bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence of Breast Cancer and Its Associated Factors for Recurrence in Hospital Tengku Ampuan Afzan 2008 – 2012
Authors: Chik Azhani 
Published: January 2021

Introduction: Breast cancer is the commonest malignancy in Malaysian women. Cancer recurrence has been a detrimental factor towards survival with peak of recurrence recorded in first 2 years of diagnoses. Identifying the prognostic factors towards recurrence is important to management and prolonging survival. Materials and method: We have retrospectively analyzed 179 patients women with breast cancer based on 5 years single centre database with minimum follow up of 2 years. The demographic and clinicopathological characteristics were determined using descriptive statistics. Survival were calculated based on Kaplan- Meier method and multivariate analysis by Cox proportional hazards was performed to evaluate the potential factors affecting breast cancer recurrence. Results: Mean follow up was 42 months, with mean age 52 years and 60.9% presented in Stage II disease. Overall recurrence was 41.9% with local recurrence 2.1%, regional recurrence 12.3% and distant recurrence 27.4%. 50% of our patients developed recurrence at 25 months. In univariate analysis, time to first presentation was significantly correlated with recurrence. However, in multivariate analysis; tumor size, lymph node positivity and lymphovascular invasion were independently associated with recurrence. Conclusion: Even though local data on breast cancer recurrence is sparse, it does correlate with the international data. Thus, optimizing our care in breast cancer.
The Validation of Questionnaire on End of Life Care Knowledge, Perceptions and Preferences among End Stage Renal Disease Patients on Haemodialysis in Kuantan
Authors: Rozi Nur Raziana , Wan Ali Wan Ahmad Syahril Rozli , Draman Che Rosle , Pasi Hafizah 
Published: January 2021

Introduction: There has been an increasing awareness on the end of life care for end stage renal disease (ESRD) patients and patients’ factors have been identified as pivotal elements in directing its implementation. Questionnaire has been a useful tool by researchers to assess on patients’ knowledge, perceptions and preferences on end of life care. However, up to date, there is no validated questionnaire developed in Malaysia for such purposes. Thus, this study aims to develop and validate questionnaires on end of life care knowledge, perceptions and preferences among ESRD patients in Kuantan. Materials and method: A cross-sectional study among haemodialysis (HD) patients aged 18 and above from 14 out-patient HD centres was performed. This study was divided into 4 phases i) developing the questionnaire involving related specialists and pre testing, ii) improving and editing the questionnaire and redistribution to 50 respondents for the pilot study, iii) factor analysis and iv) internal consistency reliability testing of the questionnaire. Results: The result of Factor analysis with Varimax rotation performed identified 3 domains for the 41 items, with 10 to 20 items in each domain. All the 41 analyzed items had a good factor loading of more than 0.4 with the lowest value of 0.421 and were nicely fit into 3 respective domains; knowledge, perception and preference. Internal consistency reliability analysis performed indicates that Cronbach’s α was between 0.5 to 0.7 for all factors which were higher than the level set for this study which is 0.5. Conclusion: The questionnaire is successfully validated and considered as a useful tool to be used. Nonetheless, improvement will still be necessary from time to time to ensure its relevance especially if it is to be used by different populations or countries of different background than Malaysia.
Post Endoscopic Retrograde Cholangiopancrea-Togram (ERCP) Perforation Managed Successfully Conservatively: A Case Report
Authors: Mohamad Abdul Malek , Ahmad Azrin Waheedy , Kasian Junaini 
Published: January 2021

Introduction: We aim to report an uncommon case of post ERCP perforation that effectively managed conservatively in non-hepatobiliary surgery centre. Case report: A 46-year-old man diagnosed to have obstructive jaundice secondary to distal common bile duct (CBD) stone. He underwent ERCP at a private centre, sphincterotomy was performed, but, the operator had failed to insert the stent and complicated with post ERCP perforation evidenced by contrast extravasation beyond 1/3rd of the CBD and referred to our centre. Patient was subjected for re ERCP. There were difficulties in cannulating the CBD and stent was inserted. Cholangiogram revealed contrast leak around the pancreatic duct and bifurcation of hepatic duct. There was no evidence of CBD stone. Computed Tomography (CT) of the abdomen revealed extensive subcutaneous emphysema on the right side of the abdomen to right inguinal region, extensive retroperitoneal free air and pneumoperitoneum, but there were no free fluid or contrast extravasation. The patient subjected for non-operative management (NOM) for the complication and kept fasting with total parenteral nutrition and intravenous antibiotic. He recovered well with the opted management. Patient was programmed with Gastrograffin study after 10 days that showed no evidence of contrast leak to suggest free bowel injury. He was allowed orally after that and was discharged well after 15 days with stent in situ. During follow up, he was well, and the stent removed after 3 months. Patient planned for laparoscopic cholecystectomy and on table cholangiogram. Conclusion: Post ERCP perforation is uncommon but lethal. Early recognition of the complication is crucial hence appropriate management can be arranged to avoid death. To date, surgery is not the only choice available to manage this complication.
An Islamic Viewpoint on Doping in Sports: An Analytical Study
Authors: Al-Dafrawi Ahmad Saad Ahmad 
Published: January 2021

Islam recommends its followers to protect the body, to enjoy full health and also prohibits them from endangering their own soul (an-Nafs) which is within their body. This study attempts to present the perspective of Islamic Shari‘ah regarding performance enhancing drugs (PEDs) used in sports. This is achieved by showing that using prohibited substances and methods constitutes fraud. Moreover, it also has a detrimental effect on the right to life and the right of bodily integrity.
The Problem: The problem states that some sports practitioners accept the idea of taking banned items and consider it to be inevitable in line with the sweeping trend of globalization. However, it is a fact that such behaviour contradicts Islamic ethics and rules which forbid cheating. Methodology: This study employed descriptive, analytical, and inferential methods as these methods suit the objectives and hypotheses of the study.
Authenticity and Value: The originality and value of this study appears in its ethical presentation and treatment of the phenomenon which has been stripped of any moral determinant.
Findings: The most important finding of this study is that cheating in sports, particularly doping in sports, is a serious problem that needs a radical solution. Furthermore, any respected athlete (male or female) who is taking PEDs should abstain from taking such drugs because it is considered as cheating that harms the body and endangers life. Accordingly, a person who takes prohibited and banned drugs contravenes both the Islamic Shari‘ah and the secular law. Moreover, that person deserves punishment suggested by both of these codes of law.
Perceived Satisfaction of Teachers about Practices of Leaders of Religious Institutes to Promote Peace Education
Authors: Gul Dr. Fariha , Yousaf Dr. Amna , Dr. Sajid Masood  , Dr. Fauzia Naheed  
Published: January 2021

Abstract
Practices of the leaders of religious institutes are fundamental in promoting peace education as their practices leave an immense impact not only on the perceptions and practices of teachers but also of the students regarding peace education. The beliefs, interests, inclinations, moral values, and competency of institutional leaders are reflected in policies they make and are presented in the practices of teachers. Owing to the importance of their practices aimed to promote peace education, there is a need to identify the extent of these practices as they are perceived by direct stakeholders, that is, teachers, which makes the aim of the current study. This research is a quantitative survey-based research. The population of this research includes the teachers of religious education institutes of Lahore. Cluster sampling method was used for the selection of sample. Data was collected from the teachers teaching to final year students and a total of 292 teachers participated in the study. A self-developed instrument was used to collect data. The instrument was based on the factors of peace education and practices used to promote them from the literature. The instrument was pilot tested and the validity and reliability of the instrument was established that was 0.87. The data was analyzed using descriptive and inferential statistics. The results indicated that teachers were satisfied with the practices of the leaders of religious institutes aimed to promote peace education. This study may help the academicians, practitioners, and policymakers to promote peace education in all schools of Pakistan.
Forage Soybeans for Grazing, Hay and Silage
Authors: Blount Ann R. , Wright David L. , Sprenkel Richard K. , Hewitt Tim D. , Hiebsch Clif K. , Myer Bob O. 
Published: January 2021

Livestock producers need a high-protein summer forage. Forage soybeans fit well in a production system following small grains or early planted corn. This document is SS-AGR-180, one of a series of the Agronomy Department, Florida Cooperative Extension Service, Institute of Food and Agricultural Sciences, University of Florida. Revised January 2003.
SS-AGR-180/AG184: Forage Soybeans for Grazing, Hay, and Silage (ufl.edu)
Principles of Fertilizer and Irrigation Management
Authors: Simonne Eric , Hochmuth George 
Published: January 2021

This publication is one of a series entitled Fertilizer and Irrigation Management in the BMP Era. This series is divided into nine principles described in the Introduction Chapter (HOS-897). This publication is part of Principle 1, "With Plasticulture, Linear Bed Feet are More Important than Field Surface." BMP implementation requires a global approach to production management. However, for presentation purposes, each aspect of vegetable production is described in a separate publication. This document is HS898, one of a series of the Horticultural Sciences Department, Florida Cooperative Extension Service, Institute of Food and Agricultural Sciences, University of Florida. Publication date: January 2003.
https://edis.ifas.ufl.edu/hs155
Proper Use of Organic Fertilizer Materials for Vegetable Crops Grown in Florida in the BMP Era
Authors: Simonne Eric , Hochmuth George 
Published: January 2021

This publication is one of a series entitled Fertilizer and Irrigation Management in the BMP Era. This series is divided into nine principles described in the Introduction Chapter (HOS-897). This publication is part of Principle 2, "Soil Test and Follow the Recommendations." BMP implementation requires a global approach to production management. However, for presentation purposes, each aspect of vegetable production is described in a separate publication. This document is HS904, one of a series of the Horticultural Sciences Department, Florida Cooperative Extension Service, Institute of Food and Agricultural Sciences, University of Florida. Publication date: January 2003.
https://edis.ifas.ufl.edu/hs161
Percepção subjetiva de esforço e recuperação da fadiga pós-sessão fisioterapêutica em pacientes com paraparesia espástica tropical
Authors: Fonseca Yana Mendonça , De Souza Leonardo Brynne Ramos , Pinto Denise da Silva 
Published: January 2021

Introdução: Ví­rus Linfotrópico de Células T Humana do Tipo-1 (HTLV-1) é um retroví­rus que afeta os linfócitos T humano e desencadeia inflamação na medula, levando í paraparesia espástica tropical/mielopatia associada ao HTLV-1 (PET/MAH) com prejuí­zos funcionais. Tais disfunções podem influenciar nos efeitos da fisioterapia, gerando diferentes ní­veis de fadiga. Objetivo: Avaliar a percepção subjetiva de esforço e de recuperação de indiví­duos com PET/MAH após sessão única de fisioterapia. Métodos: Incluí­ram-se 12 participantes sintomáticos para PET/MAH, de ambos os sexos, que foram submetidos uma vez ao protocolo fisioterapêutico. Os instrumentos avaliativos foram: Escala Modificada de Borg, Escala de Percepção Subjetiva de Recuperação (1º, 5º e 10º minuto após a sessão) e Escala de Incapacidade Neurológica do Instituto de Pesquisa Clí­nica Evandro Chagas – 2 (EIPEC). Resultados: Encontrou-se correlação moderada entre idade e taxa de percepção subjetiva de recuperação ao 1º (r = - 0,4923) e 5º (r = - 0,4913) minuto e entre í­ndice do EIPEC-2 e taxa de percepção subjetiva de recuperação ao 1º (r = 0,3592) e 5º (r = - 0,3772) minuto. Conclusão: Indiví­duos deste estudo com maior idade e grau de incapacidade neurológica têm menor percepção subjetiva de recuperação.Palavras-chave: infecções por HTLV-1, paraparesia espástica tropical, fadiga, exercí­cio.
Modulação autonômica da frequência cardí­aca em crianças e jovens com paralisia cerebral
Authors: Ferreira Vivian Aguiar Reis , Torres Daniel da Costa , Ávila Paulo Eduardo Santos , Silva Andrezza Sousa Assunção , Pereira Raphael do Nascimento 
Published: January 2021

Introdução: A paralisia cerebral é uma doença que causa distúrbios neuromusculares, doenças cardiovasculares, além de distúrbios autonômicos e homeostáticos. Objetivo: Avaliar a modulação autonômica cardí­aca de crianças e jovens com PC. Métodos: Estudo de delineamento transversal e observacional de carácter quantitativo. Foram coletados os intervalos R-R (IRR) do eletrocardiograma de 05 voluntários cadeirantes, com idade de 06 a 18 anos com PC através do cardiofrequencimetro Polar modelo V800®. Resultados: Idade média foi de 12,4 anos, ambos os gêneros, massa corpórea de 35,1 kg, estatura de 1,39 m e í­ndice de massa corpórea 16,8 kg/m2 equivalente í desnutrição. Os dados apresentam a modulação autonômica cardí­aca no domí­nio do tempo, as variáveis do desvio-padrão de todos os intervalos RR normais 60,0 ms, raiz-quadrada da média da soma dos quadrados das diferenças entre os IRR normais 60,3 ms, porcentagem dos IRR adjacentes maiores que 50 ms 16,1 % e no domí­nio da frequência a baixa frequência cardí­aca (un) 55,7, a alta frequência cardí­aca (un) 44,2, a razão da alta com a baixa frequência cardí­aca 2,3. Conclusão: As crianças e adolescentes com paralisia cerebral têm uma baixa variabilidade da frequência cardí­aca, com alta probabilidade de desenvolver doenças cardiovasculares, devido ao sedentarismo.Palavras-chave: sistema nervoso autônomo, frequência cardí­aca, paralisia cerebral.
Atuação do fisioterapeuta na atenção primária í saúde: revisão de escopo
Authors: Da Rocha Luana Padilha , Sousa Fabiana de Oliveira Silva , Dos Santos Washington José , De Melo Lorena Albuquerque , De Vasconcelos Thatiana Ferreira 
Published: January 2021

Apesar das evidências cientí­ficas sobre a importância da inclusão do fisioterapeuta na atenção primária í saúde, constata-se que a práxis desse profissional nesse ní­vel assistencial ainda é permeada de muitas indefinições. Este estudo teve como objetivo descrever a atuação dos fisioterapeutas que atuam na Atenção Primária í Saúde segundo evidências disponí­veis na literatura cientí­fica mais atual. Trata-se de uma revisão de escopo. A coleta de dados ocorreu em janeiro e fevereiro de 2019 em três bases de dados. Foram identificados 965 estudos dos quais 27 foram selecionados segundo critérios: originalidade, disponibilidade, publicação a partir de 2009, idioma (inglês, português ou espanhol). Os resultados foram sistematizados em três categorias temáticas: atuação, principais demandas e dificuldades encontradas para atuação na atenção primária í saúde. Identificou-se diversidade de atividades realizadas pelo fisioterapeuta, com predomí­nio do atendimento especí­fico individual. As principais demandas são de cuidado centrado nas doenças/agravos í saúde e as dificuldades mais citadas são a hegemonia da lógica curativo-reabilitadora e o desconhecimento dos trabalhadores e gestores quanto ao seu fazer nesse ní­vel de atenção.Palavras-chave: atenção primária í saúde, Estratégia Saúde da Famí­lia, Fisioterapia.
Fonoaudiologia educacional em tempos de pandemia de Covid-19
Authors: Jucá Elizamar Secondes do Nascimento , Nascimento Mariana Fonseca Silva 
Published: January 2021

A pandemia em razão da rápida contaminação do vírus da Covid-19 afetou diretamente os setores da sociedade, a qual precisou se adaptar a novas formas em seus estilos de vida, principalmente na limitação de contatos sociais presenciais. No ambiente escolar não foi diferente, independentemente da faixa etária todos os alunos foram obrigados a se afastarem das salas de aula, necessitando que o processo de ensino aprendizado fosse alicerçado por meio da elaboração de novas estratégias. Nesse contexto, decorre a importância do profissional da fonoaudiologia educacional, a qual é responsável por prestar um apoio aos pais e professores, principalmente no que se refere a crianças que apresentam algum problema de fala e linguagem, por exemplo, e que compromete significativamente o seu aprendizado. O tema da pesquisa consiste em compreender como deve ocorrer a atuação do fonoaudiólogo educacional em tempos de pandemia do Covid-19. O objetivo principal da presente pesquisa consiste em analisar de que forma os fonoaudiólogos podem atuar no processo educacional em tempos de pandemia do Covid-19, o qual afastou, obrigatoriamente, os alunos das salas de aulas presenciais. Dentre os objetivos específicos: verificar problemas dos alunos no processo de ensino aprendizagem realizados via remota; identificar os principais programas que podem ser utilizados pelos fonoaudiólogos educacionais em prol do apoio aos educandos e seus familiares e seus professores; Compreender as principais ações desenvolvidas pelos fonoaudiólogos educacionais. A problemática da pesquisa consiste no seguinte questionamento: como os fonoaudiólogos em tempos de pandemia do Covid-19 podem atuam em prol do desenvolvimento educacional de alunos que se encontram fora do ambiente escolar?Constatou-se por meio da pesquisa que a atuação do fonoaudiólogo é indispensável para o processo de ensino aprendizagem, pois sem o devido apoio desses profissionais a crianças que apresentam problemas em aspectos na linguagem, dificulta ainda mais o desenvolvimento educacional desses estudantes que se encontram fora das salas de aula.
Nuevo puente Champlain sobre el río San Lorenzo en Montreal. Diseño de las estructuras auxiliares para la construcción del puente atirantado
Authors: Corres Peiretti Hugo Eduardo , Pérez Caldentey Alejándro , Milián Mateos Javier , Abel Núñez Alejandro , Romero Balleteros Antonio , Lucas Serrano Conchita 
Published: January 2021

El nuevo puente Champlain sobre el río San Lorenzo en Montreal, Quebec (Canadá), se trata de una estructura de más de 3,3 km de longitud y cerca de 60 m de ancho distribuido en tres corredores. El puente principal sobre el canal de navegación es atirantado, con un solo pilono y con un vano principal de 240 m de luz. El tablero consiste en tres cajones mixtos, uno por corredor, de 3.50 m de canto. La distribución de luces es de 80.4 + 124.0 (Backspan) + 240.0 (Mainspan) + 84.4 m.
Los procesos constructivos seguidos han sido diferentes para cada uno de los vanos, así como las estructuras auxiliares necesarias para ellos. El Backspan se ha montado con grúa, por segmentos, sobre torres de apeo de 40 m de altura y de hasta casi 5000 ton de capacidad. Los primeros 36 m del Mainspan se han izado con grúa, por segmentos, sobre una estructura auxiliar de apeo inclinada en forma de jabalcón. Los siguientes 138 m se han montado por avance en voladizo desde el pilono. Y los restantes 66 m se montaron con una solución híbrida apoyada sobre un apeo provisional y por avance en voladizo con la ayuda de una torre de atirantamiento también provisional.
Todo el Mainspan se construyó por dovelas metálicas de 12,60 m de longitud por casi 60 m de ancho, con un peso de hasta 800 ton cada una. Estas dovelas se manejaban en el aire sobre el canal de navegación, se alineaban y se atornillaban unas con otras, con unas tolerancias de milímetros, gracias a un sistema auxiliar diseñado especialmente al efecto que permitía manejar estas pesadas cargas, y forzar ligeramente su geometría para compatibilizar las diferentes deformaciones entre dovelas.
Modelo mecánico para la resistencia a cortante de vigas de hormigón armado reforzado con fibras, sin armadura de cortante
Authors: Marí Bernat Antonio Ricardo , Spinella Nino , Recupero Antonio , Cladera Antoni 
Published: January 2021

Es bien conocido que la adicion de fibras de acero mejora la resistencia a cortante y ductilidad de las vigas de hormigón armado. Sin embargo, a pesar de los numerosos estudios existentes, las normativas y recomendaciones de diseño se basan en modelos empiricos que presentan mucha dispersion cuando se comparan sus resultados con los de ensayos. Ello es fundamentalmente debido a las incertidumbres asociadas al comportamiento del hormigon con fibras debido a la orientcion, ditsribucion y adherencia de las fibras con el hormigón, entre otros factores. Por ello, la caracterizacion del hormigon con fibras se asocia a parametros de ensayos a flexión, a pesar de que las tensiones post-fisuracion obtenidas no son directamente utilizables como tensiones transmitidas a través de la fisura crítica. Por otra parte, la mayoría de los ensayos existentes no disponen de estos parametros experimentales. Por ello se detecta la necesidad de disponer de modelos mecánicos (no empíricos) que partan de los parametros usados en el dise´ño del hormigón con fibras (tipo, geometria y cuantia de las fibras, etc)
A tal fin, en esta ponencia se presenta un modelo mecánico de resistencia a cortante, obtenido extendiendo el modelo "Multi-Action Shear Model" previamente desarrollado en las universidades UPC y UIB, incorporando los efectos de las fibras , tanto a puenteando la fisura crítica como aumentando la resistencia de la cabeza de compresión. Por otra parte, la tension residual a través de la fisura crítica se obtiene mediante una formulación desarrollada en funcion de las caracteristicas de las fibras (geometria, forma, caracteristicas de adherencia, volumen de fibras) y de la resistencia a traccion del hormigón. Los resultados del modelo, comparados con los de 488 tensayos a cortante incluidos en una reciente base de datos de vigas de hormigon con fibras, sin cercos, han mostrado una dispersión menor que cualquiera de los modelos existentes hasta el momento, siendo por tanto muy adecuado (por sencillez y precision) para el diseño de estas estructuras.