison group (without physical therapy).
Results. Positive dynamics was observed by the middle of the course of medical rehabilitation, a third of patients showed a decrease in urgency and urgent urinary incontinence, there was a tendency to normalize the number of urinations per day, by the end of the course of medical rehabilitation, the dynamics of clinical symptoms was more pronounced and reliable. The favorable influence of interference currents and laser radiation on the clinical course of neurogenic bladder dysfunction, the state of urodynamics and speed characteristics of the act of urination was revealed.
The feasibility of including interference currents and laser radiation in the medical rehabilitation of children with neurogenic bladder dysfunction is scientifically proved.
Conclusion. Medical rehabilitation of children with neurogenic bladder dysfunction with the inclusion of laser radiation and interference currents has a favorable effect on the symptoms of hyperactivity of the bladder, indicators of uroflowmetry, cystometry and helps restore the normal rhythm of urination. As a result of the research, the effectiveness of medical rehabilitation with the inclusion of laser radiation and interference currents was 85.0 %, in the comparison group only
60.0 % (p < 0.05).
Ischemic Stroke as a Clinical Form and Pathogenetic Model in the Structure of Сentral Nervous System Lesions in COVID-19
Authors: Voznyuk I.A. , Ilyina O.M. , Kolomentsev S.V.
Published: October 2020

Models of pathogenetic effects of acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the new coronavirus infection 2019 (COVID-19) on the brain indicate the possibility of both direct and indirect damage. Objective of the research. to study the features of the course of ischemic stroke in patients with COVID-19 disease. Methods. A retrospective analysis of 5 cases of acute ischaemic stroke in patients with COVID 19 who underwent inpatient treatment in march – April 2020 in one of the multi-specialty hospitals in Saint Petersburg, which was re-designated to receive patients with COVID-19 infection and has a primary vascular department. Results. Among 5 patients COVID-19 (3 men, 2 women; average age 76.8Ѓ}12.0 years), 3 registered in-hospital ischemic stroke (IHS), 2 patients were hospitalized with suspected cerebral stroke by ambulance. In vivo, COVID-19 was diagnosed in 3 patients; in 2 cases, the SARS-COV 2 virus was detected in the sectional material. All patients had high comorbidity: a history of stroke and/or myocardial infarction; 3 patients had diabetes mellitus; 2 had atrial fibrillation. Patients with IHS at the time of stroke development received secondary prevention of vascular events. The severity of ischemic stroke was 21.4Ѓ}4.3 on the NIHSS scale. According to the TOAST classification, the stroke was atherothrombotic (n=2), cardioembolic (n=1) and unspecified subtypes (n=2). Adverse outcome was registered in all cases on 5–11 day of stroke development (the average life expectancy after a stroke = 7,4 days). Conclusion. Experience in treating patients with COVID-19 indicates the need for monitoring the coagulation system and active prevention of thrombosis. Providing care to patients with ischemic stroke on the background of COVID-19 is associated with additional organizational difficulties associated with the need to comply with strict anti-epidemic measures, which affect the intra- hospital logistics and quality of care.
Theoretical Aspects of the Functioning of Startup Ecosystem
Authors: Marakhina I. V.
Published: October 2020

The article examines the startup ecosystem and identifies its characteristics which determine the effectiveness and success of startups - the main producing elements of the system. The author points out the differences between startups and other small business entities, highlights their strengths and weaknesses, justifies the need to consider them within the ecosystems. The author identifies the micro and macro levels of the startup ecosystem which depend on the nature of the impact on startups. At the same time the article focuses on the development of the ecosystem itself, the factors that influence it are highlighted. The analysis of the elements of the startup ecosystem is carried out, the requirements for them are described, based on the results of the study is proposed a theoretical model of the startup ecosystem. The main characteristics of startups in the ecosystem are highlighted. The nature of relations with organizations and events providing startups with resources - the micro level of the ecosystem are described. A detailed assessment of the role of micro-level elements and their characteristics is given. The proposed model can be used to assess the level of development of a particular ecosystem, search for bottlenecks and problems of its functioning, and develop recommendations for creating and developing a startup ecosystem.
BASIC REQUIREMENTS OF THE VUCA-ENVIRONMENT FOR EMPLOYEE COMPETENCE
Authors: Грачев А. А.
Published: October 2020

Обсуждается общая компетентность работника, соответствующая требованиям VUCA-среды. Обосновано, что требованиям этой среды больше всего соответствуют рыночный и адхократический типы организационной культуры. Наиболее значимы в этих типах культур профессиональные, управленческие и командные компетентности, сочетающиеся с мотивационным ядром VUCA-компетентности, имеющем преимущественно самоактуализационный характер. Приведены результаты эмпирического исследования представлений рядовых работников и руководителей среднего звена, которые говорят о том, что: а) мотивационный VUCA-потенциал в портрете идеального работника выражен значимо больше, чем у типичного, б) руководители видят в типичном работнике существенно более высокий VUCA-потенциал, чем рядовые работники. Намечены практические приложения, состоящие в формировании и развитии этих компетентностей в интересах работника и организации.

The general competence of the employee that meets the requirements of the VUCA-environment is discussed. It is proved that the market and adhocratic types of organizational culture meet the requirements of this environment most of all. The most significant in these types of cultures are professional, managerial and team competencies, combined with the motivational core of VUCA-competence, which is mainly self-actualization. The results of the empirical study of the views of ordinary workers and middle managers who say that a) motivational VUCA-potential in the portrait of the ideal worker expressed significantly more than the typical, b) the managers see in a typical worker is substantially higher VUCA-potential than ordinary workers. Practical applications are outlined, which consist in the formation and development of these competencies in the interests of the employee and the organization.
A szervezett bűnözés elméleti megközelítéseitől a bűnszervezet nemzetközi és hazai jogi fogalmáig
Authors: Zsigmond Csaba
Published: October 2020

The author examines in his paper the main theories on international organised crime and criminal organisations, results based on empiric researches, resp. the international and effective legal terms for criminal organisations. The goal of this paper is to show how much legal regulations can be applied for the several types of criminal organisations explored by researches. For this aim it offers a wide review about international and domestic theoretical approaches and research results, resp. Analyses appropriately the international and the domestic legal regulation. According to results of researches the international organised crime groups show manifoldness, different features in structure, aims, structure and other parameters are characteristic. Accordingly, the paper points out that the international definitions are wide enough and applicable for the different types of international criminal organisations, while on the other side – after the opinion of the author - the domestic legal definition can be narrowly interpreted, a considerable part of the multifarious international criminal groups is displaced without cause.
A bosszúpornó és deepfake pornográfia büntetőjogi fenyegetettségének szükségességéről
Authors: Sorbán Kinga
Published: October 2020

The accessibility of social media and artificial-intelligence-based content editing applications serves as a good starting point for the dissemination of new types of content, such as revenge porn and videos manipulated by algorithms (deepfake). The dissemination of such content does not constitute a standalone criminal act in the Hungarian penal code. In other countries, there is a lively legislative debate on the criminalization of these acts. The fact that the USA, Germany, France, Italy and the United Kingdom took the first steps towards solving the issue shows that this is a problem that is independent of countries and regions and should be accounted for. One of the main questions of future legislation is whether the harm caused to the individuals could justify the preliminary ban of these content and the restriction of freedom of speech by criminal law. The gaps in the state laws that are still quite rudimentary are filled by platform providers via private regulation. This is welcomed on the one hand as minimal protection of the users is ensured. However, it poses several problems as each platform regulates the same phenomena with different rigor and with a different approach.
Application of the Socio-Economic Impact Classification for Alien Taxa (SEICAT) to a global assessment of alien bird impacts
Authors: Evans Thomas , Blackburn Tim M. , Jeschke Jonathan M. , Probert Anna F. , Bacher Sven
Published: October 2020

We use a recently proposed framework, the Socio-Economic Impact Classification for Alien Taxa (SEICAT) to undertake the first global assessment of the impacts of alien birds on human well-being. A review of the published literature and online resources was undertaken to collate information on the reported socio-economic impacts of 415 bird species with self-sustaining alien populations worldwide. These data were then categorised following the SEICAT guidelines. Impact data were found for 57 (14%) of the 415 alien bird species in this study. All but two of these species were found to have minor impacts on human well-being. The most significant threat to human well-being posed by alien birds may be associated with their impacts on aviation safety. About two-thirds of the impact data found described agricultural impacts. No data were found describing disease transmission impacts on humans. We lack data for developing regions of the world: this is of concern as alien species can threaten livelihoods in developing countries, particularly by affecting agricultural production and hence food security. Most assessments were allocated a ‘Low’ confidence score. This may be because SEICAT is a new framework, requiring data on the way in which alien species affect human well-being, as measured by changes to human activities: even where we do have data describing an alien bird impact, information on how profoundly this impact affects people’s activities is currently rarely available.
Identifying safe cultivars of invasive plants: six questions for risk assessment, management, and communication
Authors: Datta Arunava , Kumschick Sabrina , Geerts Sjirk , Wilson John R. U.
Published: October 2020

The regulation of biological invasions is often focussed at the species level. However, the risks posed by infra- and inter-specific entities can be significantly different from the risks posed by the corresponding species, to the extent that they should be regulated and managed differently. In particular, many ornamental plants have been the subject of long-term breeding and selection programmes, with an increasing focus on trying to develop cultivars and hybrids that are less invasive. In this paper, we frame the problem of determining the risk of invasion posed by cultivars or hybrids as a set of six questions that map on to the key components of a risk analysis, viz., risk identification, risk assessment, risk management, and risk communication. 1) Has an infra- or inter-specific entity been proposed as “safe to use” despite at least one of the corresponding species being a harmful invasive? 2) What are the trait differences between the proposed safe alternative and its corresponding invasive species? 3) Do the differences in traits translate into a difference in invasion risk that is significant for regulation? 4) Are the differences spatially and temporally stable? 5) Can the entities be distinguished from each other in practice? 6) What are the appropriate ways to communicate the risks and what can be done to manage them? For each question, we use examples to illustrate how they might be addressed focussing on plant cultivars that are purported to be safe due to sterility. We review the biological basis of sterility, methods used to generate sterile cultivars, and the methods available to confirm sterility. It is apparent that separating invasive genetic entities from less invasive, but closely related, genetic entities in a manner appropriate for regulation currently remains unfeasible in many circumstances – it is a difficult, expensive and potentially fruitless endeavour. Nonetheless, we strongly believe that an a priori assumption of risk should be inherited from the constituent taxa and the onus (and cost) of proof should be held by those who wish to benefit from infra- (or inter-) specific genetic entities. The six questions outlined here provide a general, science-based approach to distinguish closely-related taxa based on the invasion risks they pose.
Applying an invasion and risk framework to track non-native island floras: a case study of challenges and solutions in Hawai‘i
Authors: Brock Kelsey C. , Daehler Curtis C.
Published: October 2020

Islands are plant invasion hotspots, with some having more non-native than native species. Many plants are recent arrivals, leading to concerns that their full spread and impacts are not yet realised. Given that islands host extraordinary numbers of endemic and threatened species, schemes are urgently needed to track the complex, species-rich but data-poor scenarios typical of islands. This study applies the unified framework by Blackburn et al. (2011) for categorising invasion stages to Hawai‘i’s non-native plant checklist and identifies potential uses and complications for species tracking and invasion management. Data deficiencies and ambiguities required lumping Blackburn et al.’s categories to align with Hawai‘i’s available data; nonetheless, this coarser categorisation describes invasion phases relevant to managers and could provide the basis for an effective tracking system. However, the unified framework does not accommodate uncertain invasion statuses, which prevents clear categorisation of species that exist outside of cultivation but are not definitely naturalised. In response to this obstacle, scores from the Hawai‘i-Pacific Weed Risk Assessment (WRA) are explored to understand their application for predicting naturalisation, including standard WRA scores as well as alternative scoring methods. We show that this predictive tool may be a promising supplement to on-the-ground monitoring for data-deficient elements of a flora. Finally, a categorisation system for tracking statuses of an entire non-native flora is proposed that requires limited investments in additional data collection while following the rationale of Blackburn et al.’s scheme. This categorisation system may be used to reveal overall invasion patterns and trends in a region, leading to valuable insights into strategies for biodiversity management and conservation.
The Convention on Biological Diversity (CBD)’s Post-2020 target on invasive alien species – what should it include and how should it be monitored?
Authors: Essl Franz , Latombe Guillaume , Lenzner Bernd , Pagad Shyama , Seebens Hanno , Smith Kevin , Wilson John R. U. , Genovesi Piero
Published: October 2020

The year 2020 and the next few years are critical for the development of the global biodiversity policy agenda until the mid-21st century, with countries agreeing to a Post-2020 Global Biodiversity Framework under the Convention on Biological Diversity (CBD). Reducing the substantial and still rising impacts of invasive alien species (IAS) on biodiversity will be essential if we are to meet the 2050 Vision where biodiversity is valued, conserved, and restored. A tentative target has been developed by the IUCN Invasive Species Specialist Group (ISSG), and formally submitted to the CBD for consideration in the discussion on the Post-2020 targets. Here, we present properties of this proposal that we regard as essential for an effective Post-2020 Framework. The target should explicitly consider the three main components of biological invasions, i.e. (i) pathways, (ii) species, and (iii) sites; the target should also be (iv) quantitative, (v) supplemented by a set of indicators that can be applied to track progress, and (vi) evaluated at medium- (2030) and long-term (2050) time horizons. We also present a proposed set of indicators to track progress. These properties and indicators are based on the increasing scientific understanding of biological invasions and effectiveness of responses. Achieving an ambitious action-oriented target so that the 2050 Vision can be achieved will require substantial effort and resources, and the cooperation of a wide range of stakeholders.
Frameworks used in invasion science: progress and prospects
Authors: Wilson John R. U. , Bacher Sven , Daehler Curtis C. , Groom Quentin J. , Kumschick Sabrina , Lockwood Julie L. , Robinson Tamara B. , Zengeya Tsungai A. , Richardson David M.
Published: October 2020

Our understanding and management of biological invasions relies on our ability to classify and conceptualise the phenomenon. This need has stimulated the development of a plethora of frameworks, ranging in nature from conceptual to applied. However, most of these frameworks have not been widely tested and their general applicability is unknown. In order to critically evaluate frameworks in invasion science, we held a workshop on ‘Frameworks used in Invasion Science’ hosted by the DSI-NRF Centre of Excellence for Invasion Biology in Stellenbosch, South Africa, in November 2019, which led to this special issue. For the purpose of the workshop we defined a framework as “a way of organising things that can be easily communicated to allow for shared understanding or that can be implemented to allow for generalisations useful for research, policy or management”. Further, we developed the Stellenbosch Challenge for Invasion Science: “Can invasion science develop and improve frameworks that are useful for research, policy or management, and that are clear as to the contexts in which the frameworks do and do not apply?”. Particular considerations identified among meeting participants included the need to identify the limitations of a framework, specify how frameworks link to each other and broader issues, and to improve how frameworks can facilitate communication. We believe that the 24 papers in this special issue do much to meet this challenge. The papers apply existing frameworks to new data and contexts, review how the frameworks have been adopted and used, develop useable protocols and guidelines for applying frameworks to different contexts, refine the frameworks in light of experience, integrate frameworks for new purposes, identify gaps, and develop new frameworks to address issues that are currently not adequately dealt with. Frameworks in invasion science must continue to be developed, tested as broadly as possible, revised, and retired as contexts and needs change. However, frameworks dealing with pathways of introduction, progress along the introduction-naturalisation-invasion continuum, and the assessment of impacts are being increasingly formalised and set as standards. This, we argue, is an important step as invasion science starts to mature as a discipline.
Association of Nail Psoriasis With Disease Activity Measures and Impact in Psoriatic Arthritis: Data From the Corrona Psoriatic Arthritis/Spondyloarthritis Registry
Authors: Mease Philip J. , Liu Mei , Rebello Sabrina , McLean Robert R. , Dube Blessing , Glynn Meghan , Hur Peter , Ogdie Alexis
Published: October 2020

Objective

To examine the association of nail psoriasis with disease activity, quality of life, and work productivity in patients with psoriatic arthritis (PsA).

Methods

All patients with PsA who enrolled in the Corrona PsA/Spondyloarthritis Registry between March 2013 and October 2018 and had data on physician-reported nail psoriasis were included and stratified by presence vs absence of nail psoriasis at enrollment. Patient demographics, disease activity, quality of life (QOL), and work productivity at enrollment were compared between patients with vs without nail psoriasis usingt-tests or Wilcoxon rank-sum tests for continuous variables and chi-square or Fisher exact tests for categorical variables.

Results

Of the 2841 patients with PsA included, 1152 (40.5%) had nail psoriasis and 1689 (59.5%) did not. Higher proportions of patients with nail psoriasis were male (51.9% vs 44.1%) and disabled from working (12.3% vs 7.8%) compared with patients without nail psoriasis (allP< 0.05). Patients with nail psoriasis had higher disease activity than those without nail psoriasis, including higher tender and swollen joint counts, worse Disease Activity Index for Psoriatic Arthritis and Psoriatic Arthritis Disease Activity Score values, and increased likelihood of having enthesitis and dactylitis (allP< 0.05). Patients with nail psoriasis had worse pain, fatigue, and work and activity impairment than those without nail psoriasis (allP< 0.05).

Conclusion

Patients with PsA who have nail psoriasis had worse disease activity, QOL, and work productivity than those without nail involvement, emphasizing the importance of identification and management of nail disease in patients with PsA.
Physical Activity and Attitudes Toward Exercise in People With Axial and Peripheral Spondyloarthritis
Authors: Liu Shao-Hsien , Shridharmurthy Divya , Lapane Kate L. , Dubé Catherine E. , Gravallese Ellen M. , Kay Jonathan
Published: October 2020

Objective

To evaluate physical activity and attitudes toward exercise among people with axial (ax-) and peripheral (p-) spondyloarthritis (SpA).

Methods

Using baseline information from an ongoing, longitudinal, prospective SpA cohort study (n = 264), self-reported attitudes and beliefs toward exercise were assessed using questionnaires. Total metabolic equivalent (MET) hours of self-reported physical activity per week, time spent in activities, and activity levels were calculated from the Nurses’ Health Study Physical Activity Questionnaire II (NHSPAQ II). Adjusted multivariable linear models estimated the relationship between physical activity and disease status (axial vs peripheral).

Results

Regardless of predominant anatomic distribution of disease, most participants were well-educated, non-Hispanic White men. Approximately 40% met the US Department of Health and Human Services physical activity recommendations. Positive attitudes, beliefs, and perceived benefits toward exercise were similar by anatomic distribution of disease. Despite similar MET h/week, participants with axial disease had greater concerns regarding discomfort and joint injuries than those with peripheral disease. Compared to those with pSpA (n = 201), participants with axSpA (n = 63) spent less time engaging in light and moderate activities (adjusted β in light activity: –1.94 min/week, 95% CI –2.96 to –0.93; adjusted β in moderate activity: –1.05 min/week, 95% CI –2.12 to 0.02).

Conclusion

Participants with axSpA had greater concerns regarding discomfort and injuries from exercise than those with pSpA. Although no differences in time spent in vigorous activities were observed, participants with axSpA spent less time than those with pSpA in light to moderate activities.
Soluble Low-density Lipoprotein Receptor-related Protein 1 in Juvenile Idiopathic Arthritis
Authors: Rezaei Elham , Newkirk Marianna M. , Li Zhenhong , Gordon John R. , Oen Kiem G. , Benseler Susanne M. , Boire Gilles , Cabral David A. , Campillo Sarah , Chédeville Gaëlle , Chetaille Anne-Laure , Dancey Paul , Duffy Ciaran , Duffy Karen Watanabe , Houghton Kristin , Huber Adam M. , Jurencak Roman , Lang Bianca , Morishita Kimberly A. , Petty Ross E. , Ramsey Suzanne E. , Roth Johannes , Schneider Rayfel , Scuccimarri Rosie , Spiegel Lynn , Stringer Elizabeth , Tse Shirley M.L. , Tucker Lori B. , Turvey Stuart E. , Yeung Rae S.M. , Rosenberg Alan M. ,   Alan M. Rosenberg for the BBOP Study Group
Published: October 2020

Objectives

This study aimed to expand knowledge about soluble low-density lipoprotein receptor-related protein 1 (sLRP1) in juvenile idiopathic arthritis (JIA) by determining associations of sLRP1 levels in nonsystemic JIA patients with clinical and inflammatory biomarker indicators of disease activity.

Methods

Plasma sLRP1 and 44 inflammation-related biomarkers were measured at enrollment and 6 months later in a cohort of 96 newly diagnosed Canadian patients with nonsystemic JIA. Relationships between sLRP1 levels and indicators of disease activity and biomarker levels were analyzed at both visits.

Results

At enrollment, sLRP1 levels correlated negatively with age and active joint counts. Children showed significantly higher levels of sLRP1 than adolescents (mean ranks: 55.4 and 41.9, respectively; P = 0.02). Participants with 4 or fewer active joints, compared to those with 5 or more active joints, had significantly higher sLRP1 levels (mean ranks: 56.2 and 40.7, respectively; P = 0.006). At enrollment, considering the entire cohort, sLRP1 correlated negatively with the number of active joints (r = –0.235, P = 0.017). In the entire cohort, sLRP1 levels at enrollment and 6 months later correlated with 13 and 6 pro- and antiinflammatory biomarkers, respectively. In JIA categories, sLRP1 correlations with inflammatory markers were significant in rheumatoid factor–negative polyarticular JIA, oligoarticular JIA, enthesitis-related arthritis, and psoriatic arthritis at enrollment. Higher sLRP1 levels at enrollment increased the likelihood of absence of active joints 6 months later.

Conclusion

Plasma sLRP1 levels correlate with clinical and biomarker indicators of short-term improvement in JIA disease activity, supporting sLRP1 as an upstream biomarker of potential utility for assessing JIA disease activity and outcome prediction.
Lupus Low Disease Activity State Achievement Is Important for Reducing Adverse Outcomes in Pregnant Patients With Systemic Lupus Erythematosus
Authors: Kim Ji-Won , Jung Ju-Yang , Kim Hyoun-Ah , Yang Jeong I. , Kwak Dong W. , Suh Chang-Hee
Published: October 2020

Objective

This study aimed to examine the frequency and risk factors of complications during pregnancy in women with systemic lupus erythematosus (SLE).

Methods

The medical records of patients with SLE and age-matched controls at Ajou University Hospital were collected. Clinical features and pregnancy complications in women with SLE were compared to those of the controls. Multivariate logistic regression analysis was performed to determine the predictors of adverse maternal and fetal outcomes.

Results

We analyzed 163 pregnancies in patients with SLE and 596 pregnancies in the general population; no significant differences regarding demographic characteristics were noted. Patients with SLE experienced a higher rate of stillbirth (OR 13.2), preeclampsia (OR 4.3), preterm delivery (OR 2.8), intrauterine growth retardation (OR 2.5), admission to neonatal intensive care unit (OR 2.2), and emergency cesarean section (OR 1.9) than the control group. Multivariate regression analysis revealed that thrombocytopenia, low complement, high proteinuria, high SLE Disease Activity Index (SLEDAI), low Lupus Low Disease Activity State (LLDAS) achievement rate, and high corticosteroid (CS) dose were associated with adverse pregnancy outcomes. In the receiver-operating characteristic curve analysis, the optimal cutoff value for the cumulative and mean CS doses were 3500 mg and 6 mg, respectively.

Conclusion

Pregnant women with SLE have a higher risk of adverse pregnancy outcomes. Pregnancies are recommended to be delayed until achieving LLDAS and should be closely monitored with the lowest possible dose of CS.
Bioelectrical Impedance Vector Analysis for Nutritional Status Assessment in Systemic Sclerosis and Association With Disease Characteristics
Authors: Di Battista Marco , Barsotti Simone , Monaco Alessia , Rossi Alessandra , Della Rossa Alessandra , Mosca Marta
Published: October 2020

Objective

To use bioelectrical impedance vector analysis (BIVA) in a cohort of patients with systemic sclerosis (SSc) in order to assess their nutritional status in comparison to other groups of patients and to find any correlation with clinical characteristics and outcome of the disease.

Methods

We retrospectively collected data from 50 SSc patients who underwent BIVA for clinical suspicion of malnutrition and compared them with patients affected by other chronic autoimmune rheumatic diseases (OCAD, n = 27) and those who were only symptomatic of malnutrition but without autoimmune features (n = 15), and with 50 healthy controls (HC).

Results

Patients with SSc presented significantly lower values of phase angle (PhA), basal metabolic rate (BMR), and body cellular mass (BCM), and an increase in extracellular water (ECW; P < 0.01 for all) than HC; instead, there were no significant differences for BMI. No significant differences were found between SSc and OCAD. Among patients with SSc, age directly correlated with ECW (ρ = 0.342, P = 0.015) and inversely with PhA (ρ = –0.366, P = 0.009). Female sex, anemia, hypoalbuminemia, reflux, and early satiety/abdominal distension associated with relevant alterations in BIVA results. BIVA variables were significantly different when cardiopulmonary and microvascular involvement was present. Four patients died during the study: they had significantly (P ≤ 0.01) lower PhA, BMR, and BCM, with an increased ECW.

Conclusion

BIVA, unlike BMI, allowed an accurate characterization of SSc patients at risk of malnutrition, correlating with serological malnutrition markers, with SSc-specific organ manifestations (cardiopulmonary involvement and microvascular damage), and with mortality. BIVA variables might represent a surrogate marker of damage accrual that leads to malnutrition, thus playing a leading role in the prognostic stratification of SSc patients.
Character Strengths and Virtues of Mentor Teachers
Authors: Holik Ildikó , Sanda István Dániel
Published: October 2020

Trainee and beginner teachers are introduced to the internal world of the school by mentor teachers, who also support their young colleagues during their process of socialisation as teachers. Mentor teachers provide beginners with advice and suggestions as well as professional and personal support and models. Mentors are faced with a variety of expectations. In our study, we used the Values-In-Action (VIA) questionnaire to find out what strengths and virtues mentor teachers have. It is important to make mentors aware of their own strengths for several reasons. If they can apply these in their teaching work, it can become a calling and they can be fulfilled by it as well as be protected against burnout.
The Status of Natural Scientific Education and its Relationship with Exam Systems
Authors: Simonics Istvan , Hetzl Andrea
Published: October 2020

According to international surveys (PISA, TIMSS), the mathematical and natural science test results of the Hungarian students have been steadily declining. The number of those who are affected by school dropouts is high. The present educational methods are not able to prepare the students properly for measures requiring application-oriented knowledge. In the hierarchy, natural science subjects are considered to be the least popular and significant ones among students. Compared to the 1970s and 80s, the natural sciences have become the ’great losing side’ due to the lessons’ number changes of the consecutive Nation-al Core Curriculum. The low lesson number is not in balance with the huge amount of educational material to be learned. There is not enough time to perform experiments, to deepen knowledge, to have student-centered methods. Based upon the core points of the new National Core Curriculum, a piece of extensive scientific knowledge and being able to solve problems are the most fundamental skills to be developed, however, the viability of the implementations have not begun to take shape. The Final exam is the most influential output element in our examination system. Presently only a few students tend to choose science subjects for their Final ex-amination, moreover few people take an advanced level ex-am in these fields. Fortunately, from this year it is compulsory to take an advanced level examination of the minimum one subject for entry to higher education. Nowadays there are not any obligatory science subjects for the Final examination, however, their introduction is a prevalent topic among professionals. Several people hope that by the new examination, the level of students' motivation for the subject and the general knowledge of the society could be increased. In 2019 the authors made the survey. They elaborated questionnaires for teachers and students about the effect of the exam on students’ motivation and knowledge. They expected a high level of acceptance of an introduction of compulsory science subjects for the Final examination. It is a promising result that the majority of students and teachers find science knowledge important. Unfortunately, the popularity index of these subjects is still bad; this means that we have to find a solution for improving the teaching-learning process.
Percepções e vivências da equipe de enfermagem frente ao paciente pediátrico em cuidados paliativos / Perceptions and experiences of the nursing team before the pediatric patient in palliative care
Authors: Schneider Ana Sofia , Flurin Ludwig Maria Cristina , Neis Miriam , Martegani Ferreira Anali , Becker Issi Helena
Published: October 2020

Introdução: a proposta dos Cuidados Paliativos é implementada para pacientes em situações de vulnerabilidade ante uma doença grave, limitante e que pode, inevitavelmente, se encaminhar para a terminalidade. Objetivo: conhecer as percepções e vivências dos profissionais de enfermagem frente ao cuidado à criança em cuidados paliativos em unidades pediátricas. Metodologia: estudo qualitativo, exploratório e descritivo, realizado em unidades pediátricas de um hospital universitário de grande porte do Sul do Brasil. Os dados foram obtidos mediante entrevistas semiestruturadas com nove participantes, enfermeiros e técnicos de enfermagem, submetidas à análise de conteúdo temática. Resultados: a partir da análise temática emergiram quatro temas: Criança em cuidados paliativos: olhar da enfermagem; Cuidado centrado na família; Vivências, sentimentos e percepções da equipe de enfermagem; e Enfrentamento da equipe de enfermagem: desafios para o cuidado.  O estabelecimento dos princípios de cuidados paliativos pediátricos é fundamental para subsidiar o cuidado qualificado. Os profissionais de enfermagem revelam a necessidade de serem incluídos nas reuniões multidisciplinares realizadas para decidir condutas em relação ao paciente e sentem necessidade de apoio psicológico. Considerações finais: desvela-se a compreensão de que a filosofia de Cuidados Paliativos precisaser ampliada para uma rede integrada de atenção e respeito às decisões para o final da vida.
Consulta de enfermagem a pessoas com tuberculose: proposta de instrumento
Authors: Lopes Vale Danielle , Carvalho de Sousa Freire Vanessa Emille , Bogéa Pereira Luís Fernando
Published: October 2020

Objetivo: construir um roteiro para histórico de enfermagem, de forma a padronizar a consulta de enfermagem às pessoas com tuberculose e subsidiar adequado registro e a completude do processo de enfermagem. Método: pesquisa qualitativa, fundamentada na metodologia da pesquisa-ação, realizada no Programa de Controle da Tuberculose, situado em Pinheiro, Maranhão, Brasil, de novembro de 2018 a maio de 2019. O público-alvo da pesquisa foi composto por pessoas cadastradas no Programa, em tratamento e em abandono, e enfermeiros do serviço. Resultados: o instrumento proposto conta com 67 itens que contemplam as necessidades humanas básicas das pessoas com tuberculose e o local para registro do exame físico, além da investigação da tuberculose individual e familiar. Conclusão: o instrumento sugerido qualifica, orienta e traz cientificidade para o registro do histórico de enfermagem. Ao ser utilizado, após validação, poderá sustentar a documentação das demais etapas da consulta de enfermagem às pessoas com tuberculose.
Fatores associados aos transtornos mentais apresentados por usuários de um centro de atenção psicossocial
Authors: Ribeiro Beatriz Maria dos Santos Santiago , Silva Aline Cristina , Dalri Rita de Cassia de Marchi Barcelos , Martins Débora Cristina
Published: October 2020

Objetivo: estimar a prevalência de fatores associados aos transtornos mentais apresentados por usuários de um centro de atenção psicossocial. Método:  estudo retrospectivo documental de abordagem quantitativa. Os dados foram coletados em 824 prontuários de pacientes entre maio e julho de 2019. Realizou-se análise descritiva e os dados foram apresentados sob forma de frequência absoluta e relativa, utilizando tabulação, considerando p<0, 05.Resultados:verificou-se maior prevalência de transtornos de humor em 48,1% dos usuários, de transtornos neuróticos relacionados ao estresse e transtornos somatoformes em 18,1% deles. A variável sexo associou-se com diagnóstico de transtorno mental (p<0,001), aqueles com idade inferior a 20 anos apresentaram maior prevalência de transtorno infantil e da adolescência (35,7%) e prevalência de transtornos de humor (32,6%) se comparados com as demais faixas etárias analisadas. Aposentados apresentaram maior prevalência de transtornos de humor (50,7%) e transtornos somatoformes; os pacientes trabalhadores apresentaram maior prevalência (65,7%) de transtornos do humor. Conclusão: este estudo contribuirá para o planejamento de ações e de educação permanente por parte de gestores, em conjunto com trabalhadores da saúde mental, de forma a elaborar estratégias diferenciadas considerando diferenças entre sexo, idade e ocupação em relação aos vários tipos de transtornos mentais verificados nos participantes desta pesquisa.
 Tecnologia móvel no cuidado com os pés em pessoas com diabetes mellitus: Revisão Integrativa / Mobile technology to promotefoot management among people with diabetes mellitus: An Integrative Review
Authors: Rodrigues da Silva Antonia Fabiana , De Carvalho Neto Francisco João , Rosa Guimarães Mayla , Alves Bernardes Raissy , Reges Brito Vicente Rubens , Vilarouca da Silva Ana Roberta
Published: October 2020

Objetivo: Analisar produções científicas sobre o uso das tecnologias móveis na prevenção e diagnóstico do pé diabético, bem como publicações que abordem o autocuidado com os pés em pessoas com diabetes mellitus. Métodos: Revisão integrativa realizada nas bases de dados PubMed, LILACS e BDENF, em setembro de 2019, com uma amostra de seis artigos analisados na íntegra. Resultados: As publicações datam desde o ano 2015, todas na PubMed. Destacaram-se os estudos experimentais, totalizando três (50%) publicações. Com relação às tecnologias móveis voltadas para a prevenção e autocuidado, dois artigos foram encontrados, ambos usaram mensagens de texto por telefone celular para reforçar o aprendizado e a prática de cuidados com os pés dos diabéticos e trouxeram resultados satisfatórios. Quanto às tecnologias voltadas para o diagnóstico de úlceras nos pés, identificaram-se quatro artigos e, apesar de terem utilizado métodos diferentes, quase todos eram voltados para rastrear aumentos de temperatura na parte inferior dos pés, podendo servir como um sistema de alertapara a detecção precoce de úlceras nessa região. Conclusão: Apesar da escassez de estudos, o uso de tecnologias móveis voltadas para a prevenção e autocuidado com os pés em pessoas diabéticas e as voltadas para diagnóstico de úlceras nos pés, mostraram-se efetivas.
COVID-19 IN PETS, WHAT DO WE KNOW?
Authors: Fernanda Santos Maria , Bertelis Merlini Natalie , Tatiana Granja-Salcedo Yury , Marcusso Paulo Fernandes
Published: October 2020

The COVID-19 caused by the coronavirus 2 severe acute respiratory syndrome (SARS-CoV-2), was first reported in Wuhan, China, starting an outbreak that affected countries around the whole world. The disease leads to simple clinical signs, such as colds common to more serious conditions as pneumonia and severe respiratory insufficiency. It is assumed that the agent was originated from bats in China, considering its as natural reservoirs, however, this relationship is still being investigated, as well as the possible intermediate hosts. Little is known about the relationship of animals with the disease epidemiological cycle, however, until now, the human transmission to companion animals and vice versa, is not yet evidenced. Nevertheless, some care must be considered if the tutors are infected by the disease.
Tackling the Covid-19 Pandemic: The Bangladesh Perspective
Authors: Islam Taimur , Talukder Anup Kumar , Siddiqui Nurealam , Islam Tofazzal
Published: October 2020

An outbreak of a COVID-19 pandemic disease, caused by a novel coronavirus SARS-CoV-2, has posed a serious threat to global human health. Bangladesh has also come under the attack of this viral disease. Here, we aimed to describe the responses of Bangladesh to tackle the COVID-19, particularly on how Bangladesh is dealing with this novel viral disease with its limited resources. The first case of a COVID-19 patient was detected in Bangladesh on March 8, 2020. Since then, a total of 263,503 peoples are officially reported as COVID-19 infected with 3,471 deaths until August 11, 2020. To combat the COVID-19, the government has taken various steps viz. diagnosis of the suspected cases, quarantine of doubted people and isolation of infected patients, local or regional lockdown, closure of all government and private offices, increase public awareness and enforce social distancing, etc. Moreover, to address the socio-economic situations, the government announced several financial stimulus packages of about USD 11.90 billion. However, the government got 3 months since the disease was first reported in China, but the country failed in making proper strategies including contact tracing, introducing antibody/antigen-based rapid detection kit, and also failed to make multi-disciplinary team to combat this disease. Further, limited testing facilities and inadequate treatment service along with public unawareness are the major challenges for Bangladesh to tackle this situation effectively. Along with the government, personal awareness and assistance of non-government organizations, private organizations, researchers, doctors, industrialists, and international organizations are firmly required to mitigate this highly contagious disease.
THE HANDLING OF SUGARCANE TRASH II. EFFECTS OF VARIOUS PRACTICES ON SOIL PROPERTIES
Authors: Lugo-López M. A. , Landrau, Jr. P. , Samuels G.
Published: October 2020

Data are presented here for various soil characteristics on plots where the sugarcane trash had been either burned, buried, or aligned in alternate rows for 6 consecutive years in a plant and 6-ratoon crop cycle. The experiment was established in a Vega Alta silty clay, a rather extensive sugarcane soil of the humid area. After the sixth ratoon crop was harvested, infiltration tests were run in the field and bulk and core samples taken for laboratory analysis. No significant differences were observed between the mean pH and total nitrogen values of soil under the various treatments. The mean organic-matter content of soil from plots where the trash was burned was significantly lower, at the 1-percent level, than that of soil from plots where it was buried or aligned. The C/N ratio was narrow in all cases, but lower under the burned-trash treatment. The mean infiltration rates at the eighth-hour run were 1.40, 2.00, and 2.38 inches per hour for soils that underwent the burned-, aligned-, and buried-trash treatments, respectively, but the differences were not significant. No significant differences were observed between the means of the various physical measurements performed, namely, permeability, quick drainage, maximum saturation, water removed and retained at pF 1.78, bulk density, total porosity, and air porosity. Some trends observed may become significant with continuous accumulation of organic matter in soils undergoing the buried- and aligned-trash treatments. For instance, the permeability of soils from plots where the trash was burned tended to be lowest, and the upper layer of soil from plots where the trash was aligned seemed to retain more water at low tensions than the upper layer of soil from plots treated otherwise.