bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of the effectiveness of screening and monitoring program for early prevention of orthopedic complications in children with cerebral palsy
Authors: Zmanovskaya V. A. , Kashuba E. V. , Valeev R. I. , Ezhov O. Yu. 
Published: January 2020

Hip instability and following hip luxation and subluxations remain common and serious problem among children with cerebral palsy (CP). The hip luxation and subluxations can be avoided using timely monitoring and early preventive treatment. However, standard scheme for patients’ management in children with CP is not adopted so far in Russian Federation. In 2014 on the territory of Tyumen region the Europe surveillance program for children with CP (CPUP) was introduced.Research purpose. To analyze the effectiveness of the early orthopedic complications prevention program in children with CP. Material and methods. The study included children with CP of the «Child psychoneurological medical-rehabilitation center «Nadezhda» register born in 2010 and earlier (n=176), undergoing surveillance under the European Program (main group); the comparison group consisted of children with CP which were treated before the adoption of the program (n=642). Group comparability was achieved by selecting children with one level of motor impairment according to the GMFCS classification. The presence of expressed orthopedic complications was exposed at the value of Reimers Index (RI) above 40%, and the effectiveness of the program was determined by a reduction in the frequency of such RI.Results. It was found that overall incidence of hip dislocation in control group decreased by 70%: in children with GMFCS II by 100%, GMFCS III – by 78%, GMFCS IV – by 62% and GMFCS V – by 74%.Conclusion. Due to the introduction of the Europe surveillance program on the territory of Tyumen region there is a significant decrease in orthopedic complications incidence in children with CP.
Acute focal bacterial nephritis
Authors: Kirillov V. I. , Bogdanova N. A. , Nikitina S. Yu. , Zhukovskaya A. V. , Nikitin M. A. 
Published: January 2020

A description of 13 clinical cases of acute focal bacterial nephritis in children aged from 1 year to 4 years and 8 months (2.6±1.1 years), made up 1,61% from hospitalized for acute urinary tract infections in accordance with existing ideas about this pathology, is presented.Acute focal bacterial nephritis is a rare variant of acute pyelonephritis that can transform into a purulent process, accompanied by nonspecific signs of acute urinary infection with persistent fever and signs of a systemic inflammatory response, which is recognized by visualization technologies. Ultrasound investigation in the case of acute focal bacterial nephritis usually reveals focuses of hyper-echogenicity of one of the kidneys and/ or signs of nephromegaly. The reserve method for diagnosing pathology is the computerized tomography. Adequate treatment of acute focal bacterial nephritis must include mandatory intravenous administration of antibiotics for at least 3 weeks , which allows for a favorable outcome of the disease.
Evaluating the effects of climate change on precipitation and temperature for Iran using RCP scenarios
Authors: Doulabian Shahab , Golian Saeed , Toosi Amirhossein Shadmehri , Murphy Conor 
Published: January 2020

AbstractClimate change has caused many changes in hydrologic processes and climatic conditions globally, while extreme events are likely to occur more frequently at a global scale with continued warming. Given the importance of general circulation models (GCMs) as an essential tool for climate studies at global/regional scales, together with the wide range of GCMs available, selecting appropriate models is of great importance. In this study, six synoptic weather stations were selected as representative of different climatic zones over Iran. Utilizing monthly data for 20 years (1981–2000), the outputs of 25 GCMs for surface air temperature (SAT) and precipitation were evaluated for the historical period. The root-mean-square error and skill score were chosen to evaluate the performance of GCMs in capturing observed seasonal climate. Finally, the outputs of selected GCMs for the three Representative Concentration Pathways emission scenarios (RCPs), namely RCP2.6, RCP4.5, and RCP8.5, were downscaled using the change factor method for each station for the period 2046–2065. Results indicate that SAT in all months is likely to increase for each region, while for precipitation, large uncertainties emerge, despite the selection of climate models that best capture the observed seasonal cycle. These results highlight the importance of selecting a representative ensemble of GCMs for assessing future hydro-climatic changes for Iran.
Isolation and molecular identification of free-living amoebae (Naegleria spp., Acanthamoeba spp. and Vermamoeba spp.) from mineral springs in Guilan Province, northern Iran
Authors: Feiz Haddad Mohammad Hossein , Habibpour Habib , Mahmoudi Mohammad Reza 
Published: January 2020

Abstract
Free-living amoebae (FLA) include many genera which cause serious diseases such as sight-threatening keratitis, cutaneous ulcers and fatal encephalitis. This study was conducted due to the lack of research regarding genotypes Acanthamoeba, Naegleria and Vermamoeba in mineral springs of Guilan Province in northern Iran. Twenty-five water samples were collected from mineral springs in Guilan Province. After filtration through nitrocellulose membrane, samples were cultured on non-nutrient agar plates. The morphological key of Page was used to identify free-living amoebae (FLA) using an inverted microscope. Positive cultures were analyzed by polymerase chain reaction (PCR) and genotypes based on the NCBI database. Eleven (44%) samples were positive for Acanthamoeba, Naegleria and Vermamoeba. By sequencing the positive isolates, the strains were shown to belong to Acanthamoeba castellanii (three case isolates belonged to T4 genotype), three cases of Vermamoeba vermiformis, and two cases of N. australiensis, two cases of N. pagei and one case of N. gruberi. According to our research the occurrence of Acanthamoeba, Naegleria spp. and Vermamoeba spp. in mineral springs could be hazardous for high risk persons. Regular monitoring and posting warning signs of these waters by health planners could prevent free-living amoebae mediated diseases.
Lead and cadmium removal by adsorption process using hydroxyapatite porous materials
Authors: Ramdani Amina , Kadeche Abdelkader , Adjdir Mehdi , Taleb Zoubida , Ikhou Djamila , Taleb Safia , Deratani André 
Published: January 2020

Abstract
This contribution is a comparison study between synthetic hydroxyapatite (Sy-HAP) and commercial hydroxyapatite (C-HAP) for the removal of Pb2+ and Cd2+ ions present in wastewater from industrial effluents. The obtained results show that the equilibrium time required for complete adsorption of Pb2+ and Cd2+ ions on C-HAP and Sy-HAP is 15 min for both. The obtained removal efficiencies for Sy-HAP are 95.52% and 90.91% for Pb2+ and Cd2+ ions, respectively. Whereas, C-Hap presents lower removal efficiencies of 86.53% and 81.43% for Pb2+ and Cd2+ ions, respectively. Maximum adsorption was observed at pH 5; at lower pH levels adsorption was less. The experimental kinetic data fitted with the second order kinetic model. Thermodynamically, the adsorption process was endothermic and spontaneous in nature. Isotherm adsorption studies indicated that Langmuir, Freundlich and Temkin are the most valid models to describe and evaluate the adsorption process. The EDX results also confirmed the presence of lead and cadmium in adsorbents after adsorption. Finally, the HAP porous materials possess great potential for the removal of Pb2+ and Cd2+ ions from aqueous solutions and wastewater from industrial effluents.
Caracterização dos óbitos decorrentes de sepse em um pronto socorro do Estado de São Paulo
Authors: Malderran Rosangela , Kirdeikas Rodrigues Camila , Novo Yara Juliano 
Published: January 2020

O objetivo foi identificar os tipos de focos de sepse mais frequentes em pacientes que foram á óbito, e a doença base no momento de sua internação. O estudo analisou retrospectivamente o tipo de foco de sepse descrito na declaração de óbito e comparou com a doença de entrada dos pacientes, a amostra foi composta por prontuários e declarações de óbito do período de janeiro a março de 2018. Evidenciou-se que a maioria dos pacientes era do sexo masculino com idade superior a 60 anos, o foco mais encontrado foi o pulmonar, a intubação orotraqueal foi o procedimento invasivo mais utilizado. As doenças pulmonares foram as que mais apareceram como diagnostico de internação, seguidas pelos quadros de sepse já estabelecidos, o que pode ser justificado por pacientes com histórico de reinternação. Através da identificação da doença base e do tipo de sepse é possível apontar a necessidade da caracterização precoce dos mesmos.
Stable carbon isotope analyses offer insights into net carbon degradation of maize silages in anaerobic batch fermentations
Authors: Einfalt Daniel , Werth Martin , Schropp Daniel , Kazda Marian 
Published: January 2020

AbstractCarbon degradation indicates the efficiency of anaerobic digestion processes. Common carbon degradation determination methods define gross carbon degradation (C deggross) of substrate and inoculum inseparably. The aim of this study was to test an isotope-based method defining solely substrate-based net carbon degradation (C degnet) on maize silage. As the natural abundance of stable isotopes in agricultural substrates vary, the method’s applicability was tested on (i) different maize silages sampled from agricultural farms, (ii) maize silage in fresh (MSfresh) and impaired storage (MSimpaired) conditions.Experiments included six maize silages digested in a total of 19 lab-scale batch reactors, analyzed for digestion parameters, stable isotopes, gross and net carbon degradation. MSimpaired showed significantly different stable carbon isotope composition at the start of the experiments, compared to MSfresh. Both methods indicated quality losses in MSimpaired. Results showed significantly higher C degnet values, ranging from 58.4% to 86.5%, compared to deggross values, ranging from 23.1% to 48.7%. This indicated the applicability of an isotope-based method C degnet to assess net carbon degradation of maize silages more detailed by excluding the masking effect of the inoculum. The isotope-based net carbon degradation method was found applicable on maize silages from (i) different farms and (ii) in different storage qualities.
Geochemistry of Paleoproterozoic saprolite developed in diabase intruding the Hotazel Formation in the Avontuur deposit of the Kalahari Manganese Field, South Africa
Authors: De Kock M.O. , Monareng B.F. , Blignaut L. , Smith A.J.B. , Beukes N.J. 
Published: January 2020

AbstractA diabase sill intersected in drill core GHEX-59 from the Avontuur deposit of the Kalahari Manganese Field of South Africa displays an 8 m thick paleosaprolitic weathering profile developed below the regional unconformity at the base of the ~2.0 Ga red-bed succession of the Gamagara Formation of the Elim Group (Keis Supergroup). Tracking element mobility in the weathered diabase relative to unaltered parent material assists the reconstruction of surface conditions and the nature of pore waters associated with weathering in the Paleoproterozoic. The upper part of the regolith profile (i.e., “E/A and upper B horizon” equivalents of a modern soil profile) was removed in core GHEX-59 by erosion before deposition of the Gamagara Formation. The preserved red upper paleosaprolite (probably corresponding to the “B horizon” of a modern soil profile) grades into a veined light grey-green and eventually a minimally veined dark green paleosaprolite (“C horizon”) with depth, and into little-altered diabase (“R horizon”) deeper still. The weathering is characterized by minimal loss of Si, suggesting limited mass loss and compaction, and large decreases in alkali and alkali earth elements such as Mg, Ca, and Na due to the breakdown of plagioclase and primary mafic minerals. K increases dramatically upwards in the weathering profile towards the unconformity. Various indices of weathering attest to high degrees of chemical weathering, which, combined with paleogeographic constraints, support weathering in humid sub-tropical conditions with mean annual precipitation possibly in excess of 1100 mm/yr. The behavior of Fe (FeT, Fe(II) and Fe(III)), Mn, V, Ce and Cu suggest that the weathering occurred under the influence of oxygenated ground waters below an oxygenated atmosphere. The likely presence of a well-developed terrestrial biosphere during weathering is reflected by the behavior of Cu and P in the paleosaprolite, which is in support of earlier studies that have suggested the widespread bacterial colonization of land in the Paleoproterozoic.
The Recovery Transition Program: An innovative recovery-oriented, peer-based mentoring program in addiction services
Authors: Gill Kathryn 
Published: January 2020

The Recovery Transition Program (RTP): Rationale, design, and delivery of an innovative recovery-oriented, peer-based mentoring program into addiction and mental health services The RTP is an award-winning complementary approach to standard care implemented by patients and staff in the Mental Health Mission at the McGill University Health Centre (MUHC). The RTP was designed to reduce relapses, improve recovery and patient experiences of care. In the RTP trained patient volunteers – called Peer Mentors – provide one-on-one peer mentoring, create workshops, facilitate group discussions, run family/caregiver meetings, and participate in creative activities. Collectively the RTP provides a supportive, learning and skill-building environment designed to help Peer Mentors, patients and families in their recovery. This workshop will outline the rationale/design of the program, its mission and mandate, as well as practical issues related to ethics, supervision of Peer Mentors, governance, financing, policies (e.g. code of conduct) and procedures (e.g. forms, referral methods). Discussion will include the design and delivery of the 30-hour Peer Mentor Training Program that covers topics related to roles, confidentiality, communication and listening skills, boundaries and self-disclosure, dealing with crisis, and self-care. Results of the formal RTP program evaluation will be presented. This includes both quantitative (surveys) and qualitative (interviews) methods aimed at exploring core aspects of the mentoring experience, as well as perceptions of care and satisfaction with RTP services among patients, staff and Peer Mentors. Workshop participants will receive information and materials that would enable them to consider setting up an RTP program in their own mental health settings.
Beyond Psychiatric Symptoms
Authors: Said Tewfik , Almadani Ahmad 
Published: January 2020

Psychic pain goes far beyond the set of psychiatric symptoms that afflict our patients. Actually, there is much debate in our field as to what gives rise to the other; is psychic pain a by-product of psychiatric symptoms, such as depression and anxiety, or are symptoms a manifestation of psychic pain, namely that we develop symptoms by virtue that the psychic pain is unbearable. Although many of our therapeutic interventions tend to target symptom removal, or at least their alleviation, fewer efforts are placed on understanding the patients’ psychic pain. During this workshop "Beyond Psychiatric Symptoms", the presenters will give a brief outline of what we know about psychic pain and the challenge that is faced in reaching it. With extensive use of audiovisually recorded clinical interviews, we will expand on these concepts. A special emphasis will be placed on the training of health professionals to be able to identify, tolerate, and work with such pain on a daily basis. As this workshop will present vignettes of actual clinical interviews with patients, any form of recording or taking pictures throughout the presentation is absolutely forbidden to preserve patients’ confidentiality.
Mindfulness-Based Reduction Stress Reduction for Patients with Rheumatoid Arthritis and Depressive Symptoms: a Pilot Trial
Authors: Gaboury Isabelle , Dobkin Patricia , Roberge Pasquale , Beaulieu Marie-Claude , Dagenais Pierre , Gervais France , Roux Sophie , Boire Gilles 
Published: January 2020

Background : Despite their efficacy at controlling joint inflammation, current treatments of rheumatoid arthritis (RA) leave up to 40% of patients into non-remission. Non-remission, frequently due to persistently negative self-reported impact of RA, was found to be associated with significant persistent depressive symptoms 6-7 months after initiation of arthritis treatment. Mindfulness-Based Stress Reduction (MBSR) is proposed to improve depressive symptoms and RA-related clinical outcomes. To pave the way for an eventual randomized controlled trial, a feasibility and acceptability study of MBSR has been realized. Methods: A standardized 8-week MBSR program was offered to groups of patients with controlled inflammatory disease but high levels of depressive symptoms.Qualitative interviews based on a theoretical framework of acceptability were conducted. Change in depressive symptoms (CES-D tool), fatigue and pain (SF-36), anxiety (GAD-7), pain, disease activity (PtVAS and SDAI scores) was measured over a 6-month period. Results: 27 patients have been recruited (3 distinct MBSR groups). Factors leading to a higher rate of success in recruitment were identified. Despite the small sample, the intervention was found to have a clear impact on depressive symptoms (p=0.004), anxiety (p=0.005), and social functioning (from the SF-36; p=0.04). Patients reported that MBSR gave them the opportunity to control their reactions in face of stressful situations.Perceptions were almost uniformly positive towards MBSR, and most appear to have integrated some part of the intervention in their daily life. Conclusions: Although recruitment was challenging, a MBSR trial on depressed patients with controlled inflammatory disease was found acceptable and feasible within this population. Preliminary clinical results showed positive impacts of such intervention.
The Evelina Resolution Project: the story of a UK children's hospital's programme to resolve conflicts with families
Authors: Barclay Sarah , Menson Esse 
Published: January 2020

When a consultant paediatrician at the Evelina London Children's Hospital made a phone call to a mediator one Friday afternoon in 2012 asking for help to manage an escalating conflict between a family and the health professionals treating their daughter, neither knew that their meeting would lead to the development of the first conflict resolution and mediation training programme in a National Health Service children's hospital. The Evelina Resolution Project has gained international recognition for training health professionals to recognise and manage conflicts between families and health professionals. In this presentation, the doctor and the mediator describe how one case led to a programme of change which is now being trialled in 4 specialist UK children's hospitals with the aim of supporting families and health professionals to have conversations without conflict.
The Gift of Pain with Transformative Possibilities
Authors: Hovey Richard 
Published: January 2020

This personal narrative explores the experiences of pain metaphorically as a gift. The intention of this presentation is to offer alternative ways to reflect on chronic pain, life and taking risks to move from health literacy toward health agency with help. I will describe my approach to decision making using the hermeneutic wager which provides a means to imagine possibilities while mindfully assessing risk. Learning to manage pain and learning to live well with pain through self-empathy and self-compassion as a gift that we are not always aware is within our grasp. This approach was only essential for my own healing process but helped many others who have participated in our community project called HOMEBASE funded by the Movember Foundation to reduce social isolation for men living with chronic pain.
Shifting Organizational Cultures: Developing Leaders in Humanistic Interprofessional Education
Authors: Rider Elizabeth A , Navedo Deborah D. , Branch, Jr William T. 
Published: January 2020

Organizational cultures significantly influence faculty and clinician well-being, trainees’ professional identity formation, and the care of patients and families. The ability of interprofessional healthcare teams to work collaboratively is important for safe, high quality, relationship-centered care. A multi-site project, Faculty Development for the Interprofessional Teaching of Humanism,* was initiated to create a national curriculum in humanism and professionalism designed to train interprofessional education (IPE) faculty leaders. Boston Children’s Hospital / Harvard Medical School (BCH/HMS) is the first pediatric site selected to design and implement this curriculum. Our objectives were to: 1) develop a national curriculum in humanism and professionalism for IPE faculty leaders; 2) adapt the curriculum for pediatrics; and 3) create and sustain a faculty fellowship for IPE leaders at BCH/HMS that promotes humanistic values in organizational culture and learning and care environments. We designed and implemented the curriculum at nine national sites. Topics focus on collaboration, communication, and relationships and include: highly functioning teams; advanced team formation; patients’ perspectives; empathy; well-being, resilience, renewal; diversity & inclusion; appreciative inquiry; values; IPE and others. To achieve sustainability at BCH/HMS, we created a unique Faculty Fellowship for Leaders in Humanistic Interprofessional Education. To increase impact, we recruited co-sponsors from departments across BCH. Fellows participate in 1½-hour, twice-monthly small-group sessions for 8 months and design and implement a group project. Twenty-one faculty applied. The first cohort included 11 faculty representing medicine, social work, nursing, and psychology. The Faculty Fellowship provides opportunities for IPE faculty leaders to enhance teaching skills, collaboration, relationships, reflective capacities, and role modeling in humanism and professionalism, and to work together to foster humanistic values within organizational culture. *Supported by a multi-institutional grant from the Josiah Macy, Jr. Foundation (Dr. Branch as national PI; Dr. Rider as site PI)