bluuebunny/crossref_metadata_2025_split huggingface dataset:
Health-related quality of life and co-morbidities among older adults in Bhutan
Authors: Dorji Nidup , Dunne Michael P. , Seib Charrlotte , Dep Sibnath 
Published: December 2020

Introduction: Health-related quality of life (HRQoL) is a multi-dimensional construct that assesses an individual’s and group’s perceived physical and mental health over time. Measurement of HRQoL is an important medical outcome study and its study among older adults in Bhutan is limited.
Methods: This is a cross-sectional study aimed to assess HRQoL and its sociodemographic and health correlates, among older adults in Bhutan. Data for this study was collected from the four major towns of Thimphu, Phuntsholing, Gelephu, and Samdrupjongkhar, Bhutan, from November 2014 - February 2015, using structured questionnaire with face-to-face interview. A total of 337 Bhutanese older adults participated in this study. Statistical analysis was performed using statistical package for social science version 21.0.
Results: The overall mean score for the HRQoL among older adults in this study was 0.67 (SD: 0.13) significantly different between the gender (p-value<0.001). A significantly low scores inthe areas of role limitations (p<0.05), pain (p<0.01), mental health (p<0.001), and vitality (p<0.05) of the HRQoL was observed for the female gender. Frequent back pain (67.1%), memory decline (60.5%), depression (46.0%) mobility impairment (45.4%), insomnia (42.1%), and problem affecting breathing (31.8%) were common health problems and were significantly higher among the female gender. Better health conditions was positively related with better HRQoL (p-value<0.001).
Conclusions: Low HRQoL was reported higher among female gender and was linked to multiple and cumulative health morbidities. Members of the family, community and healthcare providers could incorporate holistic approach to foster positive health outcomes and HRQoL of the older adults.
Patients’ knowledge and practices on the drug regimens prescribed at the National Traditional Medicine Hospital: a call for a systematic approach to drug information services
Authors: Jamphel Kinga , Gyeltshen Dorji , Tenzin Sherab , Dorji Thinley 
Published: December 2020

Introduction: The World Health Organisation estimates that only half of all medicines dispensed are used appropriately. The Bhutanese Traditional Medicine (BTM) system is no exception. Objectives: We studied the patients’ knowledge on the usage of traditional medicine regimens prescribed to them, their medication adherence and possible adverse events.
Methods: This was a cross-sectional study conducted using an interviewer-administered questionnaire at the National Traditional Medicine Hospital, Thimphu in 2017. A simple random sampling was used. Ethical approval was sought from Research Ethics Board of Health, Thimphu.
Results: A sample of 402 patients were studied. The mean age of the respondents was 45 years (±15 years) and 333 (82.8%) were old cases presenting to the hospital. The knowledge on the correct timing of the medicine, how to take the medicine and what to avoid while on those medicines were understood only by 62.7%, 34.6% and 22.9% respectively. Only 351 (87.3%) patients received verbal information on the usage of drugs from the dispensers, of which 119 (29.6%) said the information was not clear or not adequate. Failure to take medicines on time was reported by 224 (67.3%) among old cases. Undesirable events reported while using BTM were giddiness, vomiting, skin irritation, diarrhoea and fainting episodes.
Conclusions: The drug information system and monitoring of medication adherence and adverse drug events require adoption of more effective toolsand methods.
Stillbirth rate in Bhutan: a retrospective facility-based study
Authors: Lethro Pema , Jamphel Kinga , Joshi Vandana , Mongar Chandralal , Tshering Lobzang , Tshomo Tashi 
Published: December 2020

Introduction: Stillbirth is an important public health concern; yet there is no reliable stillbirth rate for Bhutan. Hence the aim of this study was to estimate the stillbirth rate for Bhutan.
Methods: A retrospective study was carried out for live and stillbirths recorded in delivery registers of all 253 health facilities across the country for a period of one year commencing 1st January till 31st December 2015.
Results: There were a total of 11,126 live births and 108 stillbirths documented in delivery registers. The stillbirth rate from this data set was 10 per 1000 live births.
Conclusions: The stillbirth rate for Bhutan from this study is 10 per 1000 live births lower than 16 per 1000 live births estimated in Lancet Series 2015. In order to find the true burden of stillbirths in the country, a surveillance may be instituted which can facilitate the prevention efforts while at the same time enable to strengthen information system.
Knowledge attitude and practice of exclusive breastfeeding among breastfeeding mothers in Trongsa district, Bhutan
Authors: Tshering Dolley , Gurung Mongal Singh , Wangmo Neyzang , Pelzom Dorji 
Published: December 2020

Introduction: The World Health Organization (WHO) has estimated around 1.4 million deaths and 10% of the disease burden in children under 5 years of age is due to non-exclusive breastfeeding in the first 6 months of life. As per the WHO, exclusive breastfeeding is considered the best nourishment for children in first six months. However, majority of the mothers fail to practice exclusive breastfeeding due to inadequate or lack of knowledge which poses a challenge. Thus, this study intends to assess knowledge, attitude and practices among breastfeeding mothers in Trongsa.
Methods: A cross-sectional study was used. Data was collected from 205 breast feeding mothers in Trongsa District using the pre-tested structured questionnaire.
Results: Majority (98%) of the mothers had an adequate knowledge on exclusive breastfeeding starting from early initiation, the feeding of colostrum and providing complementary feeding. Health staff and the national television were the main source of information for the mothers on exclusive breastfeeding. However, in terms of practice, 20% of them did not exclusively breastfeed and had given additional feeds along with breast milk with the assumption of insufficient mother’s milk. Similarly, 13.2% of them had squeezed and thrown away the colostrum.
Conclusions: Despite mothers having good knowledge on exclusive breastfeeding, it was not practiced and followed. This study’s findings indicate a gap between the knowledge and the actual practice of exclusive breastfeeding among breastfeeding mothers in Trongsa.
Short communication: prevalence of Eimeria spp. infection in domestic rabbits of Polish farms
Authors: Balicka-Ramisz Aleksandra , Laurans Łukasz , Pohorecki Kamil , Batko Mirosława , Ramisz Anna 
Published: December 2020

<p>The studies were carried out on 14 farms which deals with meat race of rabbits breeding. The basic herds had from 14 to 85 rabbits. The studies were carried on West Pomerania ( near Chojna) and warmińsko-mazurskie province (near Elbląg). Faecal samples were collected from examined animals and quali-quantitatively analysed to evaluate presence and number of Eimeria oocysts. In addition, isolated Eimeria oocysts were identified at the species level following sporulation. The study was based on two flotation methods:Willis-Schlaaf for qualitative and McMaster for quantitative analysis, which helped to establish the number of oocysts in 1g of feces (OPG). Ten species of coccidian were found in which 9 were intestinal (<em>E. exigua</em>, <em>E. perforans</em>, <em>E. media</em>, <em>E. magna</em>, <em>E. irresidua</em>, <em>E. coecicola</em>, <em>E. flavescens</em>, <em>E. piriformis</em>, <em>E. intestinalis</em>) and one was living in liver (<em>E. stiedai</em>).The dynamics of coccidia infection in the annual cycle showed large fluctuations. The OPG coefficient reached its maximum in mid-May at 21 100 oocyst / g. Exact knowledge of the biology of protozoan <em>Eimeria</em> will contribute to the development of prevention programs that stop the spread of the disease in rabbits.</p>
Revisiting Second Wave Feminism in the Light of Recent Controversies
Authors: Power Nina 
Published: December 2020

This paper revisits elements of second wave feminism—in its psychoanalytic, radical, materialist, Marxist and deconstructionist aspects—the better to understand how it is we might define sexual difference today. The vexed question of sexuation, of what it means to be a woman in particular has today generated great tensions at the theoretical, legal and philosophical level. This paper is an attempt to return to aspects of the second wave—an unfinished project where many enduring feminist concerns were for the first time thoroughly and metaphysically articulated—the better to defend the importance of sexual difference. To this end, the transcendental and parallax dimensions of sexed life will be discussed, alongside a defence of the centrality of the mother to our thinking about the relevance and necessity of preserving the importance of sexual difference, not only for thought but also for political and legal life.
Author(s): Nina Power
Title (English): Revisiting Second Wave Feminism in the Light of Recent Controversies
Journal Reference: Identities: Journal for Politics, Gender and Culture, Vol. 17, No. 2-3 (Winter 2020)
Publisher: Institute of Social Sciences and Humanities - Skopje
Page Range: 28-35
Page Count: 8
Citation (English): Nina Power, “Revisiting Second Wave Feminism in the Light of Recent Controversies,” Identities: Journal for Politics, Gender and Culture, Vol. 17, No. 2-3 (Winter 2020): 28-35.
Author Biography
Nina Power, Independent Researcher
Nina Power is a philosopher and writer, and the author of many articles on politics, feminism and culture. She is the author of One-Dimensional Woman (2009) and the forthcoming What Do Men Want? (2021). She is currently teaching at Mary Ward and has previously taught at the University of Roehampton and many other institutions
Reglas y tablas de notación interna
Authors: Málaga Luis F. 
Published: December 2020

En esta edición de Fenix se publica el proyecto de tablas de notación interna elaborado por Luis F. Málaga para satisfacer la necesidad de la Biblioteca Nacional del Perú en particular y de las bibliotecas peruanas e hispanoamericanas en general.
Como señala el autor, los procesos de clasificación y catalogación estarían incompletos si la biblioteca no dispusiera de un sistema de arreglo interior que permitiera ordenar con criterio práctico todos los libros correspondientes a una clase y las fichas que lo representan.
Memoria escrita en 1855, después de la batalla de La Palma
Authors: De Vidal Francisco 
Published: December 2020

Memoria escrita por el Bto. Gral. D. Francisco Vidal en 1855 después de la batalla de La Palma, fue terminada cuando apenas habían trascurrido 46 días de esta acción, y responde a un doble propósito: trazar una objetiva exposición de los servicios prestados al país desde los años anteriores a la independencia, y definir como injustas las medidas decretadas por el General Ramón Castilla en perjuicio suyo y de cuantos sirvieron al gobierno del General José Rufino Echenique.
La Biblioteca Nacional debe la posesión de este valioso documento a la generosidad del doctor Carlos Morales Macedo.
Use of A New Extracorporeal Membran Oxygenator System and First Experiences
Authors: ERGÜN Servet 
Published: December 2020

Objective: In this study, we aimed to share our first experiences about the extracorporeal membrane oxygenator (ECMO) system that we have just started to use and compare it with the system we used before.
Methods: Between January 2019 and December 2019, 27 consecutive patients under the age of 18 who were operated for congenital heart disease and needed ECMO support were retrospectively analyzed. İn this period The Medos Deltastream diagonal pump and Sorin Revolution ECMO systems were used.
Results: Successful wean was observed in six (42.9%) patients in Medos ECMO group and two (15.4%) in Sorin ECMO group. Five (35.7%) patients discharged in the Medos ECMO group. In Sorin ECMO group all patients died. The difference between the groups in terms of the number of patients discharged was statistically significant (p = 0.02). Lactate clearance was 14 hours in Medos ECMO and 48 hours in Sorin ECMO (p = 0.02).
Conclusion: In this study, in which we shared our first experiences regarding the first use of the Sorin ECMO system in the postcardiac pediatric patient group, we observed slower lactate clearance, lower succesful wean and higher mortaly rates. Therefore, this should be taken into account during the use of this system.
The relationship between microvascular angina and De Ritis ratio in normal coronary artery patients with recurrent chest pain / De Ritis ratio and microvascular angina
Authors: YİLDİRİM Arafat 
Published: December 2020

Objective: De Ritis ratio (AST/ALT) is a strong predictor of outcomes in both heart failure and acute coronary syndromes. The usability of this parameter in patients with normal coronary arteries who had repeated application to health institutions due to chest pain has not been evaluated before. In this paper we aimed to investigate if De Ritis ratio may be used as a guiding in this group of patients.
Methods: This retrospective study included 545 patients with normal coronary arteries according to the coronary angiographies performed in our clinic between January 2018 and June 2019. They were grouped into two according to hospital admittance with chest pain after angiography; group 1: no application, group 2: repeated application. At least 8 hours of fasting venous samples were collected for routine laboratory tests.
Results: 545 patients with a mean age of 52.3 ± 11.2 (41.1%male) were included in the study. 16.5% of them had repeated applications with chest pain. Mean De Ritis ratio and CRP levels were different between the groups (p=0.028 and 0.045, respectively). In multivariate logistic regression analysis, De Ritis ratio was the only parameter that predicted repeated application with an Odds ratio (OR) = 3.062 ,95% CI= 1.267- 7.400 and p=0.013).
Conclusion: Elevated De Ritis ratio and CRP conclude us that there may be microvascular coronary disease in this group of patients. The repeated application with chest pain, although normal coronary artery was obtained, should be taken into consideration and it should be kept in mind that additional tests may be required to rule out microvascular coronary disease.
Opere Pankreas Adenokanserli Hastalarda Kemoterapiye Kemoradyoterapi Eklemenin Katkısı
Authors: UÇAR Gökhan 
Published: December 2020

Giriş: Pankreas kanserleri kansere bağlı ölüm nedenleri arasında dördüncü sırada yer almaktadır. Genel sağ kalımı iyileştirmek adjuvan kemoterapi (KT) ve kemoradyoterapi (KRT) çalışmaları yapılmaktadır. Biz de pankreas kanserinde retrospektif olarak adjuvan tedavide kemoradyoterapinin etkisini araştırmayı amaçladık.
Yöntemler: Ocak 2010 ve Aralık 2017 tarihleri arasında merkezimizde pankreas kanseri nedeniyle opere edilen ve sonrasında adjuvan tedavi verilen 90 hastanın verileri retrospektif olarak tarandı. Hasta dosyalarından yaş, cinsiyet, ECOG performans durumu, vücut kitle indeksi (VKİ), evre, adjuvan dönemde aldığı tedaviler, KRT alıp almadığı, incelenerek kayıt edildi.
Bulgular: Çalışmaya toplam 46 hasta dahil edildi. KRT kolunda ortanca GSK 16,9 ay (7,8-2,63 ay) iken KT kolunda ise 17,6 ay olup iki grup arasında istatistiksel olarak anlamlı fark saptanmadı( p=0,875). Ortanca DFS,KRT kolunda 12,2 ay iken KT kolunda 7,2 ay saptandı(p:0,3).
Tartışma: Sonuç olarak, literatürde yapılan son çalışmalarla uyumlu olarak bizim çalışmamızda da pankreas kanserli hastalarda adjuvan tedavide kemoterapiye kemoradyoterapi eklemenin genel sağ kalım ve hastalıksız sağ kalıma katkısı gösterilemedi.
Tükürük Bezi Tümörü Tanısında Ultrasonografi (USG), Mangnetik Rezonans Görüntüleme (MRG), Bilgisayarlı Tomografi (BT), İnce İğne Aspirasyon Biyopsisi’nin (İİAB) Karşılaştırılması
Authors: DOBLAN Ahmet 
Published: December 2020

Giriş: Tükürük bezleri tümörlerinde benign ve malign neoplazm arasındaki preoperatif farklılıkların belirlenmesi cerrahi operasyonun gerekliliği, aciliyeti ve kapsamını belirlemede önemlidir. Çalışmanın amacı, tükürük bezi kitlesi nedeniyle opere olmuş hastalarda, tükürük bezi tümörlerinin tanımlayıcı özelliklerinin ve tanı yöntemlerinin tanısal değerlerinin belirlenmesidir.
Yöntemler: Çalışma, 2008-2016 yılları arasında, tükürük bezinde malign veya benign kitle nedeni ile opere edilen hastaların, tıbbi kayıtlarının retrospektif incelenmesi ile yapılan tanımlayıcı tipte bir araştırmadır. Hastalara preoperatif dönemde yapılan Ultrasonografi (USG), Magnetik Rezonans Görüntüleme (MRG), Bilgisayarlı Tomografi (BT), İnce İğne Aspirasyon Biyopsisi’nin (İİAB) sonuçları ve postoperatif dönemde histopatolojik tetkik sonuçları değerlendirildi. Kullanılan tanı yöntemlerinin sensitivite, spesifite, pozitif prediktif değer (PPD), negatif prediktif değer (NPD), eğri altında kalan alan (AUC±SE) değerlerinin hesaplanması için ROC analizi yapıldı.
Bulgular: Çalışma grubu 114 kişiden oluşmakta olup yaş ortalamaları 46.90±14.32 yıl idi. Çalışma grubunun %54.4’ü erkek, %71.9’u 40 yaşın üstündeydi. Tükürük bezi tümörlerinin %71.9’u parotiste idi. Hastaların tanı amaçlı yapılan histopatoloji incelemesinde % 11.4’ünün malign tümöre sahip olduğu bulundu. Hastalarda en sık rastlanan benign tümör çeşidi pleomorfik adenom, en sık rastlanan malign tümör çeşidi mukoepidermoid kanser olarak saptandı. Sensitivite, NPD, AUC±SE değerlerinin en yüksek olduğu yöntem MRG, spesifite ve PPD değerlerinin en yüksek olduğu yöntem İİAB idi.
Sonuç ve Öneriler: Sonuç olarak, hastalarda tükürük bezi tümörlerinin en sık parotis bezinde (%11.4’ü malign) görüldüğü, en sık benign tükürük bezi tümörünün pleomorfik adenom, en sık malign tükürük bezi tümörünün mukoepidermoid kanser olduğu bulundu. Sensitivite, NPD, AUC±SE değeri en yüksek olan yöntem MRG ve spesifite ve PPD değeri en yüksek olan yöntem İİAB idi. USG, BT, MRG, İİAB’nin tükürük bezi tümörlerindeki tanısal değerlerini inceleyen, daha geniş örneklemlerde yapılacak klinik araştırmaların faydalı olacağı düşünüldü.
Akciğer Malignitelerinde Bronş Lavajı Sitolojisinin Tanısal Duyarlılığı
Authors: DURSUN Elif 
Published: December 2020

Amaç: Bu araştırmada; akciğer kanseri tanısında kullanılan bronkoskopik yöntemlerden olan bronş lavajı sitolojisinin tanısal duyarlılığı araştırılmıştır.
Yöntemler: Araştırma kapsamında 2015 ve 2016 yıllarında Dicle Üniversitesi Tıp Fakültesi Göğüs Hastalıkları Servisinde akciğer kanseri ön tanısı ile bronkoskopi yapılan ve kesin tanıları malignite olan 286 olgunun bronkoskopi raporu ile endobronşiyal biyopsi ve bronş lavajı sitoloji raporları retrospektif olarak incelenmiştir. Araştırmada betimleyici istatistikler kullanılmıştır. Cinsiyet ile tanı arasındaki ilişki Ki-Kare testi kullanılarak incelenmiştir. Kanser tanısı konulan kadın-erkek olguların yaş ortalamaları arasındaki farkın anlamlılığı ilişkisiz örneklem t-testi ile değerlendirilmiştir.
Bulgular: Araştırmada elde edilen bulgulara göre bronş lavajı sitolojisinin tanısal duyarlılığı % 16.6 gibi nispeten düşük bir oranda saptanmıştır. Bronkoskopik olarak uygulanan diğer bir yöntem olan endobonşiyal biyopsinin patolojik incelemesi ile %81.1 oranında tanı konulmuştur. Aynı işlemde hem bronş lavajı hem de biyopsi alınan 76 hastadan 1’inde ve bazı kısıtlamalar nedeni ile biyopsi alınamayan 8 hastadan 5’inde bronş lavajı sitolojisi malignite pozitif bulunmuştur.
Sonuç: Bronş lavajı her ne kadar tanısal duyarlılığı düşük bulunmuş olsa da endobronşiyal lezyonu olmayan, biyopsi alınmasını kabul etmeyen ya da lezyonu frajil ve kanama riski yüksek olup biyopsi alınmasından çekinilen hastalarda bronkoskopik olarak alınabilecek tek örnek olması nedeni ile önem arz etmektedir.
El orden público ante la libertad religiosa. Reflexiones sobre un debate
Authors: Rolland Patrice , Bea Pérez Trad. de Emilia 
Published: December 2020

Una práctica religiosa -el uso del velo integral- abrió un debate importante sobre los límites del orden público en relación con la libertad religiosa. En Francia, a raíz del Étude del Consejo de Estado adoptado en 2010, se hicieron varias distinciones: entre una concepción material e inmaterial del orden público, entre una concepción clásica y una concepción renovada y, en el plano político, entre una concepción liberal y una concepción republicana. El vínculo del orden público respecto a la libertad religiosa no es exáctamente igual al que mantiene con el resto de libertades, ya que la historia política los ha unido en una reflexión sobre los orígenes del Estado moderno. La búsqueda y justificación de los límites de la libertad religiosa conduce a un cuestionamiento más general del modelo político y social de la comunidad humana. Dicho de otra forma, este debate sobre el contenido del orden público se basa en si a las religiones, más allá del respeto al orden público en sentido estricto, se les puede exigir respetar el orden moral de una sociedad secularizada.
Fraseologismos con el color rojo en eslovaco y español en las clases de ELE
Authors: Mocková Nina 
Published: December 2020

El presente artículo se centra en las unidades fraseológicas con el componente cromático «rojo» en eslovaco y español. Analiza dichas unidades desde el aspecto formal, semántico, traductológico y didáctico. Primero, desde el aspecto formal, compara las estructuras más frecuentes de los cromatismos con el color rojo en ambos idiomas. Segundo, desde el aspecto semántico, compara las connotaciones que las expresiones pluriverbales en cuestión tienen en estos dos idiomas y las contrasta con las connotaciones universales del color rojo. Luego, desde el aspecto traductológico, compara dichas unidades fraseológicas a nivel interlingüístico, examinando los equivalentes traductológicos, sus tipos, los así llamados falsos amigos, etc. Por último, el artículo presenta una serie de actividades con implicaciones didácticas que podrían ser empleadas en una clase de ELE para enseñar los fraseologismos españoles a los estudiantes eslovacos, en este caso, del color rojo en particular.
Nadie se queda atrás: la integración del alumnado de E/LE en el aula de secundaria
Authors: Badia-Climent Sara 
Published: December 2020

Resumen:
En la actualidad, las aulas de secundaria se han convertido en espacios multiculturales que han llevado tanto a alumnos como a profesores a enfrentarse a una nueva realidad dentro de las clases. Los alumnos de origen extranjero y con lengua no nativa se ven obligados a adaptarse e integrarse a un ritmo vertiginoso que, en ciertas circunstancias, es inasumible; especialmente en aquellos alumnos que han entrado dentro del circuito escolar a partir del ciclo de secundaria y en mitad de curso.
El objetivo, por tanto, de este artículo es analizar los resultados de aprendizaje de los alumnos inmigrantes de 3.º de ESO dentro de una secuencia didáctica dedicada al género anuncio para a) detectar la problemática de aprender una lengua mientras se trata de impartir los contenidos curriculares correspondientes y, sobre ellos, b) proponer una serie de modificaciones que puedan paliar estas dificultades.
Palabras clave: Análisis de Errores, Enfoque por tareas, Enfoque Comunicativo, ELE en Secundaria,
Traducción del título al inglés
Abstract:
Nowadays, secondary classrooms have turned into multicultural spaces that have driven students and teachers to a new academic reality. Foreign students that haven’t got Spanish as native language must adapt and include in a fast-way. This situation, sometimes, is unacceptable, especially when students have started the scholar-circuit in the middle of course.
For this reason, the aim of this paper is to analyse the learning results of non-native students of 3.tr of ESO during a didactic sequence of advertisement genre to a) detect the troubles of learning a new language while they are trying to assimilate the curricular contents and, therefore, b) propose a series of modifications that could palliate these difficulties.
Key words: Mistake’s Analysis, Tasks-Based Approach, Communicative Approach, Spanish as foreign language in High Schools