bluuebunny/crossref_metadata_2025 huggingface dataset:
Risk factors of low peak bone mass in Indonesian women
Authors: Sugianto Ray , Titus Johana , Siagian Minarma
Published: March 2019

Background: Osteoporosis occurred in 64% of Indonesian women aged 60-64 years. The risk of osteoporosis can be reduced by achieving optimal peak bone mass in ages 25-32 years. However, 33.4% women had low peak bone mass (LPBM).Objective: We aimed to develop a tool to identify women at risk of developing LPBM in order to ameliorate this situation. Some risk/protective factors were explored in a case-control study.Method: We recruited 25 cases, those with LPBM (T-score <1) according to peripheral bone densitometry and 25 controls from Cengkareng District, West Jakarta. They were assessed using questionnaires to explore their historical intake of calcium, tea/coffee, and weight-bearing activity. We also measured BMI and body composition. Parameters among case and control groups were analyzed using independent T-test or Mann-Whitney, and odds ratio in relation to peak bone mass was also computed.Results: Between cases and controls, there were no differences observed in BMI, body composition, weight-bearing activity, and historical tea/coffee consumption. Calcium intake from sources other than milk and its derivatives were also found not to differ. Historical calcium index (HCI), measuring weekly calcium intake since childhood, was found lower in cases (median=160 vs 965; p=0.001). HCI cut-off analysis found that the values of 300 and 1000 yielded good specificity (80%) and sensitivity (92%) for LPBM. OR analysis identified those with HCI <1000 (OR=0.61; 95% CI: 2.05−54.95) as at moderate risk of developing LPBM, and HCI ≤ 300 as at higher risk.Conclusion: We concluded that, as low HCI was the risk factor for developing LPBM, calculation of HCI should be done to earlier identify women at risk, thus prompting earlier nutrition and lifestyle intervention to prevent the occurrence of LPBM and future osteoporosis.
Perilaku orang tua dalam pemberian makan dan status gizi anak usia 2-5 tahun
Authors: Purnama Ni Luh Agustini , Lusmilasari Lely , Julia Madarina
Published: March 2019

Background: The issue of child nutrition is still a problem in developing countries, including Indonesia. Nowadays, there is double burden related to child nutrition, due to lack of nutrition that has not been resolved and at the same time, there is an increasing problem of excess nutrients. Parents are responsible for the care of children, including fulfilling a balanced nutritional intake.Objective: To identify the relationship between parent’s behavior in feeding and nutritional status of children aged 2-5 years.Method: Design used in this study was observational with the cross-sectional study was conducted 153 parents with children aged 2-5 years who fit the inclusion and exclusion criteria in the region of Integrated Health Center Catholic Hospital St. Vincentius a Paulo Surabaya. Parent’s behavior in feeding was assessed using the Comprehensive Feeding Practices Questionnaire (CFPQ) which consists of 49 questions and 12 behavioral aspects. The nutritional status of children assessed by weight indicator according to height (weight/height) were compared with z-score WHO 2006 standard. Data were analyzed using the Spearman correlation.Results: The average nutritional status of children aged 2-5 years based on the weight/height z-score indicator was 0.17 indicating that is in normal condition. Parent’s behavior that involves children in the planning and preparation of meals, positively associated with nutritional status of children in all conditions of nutritional status of children who are very thin to obese (ρ=0.43; p=0.001). Pressure, when children eat, was negatively associated with nutritional status of children aged 2-5 years in normal nutritional status to obese (ρ=-0.34; p=0.001). Restriction of food intake to control body weight was positively associated with nutritional status of children aged 2-5 years in all conditions of nutritional status of children who are very thin to obese (ρ=0.29; p=0.001).Conclusion: Parent’s behavior in feeding the children associated with nutritional status of children aged 2-5 years.
Perceived Sense of Belonging of Part-time Faculty within Institutions of Higher Education
Authors: Ryan Cari , Chun Hans , Iwamoto Darren
Published: March 2019

Although part-time faculty positions in higher education continue to increase, reports reveal the lack of acceptance and valuing of part-time faculty across higher education institutions. Yet few qualitative studies explore this phenomenon within academic culture. This exploratory qualitative case study analyzed part-time faculty members’ perceptions of inclusion or exclusion within their higher education institutions. This study was based on interviews with a diverse sample of part-time faculty members from a private and public institute of higher education. The findings revealed that, in general, part-time faculty perceived a sense of belonging when their socio-emotional needs were met, and reciprocal relationships were present within their academic culture. Additionally, part-time faculty who desired and dedicated energy towards involvement in their academic cultures had a higher chance of developing a sense of inclusion.
IS THERE A PROBLEM OF ETIOTROPIC THERAPY OF INVASIVE DIARRHEA (CLINICAL CASE)?
Authors: Bekhtereva, M. K. , Lobzin Yu. V. , Ioffe M. Ya. , Razdyakonova L. V. , Lazarevа I. V. , Ermolenko K. D.
Published: March 2019

Infectious diarrheas are a current problem of children’s age. Despite prevalence in structure of acute intestinal infections at children of a viral gastroenteritis dysentery keeps the relevance owing to development of severe forms of a disease and serious complications. The choice of drug for etiotropic treatment of bacterial diarrheas at children’s age taking into account the existing international and Russian recommendations is difficult and ambiguous. The efficiency of many modern antibacterial drugs which are traditionally used for treatment of a shigellosis and others infectious diarrheas decreases because of high prevalence of polyresistant strains. It is known that so far, at infectious diarrheas unreasonably long antibacterial therapy with change of 3–4 medicines is carried out, repeated courses of germicides at a reconvalescents bacterioexcretion of activators of infectious diarrheas are widely appointed, unfairly short antimicrobial therapy takes place less often. Despite existence modern diagnostic the test of systems antibiotic-associated diarrheas are often late diagnosed that lead to development of severe forms of a disease or complications. The negative C. difficile toxins test does not allow to exclude the antibiotic-associated nature of diarrhea completely. The clinical case of dysentery of Fleksneri at the child caused by a strain with a multiple antimicrobial resistance and which led to development of antibioticassociated colitis and dynamic intestinal impassability is given as an example in article. Therefore, when choosing antimicrobial drug means for treatment of infectious diarrheas it is necessary to consider regional features of the circulating activator strains.
Etos Kerja Wanita Pedagang Acung dan KebertahananNilai-Nilai Sosial-Ritual di Kalangan Masyarakat Bali
Authors: Parmiti Desak Putu
Published: March 2019

Target of this research is to identify and formulate of free-merchant woman work ethos at central of tourism area in Bali and to know relation among ethos work of free-merchant woman with socio-culture conflict. This Research used approach "Critical Etnography Research" in research paradigm qualitative. Research data collected by using partisipative observation, interview, quitionaire, and document studies. Overall of research data a nalysed by using technique analyse qualitative with analysis model pass by dots-quickly.Result of research indicate that: (1) all of free-merchant woman in Bali have typical of activity ethos and have the open character, (2) there are bearing having the character of magic-logical among ethos work of all free-merchant woman in Bali with friction of local socio-culrure, (3) patterned thinking and behavior of all free-merchants woman give very positive contribution to construction effort and added values for existention of Balines society.
Manajemen Pondok Pesantren Asy-syamsiyah Denpasar Bali (Kompetensi Guru dan Bimbingan Potensi Santri)
Authors: Muhsin Hafidul , Atmaja Nengah Bawa , Dantes Nyoman
Published: March 2019

The research aims to determine the strategy used Pondok Pesantren Asy-Syamsiyah in overcoming the problems that exist, to determine the increase in knowledge management systems and skills of teachers Pondok Pesantren Asy-Syamsiyah, to determine the role of Ash-Syamsiyah boarding school in guidance santri. This study uses qualitative research. The data obtained in this research through direct observation of researchers examine and follow the activities at the Pondok Pesantren As-Syamsiyah Denpasar Bali, interview the researchers interviewed teachers, administrators, and students is in boarding school, from books to documents in the administration there in the office, photos and other documents. The study yielded that the competency of teachers is lacking with the lack of training and education boarding school teachers, teachers who lack formal education can affect the  management manage. In developing the potential of students, teachers provide training in accordance with the talents of students outside of active learning.
Impact of land use change on organic carbon sequestration in Arenosol
Authors: Kazlauskaite-Jadzevice Asta , Tripolskaja Liudmila , Volungevicius Jonas , Baksiene Eugenija
Published: March 2019

Conversion of arable soils into other land uses can stabilize and increase accumulation of soil organic carbon (SOC) and in addition prevent deterioration in its properties. The data has shown changes in SOC sequestration in Ap horizon after arable land conversion (1995–2015) into managed grassland, abandoned and pine afforested. SOC in Arenosol topsoil was positively affected by long term fallow and conversion into grassland. Abandoned land and fertilised managed grassland accumulated significantly more SOC, 48% and 38% respectively compared with arable land. In unfertilised managed grassland SOC stocks decreased 2.3% during 21 years, but losses were lower than in fertilised arable land. Pine afforestation of loamy sand helped to reduce the intensity of SOM mineralization compared to arable land. The Ap horizon thickness in pine forest soil increased from 28 to 31 cm during 21 years period. However, SOC stock decreased by 1% due to reduction in carbon concentration.
Impact of ozonation process on the microbiological and antioxidant status of raspberry (Rubus ideaeus L.) fruit during storage at room temperature
Authors: Piechowiak Tomasz , Antos Piotr , Kosowski Patryk , Skrobacz Karol , Józefczyk Radosław , Balawejder Maciej
Published: March 2019

In this study the effect of the ozonation procedure on the microbiological and antioxidant status of raspberries stored at room temperature was investigated. During the study, it was found that ozonation with a dose of 8–10 ppm for 30 min, every 12 hours, for 3 days effectively reduced the growth of aerobic mesophilic bacteria and fungi. On the last day of storage, infestation with Botrytis cinerea for control fruit amounted 100%, while for ozonated fruits it was only 12%. In addition, the ozonation process has preserved the high antioxidant potential of the fruits and reduced the loss of polyphenol compounds, including anthocyanin. The applied procedure was proven to be effective, showing the potential of ozone as a factor extending the high commercial and consumer value of fruit stored at room temperature.
Лабораторная диагностика как основа медицины 5П
Authors: Щербо С. Н. , Щербо Д. С.
Published: March 2019

В рамках модернизации системы здравоохранения в настоящее время происходит изменение старых и становление новых направлений современной медицины: персонализированной, предиктивной, превентивной, партисипативной, прецизионной, мобильной и цифровой. Вместе с тем, в научной литературе и медицинском сообществе имеются различные мнения о целях, области применения и задачах указанных направлений здравоохранения и роли в них лабораторной диагностики. Прежде всего это относится к прецизионной медицине, которая воспринимается только как более современное название персонализированной медицины. В обзоре проанализирована и обобщена имеющаяся на сегодняшний день информация и представлены примеры применения подходов медицины 5П в клинической практике.
The Primitive and Imprimitive Soluble Subgroups of GL(4,Pk)
Authors: Razzagh Behnam
Published: March 2019

In this paper we will determined all of the primitive and imprimitive Soluble Subgroups of GL(4,pk). It turns out that the number of types of the irreducible Soluble Subgroups in GL(4,pk)are 10 types and are Mi,i=1,…,10. moreover we find these subgroups.
Comparación de la actividad física por género y grasa corporal en escolares mexicanos
Authors: Hall-López J.A. , Ochoa-Martínez P.Y. , Meza F. , Sánchez R. , Sáenz-López P.
Published: March 2019

Nuestro objetivo fue comparar la intensidad de actividad física mediante acelerómetros y monitores de frecuencia cardiaca durante la clase de educación física y el recreo en estudiantes de tercero y cuarto grado de primaria de acuerdo al género y porcentaje de grasa corporal. La intensidad de la actividad física se evaluó con acelerómetros ActiGraph-GT9X y monitores de frecuencia cardiaca Polar-bluetooth en 28 niños y 26 niñas durante 8 clases de educación física y  recreo, se clasificó el porcentaje de grasa como normal o alto mediante análisis de impedancia bioeléctrica utilizando el equipo Inbody-720. La igualdad de la varianza calculada con t-Student reportó una P-Valor menor a α≤0.005 con diferencias significativas en clases de educación física entre los promedios de la actividad física moderada a vigorosa (hombres: 0,003; mujeres: 0,001) y la frecuencia cardiaca lat/min (hombres: 0,001, mujeres: 0,000) en participantes con porcentaje de grasa normal en comparación con alta. La intensidad durante el recreo fue mayor que en educación física y con actividad física moderada a vigorosa inferior al 50%, por lo anterior es importante retroalimentar constructivamente la manera de impartir la educación física mediante capacitación con estrategias didácticas para involucrar en mayor actividad física a escolares con obesida.
Influencia de variables antropométricas en la potencia de salto después de una sesión de recuperación activa en jóvenes futbolistas Hondureños.
Authors: Vasquez-Bonilla Aldo Alfonso , Escobar del Cid Fredy Rolando , Vasquez Dianka Gissell , Timón Rafael , Olcina Guillermo
Published: March 2019

Las variables antropométricas podrían influir en la recuperación, y este hecho resultaría interesante para el control de la fatiga-recuperación por parte de los entrenadores. 21 jugadores profesionales de la liga nacional de Honduras participaron en el estudio (edad: 18 ± 0 años e IMC: 23.3 ± 2.2 kg·m-2). Se caracterizó el perfil antropométrico y se midió la potencia de salto vertical y dolor muscular percibido como indicadores de recuperación. Se encontró un aumento en la potencia de salto (pre-sesión= 986 ± 163 y post-sesión 1054 ± 158) y percepción del dolor muscular (pre-sesión= 1,11 ± 1,96 y post-sesión= 2,32 ± 1,20). La cintura, masa muscular y perímetro del brazo corregido correlacionaron con la potencia de salto. El control de las variables antropométricas y de composición corporal en jóvenes es importante porque podrían influir en la potencia de salto después de una sesión de recuperación activa.
Assessment of Employees Level of Awareness in the Aspect of Information Security
Authors: Pałęga Michał , Knapiński Marcin
Published: March 2019

The strategic importance of information for the functioning of each economic entity forces entrepreneurs to properly protect them against loss, unauthorized disclosure or unauthorized modification. Hence, organizations build complex security systems taking into account state-of-the-art technical solutions, while belittling often the most important element, which is the human factor. It should be emphasized that it is the intentional or accidental actions of the human that can lead to the loss of information security. In addition, it is also the potential of human capabilities and skills can provide an effective defense against the failure or technical security.

The article presents the basic stages of human resource management in the aspect of information security. Complementing these considerations will be the presentation and discussion of the results of surveys aimed at assessing the level of employee awareness in the area of information security.
Professional Stress Management in the Work of a Selected Group of Uniform Services - Case Study
Authors: Placek Piotr
Published: March 2019

Work in uniformed services carries a high risk of losing health and even life. The occupational activities undertaken are related to exposure to factors belonging to the group of dangerous (accident) hazards. The work of uniformed services is also a work of high psychosocial risk. It can be said that the stress at work of firefighters or policemen is an everyday reality, which they deal with in different ways. This paper deals with the analysis of occupational stress at work of uniformed services on the example of employees of the State Fire Service. To analyze and assess occupational stress the European Foundation checklist for the Improvement of Working and Living Conditions has been used.
Sustainable Consumption and Segmentation of Potential Low Emission Vehicle Buyers
Authors: Obrecht Matevž , Knez Matjaž , Lisec Andrej , Wrzalik Aleksandra , Lukman Rebeka Kovačič
Published: March 2019

In 2015 the Agenda 2030 was introduced, framed of 17 sustainable development goals (SDG) with 169 targets, which were adopted by the United Nations Member States and should bring prosperity and growth to the global society. In this paper a focus is given to the SDG 12 Sustainable consumption and production from the e-mobility perspective. SDG 12 aims to ensure sustainable consumption and production (SCP) patterns – it is about promoting resource and energy efficiency, sustainable infrastructure, and providing access to basic services, green and decent jobs, and a better quality of life for all. Many stakeholders from public and private sector are investing a lot of effort to identify consumer behaviour for future improvements in development of their green products and strategies Because sustainable mobility and consequently low emission vehicles (LEV) are closely related with sustainable consumption within the personal mobility this paper focuses on consumer segmentation of potential LEV buyers and their willingness to buy LEV. Results have revealed that the segment of potential alternative fuel vehicles buyers is much larger than we initially anticipated. Such vehicles are, surprisingly, also more attractive for the older population, according to our results.
Teaching communication for safety in selected water based recreational disciplines
Authors: Kosińska Ludwika , Rejman Marek
Published: March 2019

This paper describes the concept of didactic communication and verifies the course of teaching selected disciplines of water based recreation, i.e. swimming (at the standard technique level), handling a sailing boat whilst undertaking simple manoeuvres, and the basics of diving. At the same time, research in the area of experiments conducted in the field of teaching methods of these disciplines was reviewed in terms of teaching effectiveness, as well as the health and safety of the participants, and ways of communicating while in, on and under the water. Communication between an instructor and a student in any environment which is different from the norm, is difficult owing to its specificity. Additionally, teaching skills on, in or under water requires strict observance of safety rules. Lack of student’s readiness to act in a different water environment, be that based on anxiety or fear, may interfere with or, even prevent didactic communication. Consequently, the effectiveness of teaching decreases. The aim of this work is to search for innovative forms of information transfer that will enable a permanent change in the student’s behaviour, especially when acting in a difficult environment – on the water, in the water and under the water. There are premises to believe that immediate verbal instruction and emphasising the metalinguistic function in it should improve the quality and effectiveness of the process of teaching activities in various water based environments.
The reform of 2007 on regulation of the market of legal services in England and Wales as an institutional experiment
Authors: Masior Michał , Staniek Zbigniew
Published: March 2019

The article presents a reform that provides a regulatory framework for the legal services market, implemented as the Legal Services Act of 2007 in England and Wales. The reform was intended to systematise the institutional system of that market, to increase its transparency, to increase the role of competition and to enhance the position taken by customers at the expense of the current legal self-regulatory bodies. The reform involved development of a multi-level management structure for institutions–organisations that supervise or represent lawyers handling various market segments. A new form of functioning was provided to lawyers in order to facilitate acquisition of capital and know-how. A new package of supervisory measures was initiated and applied to operations undertaken by lawyers and their companies. The aim of this case study is an attempt at evaluating the above-mentioned reform and drawing conclusions for model operation of the legal services market. In order to achieve such an aim, the institutional change is described based on the current data about the functioning of regulators, taken from their websites. The article also refers to literature related to regulation of legal professions and the English-Welsh context. The conclusions that have been drawn prove the advisability of its implementation. For the sake of economic and social evaluation of the outcomes of the applied solutions, the dynamics of the rates describing market operation (supply, prices, demand, consumer choice) has been analysed. It has been stated that since the implementation of the reform in 2008, the accessibility of legal assistance has been increased along with the quality of legal services and market competitiveness. However, the authors of the reform have been disappointed with the scarce interest in new forms of development provided to legal companies, innovation for licensed lawyers and further increase in prices of legal services. A demand barrier has been also encountered. Despite all those facts, the value of the legal services market in England and Wales has been increased and export of legal services and the number of licensed lawyers have also grown. Furthermore, the reform has already found its followers in other countries.
The Incidence Of Intestinal Parasites Among Children In Hivi Pediatric Hospital, Duhok, Iraq
Authors: Hussein Jehan N. , Meerkhan Azad A.
Published: March 2019

This study has conducted in Hivi Pediatric Hospital, Duhok Province, Iraq, to estimate the gastrointestinal parasites infection among patients contacted this hospital. Overall patients, 22.27% (261/1,172) were diagnosed as infected by parasites; more of them were from summer season with the infection rate of 24.83% (216/870) versus 14.90% (45/302) in autumn, rural residence had a greater rate of infection 65.90% (172/261) as compared with urban residence 34.09 (89/261), males were more infected than females (63.98% versus 36.02% respectively), the age group of three years and less had the highest rate of infection, while the age group of more than 9 years had the lowest rate (57.85%, 4.98% respectively). Concerning the children feeding way, the artificially feeding had the highest rate then mixed feeding and Breastfeeding (58.16%, 25.53% and 16.31% respectively). As general, the infection with protozoa (84.67) was higher than helminthes (18.01%) with some cases of infection by both of protozoa and helminthes (4.98). Regarding each parasite separately, Entamoeba histolytica had the highest infection rate then Giardia lamblia., Enterobius vermicularis, Cryptosporidium Spp., Entamoeba coliandBlastocystis hominis (38.70%, 25.67%, 18.01, 9.20%, 6.51 and 4.60 respectively).
Assessment of Geothermal Potentials In Some Parts of Upper Benue Trough Northeast Nigeria Using Aeromagnetic Data
Authors: Mohammed Abdulwahab , Adewumi Taiwo , Kazeem Salako Adeyinka , Abdulwaheed Rafiu , Adetona Abbass Adebayo , Usman Alhassan
Published: March 2019

The assessment of geothermal potentials over part of the upper Benue trough corresponding to Kaltungo, Guyok, Lau and Dong areas, North Eastern Nigeria using spectral depth analysis of aeromagnetic data has been carried out. The study area is bounded by latitudes 9o00’N and 10o00’N and longitudes 11o00’E and 12o00’E. This research work is necessitated by the need for renewable and alternative sources of energy for use in Nigeria. Regional/residual separation was carried out on the total magnetic field using polynomial fitting method of order one. The residual map was divided into nine overlapping blocks for the spectral analysis. The centroid depths and depth to top of basement were obtained from the plot of log of power spectrum against wavenumber. These two parameters were used to estimate the Curie point depth using , where    and  are Curie depth, centroid depth and depth to top of basement respectively. The results from the spectral analysis suggested that in the parts of the Upper Benue trough, the basement is deepest at the south western portion towards the Lau area and varies between 0.55 and 3.8 km, while the centroid depth varies from 7.26 to 18.00 km. From the same portion of the trough, the Curie-point depths vary between 12.43 and 33.91 km and the corresponding geothermal gradient and heat flow values varying from 17.10 to 46.66 0C/km with an average of 30.75 0C/km and 42.75 to 116.65 mW/m2 with an average of 75.91 mW/m2 respectively. The maximum heat flow is found around the south western portion of the study area (Lau). The entire study area with high heat flow values might probably be good sources for geothermal and thereby recommended for both geothermal exploration and exploitation.
Hydrogeochemical and Groundwater Assessment for Drinking Purpose at ITERA Campus Area and Its Surroundings
Authors: Siringoringo Luhut Pardamean , Rizki Reza , Nababan Janner
Published: March 2019

Groundwater research for drinking purpose was very important to be done at ITERA campus and its surroundings. It is caused the area is very close to social activities, especially for students. The hydrogeochemical analysis was done with integrating Piper diagram plotting result, X-Y plotting result for some cations and anions, and Gibbs diagram plotting result. Groundwater assessment for drinking purpose referred to Peraturan Menteri Kesehatan Republik Indonesia No. 492/MENKES/PER/IV/2010. There were 14 samples that were taken from nine dig wells and five drill wells. The groundwater facieses were dominated by Facies Na-HCO3-Cl (35,71%) followed by Facies Na-Cl (21,43%), Facies Na-HCO3 (21,43%), Facies Na-SO4-Cl (14,29%), dan Facies Ca-Mg-HCO3 (7,14%). Generally, Groundwater hydrogeochemical of research area shows that groundwater chemistries are controlled by minerals weathering, evaporation, and precipitation. There are eight wells that not proper for drinking and six wells that proper for drinking. Integration lab result, stratigraphic analysis, and depth aquifer show that groundwater that proper for drinking comes from confined aquifer while that not proper for drinking comes from unconfined aquifer
Capsule endoscopy for diagnosis of celiac disease
Authors: Alimetov A Ya , Poliakov P P , Onopriev A V , Avakimyan A V , Zanin S A , Kade A Kh
Published: March 2019

In this review we analyzed the guidelines for diagnosis and management of celiac disease, as well as the recent studies published on this issue. Capsule endoscopy could be used in patients unwilling or unable to undergo conventional endoscopy, in patients who have discordant results between serological and histopathological investigation, in patients with nonresponsive or refractory celiac disease.
European registry Helicobacter pylori (Hp-EuReg): how has clinical practice changed in Russia from 2013 to 2018 years
Authors: Bordin D S , Embutnieks Yu V , Vologzhanina L G , Ilchishina T A , Voynovan I N , Sarsenbaeva A S , Zaitsev O V , Alekseenko S A , Abdulkhakov R A , Dehnich N N , Osipenko M F , Livzan M A , Tsukanov V V , Burkov S G , Bakulina N V , Plotnikova E Yu , Tarasova L V , Maev I V , Kucheryavyi Yu A , Baryshnikova N V , Butov M A , Kolbasnikov S V , Pakhomova A L , Zhestkova T V , Baranovsky A Yu , Abdulhakov S R , Ageeva E A , Lyalyukova E A , Vasyutin A V , Golubev N N , Savilova I V , Morkovkina L V , Kononova A G , Megraud Francis , O'Morain Colm , Ramas Mercedes , Nyssen Olga P , McNicholl Adrian G , Gisbert Javier P
Published: March 2019

The multicenter prospective observational study initiated by the European Helicobacter and Microbiota Study Group (EHMSG) is conducted in 27 countries in Europe. The data from the Russian part of the European registry for the management of Helicobacter pylori infection (European Registry on the management of Helicobacter pylori infection, protocol: “Hp-EuReg”) allows us to analyze the real clinical practice of diagnosis and treatment of H. pylori and compare it with international recommendations. Materials and methods. A comparative analysis of the data entered in the register by the Russian research centers “Hp-EuReg”, in the period from 2013 to 2018, was conducted. Results and discussion. Invasive diagnostic methods prevail for the primary diagnosis of H. pylori [histology - 20.3% (in 2013 year) - 43.9% (in 2018 year), rapid urease test - 31.7% and 47.8% respectively]. The most popular mode of eradication therapy is a 10-day triple therapy (62.8-76.2%), the effectiveness of which does not exceed 79% (per protocol). Invasive tests (histology) are the leading method for control the effectiveness of therapy, however, there is a tendency towards a wider use of non-invasive methods (H. pylori stool antigen - from 17% in 2013 to 29.3% in 2018 and urea breath test from 6.9 to 18.3%, respectively). Serological test to control the effectiveness of eradication is still used from 8.2% (2013) to 6.1% (2018). Eradication therapy was not performed in 28% of patients throughout the entire observation period. Conclusion. In Russia, despite approved domestic and international recommendations, deviations in clinical practice persist, both during eradication therapy and in monitoring the effectiveness of eradication therapy.
Features of the current of bronchial asthma in the presence of komorbidy allergic rhinitis
Authors: Zaripova T N , Antipova I I , Reshetova G G
Published: March 2019

Aim - study of the influence of komorbidy allergic rhinitis (AR) on the course of bronchial asthma (BA). Materials and methods. Clinical research, single performed by a survey of 96 patients divided into two groups: the main - 73 patients with BA combined with AR and a group of comparison-23 patients who do not have allergic rhinitis. The data of clinic, bronchial passableness, level of control of asthma, severity of inflammation in bronhopulmonary region on content of nitrogen oxide in exhaled air and in nasal flushes of a number of biochemicals were studied in comparative aspect. Indicators, the manifestation of systemic inflammatory response according to biochemical, immunological indicators and calculated lejkocitarnym indices. Results. It is revealed that activity of inflammatory process in patients with BA without AR is higher both in the bronhopulmonary region and at the system level. At the same time in the period of clinical remission, most of them have sufficiently well functioning protective mechanisms on the part of the antioxidant system, humoral immunity, non-specific protection. Conclusion. When combined BA and AR inflammation at both local and system levels is less pronounced, but the activity of protective mechanisms decreases. In parallel to the growth of violations on the part of cell and humoralal links of immunity in the blood increases the content of Circulating immune complexes, which contributes to the torpor current of inflammation, which is the basis of a more significant violation of bronchial permeability and complicates achieve control of asthma. These changes increase as the duration of the disease both BA and AR, as well as frequency exacerbations of the disease.
Possibilities of ultrasound research of the diaphragm
Authors: Nekludova G V , Avdeev S N
Published: March 2019

The ultrasound method is a non-invasive and safe diagnostic method. Ultrasound examination (ultrasound) of the diaphragm allows you to conduct a direct study of its structure and function. Using stationary and portable ultrasound scanners, the study of the diaphragm can be carried out in specialized laboratories, in outpatient departments, in various departments of the clinic, including in intensive care units, in patients in different clinical conditions. Ultrasound of the diaphragm can be implemented on devices of different technical levels. Despite the fact that at present the diaphragm ultrasound method is not standardized, nevertheless, it provides clinically important information for solving various clinical studies, including when conducting dynamic observation.
Cancer risks and benefits of hormonal contraception: a literature review and practical issues
Authors: Ledina Antonina V , Korolenkova Liubov' I , Ledin Evgenii V
Published: March 2019

Aim. To provide up-to-date data on cancer risks in women who use oral hormones to protect themselves from unwanted pregnancies, since high onco-alertness is one of the most common reasons for their withdrawal. Materials and methods. To write this review a search for domestic and foreign articles in Russian and international search systems (PubMed, eLibrary, etc.) which were published in the period from 2003 to 2019 was carried out. The review included articles from peer-reviewed literature and guidelines for physicians and periodicals identified by keywords: cancer, cancer risk, hormonal contraception, hormones, non-contraceptive effects of combined oral contraceptives (COCs). Results. Hormonal contraceptives have a large number of beneficial non-contraceptive effects, particularly in relation to diseases associated with a menstrual cycle (premenstrual syndrome and premenstrual dysphoric disorder, menstrual disorders), infertility and a number of other diseases. Oral contraceptive use reduces an incidence of ovarian cancer and colorectal cancer but increases risks for cervix cancer and breast cancer. Based on the analysis of literature data, it was shown that women who have ever used hormonal contraception have a lower risk of death from all causes comparing to those who have never used them. Conclusion. To make a decision on a use of COCs patients should be examined and competently informed about benefits and risks of hormonal contraception.
Discursos dos presidentes de Minas Gerais sobre o trabalho e o trabalhador
Authors: Gonçalves Irlen Antônio
Published: March 2019

O artigo analisa os discursos dos presidentes do Estado de Minas sobre o trabalho e o trabalhador, nas décadas iniciais da República. O objetivo é tornar possível o levantamento de questões relacionadas às representações que se produziram sobre o trabalho e o trabalhador, identificando como o trabalho foi pensado no seu tempo histórico e como sua concepção foi construída. As fontes são as mensagens que os presidentes enviavam ao Legislativo. E as referências teóricas utilizadas contam com o aporte da História Política e História dos Conceitos, a partir de Berstein e Koselleck. Metodologicamente, propomos uma análise que privilegia os discursos como portadores e constituintes de uma representação de sociedade, de sujeitos e de trabalho.
Educação financeira: análise dos cadernos do MEC para os anos iniciais
Authors: Vieira Glauciane , Oliveira Marilene , Pessoa Cristiane Azevêdo dos Santos
Published: March 2019

O presente estudo tem como objetivo apresentar uma análise dos Cadernos de Educação Financeira nas Escolas, material desenvolvido pelo Ministério da Educação (MEC) para os anos iniciais do Ensino Fundamental, analisando as categorias: conteúdos, áreas do conhecimento e orientações ao professor presentes no material. O método utilizado foi a leitura e identificação destas três categorias nos cadernos do 1º, 2º e 3º anos. Os resultados apontam que há uma preocupação em abordar a Educação Financeira (EF) de maneira que os estudantes se conscientizem da importância de conhecer, pesquisar, planejar e executar ações relacionadas à EF. Concluímos que há uma diversidade de conteúdos e de áreas de conhecimentos no material pesquisado, assim como destacamos a importância das orientações ao professor para a qualidade do trabalho com os Cadernos.
The Quality Management of Arabic Language Education Based on The Quality Management System (SMM) ISO 9001:2015
Authors: Iskarim Mochamad
Published: March 2019

The study attempts at discussing the quality management with the Quality Management System (SMM) ISO 9001:2015 applied in the Arabic Language Education. The discussion was focused on elaborating seven principles of SMM ISO 9001: 2015, containing customer focus, leadership, engagement of people, process approach, continuous improvement, evidence-based decision making and management relationship. The quality management is expected to assist the Arabic language education to create quality, process and graduates who are well-prepared to compete both in the national and international levels. As a part of the process, the SMM ISO 9001:2015-based quality management elucidates a comprehensive guidance for the Arabic Language Education departments to continuously improve their system to fulfil the customer and the user satisfaction. Seen from the result, SMM ISO 9001:2015 can assist the educational institutions to produce graduates who are productive, capable and competitive in the national as well as global levels.
al-Masa’il al-Nahwiyyah (Dirasah Taqabuliyyah Baina Madrasah al-Bashrah wa al-Kufah)
Authors: Roviin Roviin
Published: March 2019

When Islam spread to the Arabian Peninsula, the Arabs were also scattered, communicating with non-Arabs and mixing with each other. As a result, a new generation emerged that could not preserve the authenticity of its language. Therefore, the Arabs became distorted from the authenticity of their language. The emergence of many of these irregularities led to the need to preserve the originality of the Arabic language, and Abu al-Aswad al-Duwali was the first who establish Arabic grammar on the orders of Caliph Ali ibn Abi Talib. After Abu al-Aswad al-Duwali, emerging famous grammars were divided into madrasa of Bashra and Kufa, each madrasa had characteristics and differences. The differences between these two madrasas is enormous and in many cases. The prominent difference is that the madrasa of Bashra is more stringent in Arabic grammar, while the madrasa of Kufa is looser.
4 Bit Flash Tabanlı Zaman Sayısal Dönüştürücü Tasarımı
Authors: TALAY Yasin , AYTAR Oktay
Published: March 2019

Yapılan bu çalışmada, Tanner Tools Pro devre tasarım programında 0.25μm CMOS model kütüphanesi kullanılarak flash tabanlı 4 bit Zaman-Sayısal Dönüştürücü(Z /S)(Time-to-Digital Converter(TDC)) yapısı önerilmiştir. Tasarlanan zaman-sayısal dönüştürücü devresi; zaman geciktirme birimi, karşılaştırıcı, dinamik tutucu, çoğullayıcı devre ve PLA-ROM devre bloklarından oluşmaktadır. Önerilen bu Z/S dönüştürücü tasarımı 3.3V besleme gerilimi altında toplam 126.3mW güç harcamaktadır. Tasarlanan Z/S dönüştürücünün çözünürlüğü 1.31ns olup, INL değeri (-0.28/0.29)LSB ve DNL değeri (-0.2/+0.6) LSB olarak bulunmuştur
REVALUATION OF MINIMUM WAGES IN MEXICO AND ITS FINANCIAL IMPACT ON ORGANIZATIONS AND PRIMARILY ON SMES
Authors: Vargas-Hernández José G. , Cárdenaz Rafael Casas , Jiménez Rebeca Almanza
Published: March 2019

The development of this work is aimed at emphasizing the devaluation suffered by the general minimum wage in Mexico, highlighting the need for its revaluation as a response to the economic marginalization of vulnerable sectors and regions with greater lag in the country, as well as a to stop the deterioration of the wage-earners' living standards mainly, taking into account the demands of nations with respect to the new Agreement between the United States, Mexico and Canada (USMCA). However, its recovery must be planned through a gradual process that allows the progressive adaptation with respect to its economic impact. For this, a qualitative and quantitative analysis was carried out, describing its deterioration, the loss of purchasing power, proposing a restitution scheme in a period of six years to avoid affecting financially organizations and SMEs mainly.
Ectrópio Cicatricial: Correção com Enxerto de Pele Total
Authors: Tavares Ermelindo
Published: March 2019

Mulher, 82 anos, caucasiana, submetida à excisão de car-cinoma espinocelular da região malar medial superior e pálpebra inferior medial direita e encerramento com re-talho malar (avanço e rotação). Registaram-se infeção e deiscência parcial de sutura no pós-operatório.
Parent’s perceptions and concerns about inhaled asthma therapy
Authors: Barreira Rita , Sales Luís Madalena , Marcos Sara , Gonçalves Vivian , Monteiro Rita , Leiria Maria João
Published: March 2019

Aim: To determine parent´s perceptions and concerns about inhaled therapy and their relation to disease control.

Methods:  A questionnaire was applied by interviewing parents of 119 asthmatic children attending the Pediatric Allergy or Pneumology outpatient clinic.

Results: Eighty-one (68%) parents expressed concerns and worries about the use of inhaled therapy in their children, either with controlled or partially/uncontrolled asthma (65% Vs 78% p=0.22). Regarding their beliefs about inhaled therapy, 11% (n=13) stated that they considered pMDI’s/DPI’s less effective than nebulizers. When questioned about the knowledge of their child's acute exacerbation therapy, 91.5% (n=109) reported knowing it, albeit only 40% (n=44) did answer it correctly. Nine parents said they were unaware of their children’s reliever treatment.

Discussion: We expected to find parental concerns about inhaled therapy, but such a high percentage wasn´t expected. A substantial number of parents believe that their children can become addicted or dependent on the use of the inhaler. This finding reinforces the misconceptions parents do have regarding inhaled therapy. There is a higher proportion of parents with concerns in the group with partially/uncontrolled asthma, although it was not statistically significant. The majority of patients/parents reported knowing the reliever plan in an exacerbation, although most of them could not explain the plan correctly. These results are worrying, as they show parents have an inappropriate knowledge of reliever measures. Therefore, we suggest that improvements in education about inhaled therapy should be made, including the regular review of the inhalation technique and the reliever plan in every consultation.
Como “Cuidar Mais” em Bloco Operatório: Como “BOar Mais”
Authors: Oliveira Vítor Pinho , Martins Armindo
Published: March 2019

Contribuir para a promoção da confiança na relação com os clientes proporcionando-lhes experiências positivas e irrepreensíveis, onde o tema “empatia” aparece como obrigatório, não enquanto tema fácil, mas pela sua importância enquanto vontade genuína de compreender e conhecer melhor os outros, deverá constituir uma preocupação constante em todas as organizações que aspirem desenvolver uma cultura de excelência de serviço, estejam elas ligadas à prestação de cuidados de saúde ou ao transporte aéreo de passageiros. Esse foi o mote de um fórum de reflexão, que se transversalizou a diferentes unidades da José de Mello Saúde, juntando diferentes profissionais de saúde ligados à prestação de cuidados perioperatórios (assistentes operacionais, administrativos, enfermeiros, médicos), um anestesiologista e um piloto-comandante de aviação civil sobre como Cuidar Mais em Bloco Operatório: como “BOar Mais”.
Tratamento da Distonia Laríngea com Toxina Botulínica
Authors: Valente Pedro , Pinto Isabel Gomes , Monteiro Francisco , Castro Eugénia , Condé Artur
Published: March 2019

INTRODUÇÃO: A distonia laríngea focal engloba um conjunto de processos patológicos, caracterizados por contrações involuntárias e intermitentes dos músculos intrínsecos da laringe, que podem prejudicar predominantemente a fonação ou a respiração. A injeção de toxina botulínica nos músculos afetados provoca uma paralisia transitória, permitindo um bom controlo sintomático nestes pacientes.MÉTODOS: Análise retrospetiva dos doentes com distonia laríngea submetidos a tratamento com toxina botulínica no Serviço de ORL do CHVNG/E, entre janeiro/2011 e dezembro/2016. RESULTADOS: Durante o período de 6 anos foram identificados 11 doentes com distonia laríngea (91% sexo feminino, idade média 42 anos). Neste grupo 45,5% apresentavam distonia laríngea fonatória de tipo adutor e 9,1% de tipo misto, enquanto 45,5% apresentavam distonia laríngea respiratória. Estes pacientes foram submetidos a 43 injeções de toxina botulínica (média de quatro procedimentos/doente), em que 39,5% foram realizadas em ambulatório sob controlo eletromiográfico e 60,5% ocorreram sob anestesia geral. As injeções foram unilaterais em 30,2% e bilaterais em 67,4%. A dose média injetada foi de 11,7 U por sessão. A melhoria sintomática parcial ou total ocorreu em 83,7%, com ocorrência de episódios de engasgamento para líquidos após 20,9% dos procedimentos. A mediana de duração do benefício da toxina botulínica foi de 7 meses.DISCUSSÃO E CONCLUSÃO: A distonia laríngea tem origem em alterações neurológicas crónicas do processamento motor central e, devido às dificuldades no seu diagnóstico, ocorrem consideráveis atrasos no início de uma intervenção terapêutica apropriada. Entre as inúmeras propostas de tratamentos médicos e cirúrgicos, a toxina botulínica mantém-se, na atualidade, como o tratamento de primeira linha, embora a otimização individual da dose terapêutica possa condicionar os resultados iniciais.
Quisto do Ligamento Amarelo
Authors: Teixeira Joaquim Cruz , Melancia João Levy
Published: March 2019

Doente do sexo feminino de 72 anos de idade, observada por quadro de dor irradiada ao longo do membro inferior esquerdo no trajeto correspondente aos dermátomos de L5 e S1. A observação neurológica evidenciava abolição do reflexo aquiliano à esquerda sem defeito motor radicular.
Psicose Cicloide: Um Caso Clínico
Authors: Gracias Maria João , Curto Andreia , Mateus Dinis Correia , Pessoa Fernando Cruz , Velho Maria Vaz
Published: March 2019

Os autores descrevem o caso clínico de uma doente com 41 anos com um episódio psicótico inaugural caracterizado por alucinações auditivo-verbais e visuais e delírios de caráter persecutório e místico-messiânico com discurso altissonante e catastrófico. Pela exuberância do quadro clínico, a doente foi internada, tendo sido excluída a causa orgânica para a sintomatologia. Foi medicada com risperidona, que manteve após alta, tendo atingido uma remissão total do quadro clínico e de funcionamento, retomando a sua atividade social e profissional. O diagnóstico foi de psicose cicloide. O relato deste caso justifica-se pela sua apresentação particular e importância de um correto diagnóstico, com adequada avaliação do ponto de vista orgânico e psiquiátrico, dado o bom prognóstico atribuído a esta patologia.