bluuebunny/crossref_metadata_2025 huggingface dataset:
Occupational balance, work and life satisfaction in working cohabiting parents in Sweden
Authors: Håkansson Carita , Milevi Sophia , Eek Frida , Oudin Anna , Wagman Petra
Published: February 2019

Introduction: Occupational balance is the experience of having the right amount and right variation between work, domestic work, leisure, rest, and sleep. There is limited knowledge about which factors predict parents’ combined occupational balance, and if the combined occupational balance is associated with work and life satisfaction. Aim: The first aim was to explore whether domestic work and childcare at baseline predicted combined occupational balance at follow-up among working cohabiting parents. The second aim was to explore associations between different combinations of occupational balance, and work and life satisfaction at follow-up. Method: A sample of 139 cohabiting parents responded to a questionnaire. Cohabiting parents can experience their occupational balance differently, and in the present study their experiences were divided into high and low after the median. The parents’ balance was then combined in terms of high-high, high-low and low-low. Associations between childcare, domestic work, work and life satisfaction, and combined occupational balance were analysed with multinomial logistic regression analyses. Results: Satisfaction with the division of domestic work predicted a high-high occupational balance in parent couples. Associations were found between high-high as well as high-low combined occupational balance and life satisfaction, and between high-high occupational balance and work satisfaction. Conclusions: It seems important for both parents in a couple to experience satisfaction with the division of domestic work to experience high occupational balance as well as work and life satisfaction.
Ischemic heart failure as a complication of incident acute myocardial infarction: Timing and time trends: A national analysis including 78,814 Danish patients during 2000–2009
Authors: Sulo Gerhard , Sulo Enxhela , Jørgensen Torben , Linnenberg Allan , Prescott Eva , Tell Grethe S. , Osler Merete
Published: February 2019

Aim: Heart failure is a serious complication of acute myocardial infarction leading to poor prognosis. We aimed at exploring time trends of heart failure and their impact on mortality among patients with an incident acute myocardial infarction. Methods: From the National Patient Danish Registry we collected data on all patients hospitalized with an incident of acute myocardial infarction during 2000–2009 and identified cases with in-hospital heart failure (presented on admission or developing heart failure during acute myocardial infarction hospitalization) or post-discharge heart failure (a hospitalization or outpatient visit following acute myocardial infarction discharge), and assessed in-hospital, 30-day and 1-year mortality. Results: Of the 78,814 patients included in the study, 10,248 (13.0%) developed in-hospital heart failure. The odds of in-hospital heart failure declined 0.9% per year (odds ratio=0.991, 95% confidence interval: 0.983–0.999). In-hospital heart failure was associated with 13% (odds ratio=1.13, 95% confidence interval: 1.06–1.20) and 14% (odds ratio=1.14, 95% confidence interval: 1.07–1.20) higher in-hospital and 30-day mortality, respectively. Of the 61,637 patients discharged alive without in-hospital heart failure, 5978 (9.7%) experienced post-discharge heart failure, 4116 (6.7%) were hospitalized and 1862 (3.0%) were diagnosed at outpatient clinics. The risk of heart failure requiring hospitalization declined 5.5% per year (hazard ratio=0.945, 95% confidence interval: 0.934–0.955) whereas the risk of heart failure diagnosed at outpatient clinics increased 13.4% per year (hazard ratio=1.134, 95% confidence interval: 1.115–1.153). Post-discharge heart failure was associated with 239% (hazard ratio=3.39, 95% confidence interval: 3.18–3.63) higher 1-year mortality. Conclusions: In-hospital and post-discharge heart failure requiring hospitalization decreased whereas post-discharge heart failure diagnosed at outpatient clinics increased among incident acute myocardial infarction patients during 2000–2009. The development of heart failure, especially after acute myocardial infarction discharge, indicates a poor prognosis.
Endovascular recanalization of symptomatic non–acute intracranial artery occlusion: Procedural and mid-term clinical outcomes in the anterior circulation
Authors: Yu Jia Zhen , Sun Song Yun , Jon Sheen Jae , Goo Kim Joong , Hee Lee Deok
Published: February 2019

Objective

Symptomatic non–acute intracranial arterial occlusion (NAICO) is not uncommon. We report a single-center experience of the feasibility and safety of endovascular treatment of anterior circulation NAICO and summarize the outcomes of patient groups with successful or failed recanalization.

Methods

Patients who underwent endovascular therapy for intracranial arterial stenosis between January 2010 and May 2017 were retrospectively reviewed. Thirty-eight patients with symptomatic NAICO (symptom onset > 24 hours) in the anterior circulation were identified.

Results

Successful recanalization was achieved in 76.3% of patients (29/38). Intraprocedural events occurred in 10.5% (4/38), including intima dissection ( n = 1), parent artery rupture ( n = 1) and acute in-stent thrombosis ( n = 2). Mean follow-up duration after successful recanalization was 36.5 months. One patient died 68 days after the procedure because of a newly developed posterior circulation stroke. Acute reocclusion was observed in two patients (6.7%); subacute or delayed reocclusion was observed in three patients (10%). Good final outcome (modified Rankin Scale score ≤ 2) was achieved in 25 of 28 patients (89.3%) at three months. Mean follow-up duration of the nine patients with failed recanalization was 41.4 months. Three patients underwent extra–intracranial bypass for worsening symptoms. The other six patients showed stable or improved neurological status with antiplatelet medications. Good final outcome was achieved in eight of nine patients (88.9%) at three months.

Conclusions

Endovascular revascularization can be a viable option with an acceptable safety profile in selected patients with symptomatic NAICO in the anterior circulation. Further characterization of aborted cases would facilitate proper patient selection for endovascular treatment.
Dynamics of Xavi Hernández’s game: A vectorial study through polar coordinate analysis
Authors: Maneiro Rubén , Amatria Mario , Anguera M Teresa
Published: February 2019

The evolution of soccer over the past 30 years has brought about a faster pace of play and more demanding player dynamics that have led to a paradigm shift in how the game is analyzed. Classic, purely descriptive studies of midfielder performance paint a disjointed picture that is far from the reality of the complex network of relationships and interactions that mark modern-day soccer. The aim of this study was to investigate the relationships established by Xavier “Xavi” Hernández, captain of FC Barcelona and a member of the Spanish national team for many years, during his participation in the final stages of the 2012 UEFA European Football Championship. The authors studied Xavi’s relationship with other players on the pitch, the areas in which his interventions started and ended, his use of technical–tactical skills, and his involvement in set plays. A modified version of a purpose-designed observation instrument was used within an observational methodology study. The data were analyzed by polar coordinate analysis, which is a powerful data reduction technique that reveals significant prospective and retrospective relationships between a focal behavior (Xavi) and other behaviors of interest. The results show that Xavi presents a mutual activation with behaviors from J6 (Iniesta) and J21 (Silva) and significant relationships in attack set-up zones. He is also the most important player in set piece situations, when he uses technical behaviors of control and passing. Studies on tactical performance should analyze all inputs of play and focus on a deep, layered analysis of results to facilitate the work of soccer coaches and educators.
Delayed Primary Closure of Traumatic Tension Wounds Using Plastic Straps and Kirschner Wires
Authors: Yontar Yalcin , Tatar Sedat , Aydin Ahmet , Coruh Atilla
Published: February 2019

Tension of the wound edges should be overcome with precise surgical planning, which is recognized as one of the major contributors to local complications by compromising circulation of the wound edges. In this article, it was aimed to present the clinical results of a surgical technique, in which the plastic straps and Kirschner wires are used for delayed primary closure of traumatic tension wounds. Depending on the assessment of the wound localization, wound dimension, and mobility of adjacent soft tissue, the technique was performed in 9 patients with a male to female ratio of 8:1. Gunshot injury was the leading cause (n = 5), and in most cases, the wounds were located at the lower extremities (n = 6). The mean time between performing the technique and closing the wound primarily and the mean hospitalization time were 4.8 ± 1.1 and 13.5 ± 3.9 days, respectively. In each case, wound closure and healing were achieved successfully without any serious complications. The presented technique provides advantages of using a low cost as well as a very simple equipment, improved and reliable stability during tightening process due to self-locking feature of the plastic straps, no donor site morbidity, short operating time with low rate of post-operative complications, and short hospitalization time. We recommend using this invaluable technique reliably for the treatment of traumatic tension wounds. However, further studies are needed for better evaluation of cosmetic and functional outcomes of the presented technique.
Ibrutinib therapy downregulates AID enzyme and proliferative fractions in chronic lymphocytic leukemia
Authors: Morande Pablo Elías , Sivina Mariela , Uriepero Angimar , Seija Noé , Berca Catalina , Fresia Pablo , Landoni Ana Inés , Di Noia Javier M. , Burger Jan A. , Oppezzo Pablo
Published: February 2019

Activation-induced cytidine deaminase (AID) initiates somatic hypermutation and class switch recombination of the immunoglobulin genes. As a trade-off for its physiological function, AID also contributes to tumor development through its mutagenic activity. In chronic lymphocytic leukemia (CLL), AID is overexpressed in the proliferative fractions (PFs) of the malignant B lymphocytes, and its anomalous expression has been associated with a clinical poor outcome. Recent preclinical data suggested that ibrutinib and idelalisib, 2 clinically approved kinase inhibitors, increase AID expression and genomic instability in normal and neoplastic B cells. These results raise concerns about a potential mutagenic risk in patients receiving long-term therapy. To corroborate these findings in the clinical setting, we analyzed AID expression and PFs in a CLL cohort before and during ibrutinib treatment. We found that ibrutinib decreases the CLL PFs and, interestingly, also reduces AID expression, which correlates with dampened AKT and Janus Kinase 1 signaling. Moreover, although ibrutinib increases AID expression in a CLL cell line, it is unable to do so in primary CLL samples. Our results uncover a differential response to ibrutinib between cell lines and the CLL clone and imply that ibrutinib could differ from idelalisib in their potential to induce AID in treated patients. Possible reasons for the discrepancy between preclinical and clinical findings, and their effect on treatment safety, are discussed.
Foot-based audit of streets adjacent to new light rail stations in Houston, Texas: measurement of health-related characteristics of the built environment for physical activity research
Authors: Oluyomi Abiodun O. , Knell Gregory , Durand Casey P. , Mercader Clara , Salvo Deborah , Sener Ipek N. , Gabriel Kelley Pettee , Hoelscher Deanna M. , Kohl Harold W.
Published: February 2019

Background

Active travel to and from a transit station may provide significant amounts of physical activity and improve health. The ease with which people can traverse the distance to the transit station may impede or support active travel. Therefore, transit stations that have features that are supportive of utilitarian physical activity would be desirable. This study aimed to characterize the built environment surrounding new light rail transit (LRT) stations in the City of Houston, Texas.

Methods

In 2014, we used a series of systematic protocols and a standardized environmental audit instrument, the Analytic Audit Tool, to collect data on segments (streets) that surround 22 LRT stations that were being newly built. Using Geographic Information System (GIS), we assembled all the segments that intersect a 0.25-mile circular buffer around each station for the audit exercise. Several 3- to 4-member teams of trained auditors completed the audit exercise on a subset of these identified segments. Our analysis were descriptive in nature. We provided the frequency distributions of audited features across the study area. We also followed an original algorithm to produce several composite index scores for our study area. The composite index score is indicative of the prevalence of physical activity friendly/unfriendly features in the study area.

Results

In all, we audited a total of 590 segments covering a total of 218 US Census blocks, and eight City of Houston super neighborhoods. Findings suggest the environment around the new LRT stations may not be supportive of physical activity. In general, the audited segments lacked land use integration; had abandoned buildings, had uneven sidewalks; were not bike-friendly, had minimal presence of public-recreational facilities that would support physical activity; and had significant physical disorder. Notably, certain attractive and comfort features were frequently to usually available.

Conclusions

Current findings, which will be compared to follow-up audit data, can be useful for future researchers and practitioners interested in the built environment around LRT stations.
RETRACTED ARTICLE: The sustainable development information management of Winter Olympics based on Internet-based wireless sensor network
Authors: Zhang Maomao , Zhai Feng
Published: February 2019

Environment is the foundation for human survival. Sustainable development is the main direction of social progress and the common choice of human progress. The development of the Winter Olympic Games is closely related to the progress of mankind and society. Therefore, it is particularly important to study the sustainable development of the Winter Olympic Games. Based on this, an Internet-based wireless sensor for Winter Olympic environment information acquisition scheme is proposed. The hardware and sensor modules of the wireless sensor are designed, and the adaptive weighting algorithm is used to fuse several wireless sensor nodes. By testing and analyzing the communication ability of a single wireless sensor node and the error rate under different distance, the data is collected for the environment information of a Winter Olympic sports field. The results of the data collection are very close to the actual environmental parameters. It shows that the wireless sensor network system based on the Internet has strong stability and reliability in data collection. It can provide effective data support for the information management research of sustainable development of Winter Olympic Games.
Burn image segmentation based on Mask Regions with Convolutional Neural Network deep learning framework: more accurate and more convenient
Authors: Jiao Chong , Su Kehua , Xie Weiguo , Ye Ziqing
Published: February 2019

Background

Burns are life-threatening with high morbidity and mortality. Reliable diagnosis supported by accurate burn area and depth assessment is critical to the success of the treatment decision and, in some cases, can save the patient’s life. Current techniques such as straight-ruler method, aseptic film trimming method, and digital camera photography method are not repeatable and comparable, which lead to a great difference in the judgment of burn wounds and impede the establishment of the same evaluation criteria. Hence, in order to semi-automate the burn diagnosis process, reduce the impact of human error, and improve the accuracy of burn diagnosis, we include the deep learning technology into the diagnosis of burns.

Method

This article proposes a novel method employing a state-of-the-art deep learning technique to segment the burn wounds in the images. We designed this deep learning segmentation framework based on the Mask Regions with Convolutional Neural Network (Mask R-CNN). For training our framework, we labeled 1150 pictures with the format of the Common Objects in Context (COCO) data set and trained our model on 1000 pictures. In the evaluation, we compared the different backbone networks in our framework. These backbone networks are Residual Network-101 with Atrous Convolution in Feature Pyramid Network (R101FA), Residual Network-101 with Atrous Convolution (R101A), and InceptionV2-Residual Network with Atrous Convolution (IV2RA). Finally, we used the Dice coefficient (DC) value to assess the model accuracy.

Result

The R101FA backbone network gains the highest accuracy 84.51% in 150 pictures. Moreover, we chose different burn depth pictures to evaluate these three backbone networks. The R101FA backbone network gains the best segmentation effect in superficial, superficial thickness, and deep partial thickness. The R101A backbone network gains the best segmentation effect in full-thickness burn.

Conclusion

This deep learning framework shows excellent segmentation in burn wound and extremely robust in different burn wound depths. Moreover, this framework just needs a suitable burn wound image when analyzing the burn wound. It is more convenient and more suitable when using in clinics compared with the traditional methods. And it also contributes more to the calculation of total body surface area (TBSA) burned.
Trends in Opioid Use Among Older Survivors of Colorectal, Lung, and Breast Cancers
Authors: Salz Talya , Lavery Jessica A. , Lipitz-Snyderman Allison N. , Boudreau Denise M. , Moryl Natalie , Gillespie Erin F. , Korenstein Deborah
Published: February 2019

PURPOSE

Cancer survivors may be at increased risk for opioid-related harms. Trends in opioid use over time since diagnosis are unknown.

METHODS

Using data from SEER and Medicare, we conducted multilevel logistic regression analyses to compare chronic opioid use (≥ 90 consecutive days) among opioid-naïve survivors of colorectal, lung, and breast cancers diagnosed from 2008 to 2013 and matched with noncancer controls. Among cases and controls with chronic use, we compared rates of high-dose opioid use (average ≥ 90 morphine milligram equivalents daily).

RESULTS

We included 46,789 survivors and 138,136 noncancer controls. In the first year after the index date (survivor’s diagnosis date), chronic use among colorectal and lung cancer survivors exceeded chronic use among controls (colorectal cancer: odds ratio, 1.34; 95% CI, 1.22 to 1.47; lung cancer: odds ratio, 2.55; 95% CI, 2.34 to 2.77). Differences in chronic use between survivors and controls declined each year after the index date. Chronic use among breast cancer survivors was less than that of controls each year after the index date. Survivors with chronic use were more likely to have a high daily dose than controls with chronic use in the first 3 to 5 years.

CONCLUSION

Among three large populations of older cancer survivors, chronic opioid use varied by cancer. However, by 6 years after diagnosis, survivors were no longer more likely to be chronic users than controls. Strategies for appropriate pain management during and after cancer treatment should take into account the risks associated with chronic high-dose opioid use.
Adult diet of a tephritid fruit fly does not compensate for impact of a poor larval diet on stress resistance
Authors: Weldon Christopher W. , Mnguni Sandiso , Démares Fabien , du Rand Esther E. , Malod Kevin , Manrakhan Aruna , Nicolson Susan W.
Published: February 2019

Adult holometabolous insects may derive metabolic resources from either larval or adult feeding, but little is known of whether adult diets can compensate for deficiencies in the larval diet in terms of stress resistance. We investigated how stress resistance is affected and compensated for by diet across life stages in the marula fruit fly, Ceratitis cosyra (Walker) (Diptera: Tephritidae). Larvae were fed diets containing either 8% torula yeast, the standard diet used to rear this species, or 1% yeast (low protein content similar to known host fruit). At emergence, adults from each larval diet were tested for initial mass, water content, body composition, and desiccation and starvation resistance or they were allocated to one of two adult diet treatments: sucrose only, or sucrose and yeast hydrolysate. The same assays were then repeated after 10 days of adult feeding. Development on a low protein larval diet led to lower body mass and improved desiccation and starvation resistance in newly emerged adults, even though adults from the high protein larval diet had the highest water content. Adult feeding decreased desiccation or starvation resistance, regardless of the diet provided. Irrespective of larval diet history, newly emerged, unfed adults had significantly higher dehydration tolerance than those that were fed. Lipid reserves played a role in starvation resistance. There was no evidence for metabolic water from stored nutrients extending desiccation resistance. Our findings show the possibility of a nutrient-poor larval environment leading to correlated improvement in adult performance, at least in the short term.
CONNECTING HEALTH CARE AND HEALTH AND FITNESS PROFESSIONALS: PART I – CURRENT CHALLENGES AND BARRIERS
Authors: Pettitt Cherie D. , Joy Elizabeth
Published: February 2019

Apply It!

By reading this article, the following key points will assist exercise professionals in their understanding of health care:

An increased understanding of the complex issues that limit the role of fitness professionals in health care will assist in developing solutions.

Identifying the current state of existing initiatives and where research gaps exist will help fitness professionals determine where to apply their efforts.
Exercise and Vascular Insulin Sensitivity in the Skeletal Muscle and Brain
Authors: Olver T. Dylan , Laughlin M. Harold , Padilla Jaume
Published: February 2019

We present the hypothesis that exercise-induced hyperemia, perhaps through vascular shear stress, represents an important factor responsible for the effects of physical activity (PA) on vascular insulin sensitivity. Specifically, we postulate PA involving the greatest amount of skeletal muscle mass and the greatest central neural recruitment maximizes perfusion and consequently enhances vascular insulin sensitivity in the skeletal muscle and brain.
The Arrival of Fast Internet and Employment in Africa
Authors: Hjort Jonas , Poulsen Jonas
Published: February 2019

To show how fast Internet affects employment in Africa, we exploit the gradual arrival of submarine Internet cables on the coast and maps of the terrestrial cable network. Robust difference-in-differences estimates from 3 datasets, covering 12 countries, show large positive effects on employment rates—also for less educated worker groups—with little or no job displacement across space. The sample-wide impact is driven by increased employment in higher-skill occupations, but less-educated workers’ employment gain less so. Firm-level data available for some countries indicate that increased firm entry, productivity, and exporting contribute to higher net job creation. Average incomes rise. (JEL F14, J23, J24, J63, L86, O15, O33)
Auctions with Limited Commitment
Authors: Liu Qingmin , Mierendorff Konrad , Shi Xianwen , Zhong Weijie
Published: February 2019

We study the role of limited commitment in a standard auction environment. In each period, the seller can commit to an auction with a reserve price but not to future reserve prices. We characterize the set of equilibrium profits attainable for the seller as the period length vanishes. An immediate sale by efficient auction is optimal when there are at least three buyers. For many natural distributions two buyers is enough. Otherwise, we give conditions under which the maximal profit is attained through continuously declining reserve prices. (JEL D44, D82)
The Human Capital Stock: A Generalized Approach: Comment
Authors: Caselli Francesco , Ciccone Antonio
Published: February 2019

Jones (2014 ) examines development accounting with imperfect substitutability between different types of skills in the production of output. He finds that human capital variation can account for the totality of the variation in income across countries. We show that this finding is entirely due to an assumption that the relative wage of skilled workers is solely determined by attributes of workers (once the supply of skilled workers is accounted for). If skill premia are predominantly determined by technology, institutions, and other features of the economic environment, human capital differences explain none of the variation in income per worker. (JEL E24, I26, J24, J31)
The Quanto Theory of Exchange Rates
Authors: Kremens Lukas , Martin Ian
Published: February 2019

We present a new identity that relates expected exchange rate appreciation to a risk-neutral covariance term, and use it to motivate a currency forecasting variable based on the prices of quanto index contracts. We show via panel regressions that the quanto forecast variable is an economically and statistically significant predictor of currency appreciation and of excess returns on currency trades. Out of sample, the quanto variable outperforms predictions based on uncovered interest parity, on purchasing power parity, and on a random walk as a forecaster of differential (dollar-neutral) currency appreciation. (JEL C53, E43, F31, F37, G12, G15)
OPTIMIR, a novel algorithm for integrating available genome-wide genotype data into miRNA sequence alignment analysis
Authors: Thibord Florian , Perret Claire , Roux Maguelonne , Suchon Pierre , Germain Marine , Deleuze Jean-François , Morange Pierre-Emmanuel , Trégouët David-Alexandre ,   on behalf of the GENMED Consortium
Published: February 2019

Next-generation sequencing is an increasingly popular and efficient approach to characterize the full set of microRNAs (miRNAs) present in human biosamples. MiRNAs’ detection and quantification still remain a challenge as they can undergo different posttranscriptional modifications and might harbor genetic variations (polymiRs) that may impact on the alignment step. We present a novel algorithm, OPTIMIR, that incorporates biological knowledge on miRNA editing and genome-wide genotype data available in the processed samples to improve alignment accuracy. OPTIMIR was applied to 391 human plasma samples that had been typed with genome-wide genotyping arrays. OPTIMIR was able to detect genotyping errors, suggested the existence of novel miRNAs and highlighted the allelic imbalance expression of polymiRs in heterozygous carriers. OPTIMIR is written in python, and freely available on the GENMED website (http://www.genmed.fr/index.php/fr/) and on Github (github.com/FlorianThibord/OptimiR).
Non-invasive positive pressure ventilation in the home setting
Authors: Rolfe Sandy
Published: February 2019

Noninvasive ventilation is becoming a more commonly used long-term treatment for various conditions in which the patient experiences chronic hypercapnic respiratory failure (type 2 respiratory failure). This article aims to discuss why patients require long-term noninvasive positive pressure ventilation (NPPV), and to describe some of the care considerations required for this patient group, in addition to challenges that nurses in the home care environment face when supporting these patients at home. The article provides a brief pathophysiological overview, while also discussing the use of NPPV as symptom support for patients with severe disease in the later stages of their lives. The term ‘noninvasive positive pressure ventilation’ is used to cover a number of different noninvasive systems, although the study primarily focuses on bi-level ventilation systems.
Alcohol use by people in their seventies is not an exception: a preliminary prospective study
Authors: Michel Lenaig , Conq Estelle , Combs Emmanuelle , Cholet Jennyfer , Bodenez Pierre , Le Reste Jean Yves , Landreat Morgane Guillou
Published: February 2019

The ageing population is rapidly increasing worldwide, and the alcohol-related disease burden in most Western countries is on the rise. However, very few studies assess alcohol use in older people. Here, a self-reported questionnaire was administered to all individuals aged 70 years or more who visited a social centre for older people in western France.

The average age of the 98 subjects included in the survey was 79 years (range, 70–97 years; SD=6), and 57.1% (n=56) reported weekly alcohol consumption. An average consumption of over two standard units each day during weekends was reported by 53% subjects (n=52), and the same on each weekday was reported by 34% (n=33). Thus, a significant proportion of subjects aged 70 years or over consumed more alcohol than is recommended in current guidelines. The participants also reported that they rarely discussed alcohol consumption with their general practitioners. Alcohol use should be assessed regularly. District nurses and members of the primary care team should recommend strategies to help older people reduce their alcohol consumption.
Effect of individualised physical rehabilitation programmes on the functional state of the cardiovascular system in women with post-mastectomy syndrome
Authors: Odynets Tetiana , Briskin Yuriy
Published: February 2019

Background/Aims

The purpose of this study was to determine the effectiveness of individualised physical rehabilitation programmes aimed at improving cardiovascular function in women with post-mastectomy syndrome.

Methods

The following methods were applied: theoretical analysis of scientific and methodologic literature data, impedance cardiography, and mathematical statistical methods. A total of 115 women with late symptoms of post-mastectomy syndrome who completed the interventions were included in this study. The participants were randomly enrolled into three groups for the first individualised programme (Group 1, n=45), for the second individualised programme (Group 2, n=40) and for the third individualised programme (Group 3, n=30). The first programme included aqua aerobics (aqua jogging, aqua building, aqua stretching), conditional swimming and recreational aerobics; the second programme included conditional swimming and Pilates exercises; the third programme included yoga-based exercises and stretching. The study was conducted during the ambulatory rehabilitation stage and lasted for 12 months.

Results

It was found that most of the investigated hemodynamic parameters in all groups steadily improved during the year of rehabilitation. The average values of stroke volume, cardiac output, left ventricular work, left ventricular power after 12 months of rehabilitation were statistically better (P<0.05) in the first main group compared with the second and third main groups.

Conclusions

Individualised programmes of physical rehabilitation were effective in improvement of cardiovascular function of all studied patients with post-mastectomy syndrome.
Acridid (Orthoptera: Caelifera) diversity in agriculture ecosystems at three locations in the Mzab valley, Septentrional Sahara, Algeria

Authors: ZERGOUN YOUCEF , GUEZOUL OMAR , SEKOUR MAKHLOUF , BOURAS NOUREDDINE , HOLTZ MICHAEL D.
Published: February 2019

Caelifera is one of the largest and most diverse group of insects, and they are the dominant Orthoptera in agriculture ecosystems. We present here an inventory of Acridid fauna of the agricultural ecosystems in the Mzab valley (Septentrional Sahara, Algeria). Grasshoppers were sampled with quadrats in Béni Isguen, Ghardaïa and El-Atteuf, and we have expressed the species richness, sampling effort and relative abundance. The method used is that of quadrats sampling. The results revealed the presence of 27 species, divided into three families, Acrididae, Pyrgomorphidae and Tetrigidae. Among these families, we found that Acrididae are most diverse with six subfamilies. The subfamily Oedipodinae with 10 species was the most abundant, while the subfamily Tetriginae was the least abundant (represented by a one species). The value of the diversity index showed that the cultivated area of Béni Isguen is the most favorable for the development of many Caelifera. The abundance of grasses and low intensity of agricultural activity in this environment favors the presence of Acridid. We found that the Acridid community depends mainly on the nature and richness of vegetation cover, the intensity of agricultural activity and the type of irrigation. Keywords: Grasshopper, agricultural ecosystem, biodiversity, North Africa, Sahara
Locally recurrent chondrosarcoma of the pelvis and limbs can only be controlled by wide local excision
Authors: Laitinen M. K. , Parry M. C. , Le Nail L-R. , Wigley C. H. , Stevenson J. D. , Jeys L. M.
Published: February 2019

Aims

The purpose of this study was to investigate the potential for achieving local and systemic control after local recurrence of a chondrosarcoma of bone

Patients and Methods

A total of 126 patients with local recurrence (LR) of chondrosarcoma (CS) of the pelvis or a limb bone were identified from a prospectively maintained database, between 1990 and 2015 at the Royal Orthopaedic Hospital, Birmingham, United Kingdom. There were 44 female patients (35%) and 82 male patients (65%) with a mean age at the time of LR of 56 years (13 to 96). The 126 patients represented 24.3% of the total number of patients with a primary CS (519) who had been treated during this period. Clinical data collected at the time of primary tumour and LR included the site (appendicular, extremity, or pelvis); primary and LR tumour size (in centimetres); type of operation at the time of primary or LR (limb-salvage or amputation); surgical margin achieved at resection of the primary tumour and the LR; grade of the primary tumour and the LR; gender; age; and oncological outcomes, including local recurrence-free survival and disease-specific survival. A minimum two years’ follow-up and complete histopathology records were available for all patients included in the study.

Results

For patients without metastases prior to or at the time of local recurrence, the disease-specific survival after local recurrence was 62.5% and 45.5% at one and five years, respectively. After univariable analysis, significant factors predicting disease-specific survival were grade (p < 0.001) and surgical margin (p = 0.044). After multivariable analysis, grade, increasing age at the time of diagnosis of local recurrence, and a greater time interval from primary surgery to local recurrence were significant factors for disease-specific survival. A secondary local recurrence was seen in 26% of patients. Wide margins were a good predictor of local recurrence-free survival for subsequent recurrences after univariable analysis when compared with intralesional margins (p = 0.002) but marginal margins did not reach statistical significance when compared with intralesional margins (p = 0.084)

Conclusion

In cases of local recurrence of a chondrosarcoma of bone, we have shown that if the tumour is non-metastatic at re-staging, an increase in disease-specific survival and in local recurrence-free survival is achievable, but only by resection of the local recurrence with a wide margin. Cite this article: Bone Joint J 2019;101-B:266–271.
Country‐Level Gender Equality and Adolescents’ Contraceptive Use in Europe, Canada and Israel: Findings from 33 Countries
Authors: de Looze Margaretha , Madkour Aubrey S. , Huijts Tim , Moreau Nathalie , Currie Candace
Published: February 2019

CONTEXT

Although an association between gender equality and contraceptive use has been confirmed among adult samples, few studies have explored this relationship among adolescents. An examination of whether adolescents’ contraceptive use is more prevalent in countries with higher levels of gender equality is needed to fill this gap.

METHODS

Nationally representative data from 33 countries that participated in the 2013–2014 Health Behaviour in School‐Aged Children study and country‐level measures of gender equality—using the 2014 Global Gender Gap Index—were analyzed. Multilevel multinomial logistic regression analyses were employed to assess associations between gender equality and contraceptive use (condom only, pill only and dual methods) at last intercourse as reported by 4,071 females and 4,110 males aged 14–16.

RESULTS

Increasing gender equality was positively associated with contraceptive use among both males and females. For every 0.1‐point increase on the equality scale, the likelihood of condom use at last intercourse rose (odds ratio, 2.1 for females), as did the likelihood of pill use (6.5 and 9.6, respectively, for males and females) and dual method use (2.1 and 5.6, respectively). Associations with pill use and dual use remained significant after national wealth and income inequality were controlled for. Overall, associations were stronger for females than for males.

CONCLUSIONS

More research is needed to identify potential causal pathways and mechanisms through which gender equality and adolescents’ contraceptive use may influence one another.
Perinatal Mortality and Morbidity at Dr. Pirngadi Hospital Medan 1985-1986
Authors: Tjipta Guslihan D. , Aldy Dachrul , Raid Noersida , Sembiring Baren Ratur
Published: February 2019

A retrospective study was conducted on babies born during January 1985 to December 1986 at Dr. Pirngadi Hospital Medan. The aim of this study was to evaluate perinatal mortality and morbidity, and various possible factors related to the subject matter.The main results can be summarized as follows : There were 7102 deliveries during the study period consisting of 999 babies weighing less than 2500 gram and 6103 with body weight of 2500 gram or more. Perinatal mortality rate was 563.56 o/oo in the first group and 78.49 o/oo in the second while the avera/ mortality rate was 146.72 o/oo.Rate of perinatal demise was high in babies born from mothers in the age groups of below 20 and above 35 years, namely 681 .82 o/oo and 202.19 o/oo. It was also high among primiparae (165.67 o/oo) and more so among grandmultiparae (246.46 o/oo).There were 1966 (30.49%) ill newborn babies with asphyxia neonatorum accounting for 44.91%, infection 30.42% and respiratory problems 9.21% of the main causes of illness, while respiratory problems (40.05%) and injection (28.68%) constituted the main causes of death .We concluded that the rate of perinatal mortality and morbidity is still high at this hospital. Quality of prenatal and neonatal care with extensive public health education is necessary to be enhanced for the reduction of perinatal mortality and morbidity.
Walk This Way: Fitbit and Other Kinds of Walking in Palestine
Authors: Meneley Anne
Published: February 2019

This essay examines how meanings and practices of walking, particularly quantified walking, change according to place. Drawing together my own experience with a wearable computing device called a Fitbit at home and in my field site, East Jerusalem and the occupied West Bank of Palestine, I compare quantified walking and its focus on the self with other forms of walking that highlight place. I examine the relationship between self-monitoring and other-monitoring, especially in relation to walking in Palestine, and I explore how genres of mobility like nature walking or playing Pokémon GO might unfold differently in an occupied territory where the right to move is highly contested. I also explore Palestinian genres of walking, including the wander (sarha). In Palestine, walking becomes an important means not for pursuing personal health, but for cultivating a wider health of the land and knowledge of the nurturing relationship between land and the people who walk across it. Such practices of walking with or walking together can, I conclude, function as forms of kinwork.

خلاصة

يعالج هذا المقال طرائق تغير معاني وممارسات المشي على الأقدام، ولا سيما المشي المكمم (quantified walking)، وفقا للمكان. فاعتمادا على تجربتي الخاصة في استخدام جهاز حاسوب يدعى Fitbit والذي يمكن ارتداؤه ، في المنزل وفي مواقع بحثي الميداني في القدس الشرقية والضفة الغربية المحتلة في فلسطين، أقارن بين المشي المكمم واعتماده على الذات وبين أنواع أخرى من المشي التي تبرز المكان. كما وأقوم بفحص العلاقة بين المراقبة-الذاتية ومراقبة-الآخر، وخاصة فيما يخصّ المشي في فلسطين . وأستكشف أيضا إمكانية تجلّي أنواع متعددة من التنقل مثل التنزّه في الطبيعة ولعب بيكومون-غو (Pokémon GO) في منطقة محتلة حيث تخضع حرية الحركة إلى محدودية كبيرة. وأكاشف أيضا أنواعا من المشي على الأقدام في فلسطين بما في ذلك التنزّه (سرحة). إذ أصبح المشي على الاقدام في فلسطين بعيدا عن أن يكون وسيلة لتحسين الصحة الفردية، بل تحول إلى وسيلة هامة لتنمية علاقة راعية بين الأرض والناس الذين يسيرون عليها. وأخلص في نهاية المقال إلى النتيجة التي ترى أن الممارسات كالمشي معا أو كالمشي جماعةً تقوم مقام عمل-الأقارب (kinwork).
Altmetrik sebuah Pengukuran Alternatif untuk Level Dampak dan Desiminasi Publikasi Ilmiah: Studi Kasus Mendeley
Authors: Prasetyawan Yanuar Yoga
Published: February 2019

Bibliometrik merupakan metode yang popular digunakan untuk melakukan perhitungan statistik dari dampak publikasi artikel ilmiah. Besarnya dampak sebuah publikasi dapat dilihat secara kuantitatif dengaan menghitung banyaknya jumlah publikasi lain yang menyitir publikasi tersebut. Mengutip dari apa yang disampaikan oleh National Information Standards Organization yaitu meskipun perhitungan (metrik) kutipan tetap akan menjadi komponen terpenting dalam sebuah penilaian kualitas tulisan ilmiah, namun dengan gaya hidup manusia di jaman sekarang “metrik” tersebut belum mengakomodasi bentuk komunikasi ilmiah yang baru seperti perilaku pembaca online, jaringan interaksi terhadap teks (konten), dan social media. Maka untuk mengakomodir hal tersebut munculah pendekatan metrik baru yang populer dengan nama altmetrik.
Membangun Kepercayaan Diri Pustakawan sebagai Upaya Aktualisasi Diri dalam Masyarakat
Authors: Ganggi Roro Isyawati Permata
Published: February 2019

Pustakawan merupakan salah satu profesi yang sangat dekat dengan ilmu pengetahuan, sayangnya profesi ini masih dipandang sebelah mata oleh masyarakat. Pustakawan hanya dianggap sebagai profesi penjaga gudang buku bukan sebagai penjaga ilmu pengetahuan. Citra yang kurang baik ini tentu berdampak pada kepercayaan diri pustakawan terhadap profesinya. Kurangnya kepercayaan pustakawan dipengaruhi oleh beberapa faktor yaitu: konsep diri; jenis kelamin; budaya; tingkat pendidikan; status sosial ekonomi; dan pengalaman. Penguatan kepercayaan diri pustakawan dapat dilakukan dengan beberapa usaha, yaitu: mengidentifikasi penyebab rendahnya rasa percaya diri dan domain-domain kompetensi diri yang penting; dukungan emosional dan penerimaan sosial; prestasi; mengatasi masalah (coping). Kepercayaan diri merupakan salah satu upaya untuk melengkapi kebutuhan akan penghargaan terhadap profesi pustakawan. Kebutuhan akan penghargaan terhadap profesi pustakawan yang terpenuhi akan mampu membawa profesi pustakawan untuk memenuhi tahapan selanjutnya, yaitu kebutuhan akan aktualisasi diri. Aktualisasi diri terhadap profesi pustakawan akan mampu memberikan dampak positif terhadap profesi pustakawan. Dampak positif yang terciptadari penemuhan aktualisasi diri menjadi penguatan bagi hirarki kebutuhan profesi pustakawan dan juga merubah citra pustakawan yang lebih baik di masyarakat.
Implikasi Prasasti dan Kekuasaan Pada Masa Jawa Kuna
Authors: Maziyah Siti
Published: February 2019

Tujuan penelitian ini adalah untuk mengetahui implikasi prasasti dan kekuasaan raja di Jawa Kuna. Artikel ini menggunakan metode sejarah dengan pendekatan arkeologi. Dimulai dengan mengumpulkan prasasti-prasasti pada abad IX hingga abad XV, menerjemahkannya, interpretasi, dan historiografi. Hasil penelitian menunjukkan bahwa prasasti dapat berguna untuk menunjukkan kekuasaan raja, terutama pemberian anugerah raja kepada rakyatnya untuk mendapat loyalitas mereka.
Inovasi Sebagai Solusi pada Implementasi Kebijakan Penyelenggaraan Kearsipan
Authors: Handayani Tri
Published: February 2019

Inovasi merupakan suatu kreatifitas seseorang atau sekelompok orang sehingga menciptakan suatu karya baru pada suatu bidang. Dalam konteks administrasi publik, inovasi dilakukan oleh organisasi publik untuk memberikan pelayanan yang lebih baik kepada publik. Arsip merupakan perekam informasi dalam berbagai bentuk media penyimpan informasi. Arsip yang merekam informasi terkait publik perlu dikelola dengan sistem kearsipan yang sejalan dengan perundang-undangan kearsipan. Diperlukan seperangkat sistem kearsipan yang telah diatur dalam perundang-undangan kearsipan untuk mengimplementasikan kebijakan tersebut. Tujuannya adalah agar kepentingan negara dan hak-hak publik terlindungi. Kajian ini dilakukan dengan pendekatan Manajemen Kearsipan dan Administrasi Publik.  Hasil kajian adalah beberapa masalah aspek kearsipan pada organisasi publik di Indonesia dapat diberikan solusinya dengan inovasi kebijakan kearsipan.
ALAM SEMESTA (LINGKUNGAN) DAN KEHIDUPAN DALAM PERSPEKTIF BUDHISME NICHIREN DAISHONIN
Authors: Wilujeng Sri Rahayu
Published: February 2019

Abstract Buddhism taught by Sidhartha Gautama in India about two thousand years B.C. has spread throughout the world. From India to Tibetan Buddhism evolved, China and into Japan. Buddhism in Japan has distinct characteristics compared to Buddhism elsewhere. In Japan, Buddhism is mixed with a strong Japanese spirituality. This paper is the result of a brief research on the book, as well as the Buddhists by means of dialogue. The general objective of this paper is to get a general idea of the concept of Nichiren cosmology, particularly on the subject of the universe (environment) and life. The specific objective of this paper is the growing awareness to be open to understand other religions. It takes an attitude to want to investigate a  religion without fanaticial attitude or prejudice.  Key words: Nichiren Daishonin, Universe, Life
EKSPRESI THUMOS MISHIMA YUKIO DALAM NOVEL KINKAKUJI
Authors: Fadli Zaki Ainul
Published: February 2019

In the social study, there is a concept about strong desire to be recognized by others named thumos. Mishima as a Japanese ultranasionalist have a value about guarding the traditional Japanese values. Among of these values is the absolute position of Japanese emperor in the state. If Mishima’s thumos which expressed in the novel linked with his ideology, there is strong similarity between the protagonist’s disappointment and Mishima’s critics related with the Japanese society. Those assumptions supported by novel’s structural aspects.