bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Effect of Exclusive Breastfeeding on Illness Frequency of The Baby
Authors: Amalia Rizki 
Published: November 2020

Exclusive breastfeeding is the most suitable nutrient for babies for 0-6 months. In reality, exclusive breastfeeding is still far from the expected target. Meanwhile, it was still found that many numbers of ill babies visit. This study aims to find out the illness frequency difference between the 2 year ill babies who got exclusive breastfeeding and babies who did not get exclusive breastfeeding. This research was a retrospective analytical study. The average number of illness frequency of 2 year ill babies was 5 times. After being analyzed, it was obtained that p = 0.030 Ho Ho was rejected and H1 was accepted. Bthat there is difference between the 2 year ill babies who got exclusive breastfeeding and babies who did not get exclusive breastfeeding. It means that exclusive breastfeeding can affect the illness frequency of baby. Therefore, it is recommended that breastfeeding mothers should give exclusive breastfeeding to their babies
Colorectal bradyarrhythmia syndrome as a predictor of metabolic syndrome
Authors: Shemerovskii K. A. , Fedorets V. N. , Seliverstov P. V. , Bakaeva S. R. 
Published: November 2020

Evidence is presented for a signiﬁcantly wider spread of the ﬁrst two stages (mild and moderate) Colorectal Bradyarrhythmia Syndrome (CBS) compared with the third (severe — constipation) stage of this syndrome. Surveyed more than 2,500 medical professionals by the method of chronoenterographia. It was found that the incidence of mild CBS (about 60% of cases) and moderate stage of this syndrome (about 30% of cases) is almost an order of magnitude higher than the incidence of severe stage (about 10% of cases) of CBS. SCB has been shown to increase the risk of obesity by almost 3 times. It is shown that CBS contributes to a decrease in well-being, activity and mood, as well as a decrease in the quality of life. Screening for CBS and normalizing the circadian bowel rhythm with psyllium (mucofalc) in individuals who consider themselves healthy may contribute to early prevention of the risk of the metabolic syndrome.
Contextualiser le management africain ? Oui, mais comment ?
Authors: Livian Yves F. 
Published: November 2020

Absente pendant longtemps d’une conception orthodoxe des sciences de gestion, la nécessité de « contextualiser » s’impose dès que l’on s’intéresse à l’Afrique. Les concepts classiques du management, mais aussi les notions alternatives présentées comme originales émanent de recherches internationales et soulèvent la question du cadre théorique utilisable pour fonder un ancrage sur ce continent. L’article présente l’intérêt et les limites de trois pôles théoriques utilisables pour situer une recherche dans un « contexte africain » : le pôle « culturaliste », le pôle « institutionnaliste » et le pôle « post-colonial », avant de dégager quelques pistes d’action.
Synthesis and reactions of alkenyl-gem-dichlorocyclopropanes obtained from piperylene
Authors: Musin A. I. , Borisova Yu. G. , Raskil’dina G. Z. , Rabaev R. U. , Daminev R. R. , Zlotskii S. S. 
Published: November 2020

Objectives. This study aims to obtain alkenyl-gem-dichlorocyclopropanes from piperylene. The products are then subjected to thermocatalytic isomerization and hydrogenation.Methods. To determine the qualitative and quantitative composition of the reaction crudes, the following analytical methods were used: gas-liquid chromatography using the Crystal 2000 hardware complex, mass spectrometry using a Chromatec-Crystal 5000M device with the NIST 2012 database, and nuclear magnetic resonance (NMR) spectroscopy using a Bruker AM-500 device at operating frequencies of 500 and 125 MHz.Results. Alkenyl-gem-dichlorocyclopropanes were synthesized in the presence of triethylbenzyl ammonium chloride as catalyst. Their isomerization and hydrogenation gave the corresponding gem-dichlorocyclopentene and isomers of alkyl-gem-dichlorocyclopropanes. The structure of synthesized substances were analyzed by gas-liquid chromatography, mass spectrometry, and NMR spectroscopy.Conclusions. The results show that formation of four isomeric substituted gemdichlorocyclopropanes occurs in high yield during incomplete dichlorocyclopropanation of piperylene. The thermocatalytic isomerization of substituted gem-dichlorocyclopropanes in the presence of SAPO-34 zeolite leads to the formation of one product, i.e., gem-dichlorocyclopentene, and hydrogenation of substituted gem-dichlorocyclopropanes in the presence of Pd/C catalyst gives three isomeric alkyl-gem-dichlorocyclopropanes.
PENGARUH KUALITAS PELAYANAN DAN FASILITAS TERHADAP KEPUASAN BELAJAR SISWA SMK YADIKA 5 PONDOK AREN
Authors: Susanti Novia , Dewi Susi Ayuna 
Published: November 2020

Tujuan penelitian ini untuk mengetahui pengaruh kualitas pelayanan dan fasilitas terhadap kepuasan belajar siswa SMK YADIKA 5 Pondok Aren. Populasi dalam penelitian ini berjumlah 572 siswa sedangkan sampel yang diambil sebanyak 85 siswa menggunakan rumus slovin. Metode penelitian yang digunakan asosiatif kuantitatif dengan pengumpulan data observasi, kuesioner dan studi kepustakaan. Metode analisa data menggunakan analisis deskiptif, uji validitas, uji reabilitas, uji normalitas, uji multikolinieritas, uji heterokedastisitas, uji regresi linier sederhana, uji resresi linier berganda, uji koefisien korelasi, uji koefisien determinasi, uji uji-t dan uji F (simultan). Hasil penelitian diperoleh bahwa secara parsial dan simultan kualitas pelayanan dan fasilitas berpengaruh signifikan terhadap kepuasan belajar siswa SMK Yadika 5 Pondok Aren.Di dukung dengan persamaan Y= 5.677+0.32X1+0.48X2 dan nilai Fhitung 34.557 > Ftabel 2.36. Sedangkan besarnya konstribusi kualitas layanan dan faslitas terhadap kepuasan belajar sebesar sebesar 46.6%.Kata Kunci: Kualitas Pelayanan; Fasilitas; Kepuasan siswa
Pengaruh Terapi Aktifitas Kelompok Stimulasi Sensori Terhadap Psikososial Lanjut Usia Di Panti Werdha Himo-Himo Kota Ternate Tahun 2019
Authors: Krisnawati Arini 
Published: November 2020

Keadaan kemunduran kondisi lansia dapat menimbulkan gangguan keseimbangan sehingga membawa lansia kearah kemerosotan yang progresif terutama aspek psikologis. Terapi aktivitas kelompok merupakan salah satu terapi modalitas yang dilakukan perawat terhadap sekelompok klien yang mempunyai masalah keperawatan yang sama, aktifitas digunakan sebagai terapi dan kelompok digunakan sebagai target asuhan. Didalam kelompok terjadi dinamika interaksi yang saling bergantung, saling membutuhkan dan menjadi laboratorium tempat klien berlatih prilaku baru yang adaptif untuk memperbaiki perilaku lama yang maladaktif. Metode penelitian menggunakan kuantitatif dengan desain quasi eksperimen design menggunakan pre-post test control group. Sampel digunakan dengan purposive sampling berjumlah 40 orang. Pengambilan data menggunakan teknik observasi dan wawancara terbimbing. Lembar observasi psikososial lanjut usia dikembangkan menjadi 18 pengamatan dan setiap pengamatan diperlukan pilihan alternatif jawaban. Analisis data menggunakan uji Wilcoxon. Hasil uji data diperoleh p-value 0,000, maka H1 diterima dan H0 ditolak karena nilai p kurang dari 0,05 artinya terdapat Pengaruh Terapi Aktifitas Kelompok Stimulasi Sensori Terhadap Psikososial Lanjut Usia di Panti Werdha Himo-Himo Kota Ternate tahun 2019. Aktifitas kelompok stimulasi sensori sebaiknya disesuaikan dengan kemampuan lansia dan harus yang disenangi lansia dan sesuai dengan kondisinya
UPAYA PENCEGAHAN ANEMIA MELALUI PEMERIKSAAN LABORATORIUM DAN PENYULUHAN DI KELURAHAN TALANG JAMBE PALEMBANG TAHUN 2019
Authors: Harianja Sri Hartini 
Published: November 2020

Anemia merupakan salah satu masalah kesehatan di seluruh dunia terutama negara berkembang yang diperkirakan 30% penduduk dunia menderita anemia. Anemia adalah penurunan kadar hemoglobin < 12 g/dL untuk perempuan dan < 13 g/dL untuk laki-laki.Anemia dan infeksi kecacingan merupakan masalah yang saling terkait dan sering dijumpai bersamaan dalam masyarakat. Rendahnya sosial ekonomi dalam masyarakat dan sanitasi lingkungan yang tidak memadai memudahkan terjadinya penyakit infeksi terutama infeksi kecacingan. Iklim, kualitas tanah dan kebersihan pribadi juga turut memfasilitasi terjadinya infeksi terutama infeksi kecacingan. Pembuat batu bata di Kelurahan Talang Jambe yang dimana kesehariannya selalu berhubungan dengan tanah yang merupakan bahan baku pembuatan batu bata. Interaksi antara Anemia dan infeksi kecacingan sudah banyak terungkap dari berbagai penelitian, masing masing saling memberikan kontribusi terhadap terjadinya kesakitan. Tujuan dari kegitan pengabdian masyarakat ini adalah salah satu upaya pencegahan anemia melalui pemeriksaan laboratorium dan penyuluhan di Kelurahan Talang Jambe Palembang. Kegiatan dilaksanakan pada hari Selasa, 22 Oktober 2019 dihadiri oleh 3 dosen, 5 mahasiswa, 38 responden pralansia dan lansia, petugas kelurahan dan petugas posyandu lansia. Bentuk kegiatan pengabdian masyarakat ini berupa penyuluhan melalui pemaparan materi dan memberikan pelayanan gratis berupa pemeriksaan hemoglobin kepada seluruh peserta yang hadir. Peserta memperoleh manfaat edukasi pentingnya mengetahui cara pencegahan anemia akibat penyakit kecacingan dan masing masing peserta mengetahui kadar hemoglobin yang diberikan oleh petugas. Ada beberapa peserta pralansia maupun lansia yang mengalami anemia.
Historia Cultural de la Educación Especial en Chihuahua: Transformación de su cultura escolar 1970-2015
Authors: Ponce Ramírez Fernando 
Published: November 2020

En el área de investigaciones relacionadas con la Historeografía de la educación, la mayoría de los estudios se ubican en las tendencias de narración simple de los hechos pasados, sobrevaloración de los documentos oficiales y destacamiento de personajes importantes. Frente esta prevalencia investigativa, una nueva perspectiva de hacer historia, rescata las representaciones culturuales de los sujetos comunes. Esta tendencia es llamada “Historia cultural”, que estudia significados dentro de un espacio particular y el contacto de estos en el mundo social, donde son llenados de sentidos dados por representaciones prácticas y sociales del sujeto. En el caso de la Educación especial, los estudios historiográficos mayoritariamente se ubican también, en las tendencias tradicionales propias del historicismo, al carecer de un soporte sólido en representaciones, discursos compilados y documentados de lo sucedido en el periodo de tiempo que se pretende abordar. Sobresalen los estudios que se enmarcan desde los saberes modernos de la psicología, pedagogía, así como las que refieren al estudio de los modelos de integración e inclusión. Es desde esta última tesis que surge la necesidad de efectuar una investigación historiográfica que busca darle voz a los sujetos de la educación especial involucrados en la cotidianidad y las regularidades de la experiencia vivida día con día, describiendo lastransformaciones se han producido en las prácticas educativas de educación especial en Chihuahua durante el periodo 1970-2015, desde una visión histórica cultural, mediante el análisis de entrevistas a profundidad, y la revisión de evidencias que se rescatan de ese periodo de tiempo.
Perspectiva de género en el sistema educativo según la percepción de los estudiantes de educación superior
Authors: Ortiz Aragón Armando , Mollinedo Montaño Fabiana Esther 
Published: November 2020

La perspectiva de género a iniciativa del Instituto Nacional de las Mujeres y con el impulso de la Secretaria de Educación se aplica en el sistema educativo considerando la escuela como un efectivo medio de trasmisión de valores, un espacio de sociabilización con reglas que moldean al individuo, caracterizado por el hecho de que aún sin proponérselo tiende a reproducir el sistema social existente. Las Instituciones pertenecientes al sistema de educación pueden recibir por parte del INMUJERES la certificación en el Modelo de Equidad de Género (MEG) cuando incorporan estrategias de género en sus políticas internas e instrumentan acciones afirmativas. Con el objetivo de identificar cómo consideran los estudiantes de licenciatura que la perspectiva de género influye en su desarrollo académico y humano, así como la valoración de la importancia que otorgan a las acciones afirmativas de género llevadas por parte de la administración, se realizó una investigación en la Universidad Juárez del Estado de Durango (UJED) y el Instituto Tecnológico de Durango (ITD). Como principales resultados se tiene que los encuestados consideran que el desempeño académico está en función de sus condiciones personales, que su trato con la diversidad y la equidad de género en las actividades académicas son producto de su propia decisión de convivencia y no de acciones afirmativas de la normatividad institucional, además de que las decisiones de la administración, como el caso de la poca flexibilidad en los horarios de estudio, no contribuyen a evitar problemas como la deserción o a resolver dificultades extra académicas.
Clinical Scenario of Venerophobia in Patients Presenting in Outpatient Department
Authors: KC Shekhar , Adhikary Manoj , Karn Dharmendra 
Published: November 2020

Background: Venereophobia is fear of getting sexually transmitted disease after first or repeated unprotected sexual activities with unsafe or safe partners. This study aims to study the epidemiological profile, varying clinical presentations and spectrum of psychiatric diagnoses among venereophobia patients
Methods: A cross-sectional, prospective and observational study was conducted among 72 consecutive patients of venereophobia. Patients with symptoms of fear of sexually transmitted infections were evaluated with relevant history and genital examination. Additionally psychiatric evaluation was done for associated diagnoses. Patients with symptoms and clinical signs of sexually transmitted infections were excluded from the study.
Results: A total of 68 male and 4 females presented with the symptoms. The mean age of presentation was 25.85±5.15 years. Most of them were either servicemen (38.8%) followed by students (23.6%). After a mean time of 11±10.44 days of sexual activity, patients developed symptoms. Common presentations were genital papules (25%), slough (22.2%) and genital itchy sensation (15.3%). A total of 23(33.8%) patients visited to commercial sex workers with mean spells of visiting 3.2±2.67 times. Factors as regular use of condom and knowledge of overall STI was lacking; while self investigation and multiple doctor visit was common. Pearly penile papule 18(25%) was the commonest diagnosis made on clinical examination. A total of 43 (59.7%) cases were diagnosed with psychiatric conditions, most common being anxiety neurosis (58.1%).
Conclusions: Venereophobia was commonly found to be associated with psychiatric illnesses. A proper anamnesis, genital and psychiatric evaluation of this common entity may prevent misdiagnosis and associated complications.
Keywords: Phobia; sexually transmitted infections; venereal
Fatores associados ao ganho de peso na gestação e seus desfechos
Authors: Stevanato Kely Paviani , Soares Bárbara Madeira Buscarato , Agnolo Cátia Millene Dell , Santos Lander dos , Pelloso Fernando Castilho , Pereira Marcela Andrade , Carvalho Maria Dalva de Barros , Pelloso Sandra Marisa 
Published: November 2020

A obesidade tem aumentado drasticamente nos últimos anos, tornando-se um grave problema de saúde pública. Este estudo objetivou analisar o ganho de peso durante a gestação, os fatores associados e seus desfechos. Estudo descritivo, transversal, realizado com mulheres em pós-parto mediato, em uma maternidade de referência do município de Maringá-PR, no período de 1 a 30 de março de 2018. A coleta de dados foi realizada por meio dos registros no cartão da gestante, prontuários da mulher e do recém-nascido e por um questionário estruturado. As variáveis associadas ao ganho de peso durante a gestação foram número de gestações (p=0,003) e paridade (p=0,041). Mulheres com obesidade prévia à gestação obtiveram maior prevalência de ganho de peso excessivo durante a gestação. Com base nos resultados do presente estudo, conclui-se que o ganho de peso excessivo durante a gestação foi maior entre mulheres primíparas e primigestas. Sugere-se novos estudos sobre a temática para que forneça subsídios para ao planejamento de ações voltadas ao controle do ganho de peso durante a gestação.
Population Pharmacokinetics of Phosphocreatine and Its Metabolite Creatine in Children With Myocarditis
Authors: He Huan , Zhang Meng , Zhao Li-bo , Sun Ning , Zhang Yi , Yuan Yue , Wang Xiao-ling 
Published: November 2020

Objective:This study aimed to develop a parent-metabolite joint population pharmacokinetic model to characterize the pharmacokinetic (PK) profile for phosphocreatine (PCr) and its metabolite creatine (Cr) in children with myocarditis and to use this model to study the PK profile of different dosing schemes.Methods:One hundred pediatric patients with myocarditis were enrolled. Blood samples were collected at baseline and approximately 30, 40 or 50, 75, and 180 min after a single dose of phosphocreatine sodium. Plasma PCr and Cr concentrations were determined using an HPLC-MS/MS method. A nonlinear mixed effect model approach was used to build the population pharmacokinetic model. After validation, the model was used for simulations to evaluate the PK profile of different dosing schemes.Results:A total of 997 plasma concentrations (498 for PCr and 499 for Cr) were included in the analysis. A four-compartment chain model (central and peripheral compartments for both PCr and Cr) with the first-order elimination adequately characterized thein vivoprocess of PCr and Cr. Allometric scaling based on bodyweight was applied to the PK parameters. The covariate analysis identified that the glomerular filtration rate (GFR) was strongly associated with Cr clearance. Bootstrapping and visual predictive checks suggested that a robust and reliable pharmacokinetic model was developed. The simulation results showed that PCr had no accumulationin vivo. With the infusion of PCr, the concentration of Cr increased rapidly.Conclusion:A joint population pharmacokinetic model for PCr and Cr in pediatric patients with myocarditis was successfully developed for the first time.
Correlation of the Plasma Concentration of Eltrombopag With Efficacy in the Treatment of Refractory Aplastic Anemia: A Single-Centre Study in China
Authors: Zuo Wei , Zhang Bo , Ruan Jing , Chen Miao , Han Bing 
Published: November 2020

Background and purpose: Eltrombopag (ELT) can be effective in the treatment of relapse/refractory aplastic anemia (AA) patients. Responses and adverse drug reactions (ADRs) differed greatly among individuals treated at the same dosage of ELT.Methods: Patients diagnosed with nonsevere aplastic anemia (NSAA) between January 2018 and January 2019 in Peking Union Medical Colleague Hospital who were refractory to immunosuppressive therapy were treated with ELT and followed up for at least 6 months. Plasma concentrations of ELT were detected by high-performance liquid chromatography-mass spectrometry after at least two months of ELT treatment and treatment at the same dosage for at least 2 weeks. The dose-concentration, concentration-response and concentration-ADR relationships were evaluated.Results: Among the 72 patients treated with ELT during the study period, 44 patients with complete data were enrolled. Six (13.6%) were males, and 38 were females (86.4%), with a median age of 54 years [interquartile range (IQR): 38.5–63]. At the time the ELT plasma concentration was detected, the median dosage of ELT was 75 (IQR 50–100) mg/d, the median time of total ELT exposure was 3 (IQR 2.0–6.0) months, and 37 (70.5%) patients had responded to ELT. The median concentration of ELT was 10.4 μg/ml (IQR 3.7–24.4 μg/ml). The concentration of ELT was positively correlated with the daily dose of ELT (r = 0.68, p &lt; 0.001). Multivariate logistic regression analysis showed that the risk of inefficacy of ELT at a concentration between 11.2 and 15.2 μg/ml was 0.028-fold (95% CI: 0.001–0.864; p = 0.041) of that at a concentration between 3.2 and 7.2 μg/ml. The cutoff value for the concentration of ELT showing efficacy was 12.50 μg/ml according to the receiver operation characteristic curve. A higher risk of ADR was related to a longer total exposure to ELT (p = 0.012). Although the correlation was not significant, the odds ratio increased with the ELT concentration, suggesting that it was possible that an elevated risk of ADR was correlated with the ELT blood concentration.Conclusion: ELT is effective for the treatment of NSAA and has acceptable side effects. The plasma concentration of ELT was correlated with the dose and the effects of ELT.
Sensitization to food allergens in vegetarian children
Authors: Yasakov D. S. , Makarova S. G. , Snovskaya M. A. 
Published: November 2020

Objective. The objective is to analyze the features of sensitization to food allergens in vegetarian children.Methods: 210 children aged from 3 months to 17 years and 11 months old: vegetarians with at least 6 months vegetarian experience (n = 129) and children receiving a traditional diet (n = 81) were examined. The level of specific immunoglobulin E of blood serum to cow milk protein, soy, beef, pork, chicken, fish (cod), egg white and wheat was determined.Results: The rate of sensitization to food allergen in vegetarian children did not statistically differ from that of a comparison group (18.6 against 17.3 %, p>0.05). The correlation analysis showed a slight association between vegetarian diet and the level of specific immunoglobulin E only for soy protein (r = 0.22, p<0.05).Conclusions: The obtained results speak of higher risk of sensitization to soy in vegetarian children.
Surgical treatment of solitary bone cysts in children by parietal resection with plastic reconstruction with bone replacement materials
Authors: Busarov S. V. , Zolotov A. S. 
Published: November 2020

Objective. The study objective is to assess the effectiveness of bone cysts treatment by parietal resection of a bone cyst with plastic reconstruction with bone replacement materials.Methods: We have analyzed surgical treatment of 13 patients aged from 6 to 16 years with the diagnosis “solitary bone cyst”. As bone replacement material we used “Osteomatriks” (9 cases), (2 cases) and Chronos (2 cases). Surgical operations were performed in the active stage of cyst in eight patients and in the passive stage – five patients. To assess the results of treatment we used radiological criteria C.S. Neer et al. (1973).Results: Recovery was registered in 11 cases, residual cavity – in 1 case, relapse – in 1 case.Conclusions: Parietal resection with plastic reconstruction with bone replacement materials is a quite effective method of treatment of solitary cysts in children. In this case “Osteomatriks” can be an alternative to more expensive and less available materials.
The role of laparoscopy in optimization of blunt abdominal trauma treatment in children and adolescents
Authors: Shapkina A. N. , Kozlova M. V. 
Published: November 2020

Objective. The study objective is to analyze the results of blunt abdominal trauma treatment in children and adolescents with an emphasis on the possibilities of minimally invasive surgery.Methods: The results of treatment of 129 patients aged from 3 to 17 with injured internal organs due to blunt abdominal trauma were retrospectively analyzed.Results: Medical therapy was effective in 74.6% of cases. Surgery was limited to a laparoscopy access in 13 cases (10.7%), open surgery was required to 18 patients (14.7%). One fatal outcome associated with the massive blood loss was registered.Conclusions: The algorithm of treatment of blunt abdominal traumas, used over the last years and including laparoscopy in hemodynamically stable patients, allowed avoiding laparotomy in 85.3% of cases.