bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nonpowder Firearm Injuries to Children Treated in Emergency Departments
Authors: Jones Margaret , Kistamgari Sandhya , Smith Gary A. 
Published: November 2019

OBJECTIVES:
To investigate nonpowder firearm injuries treated in US emergency departments among children &lt;18 years old.

METHODS:
National Electronic Injury Surveillance System data from 1990 through 2016 were analyzed.

RESULTS:
An estimated 364 133 (95% confidence interval 314 540–413 727) children &lt;18 years old were treated in US emergency departments for injuries related to nonpowder firearms from 1990 to 2016, averaging 13 486 children annually. From 1990 to 2016, the number and rate of nonpowder firearm injuries decreased by 47.8% (P &lt; .001) and 54.5% (P &lt; .001), respectively. Most injuries occurred among 6- to 12-year-olds (47.4%) and 13- to 17-year-olds (47.0%). Boys accounted for 87.1% of injured children, the most common diagnosis was foreign body (46.3%), and 7.1% of children were admitted. BB guns accounted for 80.8% of injuries, followed by pellet guns (15.5%), paintball guns (3.0%), and airsoft guns (0.6%). The rate of eye injuries increased by 30.3% during the study period. Eye injuries accounted for 14.8% of all injuries and the most common diagnoses were corneal abrasion (35.1%), hyphema (12.5%), globe rupture (10.4%), and foreign body (8.6%).

CONCLUSIONS:
Although the number and rate of nonpowder firearm injuries declined during the study period, nonpowder firearms remain a frequent and important source of preventable and often serious injury to children. The severity and increasing rate of eye injuries related to nonpowder firearms is especially concerning. Increased prevention efforts are needed in the form of stricter and more consistent safety legislation at the state level, as well as child and parental education regarding proper supervision, firearm handling, and use of protective eyewear.
Multilevel memory and synaptic characteristics of a-IGZO thin-film transistor with atomic layer–deposited Al2O3/ZnO/Al2O3 stack layers
Authors: Liu Dan-Dan , Pei Junxiang , Li Lingkai , Huo Jingyong , Wu Xiaohan , Liu Wen-Jun , Ding Shi-Jin 
Published: November 2019

Abstract
Nijmegen Questionnaire: A valid measure for hyperventilation syndrome
Authors: Li Ogilvie Vickie , Kayes Nicola M. , Kersten Paula 
Published: November 2019

Hyperventilation syndrome is often undiagnosed due to its multi-systemic and apparently unrelated symptoms. The Nijmegen Questionnaire is used by clinicians to assess susceptible individuals, based on self-reporting symptoms attributed to hyperventilation syndrome. However, evidence of the psychometric properties of this questionnaire is lacking. This study investigated two types of validity using interviews and Rasch analysis. Data showed that the Nijmegen Questionnaire met criteria for content validity but not for structural validity. Content validity was supported by a high matching percentage between the symptoms identified within interview data and the current items on the Nijmegen Questionnaire (94%). Reported symptoms from study participants were conceptually congruent with most of the questionnaire items, with minor language inconsistencies between patients and clinicians. Rasch analysis indicated a poor fit of the Nijmegen Questionnaire to the Rasch model, demonstrating poor structural validity. This study also developed a revised 15 item version of the Nijmegen Questionnaire, which met criteria for structural validity. Subsequently, a conversion table was created for transforming raw total scores of the questionnaire in the clinical and research settings. Physiotherapists should use the revised 15-item Nijmegen Questionnaire for clinical and research purposes since it provides more accurate representation of the severity of patients’ symptoms than the original scoring.
EL CONCEPTO DE EDUCACIÓN Y SU RELACIÓN CON EL CRECIMIENTO ECONÓMICO EN LA UE-28
Authors: Miró Albert-Pol 
Published: November 2019

RESUMEN
Los primeros análisis teóricos sobre la correlación entre educación y crecimiento económico fueron sustentados por Theodore Schultz, Edward Deninson y Gary Becker, durante la década de los 60. El estudio de las interconexiones dadas entre dichas variables viene determinada por la Economía de la Educación, la cual analiza de manera detallada cuales son las principales actuaciones que llevan los Estados nacionales sobre el sector educativo y sus consecuencias en el crecimiento económico de una sociedad.
Talazoparib in Patients with a Germline BRCA-Mutated Advanced Breast Cancer: Detailed Safety Analyses from the Phase III EMBRACA Trial
Authors: Hurvitz Sara A. , Gonçalves Anthony , Rugo Hope S. , Lee Kyung-Hun , Fehrenbacher Louis , Mina Lida A. , Diab Sami , Blum Joanne L. , Chakrabarti Jayeta , Elmeliegy Mohamed , DeAnnuntis Liza , Gauthier Eric , Czibere Akos , Tudor Iulia Cristina , Quek Ruben G.W. , Litton Jennifer K. , Ettl Johannes 
Published: November 2019

Abstract

Background
In the EMBRACA phase III study (NCT01945775), talazoparib was associated with a significantly prolonged progression-free survival (PFS) compared with physician's choice of chemotherapy (PCT) in germline BRCA1/2-mutated HER2-negative advanced breast cancer (ABC). Herein, the safety profile of talazoparib is explored in detail.

Materials and Methods
Overall, 412 patients received ≥1 dose of talazoparib (n = 286) or PCT (n = 126). Adverse events (AEs) were evaluated, including timing, duration, and potential overlap of selected AEs. The relationship between talazoparib plasma exposure and grade ≥3 anemia was analyzed. Time-varying Cox proportional hazard models assessed the impact of dose reductions on PFS. Patient-reported outcomes (PROs) in patients with common AEs and health resource utilization (HRU) were assessed in both treatment arms.

Results
The most common AEs with talazoparib were hematologic (195 [68.2%] patients) and typically occurred within the first 3–4 months of receiving talazoparib. Grade 3-4 anemia lasted approximately 7 days for both arms. Overlapping grade 3-4 hematologic AEs were infrequent with talazoparib. Higher talazoparib exposure was associated with grade ≥3 anemia. Permanent discontinuation of talazoparib due to hematologic AEs was low (&lt;2%). A total of 150 (52.4%) patients receiving talazoparib had AEs associated with dose reduction. Hematologic toxicities were managed by supportive care medication (including transfusion) and dose modifications. Among patients with anemia or nausea and/or vomiting AEs, PROs favored talazoparib. After accounting for the treatment-emergent period, talazoparib was generally associated with a lower rate of hospitalization and supportive care medication use compared with chemotherapy.

Conclusion
Talazoparib was associated with superior efficacy, favorable PROs, and lower HRU rate versus chemotherapy in gBRCA-mutated ABC. Toxicities were manageable with talazoparib dose modification and supportive care.
The Scale of Happiness Strategies for Childrens Used by Preschool Teachers
Authors: SAPSAĞLAM Özkan , BAKKALOĞLU Ayça Bahar , ERYILMAZ Ali 
Published: November 2019

The aim of this study is to develop a scale of subjective well-being strategies used by preschool teachers for pre-school education childrens. This study covers the 2018-2019 academic years. The research was conducted with the participation of pre-school teachers in Istanbul. 230 pre-school teachers participated in the study. In this study, the stages of scale development were followed. Firstly interviews were made with teachers. During the interviews, an information gathering tool was developed, including demographic information. The following steps were followed in the study: Creation of item pool, creation of the scale trial form, implementation of scales, item analysis, explanatory factor analysis, reliability. According to the results of the study, a three-dimensional scale was reached. Dimensions of the scale; positive relationships with childrens, to satisfy the wishes of the childrens and play the game with the childrens are called. In this process, studies can be carried out with this scale.
Editorial e Ã­ndice - Revista T&D
Authors: De IngenierÃ­a Facultad 
Published: November 2019

La Revista TecnologÃ­a y Desarrollo, editada por la Facultad de IngenierÃ­a de la Universidad CÃ©sar Vallejo de Trujillo.
El objetivo de nuestra revista T&D es impulsar la difusiÃ³n del conocimiento cientÃ­ï€co y tecnolÃ³gico generado en la Universidad, poniÃ©ndola a disposiciÃ³n de la sociedad, comunidad cientÃ­ï€ca y empresas inmersas en la tecnologÃ­a y desarrollo de nuestra regiÃ³n.
Mejoramiento del banco de pruebas para obtener curvas caracterÃ­sticas de operaciÃ³n de bombas centrifugas fabricadas en la empresa industrial Moreno, El Milagro â€“ Huanchaco â€“ La Libertad
Authors: Amaya Benites Marcos Antonio 
Published: November 2019

La presente investigaciÃ³n se realizÃ³ con el objetivo de determinar las especiï€caciones tÃ©cnicas de los componentes para mejorar el equipo de ensayo de las bombas centrifugas fabricadas en la empresa Industrial Moreno S.A Trujillo y obtener las curvas caracterÃ­sticas de operaciÃ³n para diferentes velocidades de rotaciÃ³n. El DiseÃ±o de investigaciÃ³n experimental, del tipo experimental puro, debido a que se hicieron pruebas directamente en el equipo mejorado de ensayo construido en la empresa Industrial Moreno S.A. PoblaciÃ³n y muestra: Equipo de pruebas de Bombas centrifugas de agua Fabricada en la empresa Industrial Moreno S.A. Actualmente la empresa Industrial Moreno Realiza su propio proceso de fundiciÃ³n, utilizando el mÃ¡s comÃºn y factible proceso de fabricaciÃ³n como es la fundiciÃ³n en arena, siendo Ã©sta un material refractario muy abundante en la naturaleza y que, mezclada con arcilla, adquiere cohesiÃ³n y moldeabilidad sin perder la permeabilidad que posibilita evacuar los gases del molde al tiempo que se vierte el metal fundido, garantizando un adecuado molde y por ende de la pieza obtenida. Para muchos ingenieros la aplicaciÃ³n de bombas es un tema nebuloso, rodeado por una abundancia de informaciÃ³n miscelÃ¡nea que es difÃ­cil de relacionar con un problema dado. Los resultados obtenidos de las pruebas realizadas en el banco de pruebas usando los nuevos componentes, son coherentes con las pruebas realizadas en el antiguo banco de ensayos, ademÃ¡s de veriï€car su adecuado funcionamiento dentro de los valores permisibles con los que fueron seleccionados, llegando a alcanzar valores mÃ¡ximos del 90% del rendimiento. Se graï€caron las cuatro curvas caracterÃ­sticas de la bomba de agua fabricadas en Industrial Moreno S.A Trujillo, con lo cual se completÃ³ la ï€cha tÃ©cnica de estas bombas. El nuevo equipo de ensayo fue cotizado y arrojo un costo total de S/.12185 Soles, lo cual es accesible por la empresa y cubierto dentro del costo de fabricaciÃ³n de las bombas de la empresa. Conclusiones: Se determinÃ³ la curva del comportamiento de la altura de succiÃ³n positiva neta en funciÃ³n del caudal de bombeo para diferentes velocidades de rotaciÃ³n; Se calculÃ³ las pÃ©rdidas generadas en la lÃ­nea de succiÃ³n, por la vÃ¡lvula de estrangulamiento, principalmente que disminuyeron al NPSH disponible de la instalaciÃ³n hasta que se presentase cavitaciÃ³n; Se graï€caron las cuatro curvas caracterÃ­sticas de la bomba de agua fabricadas en Industrial Moreno S.A Trujillo, con lo cual se completÃ³ la ï€cha tÃ©cnica de estas bombas; El nuevo equipo de ensayo tiene un costo total de S/.12185 Soles.
Palabras clave: Bomba de agua, Bomba centrifuga, Banco de ensayo.
Sistema de seguimiento de expedientes vÃ­a web para mejorar gestiÃ³n de los casos penales en el Estudio JurÃ­dico ABC - Consultores del distrito de Trujillo.
Authors: PÃ©rez Aguilar Jorge Omar 
Published: November 2019

En el desarrollo de esta investigaciÃ³n se propuso un sistema de seguimiento vÃ­a web para mejorar la gestiÃ³n de los casos penales en el estudio jurÃ­dico ABC-Consultores del distrito de Trujillo, el objetivo general trazado para el tiempo de duraciÃ³n de esta investigaciÃ³n, es el de â€œMejorar la gestiÃ³n de seguimiento de los expedientes vÃ­a web de los casos penales en el estudio jurÃ­dico ABC-consultores, del distrito de Trujilloâ€. Mediante la recolecciÃ³n de datos e informaciÃ³n en el estudio jurÃ­dico y con el apoyo del asesor asignado, se pudo determinar la poblaciÃ³n para la investigaciÃ³n; en este caso estÃ¡ constituida por doscientos(200) expedientes que maneja el estudio regularmente cada aÃ±o; la muestra requerida para la investigaciÃ³n sugiere el uso de una fÃ³rmula matemÃ¡tica. De los expedientes anuales que maneja el estudio jurÃ­dico solo se ha requerido 132 para la investigaciÃ³n. Para poder obtener la informaciÃ³n necesaria se tuvo que recurrir a mÃ©todos e instrumentos de recolecciÃ³n de datos, el cual consistÃ­a en encuestas basadas en la gestiÃ³n de los expedientes manejados por los abogados que llevan los casos penales en el estudio jurÃ­dico y asÃ­ poder realizar el anÃ¡lisis de fiabilidad del instrumento de recolecciÃ³n de datos. Posteriormente para el proceso de anÃ¡lisis de datos, se utilizÃ³ pruebas de normalidad, utilizando para ello el mÃ©todo de KolmogorovSiminov.Se utilizaron pruebas funcionales en la verificaciÃ³n de la efectividad del sistema, para determinar con el cumplimiento de las expectativas. Durante la contrastaciÃ³n de hipÃ³tesis se pudo verificar la veracidad de los objetivos especÃ­ficos, asÃ­ mismo se verificÃ³ si el objetivo general que se propuso para esta investigaciÃ³n era la correcta.Prueba de este cumplimiento es que previo a la implementaciÃ³n del sistema el tiempo promedio en el que los abogados podÃ­an acceder a los expedientes que habÃ­an sido guardados en el almacÃ©n de archivos era de 11.93 min. posteriormente con la implementaciÃ³n del sistema ese tiempo se vio mejorado reduciendo a 6 min. Finalizando la investigaciÃ³n, se obtuvo como conclusiones: La reducciÃ³n del tiempo promedio en la gestiÃ³n de los casos penales y en la consulta de los expedientes, y se puso de maniï€esto el incrementÃ³ en la satisfacciÃ³n de los trabajadores del estudio jurÃ­dico.
Palabras clave: Expedientes penales, estudio jurÃ­dico, sistema de seguimiento.
Effects of Occupational Stress on Blood Lipids, Blood Sugar and Immune Function of Doctors
Authors: WANG Wenjuan , REN Hui , TIAN Qiuye , TANG Chunling , MENG Wenjuan 
Published: November 2019

Background: We aimed to investigate the effects of occupational stress on blood lipids, blood glucose and immune function of doctors.
Methods: In 2017, 1291 doctors (565 males, 726 females) in The First Hospital Affiliated with Harbin Medical University (Harbin, China) were enrolled based on the principle of convenience of sampling and cluster sampling. Questionnaires were used to investigate demographic characteristics and occupational stress related factors. Level of glycated hemoglobin was detected by immunoturbidimetric method. Concentration of triglyceride was determined by glycerol phosphate oxidase end point method. Total cholesterol concentration in serum was determined by total cholesterol oxidase end point method. Concentration of serum immunoglobulin was detected by immunoturbidimetry.
Results: Levels of glycated hemoglobin and triglyceride in high tension group were higher than those in the low tension group. Levels of IgG and IgM in high tension group were lower than those in low tension group. The risk of elevated glycated hemoglobin levels in > 50-yr-old age group was higher than that of the =<35-yr-old age group. Those in the high coping strategy group was higher in the low coping strategy group. The risk of elevated total cholesterol levels in drinkers is 1.158 times that of non-drinkers. The risk of IgG concentration reduction in smokers was 0.428 times that of non-smokers. The risk of a decrease in IgA concentration in doctors with good sleep quality is 1.527 times that of those with poor sleep quality.
Conclusion: Occupational stress can lead to increased blood lipids and sugar levels as well suppression of immune function in doctors.
Self-management Determinants in Kidney Transplant Recipients according to the Health Belief Model
Authors: Farnia Farahnaz , Shafiezadeh Mehdi , Javadi Mostafa 
Published: November 2019

Introduction: Kidney transplant recipients, as chronic patients, need lifelong self-management. Therefore, identification of the effective factors is helpful in strengthening the individuals' adherence and planning self-management in the post-transplant period. However, the empirical research on this area is limited. The purpose of this study was "Explaining self-management determinants in kidney transplant recipients according to the health belief model".
Methods: This qualitative content analysis was conducted in Kohgiluyeh and Boyer Ahmad province. The participants were included in the study by purposive and theoretical sampling methods until theoretical and classical saturations were achieved. The data were collected and analysed using 24 semi-structured interviews by 19 participants (14 transplant recipients, 4 family members, and a patient with a history of transplant rejection). The MAXQDA10 software was used to organize and manage the data.
Results. After analysing the data, 264 primary conceptual codes were extracted. The findings were reported in 20 sub- categories and in accordance with six categories of the health belief model (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, and cues to actions).
Conclusion. The findings of this qualitative study provided a profound understanding over the experiences of kidney transplant recipients and their family members about self-management determinants. The findings confirmed the health belief model constructs and its application in predicting these patients' self-management. In addition, the findings can be a guide for health planners and policy makers to select the suitable interventions and strategies to improve the adherence to recipients' self-management.
Psikolojik Sermayenin Bireysel Performansa Etkisi: Hemşireler Üzerinde Bir Araştırma
Authors: KUŞCU KARATEPE Hilal , KUŞCU Fatma Nuray , KARAMAN Mesut 
Published: November 2019

Bu çalışma
sağlık hizmetlerinin önemli bir parçası olan hemşirelerde psikolojik sermaye
düzeylerinin belirlenmesi ve psikolojik sermayenin bireysel performansa
etkisini ortaya koymak amacıyla yapılmıştır. Araştırma Malatya’da bir kamu
hastanesinde 150 hemşireden elde edilen veriler doğrultusunda
gerçekleştirilmiştir. Veri toplama araçları
olarak yararlanılan ölçekler Luthans
vd., (2007)’nin geliştirdiği; Çetin ve Basım (2012)’ın Türkçeye adaptasyon
çalışmasını yaptığı Psikolojik Sermaye Ölçeği ile Schepers (2005)’ın geliştirip
Özpehlivan (2015)’nın geçerlilik güvenirlik çalışmasını yaptığı Bireysel
Performans Ölçeği’nden yararlanılmıştır. Verilerin analizinde sayı-yüzdelik
hesaplama, frekans, t testi, tek yönlü varyans analizi, pearson kolerasyon
analizi, basit ve çoklu regresyon analizi yöntemleri uygulanmıştır. Bu
çalışmada psikolojik sermayenin ve alt boyutlarından öz yeterlilik alt
boyutunun bireysel performansı istatiksel açıdan anlamlı ve pozitif yönde
etkilediği belirlenmiştir.
Potencialidad del clúster turístico en el municipio de Pamplona, región nororiental de Colombia
Authors: Ortiz Flórez Jazmín Solange , Cancino Susan Elsa , Cancino Escalante Giovanni Orlando 
Published: November 2019

El presente artículo tiene como objetivo realizar un diagnóstico del sector turístico del municipio de Pamplona (Colombia) con la finalidad de identificar la posibilidad de la implementación de un clúster turístico en la región. Se llevó a cabo un análisis de los conceptos teóricos alrededor del turismo y del clúster, así como un estudio cuya ruta metodológica se apoyó en el empleo de encuestas y fuentes secundarias. Los resultados indican la existencia de atractivos turísticos, una amplia red de infraestructura, instituciones de apoyo, baja inversión, falta de cooperación y mano de obra poco calificada. Se resalta la necesidad de consolidar el clúster turístico del municipio bajo una estructura organizativa coherente, con el fin de reducir los obstáculos y estimular la participación de los actores.
The current state and promising innovative directions to development methods for bioimplant sterilization
Authors: Rozanov V. V. , Matveychuk I. V. 
Published: November 2019

We have analyzed the state-of-the-art methods for sterilization of bone implants. The problem of finding effective bioimplant sterilization methods is still far from its optimal solution and remains as urgent as before. The factors limiting further development of the main biomaterial sterilization methods include limitations related to each existing method and the use of technologies with sterilizing effect. Comparative analysis of the main techniques for bioimplant sterilization that are used in medical and biological areas (treatment with ethylene oxide, radiation, wet warmth, liquid media, and ozone) allows for a conclusion on the advantages of the radiation sterilization. However, the choice is challenged by the dilemma: higher radiation dose would increase the sterilization effect, but at the same time can lead to multiple morphological abnormalities in the tissues, deterioration of their mechanical characteristics, destruction of morphogenetic proteins and consequently to lower efficacy of the reparative bone formation. As a result, the material can become unsuitable for clinical use. One of the real approaches to solve this problem is to use as low absorbed radiation dose as possible during irradiation of biomaterials, at least to 15 kGy. The developments made by the authors within the last years have shown that such a result can be achieved by the use of combines sterilization techniques based on combines effects of a number of physical and chemical factors on the biomaterial being sterilized. Mutual enhancement of the sterilizing effects of these factors creates prerequisites for their synergy, whereby the intensity of each factor can be reduced. This makes it possible to decrease the degree of harmful adverse events associated with each individual factor with higher total effect. The search for innovative solutions for the urgent problems of the bone bioimplant sterilization, for the development of the state-of-the-art health-sparing technologies can be successful only with unification of the efforts by specialists from related sciences. This would allow for creating of breakthrough technologies for sterilization and for optimization of this procedure with achievement of its high efficacy.
The Animalistic Genre in the Works of Barbara Frischmuth
Authors: Trofimova Liudmila , Barova Alyona 
Published: November 2019

The purpose of the article is to consider the originality of the art world of the contemporary Austrian writer Barbara Frischmuth who created in the novel Mistress of the Animals a unique "animalistic context". Frischmuth explores human nature through the images of the animal world, in connection with which the author of the article adheres to the term "human-animal studies". "Human-animal studies" in the works of the writer have a mythological nature, with the help of which Frischmuth illustrates the modern world. The relevance of the study is dictated by the inadequate exploration in homeland literary studies of the Austrian writer B. Frischmuth. Hence, considering the work of the Austrian writer in this context, this research is an attempt to pastose the generalised characteristic of "animalier art". The undertaken study considers the understudied topical problems of modernity, given the literary experience of Barbara Frischmuth. In the animal work Frishmuths"anthropological" and "zoological" are transformed in a specific synthesis; this duality characterises animal characters in her works, and would become a hallmark of her work.