bluuebunny/crossref_metadata_2025_split huggingface dataset:
Shear Capacity Contribution of Steel Fiber Reinforced High-Strength Concrete Compared with and without Stirrup
Authors: Yuan Tian-Feng , Yoo Doo-Yeol , Yang Jun-Mo , Yoon Young-Soo 
Published: April 2020

AbstractThis study presents the shear capacity of eco-friendly high-strength concrete (HSC) beams reinforced by 0.75% (by volume) of hooked steel fibers or shear stirrups with various spacings. Five large-scale HSC beams with steel fibers or stirrups were tested and investigated with respect to shear capacity, failure mode, and crack patterns. The test results indicate that all five tested beams finally failed by a shear-critical failure mode and that the use of 0.75 vol% of steel fibers significantly improved the shear strength although it decreased the diagonal crack angle of HSC beam in the case of without stirrups. There are some different properties compared with ACI 318-19 recommendation, but the use of 0.75 vol% steel fibers exhibited approximately 13.2% higher shear strength when compared with that of minimum shear reinforcement for the HSC beam. Furthermore, the shear capacity of steel fibers calculated by experimental data, and it was compared with several prediction equations. The prediction models containing fiber factor were more closely agreeable with test results with a minimum of 10.9% difference.
Long-term symptom control following resection of cervical lymphatic malformations: A case series
Authors: Khanwalkar Ashoke , Valika Taher , Maddalozzo John 
Published: April 2020

Background Previous literature has reported on the incidence of short-term complications following resection of cervical lymphatic malformations (LMs) in children, however no research has yet investigated the long-term symptomatic course in these patients. This study aims to provide families and providers with an understanding of expectations for long-term symptom control, specifically in association with subsequent upper respiratory infections (URIs). Methods A retrospective chart review produced a case series of patients who underwent resection of cervical LM at a pediatric tertiary care center between 2007 and 2016. Demographic data, disease characteristics, operative details, and postoperative care were evaluated. Telephone surveys were conducted to ascertain the course of postoperative symptoms at the surgical site. Results Forty-three patients responded to the telephone survey. Thirty-seven (86.0%) had at least one postoperative surgical site symptom during subsequent URIs, with 28 (65.1%) reporting redness, 34 (79.1%) reporting swelling, and 18 (41.9%) reporting pain. Patients who experienced any of these symptoms universally indicated that they developed soon after the surgical resection, and over half reported that they improved over time. Postoperative seroma was associated with swelling during subsequent URIs ( p = 0.04). Patients age 7 or were greater were more likely than those under 7 to report pain with URIs ( p = 0.006). All 8 patients with drain placement for at least 2 days reported swelling during subsequent URIs. The incidence of the queried symptoms did not vary significantly based on sex, stage, histology, surgical subsite, or presence of residual disease. Conclusion While preoperative symptoms associated with cervical LMs are also frequently encountered postoperatively, particularly in some patient subgroups, improvement over time should be expected. Level of evidence 4
Do halophytes and glycophytes differ in their interactions with arbuscular mycorrhizal fungi under salt stress? A meta-analysis
Authors: Pan Jing , Peng Fei , Tedeschi Anna , Xue Xian , Wang Tao , Liao Jie , Zhang Wenjuan , Huang Cuihua 
Published: April 2020

AbstractBackgroundHalophytes are better than glycophytes at employing mechanisms to avoid salt injury, but both types of plants can undergo damage due to high soil salinity. Arbuscular mycorrhizal fungi (AMF) can mitigate the damage from salt stress in both halophytes and glycophytes by enhancing salt tolerance and improving energy efficiency. However, variations in mycorrhizal symbiotic efficiency between halophytes and glycophytes were still poorly understood. Therefore, we evaluated the magnitude of AMF effects on plant growth and determined the mechanisms that regulate the growth response of halophytes and glycophytes by performing a meta-analysis of 916 studies (from 182 publications).ResultsArbuscular mycorrhizal fungi significantly enhance biomass accumulation, osmolytes synthesis (soluble sugar and soluble protein), nutrients acquisition (nitrogen, phosphorus, and potassium ion), antioxidant enzyme activities (superoxide dismutase and catalase), and photosynthetic capacity (chlorophyll and carotenoid contents, photosynthetic rate, stomatal conductance, and transpiration rate). AMF also substantially decreased sodium ion acquisition and malondialdehyde levels in both halophytes and glycophytes under salt stress conditions. Mycorrhizal halophytes deploy inorganic ions (potassium and calcium ions) and limited organic osmolytes (proline and soluble sugar) to achieve energy-efficient osmotic adjustment and further promote biomass accumulation. Mycorrhizal glycophytes depend on the combined actions of soluble sugar accumulation, nutrients acquisition, sodium ion exclusion, superoxide dismutase elevation, and chlorophyll synthesis to achieve biomass accumulation.ConclusionsArbuscular mycorrhizal fungi inoculation is complementary to plant function under salt stress conditions, not only facilitating energy acquisition but also redistributing energy from stress defence to growth. Glycophytes are more dependent on AMF symbiosis than halophytes under salt stress conditions.
A case of Trousseau’s syndrome due to intrahepatic cholangiocarcinoma with an extremely high level of CA19-9
Authors: Sasaki Ryosuke , Ohya Yuki , Hayashida Shintaro , Maeda Yuto , Murahashi Shuei , Kumamoto Sayahito , Tsuji Akira , Shibata Hidekatsu , Kuramoto Kunitaka , Hayashi Hironori , Kuriwaki Kazumi , Iizaka Masayoshi , Nakahara Osamu , Inomata Yukihiro 
Published: April 2020

Abstract
Background
Trousseau’s syndrome is a cancer-associated thrombosis. Trousseau’s syndrome with cholangiocarcinoma is a rare condition with poor prognosis.

Case presentation
A 59-year-old female was admitted to our hospital with abdominal pain, headache, and nausea. Abdominal enhanced computed tomography revealed liver tumor, splenic infarction, and bilateral renal infarction. Multiple acute cerebral infarctions were also detected by magnetic resonance imaging. Her preoperative serum levels of carbohydrate antigen 19-9 (CA19-9) and carcinoembryonic antigen (CEA) were > 120,000 U/mL and 589.6 ng/mL, respectively, which were extremely high. Histopathology after right hepatectomy revealed moderately differentiated adenocarcinoma consistent with intrahepatic cholangiocarcinoma. Her serum levels of CA19-9 were trending down to 9029.2 and 2659.8 U/mL at 1 and 3 weeks after surgery, respectively. However, at 7 weeks after surgery, her CA19-9 levels increased in the presence of positive imaging findings in the remnant liver, hilar lymph nodes, and peritoneal cavity. The initiation of combination chemotherapy including gemcitabine and cisplatin had a significant effect. The patient was doing well at 6 months after the surgery.

Conclusion
This rare case of Trousseau’s syndrome due to cholangiocarcinoma suggests that extremely high CA19-9 levels might be a pathogenic factor of this syndrome.
Cytokine Removal and Immunomodulation in COVID-19 Severe Pulmonary Respiratory Infection
Authors: Courville Karen , Bustamante Norman , Pecchio Maydelin 
Published: April 2020

Coronavirus infection produces a cytokine storm in some patients, developing a moderate to severe clinical condition that is associated to increased mortality mainly because of severe pulmonary involvement. Elevated levels of IL-6 have been found in non-survivor patients.
In these patients, clearance of cytokines with extracorporeal therapies, Pulse High- Volume Hemofiltration together with adsorption columns Cytosorb, in short periods of time for 1 to 3 days, could help remove inflammatory cytokines allowing a downregulation of the inflammatory response; and, at the same time, treatment with low dose steroids, could give an opportunity for the host to reach homeostasis, decreasing lung damage and improving survival.
Metoda Pembuatan Senyawa Organoiodium Turunan Sukrosa di Dalam Fraksi Air
Authors: Wibawa Pratama Jujur , Isniningsih Isniningsih 
Published: April 2020

Dalam penelitian ini telah berhasil dibuat senyawa organoiodium turunan sukrosa di dalam fraksi air dengan cara mereaksikan sukrosa, iodium dan fosfor merah di dalam set alat refluks pada suhu 98°C selama 15 menit. Pada akhir reaksi, campuran diekstraksi menggunakan n-heksana dan fasa atau fraksi air yang terbentuk dipisahkan dari fasa organiknya. Fasa air ini kemudian ditotolkan pada plat KLT yang dibuat dari gel silika 60 F254 dan dikembangkan dengan campuran butanaol : asam asetat : air (BAA, 4:1:5). Dari perlakukan ini diperoleh satu noda yang mempunyai Rf 0,6. Noda ini kemudian dikerok, diekstraksi menggunakan metanol dan kemudian dianalisis menggunakan spektrofotometer merah infra (MI). Noda ini memunculkan spektra IR yang khas pada bilangan gelombang 615,2 cm-1. Hal ini berarti ikatan C-I yang diharapkan berhasil terbentuk dan sekaligus menunjukkan bahwa fasa air tersebut mengandung senyawa organoiodium turunan sukrosa.
Personal Leadership Resources as Mediator of Context and Leadership Practice: A Review and Conceptual Analysis
Authors: Hoogsteen T.J. 
Published: April 2020

Hallinger (2018) contends that context has been treated as a ‘given’ in reviews of research and remains in the shadows of leadership. At the same time, Lee and Hallinger (2012) have described an emerging area of study focusing on the impact of organizational contexts. Several scholars in the field of educational leadership have gone as far as to say that context is causal. However, a recent review of empirical research by Leithwood, Harris, and Hopkins (2019) claimed that the ways in which leaders apply basic leadership practices demonstrate a responsiveness to, rather than dictation by, context. Furthermore, they note that a well-defined set of ‘personal leadership resources’ show promise of explaining a high proportion of variation of school leaders’ practice. These two claims, while not diminishing the significance of context, demonstrate the importance of a leader’s characteristics and leadership practice to leaders that are successful. To consider this latter point further, a review of literature is conducted to synthesize three areas in the field of educational leadership which, at least implicitly, are considered competing; context, leadership practice, and personal leadership resources. The review results in an adaptation of previous models from Bossert et al. (1982) and Hallinger (2018) that illustrates the convergence of the three leadership variables.
Support Teachers in the Education of Students with Autism and Asperger Syndrome in Integrated and Mainstream Schools
Authors: Szafrańska Anida 
Published: April 2020

Anida Szafrańska, Support Teachers in the Education of Students with Autism and Asperger Syndrome in Integrated and Mainstream Schools. Interdisciplinary Contexts of Special Pedagogy, no. 26, Poznań 2019. Pp. 59–80. Adam Mickiewicz University Press. ISSN 2300-391X. e-ISSN 2658-283X. DOI: https://doi.org/10.14746/ikps.2019.26.03
The article presents a pilot study of the tasks of support teachers in relation to students with autism, including those with Asperger’s syndrome. Data contained in the Educational Information System shows a significant increase in the number of students with this type of disorder studying in integrated units and mainstream schools. The education of students with autism and Asperger’s syndrome is difficult due to their deficits in the cognitive sphere, as well as problems in social and emotional functioning. When carried out in an appropriate manner, with relevant professionalsupport, the inclusion of autistic children may be beneficial both for the children’s intellectual, social and emotional development, as well as other students.
Siroz etiyolojisinde steatohepatitin yeri nedir?
Authors: UYANIKOĞLU Ahmet 
Published: April 2020

Giriş ve Amaç: Karaciğer sirozunun etiyolojisinde Türkiye’de ve bölgemizde en önemli sebep kronik viral hepatitlerdir. Etiyolojik bir neden bulunamazsa kriptojenik siroz olarak tanımlanır. Non-alkolik steatohepatit yağlanmaya sebep ikincil bir nedenin olmadığı, kronik inflamasyonla seyreden ve siroza kadar ilerleyebilen bir hastalıktır. Bu çalışmada bölgemizde siroz etiyolojisi ve siroz etiyolojisinde non-alkolik steatohepatitin yerini değerlendirmeyi amaçladık.
Gereç ve Yöntem: Çalışmaya Ocak 2013-Aralık 2014 arasında klinik ve/veya biyopsi ile siroz teşhisi konulmuş hastalar alındı. Hastaların ayrıntılı anamnezi alındı, fizik muayeneleri yapıldı, vücut kitle indeksleri hesaplandı. Rutin tetkikleri, etiyolojik açıdan ayrıntılı laboratuvar ve radyolojik incelemeleri yapıldı. Etiyolojik bir neden bulunamayan hastalar kriptojenik siroz kabul edildi, bu hastalar Adult Treatment Panel 3 kriterlerine göre metabolik sendrom açısından değerlendirildi, bu kriterlere uyan hastalar non-alkolik steatohepatit zemininde gelişen siroz kabul edildi.
Bulgular: Çalışmaya alınan 108 hastanın 61 (%56.5) tanesi erkek, yaş ortalaması 54.5±15.1 (19-89) idi. Etiyolojik nedenler; kronik hepatit B 33 hasta (%30), kronik hepatit C 19 (%17), kronik hepatit B + kronik hepatit C 2 (%2), delta hepatiti 12 (%11), Wilson hastalığı 6 (%6), kardiyojenik 2 (%2), otoimmün hepatit, hemokromatosiz, kalıtsal metabolik hastalık, alkol, portal ven trombozu, konjenital hepatik fibrosiz birer hasta iken, kriptojenik siroz 27 hasta (%25) idi. Kriptojenik siroz hastalarının 14 tanesi erkek (%51.9), yaş ortalaması 54.3±15.7 (19-89) idi. Kriptojenik siroz hastalarının 14 tanesi (%52) Adult Treatment Panel 3 kriterlerine göre metabolik sendrom olarak değerlendirildi.
Sonuç: Siroz etiyolojisinde en sık neden viral hepatitlerdir. Hastaların dörtte biri kriptojenik sirozdur ve bu hastaların yarısı metabolik sendrom kriterleri taşımaktadır, bu hastalar non-alkolik steatohepatit zemininde gelişen siroz olarak tanımlanabilir. Tüm siroz nedenlerinin onda birinden non-alkolik steatohepatit sorumludur.
Karaciğer fibrozisli olgularda serum iskemi modifiye albüminin değerlendirilmesi
Authors: TAHTACI Mustafa , BAŞARAN Murat , KÖSEOĞLU Hüseyin , YILDIRIM Fatma , AHMEDOVA Pervane , AKIN Fatma , ALIŞIK Murat , BOLAT Aylin , KIVRAKOĞLU Fatih , EREL Özcan , ERSOY Osman 
Published: April 2020

Giriş ve Amaç: Serum iskemi modifiye albümin, iskemi ve oksidatif stresi göstermede kullanılan faydalı bir belirteçtir. Bu çalışmada serum iskemi modifiye albümin ve iskemi modifiye albümin tabanlı modellerin karaciğer fibrozisini öngörmede rolünün değerlendirilmesi amaçlandı.
Gereç ve Yöntem: Çalışmaya 2013-2016 tarihleri arasında kronik karaciğer hastalığı ön tanısıyla karaciğer biyopsisi yapılan hastalar dahil edildi. Hastaların biyopsileri tek bir patolog tarafından değerlendirildi. Fibrozis derecelerine göre hastalar sınıflandırıldı. Tüm olguların hemogram parametreleri, kreatinin, aspartat aminotransferaz, alanin aminotransferaz, total bilirübin, direk bilirübin, albümin, iskemi modifiye albümin ve iskemi modifiye albümin oranı düzeyleri değerlendirildi.
Bulgular: Çalışmaya karaciğer biyopsisi yapılan toplam 34 olgu alındı. Fibrozis deresine göre 15 olgu hafif, 15 olgu orta ve 4 olgu ileri fibrozis grubundaydı. Gruplar arasında ortalama iskemi modifiye albümin ve iskemi modifiye albümin oranı düzeyleri anlamlı farklı saptandı (sırasıyla; p = 0.031, p = 0.044). Gruplar arası değerlendirmede ileri fibrozis grubunda ortalama iskemi modifiye albümin ve iskemi modifiye albümin oranı; orta ve hafif fibrozis grubuna göre anlamlı farklı saptandı (sırasıyla; p = 0.009 ve p = 0.026, p = 0.014 ve p = 0.029). Hafif ve orta fibrozis grupları arasında ortalama iskemi modifiye albümin ve iskemi modifiye albümin oranı açısından anlamlı farklılık saptanmadı (sırasıyla, p = 0.545 ve p = 0.673).
Sonuç: Karaciğer hastalıklarında ileri evre fibrozisi göstermede iskemi modifiye albümin ve iskemi modifiye albümin oranı etkin bir serum belirteci olarak kullanılabilir.
Gram-Negative Antibiotic Coverage in Gustilo-Anderson Type-III Open Fractures
Authors: Hand Thomas L. , Hand Elizabeth O. , Welborn Amber , Zelle Boris A. 
Published: April 2020

➢ Gustilo-Anderson type-III open fractures remain a considerable cause of morbidity and amputation.➢ Systemic antibiotic prophylaxis with cephalosporins was introduced in the 1970s and substantially reduced the prevalence of infectious complications following injury.➢ The use of antibiotics with an extended gram-negative (EGN) spectrum, such as aminoglycosides, is controversial; however, they are commonly used in type-III open fractures.➢ Emerging literature has suggested that EGN antibiotic prophylaxis for type-III open fractures may not reduce infectious complication rates.➢ Reducing the routine use of EGN antibiotics may be an important component of antimicrobial stewardship in orthopaedic trauma to reduce bacterial resistance and thus more complicated infections.
Suicide in Elderly Patients with Hip Fracture
Authors: Jang Suk-Yong , Yang Dae-Suk , Cha Yong-Han , Yoo Heon-Jong , Kim Kap-Jung , Choy Won-Sik 
Published: April 2020

Background:
The purpose of the present study was to evaluate the incidence rate (IR) of suicide in elderly patients with hip fracture on the basis of a nationwide cohort and to analyze the change in the hazard ratio for suicide after hip fracture over time in comparison with a control group.

Methods:
Patients with hip fracture and their matched controls were selected from the National Health Insurance Service-Senior cohort (NHIS-Senior) of the Republic of Korea. The NHIS-Senior consists of 558,147 people selected by a 10% simple random-sampling method from a total of 5.5 million subjects ≥60 years of age in 2002. Risk-set matching (1:2) on the propensity score was performed with use of a nearest neighbor matching algorithm with a maximum caliper of 0.1 for the hazard components. The IR of suicide and 95% confidence interval (CI) were calculated on the basis of a generalized linear model with a Poisson distribution. The effect size was presented as a hazard ratio (HR) with use of the Cox proportional-hazard model with a robust variance estimator that accounts for clustering within matched pairs.

Results:
A total of 11,477 patients with hip fracture and 22,954 matched controls were included. The mean duration of follow-up was 4.59 years, generating 158,139 person-years. During follow-up, a total of 170 suicides were identified. Comparisons at up to 180 days and 365 days showed that patients with hip fracture were at higher risk for suicide than matched controls (p = 0.009 and 0.004, respectively; stratified log-rank test). During the first 180 days of follow-up, 14 suicides were identified in patients with hip fracture during 11,152 person-years (IR, 266.1 per 100,000 person-years; 95% CI, 157.6 to 449.4). Patients with hip fracture were 2.97 times more likely to kill themselves than their matched controls during the same period (HR = 2.97; 95% CI, 1.32 to 6.69).

Conclusions:
Hip fracture in elderly patients increased suicide risk within a year. A new approach to psychiatric evaluation and management is needed in elderly patients with hip fracture.

Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Anais IV CONP - IV Congresso Odontológico do Norte do Paraná/ II Jornada Acadêmica Odontológica UENP – Universidade Estadual do Norte do Paraná
Authors: Ferreira Rafael 
Published: April 2020

Caros(as) leitores(as),O Congresso Odontológico do Norte do Paraná (CONP) é um evento muito especial da nossa Universidade. Nos dias 07, 08 e 09 de novembro estivemos com as portas abertas da nossa ‘casa’ para ofercer muito conhecimento.Nosso objetivo foi promover a atualização e expansão da evidência científica para acadêmicos e profissionais do município de Jacarezinho e região. O compromisso é com o conhecimento, levando informações técnico-biológicas sem esquecer da humanização no atendimento odontológico, visando sempre os resultados com foco no paciente. Como diria Paulo Freire: 'Educação não transforma o mundo. Educação muda pessoas. Pessoas transformam o mundo'. Contribuir para a formação de futuros profissionais e, ao mesmo tempo, permitir a atualização dos profissionais que já atuam no mercado de trabalho, tem um valor imensurável para a Sociedade.O IV CONP fez uma abordagem integral da Odontologia a partir do desenvolvimento das suas mais diversas áreas. Foram compartilhadas informações complementares e atualizadas sobre as diversas áreas de atuação especializada, tais como: Cirurgia e Traumatologia Bucomaxilofacial, Dentística, Endodontia, Radiologia, Harmonização Orofacial, Implantodontia, Odontopediatria, Ortodontia, Periodontia e Prótese.Durante a semana do IV CONP, tivemos outras duas atividades científicas. Nos dias 04 e 05 de novembro foi realizado a II Jornada Acadêmica Odontológica, em que os graduandos do 4º e 5º ano do curso de Odontologia da UENP tiveram a possibilidade de apresentar seus pré-projetos e os trabalhos de conclusão de curso, respectivamente. Tal momento foi muito importante pois confirma o compromisso da UENP com o conhecimento científico.Desejo que tenha uma excelente leitura com os resumos dos trabalhos apresentados durante o IV CONP, como também durante a II Jornada Acadêmica Odontológica.” Prof. Dr. Rafael Ferreira Presidente Docente do IV CONPIV Congresso Odontológico do Norte do Paraná - UENP – Universidade Estadual do Norte do Paraná
Prophylaxis of рurulent-septic diseases of postpartum period for high-risk puerperas
Authors: Mitichkin A. E. , Dobrokhotova Yu. E. , Ivannikov N. Yu. , Dimitrova V. I. , Slyusareva O. A. , Khlynova S. A. , Lyubeshkina V. A. , Taalaybekova A. T. 
Published: April 2020

Background. Postpartum purulent-septic diseases are one of the topical issues of modern obstetrics due to high prevalence and absence of downward trend toward reduction in the disease incidence.Objective: improve the management of high risk puerperas to prevent the development of purulent-septic complications in the postpartum period.Materials and methods. The cohort prospective comparative study included 78 puerperas, who experienced spontaneous labour complicated by injuries to birth canals. The patients were divided into two groups according to the risk of developing purulentseptic complications and the management of patients. Group 1, control group, (n = 20) included the puerperas, who did not show any signs of inflammatory diseases of the genital tract during pregnancy. Group 2 included patients, who were diagnosed with various forms of vaginal dysbiosis based on the results of bacterioscopic and bacteriological examination of the genital tract. The group was further divided into two subgroups depending on the type of treatment. Subgroup 1 of Group 2 (n = 28) only received standard hygiene care, and subgroup 2 (n = 30) received standard hygiene procedures combined with vaginal irrigation using benzidamine hydrochloride solution (Tantum Rosa) for 3 days in the obstetric hospital.Results. The study resulted in improving postpartum care of high-risk puerperas to prevent purulent-septic complications. Discussion The test results showed that the use of benzidamine hydrochloride (Tantum Rosa) in the postpartum period prevents the purulent-septic complications of puerperium, such as inflammation and disruption of perineal muscle sutures and endometritis, as well as relieves pain and discomfort, and improves the puerperas’ quality of life.Conclusion: Based on the study results, we recommend the use of this drug in the early postpartum period to prevent purulentseptic complications in the high-risk groups.