bluuebunny/crossref_metadata_2025_split huggingface dataset:
Molecular Identification, Virulence Factors and Antifungal Susceptibility Patterns of Candida parapsilosis Complex Species Isolated from Clinical Samples
Authors: Cakir N , Atalay MA , Koc AN , Kaan O , Sagiroglu P 
Published: June 2021

ABSTRACT

Aims:
The aim of this study was to identify C. parapsilosis complex strains isolated from various clinical samples by sequence analysis and to investigate whether there are any differences between the species in terms of virulence factors and antifungal susceptibility.

Methods:
The study included a total of 42 isolates identified as C. parapsilosis complex based on the color they formed in chromogenic medium, colony morphology, and microscopic appearance in Corn Meal-Tween 80 Agar and they were confirmed with API 20 C AUX. For the DNA sequence analysis of clinical isolates, V9G forward and LS reverse primers were used as well as internal transcribed spacers (ITS1 and ITS4). Biofilm formation, esterase, phospholipase, and protease activities were evaluated as virulence factors. Antifungal susceptibility was investigated via colorimetric microdilution method.

Results:
A total of 75 non-C. albicans isolates were obtained from various clinical samples between 2016 and 2017 in a Turkish Tertiary Care Hospital. Of them, 42 were identified as members of the C. parapsilosis complex. Of the 42 strains, 41 were identified as C. parapsilosis sensu stricto (CpSS), while only one was identified as C. orthopsilosis. Of the CpSS strains, 31 (75.6%) were biofilm-positive, six (14.6%) were esterase-positive, nine (21.9%) were positive for phospholipase activity, and 31 (75.6%) were positive for protease formation, whereas all virulence factors of C. orthopsilosis strain were found to be negative. All CpSS strains were found susceptible to amphotericin B, echinocandins, and flucytosine.

Conclusions:
It has been concluded that the use of molecular methods to identify CpSS would not be effective in routine laboratory practices as it is the most commonly isolated species from the C. parapsilosis complex and there are no significant differences between species in terms of antifungal susceptibility.
To Show the Effect of Intermittent Fasting During Ramadan on Endothelial Dysfunction via TIMI Frame Count
Authors: Gocer H , Gunday M , Abusharekh M , Unal M 
Published: June 2021

ABSTRACT

Background:
Fasting and coronary functions are prestige fields for the study. There are a limited number of studies on these topics. The effect of Ramadan fasting on endothelial dysfunction, which can be manifested by loss of nitric oxide bioavailability, has been demonstrated via flow-mediated vasomotion in patients with the slow coronary flow in a small number of studies. To our knowledge, there is no study showing the relationship between TIMI frame count and Ramadan fasting.

Aims:
We aimed to prove that Ramadan fasting can improve endothelial dysfunction which can be documented via the TIMI frame count method in angiography.

Method:
This retrospective study included 67 patients diagnosed with the coronary slow flow by coronary angiographic before Ramadan. All of them were evaluated again via TIMI frame count within a period of 1 to 3 months after Ramadan. We tested our hypothesis that fasting may improve endothelial dysfunction and it was proved by the TIMI frame count method in our study.

Results:
TIMI frame counts measured angiographically from LAD, Cx, and RCA and they were significantly lower than the counts before fasting. All coronary frame count parameters showed significant improvement after Ramadan compared with the baseline values before the Ramadan fasting period (P < 0.001).

Conclusion:
Our results revealed that fasting and lifestyle changes during Ramadan may be beneficial for the improvement of endothelial dysfunctions in patients with the slow coronary flow and this can be showed easily using TIMI frame count. This is a practical and easy method for showing coronary functions.
Rural-Urban Differences in Utilization of Antenatal and Delivery Services in Ebonyi State, Nigeria
Authors: Eke PC , Ossai EN , Azuogu BN , Agu PA , Ogbonnaya LU 
Published: June 2021

ABSTRACT

Background:
The high maternal death burden in developing countries when compared to the developed could be attributed to differences in use of antenatal and skilled delivery care.

Aim:
To assess the differences in utilization of antenatal and delivery services in urban and rural communities of Ebonyi state, Nigeria.

Methods:
A cross-sectional comparative study design was used. Two stage (cluster) sampling technique was used to select 660 women in 4 of 13 local government areas in the state. The respondents were women who were permanent residents of communities and have delivered in last one year. Outcome measure was good utilization of antenatal and delivery services and was assessed by proportion of respondents who obtained antenatal and delivery from a skilled provider and also made at least four antenatal visits.

Results:
The mean age of respondents was urban, 29.6 ± 6.2 and rural, 28.6 ± 5.1 years. Majority in urban, 51.8% utilized tertiary health facility for antenatal care while in rural, 77.9% used primary health centers (P < 0.001). Comparable proportions in urban, (77.3%) and rural, (79.1%) had good use of antenatal and delivery services (P = 0.572). Predictors of good use of antenatal and delivery services in urban included having one child (AOR = 4.8; 95%C1: 1.4--17.0), having attained tertiary education, (AOR = 2.6; 95%C1: 1.2--5.5), being in low socioeconomic class, (AOR = 0.4; 95%C1: 0.2--0.7), and having good knowledge of danger signs, (AOR = 2.6; 95%C1: 1.3--5.4). In rural, predictors included having one child, (AOR = 2.8; 95%C1:1.1--7.1), being unmarried, (AOR = 0.3; 95%C1: 0.1--0.9), and having good knowledge of danger signs (AOR = 3.7; 95%C1: 1.8--7.5).

Conclusion:
Utilization of antenatal and delivery services in health facilities in study area was high but there is room for improvement. There is need to plan specific interventions aimed at improving utilization of maternal health services by some groups like urban poor and unmarried mothers, especially teenagers. Emphasis should also be placed on improving community understanding of danger signs of pregnancy.
Synchronous Incidental Double Parathyroid Adenomas and Papillary Thyroid Carcinoma
Authors: Alghamdi MA , Alsaif A , Altwijri AS , Alsaif FA , Alsunitan RI , Almoagal RO 
Published: June 2021

ABSTRACT
The association between parathyroid and thyroid diseases is not uncommon; however, the concurrent presence of parathyroid adenoma and thyroid cancer is rare. Awareness of this situation will enable clinicians to consider possible parathyroid pathology in patients with papillary thyroid cancer. The presence of parathyroid adenoma leading to primary hyperparathyroidism and the coexistence of thyroid papillary cancer is rare. We report a case of a 55-year-old female with papillary cancer admitted for surgery. Preoperative laboratory findings revealed normal calcium level and normal intact parathyroid hormone (PTH) level. Thyroidectomy and excision of abnormal enlarged double parathyroid glands were performed. Histological examination revealed parathyroid adenoma. Serum calcium was within the normal range after surgery. We recommend a preoperative check of calcium in patients with thyroid cancer.
CT Angiography Evaluation of Intracranial Aneurysms
Authors: Caliskan E , Oncel D 
Published: June 2021

ABSTRACT

Aims:
To investigate the distribution, characteristics, and association with subarachnoid hemorrhage (SAH) of aneurysms identified in Turkish adult patients with computed tomography angiography (CTA) performed with suspicion of intracranial aneurysms and/or SAH.

Subjects and Methods:
A total of 356 patients (164 male, and 192 female) with a mean age of 55.6 ± 4.0 (range, 18–90) years were analyzed retrospectively. The dimension in millimeters, localization, type, and multiplicity of aneurysms were noted. The differences in these parameters between females and males were investigated. The correlations of sex, aneurysm size, multiplicity, and size with SAH were researched.

Results:
On 356 CTA, 140 cases were identified to have aneurysm (39.3%) (56 males [40.0%], 84 females [60.0%]). The incidence of aneurysms and SAH in females was high relative to males. In 140 patients, a total of 187 aneurysms were present (mean size, 7.25 ± 2.56 mm). The highest number of aneurysms was found in the middle cerebral artery 64 (34.2%) while the least was in posterior circulation 20 (10.7%). There was no significant difference between genders in terms of aneurysm size, type, and multiplicity. Individuals with aneurysm site on the internal carotid artery had lower SAH incidence. Receiver Operating Characteristic curve analysis results determined that individuals with aneurysm size >13.5 mm had increased incidence of SAH.

Conclusions:
The general properties of intracranial aneurysms investigated with CTA in Turkish adults had similarities to information defined in the literature. These results will likely be beneficial to direct approaches to aneurysm diagnosis and treatment in routine practice.
LAYANAN INFORMASI PEMBAYARAN BIAYA KULIAH BERBASIS SMS GATEWAY
Authors: Marzuki Siti Hijratul Jihadah , Muhammad Azmi  
Published: June 2021

SMS (Short Message Service) Gateway is an SMS-based system that can be developed in various fields and utilizes a web-based programming language. At STMIK XYZ, the delivery of information about the schedule for tuition payments is still by placing announcements / banners in the campus environment and sending letters to parents / guardians. These methods are not optimal because of the limitations of delivery to students and sometimes students do not pay attention to them. This is evident from the many students who are late in making tuition payments. Therefore, a system / application is needed that can provide services that can be accessed by students and parents / guardians to find out the status of their son / daughter's college payment.
The design and manufacture of the SMS gateway-based tuition payment service system uses the Waterfall methodology, which is a software development method that begins with analyzing company needs, designing, building applications, to conducting trials.
This tuition payment service system sends SMS to students and parents about the schedule of tuition payments and the status of payments that have been made. Information and payment status is sent to the cellphone number of each student and parent / guardian and provides warning information 7 (seven) days before the payment deadline. This application can also generate various types of reports regarding the status of student tuition payments to management. With this application / system, it is hoped that it can assist the management in accelerating the delivery of information about the schedule and status of student tuition payments.
O ensino profissionalizante e o multiculturalismo: vozes docentes no Instituto Federal de Sergipe
Authors: Melo Valdenice de Jesus , De Melo José Damião , Franco Dulce Maria Morais do Amaral , Meneses Jorge Luide Curvelo Santana , Dias Bruna de Oliveira , Melo Daniel Antonio de Jesus , De Jesus Vania 
Published: June 2021

Este artigo apresenta resultados de pesquisa que buscou efetuar um levantamento sobre os aspectos multiculturais presentes no processo educacional do ensino profissionalizante médio integrado, no Instituto Federal de Sergipe, captando as vozes docentes. Dadas as característica e o recorte delimitado, considerando as dimensões tempo, recursos disponíveis e instituição estudada, assumiu um viés exploratório. Utilizamos métodos de análise estatística descritiva, quanto a validação cruzada entre o banco de dados derivado do questionário aplicado, em contraposição a observação associada à pesquisa documental. Partiu-se da premissa que o compromisso com a diversidade cultural, que se espera presente no ensino profissionalizante, seja representado não somente com os códigos europeus e norte-americanos brancos, porém destacando que mais atenção poderia ser dada à diversidade de códigos em função de raças, etnias, gênero e classe social. Todas as classes têm o direito de acesso aos códigos da cultura erudita, porque esses são os códigos dominantes — os códigos do poder. É necessário conhecê-los, ser versado neles, mas tais códigos continuarão como um conhecimento exterior, a não ser que o indivíduo tenha dominado as referências culturais da sua própria realidade, que são representadas no e pelo multicultural. A análise dos dados coletados indica a necessidade de ampliação do nível de conhecimento da temática junto aos docentes, bem como a quase inexistência da participação institucional na inserção e valorização da temática do multicultural.
Fostering Language and Vocabulary in International Business Students thorough an E Portfolio
Authors: Pardo María Alexandra Rincón 
Published: June 2021

This study analyzes the impact of the implementation of seven selected activities on E-portfolio in order to introduce international business students to the business vocabulary related to their program, given that they do not take any subjects related to their career in English. This study was carried out in a group of 20 students of second semester who study at a Universidad
Consequently, this study was conceived thanks some observations in classes of English that the lack of the use of Specific vocabulary in business which demonstrates language teachers follow a book to teach English and the text-book Speakout Eales, F., & Oakes, S. (2011). Speakout: Elementary: Student's book. Pearson Education used in classes in order to support the contents of English is not focused on teaching business-related vocabulary Therefore, there are no current opportunities for students to have contact with authentic language in Business subjects, in this case business vocabulary which could contribute to their professional growth. This confers to the idea to familiarize students with bussines-related vocabulary to the content area. The constructs which were considered in order to develop this research were firstly, the CALL (Computer-assisted language learning) approach taking advantage of E-portfolio, secondly, English for specific purposes (ESP) and finally Motivation. These theoretical constructs were considered thanks a diagnostic survey at the beginning of the first stage in this study.
The type of study was action research and qualitative methodology which lets teachers build theories related to teaching and learning; therefore, the data collection procedures included a teacher’s journal with the purpose of recording ideas and reflecting on them afterwards, an online survey to reveal responses to specific, important questions, and e- portfolios which display evidence assembled and managed by students. Finally, the findings revealed three categories. First category is: Raising awareness about ESP. Second, Chasing a target vocabulary using E-portfolio that describes the outcome students achieved after developing different activities in a E-portfolio and how they learnt vocabulary confidentially and Third, Learning as a matter of motivation that relates to the interest students take for learning a language. Finally, the conclusions describe students’ prefers at the moment to use technology to foster their language learning and in order to increase their business lexis in English to face their profession in a meaningful way.
Conception d’une séquence d’introduction dynamique du produit scalaire via une approche constructiviste intégrant la mécanique et les TIC
Authors: Raouf Khadija , Benkenza Najia , Aydi M’hamed El , Anaya Mohamed , Ennaciri Khalid 
Published: June 2021

Le travail que nous présentons dans cet article vise la redynamisation de l’enseignement-apprentissage du produit scalaire via la conception d’une séquence d’introduction de cette notion au lycée et des modalités de sa mise en œuvre par l’enseignant. Cet intérêt est justifié par le manque d’activités motivantes dans les manuels marocains que nous avons consultés et par le fait que la construction de cette notion mobilise des objets mathématiques susceptibles de cumuler des difficultés d’apprentissages telles que les notions de vecteur et de produit. La démarche adoptée dans cette recherche, se base sur le constructivisme comme théorie d’apprentissage, l’approche interdisciplinaire pour donner plus de sens aux savoirs construits et l’intégration de la géométrie dynamique permettant de conjecture du résultat dans sa généralité en couvrant tous les cas de figures possibles et la construction éventuelle des figures dynamiques par les apprenants. Ainsi ; nous avons choisi comme activité d’approche une situation authentique dont la résolution fait appel essentiellement à la notion de résultante de deux forces que les apprenants ont déjà abordée en mécanique, et aux notions de somme de deux vecteurs et le théorème de Pythagore vus en mathématiques.
The January 2014 Flashflood in the Ambato River (Catamarca, Argentina)- A Case Study of Megaboulders Fluvial Transport
Authors: Inbar Moshe , Costello Julio A. , Eremchuk Jorge 
Published: June 2021

Megaboulders mantle the steep channels of mountainous rivers, and moderate incision rates by increasing channel roughness. Direct measurement of the transport of boulders in natural rivers is difficult, therefore there are few field studies on the subject. The transportation of megaboulders downslope in catastrophic floods in urban environments releases a destructive power. This study analyses the Ambato river flood that occurred in Argentina in January 2014 with an assumed recurrence interval of 1:100 years. The flood was caused by concentrated rainfall in the upper basin, at an elevation of 4000 m.
The Ambato river forms a boulder alluvial fan drained by episodic floods. The 2014 flood caused casualties and economic losses in the village of El Rodeo in the province of Catamarca. Several houses and a bridge were destroyed and vehicles were swept away. All bedload sizes- including megaboulders with 2000 mm b-axis- were transported during the flood. The empirical equation for stream power value and the unit bedload transport rate of megaboulders were validated.
An assessment of boulder mobility is necessary to mitigate flow hazards in mountainous urban areas. The effects of climate change in semi-arid environments would be greater if they involved increased precipitation or more extreme rainstorms due to events such as El Niṅo.
Vivienda tradicional en Ensenada, Baja California México. Adecuación ambiental
Authors: Aguilera Claudia Marcela Calderón , Cairo Cuauhtémoc Robles 
Published: June 2021

Hace 135 años se fundó oficialmente en el noroccidente mexicano la ciudad y puerto de Ensenada en el estado de Baja California México. Su clima es mediterráneo y su historia, conformación y desarrollo urbano-arquitectónico fue disímil respecto a otras ciudades del país. Algunos de los factores determinantes para ello fueron: los geográficos, los económicos y los políticos, estos últimos reflejados en las inversiones extranjeras realizadas en el país producto de las concesiones otorgadas sobre territorio mexicano en las últimas décadas del siglo XIX y las primeras del siglo XX. En consecuencia la arquitectura edificada en ese periodo es una prueba fehaciente de la influencia cultural anglosajona que vivió la ciudad. Además de ello, específicamente en la vivienda se implementaron estrategias de adecuación ambiental que respondieron a una integración al entorno y atenuador de las circunstancias climáticas, las cuales en este trabajo se identifican y analizan. Se concluye con la idea y la importancia de volver los ojos al pasado y retomar los valores que ellas contienen.
PROJETO E CONSTRUÇÃO DE UM CONVERSOR DO TIPO BUCK E ANÁLISE DE DADOS EM RELAÇÃO A UM MODELO EM CONDIÇÕES IDEAIS
Authors: Ribeiro de Paiva Miguel Victor , Amaral Melo Lima Thiago 
Published: June 2021

O presente artigo objetivou a elaboração do projeto de um conversor tipo buck, bem como a execução de testes e a análise de dados e/ou sinais em relação a um modelo de conversor em condições ideais. A construção do protótipo foi feita utilizando dispositivos reaproveitados de sucata, porém em bom estado, e de alguns poucos materiais comprados com recursos próprios. Para análise de dados foram utilizados equipamentos com alto grau de confiabilidade, como osciloscópio e fonte reguladora de tensão, além de se utilizar um software de projetos eletrônicos conhecido como PSIM, de grande precisão e bastante utilizado na Engenharia. Quanto à revisão bibliográfica, apoiamos nosso estudo em autores com rico conhecimento na área de Eletrônica de Potência, tais como HART (2011), AHMED (2000) e BOYLESTAD-NASHELSKY (1999), onde além de identificar os conhecimentos técnicos úteis para a realização desta pesquisa, foi observado a grande importância desta área do conhecimento em vários setores do meio tecnológico, como também a importância dos conversores dentro da Eletrônica de Potência desde a produção de energia até o seu consumo final. Assim, este artigo visa demonstrar não apenas como é possível executar um projeto de conversor, mas também demonstrar a importância do assunto dentro da área de engenharia e de suas aplicações reais dentro do contexto tecnológico que vivenciamos. Com os resultados obtidos, pode-se concluir que o projeto obteve êxito, apesar de ser executado manualmente e com utilização de materiais reaproveitados.
O JOGO DE XADREZ E A EDUCAÇÃO MATEMÁTICA: LIMITES E POSSIBILIDADES
Authors: Amaral Melo Lima Thiago , Dos Santos Oliveira Erimar , De Oliveira Silva Marcones , Oliveira da Silva Pétrick 
Published: June 2021

No presente artigo usamos o jogo de Xadrez para responder o seguinte questionamento: como esse instrumento milenar pode subsidiar na aprendizagem da disciplina de Matemática dos alunos do Ensino Médio? Para uma maior compreensão do Ensino de Matemática e da utilização de jogos educativos, realizamos inicialmente uma pesquisa documental analisando as propostas contidas nos Parâmetros Curriculares Nacionais (PCN’s) e, em um segundo momento, uma pesquisa bibliográfica, tomando por base teóricos tais como Kishimoto e Piaget. Nosso objetivo é discutir a relação do Xadrez com a Matemática, bem como as semelhanças que podemos observar entre matemáticos e enxadristas. Para tanto, apresentamos exemplos de aplicação, para demonstrar uma alternativa de abordagem de alguns conteúdos matemáticos que podem usar o xadrez como importante ferramenta. Por fim, concluímos que o Xadrez é uma excelente opção como recurso na aprendizagem, em especial na aprendizagem Matemática.
Pseudotumor cerebri secondary to secondary hypoparathyroidism and association to Fahr´s Syndrome: a case report
Authors: Sampaio Patrick Giordanni Gomes , Maracajá Hiago Diniz , Batista Francielle Lopes de Araújo , Figueiredo Virgínia Gabriela Nóbrega , Melo Nátalia Meg Adijuto de 
Published: June 2021

Introduction
Headaches are extremely common complications in emergency departments, accounting for up to 16% of visits, according to some studies and are observed in almost all patients with Idiopathic Intracranial Hypertension (IIH), which is characterized by signs and symptoms that include, in addition to headache, nausea, vomiting, diplopia, decreased visual acuity, pulsatile tinnitus, back and neck pain, among other possible manifestations. However, the clinical presentation is highly variable, which can delay diagnosis.
Case report
A.T.F, female, 33 years old, BMI 40.17 kg / m², with grade 3 obesity, caucasian, single, with Down Syndrome. Presents a history of post-surgical hypothyroidism, whose thyroidectomy was performed 10 years ago, due to nodular goiter. This patient presented subacute nausea, visual turbidity, diarrhea and pulsatile holocranial headache, which worsened in the horizontal position and presented slight relief in the orthostatic position.
Conclusion
The conduct of Fahrs Syndrome, in this case, was focused on the treatment of hypoparathyroidism and which consists of correcting metabolism disorders of phosphorus and calcium, which naturally resulted in clinical and radiological improvement, however, without definitive resolution of the condition.