bluuebunny/crossref_metadata_2025_split huggingface dataset:
How to Conduct a Telephone Consultation; an Informative Guide
Authors: Coffey Deirdre , Begley Anne 
Published: July 2020

Telemedicine is the remote diagnosis and treatment of patients by means of telecommunications technology. The advantages of telemedicine include reduced travel time/cost and enhanced access to healthcare. The coronavirus pandemic in 2020 has necessitated the rapid implementation of remote consultations across all healthcare platforms, in most cases without any formal training. We present an educational framework for conducting telephone consultations in secondary care to help fill this gap. There are five key steps in a telephone consultation; patient introduction, information gathering, establishing a working diagnosis and plan for clinical care, planning the next step and closing the consultation. By focusing on what each step entails, this paper aims to help those new to telemedicine techniques and those responsible for training them, to shorten the learning curve. CPD/Clinical Relevance: This article aims to help clinicians become proficient and comfortable in conducting telephone consultations by providing a structure to the consultation which they can customize to their specific setting.
Integrated waveguide true time delay beamforming system based on an SOI platform for 28  GHz millimeter-wave communication
Authors: Han Yun , Shi Shuangjin , Jin Rongting , Wang YunXiang , Qiu Qi 
Published: July 2020

In this paper, we propose an on-chip waveguide beamforming system for a 28 GHz millimeter-wave signal based on silicon-on-insulator (SOI) technology. The system consists of four true time delay (TTD) lines, each of which consists of nine Bragg gratings with different periods. The minimum period of the grating is 312 nm, and the maximum period is 344 nm. By optimizing the position of the Bragg grating in the adjacent TTD lines, a time delay difference can be generated between the adjacent channels. By adjusting the operation wavelength of the optical carrier, the TTD lines can provide 9 different beamforming direction angles from

−

60

∘

to 60° when the direction angular resolution is 15°. This proposed system has a useful application prospect in the phased array antennas of millimeter-wave communication.
Broadband and high-extinction-ratio polarization beam splitter on tilted subwavelength gratings waveguides
Authors: Yang Jinye , Dong Yue , Xu Yin , Zhang Bo , Ni Yi 
Published: July 2020

A compact asymmetrical directional coupler (ADC), which is composed of a strip and a tilted subwavelength gratings (TSWG) waveguide, is proposed to realize a broadband and high-extinction-ratio polarization beam splitter (PBS). In addition to conventional SWG structural parameters, such as its period and duty cycle, a TSWG waveguide provides an extra degree of freedom to solely adjust the TE modal effective index for more accurate phase matching. Hence the TE polarization state is coupled more efficiently in the ADC system, and then the extinction ratio (ER) is consequently improved. The simulation of our proposed device demonstrated a higher coupling efficiency and an ultrahigh ER of 34.2 dB for the TM polarization state at the center wavelength around 1550 nm. The operating bandwidth of the TM polarization state defined as the spectral range, with ER higher than 20 dB, is determined to be as broad as 75 nm. And, with an assisted hybrid plasmonic waveguide at the end of the cross port, the achieved bandwidth of the TE polarization state is as broad as 133 nm. They are much broader than those of other DC/ADC implemented PBS devices. Moreover, further analysis shows that the tilting angle of the TSWG waveguide has much higher fabrication tolerance than changing SWG duty cycle.
COGNITIVE-BEHAVIORAL THERAPY: AN ALLY OF THE UNIFIED HEALTH SYSTEM
Authors: Nunes Rafael Zaneripe de Souza , Tuon Lisiane , Souza Rosimeri Vieira da Cruz de , Gomes Karin Martins 
Published: July 2020

Abstract: The Unified Health System goes through several challenges, including the crisis related to public financing. The consequences generated by this crisis also affect the mental health network, which proves to be one of the most fragile networks in the public health system. As a result of the barriers encountered, this article seeks to analyze in the scientific literature how Cognitive-Behavioral Therapy can contribute to the better use of public spending through its objective and brief techniques. The study is characterized by a qualitative approach carried out through a non-systematic literature review in the data sources SCIELO, BVS, PUBMED® and Google Scholar. Although the number of articles found in the national literature is limited, studies conducted outside the country demonstrate the effectiveness of CBT in public health systems, especially regarding the remission of users' symptoms and the cost-benefit of public spending. Keywords: Cognitive Behavioral Therapy; Public Health; Unified Health System; Government Financing.
Requiem por um Cinema Utópico: Os evangelhos de luz de Abel Gance
Authors: Nogueira Luís 
Published: July 2020

O texto que aqui apresentamos, partindo dos inúmeros escritos dispersos, fragmentários e plurais que Abel Gance nos legou, pretende delinear uma poética do seu cinema tendo como base um elemento fundamental da criação cinematográfica: a luz. O objetivo é relevar o papel fundamental que a luz ocupa, não apenas no cinema de Gance, mas em toda a sua mundividência artística e na sua existência pessoal, indo do entusiasmo mais fervoroso de cariz religioso ao enlevo mais incisivo de cariz cinematográfico. O texto divide-se em três partes fundamentais. A primeira propõe um breve perfil do autor, enquadrando-o no seu contexto histórico e no universos estético em que se formou, aludindo às suas muitas influências e identificando possíveis descendências. A segunda, que constitui a parte fulcral e mais extensa do texto, aborda precisamente o tema central aqui problematizado, a luz, nas suas múltiplas modalidades e níveis, seja enquanto matéria ou enquanto metáfora. A terceira debruça-se sobre o lado oposto, escuro, lunar, que atravessa a vida do cineasta francês, seja pessoal seja criativamente. Visionário na sua obra fílmica e prolixo no seu legado textual, os seus pensamentos, vastos na sua amplitude temática, densos na sua erudição, plurais no seu estilo, enciclopédicos na sua ambição, constituem um valioso contributo para uma hipotética teoria do(s) cineasta(s), na medida precisamente em que raras vezes uma voz e uma visão foram tão entusiásticas e tão analíticas, tão rigorosas e tão confessionais, tão poéticas e tão elípticas, configurando-se num prisma de múltipla faces que nos permite mergulhar, vertiginosa e profundamente, no zeitgeist criativo de um momento fundamental da história do cinema, a década de 1920, e num dos seus realizadores mais espantosos.
PERANAN SOCIAL REPORT PADA SISTEM PERADILAN PIDANA ANAK
Authors: Sahetapy Elfina Lebrine 
Published: July 2020

Tujuan dari penulisan ini adalah untuk mengevaluasi dan mengkaji keberadaan Penelitian Kemasyarakatan atau yang dikenal dengan Social Report dalam kasus Anak yang Berkonflik dengan Hukum, dikaitkan dengan pelaksanaan diversi dalam penyelesaian perkara anak. Keberadaan Social Report memegang peranan yang penting dalam pengambilan keputusan apakah dilakukan diversi atau tidak. Metodologi yang digunakan adalah yuridis normatif dengan menggunakan bahan kepustakaan yang ditunjang oleh interview dari pihak-pihak yang terkait. Landasan hukum yang digunakan untuk pelaksanaan Social Report diatur di dalam Undang-Undang Nomor 11 Tahun 2012 tentang Sistem Peradilan Pidana Anak. Para pihak yang juga terlibat dalam kontribusi penulisan ini adalah Anak yang Berhadapan dengan Hukum yakni pelaku dan korban beserta dengan keluarganya. Di samping itu juga dengan aparat penegak hukum dan terutama dengan Pembimbing Kemasyarakatan.
Effect of core muscle exercises on subcutaneous fat percentage of Badminton players
Authors: Reddy Gottigundala Shyam mohan , Rajeswari Rathikota 
Published: July 2020

Badminton involves jumping to reach a shuttle at the highest possible point when descending for a better stroke as in a smash and drop shot. Hence the body weight has to be lifted repeatedly against gravity, where the extra mass in the form of fat would be disadvantage. Moreover the fat tends to be localized in the trunk and lower body segments. Core stability is defined in athletic setting as the optimum production, which can transfer and control the force from the centre of the body to the limbs, through stabilization of the position and motion of torso. Core stability exercises are an essential fitness component of badminton players during smashing the shuttlecock through the game.The present study was conducted to assess the impact of core muscle exercises on subcutaneous fat percentage of badminton players. To achieve this purpose Twenty five badminton players were included in the study, whose age ranged from 17-21 years. During training ten core muscle exercises were performed with one minute each exercise and twenty seconds break in between the exercise. This is performed for three sets. This training is continued for 6 days in a week with one session per day for four weeks. The subcutaneous fat percentage at Arms, Trunk, Legs and Whole body was measured using the Omron HBF 375 Karada Scan before and after the training. The obtained pre and post test data were statistically analyzed using the ‘t’ test. Results shows that there is significant difference in the subcutaneous fat percentage at Arms, Trunk, Legs and Whole body of the badminton players.
EFFECT OF SMALL-SIDED GAMES RULE CHANGES ON TIME SPENT IN DIFFERENT INTENSITY ZONES, FREQUENCY OF TECHNICAL ACTIONS AND DISTANCE COVERED DURING SOCCER TRAINING
Authors: Yee Kok Lian 
Published: July 2020

Purpose: The efficacy of SSGs has been difficult to assess as researchers have used a wide-ranging number of players, pitch dimensions and game rules, making comparisons complicated. Therefore this study compared four SSG rules [one (SSG1T), two (SSG2T), three (SSG3T), and unlimited touches (SSGFT)] on time spent in different heart-rate (HR) intensity zones, frequency of technical actions and distance covered involving the starting 11 players and the reserve goalkeeper of a national soccer league team. Methods: The participants (age: 24.3±4.0 yr; height: 171.2±5.9 cm: weight: 61.9±7.4 kg) were measured for previously mentioned dependent variables during each SSG format. Results: Analysis found no significant difference among the four SSGs formats [F(3, 27) = 2.897, p = .053] for time spent in the low-intensity zone, but significant differences were observed for time spent in moderate [F(3, 27) = 13.642, p = .001] and high [F(3, 27) = 13.431, p = .001] intensity zones. Significantly more time was spent in the high intensity zone [F(3, 27) = 13.431, p = .001] when players performed SSG2T and SSGFT when compared SSG1T (p = .002 and p = .009) respectively. SSG1T induced most unsuccessful passing [F(3,27) = 500.498, p = .001] but no differences was observed among SSG2T, SSG3T and SSGFT. SSG2T, SSG3T and SSG3T obtained significantly more shots on goal shots on goal [F(3,27) = 25.398, p = .001], with SSGFT achieving higher numbers than the other three formats. There were no significant differences in goals scored (p = .537) and distance covered (p = 0.574) for all SSG formats. Conclusion: The main findings of this study revealed that all four SSG formats stimulated moderate to high heart rate intensities that could induce positive aerobic and anaerobic adaptations depending on frequency of technical actions and players’ skill level. Therefore coaches could select specific SSG formats to help players achieved intended intensity and technical objectives programmed for different phases of periodized training.
Should immunohistochemical expression of mismatch repair (MMR) proteins and microsatellite instability (MSI) analysis be routinely performed for poorly differentiated colorectal neuroendocrine carcinomas?
Authors: Luong Tu Vinh , Nisa Zaibun , Watkins Jennifer , Hayes Aimee R 
Published: July 2020

Summary
Colorectal poorly differentiated neuroendocrine carcinomas (NECs) are typically associated with poor outcomes. The mechanisms of their aggressiveness are still being investigated. Microsatellite instability (MSI) has recently been found in colorectal NECs showing aberrant methylation of the MLH1 gene and is associated with improved prognosis. We present a 76-year-old lady with an ascending colon tumour showing features of a pT3 N0 R0, large cell NEC (LCNEC) following right hemicolectomy. The adjacent mucosa showed a sessile serrated lesion (SSL) with low-grade dysplasia. Immunohistochemistry showed loss of expression for MLH1 and PMS2 in both the LCNEC and dysplastic SSL. Molecular analysis indicated the sporadic nature of the MLH1 mismatch repair (MMR) protein-deficient status. Our patient did not receive adjuvant therapy and she is alive and disease-free after 34 months follow-up. This finding, similar to early-stage MMR-deficient colorectal adenocarcinoma, is likely practice-changing and will be critical in guiding the appropriate treatment pathway for these patients. We propose that testing of MMR status become routine for early-stage colorectal NECs.

Learning points:

Colorectal poorly differentiated neuroendocrine carcinomas (NECs) are known to be aggressive and typically associated with poor outcomes.

A subset of colorectal NECs can display microsatellite instability (MSI) with mismatch repair (MMR) protein-deficient status.

MMR-deficient colorectal NECs have been found to have a better prognosis compared with MMR-proficient NECs.

MMR status can be detected using immunohistochemistry.

Immunohistochemistry for MMR status is routinely performed for colorectal adenocarcinomas.

Immunohistochemical expression of MMR protein and MSI analysis should be performed routinely for early-stage colorectal NECs in order to identify a subgroup of MMR-deficient NECs which are associated with a significantly more favourable prognosis.
Determinación del uso de la andesita de la Formación Guatapurí en la industria cerámica
Authors: Cuello Orozco Andrea Patricia , Rojas Martínez Elías Ernesto , Lascarro Navarro Frank David , Manco Jaraba Dino Carmelo 
Published: July 2020

Objetivo: Determinar el uso de la andesita de la Formación Guatapurí en la industrial de la cerámica. Metodología: Se tomaron 15 muestras aleatoriamente a las que se le efectuaron ensayos de fluorescencia de rayos X (FRX), difracción de rayos X (DRX), mecánicos y petrográficos con el fin de determinar la calidad de la roca y su composición. Resultados: Se determinó que la andesita está constituida por plagioclasas, feldespatos, en menor proporción por cuarzo, y minerales secundarios como biotita, hornblenda, sanidina y augita. Los ensayos geoquímicos mostraron en promedio concentraciones de sílice (SiO2) en un 57,7% wt, seguido de óxido de aluminio (Al2O3) en un 17,02% wt, óxido ferroso (Fe2O3) en un 6,32% wt y óxido de potasio (K2O) en un 4,76% wt; las fases cristalinas constituyentes de las muestras expusieron la presencia en mayor cantidad de cuarzo, feldespato y cristobalita. De acuerdo a los ensayos mecánicos se evidenció que tiene una densidad de 2,64 gr/cm3, resistencia a la mecánica de flexión 30 Mpa, resistencia a la compresión 172 Mpa, resistencia al desgaste 12,61% y coeficiente de absorción 0,22%. Conclusiones: La calidad de la andesita mediante los análisis petrográficos, geoquímicos y mecánicos indican que cumple con los parámetros requeridos para uso cerámico en la fabricación de baldosas, según lo establecido en las normas ISO 13006 y 10545.
Aplicación de la transformada wavelet en el análisis de la estabilidad en amputados transtibiales
Authors: Luengas C. Lely A. , Toloza Daissy C. 
Published: July 2020

Objetivo: Identificar el comportamiento de la estabilidad de amputados transtibiales y examinar la relación y diferencias entre amputados y no amputados en estabilidad postural estática. El mantenimiento de la posición de bipedestación requiere de control simultáneo de postura en ambas direcciones, antero-posterior (AP) y medial-lateral (ML). Se verificó la dirección del CoP de mayor afectación. Metodología: Nueve individuos con amputación transtibial unilateral y nueve sujetos no amputados del grupo control realizaron una serie de mediciones en posición de bipedestación estática. Las métricas corporales del análisis lineal, como Excursión, Velocidad, Rango y Promedio, y análisis no lineal, como la transformada discreta de wavelet (DWT) y su energía relativa (RWE), se calcularon y compararon entre los grupos. Resultados: La prueba de U Mann-Whitney con significancia de 0.05 se utilizó para comparar las mediciones entre grupos. Las personas no amputadas exhibieron incremento regular en el balanceo postural comparadas con las personas con prótesis, la variación se presentó mayormente en la dirección antero-posterior. La concentración de energía en los niveles fue diferente entre los grupos. Conclusiones: El comportamiento de la estabilidad postural permite conocer el nivel de adaptabilidad de la prótesis; existe diferencia en la variabilidad del desplazamiento y velocidad del CoP entre los grupos; debido a la pérdida de estructuras óseas y musculares, los amputados alteran constantemente la ubicación del CoP como estrategia para mantener la estabilidad, de allí que los niveles de energía se encuentren en rangos mayores a los de no amputados.
Revisión sistemática sobre geolocalización automática para pequeñas centrales hidroeléctricas
Authors: Ordoñez Palacios Luis Eduardo , Bucheli Guerrero Víctor Andrés , Ordoñez Erazo Hugo 
Published: July 2020

Objetivo: Identificar tecnologías computacionales que se están utilizando en la identificación y selección automática de sitios para pequeñas centrales hidroeléctricas. Metodología: Se realizaron búsquedas sistemáticas de artículos científicos, artículos de conferencias, revistas indexadas y libros de ingeniería, en bases de datos de referencias bibliográficas, lo que permitió, una revisión exploratoria y analítica para la recopilación de información significativa, sobre las tecnologías utilizadas en la ubicación automática de este tipo de proyectos. Resultados: Esta revisión permitió establecer que el Big Data para el análisis de datos geoespaciales, los algoritmos de agrupamiento, las metodologías de toma de decisiones con múltiples criterios y el análisis visual de datos, están directamente involucrados en la ubicación automática de pequeñas centrales hidroeléctricas. Conclusiones: En Latinoamérica se pueden encontrar algunas investigaciones alrededor de la selección automática de sitios para pequeñas centrales hidroeléctricas, sin embargo, Colombia aún no ha publicado estudios de este tipo en las principales revistas científicas y bases de datos de referencias bibliográficas, asimismo, menos del 10% de los artículos examinados en esta investigación, se han realizado en esta región del continente.
Evaluación de la eficiencia de los residuos de plantas de sacrificio como coagulante natural
Authors: Moreno-Martínez Gabriel , Ricardo-Perdomo Iván , Mercado-Martínez Iván 
Published: July 2020

Objetivo: Analizar la eficiencia de la gelatina obtenida a partir de residuos de una planta de sacrificio mezclada con sulfato de aluminio y utilizada en el proceso de clarificación del agua. Metodología: Se analizó el agua de la ciénaga de Malambo como objeto de estudio y se realizó un muestreo simple para su recolección. Se llevó a cabo la realización de la prueba de jarras empleando dosis de 10, 20, 40, 60, 80 y 100 mg/L para la mezcla gelatina-sulfato de aluminio en proporción 9:1 y el sulfato de aluminio según se estipula en la NTC 3903 de 2010. Resultados: La mezcla gelatina-sulfato de aluminio removió 82,63% la turbidez del agua analizada y el coagulante químico un 83,25%. Conclusiones: La mezcla coagulante propuesta en este estudio muestra propiedades de clarificación muy cercanas al empleado comercialmente, que la potencializan para su uso.
Clinical Experience of Edaravone in Amyotrophic Lateral Sclerosis
Authors: Govindarajan Raghav , Peters Alexis , Mehta Tejas 
Published: July 2020

Objective: To describe clinical experience with edaravone in ALS over a period of 12 months Methods:The current study retrospectively investigated characteristics in a group of patients (n=31) with ALS who underwent edaravone treatment. Information including age, gender, race, and site of onset of symptoms were collected for all patients. Adverse events with edaravone therapy was documented where available.
Results:The average age of the patients observed was 62.09 years, with 18 males and 13 females. 18 patients had limb onset, 12 bulbar onset, and 1 diaphragmatic onset. 7 of the 31 patients discontinued treatment at the end of one year. The average age of patients who discontinued edaravone was 65.71 years, of whom which 3 had limb onset, 3 bulbar onset, and 1 diaphragmatic onset. No perceived benefit, port complications, systemic bacteremia, and development of atrial fibrillation were documented as reasons for discontinuation of therapy.Conclusion: Edaravone is well tolerated in ALS patients at the end of one year. Lack of perceived benefit and port related complications are common reasons for discontinuation of treatment
Bilateral Ptosis and Limb Myokymia: Regional Variant of Guillain-Barré Syndrome?
Authors: Cheng Felix , Wolfe Gil , Barohn Richard , Katz Jonathan 
Published: July 2020

Isolated bilateral ptosis as an initial sign of Guillain-Barré Syndrome (GBS) with subsequent limb paralysis or paresis has been reported. However, to our knowledge, bilateral ptosis with subsequent limb myokymia but without ophthalmoplegia, facial or extremity weakness has not been observed. Our patient developed severe bilateral ptosis over several days. There was no facial or extremity weakness although limb myokymia was seen. Laboratory studies excluded common causes of ptosis and were suggestive of GBS. We believe our patient extends the clinical spectrum of GBS, and that binocular ptosis represents a mild regional variant of this neuropathy.
ICU related neuromuscular complications
Authors: Digala Lakshmi , Govindarajan Raghav 
Published: July 2020

The spectrum of neuromuscular diseases encountered in the ICUs today has rapidly evolved over the last decades. Multiple predisposing factors are involved in the development of neuromuscular complications in intensive care patients. Those complications broadly classified into weakness from the preexisting neuromuscular disease exacerbated by critical illness or the complication of the critical illness itself. Patients, when unresponsive, confused, or sedated precludes careful clinical examination. A careful schematic approach that involves acquiring extensive history, any underlying infections, use of any offending medications, and the course of presenting illness will help in delineating the underlying etiology. Here in this review, we describe many causes and the pathophysiology that contribute to the development of neuromuscular weakness in the ICU. A comprehensive investigation protocol must strictly be adhered to all the cases in the ICU settings to reduce the mortality and morbidity.