bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of oral health status of children with special health care needs in Lucknow district
Authors: Rohmetra Abhmanyu , Gupta Niharika , Jaiswal Ankita , Tandon Ragni , Singh Kamlesh 
Published: August 2020

To assess the prevalence of dental caries, oral hygiene status, deft and oral hygiene habits in special health care needs in Lucknow district.An epidemiological study was conducted including 1041 children to assess the prevalence of dental caries, oral hygiene status, deft, enamel opacities and oral hygiene habits of which data was retrieved. Descriptive statistics that included mean, standard deviation and percentages were calculated for each of the categories. Data were analyzed using Chi- square test and ANOVA test.Caries prevalence was higher in male handicapped children 24.45% (256) than females 21.49% (225) and the difference was statistically significant (P&#60;0.05). Based on the mode of cleaning teeth, those who clean their teeth by themselves, with other’s help and under supervision have got prevalence dental caries 413(85.86%), 34(7.07%) and 34(7.07%) respectively. Dental caries prevalence of 54.22% was observed in children having good oral hygiene, 50% caries prevalence observed in children having fair oral hygiene, 57.85% prevalence among children having poor oral hygiene. The differences between oral hygiene status and caries prevalence was not significant, χ2= 3.69, P&#62;0.05.The dental profession should be aware of its responsibilities and be prepared to play its part in improving the dental health of handicapped children. Doctors, health visitors, teachers, caretakers and parents play a vital role in maintenance of good oral health of handicapped children. School dental health programs should be undertaken including school dental health education, school dental health services and school health environment.
Myeloid Cell Diversity and Impact of Metabolic Cues during Atherosclerosis
Authors: Gallerand + Alexandre , Stunault + Marion I. , Merlin + Johanna , Guinamard Rodolphe R. , Yvan-Charvet Laurent , Ivanov Stoyan 
Published: August 2020

Abstract
Myeloid cells are key contributors to tissue, immune and metabolic homeostasis and their alteration fuels inflammation and associated disorders such as atherosclerosis. Conversely, in a classical chicken-and-egg situation, systemic and local metabolism, together with receptor-mediated activation, regulate intracellular metabolism and reprogram myeloid cell functions. Those regulatory loops are notable during the development of atherosclerotic lesions. Therefore, understanding the intricate metabolic mechanisms regulating myeloid cell biology could lead to innovative approaches to prevent and treat cardiovascular diseases. In this review, we will attempt to summarize the different metabolic factors regulating myeloid cell homeostasis and contribution to atherosclerosis, the most frequent cardiovascular disease.
Peningkatan Hasil Belajar dan Aktivitas Belajar Pelajaran Sosiologi Dengan Model Course Review Horay (CRH) di Kelas XI IPS 1 SMAN 1 Gebog Kudus
Authors: RAKHMAWATI ERNA DWI 
Published: August 2020

<table border="1" cellspacing="0" cellpadding="0"><tbody><tr><td valign="top" width="508"><p class="Abstrakabstract">The aim of this study is to address the problem of learning in the classroom by using Course Review Horay (CRH) model. The problems of learning in the class XI IPS 1, as a scope of this study, is very low level of learning activities in sociology which also resulted in low level of the learning outcomes. The measure of the success of learning outcomes is KKM (Kriteria Ketuntasan Minimal/ Criterion for Minimum Completeness). The KKM of class XI IPS 1 SMAN 1 Gebog Kudus is 65. The design of this study is CAR (Classroom Action Research) or PTK (Penelitian Tindakan Kelas). This study was done in a cyclical way, using CRH learning model. The results of the research in cycle 1 show that the average of student’s activities in learning is 81.49% and is categorized as good. Student learning outcomes classically who reached the KKM amounted to 84.62% of the total students in the class, while the others 15.38% have not reached the KKM. The classical mastery learning in cycle 1 has not been reached. The suggestions from supervisors and collaborators at the end of cycle 1 as a reflection inputs, will be used to improve the quality of teaching process in the next cycle. The results of the research in cycle 2 show that the average of student’s activities in learning process is 82.94% and is categorized as good. The classical learning outcomes show that 88.46% of the students reached the KKM, while 11.54% of the students have not reached the KKM. In cycle 2, the classical mastery learning has been achieved. The student’s responses show that 100% of the students are interested in learning model that is applied, or in K13, known as mastery learning. Students who have not complete or reached the KKM will take remedial learning test based on the achievement of learning objectives and indicators. While for the students who have completed study, we will conduct the enrichment.</p></td></tr></tbody></table>
Media Sinopsis Cerita Beraspek Multikultural Untuk Meningkatkan Apresiasi Keberagaman Siswa Dalam Pembelajaran IPS di SMPN 2 Jati Kudus
Authors: FITRIANTO ANDHIKA 
Published: August 2020

<table border="1" cellspacing="0" cellpadding="0"><tbody><tr><td valign="top" width="508"><p class="Abstrakabstract">The purpose of the research is to describe the facts that causing lack of student diversity appreciation at SMPN 2 Jati Kudus. The next is to clarify that Social Science learning activities using synopsis media with multiculturalism aspect efectively to improve student diversity appreciation at SMPN 2 Jati. The research design used in this study is a qualitative research with a case study approach . Subjects researched are relatively limited , focus of research concerning variable and very broad social dimension because it involves students at once psychological dimensions that are influenced by social and civic life. Implementation of this strategy was observed in the social studies class IX with a synopsis media with multiculturalism aspect. Phenomena analyzed classes ranging from: syllabus, lesson plans, preparation of teaching materials or the use of media to arouse the interest of students to understand the concepts of multiculturalism. Students are also given a set of questionnaire contains an attitude scale that contains student opinions about the diversity of ethnicity, religion in the school and the outside. The data were obtained as follows : the causing factor of a lack of student diversity appreciation at the school because the quality of teaching and learning in these schools. The major factor is the weakness of quality and quantity of social studies teachers. in addition to the surrounding community socio-economic factors behind most impoverished immigrant population. After learning social science with Media Synopsis students begin to understand what is the meaning of the multiculturalism concepts. Students want to hangout and work in group with no barriers of differences culture. When evaluation the results are satisfactory, an average score of 78.6, which means obtaining complete and almost students familiar of multicultural concepts.</p></td></tr></tbody></table>
Flexor Tenosynovitis Caused by Mycobacterium arupense
Authors: Yokozeki Yuji , Sukegawa Koji , Onuma Kenji , Otake Yuya , Wada Tatsuhiko , Takaso Masashi 
Published: August 2020

Case:
A 64-year-old man presented with swelling of his right hand and forearm. This swelling had been recurring for 5 years. He liked sea fishing and frequently injured his fingers with fishhooks. He had difficulty bending his right little and ring fingers for 2 years and experienced finger numbness for several months. We diagnosed nontuberculous mycobacterial flexor tenosynovitis after Mycobacterium arupense was detected in a tissue sample. After surgery and 2 years of multidrug therapy, he has been recurrence-free for 3 years.

Conclusion:
Nontuberculous mycobacteriosis should be considered in chronic tenosynovitis cases.
Implementation of Presolving and Interior-Point Algorithm for Linear & Mixed Integer Programming: SOFTWARE
Authors: Ndayikengurutse Adrien , Huang Siming 
Published: August 2020

AbstractLinear and mixed integer programming are very popular and important methods to make efficient scientific management decision. With large size of real application data, the use of linear-mixed integer programming is facing problems with more complexity; therefore, preprocessing techniques become very important. Preprocessing aims to check and delete redundant information from the problem formulation. It is a collection of techniques that reduce the size of the problem and try to strengthen the formulation. Fast and effective preprocessing techniques are very important and essential for solving linear or mixed integer programming instances. In this paper, we demonstrate a set of techniques to presolve linear and mixed integer programming problems. Experiment results showed that when preprocessing is well done, then it becomes easier for the solver; we implemented interior-point algorithm for computational experiment. However, preprocessing is not enough to reduce the size and total nonzero elements from the constraints matrix. Moreover, we also demonstrate the impact of minimum degree reordering on the speed and storage requirements of a matrix operation. All techniques mentioned above are presented in a multifunctional software to facilitate users.
Myxoid stroma is associated with postoperative relapse in patients with stage II colon cancer
Authors: Okuyama Takashi , Sameshima Shinichi , Takeshita Emiko , Mitsui Takashi , Noro Takuji , Ono Yuko , Noie Tamaki , Ban Shinichi , Oya Masatoshi 
Published: August 2020

Abstract
Background: Fibrosis surrounding cancer cells has been shown to affect cancer cell metastatic behavior. The present study aimed to explore the utility of myxoid stroma as a predictive factor for postoperative relapse in patients with stage II colon cancer.Methods: The present study retrospectively investigated 169 patients who underwent curative surgical resection of stage II colon cancer. The fibrotic stroma was classified according to Ueno’s criteria, and the patients were divided into the myxoid (MY) group and the non-MY (NMY) group. We also recorded tumor budding (TB) and investigated the combination of MY and TB for postoperative relapse. Postoperative survival was also explored.Results: Thirty-two (18.9%) patients had MY. MY was significantly associated with tumor budding (TB) and postoperative relapse (p<0.001 and p<0.001, respectively). The 5-year RFS rates in MY group and NMY group were 52.1% and 94.6% (p<0.0001), and the 5-year OS rates in MY group and NMY group were 74.6% and 93.3% (p=0.001). Multivariate analysis showed that both MY and TB were significant risk factors for postoperative relapse (p<0.001 and p=0.02, respectively), and that only TB was a significant risk factor for OS (p=0.043). Furthermore, compared with patients with either one of MY or TB, patients with both MY and TB had postoperative relapse more frequently (11.4% vs. 53.8%).Conclusions: The present study suggests that MY is a predictive marker for postoperative relapse in patients with stage II colon cancer.
Association of Lean Body Mass to Menopausal Symptoms: The Study of Women’s Health Across the Nation
Authors: Woods Rosanne , Hess Rebecca , Biddington Carol , Federico Marc 
Published: August 2020

Abstract
Background: The purpose of this study was to examine the association of lean body mass (LBM) to the development of vasomotor symptoms (VMS) as women transition through menopause.Methods: This study is a secondary use of data available for public use from follow up visits six through 10 for participants in the Study of Women’s Health Across the Nation. The study examined 2,533 women, between the ages 42 – 52 years, each year over a10-year period. Data was modeled for associations of lean body mass and VMS. Changes in LBM since prior visit and since baseline were also modeled along with differences in means using binary logistic regression, adjusting for covariates.Results: LBM was significantly associated to concurrent VMS (p = .036), percent change in LBM since prior visit (p = .003), percent change since baseline (p <.001), and overall means associations (p = .023). LBM was not significant for VMS at individual visit measures. In mixed regression modeling, time was significant (p <.0001) at all visits. The estimated probability of developing VMS decreases significantly as LBM increases. Conclusions: Lean body mass is negatively associated with incident VMS. Our data suggests that maintaining higher levels of LBM during the menopausal transition may be protective against the development of VMS. Every woman will experience menopause in her life and the ability to potentially prevent the onset of specific symptoms through basic interventions, such as resistance training to increase lean body mass, may positively impact this large population.
Oral Status of Elderly Patients in Long-Term Care Facilities: A Systematic Review
Authors: Ruiz-Roca Juan Antonio , Martin-Fuentes Dora , Martinez-Beneyto Yolanda , Oñate-Sanchez Ricardo Elias 
Published: August 2020

Abstract
Background: elderly patients who spend long periods hospitalised or those who are in a situation of institutionalisation represent a risk group in this regard, since many of them suffer a degree of dependence and need help to perform the basic personal care tasks. It is therefore important to learn more about the oral health status of this group of patients in order to make a proper assessment of the situation as well as to develop protocols for its management. The purpose of this study was to conduct a systematic review to ascertain the oral health status of elderly patients institutionalised or hospitalised for a long period of time.Methods: a systematic review of the literature published in three different databases (PubMed, Embase and Cochrane Library) was conducted, with 12 different combinations of keywords based on the following selection criteria: studies published in the last 5 years, in English and/or Spanish and/or Portuguese, with samples of ≥30 patients, performed in patients older than 65 years, admitted to any type of institution and/or care centre for at least 7 days and in which the state of hard and/or soft tissues of the oral cavity were assessed in some way. The selected articles were subjected to a thorough analysis.Results: The search strategy covered 1,014 articles: 689 from Pubmed and 325 from Cochrane Library. After applying the eligibility criteria, five articles were selected for our review. The level of evidence of the articles was3, with a sample consisting of 773 patients in which most of them were women with an average age older than 70 years old.Conclusions: the oral health of patients aged more than 65 is worse than that of the rest of the population. Long-term in hospitals or being institutionalised in a retirement home makes this group susceptible to a worsening of their oral health status. It is necessary to develop protocols for the oral health care of these patients, accompanied by training programmes for the personnel.
Examining fidelity in the INFORM trial, a complex team-based behavioural intervention
Authors: Ginsburg Liane , Hoben Matthias , Easterbrook Adam , Andersen Elizabeth , Anderson Ruth , Cranley Lisa , Lanham Holly , Norton Peter , Weeks Lori , Estabrooks Carole 
Published: August 2020

Abstract
Background. Fidelity in complex behavioural interventions is underexplored. This study examines fidelity of the INFORM trial and explores the relationship between fidelity, study arm and the trial’s primary outcome – care aide involvement in formal team communications about resident care. Methods. A concurrent process evaluation of implementation fidelity was conducted in 33 nursing homes in Western Canada (Alberta and British Columbia). Study participants were from 106 clinical care units clustered in 33 nursing homes randomized to the Basic and Enhanced Assisted Feedback arms of the INFORM trial.Results. Fidelity of the INFORM intervention was moderate to high, with fidelity delivery and receipt higher than fidelity enactment for both study arms. Higher enactment teams experienced a significantly larger improvement in formal team communications between baseline and follow-up than lower enactment teams (F(1, 70) = 4.27, p = .042).Conclusions. Overall fidelity enactment was associated with improvements in formal team communications, but study arm was not. This suggests that the intensity with which an intervention is offered and delivered may be less important than the intensity with which intervention participants enact the core components of an intervention. Greater attention to fidelity assessment and publication of fidelity results through studies such as this one is critical to improving the utility of published trials.
Effect of different types of cerebral perfusion for acute type A aortic dissection, unilateral versus bilateral
Authors: liu zhengqin , Wang Chen , Zhang Xiquan , Wu Shuming , fang changcun , pang xinyan 
Published: August 2020

Abstract
Background: Antegrade cerebral perfusion (ACP), including unilateral and bilateral, is most commonly used way for cerebral protection in aortic surgery. There is still no consensus on the superiority of the two methods. Our research was aimed to investigate the clinical effects between u-ACP and b-ACP. Methods: 321 of 356 patients with type A aortic dissection were studied retrospectively. 124 patients (38.6%) received u-ACP and 197 patients(61.4%) received b-ACP. We compared the incidence of postoperative neurological complications and other collected data between two groups. We also analyzed perioperative variables in order to find the potential associated factors for neurolocial dysfunction (ND). Results: For u-ACP group, 54 patients (43.5%) had postoperative neurological complications including 22 patients (17.7%) with permanent neurologic dysfunction (PND) and 32 patients (25.8%) with temporary neurologic dysfunction (TND). For b-ACP group, 47 patients (23.8%) experienced postoperative neurological complications including 16 patients (8.1%) of PND and 31 patients (15.7%) of TND. The incidence of PND and TND were significantly different between two groups along with shorter CPB time (p=0.016), higher nasopharyngeal temperature (p≦0.000), shorter ventilation time (p=0.018) and lower incidence of hypoxia (p=0.022). Furthermore, multivariate stepwise logistic regression analysis confirmed that preoperative neurological dysfunction (OR=1.20, P= 0.028), CPB duration (OR=3.21, P=0.002 ) and type of cerebral perfusion (OR=1.48, P=0.017) were strongly associated with postoperative ND. Conclusions: In our study, we found that b-ACP procedure had shorter CPB time, milder hypothermia, shorter ventilation time, lower incidence of postoperative hypoxia and neurological dysfunction compared to u-ACP. Meanwhile, we discovered the incidence of ND was independently associated with there factors, including preoperative neurological dysfunction, CPB time and type of cerebral perfusion.
Evaluation of adhesion barrier types in a rat hepatectomy-induced adhesion model
Authors: Shimizu Atsushi , Kai Miho , Tasaki Masako , Chino Naotaka , Hasegawa Kiyoshi , Kokudo Norihiro 
Published: August 2020

Abstract
Background: Adhesion formation after hepatectomy creates problems for repeat hepatectomy. This study aimed to compare the effectiveness of a spray (AdSpray) and sheet adhesion barrier (Seprafilm) in a rat hepatectomy-induced adhesion model.Methods: Thirty male Sprague-Dawley rats underwent partial resection of the left lateral liver lobe. They were randomly assigned to control (n=10), AdSpray (n=10), and Seprafilm groups. Seven days after surgery, the animals were sacrificed, and adhesions at the hepatic resection surface were blindly evaluated.Results: In the control group, adhesions were formed in all 10 animals (100%), with a 69% adhesion extent (mean). In the AdSpray group, the incidence of adhesions (40%) and the adhesion extent (mean, 10%) were significantly lower than in the control group (incidence; p = 0.0147, adhesion extent; p = 0.0007). In the Seprafilm group, the incidence of adhesions was 70%. The adhesion extent of Seprafilm (mean, 30%) was significantly lower than in the control group (p = 0.0492). No significant differences were observed between the AdSpray and Seprafilm groups. As for histopathological examination, animals in the AdSpray group showed a similar healing profile to that of the control group without delayed healing and regeneration of mesothelial cells. In contrast, the Seprafilm group showed ongoing foreign body reaction to Seprafilm, and regeneration of mesothelial cells was immature at 7 days.Conclusions: Both the spray-type gel and sheet adhesion barriers significantly reduced adhesion formation after hepatectomy. The spray-type adhesion barrier caused no adverse events and induced favorable healing. These adhesion barriers may be effective in hepatectomy. Further animal studies and clinical trials are required to determine their benefits in clinical use.
Influence of multiple apolipoprotein A-I and B genetic variations on insulin resistance and metabolic syndrome in obstructive sleep apnea
Authors: Xinyi Li , Zhihui Fu , Huajun Xu , Jianyin Zou , Huaming Zhu , Zhiqiang Li , Kaiming Su , De Huai , Hongliang Yi , Jian Guan , Shankai Yin 
Published: August 2020

Abstract
Background: The relationships between apolipoprotein A-I (APOA-I), apolipoprotein B (APOB) with insulin resistance, metabolic syndrome (MetS) are unclear in OSA. We aimed to evaluate whether the multiple single nucleotide polymorphism (SNP) variants of APOA-I and APOB exert a collaborative effect on insulin resistance and MetS in OSA. Methods: Initially, 12 APOA-I SNPs and 30 APOB SNPs in 5,259 subjects were examined. After strict screening, four APOA-I SNPs and five APOB SNPs in 4,007 participants were included. For each participant, the genetic risk score (GRS) was calculated based on the cumulative effect of multiple genetic variants of APOA-I and APOB. Logistic regression analyses were used to evaluate the relationships between APOA-I/APOB genetic polymorphisms, insulin resistance, and MetS in OSA. Results: Serum APOB levels increased the risk of insulin resistance and MetS adjusting for age, gender and BMI [odds ratio (OR=3.168, P < 0.001; OR=6.098, P < 0.001, respectively]. APOA-I GRS decreased the risk of insulin resistance and MetS after adjustments (OR = 0.917, P = 0.001; OR = 0.870, P < 0.001, respectively). APOB GRS had no association with insulin resistance (OR = 1.364, P =0.610), and had weak association with MetS after adjustments (OR =1.072, P = 0.042). In addition, individuals in the top quintile of the APOA-I genetic score distribution had a lower risk of insulin resistance and MetS after adjustments (OR = 0.761, P = 0.007; OR = 0.637, P < 0.001, respectively). Conclusions: In patients with OSA, cumulative effects of APOA-I genetic variations decreased the risk of insulin resistance and MetS, whereas multiple APOB genetic variations had no associations with insulin resistance and weak association with MetS.