bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mount Anak Krakatoa geomorphology modelling with kinect-based augmented reality sandbox based on digital elevation model data
Authors: Jhanesta W , Iskandarsyah  , Nagasie T , Supriyanto  , Syahputra R 
Published: July 2020

Abstract
Indonesia has a diversity of landscapes due to it being located at the confluence of several tectonic plates and traversing the Ring of Fire. This diversity of landscapes creates many interesting geological objects that are used for research in studying geomorphology. The research location for this study focuses on the topographic conditions of Mount Anak Krakatoa located in the Sunda Strait. A volcanic peak can be divided according to its landscape, which is the center of the volcanic eruption at the peak, down towards the slope of the mountain foot, and the terrain around it. This landscape-based division is based on topographical and geographical conditions. These parameters will then be made into a 3-dimensional model. Topographic modelling using Kinect based augmented reality sandbox uses a digital elevation model (DEM) from the GIS. Sandbox modelling data can be accepted when it reaches natural state conditions, i.e. augmented reality sandbox data is compatible with DEM satellite image data. Results from this modelling can then be used for follow-up studies on the geomorphology of Mount Anak Krakatoa with a more direct approach.
Facies distribution and limestone depositional history in Gunung Endut geothermal prospect area, Banten Province
Authors: Imtiyaz R Z , Sihombing F M H , Sahdarani D N , Supriyanto  
Published: July 2020

Abstract
Gunung Endut, located in Banten Province, has geothermal pr ospect area in its mountain slope. Some of the area of Gunung Endut has limestone facies which commonly deposited in marine environment. Based on the regional geological map of Leuwidamar, limestone facies are the member of Bojongmanik Formation within the Bogor Physiographic Zone. In Gunung Endut, limestone was developed during the pre-volcanic period, meanwhile most of limestone in Java are found as outcrop in Southern Mountains Zone formed during the post-volcanic period. This study focused on macroscopic and microscopic identification of limestone in order to determine the distribution of facies and the history of limestone sedimentation in the area of Gunung Endut. The macroscopic and microscopic feature of the rock samples are analyzed and classified using modified Dunham classification by Embry-Klovan. The result of the analyses will provide information about the limestone facies distribution and geological history with better detail in the study area than previously known.
Evaluation of Noise Absorption Capacity of Various Materials
Authors: Singh C , Kumar M , Chandravanshi M L 
Published: July 2020

Abstract
Noise absorption and transmission property of materials is of great importance in order to determine the amount of noise transmitted from source to receiver. Unwanted noise can cause various biological and psychological effects to humans and other organisms in nature. This paper deals with the experimental study on noise absorbing and deflecting ability of various available materials. These materials could be utilized in industrial complexes and building construction applications for noise level reduction purposes. The materials such as glass, plywood, thermocol (scientifically known as polystyrene), fiber plastic sheet and coconut fiber sheet have been used in the experiment as a noise barrier. Through experimental analysis, the reduction noise level was obtained in terms of decibel (dB), sound power level and loss of sound energy using hand held noise analyzer. The finding suggests that thermocol has the best sound absorbing capacity at medium to low sound pressure levels, whereas glass has the best sound absorbing capacity at high sound pressure levels.
Optimization of Laminate Topology for Multilayered Composite Structures Subjected To Buckling and Failure Constraints
Authors: Augustyn M , Muc A 
Published: July 2020

Abstract
In the present paper the combinatorial optimization problems dealing with laminate stacking sequence optimization are formulated and studied. Two types of design variables are introduced: 1) classical, discrete and 2) new, continuous ones. In order to obtain the optimal solution a classical genetic algorithm is applied. We are looking for the maximal buckling loads for 2-D multilayered structures subjected to bimodality constraints and FPF constraints. Two special buckling problems are analyzed in details, i.e. buckling of compressed rectangular plates and of cylindrical shells under an external pressure. The results demonstrate the effectiveness and advantages of the use of continuous design variables.
Constrictive pericarditis after heart transplantation: a case report
Authors: Tchana-Sato Vincent , Ancion Arnaud , Ansart François , Defraigne Jean Olivier 
Published: July 2020

Abstract

Background
Constrictive pericarditis (CP) is a disease characterized by inflammation, progressive fibrosis, and thickening of the pericardium. Constrictive pericarditis after heart transplantation (HT) is a rare phenomenon, with a reported incidence of 1.4–3.9%. It is an important clinical problem which shares similar clinical features with entities such as restrictive cardiomyopathy. Therefore, it poses diagnostic challenges and therapeutic dilemmas even for experienced clinicians.

Case summary
A 53-year-old patient developed a zoster infection with pericardial effusion 9 months after HT for idiopathic dilated cardiomyopathy. Two months later, he presented with leg oedema and ascites and was treated by diuretics for volume overload. He was readmitted 8 months later with features of right heart failure. Multimodal imaging investigations were suggestive of CP. He successfully recovered after a radical pericardiectomy.

Discussion
Constrictive pericarditis is a rare complication in HT. Heart transplant recipients (HTR) with a history of post-operative pericardial effusion, or with rejection episodes are at high risk of developing CP. Differentiating CP from other conditions that cause apparent congestive heart failure in HTR is challenging. Management of CP is mainly surgical pericardiectomy.
Conditioning Effect of Inhalational Anesthetics on Delayed Cerebral Ischemia After Aneurysmal Subarachnoid Hemorrhage
Authors: Athiraman Umeshkumar , Dhar Rajat , Jayaraman Keshav , Karanikolas Menelaos , Helsten Daniel , Yuan Jane , Lele Abhijit V , Rath Girija Prasad , Tempelhoff Rene , Roth Steven , Zipfel Gregory J 
Published: July 2020

Abstract

BACKGROUND
Delayed cerebral ischemia (DCI) after aneurysmal subarachnoid hemorrhage (SAH) has been identified as an independent predictor of poor outcome in numerous studies.

OBJECTIVE
To investigate the potential protective role of inhalational anesthetics against angiographic vasospasm, DCI, and neurologic outcome in SAH patients.

METHODS
After Institutional Review Board approval, data were collected retrospectively for SAH patients who received general anesthesia for aneurysm repair between January 1st, 2010 and May 31st, 2018. Primary outcomes were angiographic vasospasm, DCI, and neurologic outcome as measured by modified Rankin scale at hospital discharge. Univariate and logistic regression analysis were performed to identify independent predictors of these outcomes.

RESULTS
The cohort included 390 SAH patients with an average age of 56 ± 15 (mean ± SD). Multivariate logistic regression analysis identified inhalational anesthetic only technique, Hunt-Hess grade, age, anterior circulation aneurysm and average intraoperative mean blood pressure as independent predictors of angiographic vasospasm. Inhalational anesthetic only technique and modified Fishers grade were identified as independent predictors of DCI. No impact on neurological outcome at time of discharge was noted.

CONCLUSION
Our data provide additional evidence that inhalational anesthetic conditioning in SAH patients affords protection against angiographic vasospasm and new evidence that it exerts a protective effect against DCI. When coupled with similar results from preclinical studies, our data suggest further investigation into the impact of inhalational anesthetic conditioning on SAH patients, including elucidating the most effective dosing regimen, defining the therapeutic window, determining whether a similar protective effect against early brain injury, and on long-term neurological outcome exists.
Long-acting GLP-1 receptor agonists
Authors: Urquhart Scott , Willis Stephen 
Published: July 2020

ABSTRACT
Cardiovascular disease (CVD) is a common and serious comorbidity of type 2 diabetes mellitus (T2DM), and cardiovascular (CV) risk assessment has become an important aspect of evaluating new therapies for T2DM before approval by the FDA. Since 2008, in order to establish safety, new therapies for T2DM have been required to demonstrate that they will not result in an unacceptable increase in CV risk. Studies performed for this purpose are termed CV outcome trials, or CVOTs. This article reviews CVOTs completed to date for the class of long-acting glucagon-like peptide-1 receptor agonists (GLP-1RAs; liraglutide, exenatide extended-release, albiglutide, dulaglutide, semaglutide injectable, semaglutide oral) and implications for clinical management of T2DM. All CVOTs have confirmed long-acting GLP-1RAs to be noninferior to (not worse than) placebo with regard to first occurrence of a primary outcome of three-point major adverse cardiovascular events (MACE; composite outcome of cardiovascular death, nonfatal myocardial infarction, nonfatal stroke). Further, a number of the studies demonstrated a statistically significant reduction in primary outcomes of three-point MACE with GLP-1RA treatment compared with placebo. As a result, the product labeling for liraglutide, semaglutide injectable, and dulaglutide has been updated with an indication for reducing the risk of MACE in adults with T2DM and established CVD (all) or multiple CV risk factors (dulaglutide only). These findings have brought about an exciting paradigm shift from concern about not inflicting CV harm to the exciting prospect of reducing risks of CV outcomes. Major diabetes care guidelines now encourage early consideration of GLP-1RA use in patients with atherosclerotic CVD.
Beyond Articulation Agreements: Expanding the Pipeline for Baccalaureate Nursing in Ohio
Authors: Bowles Wendy S. , Sharpnack Patricia , Drennen Carol , Sexton Martha , Bowler Connie , Mitchell Kathleen , Mahowald Jane 
Published: July 2020

Abstract

AIM
This article discusses a regionally located approach to seamless nursing education progression in Ohio. The Ohio Action Coalition supported nursing programs in creating educational pathways involving cooperative efforts of academia and clinical practice to provide access for students to achieve a baccalaureate degree.

BACKGROUND
The Ohio Action Coalition was formed in 2011 and received its first State Implementation Program grant in 2013, with a major focus on promoting seamless academic progression models.

METHOD
The seamless academic progression models have been fully implemented, demonstrating positive results for the progression of baccalaureate-prepared nurses in Ohio.

RESULTS
The efforts in Ohio have demonstrated over a 10 percent increase in baccalaureate-prepared nurses.

CONCLUSION
Ohio is moving the needle for higher education of nurses at a faster rate than average across the nation.
Feasibility and Acceptability of Mobile Phone Self-monitoring and Automated Feedback to Enhance Telephone Coaching for People With Risky Substance Use: The QUIT-Mobile Pilot Study
Authors: Swendeman Dallas , Sumstine Stephanie , Aguilar Efren , Gorbach Pamina M. , Comulada W. Scott , Gelberg Lillian 
Published: July 2020

Objectives:
This study evaluates the feasibility, acceptability, and perceived benefits of mobile-phone delivered self-monitoring queries and feedback integrated into the evidence-based Quit Using Drugs Intervention Trial (QUIT) screening and brief telephone health coaching intervention to prevent progression from risky drug use to addiction as the QUIT-Mobile intervention.

Methods:
Participants (n = 20) were primarily Black/African American and Latino men in Los Angeles with risky substance use. Self-monitoring surveys were sent by text-message twice-weekly for 6 weeks and once-weekly from 6 to 12-weeks. Surveys consisted of 10 questions regarding drug and alcohol use (ie, # days of use) and cravings, quality of life, and medication adherence. Feedback messages praised or encouraged drug use reductions. Coaches monitored patient responses and discussed them in QUIT's telephone coaching sessions. Participants’ experiences were assessed qualitatively at 3-month follow-up.

Results:
Nineteen out of 20 participants that completed the qualitative evaluation from the 12-week follow-up reported: (1) self-monitoring surveys helped them adhere to drug use reduction goals and reflect on associations between self-monitoring domains; (2) preference for higher frequency (twice-weekly) self-monitoring during the 6-week coaching period, and then weekly surveys thereafter but not monthly; and (3) self-monitoring and coaching were mutually reinforcing for their drug use reduction goals.

Conclusions:
Results are consistent with prior similar research suggesting that mobile phone self-monitoring of drug use and related factors is feasible and acceptable among diverse adults with risky drug use. Findings also suggest the potential benefits of integrating electronic self-monitoring and feedback into substance use reduction interventions such as QUIT to enhance patient self-management and coaching or counseling intervention components.
New Sutureless, Scleral-Fixated Intraocular Lens (Carlevale, Soleko) Implantation Combined With Descemet Stripping Automated Endothelial Keratoplasty: An Innovative Surgical Approach
Authors: Kymionis Georgios , Petrelli Myrsini , Schmutz Lydia , Petrovic Aleksandra 
Published: July 2020

Purpose:
To describe a novel technique of combined Descemet stripping automated endothelial keratoplasty (DSAEK) with implantation of a new scleral fixated, sutureless, posterior chamber intraocular lens (IOL) (Carlevale, Soleko).

Methods:
A new surgical technique description.

Results:
We describe a novel surgical approach, namely combining implantation of a new scleral-fixated sutureless posterior chamber IOL with DSAEK for the management of IOL dislocation and corneal endothelial decompensation. The existing, dislocated IOL was removed, and 2 scleral radial incisions were performed 180 degrees apart. Two partial thickness scleral pockets were created along each scleral radial incision, followed by a 23 G sclerotomy. The IOL was placed in the posterior chamber by using 23 G vitreoretinal forceps, and each plug was secured under the 2 pockets. A standard DSAEK procedure was then performed. Four months postoperatively, the corneal graft was attached and clear. The Carlevale IOL was well positioned, and an improvement in the patient's vision was observed.

Conclusions:
Combining implantation of a new scleral fixated foldable sutureless IOL (Carlevale, Soleko) with DSAEK could represent a viable and effective option for patients with IOL dislocation or aphakia, accompanied by corneal endothelial dysfunction.
Aspergillus Mimicking a Rasmussen Aneurysm in an Immunocompromised Setting Causing Massive Hemoptysis
Authors: Kumar Anil A. , Ramsakal Asha , Greene John N. 
Published: July 2020

Abstract

Aspergillus is a ubiquitous mold found in diverse environments but is mostly limited to infectious complications in immunocompromised patients. Invasive pulmonary aspergillosis (IPA) is a common infection in leukemic patients with prolonged neutropenia. However, mycotic pulmonary artery aneurysm (PAA) is a very rare complication of IPA. We describe the case of a 58-year-old patient with prolonged neutropenia and leukemia who developed invasive aspergillosis, followed by unexpected massive hemoptysis and terminal exsanguination. Surgical resection of IPA in leukemic patients is rarely performed because of early recognition and initiation of preemptive potent antifungals, pancytopenia, bleeding diathesis, and delayed wound healing. Historically, tuberculosis and syphilis were major causes of PAA, but their incidence has decreased significantly since the advent of effective antibiotics. We review nontuberculous causes of PAA and outline the pathology, diagnosis, and treatment options currently available. Currently, Staphylococcus species, Streptococcus species, and Aspergillus species account for 70% cases of PAA.
Validation of the Drip Score at A Community-Teaching Hospital
Authors: Purewal Jaskaran , Kanagala Komali , King Esther A. , Anghel Sharen 
Published: July 2020

Rationale
Recent data suggest that health care–associated pneumonia (HCAP) criteria has poor predictive value in determining risk for drug-resistant pathogens (DRPs) and leads to increased use of broad-spectrum antibiotics. The Drug Resistance in Pneumonia (DRIP) Score highlights a selective set of criteria to predict pneumonia risk. Validation studies show conflicting results on the impact of antibiotic selection based on the DRIP score.

Methods
This was a retrospective chart review of hospitalized patients from March 2018 to April 2018 who were started on antibiotics for a respiratory tract infection. The HCAP criteria and DRIP scores were calculated and antibiotic selection was analyzed. The primary focus was to determine if utilization of the DRIP score could modify antipseudomonal beta-lactam (APBL) prescribing patterns.

Results
A total of 82 patients were included in the study. Sixty-four (78%) patients had a DRIP score <4 with 19 (30%) receiving an APBL. There were 18 patients with a DRIP score >4, and 7 (39%) patients received non-APBL antibiotics. The HCAP criteria and subsequent prescribing was also analyzed. Forty-nine patients were identified as not meeting HCAP criteria. Of these patients, 12 (24%) received APBL. Thirty-three patients met HCAP criteria, and 15 (45%) received a non-APBL. If HCAP criteria were used to guide antibiotic prescribing, we would see a net increase of 3% in APBL use; whereas if DRIP scores were implemented, we would see a net decrease of 14% in APBL use.

Conclusions
Our study indicates that implementation of the DRIP score would result in decreased empiric APBL use.
Bordetella trematum Bacteremia Resulting in Sepsis: Case Report and Review of the Literature
Authors: Hummel Connor J. , Buechler Kristin , Webb Kellianne , Amsden Jarrett 
Published: July 2020

Abstract

Bordetella trematum has been isolated from various sources, including wounds, peritoneal fluid, bone, and blood. We report on a new case of B. trematum bacteremia caused by an unknown source in an adult who experienced rapid clinical deterioration despite clearing blood cultures with broad-spectrum antibiotics.
A Component-Based Coordinate System for Static and Dynamic Evaluation of Standard Transtibial Prosthesis Alignment
Authors: Zabala Michael E. , Gupta Raju , Dueitt Madeline , Pasquerello Nicholas , Vazquez Adan 
Published: July 2020

ABSTRACT

Introduction
Lower-limb loss is a disability that is currently estimated to affect more than one million Americans. Provision of a prosthetic lower limb oftentimes restores the ability of the individual to reengage in society by returning to work, sports, military service, or other activities requiring mobility. However, it is critical that these devices are properly aligned to avoid or reduce discomfort, pain, and even serious bone disorders such as osteoarthritis, osteopenia, and osteoporosis. Much work has been done on static prosthesis alignment measurement, and devices and tools currently exist to aid the prosthetist in this task. However, to the authors' knowledge, there is currently no standardized coordinate system for objectively calculating and expressing prosthesis alignment that can be used during both static and dynamic activities.

Methods
The techniques presented here provide a method of creating component-specific coordinate systems for a standard transtibial prosthesis for the purpose of calculating objective measures of alignment while the prosthesis is being worn during both static and dynamic activities. This method is based upon a selection of anatomically relevant points tracked on the residual limb and the prosthesis, along with Euler angle decomposition techniques. A case study analysis was performed on one transtibial test subject to demonstrate the methods presented.

Results
A method for tracking both static and dynamic transtibial prosthesis alignment was established. This method may be used with modern motion-tracking technology that was not widely available when previous static alignment methods were established.

Conclusions
The potential benefit of this standardized method is improved understanding of the relationship between objective measures of prosthesis alignment and various measures of patient outcomes and success such as pain, discomfort, and daily steps walked. A standardized means of calculating and expressing prosthesis alignment will also benefit the design and development of future alignment tool technology.
Adjusting Socket Size Using a Cell Phone App: Observations from Participants with Transtibial Amputation
Authors: Allyn Katheryn J. , Larsen Brian G. , Sanders Joan E. 
Published: July 2020

ABSTRACT

Introduction
An investigation of how prosthesis users chose to adjust their socket size using a cell phone app provides insight relevant to patient care.

Materials and Methods
Participants with transtibial amputation used a motor-driven adjustable socket controlled with a cell phone app to adjust their socket size during an outdoor testing protocol. After donning their socket and adjusting socket size during standing, participants walked for two 20-minute bouts separated by a 5-minute sit, making socket size adjustments as desired.

Results
The 12 participants in this study executed a wide range of socket size adjustment strategies. During donning, some participants fully seated the locking pin before tightening the panels, whereas others chose to tighten the panels first. Some participants executed panel adjustment during weight shifting while standing. Some participants tightened to a too-tight setting, then backed off 1 increment; some slowly tightened or loosened at 1-increment steps until a preferred setting was achieved; and some tightened the socket in anticipation of terrain changes that were visually apparent ahead.

Conclusions
Data from this study provide a starting point for how practitioners may expect their patients to use a phone app that adjusts socket size.