bluuebunny/crossref_metadata_2025_split huggingface dataset:
Case Report: Cutaneous Leishmaniasis Misdiagnosed as Pyoderma Gangrenosum
Authors: Di Altobrando Ambra , Misciali Cosimo , Raone Beatrice , Attard Luciano , Gaspari Valeria 
Published: December 2020

ABSTRACTWith an estimated prevalence of 0.7%, pyoderma gangrenosum (PG) is the most frequent type of reactive skin lesions seen in the setting of inflammatory bowel disease, together with metastatic Crohn’s disease. However, in the case of persistent cutaneous ulcerations in patients with Crohn’s disease under biologic and/or immunosuppressive therapy, infectious or malignant etiologies should be excluded. We report a case of multiple difficult-to-treat skin ulcerations due to Leishmania in a patient with Crohn’s disease treated with antitumor necrosis factor-alpha drugs, misinterpreted for a long time as PG.
Case Report: Emergence of Candida auris in the Indian Ocean Region
Authors: Levy Yaël , Miltgen Guillaume , Rousseau Alexandra , Lugagne Nathalie , Teysseyre Laura , Traversier Nicolas , Desnos-Ollivier Marie , Allou Nicolas , Allyn Jérôme 
Published: December 2020

ABSTRACTCandida auris is an emerging multidrug-resistant yeast that can cause severe infections and spread easily between hospitalized patients, leading to outbreaks in hospital. Here, we report the first four cases of colonization and invasive infection with C. auris reported in the Indian Ocean region. All cases were observed in the French overseas Reunion Island, a very popular destination for European travelers. Three patients had urinary tract or skin colonization, and one had a fatal invasive infection. In three cases, including that of the infected patient, the yeast was not initially identified as C. auris, preventing specific hygiene measures to be implemented as suggested in the December 2016 clinical alert to European healthcare facilities. The infected patient likely acquired C. auris in the intensive care unit from the first colonized patient. This is the first case of C. auris infection and the first potential case of nosocomial transmission of the pathogen to be reported in the French overseas Reunion Island.
Lung Ultrasound for Detection of Pulmonary Complications in Critically Ill Obstetric Patients in a Resource-Limited Setting
Authors: Pisani Luigi , De Nicolo Anna , Schiavone Marcella , Adeniji Adetunji O. , De Palma Angela , Di Gennaro Francesco , Emuveyan Edward Ejiro , Grasso Salvatore , Henwood Patricia C. , Koroma Alimamy P. , Leopold Stije , Marotta Claudia , Marulli Giuseppe , Putoto Giovanni , Pisani Enzo , Russel James , Serpa Neto Ary , Dondorp Arjen M. , Hanciles Eva , Koroma Michael M. , Schultz Marcus J. 
Published: December 2020

ABSTRACTCritically ill parturients have an increased risk of developing pulmonary complications. Lung ultrasound (LUS) could be effective in addressing the cause of respiratory distress in resource-limited settings with high maternal mortality. We aimed to determine the frequency, timing of appearance, and type of pulmonary complications in critically ill parturients in an obstetric unit in Sierra Leone. In this prospective observational study, LUS examinations were performed on admission, after 24 and 48 hours, and in case of respiratory deterioration. Primary endpoint was the proportion of parturients with one or more pulmonary complications, stratified for the presence of respiratory distress. Secondary endpoints included timing and types of complications, and their association with “poor outcome,” defined as a composite of transfer for escalation of care or death. Of 166 patients enrolled, 35 patients (21% [95% CI: 15–28]) had one or more pulmonary complications, the majority diagnosed on admission. Acute respiratory distress syndrome (period prevalence 4%) and hydrostatic pulmonary edema (4%) were only observed in patients with respiratory distress. Pneumonia (2%), atelectasis (10%), and pleural effusion (7%) were present, irrespective of respiratory distress. When ultrasound excluded pulmonary complications, respiratory distress was related to anemia or metabolic acidosis. Pulmonary complications were associated with an increased risk of poor outcome (odds ratio: 5.0; 95% CI: 1.7–14.6; P = 0.003). In critically ill parturients in a resource-limited obstetric unit, LUS contributed to address the cause of respiratory distress by identifying or excluding pulmonary complications. These were associated with a poor outcome.
As angústias da escolha
Authors: Amorim Melo Alvim Luiza Beatriz 
Published: December 2020

O livro Rostos de Bergman: vida e morte em um plano é constituído de textos de diversos autores em torno de sete filmes (Morangos silvestres, O sétimo selo, Gritos e sussurros, A hora do Lobo, Persona, Sonata de outono e Saraband). Após um primeiro texto sobre Morangos silvestres, o livro está organizado em três blocos de duplas de filmes, como os duetos do último filme de Bergman, Saraband. Entre textos de apresentação e textos analíticos, de vieses filosóficos, psicanalíticos e outros, a coletânea nos traz rostos imagéticos e sonoros da vida e da morte, duo fundamental na obra do diretor sueco.
Dacia Maraini: Hijos abusados y madres silenciadas
Authors: González Rodríguez Begoña 
Published: December 2020

Dacia Maraini ha trasladado a sus obras la cruda realidad de muchos niños que viven atrapados en las redes de hombres que cometen sobre ellos abusos sexuales y con quienes comparten su día a día. De manera indirecta las madres de esos niños también son prisioneras de esa violencia por parte de sus parejas. Este trabajo pretende analizar a través de cuatro relatos de Dacia Maraini, el papel de las madres ante el abuso sexual de sus hijos. Tanto si son cómplices, como si se enfrentan a los abusadores, poniéndose de parte de los hijos, las madres cargan con el peso de la culpa, lo que supone a veces la destrucción de sus propias vidas.
The Effect of Extract of Canarian Nuts on Reduction of Total Cholesterol Levels of Hyperglicemic Rat
Authors: Pebriani Reski , Jafar Nurhaedar , Wahiduddin Wahiduddin , Hidayanti Healthy , Burhanuddin Burhanuddin , Salamah Ummu 
Published: December 2020

This study aims to determine the effect of walnut extract (Canarium indica) on the total cholesterol levels of hyperglycemic Wistar rats (Rattus norvegicus L). Experimental research with pre-post-test control design. The samples in this study were 28 rats induced by alloxan to become hyperglycemic. The test animals were divided into four groups, each consisting of seven: negative control (Na CMC 1%), positive control (metformin 150 mg / Kg BW), walnut extract group 300 mg / Kg BW (0.06g / 200gr BW), and extract 600 mg / Kg BW (0.12 / 200g BW). The intervention was given walnut extract for 21 days. Total cholesterol levels were measured by the Easytouch Multi-Monitoring System. This study used SPSS with paired t-test and ANOVA test. The results showed a significant reduction in cholesterol levels in all groups after treatment (p <0.05). There was a significant difference in the reduction of total cholesterol levels between groups with a value of p = 0.037. The results of the posthoc test showed a difference in the reduction in total cholesterol levels between the 300 extract group, 1% Na CMC, and metformin and the 600 extract group with 1% Na CMC p-value <0.05, there was no difference between the 600 extract group and the metformin group. p> 0.05. Walnut extract was effective in reducing alloxan-induced fasting blood sugar levels of mice. Total cholesterol levels in hyperglycemic rats experienced a significant decrease after 21 days of intervention with walnut extract 300 and 600 mg/kg BW, but only walnut extract at a dose of 600 mg/kg BW had the same effectiveness as metformin.
Diary Study sebagai Metode Pengumpulan Data pada Riset Kuantitatif: Sebuah Literature Review
Authors: Apriliawati Denisa 
Published: December 2020

Beberapa tantangan dalam penelitian kuantitatif yang masih belum bisa diatasi selama ini adalah validitas ekologis pada penelitian eksperimen dan recall bias pada penelitian survey. Guna menjawab permasalahan tersebut, penulis tertarik dengan penggunaan Diary Study/ Experience Sampling Method (ESM). ESM merupakan metode pengumpulan data secara berkala yang bersifat real-time di latar alami partisipan. Penelitian ini menggunakan metode systematic literature review untuk menganalisis definisi, prosedur serta kelebihan dan kekurangan ESM. Berdasar hasil telaah pustaka, ESM diketahui dapat menggambarkan proses inter maupun intra-individu, memiliki validitas ekologis yang bagus, meminimalisasi recall bias dan mendapatkan data yang beragam. Sayangnya, penggunaan ESM masih terkendala beberapa hal seperti self-selction bias, atrisi, motivasi serta kompleksnya managemen maupun teknik analisis data yang digunakan. Hal-hal yang dapat mengatasi permasalahan tersebut telah didiskusikan. Abstract. Some existing challenges in quantitative research are ecological validity in experimental psychology and recall bias in the survey study. In order to answer those questions, the author was interested in the experience sampling method (ESM) or diary study. ESM is a research method that collects data frequently in participants’ real-world settings. This study performed a systematic literature review to analyze the definition, procedures, as well as the benefits and drawbacks of ESM. According to the literature review, ESM is known to describe both intra-individual (within-subject) and extra-individual (between-subject) processes, has better ecological validity compared to experimental research, can minimize recall bias, and was able to obtain various data. Unfortunately, there were some drawbacks such as self-selection bias, attrition, motivation, also the complexity of its data management and analysis. Some procedures to minimize those issues have been discussed.
Gestión de supervisión pedagógica y su relación con el desempeño docente del nivel secundaria de la I.E. N° 3089 “Los Ángeles”, Ugel Ventanilla. Región Callao – 2017
Authors: Salvatierra Mattos Silvia Mercedes 
Published: December 2020

El objetivo de la investigación fue: determinar la relación existente entre la gestión de supervisión pedagógica y el desempeño docente del nivel secundaria de la I.E N° 3089 “Los Ángeles”, UGEL Ventanilla. Región Callao-2017, y su propósito fue encontrar los conocimientos respecto a las implicancias en la conducción de la gestión educativa.
El estudio se desarrolló en el enfoque cuantitativo en el método hipotético deductivo, con el tipo de estudio básico de diseño no experimental transversal. Para la toma de datos se aplicó dos instrumentos validados a criterio de jueces y determinando su confiabilidad estadística mediante una prueba piloto y el coeficiente Alfa de Cronbach en una muestra intencional de 36 docentes.
De los procedimientos de análisis realizados se encontró un coeficiente de r Spearman = ,712 con un valor p= ,000 lo que indica que las variables presentan una relación lineal altamente significativa indicando que la supervisión pedagógica está relacionada positivamente con el desempeño docente, infiriendo que a mejor gestión de supervisión pedagógica mayor será nivel del desempeño docente del nivel secundaria de la I.E. N° 3089 “Los
Ángeles”, UGEL Ventanilla. Región Callao-2017.
A Systematic Review on Vitex negundo (NIRPROMP formulations) for the Treatment of Acute Cough of Mild to Moderate Severity in Pediatric Patients
Authors: Alegado-Bagaoisan Daisy-Mae , Castro Mary Christine R. , Purificacion Jaime M. 
Published: December 2020

Objective. The aim of this systematic review was to evaluate the efficacy and safety of Vitex negundo (lagundi) for the treatment of acute cough of mild to moderate severity among pediatric patients.Methods. A systematic review of randomized controlled trials (RCTs) comparing lagundi to placebo for acute cough of mild to moderate severity in children and adolescents aged two to twenty one years in ambulatory settings was performed. Authors of unpublished clinical trials with existing patent numbers were contacted and permission was obtained to access and include their studies in this review.
Results. Seven studies were included, with a total of 308 participants. Lagundi increased the peak exploratory flow rate (PEFR) at the end of therapy compared with placebo but this was not statistically significant (p=0.36). The increase in PEFR was consistent with the results of the mechanistic isolated tissue studies that showed bronchodilating effect of lagundi. Studies using lagundi syrup showed decrease in the frequency of cough by 44–71%.
Conclusion. Lagundi therapy in acute cough of mild to moderate severity among pediatric patients has a bronchodilating effect and decreases the frequency and duration of coughing, with no serious adverse effects.
Clinical Profiles and Outcomes of the Most Common Inherited Metabolic Diseases in the Philippines: A Review of the National Institutes of Health – Institute of Human Genetics Metabolic Registry
Authors: Faner Monette R. , Chiong Mary Anne D. 
Published: December 2020

Objective. This study reviewed the profiles and outcomes of patients diagnosed to have the five most common inherited metabolic diseases (IMDs) in the Metabolic Registry of the National Institutes of Health – Institute of Human Genetics (NIH-IHG) from 1999 to 2016.
Methods. The medical records of the patients diagnosed with the following inherited metabolic diseases were reviewed: maple syrup urine disease (MSUD), galactosemia, hyperphenylalaninemias (including classical phenylketonuria, mild hyperphenylalaninemia, and pterin defects), mucopolysaccharidoses (MPS), and adrenoleukodystrophy (ALD).
Results. There was a total of 567 patients with IMDs, giving a minimum estimated burden of 1.9 per 100,000 livebirths (1:51,760). Clinical presentations were similar to those reported in literature. Majority of the cases of galactosemia and hyperphenylalaninemias presented with a positive newborn screening result. The local prevalence of MSUD and MPS II were higher compared to international data, which may be explained by reported founder mutations among Filipinos. Majority of the patients with IMDs were diagnosed late leading to preventable developmental delay or intellectual disability and death. Majority of patients with MSUD (80.6%) and MPS (94.7%) had intellectual disability or developmental delay. Mortality was 50.5% among patients with MSUD and 100% among patients with adrenoleukodystrophy.
Conclusion. There is a diversity of IMDs present in the country. A long-term strategic plan, such as the full implementation of the National Rare Disease Act, is foreseen to improve access to comprehensive healthcare and quality of life of patients with IMDs in the country.
HUBUNGAN PEMBUATAN IDENTIFIKASI PASIEN DENGAN PELAKSANAAN ASUHAN KEPERAWATAN BERDASARKAN STANDAR AKREDITASI RUMAH SAKIT HERMINA PODOMORO JAKARTA
Authors: Anugrahwati Ria , Hadi Muhammad , Haryanto Rohadi 
Published: December 2020

Asuhan keperawatan adalah pelayanan yang diberikan oleh perawat dalam menjalankan fungsinya sebagai profesional bidang keperawatan. Penelitian ini bertujuan untuk melihat hubungan pembuatan identifikasi pasien dengan pelaksanaan asuhan keperawatan berdasarkan standar akreditasi rumah sakit versi 2012 di rawat inap. Penelitian ini menggunakan desain survey cross sectional study pada 75 responden perawat. Hasil penelitian menunjukkan terdapat hubungan yang bermakna antara pembuatan identifikasi pasien dengan pelaksanaan asuhan keperawatan berdasarkan standar akreditasi rumah sakit versi 2012. Rekomendasi dari penelitian ini adalah diberikannya pelatihan kepada tenaga keperawatan terutama pelaksanaan asuhan keperawatan berstandar akreditasi rumah sakit.
Kata kunci: asuhan keperawatan, standar akreditasi rumah sakit versi 2012
HUBUNGAN HARGA DIRI DAN PENGETAHUAN TENTANG BULLYING DENGAN PERILAKU BULLYING PADA REMAJA
Authors: Andriati Reny H Anissa Duwi Nur A’ini, 
Published: December 2020

Perilaku bullying adalah sebuah hasrat untuk meyakiti baik secara fisik, psikis atau verbal, yang menyebabkan seseorang menderita. Salah satu faktor penyebab seorang remaja melakukan bullying adalah harga diri dan pengetahuan. Penelitian ini bertujuan untuk mengetahui hubungan harga diri dan pengetahuan tentang bullying dengan perilaku bullying pada remaja. Populasi penelitian adalah kelas X dan XI sebanyak 1093 responden, dengan jumlah sampel sebanyak 190 responden di SMK Insan Kreatif Cibinong-Bogor dengan teknik pengambilan sampel yang digunakan adalah stratified random sampling. Hasil analisis data menggunakan uji chi-square dengan tingkat kepercayaan 95% (p-value = 0,05). Hasil dari penelitian ini menunjukkan bahwa terdapat hubungan yang signifikan antara harga diri dengan perilaku bullying pada remaja dengan p-value = 0,000 dan terdapat hubungan antara pengetahuan tentang bullying dengan perilaku bullying pada remaja dengan p-value = 0,002.

Kata Kunci : Bullying, Harga Diri, Pengetahuan.
Concentrations and biosphere–atmosphere fluxes of inorganic trace gases and associated ionic aerosol counterparts over the Amazon rainforest
Authors: Ramsay Robbie , Di Marco Chiara F. , Sörgel Matthias , Heal Mathew R. , Carbone Samara , Artaxo Paulo , de Araùjo Alessandro C. , Sá Marta , Pöhlker Christopher , Lavric Jost , Andreae Meinrat O. , Nemitz Eiko 
Published: December 2020

Abstract. The Amazon rainforest presents a unique, natural laboratory for the study of surface–atmosphere interactions. Its alternation between a near-pristine marine-influenced atmosphere during the wet season and a vulnerable system affected by periodic intrusions of anthropogenic pollution during the dry season provides an opportunity to investigate some fundamental aspects of boundary-layer chemical processes. This study presents the first simultaneous hourly measurements of concentrations, fluxes, and deposition velocities of the inorganic trace gases NH3, HCl, HONO, HNO3, and SO2 as well as their water-soluble aerosol counterparts NH4+, Cl−, NO2-, NO3- and SO42- over the Amazon. Species concentrations were measured in the dry season (from 6 October to 5 November 2017), at the Amazon Tall Tower Observatory (ATTO) in Brazil, using a two-point gradient wet-chemistry instrument (GRadient of AErosols and Gases Online Registration, GRAEGOR) sampling at 42 and 60 m. Fluxes and deposition velocities were derived from the concentration gradients using a modified form of the aerodynamic gradient method corrected for measurement within the roughness sub-layer. Findings from this campaign include observations of elevated concentrations of NH3 and SO2 partially driven by long-range transport (LRT) episodes of pollution and the substantial influence of coarse Cl− and NO3- particulate on overall aerosol mass burdens. From the flux measurements, the dry season budget of total reactive nitrogen dry deposition at the ATTO site was estimated as −2.9 kg N ha-1a-1. HNO3 and HCl were deposited continuously at a rate close to the aerodynamic limit. SO2 was deposited with an average daytime surface resistance (Rc) of 28 s m−1, whilst aerosol components showed average surface deposition velocities of 2.8 and 2.7 mm s−1 for SO42- and NH4+, respectively. Deposition rates of NO3- and Cl− were higher at 7.1 and 7.8 mm s−1, respectively, reflecting their larger average size. The exchange of NH3 and HONO was bidirectional, with NH3 showing emission episodes in the afternoon and HONO in the early morning hours. This work provides a unique dataset to test and improve dry deposition schemes for these compounds for tropical rainforest, which have typically been developed by interpolation from conditions in temperate environments. A future campaign should focus on making similar measurements in the wet season in order to provide a complete view of the annual pattern of inorganic trace gas and coarse aerosol biosphere–atmosphere exchange over tropical rainforest.
Retorno ao trabalho? Indicadores de saúde mental em professores durante a pandemia da COVID-19
Authors: Moraes Cruz Roberto , Ruppel da Rocha Ricelli Endrigo , Andreoni Solange , Duarte Pesca Andrea 
Published: December 2020

O objetivo deste estudo foi rastrear indicadores de saúde mental dos docentes de uma instituição de educação infanto-juvenil da região sul do Brasil. Trata-se de um estudo descritivo com 84 docentes (80,7 % do total), que responderam a um formulário via web, composto por três instrumentos: a) questionário demográfico e sócio-ocupacional; b) a escala Dass-21; c) escala de sintomas de saúde mental relacionados ao trabalho (IP-T). Os resultados mostraram que 82,1% dos participantes estavam preocupados com a exposição ao novo coronavírus, 6,0% referiram não estar em isolamento social, 84,5% indicam ter conhecimentos sobre a pandemia e 85,7% apresentam baixa expectativa de retorno ao ambiente de trabalho. A ansiedade (21,7% e 27,6%) e a depressão (28,9% e 28,5%), tanto na escala Dass-21 quanto na escala IP-T, são as alterações mais frequentes na saúde mental dos docentes. Nos resultados das associações, os
docentes do sexo feminino, com faixa etária de 46 à 56 anos e solteiros, apresentaram mais chances para desenvolver ansiedade e depressão (p
Atitudes Linguísticas: estudo de falas de mulheres indígenas na aldeia guarani Tekoha Añetete
Authors: MENDONÇA Sonia Cristina Poltronieri , Sella Aparecida Feola 
Published: December 2020

Apresentam-se, neste artigo, reflexões sobre resultados da pesquisa sobre crenças e atitudes linguísticas em Informantes da aldeia Guarani Tekoha Añetete em Diamante D’Oeste, Estado do Paraná. A escolha da localidade se deu pela complexidade sociolinguística marcada pelo espaço multiétnico da tríplice fronteira e com presença significativa de indígenas Guarani. Para a composição do corpus, foram entrevistados seis informantes mulheres bilíngues, cuja língua mãe é o guarani e a segunda língua é o português. Consideramos as variáveis sexo e faixa etária (de 20 a 35 anos, de 36 a 55 anos e mais de 55 anos). A partir dos princípios teórico-metodológicos da Sociolinguística, bem como de pesquisas focadas em crenças e atitudes linguísticas (LABOV, 2008; MORENO FERNÁNDEZ, 1998; AGUILERA, 1998; CORBARI, 2013), analisamos o posicionamento das seis informantes com relação às respostas a cinco perguntas do questionário semiestruturado, basicamente voltadas para refletir sobre as manifestações dos componentes cognoscitivo, afetivo e conativo, indicadores da tendência de atitudes linguísticas. Percebeu-se que a língua, dentro e fora da aldeia, acena para o prestígio da língua e da cultura Guarani.