bluuebunny/crossref_metadata_2025_split huggingface dataset:
Educational Priorities for Providing End-of-Life Care: Parent Perspectives
Authors: Arora Gitanjli , Caliboso Menchie , Baird Jennifer , Rusch Rachel , Greenman Jennifer , Obregon Daniela , Serwint Janet R. 
Published: September 2021

OBJECTIVESPartnership with parents is a tenet of pediatric medicine; however, initiatives to include parents in education and research have been limited. Through focus groups, we included parents at the beginning of curriculum development by asking them to identify the priorities, existing supports, and opportunities for improvement in their child’s end-of-life (EOL) care.METHODSEnglish and Spanish-speaking bereaved parents whose child had been cared for by the palliative care team and had died &gt;18 months before the study initiation were invited to participate. In-person focus groups and a follow-up phone call were used to elicit opinions and capture a diversity of viewpoints. Themes were identified and clustered through an iterative analytic process.RESULTSTwenty-seven parents of 17 children participated, with the total sample size determined by thematic saturation. Four themes were identified as important to parents in their child’s EOL care: (1) honoring the role of the parent, (2) having confidence in the care team, (3) receiving gestures of love and caring, and (4) navigating logistic challenges.CONCLUSIONSWe asked parents to be partners in guiding priorities for health care education and professional development to improve pediatric EOL care. In addition to strengthening skills in communication, confidence in the team, and compassion, parents in this study identified a need for hospital staff to anticipate financial and social stressors and provide supportive resources more readily. Additionally, parents described clinical and nonclinical staff as providing support, suggesting that a multidisciplinary and interdisciplinary curriculum be developed to improve pediatric EOL care.
Manejo agronómico sobre el rendimiento y la calidad de café (Coffea arabica) variedad Castillo en Nariño, Colombia
Authors: Muñoz-Belalcazar Johanna Alixa , Benevides-Cardona Carlos Andrés , Lagos-Burbano Tulio César , Criollo-Velázquez Claudia Patricia 
Published: September 2021

Introducción. En los últimos años el área y la producción de café ha incrementado en Nariño, pero su sostenibilidad y rentabilidad se afectó por diversos factores. El aprovechamiento de atributos de calidad podría ser una alternativa para mejorar la actividad económica. Objetivo. Analizar la incidencia del manejo agronómico del sistema productivo de café variedad Castillo, sobre el rendimiento y la calidad del grano en el departamento de Nariño. Materiales y métodos. El trabajo se desarrolló durante 2018-2019 en cuatro municipios del departamento de Nariño, Colombia. Con sesenta unidades productivas (UPC) con café variedad Castillo. Se diseñó un instrumento mixto para la captura de información en predios y de variables in situ sobre el rendimiento y la calidad, con protocolos de la Specialty Coffee Association of America (SCAA) y la Federación Nacional de Cafeteros (FNC). Resultados. El 41,6 % de las UPC tenían predios sobre 1700 msnm, el 46,6 % se asoció con especies forestales, el 33,3 % con frutales o musáceas y el 20 % a libre exposición. El histograma de valores propios, permitió seleccionar cinco factores que explicaron el 52,69 % de variabilidad, las variables contribuyentes se relacionaron con: tipo de fertilizante, frecuencia, dosis de abono orgánico y densidad. El análisis de clasificación permitió conformar cuatro grupos, el cuarto con mayor número de UPC (35) pertenecía a la zona occidente, empleaba densidades de siembra >5500 plantas/hectárea y combinaba fertilizantes químicos y orgánicos. Conclusiones. Los sistemas mixtos con café bajo sombrío prevalecieron en su mayoría para el sistema productivo estudiado, de tal manera que no derivaron en composición de grupos diferenciales, como si hubo con la variabilidad en densidades de siembra, uso de abono orgánico y fraccionamiento de la fertilización. Estas variables de manejo agronómico influyeron en la obtención de diferencias para el rendimiento y la calidad de grano comercializable.
Dinámica de la producción y consumo de carne ovina en México 1970 a 2019
Authors: Bobadilla-Soto Encarnación Ernesto , Ochoa-Ambriz Fernando , Perea-Peña Mauricio 
Published: September 2021

Introducción. El volumen de producción de carne de ovino en México no satisfizo la demanda, principalmente para la elaboración del platillo tradicional “barbacoa”. Objetivo. Evaluar la dinámica de la producción y consumo de carne de ovinos en México. Materiales y métodos. La información estadística se obtuvo a partir de publicaciones oficiales de México del año 1970 al año 2019. Se determinaron los incrementos/decrementos, la tasa de crecimiento media anual, se calculó el índice estacional con el método de porcentajes promedios. Los datos de cada mes se expresaron como porcentajes del precio y de la producción. Resultados. La producción de carne en canal de ovino de 1970 a 2019 tuvo una tasa de crecimiento media anual de 2,2 %, en 2019 la producción fue 64 030 toneladas; la carne de ovino pagó mejor (USD por kg) en comparación con otras especies pecuarias. En 2019 los precios pagados fueron 1,47, 1,69, 1,54, 1,34 y 1,08 de ovinos (Ovis aries), bovinos (Bos taurus), caprinos (Capra hircus), porcinos (Sus scrofa) y pollos (Gallus gallus domesticus), respectivamente. El índice de estacionalidad para la producción de ovinos en pie, mostró que los meses de enero a mayo fue cuando se tuvo la menor producción (<100) y de junio a diciembre se dio la mayor (>100). La variabilidad del índice de la estacionalidad de los precios en carne de ovinos fue de 99,1 hasta 100,7 %, para este índice fue muy baja la variación (1,6 %), esto significó un precio estable todo el año; el consumo per cápita en México pasó de 467 a 567 g de 1970 a 2019. Conclusión. Existió una marcada estacionalidad en la producción; sin embargo, el precio se mantuvo constante a través del año, debido a que las importaciones estabilizaron el precio en la época de poca producción en México.
Efecto de los ácidos fenólicos en el sistema antioxidante de plantas de tomate (Solanum lycopersicum Mill.)
Authors: Zárate-Martínez William , González-Morales Susana , Ramírez-Godina Francisca , Robledo-Olivo Armando , Juárez-Maldonado Antonio 
Published: September 2021

Introducción. Los ácidos fenólicos pertenecen al grupo de los compuestos fenólicos, su síntesis y concentración en las plantas aumenta cuando estas se encuentran bajo condiciones de estrés biótico o abiótico. Objetivo. Evaluar el efecto de los ácidos fenólicos sobre el sistema de defensa antioxidante enzimático y no enzimático en plantas de tomate sometidas a estrés biótico. Materiales y métodos. El experimento se realizó de marzo a diciembre de 2016, en Saltillo, México. Se estableció un cultivo de tomate tipo Saladette de la variedad Río Fuego (Solanum lycopersicum Mill.). A plantas de tomate inoculadas con Clavibacter michiganensis subsp. michiganensis (1X105 UFC ml-1) se les realizaron aspersiones foliares de ácidos fenólicos a una dosis de 1 kg ha-1 con el producto Defens Gr® (IA: ácidos fenólicos 10 000 ppm). Se muestrearon hojas a los 15, 31 y 92 días después del trasplante (ddt) y frutos a los 90 ddt. Se trabajó con seis tratamientos: 1) testigo absoluto (T0), 2) aplicación de ácidos fenólicos antes de inocular Clavibacter (AFA), 3) aplicación de ácidos fenólicos después de inocular Clavibacter (AFD), 4) aplicación de ácidos fenólicos antes y después de inocular Clavibacter (AFAD), 5) solo aplicación de ácidos fenólicos (AF) y 6) solo inoculación con Clavibacter (Cmm). Resultados. La aplicación de ácidos fenólicos intervino en la actividad de antioxidantes enzimáticos y no enzimáticos. Se encontró mayor capacidad antioxidante en hoja que en fruto, la cual se determinó por ABTS [2,2’-azino-bis (3-etilbenzotiazolin-6-ácido sulfónico)] y DPPH (1,1-difenil-2-picrilhidrazil). La inoculación de las plantas de tomate aumentó la actividad de las enzimas catalasa y fenilalanina amonio liasa en hoja; además, hubo reducción de la actividad enzimática del superóxido dismutasa y el contenido de fenoles totales. Conclusión. Los ácidos fenólicos intervinieron en los mecanismos de defensa enzimáticos de la planta y redujeron los niveles de estrés ocasionados por la inoculación.
Report on the state of the library of the Society of Physicians at Them Oratory Kazan University for 1900-1901 academic. year
Authors: Board Editorial 
Published: September 2021

Report on the state of the library of the Society of Physicians at Them Oratory Kazan University for 1900-1901 academic. year.Librarian M.V. of Kazan.
(Read in the annual meeting of the Society on October 1, 1901).
Pancreatic traumatic cyst
Authors: Valyashno G. A. 
Published: September 2021

Surgery vol. XIV. No. 82.
The patient, observed by the author, had a tumor in the upper abdomen in the form of a hemispherical protrusion with the highest point at the middle of the distance between the xiphoid process and the umbilical cord. The tumor is elastic, dov. significantly tense, clearly fluctuates.
Die Medizin der Gegenwart in Selbstdarstellungen
Authors: Rieger K. 
Published: September 2021

Bibliography and reviews.
F. Meiner Publishing House in Leipzig publishes a series: Modern medicine in the autoimaging of its representatives . The idea of ​​the publishing house is quite original and very fruitful. Each outstanding specialist in his field gives something like his own autobibliography, talking about his scientific activity, about the development of his scientific ideas, about his achievements and about his contribution to the common treasury of science. Psychiatrists also take part in this series, and the last to give his autobibliography in 1929 was the Wrzburg psychiatrist Konrad Rieger.
Ventilation treatment for pus-free cerebral abscesses
Authors: Мuсk О. 
Published: September 2021

Abstracts: d) Otorhinolaryngology.
Treatment of cerebral abscesses by airing, freed from pus. O. Musk (Zeitschrift fiir Hals Nasen und Ohrenheilkunde 1929, B. 22, H. 4). believes that in case of brain abscesses, treatment should be carried out according to the following principles: 1) thorough cleaning of the abscess cavity, 2) the sitting position of the patient, 3) ventilation of the abscess cavity with a perforated aluminum plate instead of the usual bandage and 4) daily breathing exercises (deep sighs, 7 times ). As proof, the author cites the case history of one patient who, after scarlet fever, fell ill with acute left-sided mastoiditis with extradural abscess.
On the question of free spherical heart thrombi
Authors: Golyaev A. V. 
Published: September 2021

Dr. A. W. Goljajew (Kasan). Zur Frage uber die freien kugei formigen Tromben des Herzens.
Der Verfasser beobachtete wahrend der Section bei einer 40-jahri gen Frau, die bei den Erscheinungen der Storung der Herzkompensation gestorben war, eine freie kugelformige Trombe in der linken Vorkammer, 4,5 cm lang und 3,2 cm breit; im Schnitt enthielt die Trombe im Innern eine Hohle mit einer halbflussen Masse gefiillt und von einer kompakten 23 mm dicken Kruste umringt. Es ist nach der Meinung des Verfassers der 24-te in der Literatur beschriebene Fall einer freien kugelformigen Trombe des Herzens
The Essential Work of Crip Resistance: Demanding Dignity in Spain's Pandemic Austerity
Authors: Rodriguez Erika 
Published: September 2021

This article considers crip resistance to the politics of austerity with which Spain's government has reacted to the COVID-19 pandemic, roughly a decade after the 15-M anti-austerity movement and its occupations. Given the intensification of austerity politics and their effects on people with disabilities, I examine three instances of crip resistance and their virtual, local, and global settings. Beyond McRuer's expansive view of crip resistance as comprised of tactics that center disability against global austerity, my analysis establishes its groundwork in the current demands by Spanish disability advocacy groups and on Javier Romañach's modelo de diversidad funcional, the prevalent model of disability among Spanish disability activists that centers the concept of dignity. Throughout this analysis, I demonstrate how crip tactics that emerge in a crisis can help make sense of a continuing emergency as they challenge the existing conditions of cultural austerity and contribute to the concept of dignity as an organizing principle.
The paradox of "remote working" in Covid-19 pandemic times: disability, inclusion, and accessibility in Brazil
Authors: Aydos Val , Navarini Daniela , Oliveira Bernardo 
Published: September 2021

Due to the COVID-19 pandemic, many countries have adopted social isolation as a strategy to fight and limit the spread of the global crisis of Covid-19, which has impacted organization processes and employee's relationships with one another. Several issues such as the lack of accessibility and adaptations on work routines, that were already present in people with disabilities' life in the work environment are now highlighted, bringing to light theoretical debates and practical discussions about the experience of using technological accommodations as possible strategies for promoting accessibility and inclusion. Based on narratives of people with different corporalities in this contemporary shifting reality, in this article, we aim to reflect on how accessibility issues are being managed in labor practices in Brazil. More precisely, we seek to understand the role and effects of this new use of technology on social inclusion and exclusion of people with disabilities in the times and spaces where they work remotely due to the Covid-19 pandemic.
Disabling the Body Politic
Authors: Doonan Christina 
Published: September 2021

The metaphor of the 'body politic' is an apparently optimistic one, as it is supposed to signal the relationality and connectedness of all members of the whole. This paper argues that the metaphor does not deliver on its potential because it associates illness and disability with lack of quality of life. I argue that the embodied experience of chronic illness or disability can inform political virtues that would be salutary for a body politic confronting a health-based crisis such as the COVID-19 pandemic, and which challenge the assumptions of the body politic as traditionally constituted. I begin by drawing on scholarly treatments of the body politic to demonstrate that the body has consistently been idealized as able-bodied, and illness and disability are framed as inconsistent with quality of life or the functioning of the whole. In part two of the article, I draw upon Eli Clare's autoethnographic reflection entitled The Mountain as a starting point for re-imagining the body politic as disabled or chronically ill. I propose two political virtues that might be drawn from such a re-imagining: reflexivity and the recognition of limits. In part three, I argue that in the context of the COVID-19 pandemic, during which disability and chronic illness are foregrounded as important political issues, disabled and chronically ill people offer key insights, advocating a politics of relationality that has its starting point in their own disabled or chronically ill bodies.
A comparative study of bone marrow aspirate with trephine biopsy in pancytopenia disorders
Authors: J Kavya , Kumari MK Kalpana 
Published: September 2021

Pancytopenia is commonly reported in clinical hematology practice. Due to its varied marrow pathology and underlying ailments, diagnosis is often misleading and delayed. Bone marrow examination would provide a comprehensive diagnosis of both blood and bone marrow, since aspirate investigates the cytological morphology and biopsy evaluates the cellularity, architecture, and compact marrows.To compare bone marrow aspiration and trephine biopsy results in the diagnosis of pancytopenia, and to determine the sensitivity and specificity of aspirate examination in pancytopenia diagnosis.This prospective study was conducted at a tertiary care hospital from July 2014 to June 2016. A total of 320 samples were received at the department of pathology for bone marrow examination (aspirate and biopsy). Romanowsky (Leishman) stain was used to investigate aspirate samples. All biopsy samples were processed into 3-5 μ blocks and stained using hematoxylin and eosin after decalcification with 5.5% EDTA. Data analysis was performed using SPSS19.Pancytopenia constituted 56 (18.7%) cases with the mean age of 41.79 years. Of the total pancytopenia cases, hematological disorders constituted 50 (89.3%) cases and 6 (10.7%) were non-hematological cases. Aspirate and biopsy diagnosis positively correlated in 76.79% of cases. A 100% sensitivity and specificity of aspirate diagnosis was observed in, acute myeloid leukemia, hypersplenism, myelodysplastic syndrome, megaloblastic anemia, hematological malignancy in remission and negative for lymphoma infiltrate. Aspirate had no role in diagnosis of uremic osteodystrophy and myelofibrosis, whereas leishmaniasis was diagnosed on aspirate alone.Pancytopenia includes multiple underlying ailments which requires a differential diagnosis approach. Combining both aspirate and biopsy for diagnosis would benefit the patient in prognosis as they are complementary to each other.
​Caprine Respiratory Mycoplasmosis (Contagious Caprine Pleuropneumonia CCPP)- A Global Perspective of the Disease, Epidemiology, Diagnosis, Chemotherapy and Immunization: A Review
Authors: Shaheen M. , Bashir S. , Hassan N. , Akhoon Z.A. , Muhee A. 
Published: September 2021

Mycoplasma infection of the respiratory tract of goats is prevalent worldwide including the South Asian sub-continent. Owing to intensive and large scale goat farming, the incidence of the disease is on an increase. Among various species of mycoplasma, Mycoplasma capricolum subspecies Capri pneumoniae is increasingly incriminated in Contagious Caprine Pleurapneumonia (CCPP) in goat populations with considerable economic fallout in the form of high morbidity and mortality. The disease manifestations in caprines are recorded as anorexia, high febrile reaction and respiratory embarrassment in the shape of clinical dyspnoea, polypnea, paroxysmal cough and sero-purulent nasal discharges. The disease is thus contracted by the healthy animals through aerosol, contaminated feed and water sources in the herd premises, without a protective immunity and that the conferred immunity in recovered cases being short-lived. The true lesions of CCPP are confined to the lung alveolar tissues of infected goats, which distinguish it from other respiratory diseases of small ruminants caused by the members of the Mycoplasma mycoides cluster. Atypical pneumonia caused by the mycoplasma infection of goats, also known as Contagious Caprine Pleuropneumonia (CCPP) has been more often reported from Africa and Asia than Europe. Classical, acute CCPP attributed to Mycoplasma capricolum subsp. Capri pneumoniae, originally known asthe F38 biotype (World Organisation for Animal Health, 2008) causes heavy kid mortality. Two other organisms in this group, M. mycoides subsp. capri and M. mycoides subsp. mycoides large-colony type, can cause disease in small ruminants that clinico-pathologically mimics CCPP but may have extra pulmonary signs and lesions, sometimes. Mycoplasma Capri pneumoniae and other members of the M. mycoides cluster cross-react in serological tests and share biochemical and genetic similarities. The most favourable epidemiological scenario in the Sub-continent is the hot humid climate during monsoons. The diversity and multi-etiological subspecies involved in the disease is detrimental in the development of an effective vaccine even though in some places a liquid vaccine is presently in use. At other places, anti-mycoplasmal antibiotics of aminoglycoside and fluoroquinolone and perhaps the macrolide groups remain to be the main option in preventing flock mortalities.
Factor Analysis of the Short-Form Cohen-Mansfield Agitation Inventory (CMAI) and the Measurement Invariance by Gender
Authors: Paudel Anju , Resnick Barbara , Galik Elizabeth 
Published: September 2021

Background and PurposeThe Cohen-Mansfield Agitation Inventory (CMAI) is a widely used measure of agitation. The purpose of this study was to test the internal consistency, reliability, and validity of short-form CMAI in a sample of nursing home residents with cognitive impairment and examine if it is invariant across gender.MethodsThis study utilized baseline data from a randomized trial including 553 residents from 55 nursing homes. Data was analyzed using structural equation modeling.ResultsConfirmatory factory analysis supported the three-factor structure including aggressive (α = .794), physically nonaggressive (α = .617), and verbally agitated (α = .718) behaviors. Invariance testing confirmed that the shortened measure is invariant across gender.ConclusionsFindings provide validity evidence of short-form CMAI to assess agitation and gender differences in agitation in nursing home population.
Ten Years Follow-Up of a Community-Nurse Managed Intervention to Improve Diabetes Control
Authors: Ginzburg Tatyana , Azuri Eyal , Hoffman Robert , Moshe Shlomo , Azuri Joseph 
Published: September 2021

Background and PurposeDiabetes control measures were shown to improve, following multidisciplinary intervention managed by a nurse in short-term follow-ups. However, there is a lack of data regarding the long-term effects of such interventions. We assessed long-term diabetes management and control measures in a central multidisciplinary primary care clinic, following a brief intervention conducted by a community nurse.MethodsA cross-sectional study in a central, multidisciplinary, primary care clinic. A previous study cohort of randomly selected 100 people with diabetes was followed-up for over 10 years, following a brief intervention managed by a community nurse. Data of diabetes control measures (e.g., hemoglobin A1c [HbA1c], low-density lipoprotein [LDL], and blood pressure) and clinical use of medical services (e.g., nurse, physician, dietician, and hospitalizations) were extracted from the medical records and compared from before the intervention to short and long-term follow-ups (median of 25 months, 10.56 years respectively).ResultsDuring the follow-up period, 18 participants (median age at intervention time 73 years) died. HbA1c dropped significantly (p < .001) from before to after the intervention, and remained low. LDL and Systolic Blood pressure decreased and continued to decrease during the long-term follow-up. While the number of nurse visits per year increased, physician and dietician visits decreased. Annual foot examinations and ophthalmologist visits, which increased following the intervention, remained high. Diabetes-related hospitalizations also decreased from the point of intervention.Implications for PracticeMultidisciplinary, brief intervention managed by a community nurse, improve, and even continue to improve, most diabetes management and control measures, for more than 10 years following the intervention.
Classification of production factors of foundry production
Authors: Lazarenkov A. M. 
Published: September 2021

The classification of production factors of working conditions at the workplaces of the main equipment used in the foundry is given. This classification is developed on the basis of the results of the conducted research and based on the materials given in the domestic and foreign literature.This allows us to evaluate the technological processes and equipment used in the design and reconstruction of foundries (sections) to ensure the most favorable working conditions.