bluuebunny/crossref_metadata_2025_split huggingface dataset:
MORTALIDADE MATERNA POR DOENÇAS HIPERTENSIVAS NO PIAUÍ
Authors: De Oliveira Elton Filipe Pinheiro , Lima Ramos Andressa , Thais Pacheco Rodrigues Malvina 
Published: October 2020

Introdução: A mortalidade materna é considerada um problema de saúde pública, tendo a hipertensão arterial como umas das principais causas obstétricas diretas. Objetivo: Descrever o perfil epidemiológico da mortalidade materna por doença hipertensiva no Piauí, nos anos de 2007 a 2016. Métodos: Trata-se de um estudo descritivo, com abordagem quantitativa, que utilizou informações de óbitos maternos relacionados à hipertensão da base de dados do Sistema de Informação da Mortalidade e de nascidos vivos do Sistema de Informação sobre Nascidos Vivos dos anos de 2007 a 2016, no Piauí, disponíveis no DATASUS. Resultados: Dos 441 óbitos maternos, 103 (23,3%) foram relacionados à doença hipertensiva. A maioria dos óbitos ocorreu no interior do estado (86,4%), no ano de 2008 (20,4%), no hospital (88,3%), no puerpério (65,0%), sendo a eclâmpsia a principal causa de morte (67,0%). As mulheres que mais morreram foram as pardas (67,9%), casadas (29,1%) e solteiras (29,1%), na faixa etária de 20 a 29 anos (40,8%) e com 8 a 11 anos de estudo (20,4%). A Razão de Mortalidade Materna para o período foi de 20,8 mortes/100 mil nascidos vivos. Conclusões: As doenças hipertensivas constituem-se como uma das principais causas de óbito materno no Piauí, cuja implementação das políticas de enfrentamento vigentes não tem sido suficiente para determinar um padrão decrescente na ocorrência dos óbitos por essas causas.

Palavras-chave: Mortalidade materna. Hipertensão. Saúde da mulher.
Endocrine Disruptors and the Induction of Insulin Resistance
Authors: Vanni Rafael , Bussuan Renata Maksoud , Rombaldi Renato Luiz , Arbex Alberto K. 
Published: October 2020

Introduction:
The incidence of insulin resistance syndrome and type 2 diabetes mellitus has increased at an
alarming rate worldwide and constitutes a serious challenge to public health care in the 21st century. Endocrine disrupting
chemicals are defined as “substances or mixtures of substances that alter the endocrine system function[s] and, hence,
adversely affect organisms, their progeny, or [sub] populations” and may be associated with this increase in prevalence.

Objective:
This study aimed to assess the role of endocrine disrupting chemicals in insulin resistance and the importance
of approaching the subject during anamnesis.

Methods:
A full review of the literature regarding insulin resistance, type-2 diabetes and endocrine disruptors was
conducted.

Conclusion:
Large-scale production and distribution of endocrine disrupting chemicals coincide with the increase in
prevalence of insulin resistance globally. In recent years, studies have shown that endocrine disrupting chemicals are
positively associated with insulin resistance syndrome, evidenced by worse prognoses among individuals with higher
levels of exposure. Health professionals should recognize the forms of exposure, most susceptible people, and lifestyle
habits that can worsen patients’ prognoses.
Value of Coronary Calcium Scoring in Symptomatic and Asymptomatic Coronary Artery Disease Patients
Authors: Salem Hala T. , Sabek Eman A.S. 
Published: October 2020

Aim and Objective:
The study aimed to estimate the relationship between Coronary Calcium
Scoring (CCS) and the presence of different degrees of obstructive coronary artery disease
(CAD) to avoid unnecessary examinations and hence unnecessary radiation exposure and contrast
injection.

Background:
Coronary Calcium Scoring (CCS) is a test that uses x-ray equipment to produce pictures
of the coronary arteries to determine the degree of its narrowing by the build-up of calcified
plaques. Despite the lack of definitive data linking ionizing radiation with cancer, the American
Heart Association supports widely that practitioners of Computed tomography Coronary Angiography
(CTCA) should keep “patient radiation doses as low as reasonably achievable but consistent
with obtaining the desired medical information”.

Methods:
Data obtained from 275 CTCA examinations were reviewed. Radiation effective doses were estimated for both
CCS and CTCA, measures to keep it as low as possible were presented, CCS and Framingham risk estimate were
compared to the final results of CTCA to detect sensitivity and specificity of each one in detecting obstructive lesions.

Results:
CCS is a strong discriminator for obstructive CAD and can with high sensitivity and specificity and correlates
well with the degree of obstruction even more than Framingham risk estimate which has high sensitivity and low
specificity.

Conclusion:
CCS helps reducing the effective radiation dose if properly evaluated to skip unnecessary CTCA if
obstructive lesions was unlikely, and as a test does not use contrast material, harmful effect on the kidney will be avoided
as most of coronary atherosclerotic patients have renal problems.
Conservative Treatment of Hemorrhoidal Disease
Authors: Stratta Emanuela , Gallo Gaetano , Trompetto Mario 
Published: October 2020

Background:
Hemorrhoids are vascular cushions underlying the distal rectal mucosa
and contributing to approximately 15–20% of the resting anal pressure with a complete closure of
the anal canal. They can become pathological (hemorrhoidal disease, HD) being the most common
cause of painless rectal bleeding during defecation with or without prolapsing anal tissue. The treatment
of HD must be tailored to both the severity of disease and patient’s expectation.

Methods:
A narrative review of all the most relevant papers present on the three major databases
(PUBMED, EMBASE and WEB OF SCIENCE) regarding conservative treatment was conducted.

Results:
Conservative treatment is effective in managing the majority of patients complaining of
early stages of the disease. Dietary and lifestyle modifications are the first therapeutic step necessary
to achieve a regular defecation with soft stool whereas oral phlebotonic drugs can help to control
symptoms. The use of topical medications, particularly during the acute phase or in the post-operative
period can also be beneficial for all patients complaining of HD.

Conclusion:
Despite a large number of available products in the market and the high incidence of
HD, very few randomized controlled trials have been carried out and most of the studies are uncontrolled
case series. Larger and better designed studies are necessary to establish the real benefit of
all types of drugs for the treatment of early stages of HD.
Reconstruction of Pulpotomized Primary Molar and Retention of Stainless-steel Crowns: An In-vitro Study
Authors: Zareiyan Mehrshad , Molaasadolah Fatemeh , Haghgoo Roza , Ahmadi Rahil , Kahvand Mehrdad 
Published: October 2020

Background:
Stainless steel crowns are proposed to restore severely decayed teeth in pediatric dentistry. Yet, their retention is still debatable.

Objective:
This study aimed to investigate whether dental tissue reconstruction before placement of stainless steel crown on pulpotomized first primary molar affects the retention of stainless steel crowns.

Methods:
This experimental in-vitro study was performed on 30 extracted first primary molars with carious occlusal and distal surfaces. Dental caries and the pulp chamber roof were respectively removed. The stainless steel crowns were placed after tooth preparation. The samples were randomly divided into two groups (n=15) i.e, ZoE core buildup, and ZoE liner. Stainless steel crowns were cemented with self-curing glass ionomer cement. The crown retention was tested with the Instron testing machine. The two groups were compared by using SPSS software through the t-test (α=0.05).

Results:
The mean crown retention in the liner group (291.45±43.196 N) was significantly higher than that of the core buildup group (202.00±63.515 N) (P=0.001).

Conclusion:
Based on the results of this study for restoring the teeth with extensive tissue loss by SSC, ZoE should be used as lining without a core on teeth.
Forensic Odontology: Knowledge and Attitude of Dental Students in Ajman University, United Arab Emirates
Authors: Hashim Raghad , Salah Afraa , Odeh Ruba 
Published: October 2020

Aims:The aims of this study were to assess dental students’ knowledge and attitude with regard to forensic odontology and to determine students’ opinions in the current dental curriculum.Methods:This cross-sectional study was conducted among dental students at one of the main dental colleges in the United Arab Emirates; only dental students on their final year and internship were invited to participate. An online self-administrated questionnaire was used, which consisted of a set of 15 questions. All the data were entered into Microsoft Excel and then transferred into SPSS.Results:A total of 276 dental students contributed to this study. The highest percentage of correct responses stated by the students was related to the estimation of individuals’ age and estimation of dental age based on radiograph and eruption status. However, there were clear deficiencies in students’ knowledge in relation to other aspects such as gender identification and lip-print, palatal rugae as an indicator in forensic identification. A high percentage (84.8%) had no formal education in the field of forensic odontology. Moreover, 93.1% of the students agreed that their present knowledge about forensic odontology is inadequate. Most of the participants (95.0%) agreed upon the necessity of adding a module on forensic odontology to the current curriculum.Conclusion:Our study revealed inadequate knowledge among dental students in relation to forensic odontology. This lack of knowledge among them attributed to the lack of formal training, and lack of forensic odontology as a part of dental curriculum. Forensic odontology must be added to the undergraduate curriculum as a separate subject to enrich students’ knowledge and awareness toward medico-legal cases in their future careers.
Perceived Practitioner Barriers to the Management of Orofacial Pain in the Kingdom of Saudi Arabia: A Cross-sectional Study
Authors: Hadlaq Emad M. 
Published: October 2020

Background:Orofacial Pain (OFP) is a group of non-dental painful conditions affecting the oral cavity and facial area.Objectives:The objective of this study was to explore which barriers to manage the patient with chronic OFP as perceived by general dentistsversusdental specialists and to investigate whether if professionals with degrees from their home countryversusanother country or number of years of professional experience differ in their perceptions.Methods:A closed-end questionnaire was hand-delivered to 600 participants [300 general dentists and 300 dental specialists] in four major provinces in Saudi Arabia. Demographic data were expressed as frequency. Proportionalt-tests and chi-square tests were used to analyse intergroup differences. Statistical significance for all analyses was set at P-value < 0.05.Results:Overall, the response rate was 56.6% (340/600). Around two-thirds of the participants were general dentists (60.9%), while the remainder were dental specialists (39.1%). There was an obvious consensus by the participants that “Low payment/reimbursement” and “Lack of OFP knowledge” were among the most common barriers (85% and 83.5%, respectively). In contrast, “Legal risks” were the least frequently reported factor (38.8%). The most commonly reported barrier by general dentists was “Shortage of patients/lack of demand;” this was significantly different from the experience of dental specialists (87%vs. 72.2%; P- value < 0.01). In terms of the country of graduation or years of experience, there were no significant differences.Conclusion:The study demonstrates the existence of many significant barriers other than OFP knowledge, such as reimbursement, facility and demand that could present obstacles and challenges to the management of OFP by general dentists and dental specialists. Most participants believed that dentists should manage this condition and that OFP courses should be included in the dental school curriculum.
Female Sexual Dysfunction Among a Sample of Egyptian Patients with Asthma
Authors: Reda Mona , Ruby Dina 
Published: October 2020

Background:
Despite asthma being a worldwide disease, still little awareness regarding the sexual function of asthmatic patients exists. So this study attempts to assess the Female Sexual Dysfunction (FSD) amongst Egyptian females with asthma and its burden on their quality of life.

Materials & Methods:
The sample consisted of 180 subjects, comprising 90 asthma patients and 90 healthy controls aged between 20 - 45 years old, who visited the Chest Department Outpatient Clinic of Ain Shams University Hospital between January and December 2018. We reported all the subjects' demographic and clinical data; both groups answered an Arabic version of the Female Sexual Function Index (Ar FSFI) and World Health Organization Quality of Life Questionnaire abbreviated version (WHOQL-Bref).

Results:
90% of asthmatic females had FSD; total Female Sexual Function Index score was 12.956 ± 10.3 in asthmatic females compared to 25.423 ± 5.521 in healthy controls; 45.6% of asthmatic females with sexual dysfunction had moderate asthma and 86.4% had uncontrolled asthma, 40.1% of them had a low educational level and 80.2% were unemployed.

Conclusion:
Jobless females with severe uncontrolled asthma and a low educational level had higher sexual dysfunction and a poor quality of life.
Anti-Toxigenic Effect of Lactic Acid Bacteria Against Aspergillus spp Isolated from Wheat Grains
Authors: Fouad Mohamed T. , El-Desouky Tarek A. 
Published: October 2020

Introduction:
Many fungi infect the wheat grains. Under field and or storage conditions from temperature and humidity, some fungi can produce aflatoxins (AFs), which may cause acute or chronic diseases. Therefore, there is a necessary and urgent need to find an effective and safe way to reduce or remove AFs.

Objective:
The objective of this study was the evaluation of Lactobacillus rhamnosus, Lactobacillus gasseri, and Lactobacillus plantarum for their ability to reduce and or remove AFs produced by Aspergillus flavus and Aspergillus parasiticus, which were isolated from wheat grains, as well as control of AFs produced on affected wheat grain by A.parasiticus spores only.

Methods:
LAB, isolated from some local dairy products, were cultured in MRS for the evaluation of their ability to remove AFs, produced by A. flavus and A. parasiticus on (YES) media, in addition to the treatment of wheat grains by LAB cells to prevent AFs produced by A. parasiticus.

Results:
The L. rhamnosus strain gave the highest reduction rates of AFs produced by A. parasiticus that were 62.6, 44.4, 43.3, and 52.2% for AFG1, AFB1, AFG2, and AFB2, respectively. While in the case of A. flavus, the reduction was 50.4, 42.7, 40.6, and 36.8% in the same order of toxins. When applied, these strains with wheat grains were affected by A. parasiticus, the inhibition rates of AFs were ranged between 61.4 and 75.8% with L. rhamnosus strain and 43.7 to 52.1% with L. gasseri, while L. plantarum strain ranged from 55.5 to 66.9%.

Conclusion:
According to this study, L. rhamnosus is considered one of the best strains in this field. Therefore, the present study suggests applied use of LAB as a treatment to prevent AFs production in wheat grains.
Flexibilização dos direitos trabalhistas e as consequências para o trabalho docente
Authors: Costa Wander Medeiros Arena da , Souza Kellcia Rezende , Scaff Elisangela Alves da Silva 
Published: October 2020

O presente trabalho analisa as implicações da reforma trabalhista instituída pelas Leis 13.429/2017 e 13.467/2017, quanto ao trabalho docente nas instituições de ensino privado no Estado do Mato Grosso do Sul mediante os julgamentos Tribunal Regional do Trabalho da 24ª Região (TRT 24ª R.). Para tanto, a partir da abordagem quanti-qualitativa, foi realizada uma pesquisa bibliográfica e documental. As fontes analisadas dos documentos correspondem a legislação trabalhista a partir de 2016 até fração de 2019, bem como, os julgamentos das ações dessa matéria pelo TRT 24ª R. O tratamento desses dados se deu pela análise de conteúdos mediante categorização. O trato analítico se deu pela definição de três categorias, a saber: vínculo de emprego, acúmulo de funções e diferenças salariais. Identificamos que a temática do trabalho docente após a reforma trabalhista tem no Poder Judiciário uma instância de resistência ao implemento de medidas de fragilização das condições de trabalho.
Learning in the Oil Futures Markets: Evidence and Macroeconomic Implications
Authors:   Universite Laval, Moran Kevin , Vigfusson Robert J. ,   Federal Reserve Board of Governors, Leduc Sylvain ,   Federal Reserve Bank of San Francisco
Published: October 2020

Working Papers	2020-33	October 2020	Learning in the Oil Futures Markets: Evidence and Macroeconomic Implications Sylvain Leduc, Kevin Moran, Robert J. Vigfusson Using expectations embodied in oil futures prices, we examine how expectations are formed and how they affect the macroeconomic transmission of shocks. We show that an empirical framework in which investors form expectations by learning about the persistence of oil-price movements successfully replicates the fluctuations in oil-price futures since the late 1990s. We then embed this learning mechanism in a model with oil usage and storage. Estimating the model, we document that an increase in the persistence of TFP-driven fluctuations in oil demand largely account for investors' perceptions that oil-price movements became increasingly permanent during the 2000s before declining thereafter. We show that the presence of learning alters the macroeconomic impact of shocks, making the responses time-dependent and conditional on the views of economic agents about the shocks' likely persistence.
«Roses» and «thorns» of the international division of labor: dialogue with history and modernity
Authors: Ponuzhdaev E. A. , Shpilkina Tatiana A. 
Published: October 2020

The authors considered historical and topical issues of the international division of labor (MRT). The analysis and parallel of MRI data by ancient scientists, researchers, scientists and experts of the XVIII, XIX, and XXI centuries. On the example of the European Union countries Greece, Spain and Portugal, the analysis of GDP, wages and unemployment as key indicators that characterize the economy of countries is carried out. The historical «cycle» of social structures is given and the dynamics of the ratio of the upper (B), middle (C) and lower (H) classes is shown.
It shows the current problems of world markets, taking into account sanctions, trade wars and the consequences of the pandemic. Prospects for the national division of labor (NDT) are defined.
Dürr, Christian (2017). Memorias incómodas. El dispositivo de la desaparición y el testimonio de los sobrevivientes de los Centros Clandestinos de Detención, Tortura y Exterminio. Temperley: Tren en Movimiento, 224 pp.
Authors: Wrobel Iván 
Published: October 2020

Revisión del libro Memorias incómodas. El dispositivo de la desaparición y el testimonio de los sobrevivientes de los Centros Clandestinos de Detención, Tortura y Exterminio por C. Dürr
Imaginación psico-biológica de la nación: el uso político y disciplinar de la temporalidad en la construcción de la imagen psiquiátrica del indígena, la producción de objetos de saber psiquiátrico y la imaginería nacional en Quito-Ecuador de mediados del siglo XX
Authors: Hidalgo Méndez Marlon Fabricio 
Published: October 2020

Reseña de la tesis Imaginación psico-biológica de la nación: el uso político y disciplinar de la temporalidad en la construcción de la imagen psiquiátrica del indígena, la producción de objetos de saber psiquiátrico y la imaginería nacional en Quito-Ecuador de mediados del siglo XX. Defensa de Tesis: : 2 de mayo de 2019Director: : Mg. Enrique Garguín, co-director: Prof. Rafael Pablo Bonilla
Manajemen Supervisi Akademik dalam Peningkatan Kinerja Guru (Studi Kualitatif di Madrasah Aliyah Negeri Kabupaten Karawang)
Authors: Sundulusi Cecep Bin 
Published: October 2020

Manajemen Supervisi Akademik Dalam Peningkatan Kinerja Guru. Penelitian ini dilator belakangi rendahnya kinerja guru dalam melaksanakan tugas dan fungsinya, hal ini terungkap secara nasional dalam uji kompetensi guru yang dilaksanakan pemerintah dan masih banyak kenyataan guru melaksanakan kegiatan mengajarnya saja tidak dengan dedikasi dan inovasi itupun masih banyak yang bermalas-malasan. Penelitian ini ditujukan untuk mengetahui manajemen supervisi akademik yang dilakukan pengawas di madrasah aliyah negeri, implementasi supervisi akademik dalam peningkatan kinerja guru, untuk mengetahui masalah dan kelemahan dalam melaksankan supervisi akademik dan untuk mengetahui upaya dan langkah perbaikan yang dilakukan pengawas dalam meningkatkan kinerja guru di Madrasah manajemen Aliyah Negeri 1 dan 4 Karawang. Penelitian ini berlandaskan teori Tery (1986), teori Robin and Coulter (2009) tentang fungsi-fungsi manajemen, teori supervisi Wiles (2002) Farmer and Farmer (1989) tentang model supervisi, teori Bernardin dan Russel (2002) tentang kinerja. Metode yang digunakan dalam penelitian ini dengan menggunakan pendekatan kualitatif. Upaya dan langkah-langkah perbaikan dari masalah yang dihadapi pengawas dan kelemahannya dalam melaksanakan supervisi akademik untuk peningkatan kinerja guru, yang lebih mengarah pada peningkatan kompetensi personal pengawas, kemauan guru untuk termotivasi dan merubah menuju peningkatan kinerja Perbaikan prosedur dan berusaha mengsulkan kepada para pemangku kebijakan untuk mendukung peningkatan profesionalitas guru. Penilaian kinerja merupakan sistem formal yang digunakan untuk menilai kinerja secara periodik, dan hasilnya dapat digunakan untuk pengambilan keputusan dalamrangka pengembangan, pemberian reward (penghargaan), perencanaan, pemberian kompensasi dan motivasi. Kata Kunci: Kinerja, Suvervisi, Akademik dan Kinerja guru
PERSEPSI MAHASISWA STIE SUTAATMADJA TERHADAP DIMENSI KUALITAS PELAYANAN BANDARA
Authors: Nursya'adah Dena , Kurniawan Asep 
Published: October 2020

Perubahan sistem nilai pelayanan jasa penerbangan saat ini ditandai dengan fenomena bahwa pengguna jasa penerbangan tidak hanya menginginkan sekedar sampai tempat tujuan, namun juga menginginkan pelayanan dan pengalaman di bandara yang memuaskan. Penelitian yang dilakukan bertujuan untuk mengetahui persepsi penumpang dalam menilai setiap atribut dimensi kualitas pelayanan bandara yang diukur berdasarkan tujuh dimensi kualitas (akses bandara, layanan dan fasilitas bandara, fasilitas restoran bandara, fasilitas belanja bandara, personil layanan dan keamanan bandara, lingkungan bandara dan layanan imigrasi dan bea cukai) terhadap kualitas Soekarno Hatta International Airport (SHIA) dan Kuala Lumpur International Airport dua (KLIA II). Jenis penelitian yang digunakan yaitu kuantitatif deskriptif dengan instrumen penelitian kuesioner. Sampel dalam penelitian ini yaitu mahasiswa peserta KKL STIE Sutaatmadja. Teknik analisis data yang digunakan adalah uji validitas dan reliabilitas, uji asumsi klasik dan uji hipotesis (uji t dan uji f). Hasil uji hipotesis secara parsial menunjukan dari ketujuh dimensi kualitas untuk SHIA terdapat tiga dimensi kualitas yang berpengaruh positif signifikan terhadap evaluasi layanan bandara diantaranya kualitas akses bandara, lingkungan bandara dan layanan imigrasi dan bea cukai. Untuk KLIA II terdapat tiga dimensi kualitas yang berpengaruh positif signifikan terhadap evaluasi layanan bandara diantaranya kualitas layanan dan fasilitas bandara, personil layanan dan keamanan bandara dan layanan imigrasi dan bea cukai. Kemudian secara simultan baik untuk SHIA maupun KLIA II, ketujuh dimensi kualitas berpengaruh positif signifikan terhadap evaluasi layanan.