bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prenatal Administration of Betamethasone and Neonatal Respiratory Distress Syndrome in Multifetal Pregnancies: A Randomized Controlled Trial
Authors: Abbasalizadeh Fatemeh , Pouya Khadijeh , Zakeri Raana , Asgari-Arbat Rana , Abbasalizadeh Shamsi , Parnianfard Neda 
Published: October 2019

Background:
Neonatal Respiratory Distress Syndrome (NRDS) is one of the most frequent
causes of neonatal mortality especially in premature infants. Although it has been well established
that maternal antenatal corticosteroid therapy has a positive effect on NRDS reduction, yet
the effectiveness of this treatment in multifetal pregnancies is dubious.

Objective:
We aimed to investigate the effect of betamethasone therapy on the incidence of NRDS
in multifetal pregnancies through a randomized controlled trial.

Method:
140 women with a multifetal pregnancy at less than 28 weeks’ gestational age were randomly
allocated into intervention and control groups. Women at the intervention group received
intramuscularly betamethasone (12 mg/kg/BW twice). Neonatal outcomes were evaluated between
two groups of intervention and control, and two subgroups of preterm and term births. This study is
registered with the Iranian Clinical Trials Registry, number IRCT20180227038879N1.

Result:
The incidence of NRDS was significantly lower in infants of betamethasone group than the
ones in the control group (4.9% vs 18.1%, P=0.034) while it did not show a significant reduction in
preterm infants compared to mature ones. Also, the intervention group presented a significant lower
neonatal ventilation than the control group (47.2% vs 63.2%, P=0.041). Other neonatal outcomes,
including age at birth, birth weight, Apgar score, NICU admission, and the number of mortalities
were not significantly different between study groups.

Conclusion:
Betamethasone therapy during 28-32 weeks of gestation in multifetal pregnancies was
associated with better neonatal outcomes through significant reductions in NRDS incidence and
requiring ventilator treatment. However, betamethasone administration did not reduce the chance of
NRDS in premature infants.
The Emergence of Quaternary Ammonium Compounds Resistance in Escherichia coli Isolated from Hospitals of Qazvin, Iran
Authors: Habibollah-Pourzereshki Narges , Peymani Amir , Keshavarz-Saleh Fatemeh 
Published: October 2019

Introduction:Escherichia coli is one of the most important agents involved in healthcare-associated infection, and resistance to quantum ammonium compounds (QACs) has become a major challenge for infection control practitioners. The aim of the current study was to determine the frequency of qacE and qacEΔ1 genes in E. coli isolated from hospitalized patients in Qazvin, Iran.Material and Methods:In the current cross-sectional study, 102 E. coli were collected from hospitals of Qazvin. All bacterial isolates were identified using standard laboratory methods and the antimicrobial susceptibility was evaluated by Kirby-Baer test. The presence of qacE and qacEΔ1 genes was investigated using polymerase chain reaction (PCR) technique.Results:In this study, 65 (63.7%) isolates showed a multidrug resistance (MDR) pattern which was resistant to at least three classes of antimicrobials including ß-lactams, aminoglycosides, and fluoroquinolones. The highest rates of resistance were observed against cefotaxime (75.5%) and nalidixic acid (66.7%). The PCR showed that 5 (4.9%) isolates harbored qacE gene, 62 (60.8%) isolates qacEΔ1, and 10 (9.8%) isolates carried both genes, simultaneously. There was a significant relationship between the QACs resistance and MDR pattern (P=0.03).Conclusion:This study indicated a significant resistance rate against disinfectant compounds in the studied hospitals. However, more attention should be paid to this critical issue in the infection control committees of the hospitals.
Substantiation of the Results of Morphological Examination of the Urinary Bladder Wall in Experimental Diabetic Cystopathy
Authors: Tokaruk Nadiya 
Published: October 2019

Measurement of consumed water and daily diuresis proved the pathomorphological manifestations of streptozotocin-induced cystopathy in the experiment on rats according to the results of biochemical studies of blood and urine.
It is argued that the desquamation of cells in the transitional epithelium, its atrophy, stratification violation, and baring of the basal membrane are caused by a large volume of urine, which excessively stretches the urinary bladder, destroying the intercellular contacts of the urothelial layer. It is proved that primary hyperglycemia leads to widening of the lumen of the arterioles and moderate thickening of the basal membrane of the micro-hemovessels, and high chronic hyperglycemia – directly triggers the whole cascade of pathomorphological changes: on the 42nd day of the experiment it causes vasoconstriction of the arterioles, and at the later terms – the secondary expansion of the arterioles and venules of the microcirculatory bed of UB (urinary bladder); is the cause of dystrophic changes of endothelial cells, further thickening and lamellar transformation of the basal membrane and plasma permeation of the perivascular connective tissue; causes the appearance of dark involutional myocytes with few organelles and sarcoplasm sequestration.
Hydropic dystrophy of smooth myocytes has been found to be associated with the hydration of blood plasma as a result of excessive polydipsia in diabetic animals, and vacuole dystrophy of urothelial cells, enlargement of their size and interstitial edema – with low specific urinary density due to the multiple fast increase of diuresis. It has been established that prolonged high glucosuria and decreased diuresis lead to a decrease in urothelial cell size, compaction of their cytoplasm and ultrastructural readjustment. The increase of the content of glycosylated hemoglobin during the experiment justified the appearance and increase of the sludge-syndrome.
CUIDADOS INTEGRALES DE ENFERMERÍA EN UN LACTANTE CON ENCEFALOPATÍA ISQUÉMICA HIPÓXICA RELACIONADA CON LA ASFIXIA PERINATAL
Authors: Sanchez Couto Daniela , Rodriguez Flores Ana Jacqueline , De Oliveira Pâmela Roberta , Castro Pereira Queli Lisiane 
Published: October 2019

La encefalopatía isquémica hipóxica, secundaria a la asfixia durante el parto, sigue siendo una importante causa de muerte posnatal y de déficit neurológico permanente en el mundo. Las intervenciones de enfermería siguen siendo el pilar del tratamiento, posibilitando un confort al paciente. El estudio objetivó implementar el proceso de enfermería en el cuidado a un paciente pediátrico con lesión cerebral como consecuencia de la asfixia perinatal. Realizamos un estudio de caso clínico en una Unidad Intensiva Pediátrica en Durango, México, entre noviembre y diciembre de 2017. Los datos fueron obtenidos después de la evaluación, presentados en el proceso de enfermería en sus fases de histórico, evolución, diagnóstico de enfermería, planificación de las intervenciones y resultados obtenidos. Resaltamos la importancia del proceso como foco del trabajo del enfermero, capaz de posibilitar el desarrollo de una asistencia basada en evidencia y también permitir credibilidad en el trabajo de enfermería.
Pautas para el manejo de inventarios bajo NIIF en pymes comerciales en Colombia
Authors: Arguello Luz Marina , Nocobe Olivarez Yeimi Caterin , Menjura Celis Leidy 
Published: October 2019

Colombia es un país con una economía que tiene como base las PYMES, se presentan procesos que necesitan guiarse bajo las normas NIIF, como es el caso de las secciones de inventarios (sección 13), de acuerdo con esto se planteó como objetivo proponer pautas de control y dirección necesarias para el manejo de los inventarios para PYMES. Método fue el cualitativo que permitió reconocer las posibles causas que impiden a las Pymes alcanzar estándares de calidad en inventarios. Los resultados dieron a conocer la falta de administración y control para el manejo de los inventarios tanto en la bodega, como en el almacén de los productos veterinarios, concluyéndose que la no adopción de las normas internacionales no les permitió ejercer con propiedad unas buenas políticas contables administrativas bajo NIIF para pymes y para ello fue necesario sugerir unas pautas de control en sus políticas de manejo de inventarios
La comprensión de la economía en Max Weber: fundamentos de su planteamiento en el pensamiento económico y empresarial
Authors: Rodríguez Vega Diana Victoria , Sotelo Emilsen Mireya , Díaz Castro Javier , Cubillos Gúzman Leonardo 
Published: October 2019

Este documento es el resultado de una revisión bibliográfica y de un esfuerzo por ordenar las ideas vertidas por varios pensadores de un gran sociólogo y economista como era Max Weber, a fin de abrir un debate acerca del pensamiento económico. Para este fin se tomaron ideas de diversos autores y textos claves para entender las temáticas trazadas, las cuales se combinan con ideas propias para el resultado final.
Modelos de gestión organizacional y planeación estratégica de las clínicas odontológicas especializadas ODONTOSTUDIO limitada
Authors: Álvarez Hernández Luz Angélica , Navarro Quintero Dora , Montoya Aida Viviana , Gil Berrio Andres 
Published: October 2019

En el actual contexto de globalización, las empresas deben estar a la vanguardia de los cambios organizacionales para mejorar la productividad y competitividad. El propósito de la investigación aplicada es comparar los resultados de la matriz de diagnóstico del Modelo de Modernización para la Gestión de las Organizaciones (MMGO) con los resultados de la matriz de diagnóstico Debilidades, Oportunidades, Fortaleza, Amenazas (DOFA) de la empresa prestadora de servicios odontológicos, ODONTOSTUDIO Limitada de la ciudad de Villavicencio. Según datos de la Cámara de Comercio de Villavicencio (CCV, 2015) existen registradas cerca de (72) clínicas odontológicas pymes, las cuales requieren de la realización de un diagnóstico organizacional, que les permita un acercamiento real a la situación actual de las empresas. La investigación es descriptiva y como fuente primaria de información se aplicó la herramienta (MMGO) desarrollada por el Grupo de Investigación G3Pymes de la universidad EAN; esta matriz de diagnóstico es propia para pymes y permite generar un análisis más acertado a la realidad del contexto local colombiano. En cuanto al análisis de las matrices DOFA definida por la empresa y la obtenida a partir del modelo (MMGO), se observa que existe una fuerte relación entre cada uno de los componentes contemplados para cada categoría de análisis. Por un lado, se determinan como aspectos positivos la gestión humana y la planificación estratégica; y como negativos, el poco capital de trabajo que limita el apalancamiento de inversiones en renovación de equipos y la transferencia de conocimiento en nuevos procedimientos.
Peri Cholecystectomy Bile Analysis for Fasciola hepatica Eggs in Sulaimani Teaching Hospital
Authors: Hama Shareef Seerwan , Abdullah Hawramy Taher , Jamal nasrulla Osman , Hama amin Karwn , Ahmed Mohammed Dara , Seerwan Hama Raz 
Published: October 2019

Fascioliasis is one of the oldest zoonotic infestations, which returned back to 3000 years B.C., it is caused by Fasciola hepatica or gigantica. It is a widespread disease throughout the world; nearly (2.4 – 17) millions of people is infected. Human is an accidental final host by ingestion of contaminated plants and water by metacircaria. Most of patients suffer from right upper abdominal pain with eosinophilia. Diagnosis is made on clinical background with imaging studies or laboratory (like stool and examinations biliary aspirate, intradermal test or ELISA to detect antibody). It must be taken into consideration as newly emerging infestation in our country. The aim of this study is to highlight on the magnitude of Peri Cholecystectomy Bile Analysis for Fasciola hepatica in Sulaimani province, Kurdistan region and even in Iraq as a whole. A prospective study was performed at Sulaimani Teaching Hospital. Bile samples were collected from who had cholecystectomy. Microscopical analysis was archived for finding egg of the parasite. In 129 samples, there were 7 (5.4%) positive cases of Fasciola hepatica 2 were adult worms, all were swimming in the gall bladder. 5 (3.9%) out of 7 (5.4%) samples were females and only 2 (1.5%) of cases were males. 4 (3.1%) out of 7 were from Sharazur terrain, and 3 (2.3%) of them from the center of Sulaimani city. Fascioliasis is a zoonotic problem. It must be put in differential diagnosis of any vague upper abdominal pain. It is a public health issue, so health worker must give awareness to the society about this disease, which is more easily preventable.
Sociological Barriers in the Quality of Production
Authors: Suchacka Małgorzata , Horáková Nicole 
Published: October 2019

Abstract
In this article is drawn attention to the social aspects of improving the quality of production. The relationship between the development of technology and society is still underappreciated. There is a vital need to make technical managers aware of the rules governing interpersonal relationships. This theoretical article aims to bring the basic concepts of social sciences closer to recipients focused on constant improvement of the production quality. The essence of the work process is primarily the fact that it is done by a human being and mostly in a group of people. This is related to the consequences of sociological nature to which managers do not pay enough attention. Instead of focusing on social and interpersonal problems they are dealing with organizational issues. The conclusion of consideration leads to underlining the need for constant improvement - manager training in social engineering principles.
Initiatives to Overcome Social Inequalities in Public Health Management in the European Union
Authors: Bsoul-Kopowska Magdalena 
Published: October 2019

Abstract
This paper focuses on the methods to reduce social inequalities through appropriate public health management implemented within the EU. In the initiatives taken by the EU, it is important to contribute to the achievement of greater equality in terms of health in all social groups in the member states, and to reduce heterogeneity between countries in combating health inequalities by focusing on their socioeconomic determinants related to health and lifestyles. The research method adopted in this paper was the analysis of documents related to direct actions on health safety and health policy within the European Union.
ISO 9001 Standard Management System Certification – Data Analysis for Sectors by Country
Authors: Hys Katarzyna 
Published: October 2019

Abstract
The purpose of the paper is to analyse and demonstrate the trends in the scope of data concerning the number of ISO 9001 certificates incorporated in companies around the world with consideration of market division into 39 sectors. The study utilised the desk research method for analysing the available sources of data for the studied problem, especially covering their compilation, mutual verification, processing and reasoning. Then, multi-dimensional comparative analyses were conducted for the obtained results within a time framework of 1998-2017. As result of the conducted analyses, leading sectors in particular countries in terms of the number of incorporated ISO 9001 series standards were established. This enabled identifying the tendencies and determining the further directions of change. The paper is original in that it is based on analysing data within an industry framework in the period of nine years, identifying existing trends and establishing specific cases (countries and industries) for which the ISO 9001 standards are common and for which they are a niche.
Determinants of the Energy Saving Construction Quality in the Green Design
Authors: Stasiak-Betlejewska Renata , Nedeliaková Eva 
Published: October 2019

Abstract
Crucial element of the contemporary construction development trend is compatibility of the building design with client and architecture trends and sustainability strategy. The environmental certification systems for buildings such as LEED, BREEAM and WELL apply a lot of attention to providing users with a healthy housing environment. The criteria of these systems include many practical recommendations that buildings should meet on design, construction and use stage. These requirements can be a signpost, even for buildings and offices that do not aspire to obtain a certificate. The aim of the paper is to analyze and identify determinants of the energy-saving construction quality in the context of the green design.
The Quality Assurance of Cast and Wrought Aero Jet Engine Components Made from Ni-base Superalloys with Using of Quantitative Metallography Methods and Alloys Lifetime Prediction
Authors: Belan Juraj , Kuchariková Lenka , Mazur Magdalena , Tillová Eva , Hanusová Patrícia 
Published: October 2019

Abstract
The Ni-base superalloys are used in the aircraft industry for the production of aero engine most stressed parts, turbine blades or turbine discs. Quality of aero jet engine components has a significant influence on the overall lifetime of a jet engine as itself as well as the whole airplane. From this reason a dendrite arm spacing, grain size, morphology, number and value of γ′-phase are very important structural characteristics for blade or discs lifetime prediction. The methods of quantitative metallography are very often used for evaluation of structural characteristics mentioned above. The high-temperature effect on structural characteristics and application of quantitative methods evaluation are presented in this paper. The two different groups of Ni-base alloys have been used as experimental material: cast alloys ZhS6K and IN713LC, which are used for small turbine blades production and wrought alloys EI 698VD and EI 929, which are used for turbine disc production. Selected alloys have been evaluated in the starting stage and after applied heat-treatment at 850°C for 24 hrs. This applied heat-treatment causes structural changes in all alloys groups. In cast alloy dendritic structure is degraded and gamma prime average size has grown what has a negative influence on turbine blade creep rupture life. Wrought alloys show partially grain boundary melting and grain size changed due to recrystallization what causes mechanical properties decreasing – ultimate tensile strength mainly.
Analysis of Technical Condition of Local Roads Drainage in the Czestochowa Region
Authors: Respondek Zbigniew 
Published: October 2019

Abstract
Local roads (district and municipal) play an important role in the road network, especially in rural areas. In recent years, these roads have been largely repaired, which was often associated with the construction of new infrastructure. One of the basic conditions of maintaining the quality of road works is the proper construction or renewal of drainage devices. Errors in this area result in lower durability of the road pavement. It is equally important to maintain these devices later in a good technical condition, which requires spending appropriate funds from local government budgets. The aim of the study presented in the article was to determine the current technical condition of drainage of local roads in the Czestochowa region and to identify the most frequent design and implementation errors, resulting in a rapid loss of functionality of drainage devices. They were based mainly on in situ studies carried out in the area of an exemplary rural municipality. Errors resulting in the lack of continuity of drainage, or the danger of a rapid loss of its functionality are shown with real examples. It was found that despite the shortcomings described, in recent years the technical condition of drainage of local roads has improved, which is related to the systematic overhaul of local roads (including the construction of sidewalks) and the local government's perception of the importance of road drainage problem.
Computer Modelling of RC Beams Reinforced with High Strength Rebars and Steel Plate
Authors: Bobalo Taras , Blikharskyy Yaroslav , Krainskyi Pavlo , Volynets Myhailo 
Published: October 2019

Abstract
The use of computers provides the opportunity to analyse and design complex structures, taking into account the geometric and physical nonlinearity of construction materials. In the article the study of stress-strain state of mixed steel-concrete beams, were presented. The results of this study showed that the method of calculation according to designe codes gave satisfactorily results of calculated strength compared with experiments. However, these methodes do not provide complete information of structural performance at all levels of load. For a more complete study of the stress-strain state and the physical nature of the processes occurring in steel-concrete structures reinforced with a mixed reinforcement, the calculation method using “Lira” software complex is proposed. The method of calculation is based on the finite element method. The calculation is made taking into account physical nonlinearity and real diagrams of σ-ε of materials using the nonlinear deformation law №14 of “Lira” software complex. The proposed method of calculation allows to determine the values of bearing capacity, the development of deformations and the beginning of crack formation, as well as stresses at all load levels.
Corrosion of RC Beams During Time
Authors: Blikharskyy Yaroslav , Khmil Roman , Blikharskyy Zinoviy 
Published: October 2019

Abstract
This article presented results of impact corrosion on reinforce concrete beams during time with previous loading. Before testing the RC beams were loaded by 37% and 75% from bearing-capacity load of undamaged corrosion beams. There were tested two types of beams. First type beams were tested under force loading action and second type beams were tested under force loading and corrosion action. As an aggressive environment were used the 10% solution of sulfuric acid H2SO4. Such environment takes place in separate chemical manufactures, galvanic workshops, flue pipes of thermal power plants. The results of experimental studies have established that the effect of the aggressive environment with simultaneous loading significantly impairs the stress-strain state of reinforced concrete beams. Bearing capacity due to the yielding of reinforcement bars for specimens with the simultaneous action of aggressive environment and previous loading of 37% and 75% takes place on 51…53 and 58…60 days. The destruction of these specimens, by crushing compressive concrete, at previous loading 37% occurred after 75…79 and at previous loading 75% - after 79…88 days. The history loading does not impact significantly on beams failure, on finite deflections and timing exhaustion bearing capacity since the start of the simultaneous action of aggressive environment and loading.
Shape Optimization of a Column under Generalized Load with a Force Directed towards Positive Pole
Authors: Szmidla Janusz , Jurczyńska Anna 
Published: October 2019

Abstract
In this paper, the issue of shape optimization of a column subjected to the generalized load with a force directed towards the positive pole (L. Tomski’s load, specific load) was considered. Based on the Hamilton’s principle, the differential equations of movement and boundary conditions describing the system were formulated. Taking into account a kinetic criterion of stability loss and a condition of constant total volume, the scope of changes in natural frequency as a function of an external load was determined with selected geometrical and physical parameters of the loading structure. On the basis of obtained results, values of geometrical parameters of individual column segments were determined, at which the maximum critical load value was obtained. In order to find the maximum critical force, which is a function of many variables, the simulated annealing algorithm was used.