bluuebunny/crossref_metadata_2025_split huggingface dataset:
A randomised controlled feasibility trial of the Graded Repetitive Arm Strengthening Programme delivered to survivors of stroke at home
Authors: Dodzo Wilson , Grant Robert , Forsyth Leigh , Ramdharry Gita M 
Published: September 2020

Background/aims This randomised controlled feasibility trial evaluated the recruitment, engagement and effect of the Graded Repetitive Arm Strengthening Programme in a community rehabilitation setting in London, UK. Methods A parallel design was used to ascertain the effect of the Graded Repetitive Arm Strengthening Programme plus standard care compared to standard care only over four weeks. Eleven participants were randomised using permuted blocks randomisation following discharge, with six participants allocated to the Graded Repetitive Arm Strengthening Programme (study) group and five to the standard care (control) group. The primary outcome was the Wolf Motor Function Test. Secondary outcomes were the Motor Activity Log and grip strength. Results A total of five participants in each group were analysed as one person withdrew from the study group. Participants in the study group gave more time to supplementing their exercise time independently (160% more vs 42% more). Most Wolf Motor Function Test tasks' time and function data showed a small difference in favour of the Graded Repetitive Arm Strengthening Programme. Results were re-examined using a Bayesian structural equation model to quantify changes in the underlying impairment. This showed significant differences: 40% faster task completion (P<0.001, 95% confidence level [CI] 30–49%), mean improvement of 0.54 on the five-point functional ability score (P<0.001, 95% CI 0.39–0.68), odds ratio of 0.05 for non-completion of task (P<0.001, 95% CI 0.02–0.14). Conclusions This study has shown that implementing the Graded Repetitive Arm Strengthening Programme is feasible and may have a greater effect on outcomes when delivered as part of care in a community rehabilitation setting. The analysis of the Wolf Motor Function Test was also critiqued.
Motivationsfaktoren für oder gegen einen Einsatz von Cloud-Lösungen in Kleinstunternehmen
Authors: Hentschel Raoul , Leyh Christian , Egner Marco 
Published: September 2020

ZusammenfassungDerzeit ist Cloud-Computing eine treibende Kraft in der aktuellen Digitalisierungsdebatte und verspricht Unternehmen jeder Größe viele Vorteile, wie z. B. geringere Einstiegskosten, größere Flexibilität und Skalierbarkeit sowie Kosteneinsparungen gegenüber klassischen IT-Lösungen. Insbesondere für kleine und Kleinstunternehmen können die Vorteile des Cloud-Computing besonders zum Tragen kommen. In vielen Fällen verfügen diese Unternehmen nicht über das notwendige Know-how und die Ressourcen, um einen durchgängigen Überblick über den aktuellen Stand der Informationstechnologie zu haben oder Fachabteilungen zu unterhalten, die für den Betrieb von IT-Lösungen verantwortlich sind. Doch gerade in aktuellen Studien zum Umgang mit Cloud-Computing bleibt die Unternehmensgrößenklasse der Kleinstunternehmen bei der Betrachtung jedoch weitestgehend unberücksichtigt. Dies hat uns motiviert, die Thematik mittels einer eigenen Studie zu adressieren und Kleinstunternehmen zum Thema der Cloud-Nutzung zu befragen. Dabei hat sich unter anderem gezeigt, dass Zeiteinsparung – beispielsweise durch den ortsunabhängigen Zugriff auf Dokumente oder durch den geringeren Zeitaufwand für Auswahl, Wartung und Installation der IT-Landschaft sowie eine flexiblere Anpassung des Leistungsumfangs (z. B. Rechen- und Speicherleistung) wichtige Motivationsfaktoren für die Nutzung der Cloud in Kleinstunternehmen sind. Alle weiteren Ergebnisse unserer Online-Umfrage unter 278 Kleinstunternehmen stellen wir in diesem Artikel vor und diskutieren weitere wichtige Motivationsfaktoren für oder gegen den Einsatz von Cloud-Computing in Kleinstunternehmen.
Einführung von Public Cloud Services – Herausforderungen und Lösungsansätze aus der Praxis
Authors: Brassel Stefan , Gadatsch Andreas 
Published: September 2020

ZusammenfassungDie Motive für die Einführung von Public Cloud Services liegen oft im Bereich der Kosteneinsparung und Qualitätsverbesserung. Vielfach werden bei der erstmaligen Einführung vermeidbare Fehler gemacht, die im Nachhinein den Erfolg des Vorhabens schmälern. Der Beitrag beschreibt ein aus Sicht der Beratungspraxis bewährtes Vorgehensmodell für die Einführung und Nutzung von Public Cloud Services unter besonderer Berücksichtigung von Microsoft Cloud Services.
GERENCIAMENTO DE RESULTADOS E O DETALHAMENTO DOS COVENANTS
Authors: De Oliveira Willams da Conceição , Moreira Nadia Cardoso , Nossa Silvania Neris , Monte-Mor Danilo Soares 
Published: September 2020

A divulgação de covenants financeiros é obrigatória por lei apenas quando existe a violação do limite desses covenants. Entretanto, a despeito da não obrigatoriedade legal, boa parte das companhias não divulgam voluntariamente tais limites quando os contratos são firmados, o que reduz o conteúdo informacional de investidores acerca dos contratos de dívida. Este estudo objetivou investigar a relação do detalhamento dos covenants financeiros com o nível de gerenciamento de resultados. A amostra contempla companhias brasileiras não financeiras de capital aberto no período de 2010 a 2018, em um total de 1.288 observações obtidas junto ao Economatica. Detalhes dos covenants financeiros foram obtidos mediante leitura de notas explicativas e nos sites das firmas direcionados a relações com investidores. Para cada uma das três hipóteses de pesquisa realizou-se em um primeiro estágio um Propensity Score Matching como forma de se identificar grupos comparáveis e com probabilidades semelhantes de possuírem, violarem e divulgarem covenants financeiros, respectivamente. Os resultados encontrados apresentam evidências de que a existência de covenants financeiros está associada a maiores níveis de gerenciamento de resultados. Resultados adicionais indicam que empresas que violam tais cláusulas possuem maiores níveis de gerenciamento no ano anterior à violação, e que empresas com maiores níveis de gerenciamento de resultados possuem menor probabilidade de detalharem voluntariamente os limites dos covenants financeiros. Conjuntamente, tais evidências indicam que gestores podem estar se utilizando de gerenciamento para evitar o rompimento dos limites das cláusulas contratuais. Tal fato reforça a discussão sobre os covenants na revisão do CPC 26 no sentido de tornar obrigatório que Sociedades Anônimas divulguem os limites dos covenants financeiros nas notas explicativas.
Reseña / El pensamiento ambiental del Sur. Complejidad, recursos y ecología política latinoamericana
Authors: Cardozo Laura Cecilia , Chosco Diaz Gilda Cecilia 
Published: September 2020

En esta obra, referentes de la problemática ambiental latinoamericana y mundial describen y analizan: ¿cuáles son las bases del pensamiento ambiental del Sur? ¿Cómo surgió? ¿En qué contexto? ¿Quiénes contribuyeron a este saber emancipador? Los autores aportan al pensamiento ambiental regional y global desde América Latina. Adoptan una postura crítica, situada e histórica al mismo tiempo, y realizan novedosas propuestas en el contexto de la ciencia, la tecnología y la innovación. El libro invita a recorrer las páginas de los trece capítulos de manera amena y llevadera. Significa que cualquiera puede leer y reflexionar sobre diversas realidades y problemáticas de una ciudad, de una comunidad, de un barrio, de las familias y de las organizaciones.
Discrete event simulation for problem solving in the context of an emergency department
Authors: Ferreira Letícia Ali Figueiredo , Santos Igor Leão dos , Santos Ana Carla de Souza Gomes dos , Reis Augusto da Cunha 
Published: September 2020

Emergency departments (ED) are responsible for the immediate care and stabilization of patients in critical health conditions. Several factors have caused overcrowding in the emergency care system, but the variability of patient arrival and the triage process requires special attention. The criticality of these components and their configuration directly impact the waiting times, length of stay and quality of service, being the subject of several studies. So, this paper aims to understand by means of Discrete Event Simulation how ED works with the variation of patient arrival and how this variation highlights the bottlenecks of the triage process. Varying the patient arriving interval between 0.1 and 7.6 in a 4-hour scenario, the system saturation point was established in β = 1.1. Besides, with the variation in the number of triages points, a considerable decrease in the total length of stay spent and the waiting times were noticed, mainly when there was two triage points operating simultaneously.
Urinary Tract Infection in Young Infants: Practice Patterns in Evaluation and Treatment
Authors: Swartz Sheila , Kolinski Julie , Hadjiev Jennifer , Chou Erica , Malone Cameron , Zhang Jian , Yan Ke , Havens Peter 
Published: September 2020

OBJECTIVES:
No clear guidelines exist for the management of infants ≤60 days old with urinary tract infection (UTI), although this condition represents a significant percentage of serious bacterial infection in this age group. We examined patterns of UTI management in infants ≤60 days at a tertiary care children’s hospital and hypothesized that younger infants would be hospitalized longer.

METHODS:
We reviewed electronic health records of infants age ≤60 days with diagnostic codes of UTI or fever hospitalized from January 2013 to January 2017 with urine culture obtained and UTI diagnosis documented. Outcomes were duration of parenteral antibiotic therapy, length of stay (LOS), and hospital readmission.

RESULTS:
One hundred ninety-three infants met criteria. Median age at admission was 37 days (interquartile range [IQR]: 22–48). Median duration of parenteral antibiotics was 59 hours (IQR 43–114) and median LOS was 71 hours (IQR 57 127). Infants age ≤28 days, with fever duration ≥24 hours, irritability or lethargy on initial examination, and bacteremia received longer parenteral therapy and had longer LOS. In multivariate analysis, age, irritability or lethargy, and presence of bacteremia remained independently related to parenteral therapy duration and LOS.

CONCLUSIONS:
In young infants with UTI, patients aged ≤28 days had longer duration of IV antibiotic therapy and LOS, independent of other clinical characteristics of their illness. The duration of parenteral therapy and LOS was relatively short, although significant variability still existed.
Deglutition and Cough in Different Degrees of Parkinson Disease
Authors: Jurkiewicz Ari Leon , Marques Jair Mendes , Santos Rosane Sampaio , Marcelino Paulo Cesar Otero , Herrero Francisco , Gasparim Aretuza Zaupa 
Published: September 2020

Summary
Introduction: Parkinson disease is one of the pathologies mostly affecting deglutition.
Objective: To analyze the efficiency of both deglutition and cough reflex in cases of laryngeal penetration or tracheal aspiration with food, in different severity stages of Parkinson disease. Study's way: contemporaneous cohort with transverse incision.
Method: The sample had 38 patients in the study group and 38 individuals in the control group submitted to a neurologic evaluation and an otorhinolaryngological evaluation by transnasal fiberoptic laryngoscopy.
Results: The cough reflex was manifested in 100% of patients without food offering. Alimentary stasis in piriform recesses and epiglottic vallecula in solid, pasty and liquid consistency was significant (p= 0.0000). The laryngeal penetration in liquid consistency was significant (p= 0.0036). Tracheal aspiration occurred in 06 patients of the study group in liquid consistency and it was absent in control group.
Conclusion: The efficiency of deglutition in the study group prevailed in the solid consistency, followed by pasty and liquid consistencies. In the control group, deglutition was effective in all individuals. Cough reflex was efficient in most patients of the study group and prevalently inefficient in the subgroup 2.
USO DE BISFOSFONATOS E A OCORRÊNCIA DA OSTEONECROSE DOS MAXILARES: UMA REVISÃO DE LITERATURA
Authors: Germano Victória Escóssia , Medeiros Alana Maria Gadelha de , Xavier Cindhi Mayra Rodrigues , Fonseca Denner Aires Mendonça , Ferreira de Lima Emanuelle Louyde 
Published: September 2020

Introdução: Os bisfosfonatos são uma classe de medicamentos utilizada nos serviços de saúde para o tratamento de doenças ósseas. Essas substâncias atuam nos osteoclastos, diminuindo a reabsorção e remodelamento ósseo. O uso dessa medicação pode levar a osteonecrose, uma patologia que se caracteriza pela necrose do tecido ósseo devido deficiência na irrigação sanguínea e pode ocorrer em diversos ossos, inclusive nos maxilares. Objetivo: Revisar a literatura existente sobre a relação entre o uso de bisfosfonatos e o risco de desenvolvimento de osteonecrose nos maxilares. Metodologia: O presente estudo trata-se de uma revisão de literatura, com base em artigos encontrados no PubMed, sintetizados e analisados acerca do tema. Conclusão: A possibilidade da ocorrência de osteonecrose devido à prescrição ampla de bisfosfonatos e seu uso por longos períodos vêm tornando essencial o conhecimento das aplicações e suas consequências pelas áreas responsáveis, a fim de evitar a ocorrência ou, pelo menos, minimizar os seus danos.
Ruralidades e turismo gastronômico no município de Silveira Martins, RS, Brasil
Authors: Lindner Michele , De Leal Rodrigues Suelen , De Souza Marcelino 
Published: September 2020

No debate académico o rural e o urbano ocuparam hoje um espaço relevante. A par, descortina-se uma inversão de valores relativos a estes dois espaços, mormente com a busca de uma vida mais saudável e com o contacto com a natureza, a que se associa a valorização da ruralidade. Assim, o espaço rural, antes visto como o espaço apenas da produção agropecuária, é hoje usado como área de lazer e local de residência. Aliás, é através da actividade de lazer e de ócio em áreas rurais que hoje podemos aferir a crescente procura pela tradição e pelo endógeno. Como refere Wandeley (2001), a sociedade brasileira reforça presentemente o seu olhar sobre o rural, antes visto como uma fonte de problemas, hoje indiciando um potencial de “soluções”. A busca pelos hábitos e elementos da vida no campo refletea concomitante procura pela atividade turística em áreas rurais. Entre as modalidades do turismo em área rural sublinhamos aqui o agroturismo, por quanto se trata de uma modalidade que mais enfoca as ruralidades locais e propicia ao visitante vivenciar e experenciar a vida rural. Nessa perspectiva, procurou-se analisar a matriz en formadora do “rural tradicional” e a sua valorização como produto turístico em pequenos municípios no interior do Brasil. O case study proposto incide sobre o município de Silveira Martins, localizado na parte central do Estado do Rio Grande do Sul. Este município comporta uma Rota Gastronômica que apresente elementos que reportam aos visitantes as tradições e a ancestralidade da imigração italiana que ao longo do século XIX se fixou na região. A análise do estudo realizado no município de Silveira Martins – RS – baseou-se em dados obtidos através de entrevistas e questionários não estruturados aplicados no local, bem como na observação participante durante as visitas realizadas no Município e na análise de material de divulgação turística.
Vinhos em Portugal antes das regioes demarcadas
Authors: De Oliveira Aurélio 
Published: September 2020

Com o presente estudo pretende-se verificar e circum-escrever no tempo as raízes das “modernas” delimitações das grandes regiões vinhateiras portuguesas, ordenadas a partir do Poder Central, indagando das razões históricas e económicas dessas mesmas delimitações (ora precoce, ora tardiamente ordenadas). A História dos Vinhos (ou de determinado vinho) é hoje uma componente importante na estratégia quer da sua venda, quer das regiões produtoras que também se tornaram destinos turísticos, só por si, escolhidos por uma fatia bem considerável de quem viaja. Os vinhos têm a sua história, e essa história (mais ou menos longa mais ou menos recuada) ajuda, sem dúvida, a sua venda a sua promoção e o seu consumo).
Weighted L1-norm Logistic Regression for Gene Selection of Microarray Gene Expression Classification
Authors: Alharthi Aiedh Mrisi , Lee Muhammad Hisyam , Algamal Zakariya Yahya 
Published: September 2020

The classification of cancer is a significant application of the DNA microarray data. Gene selection methods are ordinarily used handle the issue of high-dimensionality of microarray data to enable experts to diagnose and classify cancer with high accuracy. The penalized logistic regression (PLR) technique is usually used in the dimensionality reduction of the high-dimensional gene expression data sets to remove irrelevant and redundant predictors from the binary logistic regression model. One of the regularization techniques used to achieve this goal is the least absolute shrinkage and selection operator (Lasso). However, this technique has been criticized for being biased in the selection of genes. The adaptive Lasso was usually proposed by assigning an initial weight to each gene to address the selection bias. This paper is concerned with adapting PLR to improve its capability in classiï¬cation and gene selection, in the sense of accuracy, by introducing the one-dimensional weighted Mahalanobis distance (1-DWM) for each gene as an initial weight inside L1-norm. By experiments, this proposed method, denoted by adaptive penalized logistic regression (APLR), gives more accurate results compared with other famous methods in this regard. The proposed method is applied to some real high-dimensional gene expression data sets in order to demonstrate its eï¬ƒciency in terms of classification accuracy and selection of gene. Therefore, the proposed method could be utilized in other studies implementing gene selection in the area of classification of high dimensional cancer data sets.
Physical Properties and Glycemic Index of Organic and Conventional Black Rice Grown in Bali Indonesia
Authors: Andriani Sagung Putri Risa , Hamid Mohamad Hasnul Naim Abd , Sahrom Mohamad Sazuan , M Yusof Mohd Syukri , Yamin Bohari M 
Published: September 2020

Similar variety of black rice was grown by organic and conventional methods in Jatiluweh and Penatih districts of West Bali, respectively, separated by 46 km distance. Both rice are very similar having black pericarp and white rice inside. In this study we found that the degree of crystallinity of the two rice is about 24%. The Bragg parameters of the conventional rice are very close to Î±-amylose dehydrate, whereas the organic rice exists in polymorphic form. The crystallites in the endosperm area are dominated by polyhedral shape in contact with each other at the edges and formed a cyclic geometric environment. The size of the crystallites was between three and six microns. On the whole the crystallites are packed in rectangular blocks connected with one another radially from the centre towards the pericarp. XRF experiments show both rice contain P, K, S, Si, Mg, Cl, Al, Zn, Fe, Cu and Rb. However, ruthenium and manganese were detected in the organic rice. Both organic and conventional black rice possess low glycemic index of about 31±5.0 compared to 50±5.8 for commercial Basmati rice. Thermogravimetric investigation showed that the black rice was stable up to about 300°C and the gradual mass loss between 80 and 210°C is due to water molecules and additional components presence in the rice. After the major decomposition at 310°C the mass gradually decreased and reached 18% residual at 600°C.
Using Multivariate Analysis to Study the Spread of Transitional Diseases in Iraq
Authors: Rasheed Aseel Abdul Razzak , Al-saffar Rawaa Salh , Rasheed Husam A. 
Published: September 2020

Medical and technological development has achieved continuous successes during the last period. However, the statistics received from the World Health Organization (WHO) show the suffering that millions of people are subjected to daily as a result of their exposure to transitional diseases. The most prevalent transitional disease in the Iraqi provinces and for all age groups for both genders is water pox disease, followed by cutaneous leishmaniosis and then mumps. The most affected governorate with transitional diseases is Baghdad Governorate (Rusafa Sector), followed by Dhi Qar Governorate and Baghdad (Al Karkh Sector). The most age-groups affected with transition diseases are the categories (5-9) years for males, followed by (5-9) years for females. The highest total contribution to the first axis was for cutaneous leishmaniasis, followed by mumps, then Basil dysentery, as for the absolute contribution in the first axis, it was Dhi Qar Governorate, followed by Baghdad. There are more than 14,000,000 people who die each year because of these diseases, and most infections are concentrated in developing countries, including Iraq. Hence, this research is vital to examine the extent of transitional diseases in Iraq for different age groups, both male and female gender. The use of the multivariate method, which is the correspondence analyses, it was found through the research that Baghdad (Rusafa Sector) has a high incidence of transitional diseases and the largest age group at risk of transitional diseases is (5-9) years form male gender.
A Study on the Perception and Improvement of Creative-Design Course by Level
Authors: Jo Jaechoon , Kim Sunhee , Lee Kwangjae , Park Hyunjoo , Jeong Seongdo 
Published: September 2020

In the absence of concrete support plans for extra curriculum programs since the PRIME project has started, the College of Engineering has established regular courses to efficiently operate design programs. It links and operates creative-design curriculum by level: IT-engineering for freshman, basic creative design for sophomore, major creative design for junior, and integrated capstone design for senior. This study aims to find efficient operation and improvement plan for creative-design courses through the questionnaire survey and focused group interview (FGI) on the satisfaction of creative-design courses and the composition of the curriculum for students taking project-oriented creative-design courses. To this end, a survey and group interviews were conducted for 176 students taking creative-design courses, and the survey results and group interview results were analysed. As a result of the analysis, the absolute evaluation method was preferred, and a curriculum that could be done consequently rather than a short-term project. Satisfaction with the creative-design courses was higher in the upper grades than in the lower grades. In addition, when satisfaction for the creative-design courses is high, it showed positive recognition of the satisfaction for the curriculum of creative-design courses. In this paper, I propose four suggestions for efficient operation and improvement for creative-design courses; different goal-setting of creative-design courses at each level, an appropriate form of feedback, the fairness of team setting and evaluation methods, and the grade linkage for creative-design courses. Keywords— Engineering Curriculum; PBL; Higher Education; FGI; Survey.