bluuebunny/crossref_metadata_2025_split huggingface dataset:
Les formes socioculturelles de la malnutrition des enfants de moins de cinq ans dans la commune de Karimama au Nord du BÃ©nin
Authors: Guy Edoun Emmanuel , Roch Mongbo L. 
Published: July 2020

Un bon Ã©tat nutritionnel est le gage d'une vie saine et active. Cette rÃ©alitÃ© est encore un rÃªve dans la commune de Karimama, milieu oÃ¹ la malnutrition sous toutes ses formes a pris des proportions intolÃ©rables. Cette Ã©tude socio-anthropologique a pour objectif d'identifier les facteurs socioculturels qui servent de ferment Ã la malnutrition des enfants de moins de cinq ans. A partir dâ€™une mÃ©thode d'observation et d'analyse croisÃ©e prenant en compte des faits et gestes jusque-lÃ volontairement dÃ©laissÃ©s parce que considÃ©rÃ©s comme mineurs, anodins ou accessoires, il ressort que les pratiques socioculturelles ainsi que certains mÃ©canismes dâ€™influence ont un rÃ´le important dans l'Ã©tat nutritionnel des enfants. Ainsi, les variables liÃ©es aux croyances, aux mariages prÃ©coces et forcÃ©s, au pouvoir de dÃ©cision des femmes et Ã la discrimination sexuelle des femmes se prÃ©sentent comme le soubassement de la dÃ©nutrition des enfants de moins de cinq ans dans la commune. La prise en compte de lâ€™environnement socioculturel et lâ€™intÃ©gration des variables qui lui sont liÃ©es dans les actions essentielles en nutrition contribueraient Ã rÃ©duire sensiblement la persistance de la malnutrition des enfants de moins de cinq ans.
The good nutritional status is the guarantee of a healthy and active life. This reality is still a dream in the commune of Karimama, an environment where malnutrition in all its forms has taken on intolerable proportions. The aim of this socio-anthropological study is to identify the socio-cultural factors which serve as a catalyst for malnutrition of children under the age of five years. From a method of observation and cross-analysis taking into account facts and gestures up to now deliberately neglected because considered as minor, trivial or incidental, it emerges that socio-cultural practices as well as certain mechanism of influence have important role in the nutritional status of children. Thus the variables linked to beliefs, early and forced marriages, the decision-making power of women and the sexual discrimination of women appear to be the basis of undernutrition of children under the age of five years in the commune. Taking into account the socio-cultural environment and integrating the variables linked to it in essential nutrition actions would help to significantly reduce the persistence of malnutrition of children under the age of five years.
Urgensi Diversifikasi Destinasi Wisata Religi untuk Kesejahteraan: Studi Kasus di Kudus
Authors: Rosyid Moh. 
Published: July 2020

<p>Naskah ini ditulis bertujuan mewacanakan pentingnya destinasi wisata baru di Kudus agar memberi peluang pelaku ekonomi bawah berkreasi. Sumber perekonomian nasional, daerah, dan warga dapat mengandalkan dari dunia pariwisata, terutama wisata khas di sebuah daerah. Kabupaten Kudus memiliki ragam destinasi wisata yang masyhur di tingkat nasional dan internasional. Akan tetapi, satu hal yang harus diwujudkan oleh pemda Kudus adalah destinasi wisata religi lintas agama, kebun raya, dan ekomuseum. Hal itu sebagai bentuk destinasi wisata baru yang dijadikan lahan sumber ekonomi rakyat dan pengembangan usaha kecil, sedang, dan menengah yang lazimnya usaha ini oleh rakyat kecil. Langkah awal yang harus disiapkan adalah kesiapan konsep, anggaran, produk hukum, sosialisasi program, dan mental bagi pemda, anggota dewan, pelaku usaha, dan masyarakat Kudus. Hanya saja, hingga kini, semua itu, pemda Kudus belum mewacanakannya meski fasilitas alam mendukungnya sehingga perlu digagas agar mewujudkan Kota Kudus sebagai kota wisata yang memiliki destinasi khas agar direspon wisatawan domestik dan mancanegara. Kesejahteraan rakyat adalah tujuan utama dengan pengelolaan destinasi wisata yang baik. </p>
A Randomized Controlled Study of Muscle Training Exercise Based Pulmonary Rehabilitation on Activity of Daily Living in Patients with Coronavirus Disease 2019
Authors: Zhao Zhiling , Wang Feng , Wang Xue , Li Xiunan , Ren Yi , Wang Fen , Liu Shi , Chang Dandan , Zhang Xinglu , Lu Yong , Tang Ziren , Zhang Jianchu 
Published: July 2020

Abstract
Background: Hospitalized patients with Coronavirus Disease 2019 (COVID-19) pneumonia showed a severve loss of muscle mass and strength over admission. Therefore, early physical interventions might be conducive to prevent disability and fasten recovery. Methods: We designed a prospective, randomized controlled trial to identify the effectiveness and safety of pulmonary rehabilitation based on muscle exercise in COVID-19 patients. The study was conducted between February 7th and March 31st 2020 in Union Hospital. Patients were randomly assigned to the pulmonary rehabilitation exercise group or the control group. Primary outcome was improvement of activity of daily living (ADL). Secondary outcome was changes of muscle strength assessed by manual muscle test (MMT) and arterial blood gas analysis. Length of hospital staying (LOS) and adverse events related to physical activity were also observed.Results: A total of sixty patients were in analysis, and thirty patients were in PR group. Patients had a mean age of 54.43±10.57 years. A statistically and clinically significant increase in ADL was observed in PR group (75.00 [66.25,90.00] to 100.00 [100.00,100.00], p<0.001). We also found that the improvement of ADL was related to younger age and higher PaO2 (p<0.01). Both groups had MMT improvement and there was no statistical difference between groups. There was a significant increase in PaO2 (80.23±6.49 vs. 90.47±7.82, respectively, p<0.001) between two groups before discharge. There was no statically significant difference in LOS between study group and control group (p=0.62). None of these patients had severe complications during the study.Conclusions: The protocal of pulmonary rehabilitation based on muscle training exercise was feasible in COVID-19 patients and it might accelerate recovery in ADL as compared with the spontaneous recovery in the control group.Clinical Trial Registration: ChiCTR, ChiCTR2000032457. Registered 29 April 2020- Retrospectively registered, http://www.chictr.org.cn/showproj.aspx?proj=52925.
RAS Equilibrium Involves in Mesenteric Lymph Return-Mediated Acute Kidney Injury in Mice Underwent Acute Hemorrhage
Authors: Jin Yu-Jie , Su Kun , Zhang Hong , Xie Jin , Sun Hong , Feng Niu-Niu , Du Hui-Bo , Zhang Li-Min , Zhang Wen-Li , Yang Xiu-Hong , Zhao Zi-Gang 
Published: July 2020

Abstract
Background: Previous studies demonstrated renin-angiotensin system (RAS) played vital roles in shock-induced organ injury, and mesenteric lymph return was involved in hemorrhagic shock-induced acute kidney injury (AKI). Nevertheless, whether RAS is involved in PHSML-mediated AKI remains unclear. Therefore, this study investigated the role of RAS in post-hemorrhagic shock mesenteric lymph (PHSML)-induced AKI. Methods: After acute hemorrhage and fluid resuscitation, the mice were treated with mesenteric lymph duct ligation (MLDL) and administrations of angiotensin converting enzyme (ACE) inhibitor enalapril, angiotensin (1-7) (Ang (1-7)), angiotensin II (Ang II) type 1 receptor (AT1R) inhibitor losartan, respectively. In addition, the parts of mice with hemorrhage plus MLDL were treated with Ang II, Mas receptor (MasR) inhibitor A-779, respectively. Meanwhile, the ACE2-/- mice received hemorrhage plus MLDL. At 4 h after resuscitation, the kidneys were harvested for the observation of histomorphology and measurement of ACE, ACE2, AT1R, MasR expressions and Ang II and Ang (1-7) levels.Results: Hemorrhagic shock induced renal tissue injury, increased the ACE and AT1R expressions, decreased the ACE2 and MasR expressions in kidney, accompanied by elevated Ang II and depressed Ang (1-7) in kidney. These adverse effects were partially reversed by MLDL or administrations of enalapril, Ang-(1-7), and losartan, respectively. In addition, the beneficial role of MLDL was reversed by ACE2 deficiency and Ang II or A-779 administrations. Conclusion: MLDL alleviates hemorrhagic shock-induced AKI in mice is related to the equilibrium ACE-AngII-AT1R and ACE2-Ang (1-7)-MasR axis.
Remote Liver Ischemic Preconditioning Attenuates Myocardial Ischemia/reperfusion Injury in Streptozotocin-induced Diabetic Rats
Authors: Liu Xinhao , Chen Hui , Yan Zhibing , Du Lei , Huang Dou , Gao WeiDong , Hu Zhaoyang 
Published: July 2020

Abstract
BACKGROUND: Diabetes mellitus (DM) exhibits a higher sensitivity to myocardial ischemia/reperfusion(I/R)injury and may compromise the effectiveness of cardioprotective interventions, including ischemic preconditioning. We previously found that liver ischemic preconditioning(RLIPC) could limit infarct size post I/R in normal rat hearts and further exerted anti-arrhythmic effects in diabetic or non-diabetic rats after myocardial I/R, however, little is known regarding the effect of RLIPC on infarct-sparing in diabetic hearts. In this study, we evaluated the protective effects of RLIPC on I/R injury in streptozotocin (STZ)-induced type 1 diabetic rats.METHODS:Type 1 diabetes mellitus was induced by one-time intraperitoneal injection of streptozotocin in Sprague–Dawley rats. Rats were exposed to 45 min of left anterior descendin(LAD) coronary artery occlusion, followed by 3 h of reperfusion. For liver ischemic preconditioning, four cycles of 5 min of liver I/R stimuli were performed before LAD occlusion. the cardioprotective effect of RLIPC was determined in diabetic rats.RESULTS: Compared to non-RLIPC treated DM rats, RLIPC treatment significantly reduced infarct size in diabetic hearts post I/R. RLIPC also improved cardiac functions including LVESP, LVEDP, dp/dtmax, and -dp/dtmax. In addition, RLIPC could largely preserved cardiac morphology by reducing the pathological score post I/R in diabetic hearts. Finally, western blotting analysis showed that RLIPC stimulated phosphorylation of ventricular GSK-3β and STAT-5, which are key components of RISK and SAFE signaling pathways.
Is Whole Brain Radiotherapy Enough for Palliative Care of Patients with Infratentorial Brain Metastases from Lung or Breast Cancer?
Authors: Cacho-Díaz Bernardo , Alvarez-Alvarez Alejandra , Salmerón-Moreno Karen , Rodríguez-Mayoral Oscar , Santiago-Concha Bernardino Gabriel , Arrieta Oscar 
Published: July 2020

Abstract
Background: Brain metastases (BM) occur in almost one third of patients with solid tumors. The aim of the study was to compare the prognosis of patients treated with whole brain radiotherapy (WBRT) among patients with supra- or infratentorial lesions.Material and Methods: At a single center, 263 patients with either breast (BC) or lung (LC) cancer, that developed BM and received treatment with WBRT, were analyzed during an 8-year period.Results: A total of 152 patients with BC and 111 with LC were analyzed, median age at the time of BM was 50.7 years, systemic activity other than BM was detected in 91%. Newly diagnosed BM were supratentorial and infratentorial in 133 patients (51%); exclusively supratentorial in 105 patients (40%); and exclusively infratentorial in 10%. Globally, 238 patients (90%) had supratentorial lesions, and 158 (60%) had infratentorial lesions. Median overall survival was 13 months (95%CI 11.1-14.8 months), without significant difference between supra- or infratentorial location.Conclusion: In patients with LC or BC that develop BM, palliative WBRT is equally effective in those with supra- or infratentorial locations.
Chronic Disease Multimorbidity Among the Canadian Population: Prevalence and Associated Lifestyle Factors
Authors: Geda Nigatu Regassa , Janzen Bonnie , Pahwa Punam 
Published: July 2020

Abstract
Background and Rationale With the increasing prevalence of most chronic diseases, multimorbidity is becoming an important public health concern in the Canadian population. The purpose of this study was to estimate the prevalence of multimorbidity in the general population based on 14 major chronic diseases and examine associations with lifestyle/behavioral factors.Methods: The data source was the 2015-2016 Canadian Community Health Survey (CCHS). The CCHS is a cross sectional, complex multi-stage survey based on information collected from 109,659 participants aged 12+, covering all provinces and territories. Multimorbidity was measured by counting the co-occurrence of two or more chronic diseases within a person. Multiple logistic regression was the primary analysis. Results: The prevalence of multimorbidity was 33%. Adjusting for sociodemographic variables, there was an increased odds of multimorbidity for those having a sedentary lifestyle (OR=1.06; CI:1.01-1.11) and being obese (OR=1.37;CI:1.32-1.43) or overweight (OR=2.65; CI: 2.54-2.76). . There were also significant interaction effects on multimorbidity,between sex and smoking, and immigration status and alcohol intake..Conclusion and Implications: Given the high prevalence of multimorbidity among the general Canadian population, policy makers and service providers should give more attention to the behavioral/lifestyle factors which significantly predicted multimorbidity. Policy and program efforts that promote a healthy lifestyle should be a priority.
Literature Review of Cystoid Macular Edema in Iridocorneal Endothelial Syndrome and Its Response to Nepafenac 0.1%
Authors: Nien Lee Hong , Ismail Fazliana , Subrayan Visvaraja 
Published: July 2020

Abstract
Background Iridocorneal endothelial syndrome (ICE) is a rare disease which happens usually in women at 20-40 years of age. About 50% of patient with such disease develops glaucoma.Case presentation A 29-year-old woman presented in August 2015 with right eye blurring of vision for 6 months. On examination, the corneal endothelial with beaten metal appearance was noted. Right eye correctopia with iris atrophy and periphery anterior synechiae were seen. Mottled appearance of the macula which tallied with the optical coherence tomography (OCT) findings of cystoid macular edema (CME) was found. An non-steroidal anti-inflammatory drugs (NSAIDs) eye drops (NEVANACÒ Nepafenac ophthalmic suspension 0.1%) was commenced for long term. She was re-examined 2 years later in 2018. Her vision was 6/6. OCT and fundus fluorescence angiography (FFA) finding were normal.Conclusion The NSAIDs was the only treatment received by the patient and throughout the years, her CME has subsided. A long term use of Nepafenac 0.1% has shown to be effective in treating CME in ICE syndrome.
The Effect of Aerobic Walking on Sleep Quality, Stress and Life Satisfaction: A Longitudinal Analysis a Randomized Control Trial
Authors: Wang Feifei 
Published: July 2020

Abstract
BackgroundThis study aimed to evaluate the longitudinal effects of a randomized control trial about a goal-setting aerobic walking intervention conducted among sedentary young adults.MethodsA 4-week daily aerobic walking (a. continually walking for at least 10 minutes; b. walk at least 60 steps per minute.) intervention was conducted to examine its effectiveness on sleep quality, stress and life satisfaction. Fifty-four participants aged 19–36 years old were assigned into two groups randomly (i.e. intervention group, control group). Sleep quality, stress and life satisfaction were assessed at baseline, post intervention and four weeks after the intervention by a battery of questionnaires. Omron HJ-112 pedometer and daily diary were used to facilitate the intervention process.ResultsThe comparison between intervention group and control group did not show significant difference in terms of sleep quality, stress and life satisfaction after intervention. Repeated measures ANOVA showed significant longitudinal effect with regard to stress (p = 0.03). Sleep quality was improved close to statistical significance (p = 0.06). Longitudinal analysis reported that the aerobic walking effect pertaining to life satisfaction rather than stress and sleep quality (p = 0.05).ConclusionsAerobic walking is an effective exercise for stress and sleep. Further studies are suggested to explore feasible intervention strategies that could bring long-term effectiveness to health.Trial registrationClinicalTrials.gov, NCT04427696. Registered 11June 2020- retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04427696?cntry=HU&city=Budapest&draw=2&rank=1
POLIDON approach- a novel approach for mastoidectomy in COVID-19 pandemic.
Authors: Arefin Mostafa Kamal , Uddin Md.Baha , Islam Md. Zahidul , Arafat Mohammad Shaharior , Alam Md. Noor Kutubul , Talukder Debesh Chandra , Rumi Shaikh Nurul Fattah , Islam Md. Nazmul , Nasiruddin Brig. General Dr. AKM , Fakir Md. Abu Yusuf 
Published: July 2020

Abstract
BackgroundWHO declared COVID-19 outbreak as pandemic in March, 2020, which was started from Wuhan of china. Mastoidectomy is an aerosol generating procedure. If a patient of COVID-19, either confirmed, suspected or asymptomatic career, requires mastoidectomy urgently, it’s a critical issue for the health care professionals for the highly contagious nature of this novel corona virus. Here, some simple, but novel and very effective measures will be discussed for protection of all health care providers (HCPs). Polythene sheet and Povidone Iodine are the change makers in this novel approach of mastoidectomy, mentioned in this article. So, we named the technique as ‘POLIDON approach’ of mastoidectomy.Method/ MaterialPlacement of a transparent, sterile polythene sheet which acts as an interface between patient and surgeons and all other OR staffs is an important issue. Meanwhile, extended use of Povidone Iodine (PVP-I) is recommended in different way. Mouthwash for gargling and nasal application either by spray or nasal irrigation or drop will reduce viral load from nose and mouth of patient. HCPs should use PVP-I prophylactically also. Thus the chance of transmissibility of novel coronavirus is reducedMeanwhile, Povidone Iodine should be mixed with irrigating fluid to help in reduction of contamination by bone dust mixed with fluid, produced during surgery. Conclusion As mastoidectomy is an aerosol generating procedure, and novel coronavirus is highly contagious, so higher level of protection is required. A simple and cheap polythene sheet as barrier drape as well as rational and novel use of Povidone Iodine, i.e. the proposed ‘POLIDON’ approach can significantly reduce the chance of corona virus transmission among the health care professionals working in the operation theatre.
Breastfeeding for children of mothers who are infected with SARS-CoV-2: a systematic scoping review
Authors: Faria Ana Paula Vieira , Silva Thales Philipe Rodrigues da , Duarte Camila Kümmel , Santos Luana Caroline dos , Filipe Maria Margarida Leitão , Santos Nágela Cristine Pinheiro , Matozinhos Fernanda Penido 
Published: July 2020

Abstract
The aim of the present study was to perform a systematically review the literature in order to clarify whether breastfeeding is safe for babies of mothers infected with coronavirus, called SARS-CoV-2. The searches were carried out on MEDLINE (via PubMed), EMBASE and government statements and publications and manual search of reference lists on 5 July. The title, abstracts and full text were read in duplicate by two independent researchers to verify the eligibility criteria. From 2723 records, 17 citations were included. Eleven citations guide avoiding breastfeeding in cases of maternal infection confirmed by SARS-CoV-2. Fourteen citations did not present consensus on breastfeeding and twelve citations recommended to maintain breastfeeding. Conclusion : Through the evidence found so far, it is emphasized that the mother / child separation in the neonatal period is discouraged, as it harms the maternal bond, in addition to interfering considerably in breastfeeding. Therefore, the evidence found so far is extremely low in quality and does not present quantitative evidence in one way or another with regard to vertical transmission of SARS-CoV-2, there is no way to recommend, avoid or even guarantee that there will be no infection, but it is recommended to continue breastfeeding.
Successful Engraftment of HLA-matched Peripheral Hematopoietic-stem-cell Transplantation for Severe Aplastic Anemia With Multidrug-resistant Bacterial and Fungal Infections
Authors: Hua LI , Li Hua , Li Xiaofan , Chen Xianling , Li Nainong 
Published: July 2020

Abstract
Allogeneic hematopoietic-stem-cell transplantation (HSCT) is relatively challenging for the patients with serious infection and intensifying complications. Patients often lost the timing of HSCT due to the poor health status. We report a rare case of successful engraftment of HLA -matched peripheral hematopoietic stem cells for a 15-year-old girl with severe aplastic anemia (SAA), suffering multidrug-resistant (MDR) bacterial infection and fungal infections. With strong antibiotics and life support treatments, the patient received Cy + ATG precondition. The patient received cyclosporine A, methotrexate and mycophenolate for GVHD prophylaxis. Leukocyte and Platelet engraftment occurred on day + 15 and + 35 respectively. The patient’s blood routine test returned to normal on day + 72. The conditioning regimen was well tolerated by patient. Donor's engraftments were achieved successfully. The immunosuppressants were weaned off gradually. We hope this case's experience can be a reference for patients with SAA suffering severe infection on HSCT in future.
Vibration Modelling and the Difference Between Different Vibration Models for a Fewer-DOF Parallel Robot
Authors: Fan Shuai , Fan Shouwen , Zhang Xin , Song Guangkui , Lan Weibin 
Published: July 2020

Abstract
The accuracy of the vibration model used in the design process directly affects the vibration performance of a parallel robot in practice, which determines the machining accuracy and the surface finish of the manufactured products. Considering a drilling parallel robot with a passive branch and few degrees of freedom as the implementation object, a vibration modelling method is proposed in which Kane’s equation is utilized, and various commonly ignored factors, such as the passive branch, the joint clearances and gravity, are considered. To explore the effects of the passive branch, which was considered ideal in previous studies, two dynamic models are derived in which the passive branch is rigid or flexible. To explore the effects of the joint clearances, which were ignored in previous studies, two stiffness models of branches are derived, in which the joint clearances are considered or ignored. Finally, numerical examples are presented for analysing the effects of these commonly ignored factors on the vibration performance of the drilling parallel robot. Regarding to the effects of these commonly ignored factors, the findings of this paper can serve as a reference for designers in simplifying the vibration model in the design process of parallel robot.