bluuebunny/crossref_metadata_2025_split huggingface dataset:
Antibiotic sensitivity of bacteria isolated from the oral cavities of live white sharks (Carcharodon carcharias) in South African waters
Authors: Gennari Enrico , Kock Alison A. , Smale Malcolm J. , Towner Alison , Khan Nasreen , Bester Linda A. , Johnson Ryan , Fischer Chris , Meÿer Michael , Morse Peter 
Published: November 2019

The white shark (Carcharodon carcharias) is responsible for 49% of shark-related injuries in South Africa, yet no information currently exists on the composition or antibiotic resistance of bacteria hosted by these apex predators in South African waters. This study aimed to address this gap by sampling the bacteria present in the oral cavities of 28 live C. carcharias along South Africa’s southern coastline. The antibiotic resistance of the range of microbiota was also assessed using antibiotic disc diffusion tests. A total of 51 strains from at least 20 species of bacteria were isolated from the oral cavities of C. carcharias. Of these strains, the most common bacteria present were Serratia spp., Proteus vulgaris and Vibrio alginolyticus. The overall antibiotic resistance was relatively higher in this study than that reported for bacterial microbiota sampled from other shark species. Results indicate that the combination therapy of imipenem (carbapenem antibiotic) and vancomycin (glycopeptide antibiotic) might be the most parsimonious option to effectively treat infections resulting from white shark bites, particularly in South Africa. It is hoped that, in addition to assisting medical professionals to treat shark bite victims, these findings enhance the understanding of the microbial communities present in large coastal predators and their surrounding environments.
Significance:

Overall antibiotic resistance of bacteria in the oral cavities of C. carcharias was relatively high.
Combination therapy of imipenem (carbapenem antibiotic) and vancomycin (glycopeptide antibiotic) is recommended for the treatment of white shark bites, particularly in South Africa.
The findings add to understanding of the microbial communities present in large coastal predators and their surrounding environments.
Wybrane aspekty wspierania kreatywności uczniów szkoły muzycznej I stopnia (w perspektywie nauczycieli)
Authors: Labiak Damian 
Published: November 2019

<p>Prezentowany artykuł podejmuje problematykę związaną ze szkołą muzyczną jako instytucją wspierającą i rozwijającą kreatywność swoich uczniów. Kreatywność to kategoria, która we współczesnej rzeczywistości postrzegana jest jako istotna kompetencja kulturowa,<br />toteż wydaje się istotne, na ile szkolnictwo muzyczne podejmuje działania sprzyjające jej rozwojowi. W artykule prezentowane są wyniki badań przeprowadzonych wśród 11 nauczycieli szkół muzycznych i stopnia. Badania miały charakter jakościowy, a do zgromadzenia<br />materiału badawczego wykorzystany został wywiad. Problematyka badawcza koncentrowała się wokół różnorodnych uwarunkowań, sposobów, akceleratorów i inhibitorów procesu rozwijania<br />kreatywności uczniów. Wnioski płynące z analizy zgromadzonego materiału wskazują na potrzebę edukacji nauczycieli w obszarze wspierania i rozwijania kreatywności uczniów, respektowania ich podmiotowości i odpowiadania na ich potrzeby. Ważne są również w tym<br />kontekście działania dotyczące programowej i organizacyjnej strony funkcjonowania szkół muzycznych, optymalizujące procesy edukacji.</p>
Otwartym głosem. O terapeutycznych aspektach śpiewu tradycyjnego.
Authors: Krawczyk Renata 
Published: November 2019

<p>W artykule omówiono wybrane aspekty terapeutyczne śpiewu tradycyjnego<br />(otwartego, naturalnego, archaicznego). poruszono kwestie związku muzyki ze stanem psychofizycznym człowieka, a także rolę oddechu i bycia tu i teraz w regulowaniu stanów emocjonalnych. zwrócono uwagę na leczący wymiar relacji mistrz – uczeń, na naukę funkcjonowania w zdrowej zależności oraz na rolę pokory i wspólnoty. podkreślono, iż muzyka<br />tradycyjna i śpiew tradycyjny mogą stać się przestrzenią do zbierania istotnych doświadczeń terapeutycznych.</p>
Kreatywność kultury artystycznej jako współczesne wyzwanie pedagogiki
Authors: Żardecki Wiesław Andrzej 
Published: November 2019

<p>Rozważania podjęte w ramach sformułowanego tematu koncentrują się, najogólniej biorąc, na ukazaniu relacji między kulturą i kreatywnością jako więzi konstytutywnej o znaczeniu fundamentalnym, a zarazem jako ważnego postulatu pedagogiki, zwłaszcza współczesnej pedagogiki kultury. Przyjęcie pedagogicznej perspektywy rozpatrywania kultury<br />artystycznej wydaje się zwłaszcza dzisiaj sprawą niezwykłej wagi, bowiem skupiają się w niej zagadnienia najbardziej istotne, problemy systemu wartości, wyborów etycznych, motywacji ludzkich, w świecie materialistycznego myślenia i stylu życia. kultura artystyczna zdefiniowana została jako całokształt wartości kultury tworzonych, umacnianych bądź rozprzestrzenianych przez człowieka za pomocą szeroko rozumianej sztuki jako dziedziny kultury, działalności symbolicznej, formy ekspresji, komunikacji międzyludzkiej, rejestracji naukowej, rodzaju poznania i narzędzia wychowania. z kolei kreatywność rozumiana jest tu jako duch kultury, jej podstawa i horyzont, tworzywo i fundament oraz treść i sens; innymi słowy nie istnieje oryginalna kultura i jej funkcja społeczna poza obszarem kreatywności, ale także sama kreatywność ulega wzbogaceniu dzięki wzmocnieniu jej kulturowego wymiaru rozwoju. Interakcja<br />kultury i kreatywności jest ważnym problemem współczesnego życia kulturalnego, a jednocześnie konkretnym wyzwaniem pedagogicznym do podniesienia poziomu kultury przez rozwój kreatywności, a przede wszystkim do rozwoju kreatywności przez podniesienie<br />kultury jako aktywności wzbogacającej. Wprawdzie uniwersalne wartości humanistyczne dokumentujące kreatywne dokonania człowieka w ciągu jego dziejów wyrażają najpełniej wyzwanie, by je sobie przyswoić i twórczo pomnożyć, ale prawdziwie palące jest wyzwanie związane z wyraźnymi znamionami kryzysu i dylematami współczesnej kultury artystycznej.</p>
Prevalence of dual endocrinopathy: hypothyroidism and gestational diabetes mellitus in patients of preeclampsia
Authors: Gupta Natasha , Sharma Sudhaa , Jamwal Sunita 
Published: November 2019

Background: Hypertension associated with proteinuria greater than 0.3g/L in a 24-hour urine collection or 1+ by qualitative urine examination, after 20 weeks of gestation is preeclampsia. The present study was conducted to evaluate prevalence of dual endocrinopathy (hypothyroidism and gestational diabetes mellitus) in patients of preeclampsia.Methods: The observational study was conducted within a period of one year from November 2015 to October 2016 in the Department of Obstetrics and Gynaecology SMGS Hospital, GMC, Jammu. A total of 400 patients of preeclampsia were included in the study and underwent serum TSH and oral glucose tolerance test.Results: In this study 32.5% of the preeclampsia patients (130 out of 400) had hypothyroidism, 15.25% patients (61 out of 400 preeclampsia) had gestational diabetes mellitus, 9.75 % patients of preeclampsia had dual endocrinopathy (both hypothyroidism and gestational diabetes mellitus).Conclusions: The current study concluded that dual endocrinopathy (both hypothyroidism and gestational diabetes mellitus) has substantially higher prevalence (9.75%) in the patients of preeclampsia.
Comparison of placental grading at different periods of gestation in PIH patients and their outcome
Authors: S. Sneha , S. Sreelatha , Ramaiah Renuka 
Published: November 2019

Background: The current study follows grannum grading of placenta. It is well known that there is accelerated placental maturation in PIH patients and the ultrasonic appearance of grade 3 placenta before 37 weeks may signify placental dysfunction and is associated with development of low birth weight babies, IUGR meconium stained liquor, low APGAR score. Hence this study was conducted to emphasize on placental grading at different periods of gestation to predict and prevent increased obstetric and fetal compromise and to compare the outcomes.Methods: Obstetric scans were performed in all PIH patients attending antenatal OPD and inpatients at ESIC and PGIMSR medical college, Bangalore to know the placental grading and biophysical profile. These women were followed till their delivery for obstetric and fetal outcomes.Results: Grade 3 placenta is seen in 17 patients in group 1(50%) and 39 patients (59%) in group 2. For statistical analysis grade 1 and 2 were combined and compared with grade 3. P-value 0.198 which was not statistically significant. There was no statistically significant difference in age and gravidity between two groups. The medical disorders were more in group 2 i.e., between 37 - 40 weeks. The complications of PIH were also more in group 2. There were more number of LSCS (n=19 versus 14) in 34-36 weeks group which was not statistically significant. Fetal outcomes like IUGR and IUD were more in group 2 which was not statistically significant. The mean birth weight in group 1 was 2 kg as compared to 2.7 kg in group 2. All associated medical disorders were more in group 2.Conclusions: In hypertensive women there is accelerated placental maturation leading to maternal and fetal complications. Hence women with accelerated placental maturity in ultrasound should be closely monitored and appropriately managed. However, we recommend larger randomized studies are necessary.
Prediction of efficacy of gonadotropin releasing hormone agonist trigger for final oocyte maturation through post-trigger 12-hour luteinizing hormone, follicle stimulating hormone and progesterone levels in COS: a prospective study
Authors: Agarwal Sonal , Krishna Deepika , Pranesh Gautham , Rao Kamini A. 
Published: November 2019

Background: Circulating levels of luteinizing hormone (LH), follicle stimulating hormone (FSH) and progesterone (P4) in serum after administration of gonadotropin releasing hormone agonist (GnRHa) trigger for final oocyte maturation are found to be predictive of oocyte maturity. This prospective study was conducted at a tertiary care centre to evaluate relationship between serum LH, FSH and P4 levels at 12-h post-trigger and oocyte maturity rate and to predict which hormone has maximum sensitivity and specificity for appropriate oocyte maturation.Methods: Women at risk of ovarian hyper-stimulation syndrome who underwent either autologous or donor IVF cycle treated with flexible GnRH antagonist protocol were taken as participants of the study. GnRHa as trigger for final oocyte maturation was given. After 12 hours of agonist trigger, blood sample was drawn to assess LH, FSH and P4 levels in serum. Continuous variables were expressed as mean±SD. Independent sample t test was used for continuous variables which were normally distributed and Mann-Whitney U test for data not normally distributed. Main outcome measures were number of oocytes retrieved, oocyte maturity rate, fertilization rate, cleavage rate and grade of embryos.Results: There was a statistically significant reduction in number of retrieved oocytes, maturity rate, fertilization rate and grade 1 embryos with a concentration of serum LH and P4 less than the cut off value (p < 0.05).Conclusions: Serum LH and P4 level less than the cut off value at 12-hour post-trigger with GnRHa is associated with a dramatically less oocyte maturity rate and fertilization rate.
Modulatory effect of Kolin PlusTM, a polyherbal formulation on muscle growth development in choline deficient diet model of broilers: a microarray approach
Authors: D'Souza Prashanth , Marimuthu Saravanakumar , Kaninathan Arigesavan , Selvam Ramasamy 
Published: November 2019

<p class="abstract"><strong>Background:</strong> The present study was conducted to elucidate the genes and its associated pathways delineating the growth-promoting potential of polyherbal formulation (PHF), Kolin Plus<sup>TM</sup> using microarray in Cobb 430 broiler chickens.</p><p class="abstract"><strong>Methods:</strong> Microarray was performed for<strong> </strong>four groups, namely, normal diet (ND) as G1, choline chloride deficient (CCD) diet as G2, choline chloride (CCL, 400 g/ton) as G3 and PHF (400 g/ton) as G4. Breast muscle samples were collected, and the growth-related gene expression profile was measured using the Agilent microarray platform. </p><p class="abstract"><strong>Results:</strong> Totally 2900 differentially expressed genes (DEGs) in muscle tissue sample was revealed using hierarchical clustering based on the similarity of their expression profiles, which further allows the user to pick out groups of similar genes. Among them, 1000, 364 and 481 genes were significantly upregulated and 244, 485 and 326 genes were significantly downregulated between ND and CCD, CCL and CCD, PHF and CCD respectively. Furthermore, some of the focused genes (CSRP3, SOX10, BCO1, CALB1, LMOD2, KLF15, CTHRC1, PHGDH, UTS2R, and ANKRD2) were significantly (p&lt;0.05) modulated by PHF (400 g/ton) supplementation in birds fed with CCD diet. These genes play an essential role in protein translation, energy metabolism, and muscle growth promotion.</p><strong>Conclusions:</strong>It may be concluded that supplementation of PHF at 400 g/ton of feed could positively influence the certain focused genes associated with muscle growth promotion, which favours the productive phenotypic response in broiler chickens fed with CCD diet. <p> </p>
Manejo de la endometriosis infiltrativa profunda en Colombia. Consenso Colombiano de Expertos
Authors: Villegas-Echeverri Juan Diego 
Published: November 2019

En el marco del pasado XXVIII Congreso Colombiano de Obstetricia y Ginecología que se realizó en Cartagena de Indias en mayo de 2012, se llevó a cabo la reunión denominada: “Consenso colombiano de expertos en endometriosis”, a la que asistieron los miembros del Capítulo de Endoscopia Ginecológica de Fecolsog, reconocidos especialistas de las diversas regiones del país expertos en el tema, y los profesores internacionales que participaron en el Congreso con disertaciones sobre dicha enfermedad, entre ellos la doctora Liliana Mereu (Italia), el doctor Mauricio Abrao (Brasil), el doctor Francisco Carmona (España) y el doctor John Steege (Estados Unidos). Dicha reunión tuvo por tema académico único el “Manejo de la endometriosis infiltrativa profunda en Colombia”.
Como resultado de la reunión, y fruto de la discusión, finalmente surgió un documento de consenso, avalado por los asistentes, llamado “¿Por qué la endometriosis infiltrativa profunda debe ser considerada como una enfermedad distinta a la endometriosis peritoneal?” Este documento pretende sentar una posición sobre el tema específico e informar a los especialistas acerca de esta patología especialmente retadora y compleja que aqueja a numerosas pacientes en la práctica.
Asociación entre la presencia de estudiantes de medicina y los indicadores de calidad en pacientes obstétricas en un hospital universitario de Bogotá, Colombia. Estudio de corte transversal
Authors: Pinto-Winkler Olga Lucía , Carreño-Dueñas Alexander 
Published: November 2019

Objetivo: determinar si la presencia de estudiantes de medicina se asocia a diferencias en los indicadores de calidad de la atención y en la satisfacción de las pacientes obstétricas.Materiales y métodos: estudio de corte transversal. Se incluyeron pacientes hospitalizadas para atención de parto durante dos periodos: uno con la presencia estudiantes y otro sin estudiantes de medicina en el servicio de Obstetricia del Hospital Universitario Clínica San Rafael de Bogotá (HUCSR), institución general de alta complejidad, durante el periodo comprendido entre el primero de diciembre de 2005 y el 15 marzo de 2006. Tamaño muestral estimado: 278 pacientes. Se midieron las variables sociodemográficas, los antecedentes obstétricos, los resultados maternos y perinatales, los indicadores de satisfacción desde el punto de vista de la paciente, y la duración de la estancia hospitalaria.Resultados: los dos grupos comparados fueron similares en sus características basales. No se encontraron mayores diferencias en la estancia, incidencia de infecciones, porcentaje de cesáreas y satisfacción de la paciente.Conclusiones: la presencia de estudiantes de medicina no se encuentra asociada a malos resultados maternos o perinatales o a la satisfacción con la atención recibida. Se requieren estudios controlados adicionales para determinar con mayor validez el verdadero impacto de la rotación de estudiantes de medicina en la calidad de la atención y la satisfacción de las usuarias.
Proteinuria masiva como factor pronóstico para morbimortalidad materno-fetal en pacientes con preeclampsia severa: reporte de un caso y revisión de la literatura
Authors: Castillo-Zamora Marcos , Álvarez-Jaramillo Juliana , Escandón-Barón Ana María , Márquez-Duque Juan Manuel , Páramo-Díaz Laura Isabel , Rojas-Figueroa Ana Carolina 
Published: November 2019

Objetivo: presentar el caso de una mujer de 19 años con embarazo de 24 semanas con diagnóstico de preeclampsia severa y proteinuria en rango nefrótico, y revisar la fisiopatología, histopatología y el pronóstico de la proteinuria masiva en pacientes con preeclampsia severa.Materiales y métodos: Materiales y métodos: se presenta el caso de una paciente de 19 años de edad (G1P0) con embarazo de 24 semanas y hallazgo de cifras tensionales de 120/90 mmHg, quien es hospitalizada en la Clínica Universidad de La Sabana, hospital privado de alta complejidad, por proteinuria aislada de 220 mg/dl para clasificación de trastorno hipertensivo en el embarazo. El estudio de proteinuria en 24 h mostró un resultado inicial de 9 g. Se solicitan exámenes adicionales para preeclampsia los cuales se encuentran dentro de rangos normales. Se realizaron estudios periódicos de proteinuria en 24 horas con tendencia al aumento, cuyo valor máximo fue de 14 g. Posteriormente presenta elevación de cifras tensionales en rango de severidad asociado a síntomas de vasoespasmo e inminencia de eclampsia, por lo cual se finaliza gestación a las 25,4 semanas por cesárea, con posterior fallecimiento del recién nacido. La paciente persiste con cifras tensionales elevadas durante el puerperio, requiriendo manejo antihipertensivo. Finalmente se logra un adecuado control y se da egreso.Se realizó una búsqueda de literatura médica relativa al caso en las bases de datos Medline/PubMed, Jstor y Lilacs con la terminología MeSH "pregnancy", "preeclampsia", "proteinuria" y "nephrotic syndrome".Resultados: se encontraron 26 artículos, de los cuales 11 estaban relacionados con proteinuria dentro de un estado de preeclampsia. A partir de estos se realizó una búsqueda en bola de nieve encontrándose un total final de 38 artículos.Conclusión: la presencia de proteinuria masiva y su asociación con preeclampsia aún no ha sido claramente esclarecida. Por esto es necesario establecer rangos de proteinuria dentro de los criterios de severidad que conllevan al desarrollo de posteriores complicaciones materno-fetales.
Neisseria meningitidis serogrup B menenjiti tanısı alan bir olgu nedeniyle alınan infeksiyon kontrol önlemlerinin gözden geçirilmesi
Authors: CESUR Salih , ÖZEL Özlem , ALTUNAY Kerime , ATAMAN HATİPOĞLU Çiğdem , ARSLAN Kader , KINIKLI Sami 
Published: November 2019

Neisseria
meningitidis gram negatif diplokok olup ülkemizde
toplum kaynaklı menenjitin yaygın etkenlerinden biridir. Meningokok menenjitinde infeksiyon
kontrol önlemlerinin alınması ve
kemoprofilaksi bulaşın önlenmesi açısından önemlidir. Bu yazıda, Neisseria
meningitidis serogrup B’ye bağlı olarak menenjit gelişen, 20 yaşındaki bir
asker sunularak askeri birlik ve hastanın yakın temaslılarına yönelik alınan infeksiyon
kontrol önlemleri gözden geçirilmiştir.
Rekomendasi Penentuan Target Pemasangan Iklan Facebook Ads Menggunakan Metode SAW
Authors: Rozi Anief Fauzan , Suryadin Suryadin 
Published: November 2019

In determining the interest of potential customers on Facebook, so far there are no tools and basic benchmarks as indicators that can be used as a reference for them to determine the target of online advertising. There is also no tool found in the form of software in the form of a decision support system that can help business people to process data and make decisions.
The purpose of this study was to create a decision support system software for determining Facebook ads using the SAW method, with 6 criteria, namely the preferred page, likes, comments, shared, redeemed ads, ads clicked.
The results of calculations using the system as well as those that have been manually calculated indicate that recreation is the best interest because it is based on a value of 14.60, with a percentage of suitability of 100%. So that the designed system can be used as a decision-making tool.
Algorithm Model of K-means for Poor Households Classifying
Authors: Pawenang Panggih , Maidah Nova El 
Published: November 2019

Poverty is a complex problem experienced by majority of world’s nations especially in the developing countries such as Indonesia. Poverty countermeasure has become the main country development program as one of the indicators of development success is the decrease of poverty rate. Various programs either in national or regional scale have been made as the government’s attempt to reduce the poverty rate. However, there have been a lot of news reports covering the government’s programs which are less precise and even not on the target. Thus, it is essential to have a method which can be implemented to help the planning process of those poverty alleviation programs. This study aims at explaining the formation of K-means algorithm model for classifying poor households; taking a study case in Banyumas Regency, Central Java. The result of this study was K-means algorithm model which has been adapted to the poverty concept from the Statistics Indonesia (BPS) as well as the factors affecting the household poverty. The information obtained from each cluster formed is household characteristics, estimation of household number, and estimation of population experiencing poverty.
Training on Management of Choking on Palang Merah Remaja in Middle School 1 Genteng
Authors: Purwitaningtya Rizki Yulia , Nuzula Firdawsyi , Prayitno Siswoto Hadi 
Published: November 2019

The Youth Red Cross (Palang Merah Remaja (PMR)) is a forum for fostering and developing Indonesian Red Cross (Palang Merah Indonesia (PMI)) youth members, PMR is one of PMI's strengths in carrying out humanitarian activities in the health sector. Various health problems that may occur anywhere and anytime that have fatal consequences such as choking can cause respiratory system disorders that can lead to death. The purpose of this activity is to increase the knowledge and management of PMR members in choking management. The method of this activity is to collaborate with the teacher of the Genteng 1 Public Middle School in informing the holding of Community Service about education and training in the management of choking, then follow-up to the principal of the Genteng 1 Public Middle School. Dissemination to students involved in training events. Training for students who are accompanied by PMR advisors about education and training in the management of choking. To support the success of this event, students were allowed to practice directly to the panthom and friends. The results of this activity showed an increase in knowledge about the management of 75% of choking with high expertise and increased ability (practice) in the control of 85% of choking with top practice ability. With this training, it is expected that all schools, especially PMR, will be able to carry out optimal handling of choking.