bluuebunny/crossref_metadata_2025_split huggingface dataset:
Controle de infecções relacionadas à assistência à saúde por bactérias Gram-negativas resistentes à carbapenêmicos em unidade de tratamento intensivo neonatal do Rio de Janeiro.
Authors: Araujo da Silva André Ricardo , De Almeida Andrea Teixeira , Arantes Isabella Velasco , De Oliveira João Victor Mendes , Schwarzer Lucas Torres 
Published: October 2020

Justificativa e objetivos. Bactérias Gram-negativas resistentes a carbapenêmicos (BGN-CR) são um problema de saúde pública global, pela possibilidade de causar infecções intratáveis em neonatos. O objetivo foi descrever o controle das taxas de BGN-CR causando infecções relacionadas à assistência à saúde (IRAS) em unidade de tratamento intensivo neonatal (UTINEO). O consumo de antimicrobianos/carbapenêmicos também foi avaliado.
Métodos. Estudo prospectivo descritivo das IRAS em uma UTINEO, durante 1 ano. O consumo de antimicrobianos/antibióticos foi medido em dias de terapia/1000pacientes-dia (DOT/1000PD)
Resultados e conclusões: Entre setembro de 2017 e setembro de 2018, admitimos 308 pacientes, a maioria com peso>1500g (303/308-98,4%), totalizando 2223 pacientes-dia. Oito IRAS foram registradas, correspondendo a uma taxa de 2,6% (ou densidade de incidência de 3,6/1000PD). Em cinco das oito infecções (62,5%), um agente infeccioso foi isolado, sendo três bactérias Gram-negativas (todas Klebsiella pneumoniae, 2 com perfil de produção de beta-lactamase de espectro estendido) e duas infecções por Candida sp. Não houve infecção por BGN-CR. O consumo total de antimicrobianos em DOT/1000PD foi de 1638 e o de carbapenêmicos 49,3; o que representou 3% do total, com tendência de queda durante o ano. Em setembro de 2017, implementamos um programa de gestão de antimicrobianos (PGA), em adição às medidas de controle de infecção realizadas desde 2005. Os elementos-chave do PGA foram: auditoria de antibióticos e feedback, restrição de antimicrobianos-alvo e maior rapidez na liberação de resultados de culturas. Verificamos adequado controle de BGN-CR, não sendo encontrada infecção por este agente, tendência de queda no consumo de antimicrobianos e carbapenêmicos.
Overview of syphilis in a northern Brazilian city from 2013 to 2017
Authors: NONATO OSVALDO CAMPOS DOS SANTOS , Barbosa Martins Raissa , Bezerra da Silva Sussuarana Suzana , Albuquerque da Costa Layra Lucy Maria 
Published: October 2020

Justifications and Objectives: Syphilis is the most widespread bacterial infection in the
human population, being the main form of transmission through sexual contact. It was
analyzed the epidemiological data of the population of the city of Rio Branco, Acre, Brazil,
with a positive diagnosis of syphilis between 2013 and 2017. Methods: This is a descriptive,
cross-sectional study, with a quantitative approach applied to data from Acre’s Central Public
Health Laboratory of the population infected with T. pallidum. Results: Of a total of 5,239
people infected with syphilis, 56.8% are female between the ages of 20 and 30 years old and
self-declared to have mixed ethnicity. Moreover, 1,006 pregnant women, 43% of whom were
between 11 and 20 years old and 37.5% were in the 2
nd trimester of pregnancy. For live births,
107 children with early congenital syphilis were diagnosed. Conclusions: Infection
prevention information should be intensified, especially for people who are unaware of STIs
in the city, such as adolescents, elderly people and indigenous populations, in order to avoid
syphilis transmission.
Perfil dos casos de violência interpessoal e/ou autoprovocada atendidos em um hospital público do Paraná, 2014 a 2018
Authors: Tauffer Josni , Zack Bruna Tais , Berticelli Manoela Cristina , Kássim Maria Julia Navarro , Carmello Sabrina de Kássia Meneguesso , Maraschin Maristela Salete 
Published: October 2020

Justificativa e objetivos: descrever o perfil epidemiológico das violências interpessoais e/ou
autoprovocadas atendidas em um hospital público do Paraná entre 2014 e 2018. Métodos:
estudo descritivo de fonte de dados secundários, coletados a partir do banco de dados do
Sistema de Informação de Agravos de Notificação (SINAN) e notificados pelo Núcleo de
Vigilância Epidemiológico Hospitalar (NVEH). Resultados: foram notificados 1645 casos de
violência. Destes, 1488 (90,4%) casos foram considerados interpessoais e 157 (9,6%)
autoprovocados. A faixa etária predominante foi de 1 a 4 anos (26,6%) e a cor/raça branca
(83,2%) predominou. O tipo de violência predominante foi negligência/abandono e
prevaleceram violências ocorridas na residência. O grau de parentesco com a vítima
predominante foi pai e mãe. Conclusão: O tipo de violência predominante foi
negligência/abandono. Quanto às características da vítima, não houve diferença entre
masculino e feminino, incluiu indivíduos predominantemente brancos, escolaridade não
informada, idades entre 1 e 4 anos e residentes na área urbana. Quanto ao autor da violência,
prevaleceram os casos em que a mãe foi notificada como autora, e o meio da agressão foram
os casos caracterizados como outro tipo de agressão.
Lógicas comunicacionais da circulação de fake news sobre Covid-19 no Whatsapp
Authors: Klein Eloisa 
Published: October 2020

O texto analisa lógicas comunicacionais presentes em
conteúdos falsos e desinformação sobre o coronavírus e a pandemia
de Covid-19, disseminados em um grupo de profissionais da saúde,
com coleta de dados efetuada entre março e maio de 2020. Para
tanto, é desenvolvida uma discussão conceitual sobre fake news
e desinformação, bem como a respeito dos modos de circulação e
produção de acontecimentos contemporâneos. Analisamos a ocorrência
de ondas de dissipação de conteúdos falsos que criam circuitos de
acontecimentalização efêmeros, com padrão de orientação de ação,
simulação do jornalismo e recriação de audiência fora da mídia. A
associação entre os conceitos de fake news e desinformação permite
contemplar circuitos correlatos, como confusão, fatalismo e ordenação
da ação pública.
OFENSIVA CONSERVADORA: A BUSCA DA ANULAÇÃO DA PARTICIPAÇÃO DE JOVENS NA VIDA PÚBLICA VIA DESCONSTRUÇÃO DA ESCOLA COMO AGENTE SOCIALIZADOR
Authors: Severo Ricardo Gonçalves , Gonçalves Leonardo Dorneles 
Published: October 2020

Neste artigo discutem-se os aspectos que caracterizam a ofensiva liberal-conservadora sobre a formação política dos jovens, especificamente no espaço escolar, a partir das finalidades do projeto Escola sem Partido (ESP). Para tanto, problematizam-se os fundamentos que orientam o projeto ESP a partir da apresentação de elementos teóricos que permitem a compreensão mais ampla sobre a participação e formação dos jovens, considerando ser um dos papéis da escola a socialização da juventude. Dialogando com a sociologia da juventude de Karl Manhnhein (1952; 1967; 1969; 1982; 1986; 2013; s/d) prioritariamente, entendemos que o processo de socialização dos jovens é expressão de múltiplas visões de mundo como condições de diferentes espaços de participação e construção. De cunho bibliográfico o trabalho busca evidenciar os limites da articulação entre liberais e conservadores como estratégia de disputa social e educacional, demonstrando que a formação e participação política dos jovens se efetiva em diferentes círculos de socialização, inclusive na escola, a qual tem atuado, no contexto brasileiro, nos limites da institucionalidade democrática e capitalista.
Caracterização de Ambientes de Produção para Amendoim na Região Alta Paulista
Authors: Bolonhezi Denizart , Frisneda Adriano , Betiol Olavo , Leal Élcio Ríos Perez , Lollato José Paulo de Oliveira , Prelá Pantano Angélica 
Published: October 2020

1

Não há informação sistematizada para o amendoim sobre caracterização de ambientes de produção, assim como há dúvidas sobre os principais fatores que determinam altas produtividades. Com os objetivo de identificar quais fatores determinaram altas produtividades e iniciar a construção do conceito de ambientes de produção para o amendoim, foram monitoradas as colheitas em 45 áreas comerciais nas safras 2017/2018, 2018/2019 e 2019/2020 na região de Tupã/SP. Foi proposta metodologia de avaliação da produtividade (entre 1,8 e 2,42 ha) e levantadas informações de solo e microclima em cada área. Os resultados permitiram identificar quatro estratos de produtividade (> 6200, 6200-5175, 5175-4125 e < 4125 kg ha-1), com frequência variando com a ocorrência de deficiência hídrica que reduziu em 23% a produtividade na safra 2018/2019. Houve correlação positiva entre produtividade e chuva acumulada (r=0,52), teores de matéria orgânica (r=0,52) e negativa com o atraso da semeadura (r= - 0,37). Conclui-se que o conceito de ambiente de produção para amendoim deve envolver também o efeito de outros fatores, tais como; histórico de cultivo e conteúdo de carbono orgânico.
Awareness of russian doctors about autism spectrum disorders (results of sociological research)
Authors: Мukharyamova Laisan M. , Saveljeva Janna V. , Mendelevich Vladimir D. 
Published: October 2020

Aim.Identification of awareness in doctors of different specialties (pediatricians, child psychiatrists, neurologists) on a wide range of issues of diagnosis, etiology, therapy of children with ASD.
Methods.There was a survey conducted on the authors questionnaire. It was answered by 400doctors working in the large, medium, and small cities and towns in 35subjects of the Russian Federation, representing all Federal districts. In the sample there were pediatricians (53%), psychiatrists (24.2%), neurologists (14.7%), 8.2% did not specify a specialty. 89.2% of respondents are women and 10.2% are men.
Results.70% of doctors believe that the number of children with ASD has increased dramatically in recent years. A fifth of respondents found it difficult to answer, 10% said that the number remained the same. The distribution of responses to the question by the profile of specialists indicates the relationship of variables. Neuropathologists and psychiatrists more often chose the answer option increased sharply (2=32.528, p0.01). The distribution of different specialists opinions on the factors that cause changes in the number of children with ASD in society did not have statistically significant differences. About 40% of pediatricians, neurologists, psychiatrists, and other doctors chose the factors improvement of quality in diagnostic procedures and increasing availability of medical care; about a third noted reducing child mortality and, as a result, increasing diversity, about a quarter chose an environmental impact, changing the rules of medical statistics. It is alarming that when asked about the impact of vaccinations on the occurrence of autism, only 46.9% indicated that this is a myth, about 2.8% indicated that autism is a reaction to vaccination, the majority of respondents (50.3%) chose the option that there is not enough data in medicine to confirm or disprove this position.
Conclusions.The results of the study allow us to conclude that it is necessary to increase the awareness of doctors about the current state of research on the problem of ASD. Educational programs are needed taking into account not only medical data but also approaches developed in the social Sciences.
Influence of oxygen therapy methods in comprehensive treatment on cognitive functions at correction of alcohol withdrawal syndrome
Authors: Kopytov Dmitry A. , Bychenko Il’ya V. , Kopytov Andrej V. 
Published: October 2020

Aim.Based on the application of methods of normoxic therapeutic compression and hyperbaric oxygenation incombination with pharmacotherapy for the relief of cognitive impairment in alcohol withdrawal syndrome (AWS), to evaluate the effectiveness of their use to optimize the treatment process.
Methods.160patients with AWS were examined: 62people underwent hyperbaric oxygenation and 56normoxic therapeutic compression sessions along with symptomatic pharmacotherapy, 42with drugs in accordance with medical care protocols. To assess the severity of the manifestations of AWS, the CIWA-A scale was used. Diagnosis and clinical verification of the diagnosis of alcohol dependence was carried out in accordance with the research criteria of the ICD-10 and AUDIT. To study cognitive impairment, the Schulte table technique was used.
Results.The use of the method of normoxic therapeutic compression in the complex treatment of AWS increases the mental performance after the first day of therapy by 4.6times, after the third day of therapy, 3.18times, after the seventh day of therapy, 3.25times, compared with drugs.
Conclusion.Oxygen therapy methods in combination with pharmacotherapy should be used when stopping cognitive impairment in alcohol withdrawal syndrome, which will increase the effectiveness of treatment and avoid possible cognitive impairment in pharmacotherapy.
Main factors in the transformation of regional and ethnic identity
Authors: Gerasimenko T. I. 
Published: October 2020

Aim. To identify the most important factors in the transformation of ethnocultural space and population identity through the example of a multicultural trans-border region.Materials and Methods. This research vector provides possibilities to consider this issue in line with the well-known ideas of L. N. Gumilyov regarding the adaptation of ethnic groups to landscapes, as well as to apply an analysis algorithm based on the study of various forms of interethnic contacts and ethnic processes. The author's data from field expedition research, including sociological surveys of the population (more than three thousand people on both sides of the Russian-Kazakh border), interviews, expert assessments, including observation, mapping, etc. have been used. Historical sources, as well as archival documents and existing cartographic materials from various times, have been analysed.Results. Ethno-cultural groups interact with each other and adapt to landscapes, as a result of these processes ethnic cultures acquire common features and regional specificities. These factors have been evaluated and features of interethnic interaction between migrants and the autochthonous population as well as transformation of the ethno-cultural space are revealed. The speed of transformation is influenced by historical, geopolitical, psychological and economic factors. The article is illustrated with specific examples. Geographical aspects of transformation of ethno-cultural identity as the main marker of ethnic culture in trans-border regions have been consideredConclusion. The most important factors of ethno-cultural space and regional identity transformation are adaptation in landscapes, intercultural interaction, migration, change of ethnic composition of the population and divergence as a consequence of delimitation.
Spatial assessment of the socio‐economic framework of the Russian steppe regions
Authors: Chibilyov (Jr) A. A. , Meleshkin D. S. , Grigorevsky D. V. 
Published: October 2020

Aim. The goal of the study is a spatial assessment of the socio-economic framework in the steppe regions of Russia. Characteristics of the density of the socio-ecological framework and the degree of development of its core cities were represented to achieve the goal.Material and Methods. A methodology is proposed for assessing the level of development of the socio-economic framework based on the conjugate analysis of 6 indicators of the density index of the socio-economic framework and 9 indicators of the developmental index of the core cities of the socio-economic framework for 18 steppe regions of Russia.Results. A schematic map representing the spatial distribution of the indices studied was produced. A range of urbanisation process features in the regions of the steppe zone of Russia was revealed. In the eastern part, the formation of megalopoli is difficult and the development of agglomeration processes is hampered by the considerable distance from each other of large core cities. Highly urbanised territories might be formed in the western part of the region studied in the course of advanced development. In this connection, disproportions in density indices of the socio-economic framework between the southwest and east regions are noted. Maximum values (4 and more) are recorded in the Belgorod Oblast, Krasnodar Territory, the Republic of Adygea and the Republic of Crimea and minimum (less than 2.5) in border and remote regions (Altai Territory, Novosibirsk, Omsk, Kurgan, Orenburg Oblasts and the Republic of Kalmykia).Conclusion. The development of the socio-economic framework in the mezoregion studied is a mirror reflection of the spatial arrangement of economy and population in the steppe zone of Russia. It is confirmed by a close relation between the development index of core cities in the socio-economic framework and the value of gross regional product. According to the Chaddock scale, the coefficient of correlation between appropriate indicators is 0.94.
Investigation of moral intelligence’s predictive components in students of Shahid Beheshti University of Medical Sciences (SBMU)
Authors: Mohammadi Maryam , Mohammadi Shabnam , Mehri Ali , Bagheri Mazraeh Fatemeh 
Published: October 2020

This study aimed to investigate dominant predictor components of moral intelligence (MI) based on the Lennick and Kiel's model in students of Shahid Beheshti University of Medical Sciences (SBMU). In this descriptive-analytical study, 322 students of SBMU were chosen through cluster sampling. To collect data, a 40-item questionnaire, whose validity and reliability was confirmed in previous studies, based on the Lennick and Kiel's model was used. The collected data were analyzed by SPSS 21 software using appropriate descriptive and analytical statistics. Of 322 participants, 180 and 142 were female and male, respectively. The mean age of the participants was 22.30±2.69 years. The study’s regression analysis revealed that the most and the least direct effects were related to the forgiveness (R2=0.320) and compassion (R2=0.284) components, respectively. Among the inspected components, the responsibility component with an overall effect of R2=0.655 was shown to be the strongest predictor component of MI. Universities play a significant role in students’ moral development and enhancement. The present study’s findings suggest that developing strategic plans and interventions can enhance MI level (e.g., incentive systems for individuals maintaining high moral responsibility). Since today’s students will be tomorrow’s medical and healthcare professionals, upgrading of MI level in students studying in various divisions of medical sciences enhances their moral responsibility through setting out strong ethics principles to follow and the quality of care that they will provide to patients, thereby improving health.
O sistema de migração interna da Amazônia colombiana: panorama geral segundo o censo de 2018
Authors: Aragón Luis Eduardo 
Published: October 2020

Este artigo apresenta um panorama geral da mobilidade interdepartamental da população para e desde a Amazônia colombiana, segundo o censo de 2018. Busca-se identificar e ilustrar as diversas possibilidades de pesquisa em nível departamental, que os microdados desse censo oferecem; trata-se de introduzir o sistema de migração interna da Amazônia colombiana de tal forma que se possa avançar em estudos mais aprofundados que permitam explicar os diversos movimentos do sistema. Define-se migração interna como a mobilidade populacional entre diferentes departamentos do país. Tomando como critério o departamento de nascimento, os microdados permitem identificar o sistema da migração interna da Amazônia colombiana integrado por quatro componentes: 1) não migrantes, 2) imigração, 3) emigração, e 4) migração de retorno. Este estudo limita-se a identificar os espaços de movimento dos diversos componentes do sistema de migração interna da Amazônia colombiana. Trata-se, portanto, mais de identificar lugares que caracterizar pessoas. Palavras-chave: Colômbia. Amazônia Colombiana. Migração Interna. Migração Acumulada. Migração Recente. Migração de Retorno.
Kurikulum Pembelajaran Berbasis Multiple Intelligences di RA Raudhatul Ta’lim Pamekasan
Authors: Afiyah Nur , Magfiroh Siti Aisyatul , Maysaroh Siti , Sofiyah Sofiyah 
Published: October 2020

Penelitian ini bertujuan untuk meningkatkan keaktifan dan kreativitas pembelajaran PAUD berbasis multiple intelligence di RA Raudhatul Ta’lim.. Penelitian ini merupakan penelitian deskriptif kualitatif; teknik pengumpulan datanya dilakukan menggunakan metode observasi, wawancara, dan dokumentasi. Hasil penelitian menunjukkan bahwa pengembangan pembelajaran PAUD berbasis multiple intelligence pada anak usia dini di RA Raudhatul Ta’lim dilakukan dengan cara mengintegrasikannya ke dalam materi pembelajaran yang disusun pada kurikulum. Selain itu, pengembangan pembelajaran multiple intelligence dilakukan dengan bermain, bernyanyi, bercerita, karya wisata melibatkan anak secara langsung dalam kegiatan, berdiskusi dan, dan jalan-jalan. Pembelajaran yang melibatkan seluruh kecerdasan anak didik akan berdampak positif bagi masa depan anak.
Fat and Iron Don't Mix
Authors: Ameka Magdalene K. , Hasty Alyssa H. 
Published: October 2020

Abstract
Low-grade chronic adipose tissue (AT) inflammation is now recognized as a pivotal driver of the multi-organ dysfunction associated with obesity-related complications; and adipose tissue macrophages (ATMs) are key to the development of this inflammatory milieu. Along with their role in immunosurveillance, ATMs are central regulators of AT iron homeostasis. Under optimal conditions, ATMs maintain a proper homeostatic balance of iron in adipocytes; however, during obesity, this relationship is altered, and iron is repartitioned into adipocytes as opposed to ATMs. This adipocyte iron overload leads to systemic IR and the mechanism for these effects is still under investigation. Here, we comment on the most recent findings addressing the interplay between adipocyte and ATM iron handling, and metabolic dysfunction.
Is there a new cutoff value for high sensitivity troponin to better risk stratify patients with non-ST elevated myocardial Infarction?
Authors: Al-assaf Omar. , Abbas Anas M. , Alkazim Hind H. , Benny Sam Codampallil , BinBrek Azan Salem 
Published: October 2020

Abstract
Background: The diagnosis of Non-ST Elevated Myocardial Infarction (NSTEMI) is dependent on elevation of high sensitivity troponin (Hs-troponin). The current cutoff point for Hs-troponin is highly sensitive but not specific for obstructive coronary artery disease (CAD). This study aims to determine the best cutoff point for diagnosing CAD in patients presented with NSTEMI. Methods:Our study included all patients admitted as NSTEMI that underwent coronary angiography (CAG). They were grouped into two groups; A and B. Group A has obstructive CAD of 70% or more stenosis and group B with non-obstructive CAD. Patients were assessed for their demographics, clinical history, laboratory and imaging results. Using SPSS version 22, the pooled cohort of patients were analyzed at significant level <0.05 and the data were tested for significant correlations between two predetermined groups.Results: Group A comprised 87.6% of the patients and both groups had a median age of 53 years. In Group A, 91% were males, 54% diabetics, 54% hypertensives, and median Hs-troponin was 145 ng/L. While in group B, 88% were males, 39% diabetics, 60% hypertensives, and median Hs-troponin was 54 ng/L. There was significant correlation between the two groups in the percentage of diabetes and median troponin level (p < 0.05). A ROC curve has identified a level of 127 ng/dL as the best cutoff of Hs-troponin in detecting obstructive CAD (p=0.03). Interestingly, 60% of patients in group B had alternative diagnoses. Conclusion:Hs-troponin is sensitive but less specific for obstructive CAD. However; increasing its cutoff value will improve its specificity.