bluuebunny/crossref_metadata_2025_split huggingface dataset:
Infant behaviour and maternal adaptation after uninterrupted skin-to-skin contact for 1 hour following birth in northern Uganda
Authors: Svensson Kristin , Mbalinda Scovia , Nissen Eva , Odongkara Beatrice Mpora , Waiswa Peter , Hjelmstedt Anna 
Published: June 2020

Background/aims Uninterrupted skin-to-skin contact in the first hour after birth increases the chance of exclusive breastfeeding, a practice which improves health outcomes for both mothers and neonates. This study aimed to compare mother–infant pairs who had or did not have skin-to-skin contact 1 hour after birth and investigate infant behaviour and maternal adaptation as a result. Methods This study investigated the impact of skin-to-skin contact on a number of health indicators after birth of both mother and child. Two groups were included: 51 mother–infant pairs with skin-to-skin contact and 152 with no skin-to-skin contact, who were observed for 1 hour after birth. Mothers were interviewed at discharge and at 14 weeks postpartum about their sociodemographic background, ability to interpret their infant's signals and interaction with the infant, their own health and their infant's health and feeding. The Student's t-test and Chi squared test were used to assess the associations between the groups and sociodemographic characteristics. The Cramer's V test was used to assess the effect size for variable latch on. Factor analysis was conducted on statements from interviews on mothers' feelings regarding motherhood. Results More infants latched on in the skin-to-skin contact group and the first breastfeeding was more often directed by the infants, compared to the no skin-to-skin contact group. Mothers in the skin-to-skin contact group were less likely to need help to breastfeed and tended to be more confident that they could provide sufficient milk for their child. They were also more likely to breastfeed longer and took no initiative to supplement the infant during the hospital stay, while mothers in the non-skin-to-skin contact group did so. More mothers in the skin-to-skin contact group believed that their infant could comfort itself. Conclusions The results suggest benefits to uninterrupted skin-to-skin contact between mothers and newborns 1 hour after birth in regard to initiation of breastfeeding, intended time to breastfeed, maternal self-confidence and infant self-regulation. Interventions to promote skin-to-skin contact should be implemented in this setting.
The overtreatment of type 2 diabetes in frail older people
Authors: Syed Hannah 
Published: June 2020

With older patients at an increased risk of hypoglyceamia from intensive treatments of insulin and sulfonylureas, Hannah Syed examines how a patient-centred holistic method must be undertaken for older people living with diabetes Intensive treatment with insulin and sulfonylureas in older people with low HbA1c (<53mmol/mol) can increase the risk of hypoglycaemia, morbidity and mortality. Older people, particularly those with frailty and/or comorbidities are less likely to benefit from the long-term protective effects of good glycaemic control and are often at risk of inappropriate polypharmacy. A person-centred holistic approach to diabetes management must be adapted for older people living with diabetes.
Common questions on emergency and postcoital contraception
Authors: Vaughan Alison J 
Published: June 2020

There are a number of key questions that must be asked when considering the method of emergency or postcoital contraception to use. Alison J Vaughan examines these when choosing from the three treatments available in the UK Copper IUD (CU-IUD), Levonorgestrel (LNG-EC), Ulipristal Acetate Emergency Contraception (UPA-EC) are the three methods of emergency contraception (EC) available in the UK. CU-IUD is the most effective method and must be offered to all women requesting emergency contraception and that offer documented in the record. UPA is more effective than LNG but the efficacy of UPA can be affected by on-going contraception, so is not always the ideal method for all women (see Figure 1 ). A consultation for EC offers the opportunity to discuss on going contraception and sexual health. Comprehensive evidence-led guidance can be found in the EC clinical guideline, published by the Clinical Effectiveness Committee of Faculty of Sexual and Reproductive Healthcare (FSRH) in 2017.
SUSTAINABLE DEVELOPMENT OF RURAL AREAS ON THE BASIS OF INDUSTRIAL, RESOURCE AND ENVIRONMENTAL POTENTIAL
Authors: Voronkova Olga 
Published: June 2020

Attention to the problems of socio-economic development of rural areas by the official authorities, economists and the scientific community was mainly theoretical, sometimes point-practical. At the same time, rural poverty and high unemployment, the deterioration of the demographic situation, the reduction of the network of social infrastructure institutions in rural areas, which in combination has a negative impact on the reproduction of labor resources, a decrease in production, a high level of migration, have always been the problems of rural development in the country. In general, the sustainable development of rural areas is characterized, on the one hand, by external, the most important natural resource constraints that form a long-term perspective, and on the other — determine the possibility of socio-economic development of rural communities, economic entities, diversification of the economy of the territory, the formation of new activities, environmental management. This is a very wide range of problems, which in Russia and in a number of countries around the world is currently being considered from different positions.
The article deals with the problems of economic development of rural areas as the main factor of their sustainable development in the agricultural regions of Russia. The main resources of development of rural areas of the region are defined. The characteristic of clusters of agribusiness and tourism industry is given. It shows their points of growth, the channels of products realization of the cluster, the development of tourism and recreation.
Ligandrol (LGD-4033)-Induced Liver Injury
Authors: Barbara Mary , Dhingra Sadhna , Mindikoglu Ayse L. 
Published: June 2020

ABSTRACT
We described a 32-year-old man who developed severe drug-induced liver injury after using Ligandrol (LGD-4033). The diagnosis was confirmed by a liver biopsy that showed cholestatic hepatitis with a mild portal, periportal, and perisinusoidal fibrosis. Ligandrol is a selective androgen receptor modulator that is available over the counter and via the internet.
Diagnosis of a Lymphoenteric Fistula by Single-Photon Emission Computed Tomography/Computed Tomography Lymphoscintigraphy
Authors: Anantharachagan Ariharan 
Published: June 2020

ABSTRACT
Protein losing enteropathy can present as an immunodeficiency. This report describes a rare cause of protein losing enteropathy due to a lymphoenteric fistula and how a novel use of a pre-existing combined imaging technique of single-photon emission computed tomography/computed tomography lymphoscintigraphy helped in making the diagnosis.
Large Necrotic Mass in the Small Bowel
Authors: Singh Rohit , Torre Kristin , Farooq Hafsa , Chang Victor 
Published: June 2020

ABSTRACT
Melanoma of unknown primary (MUP) is a melanoma found in sites other than the skin, mucosa, or eye. It is most commonly present in lymph nodes and least frequently in visceral organs. Diagnosis is difficult given its internal presentation and is often late stage with poor prognosis. We report an 89-year-old man who presented with weakness, a 27-kg weight loss, and gastrointestinal bleeding. He was found to have a large necrotic mass in the small bowel consistent with melanoma. Although he had extensive skin, anogenital, and ocular examinations, no cutaneous lesion was identified, therefore leading to a diagnosis of MUP.
Severe Small Bowel Bleeding Associated With Metastatic Clear Cell Renal Cell Carcinoma to the Jejunum
Authors: Mitchell Brittany M. , Lapinski James , Rubio-Tapia Alberto 
Published: June 2020

ABSTRACT
Clear cell renal cell carcinoma is a malignancy of the kidneys that most commonly metastasizes to lung, bone, lymph nodes, liver, adrenal glands, and brain. We present a 75-year-old man with severe and chronic gastrointestinal bleeding who was eventually discovered to have clear cell renal cell carcinoma metastatic to his jejunum as the source of his bleed. This is a rare phenomenon and an unusual cause of gastrointestinal bleeding.
Stochastic MMSIF of multiple edge cracks FGMs plates subjected to combined loading using XFEM
Authors: Lal Achchhe , Mishra Kundan 
Published: June 2020

Abstract
The second order statistics of multiple edge crack functionally graded materials (FGMs) under tensile, shear and combined loading assuming uncertain system parameters is presented in this paper. The uncertain parameters used under the present study are the material properties, and crack parameters such as crack length and crack angle. In this present analysis extended finite element method (XFEM) is used. The stochastic analysis is carried out using second order perturbation technique (SOPT) for the evaluation of mean and coefficient of variance (COV) of mixed mode stress intensity factor (MMSIF).
Comparison of two methods for determining Q95 reference flow in the mouth of the surface catchment basin of the Meia Ponte river, state of Goiás, Brazil
Authors: Honório Michelle da Silva , Pinheiro Roberta Vieira Nunes , Costa Isabella Almeida , Scalize Paulo Sérgio 
Published: June 2020

Abstract
The preferred data for analyzing water availability are those of historical flow series of the sources of interest; however, most Brazilian watersheds do not have sufficient fluviometric monitoring. Such cases require techniques for transposing data from one region to another, otherwise known as ‘flow regionalization’. The present work aimed to compare the method proposed by Secretaria de Meio Ambiente e Desenvolvimento Sustentável (SEMAD) of the state of Goiás with the traditional method of regionalization for determining reference flow at the mouth of the surface catchment basin of the Meia Ponte river. Data from eight fluviometric stations were used for regionalization, with the regression equations being adjusted using four different models. The result revealed that the potential and linear models performed the best, both with R2 and R2a values of 0.996 and 0.995, respectively. The relative error in the application of the potential model and of the method adopted by SEMAD were below 30%. The reference flows obtained by the two best performing methods differed, with flow determined by the traditional method being 5.93% lower than that of the SEMAD equation. Therefore, a more detailed study is recommended to determine which equation models better fit the region.
The effects of various parameters on the strengths of adhesives layer in a lightweight floor system
Authors: Karpiesiuk Jacek , Chyzy Tadeusz 
Published: June 2020

Abstract
The article presents the results of shear and tensile strength of deformable cement adhesives, reinforced by fiberglass mesh with a different weight in a lightweight floor system without screeds. The substrate under adhesive was EPS and XPS thermal insulation. Tests were carried out in dry, wet conditions as well as during freezing and thawing. On their basis, it can be concluded that the larger contact surface of the EPS thermal insulation with the deformable adhesive C2S1 increases the adhesive’s tensile strength. This surface is not important using C2S2 adhesives or when the substrate is made from rough insulation XPS. It was generally found that the higher weight of the fibreglass mesh in deformable cement adhesives has a more favorable effect on their shear strength. Water absorption does not significantly affect the adhesion of terracotta, and in some configurations of components in this system increases it. The adhesive with the symbol C2S2 compared to C2S1 has a higher tensile and shear strength using the same materials. Frost conditions do not allow for long-term use of this type of floor construction in snow and ice protection systems. This experimental research shows that an economical solution with optimal strength consists of XPS insulation, 205 g/m2 mesh, C2S1 adhesive.
On hyperquadrics containing projective varieties
Authors: Park Euisung 
Published: June 2020

Abstract
Classical Castelnuovo Lemma shows that the number of linearly independent quadratic equations of a nondegenerate irreducible projective variety of codimension c is at most

(

c
+
1

2

)

{{{c+1}\choose{2}}}

and the equality is attained if and only if the variety is of minimal degree. Also G. Fano’s generalization of Castelnuovo Lemma implies that
the next case occurs if and only if the variety is a del Pezzo variety. Recently, these results are extended to the next case in [E. Park,
On hypersurfaces containing projective varieties,
Forum Math. 27 2015, 2, 843–875]. This paper is intended to complete the classification of varieties satisfying at least

(

c
+
1

2

)

-
3

{{{c+1}\choose{2}}-3}

linearly independent quadratic equations. Also we investigate the zero set of those quadratic equations and apply our results to projective varieties of degree

≥

2
⁢
c

+
1

{\geq 2c+1}

.
The non-linear sewing lemma III: Stability and generic properties
Authors: Brault Antoine , Lejay Antoine 
Published: June 2020

Abstract
Solutions of Rough Differential Equations (RDE) may be defined as paths
whose increments are close to an approximation of the associated flow. They
are constructed through a discrete scheme using a non-linear sewing lemma.
In this article, we show that such solutions also solve a fixed point
problem by exhibiting a suitable functional. Convergence then follows from
consistency and stability, two notions that are adapted to our framework.
In addition, we show that uniqueness and convergence of discrete
approximations is a generic property, meaning that it holds excepted for a
set of vector fields and starting points which is of Baire first category.
At last, we show that Brownian flows are almost surely unique solutions to
RDE associated to Lipschitz flows. The later property yields almost
sure convergence of Milstein schemes.
Histone deacetylase 1 regulates the malignancy of oral cancer cells via miR-154-5p/PCNA axis
Authors: Lv Yuanjing , Lu Jinle , Liu Xin , Miao Susheng , Mao Xionghui , Li Baojun , Pei Rong , Xiang Cheng 
Published: June 2020

AbstractHistone deacetylases (HDACs) can regulate the progression of various cancers, while their roles in oral cancer cells are not well known. Our present study found that the HDAC1 was over expressed in oral squamous cell carcinoma (OSCC) cells and tissues. Targeted inhibition of HDAC1 via its specific inhibitor PCI24781 or siRNA can inhibit the proliferation of OSCC cells and increase their sensitivity to the chemo-sensitivity such as doxorubicin treatment. HDAC1 can regulate the expression of proliferating cell nuclear antigen (PCNA) via decreasing its mRNA stability. While over expression of PCNA can attenuate HDAC1 inhibition induced suppression of cell proliferation. We checked the expression of various miRNAs which can target the 3′UTR of PCNA. Results showed that HDAC1 can negative regulate the expression of miR-154-5p, inhibitor of miR-154-5p can attenuate PCI24781 treatment decreased PCNA expression and cell proliferation. Collectively, our present study suggested that HDAC1 can promote the growth and progression of OSCC via regulation of miR-154-5p/PCNA signals.
Indicators of nutritional status and physical activity level as factors associated with the onset of menarche of ten year old girls from Zadar county, Croatia
Authors: Samaržija Donata Vidaković , Mišigoj-Duraković Marjeta , Karamatić Lara Pavelić 
Published: June 2020

AbstractObjectivesThe aim is to determine the differences in nutritional status and level of physical activity (PA) of ten year old menstruating and non-menstruating girls.MethodsOn the sample of 208 girls, fourth graders of elementary schools in Croatia, the indicators of nutritional status were measured: body mass index(BMI), body fat % and waist to hip ratio(WHR), while the PA was assessed using PAQ-C questionnaire. Welch´s t-test was applied to establish the differences and multivariate regression analysis was applied to establish the relationships.ResultsMenstruating girls have significantly higher body mass (43.42 kg±8.31 vs. 38.64 kg±8.33), waist circumference (68.10 cm ± 9.86 vs. 62.22 cm ± 7.16), hip circumference (80.81 cm ± 7.24 vs. 76.63 cm ± 7.7), BMI (19.70 ± 3.42 vs. 17.74 ± 3.10), body fat % (28.05 ± 7.54 vs. 21.98 ± 7.67) and WHR (0.84 ± 0.06 vs. 0.81 ± 0.05) in comparison to non-menstruating girls, while non-menstruating girls have significantly higher PA level (2.93 ± 0.57 vs. 2.68 ± 0.57). The regression analysis have shown a significant relationship between body fat % and the onset of menarche (β=−0.23, SEβ=0.07, p<0.01).ConclusionsResults show differences in the indicators of nutritional status of girls with regard to the status of maturity. Increased nutritional status and body fat % may be indicators of the accelerated developmental tempo and a determinant for the earlier onset of menarche.
Risk of eating disorders in university students: an international study in Hungary, Poland and Ukraine
Authors: Lukács Andrea , Wasilewska Małgorzata , Sopel Olha , Tavolacci Marie-Pierre , Varga Beatrix , Mandziuk Marta , Lototska Olena , Sasvári Péter , Krytska Halyna , Kiss-Tóth Emőke , Ladner Joël 
Published: June 2020

Abstract

Objective
In this international study, the prevalence of Eating disorders (EDs) was determined among university students and identified associated demographic and behavioral factors predicting disorders using data from three European countries.

Methods
The survey was conducted in Hungary, Poland, and Ukraine in 2018. Registered full-time students completed an online anonymous questionnaire. Students provided data about socioeconomic characteristics, body mass index (BMI), EDs, physical fitness and sport practice, psychological distress (stress, anxiety, depression), life orientation, alcohol, tobacco, and cannabis use. Data were analyzed using SPSS 24.0 software.

Results
From the 1965 returned questionnaires 1950 were analyzed, because of the missing data (67.3% female, mean age of the total participant’s 21.40 ± 3.83 years old). EDs were observed in 26.3% of students. In logistic regression, EDs were predicted by female sex, higher BMI, single marital status, elevated psychological distress and limited access to health care.

Conclusion
EDs are relatively common in university students especially in females. Students with higher distress and BMI, limited access to health care and living without partner are at risk for EDs. This result highlights the need for a public health approach. Universities are the last chance where students can be screened in an organized setting and offer interventions early when treatment is likely to be most effective.
Use of modern contraceptives among advanced-level secondary school girls in the Rukwa Region, Tanzania, 2018
Authors: Massawa Otmar , Kazaura Method 
Published: June 2020

Abstract

Objectives
To determine contraceptive uptake, reasons for non-use and predictors of use.

Methods
We conducted a cross-sectional study among girls in advanced-level secondary schools in the Rukwa region of Tanzania. Using probability proportional to size (PPS), we recruited a random sample of 660 girls out of 1447-targeted participants. A tool for data collection was a questionnaire. Data analyses included univariate analysis to describe study participants and Poisson regression analysis to assess the effect of independent factors to the dependent variable. A 5%-level of significance was used in multivariate analysis.

Results
More than 40% of the girls report being sexually active and only 25% reported current use of modern contraceptives. The main reported main method being use of male condoms (93%). Barriers for non-use of contraceptives included fear of side effects, fear of being perceived or labeled as promiscuous, inadequate knowledge about contraceptives and for religious reasons. The predictor for using modern contraceptives was attending class sessions about modern contraceptives.

Conclusions
Although girls in advanced-level secondary schools are sexually active, the use of modern contraceptives is still low. Girls report several barriers frustrating their intention to use contraceptives, mainly based on misconceptions and lack of knowledge.
Not just studies, but fitness can also get you the intelligence and the grades!!
Authors: Jain Sonam , Shimpi Apurv , Shyam Ashok , Sancheti Parag 
Published: June 2020

Abstract

Objectives
Physical fitness in children and adolescents determines their health status and predicts if they are prone to co-morbidities that may extend in adulthood. The initial literature on the benefits of being physically fit was limited to the musculoskeletal and cardio-respiratory systems. The recent trends have shown that physical fitness has an effect on the neurological system as well. Considering physical inactivity to be a problem in today’s world and the growing evidences on physical fitness being related to cognition and academic performance, there is a need to explore more on these relationships. Thus, this study aims to find the correlation between physical fitness with academic performance and cognitive functions in adolescent urban school children.

Hypothesis
There is an association between physical fitness with academic performance and cognitive function.

Methodology
Three hundred and ninteen children were approached out of which 107 children consented for assessment. Their physical fitness was measured using the Progressive Aerobic Cardiovascular Endurance Run (PACER) test, the cognitive function was assessed using the Stroop test and the academic performance were taken from their final exam grades of 2019.

Results
A moderate positive correlation was found between physical fitness with cognitive function (r=0.528), with academic performance (r=0.545) and with self-reported physical activity per week (r=0.427). A fair negative correlation was found between physical fitness and Body Mass Index (BMI) (r=0.296).

Conclusion
This study confirms that physical fitness is positively associated with cognitive function, academic performance and self-reported physical activities and has a negative correlation with BMI.