bluuebunny/crossref_metadata_2025_split huggingface dataset:
Z-score of the log-transformed A Body Shape Index predicts low muscle mass in population with abdominal obesity: The U.S. and Korea National Health and Nutrition Examination Survey
Authors: Moon Shinje , Kim Yoon Jung , Yu Jae Myung , Kang Jun Goo , Chung Hye Soo 
Published: November 2020

Background and objectiveSarcopenic obesity is associated with a higher risk of cardiometabolic disease and mortality than either sarcopenia or obesity alone. However, no study has investigated body shape indices for the assessment of sarcopenia in obese populations. Thus, this study aimed to evaluate the accuracy of body shape indices to assess sarcopenia in nationally representative populations with abdominal obesity.MethodsData from the U.S. National Health and Nutrition Examination Survey (U.S. NHANES) 1999–2006 and Korea NHANES (KNHANES) 2008–2011 were assessed. The association between Body Shape Index and sarcopenia was analyzed using a receiver operating characteristic curve. The Z-score of the log-transformed A Body Shape Index (LBSIZ) cut-off value was defined as that with the highest score of the Youden’s index. Changes in odds ratios (OR) for sarcopenia were investigated using restricted cubic spline (RCS) plots.ResultsThis study included 8,013 American and 4,859 Korean adults with abdominal obesity. The overall area under the curve (AUC) of LBSIZ for sarcopenia was 0.816 (95% CI: 0.794–0.838) in U.S. NHANES and 0.822 (95% CI: 0.799–0.844) in KNHANES, which was higher than that of the body roundness index, conicity index, and waist to height ratio (p with DeLong’s test <0.001). The cut-off values for the LBSIZ were 1.05 (sensitivity, 88.0%; specificity, 81.5%) for American men, 0.45 (sensitivity, 77.1%; specificity, 70.6%) for American women, 1.15 (sensitivity, 77.5%; specificity, 77.1%) for Korean men and 0.95 (sensitivity, 74.3%; specificity, 69.3%) for Korean women in the development groups. Comparable results were verified in validation groups. The RCS plot indicated that ORs for sarcopenia rapidly increased with an increase in the LBSIZ cut-off value.ConclusionThe increased LBSIZ could function as a reliable and cost-effective screening tool for assessing low muscle mass in populations with abdominal obesity.
Supraclavicular versus infraclavicular approach in inserting totally implantable central venous access for cancer therapy: A comparative retrospective study
Authors: Souadka Amine , Essangri Hajar , Boualaoui Imad , Ghannam Abdelilah , Benkabbou Amine , Amrani Laila , Mohsine Raouf , Majbar Mohammed Anass 
Published: November 2020

Introduction
The insertion of an implantable central venous access is performed according to a variety of approaches which allow the access to the subclavian vein, yet the supraclavicular technique has been underused and never compared to the other methods. The aim of this study was to testify on the efficacy and safety of the subclavian puncture without ultrasound guidance « Yoffa » in comparison with the classical infraclavicular approach (ICA).

Material and methods
This is a retrospective study with prospective data collection on patients followed at the national oncology institute for cancer, in the period extending from May 1st 2017 to August 31st 2017. All patients had a totally implantable central venous access device inserted by the same surgeon AS for chemotherapy administration and demographic characteristics, as well as procedure details were examined. The primary outcomes were the intraoperative complications, while the secondary outcomes represented immediate postoperative and mid-term complications (at 15 months of follow up). Outcomes were compared between techniques by means of non parametric tests and the Fischer test.

Results
Our study included 135 patients with 70 patients undergoing the subclavian technique, while 65 were subject to the infraclavicular approach. Both groups had no statistically significant demographic characteristics. The number of vein puncture attempts exceeding once, the accidental artery puncture and operative time were more significant in the ICA group; (39,6 vs 17,6 p = 0,01) (9.2% vs 0; p = 0,01) and (27± 13 vs 23± 8min, p = 0.045) respectively. There was no statistically significant difference in the immediate and midterm complication rate between the two methods 1(1,4) vs 2 (3) p = 0.5.

Conclusion
In case of unavailability of ultrasonographic guidance, the use of the supra-clavicular landmarks approach is linked to higher success rates and less arterial punctures, thereby proving to be a safe and reliable approach.
Clinical factors as prognostic variables among molecular subgroups of endometrial cancer
Authors: Kolehmainen Anne , Pasanen Annukka , Tuomi Taru , Koivisto-Korander Riitta , Bützow Ralf , Loukovaara Mikko 
Published: November 2020

Background
Clinical factors may influence endometrial cancer survival outcomes. We examined the prognostic significance of age, body mass index (BMI), and type 2 diabetes among molecular subgroups of endometrial cancer.

Methods
This was a single institution retrospective study of patients who underwent surgery for endometrial carcinoma between January 2007 and December 2012. Tumors were classified into four molecular subgroups by immunohistochemistry of mismatch repair (MMR) proteins and p53, and sequencing of polymerase-ϵ (POLE). Overall, cancer-related, and non-cancer-related mortality were estimated using univariable and multivariable survival analyses.

Results
Age >65 years was associated with increased mortality rates in the whole cohort (n = 515) and in the “no specific molecular profile” (NSMP) (n = 218) and MMR deficient (MMR-D) (n = 191) subgroups during a median follow-up time of 81 months (range 1‒136). However, hazard ratios for cancer-related mortality were non-significant for NSMP and MMR-D. Diabetes was associated with increased overall and non-cancer-related mortality in the whole cohort and MMR-D subgroup. Overweight/obesity had no effect on outcomes in the whole cohort, but was associated with decreased overall and cancer-related mortality in the NSMP subgroup, and increased overall and non-cancer-related mortality in the MMR-D subgroup. Overweight/obesity effect on cancer-related mortality in the NSMP subgroup remained unchanged after controlling for confounders. High-risk uterine factors were more common, and estrogen and progesterone receptor expression less common in NSMP subtype cancers of normal-weight patients compared with overweight/obese patients. No clinical factors were associated with outcomes in p53 aberrant (n = 69) and POLE mutant (n = 37) subgroups. No cancer-related deaths occurred in the POLE mutant subgroup.

Conclusions
The prognostic effects of age, BMI, and type 2 diabetes do not appear to be uniform for the molecular subgroups of endometrial cancer. Our data support further evaluation of BMI combined with genomics-based risk-assessment.
Alcohol consumption increases non-adherence to ART among people living with HIV enrolled to the community-based care model in rural northern Uganda
Authors: Adrawa Norbert , Alege John Bosco , Izudi Jonathan 
Published: November 2020

BackgroundNon-adherence to anti-retroviral therapy (ART) is associated with considerable morbidity and mortality among people living with Human Immunodeficiency Virus (PLHIV). Community-based ART delivery model offers a decentralized and patient-centered approach to care for PLHIV, with the advantage of improved adherence to ART hence good treatment outcomes. However, data are limited on the magnitude of non-adherence to ART among PLHIV enrolled to the community-based ART model of care. In this study, we determined the frequency of non-adherence to ART and the associated factors among PLHIV enrolled to the community-based ART delivery model in a large health facility in rural northern Uganda.MethodsThis analytic cross-sectional study randomly sampled participants from 21 community drug distribution points at the AIDS Support Organization (TASO) in Gulu district, northern Uganda. Data were collected using a standardized and pre-tested questionnaire, entered in Epi-Data and analyzed in Stata at univariate, bivariate, and multivariate analyses levels. Binary logistic regression analysis was used to determine factors independently associated with non-adherence to ART, reported using odds ratio (OR) and 95% confidence level (CI). The level of statistical significance was 5%.ResultsOf 381 participants, 25 (6.6%) were non-adherent to ART and this was significantly associated with alcohol consumption (Adjusted (aOR), 3.24; 95% CI, 1.24–8.34). Other factors namely being single/or never married (aOR, 1.97; 95% CI, 0.62–6.25), monthly income exceeding 27 dollars (aOR, 1.36; 95% CI, 0.52–3.55), being on ART for more than 5 years (aOR, 0.60; 95% CI, 0.23–1.59), receipt of health education on ART side effects (aOR, 0.36; 95% CI, 0.12–1.05), and disclosure of HIV status (aOR, 0.37; 95% CI, 0.04–3.20) were not associated with non-adherence in this setting.ConclusionNon-adherence to ART was low among PLHIV enrolled to community-based ART delivery model but increases with alcohol consumption. Accordingly, psychosocial support programs should focus on alcohol consumption.
Actuar-Enseñar entre la Diversidad: Construyendo Educación Inclusiva en Atacama
Authors: Fernández Muñoz Adriana , Durán Rojas Daniela 
Published: November 2020

La educación chilena ha transitado en búsqueda de calidad e inclusión de todos y todas, respondiendo a las demandas del contexto. Por medio de un estudio cualitativo y regional, se busca analizar las experiencias de profesionales de la comunidad educativa de 6 escuelas públicas con Programa de Integración Escolar y en proceso de implementación de la ley de inclusión, en las tres provincias de la Región de Atacama. Con la finalidad de develar realidades latentes a través del análisis de contenido de entrevistas dirigidas a 18 actores educativos: directores, trabajadores sociales y profesionales pertenecientes al Programa de Integración Escolar. En las experiencias y opiniones de quienes participan, se evidencian obstáculos, facilitadores, reticencias y elementos significativos que aportan a la construcción del conocimiento teórico y práctico, principalmente referido a la resistencia a la transformación de la pedagogía tradicional y al trabajo mancomunado con equipos multidisciplinarios, la instalación de prácticas innovadoras mediante adaptaciones curriculares, la importancia del involucramiento de todo el estudiantado y sus familias, la educación desde las emociones y el buen trato, elementos claves para la conformación de comunidades inclusivas.
Terminology Overload?
Authors: Gilchrist Alan 
Published: November 2020

The information industry is now full of professionals from many areas, and those who have been working in that area the longest: that is to say, librarians, documentalists and information scientists, must learn the language that these other professions use it they are to maintain their own professionalism and work effectively (as they must) with the relative newcomers.
The belief in the statement above is exemplified in the new use of the word taxonomy, and several meanings of this word are discussed with reference to findings from a research study conducted by the author.
Tendency towards the Self-citation among Journals in Iran and Turkey
Authors: Biglu Mohammad Hossein 
Published: November 2020

This paper investigates the trends of Impact Factors and self-citation rates of journals indexed in the JCR by two neighbouring countries Iran and Turkey for a period of five years (2000- 2005). All data extracted from the Journal Citation Reports – Science Edition (2000-2005). The study showed that the portion of Turkish journals entering data to the JCR data bank is two times higher than the portion of Iranian journals. From a total number of 6,088 journals in the JCR in 2005, 3 (0.05%) were published in Iran and the same number of journals published in Turkey. The 6,088 journals in the JCR produced 847,114 articles, 159 (0.02%) appeared in the Iranian journals and 352 (0.04%) in the Turkish journals. Of the 22,353,992 citations in 2005, 214 (0.001%) came from Iranian journals and 911 (0.004%) came from Turkish journals.
The self-citation tendency by Iranian journals has increased dramatically throughout the period of study, it reached from 8% self-citation rate in 2000 to 18% in 2005, an increase of 2.25 times, whereas the self-citation rate by Turkish journals showed a negative trend, its self-citation rate fell from 22% in 2002 to 15% in 2005. The Impact Factors of Turkish journals showed faster growth than the Iranian journals, the mean value of Impact Factor for Turkish journals in 2000 was 0.49 under than the mean value of Impact Factor for Iranian journals, but in 2005 the mean value of Impact Factor for Turkish journals stayed 0.14 higher than the mean value of Impact Factor for Iranian journals.
Belge Yönetiminde Kurumsal Koşulların Değerlendirilmesi: Türkiye Kızılay Derneği Örneği
Authors: Uzun Külcü Hande , Külcü Özgür 
Published: November 2020

Çalışma kapsamında kurumsal belge işlemlerini etkileyen koşulları ve sorunları tespit etmek amacıyla anket yapılmıştır. Anket çalışması Türkiye Kızılay Derneği (TKD) genel merkez birimleri ile bağlı birimlerde belge işlemlerine yönelik özgün koşulları tanımlayabilmek için gerçekleştirilmiştir.
Çalışmanın hipotezi “Türkiye Kızılay Derneği’nde belge yönetimi uygulamaları kurumda yapılacak kapasite değerlendirme çalışması ile geliştirilebilir” şeklinde belirlenmiştir. Gerçekleştirilen anket TKD içerisinde personel eğitiminde, belge erişime dönük üst veri unsurlarının tanımlanmasında, erişim kısıtlamaları, değerlendirme ve imha işlemlerinde, denetim mekanizmalarının oluşturulmasında, uygulamaların birimlere yayılmasında sorunlar yaşandığını, iletişim ve rutin yazışmalarda elektronik ortama geçişin öncelikli alanlardan olduğunu göstermiştir. Araştırma sonucunda, belgelerle çalışan TKD personeli kapasite değerlendirme çalışması ile kurumun belge sisteminin geliştirilebileceğine %96,7 oranında destek vermiş, analizler sonucunda da kurumun belge yönetim programında sorunlar yaşandığı ortaya çıkmış ve hipotezimiz kanıtlanmıştır.
Effects of load-induced micro-cracks on chloride penetration resistance in different types of concrete
Authors: Russo Nicoletta , Gastaldi Matteo , Marras Pietro , Schiavi Luca , Strini Alberto , Lollini Federica 
Published: November 2020

AbstractChloride penetration resistance of concrete is one of the key parameters for the durability design of reinforced concrete structures located in chloride-bearing environments. In all the current available durability models, service life is evaluated considering concrete in uncracked conditions, which is rarely found in practice. This work investigates chloride penetration resistance of concrete in uncracked and micro-cracked configurations, evaluated in terms of chloride migration coefficient through non-steady state migration test (Rapid Chloride Migration test). Prismatic specimens were manufactured considering six different concrete types and two different times of curing. In micro-cracked configuration, cracks were obtained with a specifically developed loading procedure. Micro-cracks were characterized at the end of the exposure test, in terms of crack width at the exposed surface and crack depth. Results showed that cracks were 5–70 μm wide and up to 40 mm deep, always causing an increase in chloride penetration, that should be evaluated considering both crack width and crack depth, with respect to sound conditions. The effects on the chloride penetration seemed to be more pronounced on the more impervious concretes.
Second Survey of County Health Departments of Kansas and COVID 19: Time for change in model for pandemic response
Authors: Raghuveer Talkad S , Zackula Rosey , Wittler Robert 
Published: November 2020

Introduction: SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus-2) causing COVID-19 (Coronavirus Disease 2019) continues to be widespread in Kansas. County health departments are trying to contain this pandemic.
Methods: This second survey of Kansas county health department directors occurred from August 7 to September 7, 2020. Since the first survey in April, there have been significant increases in the number of positive cases of COVID-19 and related deaths. Thus, the aim of the study was to re-evaluate county-level containment efforts and assess shortfalls that were previously identified in the April 2020 survey.
Results: In total, 41 out of 105 directors responded to the survey. Generally, respondents said there were increased supplies for testing, increased testing centers, shorter time to get test results, and in some cases, increased funding. However, the number of people involved in contact tracing had not substantially increased, which was one of the recommended changes for improving containment. Moreover, of those persons who were tested, only a few (18%) counties inquired if they wear masks in public. From comments reported, there was a sense of employees being overwhelmed, especially among the smaller county health departments.
Conclusions: As the cases of and deaths from COVID-19 are increasing in the state, especially in high density areas, the respondents to our survey indicate there is continued need for additional funding with easy access, increased staffing, especially for contact tracing, and significant help for effective messaging to improve adherence to public health directives.
SEKOLAH TINGGI MIGAS DURI DENGAN PENERAPAN PASSIVE COOLING
Authors: Hakiki Rizky , Aldy Pedia , Hidayat Wahyu 
Published: November 2020

Sekolah tinggi migas merupakan perguruan tinggi yang menyelenggarakan pendidikan akademik atau vokasi dalam lingkup satu disiplin ilmu pengetahuan yaitu migas. penggunaan Air Conditioner banyak digunakan untuk mengrontrol suhu, dan kelembaban udara dalam sebuah ruangan, untuk mencapai tingkat kenyamanan termal penggunanya. Peningkatan penggunaan AC menyebabkan peningkatan permintaan dalam mengkonsumsi energi. Ditambah lagi isu peningkatan populasi penduduk di Kota Duri, juga meningkatkan pembangunan, telah menyebabkan suhu rata-rata di Kota Duri meningkat. Passive cooling menjadi pilihan yang sangat tepat dengan kondisi termal yang ada di Kota Duri. Passive cooling adalah proses menurunkan temperatur ruang dalam hingga berada dalam temperatur ideal dengan proses alami tanpa penggunaan alat elektronik yang berlebihan. Karya arsitektur berupa sekolah tinggi migas dengan penerapan passive cooling akan memecahkan problematic kurang kebutuhan serta fasilitas pendidikan yang nyaman dibidang migas pada daerah kota Duri,Kabupaten Bengkalis. Penelitian ini dilakukan untuk mendapatkan data yang kompleks mengenai lokasi yang akan di lakukan penelitian. Survey dilakuan dengan melihat kondisi sekitar site ,arah pergerakan matahari, dan angin. Dari hasil penelitian akan diolah untuk menghasilkan kebutuhan dari penggunaan lahan, luasan yang akan di gunakan, dan penerapan dari prinsip passive cooling. Hasil analisa akan menghasilkan solusi dari permasalahan yaitu pertimbangan desain yang mengikuti dari kaidah passive cooling. Kata Kunci: Pendidikan, Sekolah Tinggi Migas, Passive cooling
PENERAPAN KONSEP “NEW NORMAL” PADA DESAIN SIRKULASI DAN SIGNAGE PUSAT PERBELANJAAN DI KAWASAN KUTA, BALI. (STUDI KASUS: BEACHWALK SHOPPING CENTER)
Authors: A. M. A. A. Gd. Tugus Hadi Iswara , Utami I Gusti Ayu Canny , Utami Ni Wayan Ardiarani 
Published: November 2020

Konsep “New Normal” memberikan dampak yang signifikan terhadap perubahan aktivitas civitas dan tatanan ruang yang ada, baik dalam ranah interior maupun eksterior. Penyesuaian yang dilakukan oleh pusat perbelanjaan Beachwalk Shopping Center menyikapi pandemic COVID-19 merubah tatanan design yang telah ada. Diantaranya dalam hal penerapan elemen sirkulasi (signage) yang digunakan. Menurut Lawrence K. Frank “Sign (signge) adalah pesan atau informasi yang muncul secara berturut-turut atau teratur dalam hubungannya dengan tanda-tanda yang penting dan menimbulkan respon pada manusia. Sebuah sign muncul secara berturut-turut atau teratur, tapi maksud berturut-turut atau teratur ini tidak dijelaskan lebih lanjut sehingga untuk saat ini hal itu tidak akan menjadi pertimbangan pengertian sebuah pertanda (sign). Signage sebagai elemen dasar yang memiliki fungsi utama sebagai alat komunikasi antar manusia dalam suatu bangunan atau lingkungan mengandung beberapa elemen penting. Elemen-Elemen ini akan membentuk image atau fisik keseluruhan dari sign yang juga berperan dalam keberhasilan penyampaian informasi yang ingin ditujukan oleh signage tersebut. Selain signage, elemen sirkulasi yang digunakan di Beachwalk Shopping Center ini juga menggunakan pola mall dan dalam unit took menggunakan pola banyak koridor. Metode Penelitian yang digunakan adalah metode kualitatif deskriptif. Metode kualitatif bertujuan untuk memahami fenomena yang terjadi dan dialami oleh subjek penelitian, terkait dengan persepsi, perilaku dan tindakan secara keseluruhan serta menggunakan deskripsi dalam bentuk kata-kata dan Bahasa untuk suatu tujuan yang alamiah. Metode ini digunakan untuk menjelaskan konsep “New Normal” yang diterapkan pada desain sirkulasi dan signage Beachwalk Shopping Center sesuai dengan protokol kesehatan yang telah dikeluarkan oleh Kementerian Kesehatan Republik Indonesia melalui Surat Edaran Nomor HK.02.01/MENKES/335/2020 tentang Protokol PencegahanPenularan Covid-19 di Tempat Kerja Sektor Jasa dan Pedagangan (Area Publik) Dalam Mendukung Keberlangsungan Usaha. Berdasarkan hasil kajian, maka dapat diketahui bahwa desain sirkulasi dan signage pada Beachwalk Shopping Center telah memenuhi protokol kesehatan sesuai dengan Surat Edaran Kementerian KesehatanNomor HK.02.01/MENKES/335/2020 tentang Protokol Pencegahan Penularan Covid-19 di Tempat Kerja Sektor Jasa dan Pedagangan (Area Publik) Dalam Mendukung Keberlangsungan Usaha dalam masa “New Normal”. Penerapan protokol kesehatan untuk pengelola tempat usaha, pekerja dan konsumen telah terlaksana dengan baik terutama pada sirkulasi dan signage. Kesadaran tiap individu diharapkan dapat lebih memaksimalkan penerapan prokol kesehatan ini.
Evaluation of predictors of erectile dysfunction and hypogonadism in men with types 2 diabetes mellitus
Authors: Masum M. D. , Talukder Rajee Mahmud , Maksud Shams Ibne , Haque Enamul , Khanam Jubaida , Hossain Sharif , Talukder S. M. 
Published: November 2020

Background: Now a day erectile dysfunction (ED) and hypogonadism of the patients with type 2 diabetes mellitus (T2DM) become two common complaints. The association among hypogonadism, erectile dysfunction and type 2 diabetes of man seem to be increased. The aim of this study was to evaluate the predictors of erectile dysfunction and hypogonadism in men with types 2 diabetes mellitus (T2DM). Methods: This was a cross-sectional study which was conducted in the Department of Shaheed Monsur Ali Medical College Hospital, Dhaka, Bangladesh Hospital, Bangladesh during the period from January 2019 to December 2019. In total 352 newly detected T2DM male patients, with complete data were finalized as the study population. All data were processed by using SPSS program version 23.0.Results: In this study, according to complement fixation test (cFT) and androgen deficiency in the aging male (ADAM) criteria, 119 (33.81%) participant had low cFT& ADAM positive under hypogonadal, 84 (23.86%) were with normal TT & ADAM negative (eugonadal), 37 (10.51%) were with low TT & ADAM negative (eugonadal), 112 (31.82%) were with normal TT & ADAM positive (eugonadal). On the other hand, according to the cFT and ADAM score in total 119 (33.81%) hypogonadal patients were with low cFT & ADAM positive. Besides this, 102 (43.78%) eugonadal patients were with normal cFT & ADAM negative and 131 (56.22%) eugonadal patients were with normal cFT & ADAM positive.Conclusions: Hence, universal screening of testosterone level and androgen deficiency symptoms is recommended in newly detected T2DM patients.