bluuebunny/crossref_metadata_2025 huggingface dataset:
Boosting Quality Registries with Clinical Decision Support Functionality
Authors: Wannheden Carolina , Hvitfeldt-Forsberg Helena , Eftimovska Elena , Westling Katarina , Ellenius Johan
Published: April 2017

Background: The care of HIV-related tuberculosis (HIV/TB) is complex and challenging. Clinical decision support (CDS) systems can contribute to improve quality of care, but more knowledge is needed on factors determining user acceptance of CDS.

Objectives: To analyze physicians’ and nurses’ acceptance of a CDS prototype for evidence-based drug therapy recommendations for HIV/TB treatment.

Methods: Physicians and nurses were involved in designing a CDS prototype intended for future integration with the Swedish national HIV quality registry. Focus group evaluation was performed with ten nurses and four physicians, respectively. The Unified Theory of Acceptance and Use of Technology (UTAUT) was used to analyze acceptance.

Results: We identified several potential benefits with the CDS prototype as well as some concerns that could be addressed by redesign. There was also concern about dependence on physician attitudes, as well as technical, organizational, and legal issues.

Conclusions: Acceptance evaluation at a prototype stage provided rich data to improve the future design of a CDS prototype. Apart from design and development efforts, substantial organizational efforts are needed to enable the implementation and maintenance of a future CDS system.
ALMA Observations of Asymmetric Molecular Gas Emission from a Protoplanetary Disk in the Orion Nebula
Authors: Factor Samuel M. , Hughes A. M. , Flaherty Kevin M. , Mann Rita K. , Francesco James Di , Williams Jonathan P. , Ricci Luca , Matthews Brenda C. , Bally John , Johnstone Doug
Published: April 2017

We present Atacama Large Millimeter/submillimeter Array (ALMA) observations of molecular line emission from d216-0939, one of the largest and most massive protoplanetary disks in the Orion Nebula Cluster. We model the spectrally resolved HCO+ (4–3), CO (3–2), and HCN (4–3) lines observed at 0.″5 resolution to fit the temperature and density structure of the disk. We also weakly detect and spectrally resolve the CS (7–6) line but do not model it. The abundances we derive for CO and HCO+ are generally consistent with expected values from chemical modeling of protoplanetary disks, while the HCN abundance is higher than expected. We dynamically measure the mass of the central star to be

, which is inconsistent with the previously determined spectral type of K5. We also report the detection of a spatially unresolved high-velocity blueshifted excess emission feature with a measurable positional offset from the central star, consistent with a Keplerian orbit at 60 ± 20 au. Using the integrated flux of the feature in HCO+ (4–3), we estimate the total H2 gas mass of this feature to be at least

, depending on the assumed temperature. The feature is due to a local temperature and/or density enhancement consistent with either a hydrodynamic vortex or the expected signature of the envelope of a forming protoplanet within the disk.
The Correlation between Mixing Length and Metallicity on the Giant Branch: Implications for Ages in the Gaia Era
Authors: Tayar Jamie , Somers Garrett , Pinsonneault Marc H. , Stello Dennis , Mints Alexey , Johnson Jennifer A. , Zamora O. , García-Hernández D. A. , Maraston Claudia , Serenelli Aldo , Prieto Carlos Allende , Bastien Fabienne A. , Basu Sarbani , Bird J. C. , Cohen R. E. , Cunha Katia , Elsworth Yvonne , García Rafael A. , Girardi Leo , Hekker Saskia , Holtzman Jon , Huber Daniel , Mathur Savita , Mészáros Szabolcs , Mosser B. , Shetrone Matthew , Aguirre Victor Silva , Stassun Keivan , Stringfellow Guy S. , Zasowski Gail , Roman-Lopes A.
Published: April 2017

In the updated APOGEE-Kepler catalog, we have asteroseismic and spectroscopic data for over 3000 first ascent red giants. Given the size and accuracy of this sample, these data offer an unprecedented test of the accuracy of stellar models on the post-main-sequence. When we compare these data to theoretical predictions, we find a metallicity dependent temperature offset with a slope of around 100 K per dex in metallicity. We find that this effect is present in all model grids tested, and that theoretical uncertainties in the models, correlated spectroscopic errors, and shifts in the asteroseismic mass scale are insufficient to explain this effect. Stellar models can be brought into agreement with the data if a metallicity-dependent convective mixing length is used, with Δα
ML,YREC ∼ 0.2 per dex in metallicity, a trend inconsistent with the predictions of three-dimensional stellar convection simulations. If this effect is not taken into account, isochrone ages for red giants from the Gaia data will be off by as much as a factor of two even at modest deviations from solar metallicity ([Fe/H] = −0.5).
Histoire, fondements et enjeux actuels de l’ergothérapie
Authors: Charret Lisbeth , Thiébaut Samson Sarah
Published: April 2017

Le principe fondateur de l’ergothérapie a des origines très anciennes. Le métier en lui-même se développe en Europe au cours du xx e siècle. Depuis la première formation française mise en place en 1954, les 23 instituts de formation en ergothérapie forment aujourd’hui plus de 900 ergothérapeutes par an. Le métier a subi des mutations au fil de son existence et cela en lien avec le contexte socioculturel dans lequel il a évolué. Un aperçu historique met en lumière une évolution des paradigmes fondateurs, des transformations dans les activités professionnelles et une diversification des lieux d’intervention. Aujourd’hui, le fait que la formation soit devenue universitaire permet de renforcer l’assise scientifique du métier qui se destine de plus en plus à être un acteur majeur de la participation des personnes fragiles dans la cité. Outre le fait de s’adapter aux changements sociétaux et -technologiques, l’enjeu est de soutenir toujours plus la qualité des prestations dans un contexte d’autonomisation professionnelle grandissante.
Comment le geste vient à l’enfant
Authors: Fagard Jacqueline
Published: April 2017

La capacité de prendre un objet et de le manipuler est une acquisition fondamentale de la première année de l’enfant. Elle reflète les progrès du bébé dans la programmation d’une action, l’anticipation de ses conséquences et la prise en compte de ses échecs. Mais à son tour elle ouvre la voie à la découverte par le bébé de son environnement dans toute sa complexité. Cet article relate les grandes étapes du développement du geste manuel chez l’enfant, depuis les premiers babillages moteurs in utero jusqu’à l’utilisation de l’outil vers la fin de la deuxième année. Il suggère quelques mécanismes sous-jacents fondamentaux susceptibles de permettre à l’enfant d’interagir avec son environnement de manière de plus en plus mature et habile.
Réflexions autour du jeu chez l’enfant :enjeux psychiques et implications psychothérapeutiques
Authors: Boutinaud Jérôme
Published: April 2017

Le statut du jeu chez l’enfant véhicule en soi des implications complexes et plurielles, sollicitant ce qu’il convient d’appeler un véritable travail qui soutient les processus de subjectivation tout au long de la croissance. Cet article propose de reprendre quelques idées fondamentales permettant de repérer certains des enjeux impliqués dans cette dynamique. À partir de plusieurs auteurs clés se référant essentiellement aux théories psychanalytiques (S. Freud, M. Klein, D.W. Winnicott, P. Gutton, R. Roussillon et F. Joly), nous nous intéresserons aux dimensions psychique et psychomotrice impliquées dans le jeu chez l’enfant et aux conditions qui permettent à ce dernier de soutenir les processus de symbolisation. C’est à partir de ce constat que peut se penser l’utilisation du jeu à des fins psychothérapiques auprès de l’enfant en souffrance, axe de travail essentiel en termes de prise en charge et dont nous essayerons de préciser certaines caractéristiques.
Installation et positionnement des jeunes enfants dans leurs différents lieux de vie
Authors: Luc-Pupat Édith , Barrière Aurélie , Jacquemot Denis , Gutierrez Marta
Published: April 2017

Les différents modèles de pratique en ergothérapie s’appuient sur les inter--actions de la personne avec son environnement humain et matériel. Au sein d’un camsp notre approche thérapeutique intègre les installations de l’enfant afin d’améliorer la réalisation de ses activités dans les différentes situations de sa vie quotidienne. La préconisation des aménagements s’effectue à partir d’une évaluation réalisée dans un contexte pluridisciplinaire en prenant en compte la pathologie de l’enfant et ses conséquences sur son développement. Elle s’appuie sur les données théoriques du positionnement et l’analyse biomécanique de la position de l’enfant. Tous les domaines d’activités au jour le jour sont parcourus comme manger, jouer, prendre son bain, dormir, être transporté dans la poussette, la voiture, apprendre la propreté. Les solutions proposées ont pour objectifs l’amélioration du quotidien de la famille, le bien-être de l’enfant et la facilitation de son développement. Elles incluent dans leur conception des principes de prévention de déformations. Les réponses sont personnalisées et de ce fait les solutions différentes d’une famille à l’autre. Tout n’est pas fait tout de suite. La priorité porte sur l’accompagnement des parents dans la découverte de leur enfant différent. Les installations présentées dans cet article concernent la station assise et la station couchée. Les matériels sont introduits progressivement, ils cherchent à varier les positions de l’enfant. Ils ont parfois besoin d’être doublés pour être utilisés dans ses différents lieux de vie : au domicile, à la crèche, chez la nounou, etc. Nous commençons le plus souvent par adapter le matériel que possède déjà la famille en réalisant des mousses taillées sur mesure. Nous conseillons également des produits du commerce pédiatrique qui nous paraissent les mieux adaptés à l’enfant. En complément sont introduits les aides techniques au positionnement, et par la suite, selon les indications médicales, les appareillages orthopédiques réalisés par les orthoprothésistes. Un suivi des différentes installations est organisé en fonction de l’évolution des besoins de l’enfant. Le camsp en tant que structure de proximité facilite cette approche qui nécessite un partenariat avec les familles indispensable à l’adhésion aux soins.
Mécanismes d’incitation et de garantie de la gouvernance territoriale dans l’industrie du champagne
Authors: Lanotte Hervé , Traversac Jean-Baptiste
Published: April 2017

L’objet de cet article est d’apporter une contribution à l’éclairage des modalités concrètes de la Gouvernance Territoriale des systèmes productifs alimentaires. Plus précisément, nous nous attachons à approfondir les mécanismes institutionnels qui soutiennent les processus de coopération et de protection des actifs. Nous mobilisons à cette fin les apports de la littérature en Économie Institutionnelle sur la pluralité des mécanismes de garantie de la coopération, que nous intégrons dans une perspective historique permettant d’identifier les processus d’adaptation des accords aux évolutions des espaces qui les accueillent ( North , 1990 ; Greif , 2005). En les resituant dans des jeux d’acteurs tels que décrits par l’Économie Géographique Évolutionnaire ( Boschma et Frenken , 2011), nous mettons l’accent sur la dualité des mécanismes de garantie destinés à spécifier et à maintenir les accords pour interpréter la capacité des acteurs à agir sur leur développement ( Maze et Menard , 2010). Notre lecture de la Gouvernance Territoriale insiste sur le principe d’institutions destinées à atténuer l’incertitude en tant que premier pas du développement économique. Cette recherche s’appuie sur une réinterprétation des relations vignoble-négoce au sein d’un système territorial doté d’une gouvernance particulièrement élaborée, le Champagne.
Accès à la terre et reproduction de la profession agricole
Authors: Barral Stéphanie , Pinaud Samuel
Published: April 2017

L’accès à la terre est une condition indispensable de l’installation en agriculture. L’article s’appuie sur une enquête menée dans le Nord-Pas-de-Calais. Il décrit trois circuits d’échange organisés autour de la famille, de l’espace socioprofessionnel local ou de réseaux impersonnels. Il montre que les deux premiers sont dominants, ce qui constitue un frein pour l’accès à la profession pour les candidats non issus du milieu agricole, généralement porteur de pratiques agrobiologiques dites « alternatives ».
Innovation sportive et relation au marché Analyse des trajectoires sociotechniques de sacs à dos ultralégers
Authors: Soulé Bastien , Vignal Bénédicte , Lefèvre Brice
Published: April 2017

L’allégement du matériel, qui constitue une tendance lourde de l’industrie du sport, nécessite une combinaison parfois problématique de légèreté, de technicité, de confort et de durabilité. Deux trajectoires d’innovation du secteur de l’ outdoor (l’une pionnière, l’autre suiveuse) sont décrites dans une perspective sociotechnique qui intègre les dimensions sociale et matérielle des processus. L’accent est mis, dans une perspective diachronique et réticulaire, sur les formes successives des objets, au gré d’influences et de compromis pluriels.
Intravitreal Ranibizumab Injection in Peripapillary CNVM Related to Idiopathic Intracranial Hypertension
Authors: Altan-Yaycioglu Rana , Canan Handan , Saygi Semra
Published: April 2017

Peripapillary choroidal neovascular membrane (CNVM) may develop in papilledema related to idiopathic intracranial hypertension. The authors present a teenaged boy who responded well to one dose of intravitreal ranibizumab injection.

[
J Pediatr Ophthalmol Strabismus.
2017;54:e27–e30.]
Malignant Ciliary Body Medulloepithelioma With Brain and Parotid Metastasis
Authors: Ho Yeen Fey , Tsai Yueh-Ju , Wu Shu-Ya
Published: April 2017

A 12-year-old girl with malignant ciliary medulloepithelioma and parotid metastasis was treated with semi-exenteration of the orbit and external beam radiotherapy. She had brain metastasis 7 months later and was treated with salvage chemotherapy. The patient was disease free at 11 months of follow-up. In aggressive cases, exenteration combined with radiotherapy and chemotherapy are necessary for disease control.

[
J Pediatr Ophthalmol Strabismus.
2017;54:e18–e22].
The pelletisation of raw materials
Authors: Nelidow W. A.
Published: April 2017

Not available
Regulación del calor y del aire en los hornos rotatorios de vía húmeda
Authors: Eigen H.
Published: April 2017

Not available
Medidas para impedir la formación de anillos en los hornos rotatorios para cemento
Authors: Slegton J.
Published: April 2017

Not available
Retractómetro y balanza de pérdida de peso, para el control y puesta a punto de los secaderos artificiales
Authors: Mills M.
Published: April 2017

Not available
Faced concrete block. New developments may be concrete masonry´s answer to competitive challenge
Authors: Kogel G.
Published: April 2017

Not available
Teaching ''Information Systems Management'' with Moodle
Authors: Jebari Khalid , Boussedra Faouzi , Ettouhami Aziz
Published: April 2017

This paper describes an overview of the ”information systems management” course implemented in Moodle platform. The course is prepared for FPJ faculty students by respecting the competency learning principle. To design the learner path, this work used the fuzzy c-means clustering (FCM) for finding the learners profiles. The goal is to construct a personal course depending on the competency for each students in the same platform. The student’s response to this work has been very positive and encourages to generalize this work for other courses.
Debugging Tool to Learn Algorithms: A Case Study Minimal Spanning Tree
Authors: Khedr Ahmed Y , Bahig Hazem M.
Published: April 2017

This paper presents a visualization tool that works as a debugger to learn the minimal spanning tree. The tool allows the user to enter the graph as a matrix and then allow the user to visualize the execution of the algorithm step by step. During the visualization, the tool can handle and debug the errors that occurred by the user. Also the tool gives the user a feedback from the execution of the algorithm by storing the errors that occurred by the user. The tool can be used by the teacher and students inside and outside the class. The tool was evaluated by the students and the results show that the tool enhances the understanding of algorithms.
A Novel Authentication Scheme for E-assessments Based on Student Behavior over E-learning Platform
Authors: Khlifi Yassine , El-Sabagh Hassan A.
Published: April 2017

E-Learning and distance education have become common choices for academic institutions. Based on advances in information technology systems, educational institutions have enabled the employment of e-learning systems as teaching courses and evaluation students. However, security issues related to e-learning systems have been raised by e-learning environment stakeholders which including faculty members, and students as well as data. In addition, e-learning opponents argue that incapability of e-learning environment to authenticate examination takers is one of the major challenges. E-assessment is an important element of LMS based e-courses, and student authentication is mostly realized as one of the major concerns for e-assessments. For this reason, the main challenge facing the security of e-assessment and the e-learning environment is how to authenticate students because unauthorized persons can access and manage information. In this work, we propose a novel security scheme that contributes in resolving this vital issue by introducing an efficient secure model for supervising online evaluation including e-assessment or e-exam. The scheme addresses this imperative problem by proposing a novel approach that incorporates available databases authentication technologies in conjunction with e-learning environments for controlling unethical behavior during e-learning evaluation. Moreover, the proposed scheme considers the continuous random authentication using students' information stored previously in the databases that guarantee identity and authentication. To validate our proposal, and evaluate its performances and effectiveness, extensive simulation work is conducted over e-learning platform similar to Desire to learn (D2L).
Design and Practice of Surveying Experiment System based on a Virtual Platform
Authors: Gao Caiyun , Wu Qiutang
Published: April 2017

The experimental teaching of surveying is an effective method for students to acquire basic surveying skills and solve practical problems. By contrast, the traditional experimental teaching mode of surveying presents students with insufficient experimental opportunities and difficulties to achieve independent learning and interactive operation due to limitations in the allotted time for experiments, sites, instruments, and external environmental conditions. This study developed a virtual experimental system by combining network virtual reality technology and surveying experiment. The proposed system intends to provide students with additional experimental opportunities to achieve computer desktop-like virtual experimental devices and engineering construction scenes, thereby accomplishing the indoor simulation of field surveying. This virtual surveying experimental system mainly comprised four modules, namely, classroom teaching, classroom practice, teaching practice, and production practice. This system realized equipment, operation, and data virtualizations, as well as various highly realistic measurement experiments, such as topographic surveying, engineering setting out, and road surveying. Application results demonstrated that the proposed system was convenient for the independent study of students, stimulates their enthusiasm for learning, strengthens their operational ability, and achieves good teaching effect. Furthermore, this system provides a novel experimental teaching mode for surveying courses.
Requirement Paradigms to Implement the Software Projects in Agile Development Using Analytical Hierarchy Process
Authors: Dhir Saru , Kumar Deepak , Singh V.B.
Published: April 2017

The primary focus of a successful organization is to deliver the high quality product to fulfil the client's needs. In the software industry, quality requirements play a major role for the projects to be successful. Quality requirements are influenced by the users, clients and stakeholders analysis to reduce the burden of requirement engineering process. So it is essential to select only the appropriate requirements that could be associated with the final product. This empirical research presents a framework by using Analytical Hierarchy Process to calculate the critical attributes that are influencing from the requirement selection to requirement prioritization in an uncertain environment. The experiment was accomplished by calculating the relative importance of those attributes, through the survey carried out with the help of agile experts. The utility measure is obtained from these attributes demonstrating the improvement in the performance. Consistency ratio is also evaluated for the comparison matrix.
Influential Factors in IT Outsourcing Relationship in a Swedish Municipality
Authors: Talpeanu Andreea Daniela Pana , Rusu Lazar
Published: April 2017

Information Technology Outsourcing (ITO) has generated considerable interest within Information Systems (IS) research as a consequence of its benefits in terms of cost efficiency and freedom to focus on core capabilities. This study covers the area of ITO in the public sector, specifically, in Swedish Municipalities where ITO has become a mainstream strategy. The influential ITO factors of the post-contract stage of an ITO relationship are examined and debated in light of existent research literature. The research is based on a case study of a Swedish Municipality and a direct IT vendor. A thematic analysis brings light upon three new ITO influential factors which are: (1) mutual understanding and long-term engagement; (2) Multi-sourcing, and (3) Communication between Municipalities, together with other seven factors present in the research literature that have an influence on the ITO relationship. The findings of this study can support ITO decision-makers from Swedish municipalities in improving the ITO relationship between their organizations and IT vendors.
An Investigation into Tenacity Levels at CoderDojos1
Authors: McKelvey Nigel , Cowan Pamela
Published: April 2017

This paper provides an overview of CoderDojos and the philosophy that it aspires to. The research was conducted in one county in Ireland and focused on four CoderDojo locations that were geographically disperse. The findings used a scale known as Grit in order to gauge the tenacity levels of children attending these Dojos. Comparisons were drawn between genders. It also provides a rationale for future research with the addition of qualitative methods.
A Review on Gamification and its Potential to Motivate and Engage Employees and Customers
Authors: Gupta Anchal , Gomathi S.
Published: April 2017

The concept of gamification uses the human behavior of indulging in gaming activities and combines it with their work with the purpose of enhancing, employee engagement. Game mechanics and dynamics are able to positively influence human behavior because they are designed to drive the players above the activation threshold. Achievements, appointments, bonuses, levels, points are some of the game mechanics which are used for influencing human behavior and human desires. These human desires have been referred to as game dynamics. The applications of Gamification range from being useful in the internal organizational processes of recruitment, employee recognition, employee performance, training programs, wellness and safety as well as customer oriented applications of building brand loyalty, enhancing customer satisfaction and engagement. This research paper aims to review this emerging concept, its literature and theoretical development along with a highlight on the present applications of gamification and their role in enhancing engagement and motivation of the users.
Marine Biofouling on Moored Buoys and Sensors in the Northern Indian Ocean
Authors: Venkatesan Ramasamy , Kadiyam Jagadeesh , SenthilKumar Puniyamoorthy , Lavanya Rajagopalan , Vedaprakash Loganathan
Published: April 2017

AbstractEquipment and structures deployed in seawater and other marine environments are susceptible to marine growth. This marine biofouling is one of the critical factors that affects the measurement of continuous real-time data from the oceanographic sensors deployed for
long-term observations. To understand the characteristics of biofouling on marine sensors, an investigation was conducted on sensors deployed in a moored buoy network deployed and maintained by the National Institute of Ocean Technology (NIOT) in the Arabian Sea and Bay of Bengal regions.
The present paper attempts to elucidate the characteristics of biofouling on sensor components deployed at seven locations in the Bay of Bengal and five locations in the Arabian Sea, at varying depths ranging from the surface to 500-m depth. Biofouling on bare sensor surfaces and surfaces
with various antifouling measures has been studied for 2 consecutive years (2015 and 2016), and the effect of antifouling measures is discussed in this paper. Among the locations studied, buoys deployed in the Arabian Sea exhibited a higher biofouling load compared to the buoys deployed in
the Bay of Bengal. The study showed that the pedunculate barnacles Lepas anatifera Linnaeus, 1758, was the predominant biofouling species on these sensors. Furthermore, observations show that the use of copper- and zinc-based antifouling methods reduced the incidence of biofouling by
59% on average.
The cause of fever and pulmonary infiltrate: a difficult etiological diagnosis
Authors: Barakat Bahjat , Pezzilli Raffaele
Published: April 2017

Adult-onset Still's disease is a rare condition that typically presents itself with intermittent fever, arthralgia and salmon colored rash. The involvement of the in lung is less common and very rare. Diagnosis is relatively difficult because of the presence of non-specific symptoms and the lack of serological markers specific to the disease. We report the case of a patient having a pulmonary infiltrate/infiltration compatible with pneumonia, cutaneous/skin rash and persistence of fever with multiple admissions to the Emergency Room due to the failure of treatment with antibiotics. After an appropriate work-up, a diagnosis of adult-onset Still’s disease was made.
Laboratory testing in the emergency department: An Italian Society of Clinical Biochemistry and Clinical Molecular Biology (SIBioC) and Academy of Emergency Medicine and Care (AcEMC) consensus report
Authors: Lippi Giuseppe , Panteghini Mauro , Bernardini Sergio , Bonfanti Laura , Carraro Paolo , Casagranda Ivo , Cavazza Mario , Ceriotti Ferruccio , Ciaccio Marcello , Coen Daniele , Giavarina Davide , Giostra Fabrizio , Paolillo Ciro , Plebani Mario , Ricci Giorgio , Cervellin Gianfranco
Published: April 2017

The mainstay of patient-oriented laboratory testing in emergency settings entails selecting number and type of tests according to valid criteria of appropriateness. Since the pattern of urgent tests requesting is variable across different institutions, we designed a joined survey between the Academy of Emergency Medicine and Care (AcEMC) and the Italian Society of Clinical Biochemistry and Clinical Molecular Biology (SIBioC) for reaching tentative consensus about the most informative diagnostic tests in emergency settings. A survey, containing the most commonly performed urgent laboratory tests and the relative clinical indications, was disseminated to eight relevant members of AcEMC and eight relevant members of SIBioC. All contributors were asked to provide numerical scores for the different laboratory parameters, where 1 indicated strongly recommended, 2 recommended in specific circumstances, and 3 strongly discouraged. The mean results of the survey were presented as the mean of responders’ values, and the parameters were finally classified as strongly recommended (mean value, 1.0-1.5), somehow recommended (mean value, 1.5-2.0), discouraged (mean value, 2.0-2.5) and strongly discouraged (mean value, 2.5-3.0). The results of the survey allowed defining a hierarchy of priority, wherein 24 tests were strongly recommended. The use of 5 common tests was instead strongly discouraged. For 16 additional parameters in the list, the consensus ranged between somehow recommended and discouraged. We hope that results presented in this joint AcEMC-SIBioC consensus document may help harmonizing panel of tests and requesting patters in emergency setting, at least at a national level.
Unavoidable deaths in the Italian Emergency Departments. Results of a ten years survey. A mirror of substantial social changes, or a warning for a hospital-system pathology?
Authors: Cervellin Gianfranco , Casagranda Ivo , Ricci Giorgio , Mezzocolli Ilenia , Paolillo Ciro , Rossi Rita , Bellone Andrea , Guzzetti Stefano , Giostra Fabrizio , Rastelli Gianni , Cavazza Mario
Published: April 2017

Emergency departments (EDs) are increasingly used for patients at the end of life stage of their diseases worldwide, even if they do not have acute and potentially treatable conditions. Moreover, an increasingly shortage of hospital beds, in spite of the wellrecognized ageing of the population, has led to a progressive prolongation of the average length of stay (LOS) time in the vast majority of Italians EDs. Therefore, the aim of this study was to describe the trend of ED non-traumatic deaths in 11 Italians EDs, and to correlate these deaths with the medium length of stay in the same EDs. All cases classified as “died during ambulance transfer or while in the ED” have been retrieved from the hospital database of the 11 participating EDs, from January 1st 2007 to December 31st 2016, with the exclusion of traumatic events. The average LOS in minutes of the seven hospitals that could provide this information was then calculated. A continuously increasing number of ED deaths was observed in the vast majority of participating EDs, showing a nearly 30% increases in the last four years. The average LOS of the vast majority of participating hospitals displayed a significant increase during the observational period. We also found a linear correlation between average LOS and total number of ED deaths in the same seven hospitals. We believe that there is a compelling need to reconsider the end of life trajectories, not only under an economical perspective, but mainly according to a more ethical view.
Nutrition, pharmacological and training strategies adopted by six bodybuilders: case report and critical review
Authors: Gentil Paulo , Barbosa de Lira Claudio Andre , Paoli Antonio , Barbosa dos Santos José Alexandre , Teixeira da Silva Roberto Deivide , Pereira Junior José Romulo , Pereira da Silva Edson , Ferro Magosso Rodrigo
Published: April 2017

The purpose of this study was to report and analyze the practices adopted by bodybuilders in light of scientific evidence and to propose evidence-based alternatives. Six (four male and two female) bodybuilders and their coaches were directly interviewed. According to the reports, the quantity of anabolic steroids used by the men was 500–750 mg/week during the bulking phase and 720–1160 mg during the cutting phase. The values for women were 400 and 740 mg, respectively. The participants also used ephedrine and hydrochlorothiazide during the cutting phase. Resistance training was designed to train each muscle once per week and all participants performed aerobic exercise in the fasted state in order to reduce body fat. During the bulking phase, bodybuilders ingested ~2.5 g of protein/kg of body weight. During the cutting phase, protein ingestion increased to ~3 g/kg and carbohydrate ingestion decreased by 10–20%. During all phases, fat ingestion corresponded to ~15% of the calories ingested. The supplements used were whey protein, chromium picolinate, omega 3 fatty acids, branched chain amino acids, poly-vitamins, glutamine and caffeine. The men also used creatine in the bulking phase. In general, the participants gained large amounts of fat-free mass during the bulking phase; however, much of that fat-free mass was lost during the cutting phase along with fat mass. Based on our analysis, we recommend an evidence-based approach by people involved in bodybuilding, with the adoption of a more balanced and less artificial diet. One important alert should be given for the combined use of anabolic steroids and stimulants, since both are independently associated with serious cardiovascular events. A special focus should be given to revisiting resistance training and avoiding fasted cardio in order to decrease the reliance on drugs and thus preserve bodybuilders’ health and integrity.
Maintaining motor units into old age: running the final common pathway
Authors: Power Geoffrey A. , Dalton Brian H. , Gilmore Kevin J. , Allen Matti D. , Doherty Timothy J. , Rice Charles L.
Published: April 2017

This article is a commentary on the recently published manuscript "Use it or lose it: tonic activity of slow motoneurons promotes their survival and preferentially increases slow fiber-type groupings in muscles of old lifelong recreational sportsmen". Mosole S, Carraro U, Kern H, Loefler S, Zampieri S. Use it or lose it: tonic activity of slow motoneurons promotes their survival and preferentially increases slow fiber-type groupings in muscles of old lifelong recreational sportsmen. Eur J Transl Myol 2016;26:5972. doi: 10.4081/ejtm.2016.5972. We offer some unique perspectives on masters athletes and the role of physical activity in maintaining the number and function of motor units into old age.
Abstracts of the 2017 Spring Padua Muscle Days: Translational Myology for Impaired Mobility | Euganei Hills, Padua, Italy, March 23-25, 2017
Authors: Editors The
Published: April 2017

Not available.
Inactivation of heat adapted and chlorine adapted Listeria monocytogenes ATCC 7644 on tomatoes using sodium dodecyl sulphate, levulinic acid and sodium hypochlorite solution
Authors: Ijabadeniyi Oluwatosin Ademola , Mnyandu Elizabeth
Published: April 2017

The effectiveness of sodium dodecyl sulphate (SDS), sodium hypochlorite solution and levulinic acid in reducing the survival of heat adapted and chlorine adapted Listeria monocytogenes ATCC 7644 was evaluated. The results against heat adapted L. monocytognes revealed that sodium hypochlorite solution was the least effective, achieving log reduction of 2.75, 2.94 and 3.97 log CFU/mL for 1, 3 and 5 minutes, respectively. SDS was able to achieve 8 log reduction for both heat adapted and chlorine adapted bacteria. When used against chlorine adapted L. monocytogenes sodium hypochlorite solution achieved log reduction of 2.76, 2.93 and 3.65 log CFU/mL for 1, 3 and 5 minutes, respectively. Using levulinic acid on heat adapted bacteria achieved log reduction of 3.07, 2.78 and 4.97 log CFU/mL for 1, 3, 5 minutes, respectively. On chlorine adapted bacteria levulinic acid achieved log reduction of 2.77, 3.07 and 5.21 log CFU/mL for 1, 3 and 5 minutes, respectively. Using a mixture of 0.05% SDS and 0.5% levulinic acid on heat adapted bacteria achieved log reduction of 3.13, 3.32 and 4.79 log CFU/mL for 1, 3 and 5 minutes while on chlorine adapted bacteria it achieved 3.20, 3.33 and 5.66 log CFU/mL, respectively. Increasing contact time also increased log reduction for both test pathogens. A storage period of up to 72 hours resulted in progressive log reduction for both test pathogens. Results also revealed that there was a significant difference (P ≤ 0.05) between contact times, storage times and sanitizers. Findings from this study can be used to select suitable sanitizers and contact times for heat adapted and chlorine adapted L. monocytogenes in the fresh produce industry.
Consumers’ preferences for a local food product: the case of a new Carnaroli rice product in Lombardy
Authors: Ferrazzi Giovanni , Ventura Vera , Ratti Sabrina , Balzaretti Claudia
Published: April 2017

Italy with a cultivated area of 218.000 hectares is European leader of rice production. In particular Lombardy region accounts for 40% of total rice cultivation and the case study in object in this work accounts for 3,2% of Lombardy total rice area (2.773 hectares). Starting from 2012, Riso e Rane rural district (R&RD) through a regional project titled Buono, Sano e Vicino supported local rice farmers in developing innovation in rice production and promoting an alternative supply chain to increase farmers bargaining power and promote new market strategies. More specifically, the innovation introduced is a new biotech method for variety certification, named DNA controllato (DNA tested). In the first step of the project, the attention was focused on a Italian traditional variety of rice: Carnaroli rice. Thanks to a commercial agreement with one of the most important GOD in Lombardy, the Riso e Rane rice is offered for sale both in the traditional and whole-grain version. In this context, this work aims to evaluate the determinants of consumer’s quality perception of this product, through a preference study of the commercial rice package. Preliminary results reveal that consumers perceive information about origin, local food-system and tradition more easily than DNA tested certification. In conclusion, this work contributes to evaluate the role of bio economy applications in the food sector and offers new insights for the debate about the relationships between tradition and innovation.
Formulation and shelf-life of fish burgers served to preschool children
Authors: Smaldone Giorgio , Marrone Raffaele , Zottola Tiziana , Vollano Lucia , Grossi Giulio , Cortesi Maria Luisa
Published: April 2017

Consumer is very careful about healthiness; in this context nutritionists often highlight the importance of fish for human nutrition because of their protein and fatty acid composition. In order to stimulate utilisation and consumption of fish species by unusual target groups such as children, the aim of this research was to formulate and to evaluate shelf-life and nutritional values of fish preparations stored in modified atmosphere packaging (MAP). Fish species used for trail were Trachurus trachurus and Oncorhynchus mykiss fished and farmed in Basilicata region respectively. Fish burgers were made with different ingredients of plant and animal origin and packed in air (control) and in MAP and stored at refrigeration atemperature. Sensory, physicalchemical analysis as pH, aw, total volatile nitrogen (TVN), trimetilammine (TMA), thiobarbituric acid (TBA), free fatty acids (FFA) and microbiological analysis like aerobic plate count, Enterobacteriaceae, Escherichia coli, Pseudomonas spp., sulphite-reducing clostridia, Staphylococci, Salmonella spp. and Listeria monocytogenes were performed at intervals of 0°, 1°, 2°, 5°, 8°, 15°, 22°, day from production. Results showed that fish burgers stored in MAP had a longer shelf-life; protein degradation indexes and spoilage bacterial species showed lower values in the samples packaged in MAP compared with the control. The formulation of the fish burger meets the approval of the target consumers. The mixing of natural ingredients has made possible both the enhancement of the organoleptic characteristics with an excellent balance of nutritional values. The diversification of fish preparations, besides enhancing the fish production of marginal areas would add value to a product with potential and remarkable profit margins.
The scientific production of Italian agricultural engineers: a bibliometric network analysis concerning the scientific sector AGR/10 Rural buildings and agro-forestry territory
Authors: De Montis Andrea , Ganciu Amedeo , Recanatesi Fabio , Ledda Antonio , Serra Vittorio , Barra Mario , De Montis Stefano
Published: April 2017

According to a worldwide well-known attitude, also in Italy, the assessment of scientific production in the last decades has been progressively based on the analysis of the impact through bibliometric variables. Various data sets, such as Scopus by Elsevier and Web of Science by Thomson Reuters, are designed and maintained to index a steadily increasing range of essays: mostly journal articles, book chapters, and conference proceedings. The indexing relays on the capacity to evaluate and update specific impact measures by keeping track of the citations representing the relations between the essays. The related opportunity to interpret bibliographic systems as research and development (R&D) networks attracted the interest of scientists operating, beyond the field of bibliometric analysis, in the realm of social networking. Network analysis belongs to mechanical statistics and is able to make sense of interconnected systems including very large sets of nodes and links. In this paper, we present a network approach to the review of the scientific production in the time period January, 2003-June, 2016 of Italian agricultural engineers, namely scientists belonging to the Italian ministerial scientific disciplinary sector AGR/10 - rural buildings and agro-forestry territory. Starting from 238 articles indexed in the Web of Knowledge database and published by 87 AGR/10 scholars, we apply four network analysis approaches to the study of the citations among articles, the most influential journals and topics, the co-authorship, the most favourite keywords with their evolution in time, and the communities’ pattern. We discover that Italian agricultural engineers are interlaced in a sparse network with a still limited tendency toward citing each other and are inclined to team up in established research groups based on a single university. As for the dualism between rural buildings and territory, we document on a relevant expansion of the issues related to landscape analysis and planning and a continuous renewal of studies concerning the relation between rural buildings and biomass and energy management. We advance that Italian agricultural engineers are not confronted anymore with two monolithic macro themes, i.e. building design and landscape analysis and planning. Instead, the complexity and interplay between these two domains has dramatically increased in a somehow diverging universe of even more specialised and trans-scale topics.
Medication adherence among Nigerians with schizophrenia: correlation between clinico-demographic factors and quality of life
Authors: Ogunnubi Oluseun P. , Olagunju Andrew T. , Aina Olatunji F. , Okubadejo Njideka U.
Published: April 2017

Medication adherence contributes significantly to symptom remission, recovery and wellbeing in mental illnesses. We evaluated how medication adherence correlates with clinico-demographic factors and quality of life (QoL) in a sample of Nigerians with schizophrenia. This descriptive crosssectional study involved 160 randomly selected participants with confirmed diagnosis of schizophrenia based on MINI International Neuropsychiatric Interview. Data on socio-demographic and clinical characteristics of participants were collected with a questionnaire. Medication adherence was assessed with Morisky Medication Adherence Questionnaire, and participants completed the World Health Organization Quality of Life Scale-BREF. The mean age of participants was 38.54 (±11.30) years, and all the participants were on antipsychotics, but only 45% were adherent to their medication. Out of all the participants, 45 (28.2%) considered their overall QoL to be good, 97 (60.6%) considered theirs to be fair, while 18 (11.2%) reported poor QoL. Medication non-adherence correlated negatively with good QoL across multiple dimensions including overall QoL (r=- 0.175), health satisfaction (r=-0.161), physical (r=-0.186) and psychological domain (r=-0.175). Again, participant’s age (r=- 0.190) and age of onset of illness (r=-0.172) correlated negatively with medication nonadherence, and a trend towards relapse delay with medication adherence was also observed (r=-0.155). The effect size of these correlations were however small. Our findings suggest a link between medication adherence and QoL in schizophrenia, such that strategy that addresses medication nonadherence and its determinants may have potential benefits on wellbeing. Further hypotheses-driven studies are desirable.
Three-dimensional morphometric analysis of the coracohumeral distance using magnetic resonance imaging
Authors: Hatta Taku , Yamamoto Nobuyuki , Sano Hirotaka , Omori Yasushi , Sugamoto Kazuomi , Suzuki Kenji , Itoi Eiji
Published: April 2017

There have been no studies investigating three-dimensional (3D) alteration of the coracohumeral distance (CHD) associated with shoulder motion. The aim of this study was to investigate the change of 3D-CHD with the arm in flexion/internal rotation and horizontal adduction. Six intact shoulders of four healthy volunteers were obtained for this study. MRI was taken in four arm positions: with the arm in internal rotation at 0°, 45°, and 90° of flexion, and 90° of flexion with maximum horizontal adduction. Using a motion analysis system, 3D models of the coracoid process and proximal humerus were created from MRI data. The CHD among the four positions were compared, and the closest part of coracoid process to the proximal humerus was also assessed. 3D-CHD significantly decreased with the arm in 90° of flexion and in 90° of flexion with horizontal adduction comparing with that in 0° flexion (P<0.05). In all subjects, lateral part of the coracoid process was the closest to the proximal humerus in these positions. In vivo quasi-static motion analysis revealed that the 3D-CHD was narrower in the arm position of flexion with horizontal abduction than that in 0° flexion. The lateral part on the coracoid process should be considered to be closest to the proximal humerus during the motion.
Evaluation of Physiological Characteristics of Curcuma (Curcuma xanthorhizha Roxb.) on Various Intercropping Patterns with Soybean [Gglycine max (L.) Merrill]
Authors: Nihayati Ellis , Armita Deffi , Rulliyah Binti
Published: April 2017

Purpose of this research was to get the best planting pattern on Curcuma (Curcuma xanthorrhiza Roxb. Synm. Curcuma javanica) and soybean (Glycine max (L.) Merrill) related to plants production, land equivalent ratio (LER) and R/C ratio. This research used the randomized block design involving six treatments and four replications. The growth pattern and yield of curcuma were based on the following parameters: length of plant, number of leaf, broad of leaf, fresh and dry weight of leaves, curcuma root and rhizome, LER (land equivalent ratio) and R/C ratio within six months from December 2015 to June 2016. The treatment difference was based on the LSD5%. The result showed that curcuma planted one month earlier under narrow spacing and bigger soybean population (strip relay, T-K)) suggested a longer growth than any other plating patterns. On the contrary, curcuma planted one month earlier under wide spacing and fewer number of soybean plants (row relay, T-K) suggested a better growth than others and resulting in the highest curcuma yield, lower soybean yield, LER = 1.09 dan R/C = 2.36.