bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pelvic floor muscles after birth: Do unstable shoes have an effect on pelvic floor activity and can this be measured reliably? – A feasibility study / Der Beckenboden nach der Geburt: Verändern instabile Schuhe die Aktivität und kann diese reliabel gemessen werden? – Eine Machbarkeitsstudie
Authors: Graf Eveline , Borner Barbara , Pehlke Jessica 
Published: November 2019

Abstract

Background
Women often suffer from urinary incontinence after childbirth. Pelvic floor muscle training is an evidenced-based intervention to prevent urinary incontinence and improve its symptoms

Aim
The primary purpose of this study was to determine if there is a change in the activation of the pelvic floor muscles with different extrinsic parameters (barefoot versus unstable shoe). Second, we wanted to define variables that can be measured reliably and correlated with pelvic floor activity.

Methods
Data of 15 women who were 8 weeks to 6 months postpartum were analyzed. Two conditions (“barefoot” and “kyBoot”) were tested, with each participant performing three different tasks: walking, standing with an active pelvic floor, and standing with a passive pelvic floor. Three-dimensional kinematics of the body were recorded. Activity of the abdominal, back, and gluteal muscles was measured using surface electromyography (EMG). The activity of the pelvic floor was recorded using a vaginal electrode. Maximum pelvic floor activity was compared for each condition, and correlations among pelvic floor activity, kinematic variables, and skeletal muscle activity were determined.

Results
The maximum activity of the pelvic floor while walking was significantly higher when participants were barefoot than when they were wearing kyBoot shoes. For the standing trials, no significant differences between the conditions were detected. No surrogate marker was found to measure the pelvic floor activity.

Conclusion
With regard to the pelvic floor musculature, no recommendation is possible in favor of or against wearing unstable shoes. Technical developments are necessary to provide solutions to reliably measure the pelvic floor activity.
A Case of Papular-purpuric “Gloves and Socks” Syndrome Caused by Mycoplasma pneumoniae
Authors: Chiriac Anca , Tarcea Monica , Podoleanu Cristian , Stolnicu Simona 
Published: November 2019

Abstract
We present a case of “gloves and socks” syndrome associated with Mycoplasma pneumoniae infection in a 6-year-old child hospitalized for febrile syndrome associated with monomorphic purpuric papular eruption localized on the distal part of extremities, in a “gloves and socks” pattern. Clinical diagnosis was confirmed by positivity of specific IgM against Mycoplasma pneumoniae. Favorable outcome was obtained by administration of oral clarithromycin.
Noninvasive Imaging Biomarkers of Vulnerable Coronary Plaques – a Clinical Update
Authors: Mitra Noémi , Cernica Daniel , Hodas Roxana , Chițu Monica , Kovács István , Raț Nóra , Benedek Imre 
Published: November 2019

Abstract
Atherosclerosis is a slow, progressive disease, its most common manifestation and most severe consequence being coronary artery disease, one of the main causes of mortality and morbidity worldwide. The vast majority of cardiovascular deaths are caused by complications of atherosclerosis, most often being represented by the rupture of an unstable coronary plaque, regularly triggered by inflammation. A vulnerable plaque is characterized by a large, lipid-rich necrotic core, a thin fibrous cap with macrophage infiltration, and the presence of multiple specific biomarkers such as positive remodeling, irregular calcifications, and low attenuation visible with coronary computed tomography angiography (CCTA). Identifying biomarkers that could predict the risk of plaque rupture with high accuracy would be a significant advance in predicting acute cardiac events in asymptomatic patients, furthermore guiding treatment of patients with this disease. The main indication of noninvasive imaging is to identify patients at risk based on the presence or absence of symptoms that can be related to myocardial ischemia. The diagnostic objective is to confirm or to exclude the presence of coronary plaques. Coronary imaging in asymptomatic individuals is used to estimate the risk of future cardiac events through the identification of non-obstructive high-risk plaques. The possibility to monitor the evolution of vulnerable plaques via noninvasive imaging techniques, prior to the occurrence of an acute clinical event, is the main goal in plaque imaging. This manuscript will be focusing on recent advances of noninvasive imaging of vulnerable coronary plaques.
Noninvasive Functional Characterization of Coronary Plaques by Coronary Computed Tomography – Beyond the Morphology of Vulnerable Plaques
Authors: Parajkó Zsolt , Mester András , Kovács István , Bordi Lehel , Cîrneală Ioana , Opincariu Diana , Raț Nóra , Chițu Monica , Benedek Imre 
Published: November 2019

Abstract
Coronary computed tomography angiography (CCTA) is a reliable screening method of patients with coronary artery disease (CAD). CCTA is capable to assess both coronary stenosis and plaque morphology, but does not provide hemodynamic characterization of the coronary lesions. However, the severity of coronary stenosis does not always reflect the hemodynamic significance of the plaque. Invasive fractional flow reserve (FFR) is considered the gold standard for the functional evaluation of a potential ischemia-causing stenosis. FFR derived from CCTA (FFR-CT) is a new noninvasive diagnostic tool, using a typically acquired CCTA, without the need for any further radiation or medication. Additional functional assessment of the coronary lesions permits a more complex characterization of CAD patients. Based on the FFR-CT examination, patients who need invasive coronary intervention can be selected more precisely, and a more personalized and optimized treatment can be provided.
Reducing the Seismic Vulnerability for RC Buildings by Using Steel Bracing Elements
Authors: Ezzaki Naima , Stoica Daniel , Rece Laurentiu , Modrea Arina 
Published: November 2019

Abstract
This article aims to highlight, through a comparative study, the efficiency of steel bracing systems used to reduce seismic vulnerabilities in existing buildings with reinforced concrete structures (reinforced concrete frames and reinforced concrete dual structures, general building structures including those used in transport infrastructure). In order to simplify the calculations, the analysis was reduced to the study of the behavior of resistance lines corresponding to four-, nine- and fifteen-level buildings with the same plane distribution. In order to obtain features similar to those of existing building elements, structures were initially loaded with seismic forces corresponding to code P13-63. The next step was to apply to previously dimensioned structures the seismic loads according to P100-3: 2008 in relation to P100-1: 2013, thus obtaining the deficiencies of the existing structures against the requirements of these norms. Correction of these strength and stiffness deficiencies was attempted by introducing X-shaped centric brace systems. The bracing systems used as consolidation methods are of three types: direct bracings stuck in the reinforced concrete frames and bracings of the indirect type, made of internal and external bracing steel frames. Structural calculations were made in the linear elastic field using the ETABS program.
Epidemiologic and Clinical Differences Between Classic and Hypertrophic Lichen Planus in Nigeria
Authors: Chibuzor Ifeanyi Okpala , Oladayo Akinboro Adeolu , Ogochukwu Ezejoifor Ifeanyi , Onunu Abel N. , Uchechukwu Okwara Benson 
Published: November 2019

Abstract

Introduction. Lichen planus is a chronic inflammatory skin disease known to have several clinical variants with attended variable clinical outcomes. Certain complications have been observed in the hypertrophic type, which were not found in association with the classic variant.

Objective: To identify the epidemiologic and clinical differences between the classic and hypertrophic lichen planus and clinical correlates.

Material and Methods. Of 104 participants with lichen planus included in the study, 49 had classic and 55 hypertrophic lichen planus. Demographic and clinical information was obtained. Diagnosis of lichen planus was made clinically and confirmed with histology. The participants were screened for metabolic syndrome, hepatitis B, and C.

Results: Mean age of all patients was 37.20±13.39 years, with no age and gender differences between the participants with classic and hypertrophic lichen planus. Classic lichen planus was more likely to be painful, (8.2% vs 0.0, p=0.046), generalized (95.9% vs 16.4%, p<0.001), involve the oral mucosa (38.8% vs 0.0, p<0.001), the nails (38.8% vs 1.8, p<0.001), present with kobnerisation (55.1% vs 5.5%,<0.001), Wickhiam striae (69.4% vs 16.4%, p<0.001), associated with Hepatitis B vaccination (16.3% vs 3.6%, p<0.028) and anti HCV positivity (16.3% vs 0.0%, p=0.002). Hypertrophic lichen planus was significantly associated with impaired glucose tolerance/diabetes mellitus (16.4% vs 2.0%, p=0.013), dyslipidemia (74.5% vs 40.8%, p=0.001) and saw-tooth histologic appearance compared to classic type.

Conclusion: Hypertrophic lichen planus is more likely to be associated with metabolic complications compared to the classic type. Further studies are needed to loink this difference t chronic inflamation.
SAVUNMA ALIMLARININ ÜLKE KALKINMASINA ETKİSİ VE ROLÜ
Authors: KORKMAZ Göksel , TOPÇU Mustafa Kemal 
Published: November 2019

Kamu harcamalarının önemli bir unsuru olan
savunma alımları; yerli ve milli sistemlere ihtiyaç duyulması, teknolojik
altyapı gereksinimi, sektörde istihdam edilenlerin güvenlik gereksinimleri,
üretim hattının sürdürülmesinde ihracata duyulan ihtiyaç, temel tedarikçinin
devlet olması gibi özellikleriyle diğer kamu alımlarından ayrışmaktadır. Ancak
savunma harcamalarının ülke kalkınmasına etkisi diğer alanlarda olduğu gibi talep
veya arz yönlü ekonomik modeller ile tespit edilmektedir. Hâlbuki savunma
alımlarının ülke kalkınmasına etkisi; yarattığı istihdam, ihracat rakamlarına
etkisi, Ar-Ge ve teknolojik altyapıya katkısı bağlamında değerlendirilmelidir.
Savunma alımları ülkenin teknolojik gelişmişliğine bağlı olarak ekonomiyi
olumlu veya olumsuz etkilemektedir. Teknolojik sahiplik düzeyi arttıkça savunma
alımlarının ekonomiye olumlu yansımaları çoğalmaktadır. Diğer taraftan, savunma
tedarik sürelerinin uzaması ise olumlu etkilerin yansımasını geciktirmektedir.
Bu nedenle milli sanayinin gelişmesi ülkelerin sürekli gündeminde yer almaktadır.
Bu doğrultuda sivil ve askeri amaçlı kullanılabilecek dual teknolojilere
ağırlık verilmesi savunma sanayi şirketlerinin rekabet koşullarında
faaliyetlerini sürdürmeleri açısından son derece önemlidir. Bu çerçevede, bu
çalışmada savunma alımlarının ülke kalkınmasındaki rolü savunma tedarik
strateji ve yöntemleri kapsamında ele alınmakta ve bir kısım önerilerde
bulunulmaktadır.
ARAP BAHARI’NIN SURİYE SAHASINDA ARAP DİLİNE OLAN YANSIMALARI: PYD/YPG ÖRNEĞİ
Authors: SİVRİKAYA Halil Atilla 
Published: November 2019

Arap
Baharı, yalnızca bir ülkede zuhur eden toplumsal olaylardan ziyade çok geniş
bir coğrafyada silsile halinde meydana gelen halk hareketlenmelerini kapsayan
bir kavram olarak incelenmektedir. Bu kapsamda, Suriye’de Beşar Esad’ın halkı
baskı altına alan uygulamaları neticesinde ülkede vuku bulan protesto ve
direnişler, Suriye Rejimi’nin halk nezdinde kabul görmediğini ve meşruiyet
eksikliği ile karşı karşıya kaldığını göstermiştir. Özellikle DEAŞ’ın gerileme
sürecine girdiği dönemde, PYD/YPG mezkûr durumu fırsata çevirerek Suriye’nin
kuzeyinde bilhassa Arap nüfusun yoğun olduğu birçok bölgeyi ele geçirmiştir.
PYD/YPG, başta Rakka olmak üzere ele geçirdiği Arap bölgelerindeki Arap
köylerine Kürtçe isimler vermektedir. Örgüt, bu yolla Arapçanın bölgedeki
tarihsel geçmişini ve kültürel etkisini silerek, adeta Arap bir coğrafyayı
Kürtleştirmeye çalışmaktadır. Ayrıca PYD/YPG, Suriye Arap Cumhuriyeti’nin resmi
dilinin Arapça olmasına rağmen, başta Haseke olmak üzere Suriye’nin kuzeyinde
kontrolü altındaki bölgelerde eğitim dilini Arapçadan Kürtçeye çevirerek
bölgedeki Arap nüfusu, anadilleri olan Arapçayı öğrenmekten mahrum etmektedir.
Investigation of Joinning Perforate and Filtrate Papers Using Different Joining Methods
Authors: ÖZDEMİRDEN Hasan , BAHÇECİ Ersin 
Published: November 2019

In this study, it is aimed to investigate the joining of filter paper, which we classify as oil, fuel and
air filter by four different methods. It has been determined whether it meets the post-merger
requirements or not. The oil, air and fuel filter papers are pleated using pleats, ultrasonic, metal
clips, polyamide-based hot melt and heat after being pleated (folded) to form media. Post-merger
macro studies were performed after combination. Media was transformed into final filter product
than buble test, air permeability and pore size test were applied. In terms of bonding quality,
respectively it can be said that the metal clips, hot glue, ultrasonic welding and heat bonding
methods should be, but in considering both quality bonding and to make saving, then metal clips,
ultrasonic welding, hot glue, and heat methods should be followed.
First Record of Pomacanthus imperator (Bloch, 1787) from Turkish Marine Waters
Authors: GURLEK Mevlut , ERGUDEN Deniz , ATAY Burcu , TURAN Cemal 
Published: November 2019

A single specimen of Pomacanthus imperator (312 mm in total length and 1020 g in weight) was
caught by a spear at a depth of 10 m on 28 April 2019 from Iskenderun Bay (Konacık, Arsuz coast),
Turkey. All measurements, counts, morphological description and colors of P. imperator specimen
caught agree with the previous descriptions for this species. In this paper, the occurence of P.
imperator is reported for the first time from Iskenderun Bay in Turkish Marine waters. This species
is probably a Red Sea immigrant entered into the Mediterranean Sea through Suez Canal.&nbsp;
Effect of Intermittent Aeration and Step-Feed on Nitrogen Removal Performance in Anoxic-aerobic Sequencing Batch Reactor
Authors: GÜRTEKİN Engin 
Published: November 2019

In this study, it was investigated the effect intermittent aeration and step-feed on nitrogen removal
by providing anoxic-aerobic, anoxic-aerobic-anoxic-aerobic and step-feed anoxic-aerobic-anoxicaerobic working conditions. Chemical oxygen demand (COD) removal efficiency was the same in
all three working conditions and was found to be 91%. The NH4
+
-N removal efficiency is almost
the same. The NH4
+
-N removal efficiencies in the W1, W2 and W3 are 92%, 93% and 95%,
respectively. Total inorganic nitrogen (TIN) removal efficiency increased by 4% when intermittent
aeration was applied. Increasing the efficiency of TIN removal by 24% was achieved by applying
the step-feed intermittent aeration. Experimental results show that the effect of intermittent aeration
on TIN removal was limited and that TIN removal performance with step-feed intermittent aeration
was significantly increased.
Antioxidant Activity Of Methanol Extract Of Kesum Leaves (Polygonum Minus Huds.) DPPH MethodAktivitas Antioksidan Ekstrak Metanol Daun Kesum (Polygonum Minus Huds.) Metode DPPH
Authors: Purwaningsih Indah , Sapriani Reskiya , Indrawati Ratih 
Published: November 2019

Abstract: Kesum Plants (Polygonum minus) is one of the endemic plants in West Borneo containing phenolic compounds, steroids, flavonoids, alkaloids, tannins, saponins, and beta-carotene. Phenolic, flavonoids and beta-carotene are antioxidant compounds. Most phenolic and flavonoid groups are polar compounds. Therefore, in this research used methanol solvent as representative of polar solvent. The purpose of this research was to know the difference of antioxidant activity of methanol extract of kesum leaves with vitamin C. The extraction is done by maseration for 3 x 24 hours, where the solvent is changed every 24 hours. The method used to measure antioxidant activity is the DPPH method (2,2-diphenyl-1-picrylhydrazyl). The samples used in this paper are methanol extract of kesum leaves in 80, 65, 50, 35, and 20 ppm with five replications. The comparator used is vitamin C. The result of the research showed that IC50 of methanol extract was 20,632 ppm and IC50 of vitamin C 6,175 ppm. Based on the results of this study it can be concluded that vitamin C and methanol extract of serum leaves have a very strong antioxidant activity.Abstrak: Tanaman Kesum (Polygonum minus) merupakan salah satu tanaman endemik di wilayah Kalimantan Barat yang mengandung senyawa golongan fenolik, steroid, flavonoid, alkaloid, tanin, saponin, dan betakaroten. Golongan fenolik, flavonoid dan betakaroten merupakan senyawa antioksidan. Sebagian besar golongan fenolik dan flavonoid merupakan senyawa polar. Maka dari itu, pada penelitian ini digunakan pelarut metanol sebagai perwakilan pelarut polar. Tujuan penelitian ini untuk mengetahui perbedaan aktivitas antioksidan ekstrak metanol daun kesum terhadap vitamin C. Proses ekstraksi dilakukan dengan cara maserasi selama 3 x 24 jam, dimana pelarutnya diganti setiap 24 jam sekali. Metode yang digunakan untuk mengukur aktivitas antioksidan adalah metode DPPH (2,2-difenil-1-pikrilhidrazil). Sampel yang digunakan pada penelitian ini yaitu ekstrak metanol daun kesum konsentrasi 80, 65, 50, 35, dan 20 ppm dengan pengulangan sebanyak lima kali. Pembanding yang digunakan adalah vitamin C. Hasil penelitian didapatkan IC50 ekstrak metanol daun kesum sebesar 20.632 ppm dan IC50 vitamin C sebesar 6.175 ppm. Berdasarkan hasil penelitian dapat disimpulkan bahwa vitamin C dan ekstrak metanol daun kesum memiliki aktivitas antioksidan yang sangat kuat.
The Relationship Between Lifestyle With The Event Of Hypertension In The Public Health Center I South Singkawang District Year 2016
Authors: Sari Pipin Mayang , FSR Winnellia , Seri Usman 
Published: November 2019

Background: Lifestyle is an important factor that influence of Health behavior in the Community. this factor can contribute to increases Health status in the Community because Poor Health behavior can cause degenerative disease such as hypertension. The incidence of hypertension is related to Lifestyle and personality itself in the Community. Aims: The purpose of this study was to determine the relationship between lifestyle and the incidence of hypertension, including the description of lifestyle, the incidence of hypertension, and the relationship between lifestyle and the incidence of hypertension in the public health center I, South Singkawang district year 2016. Method: This study was used quantitative research methods with Correlational analytic study and a cross-sectional approach to determine the relationship between lifestyle, such as eating/diet, smoking habits, exercise habits with the incidence of hypertension. Result: Based on the results of this study, according to lifestyle, the highest percentage was obtained with a sufficient category of 8 respondents (24.2%), and according to the hypertension incidence, the highest percentage is in the medium category of 15 respondents (45.5%). Whereas according to the results of the Chi-square correlation statistical test, it was found that p = 0.001 (p <0.05), this results show that there is a lifestyle relationship with the incidence of hypertension in the public health center I, South Singkawang district year 2016. Conclusion: that there is a lifestyle relationship with the incidence of hypertension in the public health center I, South Singkawang district year 2016
The Relationship Between The Level Of Nursing Knowledge On Prevention Of Hypothermia Post-Operation Of General Anesthesia In The St.Vincentius Hospital Year 2017
Authors: Agresa Nida , Rahayu Halina , Limson Leonatus 
Published: November 2019

Background: Shivering is a condition characterized by an increase muscular activity that often occurs after anesthetic action, especially in patients undergoing surgery with general anesthesia. The combination of anesthesia and surgery can cause a disruption of the function of regulating body temperature which will cause a decrease in the body's core temperature causing hypothermia. The results of previous studies stated that the incidence of shivering after anesthesia was reported to range from 5-65%in patients undergoing general anesthesia and about 33-56.7% in patients undergoing neuraxial anesthesia. Aims: The purpose of this study was to determine the relationship between the level of knowledge of nurses on the behavior of prevention of postoperative hypothermia with general anesthesia. Methods: This type of research was observational analytic research using theapproach cross-sectional. The sample in this study were 20 respondents with this sampling technique is total sampling or saturated sampling, and data collection techniques using questionnaires. While the analysis used is thetest chi square. Result: The result of the statistical calculation with chi square value was p value of 0.000 with a significanceof 0.05. Then Ha is accepted. Conclusion: There is a relationship between knowledge of the behavior of hypothermic prevention of postoperative patients with general anesthesia in the recovery room of St. RSU. Vincentius Singkawang. Advice for nurses to always pay attention to the patient's body temperature after anesthesia to prevent hypothermia or the incidence of shivering.
Justifi cation of occupational risk management model in polyurethane foam production
Authors: Fedotova I. V. , Mikhaylova S. A. 
Published: November 2019

Introduction. Employees of production of polyurethane foams (PUF) are exposed to various harmful occupational factors that cause an increased risk of respiratory disorders, nervous system, cancer.The aim of the study was to substantiate the occupational risk management system aimed at its reduction on the basis of the analysis of working conditions and health of employees of modern production facilities of PUF.Materials and methods. The characteristics of working conditions at 5 modern PUF productions are given on the basis of the analysis of a large amount of laboratory and instrumental research of occupational factors; the state of workers’ health in the production of PUF was assessed by the results of periodic medical examination over a number of years. For risk assessment, indicators of odds ratio, relative risk, etiological fraction of occupational factors in a group of 5 years of work experience or more compared to a group of 0–4 years of work experience for men and women in nosological forms were calculated with an assessment of differences in 95% confidence intervals and the magnitude of chi-square (c2 ).Results. Working conditions in the production of PUF are characterized by exposure to a complex of chemicals, of which the most significant are isocyanates and amines. Workers are also affected by factors such as increased noise, the severity of work. Working conditions in the production of polyurethane foam are evaluated as harmful to the first to third degrees. The increased risk of development of diseases of endocrine, nervous, respiratory systems and musculoskeletal system in workers was revealed, the level of which increases with the increase of work experience in the production of PUF. The requirements to the organization of the production process, monitoring of working conditions, improvement of medical care aimed at the prevention of violations of the health status of employees are substantiated.Conclusions. Modern production of PUF is characterized by a complex of harmful occupational factors that have an adverse impact on the health of employees, which requires the introduction of a unified model of occupational risk management aimed at reducing it.