bluuebunny/crossref_metadata_2025_split huggingface dataset:
Epidemiologic Evidence for Association between a High Dietary Acid Load and the Breast Cancer Risk
Authors: Ronco Alvaro L. , Martínez-López Wilner , Mendoza Beatriz , Calderón Juan M. 
Published: April 2021

Background and Purpose: Dietary acid load contributes to metabolic acidosis, leading to inﬂammation and cell transformation, potentially implicated in cancer development. Albeit an increased risk of recurrence among BC survivors was reported for a high acid load, the epidemiologic evidence associating diet-dependent acid load and cancer risk, particularly for breast cancer (BC), is still very limited. Therefore, we have explored in the present study its role in BC risk. Methods: A case-control study was performed on 1461 patients (572 BC cases and 889 age-frequency matched controls), through a multi-topic questionnaire, which included a food frequency questionnaire. Food-derived nutrients were calculated from available databases. The dietary acid load was calculated based on existing measures as potential renal acid load (PRAL) score and net endogenous acid production (NEAP) score. Odds Ratios (ORs) and their 95% confidence intervals were estimated by logistic regression, adjusting for potential confounders. Results: We found direct associations between dietary acid load and BC risk. Both scores were significantly associated (OR=2.46 and OR=1.78 for highest PRAL and NEAP, respectively). A positive BC family history involved higher risks (OR=6.14 and OR=3.38 for highest PRAL and NEAP, respectively). Linear trends were found in all overall and stratified analyses. Conclusions: Results suggest that a low acid load dietary style may reduce BC risk since both PRAL and NEAP scores were directly associated with meat intake and inversely associated with plant-based foods intake. The findings agree with studies focused on food groups and dietary patterns. Further studies are needed to confirm these findings. Doi: 10.28991/SciMedJ-2021-0302-8 Full Text: PDF
Assessment of the Quality of Life of African Black Children with Atopic Dermatitis by the CDLQI Score
Authors: Kouassi Yao Isidore , Ahogo K. C. , Bia O. F. , Kouassi K. A. , Kourouma H. S. , Allou A. S. , Gbandama K. P. , Kassi K. , Ecra E. J. , Kaloga M. , Gbery I. P. , Kouamé K. , Sangaré A. 
Published: April 2021

Introduction: Atopic dermatitis (AD) is a chronic inflammatory disease that affects both children and adults. The main symptom is pruritus, which has an important impact on quality of life (QoL). The objective of our study was to assess the impact of AD on the quality of life of children through the CDLQI score.
Population and Methods: We performed a cross-sectional survey, with descriptive and analytical aims, carried out on the basis of prospective recruitment, carried out over a period of 7 months from December 2017 to June 2018. The study included children (5-16 years) with AD selected during dermatology consultations at the Centre Hospitalier Universitaire of Treichville. Data collected included the socio-demographic characteristics of patients and their AD and the results of a questionnaire on the severity score (SCORAD) and the quality of life index in these children (CDLQI).
Results: We included 60 children, mainly within the group from 05 to 09 years (57%). CDLQI average score was 9.9 and mean SCORAD 24. Pruritus, insomnia and sadness had more impact on QoL. We found a strong association between the severity of AD objectified by SCORAD and the CDLQI.
Conclusion: The study reveals a high impact of AD on the QoL of children in Abidjan mainly through pruritus, insomnia and sadness. It opens up reflection on the need for education for AD management and the prospect of creating an atopy school in Côte d’Ivoire.
EVALUACIÓN DE ADAPTABILIDAD FAMILIAR Y DIABETES MELLITUS TIPO 2 EN EL ADULTO MAYOR.
Authors: Vásquez-Illescas Jorge , Zhuzhingo-Vásquez Carlos 
Published: April 2021

El estudio de adaptabilidad familiar en pacientes adultos mayores con Diabetes Mellitus tipo 2 busca establecer la relación existente entre estas variables dentro del proceso salud enfermedad. Mediante el estudio analítico, transversal y correlacional se evaluó el control de la diabetes mediante cuantificación de Hba1c y la adaptabilidad familiar medida a través de una de las dimensiones que se obtiene mediante las preguntas impares del Test FACES III que está conformado por el control, disciplina, los roles y reglas establecidas en la familia. No adaptabilidad familiar que define a familias caóticas y flexibles; con la cual se obtiene que el 73,9% de los pacientes (Chi2 calculado de 30.669, valor de p < 0,05 (0,000000)) miembros de estas familias no alcanzan la meta de Hba1c por lo tanto no controlan la Diabetes. Adultos mayores con No adaptabilidad familiar tienen 16 veces mayor probabilidad de no controlar su enfermedad.

Abstract
The study of familiar adaptability in elderly patients with type 2 diabetes mellitus seeks to establish the relationship between these variables within the health disease process. Through the analytical, crosssectional and correlational study, the control of diabetes is evaluated through the quantification of Hba1c and the family adaptability measured through one of the dimensions obtained by the odd questions of the FACES III Test, which is made up of the control, discipline, functions and rules established in the family. Non-family adaptability that defines chaotic and flexible families is created; with which 73.9% of the patients were achieved
(calculated Chi2 of 30,669, value of p <0.05 (0.000000)) members of these families do not reach the goal of Hba1c therefore they do not control Diabetes. Older adults do not have family adaptability are 16 times more likely not to control their disease.
DEMENCIA: EXPERIENCIA EN CUIDADORES PRIMARIOS DE ADULTOS MAYORES.
Authors: Chávez-Rodríguez Alejandro , Mireles-Hernández María 
Published: April 2021

El objetivo del presente estudio fue, analizar la experiencia del cuidador primario de adultos mayores con demencia, mediante una metodología cualitativa. Se utilizó el método de aproximación fenomenológico para una descripción y entendimiento de la realidad, y al mismo tiempo el método de estudio de caso, con el propósito de determinar las diferentes características del cuidador y realizar un análisis de las experiencias identificadas. La técnica empleada para la recolección de datos fue la entrevista en profundidad, para posteriormente realizar un análisis de contenido. Dentro de los resultados se obtuvo, que la tarea del cuidador sigue siendo una tarea socialmente impuesta al género femenino. Las cuales se enfrentan con el desconocimiento de la enfermedad, por lo cual, la experiencia de los cuidadores en relación a los cuidados que debe brindar a esta población ha sido de manera autónoma conforme la evolución del padecimiento, enfrentándose a una modificación de su estilo de vida, dando como consecuencia repercusiones en el área física, psicológica y social, afectando directamente su calidad de vida.

Abstract
The objective of the present study was to analyze the experience of the primary caregiver of elderly people with dementia, using a qualitative methodology. The method of phenomenological approach was used for a description and understanding of reality, and at the same time the method of case study, in order to determine the different characteristics of the caregiver and perform an analysis of the identified experiences. The technique used for the data collection was the in-depth interview, to later perform a content analysis. Within the results it was obtained that the caregiver's task remains a socially imposed task for the female gender. Which are faced with the ignorance of the disease, therefore, the experience of the caregivers in relation to the care that should be provided to this population has been independently according to the evolution of the disease, facing a modification of their style of life, resulting in repercussions in the physical, psychological and social area, directly affecting their quality of life
Determinants of Postpartum Depression In Rural Area, Central Java, Indonesia
Authors: Estiningtyas  , Anindhita Yudha Cahyaningtyas  
Published: April 2021

Postpartum Depression (PPD) is a severe complication of labour result in an adverse effect on maternal and neonatal health. Nevertheless, the factors associated with postpartum depression are very rarely examined during postpartum care. This study aimed to discover the determinants of postpartum depression among mothers in a rural area, Central Java, Indonesia. The design of the study was observational analytic with a cross-sectional approach. The setting of the study was in Sukoharjo Regency. Participants of the study were 160 mothers, ages 20-35 years old, during 0-8 weeks of postpartum that were taken using a purposive sampling technique. The participants were given two questionnaires: (1) questionnaire on the socio-demographic; and (2) the Edinburgh Postpartum Depression Scale (EPDS) questionnaire. The questionnaires were distributed to mothers’ at their houses by the interviewers. The result findings shows that the determinants of postpartum depression are occupations (p=0.012), husband support (p=0.010), family support (p=0.027), social support (p=0.025), pregnancy planning (p=0.025), monthly income (p=0.021). PPD is not associated with age (p=0.417), parity (p=0.977), and level of education (p=0.892). Key conclusion: maternal mental health services need to be addressed in the management of the risk factors to prevent the occurrence of postpartum depression.

Keywords: husband support, family support, social support, postpartum depression symptoms
Etiology of fever of unknown origin in children.
Authors: Lodhi Aysha Mansoor , Rizwan Wajiha , Nazar Mubeen , Mushtaq Asma , Saud Muhammad Sahir , Perveen Shahida 
Published: April 2021

Objectives: To determine the etiology of Fever of Unknown Origin (FUO) in children. Study Design: Prospective Observational study. Setting: Department of Pediatric Medicine, The Children's Hospital, Lahore. Period: August 2019 to January 2020. Material & Methods: A total of 45 children aged between 01 to 180 months (15 years), having FUO were included. FUO was defined as a temperature of greater than 100.4ºF documented by a health care provider, persisting over a period of three weeks and for which no cause could be identified after at least 8 days of evaluation. All the study information was analyzed by using standard software SPSS 20. The quantitative variables like age and duration of fever before hospital admission were presented as mean and standard deviation. Qualitative variables like sex, antibiotic therapy use before definitive diagnosis and various diagnoses made were presented as frequencies and percentages. Results: The patient’s age range was from 01 to 180 months with mean of 80±45.12 months and male to female ratio was 2.2:1. Definitive diagnosis was made in 37(82.2%) patients. Infections were the predominant cause of FUO (44.4%) followed by malignancy (24.4%). Tuberculosis was the most common infection while Acute Lymphoblastic leukemia dominated the malignancy. Systemic lupus erythematosus was the most commonly diagnosed connective tissue disorder. There was a significant association between duration of fever and the ultimate diagnosis (p=0.01). Conclusion: Infectious diseases were the most common cause of FUO followed by malignancy, connective tissue disorders and miscellaneous causes.
Hubungan Karakteristik Anak dan Ibu Dengan Kejadian Temper Tantrum Pada Anak Usia Pra Sekolah
Authors: Zuhroh Diah Fauzia , Kamilah Kamilah 
Published: April 2021

Temper tantrum adalah suatu perilaku yang termasuk bagian dari perkembangan emosi anak. Perkembangan emosi anak erat kaitannya dengan kondisi lingkungan keluarga terutama orang tua. Tujuan penelitian untuk mengetahui hubungan karakteristik anak dan ibu dengan kejadian temper tantrum pada anak usia prasekolah di Bangkalan.
Janis penelitian analitik pendekatan cross sectional. Populasi sebanyak 38, dengan besar sampel 35 ibu dan anak yang diambil dengan teknik simple random sampling. Analisis data menggunakan uji contingency coefficient dan Fisher’s exact test.
Karakteristik anak menunjukkan jenis kelamin sebagian besar laki-laki 57,1%, umur ibu sebagian besar 17-25 tahun 54,3% dan sebagian besar ibu tidak bekerja 51,4%. Hasil uji contingency coefficient dari hubungan jenis kelamin anak dan kejadian temper tantrum diperoleh nilai p= 0,070. Sementara dari hasil uji Fisher’s exact test dari hubungan umur ibu dengan kejadian temper tantrum diperoleh nilai p=0,026 dan pada hubungan pekerjaan ibu dengan kejadian temper tantrum diperoleh nilai p=0,013.
Hasil penelitian ada hubungan pola asuh orang tua dengan kejadian temper tantrum pada anak usia prasekolah di Bangkalan.
Reparation of voltage disturbance using PR controller-based DVR in Modern power systems
Authors: Danalakshmi D. , Prathiba S. , Ettappan M. , Krishna D. Mohan 
Published: April 2021

Abstract
The Smart Grid environment gives more benefits for the consumers, whereas the power quality is one of the challenging factors in the smart grid environment. To protect the system equipment and increase the reliability, different filter technologies are used. Even though, consumers’ expectations towards the power quality are not fulfilled. To overcome these drawbacks and enhance the system reliability, a new Custom Power Devices (CPD) are introduced in the system. Among different CPDs, the Dynamic Voltage Restorer (DVR) is one of the voltage compensating devices that is used to improve the power quality during distortions. When the distortions such as voltage swell and sag occur in the distribution system, the control strategy in the DVR plays a significant role. In this article, the DVR performance using Proportional Integral (PI), Proportional Resonant (PR) controllers are analyzed. A robust optimization algorithm called Self Balanced Differential Evolution (SBDE) is used to find the optimal gain values of the controllers in order to reach the target of global minimum error and obtain fast response. Then, a comparative analysis is performed between different controllers and verified that the performance of PR controller is superior than the other controllers. It has been found that the proposed PR controller strategy reduces the Total Harmonic Distortion (THD) values for all types of faults. The proposed SBDE optimized DVR with PR controller reduces the THD value less than 4% under voltage distoration condition. The DVR topology is validated in MATLAB/SIMULINK in order to detect the disturbance and inject the voltage to compensate the load voltage.
Production and use of waste-derived fuels in Poland: current status and perspectives
Authors: Bień Jurand 
Published: April 2021

Abstract
In the paper issues related to the production and utilisation of waste-derived fuel (alternative fuel) in Poland are presented. Alternative fuel comes from dry residue of waste, mostly municipal, and is treated as a waste. In European Waste Catalogue waste-derived fuel is marked with 191210 code despite their municipal, industrial or mixed origin. The production and utilisation of alternative fuel were analysed with the data from sixteen polish voivodships’ annual reports. The total amount of waste-derived fuel produced in Poland exceeds 3 million tonnes annually. It means there is no balance between the amount of production and possibility of energy recovery in Poland. In 2018 only 1,54 million tons was recovered in R1 recovery process which is only half of the waste-derived fuel produced. In addition, the entire amount of fuel is used in the cement industry. In 2018 in the cement industry 1,46 millions tons of alternative fuel was used. It is estimated that the potential use of alternative fuel by cement plants in Poland is about 1.5-1.8 million tonnes. This means that greater use of alternative fuel in the cement sector is significantly limited. The difference between in the amount of fuel produced and the amount of fuel used for energy recovery in 2018 is around 1.67 million tons. This situation has a significant impact on the economy of waste management in the field of combustible waste production.
Achieving cost efficiency through increased inventory leanness: Evidence from manufacturing industry
Authors: Mor Rahul S , Kumar Dinesh , Yadav Sarika , Jaiswal Swatantra Kumar 
Published: April 2021

Abstract
Inventory management’s fundamental problem starts with maintaining equilibrium among the operating efficiency, cost of investment, and other allied costs with extensive inventories to keep the actual conflicts at the minimum while optimizing the inventory holding levels. But, inventory management practices have not been well exploited in various manufacturing industries yet. In this study, inventory management tools, i.e., ABC and VED analysis, have been applied in the manufacturing industry, considering 146 items as raw material for an assembly. A total of 15 items under ‘AV’ class have been identified that consume 82.05 % of the total cost, and these items need strict control and frequent ordering. Sigma level of suppliers is also calculated, which comes out to be 2.36, and it must be improved to reduce the overall inventory cost.
A Gap Study between Employers’ Expectations in Thailand and Current Competence of Master’s Degree Students in Industrial Engineering under Industry 4.0
Authors: Pattanapairoj Sirorat , Nitisiri Krisanarach , Sethanan Kanchana 
Published: April 2021

Abstract
Industry 4.0 is an era in which the manufacturing industry has adopted digital technologies and the Internet to enable smart manufacturing system, machines used in the production now can communicate with each other and exchange information between each other, and the machinery used in the manufacturing process is more modern and precise. Therefore, educational institutions should develop the curriculum to produce qualified graduates with the knowledge required for the Industry 4.0 era, especially Industrial Engineering graduates who are directly related to the industry sector. The purpose of this research is to collect the data for the Master of Industrial Engineering (MSIE) curriculum development. The Analytic Hierarchy Process (AHP) technique is used to rank the indicators of knowledge that is important to the employment of graduates with a master’s degree in Industrial Engineering, and study the gap between the expectations of employers and the ability of the current MSIE students of Khon Kaen University. The results of the study reveal that the first indicators that are most important to the employment of MSIE graduates is the knowledge of Industry 4.0 strategy and the knowledge that the students should have developed are the collaboration of humans and robots, big data analytics, real time data usage and databased decision making.
Farklı Oranlarda Üre ve Melas Katkılarının Filotu (Miscanthus x giganteus) Silajlarının Fiziksel ve Bazı Kalite Özellikleri Üzerine Etkileri
Authors: BOLAKAR Kadir , YÜKSEL Osman 
Published: April 2021

Bu çalışma salkım çıkarma öncesi dönemde hasat edilerek silolanan filotu (Miscanthus x giganteus) silajlarına farklı oranlarda üre ve melas katkılarının silajların fiziksel ve bazı kalite özelliklerine etkilerini belirlemek amacıyla 2018 yılında Uşak’ta yürütülmüştür. Çalışmada filotu silajlarına %0.5, 1 ve 1.5 oranında üre ve %0, 2 ve 4 oranında melas katkıları uygulanarak silajların kuru madde oranı, fiziksel özellikleri, pH, fleig puanı, ham protein oranı, nötr çözücülerde çözünmeyen lif (NDF), asit çözücülerde çözünmeyen lif (ADF) ve nispi yem değerleri (RFV) belirlenmiştir.
Araştırmadan elde edilen sonuçlara göre silajların pH değerleri 3.78 ile 6.13 arasında, fleig puanları 35.86 ile 129.71 arasında, ham protein oranları %5.47 ile 8.35 arasında, NDF ve ADF oranları sırasıyla %69.09 ile %76.81 ve %42.33 ile 49.49 arasında değişmiştir. Uygulamalara bağlı olarak RFV değerleri ise 61.28 ile % 75.29 arasında değişim göstermiştir. Çalışmada üre katkıları silajların ham protein oranlarını olumlu yönde etkilerken silaj fermantasyonu ve sindirilebilirlik ile ilgili özellikler olumsuz yönde etkilemiştir. Melas katkıları ise silajların kuru madde ve ham protein oranı dışındaki özelliklerini olumlu etkilemiştir. Araştırma sonucunda yüksek ham protein oranı ve sindirilebilirlik için filotu silajlarına %1 oranında üre ve %4 oranında melas ilave edilmesinin gerektiği sonucuna varılmıştır.
POWER BACKUP SUPPLY FOR CONSUMERS OF THE FIRST CATEGORY
Authors: Kirichek Alexey 
Published: April 2021

The paper is dedicated to the methods of heat-power backup supply. A search for a solution to update a process of power backup supply to consumers of the first category is carried out.
There is carried out a comparative analysis of all accessible systems for power backup supply including those which were not used earlier for the most significant consumers. As a solution in the paper there are offered micro-turbine installations as the most efficient and convenient in operation. The method is based on the principle of comparison allowing the choice of the most suitable solution. The investigation results are a fundamentally new solution for this field of researches as micro-turbine installations were not used earlier for power backup supply of consumers of the first category.
Various versions of power backup supply are presented, problem setting is carried out taking into account the requirements made, the objects under investigations are described and conclusions on the best version for heat-power backup supply of the consumers of the first category are presented.
Vencer los estigmas para mantener la salud mental en tiempos de incertidumbre
Authors: Rodriguez Angarita Carlos Edgardo 
Published: April 2021

La salud mental percibida como el estado dinámico de bienestar emocional, que nos hace sentirnos en control de las situaciones que afrontamos en la siempre incierta tarea de gestionar la vida; que nos permite utilizar los recursos emocionales, cognitivos y mentales necesarios para trabajar, para establecer relaciones significativas, disfrutar la vida y para contribuir a la comunidad, es un componente esencial del bienestar y la salud general.
La incertidumbre genera situaciones de gran tensión emocional que suplantan a la ansiedad del estado normal de alerta frente a lo novedoso, por una ansiedad patológica que fragmenta la continuidad del yo y perturba la toma de decisiones, según las circunstancias y el pasado del que decide. Esto nos coloca en el riesgo de pasar de los síntomas reactivos al estrés agudo (problemas) a las alteraciones persistentes de las funciones mentales (trastornos) como la depresión.