bluuebunny/crossref_metadata_2025_split huggingface dataset:
Supplementation Practices and Donor Milk Use in US Well-Newborn Nurseries
Authors: Kair Laura R. , Phillipi Carrie A. , Lloyd-McLennan Allison M. , Ngo Kimberly M. , Sipsma Heather L. , King Beth A. , Flaherman Valerie J. 
Published: September 2020

BACKGROUND AND OBJECTIVES:
Guidelines encourage exclusive breastfeeding for healthy newborns but lack specificity regarding criteria for medically indicated supplementation, including type, timing, and best practices. We set out to describe practice patterns and provider perspectives regarding medically indicated supplementation of breastfeeding newborns across the United States.

METHODS:
From 2017 to 2018, we surveyed the Better Outcomes through Research for Newborns representative from each Better Outcomes through Research for Newborns hospital regarding practices related to medically indicated supplementation. We used descriptive statistics to compare practices between subgroups defined by breastfeeding prevalence and used qualitative methods and an inductive approach to describe provider opinions.

RESULTS:
Of 96 providers representing discrete hospitals eligible for the study, 71 participated (74% response rate). Practices related to criteria for supplementation and pumping and to type and caloric density of supplements varied widely between hospitals, especially for late preterm infants, whereas practices related to lactation consultant availability and hand expression education were more consistent. The most commonly reported criterion for initiating supplementation was weight loss of ≥10% from birth weight, and bottle-feeding was the most commonly reported method; however, practices varied widely. Donor milk use was reported at 20 (44%) hospitals with ≥81% breastfeeding initiation and 1 (4%) hospital with &lt;80% breastfeeding initiation (P = .001).

CONCLUSIONS:
Strategies related to supplementation vary among US hospitals. Donor milk availability is concentrated in hospitals with the highest prevalence of breastfeeding. Implementation of evidence-based management of supplementation among US hospitals has the potential to improve the care of term and late preterm newborns.
Validation and Feasibility of the ASQ Among Pediatric Medical and Surgical Inpatients
Authors: Horowitz Lisa M. , Wharff Elizabeth A. , Mournet Annabelle M. , Ross Abigail M. , McBee-Strayer Sandra , He Jian-Ping , Lanzillo Elizabeth C. , White Erina , Bergdoll Emory , Powell Daniel S. , Solages Martine , Merikangas Kathleen R. , Pao Maryland , Bridge Jeffrey A. 
Published: September 2020

OBJECTIVES:
To validate the use of a brief suicide risk screening tool, the Ask Suicide-Screening Questions (ASQ) instrument, in pediatric inpatient medical and surgical settings.

METHODS:
Pediatric patients (10–21 years) hospitalized on inpatient medical and surgical units were recruited through convenience sampling for participation in a cross-sectional instrument validation study. The Suicidal Ideation Questionnaire was used as a standard criterion to validate the ASQ. Patient opinions about screening and parent consent to enroll in a suicide risk screening study were assessed to determine the feasibility of administering the ASQ in this venue.

RESULTS:
A total of 600 pediatric medical inpatients were screened. Compared with the gold standard, the ASQ had strong psychometric properties, with a sensitivity of 96.67% (95% confidence interval [CI]: 82.78 to 99.92), a specificity of 91.05% (95% CI: 88.40 to 93.27), a negative predictive value of 99.81% (95% CI: 98.93 to 99.99), and an area under curve of 0.94 (95% CI: 0.90 to 0.97). Only 3 participants (0.5%) had acute positive screen results on the ASQ, endorsing current suicidal ideation, whereas 77 participants (12.8%) screened nonacute positive, and 48 participants (8.0%) reported a past suicide attempt.

CONCLUSIONS:
The brief 4-item ASQ is a valid tool to detect elevated suicide risk in pediatric medical and surgical inpatients. Our findings also reveal that screening is feasible in terms of detection of suicidal thoughts and behaviors and is acceptable to parents and patients.
A postgraduate course for the decision taking in the Public Health context.
Authors: Hernández MD Fé Fernández , González MD Efraín Sánchez 
Published: September 2020

Background. The health education manager must be agreeing with the fact that the education and the health are untouchable economic goods supporting the labor productivity. The professional growing across different courses forms contribute to raise the human develop quality and increase the labor productivity too. All health education managers must understand how take decisions based in the economic knowledge.
Objective. Design a postgraduate course for the decision taking in the Public Health context.
Materials and methods. As theorical methods were utilized the inductive – deductive, analysis and synthesis and the comparative. As empiric method was utilized the bibliographic research.
Conclusion. Was made a single course focused in health manager for the taking decision process. This course takes account the constant needs from health managers respect to the postgraduate education and the possible application from the Health Economy in the health management process.
Organic Bovine Graft Associated With PRP In Rabbit Calvaria
Authors: Ramos Lara Maria Alencar , Batista Jonas Dantas , Zanetta-Barbosa Darceny , Dechichi Paula , Rocha Flaviana Soares 
Published: September 2020

Summary
Introduction: Repairing large bone defects is a huge challenge that reconstructive surgery currently faces.
Objective: The objective of this study was to perform the histological evaluation of bone repair in rabbit calvaria when using bovine bone graft (Gen-ox-organic®) associated with platelet-rich plasma (PRP).
Method: 12 rabbits were used and two bone fragments were bilaterally removed from calvaria. Then, 24 surgical sites were randomly divided into 3 groups: coagulum (group I), organic (group II) and PRP-included organic (group III). After four weeks, the animals were sacrificed and the grafted area removed, fixed in 10% formalin with PBS 0.1 M, and embedded in paraffin.
Study method: The analyzed histological parameters were: defective area filled with the newly-formed bone, graft's giant cells and particles, as well as the new bone formation associated with the particles. Group I's defects were filled with fibrous tissue attaching the periosteum and revealed a little bone formation peripherally. In both groups II and III, a similar standard was noticed in addition to the absence of graft particles and giant cells. There was no significant difference in the number of giant cells, graft particles and new bone formation around the particles between the grafted material and the PRP-related group.
Conclusion: The results achieved indicate that the organic biomaterial neither separately nor jointly with PRP improves bone regeneration.
Fungal Mastoiditis in AIDS Patients: Reported Cases
Authors: Silveira Flavia , Faidiga Gabriel Bijos , do Lago Tassiana , Yassuda Camila Carrara , Massuda Eduardo Tanaka , Hyppolito Miguel Angelo , Carenzi Lucas Rodrigues 
Published: September 2020

Summary
Introduction: Fungal mastoidits by Aspergillus fumigates predominantly occurs in immunosuppressed patients. Diagnosis is usually hard and disease is potentially fatal. Treatment is comprised of antifungal therapy, surgical debridement and immunosuppression correction.
Case Report: This article reports a case of fungal mastoiditis in a patient with acquired immunodeficiency syndrome (AIDS). The treatment performed was that of surgery associated with antifungal therapy. The patient's facial nerve was not affected, what does not exclude potentially fatal complications of mastoiditis.
Assessing the impact of resource efficiency on selected case studies in Ireland
Authors: Göttsche Jan , Kelly Mark 
Published: September 2020

In the EU, construction and the use of buildings account for 50% of final energy consumption, approximately 35% of greenhouse gas emissions, more than 50% of all extracted materials, 30% of water consumption by the population and 35% of total generated waste, annually. In Ireland, there has been a clear connection between construction output, construction and demolition production and energy use. During this time of economic recovery, there is a unique opportunity to decouple this connection and rethink the built environment to one that embraces material cycles that have net positive environmental benefits. This study used an action research methodology to benchmark the effectiveness of implementing a series of resource efficiency measures during the construction phase of four case studies with a small-to-medium enterprise building contractor. The implementation of these measures in the case studies produced cost savings of €14 567.70 representing 0.48% of the total project value (€3 050 032). The total energy savings were estimated to be 11 373.09 kWh and it was estimated that 176.751 t of materials were prevented from being placed in site skips. The total reduction in carbon dioxide (CO2) emissions from the implemented measures was 52.263 t.
ANÁLISE BIBLIOGRÁFICA: PROTEÍNA PRÍON E ENCEFALOPATIAS TRANSMISSÍVEIS
Authors: Machado Ruri Miranda , Miranda Andreina Da Silva , Dantas Bruna Braga 
Published: September 2020

As doenças priônicas são enfermidades neurodegenerativas raras que causam diversos sintomas neuropsiquiátricos devido ao acúmulo de príons, pequenas partículas resistentes à inativação formadas por genes que se modificam originando proteínas mutantes. Assim sendo, o presente artigo tem por objetivo a análise literária de publicações sobre a proteína príon e suas encefalopatias transmissíveis. Trata-se de uma pesquisa bibliográfica desenvolvida, através do método da revisão integrativa, iniciado no mês de abril e finalizado em junho de 2018, sendo composta por artigos obtidos a partir de plataformas de pesquisas como o Google Acadêmico e PubMed, para complementação do estudo, utilizou-se também dados obtidos do Portal do Ministério da Saúde. Posteriormente, foi realizada uma análise a partir da leitura criteriosa dos artigos e utilizou-se como parâmetros de inclusão: ser publicado em inglês ou português; ter sido publicado no período de janeiro de 2003 à fevereiro de 2018, com exceção de uma Tese de Doutorado de 1996. Através deste estudo constatou-se que nos últimos 15 anos foram notificados uma média de 3,74 casos de óbitos por encefalopatias espongiformes no Brasil, sendo o estado de São Paulo o mais acometido. Quanto ao cenário mundial, foram notificados 177 casos no Reino Unido e 27 na França. Portanto, é de grande justificabilidade a continuação de pesquisar/estudos nesta área, visto que os príons causam encefalopatias e isso foi visto em vários países, inclusive no Brasil.
Homoeopathic Treatment of Pituitary Adenoma: A Case Report
Authors: Rasel Nur-E-Alam , Alam Md. Sofiqul , Siddique Md. Mostafizur Rahman , Debnath Narottam , Alam Md. Jahangir , Hossain Md. Shahi Emran , Rume Rumana Afroze 
Published: September 2020

Most pituitary adenomas are slow-growing and benign, which means they are not cancer and do not spread to other parts of the body. They generally have a slow but severe impact on vision due to compression of the optic nerves, optic chiasm, and cavernous sinus. However, as they grow big they can put pressure on nearby structures, such as the nerves that connect the eyes to the brain and cause symptoms. Pituitary adenomas are the third most common intracranial tumor and arise from the pituitary gland. An individual case is presented in this paper with radiological evidence (MRI) of a large lobulated intrasellar mass (3.0 cm transversely, 3.5 cm craniocaudally and 2 cm anteroposteriorly) with supra-sellar extension is causing elevation of the floor of the 3rd ventricle of the brain. Pituitary macroadenoma and hemorrhagic foei, pituitary apoplexy, and pituitary adenomas were founded by different CT scan and MRI reports in different laboratories. The patient was treated with constitutional homoeopathic medicines – Natrum muriticum-m/1, 16 doses up to Natrum muriticum-m/20, 16 doses each from 26/04/2014 to 07/08/2017. Before treatment imaging was done several times from 6/04/2011 to 12/01/2012showed complete resolution of the pituitary adenoma and during treatment3 follow-up imaging was done on 25/07/2015 and 06/08/2017. This case report reviews the clinical presentation, homoeopathic management, and treatment of the major classification of pituitary adenomas and call attention to the need for repertorization in individualized homoeopathic prescription. It is hoped that if this type of clinical research continues in the future, homeopathy will have a breakthrough result and it’s symptomatic medical treatment will play a beneficial role in the near future from the deadly evils of various types of chemotherapy, radiotherapy, or combined therapy.
PUTRACOM: A Formalism of a Novel Component Model
Authors: Nejati Faranak , Yap Ng Keng , Abd Ghani Abdul Azim , Jaffar Azmi 
Published: September 2020

The composition mechanisms and interactions of current component models are mostly base on port or function calls from other components. However, in both styles, the number of interactions that depend on the number of ports and method calls may increase dramatically. Hence, to avoid such complexity of composing components and coordination of the interaction among them, a component model and policy to provide a separation between the components and coordinating is needed. This study presents a formal specification of a novel component model for discrete-event and non-blocking component-based systems called PUTRACOM. A new component model, named PUTRACOM is presented in this paper. PUTRACOM supports to develop concurrent software systems with discrete-event. PUTRACOM defines components by two essential features; they are the Observer/Observable unit and a computation unit. These two features allow a component to have fixed behavior without any dependency on other components. The components can be composed using a well-defined set of connectors. PUTRACOM has been formally defined based on the well-defined and sound methods like CSP and RTSs. PUTRACOM provides a way to construct components and coordinate them with a well-founded mechanism. The model defines a set of exogenous connectors and an observer/observable unit to encapsulate components and coordination. In order to illustrate the way of component composition in the proposed model, an example of the control system of a refrigerator is used. Moreover, to evaluate its applicability, the example has been implemented in Colored Petri Net (CPN) tools.
Identification and Analysis on Stakeholder of Cross-Border Freight Transportation
Authors: Said - , Priyanto Sigit , Parikesit Danang , Irawan M. Zudhy 
Published: September 2020

The growing international trade needs a logistic system managing the transportation system to create continuity in its process. Indonesia, as a country having land borders with neighboring countries, needs research about the freight transportation system with those different characteristics. Meanwhile, there is a tendency where the shift of the freight model paradigm results in the movement of the aggregate analysis approach to disaggregate or agent-based approach. With the need to consider the role and influence of actors’ decisions in the analysis-based of freight transportation, the agent-based model will become will be a supporting tool to analyze freight transportation. This paper will identify and elaborate on the actors or stakeholders having roles in the freight transportation system in cross borders, mainly the marine product commodities. To determine the most significantly influential stakeholders in the analysis of freight transportation in the cross-border area, we used the analytical network process (ANP) method. ANP is the improvement of AHP Analytical Hierarchical Process (AHP) by referring to the thoughts that there is a correlation in the network form between elements where ANP enables the occurrences of inner dependence within a set (clusters) of elements and outer dependence among different sets (clusters). Based on the analysis using ANP, we found that the company owners are the most influential party followed by governments, employees, and customers. The link of result of stakeholder mapping and the relationship patterns among stakeholders, and it gives a strong foundation in the agent-based model needed in contemporary freight transportation modeling.
Sobre los sujetos vacíos en español
Authors: Cerna-Herrera Francisco 
Published: September 2020

El presente trabajo es una aplicación del ‘Principio de Proyección’ y del ‘Principio de Proyección Extendida’ a una oración existencial en español. Con el fin de, primero, saturar los marcos de subcategorización y, luego, señalar los distintos sujetos de la oración analizada, es que se revisan los tipos de sujetos vacíos (pro-pequeño y PRO-grande) en la oración y algunos aspectos de los verbos y las raíces verbales que la componen, de manera que se cumpla con los requisitos que plantean los dos principios mencionados. Hecho esto, se presentan ciertos fenómenos sobre la construcción de la oración que merecen estudios futuros.
MEASURING INSTRUMENT FOR REFILLED DRINKING WATER USING A TDS SENSOR
Authors: Firmansyah Dudi Adi , Khairunnisa Ibadurrohman Kamila Rofa , Restu Aji Bernadus Bisma Titis , Suprijanto Suprijanto 
Published: September 2020

Water is an essential need for humans and consumed as drinking water after fulfilling the health requirement in the Republic of Indonesia Minister of Health Regulation No.492/Menkes/Per/IV/2010. Due to the increasing demand, there are currently many refilled drinking water stores as an economical and practical alternative way to people. However, their safety still needs to be tested in the laboratory. This condition is impractical so that it needs a portable measuring instrument especially based on the TDS sensor that can measure the total dissolved solids (TDS) and electrical conductivity (EC) at once, which determines the taste and safety of the water. TDS sensor calibration at 80.5 to 966 ppm shows a 93.4% accuracy; 99.8% precision and 1.3 ppm hysteresis. In comparison, EC calibration at 161 to 1932 microsiemens/cm produces an average of 82.3% accuracy, 97.1% precision, and 1.0 microsiemens/cm hysteresis. This prototype is then employed to measure the water sample and determine its safety to consume and observed a decreasing trend of TDS and EC (194.1 ppm and 388.2 microsiemens/cm) as compared to the water spring sample (20.2 ppm and 402.3 microsiemens/cm). The prototype also has a Bluetooth module that enabling the remote observation on a cell phone without the presence of a telephone network.
A Rare Case of Median Nerve Entrapment within the Bone After Surgical Treatment of a Pediatric Supracondylar Humerus Fracture
Authors: Zinger Gershon , Abu Remeileh Sameh , Bregman Alexander , Yudkevich Genady 
Published: September 2020

Case:
We present the rare event of median nerve bony entrapment after a supracondylar distal humerus fracture in a child. The median nerve was both clinically and electrically still, partially intact at 2 years after the injury. The nerve was surgically extracted from the bone. Follow-up evaluation a year later showed motor and sensory improvement. We found only 2 similar reports in the literature and one similar postmortem example.

Conclusion:
We hope that this case brings awareness of an unusual complication after a commonly encountered injury.
Optimization Multi Response on Electrical Discharge Machining Sinking Process Using Taguchi-Grey-Fuzzy Methods
Authors: Bisono Rahayu Mekar , Yusron Rifky Maulana 
Published: September 2020

Electronic Discharge Machining (EDM) sinking applied widely in advance material manufacturing, every process parameter will count on this company. Their performance evaluated by some parameters such as surface roughness and tool wear ratio. Then they will be a dependent variable on this research. Independent variables on this research are electrode polarization, gap voltage, duty factor and pulse current. Every variable has three levels, except electrode polarization has two levels. This research conducting using Taguchi matrix orthogonal L18 (21×33) methods. The aim of this experiment is to evaluate optimization parameter process on EDM sinking, using Taguchi-Grey-Fuzzy methods. Characteristics response optimal applied are ‘smaller better’ for surface response roughness and tool wear ratio. This research using DAC tool steel as work-piece. DAC is most widely used as die for aluminum and zinc die-casting. The aim of this research is finding contribution of variable in EDM sinking parameter. Result of this research show contribution from variable process to reduce variance total observed response simultaneously, in order are electrode polarization on 49,53%, gap voltage on 23,52%, duty factor on 5,45% and pulse current on 9,92%. From validated optimization in confirmation experiment, to conclude combination variable process optimal response value is electrode polarization on positive, gap voltage at 50V, duty factor at 0.5 and pulse current at 12A.
Effect of Temperature and Alcohol on the Determination of Critical Micelle Concentration of Non- Ionic Surfactants in Magnetic Water
Authors: Al-Hatem Aamer A. 
Published: September 2020

The determination of critical micelle concentration of selected non-ionic surfactants (Tween 20,40 and 80) have been investigated using magnetic water(MW)as an aqueous medium.Conductometry technique is used to determine critical micelle concentration.The effect of alcohol addition and temperature variation at the range(293.15 -303.15K) are also pursued. It is concluded that the process of micellization is spontaneous and endothermic because of the observed free energy of micellization (ΔGom) , enthalpy change of micellization (ΔHom), and entropy change of micellization (ΔSom) for the system was also studied.The properties of the non-ionic surfactants were studied, both in absence and presence of alcohol. The results obtained were explained in light of hydrophobic-hydrophilic interactions and chain length of alcohol.The temperature change has slight effect on the micellization process. .
Modified Weighted Pareto Distribution Type I (MWPDTI)
Authors: Sahmran Mahmood A. 
Published: September 2020

In this paper, the Azzallini’s method used to find a weighted distribution derived from the standard Pareto distribution of type I (SPDTI) by inserting the shape parameter (θ) resulting from the above method to cover the period (0, 1] which was neglected by the standard distribution. Thus, the proposed distribution is a modification to the Pareto distribution of the first type, where the probability of the random variable lies within the period The properties of the modified weighted Pareto distribution of the type I (MWPDTI) as the probability density function ,cumulative distribution function, Reliability function , Moment and the hazard function are found. The behaviour of probability density function for MWPDTI distribution by representing the values of This means, the probability density function of this distribution treats the period (0,1] which is ignore in SPDTI.