bluuebunny/crossref_metadata_2025_split huggingface dataset:
Conocimientos y prácticas sobre signos de alarma de las gestantes atendidas en el Hospital Nacional Docente Madre-Niño San Bartolomé, Lima, Perú
Authors: Ticona Rebagliati Daniel , Torres Bravo Laura , Veramendi Espinoza Liz , Zafra Tanaka Jessica Hanae 
Published: July 2021

Introducción: De acuerdo a los objetivos del milenio, nuestro país debe reducir la mortalidad materna en 75%. El Plan estratégico nacional para la reducción de la mortalidad materna y perinatal considera reducir las posibilidades de complicaciones durante el embarazo, parto y puerperio. Esto es posible mediante la identificación de los signos de alarma. Objetivos: Determinar el nivel de conocimientos y prácticas sobre signos de alarma en gestantes. Diseño: Estudio descriptivo transversal. Lugar: Hospital Nacional Docente Madre-Niño San Bartolomé, Lima, Perú. Pacientes: Gestantes en hospitalización y consulta externa, durante junio del 2013. Intervenciones: Encuesta sobre conocimientos y prácticas de los signos de alarma durante la gestación. Se realizó análisis bivariado utilizando la prueba de chi cuadrado; la fuerza de asociación se calculó con odds ratio. Principales medidas de resultados: Con/sin conocimientos y prácticas Resultados: Conocimientos: 93% de las gestantes consideró los signos de alarma como indicadores de peligro para la madre y el feto; el 100% sabía que debe acudir a un centro de salud de inmediato. Prácticas: Los signos por los cuales la mayor proporción de gestantes acudió a emergencia fueron convulsiones (100%), no crecimiento de barriga conforme a la gestación (100%), ardor al orinar (86,1%), sangrado vaginal (84,4%) y fiebre (84,2%). Conclusiones: La mayoría de pacientes consideró a los signos de alarma como peligro; de presentarse algunos de estos signos, todas conocían que deben acudir a un centro de salud inmediatamente y siempre acudirían. Se requiere estudios cualitativos para determinar las causas por las cuales, a pesar del conocimiento, algunas gestantes no acuden a tiempo.
Carcinosarcoma uterino: presentación de un caso y manejo actual
Authors: Sánchez Gutiérrez Lourdes , Martínez Verdú Asunción , Oltra Escoda María Francisca , Rodríguez Ingelmo José María 
Published: July 2021

Los carcinosarcomas uterinos (anteriormente denominados tumores müllerianos mixtos malignos - TMMM) son neoplasias poco frecuentes y altamente agresivas. Se describe un caso de rápida progresión de un carcinosarcoma de útero y se discute su diagnóstico diferencial y el planteamiento terapéutico.
Hidranencefalia como presentación más severa de aplopejía cerebral fetal: a propósito de dos casos
Authors: Lacunza Paredes Rommel Omar , Correa López Wilmer 
Published: July 2021

La hidranencefalia es una malformación cerebral infrecuente caracterizada por la ausencia total o parcial de los hemisferios cerebrales, producida por la oclusión de las arterias carótidas en estadios precoces de la gestación, y asociada a múltiples posibles factores causales. Presentamos dos casos con confirmación post natal y la revisión de la literatura.
Medición de la longitud del cérvix por ecografía abdominal en gestantes normales entre 20 a 23 semanas
Authors: Huamán G. Moisés , Ventura L. Walter , Huamán J. Moisés 
Published: July 2021

Objetivos: Evaluar la factibilidad técnica para medir la longitud del cérvix por ecografía abdominal en gestantes entre 20 y 23 semanas, y la correlación entre los valores obtenidos por ecografía abdominal vs. ecografía vaginal. Diseño: Estudio observacional transversal. Institución: Instituto Latinoamericano de Salud Reproductiva (ILSAR), Lima, Perú. Participantes: Gestantes normales de 20 a 23 semanas de gestación. Métodos: Se midió la longitud cervical por ecografía a 67 gestantes normales sin factores de riesgo para parto pretérmino, entre las 20 y 23 semanas de gestación, con la finalidad de medir la longitud cervical. En 30 de las embarazadas se midió la longitud cervical por ecografía abdominal utilizando transductor convexo de 3-5 MHZ y por ecografía vaginal con transductor endocavitario de 5-7 MHZ. Principales medidas de resultados: Medida de la longitud del cérvix. Resultados: En 65 gestantes se obtuvo una medida satisfactoria de la longitud del cérvix mediante ecografía abdominal (97% de los casos). Se encontró correlación entre las mediciones por ecografía abdominal y vaginal (coeficiente de Pearson 0,646, p<0,001) y no existió diferencia significativa entre ambas mediciones (p: 0,126). Conclusiones: En 97% de los casos estudiados se obtuvo una medida satisfactoria de la longitud del cérvix por ecografía abdominal. Hubo correlación entre las mediciones obtenidas por vía abdominal y vaginal.
Pentalogía de Cantrell con un gemelo sano: reporte de caso
Authors: Tipiani Rodríguez Oswaldo , Pantoja Soto Percy , Arévalo Ruíz Hernán , Ponciano Biaggi Miguel , Quintanilla Amorós Raquel Giselle , Quiroga de Michelena María Isabel 
Published: July 2021

Se comunica un caso de pentalogía de Cantrell en embarazo gemelar, en el cual solo uno de los fetos presentó el síndrome; el segundo feto no portaba malformación congénita. Este hecho podría reforzar teorías epigenéticas sobre su origen. Se hace alcances sobre el diagnóstico prenatal, la etiología y posibilidad de manejo en estos casos.
The Social Security of Farmers in Poland and in Selected EU Member States
Authors: Bak Joanna , Szałkowska Małgorzata 
Published: July 2021

The subject of the present article is the social security of farmers. The main aim of this research paper is characterizing the functioning of the social security system for Polish farmers in comparison to such systems in selected member states of the European Union. The research investigated social security systems in Finland, France, Austria, Germany and Poland.
The research involved a review of the literature on social security systems for farmers, provisions of law regulating the principles of such systems and the information furnished by the Agricultural Social Insurance Fund (KRUS), as well as statistical data provided by KRUS and Eurostat.
The following research methods have been applied: descriptive analysis of the documents in order to verify the diversity of agricultural security systems, a critical review of the literature and online data concerning social security, and a comparative analysis.
Each of the investigated countries has its own, distinct social and historical conditions, which has led to the development of independent institutions of social security for farmers. One factor which all these systems have in common is significant support from the national budget. In the future, financial inefficiency may pose the most significant risk to security systems in agriculture. Except for their social role, the social security systems presented below also participate in the management of agricultural policy, the aim of which is the development of rural areas and the welfare of the natural environment.
Employee Motivation as an Element of the Development Process in an Enterprise
Authors: Kozłowski Waldemar 
Published: July 2021

Motivation is one of the most important elements from an enterprise development perspective which, in turn, provides a basis for the development of other strategic perspectives. However, several barriers may distort the positive correlation between staff motivation and the development perspective of the enterprise. The research problem concerns the location of employee motivation in the development perspective as one of the key elements of the strategic scorecard. The research objectives within the research problem are the analysis of the level of employee motivation and the correlation of the level of motivation with the results of the organization.
The aim of the article is to analyze the level of motivation of employees in a production and trade company. The subject of research is the motivational system. The basic research method was a survey. The research results demonstrated which elements of the motivational process, and to what extent, should be analysed and improved, as required by the evaluation. There exists a close relationship between employee motivation and the perspective of internal processes, the client’s perspective and, consequently, the financial perspective.
Świadectwo Jana Chrzciciela w IV Ewangelii
Authors: Wróbel Mirosław Stanisław 
Published: July 2021

Niniejszy artykuł stanowi analizę znaczenia i funkcji Jana Chrzciciela jako świadka Jezusa Chrystusa w czwartej Ewangelii. Aktywność Jana Chrzciciela jako prekursora i świadka Mesjasza zostaje ukazana w szerszym kontekście narracji Janowej, w której świadectwo Ojca, świadectwo Syna i świadectwo Ducha Świętego ma fundamentalne znaczenie dla zrozumienia teologicznego i egzystencjalnego orędzia czwartej Ewangelii. Artykuł złożony jest z trzech części: 1. Terminologia i znaczenie świadectwa w czwartej Ewangelii; 2. Jan Chrzciciel jako świadek w narracji Ewangelii Janowej; 3. Teologiczne implikacje posłannictwa Jana Chrzciciela jako świadka Chrystusa. W niniejszym artykule autor ukazuje, że świadectwo Jana Chrzciciela nie traci nic na swojej aktualności dla współczesnego człowieka XXI wieku.
Biblijny szafan – problem identyfikacyjno-egzegetyczny
Authors: Morta Krzysztof 
Published: July 2021

Artykuł poświęcony jest góralkowi, niewielkiemu biblijnemu stworzeniu, które sprawiło w ciągu wieków wiele problemów identyfikacyjnych tłumaczom i egzegetom Biblii (zob. Kpł 11,5; Pwt 14,7; Ps 104,18; Prz 30,26). Pierwszym etapem było wprowadzenie przez tłumaczy Septuaginty w miejsce szerzej nieznanego hebrajskiego terminu szafan równie słabo kojarzonego greckiego ekwiwalentu choirogrillios. Dało to podstawy do różnych identyfikacji. Pojawiły się odniesienia do zająca, jeża, a nawet świni. Rozwijająca się egzegeza biblijna, bazująca na nieścisłościach i nieporozumieniach w tej kwestii, wprowadziła dodatkowe nieporozumienia. W ten sposób jeden hebrajski szafan zaczął być rozumiany jako dwa różne zwierzęta i komentowany jako jeż i zając (np. św. Augustyn). Doszło również do procesu odwrotnego: cechy dwóch różnych zwierząt używane jako ekwiwalenty szafana zostały skompilowane w jednym stworzeniu (św. Hieronim). Autor artykułu, który stara się uporządkować informacje związane z identyfikacją szafana, podaje starożytne świadectwa zachowane u Ojców Kościoła, które wskazują, że góralek już wtedy został zidentyfikowany. Niestety, ze względu na ograniczony obszar jego występowania i w związku z tym słabe kojarzenie tego zwierzęcia wśród czytelników/odbiorów Biblii te informacje o nim nie zostały szerzej rozpowszechnione i wykorzystane. Ta skomplikowana materia, z jaką mamy do czynienia w przypadku szafana, i dziś sprawia trudności badaczom oraz autorom chcącym odnieść się do tego zagadnienia.
Socio- Psycho- Religious Responses to Covid-19 in Bangladesh
Authors: Basak Suresh R. 
Published: July 2021

The emergence of the Covid-19 pandemic once again challenged the advancement of modern biological sciences. Man found himself utterly blinded by the nano-Lilliputian corona virus known as Covid-19. Against the background of daily death tolls all over the globe, scientists and researchers spent strenuous days and months to invent Covid-19 vaccines; governments adjusted and readjusted their combat policies, and WHO continued presiding over the conundrum with periodical situation studies and issuing warnings and updates. But a man is, after all, a man—a living symbiosis of social, psychological, moral, and a host of other values beyond the grasp of laboratories and offices. So one might be curious to know, how Bangladesh, in a far-flung corner of the globe, responded to Covid-19 in the early days of the onslaught, then in a one year span, and what the encounter might look like from the perspectives of sociology, psychology, and religion, besides economy. This paper, more theoretical and perceptual than scientific, will examine how the Covid-19 proliferation in Bangladesh affected the socio-psycho- religious equilibrium of her people like the people of the rest of the world. It will further explore how Bangladesh, till this date, managed to bridle the rate of infection and death through strategic policies, and cruised a moderate path to curb down the nascent mass panic and defiant religious dogmatism, followed by a timely vaccination program.
Comparative effectiveness of iron-containing drugs for the prevention of iron deficiency anemia in piglets
Authors: Derkach I. M. 
Published: July 2021

Prevention of iron deficiency anemia in piglets is an important preventive measure to ensure the health of pigs, as mortality from this pathology is quite high, and animals that recover from treatment do not realize their own potential productivity. The aim of our study was to evaluate the effectiveness of the use of iron (IV) clatrochelate in combination with cyanocobalamin for the prevention of iron deficiency anemia in piglets compared to the traditional scheme of prevention of this disease. To achieve this goal, 2 groups of newborn piglets-analogues were formed during their retention with suckling sows – control and experimental, 15 animals in each. The experiment lasted 30 days. Piglets in the experimental group were selected from sows given 10 ml of 10 % iron (IV) clatrochelate solution and cyanocobalamin solution twice intramuscularly during pregnancy. Piglets of the control group according to the traditional scheme of prevention of iron deficiency anemia on the second day of life were administered iron dextran drug (at the rate of 200 mg of iron (III) per injection). The results of the study show that the body weight of piglets from 1 to 9 days of their life who are born from sows which used iron (IV) clatrochelate and cyanocobalamin during pregnancy was less (P < 0.001) than the body weight of piglets which used iron dextran on the 2nd day after birth; did not differ on the 12 day of life, but on the 30 day was higher than the body weight of piglets in the control group 1.15 times (P < 0.001). The level of protein in the serum of piglets of the experimental group from birth to 30 day of life was probably higher compared to the control, which indicates that iron (IV) clatrochelate stimulates protein synthesis in the body. Therefore, double injection of 10 % solution of iron (IV) clatrochelate in a dose of 10 ml in combination with injections of cyanocobalamin at a dose of 500 mcg of active substance to pregnant sows pregnant sows 14 and 7 days before the expected farrowing provides a preventive effect of iron deficiency anemia in piglets born to them.
Productive achievements in backyard poultry projects funded by the strategic program for food security at Tepecoacuilco, Guerrero, Mexico
Authors: Reza-Solis Irad Jared , León-Merino Aurelio , Valtierra-Pacheco Esteban , Hernández-Juárez Martín , Santoyo-Cortes Vinicio Haracio 
Published: July 2021

Objective: To identify the socioeconomic factors in Tepecoacuilco, Guerrero that favored food productionand family income that improves their food security via backyard poultry projects.Methodology: 31 families with backyard poultry projects for chicken meat and egg production were surveyedand their information complemented with two participatory workshops.Results: The average area of the backyards per family was 48.27 m2 and 25.3 m2 out ofthem were used for the supported projects. It was found that only 16.1% of the studiedprojects are in operation y families with active projects had improvements in their dietsince their consumption of eggs and healthy meats. Regarding egg production, anannual average of 187.2 kg was obtained in operating projects.Limitations: The conditions of local violence in the study region limited the possibility ofinterviewing all the beneficiaries selected in the sample.
Conclusions: The beneficiaries improved their family diet with the financed projects,however, results indicate that family needs are not yet fully satisfied since thebeneficiaries still continue to buy eggs that they consider essential for their intake. Theprojects had null o little contribution to household income.
Absence of Desmin Results in Impaired Adaptive Response to Mechanical Overloading of Skeletal Muscle
Authors: Joanne Pierre , Hovhannisyan Yeranuhi , Bencze Maximilien , Daher Marie-Thérèse , Parlakian Ara , Toutirais Geraldine , Gao-Li Jacqueline , Lilienbaum Alain , Li Zhenlin , Kordeli Ekaterini , Ferry Arnaud , Agbulut Onnik 
Published: July 2021

Background: Desmin is a muscle-specific protein belonging to the intermediate filament family. Desmin mutations are linked to skeletal muscle defects, including inherited myopathies with severe clinical manifestations. The aim of this study was to examine the role of desmin in skeletal muscle remodeling and performance gain induced by muscle mechanical overloading which mimics resistance training.Methods: Plantaris muscles were overloaded by surgical ablation of gastrocnemius and soleus muscles. The functional response of plantaris muscle to mechanical overloading in desmin-deficient mice (DesKO, n = 32) was compared to that of control mice (n = 36) after 7-days or 1-month overloading. To elucidate the molecular mechanisms implicated in the observed partial adaptive response of DesKO muscle, we examined the expression levels of genes involved in muscle growth, myogenesis, inflammation and oxidative energetic metabolism. Moreover, ultrastructure and the proteolysis pathway were explored.Results: Contrary to control, absolute maximal force did not increase in DesKO muscle following 1-month mechanical overloading. Fatigue resistance was also less increased in DesKO as compared to control muscle. Despite impaired functional adaptive response of DesKO mice to mechanical overloading, muscle weight and the number of oxidative MHC2a-positive fibers per cross-section similarly increased in both genotypes after 1-month overloading. However, mechanical overloading-elicited remodeling failed to activate a normal myogenic program after 7-days overloading, resulting in proportionally reduced activation and differentiation of muscle stem cells. Ultrastructural analysis of the plantaris muscle after 1-month overloading revealed muscle fiber damage in DesKO, as indicated by the loss of sarcomere integrity and mitochondrial abnormalities. Moreover, the observed accumulation of autophagosomes and lysosomes in DesKO muscle fibers could indicate a blockage of autophagy. To address this issue, two main proteolysis pathways, the ubiquitin-proteasome system and autophagy, were explored in DesKO and control muscle. Our results suggested an alteration of proteolysis pathways in DesKO muscle in response to mechanical overloading.Conclusion: Taken together, our results show that mechanical overloading increases the negative impact of the lack of desmin on myofibril organization and mitochondria. Furthermore, our results suggest that under these conditions, the repairing activity of autophagy is disturbed. Consequently, force generation is not improved despite muscle growth, suggesting that desmin is required for a complete response to resistance training in skeletal muscle.
A Mycological and Molecular Epidemiologic Study on Onychomycosis and Determination In Vitro Susceptibilities of Isolated Fungal Strains to Conventional and New Antifungals
Authors: Halvaee Samaneh , Daie-Ghazvini Roshanak , Hashemi Seyed Jamal , Khodavaisy Sadegh , Rahimi-Foroushani Abbas , Bakhshi Heidar , Rafat Zahra , Ardi Pegah , Abastabar Mahdi , Zareei Mahdi , Borjian-Boroujeni Zeinab , Kamali Sarvestani Hasti 
Published: July 2021

BackgroundOnychomycosis is one of the most common and recurrent dermatological diseases worldwide. The antimycotic activity of prescribed medications varies according to the causative agents, and treatment failure rates exceeding 30%. This study aimed to assess the epidemiological profile of onychomycosis in Iran. Also, the susceptibilities to conventional and new antifungals were investigated.MethodsIn this descriptive cross-sectional study, during the period of 18 months starting from September 2019 until March 2020, 594 nail specimens were obtained from patients who presented nail changes compatible with a clinical diagnosis of onychomycosis. The patients were referred from different cities, including Tehran, Kermanshah, Arak, Kashan, Rasht, Qom, Urmia, Zahedan, Hamadan, Zanjan, Borujerd, Bushehr, and Yazd. All the samples were subjected to microscopic examination and fungal culture. Fungi identified were confirmed through the PCR-sequencing method. The susceptibility to itraconazole, fluconazole, terbinafine, griseofulvin, posaconazole, ravuconazole, efinaconazole, luliconazole, and tavaborole was evaluated according to the Clinical and Laboratory Standards Institute (CLSI) guidelines, document M38-A2 for filamentous fungi, and document M27-A3 for yeasts.Results594 patients were included. Of these, in 179 cases (30.1%) (95% CI:0.3 ± 0.037) onychomycosis was confirmed. The majority of patients were ≥ 60 years of age (n=58, 32.6%) and female (n=113, 63.1%). Saprophytic fungi accounted for the vast majority of the nail isolates (n=92, 51.4%) (95% CI:0.051 ± 0.0.073), followed by dermatophytes (n=45, 25.1%) (95% CI:0.25 ± 0.063), and yeasts (n=42, 23.5%) (95% CI:0.23 ± 0.061). Diabetes mellitus (77.3%), hypothyroidism (18.2%), and solid tumors (4.5%) were documented as the most prevalent underlying conditions. Antifungal susceptibility testing was performed against 60 fungal isolates (20 each of Candida species, saprophytic fungi, and dermatophytes). Efinaconazole, ravuconazole, and luliconazole were the most active agents against Candida species. Also, luliconazole, posaconazole, and efinaconazole were most potent against dermatophytes. Luliconazole had the greatest antifungal activity against saprophytic fungi.ConclusionsThe prevalence of onychomycosis in Iranian patients was relatively high. LUL exhibited potent antifungal activity against the three groups of fungi tested, determining its broad-spectrum antimycotic activity and its probable use as the first-line therapy for onychomycosis.
Impact of Metabolic Syndrome and It's Components on Prognosis in Patients With Cardiovascular Diseases: A Meta-Analysis
Authors: Li Xiao , Zhai Yajing , Zhao Jiaguo , He Hairong , Li Yuanjie , Liu Yue , Feng Aozi , Li Li , Huang Tao , Xu Anding , Lyu Jun 
Published: July 2021

Background: Patients with metabolic syndrome (MetS) have a higher risk of developing cardiovascular diseases (CVD). However, controversy exists about the impact of MetS on the prognosis of patients with CVD.Methods: Pubmed, Cochrane library, and EMBASE databases were searched. Cohort Studies and randomized controlled trials post hoc analyses that evaluated the impact of MetS on prognosis in patients (≥18 years) with CVD were included. Relative risk (RR), hazard rate (HR) and 95% confidence intervals (CIs) were calculated for each individual study by random-effect model. Subgroup analysis and meta-regression analysis was performed to explore the heterogeneity.Results: 55 studies with 16,2450 patients were included. Compared to patients without MetS, the MetS was associated with higher all-cause death [RR, 1.220, 95% CI (1.103 to 1.349), P, 0.000], CV death [RR, 1.360, 95% CI (1.152 to 1.606), P, 0.000], Myocardial Infarction [RR, 1.460, 95% CI (1.242 to 1.716), P, 0.000], stroke [RR, 1.435, 95% CI (1.131 to 1.820), P, 0.000]. Lower high-density lipoproteins (40/50) significantly increased the risk of all-cause death and CV death. Elevated fasting plasma glucose (FPG) (&gt;100 mg/dl) was associated with an increased risk of all-cause death, while a higher body mass index (BMI&gt;25 kg/m2) was related to a reduced risk of all-cause death.Conclusions: MetS increased the risk of cardiovascular-related adverse events among patients with CVD. For MetS components, there was an increased risk in people with low HDL-C and FPG&gt;100 mg/dl. Positive measures should be implemented timely for patients with CVD after the diagnosis of MetS, strengthen the prevention and treatment of hyperglycemia and hyperlipidemia.