bluuebunny/crossref_metadata_2025 huggingface dataset:
The The Effectiveness of Early Mobilization Time on Balance and Functional Ability after Ischemic Stroke
Authors: Rahayu Umi Budi , Wibowo Samekto , Setyopranoto Ismail
Published: April 2019

BACKGROUND: Early mobilisation (EM) after-ischemic stroke is a motor learning intervention aimed to restore nerve cells and to improve balance and functional ability. Unfortunately, the study of when this intervention began has not been widely studied.
AIM: On this study was compared the effect of EM started at 24 hours and 48 hours after an ischemic stroke on balance and functional ability.
MATERIAL AND METHODS: Randomized controlled trial involving 40 patients on 2 groups meeting predefined inclusion criteria. The levels of balance were measured using the Berg Balance Scale, and the functional ability was measured using the Barthel Index, at 5th and 7th day.
RESULTS: A significant difference was observed in both balance (p = 0.038) and functional ability (p = 0.021) obtained on the 7th day of assessment between both groups. A significant difference on the 5th day was observed only in the functional ability (p = 0.002) and not in the balance (p = 0.147), between the groups.
CONCLUSION: EM started at 24 hours after the ischemic stroke has been found to have a better impact on balance and functional ability compared to that at 48 hours.
Effects of Face-To-Face and Online Training on Self-Care of Middle-Aged and Elderly People with Type 2 Diabetes: A Comparative Study
Authors: Ildarabadi Es-hagh , Tabei Mohammad Ghasem , Mosaferi Khosh Ameneh
Published: April 2019

BACKGROUND: Self-care training is one of the strategies used to control diabetes. There is some ambiguity about the appropriate method for educating middle-aged and older adults about self-care.
AIM: This study aimed to compare the effects of face-to-face and online training on self-care levels in middle-aged and older adults with type 2 diabetes.
MATERIAL AND METHODS: In a randomised clinical trial, 84 middle-aged and older adults with type 2 diabetes who had been referred to the Diabetes Clinic of Esfarayen in Iran, were evaluated. Patients who meet the inclusion criteria were randomly assigned into two groups. Diabetes self-care education (DSCE) was provided using a face-to-face training method in one group and using online training method in the other group. The summary of diabetes self-care activities (SDSCA) questionnaire was completed at baseline and 1 month after training.
RESULTS: The mean and standard deviation of self-care scores before and 1 month after training were 43.16 ± 14.94 and 65.76 ± 10.65 in the face-to-face training group, and 37 ± 10.75 and 56.82 ± 12.06 in the online training group, respectively. The differences in the self-care scores were significant both before and after the intervention in the two groups (p < 0.05). Although the difference was greater in the face-to-face training group than in the online training group, it was not statistically significant (P > 0.05).
CONCLUSION: Both face-to-face and online training had a similar effect on the self-care levels in middle-aged and older adults with type 2 diabetes. Therefore, both training methods could be used as effective techniques to meet the needs and educational requirements of middle-aged and older adults with type 2 diabetes.
DOACs vs Vitamin K Antagonists: a Comparison of Phase III Clinical Trials and a Prescriber Support Tool
Authors: Pirlog Alina-Maria , Pirlog Cristian Daniel , Maghiar Marius Adrian
Published: April 2019

AIM: The purpose of this article was to systematically review the literature assessing the efficacy and safety of phase III clinical trials for each direct oral anticoagulant versus vitamin K antagonists and to design a ’’go-to’’ table for the prescriber.
MATERIAL AND METHODS: A systematic review of specialist literature was conducted to identify RCTs which compared direct oral anticoagulants (DOACs) with standard warfarin treatment. Medline, Em-base, and the Cochrane databases were searched from January 2005- January 2019. The inclusion criteria were randomised controlled trials of oral anticoagulants in patients with non-valvular atrial fibrillation (NVAF). Four publications were phase III randomised control trials (RCTs) included in the final analysis.
RESULTS: Regarding the primary outcome in RELY the results were 1.69% per 100-year patients (p/y) for Warfarin compared to 1.11% p/y dabigatran etexilate 150mg BD (twice daily). In ROCKET AF the rates of the primary outcome were 2.2% p/y for warfarin compared to 1.7% p/y for rivaroxaban 20 mg OD (once daily). In ARISTOTLE trial the rates of the primary outcome were 1.60% p/y for warfarin compared to 1.27% p/y for apixaban 5 mg BD. In ENGAGE AF TIMI, the rates of the primary outcome were 1.50% p/y for warfarin compared to 1.18% p/y for edoxaban 60mg BD.
CONCLUSION: DOACs showed to be either noninferior or superior to warfarin with regards to the primary outcome with better safety patterns. Our ’’go-to’’ table provides a supportive tool for physicians in preventing medical errors when managing patients on oral anticoagulants.
Annotated catalogue of the types of Triphoridae (Mollusca, Gastropoda) in the Natural History Museum of the United Kingdom, London
Authors: Albano Paolo G. , Bakker Piet A. J. , Sabelli Bruno
Published: April 2019

We revise the type specimens of 132 nominal species of worldwide Triphoridae stored in the Natural History Museum of the United Kingdom (NHMUK), London. We provide the species name in its original combination, followed by bibliographic details of the original description, the location of the known type material, the original description (and its translation when in Latin), a diagnosis and curatorial or nomenclatural notes. We illustrated most specimens in the type series in colour and with SEM imaging and we have added the original figure whenever possible. The specimens ofTriphorisalveolatus,T.granulatus,T.suturalisandT.verrucosus, all A. Adams & Reeve, 1850,T.pfeifferiCrosse & Fischer, 1865 andT.cucullatusde Folin, 1867, previously considered type material, are not considered here belonging to the type series. Adams & Reeve’s taxa should be considerednomina dubia. The nameTriphorainsularumis a manuscript name by H.E.J. Biggs who deposited “types” in the NHMUK but refrained from introducing the name due to the lack of apex of the studied material. We selected lectotypes for six species (T.concorsHinds, 1843,T.maxillarisHinds, 1843,T.fuscomaculataE.A. Smith, 1904,T.shepstonensisE.A. Smith, 1906,T.eupunctataG.B. Sowerby III, 1907, andT.rufulaWatson, 1886) to stabilize the nomenclature. Finally, we illustrate original specimens (although not types) of three species described by Turton, whose type material is lost.
La production de savoirs singuliers d’expérience : issue aux impasses normatives
Authors: Fénérol François-Xavier
Published: April 2019

La conception et l’organisation technologiques du travail social apparaissent de plus en plus manifestement inadaptées au travail éducatif et social ordinaire qui convient pour prendre en compte la réalité sociale et subjective des enfants, des adolescents et des adultes, ces familiers du pire de ce qui ne va pas que rencontrent quotidiennement les professionnels. Ce dont font symptôme désordres, violences et angoisses récurrentes, auxquels rien ne semble pouvoir faire remède. L’analyse de la pratique peut permettre d’en comprendre la logique, et de mettre en évidence comment les praticiens, par nécessité, inventent des façons de faire dont les conséquences prouvent leur pertinence. Démontrant ainsi l’existence d’une conception autre du travail social, structurée par la coopération et l’entraide.
À propos de l’éthique du superviseur
Authors: Allione Claude
Published: April 2019

La question posée est celle de savoir comment situer le superviseur dans sa formation, dans sa pratique mais avant tout dans son éthique. Y a-t-il une éthique propre au superviseur ? Si oui, comment la définir ? Quelles en sont les limites ? Quelle posture peut bien découler de cette éthique ? Et comment se situe-t-il dans son rapport au groupe et à l’institution où se tient la supervision ? Comment peut-il désintriquer les éthiques groupales, institutionnelles de celles qui sont les siennes ?
Soigner les soignants
Authors: Hibon Benoît
Published: April 2019

On ne choisit peut-être pas le travail social par hasard, ni de continuer à y travailler. Le professionnel vient peut-être y dénouer les nœuds des autres pour être lui-même « dénoué ». Cette hypothèse rend importante, sinon nécessaire, la supervision dans l’exercice de ces métiers, pour éclairer ce qui se joue et se noue dans les relations, les rencontres. Le professionnel est seul mais il est aussi en interaction avec d’autres. Cette cohabitation est loin d’aller de soi entre professionnels. Ce qui se joue est complexe, d’autant que s’y trouvent mêlées les personnes accompagnées. Entre elles également : des enjeux. Ceci est à placer dans un contexte général tendant vers la « chalandisation » du secteur, ce qui constitue un enjeu de plus pour les travailleurs sociaux. Faire appel à un intervenant nécessite de poser les bases pour s’y positionner et donc de définir les différents types d’intervention, ce qui n’empêche pas les professionnels d’apporter des questionnements aux limites de ces cadres. À l’intervenant d’essayer de toujours « soigner les soignants ». Ainsi, le superviseur est celui qui, de là où il est, écoute et observe ce que les professionnels ont à dire. Puis il leur rend ce qu’il lui semble avoir vu et entendu. Cela afin qu’ils en fassent ce qu’ils souhaitent en fonction de ce qu’ils sont, ensemble, en équipe.
L’analyse des pratiques : inscrire, muser, interpréter
Authors: Gallut Xavier
Published: April 2019

Cette contribution est destinée à préciser les conditions nécessaires à la mise en place d’un temps d’analyse des pratiques, ainsi qu’à la dynamique symbolisante à l’œuvre, dès lors que des professionnels s’engagent à parler de ce qu’ils font. Il est abordé plus particulièrement la demande et le cadre ; l’inscription, le musement et l’interprétation en référence aux travaux de Balat ; l’aire transitionnelle. En dernier lieu, c’est le problème que pose le mirage de la vérité qui est questionné.
Rencontres
Authors: Broudic Jean-Yves
Published: April 2019

Le soin et le travail social ne sont pas des services proposés par des professionnels à des patients et usagers. La relation n’est pas à sens unique, des premiers vers les seconds. Elle est bien plus complexe parce qu’elle comporte une dimension inconsciente où du désir est en jeu. Les réunions d’analyse de pratique et de supervision sont des temps de réflexion collective sur ces enjeux, et elles ne sont pas non plus à sens unique, s’il s’agit de rencontres.
L’usager, le professionnel et le manager
Authors: Le Capitaine Jean-Yves
Published: April 2019

Les politiques publiques et les exigences gestionnaires ont eu pour effet une évolution radicale dans les fonctions de dirigeance des établissements sociaux et médico-sociaux. Les directeurs issus du travail social ont été remplacés par des managers dont les préoccupations premières sont de garantir le fonctionnement organisationnel et budgétaire des établissements. Cela dans un implicite qui considérerait que l’éloignement des préoccupations du travail social serait une garantie de qualité de bonne pratique de gestion. Ces évolutions ne sont pas sans conséquences, positives et négatives, sur l’exercice des pratiques professionnelles et sur la participation sociale des usagers.
Grandir ensemble
Authors: Verdeil Marie , Guisset Serge
Published: April 2019

Il est trop d’expériences, de pratiques modestes, de quotidiens minuscules, d’ordinaires si peu banals qui voient le jour et vivent un peu partout et dont personne ne sait rien. Un coup de projecteur s’avère nécessaire afin de découvrir ce qui se fait au cœur de la politique de la Ville dans l’actualité et de susciter des appétits d’agir et des initiatives chez les acteurs et actrices de l’ éducation. « Grandir ensemble » est le nom d’un lieu d’accueil parents-enfant itinérant, ouvert en 2016 dans deux quartiers d’habitat social de Nîmes, Valdegour et Pissevin. Porté par le collectif Les berceuses de Valdegour, il s’inscrit dans une volonté plus large de créer du lien social au sein des deux quartiers, par le partage sur le sujet de la petite enfance.
Engagez-vous !
Authors: Rigaud Laurent
Published: April 2019

François Durand, éducateur spécialisé de son état, arpente les rues de Marseille pour se rendre à la réunion hebdomadaire au sein des locaux de la Solidarité 13, service aemo . Sur les murs de la ville apparaissent affiches publicitaires autorisées encourageant l’engagement militaire, mais aussi des graffitis, expression plus libre cependant prohibée. Dès lors, l’éducateur s’interroge sur les valeurs prônées par cette société qui semble préférer les jeunes disciplinés aux insaisissables. Son interrogation se fait plus grande lorsque, arrivé aux bureaux, il s’aperçoit que les travailleurs sociaux ont abandonné la couleur des mots propre aux graffeurs pour lui préférer un langage militaire propre au capitalisme.
On m’a prescrit un Atdec
Authors: Simon François
Published: April 2019

Le geste d’écrire et tout ce qui en découle s’accommodent-ils d’une prescription ? Elle paraît peu convenir à ce type d’atelier. En effet : faire venir les mots ne se décrète pas et participer à un atelier d’écriture demande un engagement volontaire qui, sans être une condition sine qua non de la réussite, n’en est pas moins un des atouts majeurs.
Se la jouer... ou jouer
Authors: Guillaume Yannick , Vagnier-Guillaume Armelle
Published: April 2019

L’idée de cet écrit a émergé après avoir raconté à ma compagne ma sidération devant les témoignages d’étudiants en stage dans différentes institutions. Ce n’est pas la première fois que j’ai eu à entendre ce genre de discours et devant la réaction de celle-ci, interloquée, nous avons décidé cette fois ci de sortir la conversation de notre salon pour en dire quelque chose. Il ne faut pas perdre de vue que les métiers de l’accompagnement sont complètement inscrits dans une rencontre singulière et différente qui engage notre créativité. Pour devenir un être de rencontre, il faut cette envie d’« être là » et ne pas se prendre pour son statut.
La fête votive de 1957 à l’hôpital psychiatrique de Saint-Alban
Authors: Bonnet Marius , Gauzy Louis , Gentis Roger
Published: April 2019

Ce texte décrit, du point de vue de trois professionnels, la manière dont étaient organisées les fêtes à l’hôpital de Saint-Alban dans les années 1950. À travers l’exemple de la fête votive, il expose le déroulement des différents temps et leur préparation. Il montre aussi l’objectif de ces fêtes : créer une ambiance spécifique et engager les malades dans une activité sociale extraordinaire, facteur de mouvement.
Bricobaka
Authors: Descendre Yann
Published: April 2019

Cet article décrit le suivi et le travail d’accompagnement d’une jeune fille de 17 ans au sein d’une institution non mandatée de Bruxelles. Cette jeune est sans hébergement et en conflit avec son père. Elle est aussi dans une situation administrative particulière, celle d’un regroupement familial.
La Casa de Clovni
Authors: Watremez Marie-Pierre
Published: April 2019

De 2003 à 2013, un cirque social a été installé à Timisoara en Roumanie. Ses animateurs, français et roumains, à partir d’une activité cirque, ont accompagné 270 enfants et jeunes vivant alors à la rue, autour du soin, de démarches administratives, mais aussi du vivre-ensemble et de la scolarité. À travers le récit de cette expérience apparaît la situation d’un pays au regard de ces jeunes.
An Explicit Solution to Continuum Compliant Cantilever Beam Problem with Various Variational Iteration Algorithms
Authors: Akano Theddeus T.
Published: April 2019

The geometric nonlinearity resulting from large deformation of compliant members has continued to be an interesting research topic in nonlinear mechanics. In this study, two standard variational iteration algorithms, VIM-I and VIM-III are employed to investigate the large deformation of the continuum compliant beam under point load. The VIM is an efficient technique that bypasses the linearization process and proffers solutions to nonlinear problems. The horizontal and vertical displacements of the continuum compliant cantilever beam free end are expressed in explicit analytical forms. Numerical experiment and simulations were carried out to validate the efficacy and applicability of the semi-analytical method. The VIM-I was split into two; VIM-I(A) and VIM-I(B), with the difference being the initial approximations. The results from the VIM-I(A), VIM-I(B) and VIM-III algorithms were compared with the experimental and exact solution. The outcomes reveal that both algorithms correlated well with the analytical solution and experimental result.
Aerodynamic Analysis of High Energy Efficiency Vehicles by Computational Fluid Dynamics Simulation
Authors: Fuerst Pacheco Victor , Alves de Miranda Diego
Published: April 2019

The growing demand for energy efficiency gains in vehicles has led to several advances in more technological and efficient driving units, projects using lighter and more resistant materials and, in particular, a deeper study of aerodynamic studies in order to understand the fluid flow around the object of study. This work presents an aerodynamic study for a vehicle of high-energy efficiency, through computational fluid dynamics simulation in Ansys Fluent software. The main objective is to obtain the traction and drag force vectors acting on the vehicle at different speeds and to better understand the airflow before, during and after contact with the vehicle. With the possession of results, it was facilitated the implementation of improvements that enabled the vehicle to operate even more efficiently.
Determinants of Mobile Subscribers Satisfaction: A Case Study University of Port Harcourt
Authors: Kamalu Ugochukwu , Okoko Ilolighata Tamarapreye
Published: April 2019

Mobile subscribers’ satisfaction constitute a critical success factor among competitors in the telecommunication industry. The dynamics of this phenomenon in the University of Port Harcourt has given rise to an ambivalence of subscribers’ milieu of choices; with them acquiring multiple simcards on one hand, and choosing a single simcard on the other. Either way, their quest for satisfaction appear to be a wild-goose chase. Consequently, this paper examined the determinants of mobile subscribers’ satisfaction vis-à-vis the University of Port Harcourt. Based on a common parlance definition of these determinants, derived through descriptive research, six variables were identified and tested as dependent variables of mobile subscribers’ satisfaction. For the purpose of this study, a sample size of two-hundred (200) respondents was selected from Choba and Abuja campuses of the University of Port Harcourt through random sampling technique, and data were obtained using a Structured Likert Scale questionnaire where respondents tick (√) either in negation or affirmation of the item. The results revealed four of the variables as having a positive correlation with mobile subscribers’ satisfaction while two recorded a negative correlation. An outcome which gives credence to ‘prompt and affordable connectivity’; ‘24 hours affordable internet connectivity’; worldwide connectivity spectrum’ and ‘proliferation of freebies outlets’ as determinants of ‘mobile subscribers satisfaction’. At the same time, the study makes a mute point of the often touted allusions of an existing nexus between mobile subscribers satisfaction and a telecommunication service provider’s ‘toasted brand name-cum-indigenous outfit patronization syndrome’ .In the main, the work constitutes an added voice to the call for a pro-active regulatory body that would irrespective of the service provider a subscriber patronizes be able to ensure that mobile subscribers are always provided with an equally affordable, hitch-free connectivity that smacks of uniformity of service.
A Novel Approach to Unzipped Tubes Synthesis Using Sulfanilic Acid as the Backbone Amino Acid
Authors: Narh Christopher , Frimpong Charles , Wei Qu Fu
Published: April 2019

In this research, unzipped sulfanilic acid inspired hydrophobic peptide tube was synthesis by increasing the polarity of sulfanilic acid through nucleophilic attachment of aniline which then provided two reactive sites at the S-terminus. These two sites were then attached with the N-terminal of valine and alanine respectively at an intensity of 1000-1600 of 11 2θ (°). Through π-π stacking at the side chains, the opened ended peptide was linearly arranged to form the unzipped tube. Fourier transform infrared spectroscopy (FTIR) confirm the amine bond formation whiles X-ray diffraction test results confirmed D-spacing 7.36 and 4.44 corresponding 2θ (°)12 and 19.97 respectively whiles the torsion angles (Ø2) conformations was between-150.5°and-169.2° and-2 between-129.0° and-150.6°. The Thermogravimetric analysis result showed an increase in the rigidity of the bond with an increasing intensity. Finally, Differential scanning calorimetry (DSC) test was carried out to confirm the crystallinity of the structure. Keywords: Sulfanilic acid, hydrophobic Peptide, Unzipped tubes, Nanomaterial
The Conditions of Formation of the Uniform-Sized Quantum Dots in the Field of an Ultrasonic Wave
Authors: Peleshchak Roman , Kuzyk Oleh , Dan'kiv Olesya
Published: April 2019

The non-linear diffusion-deformation theory of self-organization of nanoclusters of dot defects in semiconductor exposed to ultrasound treatment that considers the interaction of defects among themselves and with atoms of a matrix via the elastic field created by dot defects and an acoustic wave is developed. Within this theory the influence of ultrasound on the conditions of formation of spherical nanoclusters and their radius is investigated. The nanocluster size depending on average concentration of defects and amplitude of an acoustic wave is determined. It is established that ultrasonic treatment of the semiconductor in the process of formation of an ensemble of nanoclusters leads to reduction of dispersion of their sizes. In the framework of this model, a possibility of the ultrasound-stimulated the size dispersion reduction of strained InAs/GaAs quantum dots doped with an isovalent impurity are analyzed.
Dependence of Tetrahedral Bond Lengths on the Surface Passivation and Stacking-Fault Density of CdSe Nanocrystals
Authors: Wu Pin Jiun , Stetsko Yuri P. , Hsieh Meng Ting
Published: April 2019

We have investigated the surface effect of colloidally prepared CdSe nanocrystals (NCs) with the size range of 23-40 Å on their structural properties by changing the organic capping ligands. The TOPO/HDA-passivated NCs reveal a size-dependent behavior involving an elongated axial bondR(1)of an atomic tetrahedron and a shrunken equatorial bondsR(2). After treatment of the NCs with pyridine, the bond lengthR(1)decreases significantly whereasR(2)remains unchanged relative to the TOPO/HDA-passivated NCs, suggesting that a tensile stress along the [001] direction is contributed from the surface modification. In addition, we find that the expansion ratio of the pyridine-treated NCs along the c axis depends strongly on the density of stacking faults, which provides an evidence for the relaxation of atomic positions near the interface of stacking faults.
An Analytical Modeling and Simulation of Surrounding Gate TFET with an Impact of Dual Material Gate and Stacked Oxide for Low Power Applications
Authors: Dharshan V. , Balamurugan N.B. , Samuel T.S. Arun
Published: April 2019

In this paper, an analytical model for modified Surrounding Gate Tunnel FET with gate stack engineering and different gate metals has been developed. Further, considering the scaling advantageous of Gate stack engineering and high degree performance of dual material engineering, the both has been integrated into a novel structure known as Surrounding Gate (SG) Tunnel FET with stacked oxide SiO2/high-k and dual material (DM) has been proposed. The two dimensional (2D) potential at the surface and electric field mathematical models for the DMSG TFET are developed by solving 2D Poisson's equation with matching device boundary conditions. Based on the Kane's formula, mathematical expression for the band-to-band (BTB) tunneling generation rate is derived and then used to calculate the drain current. The impact on the proposed device performance due to the variation of different device parameters has also been studied. It has been found from the presented results that the ON current of the DMSG TFET with stack is 10-6A, OFF current is 10-13A and ON/OFF ratio is 107. The mathematical results have been verified using the simulated results obtained from TCAD, a 3-D device simulator from ATLAS.
Prognostic significance of aberrant CD5 expression in B-cell leukemia
Authors: Jaseb Kaveh , Purrahman Daryush , Shahrabi Saeid , Ghanavat Majid , Rezaeean Hadi , Saki Najmaldin
Published: April 2019

Aberrant expression of CD5 (as a T-cell marker) is seen in some leukemia and lymphoma of B lineage origin. Given that the signaling resulting from the expression of this marker plays an essential role in the development of leukemia and lymphoma, evaluating the expression of this marker is of paramount importance. Therefore, our goal in this study was to investigate the prognostic importance of CD5 expression in B-cell leukemia and lymphoma. We evaluate CD5 expression in normal and leukemic B-cells by identifying relevant literature through a PubMed search (1998-2018) of English language papers using the terms: ‘CD5,’ ‘B-cell,’ ‘Leukemia,’ and ‘Lymphoma.’ We are doing this thorough comparison of results from CD5 positive and negative cases to make a correct decision about prognostic importance of CD5 expression in these malignancies. In a number of B-cell malignancies, CD5 is expressed in varying degrees. Due to the different origins and characteristics of these malignancies, the results of CD5 expression evaluations are heterogeneous and impossible to generalize. However, CD5 expression is sometimes associated with clinicopathologic findings, more invasive clinical course, and even resistance to treatment (specifically in DLBCL) among CD5- positive patients, which appears to be a function of CD5 signaling and its downstream factors such as STAT3. Depending on the type of malignancy, CD5 expression is associated with good or bad prognosis, which can be used as an auxiliary prognostic factor to assess the clinical course of B-cell malignancies. Moreover, the difference in expression levels of CD5 in a variety of B-cell malignancies allows for differential diagnosis of these malignancies, which can be helpful when diagnosis is difficult.
Experiences of weight-related stigma among low-income rural women of higher weights from the midwestern United States
Authors: Hughes Katherine , Bombak Andrea E. , Ankomah Samuel
Published: April 2019

Weight-related stigma and stereotypes are widespread. Despite established research highlighting the disproportionate disparities rural individuals face, studies focusing on women in rural and low-income environments are underrepresented in the literature. The current study addressed these gaps in the literature using 25 in-depth interviews, which were analyzed using interpretive phenomenological procedures. The research questions were: i) what are low income rural women of higher weights’ understandings and experiences of weight stigma in healthcare? and ii) to what extent do their experiences of stigma affect or do not affect their healthcare-related behaviors? Sixteen women in the study experienced weight-related stigma in healthcare. Many delayed their care while others felt their care was essentially denied. Findings indicate that more can be done to address weight-related stigma.
Experiences of patients living with inflammatory bowel disease in rural communities
Authors: Britt Rebecca K. , Englebert Andrew
Published: April 2019

Inflammatory bowel disease (IBD) is a chronic disease that often has fluctuating and painful symptoms. IBD patients must cope with a lifelong illness with relapses, remissions, and varied treatments that can affect their overall quality of life. Patients living in a rural setting are faced with further challenges such as access to healthcare, physician availability, and socioeconomic factors. For the current study, we interviewed adult patients in a clinic who were diagnosed with IBD for at least 3 years to better understand their experiences with the aim to inform intervention and educations for patients and physicians. Through a thematic analysis, we argue that five themes emerged from the data: i) IBD etiology, ii) ceding self-care, iii) environmental factors associated with disclosure, iv) stigma, and v) environmental obstacles to care. We suggest opportunities for research and collaboration among researchers and practitioners to help reduce stigma associated with IBD and promote health among rural communities.
Health concerns of young Israelis moving from the ultra-orthodox to the secular community: vulnerabilities associated with transition
Authors: Velan Baruch , Pinchas-Mizrachi Ronit
Published: April 2019

Many young Israelis leave the Ultra-Orthodox religious community to join the secular world. In this study we examine health considerations of ex-Orthodox (ExOr) individuals in an attempt to define their vulnerabilities and needs.12 young adults were asked to relate to health problems that trouble the ExOr community. The semi-structured interviews were analyzed qualitatively to identify relevant motives. Interviewees indicated that the ExOr population could be affected by mental health problems, including stress and depression, by sexual health problems, and by risks related to substance abuse and hazardous behavior. Interviewees suggested that these problems are associated with difficulties encountered prior and during the transition process, as well as with the hardships of acculturation and assimilation in the secular world. Comparisons to previous findings on the health of immigrants, young adults and LGBT populations suggest that the process of transition per-se could engender vulnerability and trigger health problems.
Effectiveness of mental footnotes in the cognitive therapy for panic attack: two case-studies
Authors: Vilchez Tornero Jose Luis
Published: April 2019

New findings in the area of experimental, cognitive psychology point out that the implicit meanings determine the information that is being processed. The so-called mental footnotes can even modify the path trajectory in a driving task. This influence has been proposed to go beyond this kind of task. Mental footnotes have been proposed as determining factors in the information processing in specific psychopatological syndromes. The objective of this study is to evaluate the adequacy of applying these implicit pieces of information, in form of mental footnotes, to stop the series of catastrophic thoughts in the panic attack syndrome. Following the theory of mental models and the iconic representation of the real world, two cases of panic attack have been treated. By using the negation illusory-reality technique, a mental footnote of this does not have to happen was added to the catastrophic representation of the world in patients with this syndrome. As a result, these two patients have not reported panic attacks in, at least, 2 year after the last session of therapy. A deeper study of the efficacy of this technique is encouraged in order to be recommended for the treatment of patients who suffer from panic attacks.
Ruptures and repairs of group therapy alliance. An untold story in psychotherapy research
Authors: Lo Coco Gianluca , Tasca Giorgio A. , Hewitt Paul L. , Mikail Samuel F. , Kivlighan, Jr. Dennis M.
Published: April 2019

Although previous studies investigated the characteristics of therapeutic alliance in group treatments, there is still a dearth of research on group alliance ruptures and repairs. The model by Safran and Muran was originally developed to address therapeutic alliance in individual therapies, and the usefulness of this approach to group intervention needs to be demonstrated. Alliance ruptures are possible at member to therapist, member to member, member to group levels. Moreover, repairs of ruptures in group are quite complex, i.e., because other group members have to process the rupture even if not directly involved. The aim of the current study is to review the empirical research on group alliance, and to examine whether the rupture repair model can be a suitable framework for clinical understanding and research of the complexity of therapeutic alliance in group treatments. We provide clinical vignettes and commentary to illustrate theoretical and research aspects of therapeutic alliance rupture and repair in groups. Our colleague Jeremy Safran made a substantial contribution to research on therapeutic alliance, and the current paper illustrates the enduring legacy of this work and its potential application to the group therapy context.
If you believe that breaking is possible, believe also that fixing is possible: a framework for ruptures and repairs in child psychotherapy
Authors: Nof Aviv , Dolev Tohar , Leibovich Liat , Harel Judith , Zilcha-Mano Sigal
Published: April 2019

Safran and Muran’s classic theoretical framework of alliance rupture and repair suggests effective techniques for repairing alliance ruptures. Accumulating empirical evidence suggests that successful processes of rupture and repair result in better therapeutic outcome and reduced dropout rates. Although ruptures in the alliance in child psychotherapy are frequent, little is known about how to repair them. The present paper proposes a model for identifying and repairing ruptures in child psychotherapy based on Safran and Muran. It consists of four phases: i) identifying the rupture and understanding its underlying communication message, ii) indicating the presence of the rupture, iii) accepting responsibility over the therapists’ part in the rupture and emphasizing the children’s active role as communicators of their distress, and iv) resolving the rupture using change strategies and meta-communication by constructing a narrative story. The theoretical rationale of each phase is explained in detail, and practical clinical guidelines are provided. Empirical studies are needed to examine the effectiveness of the proposed framework.
The legacy of Jeremy Safran
Authors: Lingiardi Vittorio , Gentile Daniela
Published: April 2019

Not available.
Doctor, will the capillaries of the lower limbs recur?
Authors: Forzanini Mario
Published: April 2019

Not available
Использование неассоциативных структур для построения алгоритмов открытого распределения ключей
Authors: Baryshnikov Andrei Vladimirovich , Katyshev Sergey Yur'evich
Published: April 2019

Изучается возможность использования неассоциативных группоидов для реализации алгоритмов открытого распределения ключей, обобщающих алгоритм Диффи-Хеллмана. Найден класс неассоциативных группоидов, обладающих свойством перестановочности степеней; для него изучаются трудоемкость возведения элемента в степень и сложность решения задачи дискретного логарифмирования, в том числе с использованием гипотетического квантового вычислителя.
Количество полиномиальных преобразований максимального периода над кольцами Галуа нечетной характеристики
Authors: Ermilov Dmitrii Mikhailovich
Published: April 2019

Пусть $R = GR(q^n, p^n)$ - кольцо Галуа мощности $q^n$ и характеристики $p^n,$ где $q = p^m$, $m, n > 1$. Пусть последовательность $U = \{u_i\}$ определяется соотношением $u_{i+1} = f(u_i)$, $i \in \mathbb N_0$ и $f$ - полиномиальное преобразование кольца $R$. Ранее было показано, что максимально возможный период последовательности $U$ равен $q(q-1)p^{n-2}$. Здесь найдено число полиномиальных преобразований максимального периода над кольцами Галуа при $p \not= 2$.
Моменты весового дефицита случайной равновероятной инволюции, действующей на векторном пространстве над полем из двух элементов
Authors: Sachkov Vladimir Nikolaevich , Kruglov Igor Aleksandrovich
Published: April 2019

Для аддитивной группы векторного пространства растущей размерности $m$ над полем из двух элементов исследуются моменты случайной величины, равной значению весового дефицита случайной равновероятной инволюции, образованной произведением $2^{m-1}$ независимых двоичных циклов. Получены точные и асимптотические формулы для биномиальных моментов, а также для дисперсии.
О методах оценивания веса булевых биюнктивных функций
Authors: Tarasov Alexey Vyacheslavovich
Published: April 2019

Задача определения веса функции, представимой в виде 2-КНФ (т. е. биюнктивной функции), в общем случае входит в класс труднорешаемых задач перечисления. Однако существуют методы получения верхних и нижних оценок веса таких функций. В работе рассматриваются два метода получения таких оценок: метод включения-исключения и метод, использующий порядковую функцию графа 2-КНФ, представляющей биюнктивную функцию. На основе предложенных методов построен ряд полиномиально вычислимых оценок веса биюнктивных функций.
Exploring the Problems and Challenges of Micro, Small and Medium Enterprises in Northern Province
Authors: Vaikunthavasan Sathana , Velnampy T. , Rajumesh S.
Published: April 2019

The purpose of this study is to identify the problems and challenges of SMEs in the postwar situation of Northern Province. Researcher conducted qualitative exploratory research; explain the phenomenon of problematic situation of SMEs in Northern Province. By applying purposive sampling technique, with primary data collection method of focus group discussion and interviews were conducted with the owners of SMEs and officers related with the SMEs in the Northern Province. Finding of the study explains, first, marketing problems which includes product problems, pricing problems, promotion problem, distribution based problems, green problem and network problems, second, internal problem which includes financial problems and employee problems third, characteristics of entrepreneurs as problems, at last external problems, namely political and legal, economic and socio economic problems. The important implication is that this study indicates clearly the problems and challenges of SMEs in the post war market. It will help the owners of SMEs the means to solve these problems, and govern officers to understand the means to support the SMEs.
Using Quality Standards in Evaluating the Performance of Small Private Hospitals and Achieving Patients' satisfaction: An Exploratory Study in Jeddah, Saudi Arabia
Authors: Ghamri Nayef
Published: April 2019

The current study reports on using quality standards namely, reliability, empathy, tangibility, and responsiveness in evaluating and improving the performance of small private hospitals in the Jeddah and their reflection on the level of the patients' satisfaction with the service provided. The research also concludes some findings and recommendations that may contribute to enhancing the service level in such hospitals and increasing the level of patients' satisfaction. Therefore, 121 questionnaires were distributed to patients in 15 small private hospitals in Jeddah city. A pilot stage was conducted on the questionnaire upon which, the 47 questions required for the final questionnaire were developed. The study shows that there is a strong positive statistical correlation between the five quality standards of medical services; reliability, empathy, confidence and assurance, tangibility and responsiveness and the level of patients' satisfaction with the hospital performance. The more patients are satisfied with the five quality standards, the higher the quality of medical services is. In addition, the study concluded a negative correlation between age and the level of patients' satisfaction with hospital services as elderly patients found to be less satisfied with the hospital services than younger patients. On the other hand, the hypothesis of having a statistical significant positive correlation between educational background and the level of patients' satisfaction with the hospital performance was refuted. Findings have shown a need for applying quality standards to improve the performance of small private hospitals and a necessity for working on overcoming the obstacles on their way.
Patients’ Satisfaction with Healthcare Delivery in the Gambia: A Case Study of Edward Francis Small Teaching Hospital
Authors: Sanyang Yusupha , Bojang Ismaila , Sarr Francis
Published: April 2019

The aim of the study was to assess the satisfaction of patients about the services provided at the Edward Francis Small Teaching Hospital (EFSTH) in the Gambia. A cross-sectional study design was used to evaluate how the patients view the healthcare services provided at the EFSTH. The main research question is “what is the satisfaction level of patients about the services provided at the EFSTH”. The SERVQUAL tool was used to collect data from a sample of 250 patients receiving care at the EFSTH. This sample was chosen using the systematic random sampling method. The variable of the study that were measured are satisfaction, expectations and perceptions of patients about the services they received. Data was collected from the outpatient and inpatient department of the hospital. The quantitative data was analyzed using SPSS statistical tool for descriptive statistics, mainly involving the percentages, and the results are presented in tables and charts.  The study found out that most of the patients have higher expectations and a low level of perception of the services provided at the EFSTH. There was a low level of patient satisfaction with the hospital services as only 36.8% of the patients strongly agree that they are satisfied with the hospital services provided. The findings also showed that most of the respondents regarded doctors’ services as the most important services provided at the hospital. There is only one service feature (housekeeping) with a positive quality gap score of 2.19667 indicating high quality of services and high patient satisfaction.There is a low level of patient’s satisfaction about the services provided at the EFSTH which is tied to a low level of service quality.
A Laboratory-based Experiment on the Efficacy of Graphitic Carbon Nitride Doped with Tungsten Chloride in the Purification of Industrial Wastewater through Degradation of Organic Dye Pollutant
Authors: Moraa Ngare Sheila , Nzula Juliet , Omondi Donde Oscar
Published: April 2019

Water is an essential commodity whose quantity and quality needs to be secured for easier accessibility at both the industrial, public and household levels. However, its availability in adequate quality and quantity has continued to decline worldwide. Indeed, rise in human population coupled with the climate change phenomena have greatly impacted on the quality of water resources through increased organic and inorganic pollution. Rhodamine B (RhB) dye is a common organic pollutant majorly in industrial wastewater and with numerous environmental and human health effects. The application of graphitic carbon nitride (G-C3N4) in the purification of industrial wastewater to enhance the removal of RhB is a technology of interest to most environmental quality regulators and agencies. The study was therefore aimed at investigating the performance of graphitic carbon nitride doped with tungsten chloride in the degradation of organic dye pollutant rhodamine B dye from industrial wastewater. The study showed that the as-prepared hybrid photo catalyst exhibits an improved photo degradation performance because of its synergetic effect. Indeed, the photo excited electrons from g-C3N4 were able to efficiently separate and are injected to the conductive band of WO3. The optimum photo activity occurred at the optimum ratio of 0.25WO3/g- C3N4. There was also stability and efficiency within the hybrid catalyst within the photo degradation process. Indeed, the composite indicates a high activity for degradation of RhB under visible light irradiation. The presence of g-C3N4 proved to be beneficial for enhancement in photo catalytic activity of the g-C3N4-WO3 composite and proved to be one of the best alternative modes of n the degrading organic dye pollutant Rhodamine B dye from wastewater.
Medical Research Papers and Their Popularization. A Macro- and Micro-Linguistic Qualitative Genre Analysis
Authors: Peppoloni Diana
Published: April 2019

Communication between the scientific community and the general public is not always effective. There is a meaningful discrepancy that needs to be bridged, mainly because scientific knowledge is produced not only for a restricted specialized community but also for a general target, as part of a crucial social responsibility. The need to fill the gap is even more relevant in medical research as its findings are perceived of direct interest by the public.The process of making specialized knowledge understandable to laypeople is known as popularization (Nash 1990) or popular scientific writing (Calsamiglia 2003), which includes knowledge dissemination in popular magazines, scientific news reports in newspapers and television documentaries. Popularized articles are usually written by journalists who are expert in a specific field and who act as mediators, recontextualizing scientific findings to make them useful and attractive to the large public.In this study we will analyze two medical texts; the first is a research paper about a biomedical topic written and published in English, while the other is a popularization written in Italian and published in the magazine Focus. The purpose of our research is to carry out a qualitative linguistic analysis of the two texts and highlight similarities and differences in their structure and linguistic features, to identify their fundamental constitutive traits, and establish whether they belong to two distinct textual genres or whether one is the adapted version of the other, always referable to the same genre. What we infer from the results of our investigation is that we can assign the two texts to two different genres, having not only different constitutive traits, but also different target audiences and different communicative purposes.
Mechanism of apoptosis induced by Mcl-1 inhibitor UMI-77 on gallbladder carcinoma GBC-SD cells
Authors: Zhang Shengbin , Liu Baoqin , Dong Changcheng , Li Bing
Published: April 2019

Objective: To investigate the mechanism of apoptosis induced by myeloid cell leukemia-1 (Mcl-1) inhibitor UMI-77 on gallbladder carcinoma GBC-SD cells.Methods: GBC-SD cells were treated with different concentrations of UMI-77. GBC-SD cell proliferation and apoptosis were detected by MTT assay and Annexin V/PI. The expressions of Mcl-1, Bcl-2, Bcl-xL, Bax, Bak, cleaved-caspase 9, cleaved-caspase 3 and cleaved-PARP proteins in GBC-SD cells treated with UMI-77 were detected by Western blotting.Results: The results of MTT showed that different concentrations of UMI-77 had different inhibitory effects on cell proliferation of GBC-SD cells in a dose-dependent and time-dependent manner. Annexin V/PI results showed that the apoptosis rate was increasing gradually with the increase of UMI-77 concentration in a dose-dependent manner. Western blotting results showed that the expression of anti-apoptotic protein Mcl-1 was significantly decreased (p < .05), and the expressions of Bax and Bak proteins were significantly increased respectively (p < .05), but there were no significant changes in the expressions of Bcl-2 and Bcl-xL proteins, and the expression levels of cleaved-caspase 9, cleaved-caspase 3 and cleaved-PARP proteins were significantly increased (p < .05) in 24 h after GBC-SD cells were treated with 10 μmol/L of UMI-77.Conclusions: Mcl-1 inhibitor UMI-77 can induce the apoptosis of GBC-SD cells in a dose-dependent manner through the caspase-mediated endogenous apoptosis pathway. Therefore, Mcl-1 may become a new therapeutic target in the research on gallbladder cancer.