bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hegemonia do Planejamento Urbano Estratégico e o Discurso Contra-Hegemônico do Direito à Cidade
Authors: Leandro Santos Jouberte Maria , Carvalho Benício de Melo Sérgio Benício 
Published: May 2020

O presente trabalho teve por objetivo avaliar os argumentos que constituem os diferentes discursos acerca do Planejamento Urbano e o Direito à Cidade tendo como foco a construção de um Grande Projeto Urbano (GPU) denominado “Novo Recife”. Para tal, acessamos três posições discursivas sobre o assunto: das empresas que formam o consórcio responsável pela construção, da Prefeitura do Recife e de um movimento social organizado denominado Direitos Urbanos (DU). O método adotado foi a arqueologia foucaultiana e sua análise de discurso. Nossos achados apontam para cinco formações discursivas antagônicas: duas favoráveis e três contestadoras do modelo de planejamento urbano adotado no Recife.
Palavras-chave: Gestão Pública, GPU, Urbanismo Crítico
Attitude of Nursing Students towards Internet Plus Nursing Service
Authors: Zhao Hua , Zhao Peng , Wang yanni 
Published: May 2020

Abstract
Background: In 2019, China completed the pilot project “Internet Plus Nursing Service.” As undergraduate nursing students are the future of nursing, their attitude, willingness, and motivation toward “Internet Plus Nursing Service” deserves study. The study aimed to investigate the attitude, willingness, and motivation of third-year undergraduate nursing students toward “Internet Plus Nursing Service,” providing a reference for the development of “Internet Plus Nursing Service” and related nursing education. Methods: This cross-sectional study comprised 508 third-year undergraduate nursing students from a public University of Traditional Chinese Medicine, using a self-designed survey. Results: Most students held a positive attitude towards “Internet Plus Nursing Service,” and were willing to choose “Internet Plus Nursing Service” as their future career choice. Conclusion: School education should develop a diversified nursing service model and professional training programs that meet social demands and professional needs, as well as address the opportunities and challenges of the Internet era.
Combination of epidural spinal cord stimulation and treadmill training with body weight support attenuates spasticity in adult rats with spinal cord transection
Authors: Saito Junya , Koda Masao , Furuya Takeo , Iijima Yasushi , Kitamura Mitsuhiro , Miyamoto Takuya , Kai Chihiro , Orita Sumihisa , Inage Kazuhide , Yamazaki Masashi , Ohtori Seiji 
Published: May 2020

Abstract
Background

The neural control of rhythmical hindlimb locomotion is known to be organized by a central pattern generator (CPG) in the lumbar enlargement. In the previous report, epidural spinal cord stimulation (SCS) for CPG with treadmill training facilitated restoration of locomotion in patient with motor incomplete spinal cord injury. However, the precise mechanism of improvement is still unclear. The purpose of this study was to elucidate efficacy and molecular mechanism of SCS with treadmill training.
Methods

Ten female Sprague-Dawley rats were used in this study. The rats were housed with food and water under a 12 h/12 h light-dark cycle. We performed spinal cord transection at the T8-T9 level. After two weeks, the rats were divided into SCS group and control group. The rats in SCS group were performed implantation of an electrode at L2 level. SCS and body weight support treadmill training were performed for 30 minutes per day, 5 days per weeks, for 4 weeks. The rats in the control group were performed treadmill training without stimulation for same period. We evaluated hind-limb locomotor function by using Basso-Beattie-Bresnahan (BBB) score. We also assessed resistance force for full extension of hindlimb as evaluation of spasticity. For histological examination, we performed immunostaining for glutamic acid decarboxylase-65 (GAD65) of lumbar enlargement after behavioral assessment.
Results

There was no significant difference of BBB score between two groups, but spasticity of hind-limb in SCS group was significantly reduced. Histological assessment revealed that expression of GAD65 tended to increase in the SCS group
Conclusions

SCS ameliorated hindlimb spasticity. It was suggested that up-regulation of GAD65 involved suppression of spasticity.
A prospective long term observational clinical study to evaluate the significance of manual tooth brushing on gingival recession
Authors: Dhaifullah Esam , Pradeep koppolu , Kalakonda Butchibabu , Elkhatat Esam 
Published: May 2020

Abstract
Purpose:Gingival recession (GR) is a common finding in adult populations associated with varied etiologies. The aim of our study was to correlate the influence of tooth brushing on GR. Further, it was intended to evaluate the role of a corrective tooth brushing technique with proper oral hygiene instructions on progression/regression of GR on a long term (3 years) follow up.Methods:A total of 53 healthy subjects, male and female, 18 to 52 years of age, without any boneloss were examined. A questionnaire evaluated all the variables associated with tooth brushing in these subjects. Later, patients were instructed on Modified Stillman brushing technique and oral hygiene instructions were reinforced. All the parameters were measured by two trained calibrated examiners at the baseline and at 6 month intervals.Results:Majority of the subjects with GR at the first visit used hard toothbrush bristle (62.2%), brushed their teeth twice daily (56.7%) and did not know the correct technique of tooth brushing (83.1%). Those subjects with buccal recession evident in the first visit who maintained high standard of oral hygiene as per our instructions and had followed the correct brushing technique as advised, it was observed that GR progressed only at the following teeth: the first and second right mandibular premolars, right mandibular canines, left mandibular canines and first left maxillary molars (total 17. 9%).Conclusion:The results of our study validate that the various variables associated with tooth brushing such as type of tooth brush, type of tooth brushing technique and frequency of tooth brushing have a potential role that result in GR. Moreover, a correct tooth brushing technique together with good oral hygiene prevents further recession.
A Study of the Prediction of Bowel Resection due to Strangulated Small Bowel Obstruction
Authors: Udaka Tetsunobu , Taniguchi Atsuki , Kouzai Jun , Ootsuka Tomoaki , Watanabe Nobuyuki , Endou Izuru , Yoshida Osamu , Asano Hiroaki , Kubo Masatoshi 
Published: May 2020

Abstract
Background

In this retrospective study, we aimed to assess the predictive factors for bowel resection due to strangulated small bowel obstruction (SSBO).
Methods

We enrolled a total of 109 patients diagnosed with SSBO at surgery. They were divided into two groups: those who underwent bowel resection and those who did not. The clinical findings, blood test results, blood gas analysis results, computed tomography (CT) findings, and sequential organ failure assessment (SOFA) scores of the patients were examined and compared between the two groups.
Results

The 109 patients were divided into the bowel resection group (n = 38) and non-bowel resection group (n = 71). A univariate analysis indicated significant predictive factors to be a history of abdominal surgery, prolonged time from the onset of disease to the operation, increased C-reactive protein (CRP) level, decreased albumin, SOFA score, existence of closed-loop obstruction, and reduced enhancement of the intestinal wall at CT. A multivariate analysis indicated that a reduced enhancement of the intestinal wall and the existence of closed-loop obstruction were independent predictive factors. Strangulated bowel obstruction can progress to a serious condition. It is therefore crucial to predict preoperatively those patients who are likely to require bowel resection.
Conclusions

Assessing the reduced enhancement of the intestinal wall and the existence of closed-loop obstruction are required in order to determine whether or not resection of the incarcerated intestine with SSBO is necessary.
A single centre study assessing the effectiveness of active monitoring, using telemedicine, in preventing heart failure admissions and death in a primary care population with systolic heart failure.
Authors: Bowers Nicola , Lodge Ben , Clifford Charlie , Monti Ricardo Pio , Phippen Marc , Clifford Piers 
Published: May 2020

Abstract
BackgroundPatients with systolic heart failure are at high risk of admission to hospital and death. This can be reduced by ensuring that they are receiving all evidence-based heart failure medications and by detecting early signs of deterioration in their condition.MethodsWe recruited 209 primary care patients with echocardiographically proven left ventricular systolic dysfunction (ejection fraction < 40%). 84 patients consented to be actively monitored by the heart failure team using telemedicine. 125 patients consented to receiving usual care but allowing access to their medical records. The primary end-point was cardiovascular death or admission to hospital for heart failure at 1 year. Secondary end-points included the prescription of evidence-based heart failure medications and patient satisfaction at the end of the study.ResultsThere was no difference in the mortality rate between the groups (6.02% in the active group and 5.56% in control). There was a significant difference in hospital admission (10.84% in the active group and 1.59% in control; p-value of 0.0078). At the end of the study, in the active group v control group, 92% v 52% of patients were on a beta-blocker, 92% v 48% on ACE-I/ARB, and 60% v 30% on an MRA. There were no differences in the final doses achieved.ConclusionsActive telemonitoring in an elderly population with systolic heart failure did not reduce cardiovascular mortality or admission to hospital for heart failure over the 1 year of the study. It did result in more patients receiving evidence based heart failure medications.Trial registrationThis trial received ethical approval from the Health Research Authority London-City Road and Hampstead Research Ethics Committee (REC Reference: 16/L0/0070, IRAS project ID: 173818). The ClinicalTrials.gov Identifier number is: NCT04371731. This trial was retrospectively registered on 30/4/2020 and this study adheres to CONSORT guidelines
Epileptic Spasms at Muhimbili National Hospital Tanzania, A Retrospective Study.
Authors: Mwalongo Joseph , Kija Edward 
Published: May 2020

Abstract
Background; Epileptic spasms (ES) is an epileptic encephalopathy occurring during infancy and early childhood. Early recognition and management is important to prevent severe neurological impairment. This study aimed at describing the clinical presentation, management and outcome of patients with Epileptic Spasms attending Muhimbili National Hospital (MNH), in Dar Es Salaam, Tanzania. Methods; A retrospective cross sectional study of all patients diagnosed with epileptic spasms was conducted at MNH from July 2016 to October 2018. Results; A total of 40 patients diagnosed with epileptic spasms were retrieved with male to female ratio of 3:2. In this study, 17 (42.5%) patients had a documented history of perinatal insult. The median age of onset of spasms was 5 months (IQR 1–12 months). In 14 (80%) out of 17 patients whom electroencephalography ( EEG) findings were retrieved had abnormal EEG findings showing either generalized epileptiform discharges 7(41%), generalized slowing 5(30%), hypsarrthymia 1(6%), or abnormal focal epileptiform discharges 2 (12%). Twenty-nine (73%) received prednisolone, with a median time of spasms subsiding of 1 month with a range of 10 days to 3 months in about 90% of them. Conclusion; The median age of onset of epileptic spasms at MNH is 5 months with the most common cause being perinatal insult in more than 40% of the patients. High dose prednisolone showed a good response in patients with epileptic spasms at MNH.
Theoretical and experimental study on the effective area of water film and dust removal efficiency
Authors: guo hua , Wang hai qiao , Chen shi qiang , Wu zhi rong 
Published: May 2020

Abstract
We investigate the capture process of dust flow through a vibrating wire, water fog, and a water film to address the problem of excessively high exhaust dust concentrations in mine exhaust shafts according to the theory of liquid-solid flow and capillary film formation. Functional expressions of the thickness and height of dust-trapping water film are derived by using Young-Laplace equations and Navier-Stokes equations, respectively. The theoretical relationship between the effective water film area and dedusting efficiency on a vibrating wire is obtained.The dedusting efficiency of a resonant chord grid is measured experimentally.The results show that wire spacing plays a decisive role in water film formation.The instantaneous effective water film area of the vibrating wire grid is proportional to the dedusting efficiency. When the diameter distance ratio of the resonance chord grid was 1.14 with the dedusting wind speed controlled at 3 m/s and a spray pressure of 0.7 MPa. The total dust control efficiency can reach > 92%.
Determining The Potential Value Of Salivary Plasmodium Falciparum Hisditine-Rich Protein 2 And Lactate Dehydrogenase As A Non-Invasive Test For Malaria
Authors: AGYAPONG FRANCIS Opoku , Ansong Daniel , Owusu-Ofori Alex , Martin-Peprah Ruby , Opoku Millicent 
Published: May 2020

Abstract
Objective: Light microscopy which is a blood-based test is the Gold standard for malaria diagnosis in the clinical settings. The low sensitivity of Microscopy coupled with the challenges associated with blood sampling necessitates exploring alternative methods of identifying malaria cases. The aim of this study was to detect the presence of Plasmodium Lactate Dehydrogenase (pLDH) and Plasmodium falciparum Histidine-Rich Protein 2 (PfHRP2) in the saliva of suspected malaria patients and to compare the diagnostic accuracy of these saliva-borne biomarkers with the results of blood film microscopy using Nested PCR as the reference test. Results: Malaria prevalence rates of 51 (27.13%), 80(42.55%), 117 (62.23%) and 95 (50.53%) were detected by the Microscopy, saliva pLDH, saliva PfHRP2 and the PCR respectively. The sensitivity of the saliva PfHRP2 ELISA, 78.95% (95% CI, 69.38-86.64%) and saliva pLDH ELISA, 64.21% (95% CI 53.72 -73.79) was better than the blood film Microscopy and showed moderate agreement with results of the Nested PCR with Kappa co-efficient of 0.5 and 0.44 respectively.
The Relationship between Quality of Life, Bone Pain, Skin Pruritus and Depression among Patients with Secondary Hyperparathyroidism: A Cross-Sectional Study
Authors: Bi Ting , Feng Xiaodong , Zhang Wei , Cheng Guangming , Wang Chunhui , Tang Yufu , Bai Sijia , Guo Shuai 
Published: May 2020

Abstract
Background Secondary hyperparathyroidism (SHPT), a manifestation of chronic kidney disease-mineral bone disorder (CKD-MBD), is common in CKD patients and has significant morbidity and mortality. Quality of life (QOL) in SHPT patients is seriously affected by symptoms such as bone pain and skin pruritus. However, studies have focused on operative effects and hypocalcemia rather than the relationships between QOL, bone pain, skin pruritus and depression symptoms.Methods A cross-sectional survey was conducted from January 2017 to December 2019 in a third-class hospital in China. The brief table of the QOL measurement scale (QOL-BREF), a self-designed bone pain and skin pruritus scale and the Self-rating Depression Scale (SDS) were used to estimate QOL, bone pain and skin pruritus, and depression, respectively. Pearson’s correlation, multiple linear regression analysis and structural equation modeling (SEM) were used for analysis.Results Overall, 320 questionnaires were considered valid (98.46% effective response rate). The prevalence of bone pain, skin pruritus and depression was 94.06%, 69.06%, and 77.81%, respectively. Bone pain, skin pruritus and depression were significantly associated with QOL. In SEM, QOL negatively correlated with bone pain (r=-0.509), skin pruritus (r=-0.517) and SDS (r=-0.465). Bone pain significantly (P < 0.01) and positively correlated with skin pruritus (r = 0.568) and SDS (r = 0.450). Skin pruritus significantly (P < 0.01) and positively correlated with SDS (r = 0.426). In addition, QOL partially mediated the association between bone pain or skin pruritus and depression (mediation proportion of 48.62% or 45.08%).Conclusions SHPT patients have high depression levels and poor QOL due to bone pain and skin pruritus. The effects on depression may be fully mediated by the impact of bone pain or skin pruritus on QOL. Thus, bone pain or skin pruritus could increase depression via the intermediary role of QOL.For clinical front-line medical staff,it can relieve bone pain and skin pruritus through timely operation and psychological intervention, so as to improve patients' quality of life and reduce anxiety.At the same time, we should also pay attention to the high-risk groups.
Does patellar denervation prevent anterior knee pain and improve patient-reported outcomes in patients undergoing non-resurfaced total knee arthroplasty? an updated meta-analysis of randomized controlled trials.
Authors: Liu Hongzhi , Liu Zhaohui , Zhang Qidong , Guo Wanshou 
Published: May 2020

Abstract
Background Anterior knee pain (AKP) is the most common complication of total knee arthroplasty (TKA). It is unclear which procedure of addressing AKP is preferable. Some data suggest patellar denervation (PD) provides effective AKP prevention. The purpose was to assess the effectiveness and safety of PD in primary TKA.Methods A meta-analysis was performed of randomized clinical trials (RCTs) from inception to March 26, 2020, using PubMed, Embase, Web of Science and Cochrane Library. Study-specific RR and MD were aggregated using random or fixed effects models. The outcomes were incidences of AKP, PS (patellar scores), VAS (visual analogue scale), ROM (range of motion), KSS knee (American Knee Society knee scores), KSS function (American Knee Society function scores), incidence of complications and revisions.Results Ten RCTs involving 1196 knees were included. The meta-analysis showed no significant in PD group on the incidence of AKP (RR = 0.64; 95% CI 0.37, 1.11; p = 0.11) with moderate heterogeneity (P < 0.01, I2 = 84%). Our results indicated PD had a significantly better VAS (MD = − 0.25; 95% CI -0.41, -0.09; p < 0.01), ROM (MD = 7.68; 95% CI 0.34, 15.20; p = 0.04) and PS (MD = 0.91; 95% CI 0.36, 1.46; p < 0.01). However, there was no significant difference no matter in KSS knee, KSS function, complications or revisions.Conclusions This meta-analysis showed that no difference in AKP between PD and NPD in patients undergoing non-resurfaced TKA. PD could improve clinical outcome in VAS, post-operative ROM and PS.
Prospective-controlled assessment of stress hormones and pain in patients undergoing myomectomy as performed by laparoscopy against laparotomy
Authors: Pados George , Katrantsiotis Konstantinos , Tsolakidis Dimitris , Almaloglou Kostantinos , Gerou Spiros 
Published: May 2020

Abstract
PurposeThe objective of the study is to prospectively assess surgical stress and postoperative pain after myomectomy performed by laparoscopy versus laparotomyMethodsThis prospective, matched, multi-center observational study, took place in the Gynecological Department of the “Papageorgiou" University Hospital and the Centre for Gynecological Endoscopy, “Diavalkaniko” Hospital. Sixty women with symptomatic growth of known uterine leiomyomas or leiomyomas compromising the shape of the uterus participated in the study. Thirty women underwent laparoscopic myomectomy, and another thirty had removal of leiomyomas through laparotomy from November 2016 to February 2018. Three venous samples were obtained from each patient to determine stress hormones (one before surgery, the second at the end of the surgical procedure, and the third on the morning of the first postoperative day), and a questionnaire was administered on the first postoperative day, in which patients indicated the level of pain through a Visual Analog Scale for Pain (VASP).ResultsAdrenocorticotropic hormone (ACTH) and noradrenalin were significantly lower in the laparoscopic group on the first postoperative day (12.68 ± 9.97 pg/ml vs 15.90 ± 9.02 pg/ml, p<0.025) and 20.7 ± 7.28 ng/ml vs 22.33 ± 5.82 ng/ml, p<0.027), respectively. There was no statistically significant difference in cortisol levels on the first postoperative day (11.71 ± 5.82 μg/dl vs 11.81 ± 7.61 μg/dl, p>0.94) and also for β-endorphin levels (4.88 ± 1.57 vs 4.91 ± ng/ml, p>0.61). The postoperative pain was significantly lower in the laparoscopic group on the VASP scale (3.3 ± 1.05 vs 5.67 ± 1.15, p<0.001, respectively).ConclusionLaparoscopy is superior to laparotomy for the surgical removal of leiomyomas in terms of postoperative pain and surgical stress.
Enormous Cloud Cover on Venus observed by Akatsuki’s IR2 data recovered by Restoration-by-Deconvolution (RD) method
Authors: Vun Choon Wei , Satoh Takehiko , Sato Takao M. , Horinouchi Takeshi 
Published: May 2020

Abstract
We have developed a new method ‘Restoration by Deconvolution’ (RD) to restore nightside photometry in the Akatsuki/IR2 images contaminated by spread light from intense dayside crescent. With updated point spread function model for IR2 and incorporation of radiative transfer computations, our RD-method is able to improve the photometric accuracy of nightside emission data in both 2.26µm and 1.735µm filters. Exploiting the enhanced photometric quality, the ‘Enormous Cloud Cover’ (ECC) features observed in both 2016-08-18 and 2016-08-27 data have been investigated. Possible altitude variations in the ECC’s spatial variation measurements from z=52km up to z=60km were found. The observations were interpreted that ECC constituting of large sulfuric acid droplets (mean radius of 3.65µm and the optical thickness ~7-9) experience strong upwelling near the ECC front. This elevates the aerosols up to z=58-60km, then subjected upon by strong downwelling forces the particles to sink by a velocity ~-0.3m/s. The analyses of physical properties and evolutionary behavior of the ECC on both dates (08-18 and 08-27) suggest them to be recurring phenomena in the lower part of Venus’ clouds.