bluuebunny/crossref_metadata_2025_split huggingface dataset:
Care of Infants with Myelomeningocele
Authors: SHURTLEFF DAVID B. 
Published: December 2021

To the Editor.—
I have just completed reading the paper on myelomeningocele by Gross and associates,1 and I am honored that they quoted our opinions and work. I am also favorably impressed by their similar process for decision making.
I am concerned, however, about the data presented. The 33 children selected for nontreatment represent approximately 48% of the total of 69 patients. We have recently published a review of our own selection process wherein we chose 21% for delayed surgical treatment.2
Care of Infants with Myelomeningocele
Authors: GROSS RICHARD H. , COX ALAN D. , TATYREK RUTH , POLLAY MICHAEL , BARNES WILLIAM 
Published: December 2021

In Reply.—
Most of the letters written in response to our paper on myelomeningocele1 express a common theme: that we have ignored technologic advances that are regarded as greatly improving the prognosis of the child with myelomeningocele. A number of statistics have been offered to substantiate the concept of an improved outlook for these babies. Some writers implied that our group needs education in the management of myelodysplasia. Finally, our interpretation of ethical writings has been challenged.
Letter to the Editor
Authors: Kokx Nicholas Paul 
Published: December 2021

I would like the authors of the article "Guideline for Management of Fever Without Soource"1 to comment on the following questions, observations, and counter points:
1. How does the data in Table 1 on page 3 support option 2 (of Fig 2 on page 5) for outpatient management of "low-risk" infants 28 to 90 days old? Table 1 lists the risk for meningitis as 39/1000 for the toxic infant, and 5/1000 for low-risk infants (defined as previously healthy, nontoxic appearing febrile infants with a negative physical examination and a negative laboratory screen, ie, white blood cell (WBC) count &gt;5000 and &lt;15 000 with &lt;1500 bands, a normal urinalysis, and &lt;5 WBC/high-power field in stool if diarrhea is present).
REGIONAL ALLIANCES—WHAT THEY COULD DO
Authors: L. J. F. 
Published: December 2021

Under the health bill, almost all Americans must buy basic health coverage through the "regional alliance" where they live. Regional alliances are governmentrun monopolies that decide which health plans will be offered, collect premiums from employers and residents, and pay most of the premium money to insurers and HMOs ...
The alliance limits what we can pay our own doctor. The alliance posts a schedule of doctors' fees, and it is illegal for doctors to accept more (pages 131, 231-232). The consequences of price controls are predictable.
In Japan, where similar controls are in place, doctors hurry from examining room to examining room, seeing on average 49 patients a day to compensate for low fees and to make ends meet. American doctors will do the same. In the U.S., when Medicare administrators froze physician reimbursement rates a decade ago, doctors compensated by stretching out treatments over several quick visits, to see patients more often. In a last-ditch effort to make Canadian price controls work, Ontario and Quebec put legal limits on physicians' incomes to eliminate the incentive to see patients more often.
FRACTIONATION OF OIL OF A NEW LINE OF SUNFLOWER SEEDS
Authors: Papchenko V. , Matveeva T. , Khareba V. , Khareba O. 
Published: December 2021

The main methods of obtaining fractionated oils and fats have been analysed. They involve three essentially different processes of fractionation of acylglycerols: dry fractionation, aqueous fractionation with a detergent, and solvent fractionation. Considerable attention has been paid to determining the conditions for fractionation of sunflower oil modified in its fatty acid composition. It has been emphasised that using stearic sunflower oil free from trans fatty acids as a source of fats is a topical task. The practical importance of complex research on fractional crystallisation of stearic sunflower oil has been substantiated. The experiments have allowed establishing the fatty acid and triacylglycerol composition of the oil of the new line of sunflower seeds of the saturated type Х114В (stearic type). The structure of its acylglycerols has been mathematically determined. Data have been obtained that besides the increased stearic acid content (9.1% of the total fatty acids), the oil under study also contains a significant amount of the disaturated–monounsaturated fraction of acylglycerols (6.16%). The method of fractionating sunflower oil of the stearic type, which has been scientifically substantiated, involves one-stage fractional crystallisation from the melt. The conditions of fractional crystallisation have been experimentally established: the crystallisation temperature range (+6 – +9°С), the crystallisation time (38 days), and the cooling rate (≈0.0051°С/s). The target fraction of sunflower oil of the stearic type has been obtained. It differs from the original oil in its fatty acid and acylglycerol composition. The yield of this oil fraction was 24.57%. It has been found that the fatty acid composition of this fraction has a content of palmitic acid increased by 0.9% and that of stearic acid higher by 3.3%, while its linoleic acid content decreased to 41.9%. The total amount of saturated fatty acids in the target fraction sample is 19.8% of all fatty acids. It has been found that the proportion of disaturated–monounsaturated acylglycerols in the target fraction increases by 3.27%. The resulting target fraction will be useful in flour and confectionery technologies as a substitute for fats containing trans fatty acids
BIOLOGICAL VALUE AND CONSUMER PROPERTIES OF FISH PASTES
Authors: Menchynska A. , Manoli T. , Tyshchenko L. , Pylypchuk O. , Ivanyuta A. , Holembovska N. , Nikolaenko M. 
Published: December 2021

The paper presents a study of the quality parameters of fish pastes and confirms their value as food products with optimised nutritional and biological characteristics. Sensory evaluation of fish pastes has shown that the samples developed have higher consumer properties compared with the control sample. The results of the profile analysis by the flavour method show that the paste Ikrynka is the closest to the ideal taste profile. The findings on the chemical composition characterise fish pastes as products with high nutritional value due to the significant content of proteins and lipids. The paste Ikrynka contains 12.68% of proteins, and the paste Zakusochna 13.43%, which is at the level of the control sample (13.05%). The mass fraction of lipids in the experimental samples exceeds the control: in the paste Ikrynka, the lipid content is 40.06%, in Zakusochna, it is 36.64%, and in the control sample, the proportion of lipids is 11.41%. The results of studying the amino acid composition of proteins show that in the test samples, all essential amino acids are present. They are well-balanced, which indicates their high biological value and makes the pastes easily assimilated by the human body. The study of the fatty acid composition of lipids present in the fish pastes shows that in the samples developed, polyunsaturated fatty acids predominate: their share in the paste Zakusochna is 44.23%, and in Ikrynka, 48.42%. By the ratios of the fatty acids С18:2:С18:1, С18:2:С18:3, and ω6:ω3, both samples of pastes are equivalent to ideal fat, which indicates high biological effectiveness of lipids in fish pastes. It has been found that the pastes Ikrynka and Zakusochna are high in vitamin E (1.83 mg/100 g and 1.64 mg/100 g respectively) due to a significant amount of vegetable oil in their composition. Ikrynka contains quite a lot of carotenoids (3.47 mg/100 g) due to the presence of carrots in its composition. The results of studying the mineral composition show that the samples of pastes developed are a source of zinc
Atık Madeni Yağlar ve Yağlı Atıksu Arıtma Yöntemlerine Dair Bir Araştırma
Authors: GÜNEŞ GÜRDAL Ezgi 
Published: December 2021

Endüstriyelleşme ile birlikte dünyadaki madeni yağ talebi her geçen gün büyük artış göstermektedir. Bu artış çeşitli kaynaklara göre ortalama olarak yaklaşık 36 milyon ton/yıldır. Artan talep atık yağın artışına sebep olmaktadır ve insan sağlığı ile çevre için önemli bir tehdit oluşturmaktadır. Bu tehdidi önlemek için yağ atıklarının bertarafının kontrollü bir şekilde yapılması gerekmektedir.
Bu çalışmada madeni yağ üretimi, çeşitleri ve yağ içeren atıksuların bertaraf yöntemleri araştırılmıştır. Elde edilen literatür sonuçlarına göre atık yağ ile kirlenmiş suların arıtımında kullanılan en etkili yöntemler elektrokoagülasyon ve membran filtrasyonudur. Membran filtrasyonunda ise membran gözenek çapı azaldıkça arıtım verimi artış göstermiştir. Uygun koagülant seçimi yapılan elektrokoagülasyon yöntemi ve membran filtrasyonunda nanofiltrasyon yada hibrit sistemler kullanıldığında yüzde yüze varan giderim verimleri tespit edilmiştir. Bununla birlikte tek başına uygulanan konvansiyonel yöntemlerin giderim verimleri düşük olarak tespit edilmiştir.
Role of atrial natriuretic peptide (ANP) in feto-placental and maternal circulation
Authors: Polyanin A. A. , Kogan I. J. 
Published: December 2021

ANPwas measured in maternal cubital vein (M), umbilical vein (UV) and artery (UA) in 39 women at term delivery (23 vaginal, 16 caesarean): 15 - normal pregnancy; 24 pregnancies were complicated by placental insufficiency, 14 - by preeclampsia, 10 - by diabetes mellitus. Blood gases and pH in UA, UV were measured.
M, UA, UV ANPat caesarean section was similar to that in vaginal delivery (p0,05). In normal and complicated pregnancies, UA ANPwas significantly higher than ANPin M and UV. In pregnancies complicated by diabetes mellitus, UV ANPwas higher than ANPin UA (21, 93 fmol/l and 13, 03 fmol/l). In pregnancies complicated by acute placental insufficiency, UV ANPwas significantly lower than that in UA in normal pregnancy (p0,001). There is positive correlation between ANPconcentration and pH in UV.
Fetus is capable of ANPproduction. ANPmay be synthesized in the placenta.
Fetal hypoxia appears to be a potent stimulus for elevating of ANPplasma concentration.
Comparative estimation of phytoestrogens and natural estrogens efficiency while using as substitute therapy in patients with climacteric syndrome
Authors: Vishnevsky A. S. , Safronnikova N. R. , Nurmukhamedov A. I. , Yusupova I. S. , Igamberdieva N. B. , Kandiletu A. Y. 
Published: December 2021

In comparative aspect the clinical efficiency of natural estrogen - 17 - - estradiol and phytoestrogens for elimination of climacteric syndrome and age hyperlipoidemia appearing was studied.
Climadinon can be considered as alternative classic substitute therapy preparation for the treatment of vasovegetal disorders within climacteric syndrome. The absence of side effects allows recommend this preparation on the first stage of patients treatment. Should the phytoestrogens effect became weaker, on the second hormonotherapy stage it is possible to obtain the disorders compensation by means of prescribing preparations, containing natural estrogens.
Importance of transcervical myomectomy in pre- & postmenopausal patients.
Authors: Kappusheva L. M. , Bansova В. I. , Anisimova S. A. , Golova J. A. 
Published: December 2021

Evaluation of the importance of hysteroscopical transcervical myomectomy in pre- postmenopausal patients with submucous myoma.
Mechanical myomectomy was performed mostly in patients with submucous myoma of 0 type, as a single-moment operation, but with a short hospital stay. Electrosurgical myomectomy was preferable in patients with submucous myoma with greater intramural component, smaller in size, localized in difficult to reach areas, where the mechanical technique was impossible. 71,1% of the patients after transcervical myomectomy had positive clinical effect concerning uterine bleeding, and 94, 7% of the patients enrolled in the study, could escape the hysterectomy.
Chronic obstructive pulmonary disease in patients with coronary heart disease worsens long-term prognosis after percutaneous coronary interventions
Authors: Zafiraki V. K. , Kosmacheva E. D. , Mirzaev S. G. , Shulzhenko L. V. , Ramazanov J. M. , Omarov A. A. , Imetova Zh. B. , Pershukov I. V. 
Published: December 2021

Aim To evaluate the incidence rate of major adverse cardiovascular events (MACVE) in the long-term following percutaneous coronary interventions (PCCI) in patients with acute and chronic ischemic heart disease (IHD) and the contribution of concurrent chronic obstructive pulmonary disease (COPD) to the long-term prediction.Material and methods This prospective cohort study included 254 patients with IHD and concurrent COPD and 392 patients with IHD without COPD. PCCI was performed in all patients: for acute coronary syndrome in 295 patients and for chronic IHD in 351 patients. The follow-up period lasted for up to 36 months. The outcome was a composite endpoint, MACVE, that included cardiovascular death, myocardial infarction, stroke, repeated unscheduled myocardial revascularization (MR), and the time to the event.Results The age-standardized incidence of MACVE in patients with IHD and COPD was 31.5 vs. 23.2 % in patients with IHD without concurrent COPD (p=0.025), primarily due to an increased frequency of repeated unscheduled MR (20.5 vs. 14.0 %, p=0.041), which was associated with earlier occurrence of adverse events (p<0.001). Repeated unscheduled MR was more frequently performed in patients with moderate COPD; the frequency of MR decreased with increasing severity of COPD, whereas the total incidence of cardiovascular death, myocardial infarction, and stroke was the highest in patients with severe and very severe COPD.Conclusion The presence of concurrent COPD increases the relative risk of MACVE 1.36 times (95 % confidence interval: 1.05–1.75) and facilitates their earlier development. Repeated unscheduled MR makes the major contribution to the increase in the total risk (relative risk, 1.46; 95 % confidence interval: 1.03–2.06). The increase in severity of COPD is associated with the increase in total frequency of MACVE (p=0.005).
Cardioprotective potential of chronopharmacotherapy in patients with arterial hypertension who had a transient ischemic attack
Authors: Opolskaya S. V. , Skibitsky V. V. , Fendrikova A. V. , Zabolotskich T. B. , Skibitsky . A. V. 
Published: December 2021

Aim Analysis of the cardioprotective effectivity of chronopharmacotherapy in patients with arterial hypertension (AH) after transient ischemic attack (TIA).Material and methods 174 patients with AH and TIA were evaluated. All patients were randomized to three groups based on the dosing schedule of chronopharmacotherapy: group 1 (n=59), patients receiving indapamide retard 1.5 mg and valsartan 160 mg, both in the morning; group 2 (n=58), indapamide retard 1.5 mg in the morning and valsartan 160 mg in the evening; group 3 (n=57), indapamide retard 1.5 mg in the morning and valsartan 80 mg in the morning and evening. Echocardiography (EchoCG) (ALOKA SSD 2500, Japan) was performed for all patients at baseline and at 12 months of the treatment. Statistical analysis of results was performed with the Statistica 12.0 (StatSoftInc, USA) software.Results Before the treatment, EchoCG parameters did not significantly differ between the patient groups. After 12 months of the treatment, positive changes in the end-systolic dimension (ESD), interventricular septal thickness (IVST), thickness of the left ventricular posterior wall (TLVPW), LV myocardial mass (LVMM), LVMM index (LVMMI), ejection fraction (EF), ratio of transmitral early peak flow velocity and late filling flow velocity (E/A), and isovolumetric velocity relaxation time (IVRT) were more pronounced in the group of sartan evening dosing (group 2) than in the group of sartan single morning dosing (group 1) (p<0.05). In group 3, the changes in ESD, IVST, TLVPW, LVMM, LVMMI, EF, E/A ratio, deceleration time (DT) of LV, and IVRT were significantly greater than those in group 1, whereas the dynamics of ESD, IVST, TLVPW, LVMM, LVMMI, E/A ratio, and DT were better in group 3 than in group 2 (p<0.05). In addition, a significantly greater number of patients with normalized LV geometry was registered in group 3 compared to groups 1 and 2 (p<0.05). The number of patients with normal LV diastolic function after the treatment was also significantly greater in group 3 than in group 1 (p<0.05) and comparable with group 2.Conclusion The morning dosing of indapamide retard and the b.i.d. dosing of valsartan provided more pronounced beneficial changes in major EcoCG indexes and improvement of LV geometry and diastolic function than the sartan single dosing only in the morning or evening in combination with the diuretic.
Between Enslavement and Liberation. Narratives of Belonging from Two Farm Workers in Rural South Africa
Authors: Coetzee Jan K. , Rau Asta 
Published: December 2021

More than two decades after the genesis of South Africa’s aspirational democracy in 1994, deep-seated forms of inequality still exist. These are explored in the narratives of two farm workers who tell of events and experiences in their everyday lives. In probing the everyday, we turn the spotlight on phenomena, events, and experiences that are simultaneously familiar yet perplexing, taken-for-granted yet questionable, tangible yet elusive. As a backdrop to the sociology of the everyday, key ideas from three social theorists — Randall Collins, Jeffrey Alexander, and Vanessa May — guide our interpretation of excerpts from the farm workers’ narratives. The farm workers’ stories are also juxtaposed with reflections on the socio-political, economic, and emotional contexts of slavery and serfdom.
Message from Editor in chief
Authors: Bozkurt Tulay 
Published: December 2021

Dear reader,

We are pleased to publish Volume 11, Issue 1 of the Global Journal of Psychology Research: New Trends and Issues. The COVID-19 pandemic has caused a lot of anxiety and psychological problems to a vast majority of people around the world. As such, most researchers have focused on studying the psychological effects of the pandemic on the masses. However, there remain other psychological issues outside of the pandemic that need to be addressed. The aim of this publication is to present to our readers, the current trends in Psychology, aside the problems caused by the COVID-19 pandemic.
The reviewers after a thorough peer review process selected 5 topics out of the total submissions. The selected papers include: Moderating effects of age, employment status and level of education on the predictive utility of the LSI-R for sexual offenders; Effect of oxytocin and cortisol levels on mother–infant bonding; The effect of communication skills training on marital intimacy and marital conflict among young couples: An experimental study; Neglected influences of wisdom of Sun Zi’s Art of War on corporate leadership; Psychosocial risks in radiology technicians. This issue presents topics from the United States of America, Iran, Portugal and Malaysia.
We would like to extend our gratitude to the skilled researchers who contributed to this Issue. We also commend the publishing team for their enormous dedication.
Dear reader, enjoy reading!!

Best Regards,
Prof. Dr. Tulay Bozkurt
Editor in chief
Adieu Humboldt
Authors: Fasora Lukáš , Pečinková Anna 
Published: December 2021

This text examines the issue of the professional status of Czechoslovak university teachers during the interwar period from the perspective of a shift from a liberal to a post-liberal university arrangement. The authors approach the theme using legal-historical methodology and attention is largely focused on the discussions surrounding the attempt to change the legal regulations relating to autonomy. The study looks at the significant differences in the interpretation of university autonomy within the academic community and follows the changes in attitude towards this important liberal theme in the light of the crisis and breakup of the interwar Czechoslovak regime during the period 1936-1938.
The text is part of the project GA ČR GA19-01035S Státní financování a autonomní správa vysokých škol 1849-1939 (State finance and the autonomous governance of universities 1849-1939).
RELATO DE LESÃO CONGÊNITA DE TECIDO ADIPOSO RARA EM RECÉM-NASCIDO
Authors: Neto Nilson Ferreira de Oliveira Neto , Santana Stéfani , Barbosa de Paula Luiz Fernando , Mota Loyola Adriano , Vitorino Cardoso Sérgio , Turrioni Ana Paula 
Published: December 2021

Trata-se de um relato de caso clínico referente a um paciente de três meses que se apresentou com lesão congênita adiposa em dorso de língua, onde se é discutido fatores importantes que devem ser levados em consideração em um diagnóstico diferencial. A lesão se apresentava pediculada, lisa, com coloração do tecido de inserção e dificultava a amamentação. Após excisão cirúrgica em ambiente ambulatorial, o exame histopatológico revelou pequenas células de características lipoblásticas e adipogênicas mescladas em um estroma fibroso. A associação entre os achados clínicos e histopatológicos levou ao diagnóstico de hamartoma lipoblastomatoso (HL). Nas consultas de acompanhamento, a criança estava realizando o aleitamento materno sem dificuldades, sendo que não foi observado sinais de recidiva da lesão após seis meses do tratamento.
Palavras-chave: Amamentação; Hamartoma; Recém-nascido.
ACOMPANHAMENTO PRÉ-NATAL PRECOCE E A INFLUÊNCIA NO DESFECHO DA GESTAÇÃO: ANÁLISE DO PERFIL EPIDEMIOLÓGICO DE GESTANTES EM UNIDADES DE SAÚDE DO MUNICÍPIO DE PALMAS-TO
Authors: Bezerra Palloma , Caroline da Silveira Dias Brenda , Couto de Souza Gomes Gleyssi , Barros Figueira Caroline , Bandeira da Silva Filha Manuela , Sousa Tapajos Jacome Wilses de 
Published: December 2021

Objetivos: Analisar o acompanhamento pré-natal precoce e sua influência no desfecho da gestação. Observar o perfil epidemiológico das gestantes em Palmas, Tocantins. Métodos: Estudo quantitativo e transversal realizado entre o período de janeiro de 2016 a janeiro de 2019 nos centros de saúde comunitária (CSC) das quadras 406 norte e 210 sul em Palmas- Tocantins. Foram avaliadas 178 gestantes por meio de análise do prontuário eletrônico (E-SUS). As análises obervacionais foram realizadas usando Microsoft Excel-2010. As variáveis descritas relacionadas a um pré-natal, foram: idade da paciente, raça, estado marital, escolaridade, renda, início do pré-natal, consultas ambulatoriais e visitas domiciliares. Resultados: O perfil epidemiológico encontrado no estudo foi de mulheres com idade média de 26 anos, as pacientes pardas totalizaram 54% das gestantes, o nível de escolaridade das gestantes participantes do estudo, cerca de 51% do total possuía nível de escolaridade de ensino básico completo (alfabetização), 77% das gestantes iniciaram o pré-natal no primeiro trimestre, cerca de 65% das pacientes tiveram sete ou mais consultas durante o pré-natal e foram encaminhadas ao serviço de pré-natal de alto risco 19% das gestantes participantes do estudo. Conclusão: O acompanhamento pré-natal de forma precoce contribui para uma gestação mais segura, além de possibilitar intervenções precoces e um tratamento adequado para mãe e feto.