bluuebunny/crossref_metadata_2025_split huggingface dataset:
Psychometric Comparison of the Performance of Quality of Life Assessment Instruments in Dermatology—the DLQI, Skindex-16, and Skindex-17—in a Brazilian Population.
Authors: Jorge Marilia Formentini Scotton , Mourão Ioana Bittencourt , Sousa Ticiane Dionisio , Pollo Camila Fernandes , Meneguin Silmara , Miot Hélio Amante 
Published: June 2021

Abstract
Background: The DLQI (Dermatology Life Quality Index) is the most commonly used instrument for evaluating the quality of life in dermatology. Skindex was developed as a multidimensional instrument with successive versions published, the most recent being Skindex-16 and Skindex-17, both derived from Skindex-29 through different techniques. This study aimed to compare the three instruments—the DLQI, Skindex-16, and Skindex-17—according to their psychometric performance to refine the assessment of the quality of life among dermatological patients.Methods: A methodological study compared the psychometric performance of the DLQI, Skindex-16 (Sk-16), and Skindex-17 (Sk-17) instruments among adults with dermatoses that were classified according to characteristic physical symptoms and psychological or social domains. Analyses were performed to assess internal consistency, correlation, test-retest reproducibility, and responsiveness according to classical psychometry and to test discrimination and difficulty according to the item response theory.Results: The sample consisted of 229 patients predominantly women (71%) of adult age (average 45 years) and intermediate phototypes (III and IV = 73%). The analyses of internal consistency for the instruments resulted in Cronbach-α coefficients >0.80. There was adequate test-retest reproducibility and responsiveness for all dimensions of the instruments. The IRT (Iten Response Theory) analysis indicated adequate ordering and discrimination (a >1.0) for all items of the DLQI, Sk-16, and Sk-17; four items of Sk-16 did not adequately adhere to the TRI model (p <0.01 ). The items with the greatest discrimination were q3 (domestic activities) and q5 (leisure activities) in the DLQI; F2 (desire to be with people) and E6 (annoyance) in Sk-16; and S4 (irritated skin), P5 (relationship), and P6 (autonomy of tasks) in Sk-17. The Sk-16 and Sk-17 instruments presented more items that registered mild impacts on the quality of life (b <-0.5).Conclusions: The DLQI, Sk-16, and Sk-17 presented adequate psychometric performance for the assessment of health-related quality of life in a Brazilian sample. The multidimensional instruments (Sk-16 and Sk-17) were more sensitive to mild impacts on quality of life.
Follow-Up Study of Echocardiography in 38 Children With Kawasaki Disease Complicated by Heart Lesion
Authors: Liu Tingting , Hou Weina , Xu Liandi , Li Tianhua , Qiu Baihong 
Published: June 2021

Abstract
Background: The most common and most serious complication of Kawasaki disease (KD)is heart lesion(HL), which is the main cause of childhood acquired HL.Objective: Use echocardiography to study the HL recovery of children with KD complicated by HL, and provide an important theoretical basis for the prognosis of KD complicated by HL.Methods: Using prospective research methods, 38 children with KD complicated by HL were followed up for echocardiographic examination, and the longest examination time was one year. And carry on statistical analysis to the inspection data.Results: In 38 children with KD complicated by HL, 36 cases of coronary artery lesion (CAL), including 29 cases of coronary artery dilation(CAD), 7 cases of coronary artery stenosis(CAS), and 2 cases of simple pericardial effusion without CAL. CAL complicated with valve regurgitation in 4 cases, pericardial effusion in 3 cases, and left ventricular enlargement in 4 cases. In about 3 weeks, most of the pericardial effusion and mild CAD recovered. At 3 months, except for a few severe CAL, heart valve regurgitation and left ventricular enlargement all recovered. The recovery of moderate CAD was slow. One case still failed to return to normal after 1 year, but the coronary artery diameter gradually decreased.Conclusion: Kawasaki disease complicated by heart lesion mainly affects the coronary arteries, and the main manifestation is expansion. The more the expansion, the slower the recovery.
Correspondence of the Boston Assessment of Traumatic Brain Injury-Lifetime and In-Theater Department of Defense Medical Records
Authors: Kim Sahra , Currao Alyssa , Fonda Jennifer R. , Beck Brigitta , Kenna Alexandra , Fortier Catherine B. 
Published: June 2021

Abstract
Background: Since 2006, efforts have been made to increase the identification of traumatic brain injuries (TBIs) in post-9/11 military personnel. The BAT-L is the first validated instrument to diagnose TBIs throughout the lifespan in post-9/11 Veterans. The objective is to investigate the correspondence of the Boston Assessment of TBI-Lifetime (BAT-L) diagnostic prevalence and injury severity of traumatic brain injury with in-theater medical records from Department of Defense (DoD). Methods: A convenience sample of 153 Veterans deployed in 2011 enrolled in the TRACTS longitudinal cohort study was examined. Retrospective review of DoD online medical records to determine diagnostic prevalence and injury severity for all head injury cases during deployment were compared with diagnostic prevalence and injury severity from the BAT-L clinical interview using Chi-square analyses.Results: There was moderate correspondence for TBI diagnosis between the BAT-L and DoD records (κ = 0.42). Sensitivity was 72.7% and specificity was 82.8%. Comparison of injury severity also had moderate correspondence (κ = 0.41). Missing TBI diagnostic data from DoD records was frequent; 43% percent of TBIs reported on the BAT-L did not have any documentation of mTBI assessment or diagnosis in DoD records while 83% did not have in-theater documentation.Conclusions: Diagnosis of TBI via the BAT-L retrospective interview was both sensitive and specific when compared to DoD medical records. However, diagnostic correspondence was only moderate. This lack of diagnostic agreement was related to multiple factors including lack of documentation of injury, differences in assessment tools and goals, and other combat-related motivational factors associated with failure to report injuries while deployed. Several policies were implemented to address underreporting and under-documentation of TBI, yet challenges remain. Findings suggest changes at both individual-level (e.g. service members) and system-level (e.g. DoD/military branches) are needed to adequately diagnose and document all TBI during deployment.
The Impact Factor of Colon Polyp
Authors: Zhou Zheng , Wang Guangming 
Published: June 2021

Abstract
Objective: To evaluate the relationship between Helicobacter pylori and colonic polyp.Methods: The clinical data of 850 patients who underwent both colonoscopy and Helicobacter pylori check were collected in our hospital from January 2018 year to January 2019 year. Patients were divided into polyp group and control group. To analyze the helicobacter pylori infection of two groups, and the relationship among helicobacter pylori infection, eradication treatment and recurrence of colonic polyp. Further to analyze the impact factor of the recurrence of colonic polyp.Results: There were no significant difference in sex and age aspects of two groups. Through SPSS software analysis, the infection rate of helicobater pylori was higher in polyp group than in control group. The recurrence rate of helicobacter pylori positive patients were more higher than helicobacter pylori negative patients. The recurrence rate of helicobacter pylori eradication group was lower than helicobacter pylori no eradication group. the impact factor of the recurrence of colonic polyp include helicobacter pylori infection, pathological type of polyp and the number of polyps.Conclusion: The helicobacter pylori infection rate of colonic polyp group were more higher. The impact factor of colonic polyp recurrence include helicobacter pylori infection, pathological types of polyp and polyp number.
An Unusual Breast Mass in a 13-year-old Girl: a Case Report
Authors: Long Tianzhu , Yao Yuzhi , Shi Quan , Cai Yuanxuan , Li Quan , Fu Benjie , Ma Hongmin 
Published: June 2021

Abstract
BackgroundIn puberty breast intraductal papilloma was rare, but the pathological changes of intraductal papilloma combined with intraductal fibroadenoma in the duct lumen were even less reported. Herein we reported a case of adolescent benign breast disease that contained the two features of neoplasm in the same duct and discussed its clinical course.Case presentationA 13-year-old adolescent female presented to our hospital with spontaneous bloody discharge of the left nipple. On clinical examination, a 2.5cmx1.5cm mass could be palpable under the left nipple, and a single-hole bloody discharge could be seen by squeezing the mass. Surgical resection of the mass and part of the breast duct was confirmed by postoperative pathology as intraductal papilloma and intracanalicular type fibroadenoma, with cystic changes of ductal epithelium hyperplasia. After 15 months of follow-up, there was no evidence of recurrence.ConclusionsIntraductal fibroadenomatosis may be a new pathological subtype in which multiple histologic characteristics can be seen in the same duct. Surgical resection is the only effective treatment. Its etiology is still unknown, and it remains to be accumulated more cases for further exploration.
The Insurance Coverage Paradox- Characterizing Outcomes Among Dual-Eligible Hemorrhagic Stroke Patients
Authors: Pierre-Louis Youry S , Perla Krissia M. Rivera , Perez Giancarlo Medina , Jean-Charles Skenda , Tang Oliver Y. , Nwaiwu Chibueze A. , Weil Robert J. , Shah Nish , Heffernan Daithi S. , Moreira Carla C 
Published: June 2021

Abstract
Background: Socioeconomic factors, such as insurance status, have been shown to affect outcomes following emergency injuries. Dual-eligible beneficiaries, receiving both Medicare and Medicaid, constitute a vulnerable population. There is a lack of data on the impact of dual-eligible status on hemorrhagic stroke outcomes. The aim of our study was to compare hemorrhagic stroke outcomes among dual-eligible patients compared to Medicare, Medicaid, privately insured, and no charge (free or charity) patients.Study Design: We conducted a 10-year span retrospective analysis of the National Inpatient Sample. Adult patients who were emergently hospitalized for intracranial hemorrhage were included. Multivariable logistic regression was used to adjust for confounders. Primary clinical outcomes of interest included mortality (in-hospital), complications (any), and favorable discharge (home/home with services).Results: A total of 410,621 patients met inclusion of which 6.8% were dual-eligible. Dual-eligibles had higher odds of in-hospital mortality compared to no-charge (adjusted odds ratio (aOR)=1.61, 95% CI= [1.04 – 2.49]) and increased odds of complications compared to Medicaid (aOR=1.23 [1.11 – 1.37]) and privately insured patients (aOR=1.19 [1.11 – 1.28]), both p<0.001. Dual-eligibles had lower odds of favorable discharge compared to all other groups (all p<0.001), and underwent shorter lengths of stay, an 18% decrease, compared to Medicaid patients (p<0.001). Inflation adjusted admission costs among dual-eligibles were 24% lower compared to Medicaid patients (p<0.001), amounting to a $3,684 decrease in cost.Conclusions: Dual-eligible beneficiaries experience unique health disparities from lower odds of favorable discharge to increased odds of complications and in-hospital mortality compared to other insured and uninsured groups. There is a need to uncover and address unknown sources of disparities to improve emergency treatment of hemorrhagic stroke among dual-eligibles.
Quality of Life in Women with Urinary Incontinence Seeking Care Using E-Health
Authors: Åström Ylva , Asklund Ina , Lindam Anna , Sjöström Malin 
Published: June 2021

Abstract
Background Quality of life (QoL) in women with urinary incontinence (UI) is mainly affected by severity of UI, but also by, for example, UI subtype, comorbidity, age, and socioeconomic status. Using e-health to provide treatment for UI is a new method. In this study we investigate what factors have the highest impact on QoL in women who turned to e-health for self-management of UI. Methods Baseline data from three randomized controlled trials (RCT) for evaluating e-health treatments for UI were used, including 373 women with stress urinary incontinence (SUI), and 123 women with urgency/mixed UI (UUI/MUI). All participants were recruited online, with no face-to-face contact. We used the questionnaires International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) to measure UI severity, and ICIQ Lower Urinary Tract Symptoms Quality of Life (ICIQ-LUTSqol) to measure condition-specific QoL. To evaluate factors impacting on QoL, a linear regression model was used. Results The mean ICIQ-LUTSqol score was 34.9 (SD 7.6). The ICIQ-UI SF score (0-21) affected the ICIQ-LUTSqol (19-76), with an adjusted mean increase of 1.5 for each 1.0 increase in the overall ICIQ-UI SF score (p <0.001). UUI/MUI gave an adjusted mean increase of 2.5 in ICIQ-LUTSqol score compared with SUI (p <0.001). Conclusion As in women seeking other methods of care for UI, a decreased QoL was found in those who turned to e-health for self-management of UI. The impact of condition-specific factors on their QoL was slightly lower than that of women with UI who sought help in ordinary care, suggesting that e-health might reach a new group of women in need of treatment. Severity of the leakage had greater impact on QoL than type of UI.
Does Environment has any role in recovery from COVID-19 pandemic? A case study from India.
Authors: Gupta Amitesh , Saha Labani 
Published: June 2021

Abstract
The present study has investigated the role of meteorology and air quality for recovering from the COVID-19 pandemic in India. Using Pearson’s correlation method, we look into if there is any significant association occurs between the district level recovery case counts and different remote sensing based environmental variables. Among weather parameters, only precipitation and air temperature found to be significantly correlated with recovery situation. However, all the pollutants’ concentration was negatively correlated with count of recovery cases. It depicts that air quality might has greater importance in recovery from this disease. During late monsoon onwards, recovery rate was getting more than the infections which indicate that lesser temperature and good rainfall could help the air to be freshen. Through air pollution was greater during winter and post monsoon than the summer season in India the higher recovery rate was counted during post-monsoon and winter which suggest that patients may require lesser temperate ambient for better recovery. Spatial patterns also suggest that north-eastern hilly region followed by districts located in the northern mountain had better recovery where the pollutants’ concentration was also quite lower during the study period. Therefore, improving air quality with proper preventive precaution could help to combat the pandemic situation in India.
Semiotika untuk Memahami Makna Arsitektur Ragam Hias
Authors: Sunarti Sri 
Published: June 2021

Title: Semiotics to Comprehend The Change in The Meaning of An Ornament

Semiotics is the science of a sign that consists of the structure of the signifier and the signified. As a medium of communication, a sign serves as a stand of something else or represents an expression message from the maker or owner to another party (interpretant) to be able to read. (Peirce, 1986 as cited in Chandler, 2007). Ornamental architecture is a work of art as a sign that is a medium of communication to viewers or related parties, which contains meaning that is not yet known or understood. The unknown meaning is caused by several types (1. decoration of new creations; 2. historical breakdown; 3. transfer of context; 4. correction of meaning due to discrepancies). Given that ornamental architecture is a sign of a grammatical "text", it is possible to interpret it using the same scientific approach of signs. Presumably, semiotics is deemed appropriate even though the results of the interpretation are not absolute. The accuracy and experience (object, location, specific time) of the sign interpretant greatly determine the result of the meaning of the sign, besides the influence of the possible socio-cultural, economic, political, religious, technological background factors, typical forms, masses and evaluators. The success in interpreting the sign proportionally becomes a reference in behaving or acting or placing ornamental architecture more proportionally. This is where the role of semiotics is very helpful in interpreting the sign of ornamental architecture as a basis for further action. Therefore, all things around that are signs related to our lives can always be treated appropriately.
Comparison of flow turbulence over a sand bed and gravel bed channel
Authors: Sharma Anurag , Kumar Bimlesh 
Published: June 2021

Abstract
Experiments were performed to examine the variations in flow turbulence with respect to sand and gravel bed channel. The 3D instantaneous velocity of water is measured by acoustic doppler velocimeter (ADV) at the test section, which will provide an important data related to the flow turbulence. The parameters of turbulence measured that the vertical profiles of longitudinal velocity in flows with a sand bed channel at the vicinity of the bed surface are higher by 2–6% than flow subjected to gravel bed channel, while away from the boundary surface, it decreases by 5–10%. The variations of Reynolds shear stress increase by 35–50% with gravel bed channel, indicating higher exchange of flow energy towards the boundary and vice versa. The higher value is obtained for shear velocities by 58.5% and the von Karman's constant with gravel bed channel. The gravel bed channel influenced the turbulence intensities with higher magnitude in the streamwise and vertical direction. The present study also analysed the flow anisotropy, correlations coefficient and turbulence diffusivity and compared the results. The outcomes of the current work are beneficial for civil and hydraulic engineers, since the data of turbulence will advance the management of bed materials present in the river.
Kinetics, degradation mechanisms and antibiotic activity reduction of chloramphenicol in aqueous solution by UV/H2O2 process
Authors: Giri Ardhendu Sekhar , Golder Animes Kumar , Chakma Sankar 
Published: June 2021

Abstract
In this study, the aim was to explore the effectiveness of the UV/H2O2 photolysis (UVP) process in terms of antimicrobial activity reduction and increasing the mean oxidation number of carbon (MONC) under the degradation of chloramphenicol (CHPL) drug. CHPL degradation kinetics and the effects of foreign anions on CHPL degradation were explored in this study. The order of the inhibition effect was found as Cl− &gt; NO3− &gt; HCO3− due to their different in HO• radical scavenging capacity. A pseudo-first-order model for CHPL degradation was well established, and the rate constant (kobs) was 2.93 × 10−2 min−1 (R2 = 0.98) in UVP. Thirteen intermediate products were detected in MS-chromatogram and were identified through different proposed degradation pathways. The cleavage of the amide side chain in CHPL was more effective in CHPL degradation due to an electrophilic attacks by HO. radicals on it. The inactivation rates of E. coli were decreased due to the reduction of -NO2 group into -NH2 functional group in CHPL that leads to the production of low toxic compounds on CHPL degradation.
Coronary bifurcation lesions: current techniques for endovascular treatment
Authors: Eraliev T. K. , Khelimskii D. A. , Badoian A. G. , Krestyaninov O. V. 
Published: June 2021

<p>Bifurcation lesions are among the most challenging issues in interventional cardiology, occurring in approximately 15% – 20% of all types of coronary artery disease. Challenges in the endovascular treatment of such lesions include anatomical variability, different treatment approaches, difficulties in physiological assessment of the bifurcation branches, and a high risk of restenosis. Current bifurcation classifications are unable to prognose long-term clinical outcomes. Provisional T-stenting can be used in most cases, including in complex bifurcation lesions. This article aimed to review the current classification of bifurcation lesions, describe the available bifurcation stenting techniques, and discuss the current evidence base.</p><p>Received 27 December 2020. Revised 9 March 2021. Accepted 12 March 2021.</p><p><strong>Funding:</strong> The study did not have sponsorship.</p><p><strong>Conflict of interest:</strong> Authors declare no conflict of interest.</p>
Políticas de educação do campo no território de identidade sertão produtivo na Bahia-Brasil: apontamentos de pesquisa
Authors: Marques Tatyanne Gomes , Pereira Eugênia da Silva , Silva Priscila Teixeira da 
Published: June 2021

Este texto tem por objetivo apresentar e analisar as políticas de Educação do Campo no microcontexto do Território de Identidade Sertão Produtivo na Bahia – Brasil. O estudo se situa no campo das políticas públicas educacionais e centra-se nas propostas implementadas e/ou reivindicadas por diferentes atores e atrizes que protagonizam a vida e atuam no microcontexto focalizado. Para isso, faz uso de uma metodologia de revisão bibliográfica das produções de 2009 a 2020 da linha de pesquisa “Educação do Campo, Educação de Jovens e Adultos e Movimentos Sociais”, do Núcleo de Estudo, Pesquisa e Extensão Educacional Paulo Freire (NEPE), da Universidade do Estado da Bahia (UNEB), que tem o Sertão Produtivo como lócus principais de suas investigações. O levantamento das produções evidencia uma produção diversa – teses, dissertações, Trabalho de Conclusão de Curso, artigos em periódicos e anais de eventos. A análise dessas produções confirma, no cenário local, as contradições da política pública para a Educação do Campo: uma crescente visibilização dessa modalidade educacional e seus/suas protagonistas; a inserção dessa pauta nos marcos legais e nas políticas municipais, ao mesmo tempo que ocorre o fechamento e a nucleação extracampo das escolas, políticas de formação e trabalho docente universalistas, bem como práticas pedagógicas que, enquanto escolhas políticas, negam a identidade e cultura dos povos do campo.