bluuebunny/crossref_metadata_2025 huggingface dataset:
Research on Windage Yaw Flashovers of Transmission Lines under Wind and Rain Conditions
Authors: An Liqiang , Guan Yongyu , Zhu Zhijian , Zhang Ronglun
Published: September 2019

Windage yaw flashovers under strong wind and rain conditions leave a negative impact on the safe operation of transmission lines. However, the mechanism behind this is not well known yet. Therefore, this paper proposes a systematic method, including three basic parts described as simulation of wind and rain loads, calculation of windage yaw, and flashover analysis, to analyze windage yaw flashovers of transmission lines. The YanMeng-particle swarm optimization (YanMeng-PSO) algorithm is proposed to enhance the simulation accuracy. Unlike the conventional approach, the windage yaw status of conductors and insulator strings is dynamically described with key nodes and the breakdown voltage of their clearances rather than windage yaw angle. Furthermore, in the second part, a new method named key-node method (KNM) is proposed to calculate the conductors’ windage yaw. Moreover, the rain effect is also considered in this paper. This paper then presents a case study on a 110 kV double-circuit transmission line section that suffered severe collapse when the typhoon Rammasun landed in Hainan island. Particular focus was placed on the windage yaw flashover before the structural failure of the transmission line. The results validated the significant rain effect and found that conductors/ground suffer more severe windage yaw flashover than insulator strings. Finally, constructive solutions such as interphase spacers, reasonable conductor arrangement in the design phase, and regular measurements and adjustments of conductor sag in the maintenance phase are proposed to improve the design of transmission lines to enhance their capacity against windage yaw flashovers.
Impact of the Winding Arrangement on Efficiency of the Resistance Spot Welding Transformer
Authors: Habjan Gašper , Petrun Martin
Published: September 2019

In this paper, the impact of the winding arrangement on the efficiency of the resistance spot welding (RSW) transformer is presented. First, the design and operation of the transformer inside a high power RSW system are analyzed. Based on the presented analysis, the generation of imbalanced excitation of the magnetic core is presented, which leads to unfavorable leakage magnetic fluxes inside the transformer. Such fluxes are linked to the dynamic power loss components that significantly decrease the efficiency of the transformer. Based on the presented analysis, design guidelines to reduce the unwanted leakage fluxes are pointed out. The presented theoretical analysis is confirmed by measurements using a laboratory experimental system. The presented experimental results confirm that the proposed improved winding arrangement increased the efficiency of the transformer in average for 6.27%.
A New Conceptual Design and Dynamic Analysis of a Spar-Type Offshore Wind Turbine Combined with a Moonpool
Authors: Pham Thanh Dam , Shin Hyunkyoung
Published: September 2019

Floating offshore wind turbines promise to provide an abundant source of energy. Currently, much attention is being paid to the efficient performance and the economics of floating wind systems. This paper aims to develop a spar-type platform to support a 5-MW reference wind turbine at a water depth of 150 m. The spar-type platform includes a moonpool at the center. The design optimization process is composed of three steps; the first step uses a spreadsheet to calculate the platform dimensions; the second step is a frequency domain analysis of the responses in wave conditions; and the final step is a fully coupled simulation time domain analysis to obtain the dynamic responses in combined wind, wave, and current conditions. By having a water column inside the open moonpool, the system’s dynamic responses to horizontal and rotating motions are significantly reduced. Reduction of these motions leads to a reduction in the nacelle acceleration and tower base bending moment. On the basic of optimization processes, a spar-type platform combined with a moonpool is suggested, which has good performance in both operational conditions and extreme conditions.
Earth Fault Location Using Negative Sequence Currents
Authors: Farughian Amir , Kumpulainen Lauri , Kauhaniemi Kimmo
Published: September 2019

In this paper, a new method for locating single-phase earth faults on non-effectively earthed medium voltage distribution networks is proposed. The method requires only current measurements and is based on the analysis of the negative sequence components of the currents measured at secondary substations along medium voltage (MV) distribution feeders. The theory behind the proposed method is discussed in depth. The proposed method is examined by simulations, which are carried out for different types of networks. The results validate the effectiveness of the method in locating single-phase earth faults. In addition, some aspects of practical implementation are discussed. A brief comparative analysis is conducted between the behaviors of negative and zero sequence currents along a faulty feeder. The results reveal a considerably higher stability level of the negative sequence current over that of the zero sequence current.
Preface: Special Issue on Air Quality Assessment for Environmental Policy Support: Sources, Emissions, Exposures, and Health Impacts
Authors: Spinazzè Andrea , Cavallo Domenico Maria
Published: September 2019

The increased occurrence of serious health effects, mortality, and morbidity, as well as shortened life expectancy have been related to exposure to ambient air pollution [...]
The Influence of Wheat Malt Quality on Final Attenuation Limit of Wort
Authors: Krstanović Vinko , Mastanjević Kristina , Nedović Viktor , Mastanjević Krešimir
Published: September 2019

This paper aimed to investigate the influence of certain wheat and wheat malt quality indicators on limit of attenuation of wort (LAT). The experiment was conducted using wheats that have been proven to display the best malting properties with heightened total and soluble N and very good viscosity. Standard micromalting and brewing processes and analysis were applied. The obtained results showed that the quality of analyzed malts was satisfying. Statistical analysis determined no significant correlation between the limit of attenuation of wort and any of the other analyzed quality indicators. The lack of close correlations between indicators is probably due to the extremely complex intertwine of factors influencing the LAT, pointing to the fact that this particular indicator should be observed as separate and mainly variety-dependent.
Assessing the Species in the CARES Preservation Program and the Role of Aquarium Hobbyists in Freshwater Fish Conservation
Authors: Valdez Jose W. , Mandrekar Kapil
Published: September 2019

Freshwater fish represent half of all fish species and are the most threatened vertebrate group. Given their considerable passion and knowledge, aquarium hobbyists can play a vital role in their conservation. CARES is made up of many organizations, whose purpose is to encourage aquarium hobbyists to devote tank space to the most endangered and overlooked freshwater fish to ensure their survival. We found the CARES priority list contains nearly six hundred species from twenty families and two dozen extinct-in-the-wild species. The major families were typically those with the largest hobbyist affiliations such as killifish, livebearers, and cichlids, the latter containing half of CARES species. CARES included every IUCN threatened species of Pseudomugilidae and Valenciidae, but only one percent of threatened Characidae, Cobitidae, and Gobiidae species. No Loricariidae in CARES were in the IUCN red list as they have not been scientifically described. Tanzania and Mexico contained the largest amount of species, with the latter containing the most endemics. Many species were classified differently than the IUCN, including a third of extinct-in-the-wild species classified as least concern by the IUCN. This vast disconnect exemplifies the importance of future collaboration and information exchange required between hobbyists, the scientific community, and conservation organizations.
Biosignatures Search in Habitable Planets
Authors: Claudi Riccardo , Alei Eleonora
Published: September 2019

The search for life has had a new enthusiastic restart in the last two decades thanks to the large number of new worlds discovered. The about 4100 exoplanets found so far, show a large diversity of planets, from hot giants to rocky planets orbiting small and cold stars. Most of them are very different from those of the Solar System and one of the striking case is that of the super-Earths, rocky planets with masses ranging between 1 and 10 M ⊕ with dimensions up to twice those of Earth. In the right environment, these planets could be the cradle of alien life that could modify the chemical composition of their atmospheres. So, the search for life signatures requires as the first step the knowledge of planet atmospheres, the main objective of future exoplanetary space explorations. Indeed, the quest for the determination of the chemical composition of those planetary atmospheres rises also more general interest than that given by the mere directory of the atmospheric compounds. It opens out to the more general speculation on what such detection might tell us about the presence of life on those planets. As, for now, we have only one example of life in the universe, we are bound to study terrestrial organisms to assess possibilities of life on other planets and guide our search for possible extinct or extant life on other planetary bodies. In this review, we try to answer the three questions that also in this special search, mark the beginning of every research: what? where? how?
Uptake and Release of Species from Carbohydrate Containing Organogels and Hydrogels
Authors: Pan Abhishek , Roy Saswati G. , Haldar Ujjal , Mahapatra Rita D. , Harper Garry R. , Low Wan Li , De Priyadarsi , Hardy John G.
Published: September 2019

Hydrogels are used for a variety of technical and medical applications capitalizing on their three-dimensional (3D) cross-linked polymeric structures and ability to act as a reservoir for encapsulated species (potentially encapsulating or releasing them in response to environmental stimuli). In this study, carbohydrate-based organogels were synthesized by reversible addition-fragmentation chain transfer (RAFT) polymerization of a β-D-glucose pentaacetate containing methacrylate monomer (Ac-glu-HEMA) in the presence of a di-vinyl cross-linker; these organogels could be converted to hydrogels by treatment with sodium methoxide (NaOMe). These materials were studied using solid state 13C cross-polarization/magic-angle spinning (CP/MAS) NMR, Fourier transform infrared (FTIR) spectroscopy, and field emission scanning electron microscopy (FE-SEM). The swelling of the gels in both organic solvents and water were studied, as was their ability to absorb model bioactive molecules (the cationic dyes methylene blue (MB) and rhodamine B (RhB)) and absorb/release silver nitrate, demonstrating such gels have potential for environmental and biomedical applications.
Sexualization of Female Perpetration in Fictional Holocaust Films: A Case Study of The Reader (2008)
Authors: Aretz Sabine Elisabeth
Published: September 2019

The publication of Bernhard Schlink’s novel The Reader (1995) sparked conversation and controversy about sexuality, female perpetrators and the complexity of guilt regarding the Holocaust. The screen adaptation of the book (Daldry 2008) amplified these discussions on an international scale. Fictional Holocaust films have a history of being met with skepticism or even reject on the one hand and great acclaim on the other hand. As this paper will outline, the focus has often been on male perpetrators and female victims. The portrayal of female perpetration reveals dichotomous stereotypes, often neglecting the complexity of the subject matter. This paper focuses on the ways in which sexualization is used specifically to portray female perpetrators in The Reader, as a fictional Holocaust film. An assessment of Hanna’s relationship to Michael and her autonomous sexuality and her later inferior, victimized portrayal as an ambiguous perpetrator is the focus of my paper. Hanna’s sexuality is structurally separated from her role as a perpetrator. Hanna’s perpetration is, through the dichotomous motif of sexuality throughout the film, characterized by a feminization. However, this feminization entails a relativization of Hanna’s culpability, revealing a pejorative of her depiction as a perpetrator. Consequently, I argue that Hanna’s sexualized female body is constructed as a central part of the revelation of her perpetration.
Referral for Colonoscopy in Patients with Streptococcus bovis Bacteremia and the Association with Colorectal Cancer and Adenomatous Polyps: A Quality Assurance Study
Authors: Little Derek H. W. , Onizuka Kristyne M. , Khan Khurram J.
Published: September 2019

The association between Streptococcus bovis (S. bovis) bacteremia and colorectal cancer is well established. We aimed to review patients with S. bovis bacteremia at our local hospital system and determine the percentage of patients referred for colonoscopy. Methods: We searched the regional database to identify S. bovis-positive blood cultures from 2002 to 2016 and the clinical characteristics and outcomes of those patients. Results: A total of 86 patients with S. bovis bacteremia were identified. From the 86 patients, 14 were excluded. The mean age of the 72 remaining patients was 74.5 (SD 13), 42/72 (58%) were male, 12/72 (17%) had infective endocarditis, and 19 (26%) died during admission. Of the 53 patients who survived, 37 (70%) were referred for colonoscopy or CT colonography, of which 30 had a colonoscopy. Thus, 3/30 (10%) cases showed adenocarcinoma and 11/30 (37%) cases showed adenomatous polyps. Age, gender, or the presence of infective endocarditis were not associated with adenocarcinoma or adenomatous polyps. Discussion: In our local centers, a significant proportion of patients with S. bovis were found to have colon cancer or significant polyps, and thus the importance of referral to colonoscopy remains paramount.
Mortifying Earthly Desires in Toni Morrison’s Home
Authors: Sampson-Choma Tosha K.
Published: September 2019

As is true of all of Toni Morrison’s texts, Home does not shy away from difficult topics, particularly those related to sexuality. In this instance, her novel reveals the contestation between the societal narrative of Black male sexual depravity and the struggle to assert an authentic, strong, good, identity that privileges mutually balanced relationships. While characters falter and make mistakes, Morrison’s text is about redemption and reconciliation to the ideals of a self-created theology steeped in a rich African and African American cultural heritage and tradition. This essay argues that Morrison uses a biblical theme to create a culturally relevant theology that shifts the narrative away from Black male depravity to a place of deliberate, conscientious, mutually beneficial relationships.
Transformational Leadership, Task-Involving Climate, and Their Implications in Male Junior Soccer Players: A Multilevel Approach
Authors: Álvarez Octavio , Castillo Isabel , Molina-García Vladimir , Tomás Inés
Published: September 2019

Despite the well-known positive consequences of transformational coaches in sport, there is still little research exploring the mechanisms through which coaches’ transformational leadership exerts its impact on athletes. Multilevel SEM was used to examine the relationship between coaches’ transformational leadership style, a task-involving climate, and leadership effectiveness outcome criteria (i.e., players’ extra effort, coach effectiveness, and satisfaction with their coach), separately estimating between and within effects. A representative sample of 625 Spanish male soccer players ranging from 16 to 18 years old and nested in 50 teams completed a questionnaire package tapping the variables of interest. Results confirmed that at the team level, team perceptions of transformational leadership positively predicted teams’ perceptions of task climate, which in turn positively predicted the three outcome criteria. At the individual level, players’ perceptions of transformational leadership positively predicted teams’ perceptions of task climate, which in turn positively predicted teams’ extra effort and coach effectiveness. Mediation effects appeared at the team level for all the outcome criteria, and at the individual only for extra effort. Transformational leadership is recommended to enhance task climate, in order to increase players’ extra effort, their perceptions of the effectiveness of their coach, and their satisfaction with his/her leadership style.
Global Associations of Air Pollution and Conjunctivitis Diseases: A Systematic Review and Meta-Analysis
Authors: Chen Renchao , Yang Jun , Zhang Chunlin , Li Bixia , Bergmann Stéphanie , Zeng Fangfang , Wang Hao , Wang Boguang
Published: September 2019

(1) Background: As the most common eye disease diagnosed in emergency departments, conjunctivitis has caused serious health and economic burdens worldwide. However, whether air pollution may be a risk factor for conjunctivitis is still inconsistent among current evidence. (2) Methods: We searched the literature on the relationship between air pollution and conjunctivitis in multiple English databases before 18 March 2019. Meta-analysis, meta-regression, and funnel plots were used to integrate the data, identify the sources of bias, and determine the publication bias, respectively. (3) Results: A total of 2450 papers were found, 12 of which were finally included. The pooled relative risk for each 10 μg/m3 increase of air pollution on conjunctivitis was 1.0006 (95%CI: 0.9993–1.0019) for CO, 1.0287 (1.0120–1.0457) for NO2, 1.0089 (1.0030–1.0149) for O3, 1.0004 (0.9976–1.0032) for PM2.5, 1.0033 (0.9982–1.0083) for PM10, and 1.0045 (0.9908–1.0185) for SO2. In the subgroup, PM2.5 and O3 had a greater impact on conjunctivitis risk in women than in men, and people <18 years old than those ≥18 years old. Relative humidity significantly modified the risk of O3 on conjunctivitis (p = 0.023), explaining 45% of the between-study heterogeneity. (4) Conclusion: Globally, air pollution has considerable health risks for conjunctivitis. Females and the youth were more vulnerable to PM2.5, NO2, and O3. Reductions of air pollution levels are still warranted to protect the vulnerable populations.
The Impact of Health Human Resources Policies in Primary Care Nursing: A Qualitative Study
Authors: Madrazo-Pérez María , Parás-Bravo Paula , Rayón-Valpuesta Esperanza , Blanco-Fraile Cristina , Palacios-Ceña Domingo
Published: September 2019

Background: Organizational culture plays a key role regarding organizational outcomes and determining strategies, goals, and modes of operating which is associated with higher rates of worker morale, turnover and lower adverse events related to patient quality of care issues. Aim: to describe the impact of the relocation of nurses from hospitals and other contexts to primary care from the perspective of primary care nurses. Methods: A qualitative, focused ethnographic study. Site: Cantabro Health Service, Cantabria, Spain. Purposeful sampling methods were used to include nurses who were working in primary care during the study, and who had previous experience of at least one year in primary care. Observation (385 hours, 7 months) and in-depth interviews (17) were used to collect data. A thematic analysis was applied. Results: Four themes emerged from the data: (a) staff policies applied, (b) beliefs regarding the newly incorporated nursing staff, (c) reasons for relocation to primary care, and (d) concern for the future. Conclusions: In primary care, the relocation of non-qualified nursing professionals who are at the end of their career may have a negative impact on the organizational culture. It is necessary to research the most appropriate measures for guaranteeing a satisfactory work environment based on nurses who are qualified in primary health care settings.
Overweight: A Protective Factor against Comorbidity in the Elderly
Authors: Pes Giovanni Mario , Licheri Giulia , Soro Sara , Longo Nunzio Pio , Salis Roberta , Tomassini Giulia , Niolu Caterina , Errigo Alessandra , Dore Maria Pina
Published: September 2019

The aim of this study was to investigate the relationship between body mass index (BMI) categories and comorbidity in 9067 patients (age range 18‒94 years) who underwent upper digestive endoscopy in Northern Sardinia, Italy. The majority of participants (62.2%) had a BMI under 25 kg/m2, overweight was detected in 30.4%, and obesity (BMI ≥ 30 kg/m2) in 7.4% of patients. The most frequent illness recorded was hypertension followed by cardiovascular and liver disease. The multivariate analysis, after adjusting for sex, residence, marital status, smoking habits, occupation and hospitalization detected an association between comorbidity and aging that was statistically significant and progressive. Among patients younger than 60 years (n = 5612) the comorbidity risk was higher for BMI ranging 27.5‒29.9 kg/m2 compared with BMI 25.0‒27.4 kg/m2 (RR = 1.38; 95% CI 1.27‒1.50 vs. RR = 0.86; 95% CI 0.81‒0.90). In patients older than 60 years (n= 3455) the risk was lower for a BMI in the range 27.5–29.9 kg/m2 compared with a BMI in the range 25.0–27.4 kg/m2 (RR = 1.11; 95% CI 1.05‒1.18 vs. RR = 1.28; 95% CI 1.21‒1.35). These results suggest that being moderately overweight is a marker of a healthy aging process and might protect, at least in part, against comorbidity. However, further research is needed to better understand this unexpected finding.
Removal of Cypermethrin from Water by Using Fucus Spiralis Marine Alga
Authors: Năstuneac Violeta , Panainte-Lehăduș Mirela , Moșneguțu Emilian Florin , Gavrilaș Simona , Cioca Gabriela , Munteanu Florentina-Daniela
Published: September 2019

Alpha-cypermethrin is a synthetic pyrethroid that was extensively used for insect control, since the early 1980s. However, it is known that its presence in the environment has toxic effects on humans and aquatic life forms. For this reason, it is commendable for it to be removed completely from the contaminated environment. In this study, we evaluated the adsorption capacity of a marine alga for the removal of cypermethrin from water. The adsorption experiments were performed based on the batch equilibrium technique. The samples containing the pesticide were analyzed using gas chromatography with an electron capture detector, after liquid-liquid extraction in hexane. The results obtained from the kinetic adsorption studies showed that the equilibrium time was attained after 40 min. The adsorption parameters at equilibrium concentrations, obtained through the Langmuir, Freundlich, and Temkin models, showed that the used brown marine alga has a maximum amount of adsorbed cypermethrin of 588.24 µg/g. The correlation coefficients obtained for each model prove that the Langmuir model best fits the experimental data.
Altered Body Composition of Psoas and Thigh Muscles in Relation to Frailty and Severity of Parkinson’s Disease
Authors: Wang Cheng-Kang , Chen Hsiu-Ling , Lu Cheng-Hsien , Chen Meng-Hsiang , Chiang Pi-Ling , Chen Yueh-Sheng , Lin Wei-Che
Published: September 2019

Background: To investigate the relationship between fat content and the cross-sectional area of psoas and thigh muscles, and clinical severity in patients with Parkinson’s disease. Materials and Methods: Twenty-five patients and 20 age- and sex-matched normal controls were recruited. All subjects underwent MRI study to determine the fat content of the bilateral psoas and thigh muscles. Muscle quality was measured by grasp, walking speed, and cross-sectional area. All patients underwent clinical surveys to evaluate disease severity and frailty, and analyses of the correlations between muscle quality and disease severity were performed. Results: Compared with the controls, patients exhibited higher fatty content in the measured muscles. The higher fat infiltration of measured muscles was significantly correlated with increased disease severity and frailty in patients. The fat fraction of the bilateral medial compartment of the thigh was correlated with the Unified Parkinson Disease Rating Scale-I results and the fat fraction of the bilateral anterior compartment of the thigh was correlated with weakness and exhaustion in patients. Conclusions: Decreased quality in psoas and thigh muscles is prominent in Parkinson’s disease which is further associated with disease severity and frailty. Awareness of the risk of sarcopenia and associated sequelae might improve patient care and outcomes.
Canine-Assisted Therapy Improves Well-Being in Nurses
Authors: Machová Kristýna , Součková Michaela , Procházková Radka , Vaníčková Zdislava , Mezian Kamal
Published: September 2019

As nursing is one of the most stressful occupations worldwide, its management warrants more attention to identify possible ways to cope with its pressures. This study aims to evaluate whether animal-assisted therapy (AAT) with the presence of a dog affects the stress level of nurses. As a stress biomarker, we used salivary cortisol level testing. Twenty female nurses (mean age: 30) in physical medicine (PMR) (n = 11) and the department of internal medicine and long-term care (IM < C) (n = 9). On each of the three observed days, saliva was collected at 10 a.m. and then again after 50 min. The first sampling was performed during a normal working process without a break (Condition A), the second was carried out during a normal working process with a break of choice (Condition B), and the third sampling was performed during a normal working process with a break with AAT (Condition C). All participants were enrolled in all three interventional conditions in a randomized order. The results demonstrated the effect of a reduction of cortisol levels in Condition C, where AAT was included (p = 0.02) only in nurses recruited from the IM < C department. By way of explanation, nurses from the PMR department already showed low cortisol levels at baseline. We propose including AAT with a dog in healthcare facilities where nurses are at a high risk of stress.
The Color of Health: Residential Segregation, Light Rail Transit Developments, and Gentrification in the United States
Authors: Tehrani Shadi O. , Wu Shuling J. , Roberts Jennifer D.
Published: September 2019

As the modern urban–suburban context becomes increasingly problematic with traffic congestion, air pollution, and increased cost of living, city planners are turning their attention to transit-oriented development as a strategy to promote healthy communities. Transit-oriented developments bring valuable resources and improvements in infrastructure, but they also may be reinforcing decades-old processes of residential segregation, gentrification, and displacement of low-income residents and communities of color. Careful consideration of zoning, neighborhood design, and affordability is vital to mitigating the impacts of transit-induced gentrification, a socioeconomic by-product of transit-oriented development whereby the provision of transit service “upscales” nearby neighborhood(s) and displaces existing community members with more affluent and often White residents. To date, the available research and, thus, overall understanding of transit-induced gentrification and the related social determinants of health are limited and mixed. In this review, an overview of racial residential segregation, light rail transit developments, and gentrification in the United States has been provided. Implications for future transit-oriented developments are also presented along with a discussion of possible solutions.
Agricultural Adaptation to Global Warming in the Tibetan Plateau
Authors: Song Yanling , Wang Chunyi , Linderholm Hans W. , Tian Jinfeng , Shi Ying , Xu Jinxia , Liu Yanju
Published: September 2019

The Tibetan plateau is one of the most sensitive areas in China and has been significantly affected by global warming. From 1961 to 2017, the annual air temperature increased by 0.32 °C/decade over the Tibetan Plateau, which is the highest in the whole of China. Furthermore, this is a trend that is projected to continue by 0.30 °C/decade from 2018 to 2050 due to global warming using the Regional Climate Model version 4 (RegCM4). The increased temperature trend in recent decades has been highest in winter, which has been positive for the safe dormancy of winter wheat. In order to investigate agricultural adaptation to climate change in the Tibetan plateau, we used the World Food Studies (WOFOST) cropping systems model and weather data from the regional climate model RegCM4, to simulate winter wheat production in Guide county between 2018 and 2050. The simulated winter wheat potential yields amounted to 6698.3 kg/ha from 2018 to 2050, which showed the wheat yields would increase by 81%, if winter wheat was planted instead of spring wheat in the Tibetan Plateau with the correct amount of irrigation water. These results indicate that there are not only risks to crop yields from climate change, but also potential benefits. Global warming introduced the possibility to plant winter wheat instead of spring wheat over the Tibetan Plateau. These findings are very important for farmers and government agencies dealing with agricultural adaptation in a warmer climate.
Workplace Violence in Chinese Hospitals: The Effects of Healthcare Disturbance on the Psychological Well-Being of Chinese Healthcare Workers
Authors: Tang Nan , Thomson Louise E.
Published: September 2019

Healthcare disturbance is a form of workplace violence against healthcare workers perpetrated by patients, their relatives, and gangs hired by them. It is a prevalent phenomenon in China, where evidence suggests that it impacts on the job satisfaction of healthcare workers. This study aims to examine the relationship between healthcare disturbance, surface acting as a response to emotional labour, and depressive symptoms in Chinese healthcare workers. The study adopted a cross-sectional design and used an online survey methodology. Data were collected from 418 doctors and nurses from one hospital in China. The results showed that frequency of healthcare disturbance was positively related to surface acting and depressive symptoms, respectively; surface acting was also positively related to depression, while deep acting showed no effect on symptoms of depression. Furthermore, surface acting in response to emotional labour mediated the relationship between healthcare disturbance and depressive symptoms. The results highlight the importance of preventing healthcare disturbance and of training healthcare staff in strategies for managing emotional demands in reducing depressive symptoms in Chinese healthcare staff.
NPLP: An Improved Routing-Forwarding Strategy Utilizing Node Profile and Location Prediction for Opportunistic Networks
Authors: Chen Bangyuan , Chen Lingna
Published: September 2019

Opportunistic networks are considered as the promising network structures to implement traditional and typical infrastructure-based communication by enabling smart mobile devices in the networks to contact with each other within a fixed communication area. Because of the intermittent and unstable connections between sources and destinations, message routing and forwarding in opportunistic networks have become challenging and troublesome problems recently. In this paper, to improve the data dissemination environment, we propose an improved routing-forwarding strategy utilizing node profile and location prediction for opportunistic networks, which mainly includes three continuous phases: the collecting and updating of routing state information, community detection and optimization and node location prediction. Each mobile node in the networks is able to establish a network routing matrix after the entire process of information collecting and updating. Due to the concentrated population in urban areas and relatively few people in remote areas, the distribution of location prediction roughly presents a type of symmetry in opportunistic networks. Afterwards, the community optimization and location prediction mechanisms could be regarded as an significant foundation for data dissemination in the networks. Ultimately, experimental results demonstrate that the proposed algorithm could slightly enhance the delivery ratio and substantially degrade the network overhead and end-to-end delay as compared with the other four routing strategies.
The “Journal of Functional Morphology and Kinesiology” Journal Club Series: Highlights on Recent Papers in Overtraining and Exercise Addiction
Authors: Bianco Antonino , Ravalli Silvia , Maugeri Grazia , D’Agata Velia , Vecchio Michele , D’Amico Agata Grazia , Pavone Vito , Lucenti Ludovico , Amato Alessandra , Gentile Ambra , Giustino Valerio , Feka Kaltrina , Thomas Ewan , Musumeci Giuseppe
Published: September 2019

We are glad to introduce the seventeenth Journal Club. This edition is focused on several relevant studies published in the last years in the field of Overtraining and Exercise Addiction, chosen by our Editorial Board members and their colleagues. We hope to stimulate your curiosity in this field and to share with you the passion for the sport seen also from the scientific point of view. The Editorial Board members wish you an inspiring lecture.
Zirconium Carboxyaminophosphonate Nanosheets as Support for Ag Nanoparticles
Authors: Nocchetti Morena , Donnadio Anna , Vischini Eleonora , Posati Tamara , Ravaioli Stefano , Arciola Carla Renata , Campoccia Davide , Vivani Riccardo
Published: September 2019

A layered insoluble inorganic-organic solid, namely zirconium phosphate glycine-N,N-bismethylphosphonate, was used to prepare dispersions of nanosheets to support active metals such as metallic silver nanoparticles and zinc ions. Zr phosphate-phosphonate microcrystals were first exfoliated with methylamine to produce a stable colloidal dispersion and then the methylamine was removed by treatment with hydrochloric acid. The obtained colloidal dispersion of Zr phosphate-phosphonate nanosheets was used to immobilize silver or zinc cations, via ion exchange, with the acidic protons of the sheets. The layered matrix showed a great affinity for the metal cations up taking all the added cations. The treatment of the dispersions containing silver ions with ethanol yielded metal silver nanoparticles grafted on the surface of the layered host. The samples were characterized by X-ray powder diffraction, elemental analysis transmission electron microscopy, and selected samples were submitted to antimicrobial tests. The nanocomposites based on Ag nanoparticles showed good bactericidal properties against the bacterial reference strain Staphylococcus epidermidis (S. epidermidis).
Pore Structure as a Response to the Freeze/Thaw Resistance of Mortars
Authors: Netinger Grubeša Ivanka , Marković Berislav , Vračević Martina , Tunkiewicz Maria , Szenti Imre , Kukovecz Ákos
Published: September 2019

In this paper, the resistance to the freeze/thaw cycles for four groups of mortars (lime—LM, lime based—LBM, cement—CM, and aerated cement—ACM mortars) with different amount of mortar components within each group is quantified via a ratio of flexural/compressive strength after and before exposure to freeze/thaw cycles. Using a pore system obtained by three different methods (mercury intrusion porosimetry, X-ray micro-computed tomography analysis, and SEM (Scanning Electron Microscopy) analysis), an attempt was made to explain why some mortars achieved better resistance to freeze/thaw cycles than others. The mortars with lime as a binder in the composition (LM and LBM groups) did not survive the freezing and thawing regime, while no visible damage was recorded in samples of the CM and ACM group. It is concluded that the low initial value of the mechanical properties of the LM and LBM mortars, as well as the higher proportion of harmful pores (pores greater than 0.064 μm) compared to CM and ACM mortars are responsible for their poor durability. According the results of nanotomography, it is concluded that the most important factor influencing freeze/thaw resistance is pore connectivity—the higher the connectivity of the macropores, the higher the freeze/thaw resistance of the mortar. SEM analysis proved to be a very useful method for aerated cement mortars as it revealed the pore sizes that were not covered by mercury porosimetry and nanotomography.
Shear Bonding Strength and Thermal Cycling Effect of Fluoride Releasable/Rechargeable Orthodontic Adhesive Resins Containing LiAl-F Layered Double Hydroxide (LDH) Filler
Authors: Hung Chih-Ying , Yu Jian-Hong , Su Liang-Wei , Uan Jun-Yen , Chen Yin-Chia , Lin Dan-Jae
Published: September 2019

This study aims to investigate the shear bonding strength (SBS) and thermal cycling effect of orthodontic brackets bonded with fluoride release/rechargeable LiAl-F layered double hydroxide (LDH-F) contained dental orthodontic resin. 3% and 5% of LDH-F nanopowder were gently mixed to commercial resin-based adhesives Orthomite LC (LC, LC3, LC5) and Transbond XT (XT, XT3). A fluoroaluminosilicate modified resin adhesive Transbond color change (TC) was selected as a positive control. Fifteen brackets each group were bonded to bovine enamel and the SBS was tested with/without thermal cycling. The adhesive remnant index (ARI) was evaluated at 20× magnification. The fluoride-releasing/rechargeability and cytocompatibility were also evaluated. The SBS of LC, LC3, and LC5 were significantly higher than XT and TC. After thermal cycling, the SBS of LC, LC3, and LC5 did not decrease and was significantly higher than TC. The changes of ARI scores indicate that failure occurred not only cohesive but also semi-cohesive fracture. The 30 days accumulated daily fluoride release of LC3, LC5, and TC without recharge are higher than 300 μg/cm2. The LDH-F contained resin adhesive possesses higher SBS compared to positive control TC. Fluoride release and the rechargeable feature can be achieved for preventing enamel demineralization without cytotoxicity.
Effect of Thermomechanical Treatments on the Phases, Microstructure, Microhardness and Young’s Modulus of Ti-25Ta-Zr Alloys
Authors: Kuroda Pedro Akira Bazaglia , Quadros Fernanda de Freitas , Araújo Raul Oliveira de , Afonso Conrado Ramos Moreira , Grandini Carlos Roberto
Published: September 2019

Titanium and its alloys currently are used as implants, possessing excellent mechanical properties (more suited than stainless steel and Co-Cr alloys), good corrosion resistance and good biocompatibility. The titanium alloy used for most biomedical applications is Ti-6Al-4V, however, studies showed that vanadium and aluminum cause allergic reactions in human tissues and neurological disorders. New titanium alloys without the presence of these elements are being studied. The objective of this study was to analyze the influence of thermomechanical treatments, such as hot-rolling, annealing and solution treatment in the structure, microstructure and mechanical properties of the Ti-25Ta-Zr ternary alloy system. The structural and microstructural analyses were performed using X-ray diffraction, as well as optical, scanning and transmission electron microscopy. The mechanical properties were analyzed using microhardness and Young’s modulus measurements. The results showed that the structure of the materials and the mechanical properties are influenced by the different thermal treatments: rapid cooling treatments (hot-rolling and solubilization) induced the formation of α” and β phases, while the treatments with slow cooling (annealing) induced the formation of martensite phases. Alloys in the hot-rolled and solubilized conditions have better mechanical properties results, such as low elastic modulus, due to retention of the β phase in these alloys.
Early Identification of Acute Traumatic Coagulopathy Using Clinical Prediction Tools: A Systematic Review
Authors: Thorn Sophie , Güting Helge , Maegele Marc , Gruen Russell L. , Mitra Biswadev
Published: September 2019

Background and objectives: Prompt identification of patients with acute traumatic coagulopathy (ATC) is necessary to expedite appropriate treatment. An early clinical prediction tool that does not require laboratory testing is a convenient way to estimate risk. Prediction models have been developed, but none are in widespread use. This systematic review aimed to identify and assess accuracy of prediction tools for ATC. Materials and Methods: A search of OVID Medline and Embase was performed for articles published between January 1998 and February 2018. We searched for prognostic and predictive studies of coagulopathy in adult trauma patients. Studies that described stand-alone predictive or associated factors were excluded. Studies describing prediction of laboratory-diagnosed ATC were extracted. Performance of these tools was described. Results: Six studies were identified describing four different ATC prediction tools. The COAST score uses five prehospital variables (blood pressure, temperature, chest decompression, vehicular entrapment and abdominal injury) and performed with 60% sensitivity and 96% specificity to identify an International Normalised Ratio (INR) of >1.5 on an Australian single centre cohort. TICCS predicted an INR of >1.3 in a small Belgian cohort with 100% sensitivity and 96% specificity based on admissions to resuscitation rooms, blood pressure and injury distribution but performed with an Area under the Receiver Operating Characteristic (AUROC) curve of 0.700 on a German trauma registry validation. Prediction of Acute Coagulopathy of Trauma (PACT) was developed in USA using six weighted variables (shock index, age, mechanism of injury, Glasgow Coma Scale, cardiopulmonary resuscitation, intubation) and predicted an INR of >1.5 with 73.1% sensitivity and 73.8% specificity. The Bayesian network model is an artificial intelligence system that predicted a prothrombin time ratio of >1.2 based on 14 clinical variables with 90% sensitivity and 92% specificity. Conclusions: The search for ATC prediction models yielded four scoring systems. While there is some potential to be implemented effectively in clinical practice, none have been sufficiently externally validated to demonstrate associations with patient outcomes. These tools remain useful for research purposes to identify populations at risk of ATC.
Cardiovascular Outcomes in Advanced Maternal Age Delivering Women. Clinical Review and Medico-Legal Issues
Authors: De Viti Daniele , Malvasi Antonio , Busardò Francesco , Beck Renata , Zaami Simona , Marinelli Enrico
Published: September 2019

Background and objecives: Adverse cardiovascular outcomes during pregnancy have increased over the past few decades, with increased numbers of women delivering later in their reproductive life. Other factors include higher rates of female obesity, diabetes, hypertension, cardiovascular diseases and assisted reproductive technology, which has extended fertility. Those at risk require extensive prenatal maternal screening, constant pregnancy supervising, monitoring during labor, delivery and puerperium and careful anesthetic evaluation during delivery. Materials and Methods: The present review reports the relevant information available on cardiovascular outcomes in advanced maternal age delivering women and related medico-legal issues. The search was performed on Pubmed, Cochrane, Semantic Scholar, Medline and Embase databases, accessed by Ovid, including among others the terms “cardiomyopathy”, “ischaemic heart disease”, “arrhythmias”, “hypertension”, “peripartum period”, “diabetes”, “advanced maternal age” “anesthesia”, “maternal morbidity and mortality” and “litigation”. Results: To the extent that underestimating risk factors for peripartum cardiomyopathy (PPCM) can adversely impact maternal and fetal outcomes, the legal implications of misdiagnosis or mismanagement can result in high compensatory damages. Substantial indemnity payments drive up costs of insurance coverage. Conclusions: Multidisciplinary approaches are necessary from obstetricians, cardiologists, anesthesiologists and perinatologists for pregnancy monitoring and delivery outcomes.
Management of Direct Oral Anticoagulants in Patients with Atrial Fibrillation Undergoing Cardioversion
Authors: Coppola Giuseppe , Manno Girolamo , Mignano Antonino , Luparelli Mirko , Zarcone Antonino , Novo Giuseppina , Corrado Egle
Published: September 2019

Atrial fibrillation the most common cardiac arrhythmia. Its incidence rises steadily with each decade, becoming a real “epidemic phenomenon”. Cardioversion is defined as a rhythm control strategy which, if successful, restores normal sinus rhythm. This, whether obtained with synchronized shock or with drugs, involves a periprocedural risk of stroke and systemic embolism which is reduced by adequate anticoagulant therapy in the weeks before or by the exclusion of left atrial thrombi. Direct oral anticoagulants are safe, manageable, and provide rapid onset of oral anticoagulation; they are an important alternative to heparin/warfarin from all points of view, with a considerable reduction in bleedings and increase in the safety and quality of life of patients.
Evaluation of the Clinical Efficacy of Using Thermal Camera for Cryotherapy in Patients with Total Knee Arthroplasty: A Prospective Study
Authors: Karaduman Zekeriya Okan , Turhal Ozan , Turhan Yalçın , Orhan Zafer , Arican Mehmet , Uslu Mustafa , Cangur Sengul
Published: September 2019

Background and objectives: Cryotherapy is a method of treatment using cold application. This study aimed to evaluate postoperative clinical and hematological parameters and pain associated with total knee arthroplasty in patients and compared cryotherapy to the conventional method of cold ice pack compressions. Materials and Methods: Between January 2015 and January 2016, 90 patients who underwent total knee arthroplasty for grade 4 gonarthrosis were prospectively evaluated. The patients were divided into three groups (n = 30, each): Group 1, cryotherapy was applied in the pre- and postoperative periods; Group 2, cryotherapy was applied only in the postoperative period; and Group 3 (control group), only a cold pack (gel ice) was applied postoperatively. In all groups, pre- and postoperative evaluations at 6, 24, and 48 h, hemorrhage follow-up, knee circumference measurement, visual analog scale pain score, knee circumference, and temperature measured by thermal camera were recorded. Results: Of the 90 patients, 10% were men and 90% were women. The mean age was 64.3 ± 8.1 (range: 46–83) years. The patella upper end diameter values were significantly lower in the postoperative period in Groups 1 and 2 than in Group 3 (p = 0.003). Hemoglobin levels at 24 and 48 h postoperatively were significantly lower in Group 3 than in Group 1 (p < 0.001, each) and Group 2 (p = 0.038, p < 0.001). At 6, 24, and 48 h follow-ups, pain values were significantly lower in Group 2 than in Group 3 (p < 0.001). Preoperative 6, 24, and 48 h temperature values were significantly lower in Group 1 than in Group 3 (p < 0.001 for each). It was found that the difference between preoperative and postoperative knee flexion measurements was significantly different in both groups or the difference between the groups was changed in each period (p < 0.001). Conclusions: Postoperative cryotherapy is a potentially simple, noninvasive option and beneficial for the reduction of reducing pain, bleeding, length of stay, analgesic requirement and swelling after total knee arthroplasty. Moreover, there was no early or late prosthesis infection in cryotherapy groups, which may be considered as an additional measure to prevent prosthesis infection.