bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of Modification to DSM-5 Criterion A for Hypomania/Mania in Newly Diagnosed/First Episode Bipolar Patients – Findings From the Prospective BIO Study
Authors: Fredskild Mette Ungermann , Stanislaus Sharleny , Coello Klara , Melbye Sigurd , Kjærstad Hanne Lie , Sletved Kimie Stefanie Ormstrup , Suppes Trisha , Vinberg Maj , Kessing Lars 
Published: November 2020

Abstract
Background: DSM-IV states that criterion A for diagnosing hypomania/mania is mood change. The revised DSM-5 now states that increased energy or activity must be present alongside mood changes to diagnose hypomania/mania, thus raising energy/activity to criterion A. We set out to investigate how the change in criterion A affects the diagnosis of hypomanic/manic visits in patients with a newly diagnosed / first episode bipolar disorder. Results: In this prospective cohort study, 373 patients were included (median age=32; IQR, 27-40). Women constituted 66% (n=245) of the cohort and 68% of the cohort (n=253) met criteria for bipolar type II, the remaining patients were diagnosed bipolar type I. Median number of contributed visits was 2 per subject (IQR, 1-3) and median follow-up time was 3 years (IQR, 2-4). During follow-up, 127 patients had at least one visit with fulfilled DSM-IV criterion A. Applying DSM-5 criterion A reduced the number of patients experiencing a hypomanic/manic visit by 62% at baseline and by 50% during longitudinal follow-up, compared with DSM-IV criterion A. Fulfilling DSM-5 criterion A during follow-up was associated with higher modified young mania rating scale score (OR=1.51, CL [1.34, 1.71], p <.0001) and increased number of visits contributed (OR=1.86, CL [1.52, 2.29], p <.0001). Conclusion: Applying the stricter DSM-5 criterion A in a cohort of newly diagnosed bipolar patients reduced the number of patients experiencing hypomanic/manic visit substantially, and was associated with higher overall young mania rating scale scores, compared with DSM-IV criterion A. Overall, fewer hypomanic/manic visits may be detected in newly diagnosed /first episode bipolar patients with applied DSM-5 criterion A. Consequently, with the DSM-5 criteria applied less severe bipolar disorders may be overlooked, especially early during the course of illness, and result in a diagnostic delay. Further studies are warranted on this issue.
Prevention and Curation of DSS-induced IBD&nbsp;in Mice With Bacillus Subtilis Fermented Milk via Inhibition of the Inflammatory Responses and Regulation of the Intestinal Flora
Authors: Zhang Xuan , Tong Yanjun , Lyu Xiaomei , Wang Jin , Wang Yuxue , Yang Ruijin 
Published: November 2020

Abstract
Background: The pathogenesis of inflammatory bowel disease (IBD) might be related to the local inflammatory damage and the dysbacteriosis of intestinal flora. Probiotics can regulate the intestinal flora and ameliorate IBD. The probiotic Bacillus subtilis strain B. subtilis JNFE0126 was used as the starter of fermented milk. However, the therapeutic effects of B. subtilis fermented milk on IBD remains to be explored.Methods：The therapeutic effect of the B. subtilis fermented milk on DSS-induced IBD model mice was evaluated. The disease activity index (DAI) and the pathological features of small intestinal and colonic mucosa were examined. For exploring the action mechanism of B. subtilis, immunohistochemical staining and western-blotting were used to analyse the expression of the pro-inflammatory/anti-inflammatory cytokines, the proliferation of the intestinal stem cells, and the reconstruction of the mucosa barrier. The alteration of gut microbiota was investigated by taxonomic analysis.Results: The DAI of IBD was significantly decreased through oral administration of B. subtilis (JNFE0126) fermented milk, and the intestinal mucosa injury was attenuated. Moreover, B. subtilis could reduce the inflammatory response of the intestinal mucosa, induce proliferation of the intestinal stem cell, and promote reconstruction of the mucosal barrier. Furthermore, B. subtilis could rebalance the intestinal flora, increasing the abundance of Bacillus, Alistipes and Lactobacillus, while decreasing the abundance of Escherichia and Bacteroides.Conclusion: Oral administration of the B. subtilis fermented milk could alleviate DSS-induced IBD via inhibition of inflammatory response, promotion of the mucosal barrier reconstruction and regulation of the intestinal flora.
DETERMINAÇÃO DO POTENCIAL ANTIMICROBIANO DE ÓLEOS ESSENCIAIS DE LAVANDA (LAVANDULA DENTATA L.) E MANJERICÃO (OCIMUM BASILICUM L.) SOBRE CEPAS DE PSEUDOMONAS AERUGINOSA ISOLADA DE LEITE MASTITÍCO BOVINO
Authors: Ulsenheimer Bruna Carolina , Konageski Dalla Rosa Silvana , Colet Christiane De Fatima , Mori Viero Luciana , Ribeiro Viana Martins Luciane 
Published: November 2020

Objetivo: Avaliar óleos essenciais extraídos da flor e folha de lavanda (Lavandula dentata L.) e manjericão (Ocimum basilicum L.), quanto sua ação antimicrobiana frente a bactéria Pseudomonas aeruginosa, isolada de leite mastítico bovino. Método: Foi realizado coleta, identificação e catalogação das plantas selecionadas, e após a extração dos óleos essenciais pelo método de arraste à vapor, por hidrodestilação. As análises foram realizadas em triplicata, no Laboratório de Microbiologia Veterinária da Unijuí, pelo cultivo bacteriano em placas, confrontados a 20 μl de óleo essencial, mantidas em estufa bacteriológica a 36ºC por 24 horas. Resultados: O perfil de sensibilidade antimicrobiana dos óleos essenciais testados frente à cepas de Pseudomonas aeruginosa, apresentou os seguintes resultados: para o óleo essencial da flor do manjericão 7 mm no tamanho do halo de inibição nos três testes, para a folha do manjericão, houve a maior atividade inibitória, com halos de inibição com 12 mm em duas amostras e 14 mm na terceira. Já para o óleo essencial da flor da lavanda apresentou halo de inibição de 6 mm, 7mm e 9 mm, em cada teste, e para o óleo da folha da lavanda apresentou resultados semelhantes ao da sua flor, com halo de inibição de 8 mm em dois teste e 6 mm no outro. Conclusões: Sugere-se que o óleo essencial da folha do manjericão, possa ser uma fonte de compostos com potencial terapêutico no combate à bactéria patogênica Pseudomonas aeruginosa. Verifica-se que o uso de do óleo essencial apresenta-se como uma alternativa para o tratamento de mastites em bovinos leiteiros.
Degradation of fluorescent dye-Solvent Green 7 (HPTS) in wastewater by advanced oxidation process
Authors: Cai Shaokang , Zhang Shurong , Gao Canzhu , Cheng Zhongfa 
Published: November 2020

Abstract
Solvent Green 7 (HPTS) is a widely used fluorescent dye. As a kind of polycyclic aromatic hydrocarbon (PAHs) derivative, HPTS would cause pollution when it is discharged into the environment. This study adopted advanced oxidation processes (UV/H2O2) to degrade the HPTS in aqueous solution and investigated the effects of various factors on the degradation. The results showed that: the initial concentration and the fluorescence characteristics of HPTS reduced the degradation efficiency. When the oxidant concentration of H2O2 was 3 mg/L, the degradation efficiency and cost of HPTS (20 mg/L) were the most appropriate; when there were various inorganic anions in the solution, the degradations were not affected, but when the solution was strong acid and there existed a lot of chloride ions, the degradation of HPTS was inhibited. The degradation pathways indicated HPTS degraded into naphthalene derivatives, benzene derivatives through oxidation and decarboxylation reactions, finally into water and carbon dioxide. Further research for substances similar to HPTS structure will make progress in understanding the degradation process of PAHs.
Elastic and Inelastic Electron-Nucleus Scattering Form Factors for Be9 Nucleus
Authors: Dlshad Hawar Muhamad , Fatah Aziz Hama-Raheem , Hussain Adil Mohammed 
Published: November 2020

The computations of the elastic and inelastic Coulomb form factors for the electron-nucleus scattering of Beryllium nucleus Be9 have performed with Core Polarization (CP) effects including the realistic Michigan sum of Three Range Yukawa (M3Y) Interaction, and the other residual interaction which is Modified Surface Delta Interaction (MSDI). In addition to mean square root charge density and charge radii for the ground state. The perturbation theory was adopted to compute the Core Polarization by using the Harmonic Oscillators (HO) potential to calculate single-particle radial wave functions.
In the comparison between the theoretical calculations of Coulomb form factors by (MSDI) interaction, realistic (M3Y) interaction, and the experimental results that measured before, it noticed that the Coulomb form factors for the (M3Y) interaction gave a reasonable depiction of the measured data.
Enfermería y la atención primaria de salud
Authors: González-Escobar Dianne Sofia 
Published: November 2020

Hace 40 años la Organización Mundial de la Salud (OMS) definió la Atención Primaria de Salud ( APS) como la estrategia para alcanzar la meta Salud para Todos en el año 2000, buscando implementar cambios significativos en la prestación de servicios de salud y en el nivel de bienestar de la población, especialmente de la más afectada por las Inequidades políticas, sociales y económicas, y con mayor afectación en los factores determinantes de la salud (1).
Incident Type 2 Diabetes and Risk of Fracture: A Comparative Cohort Analysis Using U.K. Primary Care Records
Authors: Davie Gabrielle S. , Pal Kingshuk , Orton Elizabeth , Tyrrell Edward G. , Petersen Irene 
Published: November 2020

OBJECTIVE
To estimate risk of fracture in men and women with recent diagnosis of type 2 diabetes compared with individuals without diabetes.

RESEARCH DESIGN AND METHODS
In this cohort study, we used routinely collected U.K. primary care data from The Health Improvement Network. In adults (&gt;35 years) diagnosed with type 2 diabetes between 2004 and 2013, fractures sustained until 2019 were identified and compared with fractures sustained in individuals without diabetes. Multivariable models estimated time to first fracture following diagnosis of diabetes. Annual prevalence rates included at least one fracture in a given year.

RESULTS
Among 174,244 individuals with incident type 2 diabetes and 747,290 without diabetes, there was no increased risk of fracture among males with diabetes (adjusted hazard ratio [aHR] 0.97 [95% CI 0.94, 1.00]) and a small reduced risk among females (aHR 0.94 [95% CI 0.92, 0.96]). In those aged ≥85 years, those in the diabetes cohort were at significantly lower risk of incident fracture (males: aHR 0.85 [95% CI 0.71, 1.00]; females: aHR 0.85 [95% CI 0.78, 0.94]). For those in the most deprived areas, aHRs were 0.90 (95% CI 0.83, 0.98) for males and 0.91 (95% CI 0.85, 0.97) for females. Annual fracture prevalence rates, by sex, were similar for those with and without type 2 diabetes.

CONCLUSIONS
We found no evidence to suggest a higher risk of fracture following diagnosis of type 2 diabetes. After a diagnosis of type 2 diabetes, individuals should be encouraged to make positive lifestyle changes, including undertaking weight-bearing physical activities that improve bone health.
ANSCOTIC (ANTI-SCOLIOSIS GYMNASTIC): EDUKASI PENCEGAHAN SKOLIOSIS DENGAN ENGLISH LEARNING PROGRAM
Authors: Aulia Fawantina Nisa , Raihani Siti , Wardana Candra Aditya , Pratiwi Novia Eka , Rahman Farid 
Published: November 2020

ABSTRAKTujuan Mengetahui efektifitas anscotic dengan english learning program sebagai edukasi pencegahan skoliosis pada anak usia dini.Metode penelitian: Penelitian ini menggunakan metode penelitian deskriptif kualitatif dengan subjek penelitian sejumlah sepuluh santri dalam rentang usia 6-10 tahun di pondok pesantren patisah surakarta. Subjek diberikan instruksi gerakan anscotic menggunakan bahasa inggris yang kemudian diikuti oleh seluruh subjek. Anscotic dilakukan sebanyak tiga kali dengan evaluasi pada akhir perlakuan.Hasil Subjek mengetahui cara-cara pencegahan skoliosis dan mampu menghafal berbagai macam kata dalam bahasa inggris melalui intruksi anscotic yang diberikan.Kesimpulan Anscotic (Anti-Scoliosis Gymnastic) dengan English Learning Program merupakan program yang tepat untuk mencegah scoliosis sekaligus metode pembelajaran bahasa Inggris yang menyenangkan.Kata Kunci Anscotic, Skoliosis, English Learning Program.
Hubungan Cerebral Palsy Spastik dengan Flexion Posture
Authors: Khadijah Siti , Naufal Adnan Faris 
Published: November 2020

Latar Belakang; Reflek primitif berpengaruh terhadap voluntary movement dan postural. Tipe postural pada anak CP dibagi menjadi 2 yaitu tipe fleksi (flexion posture) dan ekstensi (extension posture). Adanya hipereksitasi saraf pada bagian kelompok otot fleksor menyebabkan postur CP spastik ke arah fleksi (flexion posture).Tujuan Penelitian; Untuk mengetahui hubungan CP spastik dengan flexion posture. Metode Penelitian; Penelitian ini menggunakan cross-sectional study yang dilakukan satu kali pada satu waktu dan tidak ada follow up. Subjek penelitian sebanyak 26 anak CP yang dilaksanakan di PNTC Tohudan, YPAC Surakarta, dan Klinik Intan Fisioterapi Anak Ngemplak. Hasil Penelitian; Hasil dari penelitian ini setelah diuji statistika diperoleh adanya hubungan CP spastik dengan flexion posture dengan nilai p=0.005 (p kurang dari 0.05). Kesimpulan; Terdapat hubungan antara klasifikasi CP spastik dengan flexion posture. Kata kunci; Cerebral palsy, Reflek primitif, Flexion posture
Efektivitas Ultrasound Therapy Dan Auto Stretching Dengan Penambahan Neuromuscular Taping Terhadap Penurunan Nyeri Dan Peningkatan Luas Gerak Sendi Proximal Interphalangeal Pada Pasien Trigger Finger Di Rumah Sakit Muhammadiyah Palembang
Authors: Juliastuti Juliastuti , Alma Aisyah Dwi Ayu , Sarina Sarina 
Published: November 2020

Trigger finger adalah kondisi yang menyerang tendon-tendon pada jari atau ibu jari, sehingga membatasi gerakan pada jari. Tujuan penelitian ini untuk mengetahui seberapa signifikan efek penerapan modalitas fisioterapi berupa Ultrasound dan Auto Stretching dengan penambahan Neuromuscular Taping pada pasien trigger finger di Rumah Sakit Muhammadiyah Palembang. Metode penelitian ini menggunakan pendekatan Single-Case dengan desain A-B-A dengan ketentuan A1 adalah kondisi baseline awal sebelum diberi perlakuan, B adalah kondisi pemberian treatment, A2 adalah kondisi baseline pengulangan atau follow up setelah pemberian intervensi. Intervensi yang digunakan berupa modalitas Ultrasound therapy dan Auto Stretching dengan penambahan Neuromuscular Taping selama 1 minggu. Populasi penelitian ini adalah pasien poliklinik fisioterapi Rumah Sakit Muhammadiyah Palembang dengan diagnosa Trigger Finger. Pengambilan sampel dilakukan secara matching alocation karena pemilihan sampel dilakukan atas pertimbangan tertentu sesuai dengan kriteria yang ditetapkan berdasarkan variabel yang diteliti. Pada penelitian ini seluruh populasi menjadi sampel. Analisis data dalam penelitian ini menggunakan statistik deskriptif yang sederhana dengan menggunakan grafik garis sebagai suatu gambaran dari pelaksanaan dan hasil eksperimen. Hasil penelitian didapatkan penurunan derajad nyeri gerak dengan Visual Analoque Scale (VAS) terhadap 5 (lima) subjek, pada baseline awal (intervensi Ultrasound therapy) rata-rata nilai VAS 6,46, pada fase treatment (penambahan NMT) rata-rata nilai VAS 5,07 dan pada fase baseline 2 atau fase follow up rata-rata nilai VAS 4,49, terdapat peningkatan LGS proximal interphalangeal, pada baseline awal (intervensi Ultrasound therapy) rata-rata nilai LGS proximal interphalangeal 25 derajat, pada fase treatment (penambahan NMT) rata-rata nilai LGS 29.1 derajat dan pada fase baseline 2 atau fase follow up rata-rata nilai LGS 31.9 derajat. Simpulan penelitian ini adanya perubahan nyeri dan lingkup gerak sendi pada baseline 1, treatment, dan baseline 2.
Understanding the needs of rural preceptors from groups underrepresented in medicine
Authors: Sutton Erica , Howard Angelita , Goodman Ashaki 
Published: November 2020

Abstract
Introduction
Community preceptors are essential in providing sufficient training opportunities for health professional students. Recently, focus has been given to the recruitment of community preceptors from groups underrepresented in medicine (UiM) for their contibutions in training a diverse and culturally competent workforce. The overall goal of this study is to review data collected from UiM preceptors and potential preceptors for unique beliefs or values that reveal their motivation for teaching. We hypothesize that community preceptors from groups underrepresented in medicine hold beliefs reflective of high levels of altruism and service.
Methods
This is a retrospective study of interview data collected from UiM community preceptors for developing clinical education experiences. We sought to uniquely understand the needs of these preceptors in order to develop our recruitment strategy. Each participant agreed to a structured interview and gave or denied permission to have the interview recorded. In the structured interview, community physicians were asked to answer questions about their motivation to precept medical and physician assistant students. They were further asked about their desired compensation, reservations about teaching, and interest in participating in curricular development.
Results
We interviewed 12 community providers- 11 physicians and one advanced practice nurse. Participants were from a broad range of specialties: Obstetrics/Gynecology (3), Surgery (3), Psychiatry (3), Family Medicine (1), Pediatrics (1), Emergency Medicine (1). Of the providers interviewed, 10 were from groups underrepresented in medicine. All 10 of the UiM participants were physicians. All participants completed the structured interview. The answers provided in the interview were able to be grouped into themes reflecting a recurring set of beliefs and motivations.
Conclusions
UiM preceptors hold values reflective of altruism and a willingness to serve in the creation of the future workforce. We have found UiM preceptors possess a strong desire for training as educators. Further, UiM preceptors are incentivized by financial compensation and willing to commit their personal time to advising the medical school.
Informe anual de actividades septiembre2019-agosto 2020
Authors: Zottele Aníbal Carlos 
Published: November 2020

El Centro de Estudios China-Veracruz (Cechiver) de la Universidad Veracruzana (UV) ubicado en la Unidad de Servicios Bibliotecarios y de Información (USBI) de la ciudad de Xalapa, Ver., ha sido distinguido con la ampliación de su dependencia con una nueva oficina ubicada en la Facultad de Contaduría en el Campus Veracruz-Boca del Río, inaugurada en 2019 por el doctor Alfonso Gerardo Pérez Morales, vicerrector de la región.Nuestra entidad, creada por resolución del Consejo Universitario General el 23 de septiembre de 2008, se ha dedicado a las actividades de investigación, a la transmisión social de los productos de ese cometido, al fortalecimiento del proceso de enseñanza-aprendizaje, y al desarrollo de las tareas de internacionalización de la UV articulando vínculos y cooperación científica y docente, con instituciones de la región Asia-Pacífico y especialmente con China.Cechiver ofrece tres programas educativos: Maestría en Economía y Sociedad de China y América Latina, el Diplomado Virtual sobre Cultura y Negocios en China y el Diplomado Negocios entre China y México que se ha dictado en trece oportunidades en diferentes sedes del país asiático, destacando las ciudades de Beijing, Nanjing, Shanghái, Changzhou, Chongqing, Tianjin y Baoting.Nuestro Centro edita la Revista Orientando Temas de Asia Oriental, Sociedad, Cultura y Economía, que este 2020 cumple diez años de su primera publicación de frecuencia semestral.A continuación se presenta el informe de actividades septiembre 2019-agosto 2020 en atención a la Misión, Visión, Valores, Objetivos y Funciones que el Honorable Consejo Universitario estableció con motivo de la creación de Cechiver y a los tres ejes, sus programas estratégicos y líneas de acción, que guían el Programa de Trabajo Estratégico 2017-2021. Pertenencia y pertinencia.
Rancang Bangun Real Count E-voting Menggunakan Mikrokontroler
Authors: Frastika Fitri Inge , Derisma  
Published: November 2020

The purpose of this research is to implement an embeded system in a form of a device that can provide e-voting services and a realcount process that can quickly accumulate votes. With this device, it is expected to be a solution to conventional elections that are still prone to fraud, wasteful costs, and inefficient.
This device applies NFC technology. Voter’s idcard is used as an identifier, the UID of voter’s idcard is read by the NFC reader and the verification process is running. Voters are entitled to vote if the voters' idcard number is verified and registered in the database. Here the voter will be allowed to proceed for choosing their preferred candidate from the pushbuttons. This device is expected to be saved huge cost by using pushbuttons instead of ballot papers.
This device uses the SIM808 module as a data communication medium to send http packages containing uid and vote values to the webserver, to be further matched in a table in the database. When voters vote, the uid of the voter is stored in the results table in the following database with the value of the vote, and if an idcard with the same uid votes again, then the latest vote values will not be store. This method prevents duplication which often happens in conventional voting system. After whole voting ends, the final result is displayed on a web page in a graphical view for the satisfaction of voters. Voting and counting has become much faster and easier as the system doesn't really require counting personnel, therefore there has been a substantial reduction in the number of remuneration that is paid to them. This result menu can only be accessed after the specified time.
MOTIVES FOR SELECTING HOUSEKEEPING DEPARTMENT AS A CAREER- A STUDY OF SELECTED HOTELS OF NORTH INDIA
Authors: Singh Dilbag , Amandeep  
Published: November 2020

Hotel Industry around the world is a marginal revenue generator which provides comfortable and luxurious services from lodging, food, entertainment, business and leisure needs to the individuals at any given moment. Out of all the departments which run the hotels, Housekeeping has been always stayed back of the house and performed to its never ending duties 24x7x365 in pursuit of providing clean, hygienic, fresh environment and comfort to every individual stepping into the hotel. A hotel may be a budget or a 5 star categorized one but nothing sends a stronger message than cleanliness in a hospitality operation and that’s always maintained by the housekeeping department. Like any other department housekeeping also offers and individual to make a successful career and achieve different heights in the management up to the level of General Manager. As the job opportunities increases in hotels, and housekeeping department being the largest employer alone department wise as stated in a report by National Skill Development Corporation 2012, it is definitely a great time for employees who wish to advance their career or choose housekeeping as their career choice.
The purpose of this paper is to examine the motives and factors that influence the employee engagement in housekeeping department. Four independent variables have been identified as the factors that are going to be tested in this research which will provide us with essential data on different motives.