bluuebunny/crossref_metadata_2025_split huggingface dataset:
Red cell distribution width as a predictor of late‐onset Gram‐negative sepsis
Authors: Dogan Pelin , Guney Varal Ipek 
Published: December 2019

AbstractBackgroundLate‐onset sepsis (LOS) remains an important cause of morbidity and mortality in preterm infants. In this study, our aim was to investigate the red‐cell distribution width (RDW) levels during a LOS episode, and its association with the type of growing microorganism and mortality.MethodsPreterm infants with culture‐proven sepsis during their neonatal intensive care unit stay were enrolled. Red‐cell distribution width levels were obtained in the first 4 h of postnatal life and at the onset of the LOS episode, and compared for these time frames. The study cohort was divided into two groups according to the type of the growing microorganism. The RDW levels were then assessed in intra‐ and inter‐group analyses.ResultsEighty‐six infants were included in the final analysis. RDW levels were increased in the study cohort after a LOS attack (P < 0.001). Infants with Gram‐negative sepsis showed a significant increase in their RDW levels, but they remained unchanged in infants with Gram‐positive sepsis (P < 0.001 and P = 0.4, respectively). An RDW cut‐off of >19.50% was related with a sensitivity of 87% and a specificity of 81% for predicting late‐onset Gram‐negative sepsis (P < 0.001). Logistic regression analysis showed a positive association of RDW with mortality when adjusted for covariants (adjusted odds ratio: 1.40; 95% confidence interval: 1.02–1.80; P = 0.03).ConclusionsOur findings show that RDW levels increased during a LOS episode in preterm infants, which was especially evident in Gram‐negative infections. We believe that these findings may be of importance in the early diagnosis and prognosis of LOS in preterm infants.
Improving psychiatric medication use through the Michigan e‐psychopharmacology course for nurse practitioners: A pre‐post/follow‐up study
Authors: Parikh Sagar V. , Bostwick Jolene R. , Bastida Maria , Taubman Danielle S. 
Published: December 2019

AbstractPurposeIncreasing demands for mental health treatment represent a key opportunity for nurse practitioners (NPs) to provide more psychiatric medication treatment (psychopharmacology). Given this need, NPs could benefit from opportunities to enhance knowledge and skills in psychopharmacology.Design and MethodsA novel videoconference course was developed and tested, with 6 weekly sessions taught by a facilitator and a speaker, evaluated by multiple outcomes.FindingsCourse feasibility and evidence of improved NP confidence and performance in psychopharmacology were both demonstrated.Practice ImplicationsContinuing education providers should consider adopting this model for effective and accessible NP psychopharmacology education, potentially expanding NP mental healthcare delivery.
Human Dignity as a Sui Generis Principle
Authors: Riley Stephen 
Published: December 2019

AbstractThis paper argues that human dignity is a sui generis status principle whose function lies in unifying our normative orders. More fully, human dignity denotes a basic status to be preserved in any institution or process; it is a principle demanding determination in different contexts; and it has its most characteristic application where the legal, moral, and political place competing obligations on individuals. The implication of this account is that we should not seek to reduce human dignity to either a legal norm or a legal principle.
Secret Law Revisited
Authors: Nelson Benjamin L. S. 
Published: December 2019

AbstractWhat follows is an attempt to do some conceptual housekeeping around the notion of secret law as provided by Christopher Kutz (2013). First I consider low‐salience (or merely obscure) law, suggesting that it fails to capture the legal and moral facts that are at stake in the case which Kutz used to motivate it. Then I outline a theoretical contrast between mere obscurity and secrecy, in contrast to the “neutral” account of secrecy provided by Sissela Bok (1989). The upshot of the two sections is that low‐salience law is neither secret law nor necessarily problematic, though it closely resembles a kind of law that is both secret and problematic, namely, those legal obscurities that subvert manifest interests related to the informational needs of citizens. The ensuing argument undermines the fiction of constructive presence found in Austin and Blackstone.
Metabolic phenotypes of standard and cold‐stored platelets
Authors: D'Alessandro Angelo , Thomas Kimberly A. , Stefanoni Davide , Gamboni Fabia , Shea Susan M. , Reisz Julie A. , Spinella Philip C. 
Published: December 2019

BACKGROUNDConventional platelet (PLT) storage at room temperature under continuous agitation results in a limited shelf life (5 days) and an increased risk of bacterial contamination. However, both of these aspects can be ameliorated by cold storage. Preliminary work has suggested that PLTs can be cold stored for up to 3 weeks, while preserving their metabolic activity longer than in PLTs stored at room temperature. As such, in the present study, we hypothesized that the metabolic phenotypes of PLTs stored at 4°C for 3 weeks could be comparable to that of room temperature–stored PLTs at 22°C for 5 days.Study Design and MethodsMetabolomics analyses were performed on nine apheresis PLT concentrates stored either at room temperature (22°C) for 5 days or refrigerated conditions (4°C) for up to 3 weeks.RESULTSRefrigeration did not impact the rate of decline in glutamine or the intracellular levels of Krebs cycle metabolites upstream to fumarate and malate. It did, however, decrease oxidant stress (to glutathione and purines) and slowed down the activation of the pentose phosphate pathway, glycolysis, and fatty acid metabolism (acyl‐carnitines).CONCLUSIONThe overall metabolic phenotypes of 4°C PLTs at Storage Day 10 are comparable to PLTs stored at 22°C at the end of their 5‐day shelf life, while additional changes in glycolysis, purine, and fatty acid metabolism are noted by Day 21.
Efficacy of en bloc thoracic duct ligation in combination with pericardiectomy by video‐assisted thoracoscopic surgery for canine idiopathic chylothorax
Authors: Kanai Hiroo , Furuya Masaru , Hagiwara Ken , Nukaya Aya , Kondo Motoki , Aso Toshihide , Fujii Ayako , Sasai Kazumi 
Published: December 2019

AbstractObjectiveTo compare the outcomes of pericardiectomy performed with conventional clipping thoracic duct ligation (C‐TDL) to those with en bloc thoracic duct ligation (EB‐TDL) using video‐assisted thoracoscopic surgery (VATS) for canine idiopathic chylothorax.Study designRetrospective consecutive case series.AnimalsThirteen client‐owned dogs with idiopathic chylothorax.MethodsMedical records of dogs treated with pericardiectomy in combination with TDL by VATS without intraoperative contrast were reviewed. Five and seven dogs underwent C‐TDL and EB‐TDL, respectively, and 11 dogs were evaluated by preoperative and 7‐ to 10‐days‐postoperative computed tomography‐lymphography (CTLG). No clinical symptoms with absent or minimal pleural effusion was defined as clinical improvement. Long‐term remission (LTR) was defined as rapid resolution of pleural effusion and no recurrence for more than 1 year. Anesthesia time, operation time, the duration of hospitalization, and time until pleural effusion resolution were compared.ResultsClinical improvement was achieved in 91.7% of the cases (C‐TDL, 4/5; EB‐TDL, 7/7), excluding one case of intraoperative death. The LTR rate was significantly higher with EB‐TDL (6/7 [85.7%]) than with C‐TDL (1/5 [20%]). Anesthesia time, operation time, and time until pleural effusion resolution were significantly better with EB‐TDL than with C‐TDL. The rates of thoracic ducts visualization by postoperative CTLG were 100% (5/5) with C‐TDL and 42.9% (3/7) with EB‐TDL.ConclusionEn bloc TDL was an effective treatment for canine idiopathic chylothorax in this patient population. It compared favorably to C‐TDL, although missed branches at the time of surgery may explain the difference between C‐TDL and EB‐TDL in this small population of cases.Clinical significanceEn bloc TDL by VATS was an effective minimally invasive treatment for canine idiopathic chylothorax. Computed tomography‐lymphography can be used for surgical planning and postoperative evaluation.
Revising the National Standards for Sport Coaches Within the USA
Authors: Gano-Overway Lori , Van Mullem Pete , Long Melissa , Thompson Melissa , Benham Bob , Bolger Christine , Driska Andrew , Moreno Anthony , Schuster Dan 
Published: December 2019

As the sport coaching profession continues to grow, there is a need to reflect upon and revise the knowledge and competencies coaches should possess to support quality sport experiences. The purpose of this paper is to document the revision process of the National Standards for Sport Coaches (NSSC) which were established to outline professional sport coaching standards in the United States of America (USA). The 3-year revision process involved two separate task forces organized by SHAPE America and several public reviews. The final revision aligns the NSSC with quality coaching frameworks and documents seven core responsibilities of sport coaches. Additionally, the NSSC includes standards meant to provide guidance on what a coach should know (e.g., professional knowledge, interpersonal knowledge, and intrapersonal knowledge), what a coach should be able to do (e.g., expectations of performance and developed competencies), and what common practices occur among coaches (e.g., shared values) to meet each core responsibility. It is hoped that the revised version of the NSSC continues to provide direction for all stakeholders to improve coaching practices within the USA.
Correction to the tunneling radiation of arbitrary spin fermions in Kerr Anti-de Sitter black hole
Authors: Liu Zhie , Tan Xia , Sha Bei , Liu Yuzhen , Zhang Jie 
Published: December 2019

According to the dispersion relation that stems from the string theory and the quantum gravitational theory, we study the dynamic equation of fermions, that is Rarita–Schwinger equation. Based on the Lorentz dispersion relation modified in the high-energy case, the dynamic equation of arbitrary spin fermions is accurately corrected in the Kerr Anti-de Sitter black hole, then the action of fermions with arbitrary spin is computed. To do so, we obtain the new expressions for tunneling rate, Hawking temperature and entropy of the black hole. At last, some comments are made on the results of our work.
A possibility of Lorentz violation in the Higgs sector
Authors: Iso Satoshi , Kitazawa Noriaki 
Published: December 2019

In string theory, a scalar field often appears as a moduli of a geometrical configuration of D-branes in higher-dimensional space. In the low energy effective theory on D-branes, the distance between D-branes is translated into the energy scale of the gauge symmetry breaking. In this paper, we study a phenomenological consequence of a possibility that the Higgs field is such a moduli field and the D-brane configuration is stabilized by a stationary motion, in particular, revolution of D-branes on which we live. Then, due to the Coriolis force, Higgs mode is mixed with the angular fluctuation of branes and the Lorentz symmetry is violated in the dispersion relation of the Higgs boson. The Higgs boson mass measurements at LHC experiments give an upper bound [Formula: see text][Formula: see text][Formula: see text] GeV for the angular frequency of the revolution of D-branes.
A bidirectional resonant converter based on wide input range and high efficiency for photovoltaic application
Authors: Alhamrouni Ibrahim , Bin Hamzah M. R. , Salem Mohamed , Jusoh Awang , Bin Khairuddin Azhar , Sutikno Tole 
Published: December 2019

<span lang="EN-US">This work highlights a modular power conditioning system (PCS) in photovoltaic (PV) applications which consists with a DC-DC converter. The converter is able to regulate and amplify the input DC voltage produced by the PV panal. The implementation of Mosfet as bidirectional switch on the converter yields greater conversion ratio and better voltage regulation than a conventional DC-DC step up converter and PWM resonant converter. It also reduces the switching losses on the output DC voltage of the converter, as the MOSFET switches on primary winding of converter switch on under ZVS conditions. The proposed resonant converter has been designed, with the modification of series resonant converter and PWM boost converter that utilizes the high frequency of AC bidirectional switch to eliminate the weaknesses of used converters. The topology of the proposed converter includes the mode of operations, designing procedure and components selection of the new converter elements. This topology provides a DC output voltage to the inverter at range of about 120Vac-208 Vac. </span>
Modeling of photovoltaic system with maximum power point tracking control by neural networks
Authors: Saadaoui Farid , Mammar Khaled , Hazzab Abdaldjabar 
Published: December 2019

<p>This paper presented the study, development and implementation of the maximum power point of a photovoltaic energy generator adapted by elevator converter and controlled by a maximum power point command. In order to improve photovoltaic system performance and to force the photovoltaic generator to operate at its maximum power point, the idea of the context of this paper deals with the exploitation of the technique of the artificial intelligence mechanism (neural network) certainly based on the three parts of the photovoltaic system (photovoltaic module inputs (temperature and solar radiation), photovoltaic module and control (MPPT)) that have been adopted within a simulation time of 24 hours.</p><p>In addition, to reach the optimal operating point regardless of variations in climatic conditions, the use of a neuron network based disturbance and observation algorithm (P&amp;O) is put into service of the system given its reliability, its simplicity and view that at any time it can follow the desired maximum power.</p><p>The entire system is implemented in the Matlab / Simulink environment where simulation results obtained are very promising and have shown the effectiveness and speed of neural technology that still require a learning base so to improve the performance of photovoltaic systems and exploit them in energy production, as well as this technique has proved that these results are much better in terms (of its very great precision and speed of computation) than those of the controller based on the conventional MPPT method P&amp;O.</p>
CLL/S Detuned compensation network for electric vehicles wireless charging application
Authors: Aziz Ahmad Fuad Abdul , Romlie Mohd Fakhizan , Zulkifli Tun Zainal Azni 
Published: December 2019

<span lang="EN-GB">An electric vehicle (EV) can be charged wirelessly through an inductively coupled power transfer system where the system resonates the inductive coupling coil at the operating frequency by means of a compensation network. However, the resonant behaviour implies overcurrent in the inverter MOSFETs during uncoupled and high load resistor conditions, which affect to the inverter MOSFETs failure whenever the current exceeds their maximum current rating. Therefore, this paper presents a CLL/S detuned compensation network for EV wireless charging application to limit the inverter current during the uncoupled state and open circuit load conditions. The proposed compensation consists of a series capacitor and parallel inductor at the primary side and series capacitor at the secondary side. By using Kirchhoff Voltage Law (KVL) analysis, the primary side is detuned to inductive behaviour to ensure zero voltage switching (ZVS), and the secondary side remains at natural resonant tuning. From the simulation analysis, the slight increase of the parallel inductor value at the primary side can limit of the inverter current at uncoupled and high load resistor conditions. The proposed system also offers higher efficiency than the series-series detuned compensation and slightly lower than the double-sided LCC compensation network at different coupling factor.</span>
Solar energy density estimation using ANFIS based on daily maximum and minimum temperature
Authors: Irwanto M. , Alam H. , Masri M. , Ismail B. , Leow W. Z. , Irwan Y. M. 
Published: December 2019

The data of solar energy density in one area is very important when the area will constructed photovoltaic (PV) system. The data is as preliminary study to decide what the area is suitable or not to be constructed the PV application system. But, sometime the available data is missing because the limitation of weather equipment. An alternative technique for the available data of solar energy density should be done for the continuity of PV application system decision. An estimation technique of solar energy density is one part of good alternative to solve this problem. This paper presents the estimation of solar energy density using Adaptive Neuron Fuzzy Inference System (ANFIS). The ANFIS system has two input data of the measured daily minimum, maximum temperature and difference between maximum and minimum temperature. The measured solar energy density is as target data of ANFIS system. The data is recorded from Medan meteorological station through the web site of world weather online for the year of 2018. The result shows that the average estimated solar energy density is classified in the very high solar energy density and based on the percentage error shows that the estimated solar energy density is acceptable.
U.S.–China Trade Conflict and the Changing Multilateral Trading System: Korea's Perspective
Authors: Suh Jin Kyo 
Published: December 2019

One of the biggest risks to the world economy today is the U.S.–China trade tension. Korea is said to be particularly vulnerable to the trade conflict between the two economic giants because the United States and China are its two largest trading partners. Under the scenario that both the United States and China mutually impose 25 percent of tariffs on all imports, Korea's exports are projected to be reduced by USD 13.3 billion, just 2.2 percent of total exports in 2018. This apparent low impact is because a significant portion of Korea's exports to China are used for domestic consumption in China, not for re-export to third countries, including the United States. The adverse impact of the tit-for-tat tariffs between these two countries on Korea's exports may not be fully realized yet, however, because of the efforts by individual firms to avoid pre-announced tariffs. Thus, more time is needed to properly capture the influences of the U.S.–China trade tensions on the Korean economy. On the other hand, the current World Trade Organization (WTO) reform led by developed countries such as the United States, EU, and Japan can be interpreted as another version of a bilateral trade conflict between the United States and China. In fact, it targets state-owned enterprises’ (SOEs) subsidies, which are the backbone of China's state-led economic development model. Furthermore, WTO reform is closely related to U.S. complaints that the WTO cannot effectively control the unfair trade practices of non-market economies like China. Considering the consensus-based decision-making mechanism of the WTO, it is highly unlikely that WTO members will derive a successful agreement on the current WTO reform. Again, the WTO is in danger of dichotomy; one group led by developed members and the other group composed mostly of developing members. Each group will try to make new trade norms suited to only their own taste.
Rare Atmospheric River Caused Record Floods across the Middle East
Authors: Dezfuli Amin 
Published: December 2019

AbstractAtmospheric rivers (ARs) are responsible for some of the hydroclimatic extremes around the world. Their mechanisms and contribution to flooding in the Middle East are relatively poorly understood. This study shows that the record floods during March 2019 across the Middle East were caused by a powerful AR, originated from the North Atlantic Ocean. Iran, in particular, was substantially affected by the floods. The nearly 9,000-km-long AR propagated across North Africa and the Middle East, and was fed by additional moisture from several other sources on its pathway. Simultaneous presence of a midlatitude system and a subtropical jet facilitated the moisture supply. The AR, as passing over the Zagros Mountains, produced record rainfall induced by the orographic forcing. The resulting floods caused widespread damage to infrastructures and left a death toll of at least 76 in Iran.
Modified two-tension-band for patellar fractures
Authors: Zhang Chong , Zhao Yong , Deng Kai 
Published: December 2019

Objective To compare a modified two-tension-band (MTTB) technique with the AO tension band in treating patellar fractures. Methods This retrospective study included patients treated with AO tension band (group 1) or MTTB (group 2). Data obtained during serial follow-up evaluations of time to bony union, range of motion (ROM), Hospital for Special Surgery (HSS) score and complication rates, were analysed. Results Fractures healed in all 51 patients included in the study (group 1, n = 28; group 2, n = 23), with no statistically significant between-group difference in time to bony union. Regarding function results, group 2 had better HSS scores at 3 and 6 months postoperatively; however, at 1 year postoperatively, both groups had similar HSS scores and achieved acceptable flexion and ROM. The overall complication rate was significantly lower in group 2, but average costs were higher in group 2 versus group 1. Conclusion MTTB provides secure fixation and improved knee function at 3 and 6 months postoperatively, and has a lower complication rate with early mobilization, compared with the AO tension-band technique.
Anaesthetic management in endovascular total aortic arch repair via needle-based in situ fenestration: a case series of 14 patients
Authors: Wang Kui-Rong , Gao Min , Wen Xiao-Hong , Kong Hai-Ying 
Published: December 2019

Objective Endovascular total aortic arch repair (ETAAR) via needle-based in situ fenestration (ISF) is a major challenge for anaesthesiologists because of haemodynamic instability and the risk of cerebral hypoxia. We herein summarise our experience with anaesthetic management of patients who underwent this procedure. Methods Fourteen patients who underwent ETAAR via ISF for arch pathologies involving the major supra-arch branches were included. Regional cerebral oxygen saturation was measured to monitor cerebral perfusion. Partial extracorporeal circulation (EC) support from the right common femoral vein to the right axillary artery was introduced to provide cerebral perfusion. Results During ISF, vessel rupture occurred in three patients and ventricular fibrillation occurred in one patient. The regional cerebral oxygen saturation significantly decreased during the potential risk period for cerebral ischaemia. Establishment of EC effectively prevented cerebral ischaemia. Conclusions During ETAAR, the risks of haemodynamic instability caused by the procedure and vessel rupture during ISF need to be overcome. Partial EC ensured good cerebral protection in our study, and regional cerebral oxygen saturation monitoring may help to reduce the rate of desaturation.