bluuebunny/crossref_metadata_2025_split huggingface dataset:
Leonidas Proaño: orientación periodística más allá de lo religioso y educativo
Authors: Galindo-Arranz Fermín , Bravo-Mancero Julio , Bravo-Mancero Susana 
Published: June 2020

Este artículo investiga y comprueba cómo la orientación de los medios de comunicación masiva fundados por Leonidas Proaño dirigió sus propuestas periodísticas no solo desde lo religioso – educativo, como se ha argumentado, sino que utilizó lo social, político, sindical, acción y desarrollo para relatar la vida en las comunidades indígenas y barrios urbano marginales del Ecuador en procurar de la transformación; evidencia su faceta como periodista En el trabajo se empleó metodología de tipo mixta: cualitativa y cuantitativa, a través del análisis y la revisión documental de la información y opinión contenidas en las páginas de los impresos (Excélsior, Ganitas de Trigo, El Cuadrilátero, Mensaje, Jatari Campesino y Jatari) y en los guiones de los programas radiofónicos emitidos por ERPE y Promoción, entre 1934 y 1984. Se recuperaron, analizaron e interpretaron 366 documentos publicados-emitidos. Las observaciones fueron teorizadas utilizando criterios de especialistas en comunicación, periodismo, sociología y medios masivos publicados en libros y revistas indexadas que reposan en bases de datos internacionales. Los resultados advirtieron la cercanía del religioso con el periodismo, el adecuado manejo de las formas de presentación de las historias en la media y los actos de comunicación en los que obtuvo información para convertirla en contenidos.
Ad hominem: representación narrativa del enemigo oficial después del 30S en Ecuador
Authors: Hidalgo Andrade Gabriel 
Published: June 2020

En el 2020 se cumple una década de la tragedia sucedida con el amotinamiento policial del 30 de septiembre de 2010. Según un informe del Ministerio de Salud, ese día hubo 10 fallecidos a escala nacional. Inmediatamente después de la recuperación del cauce constitucional, los poderes representativos intentaron beneficiarse políticamente de lo sucedido. En el presente artículo académico exploraré la elaboración de la imagen construida por el oficialismo alrededor de la oposición política al gobierno del presidente ecuatoriano Rafael Correa Delgado después de la rebelión policial del 30 de septiembre de 2010 o llamada también como 30S y sucedida en la ciudad de Quito. Responderé a qué registro discursivo corresponde la categorización a los acusados de ser los responsables del hecho y cómo utilizó el régimen este discurso maniqueo para generar una respuesta mediática que luego se convirtió en acoso público, encarcelamiento y persecución política.
Para lograr el objetivo de este trabajo utilizaré la narrativa inmediata del régimen ecuatoriano; estudiaré el primer discurso del presidente Rafael Correa luego de ser rescatado (2010-09-30), y la rueda de prensa posterior a estas declaraciones (2010-09-30); analizaré los enlaces ciudadanos nro. 190 (2010-10-02) y nro. 191 (2010-10-09) además de una entrevista concedida al programa “A solas” de Russia Today en español (2010-10-20) dedicada exclusivamente al tratamiento de la experiencia del 30 de septiembre de 2010.
THE ISSUE OF ADHERENCE TO TREATMENT OF OBESE PATIENTS IN COMBINATION WITH NON-ALCOHOLIC FATTY LIVER DISEASE
Authors: Shypulin Vadym P. , Melnyk Nataliia G. 
Published: June 2020

The aim – to study the effect of adherence to treatment in patients with obesity in combination with NAFLD on the effectiveness of treatment of NAFLD
Materials that methods. 93 patients with obesity 1,2,3 degrees (BMI = 30-44.9 kg \ m2) in combination with NAFLD were examined. The patients were divided into two groups by randomization. They were offered a comprehensive weight loss program consisting of 5 visits over 12 weeks. The comprehensive weight loss program included: a reduction in the energy diet by 500 kcal from physiological daily energy expenditure and a moderate physical activity of 150-200 min per week. The patients of the first group adhered to the comprehensive weight loss program and received pioglitazone 15 mg / day. Patients of the second group adhered only to comprehensive weight loss program. We studied adherence to treatment in two groups of patients using self-report questionnare. The survey on Obesity WGO recommendations was also conducted. All patients underwent anthropometric measurements, laboratory and instrumental examination.
Results. The comparative analysis revealed that patients with obesity and NAFLD in group 1, who followed a comprehensive weight loss program and received pioglitazone at a daily dose of 15 mg, had significantly better adherence rates (70.4%) (p <0, 05) compared with patients in Group 2 (59.6%) who followed only a comprehensive weight loss program. It was found that in patients of group 1, controlled attenuation parameter had a strong negative correlation with the level of adherence to treatment (r = -0,71), compared with patients in group 2, where there was an medium negative correlation (r = -0.56). It was found that the level of adherence to treatment had a medium negative correlation with the number of previous attempts to lose weight (r = -0.52) and the duration of obesity (r = -0.49).
Conclusions. Patients who received pioglitazone 15 mg / day in addition to comprehensive weight loss program were likely to have better adherence rates and, as a consequence, a more significant decrease in steatosis. It is revealed that the level of adherence to treatment depends on the number of previous attempts to lose weight and the duration of obesity.
EXTRAPANCREATIC INFECTION AS A RISK FACTOR FOR ANTIBIOTIC RESISTANCE OF PANCREATIC INFECTIOUS AGENTS IN PATIENTS WITH ACUTE NECROTIZING PANCREATITIS
Authors: Dronov O. , Kovalska I. , Horlach A. , Shchyhel I. 
Published: June 2020

Aim of the study To determine the effect of extrapancreatic infection (EPI) on antibacterial resistance of pancreatic infectious agents in patients with acute infected necrotic pancreatitis
Materials and Methods A longitudinal retrospective case-control study was conducted. The Object of the study were the patients with infected acute necrotizing pancreatitis (ANP). The subject of the study was the acquired AMR of pancreatic infection (PI) agents in patients with ANP. The control group included 27 patients who had a positive bacterial culture from sources of PI. 21 patients were included in the risk group, in which the additional source of EPI was recorded. Bacteriological monitoring was conducted in two stages: the primary identification of the agent of PI and the completion of inpatient treatment. Microbiological identification of the pathogen of EPI was performed before the primary determination of the pathogen of PI, and in the interval between stages I and II of the study. According to the results of the resistance profile of PI to AMR, all patients were divided into four clusters: I - patients who identified only antibiotic-sensitive bacterial strains (AMR"-"), II - patients with defined MDR-bacteria (multidrug-resistant), III - patients with XDR-bacteria (extensively drug-resistant), IV - patients with PDR bacteria (pandrug-resistant).
Results The presence of EPI in patients with ANP influences the development of AMRs of PI toward increasing XDR and PDR strains (p=0.008 and p=0.04, respectively). In patients with infected ANP with the EPI, the risk of developing XDR infection was 2.4 times higher than the risk of developing this level of AMR in patients with no EPI (RR-2.4 (95% CI-1.16-4.91), p=0.03). EPI increases the risk of PDR PI by 8 times (RR-8.0 (95% CI-1.04-61.5) p=0.04). For each patient with infected ANP with signs of EPI, the risk of developing XDR strains was 36%, and PDR strains - 25%.
Conclusions The presence of extrapancreatic sources of infection is a risk factor for development of AMR strains of microorganisms that persist in the sources of pancreatic infection. In this category of patients the risk of identification of extensively resistant strains was increased by 2.4-fold (p=0.03) and PDR strains by 8-fold (p=0.04), compared with patients with infected ANP without EPI.
Teologia postu w "Hymnach o poście" św. Efrema Syryjczyka
Authors: Uciecha Andrzej 
Published: June 2020

W literackim dorobku świętego Efrema są biblijne komentarze, pisane prozą polemiczne refutationes i medytacje, dialogi poetyckie, metryczne homilie (memre) oraz hymny (madrasze). Te ostatnie zasługują na szczególną uwagę, gdyż jak się wydaje ten gatunek literacki był ulubionym narzędziem w hermeneutycznym warsztacie Syryjczyka. Adresatami madrasza nie byli mnisi, czy eremici, bowiem syryjskie chrześcijaństwo orientalne w IV wieku skupiało się z wyjątkową intensywnością na pogłębianiu aspektów ascetycznych chrześcijańskiego życia, takich jak: post, czuwanie, modlitwa nieustanna. To duchowe nastawienie dotyczyło wszystkich ochrzczonych, niezależnie czy duchownych, mnichów, czy świeckich. Oprócz przykładów biblijnych drugim źródłem obrazów w pieśniach De ieiunio jest świat natury, który nie istniałby bez woli Stwórcy. W niektórych fragmentach swoich madrasza O poście Efrem buduje harmoniczną kompozycję złożoną z tych dwóch wątków, dopełniając sens tekstu biblijnego za pomocą obrazów zaczerpniętych ze świata natury. Klamrą spinającą bogate teologiczne przesłanie zawarte w zwrotkach dziesięciu liturgicznych pieśni jest Chrystus, jako Słowo otwierające skarbnicę Pisma Świętego, jako Pierworodny Syn Ojca, jako jedyny Sprawiedliwy i wzór nad wzorami dla wszystkich ascetów i poszczących. W praktykowaniu postu liczy się dobra wola, dyscyplina w walce z głodem i pożądaniem oraz umiejętność dzielenia się z innymi. Efrem podkreśla znaczenie czynników motywacyjnych i akcentuje oczyszczające działanie postu.
PENGARUH PEMBERIAN PUPUK ORGANIK CAIR TERHADAP PERTUMBUHAN DAN PRODUKSI PADI (Oryza sativa L) DI LAHAN GAMBUT
Authors: Melia Aktrinisia, SP. MP dan Zinatal Hayati, SP Deshadiawarman 
Published: June 2020

Penelitian tentang pengaruh pemberian beberapa dosis pupuk organik cair terhadap pertumbuhan dan produksi tanaman padi ( Oryza sativa L ) telah dilaksanakan di Desa Pekan Arba, Kecamatan Tembilahan. Kabupaten Indragiri Hilir, Provinsi Riau. Dimulai dari bulan Jili sampai September 2014. Tujuan penelitian untuk mengetahui pengaruh pemberian pupuk organik cair dan untuk meningkatkan dosis yang terbaik terhadap pertumbuhan dan hasil produksi tanaman padi ( Oryza sativa L ). Penelitian menggunakan rancangan acak kelompok (RAK) dengan 5 perlakuan dan 4 ulangan. Perlakuan dosis pupuk organik cair yang diberikan yaitu 25 ml/15 liter air, 50 ml/15 liter air, 75 ml/15 liter air, 100 ml/15 liter air. Parameter pengamatan yaitu tinggi tanaman (cm), umur berbunga (hari), jumlah anakan, jumlah anakan produktif, umur panen (hari), produksi per plot (kg). Data pengamatan dianalisis dengan sidik ragam (DNMRT) pada taraf 5%. Berdasarkan penelitian yangbtelah dilaksanakan dapat disimpulkan bahwa pemberian dosis pupuk organik cair 50 ml/15 liter air menunjukan hasil yang terbaik terhadap pertumbuhan dan produksi padi di lahan gambut.
Kata kunci:

Padi, POC, Tanah Gambut
PENGARUH BERBAGAI DOSIS ABU JANJANG KELAPA SAWIT (AJKS) TERHADAP PERTUMBUHAN DAN PRODUKSI TANAMAN TOMAT (Solanum Iycopersicum L) DI TANAH GAMBUT
Authors: Intan Sari,  Zinatal Hayati Zulkifli. 
Published: June 2020

Penelitian tentang pengaruh berbagai dosis Abu Janjang Kelapa Sawit (AJKS) terhadap pertumbuhan dan produksi tanaman tomat (Solanum Iycopersicum L) di Tanah Gambut, dilakukan di Desa Rumbai Jaya, Kecamatan Kempas, Kabupaten Indragiri Hilir, Propinsi Riau. Penelitian berlangsung selama 4 bulan dari september 2014 sampai Desember 2014. Tujuan dari penelitian ini adalah 1) Mengetahui pengaruh pemberian berbagai dosis Abu Janjang Kelapa Sawit (AJKS) terhadap pertumbuhan dan produksi Tanaman tomat di tanah gambut, 2) Mendapatkan dosis Abu Janjang Kelapa Sawit (AJKS) yang terbaik bagi pertumbuhan dan produksi tanaman tomat ditanah gambut.
Penelitian dilakukan menggunakan Rancangan Acak Lengkap dengan 6 perlakuan dan 4 ulangan, yaitu dosis 0 ton/ha, dosis 0,6 ton/ha, dosis 0,9 ton/ha, dosis 1,2 ton/ha dan dosis 1,5 ton/ha. Data hasil penelitian di lakukan perhitungan statistik dengan menggunakan analisis sidik ragam dan jika terdapat pengaruh yang nyata maka di lakukan uji lanjut Tukey HSD pada taraf 5%. Parameter yang di amati pada penelitian adalah tinggi tanaman, jumlah cabang tanaman, bobot buah pertanaman, bobot buah perbutir, jumlah buah pertanaman dan diameter buah pertanaman.
Hasil penelitian memberikan pengaruh yang nyata pada parameter tinggi tanaman, jumlah cabang tanaman, bobot buah pertanaman dan jumlah buah pertanaman, sedangkan parameter buah perbutir dan diameter buah pertanaman tidak memberikan pengaruh yang nyata. Hasil penelitian menunjukkan dosis AJKS terbaik adalah 1,5 ton/ha yang terlihat dari parameter tinggi tanaman, jumlah cabang tanaman, bobot buah pertanaman, jumlah buah pertanaman dan diameter buah pertanaman
Kata Kunci : Abu Janjang Kelapa Sawit, Tanah gambut dan Tomat
Neonatal septic arthritis: Clinical profile and predictors of outcome
Authors: Devi R Usha , Bharathi S Mangala , Anitha M 
Published: June 2020

Background: Neonatal septic arthritis deserves a special attention due to its subtle signs and symptoms and catastrophic consequences. There is paucity of literature regarding the clinical profile and predictors of outcome in neonatal septic arthritis. Objectives: The objective was to study the clinical profile of neonates admitted with septic arthritis, their clinical and radiological outcomes on follow-up, and factors that predict outcomes. Methodology: Neonates with septic arthritis as assessed by retrospective case sheet review were included. Prospective data collection of clinical and radiological outcomes was done during follow-upvisits. Children with good outcomes (controls) were compared to those with poor outcomes (cases) subsequently to identify the predictors of outcomes using a nested case–control design. Results: Data of 70 neonates admitted with septic arthritis were collected. Single joint involvement was common (75.8%), and hip joint was the most common joint involved. Gram-negative organisms were predominant (72%), and Klebsiella was the most common organism isolated from joint aspirate (36%), followed by Escherichia coli and Staphylococcus aureus. Of 52 babies who turned for follow-up, half had poor outcomes. In univariate analysis,multiple joint involvement (odds ratio [OR] 4.79, [confidence interval (CI): 1.14-20.21]), pre-intervention period ?7 days (OR 92, [CI: 14.06-601.9]), culture positive joint aspirate (OR 3.70, [CI: 1.55-11.86]), and restricted range of joint movements at discharge (OR 83.3, [CI: 9.2-749.9]) were significantly associated with poor outcomes. Pre-intervention period ?7 days (adjusted OR 107.99, [CI: 5.16-2258.8]) and restricted joint mobility at discharge (adjusted OR 139.53, [CI: 9.03-2154.04]) were the independent predictors of poor overall outcome by logistic regression analysis. Conclusions: Long pre-intervention period and restricted joint mobility at discharge were independent predictors of poor outcome in neonatal septic arthritis. We emphasize the importance ofearly diagnosis, prompt referral to tertiary centers, timely surgical intervention, appropriate measures to ensure good joint mobility, and regular follow-up in these neonates to achieve best outcomes.
Risk predictors for the development of retinopathy of prematurity in very low birth weight neonates
Authors: Shreetal Sheena , Sobhakumar S , Rhiju Reshmi , Nair Shreetal Rajan 
Published: June 2020

Background: Retinopathy of prematurity (ROP) is an important cause of visual and neurological impairment in premature infants. Identification of risk factors and effective management of the same will help in better outcomes. Information on ROP and its risk factors are limited especially from South India and interventions directed at prevention and treatments have produced only modest results. Methods: The study was of a prospective, unmatched case–control design and was conducted in premature, very low birth weight infants (<34 weeks; <1500 g) admitted to Neonatal Intensive Care Unit in a tertiary care center in South India during an18-month period. The neonates were screened for ROP and subjects who developed ROP were classified as cases and those who did not were categorized as controls. The maternal risk factors studied were the type of delivery, maternal fever, pregnancy-induced hypertension (PIH), gestational diabetes mellitus, cardiac disease, premature rupture of membrane, antepartum hemorrhage, chorioamnionitis, multiple pregnancy, infertility treatment, urinary tract infections, polyhydramnios, and oligohydramnios. The neonatal factors studied were gestational age, birth weight, septicemia, apnea, anemia, hypotension, need for inotropic support, typeand duration of oxygen therapy, patent ductus arteriosus, necrotizing enterocolitis, intraventricular hemorrhage, and phototherapy. Both univariate and multivariate analyses were carried out. Results: A total of 54 cases and 54 controls (1:1) were enrolled into the study. Males dominated the study (63% of cases). Univariate analysis showed gestational age, PIH, birth weight, sepsis, oxygen administration, hypotension and packed cell transfusion as important risk factors for ROP. On binary logistic regression analysis,birth weight (odds ratio: 6.00; p: 0.014), oxygen exposure (odds ratio: 11.05; p: 0.003), and hypotension (odds ratio: 6.85; p: 0.009) were identified as important risk predictors of ROP. Conclusions: The study adds important information to the understanding of risk factors of ROP.
Stressors in adolescence: An analytical cross-sectional study
Authors: Ashok Vidhu , Rajan Aswathy , Maben Roshan 
Published: June 2020

Objective: To understand the importance of stress in adolescence well-being, to categorize the stressors in them, and to understand the validity of their solutions. Materials and Methods: A prospective study was conducted in 804 students in the age group of 15-17 years from four schools in the city. Study was conducted with the help of “adolescent stress questionnaire” which consisted of 31 questions. An analysis of these answers was done to understand the stressors and other factors. Results: Out of 804 participants,43% (n=342) were females and 57% (n=462) were males. 52% (n=421) were 15-year-old, 32% (n=251) 16 years, and 16% (n=132) were 17-year-old. Academic stress is seen in 74%. No significant differences with gender are seen with the stress. Severe stress isless in children who are 17-year-old than those who are 15-year-old. Mild stress increases with age. Among the study participants, 50.9% (409) children mentioned that they did not get enough time to spend with their friends. Majority of the children were stressed due to studies (p=0.03) more than peer and parent relationship. At the time of break down, they preferred to watch television, listen to music and to use social media (WhatsApp or Facebook) rather than to speak out the matters that stressed them. 33.3% (268) of the adolescents felt that they need help in coping up with their stress. They enjoy what they are doing; though, grades in the school affect them and they feel more time to be spent for studies. Conclusion: Their main stressor was studied; though, a few of them stated that peer/parent/teacher relationships also affect them. Most of the adolescents are able to cope up with stressors in their own way but some of them feel that they need help.
Enteric appendicitis: An unusual complication of enteric fever
Authors: Sandal Sapna , Verma Sanjay , Malik Muneer Abas 
Published: June 2020

We present an 11-year-old boy admitted with fever, loose stools, vomiting, diffuse abdominal pain, and hepatosplenomegaly. Ultrasound and contrast enhanced computerized tomography of the abdomen was suggestive of appendicular lump. Widal done on day 8 showed elevated TO (1:320) and TH titers (1:80); repeat Widal on day 15 was suggestive of increasing titers (TO-1:320, TH-1:160). The patient improved with conservative management with intravenous ceftriaxone and azithromycin. This case highlights that appendicitis could rarely present as a complication of enteric fever in children; which may not always need surgery. In such cases, early initiation of appropriate antibiotics for enteric fever is curative.
Gender outcome in children with disorders of sex development: A cryptic misfortune
Authors: Rahul Aswathy , Saraswathyamma Sobhakumar 
Published: June 2020

Background: Disorders of sex development (DSD) are an important cause of management dilemma for a clinician, especially due to the difficulty in assigning a suitable sex to them. Not many studies are reported regarding their gender outcome. Objective: To find out the gender outcome of children with DSD. Materials and Methods: A hospital-based descriptive study was conducted in children with DSD from birth till 12 years of age who were attending pediatric outpatient department and ward and endocrinology clinic of a tertiary care teaching hospital of South India for 1 year. Children with DSD who were registered in endocrinology clinic over the preceding 10 years were called for review. Those came for review were also included. They were analyzed for their assigned gender at birth, etiological diagnosis, current gender role and phenotype, treatment and follow-up patterns. Reinvestigations were done in needed cases. Results: A total of 38 cases were analyzed in the study. Work up could be completed in 92.1% of children. 60.5% cases were diagnosed in infancy, and 18.42% (n=7) of cases were identified above 5 years. Among those who were not assigned any sex at birth, 50% became phenotypic male and 50% became phenotypic female. 25% of the patients, who were assigned male sexat birth, changed to female sex. 100% of 46 XX DSD are being reared as females but only 44.4% of 46 XY patient are being reared as males. Conclusion: Sex assignment in DSD, especially 46 XY DSD, is a great challenge. Sex assignment must be based on a definitive etiological diagnosis, its natural course, gender role, gender identity, external genital structure and reproductive outcome and with proper counseling of the parents. Strict follow-up is inevitable.
Role of gastric aspirate for bacteriological confirmation of pulmonary tuberculosis in hospitalized pre-school children
Authors: Sharma Pradeep Kumar , Sharma Seema , Sharma Milap , Sharma Ajay 
Published: June 2020

Introduction: Tuberculosis (TB) is an infectious disease caused by Mycobacterium TB (MTB). India accounts for one-fourth of the global TB burden, i. e., 2.2 million out of 9.6 million new cases annually. Objectives: The aim of this study was to assess the role of gastric aspirate (GA) for bacteriological confirmation of pulmonary TB (PTB) in hospitalized preschool children. Methods: A total of 66 consecutive preschool children hospitalized for suspected PTB were included in the study. These patients were prospectively evaluated with a detailed medical history, anthropometric assessment, physical examination and relevant investigations, including complete blood count, erythrocyte sedimentation rate, tuberculin skin test (TST), chest radiograph and GA on three consecutive mornings for smear and culture of MTB. Results: Out of 66 TB suspects, 20 (30.3%) cases were discharged on antitubercular treatment (ATT) based on clinical, laboratory, TST radiological and bacteriological criteria while 46 (69.7%) cases were discharged with an alternative diagnosis. Among cases discharged on ATT, 5 (25%) cases were bacteriologically confirmed on GA smear and culture for acid-fast bacilli (confirmed cases), and 15 (75%) cases were smear negative (probable cases). Out of 5 bacteriologically confirmed cases, 4 (80%) were in the age group 0-2 years, and 1 (20%) case was in the age group 4-6 years. Conclusion: GA remains a useful diagnostic technique for bacteriological confirmation in young children suspected to have PTB, especially in the inpatient setting. It is cheap, simple to perform and requires no special equipment.