bluuebunny/crossref_metadata_2025_split huggingface dataset:
Escolha de via de parto em uma maternidade de referência em Teresina-PI
Authors: Araújo Laíme Ariádne Morena de , Ribeiro José Francisco , Nascimento Juliete de Jesus do , Mota Thamirys de Carvalho , Oliveira Elane Magalhães , Figueiredo Thais da Silva , Lavor Tassio Breno de Sousa Lopes , Silva Emanuele Cristina de Sousa 
Published: December 2018

Objetivo: Expectativas das primigestas na escolha da via de parto em uma maternidade pública de referência em Teresina. Metodologia: Trata-se de uma pesquisa estudo de campo do tipo exploratório-descritivo de abordagem qualitativa, de forma que alcance os objetivos propostos e resultados esperados por meio das informações relevantes coletadas sobre o problema exposto. Resultados: Foram entrevistados vinte primigestas, sendo todas adultas, de idade entre 18 a 33 anos, contestando as escolhas das mulheres com a realidade do Estado, concluíram que os altos índices de partos cirúrgicos estão mais relacionados às escolhas feitas pelos profissionais, do que à vontade dos casais que vivenciam esse processo. Observamos a grande necessidade de um bom pré-natal, puérperas bem informadas sobre o seu ciclo gravídico. Conclusão: Ressaltando a fragilidade quando se trata da humanização e atenção no pré-natal, uso da influência, tecnologias e intervenções desnecessárias e sobretudo, e pelo discurso biomédico e pela noção erronia, de que o parto cirúrgico seria o desfecho adequado para o nascimento.
Enfermagem e a Diversidade Transcultural Amazônica: Um Relato de Experiência
Authors: Silva Ana Gracinda Ignácio da , Sardinha Daniele Melo , Costa Hugo de Paulo Garcia da , Teixeira Jessica de Lira , Pereira Jessica de Souza , Silva Karina Borges da , Avíz Luciana Emanuelle , Carvalho Milene do Socorro Bastos de 
Published: December 2018

Objetivo: Identificar as diversas formas de saberes e fazeres populares como uma questão que precisa ser conhecida e discutida na comunidade acadêmica, e como uma teoria de enfermagem pode embasar a atuação do enfermeiro de forma transcultural. Relato de Experiência: Foi realizado uma pesquisa bibliográfica sobre o tema e a partir do conteúdo apreendido foi elaborado uma cartilha educativa contendo as práticas e cuidados saúde/doença dos povos indígenas, ribeirinhos e afrodescendentes sob a ótica da teoria transcultural. Em seguida foi apresentado aos acadêmicos de enfermagem do 7º. Período da Faculdade Metropolitana da Amazônia (FAMAZ). Discussão: O estudo mostrou uma teoria de enfermagem que permite tratar com respeito crenças, rituais diferentes dos nossos e que isso se constitui em ter um olhar holístico sobre pessoas que fazem parte de várias etnias e praticam um modo de cuidado tradicional, assim como, a diversidade cultural e étnica da Amazônia, suas práticas de cuidados com a saúde possibilitando construir uma tecnologia leve para difundir esse conhecimento na faculdade. Considerações Finais: A cultura amazônica é formada por diversos povos, os mesmos possuem conhecimentos próprios e os profissionais de saúde devem conhecer e saber como lidar e respeitar suas experiências integrando-as ao cuidado científico. A elaboração da cartilha com essas informações proporcionou difundir esse conhecimento a outros acadêmicos de enfermagem, com a certeza que cuidar nessa perspectiva é um grande desafio para os enfermeiros.
Seafood supply assessment in the 21st Supply Deposit of Brazilian Army
Authors: Martins Werner Souza , Leite Ana Beatriz de Campos , Martins Raquel Luciano , Silva Jader Oliveira da , Balian Simone de Carvalho 
Published: December 2018

Objectives: The aim of present study was to evaluate the sanitary characteristics associated to the Quality and Identity Standards of the frozen seafood provided for the 2nd MR by 21st SD; Identify strengths, weaknesses, opportunities and threats to optimize the supply process; Propose a strategic approach to mitigate supply non-compliances. Methods: Were performed seven Focus Groups, a SWOT analysis and the swot factors were weighted with the application of the Analytical Hierarchy Process AHP. Results: The frozen seafood supply process of the 2nd MR, centralized in the 21st SD, needs a technical, operational and documental restructuration, to ensure the maximum efficiency in the seafood purchase, storage and distribution; It is very important the participation of specialized Officers in the bind writing process. Conclusion: It is recommended the implementation of FSMS and qualify the staff. The adoption of strategies with focus in the Food Security is necessary to ensure a good and safety nutrition and reaching the results can promote the development of social changes through qualifing officers and soldiers.
Good Questions 5. How can a food product be both old and new?
Authors: Kent George 
Published: December 2018

How can some foods and food additives be regarded as novel and subject to patent claims and at the same time be obviously safe? In dealing with its responsibilities to ensure the safety of foods it looks like the U.S. Food and Drug Administration (FDA) acts in ways that favor the manufacturers and expose consumers to unnecessary risk.
The FDA uses the term GRAS, Generally Regarded as Safe, to identify products as not requiring further study to establish their safety. Any person may “notify” FDA that a product is GRAS. The FDA does not accept or agree with the notifier’s GRAS conclusion. Usually the FDA simply does not question the notifier’s claim.
This peculiar approach to “regulation” by the FDA is illustrated here through examination of Evolve BioSystems’ new trademarked product, Evivo, claimed to be “the first and only probiotic powder clinically proven to restore the infant gut microbiome to its original, natural state.”
Evivo is obviously a new and unfamiliar product. It is only because it is novel that Evolve Biosystems pursued patents relating to it. The FDA’s primary responsibility is to protect public health. The FDA’s refusing to accept a GRAS claim by a manufacturer would not be an assertion that it the product is unsafe. It would simply be an assertion that, as a matter of prudence, the safety of this product should be investigated by an objective agency both before and after it is marketed. That is not too much to ask, especially when the consumers are to be highly vulnerable children.
The Agrarian Crisis and Its Nutritional Consequences in India
Authors: Ittyerah Anil Chandy , Holla Radha 
Published: December 2018

India is currently in the grip of an unprecedented agricultural crisis, which has led to the suicide of over 300,000 farmers over the past two and half decades. The crisis has been caused by multiple factors including lack of a sustainable agricultural policy, globalization, and decreased state investment in agriculture concurrent with an increased role of private players and climate change. This has led to reduced income for farmers and increased farmers’ indebtedness, which in turn affects the nutritional status of farming families, particularly women and children. In 2017, India was ranked 100 out of a total of 117 countries by the Global Hunger Index. The focus of state schemes related to nutrition has been on ensuring food security rather than nutrition security.
The agrarian crisis is increasingly making agriculture an unviable occupation and hundreds and thousands of farmers are opting out of working on the land to move to urban areas, where jobs are scarce, further deepening the nutritional crisis. The long-term sustainable solutions include sustainable use of resources of land, seed, and water through promotion of low-input agriculture that is tailored to the nutritional and income needs of farmers and their families, and to the agro-ecological conditions of the region. Agricultural policy must enable the small and marginal farmer to earn a fair income and to be free of debt by ensuring access to procuring agencies, an adequate price for produce, and low-interest micro-loans.
Statistical Disclosure Limitation: New Directions and Challenges
Authors: Shlomo Natalie 
Published: December 2018

An overview of traditional types of data dissemination at statistical agencies is provided including definitions of disclosure risks, the quantification of disclosure risk and data utility and common statistical disclosure limitation (SDL) methods. However, with technological advancements and the increasing push by governments for openand accessible data, new forms of data dissemination are currently being explored. We focus on web-based applications such as flexible table builders and remote analysis servers, synthetic data and remote access. Many of these applications introduce new challenges for statistical agencies as they are gradually relinquishing some of their control on what data is released. There is now more recognition of the need for perturbative methods to protect the confidentiality of data subjects. These new forms of data dissemination are changing the landscape of how disclosure risks are conceptualized and the types of SDL methods that need to be applied to protect thedata. In particular, inferential disclosure is the main disclosure risk of concern and encompasses the traditional types of disclosure risks based on identity and attribute disclosures. These challenges have led to statisticians exploring the computer science definition of differential privacy and privacy- by-design applications. We explore how differential privacy can be a useful addition to the current SDL framework within statistical agencies.
Memories of Steve Fienberg
Authors: Steorts Rebecca Carter 
Published: December 2018

In 2015, Steve and I traveled together to Ithaca from Pittsburgh for a workshop on differential privacy (DP). This is one of my fondest memories with Steve for many reasons. The trip involved many of my favorite things, which Steve and I both shared --- statistics, hockey, great food, and good conversation. For me, this is one of my most memorable trips with Steve, as I learned so much from our conversations together.
(Re)imagining a course in language and intercultural communication for the 21st century
Authors: Diaz Adriana Raquel , Moore Paul J. 
Published: December 2018

Over twenty-five years ago, leading scholars in the field of intercultural communication William B. Gudykunst, Stella Ting-Toomey and Richard Wiseman published the paper “Taming the beast: Designing a course in intercultural communication.” We revisit their work in light of renewed interest in the design and implementation of the intercultural communication (ICC) course as a key site for engaging with diversity in universities around the world. Our paper draws on Gudykunst et al.’s overview of four major issues instructors should consider in designing and delivering an introductory ICC course: (a) philosophical and ethical issues, (b) pedagogical issues, (c) curricular content; and (d) resources and teaching techniques. We draw on these four issues to conduct a critical appraisal of the current state of the ICC field and to reflect on Gudykunst et al.’s recommendations in the 21st century. We pay particular attention to the increasingly stronger links between the fields of ICC and modern/foreign language (MFL) education through the key role that language(s) play in meaning making in interaction. We therefore use the issues identified by Gudykunst et al.’s seminal work as a springboard to discuss key parameters that may assist instructors in the design of a reimagined ICC course, responsive to the crucial role of language and languages in engaging with diversity.
Study of treatment effectiveness of patients with chronic nonbacterial prostatitis
Authors: В. І. Тріщ  
Published: December 2018

The objective: Studying of level of essential microelements (Zinc, Copper, Magnesium, Iron) in blood and ejaculate, specialty of antioxidant and immune defense of the patients with chronic nonbacterial prostatitis and reasoning of polymicroelemental and immunomodulat ing medication use.Materials and methods. Under supervision were 120 patients with chronic nonbacterial prostatitis, among them 60 patients with inflammatory chronic pelvic pain syndrome (ICPPS – category IIIA) and 60 patients with noninflammatory chronic pelvic pain syndrome (NCPPS – IIIB). Microelements in whole blood and ejaculate were determined using atomic absorption spectrophotometry on C 115 PC. State of antioxidant defense was judged considering quantification of Catalase after A. Bach and S.Zubkova and Superoxide Dismutase. Immune status was analyzed in accordance to the results of determination of the interleukins-6, -8 (IL-6, IL-8) concentration and quantification of tumor necrosis factor-alpha (α-TNF) in blood serum, using the set of company “VECTOR-BEST”, by immunoassay analysis. Correction of violations of bioelemental status and immune defense was conducted by prescription except the standard therapy the polyelemental complex and interferon alpha-2b.Results. A certain decrease of microelements Zn, Fe, Mg and Cu increase were observed in both groups of patients with chronic nonbacterial prostatitis. Also it was noted that with long duration of chronic nonbacterial prostatitis takes place the antioxidant enzymes level decrease. It was noted a visible concentrations increase of proinflammatory cytokines in blood of both groups of patients with chronic nonbacterial prostatitis. Especially significant increase in serum was IL-8. Under influence of treatment was noted positive dynamics of improve ment of bioelemental consist of blood and ejaculate, increase of antioxidant enzymes level and decrease of proinflammatory cytokines concentration in blood of patients with chronic nonbacterial prostatitis.Conclusion. With chronic nonbacterial prostatitis was observed decrease of Zinc, Iron, Magnesium and increase of Copper level in blood as well as in ejaculate of the patients. Metabolic changes with shortage of Zn and excess of Cu correlate with antioxidant system disbalance , that is with antioxidant defense level decrease. With chronic nonbacterial prostatitis was observed increase of proinflammatory cytokines concentration, especially in patients with inflammatory chronic pelvic pain syndrome.Inclusion of polyelemental complex and interferon alpha-2b in complex treatment of the patients with nonbacterial chronic prostatitis improves macro and microelemental status of blood and ejaculate, thereby strengthens antioxidant and immune defense.
The study of macro- and microelement status in patients with the chronic bacterial prostatitis
Authors: Є. А. Литвинець  , А. Кабіру  
Published: December 2018

According to the data more of urologists 9–35% men suffers from a c chronic prostatitis. Near 80% work out men for 20 to 50 years old. Lately events of chronic prostatitis increase because also increases different forms of uretritis, epydidimoorchitis, lowering of the resistance of organism and the influence of outside environment.The objective: of our study was to conduct a comparative analysis of the normal contents and bacterial prostatitis (BP) macro– and traceelement composition of blood to optimize the regeneration of the processes.Materials and methods. The study involved 65 patients with bacterial prostatitis aged from 18 to 48 years, who were divided into groups: Group І patients with BP, group ІІ – control group, consisted of 25 healthy persons with patients of similar age. Determination of serum microelements was carried out by atomic absorption spectrophotometry. Statistical analysis of the results of research was carried out by using a standard computer program Microsoft Excel.Results. Thus, the determination of Zinc in blood showed that in general patients with BP observed a significant reduction of trace elements such as Zinc content was (0,48±0,02) mg% and differed significantly from that seen in healthy persons (P<0,001). This result is quite significant, since it is known that Zinc deficiency is associated with reduced antioxidant enzyme systems and formation of adequate response of the body to the action of bacterial agents in BP.Conclusions. The presence of an imbalance in the system ofbioele ments is one of the pathogenetic mechanisms of development and progress ofinflammation in patients with bacterial prostatitis. Clinical implementation of metabolic disorders occurs at the level of the element with the violation of immunological resistance of the organism.
Clinical experience of the Zydena drug in the therapy of erectile dysfunction
Authors: Ю. М. Гурженко  
Published: December 2018

The objective: to evaluate the efficacy and tolerability of the drug udenafil (ZYDENA), 100 mg tablets in the treatment of erectile dysfunction compared with the efficacy and tolerability of the reference drug (Sildenafil).Materials and methods. The clinical efficacy and safety of the ZYDENA drug in the treatment of erectile dysfunction in a clinical group of 35 patients with ED of mixed origin was studied. The control group included 30 patients who received Sildenafil therapy. Efficiency monitoring was carried out using the questionnaire on the scale of ICEF and dopplerography.Results. The excellent effect of therapy with udenafil was noted in 26 patients (74.3%), good – in 8 patients (22.8%), in one patient (2.9%) the effect was considered satisfactory. The final evaluation of the therapeutic efficacy showed «excellent» and «good» results in 97.1% of patients.Conclusions. The prescription of ZYDENA drug to patients with erectile dysfunction (100 mg) leads to a significant increase in integration parameters in 2 2.5 times, which is 1.15 1.25 times higher than in patients who used the drug Sildenafil. The clinical efficacy and safety of Zydena in the treatment of erectile dysfunction on a group of 35 patients with ED of mixed origin was studied. The control group consisted of 30 patients receiving therapy with Sildenafil. The effectiveness was monitored using a questionnaire on the ICEF scale and dopplerography. Purpose of the drug ZYDENA patients with erectile dysfunction (100 mg each) leads to a significant increase in integration parameters in 2 2.5 times, which is 1.15 1.25 times higher than in patients who used the drug Sildenafil. The clinical efficacy of ZYDENA is 97.1%. According to the duration of the action, ZYDENA is more effective than the reference preparation 2.38 times
The effectiveness of metabolic therapy in the treatment of patients with the gestational pyelonephritis
Authors: Є. А. Литвинець  , В. Є. Литвинець  , Я. В. Гоцуляк  
Published: December 2018

The objective: the study of effectiveness and antioxidativ activity of the medicine with the sicca extracti hibiscus and deproteinization haemoderivative of calf’s blood in the treatment of patients with the gestational pyelonephritis.Material and methods. We examine and treatment of 70 pregnant women with the gestational pyeloephritis. All illness where devoted into two groups. Into the first group entered patients (30 persons), which reseived the traditional treatment (reconstruction of the urine’s passage, antibiotic of cephalosporins II or III, spasmolytics in therapeutic doses). The aim group consists illness (40 persons), which reseived medicine with the sicca extracti hibiscus and deproteinization haemoderivative of calf’s blood. In the control group included 25 healthy pregnant women aged 18 to 40 years.Results. The using of the tradition therapy was promoted increasing clinicodiagnostic signs of illness. But stay high-level products of system lipid peroxidation and antioxidative protection are indication for progress and chronization of pathologic process after stopping the treatment. The using in illness of general group the medicine with the sicca extracti hibiscus and deproteinization haemoderivative of calf’s blood was promoted to norm clinic and the laboratorial measures and the increasing of process lipid peroxidation and the reductantion the activity in the system antioxidative protection.Conclusion. The activity of process lipid peroxidation and the reductantion the activity in the system antioxidative protection was important role in the process of chronisation and the progress of gestational pyeloephritis. The using in illness of general group the medicine with the sicca extracti hibiscus and deproteinization haemoderivative of calf’s blood in the complex treatment of patients with the gestational pyeloephritis lead to increasing the terms of normalization clinic and laboratorial indices, which reactivated of process lipid peroxidation and antioxidative protection.
MIRNA-371а-3r expression as a predictive factor in patients with germ cell testicular tumors
Authors: А. В. Сакало  , В. Є. Досенко  
Published: December 2018

GCTT is more often diagnosed in the age group of 20–35 years, thanks to the success of chemotherapy in most patients it is possible to achieve long-term remission or recovery. The search for new markers is relevant, since an increase of the level of standard markers (AFP, XGT and LDH) is observed in 60% of the cases.The objective: to study the possibility of using miRNA-367-3p as a prognostic marker in patients with GCTT.Materials and methods. The expression of miRNA-367-3p in the blood serum was studied in 24 patients with GCTT in different stages, control – 2 patients with rhabdomyosarcoma and acute epididymitis. Results. Depending on the stage of disease and the morphological structure of the primary tumor, active observation or chemotheraphy was performed. miRNA-367-3p was determined by reverse transcription in real-time PCR.Conclusion. The sensitivity/specificity of miRNA-367-3p exceeds those for AFP and HGT, so, miRNA-367-3p can be considered as a molecular marker for GCTT; in teratomatous tumors the level of miRNA-367-3p is minimal or no expression; in nonseminomatous tumors, the level of miRNA-367-3p is statistically higher than in seminomas. Preliminary data indicate a correlation of the level of miRNA-367-3p with complete or incomplete remission after chemotherapy, but the hypothesis requires confirmation on a larger number of patients.
The risk of chronic kidney disease and diabetes mellitus in patients with arterial hypertension
Authors: В. С. Джуряк  , І. В. Бондарчук  , Л. П. Сидорчук  , М. М. Сем’янів  , Ю. В. Репчук  , Л. Г. Крикливець  , І. Г. Флюндра  
Published: December 2018

The objective: the study of individual clinical demographic factors as the risk of chronic kidney disease (CKD) and diabetes mellitus (DM) in 93 patients esentsiynu arterial hypertension (EAH) in general medical practice.Patients and methods. Among the patients 49 (52.69%) men and 44 (47.31%) men, mean age 58,80 ± 9,60 years, disease duration from 4 to 25 years (average 15.2 ± 2 '68). At present 12 people with diabetes type 2 diabetes and CKD. All patients were complex research: general clinical, laboratory, instrumental and consult an ophthalmologist and neurologist.Results. It was established that obesity is a marker that increases the risk of DM in patients with EAH in 1,54 times [OR=2,63; OR 95% CI=0,73–9,44; p>0.05]. Body mass index ≤ 24,9 kg/m2, hyperglycemia and alanine aminotransferase elevation in blood (ALT >0,68 mmol/h*ml) cause the risk of CKD increase in 2,45 times [OR=3,18; OR 95% CI=0,82–12,37; p>0,05], 5 times [OR=25,0; OR 95% CI=2,92–213,9; p=0,001] and 3,37 times [OR=4,56; OR 95% CI=1,12–18,59; p=0,045], respectively. Increased body weight and obesity did not affect the risk of CKD in patients with EAH.Conclusion. The hypertension degrees are not associated with DM appearance in EAH patients, but EAH 3rd degree increases the CKD risk in 13,5 times [OR=16,0; OR 95% CI=1,33–192,8; p=0,043].