bluuebunny/crossref_metadata_2025_split huggingface dataset:
PERCEPÇÃO DA MULHER FRENTE À DOR DO PARTO
Authors: Da Costa Firmino Klecianne , Priscila de Lima Elyda , Correia Tamirys Renata Lima , Silva Júlio César Bernardino da , Albuquerque Nayale Lucinda Andrade 
Published: July 2020

Introdução: As mulheres estão rodeadas por expectativas dos medos que permeiam o trabalho de parto, por isso atribuem significados a partir da experiência vivida, formando diversas percepções sobre a dor, minimizando os efeitos negativos após obter a satisfação de ser mãe. Objetivo: Conhecer a percepção da mulher frente à dor do parto. Método: Estudo descritivo, de abordagem qualitativa, realizado numa maternidade referência secundária para gestação de alto risco em Caruaru-PE no período de julho a agosto de 2016. Participaram desta pesquisa 13 mulheres que se encontravam no pós-parto mediato e imediato, após a experiência do parto normal de baixo risco. A entrevista foi realizada após leitura e assinatura do termo de consentimento livre e esclarecido e as falas das participantes foram submetidas à técnica de análise de conteúdo de Bardin. O estudo só foi iniciado após aprovação pelo Comitê de Ética em Pesquisa. Resultados: Dentre as 13 mulheres entrevistadas, verificou-se uma faixa etária que variou de 16 a 37 anos, a escolaridade variou entre ensino fundamental e médio incompleto, 7 mulheres eram multíparas e 6 primigestas. A partir da análise das falas, emergiram 02 categorias: Dor do parto e seus diferentes significados e Sentimentos ambíguos diante da dor do parto. Conclusões: As mulheres possuem uma percepção variada da dor do parto, perpassando a compreensão de que é algo predeterminado por Deus, é algo natural e, por mais que essa dor seja insuportável, é algo passageiro, pois logo que a criança nasce todo esse processo doloroso é esquecido, gerando prazer e satisfação em ser mãe, por isso é importante uma atenção humanizada ao parto para que esse momento seja uma experiência prazerosa na vida da mulher.
PREVALÊNCIA DA DOENÇA PERIODONTAL EM GESTANTES DE UMA UNIDADE BÁSICA DE SAÚDE EM NATAL/RN
Authors: Brito da Costa Nathalia , Maria da Silva Edna 
Published: July 2020

Introdução: Durante a gravidez, os hormônios sexuais, estrógeno e progesterona, aumentam significativamente no organismo da mulher e parecem exercer efeitos marcantes e potencialmente prejudiciais sobre o metabolismo tecidual sendo, portanto, um fator agravante para o aumento da incidência da doença periodontal nesse período, assim como para o aumento da severidade da doença quando já instalada. Além disso, durante o período de gestação, ocorrem alterações nos níveis hormonais modificando as chances da doença periodontal se instalar ou se agravar. Objetivo: Estudar a prevalência e a severidade da doença periodontal nas gestantes cadastradas no Programa Pré-natal da Unidade de Saúde de Aparecida. Método: O estudo se caracteriza como seccional, descritivo e observacional, tendo como público alvo as gestantes cadastradas no programa de Pré-natal da Unidade de Saúde de Aparecida. Foram incluídas 30 gestantes em estágios diversos de gravidez. Para a análise das condições periodontais utilizou-se Índice Periodontal Comunitário (CPI). Os dados obtidos foram tabulados em planilha Excel, a partir dos quais foram calculadas médias e os respectivos desvios-padrão. Além disso foi aplicado um questionário com questões semiestruturadas para a identificação de dieta, higiene bucal e levantamento de lesões brancas ativas de esmalte. Resultados: Constatou-se que metade das gestantes adotavam dieta rica em carboidratos, e de um modo geral, apresentavam higiene bucal insatisfatória; presença de lesão branca de esmalte ativa na maioria das gestantes examinadas; a condição periodontal avaliada por meio do CPI evidenciou alta prevalência de cálculo dentário, sangramento gengival e bolsas periodontais entre os sextantes examinados. Conclusões: De forma geral, as gestantes apresentaram uma condição de saúde bucal precária, com altas médias dos componentes do índice CPI e presença de lesões brancas ativas de esmalte.
Introduction of Succinimide as A Green and Sustainable Organo-Catalyst for the Synthesis of Arylidene Malononitrile and Tetrahydrobenzo[b] pyran Derivatives
Authors: Hassanzadeh Fariba , Shirini Farhad , Mamaghani Manouchehr , Daneshvar Nader 
Published: July 2020

Aim and Objective:In this work, we tried to introduce a non-toxic and stable organic compound named succinimide as a green and efficient organo-catalyst for the promotion of the synthesis of arylidene malononitrile and tetrahydrobenzo[b]pyran derivatives. Using this method led to a clean procedure to achieve these types of bioactive compounds without a specific purification step. The rate and yield of the reactions were excellent, and also succinimide showed acceptable reusability as the catalyst.Materials and Methods:In a 25 mL round-bottom flask, [A: a mixture of aromatic aldehyde (1 mmol), malononitrile (1.1 mmol) and B: a mixture of aromatic aldehyde (1.0 mmol), malononitrile (1.1 mmol)] and succinimide (0.2 mmol) in H2O/ EtOH [5 mL (1:1)] was stirred at 80 °C for an appropriate time. After completion of the reaction, which was monitored by TLC [n-hexane-EtOAc (7:3)], the mixture was cooled to room temperature, and the solid product was filtered, washed several times with cold distilled water to obtain the corresponding pure product.Results:After the optimization of the conditions and amount of the catalyst, a series of aromatic aldehydes containing either-electron-donating or electron-withdrawing substituents were successfully used for both of the reactions. The reactions rates and yields under the selected conditions were excellent. The nature and electronic properties of the substituents had no obvious effect on the rate and yield of the reaction. Meanwhile, the catalyst showed acceptable reusability for these two reactions.Conclusion:In this work, we have introduced Succinimide as a green and safe organo-catalyst for the efficient synthesis arylidene malononitrile and tetrahydrobenzo[b]pyran derivatives. The results showed that the catalyst had excellent efficiency in green aqueous media and also the reusability of the catalyst was good.
Mathematical modeling and numerical simulation of porous media single-phase fluid flow problem: a scientific review
Authors: Tawfeeq Yahya Jirjees 
Published: July 2020

The complexity of porous media makes the classical methods used to study hydrocarbon reservoirs inaccurate and insufficient to predict the performance and behavior of the reservoir. Recently, fluid flow simulation and modeling used to decrease the risks in the decision of the evaluation of the reservoir and achieve the best possible economic feasibility. This study deals with a brief review of the fundamental equations required to simulate fluid flow through porous media. In this study, we review the derivative of partial differential equations governing the fluid flow through pores media. The physical interpretation of partial differential equations (especially the pressures diffusive nature) and discretization with finite differences are studied. We restricted theoretic research to slightly compressible fluids, single-phase flow through porous media, and these are sufficient to show various typical aspects of subsurface flow numerical simulation. Moreover, only spatial and time discretization with finite differences will be considered. In this study, a mathematical model is formulated to express single-phase fluid flow in a one-dimensional porous medium. The formulated mathematical model is a partial differential equation of pressure change concerning distance and time. Then this mathematical model converted into a numerical model using the finite differences method.
THE CORRELATION BETWEEN SOCIAL INTERACTION AND AFFECTIVE LEARNING OUTCOME OF THE5TH GRADE STUDENTS IN ELEMENTARY SCHOOLS IN KALIWATES SUB-DISTRICT, JEMBER REGENCY
Authors: Sari Dini , Mutrofin Mutrofin , Fitriyah Chumi 
Published: July 2020

Social interaction is the relationship between one individual and another individual, one individual can influence other individuals so that there is reciprocity. The better the students' social interactions, the better their learning outcomes will be. Learning outcomes examined in this study are affective learning outcomes. This study aims to reveal whether the better social interaction, the better the affective learning outcomes of fifth grade students in SDN throughout Kaliwates Jember District. The population of this research is the fifth grade students of SDN in Kaliwates Jember District. This study is a correlation study with a population of 182 and a sample of 25 students. The main methods of collecting data are questionnaire and observation. To test the research hypothesis using the product moment correlation formula with the help of SPSS 20 at a significance level of 5%. The results of the research analysis obtained the value of r_count> r_tabel (0.748> 0.266) and the coefficient of determination 56%. This shows that social interaction has a contribution of 56% to affective learning outcomes the remaining 44% is influenced by other factors. It can be concluded that the better social interaction, the better the affective learning outcomes of fifth grade students of SDN in Kaliwates Jember District. Keywords: Social Interaction, and Affective Learning Outcomes
Matching-adjusted indirect comparison: entrectinib versus crizotinib in
ROS1
fusion-positive non-small cell lung cancer
Authors: Chu Paula , Antoniou Miranta , Bhutani Mohit K , Aziez Amine , Daigl Monica 
Published: July 2020

Aim:
To perform indirect treatment comparisons of entrectinib versus alternative
ROS1
fusion-positive non-small cell lung cancer treatments.
Methods:
Relevant studies with crizotinib and chemotherapy as comparators of interest identified by systematic literature review were selected for matching-adjusted indirect comparison by feasibility assessment. Matching was based on known prognostic/predictive factors and scenario analyses were used for unreported confounders in comparator trials.
Results:
Entrectinib yielded significantly better responses versus crizotinib in all scenarios (odds ratio [OR]: 2.43–2.74). Overall survival (hazard ratio: 0.47–0.61) and adverse event-related discontinuation (OR: 0.79–0.90) favored entrectinib. Progression-free survival was similar across treatments, except in one scenario.
Conclusion:
These results suggested improved outcomes with entrectinib versus crizotinib/chemotherapy and may help to make better informed treatment decisions.
Influenza Vaccination Is Associated With Reduced Cardiovascular Mortality in Adults With Diabetes: A Nationwide Cohort Study
Authors: Modin Daniel , Claggett Brian , Køber Lars , Schou Morten , Jensen Jens Ulrik Stæhr , Solomon Scott D. , Vardeny Orly , Knop Filip Krag , Nielsen Susanne Dam , Fralick Michael , Torp-Pedersen Christian , Gislason Gunnar , Biering-Sørensen Tor 
Published: July 2020

OBJECTIVE
Recent influenza infection is associated with an increased risk of atherothrombotic events, including acute myocardial infarction (AMI) and stroke. Little is known about the association between influenza vaccination and cardiovascular outcomes in patients with diabetes.

RESEARCH DESIGN AND METHODS
We used nationwide register data to identify patients with diabetes in Denmark during nine consecutive influenza seasons in the period 2007–2016. Diabetes was defined as use of glucose-lowering medication. Patients who were not 18–100 years old or had ischemic heart disease, heart failure, chronic obstructive lung disease, cancer, or cerebrovascular disease were excluded. Patient exposure to influenza vaccination was assessed before each influenza season. We considered the outcomes of death from all causes, death from cardiovascular causes, and death from AMI or stroke. For each season, patients were monitored from December 1 until April 1 the next year.

RESULTS
A total of 241,551 patients were monitored for a median of four seasons (interquartile range two to eight seasons) for a total follow-up of 425,318 person-years. The vaccine coverage during study seasons ranged from 24% to 36%. During follow-up, 8,207 patients died of all causes (3.4%), 4,127 patients died of cardiovascular causes (1.7%), and 1,439 patients died of AMI/stroke (0.6%). After adjustment for confounders, vaccination was significantly associated with reduced risks of all-cause death (hazard ratio [HR] 0.83, P &lt; 0.001), cardiovascular death (HR 0.84, P &lt; 0.001), and death from AMI or stroke (HR 0.85, P = 0.028) and a reduced risk of being admitted to hospital with acute complications associated with diabetes (diabetic ketoacidosis, hypoglycemia, or coma) (HR 0.89, P = 0.006).

CONCLUSIONS
In patients with diabetes, influenza vaccination was associated with a reduced risk of all-cause death, cardiovascular death, and death from AMI or stroke. Influenza vaccination may improve outcome in patients with diabetes.
Effects of Lixisenatide Versus Liraglutide (Short- and Long-Acting GLP-1 Receptor Agonists) on Esophageal and Gastric Function in Patients With Type 2 Diabetes
Authors: Quast Daniel R. , Schenker Nina , Menge Björn A. , Nauck Michael A. , Kapitza Christoph , Meier Juris J. 
Published: July 2020

OBJECTIVE
Short-acting glucagon-like peptide 1 receptor agonists (GLP-1 RAs) decelerate gastric emptying more than long-acting GLP-1 RAs. Delayed gastric emptying is a risk factor for gastroesophageal reflux disease. We aimed to measure esophageal reflux and function as well as gastric emptying and acid secretion during treatment with short-acting (lixisenatide) and long-acting (liraglutide) GLP-1 RAs.

RESEARCH DESIGN AND METHODS
A total of 57 subjects with type 2 diabetes were randomized to a 10-week treatment with lixisenatide or liraglutide. Changes from baseline in the number of reflux episodes during 24-h pH registration in the lower esophagus, lower esophagus sphincter pressure, gastric emptying (13C-sodium octanoate acid breath test), and gastric acid secretion (13C-calcium carbonate breath test) were analyzed.

RESULTS
Gastric emptying half-time was delayed by 52 min (Δ 95% CI 16, 88) with lixisenatide (P = 0.0065) and by 25 min (3, 46) with liraglutide (P = 0.025). There was no difference in the number of reflux episodes (mean ± SEM 33.7 ± 4.1 vs. 40.1 ± 5.3 for lixisenatide and liraglutide, respectively, P = 0.17) or the extent of gastroesophageal reflux (DeMeester score) (35.1 ± 6.7 vs. 39.7 ± 7.5, P = 0.61), with similar results for the individual GLP-1 RAs. No significant changes from baseline in other parameters of esophageal motility and lower esophageal sphincter function were observed. Gastric acidity decreased significantly by −20.7% (−40.6, −0.8) (P = 0.042) with the GLP-1 RAs.

CONCLUSIONS
Lixisenatide exerted a more pronounced influence on gastric emptying after breakfast than liraglutide. Neither lixisenatide nor liraglutide had significant effects on esophageal reflux or motility. Gastric acid secretion appears to be slightly reduced by GLP-1 RAs.
Estudio socioeducativo de caso mejora del clima laboral en guarderías mediante la comunicación efectiva al utilizar técnicas de programación neurolingüística
Authors: López Villagómez Silvina Lucia , Vásquez Martínez Claudio Rafael , Valdez Jiménez Liliana 
Published: July 2020

La mala comunicación es la causa de la mayoría de los problemas puertas adentro que presentan las organizaciones. Cuando no se resuelven rápidamente pueden crear sentimientos negativos entre compañeros, relaciones débiles entre los líderes y el resto de los empleados, un mal clima laboral y una disminución de la productividad, afectan la continuidad de cada proceso que desarrolla la empresa. Por lo que el objetivo de este trabajo fue mejorar el clima laboral de dos guarderías mediante la comunicación efectiva utilizando técnicas de programación neurolingüística. Para ello se realizó un diseño cuasiexperimental, pre-postest de un solo grupo; es decir, se aplicó una evaluación precisa sobre el clima laboral, se identificaron las áreas de oportunidad, se aplicaron talleres basados en técnicas de programación neurolingüística y finalmente se contrastaron los resultados de antes y después de la intervención. En total, se encuestó a 87 trabajadores con contrato indefinido (44 de una guardería y el resto de la otra). En la evaluación previa correspondiente a la guardería uno, ocho personas de la población señalan que la comunicación es baja (18 %), 24 que es moderada (54 %) y 12 señalan que es óptima (28 %). En la posintervención, 14 participantes comentaron que es moderada (32 %) y 30 que es óptima (68%), con una p = 0.005. En tanto que en la guardería dos, en la preintervención ocho de los participantes reportaron que la comunicación en la organización es baja (18 %), 24 moderada (56 %) y 11 óptima (25 %). Mientras que en la evaluación posintervención, dos trabajadores reportaron una comunicación baja (4 %), 12 moderada (28 %) y 29 óptima (68 %) (p = 0.003). En cuanto al clima organizacional, en la fase de preintervención se encontró que 28 % señala que es óptimo, mientras que en la postintervención subió a 57 %. En la guardería dos, en la preintervención 57 % del personal señaló que el clima organizacional es moderado y 25 % lo encontró óptimo. En la evaluación posintervención, la calificación de moderada bajó a 39 % y la óptima se incrementó a 61 %. En conclusión, se logró mejorar la comunicación y el clima laboral.
Perceived Social Disconnectedness, Low Frustration Tolerance and Coping with Uncertainty in Mothers of Children Diagnosed with Cerebral Palsy
Authors: Qamar Tuba , Latif Sara 
Published: July 2020

The present study was conducted to investigate the relationship among perceived social disconnectedness, low frustration tolerance and coping with uncertainty in mothers of children diagnosed with cerebral palsy. The current study used correlational research design. Hundred participants were collected through non-probability purposive sampling technique. Data was drawn from both government and private special education centers of Lahore within six months. Perceived social disconnectedness scale, low frustration tolerance checklist and coping with uncertainty scale were used to measure variables under study. Correlational analysis showed highly significant negative association of social disconnectedness and low frustration tolerance with coping with uncertainty. Findings also showed significant predicting role of social disconnectedness and low frustration tolerance on coping with uncertainty in mothers of children diagnosed with cerebral palsy.
Keywords: Perceived Social Disconnectedness, Low Frustration Tolerance and Coping with Uncertainty, CP Child’s Mothers
The Shadow and the dual-identity avenger tradition in American popular fiction
Authors: Pecina Jozef 
Published: July 2020

Abstract
A secret identity is one of the definitional characteristics of comic-book superheroes. However, American popular literature had been populated by characters with secret identities long before the first superhero comics appeared. The crime-fighting dual-identity vigilantes enjoyed their heyday in the 1930s and 1940s, during the golden era of pulps. Selling usually for 10 cents, pulp magazines were the best source of cheap thrills and heroics. In this era, dozens of costumed avengers appeared and the most popular was undoubtedly The Shadow. Between 1931 and 1949, Street and Smith published more than three hundred stories featuring The Shadow, most of them written by Walter B. Gibson. In the late 1930s, several of the pulp conventions, including costumed avengers, were adopted by the creators of the superhero comic books, and The Shadow served as a main inspiration for Bill Finger’s and Bob Kane’s Batman. The article discusses the evolution of crime-fighting pulp heroes with a particular emphasis on The Shadow as the most influential dual-identity avenger of the era.
Polycyclic Aromatic Hydrocarbons (PAHs) Load and Geo-Electric Characterization of Soils from Ogale Community, Eleme, Rivers State, Nigeria
Authors: Cyril Ovuru , Leizou  , Elijah Kaywood , Ashraf Muhammad Aqeel 
Published: July 2020

Abstract
The aim of this study was to evaluate the polycyclic aromatic hydrocarbons load in soils of Ogale community, Rivers State, Nigeria and as well delineate the lateral and vertical extensions of the soils and groundwater. Geo-electric characterization of the soils and groundwater, using Electrical Resistivity methods (vertical electrical sounding, VES by Abem Terrameter and Gas chromatograph - Flame Ionization Detector (GC-FID) for finger-print was employed. The interpreted VES results revealed four geo-electric subsurface layers. The first layer which has a resistivity value of 60Ωm and a thickness of 2.0M was interpreted as top soil. Underlying the first layer is the second layer which had a resistivity value of 122Ωm with a thickness of 3m, interpreted as lateritic sand. The third layer had a resistivity value of 750Ωm and a thickness of 9.0m, and is interpreted as coarse sand. The fourth layer which had a resistivity value of 1255Ωm and a thickness of 49m is interpreted as very coarse sand. Borehole one was used as control and it is 1.85km away from the Resistivity sampling points. The results revealed that the presence of C10-C40 hydrocarbon which indicates un-weathered to fresh hydrocarbon in parts of the study area and heavy metals were below detection limits. The vulnerability of the aquifer to hydrocarbon contamination was due to high permeability, unconsolidated coarse grained and poorly sorted sands, of the vadose zone as well as shallowness of the aquifer. It is recommended that boreholes in the study area should be of deeper depths, and well constructed to avoid contaminated water from the polluted zone entering the borehole through the annulus.
Parameters of tissue iron overload and cardiac function in patients with thalassemia major and intermedia
Authors: Safniyat Sarah , Shakibazad Nader , Haghpanah Sezaneh , Amoozegar Hamid , Karimi Mehran , Safaei Sanaz , Safniyat Saeed , Mohammadi Hamid , Zekavat Omid Reza 
Published: July 2020

AbstractBackgroundNoninvasive T2* magnetic resonance imaging (MRI) assessment can stratify the risk of subsequent cardiac dysfunction in β-thalassemia major (TM) and β-thalassemia intermedia (TI) patients. The normal level of N-terminal pro B-type natriuretic peptides (NT-proBNP) can rule out acute heart failure.AimWe aim to investigate the relation of NT-proBNP level, T2* MRI, and echocardiographic findings in TM and TI patients.Materials and methodsIn this cross-sectional study, 41 TM patients, 41 TI patients, and 41 healthy individuals (HI) were enrolled. NT-proBNP level, T2* MRI, and two-dimensional echocardiography were assessed for all patients and controls.ResultsThere was statistically significant correlation between NT-proBNP levels and mitral inflow late diastolic velocity (r = −0.538; p = 0.006) in TM group. There was statistically significant correlation between NT-proBNP levels and tricuspid annulus systolic velocity (r = −0.438; p = 0.028), systolic velocity of septum (r = −0.472; p = 0.020), and mitral inflow early-to-late diastolic wave ratio (r = 0.592; p = 0.002) in TM group.ConclusionEarly diagnosis and treatment of myocardial iron overload are likely to prevent the mortality in patients with established ventricular dysfunction. Since NT-proBNP levels were not significantly increased in documented left ventricular (LV) diastolic dysfunction, this factor may not be sensitive for the detection of latent LV diastolic dysfunction in the early stages of disease progression.