bluuebunny/crossref_metadata_2025_split huggingface dataset:
Medication Adherence to Type 2 Diabetic Patients Hospitalized at a Tertiary Care Hospital in Bangladesh
Authors: Rana Mohammad Masud , Islam Mohammad Shariful , Akter Jotsna , Khatun Shanzida 
Published: March 2020

Background: Diabetes Mellitus (DM) has been a global epidemic in the new millennium and the majority of all diabetic patients constitute Type 2 diabetes mellitus. Medication adherence to prescribed treatments is a key determinant to achieve therapeutic success reduces diabetic complications.
Objectives: The aim of the study was to examine the level of medication adherence to Type 2 diabetic patients hospitalized at tertiary care hospital in Bangladesh.
Methods: The study was descriptive cross-sectional design. A total of 112 Type 2 diabetic patients were conveniently recruited from tertiary care hospital in Bangladesh.
Results: The mean age of the participants was 57.46 (SD=11.65) years. More than half of the patients (60.7%) were male and majority of them (94.6%) were married. The mean score of diabetic medication adherence was calculated as 26.46 (SD=1.58). Adherence to diabetic medications was significantly associated with age (p=.01), occupation (p=.003), duration of DM (p=.003), oral hypoglycemic agents (p=.02), HbA1c (p=< .01) and Fasting Blood Ssugar (p=< .01). Medication non-adherence significantly found in patients with presence of diabetic retinopathy (p=<.01), microabuminuria (p=.01), dyslipidemia (p=.006), hypertension (p=.01) and other chronic diseases (p=.01).
Conclusion: The level of medication adherence among Type 2 diabetic patients was found to be suboptimal. Good adherence has beneficial effects on HbA1c and FBS. For improving adherence particular focus should pay to diabetic patients with different age groups and the presence of comorbidities.
Keywords: Medication Adherence; Type 2 Diabetes Mellitus; Oral Hypoglycemic Agents; Comorbidities.
Peculiarities of cellular and humoral immunity in 3–12 months old infants with atopic dermatitis
Authors: Dementieva Elena A. , Gurina Olga P. , Blinov Aleksandr E. , Varlamova Olga N. , Blinov Georgiy A. , Stepanova Arina A. 
Published: March 2020

The increasing frequency and severity of allergopathology in childhood dictate the need to deepen theoretical knowledge about the pathogenesis of immune reactions in allergies.
The aim of the work is to analyze the indicators of cellular and humoral immunity in children of the first year of life suffering from atopic dermatitis.
Materials and methods. 61 children were examined. Three groups were formed: group 1 children aged 35 months (30 children), group 2 69 months (19 children), group 3 1012 months (22 children). The study of the immune status was carried out by immunological tests of the first level. Immunophenotyping of lymphocytes-by flow cytometry.
Results. The subpopulation composition of lymphocytes revealed some age-related features: children of group 1 are characterized by the development of T-lymphocytopenia, group 2 B- and T-cell lymphocytopenia, group 3 B-lymphocytopenia. In all age groups, there is a decrease in the content of activated NK-lymphocytes, HLA-DR+ T-lymphocytes, and an increase in -T-lymphocytes. Decrease in the immunoregulatory index in group 1 23.3% of cases, in group 2 26.3%, in group 3 45.5%. Violation of the process of phagocytosis is noted in 22.4% of children. All examined children have hyperimmunoglobulinemia E, which is ten times higher than the age norm. In group 3, a strong negative correlation was found between the value of the immunoregulatory index and the concentration of total IgE (r = 0.6). The content of immunoglobulins A, M, G in the blood serum tends to develop of hyperimmunoglobulinemia. However, more than 40% of children older than 6 months have a deficiency in the synthesis of one or two classes of immunoglobulins.
Conclusion. The detected changes in the immune status are predisposing for the development of a secondary immunodeficiency state in the future. The study of the immune status in children with atopic dermatitis is necessary for individual immunocorrection in order to increase the effectiveness of basic therapy, reduce the severity of the disease, the frequency of exacerbations.
Therapeutic tactics in cholelithiasis in children
Authors: Svarich Vyacheslav G. , Kagantsov Ilya M. , Svarich Violetta A. 
Published: March 2020

There are still many questions concerning the choice of tactics for the treatment of cholelithiasis in childhood. For a long time, cholelithiasis traditionally considered a pathology of adults. Accordingly, virtually all research was devoted to the diagnosis and treatment of this pathology in the above group of patients.
Purpose of research. Justification of tactics in surgical treatment of cholelithiasis in children.
Patients and research methods. The work formed observations on 135 children aged from 2 to 17 years with cholelithiasis. In 70.4% of cases the disease is observed in girls and boys, respectively at 29.6%. 7.8% of patients have children disease arose against the backdrop of hemolytic anemia. One patient, who received urgent indications, had manifestations of mechanical jaundice: an increase in the level of common bilirubin and its direct fraction, pronounced jaundice of the skin. In the second group, 140 children with chronic stoneless cholecystitis were compared.
Research result. All patients with cholelithiasis identified different ways deformation in the area of gallbladder duct. One of the major causes of cholelithiasis in children are changes in the gallbladder duct. No patient has ever been found in concretions extrahepatic biliary passages. In patients with chronic stone-free cholecystitis pathology in the area of bladder flow was not found.
Conclusion. One of the major causes of gallstone disease in children are changes in the gallbladder duct, that most likely leads to obstruction of outflow of bile from the gall bladder, with the subsequent formation of concrements. Therefore, the conduct of conservative treatment of cholelithiasis in children appear to be ineffective and the method of choice in the treatment of this pathology can be a cholecystectomy.
Comparison of Single-Trace and Multiple-Trace Polarity Determination for Surface Microseismic Data Using Deep Learning
Authors: Tian Xiao , Zhang Wei , Zhang Xiong , Zhang Jie , Zhang Qingshan , Wang Xiangteng , Guo Quanshi 
Published: March 2020

AbstractFor surface microseismic monitoring, determination of the P-wave first-motion polarity is important because (1) it has been widely used to determine focal mechanisms and (2) the location accuracy of the diffraction-stack-based method is improved greatly using polarization correction. The convolutional neural network (CNN) is a form of deep learning algorithm that can be applied to predict the polarity of a seismogram automatically. However, the existing network designed for polarity detection utilizes only individual trace information. In this study, we design a multitrace-based CNN (MT-CNN) architecture using several neighbor traces combined as training samples, which could utilize the polarity information of neighbor sensors in the surface microseismic array. We use 17,227 field seismograms with labeled polarities to train two different neural networks that predict the polarities by a single trace or by multiple traces. The performance of the test set and field example of two CNN architectures shows that the MT-CNN significantly produces fewer polarity prediction errors and leads to more accurate focal mechanism solutions for microseismic events.
Czynności służbowe kuratora rodzinnego z udziałem cudzoziemców – studium przypadku
Authors: Wirkus Łukasz Krzysztof 
Published: March 2020

<p>W opracowaniu przedstawiono analizę przypadku pracy kuratora rodzinnego z obcokrajowcami w kontekście współczesnych wyzwań cywilizacyjnych, jakie stoją przed polskim społeczeństwem. Jednym z nich jest proces asymilacji obcokrajowców przyjeżdżających do Polski i osiedlających się tutaj z różnych powodów. Coraz częściej problemy społeczne z udziałem cudzoziemców – rodzin oraz nieletnich, stają się obszarem ingerencji sądu rodzinnego. W badaniu wykorzystano jakościowe studium przypadku, które jest szczególnie przydatne, gdy chodzi o eksplorację specyfiki mało poznanych zagadnień. Celem badań było poznanie podstawowych problemów kuratora rodzinnego w pracy z podopiecznym, który jest obcokrajowcem.</p>
SÍNDROME HIPERTENSIVA DA GRAVIDEZ: Pré-Eclâmpsia
Authors: Queiroz Greida 
Published: March 2020

O presente estudo objetivou-se na interpretação sobre a questão das síndromes Hipertensivas especificas da gestação, mais especificadamente sobre a pré-eclâmpsia. A gestação é um processo natural que envolve diversas mudanças fisiológicas complexas e múltiplos desafios podem evoluir durante esse período. A pré-eclâmpsia caracteriza-se pela tríade sintomática: edema patológico leve a moderada, hipertensão e proteinúria. Vários fatores competem para o desenvolvimento das Síndromes Hipertensivas na gestação, ocorrendo com maior incidência quando presente em situações de obesidade, idade nos extremos da fase reprodutiva, diabetes, hipertensão, nefropatias, história familiar de pré-eclâmpsia ou eclampsia, dietas hipoprotéicas e hipersódicas, baixa escolaridade e atividade profissional fora do domicílio, grupo sanguíneo AB, primigestas, gestações múltiplas, hidropisia fetal e neoplasia trofoblástica. O principal objetivo do estudo vigente visou analisar como ocorre e quais os riscos a qual a gestante e o concepto são expostos. Tais propósitos foram alcançados por meio da revisão da literatura baseando-se nos artigos científicos do site Biblioteca Virtual de Saúde (BVS), SCIELO (Scientific Electronic Library Online) e BEDENF (Base de Dados de Enfermagem). Através da pesquisa analisamos que pressão elevada na gestação pode vir a causar problemas graves de saúde tanto para a gestante quanto para o bebê, podendo leva-los a morte. A pré-eclâmpsia é diagnosticada quando a gestante tem sua pressão elevada acima de 140/90 mmHg medida varia vezes durante a gestação na maioria dos casos após a 20ª semana de gestação e com desaparecimento ate 12ª semanas após o parto, uma única vez alterado essa pressão não quer dizer que ela tenha pré-eclâmpsia, além da pressão elevada, tem outros diagnósticos que podem aparecer ou não durante esse período gestacional em que a pressão esta alta e que possa também indicar uma pré-eclâmpsia. O aprimoramento técnico e científico do enfermeiro, adquirido de forma reflexiva, muito pode contribuir no acompanhamento dessas gestantes dentro de uma equipe multidisciplinar e, consequentemente, alcançar o equilíbrio e o bem-estar, tanto materno quanto fetal, nos procedimentos diagnósticos e terapêuticos.
NÃO ALEITAMENTO MATERNO EM MULHERES SOROPOSITIVAS.
Authors: Santana Ana Flavia 
Published: March 2020

INTRODUÇÃO: A transmissão vertical representa a principal causa de infecções pediátricas por HIV (mais de 90% dos casos). A contraindicação de amamentação para mulher soropositiva para o HIV ocasionam diversos problemas, especialmente de ordem física, econômica e psicológica. Para as mães soropositivas o motivo da não amamentação origina culpa, frustrações, sofrimentos, impotência e desejos desfeitos. Além dessas situações, muitas delas enfrentam dificuldades financeiras, que podem adiar e dificultar o acompanhamento do pré-natal de forma adequada, e ainda associado a todos esses fatos as mulheres vivenciam o medo, a vergonha, o estigma, o preconceito e o isolamento em decorrência da doença OBJETIVO: Pesquisar e relatar o não aleitamento materno em mulheres portadoras do vírus HIV. METODOLOGIA: Trata-se de uma revisão bibliográfica sobre mulheres soropositivas e a não amamentação, que visa uma síntese do conhecimento sobre o assunto. Para a construção deste artigo utilizou-se bases de dados Scielo, BVS (Biblioteca Virtual em Saúde) e site eletrônico, foram incluídos artigos e livro entre os anos de 2001 a 2018 em língua portuguesa e excluídos artigos anteriores ao ano de 2014 ou que falavam de forma superficial sobre o assunto proposto. RESULTADOS: Os artigos selecionados mostra-nos a necessidade do não aleitamento materno, a fim, de diminuir o risco de contaminação por essa via, por isso os bebês que nascem de mães soropositivas devem ser alimentados por complementos lácteos artificiais. A falta de conhecimento das mulheres soropositivas faz ressaltar-se também sobre a importância do acompanhamento psicológico para as puérperas ajudando-as a compreender os benefícios para a saúde do bebê.CONSIDERAÇÕES FINAIS: As informações do presente estudo estabeleceram uma visão ampla sobre os meios do vírus HIV e sobre as formas de prevenção de transmissão do vírus de gestantes e puérperas para os bebês, e como futuros profissionais de saúde é de suma importância a orientação para as mães a fim de estabelecer um vínculo entre os cuidados e benefícios para a saúde do bebê,visto que muitas vezes isso ocorre pela falta de informação.
POSSIBILIDADES DE PARTO NORMAL PARA BEBÊS PÉLVICOS
Authors: Aló de Melo Tanus Chiarelli Marina , Barbosa Samantha , Souza Benevenuto Leticia , Nogueira Paulino Luiza , Rodrigues Borges Ana Clara , Dully Andrade Raquel 
Published: March 2020

Introdução: Gestação com bebê pélvico é aquela cuja criança, após as 36 semanas, não modificou a sua posição intrauterina, ou seja, permanece sentada. Ela ocorre em 3% a 4% das gestações a termo. A problemática principal consiste na incidência de nascimentos prematuros e malformação fetal, além disso no momento do parto há um risco maior de mortalidade fetal. A cesariana é indicada para bebês pélvicos, mas não é a única opção. Existe um processo nomeado de versão cefálica externa, a qual consiste em girar o bebê na barriga da mãe, de modo não invasivo e assim reduzir as complicações de um parto pélvico. Objetivo: Esse artigo tem como objetivo analisar as possibilidades de parto normal para bebês pélvicos, bem como os seus possíveis benefícios e riscos. Metodologia: Trata-se de um levantamento bibliográfico, onde se realizou o levantamento do tema nos meses de março e abril de 2019, usando as bases de dados da Biblioteca Virtual da Saúde (BVS), Scientific Eletronic Library Online (Scielo) e Medical Literature Analysis and Retrieval System Online (MEDLINE). As palavras chaves utilizadas nas janelas de buscas eletrônicas foram: Parto vaginal; Cesárea; Pélvico; Versão Cefálica Externa. Foram selecionados 9 artigos bibliográficos e 1 dissertação de mestrado. Como critério de inclusão foram usados: idioma português e inglês, publicados nos anos de 2010 a 2019. Foram excluídas as fontes que não possuíam textos completos e as que não abordavam o tema como objeto central da publicação. Resultados: Há evidencias de que não há fundamento cientifico para a determinação do parto cesariano como o mais eficaz para casos de bebês pélvicos. Além disso, estudos demonstram que não há muitos benefícios na cessaria nem para a mãe, nem para a criança. O aumento nas proporções dessa cirurgia na Pesquisa Global de Saúde Materna e Perinatal da OMS foi associado à piora nos resultados neonatais, que incluíram o incremento na taxa de nascimentos de pré-termo e ingresso nas unidades de tratamento intensivo neonatais. O aumento das taxas de cesariana está associado ao maior uso de antibióticos no pós-parto e a maiores morbidade e mortalidade materna e neonatal. Conclusão: Desse modo, os profissionais de saúde presentes durante o período do parto devem ser experientes na resolução de complicações do parto pélvico evitando trações fetais ou outras manipulações antes da exteriorização do umbigo, diminuindo assim os riscos para a mãe e o bebê. Na ausência das contraindicações referidas para o parto pélvico vaginal, a grávida deverá ser informada dos riscos e benefícios das duas possíveis vias de parto, e após a escolha, obtém- se o seu consentimento.
Evaluation of Health Indicators and the Quality of Used Frying Oils in Fast Food Restaurants of Mashhad in 2018
Authors: Rahnama Bargard Zohreh , Alidadi Hossien , Afzal Aghaee Monavvar , Kharghani Mahnaz , Mahjoubizadeh Mahsa , Kariminejad Fatemeh 
Published: March 2020

Introduction: Recently, changes in people's lifestyles and new eating habits have diminished the importance of main dishes and have led to increasing the consumption of fast foods. Therefore, paying close attention to the health conditions and safety of the food provided in these centers can dramatically reduce the incidence of various diseases. The present study examines the environmental health status and the quality of used frying oils (the most important health assessment indicators of fast food restaurants) in the fast food shops and restaurants of the metropolis of Mashhad in the areas adjacent to the holy shrine which has the highest number of pilgrims and tourists.
Materials and Methods: A total number of 120 of fast food shops were selected by quota sampling method and were sampled during peak working times. The environmental health status of these centers was evaluated based on food, drink, cosmetics, and health material regulation. Demographic data of personnel, area and antiquity, type, duration and frequency of using oil, the temperature, TPM, and FFA were also measured.
Results: According to the results; 32.5% of the subjects were in hygienic status, and 67.5% of the subjects were in sanitary status. Palm oil was the most widely used oil type. TPM and FFA indices were in the unfavorable condition in 49 samples (40.8%) and 75 samples (62.5%), respectively. There was a significant relationship between temperature, the period of using oil and TPM, and FFA indices.
Conclusion: According to the high volume of customers, quality and health assurance of food is of utmost importance. Therefore, the importance of renovating the buildings, training the operators and staff, continuous monitoring, and applying severe legal measures can be the most important corrective actions.
THE PROBLEMATICS OF ASSOCIATION SOUTHEAST ASIA NATION WITHIN HANDLING TRANSNATIONAL CRIME SMUGGLING DRUCK TRAFICKKING
Authors: Prayuda Rendi , Warsito Tulus , Surwandono  
Published: March 2020

Purpose of the study: This article describes the transnational crime smuggling druck trafficking smuggling literature, Southeast Asia, with Mauri trading of the BNN exciting routes to be depicted in the Southeast Asian region, more in this article will explain the trade routes and perspectives of countries that produce transit and marketing.
Methodology: The method of research with qualitative descriptive approaches with interviews, documentation of crime action expressed by Southeast Asian communities. First interviews data taken from the UN through a UN organization in the counter Drug and Crime (UNODC), an area that is a regional area in the chain of listings ranging from production, distribution, and consumption of products.
Main Findings: not optimal transnational crime in cases of transnational crime smuggling drug trafficking smuggling in Southeast Asian countries and transnational crime smuggling drug trafficking trades are not on transit routes to the country as transnational crime smuggling drug trafficking markets with indicators of realism, liberalism, and constructivism transnational crime smuggling drug trafficking trade in the Landmark Asia region.
Applications of this study: This article contributes theoretically to the development of regional transnational crime smuggling crimes and is a consideration for policymakers in increasing the role of Lot of law enforcement agencies in the Asia Southeast region to make the role of state more optimal.
Novelty/Originality of this study: Researcher in this article found that production countries did not make policy action on the case of transnational crime smuggling druck trafficking in Southeast Asia and the country as transnational crime smuggling drucktrafickking markets were made of cases in the region of West Southeast Asia.
A STUDY ON TRANSPORT PLANNING SOLUTIONS TO MEET THE DEVELOPMENT OF LOGISTICS SERVICES, A CASE IN CAI MEP-THI VAI PORT
Authors: Tai Pham Van 
Published: March 2020

costs for businesses in the region in order to form reasonable transportation routes, within and outside the guaranteed area. Improve the output of goods through and reduce social costs, in accordance with the planning of the transportation system, improve socio-economic efficiency in goods circulation.
Methodology: This study uses statistical methods - data analysis, survey analysis, trend approach to forecast such as goods demand through ports, assess the nature of the problem and find specific solutions to devise optimal planning solutions.
Main Findings: Transport infrastructure directly affects logistics performance, particularly on time, cost, reliability, and safety of this service, thereby affecting the growth rate of the economy in general and the business efficiency of enterprises in particular. Therefore, in order to meet the fast development of Cai Mep-Thi Vai logistics and port system, the transport infrastructure must be concerned, planned, and deployed in a synchronized and proper manner.
Applications of this study: The Cai Mep-Thi Vai port area being invested and built and developed will be of utmost importance in Vietnam, with access to international maritime routes, connecting with existing wharves to form a continuous port system serving the dynamic economic development centers of the southern and international regions.
Novelty/Originality of this study: The problems of port logistics and transport infrastructure to serve logistics. Provide some general theoretical issues about transportation for port logistics services. Also basing on foreign experiment and regional lessons to evaluate the existence of transport infrastructure for logistics services in Cai Mep-Thi Vai port area; point out the shortcomings and inadequacies of transport infrastructure for logistics.
Remembrance and Identity in Constructing the Narration of the Individual and the Community
Authors: Nowak-Dziemianowicz Mirosława 
Published: March 2020

In the article, I present two currently co-functioning diagnoses of Polish modernity. One is separatist, emphasizing the division, without hope of consent – a vision of two conflicted tribes, differing in their attitude to the past and history. The second vision assumes the possibility of communication, pointing to the relational character of the current conflict, which is based on the need for recognition. Remembrance is not a dividing instrument here, but a common good and value, and the chance for communication is the relationship of recognition.
(Nie)bezpieczna rodzina – kalejdoskop (dys)funkcji
Authors: Nowak Beata Maria 
Published: March 2020

Artykuł traktuje o sytuacji współczesnych rodzin, ich problemach, uwikłaniach kryzysowych oraz możliwościach niesienia im pomocy. Autorka artykułu rozważa sytuację rodzin dotkniętych dysfunkcją lub polidysfunkcją, nieradzących sobie w obliczu narastającego kryzysu wieloproblemowego. Dokonuje przeglądu badań nad tego typu rodzinami. Odnosi się do aktualnie prowadzonej polityki prorodzinnej i wskazuje na alternatywne możliwości udzielania pomocy rodzinom w wychodzeniu z zapaści polidysfunkcyjnej. Za szczególnie ważne uznaje wspomaganie holistyczne, uwzględniające zwłaszcza poddawanie tego typu rodzin treningom kompetencyjnym indywidualnym i grupowym.