bluuebunny/crossref_metadata_2025_split huggingface dataset:
SURGICAL TREATMENT OF CHRONIC VENOUS DEFICIENCY OF LOWER EXTREMITIES
Authors: Babynkina I. B. , Novikova A. A. , Babynkina G. P. 
Published: October 2020

Summary. The aim. Improving the results of treatment of patients with decompensated forms of chronic venous insufficiency in post-thrombophlebitic and varicose diseases based on the use of differentiated pathogenetically substantiated surgical tactics.
Materials and methods. The basis of the work is the study of the results of surgical treatment of 102 patients not previously operated on with postthrombophlebitic disease of the lower extremities in the decompensated stage of CVI. All patients underwent combined surgical treatment, including the elimination of perforating insufficiency and various modifications of the operation on the superficial veins to eliminate vertical reflux.
Results and discussion. The combined operation for clipping perforating veins allows the operation to interrupt blood circulation through insolvent perforating veins, including on an outpatient basis, minimizing tissue trauma during puncture rather than sectional access to a vein. The cosmetic effect of the operation is significantly increased, which is especially important in the treatment of women. Since the operation can be performed on an outpatient basis, the number of days of incapacity for work is significantly reduced compared to standard operations on perforating veins, which is a particularly important circumstance in modern economic conditions.
Conclusion. Using the proposed method allows to achieve optimal conditions for the restoration of trophism of affected tissues, leading to a decrease in the number of complications and a reduction in hospitalization.
COMPARISON OF LOCAL ADMINISTRATION OF AMINOPHYLLINE VERSUS NORMAL SALINE ON TRANSURETERAL LITHOTRIPSY IN PATIENTS PRESENTING WITH ACUTE RENAL COLIC
Authors: Khan Hasham , Mustafa Ghulam , Butt Saqib , Nisa Noor-Un , Haque Ehsan-Ul- 
Published: October 2020

ABSTRACT
BACKGROUND & OBJECTIVE: Acute renal colic is most common disease presented with agonizing pain worldwide. Our study aims to compare outcomes (mean operative time and frequency of complete stone removal) between local administrations of aminophylline versus saline on Transureteral lithotripsy (TUL) in patients presented with acute renal colic.
METHODOLOGY: Our study design was randomized clinical trial, conducted at department of Urology & Kidney in Pakistan Institute of Medical Sciences, Islamabad. Study duration was 6 months (February 2017-July 2017). Ethical approval and consent forms were taken in our study. A sample size of 90 cases was calculated (1:1 randomization that is 45 patients in each group) using WHO calculator. Acute renal colic patients were selected through consecutive (non-probability) sampling. A random division of patients is done in two groups; Group-A underwent local administration of aminophylline and group-B patients were given placebo. SPSS version 24 was used for analysis purpose. Post stratification chi-square and t-test was utilized in analysis for comparisons. In our study, p-value≤0.05 was found significant.
RESULTS: Total 90 cases were included in study. Mean age of patients was 47.56±18.1SD.Mean operative time was found to be significantly lower in Group-A (aminophylline group) as compared to group-B (placebo group) p=0.000. Group-A patients showed significantly high stone removal frequency as compared to group-B (44.4% vs 35.6%, p=0.03).
CONCLUSION: Aminophylline is an effective and safe drug in terms of lower operative time and complete stone removal among acute renal colic patients undergoing transureteral lithotripsy.
FREQUENCY OF SUBCLINICAL HYPOTHYROIDISM AMONG DIAGNOSED CASES OF CHOLELITHIASIS.
Authors: Riffat Arbab  , Khan Muhammad iqbal , Abdullah Khan  , Maria Mehmood  , Aisha Arshad  , Hafsa Qazi  
Published: October 2020

Abstract
BACKGROUND & OBJECTIVE: Thyroid hormones act as foundation for the normal functioning of all the body hormones and body metabolism. The abnormality of thyroid hormones may lead to deranged lipid metabolism with abnormal relaxation of sphincter of oddi. This will cause stasis of bile in gallbladder and biliary channels leading to stone formation. The objective of the study is to determine the frequency of subclinical hypothyroidism among diagnosed cases of Cholelithiasis.
METHODOLOGY: This study was conducted in Surgical Department, Sandman Provincial Hospital Quetta, from January to December 2018. The study has been approved by the ethical review committee of Post Graduate Medical Institute Quetta. It is a cross-sectional study. A total of 193 patients with Cholelithiasis were included in the study. After informed written consent, blood was sent to laboratory for testing the levels of serum TSH, T3 and T4. Samples having TSH values more than 6.0mU/L and serum thyroxin within the normal range 9.0-19.0pmole/L, were labeled as subclinical hypothyroidism.
RESULTS: The data of all the patients between 35 to 62 years of age with Cholelithiasis during the study period was taken and analysis was performed. The inclusion and exclusion criteria were strictly considered. Mean ± SD of age was 47.03±5.401 with C.I (46.26-47.80) years. Out of 193 patients 25 (13%) were male and 168(87%) were female. Subclinical hypothyroidism was found to be in 16 (8.16%) patients and remaining 177(91.70%) patients were found normal.
CONCLUSION: It was concluded that the incidence of subclinical hypothyroidism in Cholelithiasis patients is low.
Grain Formation around the AGB Star L2 Puppis Based On ALMA Observations
Authors: Nuth Joseph A. , Ferguson Frank T. , Homan Ward , Decin Leen , Paquette John A. 
Published: October 2020

Abstract
While models of grain formation in the outflows of carbon-rich stars have been relatively successful, models of outflows from oxygen-rich, asymptotic giant branch stars have been less fortunate. Under current modeling, it is difficult to produce sufficient amounts of silicate grains with high enough opacity to form a dust-driven wind from these stars. To investigate the cause of this difference, this work is a comparison between typical outflow model results and a model using input from Atacama Large Millimeter/submillimeter Array observations of L2 Puppis. The temperatures from these observations are much lower than would typically be used in the standard outflow model. In addition, the observed gas densities are much higher than predicted from typical outflow models. Both of these differences make the formation of silicate grains much more favorable than predicted in current outflow models. We then explore the effects of other possible nonideal conditions including the efficiency of cluster growth prior to nucleation, the efficiency of grain growth following nucleation and the variation of grain coupling to stellar radiation during grain growth. Finally, we calculate the potential enhancement in grain production based on possible increased refractory abundances resulting from the vaporization of millimeter-scale and larger particles left over from the presence of a former planetary system.
Marine algal flora of Pico Island, Azores
Authors: Neto Ana I. , Prestes Afonso C. L. , Álvaro Nuno , Resendes Roberto , Neto Raul M. A. , Tittley Ian , Moreu Ignacio 
Published: October 2020

The seaweed flora of Pico Island (central group of the Azores archipelago) has attracted interest of researchers on past occasions. Despite this, the macroalgal flora of the island cannot be considered well-known as published information reflects only occasional collections. To overcome this, a thorough investigation encompassing collections and presence data recording was undertaken. Research under the Campaigns “AÇORES/89”, “PICO/91”, “PICOBEL/2007” and “LAUMACAT/2011” covered a relatively large area (approximately 39 km2) around the island, encompassing the littoral and sublittoral levels down to about 40 m around the Island.
This paper improves the knowledge of the Azorean macroalgal flora at local and regional scales by listing taxonomic records and providing information on the ecology and occurrence of each species present on the Island’s littoral.
A total of 4043 specimens (including taxa identified only to genus level) belonging to 303 taxa of macroalgae are registered, comprising 197 Rhodophyta, 53 Chlorophyta and 53 Ochrophyta (Phaeophyceae). From these, 225 were identified to species level (142 Rhodophyta, 41 Chlorophyta and 42 Ochrophyta), encompassing 110 new records for the island (69 Rhodophyta, 20 Chlorophyta and 21 Ochrophyta), three Macaronesian endemisms (Botryocladia macaronesica Afonso-Carillo, Sobrino, Tittley &amp; Neto; Laurencia viridis Gil-Rodríguez &amp; Haroun; Codium elisabethiae O. C. Schmidt), 14 introduced and 25 species with an uncertain status.
Using Global Biodiversity Information Facility Occurrence Data for Automated Invasive Alien Species Risk Mapping
Authors: Davis Amy , Adriaens Tim , De Troch Rozemien , Desmet Peter , Groom Quentin , Oldoni Damiano , Reyserhove Lien , Vanderhoeven Sonia , Strubbe Diederik 
Published: October 2020

To support invasive alien species risk assessments, the Tracking Invasive Alien Species (TrIAS) project has developed an automated, open, workflow incorporating state-of-the-art species distribution modelling practices to create risk maps using the open source language R. It is based on Global Biodiversity Information Facility (GBIF) data and openly published environmental data layers characterizing climate and land cover. Our workflow requires only a species name and generates an ensemble of machine-learning algorithms (Random Forest, Boosted Regression Trees, K-Nearest Neighbors and AdaBoost) stacked together as a meta-model to produce the final risk map at 1 km2 resolution (Fig. 1). Risk maps are generated automatically for standard Intergovernmental Panel on Climate Change (IPCC) greenhouse gas emission scenarios and are accompanied by maps illustrating the confidence of each individual prediction across space, thus enabling the intuitive visualization and understanding of how the confidence of the model varies across space and scenario (Fig. 2). The effects of sampling bias are accounted for by providing options to:

use the sampling effort of the higher taxon the modelled species belongs to (e.g., vascular plants), and

to thin species occurrences.

use the sampling effort of the higher taxon the modelled species belongs to (e.g., vascular plants), and
to thin species occurrences.
The risk maps generated by our workflow are defensible and repeatable and provide forecasts of alien species distributions under further climate change scenarios. They can be used to support risk assessments and guide surveillance efforts on alien species in Europe. The detailied modeling framework and code are available on GitHub: https://github.com/trias-project.
Effect of Multidomain Disease Presentations on Patients With Psoriatic Arthritis in the Corrona Psoriatic Arthritis/Spondyloarthritis Registry
Authors: Ogdie Alexis , Hur Peter , Liu Mei , Rebello Sabrina , McLean Robert R. , Dube Blessing , Glynn Meghan , Mease Philip J. 
Published: October 2020

ObjectiveTo compare disease characteristics, quality of life (QOL), and work productivity of patients with psoriatic arthritis (PsA) who had multidomain vs single-domain presentations.MethodsAdults with PsA enrolled in the Corrona PsA/Spondyloarthritis Registry (March 2013–August 2018) were included. Six PsA disease domains were evaluated: enthesitis, dactylitis, peripheral arthritis (PA), nail psoriasis, axial disease, and skin disease. Patients were classified as having multidomain (≥ 2 domains) or single-domain disease presentations; biologic initiators were characterized separately. Linear regression models evaluated the association of multidomain presentations with disease characteristics, QOL, and work productivity vs single-domain presentations.ResultsOf 2617 patients with PsA, 1698 (64.9%) had multidomain presentations, 617 (23.6%) had single-domain presentations, and 302 (11.5%) had no active disease features. Of 354 biologic initiators, 289 (81.6%) had multidomain presentations, 45 (12.7%) had single-domain presentations, and 20 (5.6%) had no active disease features. Overall, the most common single-domain and multidomain presentations, respectively, were skin disease (12.7%) and PA + skin disease (11.7%). Multidomain presenters were more likely to have fibromyalgia, depression, anxiety, and prior biologic use than single-domain presenters. Multidomain presentations were associated with significantly worse patient and physician global assessments of disease activity, pain, and fatigue; Health Assessment Questionnaire–Disability Index and EuroQol 5-dimension scores; and work productivity at enrollment.ConclusionIn this US real-world cohort, most patients had multidomain disease presentations, which was associated with worse disease activity, QOL, and work productivity measures. This study highlights the heterogeneity of PsA and the importance of assessing all PsA domains for optimizing disease management.
Academic Success for Culturally and Linguistically Diverse Nursing Students: An Integrative Review
Authors: Lewis Lisa Scandale , Bell Lacrecia Mebans 
Published: October 2020

Background:
Culturally and linguistically diverse (CALD) students are at increased risk for attrition from prelicensure nursing programs. The literature clearly describes the struggles of CALD nursing students, and interventions that have increased student satisfaction and feelings of belonging. There is less evidence for interventions that correlate with academic outcomes. This integrative review sought to identify studies with an intervention and evaluation of an academic outcome for CALD nursing students.

Method:
An integrative review was done according to the methodology described by Whittemore and Knafl. Two reviewers evaluated literature from 2000 to 2019 and identified 11 articles for analysis.

Results:
Evidence based strategies to support CALD nursing student academic success include formal educational interventions, linguistic modification of test items, peer support, and multiple intervention programs.

Conclusion:

This review identified evidence-based strategies to support CALD nursing student success and made recommendations for nursing research and education.

[
J Nurs Educ
. 2020;59(10):551–556.]
A National Survey of Faculty Perceptions of Nutrition in Nursing Education
Authors: Chao Ariana M. , Luong Vivian , Dowd Monique , Compher Charlene 
Published: October 2020

Background:Nurses are situated to provide nutrition education to patients, yet it is not established how prepared nurses are for this role. This study described faculty perceptions of nutrition education in Bachelor of Science in Nursing (BSN) programs.Method:This is a cross-sectional study of faculty from 4-year BSN programs. Participants completed an online questionnaire that asked about nutrition instruction at their school.Results:Fifty surveys were returned, for a response rate of 35%. Most BSN programs required one (72.7%) or two (4.5%) nutrition courses. On average, students received 52.6 hours of nutrition instruction. Most (68.6%) schools reported more than 25 hours of nutrition education. Competing demands were frequently cited as barriers to providing nutrition education.Conclusion:Many schools met the expectation of 25 hours of nutrition education, based on the National Research Council. Many nursing curricula incorporated nutrition topics related to acute care, but training in chronic ambulatory nutrition was limited.[J Nurs Educ. 2020;59(10):566–569.]
Telehealth Education: An Interprofessional Online Immersion Experience in Response to COVID-19
Authors: Rutledge Carolyn , Hawkins Emily J. , Bordelon Michele , Gustin Tina Sweeney 
Published: October 2020

Background:
In March 2020, due to the COVID-19 pandemic, universities halted in-person education and health care pivoted to telehealth delivery models. This article describes a nurse-led educational program that transitioned to fully online delivery to prepare interprofessional teams of health care students to use telehealth during the pandemic and beyond.

Method:
Participants included 67 students from seven professions. Researchers developed “the four Ps of telehealth” model to guide the curriculum. The program used pre- and postassessments including the Confidence in Planning for Telehealth Scale, the Telehealth Etiquette Knowledge Scale, and the Confidence in Providing Telehealth Scale.

Results:

There were significant improvements in scores on all scales following the program (
p
= .000).

Conclusion:

The results suggest that comprehensive telehealth education should focus on more than just delivering telehealth but also planning and preparing for its delivery. Programs such as this online program can serve as a model for future telehealth programs to prepare providers.

[
J Nurs Educ
. 2020;59(10):570–576.]
Nurse-Led Mobile Health Clinics: An Opportunity for Student Scholarship and Faculty Practice
Authors: Cockroft Marianne , Laboy Johanne , Mullen Leight , Hubbell Sara L. 
Published: October 2020

Background:
The benefits of nurse-led mobile clinics to the communities they serve have been adequately documented in the nursing and health literature. Nurse-led clinics are credited with a variety of positive outcomes from improving access to care to helping build healthier communities. However, the impact of nurse-led clinics on nursing education has not been as widely discussed.

Method:
A nurse-led, mobile health clinic was established to serve individuals and families facing financial crisis and provide a practice site for students and faculty.

Results:
Students developed nursing skills, including leadership, cultural awareness, active listening, critical thinking, effective communication, and collaboration. In the first 4 years of operation, 30 students have been assigned to the mobile clinic and approximately 2,250 visitors received free health care.

Conclusion:

These findings can inform the implementation of nursing curriculum or activities specifically designed for student involvement in nurse-led mobile health clinics and the development and advancement of nursing skills.

[
J Nurs Educ
. 2020;59(10):594–596.]
Pensées du corps et différences des sexes à l’époque moderne
Authors: Pellegrin Marie-Frédérique 
Published: October 2020

Souvent éludée par l’histoire de la philosophie, la question philosophique et médicale de la différence des sexes est fondamentale à l’époque moderne. Les modèles pour penser cette différence proviennent essentiellement de deux anthropologies opposées : celle de Descartes et celle de Cureau de la Chambre. Leurs sciences de l’être humain examinent tout d’abord les interactions entre corps et esprit, mais elles mettent surtout en valeur les pensées propres du corps par le biais de l’imagination. C’est à même le corps que se décide si femmes et hommes sont égaux. Les lectures critiques de ces deux modèles proposées d’un côté par Malebranche et de l’autre par Poulain de la Barre confirment que le xviie siècle constitue un tournant dans l’analyse psycho-physiologique et morale. La confrontation de ces quatre philosophes permet de comprendre comment se sont constituées des lignées théoriques sur sexe et genre qui sont toujours actuelles : celle de l’égalitarisme et celle d’un différencialisme qui peut être inégalitaire ou égalitaire.
Concept Cars as Vehicles for Change in SMEs
Authors: Mejía Sarmiento Javier Ricardo , Pasman Gert , Hultink Erik Jan , Stappers Pieter Jan 
Published: October 2020

Making prototypes of fictitious artifacts has long been applied in corporations as a design-led way to envisioning the future. These techniques make use of design to explore speculative futures translating abstract questions into concrete objects and bringing the human dimension and experience into futures techniques. The design-led strategic foresight techniques follow making activities – including visual synthesis, prototyping and storytelling – and result in experimental and experiential artifacts offering concrete, hands-on and specific images of the futures. An example of these techniques is the making and sharing of concept cars, a long-standing practice in the automotive industry. These artifacts facilitate the sharing of future visions, which embody future ideas, to diverse people.
Whereas corporations use these design-led strategic foresight techniques as a driver for innovation, small and medium-sized enterprises, which are the backbone of society and the global economy, have been deprived of these kinds of explorations due to their being resource intensive.
To help these enterprises, we developed DIVE (design, innovation, vision and exploration) based on design-led strategic foresight techniques developed by corporations but adapted to the scale and needs of these small players. DIVE helps external designers and company representatives in making and sharing artifacts to envision the future of their company. The technique follows an analogy that invites participants to make a hole in the world as it is and descend underwater to the speculative futures and then come back to the reality. Along with this plunge into fiction, participants identify trends, create ideas about the future, and make a prototype of an artifact that is subsequently used to motivate people to talk about the company’s future and present. This artifact, the vision concept, includes ideas about the future product or service, the context and the business itself.
This paper aims to evaluate DIVE as a design-led strategic foresight technique and focuses on the benefits and limitations of its application. It includes two cases that explored the future of the shopping experience for the company Solutions Group. It is a Colombian medium-sized enterprise that develops and produces point-of-purchase materials for consumer goods corporations such as Procter & Gamble. In both cases, the participants employed DIVE activities to make and share a vision concept. At the end of the cases, the DIVE outcomes were validated by three external innovation experts.
DIVE proved its efficacy in supporting designers in setting future visions, prototyping vision concepts and stories and making recommendations for different time frames, and participants also learned about the strategic value of design.
Exploring Weak Signals to Design and Prototype for Emergent Futures
Authors: Diez Tomas , Tomico Oscar , Quintero Mariana 
Published: October 2020

While technology and design have progressed greatly, they have also produced imbalances that affect the way we live and work. Additionally, they have also contributed to the use of the planet’s resources to fill our homes with unnecessary devices and objects. We must de-objectify and de-colonise the way we design technologies to make for more inclusive and diverse futures. One way to do that is to recognise our shortcomings and experiment with them in a way that is productive and promotes a more peaceful coexistence among living systems.
This research explores the concept and practice of identifying these shortcomings via the “Atlas of Weak Signals”. The Atlas is a tool for combatting future challenges by actively creating opportunities for design interventions to dissolve the troubling problems of our times. In order to support this claim, we present and analyse a series of projects developed over the course of a master’s programme. Specific emphasis is placed on how the Atlas of Weak Signals was generated between students and faculty as a methodology to better understand the view of the world in which we live today from the one in which we design from. The projects are mapped in relation to emerging trends in both local and global contexts and the interconnections between these trends as generators of design opportunities. To conclude, we present the lessons we learned in the form of a toolkit so other design practitioners, researchers, teachers, and students can generate their own methods and tools.