bluuebunny/crossref_metadata_2025_split huggingface dataset:
Recrutamento alveolar com suspiro: impacto na mecânica respiratória e oxigenação de pacientes ventilados mecanicamente
Authors: Batista Neto Artur Ferreira , Avena Katia de Miranda , Mendes Kristine Menezes Barberino , Duarte Helder Brito , Olivieri Flávia Milholo , Feijó Luciana Ferreira 
Published: January 2021

INTRODUÇÃO: O suspiro caracteriza-se pela realização de uma inspiração lenta e profunda, seguida de uma expiração lenta. Estudos sugerem que a adição de um suspiro por minuto em pacientes com síndrome do desconforto respiratório agudo, ventilados em PSV, melhora a oxigenação e a mecânica pulmonar. OBJETIVO: Avaliar o impacto da manobra de recrutamento alveolar através de suspiro na mecânica pulmonar e oxigenação em pacientes ventilados mecanicamente, além de verificar o impacto hemodinâmico e a incidência de intercorrências associadas à utilização da técnica. MATERIAIS E MÉTODOS: Estudo experimental com 17 pacientes em ventilação mecânica, apresentando relação entre pressão parcial de oxigênio alveolar e fração inspirada de oxigênio (PaO2/FiO2) inferior a 300mmHg. Avaliou-se dados respiratórios, de mecânica pulmonar e hemodinâmicos. Os dados foram coletados durante três períodos: antes do suspiro, imediatamente após e 15 minutos depois da técnica. Dois suspiros por minuto foram administrados utilizando pressão em vias aéreas limitada em 40cmH2O, durante um tempo inspiratório de quatro segundos. RESULTADOS: Após o suspiro observou-se aumento da PaO2, pressão resistiva, complacência estática e relação PaO2/FiO2, além de diminuição da pressão de platô e pressão parcial de gás carbônico alveolar (PaCO2). Após 15 minutos da retirada do suspiro observou-se que a PaO2, pressão resistiva, complacência estática e relação PaO2/FiO2 mantiveram-se acima do valor basal, enquanto que a pressão de platô manteve-se abaixo. Não foi observada alteração significante nas variáveis hemodinâmicas. CONCLUSÃO: O suspiro em pacientes ventilados mecanicamente foi capaz de melhorar a oxigenação e a mecânica pulmonar, sem comprometer a estabilidade hemodinâmica.
Retração de cintura escapular em recém-nascidos internados em uma Unidade de Cuidados Intermediários
Authors: Gomes Josiane Silva , Dos Santos Albergaria Tatiane Falcão , Villa Flor Carmen Júlia Del Rey , Pinto Júnior Elzo Pereira , Lima Gomes Iana Monteiro 
Published: January 2021

INTRODUÇÃO: As unidades de cuidados neonatais dispõem de altos recursos tecnológicos que aliados ao avanço da ciência visam garantir a sobrevida de recém-nascidos (RNs). Entretanto, o internamento expõe os RNs a variados estímulos que associados a assistência inadequada, podem favorecer o surgimento de alterações posturais. OBJETIVO: Investigar a frequência dos sinais sugestivos de retração de cintura escapular em RNs que necessitaram de internamento. MATERIAIS E MÉTODOS: Estudo observacional, quantitativo e longitudinal, realizado com 16 RNs, internados na Unidade de Cuidados Intermediários (UCI) de um hospital estadual, localizado na cidade de cidade de Salvador, Bahia, no ano de 2019. Os dados foram coletados por meio de medidas das escápulas, sinal do cachecol, protocolo de inspeção biomecânica e prontuários. RESULTADOS: Sete (43,7%) RNs apresentaram sinais sugestivos de retração de cintura escapular. Seis (37,5%) apresentaram sinal do cachecol positivo e apenas um (6,3%) apresentou simultaneamente os sinais de abdução de membros superiores, adução escapular, sinal do cachecol positivo e redução das medidas das escápulas em relação à coluna ao longo do internamento. A comparação entre a diferença do maior e do menor valor das medidas das escápulas, com o sinal do cachecol, não foi estatisticamente significante. Porém, aqueles que apresentaram sinal do cachecol positivo e/ou diminuição das medidas atingiram valores máximos de dias de internamento. CONCLUSÃO: Os sinais sugestivos de retração de cintura escapular estiveram presentes em quase metade da amostra. Importante salientar que esses achados traduzem as características específicas da população do estudo, considerando suas limitações.
Análise do desenvolvimento neuropsicomotor de pré-termos em ambulatório multidisciplinar: um olhar da fisioterapia
Authors: Almeida Nicole , Silva Daiane Aparecida da , Da Silva Larissa Rebola Volpi , Vojciechowski Audrin Said , Motter Arlete Ana , Zotz Talita Gianello Gnoato 
Published: January 2021

INTRODUÇÃO: Desde a gestação até o nascimento o desenvolvimento neuropsicomotor é influenciado por diversos fatores biopsicossociais. Tal influência pode ser ainda mais acentuada em recém-nascidos pré-termo devido a internação na Unidade de Terapia Intensiva Neonatal, por isto bebês pré-termos estão mais susceptíveis a essas influências. OBJETIVO: Analisar sob a ótica do fisioterapeuta o desenvolvimento neuropsicomotor de pré-termos em ambulatório multidisciplinar de um hospital público. METODOLOGIA: Estudo observacional e longitudinal, ambispectivo, de 19 crianças nascidas prematuras de 0 a 12 meses de idade corrigida, sendo critério de exclusão crianças com alterações cognitivas e/ou genéticas ou não terem assinado o termo de consentimento. Os dados foram coletados por meio da análise de prontuários entre agosto de 2017 e dezembro de 2018, o desenvolvimento avaliado por meio do Teste Triagem Denver II , em dois momentos: A1 e A2, em sua admissão e retorno ao serviço após a alta da Unidade de Terapia Intensiva Neonatal e para análise da relação entre mãe e bebê foi utilizada a Avaliação Vínculo Mãe/filho apenas em A1. As estimulações eram realizadas por meio de orientações e folder educativo para os pais e responsáveis. Os dados foram analisados, por meio de média, desvio-padrão, frequência absoluta e relativa, mediana, minimo e máximo e Teste de Wilcoxon para os domínios do Teste Denver II A1 em comparação a A2, utilizando o programa SPSS versão 20.0. RESULTADOS: Foram acompanhadas 19 crianças, destas 79% foram classificadas com desenvolvimento normal no A1. As crianças que apresentaram déficits no A1 (10,5%), superaram no A2. Porém, no segundo atendimento, algumas passaram a apresentar dificuldade em novas tarefas/domínio (motor, motor fino e pessoal-social), de modo que 31,5% apresentaram desenvolvimento geral anormal em A2. Foi encontrada diferença significativa (p=0,02) ao comparar as classificações gerais de Denver II nos dois momentos de avaliação. O vínculo mãe-filho foi classificado como fraco (média de 5,8 pontos). CONCLUSÃO: Observou-se que os bebês superaram os atrasos identificados na primeira avaliação, embora os resultados no Denver tiveram variações ao longo do tempo. Dessa forma, acredita-se que o perfil familiar identificado nesta pesquisa somada a abordagem multiprofissional possa ter favorecido o desenvolvimento neuropsicomotor dos bebês prematuros com até 12 meses de idade corrigida.
The role of routine thyroid assay in the management of gallstones
Authors: K S Manjula , Idris Sadaf 
Published: January 2021

Cholelithiasis is a type of biliary stone disease, with a high prevalence. Along with classic risk factors like obesity, weight loss, female sex hormones, age, an association with thyroid dysfunction has been established.To evaluate the importance of thyroid profile as a diagnostic/therapeutic workup of gallstones.The study included 200 subjects, above 18 years. 100 subjects (50 males+50 females) had cholelithiasis confirmed by ultrasonography and remaining as 100 subjects(50males+50females) control group without gallstones. After a detailed history and clinical examination, blood samples were analyzed for TSH, T3 and T4, using Chemiluminescence-Immunoassay. Subjects with history of thyroid dysfunction or on thyroid replacement therapy, diabetes mellitus, pregnancy, drugs affecting thyroid hormone levels were excluded.Computing descriptive statistics was used. Any significant difference were tested using the unpaired sample student t-test.The case group had a mean age of 45.70 ± 13.76 and the controls, a mean age of 38.78 ± 15.63. There was a significant increase in the prevalence of gallstones after the age of 40years, especially in females. 20% of cases were hypothyroid and 12% were hyperthyroid when compared to the controls which were 10% hypothyroid and 6% hyperthyroid. The higher prevalence of hypothyroid among cases was statistically significant. Among the hypothyroid cases, 80% had subclinical hypothyroidism.Our study concludes by saying that thyroid assay could be made a part of the diagnostic work up of gallstone management thus providing early detection for thyroid dysfunction and thus reducing the surgical/anesthetic complications.
Áreas para la observación astronómica a través del procesamiento digital de imágenes nocturnas en Python
Authors: Graterol-Ruiz Mariluz 
Published: January 2021

La observación de las estrellas es un derecho que la humanidad ha ido perdiendo debido a la contaminación lumínica. En este contexto, el objetivo el presente estudio fue localizar áreas para la observación astronómica a través del procesamiento digital de imágenes nocturnas en Python mediante un algoritmo utilizado en astronomía y la convolución discreta, con lo que se pudieron obtener las localidades con cielos oscuros. En conclusión, se ofrece una herramienta para localizar cielos oscuros en el estado Trujillo (Venezuela).
Reflection of mathematical concepts and theories on art
Authors: Terviel Candan , Atabey Semiha 
Published: January 2021

The source of mathematics and art is nature. In everything that is visible or invisible in nature, there is a certain order and arrangement. While science and mathematics use evidence in the process of understanding nature, the desire to create beauty has formed art. As a problem question, do we need mathematics to create beauty? Galilei’s expression that ‘Nature’s book is written with mathematics’ can be a response to that question. Maths allows us to get to know nature better by enabling us to measure and calculate the formal features of objects in nature, their ways of functioning and thus to be able to create successful designs in the fields of architecture and arts. As a result, although mathematics and art are different fields, like mathematics, art abstracts and reinterprets nature. In this study, it has been aimed to analyse the effects of mathematics and developments in the field of mathematics on various branches of art and architecture in the 21st century. The works carried out in the branch of architecture and plastic arts where the relationship between mathematics and art are exemplified examine the literature on the relationship between mathematics and art as a method.

Keywords: Mathematics, art, ceramic, geometry, number, abstract art.
Determining the optimum medium voltage level by analysis of different voltage levels
Authors: Firis Fatma Avli 
Published: January 2021

Electric energy, which is the main input of the growing world economy, depending on the consumption of the rapidly increasing world population and the devices fed with this energy, have become more indispensable in our lives with each passing day. In the consumption of electrical energy, determining the voltage level plays an important role in planning distribution systems that will directly affect consumers. Distribution systems in our country have been established at different levels for technical and financial reasons. Incorrect choices that can be made during the determination of the voltage level in distribution systems may increase energy unit costs and network losses, and may cause insulation and reliability problems. The aim of this study is to determine the optimum voltage level in distribution systems. A pilot region was determined for a local electricity distribution network in our country, and modeling and analysis were carried out at different voltage levels in the region with the help of a numerical analysis program. According to the results achieved, Insulation and reliability problems at low voltages are few and economic in terms of investment costs, but it has been observed that the operating load and cost are high due to high network losses. In high voltages, although the operating burden and cost are relatively low, it has been observed that the investment costs are high and the isolation and reliability problems are high.

Keywords: cost; distribution; investment; operating ;Voltage
Examination of Food Insecurity, Socio-Demographic, Psychosocial, and Physical Factors among Residents in Public Housing
Authors: Quintiliani Lisa M. , Whiteley Jessica A. , Zhu Jessica , Quinn Emily K. , Murillo Jennifer , Lara Ramona , Kane John 
Published: January 2021

Objectives: Understanding associations between psychosocial and physical factors among those who experience food insecu­rity could help design effective food insecu­rity programs for improved cardiovascular health among low-income populations. We examined differences in psychosocial and physical factors between those who were food secure compared with food insecure among public housing residents.Methods: Data were from the baseline survey of a randomized controlled trial of a weight management intervention in Boston, Massachusetts from 2016-2017. Food insecurity and psychosocial and physical factors, including perceived stress, personal problems, social support, and physical symptoms, were measured via interviewer-administered screeners.Results: Mean age of the sample (N=102) was 46.5 years (SD=11.9). The majority were Hispanic (67%), female (88%), with ≤high school degree (62%). Nearly half were food insecure (48%). For psychosocial vari­ables, those who were food insecure had higher ratings of perceived stress (adjusted mean difference 3.39, 95% CI:2.00,4.79), a higher number of personal problems (ad­justed mean difference 1.85, 95% CI: 1.19, 2.51), and lower social support (adjusted mean difference -0.70, 95% CI:-1.30,-0.11) compared with those who were food se­cure. For physical variables, those who were food insecure had higher odds of reporting negative physical symptoms (aOR 4.92, 95% CI:1.84,13.16).Conclusion: Among this sample of public housing residents, food insecurity was as­sociated with higher stress, more personal problems, higher experiences of physical symptoms, and lower social support. Ethn Dis. 2021;31(1):159-164; doi:10.18865/ed.31.1.159
A Survey of Parental Knowledge of Respiratory Syncytial Virus and Other Respiratory Infections in Preterm Infants
Authors: Bracht Marianne , Bacchini Fabiana , Paes Bosco 
Published: January 2021

PurposeEvaluate parental knowledge of respiratory syncytial virus (RSV) and other respiratory infections in preterm infants.DesignSurvey.SampleFive hundred and eighty-three parents of preterm infants with generalized, Canadian provincial representation.Main OutcomeKnowledge of RSV infection, sources of information, and parental understanding of disease risk.Results97.9 percent (571/583) of the parents had heard about RSV, since they all had a preterm infant. Sixty-one percent reported having good knowledge of RSV; 19.4 percent had very good knowledge; 19.7 percent had little or no awareness of RSV-related infection. Most (86.3 percent) believed that RSV illness was a very serious condition; 13 percent recognized that it could be a major problem for their child. Principal sources of information were the nurse, doctor and pamphlets. Over 480 participants cited 3 or more sources of additional information—Internet, social media platforms, and educational sessions. Respiratory syncytial virus prophylaxis was a priority, but knowledge regarding the eligibility criteria for prophylaxis is essential.
Ratio of CD68/CD163 in Breast Carcinoma with and without Axillary Lymph Node Metastatic
Authors: Wiratama Priangga Adi , Sandhika Willy 
Published: January 2021

Tumor and its microenvironment can interact each other. Macrophage is part of tumor microenvironment. New drugs targeting specific superficial receptor of macrophage or cytokine of macrophage polarization have been found. Therefore, macrophage phenotype and its ratio of M1/M2 macrophage need to be identified. This identification could lead us to prognose breast cancer and monitor its therapy. Analytical observational study with cross sectional approach, conducted on paraffin block sample of breast carcinoma from Anatomical Pathology Laboratory of Dr. Soetomo General Hospital. The samples divided into four groups based on nodal metastasis staging (N0, N1, N2, and N3) and stained with antibody against CD68 and CD163. The ratio of CD68 and CD163 were analyzed with Anova test. There were difference expression of CD68 as M1 macrophage marker in various axillary node metastasis groups (p=0.015). There were difference ratio of CD68 as M1 macrophage marker and CD163 as M2 macrophage marker in various axillary node metastasis groups (p=0.005). There were difference ratio of macrophage M1 and macrophage M2 between N0 and N3 group, N2 and N3 group also.
Impact of a Family Economic Intervention (Bridges) on Health Functioning of Adolescents Orphaned by HIV/AIDS: A 5-Year (2012–2017) Cluster Randomized Controlled Trial in Uganda
Authors: Ssewamala Fred M. , Shu-Huah Wang Julia , Brathwaite Rachel , Sun Sicong , Mayo-Wilson Larissa Jennings , Neilands Torsten B. , Brooks-Gunn Jeanne 
Published: January 2021

Objectives. To investigate the long-term impacts of a family economic intervention on physical, mental, and sexual health of adolescents orphaned by AIDS in Uganda. Methods. Students in grades 5 and 6 from 48 primary schools in Uganda were randomly assigned at the school level (cluster randomization) to 1 of 3 conditions: (1) control (n = 487; 16 schools), (2) Bridges (1:1 savings match rate; n = 396; 16 schools), or (3) Bridges PLUS (2:1 savings match rate; n = 500; 16 schools). Results. At 24 months, compared with participants in the control condition, Bridges and Bridges PLUS participants reported higher physical health scores, lower depressive symptoms, and higher self-concept and self-efficacy. During the same period, Bridges participants reported lower sexual risk-taking intentions compared with the other 2 study conditions. At 48 months, Bridges and Bridges PLUS participants reported better self-rated health, higher savings, and lower food insecurity. During the same period, Bridges PLUS participants reported reduced hopelessness, and greater self-concept and self-efficacy. At 24 and 48 months, Bridges PLUS participants reported higher savings than Bridges participants. Conclusions. Economic interventions targeting families raising adolescents orphaned by AIDS can contribute to long-term positive health and overall well-being of these families. Trial Registration. ClinicalTrials.gov registration no. NCT01447615.
The Theory of Practice and Action in Paul of Worczyn’s Thought
Authors: Płotka Magdalena 
Published: January 2021

The article presents Paul’s of Worczyn theory of action. The article is divided into three parts: in the first one, Paul’s theory of action as a movement is presented. The second part concentrates on twofold division of action, practicaand praxis. The third part clarifies the problem of the principle of action. The article ends with a conclusion that Paul’s theoretical solutions within the theory of action are consistent with his anthropological stance accentuating the unity of the soul and its powers.
The Reception of Pseudo-Dionysius’s Negative Theology in Alan of Lille
Authors: Osorio José 
Published: January 2021

The article investigates the reception of Pseudo-Dionysius’s negative theology in Alan of Lille’s philosophical and speculative theological works. In the first part, the paper discusses how Alan applied Pseudo-Dionysius’s negative theology to the problem of translatio and the limits of theological language. In the second part, the article sheds light on the problematic textual references and allusions in Alan’s appropriation and remarks about Pseudo-Dionysius. In the final section, the paper argues that despite Alan’s lack of access to the complete Corpus Aeropagiticum, his interpretation and adoption of negative theology is philosophically compelling.
Late Miocene to Quaternary Development of the Jiujing Basin, Southern Beishan Block, China: Implications for the Kinematics and Timing of Crustal Reactivation North of Tibet
Authors: Yang Haibo , Yang Xiaoping , Cunningham Dickson , Huang Xiongnan , Hu Zongkai , Yang Huili 
Published: January 2021

AbstractWe present results from a multidisciplinary investigation of the Jiujing fault (JJF) system and adjacent Jiujing Basin in the southern Beishan block, western China. Structural and geomorphological fieldwork involving fault and landform investigations, remote sensing analysis of satellite and drone imagery, analysis of drill-core data, paleoseismological trench studies, and Quaternary dating of alluvial sediments suggest the JJF is a late Pleistocene to Holocene oblique sinistral-slip normal fault. Satellite image analysis indicates that the JJF is a connecting structure between two regional E-W-trending Quaternary left-lateral fault systems. The Jiujing Basin is the largest and best developed of three parallel NE-striking transtensional basins within an evolving sinistral transtensional duplex. Sinistral transtension is compatible with the orientation of inherited basement strike belts, NE-directed SHmax, and the modern E-NE-directed geodetic velocity field. Cosmogenic 26Al/10Be burial dating of the deepest sediments in the Jiujing Basin indicates that the basin began to form at ~5.5 Ma. Our study reveals a previously unreported actively deforming domain of transtensional deformation 100 km north of Tibet in a sector of the Beishan previously considered tectonically quiescent. Recognition of latest Miocene-Recent crustal reactivation in the Jiujing region has important implications for earthquake hazards in the Beishan and western Hexi Corridor/North Tibetan foreland sectors of the Silk Road Economic Belt. Additionally, we compare the timing of latest Miocene-Recent crustal reactivation in the southern Beishan with the documented onset of reactivation in other deforming regions north of Tibet.
Average Fracture Compressibility from Flowback Data
Authors: Hossain Sabbir , Ezulike Obinna , Fu Yingkun , Dehghanpour Hassan 
Published: January 2021

Summary
We propose a novel method for estimating average fracture compressibility cf¯ during flowback process and apply it to flowback data from 10 multifractured horizontal wells completed in Woodford (WF) and Meramec (MM) formations. We conduct complementary diagnostic flow-regime analyses and calculate cf¯ by combining a flowing-material-balance (FMB) equation with pressure-normalized-rate (PNR)-decline analysis.
Flowback data of these wells show up to 2 weeks of single-phase water production followed by hydrocarbon breakthrough. Plots of water-rate-normalized pressure and its derivative show pronounced unit slopes, suggesting boundary-dominated flow (BDF) of water in fractures during single-phase flow. Water PNR decline curves follow a harmonic trend during single-phase- and multiphase-flow periods. Ultimate water production from the forecasted harmonic trend gives an estimate of initial fracture volume. The cf¯ estimates for these wells are verified by comparing them with the ones from the Aguilera (1999) type curves for natural fractures and experimental data. The results show that our cf¯ estimates (4 to 22×10−5 psi−1) are close to the lower limit of the values estimated by previous studies, which can be explained by the presence of proppants in hydraulic fractures.