bluuebunny/crossref_metadata_2025_split huggingface dataset:
Procedimiento diagnóstico y terapéutico en la adolescente con tumores de la mama
Authors: Lombardo Aburto Esther , Gayón Vera Eduardo 
Published: May 2021

Las alteraciones de la glándula mamaria son un aspecto importante en la salud de la adolescente, por lo que, en la revisión anual, es indispensable la exploración de las mamas,así como la capacitación para la autoexploración.Las lesiones de la glándula mamaria durante la infancia y adolescencia son raras, su prevalencia oscila del 3.2 al 13.5% de las consultas en los servicios de ginecología pediátrica, siendo los tumores mamarios los más frecuentes. En su mayoría son fibroadenomas en un 60-70%. En una revisión de 15 estudios que incluyó 1797 lesiones mamarios en adolescentes, Neinstein reporta fibroadenoma en el 68.3% de los casos. El resto de las lesiones fueron en su mayoría cambios fibroquísticos y sólo en el 0.9% se encontraron tumores malignos (adenocarcinomas y rabdomiosarcoma metastásico).
Novos nomes, velhas práticas: o que há de diferente no Novo Mais Educação?
Authors: Prado Edna Cristina do , Passos Eliene Brito , Souza Maria de Fátima Matos de 
Published: May 2021

A presente reflexão é fruto de estudos conjuntos desenvolvidos por dois grupos de pesquisa, da região Nordeste e Norte, respectivamente, e teve como objetivo analisar o que há de inovação no discurso oficial do Programa Novo Mais Educação (PNME), instituído por meio da Portaria Interministerial nº 1.144, de 10 de outubro de 2016, em substituição ao Programa Mais Educação. A abordagem metodológica adotada é de cunho qualitativo, desenvolvida por meio dos procedimentos da revisão bibliográfica e análise documental. Os trabalhos Cavaliere (2009), Dutra e Moll (2018), Moll (2012), Passos (2020), entre outros, deram suporte teórico à análise. Embora a proposta do “novo” programa seja melhorar a aprendizagem em Língua Portuguesa e Matemática no ensino fundamental com a ampliação da jornada escolar de crianças e adolescentes, mediante a complementação da carga horária com 5 ou 15 horas semanais, no turno e contraturno, as pesquisas já desenvolvidas no Brasil demonstram que a concepção de gestão adotada pelo PNME é de cunho gerencialista e está ancorada nas reformas que se encontram em curso no país desde a década de 1990, instalando nas escolas de educação básica a cultura da avaliação em larga escala cujos resultados assumem o epicentro dos debates.
Sobre a capa
Authors: Unoesc Editora 
Published: May 2021

A imagem que ilustra graficamente a Seção Temática Educação Integral: contribuições para pensar escola e sociedade, ao passo que sugere sofisticação entre formas e cores em uma primeira observação, com um olhar mais atento, contrasta diferentes tipografias, cinza e coloridos.
A inclinação remete, possivelmente, mas não necessariamente, ao percurso da educação integral, desde a sua concepção até a sua materialização, em diferentes regiões e contextos, em termos de políticas públicas, gestão educacional e processos de ensino e de aprendizagem – fazendo-nos pensar se essa modalidade ascende ou descende no que se refere a contribuições teórico-práticas para pensar escola e sociedade no século XXI.
Por fim, os pincéis áureo-cerúleos, ainda ilesos, sobre o cinza, vislumbram possibilidades de formação de um sujeito efetivamente integral, ainda no decurso de fazer-se.
Mechanical characterization of a FRCM system with aramid fiber fabric embedded in green high-strength cementitious matrix
Authors: Ochirbud Munkhtuvshin , Choi Donguk , Naidanjav Undram , Ha S S , Lee C Y 
Published: May 2021

Fabric reinforced cementitious matrix (FRCM) system can be applied to strengthen existing RC structures. In this experimental study, aramid fiber (AF) mesh was used along with green high-strength mortar (f’c = 75.6 MPa) incorporating fine waste glass powder as partial replacement of cement and 100% recycled fine aggregate. Test objective was to provide basic design parameters through mechanical characterization of the AF-FRCM system. Three different types of tests were conducted: Uni-axial test of tensile specimens; flexural test of composite short beams; and pull-off test of thin FRCM placed on top of normal strength concrete. Thickness of FRCM was about 10 mm while the volumetric ratio of the fiber fabric to gross volume was 1.3% (0.65% in each direction). Tensile test results showed that the load-displacement relationship of the FRCM was relatively ductile, while tensile behavior of the AF governed at the peak load. Nominal tensile strength of the FRCM cross-section was 6.4 MPa at 4.6% strain of the composite material. Short beam strength of 1.3 MPa was determined from flexural test of composite short beams (or interlaminar shear test) performed following ASTM D2344M. In the pull-off test, two different failure modes were identified: Interface failure or substrate failure in tension. Average pull-off strength was 2.84 MPa. Design values were suggested based on current test results of the AF-FRCM.
Linking Underserved Patients to Social Services Using the SScAR Tool
Authors: Sand Kimberly A. 
Published: May 2021

BackgroundThe need to screen for social determinants of health (SDOH) is well documented in the literature. Addressing SDOH also requires linking patients to available social service resources.ObjectiveThis Social Screen Assess and Refer (SScAR) Quality Improvement (QI) project purpose was threefold: (1) develop an agency specific tool to screen for SODH; (2) implement this tool in all new patient evaluations; and (3) provide referral to patients for necessary social services.MethodsThe SScAR tool adapted questions from published screening tools and created new questions centered on available social services. A pilot study implemented the tool. Documentation of social needs before the pilot, SScAR utilization during the pilot, number of social needs, and referrals made were measured.ResultsDocumentation of SDOH screening significantly improved with the tool (α .05, χ2(1) = 21.85, p < .001). Follow-through referral to specific social resources only increased by 5%.ConclusionsThe SScAR is a feasible tool for identifying SDOH needs and creates a mechanism for linking patients with social services.Implications for NursingFuture studies must measure social service referrals, utilization of social services, and the resulting impact on specific health outcomes such as blood pressure, hemoglobin A1c, and cholesterol.
Development of Web-Based GIS Alert System for Informing Environmental Risk of Dengue Infections in Major Cities of Pakistan
Authors: Zainab Naureen , Tariq Aqil , Siddiqui Saima 
Published: May 2021

Dengue is one of the emerging major public health problems, and its incidence varies with climate conditions. It affects millions of people's lives owing to unusual socioeconomic conditions and epidemiological factors. This study was designed to build a web-based GIS alert system for dengue data management and analysis which would centralize information and make it accessible to all relevant stakeholders before, during, and after crises. Three geographical regions were selected in this study. The user interface of the dengue alert system was developed based upon MapGuide. Results indicate that risk level was mainly associated with Breteau Index. Karachi and Lahore were at their highest risk, i.e., level 4. Islamabad and Chakwal were also at the highest risk, i.e., level 4. Attock had high risk, i.e., level 3 followed by Haripur with minimal level 1. The high Breteau Index showed a direct relationship to high potential transmission of dengue outbreaks, a more significant peak of dengue was the result of monsoons, while smaller peaks were observed due to domestic water storage. Hence, it was concluded that monsoon is the best suitable season for the development of dengue. Web-Based GIS Alert System for dengue data management and analysis was developed, centralizing information and making it accessible to all relevant stakeholders before, during & after a crisis. This program creation will provide a more analytical forum for advising multiple levels of risk and an experimental method for measuring the effect of different factors on risk level distribution by adjusting the component's weighting.
Keywords : Dengue; GIS analysis; GUI; Alert system; Breteau index; Weighted overlay

Copyright (c) 2021 Geosfera Indonesia and Department of Geography Education, University of Jember
This work is licensed under a Creative Commons Attribution-Share A like 4.0 International License
Trabalho de rua de Salvador e sua contribuição para acumulação capitalista
Authors: Durães Bruno José Rodrigues 
Published: May 2021

Nosso objetivo central aqui neste texto é caracterizar o trabalho de rua em Salvador (vendedores ambulantes, camelôs...) dentro do cenário mais geral de acumulação capitalista, ou seja, situar a informalidade de rua dentro do contexto de subsunção ao capital. Assim, pretende-se, em certa medida, demonstrar as determinações contidas na atividade de rua que estão para além da sua forma primeira, para além da aparência. Dessa maneira, este texto delineia-se como uma tentativa de rompimento com o “pensamento comum” sobre a Coisa e sua forma superficial, aparente. Forma essa que, segundo Kosik (1976, p.15), “...não constitui uma qualidade natural da coisa e da realidade: é a projeção, na consciência do sujeito, de determinadas condições históricas petrificadas”.
THE EFFECTS OF PANORAMIC RADIOGRAPHY ONGINGIVAL CREVICULAR FLUIDVOLUME IN WISTAR RATS WITH PERIODONTITIS
Authors: Ramadhanty Aina , Aspriyanto Didit , Oktiani Beta Widya 
Published: May 2021

ABSTRACTBackground: Panoramic radiography is one of the most commonly used radiographic diagnostic tools. Panoramic radiography exposure can increase the GCF flow because of increasing vascular permeability.GCF flow can also increase in periodontitis conditions. Objective: The purpose of this study was to analyze the effects of 1, 2, and 3 times exposure of panoramic radiography to the volume of GCF in wistar rats with periodontitis. Method: This research was true experimental with post test onlycontrol group design. Thesampling technique used simple random samplingthat obtained 25 wistar rats comprising of 5 wistars from each group in which the GCF samples of each group was collected from. Results: The average number of GCF inhealthy rats groupthat was not exposed to panoramic radiographywas 0.114 µL, the periodontitis rats group that was not exposed to panoramic radiography was 0.246 µL, the periodontitis rats group that was exposed1 time was 0.286 µL, the group of periodontitis rats exposed 2 times was 0.294 µL, and periodontitis group of rats exposed 3 times was 0.374 µL. The results of the One-Way Anova and Post Hoc Bonferroni tests stated that there is a significant increase in the volume of GCF between the control group and all other treatment groups, as well as between the non-exposed periodontitis group and the periodontitis group with 3 times exposure. Conclusion: Panoramic radiography can causeincrease the volume of GCF in wistar rats with periodontitis. Keywords: Gingival Crevicular Fluid,panoramic, periodontitis, wistar rats
THE EFFECT OF IRONWOOD STEM BARK EXTRACT (Eusideroxylon zwageri) ON THE GROWTH OF Streptococcus mutans ON ACRYLIC RESIN DENTURE PLATE
Authors: Noviyanti Amalia , Krishnawan Firdaus I Wayan Arya , Arifin Rahmad 
Published: May 2021

ABSTRACTBackground: Streptococcus mutans is plaque-forming initiator bacteria. Plaque on the surface base of denture can cause color changing, bad breath, inflammation, and infection called denture stomatitis. Denture hygiene must be maintained by denture soaking in 0.2% chlorhexidine gluconate. However, 0.2% chlorhexidine gluconatethat used incessantly can cause side effects such as the changing of denture color and the fading of denture base pigmentation. The ironwood stem bark extract can be an alternative for denture cleanser material. Objectives: To analyze the effect of ironwood stem bark extract on the growth of Streptococcus mutans on heat cured type acrylic resin denture plate. Methods: True experimental laboratories research was used with post test only control group design using 9 treatment groups which are 5%, 10%, 20%, 40%, 60%, 80%, 100% concentration of ironwood stem bark extract, 0.2% chlorhexidine gluconate and aquadest. The treatment was performed with 3 times repetition resulting in 27 total samples. Antibacterial activity was measured by calculating the bacteria colony number. Results: The 5% and 10% concentration of ironwood stem bark extract were effective in reducing Streptococcus mutans with30.3 CFU/ml and 10.3 CFU/ml average colony number. The ironwood stem bark extracts with 20%, 40%, 60%, 80%, 100% concentration are effective and equivalent to 0.2% chlorhexidine gluconate against Streptococcus mutans with 0 CFU/ml average value. Conclusion: The 20%, 40%, 60%, 80%, 100% concentration of ironwood stem bark extract is equally effective as 0.2% chlorhexidine gluconatein killing Streptococcus mutans,exhibiting potential to be an alternative for denture cleanser material.Keyword: 0.2% Chlorhexidine gluconate, ironwood stem bark extract, acrylic resin denture plate heat cured type, Streptococcus mutans.
EFFECT OF WATER-SETTABLE GIC IMMERSION IN RIVER WATER AND PDAM WATER ON DIAMETRAL TENSILE STRENGTH
Authors: Setyawardhana Raden Harry Dharmawan , Diana Sherli , Gunawan Muhammad Rezky 
Published: May 2021

ABSTRACTBackground: Dental and oral health problems according to Riskesdas (2018) in Indonesia is 57.6% and South Borneo is almost 60%. High level of damage in South Borneo is caused by the people still consumption of river water as a source of clean water. Caries can be treated by restoration of tooth, one of them is water settable GIC.. Objective: Knowing the effect of water settable GIC immersion in river water and PDAM water to diametric tensile strength. Method: This study used a true experimental laboratory research method with a post test only design with a control group design on 27 samples which were divided into 3 groups immersion. Result: This research shows that the mean of diametric tensile strength in group 1 (7.15 MPa), group 2 (8.42 MPa), and group 3 (10.54 MPa). The One Way Anova statistical test shows the value of (P <0.05) which means that there is a significant difference in the value of the diametric tensile strength of each treatment group. Conclusion: There is an effect on the decrease in the value of the diametric tensile strength after immersion of water settable GIC in river water and PDAM water.Keyword: Diametral Tensile Strength, GIC Immersion, River Water.
ANTIBACTERIAL EFFECTIVENESS TEST OF RAMANIA LEAVES (Bouea macrophylla Griffith) FLAVONOIDS EXTRACT ON Aggregatibacter actinomycetemcomitans BACTERIA CAUSING AGGRESSIVE PERIODONTITIS
Authors: Khalishah Noor , Oktiani Beta Widya , Adhani Rosihan 
Published: May 2021

ABSTRACTBackground: Aggressive periodontitis is a disease that is mostly suffered by young patients with minimal local factors. The prevalence of this disease is approximately 8% in Indonesia, where Aggregatibacter actinomycetemcomitans bacteria are presented as dominant bacteria in this disease. Aggregatibacter actinomycetemcomitans is a gram-negative bacterium that is sensitive to flavonoids. Ramania leaves are natural substances which contain flavonoids. Flavonoids in ramania leaves can be applied as an antibacterial substance. Objectives: The objectives of this research are to determine and analyze the minimum inhibitory concentration and the minimum bactericidal concentration of flavonoids extract from ramania leaves at the concentration of 0.1%, 0.3%, and 0.5%, and analyze the antibacterial effectiveness on Aggregatibacter actinomycetemcomitans. Methods: True experimental design with pre and post-test with control group design was applied in this study. Antibacterial test using broth and agar dilution method was performed in a total of 5 treatment groups with 6 repetitions. Results: All exract at 0.1%, 0.3% and 0.5% concentration demonstrated the ability to inhibit bacterial growth, and the minimum bactericidal concentration was found at 0.5% concentration. Result test for One way ANNOVA on minimum inhibitory concentration and Kruskal wallis test on minimum bactericidal concentration exhibited significant value of less than 0.05 presenting significant differences in some groups. Conclusion: Minimum inhibitory concentration of ramania leaves flavonoid extract is effective on Aggregatibacter actinomycetemcomitans at the concentration of 0.1% and minimum bactericidal concentration of ramania leaves flavonoid extract is more effective at the concentration of 0.5%.Keywords: Aggregatibacter Actinomycetemcomitans, Aggressive Periodontitis, Dilution Method, Flavonoids, Ramania Leaves.
Pemanfaatan Aplikasi Web Sebagai Salah Satu Solusi Media Pembelajaran Jarak Jauh Di Masa Pandemi Covid-19
Authors: Suyatna Eri Teguh Kurniawan 
Published: May 2021

Pemanfaatan Aplikasi Web Sebagai Salah Satu Solusi Media Pembelajaran Jarak Jauh Di Masa Pandemi Covid-19
Inovasi Pembelajaran Kelas Inklusi di SD Negeri 003 Loa Kulu untuk Membentuk Adaptasi Perilaku Sosial Peserta Didik Berkebutuhan Khusus
Authors: Suwarni Suwarni 
Published: May 2021

<p>Inovasi Pembelajaran Kelas Inklusi di SD Negeri 003 Loa Kulu untuk Membentuk Adaptasi Perilaku Sosial Peserta Didik Berkebutuhan Khusus</p>
Prevalence and Outcomes of Unexpected Positive Intraoperative Cultures in Presumed Aseptic Revision Hip Arthroplasty
Authors: Neufeld Michael E. , Lanting Brent A. , Shehata Michael , Howard James L. , MacDonald Steven J. , Teeter Matthew G. , Vasarhelyi Edward M. 
Published: May 2021

Background:
The prevalence and outcomes of unexpected positive cultures (UPCs) of specimens taken during presumed aseptic revision total hip arthroplasty (THA) are unclear. The purpose of this study was to determine the prevalence of UPC and infection-free implant survival in this patient population. Secondary aims included identifying factors associated with subsequent infection-related failure in patients with UPC.

Methods:
We reviewed all THA revisions (n = 2,288) performed at our institution from 2006 to 2019. Presumed aseptic revision THAs with intraoperative culture(s) were eligible (n = 1,196), and those with UPC were included in a Kaplan-Meier analysis to determine the infection-free implant survival and in Cox regression analysis to identify factors associated with infection-related failure.

Results:
UPC(s) were documented for 9.2% (110) of 1,196 aseptic THA revisions. The 2- and 5-year infection-free implant survival in the entire UPC cohort was 93.1% (95% confidence interval [CI] = 90.5% to 95.7%) and 86.8% (95% CI = 82.9% to 90.7%), respectively. The 2- and 5-year infection-free survival with failure due to infection with the same microorganism as identified in the UPC as the end point was 95.8% (95% CI = 93.7% to 97.9%) and 94.3% (95% CI = 91.7% to 96.9%), respectively. Subsequent infection-related failures caused by the same microorganism as identified in the UPC were more likely to occur after revisions with ≥2 UPCs than after those with 1 UPC (p = 0.024). Revision due to adverse metal reaction was a risk factor for subsequent infection-related failure (hazard ratio [HR] = 14.49, 95% CI = 2.69 to 78.04). Patients with a single UPC who were not treated with antibiotics had no subsequent periprosthetic joint infections (PJIs) caused by the same microorganism as identified in the UPC.

Conclusions:
The prevalence of UPC was 9.2%, and the infection-free implant survival in patients with UPC is encouraging. Implant survival free of PJI caused by the same microorganism as identified in the UPC was excellent. Aseptic revision for adverse metal reaction was a risk factor for subsequent PJI in patients with UPC. No patient with a single UPC who was not treated with antibiotics developed PJI caused by the UPC-identified microorganism, suggesting that in the absence of other signs of infection a single UPC does not warrant antibiotic treatment.

Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Midterm Results of Primary Exeter Cemented Stem in a Select Patient Population
Authors: Gausden Elizabeth B. , Abdel Matthew P. , Mabry Tad M. , Berry Daniel J. , Trousdale Robert T. , Sierra Rafael J. 
Published: May 2021

Background:
Most North American surgeons predominantly use uncemented stems in primary total hip arthroplasties (THAs) and reserve cemented stems for selected older patients and those with poor bone quality. However, data on this “selective use” strategy for cemented stems in the population at risk for periprosthetic fracture and implant loosening are limited. The purpose of this study was to describe implant survivorship, complications, and radiographic results of a specific collarless, polished, tapered cemented stem (Exeter; Stryker) used selectively in a predominantly elderly population undergoing primary THA.

Methods:
We identified 386 patients who underwent a total of 423 primary THAs with selectively utilized Exeter stems for the treatment of osteoarthritis between 2006 and 2017. In the same time period, 11,010 primary THAs were performed with uncemented stems and 961 with non-Exeter cemented stems. The mean patient age was 77 years, 71% were female, and the mean body mass index was 29 kg/m2. Competing risk analysis accounting for death was utilized to determine cumulative incidences of revision and reoperation. The mean follow-up was 5 years (range, 2 to 12 years).

Results:
The 10-year cumulative incidence of any femoral component revision in this patient cohort was 4%, with 10 stems revised at the time of the latest follow-up. There were no intraoperative femoral fractures. The indications for revision were postoperative periprosthetic femoral fracture (n = 6), dislocation (n = 3), and infection (n = 1). There were no revisions for femoral loosening. The 10-year cumulative incidence of reoperation was 10%. The 10-year cumulative incidence of Vancouver B periprosthetic femoral fracture was 2%. Radiographically, there were no cases of aseptic loosening or osteolysis. There was a significant improvement in median Harris hip score, from 53 preoperatively to 92 at a mean follow-up of 5 years (p < 0.001).

Conclusions:
The strategy of selectively utilizing a collarless, polished, tapered cemented stem produced a low (4%) cumulative incidence of stem revision at 10 years postoperatively and resulted in no cases of aseptic loosening. The use of the Exeter stem did not eliminate postoperative femoral fractures in this predominantly elderly, female patient population.

Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Sparse Based Particle Swarm Optimization Algorithm
Authors: Kumar Lalit , Pandey Manish , Ahirwal Mitul Kumar 
Published: May 2021

Abstract
Particle Swarm Optimization (PSO) is the well-known metaheuristic algorithm for optimization, inspired from swarm of species.PSO can be used in various problems solving related to engineering and science inclusive of but not restricted to increase the heat transfer of systems, to diagnose the health problem using PSO based on microscopic imaging. One of the limitations with Standard-PSO and other swarm based algorithms is large computational time as position vectors are dense. In this study, a sparse initialization based PSO (Sparse-PSO) algorithm has been proposed. Comparison of proposed Sparse-PSO with Standard-PSO has been done through evaluation over several standard benchmark objective functions. Our proposed Sparse-PSO method takes less computation time and provides better solution for almost all benchmark objective functions as compared to Standard-PSO method.