bluuebunny/crossref_metadata_2025_split huggingface dataset:
COVID-19 Impact on Healthcare and Supportive Services for People Who Use Drugs (PWUDs) in Malaysia
Authors: Vicknasingam Balasingam , Mohd Salleh Nur Afiqah , Chooi Weng-Tink , Singh Darshan , Mohd Zaharim Norzarina , Kamarulzaman Adeeba , Chawarski Marek C. 
Published: March 2021

Background: Restrictive orders and temporary programmatic or ad hoc changes within healthcare and other supportive systems that were implemented in response to the COVID-19 epidemic in Malaysia may have created hindrances to accessing healthcare and/or receiving other supportive services for people who use drugs (PWUDs).Design: A primarily qualitative study has been conducted to evaluate how service providers and recipients were adapting and coping during the initial periods of the COVID-19 response.Settings: The study engaged several healthcare and non-governmental organizations (NGOs) in the peninsular states of Penang, Kelantan, Selangor, and Melaka.Participants: Medical personnel of methadone maintenance treatment (MMT) programs (n = 2) and HIV clinics (n = 3), staff of NGO services (n = 4), and MMT patients (n = 9) were interviewed using a semi-structured format.Results: Interviewed participants reported significant organizational, programmatic, and treatment protocols related changes implemented within the healthcare and support services in addition to nationally imposed Movement Control Orders (MCOs). Changes aimed to reduce patient flow and concentration at the on-site services locations, including less frequent in-person visits, increased use of telemedicine resources, and greater reliance on telecommunication methods to maintain contacts with patients and clients; changes in medication dispensing protocols, including increased take-home doses and relaxed rules for obtaining them, or delivery of medications to patients' homes or locations near their homes were reported by the majority of study participants. No significant rates of COVID-19 infections among PWUDs, including among those with HIV have been reported at the study sites.Conclusions: Although the reported changes presented new challenges for both services providers and recipients and resulted in some degree of initial disruption, generally, all participants reported successful implementation and high levels of compliance with the newly introduced restrictions, regulations, and protocols, resulting in relatively low rates of treatment disruption or discontinuation at the study sites.
The Association Between Reading the Mind in the Eyes Test Performance and Intelligence Quotient in Children and Adolescents With Asperger Syndrome
Authors: Peñuelas-Calvo Inmaculada , Sareen Aditya , Porras-Segovia Alejandro , Cegla-Schvatzman Fanny-Beatriz , Fernandez-Berrocal Pablo 
Published: March 2021

Background: There has been an extensive debate about a potential association between intelligence and social cognition. In this study, we aimed to assess the association between social cognition as measured with the Reading the Mind in the Eyes test (RMET) and intelligence as measured with the fourth edition of the Wechsler Intelligence Scale for Children (WISC-IV) in children and adolescents diagnosed with Asperger Syndrome (AS).Methods: We conducted a cross-sectional study among 84 children diagnosed with AS aged 6–16 years (mean = 11.64; standard deviation = 2.75; 92.9% males). We analyzed the association between RMET performance and WISC-IV total score as well as the association between RMET performance and each of the four WISC-IV indexes (processing speed index, PSI; working memory index, WMI; perceptual reasoning index, PRI, and verbal comprehension index, VCI).Results: We found a positive correlation between RMET performance and full-scale intelligence quotient (r = 0.340; p &lt; 0.01), VCI (r = 0.310; p &lt; 0.01), PRI (r = 0.401; p &lt; 0.01), and WMI (r = 0.292; p &lt; 0.01). In the linear regression model, age was a significant predictor of RMET score (β = 0.409; p &lt; 0.001) as was PRI (β = 0.309; p = 0.019).Conclusion: Our results suggest that intelligence quotient positively influences RMET performance, indicating that intelligence increases social cognition in individuals diagnosed with AS. However, weak-to-moderate size effects were found. This study contributes to understanding the mechanisms underlying the disturbance of social cognition in children and adolescents diagnosed with AS.
Long Term Outcome After Open Abdomen Treatment: Function and Quality of Life
Authors: Theodorou Alexis , Jedig Agnes , Manekeller Steffen , Willms Arnulf , Pantelis Dimitrios , Matthaei Hanno , Schäfer Nico , Kalff Jörg C. , von Websky Martin W. 
Published: March 2021

Background: Open abdomen treatment (OAT) is widely accepted to manage severe abdominal conditions such as peritonitis and abdominal compartment syndrome but can be associated with high morbidity and mortality. The main risks in OAT are (1) entero-atmospheric fistula (EAF), (2) failure of primary fascial closure, and (3) incisional hernias. In this study, we assessed the long-term functional outcome after OAT to understand which factors impacted most on quality of life (QoL)/daily living activities and the natural course after OAT.Materials and Methods: After a retrospective analysis of 165 consecutive OAT patients over a period of 10 years (2002–2012) with over 65 clinical parameters that had been performed at our center (1), we initiated a prospective structured follow-up approach. All survivors were invited for a clinical follow-up. Forty complete datasets including clinical and social follow-up with SF-36 scores were available for full analysis.Results: The patients were dominantly male (75%) with a median age of 52 years. Primary fascial closure (PC) was achieved in 9/40 (23%), while in 77% a planned ventral hernia (PVH) approach was followed. A total of 3/4 of the PVH patients underwent a secondary-stage abdominal wall reconstruction (SSR), but 2/3 of these reconstructed patients developed recurrent hernias. Fifty-five percent of the patients with PC developed an incisional hernia, while 20% of all patients developed significant scarring (Vancouver Scar Score &gt;8). Scar pain was described by 15% of the patients as “moderate” [Visual Analog Scale (VAS) 4–6] and by 10% as “severe” (VAS &gt; 7). While hernia presence, PC or PVH, and scarring showed no impact on QoL, male sex and especially EAF formation significantly reduced QoL.Discussion: Despite many advantages, OAT was associated with relevant mortality and morbidity, especially in the early era before the implementation of a structured concept at our center. Follow-up revealed that hernia incidence after OAT and secondary reconstruction were high and that 25% of patients qualifying for a secondary reconstruction either did not want surgery or were unfit. Sex and EAF formation impacted significantly on QoL, which was lower than in the general population. With regard to hernia incidence, new strategies such as prophylactic mesh implantation upon fascial closure should be discussed analogous to other major abdominal procedures.
Risk Factors for Fasciotomy After Revascularization for Acute Lower Limb Ischaemia
Authors: Karonen Emil , Wrede Axel , Acosta Stefan 
Published: March 2021

Background: Acute lower limb ischaemia (ALI) is a life and limb threatening vascular emergency. Acute compartment syndrome (ACS) may develop upon revascularization. The risk of fasciotomy was hypothesized to be decreased in women due to their lower calf muscle mass. The main aim was to evaluate risk factors for fasciotomy after revascularization for ALI.Methods: This is a retrospective observational study of patients undergoing revascularization for ALI between 2001 and 2018. Factors associated with outcome at 1 year in univariable analysis (p &lt; 0.1) were chosen for multi-variable analysis and expressed in Odds Ratios (OR) with 95% confidence intervals (CI).Results: The median age for women (n = 394) was 75 years and men (n = 449) was 70 years (p &lt; 0.001). The frequency of fasciotomy was 10.0% (84/843). The median in-hospital stay was 28 vs. 6 days for patients undergoing fasciotomy and not, respectively (p &lt; 0.001). In adjusted analysis, renal insufficiency (OR 1.77, 95% CI 1.04–3.01), motor deficit (OR 4.40, 95% CI 2.45–7.92), popliteal artery aneurysm thromboembolism (OR 2.26, 95% CI 1.06–4.80), and open vascular surgery (OR 3.43, 95% CI 1.97–5.98) were associated with an increased risk of fasciotomy. Female patients (OR 0.49, 95% CI 0.28–0.84) and anemia (OR 0.52, 95% CI 0.28–0.84) had a lower risk. The major amputation/mortality rate at 1-year was 27.7%; fasciotomy (OR 1.94, 95% CI 1.11–3.40), anemia (OR 1.84, 95% CI 1.24–2.73) and female gender (OR 1.44, 95% CI 1.00–2.08) were independently associated with an increased risk.Conclusions: Female patients had lower rates of fasciotomies, but subsequent higher risk of major amputation/mortality, which may be attributed to inferior results of revascularization. Lower muscle mass and underdiagnosis of ACS could also explain the lower frequency of fasciotomy for female patients. Further studies are needed to better understand gender differences in presentation of ALI, revascularization results and diagnosis of ACS.
Jak zrealizować wspólny projekt pt. „Małżeństwo”? Papieża Franciszka koncepcja przygotowania do małżeństwa
Authors: Parzyszek Madalena 
Published: March 2021

Abstrakt:
Papież Franciszek zwołując 5 października 2014 roku III nadzwyczajne zgromadzenie ogólne Synodu Biskupów nt. „Wyzwań duszpasterskich dla rodziny w kontekście nowej ewangelizacji”, oraz 24 października 2015 roku wydając dokument „Misja i powołanie rodziny w Kościele i w świecie współczesnym” zaprosił do refleksji m.in. nad przygotowaniem do małżeństwa. Dotyczy ona głoszenia kerygmatu i inicjacji w sakrament. Autorka artykułu podejmuje się odczytania rozumienia kerygmatu w nauczaniu papieża Franciszka rozumiejąc go jako orędzie mające moc przemiany życia, prowadzące do osobowej relacji z Bogiem, zawierające także konieczność proklamowania go w świecie.
Inicjację w sakrament rozumie jako „zakorzenienia przygotowania do małżeństwa w procesie inicjacji chrześcijańskiej, z zaakcentowaniem powiązania małżeństwa ze chrztem oraz innymi sakramentami” ( Franciszek, 2016, 206).
Refleksja nad wskazanymi treściami w związku z przygotowaniem do małżeństwa stanowi przyczynek do dyskusji nad zaproponowanym tematem.

Abstract:
Pope Francis convoking The Third Extraordinary General Assembly of the Synod of Bishops on 5th October 2014 on the topic of „Pastoral Challenges of the Family in the Context of Evangelization” and during The Fourteenth Ordinary General Assembly of the Synod of Bishops, popularly referred to as the Synod on the Family, releasing on 24 October 2015 the final report intitled "The Vocation and Mission of the Family in the Church and in the Contemporary World” invited to join reflection how to prepare for marriage. It is concerned with preaching the kerygma and initiation into sacrament of Martimony. The aim of the author of this article is to present understanding the kerygma in Pope Francis’ teaching as a proclamation having power to change life, leading to relationship with God including also necessity to proclaim it in the world.
Initiation into sacrament of Martimony is understood as „implanting prepation for marriage during christian initiation, with accenting connection marriage with the baptism and other sacraments” (Pope Francis, 2016, 206).
Reflection of indicated contents connected with preparing for marriage constitutes a trigger to discussion of proposed subject.
Systemowe rozumienie rodziny a schizofrenia - czy koncepcja matki schizofrenogennej wytrzymała próbę czasu?
Authors: Sipowicz Kasper , Podlecka Marlena , Pietras Tadeusz 
Published: March 2021

W niniejszym artykule zarysowana została zmieniająca się koncepcja pojmowania schizofrenii. Dawniej w kontekście systemowej terapii rodzin, przyczyn owej choroby upatrywano w reakcji najsłabszego członka rodziny na obecność tzw. matki schizofrenogennej. Jednak zgodnie z hipotezą neurorozwojową przyjmuje się współcześnie, iż rozwój schizofrenii może być następstwem nieprawidłowego rozwoju płodu. Wiedza ta rzuca nowe światło na rozumienie etiopatologii owego zaburzenia, zdejmując także piętno z rodzin osób chorych i otwierając efektywną ścieżkę terapii systemowej rodzin osób ze schizofrenią.
Amblyomma spp. E A RELAÇÃO COM A FEBRE MACULOSA BRASILEIRA
Authors: Soares de Melo Evangelista Luanna , Lima Oliveira Aline , Railson de Sousa Gomes Naelson , Maria Sousa de Oliveira Nathyelle , Dos Santos Sousa Larissa , Danielly Vieira Pereira Andreza 
Published: March 2021

Carrapatos são artrópodes de grande importância para a saúde, principalmente por transmitirem doenças aos seus hospedeiros. Espécies do gênero Amblyomma possuem uma ampla variedade de hospedeiros, incluindo o parasitismo em humanos, podendo ser considerados potenciais transmissores de rickettsias do grupo das bactérias causadoras da Febre Maculosa Brasileira (FBM). O objetivo desse trabalho foi realizar uma revisão de literatura sobre as principais espécies de Amblyomma transmissoras da FMB. Foram realizadas pesquisas nas bases de dados de plataformas como SciELO, LILACS e PubMed, e os descritores utilizados foram: “Amblyomma” e “Febre Maculosa Brasileira”, nos idiomas português e inglês. Foram encontrados 55 trabalhos científicos e 05 teses sobre a temática e os resultados confirmaram que os carrapatos das espécies Amblyomma sculptum, A. aureolatum e A. ovale são os principais vetores da FMB, sendo a capivara, os cavalos e os cães os mais importantes reservatórios da cadeia epidemiológica da doença. As regiões Sudeste e Sul lideram os números de casos e óbitos em humanos. É importante conhecer o ciclo de vida, o ambiente e as condições ambientais favoráveis para a manutenção dessas espécies de carrapatos, a fim de diminuir a ocorrência de zoonoses transmitidas por eles, evitando também a expansão da FMB.
INTEGRACIÓN CURRICULAR: UN PROCESO DE INVESTIGACIÓN ACERCA DEL CURRICULUM UNIVERSITARIO
Authors: Zamudio Alicia M. , Leiva Sandra E. , Fernández Miriam A. 
Published: March 2021

Las propuestas de formación expresadas en los planes de estudio universitario han adoptado tradicionalmente una organización disciplinar fragmentada. Sin embargo, se insiste con frecuencia en que el ejercicio profesional requiere de habilidades y capacidades para articular saberes pertinentes en la resolución de problemas que se presentan como complejos y multideterminados, y cuyas variables requieren ser identificadas y relacionadas apelando a múltiples campos de saberes y prácticas. La cuestión de la integración curricular se presenta así, en el marco de los procesos de innovación de la Educación Superior, como una meta a alcanzar a la vez que representa un problema a resolver. Por ello resulta relevante el desarrollo de estudios y relevamientos sistemáticos que aporten, tanto a los procesos de gestión académica en torno del curriculum, como a la enseñanza. Este artículo se propone presentar un proceso de investigación sobre currículum universitario con eje en el concepto de integración a partir de la adaptación y aplicación de la escalera de Harden (Harden 2000).
Modern myrobalan plum cultivars of Belarusian breeding
Authors: Васеха Виталий Валерьевич , Борисенко Марина Николаевна , Матвеев Валерий Авксентьевич , Горина Валентина Милентьевна 
Published: March 2021

Приводится оценка сортов алычи культурной белорусской селекции: Асалода, Витьба, Лодва, Лама, Ветразь-2, Сонейка, Панна, Мара, созданных в РУП «Институт плодоводства». Исследования проведены в отделе селекции плодовых культур РУП «Институт плодоводства» в течение 2015-2020 гг. Дана краткая характеристика продуктивности, качества плодов, устойчивости к плодовой гнили, зимостойкости. Установлены сроки цветения и созревания плодов. По комплексу хозяйственно ценных признаков выделены сорта Панна (Лама × Gaviota) и Ветразь-2 (Ветразь св.оп.). Сорта Мара и Асалода рекомендованы в качестве опылителей для современных сортов алычи культурной в условиях Беларуси.
The article presents the result of evaluation of 8 myrobalan plum cultivars: ‘Asaloda’, ‘Vit’ba’, ‘Lodva’, ‘Lama’, ‘Vetraz-2’, ‘Soneika’, ‘Panna’, ‘Mara’ created in the Institute for Fruit Growing. The studies were carried out in The Fruit Breeding Department of the Institute for Fruit Growing in 2015-2020. The summary characterization of productivity, quality indices of fruits, susceptibility to brown rot, winter hardiness is presented. As a result of the research, date of full bloom and date of ripening were determined. ‘Panna’ (‘Lama’ × ‘Gaviota’) and ‘Vetraz-2’ (‘Vetraz’ o.p.) cultivars were selected for a complex of economic and biological characteristics. On the basis of the information, ‘Mara’ and ‘Asaloda’ cultivars are recommended as pollinators for modern myrobalan plum cultivars in Belarus conditions.
Peculiarities of carbohydrate-acid and phenolic complexes of red grape varieties bred in the Institute Magarach
Authors: Макаров Александр Семёнович , Шмигельская Наталия Александровна , Лутков Игорь Павлович , Максимовская Виктория Алексеевна , Белякова Оксана Михайловна , Сивочуб Галина Владимировна , Тимошенко Екатерина Александровна , Загоруйко Виктор Афанасьевич 
Published: March 2021

Представлены результаты исследований физико-химических показателей и биохимических свойств красных селекционных сортов винограда института «Магарач» - Антей магарачский, Памяти Голодриги, Красень урожаев 2014-2020 гг. Изучены технологические особенности винограда, заключающиеся в экстрагирующей способности фенольных, в т.ч. красящих, веществ, в зависимости от способов его переработки. Отмечено, что изучаемые сорта относятся к группе малоокисляемых сортов. Предложен подход к определению индивидуальных характеристик при оценке селекционных сортов винограда.
The results of studies of physicochemical indicators and biochemical properties of red grape varieties bred in the Institute Magarach - 'Antei Magarachskiy', 'Pamyati Golodrigi', 'Krasen' of 2014-2020 crop years are presented. Technological features of grapes, consisting of the extracting capacity of phenolic, including coloring, substances, depending on the methods of its processing, are studied. It is noted that the varieties under study belong to the group of low oxidizable varieties. The approach to determine individual characteristics when assessing the breeding grape varieties is proposed.
Synthesis of algorithm of unmanned aerial vehicle detection by acoustic noise
Authors: Puzanau A. D. , Nefedov D. S. 
Published: March 2021

The algorithm of detection of acoustic noise provided by an unmanned aerial vehicle (UAV) in the noise background due to wind is synthesized in the article. Creation of the algorithm has been carried out using the Neyman – Pearson lemma. The algorithm assumes a combination of the stages of wind noise coherent compensation and coherent accumulation of UAV’s acoustic noise sound pressure impulses. The coherent accumulation time matches doubled time of fluctuation correlation resulted by experimental research of acoustic noise of different types of UAVs. Efficiency of the developed algorithm of UAV detection depends on flight velocity, foreshortening, amount of blades and rotor turnovers of UAV as well as weather conditions. For the probability of a false alarm value of 10–4, the probability of correct UAV detection value of 0.9 is provided wherein signal-to-noise ratio has a value of 8 dB. These indicators correspond the detection range of 200 to 300 meters. The obtained results allow discussions about perspective of acoustic UAVs detection systems adaptation.
HUBUNGAN LAMA WAKTU PASCA KEMORADIASI DENGAN DERAJAT DISFAGIA OROFARINGEAL PADA KARSINOMA NASOFARING
Authors: Kusuma Lirans Tia , Antono Dwi , Muyassaroh Muyassaroh 
Published: March 2021

Abstrak
Latar belakang : Disfagia dapat sebagai efek samping pada penderita karsinoma nasofaring (KNF) yang menjalani terapi kemoradiasi. Angka kejadian yang dilaporkan mencapai 83%. Hubungan antara lama waktu pasca kemoradiasi dengan derajat disfagia orofaringeal pada KNF sampai saat ini belum diketahui secara jelas. Tujuan : Menganalisis hubungan lama waktu pasca kemoradiasi dengan derajat disfagia orofaringeal pada KNF. Metode : Penelitian observasional analitik dengan desain belah lintang. Subjek adalah penderita KNF pasca kemoradiasi di RSUP Dr. Kariadi Semarang yang memenuhi kriteria penelitian. Penentuan status disfagia dan derajat disfagia dengan pemeriksaan Gugging Swallowing Screen (GUSS). Data lengkap subjek didapatkan dari anamnesis dan rekam medis. Uji statistik yang digunakan adalah Chi-Squared. Hasil : Sebanyak 55 subjek KNF mengalami disfagia (100%), 48 (87,3%) subjek mengalami disfagia derajat ringan, tidak didapatkan subjek yang mengalami disfagia derajat sedang, dan 7 (12,7%) subjek mengalami disfagia derajat berat. Lama waktu pasca kemoradiasi (p = 0,451), jenis kemoterapi (p = 0,267), dan modalitas terapi (p = 0,402) tidak berhubungan dengan derajat disfagia orofaringeal pada KNF. Kesimpulan : Mayoritas subjek terjadi disfagia derajat ringan. Lama waktu pasca kemoradiasi, jenis kemoterapi, dan modalitas terapi tidak berhubungan dengan derajat disfagia orofaringeal pada KNF.
Kata Kunci : KNF, kemoradiasi, derajat disfagia, GUSS.
Neuroimaging Findings in Patients with Covid-19 in Indonesia
Authors: Sadikin Cindy , Meryana Meryana , Besin Valentinus , Saelan Yanna 
Published: March 2021

Background: Covid-19 caused by the SARS-CoV-2 virus has spread worldwide, including Indonesia. Neurological manifestations has also been reported in Covid-19 positive patients. Yet documentation of their neuroimaging findings are lacking, especially in Indonesia. Objective: To understand neuroimaging findings in Covid-19 positive patients
Methods: An observational study from medical record of Covid-19 positive patients in our hospital who developed abnormal neurologic manifestations and were followed up by neuroimaging examination from May to August 2020. Covid-19 positive diagnosis was confirmed from nasopharyngeal swab using the Real Time Polymerase Chain Reaction (RT-PCR). Neurological examination was performed by a neurologist, who then referred patients for neuroimaging examination using CT or MRI. Radiological expertise was performed by a radiologist.
Results: A total of 288 patients who are Covid-19 positive from nasopharyngeal RT-PCR swab admitted to our hospital from May to August 2020. Ten patients (3.5%) had abnormal neurologic manifestations and further neuroimaging examination follow up. Range of age 33-72 years old and slight male predominance (60%). Frequent clinical symptoms were decreased consciousness (40%), altered mental status (30%) and tremors (20%). Neuroimaging findings were large vessel occlusion (30%), vasculitis (20%), post hipoxic leucoencephalopathy (10%), basal ganglia encephalopathy (10%), non specific small vessel ischemia changes and negative findings (30%). Most patients were discharged with clinical improvement (60%), while 40% mortality rate were seen in patient with large vessel occlusion (30%) and vasculitis (10%).
Conclusion: Neuroimaging findings in Covid-19 positive patients were large vessel occlusion (LVO), vasculitis, post hipoxic leucoencephalopathy and basal ganglia encephalopathy Keywords: Covid-19, neurological, manifestation, neuroimaging