bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical Characteristics of Patients with Intradialytic Hypertension
Authors: Eftimovska-Otovic Natasa , Grozdanovski Risto , Taneva Borjanka , Stojceva-Taneva Olivera 
Published: January 2016

Abstract
Introduction: Intradialytic hypertension with a prevalence of 15% among hemodialysis patients is with unknown pathophysiology, demographic, laboratoiy and clinical characteristic of patients, and it’s influence on longtenn clinical effects (cardiovascular morbidity and mortality, rate of hospitali­zation). The aim of the study is to present the clinical, laboratoiy and demographic characteristics of patients with intradialytic hypertension in our dialysis center.
Materials and methods: Out of 110 hemodialysis patients, 17 patients (15,45%) had intradialytic hy­pertension - started at a systolic pressure greater than 140 nun Hg or had an increase in systolic pres­sure more than 10 mm Hg during the session, and 17 patients were nonnotensive or had a drop in blood pressure dining the dialysis. HD were performed 3 times per week with a duration of 4-5 hours, on machines with controlled ultrafiltration and high flux syntetic membrane (polyetersulfon) sterilized with gamma rays. A dialysate with standard electrolytes content was used (Na+ 138 mmol/L, K+ 2,0 mmol/L, Ca++ 1,5 mmol/L, Mg +1,0 mmol/L, CH3COO- 3,0 mmol/L, Cl -110 mmol/1, HCO3
- 35 mmol/L). We analysed the following demographic and clinical characteristics: gender, age, BMI, dialysis vintage, vascular acces, cardiovascular comorbidity (cardiomyopathy, ischemic cardiac disease, peripheral artery disease, heart valve disease), number and type of antihypertensive drugs, weekly dose of erythropoesis - stimulating agent, standard monthly, three and six months laboratoiy analyzes, and sp Kt/V and PCR. Statistical analysis was performed using the statistical software SPSS 17.0.
Results: hi both groups men were predominant (IDH group 88.23%, control group 64.07%). The IDH group was older (59.00 ± 7.64 versus 49.00 ± 13.91, p = 0.314) and with lower BMI (p = 0.246) compared to the control group. The DDH patients had significantly lower serum sodium and higher sodium gradient (135.75 ± 2.03 versus 137.33 ± 1.97, p = 0.042; 2.25 ± 1.98 versus 0.66 ± 1.44, p = 0.0267, respestively). All other laboratoiy findings showed no statistically significant differences between the two groups. The IDH group had significantly higher interdialysis weight gain and less effective ultrafiltration individually at each dialysis session compared to the control group (2.23 ± 0.866 versus 2.37 ± 0.69, p = 0.011; 3.87 ± 1,26 versus 3.56 ± 1.18, p = 0.025, respectively). The systolic and mean arterial pressure after the HD were statistically higher in the IDH group.
Conclusion: Older age, lower BMI, borderline hyponatremia, higher sodium gradient and smaller ultrafiltration rate are the clinical characteristics of patients with intradialytic hypertension.
The Impact of Psycho-Education on in Vitro Fertilisation Treatment Efficiency
Authors: Belevska Jana 
Published: January 2016

Abstract
Aim: The aim of the study was to examine the efficiency of psycho-education of candidates for the IVF in stress, anxiety and depression decreasing, and the impact of the psycho educative techniques on the successfulness of the treatment.
Method: A random sample of 64 candidates for IVF treatment is divided in two groups: control group without psycho-education (32 candidates) and intervention group of 32 candidates included in psycho-education. Depression, anxiety and stress scale (DASS) was used as a psychometric test. It’s a multiple choice, self-reported inventory for measuring the levels of stress, anxiety and severity of depression. For statistic evaluation SPSS software was used.
Results: The study shows that the intervention group included in psycho-education has a signifycantly lower scores on stress (t = 3.201, p < 0.05) and anxiety (t = 2.311, p < 0.05). The scale of depression did not show differences in the two compared groups. However, the success of the IVF treatment is more common among candidates that were included in psycho-education.
Conclusion: In our country, psycho-education of candidates for in vitro fertilization is not systematically integrated in the treatment. The study showed the efficiency of psycho-education in anxiety and stress decreasing, as well as significant impact in the successfulness of the treatment.
It was pointed out that psychological support of candidates for IVF is important for the lessening of the negative emotional reactions of candidates as well as for the successfulness of the treatment.
Improving The Accuracy Of Selection Of Bird Radar Echoes Against A Background Of Atomized Clouds And Atmospheric Inhomogeneities
Authors: Dinevich Leonid 
Published: January 2016

Abstract
The algorithm for bird radar echo selection was developed in Israel and has been successfully used for many years to monitor birds in periods of massive intercontinental migration in order to ensure flight safety in civil and military aviation. However, it has been found that under certain meteorological conditions the bird echo selection algorithm does not filter out false signals formed by atomized clouds and atmospheric inhomogeneities. Although the algorithm is designed to identify and sift false signals, some useful echoes from smaller birds are erroneously sifted as well.
This paper presents some additional features of radar echoes reflected from atmospheric formations that can be taken into account to prevent the loss of useful bird echoes. These additional features are based on the use of polarization, fluctuation and Doppler characteristics of a reflected signal. By taking these features into account we can reduce the number of false signals and increase the accuracy of the bird echo selection algorithm. The paper presents methods for using radar echoes to identify species and sizes of birds, together with recommendations on using the data to ensure flight safety during periods of massive intercontinental bird migration.
The Wicie Bird Ringing Station (N Poland) – Ringing Results And Seasonal Bird Migration Dynamics In 2010–2014
Authors: Zaniewicz Grzegorz , Rosiñska Katarzyna 
Published: January 2016

Abstract
The Wicie ringing station was one of several stations which cooperate within the SEEN organization (SE European Bird Migration Network). The station was located west of the small village of Wicie located in northern Poland on the central part of the Baltic Sea coast. The station was situated on a narrow spit between Kopañ Lake and the Baltic Sea and has operated since 2010. Data were collected during three spring and five autumn seasons. Birds were caught in mist-nets, which were placed mainly in bushes and reed beds. Over 55 000 birds of 113 species were caught and ringed during eight migratory seasons. Many of them were also tested for directional preferences in Busse’s cages.
Correlation Between Dietary Fat Intake and Atherogenic Indices in Normal, Overweight and Obese Adults with or Without Type 2 Diabetes
Authors: Diaf Mustapha , Khaled Méghit Boumediene , Sellam Feriel 
Published: January 2016

Abstract
Background and aims: We investigated the association of dietary intake, particularly fat and its constituent fatty acids, with atherogenic indices in adult patients with overweight, obesity and/or type 2 diabetes (T2D). Material and Methods: Two hundred eighty-five outpatients were selected in two cities located in the Northwestern region of Algeria. Anthropometric measurements for body weight, height, body mass index (BMI) and waist circumference were performed. Relationships between dietary intakes, estimated by a 3- days food record, and fasting blood atherogenic indices - total cholesterol-to-high-density lipoprotein cholesterol ratio (TC/HDL-c) and apolipoprotein (apo) B-to-apo A1 ratio, were analysed. Results: Study group included 58.59% overweight/obese T2D patients, 24.91% normal weight T2D patients and 16.49 % overweight/obese patients without diabetes. Higher dietary consumption (p= 0.003) of total fat, saturated fatty acids (SFAs) and polyunsaturated fatty acids (PUFAs), was recorded in the group of overweight/obese T2D patients. Significant positive correlations were observed between apo B/apo A1 and total fat (p= 0.035), total SFAs (p= 0.042) and palmitic acid (p= 0.042) in the group of overweight/obese T2D patients and with ω6 fatty acid (p= 0.030) in the group of overweight/obese patients without diabetes. In the two groups of T2D patients, whether normal weight, overweight/obese, numerous positive correlations with TC/HDL-c were disclosed for PUFAs, ω6 and fatty acids ratios, namely, ω6/ω3, monounsaturated fatty acids (MUFA)/SFAs and (MUFAs+PUFAs)/SFAs. Conclusion: Most adults, whom are either affected by an excess weight or T2D or both together, are prone to cardiovascular risk. Dietary intakes, particularly in fat and its constituent fatty acids, have an important effect on blood lipid atherogenic indices (TC/HDL-c and apo B/apo A1 ratios).
Antithyroid Therapy Improves Glycemic Control in Hyperthyroid Type 1 Diabetes Mellitus Patients
Authors: Vlad Mihaela , Timar Bogdan , Vlad Adrian , Timar Romulus 
Published: January 2016

Abstract
Background and aims. Thyroid disorders are more frequently met in patients with diabetes mellitus than in general population. Thyroid hormones increase glycemia by several mechanisms, but the effect of antithyroid treatment on glucose control in type 1 diabetes mellitus (T1DM) cases is not well studied. The aim of our work was to analyze the evolution of glycemic control of T1DM patients submitted to specific therapy when hyperthyroidism was diagnosed. Material and method. The study group comprised by 37 patients, 35 women (94.6%) and 2 men (5.4%), known as having T1DM and diagnosed with hyperthyroidism during a 10-years interval. They were treated with antithyroid medication and reassessed after 6 months regarding thyroid function and glycemic control. Results. In the whole group, there was a significant decrease in mean HbA1c level (with 0.41%) and a significant increase in the percentage of patients being in the glycemic target (from 10.8% to 35.1%). The better glycemic control was obtained with a lower mean insulin dose. Patients who became euthyroid had a better evolution regarding glucose control in comparison to those who remained hyperthyroid. Changes in other cardiovascular risk factors were noted: systolic blood pressure decreased; diastolic blood pressure, HDL cholesterol, LDL cholesterol, non-HDL cholesterol, triglycerides and body weight increased. TSH and HbA1c values were inversely correlated. Conclusions. The therapeutic control of excessive thyroid function significantly contributes to the improvement of glycemic control in patients with T1DM and induces changes in the cardiovascular risk factors profile.
An Useful Toolf for Diabetes Emotional Distress Assessment: Validation of the Romanian Version of Diabetes Distress Scale
Authors: Mocan Andreia Ştefana , Băban Adriana 
Published: January 2016

Abstract
Background and Aims: The aim of the present study was to validate the Diabetes Distress Scale (DDS) on Romanian diabetes patients. Material and Methods: A total number of 529 type 1 and type 2 diabetes outpatients were included in the study. Exploratory and confirmatory factor analyses were used to assess the construct validity, Cronbach’s Alpha for internal consistency and Pearson’s correlation for predictive properties. Results: Distress level was lower in Romanian diabetes patients when compared to other studies. Model fit for the scale was moderate. The four factor structure of the original scale was maintained, with a good internal consistency for the entire scale (0.824) and for the four subscales: emotional burden (0.775), distress related to the physician (0.798), distress related to diabetes regimen (0.708), and interpersonal distress (0.733). Regarding predictive properties, DDS-Ro was positively correlated to depressive symptoms measured with the Beck Depression Inventory (r = 0.415, p < 0.05) and to diabetes self-care activities measured with the Summary of Diabetes-Self-Care Activities, with the strongest correlation between diabetes regimen distress and physical activities (r = - 0.358, p < 0.01). Conclusions: DDS-Ro has good psychometric properties in Romanian diabetes patients and can be used when diabetes emotional impact is assessed.
Kyrle’s Disease in a Patient with Delusions of Parasitosis
Authors: Tampa M. , Sârbu Maria Isabela , Matei Clara , Mihăilă Daniela E. , Potecă T. D. , Georgescu Simona-Roxana 
Published: January 2016

Acquired perforating disorders are a group of uncommon skin conditions characterized by transepidermal extrusion of altered dermal material, most often associated with diabetes mellitus and chronic kidney failure. Delusional parasitosis is a primary psychiatric disorder in which affected patients have fixed, false beliefs that their skin is infested by parasites, in the absence of any evidence supporting their statements.
A 69 year old malepatient addressed the Dermatology Department for a skin eruption consisting of multiple umbilicated keratotic papules with a generalized distribution. The patient believed that the lesions were produced by small parasites entering and exiting his skin. The histopathological examination confirmed the clinical diagnosis of Kyrle’s disease. The psychiatric examination established the diagnosis of delusions of parasitosis.
This is the first reported case of Kyrle’s disease associated with delusions of parasitosis. There is no evidence supporting the hypothesis that delusions of parasitosis might be a predisposing factor for Kyrle’s disease. However, we believe that the pruritic dermatosis might have triggered the delusions of parasitosis due to the associated pruritus. On the other hand the constant excoriations and traumatizing of a skin prone to develop idiopathic Kyrle’s disease in the attempt to remove the parasites prevented the complete resolution of the lesions.
Liver Graft versus Host Disease after Allogeneic Peripheral Stem Cell Transplantation: Update on Etiopathogenesis and Diagnosis
Authors: Mihăilă R.-G. 
Published: January 2016

Abstract
Graft versus host disease (GVHD) is the main complication of allogeneic hematopoietic cell transplantation and is more frequent after peripheral stem cell transplants. Graft versus leukemia or lymphoma component of them is beneficial to eradicate residual tumor mass after previous treatment and conditioning regimen. A severe GVHD may endanger the patient's life. The most important liver manifestations of GVHD are increased serum alkaline phosphatase and bilirubin values. The last allows to estimate the GVHD severity. Sometimes, an increase of aminotransferases can mimic an acute hepatitis. Donor-derived hematopoietic cells appeared to turn in mesenchymal liver cells. Activated CD4(+) T cells, humoral and complement activation, a large number of cytokines and cytokine receptors are involved in GVHD development. Correct and early recognition of GVHD and its differentiation from the other liver diseases are essential for the medical practice.
Correlations Between the Autolytic Changes and Postmortem Interval in Refrigerated Cadavers
Authors: Cocariu Ela Andra , Mageriu V. , Stăniceanu Florica , Bastian Alexandra , Socoliuc C. , Zurac Sabina 
Published: January 2016

Abstract

Introduction. In forensic pathology the autolytic process has been observed and documented in order to determine the postmortem interval as accurately as possible. The observation and experiments have been carried out on cadavers exposed to environmental conditions – heat, humidity, air currents, soil, water.

Methods. For this study hematoxylin and eosin (HE) stained sections of organ samples from 30 autopsied bodies were examined under the microscope. Modifications of tissue and cell structures were noted in correlation with the bodies’ time spent in the Morgue’s mortuary refrigerator until the autopsy was performed, which varied between 24 hours and 22 days.

Results. All the organs sampled (lung, heart, liver and pancreas) showed severe autolytic alterations after 5 to 8 days. The most heavily affected was the pancreas, cells within Langherhans islets becoming complete autolyzed at the 36 hours mark. Inside organs, autolytic processes occur at different rates depending on the locations within that organ –deeply or superficial; in the heart after 4 or more days subendocardic myocardium shows less severe autolytic changes than the subepicardial one.

Conclusion. Autolytic processes have a delayed onset and a much lower progression rate in a cold controlled environment. Different organs suffer different rates of autolysis in correlation to their structure and enzymatic content.
Extensive spinal epidural abscess complicated with hydrocephalus
Authors: Balan Corneliu , Carp Ovidiu , Iordache Corina 
Published: January 2016

Abstract
Spinal epidural abscess is a rare but severe infection requiring prompt recognition in order to have a favorable outcome and appropriate treatment, mainly surgical. We present one of the largest extensions of such abscess in literature, involving the whole spine. No surgical treatment was tempted due to the involvement of 19 levels but antibiotics. The evolution of the lesion was complicated with hydrocephalus, by mechanism of cervical block of CSF flow, and needed first external derivation and later ventriculo-peritoneal drainage.
Evaluation of the clinical efficiency of transforaminal epidural steroid injection in the treatment of sciatica
Authors: Gündoğdu Zafer , Atcı İbrahim Burak , Albayrak Serdal , Yılmaz Hakan , Urfalioğlu Aykut 
Published: January 2016

AbstractObjective: Evaluation of clinical efficiancy of fluoroscopy-accompanied transforaminal epidural steroid injection in patients with symptomatic lumbar foraminal intervertebral disc herniation and foraminal stenosis. Methods: Fifty patients, who underwent fluoroscopic-guided epidural steroid injection between 19.12.2013 - 28.02.2014, were evaluated retrospectively. Pain levels of patients before the procedure, after 3 weeks and after 6 months were compared using visuel analog scale (VAS). Fifty percent or more decrease, less than 50% decrease and no change in VAS were evaluated as sufficient response, insufficient response and unresponsiveness, respectively. The patients were asked whether they would undergo this process again and “Yes”, “Maybe” and “No” answers were evaluated for patient satisfaction score. Results: In 50 patients (32 female, 18 male), average pain levels were found to be 8.4 (VAS 7-9), 4.3 (VAS 1-9) and 4.4 (VAS 0-9) before the procedure, 3 weeks after the procedure and 6 months after the procedure, respectively. While thirty-seven (74%) of the patients were found to have sufficient response to treatment 3 weeks after the procedure, 10 (20%) patients were found to have insufficient response. There was no response to treatment in 3 (6%) patients. While thirty-five (70%) of the patients were found to have sufficient response to treatment 6 months after the procedure, 10 (20%) patients were found to have insufficient response. Six months after the procedure, there was no response to treatment in 5 patients (%10). Statistically significant improvement was observed when the pre and post-procedure VAS scores were compared. Forty (80%) patients gave the answer “Yes” to the question whether they would undergo this procedure again. Conclusion: We found that fluoroscopic guided transforaminal epidural steroid injection is effective in pain relief in patients with lumbar foraminal intervertebral disc herniation and foraminalstenosis that are resistant to pharmacological and physical therapy and have no absolute indication for surgery.
Peculiarities of Professional Training Standards Development and Implementation within Competency-Based Approach: Foreign Experience
Authors: Desyatov Tymofiy 
Published: January 2016

Abstract The article analyzes the development of competency-based professional training standards and their implementation into educational process in foreign countries. It determines that the main idea of competency-based approach is competency-and-active learning, which aims at complex acquirement of diverse skills and ways of practice activities via mastering respective competences. The article states that competency is the product of competence due to which a person successfully realizes themselves in different spheres of their professional engagement, gains social independence and becomes mobile and qualified. The article also dwells on the international experience of professional and training standards development, it analyses specific internal national, as well as external all-European and worldwide conceptions of professional and training standards development, conceptual foundations of competency-based approach in national higher education within the framework of global information society formation. It highlights specific aspects of standards development based on activity-oriented technologies and professional competence assessment. The article states that within the framework of competency-based teaching and training, quality-assuring actions have to ensure the correspondence of standards and learning outcomes. It informs that the labour market is represented by employers, trade unions and the government. The article explores the fact that in Russia, Ukraine and many other countries the employers and the trade unions do not collaborate to formulate their needs with regard to professional training standards, that is why the government and its administration bodies have to do the task of predicting labour market needs on their own.
Development of Teachers’ Alternative Certification in the USA
Authors: Pazyura Natalia 
Published: January 2016

Abstract The article reveals the prerequisites of appearance of alternative ways to train teachers in the USA at the end of the XX century as main mechanisms to increase qualitative and quantitative characteristics of teaching staff. The author concentrates the attention on the advantages and disadvantages of non-traditional ways to acquire teaching profession. The peculiarities of the development in different states of the country, main characteristics of the training with the help of alternative programs have been found as well as the target groups have been described. Such research is clearly needed, both by policymakers and by practitioners, to determine the appropriateness of alternative certification training models in training educators to deliver quality educational programming to students, as well as their effectiveness in addressing the critical teacher shortages by increasing the pool of available teachers and reducing the turnover and retention problems. Proponents of alternative certification have asserted that such models encourage talented people from other fields to enter teaching and increase the potential supply of teachers available to reduce shortages, and that traditional teacher education programs have little substance or value in training teachers while alternative models provide intensive training and supervision focused on critical skills needed for successful teaching.