bluuebunny/crossref_metadata_2025_split huggingface dataset:
Posterior Maxillary Prosthetic Treatment with Molar Hemisection – A case report
Authors: Kurdi Abil , Hidayati Hanoem Eka 
Published: June 2020

Background: Hemisection is an alternative treatment option for maintaining tooth with multiple root that indicated for extraction. Purpose: To reported tooth with multiple root indicated by extraction to be used as a fixed-fixed bridge abutment by extracting the infected root and maintain the healthy one. Case: A 53-year-old woman with caries in upper 1st molar teeth in mesiobuccally root that can’t be maintained. Patients refuse the teeth to be extracted. Case Management: Hemisection treatment was performed on 26 mesiobuccal root, with the addition of bone graft. After the healing process, fixed-fixed bridges were made on 25, 26, 27, 28, with PFM on 25, 26, 27 and full cast crowns on 28 as the material. Discussion: Hemisection as a conservative treatment, can be an option for multiple root teeth that has been indicated for extraction but still have root that can be maintained. Conclusion: Teeth performed by hemisection treatments can be used as abutments with attention to the selection of patients to achieve long-term success.
Complete Denture Treatment With a Flat Ridge Using Semi-adjustable Articulator
Authors: Herdianti Nur Cecilia , Soekobagiono Soekobagiono , Dahlan Agus 
Published: June 2020

Background: Complete denture is a removable denture replacing all the missing teeth and tissue in the upper jaw and lower jaw. The purpose of making complete denture is to improve the function of chewing, aesthetic functions and maintaining patient's oral health. Complete edentulous ridge will causes resorption, until it become flat. A flat ridge is associated with difficulties in providing successful dentures. Purpose: This case report aims to reported the treatment of complete edentulous maxillary and mandibular with a flat ridge using semi-adjustable articulator. Case(s): A 63-year-old male patient visited the Prosthodontic Clinic of Dentistry Faculty, Airlangga University with complete edentulous maxillary and mandibular, also flat ridge in his mandibular. Case Management: This case is using semi-adjustable articulator (Stratos 300). Some accessories in Stratos 300 were used in this case, such as centric tray to help determine the height of bite, gnathometer M to help the process of functional impression and bite block, also tooth arrangement with 2D templates. Conclusion: The use of semi-adjustable articulator (Stratos 300) could restore stomatognathic function in accordance with patient’s condition.
Değişik Katlarda Çıkan Yangın Sonucunda Çelik Yapıların Dayanımlarının Araştırılması
Authors: YAZGAN Mehmet Toyanç 
Published: June 2020

Yangın olaylarının yol açtığı can ve mal kayıplarını önleyebilmek
için, öncelikle tehlikeye neden olabilecek etkenleri ortadan kaldırmak,
yapıların yangına dayanım gücünü artırmak ve kolay müdahale olanağı sağlamak
gerekmektedir. Bu nedenle yapıların tasarım aşamasında, estetiğe, işleve,
konfora ve ekonomiye dayalı kaygıların arasında, yapılardaki yangına karşı can
güvenliğinin sağlanması da olmak zorundadır. Yangına dayanıklı yapı tasarımında, yangının meydana getirdiği
olumsuz etkilerinin bilinmesi ve taşıyıcı sistemi oluşturan yapı elemanlarının
bu deformasyonlara karşı dayanımlı olmalarının yanında, mimari tasarımdan
başlayarak yapının taşıyıcı sisteminin oluşturulmasında, yangın dayanımını
arttıracak birçok ayrıntının göz önüne alınması gerekmektedir. Yangın geçirmiş çelik binalarda çelik elemanların mekanik
özelliklerinde yangının derecesine göre büyük değişiklikler meydana
gelmektedir.
A ocorrência da espécie exótica Litopenaeus vannamei (Boone, 1931) no complexo estuarino-lagunar de Cananéia, Iguape e Ilha Comprida
Authors: BARBIERI Edison , COA Francine , REZENDE Karina Fernades Oliveira 
Published: June 2020

As espécies exóticas constituem hoje em um problema exponencial de escala global e um dos principais fatores de modificações do meio ambiente e da biodiversidade de uma região. A introdução de espécies exóticas encontra-se tipicamente vinculada í­Â s atividades de interesse sócio-econômico. As invasões têm consequências ecológicas, econômicas e sanitárias, atuando, í­Â s vezes, de modo sinergético. O presente trabalho registra a ocorrência de Litopenaeus vannamei em várias áreas do estuário de Cananeia, Iguape e Ilha Comprida. Para avaliar a ocorrência do L. vannamei junto í­Â pesca de Farfantepenaeus paulensis, F. brasiliensis e Litopenaeus schmitti foram realizadas 109 amostragens com rede gerival, de março de 2005 adezembro de 2013. Foram capturados 64 exemplares de L. vannamei com tamanhos e pesos médios da menor para maior espécime capturada de 1,68 para 6,30 cm e 26,70 para 31,78 g, respectivamente. Os dados não indicam que L. vannamei está proliferando na região, a ponto de ser considerado uma espécie invasora e causando problemas econômicos.
Digital Divide: Marked Disparities in Computer and Broadband Internet Use and Associated Health Inequalities in the United States
Authors: Singh Gopal K. , Girmay Mehrete , Allender Michelle , Ramey Christine T. 
Published: June 2020

Background:
Despite the considerable increase in computer and internet use over the past two decades, few studies have examined socioeconomic, demographic, and health characteristics associated with computer and internet use in the United States. Community-level differences in computer and internet use and associated disparities in health and mortality indicators have not been analyzed. This study examines these associations at the individual and community level using national census, health, and mortality data.

Methods:
We analyzed data from the 2017 American Community Survey (ACS) Micro-data Sample, the 2013-2017 ACS Summary File, National Vital Statistics System, and 2019 County Health Rankings and Roadmaps. Health and socioeconomic characteristics associated with broadband internet and computer use among adults aged ≥18 were modeled by logistic regression (N=2,385,595).

Results:
In 2017, 89.7% of Asian/Pacific Islanders (APIs) had broadband internet service, compared with 66.0% of American Indians/Alaska Natives (AIANs), 77.2% of Blacks/African-Americans, 78.8% of Hispanics, and 83.5% of non-Hispanic Whites. APIs (97.4%) were more likely than other racial/ethnic groups to own or use a computer (including smartphones), while AIANs (80.3%) were less likely. Socioeconomic gradients in internet and computer use were marked. Those below the poverty level and with less than a high school education reported 18 and 15 percentage points lower rates of internet and computer use respectively. Compared to metropolitan areas, nonmetropolitan areas had lower internet access (80.3% vs. 69.7%) and computer use (88.4% vs. 80.5%). Rural areas and small urban towns had the lowest level of internet and computer use. Risks of disabilities and lack of health insurance were greater among persons with lower broadband internet and computer access. Communities with low internet and computer use had seven years shorter life expectancy than communities with high use and were at increased risks of mortality from various chronic conditions, poor health, mental distress, hospitalization, smoking, obesity, and physical inactivity.

Conclusions and Implications for Translation:
Significant socioeconomic and racial/ethnic disparities in internet and computer use and associated health inequalities exist in the US. Closing the social divide in internet and computer use can positively impact individual empowerment, educational attainment, economic growth, community development, access to health care and health-related information, and health promotions efforts.
Successful Rigless Subsea Stimulation in Asia Using Novel Well-Access Technology and a Fully Integrated Service Model
Authors: Avery Mike , Large Robert , Azhar Herman , Wong Kai San , Yusoff Mohd Faizal Bin 
Published: June 2020

Summary
A successful rigless subsea stimulation was executed during 2018, with the intervention performed on three target wells offshore of Sabah Malaysia, at a water depth of approximately 1400 m (4,593 ft). Significant changes in reservoir performance prompted an acid-stimulation and scale-squeeze treatment, designed to remedy fines migration and scaling issues within the well and production system. Treatment fluids were delivered subsea by an open-water hydraulic access system, using a hybrid coiled tubing downline (HCTD). Access to the subsea trees was enabled by a novel choke-access technology, allowing for a flexible, cost-efficient, and low-risk intervention. The intervention system was installed on a multiservice vessel, with the downline deployed via the vessel moonpool. A second support vessel was used as required to provide additional fluid capacity without disturbing primary intervention operations. This enhanced the flexibility of the operation, accommodating potential changes in the treatment plan without impact to critical path-stimulation activities.
The full intervention was delivered as an integrated service, with all elements supplied by a single provider, via one contract. An established network of in-house equipment, expertise, test laboratories, and operational bases supported the planning and execution of the project. This was complemented by select external providers for vessels, remotely operated vehicle services, and other specialist contractors.
The challenges faced during execution included completion of a comprehensive treatment fluid test program, importation and logistics of equipment from around the globe, and managing operational risks, all within a condensed timeline to satisfy a brief intervention window. A collaborative solution was developed that combined the resources of the service provider, inclusion of performance-based elements within the contract, and delivery of an efficient and flexible well-access technology that supported rapid mobilization and alleviated operational risk.
Post-stimulation well testing confirmed an average increase in oil productivity of 86%, with a corresponding productivity-index factor gain of 3.4. These results confirm the appropriateness of open-water hydraulic access using coiled tubing (CT) for performing cost-effective stimulations on complex subsea wells.
The effect of milrinone on mortality in adult patients who underwent CABG surgery: A systematic review of randomized clinical trials with a meta-analysis and trial sequential analysis
Authors: Ren Yu-shan , Li Lan-fang , Peng Tao , Tan Yu-jun , Sun Ying , Cheng Guo-liang , Zhang Gui-min , Li Jie 
Published: June 2020

Abstract
Background: As an inodilator, milrinone is commonly used for patients who undergo coronary artery bypass graft (CABG) surgery because of its effectiveness in decreasing the cardiac index and mitral regurgitation. The aim of this study was to perform a systematic review and meta-analysis of existing studies from the past 20 years to evaluate the impact of milrinone on mortality in patients who undergo CABG surgery.Methods: We performed a systematic literature search on the application of milrinone in patients who underwent CABG surgery in studies published between 1997 and 2017 in BioMed Central, PubMed, EMBASE, and the Cochrane Central Register. The included studies evaluated milrinone groups compared to groups receiving either placebo or standard treatment and further compared the systemic administration.Results: The network meta-analysis included 723 patients from 16 randomized clinical trials. Overall, there was no significant difference in mortality between the milrinone group and the placebo/standard care group when patients underwent CABG surgery. In addition, 9 trials (with 440 randomized patients), 4 trials (with 212 randomized patients), and 10 trials (with 470 randomized patients) reported that the occurrence of myocardial infarction (MI), myocardial ischemia, and arrhythmia was lower in the milrinone group than in the placebo/standard care group. Between the milrinone treatment and placebo/standard care groups, the occurrence of myocardial infarction, myocardial ischemia, and arrhythmia was significantly different. However, the occurrence of stroke and renal failure, the duration of inotropic support (h), the need for an intra-aortic balloon pump (IABP), and mechanical ventilation (h) between these two groups showed no differences.Conclusions: Based on the current results, compared with placebo, milrinone might be unable to decrease mortality in adult CABG surgical patients but can significantly ameliorate the occurrence of MI, myocardial ischemia, and arrhythmia. These results provide evidence for the further clinical application of milrinone and of therapeutic strategies for CABG surgery. However, along with milrinone application in clinical use, sufficient data from randomized clinical trials need to be collected, and the potential benefits and adverse effects should be analyzed and reevaluated.
Changing Clinical Characteristics Of Non-Cystic Fibrosis Bronchiectasis In Children
Authors: Erdem Ela , Gokdemir Yasemin , Atag Emine , Ikizoglu Nilay Bas , Ergenekon Pinar , Yilmaz Cansu Yegit , Kut Arif , Ersu Refika , Karakoc Fazilet , Karadag Bulent 
Published: June 2020

Abstract
Background: The prevalence of non-cystic fibrosis (CF) bronchiectasis is increasing in both developed and developing countries in recent years. Although the main features remain similar, etiologies seem to change. Our aim was to evaluate the clinical and laboratory characteristics of our recent non-CF bronchiectasis patients and to compare these with our historical cohort in 2001. Methods: 104 children with non-CF bronchiectasis followed between 2002 and 2019 were enrolled. Age of diagnosis, underlying etiology and microorganisms in sputum culture were recorded. Clinical outcomes were evaluated in terms of lung function tests and annual pulmonary exacerbation rates at presentation and within the last 12 months. Results: Mean FEV1 and FVC %predicted at presentation improved compared to historical cohort (76.6±17.1 vs. 63.3±22.1 and 76.6±15.1 vs. 67.3±23.1, respectively; p<0.001). There was a significant decrease in pulmonary exacerbation rate from 6.05±2.88 at presentation to 3.23±2.08 during follow-up (p<0.0001). In 80.8% of patients, an underlying etiology was identified. There was an increase in primary ciliary dyskinesia (PCD) (32.7% vs. 6.3%;p=0.001), decrease in idiopathic cases (19.2% vs. 37.8%;p=0.03) with no change in postinfectious and immunodeficiencies as underlying etiology. Sputum cultures were positive in 77.9% of patients which was 46.9% in the historical cohort (p=0.001). Conclusion: Baseline pulmonary function tests were better and distribution of underlying etiology had changed with a remarkable increase in diagnosis of PCD in the recent cohort.
Evaluating the Care Provision of a Community-Based Serious-Illness Care Program Via Chart Measures
Authors: Kistler Christine , Dongen Matthew Van , Ernecoff Natalie , Daaleman Timothy , Hanson Laura 
Published: June 2020

Abstract
Background: Although quality-of-care domains for home-based primary and palliative programs have been proposed, they have had limited testing in practice. Our aim was to evaluate the care provision in a community-based serious-illness care program, a combined home-based primary and palliative care model.Methods: Retrospective chart review of patients in an academic community-based serious-illness care program in central North Carolina from August 2014 to March 2016 (n=159). Chart review included demographics, health status, and operationalized measures of seven quality-of-care domains: medical assessment, care coordination, safety, quality of life, provider competency, goal attainment, and access.Results: Patients were mostly women (56%) with an average age of 70 years. Patients were multi-morbid (53% ≥3 comorbidities), functionally impaired (45% had impairment in ≥2 activities of daily living) and 32% had dementia. During the study period, 31% of patients died. Chart review found high rates assessment of functional status (97%), falls (98%), and medication safety (96%). Rates of pain assessment (70%), advance directive discussions (65%), influenza vaccination (59%), and depression assessment (54% of those with a diagnosis of depression) were lower. Cognitive barriers, spiritual needs, and behavioral issues were assessed infrequently (35%, 22%, 21%, respectively). Conclusion: This study is one of the first to operationalize and examine quality-of-care measures for a community-based serious-illness care program, an emerging model for vulnerable adults. Our operationalization should not constitute validation of these measures and revealed areas for improvement; however, the community-based serious-illness care program performed well in several key quality-of-care domains. Future work is needed to validate these measures.
Improved ascertainment of modes of HIV transmission in Ukraine indicates importance of drug injecting and homosexual risk
Authors: Dumchev Kostyantyn , Kornilova Marina , Kulchynska Roksolana , Azarskova Marianna , Vitek Charles 
Published: June 2020

Abstract
Background: It is important to understand how HIV infection is transmitted in the population in order to guide prevention activities and properly allocate limited resources. In Ukraine and other countries where injecting drug use and homosexuality are stigmatized, the information about mode of transmission in case registration systems is often biased.Methods: We conducted a cross-sectional survey in a random sample of patients registered at HIV clinics in seven regions of Ukraine in 2013-2015. The survey assessed behavioral risk factors and serological markers of viral hepatitis B and C. We analyzed the discrepancies between the registered mode of transmission and the survey data, and evaluated trends over three years.Results: Of 2,285 participants, 1,032 (45.2%) were females. The proportion of new HIV cases likely caused by injecting drug use based on the survey data was 59.7% compared to 33.2% in official reporting, and proportion of cases likely acquired through homosexual transmission was 3.8% compared to 2.8%. We found a significant decrease from 63.2% to 57.5% in the proportion of injecting drug use-related cases and a steep increase from 2.5 to 5.2% in homosexual transmission over three years. Conclusions: The study confirmed the significant degree of misclassification of HIV mode of transmission among registered cases. The role of injecting drug use in HIV transmission is gradually decreasing, but remains high. The proportion of cases related to homosexual transmission is relatively modest, but is rapidly increasing, especially in younger men. Improvements in ascertaining the risk factor information are essential to monitor the epidemic and to guide programmatic response.
Healthy Weight Services in England before, during and after pregnancy: a mixed methods approach
Authors: Fair Frankie , Marvin-Dowle Katie , Arden Madelynne , Soltani Hora 
Published: June 2020

Abstract
Background: Maternal overweight and obesity are associated with numerous adverse outcomes including higher rates of maternal and infant mortality and morbidity. Overweight and obesity before, during and after pregnancy are therefore a significant public health priority in England. This project explored and mapped healthy weight service availability at different stages of the childbearing cycle.Methods: A mixed methods approach included a questionnaire-based survey disseminated through Local Maternity Systems and semi-structured interviews or focus groups with providers and commissioners. Current maternal weight service provision was explored along with some of the barriers and facilitators for providing, delivering and accessing healthy weight services. Descriptive statistics were reported for quantitative data and content analysis was used for thematic reporting of qualitative data. Results: A total of 88 participants responded to the survey. All services were offered most frequently during pregnancy; with healthy eating and/or weight management services offered more often than physical activity services. Few services were targeted specifically at women with a raised body mass index. There was a high degree of inconsistency of service provision in different geographical areas. Several themes were identified from qualitative data including "equity and variation in service provision", "need for rigorous evaluation", "facilitators” to encourage better access or more effective service provision, including prioritisation, a change in focus and co-design of services, "barriers" encountered including financial and time obstacles, poor communication and insufficiently clear strategic national guidance and "the need for additional support”.Conclusions: There is a need to reduce geographical variation in services and the potential health inequalities that this may cause. Improving services for women with a raised body mass index as well as services which encourage physical activity require additional emphasis. There is a need for more robust evaluation of services to ensure they are fit for purpose. An urgent need for clear national guidance so that healthcare providers can more effectively assist mothers achieve a healthy weight gain was identified. Commissioners should consider implementing strategies to reduce the barriers of access identified such as childcare, transport, location and making services free at the point of use.
Effect of pericardial incision on left ventricular morphology and systolic function in patients during coronary artery bypass grafting
Authors: Zhao Lan-Ting , Liu Lu , Meng Ping-Ping , Wang Yong-Huai , Li Meng , Yang Jun , Gu Tian-Xiang , Ma Chun-Yan 
Published: June 2020

Abstract
Background: Accurate assessment of left ventricular (LV) systolic function is important after coronary artery bypass grafting (CABG). LV ejection fraction (LVEF) is conventionally used to evaluate LV systolic function; deformation parameters can be used to detect subtle LV systolic dysfunction. It is unclear whether an incised pericardium without sutures during CABG could affect LV morphology and function. We investigated the effect of pericardial incision on LV morphology and systolic function during CABG. Methods: Intraoperative transesophageal echocardiography was performed in 27 patients during elective off-pump beating heart CABG 5 minutes before and after pericardial incision. LV longitudinal and mid-cavity transversal diameters, sphericity index, volumes, and LVEF were measured. LV global longitudinal strain (GLS), global circumferential strain (GCS), global radial strain (GRS), and twist obtained by two-dimensional speckle tracking echocardiography were measured simultaneously. Results: LV mid-cavity transversal diameter increased, while the LV sphericity index decreased (P<0.001) immediately after pericardial incision. The GLS, GCS, and twist significantly decreased, while the GRS notably increased (P<0.001). The LV volumes and LVEF remained unchanged. Conclusions: Pericardial incision immediately transformed LV morphology from an ellipsoid to sphere, with decreased longitudinal and circumferential strain and twist, and increased radial strain, while LVEF remained unchanged. This should be considered when evaluating LV systolic function in patients after CABG.