bluuebunny/crossref_metadata_2025_split huggingface dataset:
Predictors of Tuberculosis in HIV Patients in the Clinic Voluntary Counseling and Testing in Medan City
Authors: Lubis Rahayu , Jemadi Jemadi , Utama Surya , Rasmaliah Rasmaliah 
Published: October 2019

Abstract
Background: The incidence of tuberculosis in HIV patients (TB-HIV) w as estimated at 126 per 100,000 in the world. The number of HIV infected patients in Indonesia around 190,000 to 400,00 0 and the prevalence of TB-HIV is 5%. Data TB-HIV still increase s and they are un aware of that until a late stage. Understanding the risk factors of people with TB-HIV co-infection is important to know. This study aims to know the predictors of TB-HIV patients in the clinic voluntary counseling and testing (VCT) in Medan city. Methods: This is a case-control study. The case is TB-HIV patients (aged > 20 years) seen at clinic VCT Medan in 2016. Control is HIV patients without TB (aged > 20 years) seen in the same clinic VCT. The number of cases was 120 and the number of control 120. Data were collected from the medical record. Data were analyzed using the chi-square test in SPSS software. Results: The t otal was 240 patients. The majority were in the age group 31-40 years old (52.9%), male (75.8%), married (71.7%), had tertiary education (85.4%), had employment (89.2%) . Significant factors were CD4 < 500 cells/ml (OR 3.92; 95% CI 2.13-7.22), BMI < 18.5 kg/m2 (OR 5.79; 95% CI 3.25-10.21), had history of TB family (OR 7.9; 95% CI 3.67-18.18), adherence ARV (OR 1.35; 95% CI 1.02-1.79). Conclusions: The predictors of incidence TB-HIV co-infection was low CD4, low BMI, and had a family history of TB. Pay the attention for the nutritional status of TB-HIV patients and provide appropriate nutritional intake needs and adherence ARV.
Investigation of a novel implant design for the treatment of reverse oblique femoral intertrochanteric fractures
Authors: Zhang Rui , Wang Kangyi , Luo Peng , Guo Xiaoshan 
Published: October 2019

Abstract
Objective: To evaluate the biomechanical properties of intramedullary fixation, lateral plate, medial buttress plate and bilateral plate for fixing reverse oblique intertrochanteric fractures. Methods: Twenty-four synthetic femoral bone models (Synbone) were divided into four groups [proximal femoral nail anti-rotation (PFNA), proximal femoral medial buttress plate (PFMBP), proximal femoral locking compression plate (PFLCP) and proximal femoral medial buttress plate + proximal femoral locking compression plate (PFMBL+PFLCP)], and an unstable, reverse oblique femoral intertrochanteric fracture was made. After fixation, each model underwent axial load testing, torsion testing, and axial load-to-failure testing. The stiffness of axial and torsion, the torque of different torsion angles and the failure load of every model were recorded. Results: The bilateral plate showed the best performance in axial load, torsion, and load-to-failure testing. The stiffness of axial and torsion in the PFMBP was superior to the PFNA [162.05±22.05 N/mm vs. 119.13±29.14 N/mm in axial, (1.36±0.32) N × mm/deg vs. (1.10±0.13) N × mm/deg in torsion, P<0.05], whereas there was no significant difference between PFMBP, PFLCP and PFLCP+PFMBP in torsion stiffness [(1.36±0.32) N × mm/deg, (1.45±0.44) N × mm/deg, (1.45±0.18) N × mm/deg, P>0.05]. Conclusion: Our newly designed medial buttress plate achieved greater stiffness in axial load and torsion than PFNA and PFLCP to fix reverse oblique intertrochanteric fractures in biomechanical research, whereas the bilateral plate showed better stiffness than PFMBP.
Induction techniques that reduce redistribution hypothermia: A prospective, randomized, controlled, single blind effectiveness study.
Authors: Roth Jonathan , Braitman Leonard E , Hunt Lacy H. 
Published: October 2019

Abstract
BACKGROUND
While much effort has been devoted to correcting intraoperative hypothermia, less attention has been directed to preventing redistribution hypothermia. In this study, we compared three different anesthetic induction techniques to standard IV propofol inductions (control) in their effect on reducing redistribution hypothermia.
METHODS
Elective, afebrile patients, age 18 to 55 years, were randomly assigned to one of four groups (n=50 each). Group “INH/100” was induced with 8% sevoflurane in 100% oxygen, Group “INH/50” with 8% sevoflurane in 50% oxygen and 50% nitrous oxide, Group “PROP” with 2.2 mg/kg propofol, and Group “Phnl/PROP” with 2.2 mg/kg propofol immediately preceded by 160 mcg phenylephrine. Patients were maintained with sevoflurane in 50% nitrous oxide and 50% oxygen in addition to opioid narcotic. Forced air warming was used. Core temperatures were recorded every 15 minutes after induction for one hour.
RESULTS
Compared to control group PROP, the mean temperatures in groups INH/100, INH/50, and Phnl/PROP were higher 15, 30, 45 and 60 minutes after induction (p<0.006 for all comparisons), averaging between 0.39 o C and 0.54 o C higher. In group PROP, 60% of patients had at least one temperature below 36.0 o C in the first hour whereas only 16% did in each of groups INH/100, INH/50, and Phnl/PROP (p<0.0001 in each group compared to PROP).
CONCLUSIONS
In this effectiveness trial, inhalation inductions with sevoflurane or with prophylactic phenylephrine bolus prior to propofol induction reduced the magnitude of redistribution hypothermia by an average of 0.4 to 0.5°C in patients aged 18 to 55 years.

Registered on clinical-trials.gov as NCT02331108, November 20, 2014.
ApoE-Derived Peptides Attenuated Diabetes-Induced Oxidative Stress and Inflammation
Authors: Nankar Sunil A. , Bulani Yogesh , Sharma Shyam S. , Pande Abhay H. 
Published: October 2019

Background:Peptides derived from the apolipoproteins (apo-mimetic peptides) have emerged as a potential candidate for the treatment of various inflammatory conditions. Our previous results have shown that peptides derived from human apolipoprotein-E interact with various pro-inflammatory lipids and inhibit their inflammatory functions in cellular assays.Objective:In this study, two apoE-derived peptides were selected to investigate their antiinflammatory and anti-oxidative effects in streptozotocin-induced diabetic model of inflammation and oxidative stress.Methods:The peptides were injected intraperitoneally into the streptozotocin-induced diabetic rats and their anti-inflammatory and anti-oxidative effects were evaluated by monitoring various oxidative and inflammatory markers.Results:Administration of 4F, E5 and E8 peptides decreased the oxidative and inflammatory markers in STZ-induced diabetic rats to different extent, while had no significant effect on the other diabetic parameters (viz. total body weight of animals and increased blood glucose level). E5 peptide was found to be relatively more effective than 4F and E8 peptides in decreasing inflammation and oxidative stress.Conclusion:E5 peptide can be developed as a potential candidate for inflammatory conditions.
Purification of Polyphenol Oxidase from Potato and Investigation of the Inhibitory Effects of Phenolic Acids on Enzyme Activity
Authors: Bayrak Songül , Öztürk Cansu , Demir Yeliz , Alım Zuhal , Küfrevioglu Ömer İrfan 
Published: October 2019

Background:
Polyphenol Oxidase (PPO) belongs to the oxidoreductase enzyme family.

Methods:
Here, PPO was purified from potato using Sepharose 4B-L-tyrosine-p-aminobenzoic acid
affinity chromatography. It determined the interactions between some phenolic acids and the
enzyme.

Results:
The enzyme was obtained with a specific activity of 15333.33 EU/mg protein and 7.87-
fold purification. It was found that phenolic acids exhibited inhibitory properties for PPO. The IC50
values of the phenolic acids were found in the range of 0.36-2.12 mM, and their Ki values were
found in the range of 0.28± 0.07-1.72±0.32 mM. It was determined that all studied compounds
displayed a competitive inhibition effect. Among these compounds, 3-hydroxybenzoic acid was
found to be the most effective PPO inhibitor (Ki: 0.28±0.07 mM).

Conclusion:
Investigating the inhibition kinetics of the enzyme will simplify the testing of PPO
inhibitor candidates.
A Systematic Review and Meta-Analysis of Serotype Distribution of Streptococcus Pneumoniae in Iran: Practical Evidence to Optimizing Local Vaccination Protocols
Authors: Karimi Abdollah , Hoseini-Alfatemi Seyedeh Mahsan , Tabatabaei Sedigheh Rafiei 
Published: October 2019

Background:
Little is known regarding the burden of predominant circulating serotypes
of Streptococcus pneumoniae in Iran. Therefore, this study aimed to investigate the serotype distribution
of pneumococcal diseases in Iran by using a comprehensive systematic review of available
articles.

Methods:
A systematic literature search was carried out to identify papers published by Iranian authors
in the Web of Science, PubMed, Scopus, Embase and Google Scholar electronic databases
from January 2000 to December 2018. Then, eight publications that met our inclusion criteria were
selected for data extraction and analysis by Comprehensive Meta-Analysis software.

Results:
In total, three studies reported the distribution of S. pneumoniae serotypes among patients,
two studies among healthy individuals, and three studies among both groups. Of those studies, serotype
19A/F (17.9%; 95% CI: 13.6-23.0) was the most circulating serotype followed by 23A/F
(12.3%; 95% CI: 7.7-19.2), 6A/B (11.0%; 95% CI: 8.0-14.9), and 14 (8.8%; 95% CI: 5.8-13.2). In
contrast, the lowest circulating serotype was 60 (0.02%; 95% CI: 0.0-1.2), 29 (0.07%; 95% CI:
0.01-5.0), and 36 (0.09%; 95% CI: 0.04-2.1). Meta-regression results showed that prevalence of
serotype 23A/F significantly increased each year about 0.2% (95% CI: 0.1-0.3, P <0.001, tau2
<0.001).

Conclusion:
In the present study, it was found that over the last decade, the most prevalent serotypes
in Iran were 19, 23, 6, and 14, respectively. These findings provide practical evidence to select
effective pneumococcal vaccine candidates for the prevention of invasive diseases in Iranian
patients and also to compare our situation with others.
Clinical and Functional Dynamics of Physical Working Capacity and Psychological Adaptation in Patients with Acute Coronary Syndrome at the Stages of Rehabilitation
Authors: Nesterak Roksolana , Bardashevska Sofia 
Published: October 2019

The objective of the research was to analyze the effectiveness of using suggestive therapy in the patients with acute coronary syndrome by assessing the dynamics of the clinical condition and indicators of anxiety.
Materials and Methods. There were examined 135 patients with non-ST-segment elevation myocardial infarction, 60 patients with the use of the conservative treatment and 75 patients who underwent percutaneous coronary intervention. The dynamics of objective indices, adaptation changes and anxiety indices in the groups of patients with traditional treatment and in the groups of patients with suggestive therapy in addition to the traditional rehabilitation measures, were analyzed.
Results. Analyzing the dynamics of adaptive indices, it was determined that in the group of patients with non-ST-segment elevation myocardial infarction, who were performed conservative therapy, the dynamics was less significant, which is related to the general desadaptative syndrome. Changes in the group of patients undergoing percutaneous coronary intervention and suggestive therapy, with a decrease of blood pressure, heart rate, and a decrease in the index of functional changes from 3.78±0.15 points before the intervention up to 2.92±0.13 points after suggestive therapy (p<0.01) were more significant. In all groups of patients, high levels of reactive anxiety were observed at the beginning of treatment. As a result of treatment, a decrease in anxiety was noted, but more pronounced changes were seen in the group with the use of suggestive therapy (p<0.05).
Conclusions. The use of suggestive therapy methods when treating the patients with acute coronary syndrome is an important intervention, that provides a comprehensive approach considering all the components, enhances the patients’ adaptive abilities in the rehabilitation phase, improves the quality and effectiveness of restorative treatment. The use of suggestive therapy at the rehabilitation stage improves the clinical course, reduces anginal manifestations, stabilizes blood pressure and increases exercise tolerance.
Ecstasy Intake Related Coagulopathy
Authors: Eren Filiz , Inanir Nursel Turkmen , Eren Bulent , Gurses Murat Serdar , Ioan Beatrice , Gundogmus Umit Naci 
Published: October 2019

3,4-methylenedioxymethamphetamine (MDMA), substance known as "Ecstasy" among the people and used due to entertainment, euphoric and energy booster effect, is one of the famous synthetic stimulants. 22-year-old man was found as unconscious in the early morning. According to the expressions of his family and friends, it was learned that he drank alcohol until late in the previous evening and took ecstasy besides this before he died. It was reported that he was taken to intensive care unit with temperature of 41oC and death occurred 12 hours later. At autopsy in external examination, petechial and purpuric hemorrhages in purple and red color were detected on body. In internal examination, petechial hemorrhages on the surface of the heart and lungs, subendocardial hemorrhage in the heart, hemorrhage on the mucosal surface of the stomach were seen. In the toxicological analyses of the blood, Paracetamol (4870 ng/ml), MDMA (847 ng/ml), MDA (94,2 ng/ml), Lidocaine (23 ng/ml), Pantoprazole (10,5 ng/ml), Midazolam (1,83 ng/ml) were detected. The death occurred due to coagulopathy related MDMA intoxication. Here, we present a case of autopsy, clinical findings and histopathologic findings, laboratory results in medicolegal literature.
C. G. Jung on religion
Authors: Miranda Punita 
Published: October 2019

This paper considers Jung’s lifelong engagement with the phenomenon of religion. More specifically, it examines the development of his theories in relation to the stages of his life and how religion gradually assumed a definite place in his theory and practice; moving over from psychiatry through psychoanalysis and typology to the theory of archetypes, and finally to the psychology of religious motifs. From the years spent composing his Red Book, Jung struggled to understand the psychological and historical effects of Christianity. The older he got, the more he felt a powerful sense that it was his task to treat the spiritual and religious ills of his patients. His whole oeuvre can be understood as an attempt to grasp the future religious development of the West, in the conviction that religion was necessary for the spiritual evolution of mankind. A strong example of Jung’s influence in the second half of the twentieth century was his promotion of one of the most dynamic and innovative discourses on religion, the annual Eranos Conferences, which became one of the most important forums of dissemination of his religious ideas to a broader public. In the course of his research he actively cultivated dialogue with theologians and historians of religion, and everything he published had to do with religion to a greater or lesser degree.
O PENSAMENTO E A LAGRIMA
Authors: Ferraro de Sá Clara Rossana 
Published: October 2019

Título:O PENSAMENTO E A LÁGRIMA

A psique é constituída pelo consciente e inconsciente e pela interação entre eles. Como um sistema auto-regulador teologicamente determinado, contém um impulso em direção à totalidade e tem a tendência a equilibrar-se através da função compensatória do inconsciente. Jung denomina de Self este arquétipo central. O processo simbólico – a vivência da imagem e na imagem – permeia o caminho de integração da psique inconsciente. O desafio criativo torna-se visível ao trazer a energia aprisionada para a consciência e assim a nova vida fértil apresenta-se como novas possibilidades a serem vividas.
Este artigo tem por objetivo tornar visível o processo de analise e a integração da função sentimento inferior, a quarta função, inconsciente e portanto, aquela que religa ao arquétipo central. Através das técnicas expressivas, ao longo de quatro anos, sessões semanais, o inconsciente gerou imagens através de materiais específicos : aquarela, grafite, caixa de areia, argila. A analise de sonhos fundamenta este processo.

DESCRITORES
Self, consciente, inconsciente, funções, ego, analise, técnicas expressivas
The Use and Effects of an App-Based Physical Activity Intervention “Active2Gether” in Young Adults: Quasi-Experimental Trial
Authors: Middelweerd Anouk , Mollee Julia , Klein Michel MCA , Manzoor Adnan , Brug Johannes , te Velde Saskia J 
Published: October 2019

Background
Insufficient physical activity (PA) is highly prevalent and associated with adverse health conditions and the risk of noncommunicable diseases. To increase levels of PA, effective interventions to promote PA are needed. Present-day technologies such as smartphones, smartphone apps, and activity trackers offer several possibilities in health promotion.

Objective
This study aimed to explore the use and short-term effects of an app-based intervention (Active2Gether) to increase the levels of PA in young adults.

Methods
Young adults aged 18-30 years were recruited (N=104) using diverse recruitment strategies. The participants were allocated to the Active2Gether-Full condition (tailored coaching messages, self-monitoring, and social comparison), Active2Gether-Light condition (self-monitoring and social comparison), and the Fitbit-only control condition (self-monitoring). All participants received a Fitbit One activity tracker, which could be synchronized with the intervention apps, to monitor PA behavior. A 12-week quasi-experimental trial was conducted to explore the intervention effects on weekly moderate-to-vigorous PA (MVPA) and relevant behavioral determinants (ie, self-efficacy, outcome expectations, social norm, intentions, satisfaction, perceived barriers, and long-term goals). The ActiGraph wGT3XBT and GT3X+ were used to assess baseline and postintervention follow-up PA.

Results
Compared with the Fitbit condition, the Active2Gether-Light condition showed larger effect sizes for minutes of MVPA per day (regression coefficient B=3.1; 95% CI −6.7 to 12.9), and comparatively smaller effect sizes were seen for the Active2Gether-Full condition (B=1.2; 95% CI −8.7 to 11.1). Linear and logistic regression analyses for the intervention effects on the behavioral determinants at postintervention follow-up showed no significant intervention effects of the Active2Gether-Full and Active2Gether-Light conditions. The overall engagement with the Fitbit activity tracker was high (median 88% (74/84) of the days), but lower in the Fitbit condition. Participants in the Active2Gether conditions reported more technical problems than those in the Fitbit condition.

Conclusions
This study showed no statistically significant differences in MVPA or determinants of MVPA after exposure to the Active2Gether-Full condition compared with the Active2Gether-Light or Fitbit condition. This might partly be explained by the small sample size and the low rates of satisfaction in the participants in the two Active2Gether conditions that might be because of the high rates of technical problems.
By Pen, Sword, and Struggle
Authors: Romisher Jason 
Published: October 2019

This article is an examination of African American high school student activism during the black freedom struggle by youth from Lawnside, New Jersey; one of ten self-governing African American communities in the United States. A critical factor in Lawnside’s historical narrative is that its young people both historically and today attend segregated elementary school and then integrated high school in the historically all white community of Haddon Heights. From 1965-1971, many African American young people from Lawnside were inspired to address decades of inequality and African American educational and cultural concerns by engaging in acts of collective violence and non-violent direct action. These protest efforts included a boycott, two sit-ins, a protest march, and a formal list of demands. African American high school students from Lawnside expressed similar grievances to African American youth in other locations, they demonstrated considerable activist autonomy from parents and outside organizations, and female students often held positions of influence and leadership.
Hubungan Perilaku Konsumsi dan Aktivitas Fisik dengan Diabetes Mellitus di Indonesia
Authors: Nurjana Made Agus , Veridiana Ni Nyoman 
Published: October 2019

Abstrak
Prevalensi Diabetes mellitus (DM) mengalami peningkatan secara global baik di negara berpenghasilan tinggi maupun negara berpenghasilan rendah dan menengah termasuk di Indonesia. Indonesia menduduki urutan ke empat dengan prevalensi diabetes tertinggi di dunia setelah India, China, dan Amerika Serikat. Tujuan dari tulisan ini adalah untuk mengkaji hubungan pola konsumsi dan aktivitas fisik dengan kejadian DM di Indonesia berdasarkan data Riskesdas tahun 2013. Pengumpulan data dilakukan pada bulan Mei - Juni 2013 di 33 provinsi dan 497 kabupaten/kota di Indonesia. Desain penelitian ini adalah cross sectional. Jumlah sampel sebanyak 722.329 responden yang berusia 15 tahun ke atas. Hasil penelitian menunjukkan bahwa aktivitas fisik merupakan faktor risiko dominan terhadap kejadian DM di Indonesia. Masyarakat yang memiliki kebiasaan hanya melakukan aktifitas ringan mempunyai peluang untuk terkena DM 2,9 kali dibandingkan dengan masyarakat yang memiliki kebiasaan melakukan aktifitas berat, sedangkan masyarakat yang memiliki kebiasaan melakukan aktivitas sedang mempunyai peluang lebih rendah terkena DM yaitu 1,8 kali dibandingkan dengan aktivitas berat. Semakin berat aktivitas fisik yang dilakukan maka semakin sedikit kemungkinan terkena DM. Dalam mencegah semakin tingginya prevalensi DM di Indonesia maka diperlukan peningkatkan kesadaran masyarakat untuk meningkatkan intensitas aktivitas fisik terutama bagi masyarakat yang aktivitas fisiknya rendah.

Kata kunci : Diabetes mellitus, perilaku konsumsi, aktivitas fisik

Abstract
Prevalency Diabetes Mellitus (DM) experience increasing globally either in high income states or in the low and middle income states including Indonesia. Indonesia is the fourth prevalency Diabetes Mellitus in the world after India, China, and United States. The aim of this study is to analyze the relationship between consumsion pattern and physical activity on DM in Indonesia based on Riskesdas data in 2013. Data are gathered from may up to June 2013 in 33 provinces and 497 regencies/cities in Indonesia. The research is cross sectional design. The samples are 722.329 respondents aging among 15 years and over. The results show that the physical activity is the risk factor dominantly on the DM in Indonesia. Society having only light activity have a tendency to get DM 2.9 times compared to those who have the strongest activity, while those who are stronger activity have lower tendency to get DM that is 1.8 times compared to those who have the strongest activity. To prevent higher prevalency DM in Indonesia, it is expected to rise the societal care to increase physical activity intensity primarily for those who has the low physical activities.

Keywords : Diabetes mellitus, consumtive behavior, physical activity