bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pregnancy outcomes in women with heart disease at the Colonial War Memorial Hospital, Suva, Fiji.
Authors: Narube Litia , Fong James , Parks Tom , Ekeroma Alec Joseph , Kubuabola Ilisapeci 
Published: December 2016

<div><p><strong>Background: </strong>Cardiac disease in pregnancy is the third most common cause of maternal mortality in Fiji. The aim of this study was to determine the characteristics of pregnant women with heart disease presenting to the Colonial War Memorial Hospital (CWMH).</p><p><strong>Method: </strong>A retrospective review of case notes of all pregnant women identified with heart disease who birthed in the hospital between January 2011 and December 2013 (36 months). </p><p><strong>Findings: </strong>Of the 24,844 livebirths in CWMH during the study period, 153 women, aged 15 to 43 years of age, were confirmed with a cardiac lesion, which gives a prevalence rate of 6.2 per 1,000 livebirths. Rheumatic heart disease was the commonest cardiac lesion (112, 90%) followed by congenital heart disease (6, 5%) and hypertensive cardiomyopathy (3, 2%). Most of the cardiac lesions (120, 73%) were detected during pregnancy.</p><p>There was a higher rate of intervention, morbidity and mortality associated with a cardiac lesion. The rate of instrumental deliveries, caesarean sections and admissions to intensive care were 3.5, 1.5 and 44 times higher compared to pregnant women without a heart lesion. The case-fatality rate was 2.0%.</p><p><strong>Conclusion: </strong>Women with a cardiac lesion in pregnancy had more interventions, higher morbidity and mortality compared to women without a cardiac lesion. Early diagnosis and evaluation of cardiac function were essential for better maternal outcomes. All pregnant women should be screened with an echocardiogram to improve early detection of cardiac lesions. </p></div>
Maternal health promotion in Samoa: Views of pregnant mothers
Authors: Fa'alili-Fidow Jacinta , Naseri Vaifagaloa , Cruickshank Tai’ivao Siniva , McCool Judith , Manoa Saneta , Gentles Dudley , Percival Teuila 
Published: December 2016

<p><strong>Abstract</strong></p><p><strong>Introduction</strong></p><p>Child health and maternal health are priority areas for Samoa. Good maternal health is critical for the welfare and survival of the household especially for children who rely on their mothers for their basic needs. We aimed to identify positive and effective mechanisms of advice and support that would improve the experiences of pregnancy for mothers, and improve health outcomes for mothers and babies.</p><p> </p><p><strong>Methods</strong></p><p>A qualitative approach was used with five focus group discussions with pregnant women (N= 32). All the focus groups were held in five different medical clinics four in Upolu and one in Savai’i. Interviews were transcribed and translated from Samoan to English and accompanying notes taken. Data were analysed using thematic analysis. Key themes which emerged provided categories which assisted in sorting of more comments to provide understanding and context to the participants’ views.</p><p> </p><p><strong>Findings</strong></p><p>Pregnant women cited physical symptoms, a lack of knowledge or understanding of pregnancy, relationship issues, and barriers to accessing health care and stress as the main issues. Travelling long distances by boat and buses for scans and appointments was challenging for most. Waiting times in clinics were long with little information available in Samoan on TV screens or pamphlets. Many women felt they couldn’t ask questions of the midwives/doctors and often the most prominent issues for women were in relation to relationships and mental wellbeing.</p><p> </p><p><strong>Conclusions</strong></p><p>A lack of funding and transportation were identified as barriers to implementing a sustainable programme to help pregnant women. Clinics should be set up closer to where their clients live so as to minimise travel. The wait times in clinics could be utilised to have pregnancy information displayed via videos along with pamphlets with the proviso they be in plain Samoan. </p>
Evaluation of the pilot TAPUAKI Pacific pregnancy and parenting education programme
Authors: Gentles Dudley , Fa'alili-Fidow Jacinta , Dunlop Amanda , Roberts Mary , Ikihele Amio , Percival Teuila , Nosa Vili 
Published: December 2016

<p><strong>Background</strong>: The TAPUAKI programme aimed to improve Pacific women’s, their partners and families’ knowledge and confidence about pregnancy and parenting so they can make informed choices about their health and that of their infants. The programme consisted of six two-hour blocks of antenatal classes run over six consecutive weeks.</p><p><strong>Aim</strong>: To evaluate the TAPUAKI programme for the effectiveness and delivery of its curriculum to pregnant mothers.</p><p><strong>Methods</strong>: Both paper survey questionnaires and focus group interviews (talanoa) were used for the evaluation. Out of 32 participants who attended the TAPUAKI programme, 13 agreed to take part in the evaluation (a response rate of 41%). There were 3 sites (from 2013-2014) where the programme was piloted: Henderson, Onehunga and Otara. The 13 participants were Samoan, Cook Islands Māori or Tongan ethnicity, all aged between 17 and 40 years old. In addition, there were 2 female facilitators at each site who delivered the curriculum. All six facilitators agreed to take part in the evaluation. </p><p><strong>Findings</strong>: Participants reported that their knowledge about pregnancy and parenting had increased as a result of the programme. Specifically, these topics were nutrition, giving birth, breastfeeding and safe sleeping practices. The programme helped to change some incorrect practices and beliefs that were held by those participants who already had children.</p><p><strong>Conclusion</strong>: The TAPUAKI programme increased the women’s knowledge and confidence about pregnancy and parenting. </p>
Where do we go with maternal health?
Authors: Baravilala Wame 
Published: December 2016

<p>On 15 September 2016, the Lancet published a new series of six papers on maternal survival,<sup>1</sup> bringing together current epidemiology, successes and failures in this subject area, all within the framework of the Sustainable Development Goals (SDGs). Audrey Ceschia and Richard Horton<sup>2</sup> of the Lancet stated in an editorial, “The lesson … is that progress in maternal health is fragile and non-linear. The gains that have been made … during the era of the Millennium Development Goals (MDGs) —must never be taken for granted. Constant vigilance is essential.” </p>
Institutional arrangements governing wetland utilization and conservation in communal areas of Zimbabwe
Authors: Marambanyika Thomas , Beckedahl Heinz 
Published: December 2016

<p>Based on household surveys and key informant interviews, the paper explores the consequences of existing institutional arrangements governing wetland access, utilization and conservation in six wetlands located in communal areas found in the central part of Zimbabwe. This was provoked by the fact that wetland ecosystem services are being lost in most developing countries despite the existence of institutions meant to promote their wise use. The results of the study indicated a complex multi-institutional involvement in wetland resources governance. The roles and relationship of participating institutions often compromised wetland resources conservation as a result of conflicts, confusion and tensions exacerbated by divergent motives. There was no homogeny in number of institutions determining utilization at each wetland as well as their degree of influence on management decisions, a situation resembling lack of consistency in existing institutional structure at communal level. Given the proximity of traditional leaders and wetland committees to the people and wetlands and poor participation of government agencies, an institutional structure which place local institutions at the core of the governance system should be formulated. This should be complemented by a clear framework which promotes inter-co-ordination of institutional roles and clarification of their relationships in order to minimize discord in execution of their duties; a situation observed to currently influence degradation of wetland ecosystems. The necessary policy and legal framework to support this institutional framework should be put in place as well as resources for its operations. </p>
DO CORPO À CORPOREIDADE: uma possibilidade educativa
Authors: Sobreira Vickele , Nista-Piccolo Vilma Lení , Moreira Wagner Wey 
Published: December 2016

O corpo máquina que ultrapassa seus limites e não respeita seu ritmo face às necessidades vigentes na sociedade contemporânea, é, nesse texto, analisado à luz dos estudos da corporeidade. A Educação é concebida como meio pelo qual nos tornamos cognitivamente aptos para viver socialmente. As premissas que relacionam educação/corporeidade, aqui expostas, têm a intenção de propor mudanças na visão de um corpo estático, por um corpo ativo, dinâmico, mutável que se expressa e se manifesta em sua corporeidade. Educar numa perspectiva da corporeidade significa promover relações homem/mundo/sociedade/cultura. A educação pode ser o caminho para o ser humano dar mais sentido à vida. A ideia é que se possa perceber o corpo que expressa sua inteligibilidade, revelando a busca de sua transcendência.Palavras-chave: Corporeidade. Corpo. Educação. FROM BODY TO CORPOREALITY: an educational possibilityAbstract: The body machine that goes beyond its limits and does not respect its rhythm in the light of current needs in contemporary society is, in this text, analyzed in accordance with corporeality studies. Education is conceived as a means by which we become cognitively able to live socially. The assumptions relating education/corporeality , here exposed , aim at proposing changes in the vision of a static body, for an active, dynamic, changeable body, which is expressed and manifested in its corporeality . Educating in a corporeality perspective means promoting relations between man / world / society / culture. Education might be the way for humans to give more meaning to life. The idea presented is to allow realization of the body that expresses its intelligibility, revealing the search for its transcendence.Keywords: Corporeality. Body. Education. DEL CUERPO A LA CORPOREIDAD: una posibilidad educativaResumen: El cuerpo máquina ultrapasa sus límites y no respecta su ritmo delante a las necesidades vigentes en la sociedad contemporánea es, en este texto, analizado a la luz de los estudios de la corporeidad. La educación es concebida como medio por lo cual nos convertimos cognitivamente aptos a vivir socialmente. Las premisas que relacionan educación/ corporeidad, aquí expuestas, tienen la intención de proponer cambios en la visión de un cuerpo estático, por un cuerpo activo, dinámico, mutable que se expresa y se manifiesta en su corporeidad. Educar en una perspectiva de la corporeidad significa promover relaciones hombre/ mundo/ sociedad/ cultura. La educación puede ser el camino para el ser humano dar más sentido a la vida. La idea presentada es percibir el cuerpo que expresa su inteligibilidad, relevando la busca de su transcendencia. Palabras clave: Corporeidad. Cuerpo. Educación.
Development of alternative HPLC method for determination of tirofiban in rat serum
Authors: Darkovska-Serafimovska Marija , Janevik-Ivanovska Emilija , Balkanov Trajan , Ugresic Nenad 
Published: January 2017

<p>Tirofiban hydrochloride is a reversible antagonist of fibrinogen binding to the GPIIb/IIIa receptor, used for the treatment of acute coronary syndrome. A novel RP-HPLC method has been developed and validated for the determination of Tirofiban in serum of Wistar rats with and without deep acute venous thrombosis. The chromatographic separation was carried out using a reverse-phase HPLC column Purospher® RP-18e (150 mm ´ 4.6 mm i.d.; 5 μm) coupled with a guard column LiChrosorb® (4 mm ´ 4 mm i.d.; 7 μm) and mobile phase consisting of the mixture of 1-octane sulfonic acid in water (pH 3.0, adjusted with orthophosphoric acid) and acetonitrile, with a ratio of 60 : 40 (<em>v/v</em>) and a flow rate of 1.0 ml/min, at a wavelength of 277 nm. The serum concentrations of Tirofiban in the group of rats with DVT were lower than those in the control group, and it could be explained with the binding of Tirofiban with the GPIIb/IIIa receptors. </p>
Factores clínicos y epidemiológicos relacionados a mortalidad en pacientes con estatus epiléptico en un hospital de Lima: una serie comparativa de casos.
Authors: Graus-Tejeda Juan M. , Huerto-Aguilar José L. , Macavilca-Cruz Marco A. , Nájar-Trujillo Néstor E. , Rodríguez-Hurtado Diana 
Published: January 2017

Objetivos: El objetivo del estudio es comparar, entre dos grupos de pacientes, una serie de factores clínico- epidemiológicos relacionados a mortalidad: edad, sexo, comorbilidades, tipo de estatus epiléptico y uso de ventilación mecánica. Material y Métodos: El estudio se realizó en el Hospital Cayetano Heredia entre enero de 2012 hasta diciembre de 2014. Incluyó 94 pacientes con el diagnóstico de estatus epiléptico admitidos durante el período establecido. El estudio comparó datos de los supervivientes contra datos de los fallecidos. Se recolectó la información de las historias clínicas en una ficha de datos para la elaboración de una base de datos. Resultados: La mortalidad intrahospitalaria fue de 8,51%. La media de edad fue de 41,8 años. Las principales etiologías halladas fueron la epilepsia idiopática (28,72%), la neurocisticercosis (14,89%) y la enfermedad cerebrovascular (14,89%). Se encontró que un 19,5% de pacientes habían abandonado el tratamiento antiepiléptico. El análisis bivariado demostró, para la mortalidad intrahospitalaria, una relación significativa (p<0,05) con un alto Índice de Comorbilidad Charlson y el uso de ventilación mecánica. Conclusiones: La presencia de comorbilidades y el uso de ventilación mecánica se relacionan significativamente con mortalidad en pacientes con estatus epiléptico.
Disección cervical: a propósito de un caso
Authors: Ecos Rosa , Miranda Hector , Valencia Ana María , Abanto Carlos 
Published: January 2017

La disección cervical es una entidad poco estudiada y diagnosticada como variante de infarto cerebral, sobre todo en el adulto joven; es, sin embargo, relativamente frecuente y debe formar parte del diagnóstico diferencial en pacientes jóvenes con infarto cerebral de mecanismo embólico. Se presenta el caso clínico de una paciente con infarto cerebral en diferentes territorios vasculares: varios estudios de ayuda diagnóstica resultaron en la detección de compromiso de la arteria vertebral izquierda por disección arterial, mediante protocolos especiales de resonancia magnética cervical.
Transformações e tendências do mercado de trabalho no Brasil entre 2001 e 2015: paradoxo do baixo desemprego?
Authors: Simões Pedro Henrique de Castro , Alves José Eustáquio Diniz , Silva Pedro Luis do Nascimento 
Published: December 2016

A economia brasileira, favorecida pelos superciclo das commodities, teve uma década de crescimento e relativa estabilidade macroeconômica, em que o mercado de trabalho apresentou um desempenho bastante favorável. Contudo, houve uma desaceleração do Produto Interno Bruto (PIB), seguida de forte recessão em 2015 e 2016. Houve uma defasagem grande entre o início da desaceleração da economia e seus primeiros efeitos sobre o mercado de trabalho, o chamado paradoxo do baixo desemprego. O objetivo deste artigo é analisar tal fenômeno, utilizando as duas principais pesquisas que abordam o tema emprego no âmbito do Instituto Brasileiro de Geografia e Estatística: a Pesquisa Nacional por Amostra de Domicílios e a Pesquisa Mensal de Emprego. Recorrendo à metodologia de decomposições da variação da taxa de desocupação, constatou-se que a parcela mais expressiva tanto da redução anterior da taxa de desocupação, quanto do seu aumento atual, ocorreu nas metrópoles, e que grande parte de seu comportamento pode ser explicado pela redução da participação dos mais jovens, das pessoas menos instruídas e pela redução no ritmo de inserção das mulheres no mercado de trabalho. O perfil etário da desocupação no país tornou-se mais jovem, o que traz preocupações quanto à emergência de uma “geração perdida”.
Orthodontic approach in dental trauma: systematic review and meta-analysis
Authors: Martins Christine Men , Batista Victor Eduardo de Souza , Verri Ana Caroline Gonçales , Verri Fellippo Ramos , Gomes Filho João Eduardo , Panzarini Sonia Regina 
Published: December 2016

Introduction: There is a high prevalence of dental trauma in patients in need of orthodontic treatment, so it is important the knowledge about the orthodontic approach in cases of traumatized teeth. Thus, this study conducted a systematic review about orthodontic approach in dental trauma. Materials and Methods: Two investigators performed a systematic review with meta-analysis. MEDLINE/PubMed and Cochrane Library supplied relevant data from studies published between February 2004 and September 2015 on the relationship between dental trauma and orthodontic treatment. Results: Susceptibility to pulp necrosis was the dichotomous outcomes measure evaluated by risk ratio (RR) and the corresponding 95% confidence intervals (CI). The quality was evaluated using the Oxford Centre for Evidence-Based Medicine (EbM) guidelines. A search strategy and application of eligibility criteria enabled selection and evaluation of four studies on orthodontic treatment in traumatized teeth. In total, 1.696 patients (average age 11.6 years) with orthodontic treatment over 24.2 months were studied, and 484 had already suffered dental trauma and undergone orthodontic treatment. The primary observed sequelae after orthodontic treatment indicated greater susceptibility to pulp necrosis in traumatized teeth compared to no previous trauma. The patients with orthodontically treated traumatized maxillary incisors were more susceptible to pulp necrosis (RR: 7.6; 95% CI: 3.64 to 15.87; p= 0.00001) compared to patients with previous dental trauma to the maxillary incisors and no subsequent orthodontic treatment. Conclusion: There is no well-established protocol for these cases; such treatment must be careful and respect the healing period post-trauma, when these teeth are more susceptible to pulp necrosis and pulp obliteration. Descriptors: Tooth Injuries; Wounds and Injuries; Tooth Avulsion; Orthodontics, Corrective.
Shear Bond Strength of Two Types of Glass Ionomer to Bleached Dentin: Effect of Delayed Bonding and Antioxidant Agent
Authors: Omrani Ladan Ranjbar , Sabouri Parastoo , Abbasi Mehdi , Ahmadi Elham , Ghavam Maryam 
Published: January 2017

Background:
Studies have shown a reduction in bond strength of composites and glass ionomer to bleached enamel and dentin. Several methods have been proposed to reverse compromised bond strength.

Objective:
The aim of this study was to evaluate the effect of delayed bonding and application of antioxidant agent on the bond strength of reinforced self-cured (Fuji IX) and light-cured glass ionomers (Fuji II LC) to bleached dentin.

Material:
Eighty extracted third molars were randomly divided into 8 groups. Buccal dentin surfaces received different treatments: Two control groups: no treatment + bonding Fuji IX or Fuji II LC. Two immediate bonding groups: bleaching + bonding Fuji IX or Fuji II LC. Two delayed bonding groups: bleaching + 7 days delay + bonding Fuji IX or Fuji II LC. Two sodium ascorbate application groups: Bleaching + application of 10% sodium ascorbate + bonding Fuji IX or Fuji II LC. All samples were tested for shear bond strength. Two-way analysis of variance (ANOVA) was used to compare the mean and standard deviations among groups, followed by the Tukey’s test for significant interaction.

Results:
No statistically significant difference was detected in shear bond strength of Fuji IX to bleached or normal dentin. Although a significant reduction was found shear bond strength values of Fuji II LC to bleached dentin, no significant difference was observed between no bleaching group and those treated with 10% sodium ascorbate or 7 days of delay in bonding for both types of glass ionomer.

Conclusion:
Bleaching had no significant effect on shear bond strength of Fuji IX to dentin; this type of GI can be used immediately after bleaching.
Lysionotus serratus D. Don a noteworthy plant species from Chamoli, Western Himalaya, Uttarakhand, India.
Authors: Rawat* Dinesh Singh , Tiwari J. K. , Tiwari P. , Nautiyal Meena 
Published: December 2016

The present paper deals with the occurrence of Lysionotus serratus D. Don (Gesneriaceae) in district Chamoli of Uttarakhand. A detailed nomenclature, description, distribution, ecology and figures have been provided.
Response to Cadmium stress in Vigna radiata L., Trigonella foenum-graceum L., Oryza sativa L. and Pennisetum glaucum L.
Authors: Menon Pallavi , Joshi* Nitesh Chandulal , Joshi Ambika 
Published: December 2016

Industrialization has resulted in the heavy metal contamination of agricultural soil. In the recent past, extensive studies on heavy metals are being carried out throughout the world, to understand the disturbances caused in the ecosystems. In the present study, Cadmium was assessed for its injurious effect on seed germination and seedling growth of VignaradiataL., Trigonella foenum-graceum L., OryzasativaL. and PennisetumglaucumL. The seeds growing in petri dishes were exposed to cadmium in increasing concentrations of 1,3,5,10,50,100,200,300,500 ppm. Each treatment was replicated in a randomised design and observed over a period of 7 days. The seedlings were studied for their response based on germination rate, seed, vigour index, length of radicle, length of plumule and fresh weight against seeds germinated using distilled water as control. The intensity of inhibitory effect on all other parameters was directly proportional to the concentration of cadmium solution employed and inhibition was prominent from 50 ppm onwards. Based on the overall health of the seedling, the observed toxic effect of Cadmium was pronounced in Trigonella foenum-graceum L. >Oryza sativa L. >Pennisetum glaucum L. >Vigna radiate L.
Resistencia natural de trece maderas mexicanas al ataque de termitas subterráneas
Authors: Reyes Chilpa Ricardo , Viveros Rodríguez Nohemí , Pérez Morales Víctor 
Published: January 2017

Se evaluó la resistencia natural del duramen de trece especies forestales (seis de selva alta perennifolia y siete de bosque de pino-encino) al ataque de termitas subterráneas Heterotermes sp. mediante micropruebas de campo. Bloques pequeños (2.5 × 2.5 × 5 cm) de cada especie se colocaron en cuatro rejillas de madera susceptible siguiendo un diseño de cuadrado latino. Las rejillas se colocaron en el suelo de una selva tropical caducifolia, en el Centro de Investigaciones Costeras, La Mancha, Veracruz, México. La duración total de la prueba fue de 15 meses; los resultados se estimaron visualmente de acuerdo con la magnitud del daño sufrido, estableciéndose cinco categorías. En general las maderas de la selva alta perennifolia fueron mas resistentes que las del bosque de pinoencino. Para algunas especies se observaron diferencias en el grado de ataque que sufrieron entre las cuatro rejillas; se discuten las posibles causas de esta variabilidad. Las clasificación de las maderas fue la siguiente: Muy Resistentes: Guarea chichon, Swietenia macrophylla (Meliaceae); Quararibea funebris (Bombacaceae). Resistentes: Pinus patula var. longepedunculata (Pinaceae); Lysiloma acapulcensis (Leguminosae). Poco Resistentes: Pinus patula, Pinus aff. pseudostrobus (Pinaceae); Quercus acatenangensis (Fagaceae). Susceptibles: Ninguna. Muy Susceptible: Quercus crassifolia (Fagaceae); Alnus jorullensis (Betulaceae). Para Pinus teocote (Pinaceae); Schizolobium parahibum (Leguminosae) y Licania platypus (Rosaceae) no se obtuvieron resultados concluyentes.