bluuebunny/crossref_metadata_2025_split huggingface dataset:
Over-ground robotic lower limb exoskeleton in neurological gait rehabilitation: User experiences and effects on walking ability
Authors: Jyräkoski Taina , Merilampi Sari , Puustinen Juha , Kärki Anne 
Published: December 2020

BACKGROUND: Over-ground robotic lower limb exoskeletons are safe and feasible in rehabilitation with individuals with spinal cord injury (SCI) and stroke. Information about effects on stroke rehabilitees is scarce and descriptions of learning process and user experience is lacking. OBJECTIVE: The objectives of this study were to describe how rehabilitees learn exoskeleton use, to study effects of exoskeleton assisted walking (EAW) training, and to study rehabilitees’ user experiences. METHODS: One-group pre-test post-test pre-experimental study involved five rehabilitees with stroke or traumatic brain injury (TBI). Participants in chronic phase underwent twice a week an 8-week training intervention with Indego exoskeleton. Process of learning to walk and the level of assistance were documented. Outcome measurements were conducted with 6-minute and 10-meter walk tests (6 MWT, 10 mWT). User experience was assessed with a satisfaction questionnaire. RESULTS: Rehabilitees learnt to walk using the exoskeleton with the assistance from 2–3 therapists within two sessions and progressed individually. Three participants improved their results in 10 mWT, four in 6 MWT. The rehabilitees felt comfortable and safe when using and exercising with the device. CONCLUSION: Indego exoskeleton may be beneficial to gait rehabilitation with chronic stroke or TBI rehabilitees. The rehabilitees were satisfied with the exoskeleton as a rehabilitation device.
CODECISÃO DE ESTUDANTES NO PLANEJAMENTO DE AULAS DE EDUCAÇÃO FÍSICA: temáticas escolhidas e sentimentos manifestados
Authors: Mandolini Ana Claudia Moura , Ferreira Lílian Aparecida 
Published: December 2020

O presente artigo teve por objetivo identificar as temáticas escolhidas e os sentimentos manifestados por estudantes quando da participação no processo de codecisão do planejamento das aulas de Educação Física. A abordagem qualitativa da pesquisa se orientou pelo estudo exploratório. Os dados foram coletados através de rodas de conversas e questionário. Os participantes envolveram 17 alunos de uma turma de 5º ano. Os temas de interesse dos estudantes foram: handebol; curiosidades sobre a bola, ginástica rítmica, queimada, surfe, voleibol sentado, tango, basquetebol em cadeira de rodas. Quanto aos sentimentos, revelaram: felicidade, responsabilidade, ser valorizado, ter liberdade, curiosidade, timidez, indecisão, estar confuso. Tais evidências parecem ter potencializado a relação de valorização que foi estabelecida com os conhecimentos da Educação Física ao longo do processo, bem como, anunciam a relação de pessoalidade construída entre os alunos, tanto na partilha do ensino com o outro quanto na aprendizagem coletiva.
Tüketicilerin organik gıdalar hakkında bakış açılarının değerlendirilmesi
Authors: Özkan Sibel , Sağlam Zuhal Aydan 
Published: December 2020

Amaç: Bu çalışma bireylerin organik gıdalara karşı bilgi, bilinç düzeylerini değerlendirip; tüketiciye organik gıda seçimi ve tercihi konusunda yeni bir bakış açısı kazandırmayı amaçlamaktadır. Yöntem: Araştırma Şubat-Mayıs 2019 tarihleri arasında İstanbul ili Kadıköy ilçesi Kozyatağı, Erenköy, Caddebostan, Fikirtepe, Göztepe ve Koşuyolu semtlerinde halk pazarları ve marketlere gelen 18 yaş ve üzeri toplam 370 yetişkin erkek ve kadın bireyin organik gıdalara karşı bakış açılarını değerlendirmek amacı ile gerçekleştirilmiştir. Katılımcılara araştırmacı tarafından anket uygulanmıştır. Bulgular: Çalışmada kadın ve erkek bireylerin %84 ü şimdiye kadar organik gıda satın almıştır. Ek olarak bireylerin %89.3’ü organik gıdayı sağlıklı olduğu için tercih ettiklerini belirmiştir. Ancak bireylerin %95 i organik tarım logosu ve organik gıda hakkında yeterli bilgiye sahip olmadıkları tespit edilmiştir. Araştırmada kişilerin organik gıdaların sağlığa olumlu etkilerinin olduğunu düşünme durumları ile eğitim durumları arasında anlamlı bir farklılık vardır. Her eğitim seviyesindeki katılımcı, organik gıdanın sağlığa etkisinin olumlu olduğunu büyük oranda düşünmektedirler. Ancak organik gıda tanımı ile bireylerin eğitim seviyesi arasında anlamlı bir ilişki yoktur. Sonuç: Tüketicilerin organik gıdalara bakış açıları değerlendirilirken bireylerin daha fazla bilgilendirilmeye ve yönlendirilmeye ihtiyacı vardır. Doğru bilgilendirme ve yönlendirme ile organik tarım güçlenecektir. Bunlara ek olarak doğa ve insan sağlığı korunacak, gelecek nesillere iyi bir dünya bırakılabilecektir.
The Prevalence, Risk Factors, and Outcomes of Sepsis in Critically Ill Patients in China: A Multicenter Prospective Cohort Study
Authors: Wang Meiping , Jiang Li , Zhu Bo , Li Wen , Du Bin , Kang Yan , Weng Li , Qin Tiehe , Ma Xiaochun , Zhu Duming , Wang Yushan , Zhan Qingyuan , Duan Meili , Li Wenxiong , Sun Bing , Cao Xiangyuan , Ai Yuhang , Li Tong , Zhu Xi , Jia Jianguo , Zhou Jianxin , He Yan , Xi Xiuming ,   China Critical Care Sepsis Trial (CCCST) workgroup
Published: December 2020

Background: Sepsis is a main cause of morbidity and mortality in critically ill patients. The epidemiology of sepsis in high-income countries is well-known, but information on sepsis in middle- or low-income countries is still deficient, especially in China. The purpose of this study was to explore the prevalence, characteristics, risk factors, treatment, and outcomes of sepsis in critically ill patients in tertiary hospitals in China.Methods: A multicenter prospective observational cohort study was performed with consecutively collected data from adults who stayed in any intensive care unit (ICU) for at least 24 h; data were collected from 1 January 2014 to 31 August 2015, and patients were followed until death or discharge from the hospital.Results: A total of 4,910 patients were enrolled in the study. Of these, 2,086 (42.5%) presented with sepsis or septic shock on admission to the ICU or within the first 48 h after admission to the ICU. ICU mortality was higher in patients with sepsis (13.1%) and septic shock (39.0%) and varied according to geographical region. Acinetobacter, Pseudomonas, and Staphylococcus infections were associated with increased ICU mortality. In addition, age, Acute Physiology, and Chronic Health Evaluation II (APACHE II) scores, pre-existing cardiovascular diseases, malignant tumors, renal replacement therapy (RRT), and septic shock were independent risk factors for mortality in patients with sepsis. The prompt administration of antibiotics (OR 0.65, 95% CI 0.46–0.92) and 30 mL/kg of initial fluid resuscitation during the first 3 h (OR 0.43, 95% CI 0.30–0.63) improved the outcome in patients with septic shock.Conclusions: Sepsis was common and was associated with a high mortality rate in critically ill patients in tertiary hospitals in China. The prompt administration of antibiotics and 30 mL/kg fluid resuscitation decreased the risk of mortality.
Dosimetric Feasibility Study of Dose Escalated Stereotactic Body Radiation Therapy (SBRT) in Locally Advanced Pancreatic Cancer (LAPC) Patients: It Is Time to Raise the Bar
Authors: Mazzarotto Renzo , Simoni Nicola , Guariglia Stefania , Rossi Gabriella , Micera Renato , De Robertis Riccardo , Pierelli Alessio , Zivelonghi Emanuele , Malleo Giuseppe , Paiella Salvatore , Salvia Roberto , Cavedon Carlo , Milella Michele , Bassi Claudio 
Published: December 2020

Background and ObjectiveTo assess the dosimetric feasibility of a stereotactic body radiotherapy (SBRT) dose escalated protocol, with a simultaneous integrated boost (SIB) and a simultaneous integrated protection (SIP) approach, in patients with locally advanced pancreatic cancer (LAPC).Material and MethodsTwenty LAPC lesions, previously treated with SBRT at our Institution, were re-planned. The original prescribed and administered dose was 50/30/25 Gy in five fractions to PTVsib (tumor-vessel interface [TVI])/PTVt (tumor volume)/PTVsip (overlap area between PTVt and planning organs at risk volume [PRVoars]), respectively. At re-planning, the prescribed dose was escalated up to 60/40/33 Gy in five fractions to PTVsib/PTVt/PTVsip, respectively. All plans were performed using an inspiration breath hold (IBH) technique and generated with volumetric modulated arc therapy (VMAT). Well-established and accepted OAR dose constraints were used (D0.5cc &lt; 33 Gy for luminal OARs and D0.5cc &lt; 38 Gy for corresponding PRVoars). The primary end-point was to achieve a median dose equal to the prescription dose for the PTVsib with D98≥ 95% (95% of prescription dose is the minimum dose), and a coverage for PTVt and PTVsip of D95≥95%, with minor deviations in OAR dose constraints in &lt; 10% of the plans.ResultsPTVsib median (± SD) dose/D95/conformity index (CI) were 60.54 (± 0.85) Gy/58.96 (± 0.86) Gy/0.99 (± 0.01), respectively; whilst PTVt median (± SD) dose/D95 were 44.51 (± 2.69) Gy/38.44 (± 0.82) Gy, and PTVsip median (± SD) dose/D95 were 35.18 (± 1.42) Gy/33.01 (± 0.84) Gy, respectively. With regard to OARs, median (± SD) maximum dose (D0.5cc) to duodenum/stomach/bowel was 29.31 (± 5.72) Gy/25.29 (± 6.90) Gy/27.03 (± 5.67) Gy, respectively. A minor acceptable deviation was found for a single plan (bowel and duodenum D0.5cc=34.8 Gy). V38 &lt; 0.5 cc was achieved for all PRV luminal OARs.ConclusionsIn LAPC patients SBRT, with a SIB/SIP dose escalation approach up to 60/40/33 Gy in five fractions to PTVsib/PTVt/PTVsip, respectively, is dosimetrically feasible with adequate PTVs coverage and respect for OAR dose constraints.
Les travaux de restauration de la grotte du château de La Bâtie d’Urfé à Saint-Étienne-le-Molard (Loire)
Authors: Grange-Chavanis Jean-François 
Published: December 2020

La grotte de rocailles conçue et réalisée au milieu du xvie siècle au château de La Bâtie d’Urfé est la plus authentique et la mieux conservée de toutes celles qui ont été construites avant elle en France et en Italie dans le souvenir ravivé de l’Antiquité. Une restauration très complète menée à bien en 2008 a redonné leur lustre à tous les éléments qui la composent. Pavage, murs ornés de personnages de rocailles variées et de coquillages, plafond de bois décoré de sables colorés, grilles de fer forgé, statues de marbre, forment un espace d’une profonde originalité qui sert d’atrium à la chapelle du château où s’unissent amour humain et amour divin dans un extrême raffinement.
Les techniques d’irrigation dans la péninsule Arabique
Authors: Cariou Alain 
Published: December 2020

Dès la plus haute antiquité, les sociétés de la péninsule Arabique ont élaboré des techniques variées d’acquisition et de distribution de l’eau, à l’image des archipels oasiens alimentés par des puits, des galeries drainantes souterraines ou des dérivations d’oued. Ces techniques élaborées et diffusées sur le temps long ont connu un véritable déclin à partir de la seconde moitié du xxe siècle, en raison de la révolution technique liée à la généralisation des forages profonds et de l’irrigation pressurisée. Cette modernisation est consubstantielle de l’ère pétrolière qui a cherché vainement à verdir le désert par le développement de grands périmètres irrigués à grand renfort de capitaux et de techniques importées.
Les circulations de savoir et les transferts de techniques d’irrigation entre populations arabe et juive en Palestine ottomane et mandataire (fin xixe siècle-1948)
Authors: Mortier Élisabeth 
Published: December 2020

La fin de la domination ottomane en Palestine et la période mandataire britannique (1922-1948) constituent un moment de circulations et de transferts techniques agricoles entre la population arabe et la population juive. Ces circulations techniques s’opèrent notamment dans le cadre de l’essor de l’irrigation pendant le Mandat britannique. En effet, les procédés de conservation, de pompage et de distribution de l’eau développés par les paysans arabes tout au long de la domination ottomane sont transformés sous l’impulsion de l’import de techniques européennes et nord-américaines par les sionistes. Les techniques arabes, fruits d’échanges pluriséculaires, n’en sont pas moins maintenues pendant le Mandat.
A Systematic Literature Review of Microscopy Methods Reported in Malaria Clinical Trials
Authors: Das Debashish , Dahal Prabin , Dhorda Mehul , Citarella Barbara Wanjiru , Kennon Kalynn , Stepniewska Kasia , Felger Ingrid , Chappuis François , Guerin Philippe J. 
Published: December 2020

ABSTRACTMicroscopy of stained blood films is essential for the diagnosis of malaria, differentiation of parasite species, and estimation of parasite density performed for assessments of antimalarial drug efficacy. The accuracy and comparability of these measures over time and space are vital to discern the emergence or spread of antimalarial drug resistance. Although evidence-based guidelines for malaria microscopy methods exist, the age-old microscopy techniques for parasitological assessments are subject to considerable methodological variations. The purpose of this review was to explore critically how microscopy methods were reported in published malarial studies between 2013 and 2017 with the focus on outlining the methodological differences and improving reporting standards in practice.
İŞLETMELERDE GELECEĞİN VİZYONU OLARAK DİJİTAL DÖNÜŞÜMÜN GERÇEKLEŞTİRİLMESİ VE DİJİTAL DÖNÜŞÜM ÖLÇEĞİNİN TÜRKÇE UYARLAMASI
Authors: SAĞLAM Mehmet 
Published: December 2020

Dijital çağın gelişimiyle birlikte işletmelerde dönüşüm faaliyetlerinin hızla gerçekleştirilmesi gerekmektedir. Yöneticiler için dijital dönüşümün nasıl gerçekleştirileceği ve iyi tanımlanmış bir dijital dönüşüm stratejisinin nasıl uygulanacağı merak konusudur.
Amaç: Bu çalışmada geleceğin vizyonu olarak görülen dijital dönüşümün nasıl gerçekleştirileceği konusunda işletmelere yol haritası sunulmaya çalışılmaktadır. Ayrıca akademisyen ve araştırmacılar için sonraki çalışmalarda kullanılması amacıyla dijital dönüşüm ölçeğinin Türkçe uyarlamasının geçerliliği ve güvenilirliği araştırılmıştır.
Yöntem: Bu kapsamda dijital dönüşümün gerçekleştirilme nedenlerine, sürecine, karşılaşılan zorluklar ve çözüm önerilerine, dijital dönüşüm stratejisine, dijital olgunluk düzeyleri, dönüşümün sürdürülebilirliği ve uygulama örneklerine yer verilmiştir. Veri toplama aracı olarak anket kullanılmış ve veri analizinde SPSS 24 ve AMOS 24 programları kullanılmıştır. Araştırma ihracat firma yöneticileri üzerinde gerçekleştirilmiştir. Örnekleme yöntemi olarak yargısal ve kartopu örnekleme tercih edilmiştir.
Bulgular: Açıklayıcı ve doğrulayıcı faktör analizi sonucunda ölçeğin orijinal formu doğrulanmıştır. Güvenilirlik testi Cronbach alfa değeri, yapı geçerliliği, birleşim ve ayrışım geçerlilik değerleri uygun bulunmuştur.
Özgünlük: Çalışmanın, işletmelerin dijital dönüşümü gerçekleştirme çabalarında yol gösterici olması açısından ve ölçeğin Türkçe olarak akademik literatürde ilk uyarlama çalışması olması nedeniyle özgün olduğu ifade edilebilir.
Tácticas de fortalecimiento para la prevención del cáncer cervico uterino a través de la vacunación contra el virus del papiloma humano, agosto de 2017 a marzo de 2018
Authors: Aquino Rojas Evelin , Aquino Rojas Wilmer Allen , Soto Flores Ruth , Soto Flores Olivia 
Published: December 2020

La infección por el virus del papiloma humano es considerada una de las principales causas de neoplasias y lesiones pre-malignas asociadas a procesos infecciosos; representan un problema de salud pública y tenemos la necesidad comprometedora de reducir la morbimortalidad provocada por el virus a través de la inmunización.
Objetivo: analizar las tácticas de fortalecimiento para prevenir los factores predisponentes al déficit de coberturas para la prevención del Cáncer Cérvico Uterino.
Métodos: este estudio se realizó de agosto de 2017 a marzo de 2018 en una muestra de 634 estudiantes entre las edades de 10 a 12 años de la ciudad de Santa Cruz, entrevistando a 574 padres de familia. El tipo de estudio es no probabilístico; aleatorio estratificado; transversal analítico no experimental con una variable cuali – cuantitativa de escala ordinal.
Resultados: más del 80% de los padres de familia rechazaban la vacuna relacionado a múltiples factores (desconocimiento, desconfianza de la vacuna, mitos, temor, otros) Los padres de familia que se oponen a la inmunización contra el cáncer cervico uterino tienen 4 veces más riesgo de que sus hijas desarrollen la enfermedad en alguna etapa de su vida (RR 4.2 ; IC: .2,1 - 8,2; X2 23,3 ; p : 0,00000048). Conclusiones: por este motivo se emplearon tácticas de las cuales 4 dieron más resultados para que los padres accedan a la vacunación. Logrando así vacunar la segunda dosis a la población meta de nuestra investigación.
The support of graphic representation for the analysis of the distribution and the preparation of temporary works in the post pandemic period
Authors: Vozzola Mariapaola 
Published: December 2020

<p class="Abstracttext-VITRUVIO">The spread of the Coronavirus19 has pushed the world community to re-evaluate the meaning of "normality", introducing new concepts in their daily habits, such as social distancing, use of personal protective equipment, implementation and introduction of temporary works. Thus defining a #newnormal, which has inevitably translated into the need to redesign and re-adapt the environments usually dedicated to sociality, work and education. Hence the need to introduce a tool capable of supporting the actors involved in the adaptation of environments in the operational phases, to introduce codes and methods of representation suitable for proper communication. It will be possible to represent the above, through the presentation of a case study of school building proposing a useful tool for the design and adaptation of existing buildings, through the introduction of temporary works and structures, elements of communication and sizing of the areas.</p>
The potential of Smartstone probes in landslide experiments: how to read motion data
Authors: Dost J. Bastian , Gronz Oliver , Casper Markus C. , Krein Andreas 
Published: December 2020

Abstract. Laboratory landslide experiments enable the observation of specific properties of these natural hazards. However, these observations are limited by traditional techniques: frequently used high-speed video analysis and wired sensors (e.g. displacement). These techniques lead to the drawback that either only the surface and 2D profiles can be observed or wires confine the motion behaviour. In contrast, an unconfined observation of the total spatiotemporal dynamics of landslides is needed for an adequate understanding of these natural hazards. The present study introduces an autonomous and wireless probe to characterize motion features of single clasts within laboratory-scale landslides. The Smartstone probe is based on an inertial measurement unit (IMU) and records acceleration and rotation at a sampling rate of 100 Hz. The recording ranges are ±16 g (accelerometer) and ±2000∘ s−1 (gyroscope). The plastic tube housing is 55 mm long with a diameter of 10 mm. The probe is controlled, and data are read out via active radio frequency identification (active RFID) technology. Due to this technique, the probe works under low-power conditions, enabling the use of small button cell batteries and minimizing its size. Using the Smartstone probe, the motion of single clasts (gravel size, median particle diameter d50 of 42 mm) within approx. 520 kg of a uniformly graded pebble material was observed in a laboratory experiment. Single pebbles were equipped with probes and placed embedded and superficially in or on the material. In a first analysis step, the data of one pebble are interpreted qualitatively, allowing for the determination of different transport modes, such as translation, rotation and saltation. In a second step, the motion is quantified by means of derived movement characteristics: the analysed pebble moves mainly in the vertical direction during the first motion phase with a maximal vertical velocity of approx. 1.7 m s−1. A strong acceleration peak of approx. 36 m s−2 is interpreted as a pronounced hit and leads to a complex rotational-motion pattern. In a third step, displacement is derived and amounts to approx. 1.0 m in the vertical direction. The deviation compared to laser distance measurements was approx. −10 %. Furthermore, a full 3D spatiotemporal trajectory of the pebble is reconstructed and visualized supporting the interpretations. Finally, it is demonstrated that multiple pebbles can be analysed simultaneously within one experiment. Compared to other observation methods Smartstone probes allow for the quantification of internal movement characteristics and, consequently, a motion sampling in landslide experiments.
Prevalence and predictors of frailty in a high-income developing country: A cross-sectional study
Authors: Ahmed Amjad M. , Ahmed Dalia , Alfaris Mousa , Holmes Amanda , Aljizeeri Ahmed , Al-Mallah Mouaz H. 
Published: December 2020

Background: Frailty is a state of vulnerability and a decreased physiological response to stressors. As the population ages, the prevalence of frailty is expected to increase. Thus, identifying tools and resources that efficiently predict frailty among the Saudi population is important. We aimed to describe the prevalence and predictors of frailty among Saudi patients referred for cardiac stress testing with nuclear imaging. Methods: We included 876 patients (mean age 60.3 ± 11 years, women 48%) who underwent clinically indicated cardiac nuclear stress testing between January and October 2016. Fried Clinical Frailty Scale was used to assess frailty. Patients were considered frail if they had a score of four or higher. Multivariate adjusted logistic regression models were used to determine the independent predictors of elderly frail patients. Results: In this cohort, the median age of the included patients was 61 years, and the prevalence of frailty was 40%. The frail patients were older, more frequently women, and had a higher body mass index. Additionally, frailty was associated with a higher prevalence of cardiovascular risk factors: hypertension (85% vs. 70%) and diabetes (75% vs. 60%). In a fully adjusted logistic regression model, women, hypertension, and obesity (BMI ≥ 30 kg/m2) were independent predictors of elderly frail patients. Conclusions: With the aging of the Saudi population, frailty prevalence is expected to increase. Elderly, obesity, hypertension, and female gender are risk factors of frailty. Interventions to reduce frailty should be focused on this high-risk population.
De opwarming van concentratiecontrole: mogelijkheden een groen licht te geven aan concentraties beschouwd
Authors: Raedts Elske , Lulof Inès 
Published: December 2020

De opwarming van concentratiecontrole: mogelijkheden een groen licht te geven aan concentraties beschouwd
In dit artikel trachten de auteurs de vraag te beantwoorden in hoeverre de groene koers van mededingingsautoriteiten ook de concentratiecontrole zal of zou kunnen/moeten beïnvloeden. Tegen de achtergrond van de groene ambitie van de EU en de ACM lijkt dit waarschijnlijk en zullen marktpartijen bij het beoordelen van de mededingingsrisico’s van een transactie ook rekening moeten gaan houden met de (mogelijke oplossingen voor) effecten van een transactie op duurzaamheid.
Wetsvoorstel ruimte voor duurzaamheidsinitiatieven: een reddingsboei voor duurzaamheid?
Authors: Koeman Arnout , Deza de Massiac Paul 
Published: December 2020

Wetsvoorstel ruimte voor duurzaamheidsinitiatieven: een reddingsboei voor duurzaamheid?
In haar recent gepubliceerde Concept Leidraad Duurzaamheidsafspraken oppert de Autoriteit Consument & Markt dat het wetsvoorstel ruimte voor duurzaamheidsinitiatieven als mogelijkheid gebruikt kan worden om duurzaamheidsafspraken die in strijd zijn met de Mededingingswet toch verder te brengen. In dit artikel bespreken de auteurs dit wetsvoorstel en geven zij hun mening over de verschillende kanttekeningen die de Afdeling advisering van de Raad van State er eerder bij heeft gemaakt. Zij sluiten het artikel af met enkele fundamentele opmerkingen bij het wetsvoorstel.