bluuebunny/crossref_metadata_2025_split huggingface dataset:
Determinants of Unintended Pregnancy and Induced Abortion among Female Youths in Western Regional Hospital, Nepal
Authors: Sen Manisha , Neupane Ram Prasad , Shrestha Tirtha Man 
Published: October 2020

Introduction: Youth are more susceptible to unwanted pregnancies; this may be explained by the fact that youths are facing various problems with regards to their reproductive health needs including age at marriage, contraceptive use, social, cultural and economic barriers in accessing the family planning services, their educational level as well as occupational opportunities. The study assessed the determinants of unintended pregnancies and induced abortion among female youths aged 15-25 years in Western Regional Hospital, Pokhara.
Methods: A cross sectional hospital-based study was conducted among 125 female youths visiting Western Regional Hospital, Pokhara. Ethical approval was taken before starting data collection. The respondents were interviewed using semi structured questionnaire. All the data collected in the proformas were entered and assimilated using SPSS 21, statistical analysis software. Descriptive statistics including chi square and p-value was applied.
Results: Among 125 female respondents, 72.8% of the respondents had unwanted pregnancy and 24% had history of abortion. Out of all the unwanted pregnancies, 86.7% had induced abortion with p-value <0.05, x2 = 67.41. The financial problems of the respondents were found to be the prime determinant ofunwanted pregnancy and induced abortion, proportion being 52.8% and 55.2% respectively, whereas to keep gap between the births (12.8%) was also associated. The association between use of contraceptive methods and unwanted pregnancy was not found to be statistically significant with the p-value of >0.05.
Conclusions: The prevalence of unintended pregnancy and induced abortion were high and most of the induced abortion was the result of unwanted pregnancy. The economic problem of the respondents was the prime factor associated with induced abortion.
Factors affecting the Utilization of Social Health Insurance by the General Population in Bhaktapur Municipality
Authors: Karanjit Punam , Mali Prajita , Khadka Rakshya , Poudel Lisasha 
Published: October 2020

Introduction: For the reduction of financial burden and to achieve universal health care, Government of Nepal launched a security program called as Social Health Insurance Program. This study aimed to find the factors associated with the utilization of the social health insurance scheme.
Methods: Descriptive cross-sectional study was conducted in the Bhaktapur Municipality ward no 2. 422 households were chosen using systematic random sampling. Questionnaires were used to measure the factors affecting the utilization. The collected data was entered in Epidata and analyzed in SPSS version 16. The data were presented in the frequency and percentage. Bivariate analysis was done to identify factors utilizing social health insurance. Factors having p value less than 0.05 was taken as significantly associated. Multivariate analysis was done to examine the association between the outcome variables.
Results: Almost half of the general population (42.4 %) were utilizing social health insurance scheme and reason for not utilizing includes lack of confidence in the scheme and the services of the scheme, followed by high premium cost. Age (p=0.044), occupation (p= 0.049), wealth quintiles (p=<0.001) were found to be significantly associated with utilization of social health insurance. Logistic regression analysis showed that the odds of enrollment among very rich population group were lower than the medium (AOR 0.550, 95% CI 0.305-0.993) and rich population (AOR 0.557, 95% CI 0.316-0.981).
Conclusions: Multiple factors were found to be associated with the utilization of the health insurance scheme which includes age of the household head, occupation of the household head, economic status, availability of the drugs and charge paid during their visit in the health care services, behavior showed by the health care provider, confidence in the scheme, satisfaction in the services that have been providing and source of the information.
PSYCHO-CORRECTIVE PROGRAMS OF CORRECTIONAL INSTITUTIONS AIMED AT FOSTER SOCIAL REINTEGRATION OF THE RELEASED PERSONS FROM CORRECTIONAL INSTITUTIONS
Authors: Скобелева Оксана Олеговна , Дворецкая Екатерина Андреевна 
Published: October 2020

В данной статье рассматриваются программы исправительных учреждений, направленные на исправление лиц, осужденных за совершение преступлений террористического характера и экстремистской направленности, их отказ от насилия. Рост количества осужденных за данные преступления требует выработки путей совершенствования организации и проведения с ними воспитательной работы. Для реализации мер, направленных на поддержание общественной безопасности, пенитенциарная система должна, во-первых, обеспечить надежную защиту тюрем от различного рода посягательств как внутренне, так и извне, а во-вторых, сформировать комплекс мер, направленных на планируемую в будущем реинтеграцию осужденных за экстремизм и террористические действия в общественную жизнь. В статье проведен анализ разработанных психолого-педагогических мероприятий работы с лицами, совершившими преступления террористического характера и экстремистской направленности, которые предполагают тщательный анализ и учет личностных, демографических, национальных и других особенностей осужденных и направлены на отказ от насилия, устранение установок, убеждений и представлений, которые позволили им совершить преступление. Реализуемые программы сосредоточены на сокращении уровня вовлеченности осужденного в идеи терроризма и экстремизма до уровня, при котором осужденное лицо в дальнейшем откажется от намерений совершать насильственные действия.
This article discusses the programs of correctional institutions aimed at correction of persons convicted of terrorism and extremism crimes, their repudiation of violence. The increase in the number of convicts for these crimes requires the development of directions for improving the organizational and educational work with them. To implement measures aimed at maintaining public security, the penitentiary system should, on the first hand, provide reliable protection of prisons from various kinds of disorders both internal and external and, on the second hand, form a set of measures aimed at the reintegration in future of convicts committed terrorism and extremism crimes in public life. The article analyzes the developed psychological and pedagogical measures for persons committed terrorism and extremism crimes, which require a thorough analysis and consideration of the personal, demographic, national and other specific features of the convicts and directed to repudiation of violence, elimination of attitudes, beliefs and ideas that were the causes of their crimes. These programs are focused on decrease of level of involvement of the convicted persons with the ideas of terrorism and extremism to the level when the convicted person further renounces intentions to commit violent acts.
De otras Revistas y Publications - About la Revista de Enfermedades Infecciosas en Pediatría
Authors: Estripeaut Dora 
Published: October 2020

Introducción
El recuento de plaquetas es considerado un biomarcador para el desarrollo de anomalías de arterias coronarias en pacientes con enfermedad de Kawasaki (EK). Sin embargo estudios previos han reportado resultados inconsistentes. En este estudio, los investigadores abordan la controvertida asociación del recuento de plaquetas y las anomalías de arterias coronarias, utilizando un conjunto de datos de gran escala.

Metodología
Se realizó un estudio retrospectivo de cohortes, utilizando datos de encuestas de Enfermedad de Kawasaki (EK)de Japón (2015–2016; n = 25,448). Se clasificaron los pacientes según respuesta a al tratamiento con Inmunoglobulina intravenosa (IGIV) y se describieron las tendencias en el recuento de plaquetas utilizando los valores más bajos y más altos junto con los días específicos de la enfermedad. Se realizó un análisis multivariado de regresión logística para evaluar la asociación entre el recuento de plaquetas y las anomalías de las arterias coronarias, ajustando los factores relevantes.
BASIC REQUIREMENTS OF THE VUCA-ENVIRONMENT FOR EMPLOYEE COMPETENCE
Authors: Грачев А. А. 
Published: October 2020

Обсуждается общая компетентность работника, соответствующая требованиям VUCA-среды. Обосновано, что требованиям этой среды больше всего соответствуют рыночный и адхократический типы организационной культуры. Наиболее значимы в этих типах культур профессиональные, управленческие и командные компетентности, сочетающиеся с мотивационным ядром VUCA-компетентности, имеющем преимущественно самоактуализационный характер. Приведены результаты эмпирического исследования представлений рядовых работников и руководителей среднего звена, которые говорят о том, что: а) мотивационный VUCA-потенциал в портрете идеального работника выражен значимо больше, чем у типичного, б) руководители видят в типичном работнике существенно более высокий VUCA-потенциал, чем рядовые работники. Намечены практические приложения, состоящие в формировании и развитии этих компетентностей в интересах работника и организации.
The general competence of the employee that meets the requirements of the VUCA-environment is discussed. It is proved that the market and adhocratic types of organizational culture meet the requirements of this environment most of all. The most significant in these types of cultures are professional, managerial and team competencies, combined with the motivational core of VUCA-competence, which is mainly self-actualization. The results of the empirical study of the views of ordinary workers and middle managers who say that a) motivational VUCA-potential in the portrait of the ideal worker expressed significantly more than the typical, b) the managers see in a typical worker is substantially higher VUCA-potential than ordinary workers. Practical applications are outlined, which consist in the formation and development of these competencies in the interests of the employee and the organization.
Association of Nail Psoriasis With Disease Activity Measures and Impact in Psoriatic Arthritis: Data From the Corrona Psoriatic Arthritis/Spondyloarthritis Registry
Authors: Mease Philip J. , Liu Mei , Rebello Sabrina , McLean Robert R. , Dube Blessing , Glynn Meghan , Hur Peter , Ogdie Alexis 
Published: October 2020

ObjectiveTo examine the association of nail psoriasis with disease activity, quality of life, and work productivity in patients with psoriatic arthritis (PsA).MethodsAll patients with PsA who enrolled in the Corrona PsA/Spondyloarthritis Registry between March 2013 and October 2018 and had data on physician-reported nail psoriasis were included and stratified by presence vs absence of nail psoriasis at enrollment. Patient demographics, disease activity, quality of life (QOL), and work productivity at enrollment were compared between patients with vs without nail psoriasis usingt-tests or Wilcoxon rank-sum tests for continuous variables and chi-square or Fisher exact tests for categorical variables.ResultsOf the 2841 patients with PsA included, 1152 (40.5%) had nail psoriasis and 1689 (59.5%) did not. Higher proportions of patients with nail psoriasis were male (51.9% vs 44.1%) and disabled from working (12.3% vs 7.8%) compared with patients without nail psoriasis (allP< 0.05). Patients with nail psoriasis had higher disease activity than those without nail psoriasis, including higher tender and swollen joint counts, worse Disease Activity Index for Psoriatic Arthritis and Psoriatic Arthritis Disease Activity Score values, and increased likelihood of having enthesitis and dactylitis (allP< 0.05). Patients with nail psoriasis had worse pain, fatigue, and work and activity impairment than those without nail psoriasis (allP< 0.05).ConclusionPatients with PsA who have nail psoriasis had worse disease activity, QOL, and work productivity than those without nail involvement, emphasizing the importance of identification and management of nail disease in patients with PsA.
Physical Activity and Attitudes Toward Exercise in People With Axial and Peripheral Spondyloarthritis
Authors: Liu Shao-Hsien , Shridharmurthy Divya , Lapane Kate L. , Dubé Catherine E. , Gravallese Ellen M. , Kay Jonathan 
Published: October 2020

ObjectiveTo evaluate physical activity and attitudes toward exercise among people with axial (ax-) and peripheral (p-) spondyloarthritis (SpA).MethodsUsing baseline information from an ongoing, longitudinal, prospective SpA cohort study (n = 264), self-reported attitudes and beliefs toward exercise were assessed using questionnaires. Total metabolic equivalent (MET) hours of self-reported physical activity per week, time spent in activities, and activity levels were calculated from the Nurses’ Health Study Physical Activity Questionnaire II (NHSPAQ II). Adjusted multivariable linear models estimated the relationship between physical activity and disease status (axial vs peripheral).ResultsRegardless of predominant anatomic distribution of disease, most participants were well-educated, non-Hispanic White men. Approximately 40% met the US Department of Health and Human Services physical activity recommendations. Positive attitudes, beliefs, and perceived benefits toward exercise were similar by anatomic distribution of disease. Despite similar MET h/week, participants with axial disease had greater concerns regarding discomfort and joint injuries than those with peripheral disease. Compared to those with pSpA (n = 201), participants with axSpA (n = 63) spent less time engaging in light and moderate activities (adjusted β in light activity: –1.94 min/week, 95% CI –2.96 to –0.93; adjusted β in moderate activity: –1.05 min/week, 95% CI –2.12 to 0.02).ConclusionParticipants with axSpA had greater concerns regarding discomfort and injuries from exercise than those with pSpA. Although no differences in time spent in vigorous activities were observed, participants with axSpA spent less time than those with pSpA in light to moderate activities.
Soluble Low-density Lipoprotein Receptor-related Protein 1 in Juvenile Idiopathic Arthritis
Authors: Rezaei Elham , Newkirk Marianna M. , Li Zhenhong , Gordon John R. , Oen Kiem G. , Benseler Susanne M. , Boire Gilles , Cabral David A. , Campillo Sarah , Chédeville Gaëlle , Chetaille Anne-Laure , Dancey Paul , Duffy Ciaran , Duffy Karen Watanabe , Houghton Kristin , Huber Adam M. , Jurencak Roman , Lang Bianca , Morishita Kimberly A. , Petty Ross E. , Ramsey Suzanne E. , Roth Johannes , Schneider Rayfel , Scuccimarri Rosie , Spiegel Lynn , Stringer Elizabeth , Tse Shirley M.L. , Tucker Lori B. , Turvey Stuart E. , Yeung Rae S.M. , Rosenberg Alan M. ,   Alan M. Rosenberg for the BBOP Study Group
Published: October 2020

ObjectivesThis study aimed to expand knowledge about soluble low-density lipoprotein receptor-related protein 1 (sLRP1) in juvenile idiopathic arthritis (JIA) by determining associations of sLRP1 levels in nonsystemic JIA patients with clinical and inflammatory biomarker indicators of disease activity.MethodsPlasma sLRP1 and 44 inflammation-related biomarkers were measured at enrollment and 6 months later in a cohort of 96 newly diagnosed Canadian patients with nonsystemic JIA. Relationships between sLRP1 levels and indicators of disease activity and biomarker levels were analyzed at both visits.ResultsAt enrollment, sLRP1 levels correlated negatively with age and active joint counts. Children showed significantly higher levels of sLRP1 than adolescents (mean ranks: 55.4 and 41.9, respectively; P = 0.02). Participants with 4 or fewer active joints, compared to those with 5 or more active joints, had significantly higher sLRP1 levels (mean ranks: 56.2 and 40.7, respectively; P = 0.006). At enrollment, considering the entire cohort, sLRP1 correlated negatively with the number of active joints (r = –0.235, P = 0.017). In the entire cohort, sLRP1 levels at enrollment and 6 months later correlated with 13 and 6 pro- and antiinflammatory biomarkers, respectively. In JIA categories, sLRP1 correlations with inflammatory markers were significant in rheumatoid factor–negative polyarticular JIA, oligoarticular JIA, enthesitis-related arthritis, and psoriatic arthritis at enrollment. Higher sLRP1 levels at enrollment increased the likelihood of absence of active joints 6 months later.ConclusionPlasma sLRP1 levels correlate with clinical and biomarker indicators of short-term improvement in JIA disease activity, supporting sLRP1 as an upstream biomarker of potential utility for assessing JIA disease activity and outcome prediction.
Lupus Low Disease Activity State Achievement Is Important for Reducing Adverse Outcomes in Pregnant Patients With Systemic Lupus Erythematosus
Authors: Kim Ji-Won , Jung Ju-Yang , Kim Hyoun-Ah , Yang Jeong I. , Kwak Dong W. , Suh Chang-Hee 
Published: October 2020

ObjectiveThis study aimed to examine the frequency and risk factors of complications during pregnancy in women with systemic lupus erythematosus (SLE).MethodsThe medical records of patients with SLE and age-matched controls at Ajou University Hospital were collected. Clinical features and pregnancy complications in women with SLE were compared to those of the controls. Multivariate logistic regression analysis was performed to determine the predictors of adverse maternal and fetal outcomes.ResultsWe analyzed 163 pregnancies in patients with SLE and 596 pregnancies in the general population; no significant differences regarding demographic characteristics were noted. Patients with SLE experienced a higher rate of stillbirth (OR 13.2), preeclampsia (OR 4.3), preterm delivery (OR 2.8), intrauterine growth retardation (OR 2.5), admission to neonatal intensive care unit (OR 2.2), and emergency cesarean section (OR 1.9) than the control group. Multivariate regression analysis revealed that thrombocytopenia, low complement, high proteinuria, high SLE Disease Activity Index (SLEDAI), low Lupus Low Disease Activity State (LLDAS) achievement rate, and high corticosteroid (CS) dose were associated with adverse pregnancy outcomes. In the receiver-operating characteristic curve analysis, the optimal cutoff value for the cumulative and mean CS doses were 3500 mg and 6 mg, respectively.ConclusionPregnant women with SLE have a higher risk of adverse pregnancy outcomes. Pregnancies are recommended to be delayed until achieving LLDAS and should be closely monitored with the lowest possible dose of CS.
Bioelectrical Impedance Vector Analysis for Nutritional Status Assessment in Systemic Sclerosis and Association With Disease Characteristics
Authors: Di Battista Marco , Barsotti Simone , Monaco Alessia , Rossi Alessandra , Della Rossa Alessandra , Mosca Marta 
Published: October 2020

ObjectiveTo use bioelectrical impedance vector analysis (BIVA) in a cohort of patients with systemic sclerosis (SSc) in order to assess their nutritional status in comparison to other groups of patients and to find any correlation with clinical characteristics and outcome of the disease.MethodsWe retrospectively collected data from 50 SSc patients who underwent BIVA for clinical suspicion of malnutrition and compared them with patients affected by other chronic autoimmune rheumatic diseases (OCAD, n = 27) and those who were only symptomatic of malnutrition but without autoimmune features (n = 15), and with 50 healthy controls (HC).ResultsPatients with SSc presented significantly lower values of phase angle (PhA), basal metabolic rate (BMR), and body cellular mass (BCM), and an increase in extracellular water (ECW; P < 0.01 for all) than HC; instead, there were no significant differences for BMI. No significant differences were found between SSc and OCAD. Among patients with SSc, age directly correlated with ECW (ρ = 0.342, P = 0.015) and inversely with PhA (ρ = –0.366, P = 0.009). Female sex, anemia, hypoalbuminemia, reflux, and early satiety/abdominal distension associated with relevant alterations in BIVA results. BIVA variables were significantly different when cardiopulmonary and microvascular involvement was present. Four patients died during the study: they had significantly (P ≤ 0.01) lower PhA, BMR, and BCM, with an increased ECW.ConclusionBIVA, unlike BMI, allowed an accurate characterization of SSc patients at risk of malnutrition, correlating with serological malnutrition markers, with SSc-specific organ manifestations (cardiopulmonary involvement and microvascular damage), and with mortality. BIVA variables might represent a surrogate marker of damage accrual that leads to malnutrition, thus playing a leading role in the prognostic stratification of SSc patients.
Percepções e vivências da equipe de enfermagem frente ao paciente pediátrico em cuidados paliativos / Perceptions and experiences of the nursing team before the pediatric patient in palliative care
Authors: Schneider Ana Sofia , Flurin Ludwig Maria Cristina , Neis Miriam , Martegani Ferreira Anali , Becker Issi Helena 
Published: October 2020

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