bluuebunny/crossref_metadata_2025 huggingface dataset:
Augmented Reality in Sport Marketing
Authors: Goebert Chad
Published: November 2020

The augmented reality (AR) market is expected to grow to $60.55 billion by 2023 and there are currently an estimated 4.2 billion AR-capable devices in the hands of consumers. Experts believe that sport is a high-value market for AR as it is uniquely positioned to utilize AR in multiple marketing contexts (Haber, 2019). The COVID-19 pandemic has accelerated the rate at which sport organizations are utilizing AR as they attempt to reach fans and consumers that are limited or restricted from attending events in person. This article introduces augmented reality to sport managers and practitioners and defines AR, detailing how it can be used by citing examples of how it has been used in sport marketing to this point. Specifically, the paper discusses the three most common classifications of AR for marketing and their role in sport: advertising/promotion, product management, and customer service. The types of AR delivery systems (e.g., HMD, projector-based, smartphone, broadcast AR) are also discussed to clarify that AR is a grouping of technologies and not just one hardware platform. Sport and non-sport examples of AR implementations of the different classifications and delivery systems are provided in this text. Three recommendations are provided for AR development and implementation, namely that sport AR activations should be a complement to the sport product, focus on visual appeal, and strive for immersion. These recommendations are grounded in academic research and intended to assist practitioners planning to implement AR as part of their marketing strategy.
Hierarchical Criticality Analysis of Clean Technologies Applied to a Coal-Fired Power Plant
Authors: de Oliveira Andressa Padilha , Lorenzini Giulio , Shah Zeban , Klunk Marcos Antonio , de Carvalho Lima José Eduardo , Rocha Luiz Alberto Oliveira , Caetano Nattan Roberto
Published: November 2020

Mineral coal is the main source of energy generation in the world. In Brazil, this energy source has a smaller share in the internal energy supply, 5.5% of the total. Despite this, issues of energy security, stable and low prices make coal a strategic source. Due to this source's importance, this work aims to evaluate the clean technologies used to mitigate the emission resulting from the combustion of coal from a thermoelectric plant that applies low quality coal in Brazil using an analytical hierarchy process to classify the viable technological alternatives for the production process. The articulation of the environmental management system was adequate to meet the environmental demands and the energy efficiency of the thermoelectric plant. However, the results suggest that the investment in a coal processing plant would increase the fuel quality, a critical factor in the reduction of operating milling costs, in the ash circuit, and the treatment of gaseous emissions.
Applying the Hierarchical Gray Relational Clustering Method to Municipal Water Use in Turkey
Authors: GÜNEŞ Mehmet Şamil , PARİM Coşkun , YILDIZ Doğan , BÜYÜKLÜ Ali Hakan
Published: November 2020

This study aims to compare the municipal water distribution performance and classify the municipal water distribution systems in the provinces of Turkey using the Gray Relational Hierarchical clustering method for both 2006 and 2016. A correlation analysis was used to determine the variables affecting the distributed water. The Hierarchical gray clusters and the changes during the decade are presented with spatial distribution maps using statistically significant variables. Consequently, the findings reveal that the municipalities of Istanbul, Izmir, Bursa, Gaziantep, and Kocaeli managed water distribution effectively, whereas the municipalities of Konya, Şanlıurfa, Diyarbakır, Samsun, Trabzon, and Sakarya managed it poorly.
COMPARISON BETWEEN BIOMETRIC AND ELECTROLYTE LEAKAGE TESTS AS INDICATORS OF MAIZE SEED VIGOR
Authors: PEREIRA LUCAS CAIUBI , CORREIA LARISSA VINIS , SUAREZ DAVID FERNANDO POSSO , CARVALHO CRISTIANE DE , BRACCINI ALESSANDRO LUCCA
Published: November 2020

The objective of this work was to compare the accuracy of seedling tests based on electrolyte release to distinguish different maize seed vigor levels with the accuracy provided by biometric tests for seedling length and biomass. For this purpose, seeds with different vigor levels of the Garra Viptera hybrid had their physiological potential evaluated through tests of germination, accelerated aging, seed electrical conductivity, field emergence, seedling length, seedling dry biomass, seedling electrical conductivity, potassium leakage and membrane injury index. Completely randomized design was used, with four replications, except for the field emergence variable, when the randomized complete block design was adopted. The obtained means were compared by Fisher's LSD test, at 5% probability, and then Pearson’s correlation coefficients were calculated between the tests based on seedling performance and the physiological quality results obtained with the seeds. In addition to their lower sensitivity to istinguish the different vigor levels, the biometric tests (length and biomass) showed values of correlation with field emergence considerably lower than those btained with the membrane permeability tests (seedling electrical conductivity, otassium leakage and membrane injury index). Among the tests based on electrolyte extravasation, the membrane injury index was the most accurate to differentiate maize seed lots in different vigor levels, as well as to estimate the seed emergence in the field.
GAS EXCHANGE AND ENZYMATIC METABOLISM IN GRAIN SORGHUM VARIETIES IRRIGATED WITH SALINE WATER
Authors: GUIMARÃES MIGUEL JULIO MACHADO , SIMÕES WELSON LIMA , TABOSA JOSÉ NILDO , CAMARA TEREZINHA RANGEL , WILLADINO LILIA GOMES
Published: November 2020

The objective of this study was to evaluate the effect of irrigation water salinity on gas exchange and antioxidative system responses of grain sorghum varieties. An experiment was conducted in a greenhouse located at the headquarters of Embrapa Semiarid Agriculture, Petrolina-PE, Brazil. The experimental design was randomized blocks, in a 6 x 5 factorial scheme. Six varieties of grain sorghum irrigated with saline water with five levels of salinity were evaluated. Photosynthesis and transpiration rate, stomatal conductance, leaf temperature, intrinsic and instantaneous water use efficiency, relative water content and leaf turgor potential were evaluated, as well as the activity of the enzymes catalase, ascorbate peroxidase and superoxide dismutase, and shoot biomass production. It was observed that irrigation with saline water causes reduction in the gas exchange and water status of grain sorghum varieties. The antioxidative system was activated in the six sorghum varieties to avoid the accumulation of reactive oxygen species, and the synchronism between the enzymes led to a better response of shoot dry mass production of the Ponta Negra variety.
Training Nonprofit Management Students to Critically Consume and Apply Knowledge Curated by Evidence-Based Program Registries
Authors: Horne Christopher Scott
Published: November 2020

Nonprofit management students can learn a great deal about program design and evaluation from evidence-based program registries (EBPRs), such as the U.S. Department of Education’s What Works Clearinghouse and the Department of Justice’s CrimeSolutions.gov, which synthesize program evaluations and research about a wide range of types of programs that nonprofit organizations commonly operate. Nonprofit management educators and their students should use EBPRs with caution, though, as their research syntheses tend to prioritize internal validity over external validity. This article offers a pedagogical model useful for training students to critically consume and apply EBPR resources. Classroom-tested examples are provided to demonstrate the usefulness of this pedagogical model for preparing students to use EBPR resources independently in real-life settings. This pedagogical model is recommended for use in nonprofit management education more generally, as future nonprofit managers should be prepared to work effectively and independently in complex environments.
Public Parks and Sno-Parks Help Diverse Populations in California’s Central Valley Negotiate Constraints to Winter Recreation
Authors: Whiting Jason , Larson Lincoln , Greenwood Christopher , Lankford Samuel
Published: November 2020

As current racial and ethnic minority groups make up increasingly larger percentages of the U.S. population, recreation managers seek to understand their recreational needs and preferences. One area has received little attention: the winter recreation participation of non-White individuals (especially Latinxs). In this study, we sought to (1) examine demographic differences in constraints to visiting a conventional winter recreation destination, China Peak Mountain Resort (CPMR); and (2) explore winter recreation site use among demographically diverse populations in various types of public parks around CPMR in Fresno County, CA, including sno-parks (sites that provide snow-cleared parking lots with sanitation facilities and access to snow play areas, cross-country ski and snowmobile trails). Data were gathered “onsite” (n=491) at sno-parks along Highway 168 and “offsite” (n=1318) in communities across the Central Valley. Data from the two sites revealed significant differences in winter recreation constraints and site use patterns among different racial/ethnic and income groups. Racial and ethnic minorities and respondents with lower household income reported high levels of constraints to participation in winter recreation at CPMR. Overall, structural constraints were the most prominent barriers affecting visitation to CPMR. Our findings showed that all respondents were more likely to visit public lands (e.g., sno-parks) for winter recreation than CPMR. Public parks and sno-parks may provide particularly unique and valuable opportunities for Latinx residents and individuals from low-income groups who are historically underrepresented with respect to winter recreation in California’s Central Valley. Overall, our results yield two key conclusions regarding winter recreation: (1) commercial resort managers (e.g., CPMR) should seek ways to minimize existing structural and cultural barriers to visitation, thereby attracting a more diverse clientele; and (2) providers should consider public lands such as sno-parks as key alternatives for diverse residents seeking winter recreation experiences—especially non-White and lowincome populations who rarely visit private mountain resorts.
Breastfeeding Decision-Making in an Addiction Trajectory: An Exploratory Grounded Theory Study
Authors: Cook Kristy J. , Larson Kim L.
Published: November 2020

Background and Purpose

Globally, five million women are affected by opioid use disorder (OUD). Women with OUD are less likely to breastfeed than the general population, increasing risk of neonatal withdrawal. Theoretical frameworks related to breastfeeding did not address women with OUD. The purpose of this study was to develop a conceptual model to better understand breastfeeding disparities among this vulnerable population.

Methods

A grounded theory study was conducted from August 2018 to March 2019 to investigate concepts likely to influence breastfeeding decisions in women with OUD. In-depth interviews were conducted in North Carolina with 10 women in recovery who breastfed, and their six identified support persons. Data were analyzed through iterative coding. This article focuses on maternal perspectives of breastfeeding informed by support persons.

Results

The overarching theme was breastfeeding decision-making in an addiction trajectory. Two antecedent pathways led to the recovery–relapse cycle. This cycle involved seeking, initiating, and maintaining recovery with episodic relapse. Perceived stigma linked the recovery–relapse cycle with breastworks. Breastworks, an emergent concept, was characterized by learning and knowing, good intentions, and health-care provider sensitivity.

Implications for Practice

This grounded theory model may inform clinicians in caring for women with OUD and support breastfeeding and newborn well-being. Strategies to address research and practice may include the development of a mobile application, having women in recovery on the health-care team, and incorporation of breastfeeding guidelines.
Accelerating Our Global Impact in the Year of the Nurse and Midwife
Authors: Upvall Michele J.
Published: November 2020

Confronting global health crises requires nurses who demonstrate leadership and the ability to collaborate with other disciplines. Regional partnerships can act as “accelerant synergists” to develop the capacity of nurses locally benefiting the region as a whole.
Asociación entre tipo de seguro de salud y realización preventiva de colonoscopía en pacientes ambulatorios de 50 a 75 años en Perú, 2016
Authors:   ,   Universidad Peruana de Ciencias Aplicadas (UPC), Sánchez Torres Mariana , Medina Rodriguez Laura
Published: November 2020

Introducción: El cáncer colorrectal (CCR) es el cuarto cáncer más común a nivel mundial y en Perú es el segundo cáncer digestivo más frecuente. Su tamizaje mediante colonoscopía partir de los 50 años ha demostrado reducir la mortalidad por CRC. Sin embargo, el acceso al tamizaje no es homogéneo en la población y el seguro de salud podría ser un determinante importante. Objetivos: Evaluar si existe asociación entre el tipo de seguro de salud y la realización de colonoscopía preventiva en adultos peruanos de 50 a 75 años usuarios de consulta externa, en Perú. Métodos: Se realizó un estudio transversal analítico utilizando los datos de la Encuesta Nacional de Satisfacción de Usuarios en Salud (ENSUSALUD) 2016. Se preguntó por la realización de colonoscopía preventiva en los últimos 10 años y el tipo. Se calcularon razones de proporción crudas y ajustadas por potenciales confusores. Resultados: La edad promedio fue 60,5 años (d.e.: 6,8) y 54.8% fueron mujeres, en la población total. La proporción de haberse realizado una colonoscopía preventiva fue 11.8% [IC95%: 8,1% a 15,5%] En el análisis ajustado, los pacientes con seguro privado [RPa: 4,48; IC95%:1,18 a 18,63] y FFAA [RPa: 6,38; IC95%:1,66-24,63] tuvieron mayor proporción de haberse realizado una colonoscopía en comparación a los pacientes sin seguro. No se encontró diferencia significativa entre los seguros SIS y EsSalud. Conclusiones: Los pacientes con seguro privado, seguro de las FF.AA fueron los que en mayor proporción se realizaron una colonoscopía preventiva en comparación a los no asegurados. Mientras tanto, los asegurados al SIS, EsSalud y los no asegurados, no se encontró diferencias estadísticamente significativas.
Factores asociados a sobrepeso/obesidad en niños de 0 a 5 años según la ENDES 2016
Authors:   ,   Universidad Peruana de Ciencias Aplicadas (UPC), Echevarria Castro Nataly Elda , Matayoshi Pérez Andrea Fernanda
Published: November 2020

Objetivos: Encontrar la asociación entre síntomas depresivos en madres y el sobrepeso/obesidad en sus hijos de 0-5 años, así como otros factores asociados al sobrepeso/obesidad infantil Metodología: Análisis de base secundaria de la ENDES 2016. La muestra fueron 7935 niños con sus respectivas madres. La variable dependiente fue el sobrepeso/obesidad infantil medido según el z-score del IMC >2DS; y la variable independiente principal fueron los síntomas depresivos maternos según el puntaje de PHQ9 >10 puntos. Se utilizó el programa STATA MP versión 14.0 para realizar el análisis estadístico Resultados: La prevalencia de sobrepeso/obesidad en niños de 0 a 5 años fue 4,5% y la de síntomas depresivos moderados y severos en madres fue de 7,1%. Los síntomas depresivos maternos no se encontraron asociados al outcome (RPa = 1.36 IC95% = 0.59-3.09 p = 0.469). Se encontró asociación con sobrepeso/obesidad en el niño con estatus socioeconómico Q3 (RPa = 3.86 IC95% = 1.9-7.6 p <0.0001), Q4 (RPa = 5.53 IC95% = 2.76-11.1 p<0.0001), Q5 (RPa = 6.9 IC95% = 3.24-14.7 p = <0.0001), asi como con IMC materno (RPa = 1.06 IC95% = 1.03-1.08 p <0.0001) y nacimiento por cesárea y el outcome (RPa = 1.42 IC95% = 1.01-1.99 p = 0.042). Conclusiones: No se encontró asociación entre síntomas depresivos maternos y sobrepeso/obesidad en niños de 0 a 5 años Los quintiles superiores de estatus socioeconómico, el IMC materno y el parto por cesárea estuvieron asociados al desenlace. Se necesitan más estudios y de naturaleza longitudinal.
Process Deasign and Sustainable Development
Authors: Glavič Peter , Novak Pintarič Zorka , Bogataj Miloš
Published: November 2020

This review paper describes some historical facts, the state of the art of process design and sustainable development. In the Introduction the most important global megatrends are presented and the European Union response to them, the European Green Deal. Process design and sustainable development are dealt with separately and holistically. Organization of professionals from the area, their conferences and publication are supporting the two topics. A short analysis of the published documents in two most popular databases shows that environmental dimension is prevailing, followed by economic one while social pillar of sustainable development is undervalued. The most important design tools for sustainability are described. An important practical case, the European chemical and process industries are analyzed and their achievements in sustainable development are shown; in particular their strategies are presented in more detail. The conclusions are embracing the most urgent future development areas of process industries, carbon capture with utilization or storage, the process analysis, simulation, synthesis and optimization tools; zero waste, circular economy and resource efficiency are already playing an important role. But deeper changes are needed in the future decades including de-growth with changes of habits, lifestyles, and business models. Lifelong education for sustainable development will play a very important role in the growth of democracy and happiness instead of the consumerism and neoliberalism.
¿PUEDE EL EBRO MULTIPLICAR SUS CRECIDAS MÁS DE UN ORDEN DE MAGNITUD?
Authors: Castelltort Aiguabella F.X. , Balasch Solanes J.C.
Published: November 2020

Las megacrecidas fluviales son episodios de una gran trascendencia geomorfológica por su alta capacidad energética y su muy baja frecuencia en el registro geológico. Su rareza es superior en áreas alejadas de las grandes masas glaciares continentales. Los problemas de desagüe de los desfiladeros del curso bajo del Ebro son la causa de la acumulación de depósitos fluviales con origen en el río Ebro que han remontado los valles de torrentes tributarios en la cubeta de Móra. El paradigma de estas formaciones es el torrente del Comte, donde dos unidades deposicionales de edad diferente muestran procesos de flujo torrente arriba, hasta unos 4 km, y reflujo torrente abajo, con estructuras sedimentarias de muy alta energía. El uso de herramientas de simulación hidráulica bidimensional indica que serían necesarios caudales punta superiores a los 100.000 m3 · s-1, con alturas de agua de unos 24 m en la zona de la confluencia, para introducir estos sedimentos a las posiciones de afloramiento. Los efectos se verían reforzados por la influencia de niveles del mar más elevados que el actual.
Importance of High-Frequency Vestibular Function in the Prognosis of Bilateral Vestibulopathy
Authors: Bae Seong Hoon , Nam Gi Sung , Kwak Sang Hyun , Kim Sung Huhn
Published: November 2020

Objectives. The aim of this study was to investigate whether preserved vestibular function in the high-frequency range influences the prognosis of patients with bilateral vestibulopathy (BVP) after vestibular rehabilitation.Methods. Twenty-four patients followed up with vestibular rehabilitation were recruited. The enrolled patients were divided into two groups according to the preservation of the high-frequency vestibulo-ocular reflex (VOR) based on the video head impulse test (vHIT). The results of computerized dynamic posturography and the Dizziness Handicap Inventory (DHI) survey collected at baseline and at the 6-month follow-up after vestibular rehabilitation therapy were analyzed.Results. Both groups showed significantly increased composite and DHI scores after follow-up with vestibular rehabilitation. The group with preserved high-frequency VOR showed a better composite score (p=0.064) and vestibular score (p= 0.008) than the group with lost high-frequency VOR at the 6-month follow up. The DHI score significantly decreased only in the group with lost high-frequency VOR (p=0.047). Among the three vestibular function tests (caloric test, rotary chair test, and vHIT) used to diagnose BVP, only vHIT showed a significant correlation (p=0.015) with a favorable prognosis (composite score ≥70).Conclusion. Better treatment outcomes are likely in patients with BVP with preserved vestibular function in response to high-frequency stimulation, as measured by the vHIT.
Gentrification in the Global South: new insights from Chinese Studies
Authors: Guan Haotian , Cao Huhua
Published: November 2020

Following the introduction of the “gentrification” concept by Ruth Glass in 1964, Anglo-Saxon urban geographers have extensively studied the process and phenomenon of gentrification. In recent years, gentrification studies have moved beyond the Anglo-Saxon academic field.  This paper aims to review the current stage of English-Language gentrification studies about China. Using the case of China, the paper argues that gentrification can be generalized to a universally applied paradigm. However, the challenges of studying gentrification in any country are to transfer and adapt the broad paradigm that could capture the complexities of local conditions. Scholars studying gentrification in China have recognized the local and national differences that are specific to China and have worked out to establish their own theories.
Verification of Field Data and Forecast Model Based on Variational Autoencoder in the Application to the Mechanized Fund
Authors: Volkov Nikita Alekseevich , Dakhova Elizaveta Yuryevna , Adrianova Alla Mikhailovna , Budennyy Semen Andeevich
Published: November 2020

The importance of quality, consistent data is difficult to overestimate. The better the field data describes the real system, the higher the predictive ability of models at all levels based on it and the higher the accuracy of production decisions. This issue is particularly relevant in the context of data from the mechanized well stock. The paper presents both methods of data analysis in real time, and an approach for retrospective analysis (analysis of historical data) in the application to well data in the operation of the ESP. The key advantage of the model presented in the paper is that it allows considering a complex set of time dependencies, taking into account their mutual influence.

In order to account for the dependencies between physical quantities and time, a model using probabilistic neural networks has been developed allowing for retrospective filtering and data filtering in streaming mode. The model is based on the principle of the conditional variational autoencoder model. This model of a neural network is characterized by the fact that it allows establishing the main dependencies in the data with acceptable quality under given conditions. A special feature of the research model is its probabilistic nature, that is, it is able to calculate data distributions, as well as distributions of values on certain layers. The distribution at the model output is used to estimate the degree of abnormality of objects. Special data transformations, the introduction of weights and the addition of key features, allow dealing with missing values (often observed in field data due to sensor malfunction, features of measurement measures, inconsistencies in time scales for several measurements, etc.), and fix important patterns in the data. The key point in working with features is a special scheme for preprocessing time series, namely, the introduction of weights depended on the frequency of measurements, and the calculation of weighted quantiles for different time intervals.
Reduced risk of metastatic breast cancer recurrence after bone fractures
Authors: Obi Nadia , Werner Stefan , Thelen Frank , Pantel Klaus
Published: November 2020

Recent experimental studies indicate that bone fractures result in the release of cytokines and cells that promote metastasis. Obtaining observational data on bone fractures after breast cancer diagnosis related to distant breast cancer recurrence risk could help determine whether fall prevention strategies can contribute to reduce breast cancer mortality.
We used data from the largest German statutory health insurance fund (Techniker Krankenkasse) in a population-based cohort study of breast cancer patients diagnosed between January 2015 and November 2019. ICD-10 codes were documented monthly to quarterly. Fractures diagnosed simultaneous or after the initial breast cancer and metastases diagnosed initially from half a year later on served as exposure and outcome, respectively. The risk of regional, distant non-bone or bone metastasis related to a fracture was modelled by adjusted conditional logistic regression analysis.
Of 154,000 breast cancer patients, 82,039 had a follow-up time of more than half a year. During follow-up, fractures were diagnosed in 11,900 (14.5%) patients and regional or distant metastases occurred in 7,011 (8.5%). The risk for a metastasis was reduced in patients, who had a fracture (OR 0.57, 95% CI 0.53, 0.62) compared to patients without, particularly for lymph node metastasis and moderately less pronounced in bone-metastasis (OR 0.69, 95% CI 0.61, 0.79).
In view of the positive effects of sports on health of cancer survivors, the present results will decrease the anxiety of breast cancer patients that risking bone fractures might have a negative impact on their disease-specific outcome.
Predicting HLA-I peptide immunogenicity with deep learning and molecular dynamics
Authors: Weber Jeffrey , Chowell Diego , Krishna Chirag , Chan Timothy , Zhou Ruhong
Published: November 2020

Understanding how T cells discriminate self from non-self is a fundamental question with important implications for immunology, immunotherapy, and vaccine development. Presentation of peptides by human leukocyte antigen I (HLA-I) molecules is necessary but not sufficient for T cell recognition, and peptide features that dictate immunogenicity are obscure. Here, we develop a convolutional neural network that learns features governing peptide immunogenicity, integrating molecular dynamics and sequence representations of humans, pathogen, and tumor peptides presented by HLA-I. Our model identified structural and dynamical properties correlated with immunogenicity and yielded a highly accurate classification of peptides from pathogens versus humans. Furthermore, we applied our model to classify more challenging cancer neoantigens, and it successfully predicted immunogenic neoepitopes from patients with melanomas. These data demonstrate the utility of deep learning models built on molecular dynamics and reveal underlying properties that govern HLA-I peptide immunogenicity.
Insertional Achilles Tendinopathy: Operative Outcomes in the Military
Authors: Lausé Greg E , Egbert Rachel A , Ryan Paul M
Published: November 2020

Introduction: Insertional Achilles tendinopathy (IAT) operative outcomes within the active duty United States military have not been previously reviewed. Materials and Methods: A single center retrospective review of consecutive patients diagnosed with IAT was performed. Surgical patients were followed until they returned to full duty or were released from the military. Outcomes included Visual analog scale (VAS) pain scores, the ability to return to running and time to do so, and the ability to return to military specific duty. All complications were recorded and followed until resolution. Statistical analysis was performed with an independent samples t Test. Results: Our data analysis included 113 active duty military patients. Fifty-eight (55%) patients underwent operative treatment for insertional IAT. Eight patients had bilateral procedures for a total of 66 Achilles procedures evaluated. Mean duration of follow up was 42 months (range, 12-143). Mean age at time of surgery was 37.2 years (range, 21-54). Length of pre-operative physical therapy had a mean of 6.5 months (range, 2-36). Visual analog scores significantly improved at all time points from 5.4 pre-op to 2.7, 2.9, 2.7, 2.9 at 3, 6, 12, and 24 months respectively. There was no significant improvement in VAS scores after the 3-month post-operative visit. Mean return to run time was 9 months (range 4.5-16). At 1 year, 80% (46/58) of patients returned to military duty although 43% of patients that returned to duty had restrictions in regards to running. Complications were recorded in 18 of 66 procedures (27%). The most common complication was superficial wound infection or superficial wound dehiscence. Complications requiring return to the OR were observed in 6 patients (9%).Conclusions: This is the first study to evaluate the outcomes of IAT in an active military population. Active duty patients diagnosed with IAT failed non-operative management and required surgical intervention in 55% of the population studied. For those patients who were treated surgically we documented an 80% return to duty rate and a significant reduction of subjective pain scores from a mean of 5.4 to a mean of 2.6 at final follow-up. There was no significant change in the VAS score after the 3-month post-operative evaluation. Service members were able to return to duty at a mean of 7 months and return to running at a mean of 9 months. The high rate of return to duty and significant improvement in pain scores demonstrate that the surgical management of IAT is a viable treatment option for patients who could not otherwise remain on active duty. With that said, the complication rate of 27% is high. Patients and providers should consider the risks, benefits, and the duration of therapy during their shared decision-making process.
Monocyte-to-serum albumin Ratio as a Novel Predictor of Long-Term Adverse Outcomes in Patients after Undergoing Percutaneous Coronary Intervention: A Retrospective Cohort Study
Authors: Zheng Ying-Ying , Zhang Zeng-Lei , Guo Qian-Qian , Tang Jun-Nan , Yang Xu-Ming , Zhang Jian-Chao , Cheng Meng-Die , Song Feng-Hua , Liu Zhi-Yu , Wang Kai , Jiang Li-Zhu , Fan Lei , Yue Xiao-Ting , Bai Yan , Dai Xin-Ya , Zheng Ru-Jie , Zhang Jin-Ying
Published: November 2020

Background: Inflammation plays a significant role in the initiation and progression of atherosclerosis. Monocyte and serum albumin have been proved to be involved in the process of systemic inflammation. Therefore, we investigated the prognostic value of monocyte-to-serum albumin ratio (MAR) in patients who underwent percutaneous coronary intervention (PCI).Methods：A total of 3,561 patients enrolled in this study from January 2013 to December 2017, who were divided into two groups according to the cut-off value of MAR (MAR<0.014, n=2220 and MAR≥0.014, n=1119). The average follow-up time was 37.59±22.24 months.Results: There were significant differences between the two groups in the incidences of all-cause mortality (ACM) (P<0.001), cardiac mortality (CM) (P<0.001), major adverse cardiovascular events (MACEs, P=0.038) and major adverse cardiovascular and cerebrovascular events (MACCEs, P=0.037). Kaplan–Meier survival analysis suggested that patients with higher MAR value tended to have an increased accumulated risk of ACM and CM (Log rank P<0.001 and Log rank P<0.001, respectively). And multivariate Cox regression analyses showed MAR was an independent predictor for ACM (hazard ratio [HR]=1.461, 95% confidence interval [CI]:1.009–2.115, P=0.045) and CM (HR=1.695, 95% CI:1.056-2.721, P=0.029).Conclusion: The present study suggests that MAR is a novel independent predictor of long-term mortality in patients who underwent PCI.Trial registration: ChiCTR, ChiCTR1800019699. Registered 24 November 2018, http://www.chictr.org.cn/showproj.aspx?proj=33249
Perceptions of type-II diabetes patients about the support sources for their disease: A qualitative study to access support sources in deprived regions
Authors: Shahsavari Arezoo , Estebsari Fatemeh , Atashzadeh-Shoorideh Foroozan , Ilkhani Mahnaz
Published: November 2020

Background: The number of patients with diabetes is increasing in all countries and different societal strata. This chronic disease requires extensive behavioral changes and adherence to a complex treatment program. Various factors affect the process of diabetes care and treatment; among them, support sources have been proposed as highly involved in controlling this disease. The present study was conducted to explain the perceptions of type-II diabetes patients about the support sources for their disease.Methods: The present qualitative study was conducted using conventional content analysis in 2020 in Lorestan Province as one of Iran’s deprived provinces on 19 participants, including 14 patients with diabetes type-II and five of their family caregivers. The participants were selected through purposive sampling, which continued until the saturation of the data. Data were collected using semi-structured interviews, and analyzed using conventional content analysis.Results: The process of content analysis resulted in the extraction of two themes: Care incentives, consisting of the ‘influential supporters’ and ‘efficient organizations’ categories, and support strategies, consisting of the ‘technological scope’ and ‘economic support’ categories. These themes reveal the nature and dimensions of participants’ perceptions of support sources.Conclusions: By revealing the different dimensions of support sources in type-II diabetes patients, the results stressed that care programs for type-II diabetes patients should be designed considering the support sources available and with the goal of improving the capacity of the personal, social, and professional networks associated with these patients.
Functional outcome in cats with acute severe injuries of the thoracolumbar spinal cord following intensive rehabilitative physiotherapy 
Authors: Gallucci Antonella , Dragone Ludovica , Kafaji Tania Al , Menchetti Marika , Magno Sara Del , Gandini Gualtiero
Published: November 2020

Background: literature is lacking data concerning the prognosis in cat suffering from acute thoracolumbar spinal cord lesions on field condition either with or without physiotherapy treatment. We investigated the role of intensive physical rehabilitation training in cats suffering from acute thoracolumbar (TL) spinal cord injury and compared their outcome to the presence/absence of pelvic limb pain perception (PP) under field conditions. A further aim was the evaluation of the outcome of cats under intensive physiotherapy when compared to a control group.Methods: Retrospective study. The medical records of 29 feline patients with acute TL spinal cord injury, with and without PP, selected for intensive rehabilitation treatment were reviewed. Those cats that satisfied the same criteria, but performed at home physiotherapy exercises with the owner, were enrolled as control group.Results: 7 cats had pelvic limb PP, which resulted significantly associated with functional recovery of voluntary locomotion (p=0.01) and voluntary micturition (p= 0.00006). Twenty-two cats (76%) had the absence of pelvic limb PP and the acquisition of spinal walking (SW) was achieved in ten cats (45%). None of these patients regained a voluntary micturition at the end of the treatment. The presence of the crossed extensor reflex on admission was significantly associated with the acquisition of SW (p= 0.008). At 15 days, improvement in assisted walking/UWTM was found to be significantly associated with higher possibility to achieve SW at the end of the treatment (p=0.04). The control group included seven cats. None of the cats had regained voluntary micturition or ambulatory condition. Comparing to the control group, the intensive rehabilitation program was significantly associated with a higher possibility to regain functional locomotion (p= 0.005). Recovery of voluntary micturition did not show significant differences among the control group and the cats that underwent physical therapy.Conclusions: cats with severe acute TL lesion recovery can benefit from physiotherapy and, also in case of loss of PP, the acquisition of SW is possible under field condition.
Cannabinoids promote NREM sleep via inhibition of prefrontal cortico-hypothalamic projections
Authors: Xu Xufeng , Zhong Haixing , Xu Huamin , Li Xin , Xie Rou-gang , Wang Ying , Tong Li , Zhu Qianqian , Xie Junxia , Han Jing , Zhang Li , Hu Zhian , Gu Ning , Dong Hailong , Zhang Xia
Published: November 2020

Cannabinoids promote non-rapid eye movement (NREM) sleep, but its underlying mechanism is not known. Here we find that cannabinoid promotion of NREM sleep is inhibited by cannabinoid antagonist injection systemically or into the dorsomedial hypothalamus (DMH), where cannabinoids selectively inhibit glutamatergic inputs synapsing with glutamatergic but not GABAergic neurons. Photoactivation of DMH-projecting ventromedial prefrontal cortical (vmPFC) neurons, their terminals, or their postsynaptic DMH neurons rapidly switches NREM sleep to wakefulness, which is blocked by photoinhibition of DMH outputs. Chemoactivation of DMH glutamatergic but not GABAergic neurons innervated by vmPFCs promotes wakefulness and suppresses NREM sleep, whereas chemoinhibition of vmPFC projections in DMHs produces opposite effects by mimicking cannabinoid effects. DMH-projecting vmPFC neurons are inhibited during NREM sleep and activated during wakefulness. Chemoactivation of DMH-projecting vmPFC neurons blocks cannabinoid promotion of NREM sleep and suppression of wakefulness. Thus, vmPFC neurons innervating DMHs represent the first identified set of cerebral cortical neurons for promotion of physiological wakefulness and suppression of NREM sleep, while cannabinoid inhibition of vmPFC projections in DMHs promotes NREM sleep and suppresses wakefulness.
Estimation of influence of the mineral composition of ore bodies of titanomagnetites of the Gusevogorskoye deposit on the concentration of vanadium in the products of their processing
Authors:   JSC ʺEVRAZ KGOKʺ, BUZMAKOV Vasiliy Nikolaevich , VOLODINA Yuliya Vasil’evna ,   JSC ʺEVRAZ KGOKʺ
Published: November 2020

Purpose of the work: to study the possibilities of increasing the extraction of vanadium pentoxide and reducing titanium dioxide into concentrate at EVRAZ KGOK. However, vanadium pentoxide and titanium dioxide are closely interconnected due to the complex mineral composition of the ores, which, in turn, is due to the genesis of the deposit. As a consequence, a decrease in the titanium content causes a decrease in the vanadium content. Relevance. EVRAZ KGOK develops the Kachkanar group of titanomagnetite iron ore deposits containing vanadium impurities, which make it possible to smelt high-strength alloyed steels. Impurities of titanium negatively affect the subsequent blast-furnace conversion and increase the cost of the smelting process. Methodology. To determine the extraction of vanadium pentoxide into the concentrate, magnetic analysis on a Davis tube, sieve analysis of the fineness of grind and statistical processing of the data were used. Results. The deposit is being developed in four ore bodies with different mineral and petrographic composition and, accordingly, different enrichment results. During the concentration conversion, part of the vanadium is lost in the tailings of enrichment. To ensure the planned content of vanadium in the concentrate, the ratio “proportion of vanadium pentoxide / proportion of iron in the original ore” should be at least 0.0077 (in each batch). Conclusions. To ensure the proportion of vanadium in the products of concentrate processing, it is necessary to control the process of shipping ores using information on the proportion of vanadium that can be recovered. Control should be carried out according to the indicator “the ratio of the proportion of vanadium and the proportion of iron in the original ore.” Corrective actions should be taken by changing the proportion of ore shipped from various ore bodies.
A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING PROGRAM ON LEVEL OF KNOWLEDGE REGARDING MANAGEMENT OF DIALYSIS IN END-STAGE RENAL DISEASE PATIENTS AMONG GNM IIND YEAR STUDENTS STUDYING AT SGRRU, COLLEGE OF NURSING, DEHRADUN
Authors:   M.sc Nursing , Batch 2018-2020, Shri Guru Ram Rai University, College of Nursing, Dehradun., Nisha Kumari , Sharma Bijayata ,   AssociateProfessor, Shri Guru Ram Rai University, College of Nursing, Dehradun.
Published: November 2020

The word dialysis derived from Greek word dialusis, meaning dissolution,diameaning through,andlysismeaningloosening.Dialysisisaprocessforremovingwasteand excesswaterfrom theblood,andisprimarilyusedtoprovideanartificialreplacement forlostkidneyfunctioninpeoplewithrenalfailure.Dialysismaybeusedforthosewith anacutedisturbanceinkidneyfunctionorforthosewithprogressivebutchronically worseningkidney function. Thenumberofpatientsbeingtreatedforend-stagerenal disease(ESRD)globallywasestimatedtobe2,786,000attheendof2011and, with a 6-7% growthrate,continuestoincreaseatasignificantlyhigherratethantheworld population.Ofthese2,786,000ESRDpatients,approximately2,164,000wereundergoing HDtreatment. Inviewofincreasingnumberofkidneypatientitisvitalthatnursesmustbe skilledinrenalnursing,maintainahighstandardofclinicalpractice,haveexcellent communicationskills,anddeveloptheindividualleadershipandmanagementalbilities. Nursesshouldbeinvolvedinmultiprofessionaldiscussionswheredecisionsaremade aboutchanges in patient treatment. In addition, nurses require the clinical skills and competencies to managerenal patients in different stages of their illness and on particular RRT modalities. (Bouallègueetal, 2013).
ADDITION OF SUCROSE IN MAKING NATA DE COCO WITH ROSELLA EXTRACT (HIBISCUSS SABDARIFA L.)
Authors:   Lecture of Agricultural Product Technology., Sylvi Diana , Eliyasmi Rifma ,   Lecture of Agricultural Product Technology., Susanti Thamrin Elfa ,   Student of Agricultural Product Technology.
Published: November 2020

This research aim to determine the effect of giving sucrose with different concentrations on the characteristic of nata produced and to determine the best addition of sucrose concentration. The raw materials used in this study were roselle petals and coconut water. The treatment in this study was sucrose which was added as a carbon source of Acetobacterxylinum with a combination of treatments being 4%, 6%, 8%, and 10%. This study used Completely Randomized Design (CRD) with 3 replications. The result showed that in the initial fermentation medium, the sucrose concentration had no significant effect on the initial pH of fermentation but had a significant effect on sugar content. In the resulting nata de coco, the sucrose concentration had no significant effect on thickness, weight, yield, vitamin C levels, and organolepic values but had a significant effect on crude fiber content. Sucrose treatment with 8% concentration produced the best product with a pH initial of fermentation 4.21, sugar content 10.20 0Brix, 81.16 thick, 400 g weight, 80% yield, 11.29 mg/100g vitamin C content, 1.36% crude fiber content, and organoleptically preferred.
INTRAORAL SCANNING SYSTEMS - A CURRENT OVERVIEW
Authors:   Post Graduate Student, Department of Prosthodontics, KSR Institute Of Dental Science And Research, KSR Kalvi Nagar, Thokkavadi, Tiruchengode, Tamil Nadu -637215., Kannan Sheela , Abraham Mathew Chalakuzhiyil ,   Head of the Department, Department of Prosthodontics, KSR institute of Dental Science and Research, Tiruchengode., Savarimuthu Paulraj Roseline ,   Post Graduate Student, Department of Prosthodontics, KSR institute of Dental Science and Research, Tiruchengode.
Published: November 2020

Intraoral scanners (IOSs) are devices used for capturing direct optical impressions in dentistry. IOS eliminates the errors that are encountered with the conventional impression making procedures. The last decade has seen an increasing number of optical IOS devices, and these are based on different technologies. The objective of this review article is to discuss intraoral scanners with regards to its technology, generation systems, scanning paths, necessity of a powdering medium, accuracy (Trueness and precision), intermaxillary relationship registration, commercially available IOS, clinical recommendations, advantages, disadvantages, indications and contraindications. Digital impressions with IOS is likely going to be a routine procedure in dentistry in the near future.
OCCIPITAL MENINGOCELEABOUT A CASE
Authors:   Obstetric Gynecology Service I -Chu Hassan Ii Fez Morroco., Abdelkader Mohamed Zeine Nessiba , Lemrabett Eezza ,   Obstetric Gynecology Service I -Chu Hassan Ii Fez Morroco., Issehaghe Meimouna ,   Obstetric Gynecology Service I -Chu Hassan Ii Fez Morroco., Mamouni N. ,   Obstetric Gynecology Service I -Chu Hassan Ii Fez Morroco., Errarhay S. ,   Obstetric Gynecology Service I -Chu Hassan Ii Fez Morroco., Bouchikhi C. ,   Obstetric Gynecology Service I -Chu Hassan Ii Fez Morroco., Banani A. ,   Obstetric Gynecology Service I -Chu Hassan Ii Fez Morroco.
Published: November 2020

Spinal dysraphisms represent a large set of congenital anomalies reflecting an embryological abnormality in the closing of the neural tube. Their incidence would be 1 to 2 per 1000 births. We report the case of a patient Admitted for decrease in active foetal movements. On examination, we find a presence of a tri-ventricular hydrocephalus associated with a rounded mass integral with the cephalic pole, of liquid and anechoic tone of 53 mm, evoking a meningocele. Obstetric ultrasound is the only imaging examination performed in systematic screening. It would however be interesting to be able to diagnose DSF and differentiate it from DSO, because the therapeutic possibilities and the prognosis are different.