bluuebunny/crossref_metadata_2025_split huggingface dataset:
TÉCNICAS DE ARTETERAPIA EN CASA COMO CUIDADO DE ENFERMERÍA PARA ADULTOS MAYORES EN CONTINGENCIA POR COVID-19
Authors: Albañil-Delgado Sergio , Machain Pedro Aguilar , Guerrero-Castañeda Raúl Fernando 
Published: September 2020

Objetivo: apresentar uma breve descrição das técnicas de terapia com arte no domicílio como cuidados de enfermagem para idosos em contingência devido ao COVID-19.Desenvolvimento: diante do pronunciamento de medidas de saúde para o COVID-19, como grupo de maior risco, os idosos requerem estrita adesão às recomendações de isolamento, para as quais são propostas algumas técnicas de terapia com arte como cuidados de enfermagem, entre as quais se destacam desenhos, mandalas, pintura, colagens e técnica de máscaras; que podem favorecer a saúde mental do idoso no domicílio, além de favorecer a estimulação cognitiva, a mobilidade e a expressão de emoções; assim, seus benefícios envolvem o bem-estar físico, social, emocional e espiritual do idoso.Considerações finais: As artes plásticas como estratégias terapêuticas podem ser incorporadas pelo enfermeiro nas atividades domiciliares para os idosos, favorecendo funções cognitivas, prevenindo deteriorações cognitivas, mantendo a mobilidade e melhorando o estado emocional.
SAÚDE MENTAL DOS PROFISSIONAIS DE ENFERMAGEM DO BRASIL NO CONTEXTO DA PANDEMIA COVID-19: AÇÃO DO CONSELHO FEDERAL DE ENFERMAGEM
Authors: Humerez Dorisdaia Carvalho de , Ohl Rosali Isabel Barduchi , Silva Manoel Carlos Neri da 
Published: September 2020

Objetivo: refletir sobre a saúde mental dos profissionais de enfermagem brasileiros no contexto da pandemia COVID-19.Desenvolvimento: o atual surto da doença causada pelo Coronavírus, a COVID-19, está ocasionando prejuízos enormes para todo o mundo e tende a provocar pânico generalizado na população. Diante dessa realidade, os profissionais da enfermagem fazem parte de um dos grupos mais afetados, expostos ao risco de contágio e da dor emocional que afeta consideravelmente a saúde mental. Assim, o Conselho Federal de Enfermagem determinou à Comissão Nacional de Enfermagem em Saúde Mental para efetivar atendimento a esses profissionais que se encontram na linha de frente na atuação da pandemia.Conclusão: para atingir esse objetivo, elaborou-se o projeto de Atendimento de Enfermagem em Saúde Mental aos profissionais de enfermagem na pandemia. Depois dos primeiros trinta dias de atendimentos, os sentimentos mais emergentes foram: ansiedade, medo, ambivalência, depressão e exaustão.
STABILITY CHARACTERISTICS OF COMPRESSIBLE BINARY PLANAR JETS
Authors: Mendonca M. T. , Vargas M. M. 
Published: September 2020

The present work investigates the stability of compressible binary planar jets. Different from a homogeneous jet, where a single chemical species is present, the binary jet may have strong density gradients due to the choice of the chemical species considered in each stream. The goal is to identify the possible instability modes for simple and co-flowing jets and investigate the effect of density gradients on the flow structure, growth rates, unstable frequency range and disturbance phase speed for each mode. The effect of species concentration on free shear layer stability has been reported previously in the literature, but detailed comparisons between stability modes and characteristics for a range of density ratios typical of oxygen and hydrogen mixtures as well as the identification of inner and outer sinuous and varicose modes are new. Linear stability theory is used to determine the stability characteristics of the different configurations. For the co-flowing jet four different modes are found, the inner and outer shear layers both have sinuous and varicose modes. Both for the sinuous and varicose modes the simple jet is more unstable when the fluid with the highest density is at the inner jet, with amplification rates twice as high as the lowest density ratio considered, but the range of unstable frequencies can be four times lower. The sinuous mode is less dispersive than the varicose and the disturbance speeds may vary by one order of magnitude with density ratio. For co-flowing jets the external mode is up to seven times more unstable, but this is due to the choice of the velocity ratio considered. For the inner mode the density gradient has a stabilizing effect regardless of which species is at the center. The co-flowing jet is more dispersive, except for the varicose inner mode. The variation of phase speed with density gradient is not as strong as in the simple jet. The ratio of larges to lower phase speeds are of the order of 2 for the co-flowing jet and 4 for the simple jet.
Progesterone and Glucocorticoid Receptor Modulator Mifepristone (RU-486) as Treatment for Advanced Cancers
Authors: H. Check Jerome , L. Check Diane 
Published: September 2020

The fetal placental unit has paternal proteins which would normally result in immune rejection of fetus. Thus, to allow growth to 266 days, the mother must develop immunosuppressive proteins, cytokines, etc. to allow progression to a full-term baby. One of these essential immunomodulatory proteins is called the progesterone induced blocking factor (PIBF). Probably, the mechanism involved allowing the progesterone receptor antagonist mifepristone to cause termination of a pregnancy is by blocking the PIBF protein. There is good evidence that cancerous tumors borrow some of the same mechanisms as the fetus to escape immune surveillance, including the PIBF protein. Research data suggest that this protein is made and excreted by embryonic cells, mesenchymal cells, and trophoblast cells of the fetal placental unit to block the killing effect of natural killer cells and T-cells in the fetal microenvironment. Cancer cells do the same. Indeed, there is good evidence that mifepristone, a drug approved for pregnancy termination, can significantly improve length and quality of life in patients with various advanced cancers.
Parallel and Concurrent Infection of Dengue Virus and Plasmodium falciparum among Patients with Febrile Illnesses Attending Bingham University Health Centre, Karu, Nigeria
Authors: Suchi Nanret Kyeswet , Mohammed Haruna Isa , Ademola Adegbite Olutunde , Rinmecit Pennap Grace 
Published: September 2020

Aims: This study was conducted to determine the parallel and concurrent infection of dengue virus and Plasmodium falciparum among patients with febrile illnesses attending Bingham University Health Centre, Karu, Nigeria.
Study Design: The study was a cross sectional study.
Place and Duration of Study: Department of Medical Microbiology and Parasitology, Jos University Teaching Hospital, Jos, Department of Microbiology, Nasarawa State University, Keffi and 68 Nigerian Army Reference Hospital, Yaba-Lagos, between February and July 2017.
Methodology: Blood samples were collected from 400 patients with febrile illnesses at the University Health Centre. The resulting sera was screened for dengue virus seromarkers (IgM, IgG and NS1) using Aria Dou dengue virus RDT kits (CTK Biotech, Inc, San Diego, USA) while malaria parasitemia was detected by Giemsa stained thick and thin film microscopy. Data collected were analysed using Smith’s Statistical Package (version 2.8, California, USA) and P value of ≤ 0.05 was considered statistically significant.
Results: Of the 400 patients screened, 12(3.0%) were positive for dengue virus, 20(5.0%) for malaria parasite while 10(2.5%) for dengue/malaria co-infection. Infection with dengue virus and malaria parasite was found to be higher among female subjects aged ≤30 years. However, age and gender were not significantly associated with both infections in this study (P > 0.05).
Conclusion: Our findings confirmed the presence of dengue virus infection in the study area which probably may have been misdiagnosed and mistreated. Hence, differential diagnosis of febrile illnesses should not only be limited to malaria and typhoid as is always the case in our health care centres.
Antibiotics in Combination with Antifungals to Combat Drug Resistant Candida – A Concept on Drug Repurposing
Authors: Monalis Hannah , Sujith R. , Leela K. V. , Balamurali V. 
Published: September 2020

Candida spp. are emerging pathogens of hospital-acquired infections that causes invasive candidiasis, leading to human mortality and morbidity. Evolution of resistance to different groups of antifungal drugs is a major concern nowadays. Resistance mechanism in some of the antifungal drugs are formation of biofilms, alterations in drug target and lowered intracellular drug levels caused by efflux pumps. Introduction of novel strategies are necessitous to eliminate the phenomenon of drug resistance. Drug repurposing is a promising therapeutic strategy that can improve the efﬁcacy of antifungal therapy for invasive candidiasis. Antibiotics and antifungal drugs were combined against resistant Candida spp. and the in vitro antifungal synergy were analyzed by disk diffusion methods, checkerboard microbroth dilution method and time-kill curves. Synergistic effects were seen against drug-resistant strains, but drug-susceptible strains show indifferent effects in experimental studies. Profiting from the synergistic effects of combination therapy, alternative therapeutic approaches for drug resistance could be designed. This review will discuss different antifungal drugs and their mechanism, drug-resistance mechanisms and some of the antibiotic and antifungal combinations that provide novel insights in treating invasive fungal infections.
Isolation, Characterization, and Molecular Identification of Indigenous Bacteria from Fermented Almonds (Prunus dulcis)
Authors: Nurhasanah Salwa , Fachrial Edy , Lister Nyoman Ehrich 
Published: September 2020

Aims: This study aims to isolate and identify the indigenous bacteria of almonds fermentation.
Methods: Characterization of the indigeneous bacteria are using gram staining, biochemical tests, 16SrRNA gene sequencing, and the antimicrobial activity against Escherichia coli bacteria.
Results: Approximately 28 x 106 CFU / mL bacteria were obtained from almonds fermentations with 14 isolates from enrichment results. Three randomly selected isolates were gram-positive rod-shaped with a negative catalase and positive fermentation test. However, one isolate showed positive results on the motility test. The antimicrobial test results from the three randomly selected isolates using the disk diffusion method obtained inhibition zones of 7 mm, 6.7 mm, and 7 mm, respectively. Therefore, by using 16S rRNA gene sequencing, three different microorganisms were found, namely Bacillus subtilis strain IAM 12118, Bacillus Piscis strain 16MFT21, and Bacillus licheniformis strain BaDB27.
Conclusion: It was found that Bacillus subtilis strain IAM 12118, Bacillus Piscis strain 16MFT21, and Bacillus licheniformis strain BaDB27 in almonds fermentation and also can be used as probiotic bacteria.
Dynamic Nano Clusters of Water on EVODROP Water
Authors: Ignatov Ignat , Gluhchev Georgi , Huether Fabio 
Published: September 2020

A research for nano clusters of electrochemically waters catholyte and anolyte was recently performed [1]. The actual study is connected with EVODROP water. Methods NES (Non-equilibrium Energy Spectrum) and DNES (Differential Non-equilibrium Energy Spectrum) are used for the study [2,3]. They allow the evaluation of hydrogen bonds energy. It is expected that these spectral analyses and mathematical models could help explaining the different effects of EVODROP water. Influence of different types of waters on the nervous system and anti-inflammatory and antitumor effects have been reported [4].
The device for the production of EVODROP water is invented by Fabio Huether. It transforms the tap water into alkaline one with a negative oxidation reduction potential (ORP) measured in millivolts (mV).
The study was performed of alteration of hardness of EVODROP water according tap water as control sample.
Perinatal and maternal mortality associated with retained second twins
Authors: Lassey A.T. , Ghosh T.S. 
Published: July 2002

AbstractObjectives: The aim of this study of retained second twins admitted to Korle‐Bu Hospital between 1988 and 1993 was to identify the factors contributing to the mode of delivery, perinatal and maternal mortalities, and draw up recommendations to improve outcome. Methods: The study consisted of a review of record cards, outpatient admission and discharge books, delivery books, and inpatient case notes of women admitted with retained second twins of 28 weeks' or more gestation during the study period. Results: Of the 65 cases fully reviewed, 33 (approximately 50%) were delivered by cesarean section due mainly to abnormal lie with or without shoulder impaction. The rest were assisted deliveries, mainly vertex deliveries or breech extractions. The perinatal mortality of the retained second twins was 38.5% compared with 12.3% for the first twins. Although in general the longer the interdelivery interval, the greater the second twin perinatal mortality risk, no clear direct correlation could be established. There was one perioperative maternal mortality due to anaphylactic reaction to intramuscular morphine injection. Conclusion: Irrespective of the antenatal course and early labor findings, twin delivery should be undertaken in a unit equipped for cesarean section and assisted delivery. The unacceptably high perinatal mortality of retained second twins could thus be significantly reduced.
Pregnancy following rupture of the pregnant uterus
Authors: Soltan M.H. , Khashoggi T. , Adelusi B. 
Published: July 2002

AbstractObjectives: To review the cases of ruptured uterus at King Khalid University Hospital (KKUH) over the 11 years of the hospital's existence (1984–1994), to analyze the causative factors of uterine rupture with a view to its prevention, and to highlight the management approach in relation to maintaining the patients' future fertility. Methods: Case notes were reviewed for all patients with ruptured uterus at KKUH over a period of 11 years from January 1984 to December 1994. Relevant data relating to the clinical features, characteristics of labor, operative procedures, and maternal and perinatal outcome were assessed. Results: There were 11 cases of ruptured uterus, six of which occurred in patients with previous cesarean scars. Two patients were primigravidas, one of whom ruptured her uterus following a road traffic accident. In one patient with six previous preterm labors, rupture resulted from non‐removal of cervical cerclage during labor. The rupture occurred in the fundus in one case, and in the lower segment in the remaining 10. Fetal heart abnormalities were observed in all cases in which the uterus ruptured during labor. Abdominal hysterectomy was performed in three cases, two of which were total and the third subtotal. The remaining eight patients had suture repair, all of whom became pregnant later and were delivered by cesarean section. Conclusion: Even though rupture of the uterus was a rare complication of pregnancy at KKUH, its occurrence should be suspected when there are sudden fetal heart abnormalities during labor, or unexplained postpartum shock. Suture repair should be considered whenever possible in order to preserve the patients' reproductive potential.
Female genital mutilation (FGM) management during pregnancy, childbirth and the postpartum period
Authors: Rushwan H 
Published: July 2002

AbstractFemale genital mutilation (FGM) is a traditional practice with serious health consequences to women that is still practiced in 28 countries with approximately 2 million girls exposed to the practice annually. The complications of FGM cause suffering to the woman all her life. Pregnancy, childbirth and the postpartum period are particularly important as there is increased risk of mortality and morbidity from FGM complications. Although the overall strategy should be to eliminate the practice completely, the healthcare providers and policy makers in the meantime should not only be aware but also well trained in the management of FGM complications to decrease the risk of mortality and serious morbidity.
Risk factor screening for abnormal glucose tolerance in pregnancy
Authors: Shamsuddin K. , Mahdy Z.A. , Siti Rafiaah I. , Jamil M.A. , Rahimah M.D. 
Published: July 2002

AbstractObjectives: To assess the prevalence and association of frequently used screening risk factors for gestational diabetes mellitus (GDM) and to compare the validity and cost of universal screening with risk factor screening. Method: A cross‐sectional survey of 768 pregnant women at ≥24 weeks’ gestation who were attending the antenatal clinic at the Hospital Universiti Kebangsaan Malaysia (HUKM) was made. Risk factors were determined using a questionnaire. An abnormal oral glucose tolerance test was defined as a 2‐h post‐prandial blood sugar level of ≥7.8 mmol/l. Results: A total of 191 pregnant mothers (24.9%) had GDM. The most commonly identified screening factors were positive family history of diabetes mellitus (31.4%), history of spontaneous abortion (17.8%), vaginal discharge and pruritis vulvae in current pregnancy (16.0%), and maternal age greater than 35 years (14.7%). Five hundred and thirteen mothers (66.8%) had at least one risk factor. All screening risk factors, except past history of diabetes mellitus in previous pregnancy and maternal age, were not significantly associated with abnormal glucose tolerance (GT). Risk factor screening gave a sensitivity of 72.2% and a specificity of 35.0%. Universal screening would cost RM 12.06 while traditional risk factor screening would cost RM 11.15 per identified case and will have missed 53 of the 191 cases. Conclusions: Risk factor screening scored poorly in predicting GDM. Cost analysis of universal compared with traditional risk factor screening showed a negligible difference. Thus universal screening appears to be the most reliable method of diagnosing GDM.
Cervicovaginal washing prolactin assay in prediction of preterm delivery
Authors: Leylek O.A. , Songur S. , Erselcan T. , Cetin A. , Izgic E. 
Published: July 2002

AbstractObjective: Our purpose was to determine the utility of cervicovaginal washing prolactin assay in prediction of preterm birth in women without rupture of membranes. Methods: Sixty‐six women with normal singleton pregnancy were submitted to cervicovaginal washing and serum prolactin assays. The latency period to delivery and gestational age at admission and at delivery were also recorded. According to uterine contractions and obstetrical history regarding the previous preterm delivery, the pregnant women were divided into 4 groups: 18 symptomatic (group 1) and 15 asymptomatic (group 2) pregnancies who had previously had preterm delivery, and 18 symptomatic (group 3) and 15 asymptomatic (group 4) pregnancies without a history of prior preterm delivery were enrolled in the study. Results: The cervicovaginal washing prolactin concentrations were significantly higher in groups 1 and 3 than in group 4 (P < 0.0083). With respect to the latency period to delivery and the birth weeks, groups 2 and 4 were significantly higher than groups 1 and 3 (F < 0.0001). In the evaluation of the whole group, a significant negative correlation was observed both between cervicovaginal washing prolactin concentrations and the lapsed times to delivery, and the gestational ages at delivery. The finding of a cervicovaginal washing prolactin value exceeding 50 ng/ml in the 12 days preceding preterm delivery had sensitivity, specificity, positive and negative predictive values of 65%, 95%, 86%, and 81%, respectively. Conclusions: A cervicovaginal washing prolactin value more than 50 ng/ml precedes preterm delivery within 12 days at >29 weeks. The easy application, the good feasibility, the success in identifying pregnancies at risk for preterm labor, and the cost effectiveness suggests cervicovaginal washing prolactin assay as a biochemical marker for preterm delivery.
Ethical issues relating to reproduction control and women's health
Authors: Schenker J.G. , Eisenberg V.H. 
Published: July 2002

AbstractThere are many ethical aspects which derive from the application of reproduction control in women's health. Women's health can be enhanced if women are given the opportunity to make their own reproduction choices about sex, contraception, abortion and application of reproductive technologies. The main issues that raise ethical dilemmas following the development of assisted reproduction techniques are: the right to procreate or reproduce; the process of in vitro fertilization itself — is it morally acceptable to interfere in the reproduction process?; the moral status of the embryo; the involvement of a third party in the reproductive process by genetic material donation; the practice of surrogacy; cryopreservation of pre‐embryos; genetic manipulation; experiments on pre‐embryos, etc. Induced abortion raises ethical issues related to the rights of the woman versus the rights of the fetus. For those who consider life to begin at conception abortion always equals murder and is therefore forbidden. Those who believe in the absolute autonomy of the woman over her body take the other extreme approach. The discussion surrounding abortion usually centers on whether it should be legal or illegal. Access to safe abortion is critical to the health of women and to their autonomy. The development of new effective contraceptive methods has a profound impact on women's lives. By the use of contraception it is possible to lessen maternal, infant and child mortality and to reduce the prevalence of sexually transmitted diseases. Research and development of new effective reversible contraceptives for women and men is needed. Dissemination of information about the safety and effectiveness of contraceptive methods is of great importance. Female genital mutilation is still practiced worldwide due to customs and tradition among various ethnic groups. The procedure is considered to be medically detrimental to the physical and mental health of women and girls, and is considered by many as oppression of women. The practice has to be stopped. Recognition of the fetus as a ‘patient’ has a potential effect on women's right for autonomy; they have no legal obligation to undergo invasive procedures and to risk their health for the sake of their fetuses. The woman carries ethical obligations toward her fetus. This obligation should not be enforced by the law. At present women bear most of the burden of reproductive health. All of them have a right of access to fertility regulation. Governments and society must ensure the women's equal rights to health care just as men have in the regulation of their fertility.
Declining fetal growth standards in Enugu, Nigeria
Authors: Onah H.E 
Published: July 2002

AbstractObjective: To compare the birth‐weights of babies born before and after the introduction of the Structural Adjustment Program in Nigeria. Methods: A retrospective analysis of the birth‐weights of all singleton live births at the University of Nigeria Teaching Hospital Enugu, Eastern Nigeria, in 1984 and 1998. Results: The babies were on average 183 g lighter in 1998 than in 1984. The mean birth‐weight for each gestational age, parity and fetal sex was significantly lower in 1998 than in 1984. The incidences of low birth‐weight, intrauterine growth retardation and preterm delivery were significantly higher in 1998 than in 1984. The above findings were associated with a significant reduction in the mean gestational age, parity and utilization of the hospital's maternity services, probably consequences of an adverse socio‐economic environment. Conclusion: Reversing the declining growth standards of Nigerian fetuses would entail improving the socio‐economic status of Nigerian women as well as the quality of maternity care.