bluuebunny/crossref_metadata_2025_split huggingface dataset:
An Outbreak of Epidemic Keratoconjunctivitis Caused by Human Adenovirus Type 8 in Primary School, Southwest China
Authors: Li Duo , Zhou Jie-Nan , Li Hong , He Cun-Ying , Dai Qing-Shan , Li Xiang-Lan , He Jian-Fang , He Hong , Li Ming-Bao , Jiang LI-Li , Chen Yao-Yao , Xu Wen 
Published: July 2019

Abstract
Background: Two outbreaks of epidemic keratoconjunctivitis (EKC) occurred successively with an interval of five days in two primary boarding schools in Weixi Lisu Autonomous County, Diqing, and Tibetan Autonomous Prefecture, Yunnan. The aims of this study were to determine the intensity and characteristics of the outbreaks, as well as the clinical manifestations in the patients, the risk factors for infection and the pathogen responsible for the two outbreaks.
Methods: An outbreak investigation was conducted in two primary schools, and a case-control study including patients from the Weixi County Ethnic Primary School was performed. Relevant specimens were collected according to the case definition, and next-generation sequencing was employed to identify the pathogen. An epidemiological investigation method was used to analyse the related epidemiological characteristics, such as risk factors. The phylogenetic tree was constructed by MEGA 7.0.
Results: A total of 331 acute conjunctivitis cases, including probable cases of EKC, were reported in the two schools, and the attack rates were 30.59% (171/559, 95%CI: 26.76-34.42) and 20.41% (160/784, 95%CI: 17.58-23.24), respectively. Cases occurred in all grades and classes in both schools, and only one staff member in each school presented illness. The epidemics lasted for 54 days and 45 days, respectively. The patients had typical manifestations of EKC, such as acute onset, follicular hyperplasia, pseudomembrane formation, preauricular lymphadenopathy, corneal involvement and blurred vision, and a relatively long disease course (average 9.40 days, longest 23 days and shortest 7 days). The risk factor for infection was close contact with a patient or personal items contaminated by a patient. The pathogen responsible for the outbreaks was HAdV-8. The virus was highly similar to the 2016 HAdV-8 strain from Tibet, China.
Conclusions: This study strongly suggests that HAdV-8 could lead to serious consequences. This is the second report of a HAdV-8-associated EKC outbreak in mainland China. Tibetan HAdV-8 might be circulating in southwest China; therefore, it is necessary to monitor the pathogens causing acute conjunctivitis in this area.
Aspectos clínicos e tomográficos de exostose mandibular extensa e o seu manejo para melhora na qualidade de vida: relato de um caso incomum na literatura
Authors: Mourão Carlos Fernando de Almeida Barros , Mello-Machado Rafael Coutinho de , Resende Rodrigo Figueiredo de Brito , Ferreira Flavia Santos , Calasans-Maia Mônica Diuana 
Published: July 2019

O tórus mandibular é considerado uma protuberância óssea (exostose) de etiologia desconhecida classificada como não-patológica, comumente vista em região lingual dos incisivos até pré-molares inferiores. Sua característica histopatológica é semelhante ao osso normal descrevendo-se osso cortical lamelar com a presença de canais de Havers, osteócitos normais e áreas dispersas de tecido conjuntivo. Normalmente se apresentam bilateralmente e indolores. Sem causar prejuízo na vida da pessoa que apresenta esta condição, devido estes aspectos, na maioria dos casos, não há intervenção cirúrgica, sendo o caso apenas acompanhado clinicamente. Neste caso apresentado, o objetivo é expor uma condição extrema desta exostose mandibular, tendo como finalidade a melhora na qualidade de vida do paciente.Descritores: Cirurgia Bucal; Exostose; Qualidade de Vida.ReferênciasKumar Singh A, Sulugodu Ramachandra S, Arora S, Dicksit DD, Kalyan CG, Singh P. Prevalence of oral tori and exostosis in Malaysian population - A cross-sectional study. J Oral Biol Craniofac Res. 2017;7(3):158-60.Hiremath VK, Husein A, Mishra N. Prevalence of torus palatinus and torus mandibularis among Malay population. J Int Soc Prev Community Dent. 2011;1(2):60-4.Sathya K, Kanneppady SK, Arishiya T. Prevalence and clinical characteristics of oral tori among outpatients in Northern Malaysia. J Oral Biol Craniofac Res. 2012;2(1):15-19.Jainkittivong A, Apinhasmit W, Swasdison S. Prevalence and clinical characteristics of oral tori in 1,520 Chulalongkorn University Dental School patients. Surg Radiol Anat. 2007;29(2):125-31.Kim YS. Pathogenetic growth potential in the central area of oral exostosis. Korean J Oral Maxillofac Pathol. 2013;37(5):201-10.Morrison MD, Tamimi F. Oral tori are associated with local mechanical and systemic factors: A case-control study. J Oral. Maxillofac Surg. 2013;71(1):14-22.García-García AS, Martínez-González JM, Gómez-Font R, Soto-Rivadeneira A, Oviedo-Roldán L. Current status of the torus palatinus and torus mandibularis. Med Oral Patol Oral Cir Bucal. 2010;15(2):e353-60.Ladizinski B, Lee KC. A nodular protuberance on the hard palate. JAMA. 2014;311(15):1558-59.Khan S, Shah SAH, Ali F, Rasheed D. Concurrence of torus palatinus, torus mandibularis and buccal exostosis. J Coll Physicians Surg Pak. 2016;26(11):111-13.Kün-Darbois JD, Guillaume B, Chappard D. Asymmetric bone remodeling in mandibular and maxillary tori. Clin Oral Investig. 2017;21(9):2781-88.Riley DS, Barber MS, Kienle GS, Aronson JK, von Schoen-Angerer T, Tugwell P et al. CARE guidelines for case reports: explanation and elaboration document. J Clin Epidemiol. 2017;89:218-35.Kucukkurt S, Özle M, Baris E. Peripheral osteoma in an unusual location on the mandible. BMJ Case Rep. 2016;2016. pii: bcr2016216554.
ANAIS DA XXXIX SEMANA MÉDICA, XVI COMA - CONGRESSO MÉDICO ACADÊMICO E XI CONGRESSO DE INICIAÇÃO CIENTÍFICA DA FACULDADE DE MEDICINA DE ITAJUBÁ - MG - 6 A 9 DE MAIO DE 2019
Authors: Da Faculdade de Medicina de Itajubá - MG Comissão Organizadora 
Published: July 2019

Caros Congressistas,Com grande satisfação, a Faculdade de Medicina da Itajubá (FMIT), em parceria ao Diretório Acadêmico Oito de Outubro (DAMED), anunciam a 39a Semana Médica concomitante ao XV Congresso Médico Acadêmico – COMA e ao X Congresso de Iniciação Científica, a serem realizados entre os dias 6 a 9 de maio de 2019. O evento é de caráter representativo de todas as áreas da saúde, e para tanto, procurou-se organizá-lo priorizando os temas de interesse aos alunos, além de trazer os ex-alunos de volta à sua casa. Contamos também com o apoio imprescindível de nossos patrocinadores, sem o qual não seria possível a realização do evento.
Modular Catheter Systems in Minimally Invasive Interventional Medical Procedures: Case Study
Authors: Beach Bradley , Scansen Brian A 
Published: July 2019

Background
Medical device catheters that are used in minimally invasive interventional medical procedures all follow the same integrated design and use paradigm. The features and elements of any catheter device are combined in a single unitary construction. A modular approach to the design, construction, and use of these types of interventional catheters may provide significant advantages and benefits not available with an integrated design paradigm.

Objective
This paper aimed to present the design of a modular catheter system and the findings from an initial veterinary use as a case study for the potential of modular catheter systems in general.

Methods
A modular catheter system was designed using commercially available angioplasty balloon dilatation catheters as one module in the system and a custom designed scoring adapter as the other module. The scoring adapter incorporates wires to add scoring features to the angioplasty balloon catheter to improve the dilatation performance during a pulmonary valvuloplasty procedure. The scoring adapter also includes a novel attachment mechanism to couple the scoring adapter to any 0.035-inch guidewire–compatible angioplasty balloon catheter.

Results
The modular catheter system was successfully designed, manufactured, and used in an initial minimally invasive veterinary cardiovascular intervention to treat a case of canine subvalvular pulmonary stenosis. The scoring adapter and angioplasty balloon catheter were successfully combined tableside in the operating room at the time of the procedure and used to successfully dilate the subvalvular obstruction.

Conclusions
The successful design and use of the presented modular catheter system demonstrates the feasibility and potential advantages of this type of paradigm to enable physicians to create interventional catheter devices at the time of a procedure guided by the procedural needs.
Reimbursement of Apps for Mental Health: Findings From Interviews
Authors: Powell Adam C , Bowman Matthias B , Harbin Henry T 
Published: July 2019

Background
Although apps and other digital and mobile health tools are helping improve the mental health of Americans, they are currently being reimbursed through a varied range of means, and most are not being reimbursed by payers at all.

Objective
The aim of this study was to shed light on the state of app reimbursement. We documented ways in which apps can be reimbursed and surveyed stakeholders to understand current reimbursement practices.

Methods
Individuals from over a dozen stakeholder organizations in the domains of digital behavioral and mental health, care delivery, and managed care were interviewed. A review of Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCSPCS) codes was conducted to determine potential means for reimbursement.

Results
Interviews and the review of codes revealed that potential channels for app reimbursement include direct payments by employers, providers, patients, and insurers. Insurers are additionally paying for apps using channels originally designed for devices, drugs, and laboratory tests, as well as via value-based payments and CPT and HCSPCS codes. In many cases, it is only possible to meet the requirements of a CPT or HCSPCS code if an app is used in conjunction with human time and services.

Conclusions
Currently, many apps face significant barriers to reimbursement. CPT codes are not a viable means of providing compensation for the use of all apps, particularly those involving little physician work. In some cases, apps have sought clearance from the US Food and Drug Administration for prescription use as digital therapeutics, a reimbursement mechanism with as yet unproven sustainability. There is a need for simpler, more robust reimbursement mechanisms to cover stand-alone app-based treatments.
Kewenangan Pemerintah Daerah Dalam Penataan Ruang Terbuka Hijau untuk Mewujudkan Kota Jambi Sebagai Green City
Authors: Amir Latifah , Budhiartie Arrie , Noviades Dhil’s 
Published: July 2019

Dengan disyahkannya UU No 23 Tahun 2014 tentang Pemerintah Daerah sebagai pengganti UU No 32 Tahun 2004 tentang Pemerintah Daerah semua ketentuan yang berlaku dalam UU No 32 Tahun 2004 tidak berlaku lagi dengan berlakunya UU No 23 Tahun 2014. Dalam pelaksananan otonomi daerah diserahkan kepada daerah. Dalam pengelolaan dan penataan ruang daerah, harus berpedoman kepada peraturan perundang undangan tingkat nasional yang mengatur tata ruang yang sudah dituangkan dalam bentuk UU. Dan setiap daerah baik provinsi kota dan kanupaten mempunyai peraturan sendiri dalam penata ruang daerahnya yang harus berpedoman kepada peraturan yang lebih tinggi. Dalam penataan ruang daerah harus ada singkronisasi antara tata ruang nasional,provinsi dan kota. Dalam membuat rencana tata ruang wilayah bahwa daerah perkotaan harus menyediakan lahan untuk ruang terbuka hijau 30 %, 20 % untuk Ruang Terbuka Hijau public dan 10 % untuk ruang terbuka hijau privat. Hal ini harus dikelola oleh pemerintah daerah. Penelitian ini membahas penataan Ruang Terbuka Hijau, dan akan melihat kebijakan dan kewenangan pemerintah dalam penataan ruang terbuka hijau. Bentuk penelitian adalah yuridis empiris dengan pendekatan deskriptif kwalitatif. Dari hasil penelitian diharapkan bsa memberikan masukan kepada pemerintah daerah kebijakan yang harus dilakukan untuk u menata ruang terbuka hijau dalam menuju Kota Jambi menjadi Green City.
Effect of Mushroom Spent Empty Fruit Bunch (FEB) Supplement on physicochemical Properties of a Biofertilizer named Organonitrofos
Authors: Triyono Sugeng , Haryanto Agus , Dermiyati Dermiyati , Lumbanraja Jamalam 
Published: July 2019

This research aims to elaborate characteristics of an organic fertilizer, named as “Organonitrofos”, produced from agricultural wastes supplemented with spent mushroom substrate (SMS) made from oil palm empty fruit bunch (EFB). The EFB was formerly used as straw mushroom medium. Research was carried out in two stages of experiment. In the first experiment, The SMS was taken from an experiment of mushroom production, where effect of size reduction and composting duration of EFB on the mushroom production was investigated. The SMS was mixed with other materials (1:1), which is normally used as the raw materials of Organonitrofos, and was composted. In the second experiment, the SMS was taken from other experiment of mushroom production where effect of inorganic and organic fertilizer supplements on the straw mushroom production was investigated. The second experiment was carried out using the same procedure as in the first experiment. Physicochemical property of resulted Organonitrofos was evaluated and compared to other predecessors of Organonitrofos. Results showed some noticeable changes of physicochemical properties.
HAMBATAN PERAWAT DALAM PELAKSANAAN STANDARD PRECAUTIONS DI INSTALASI GAWAT DARURAT RSUD SUMEDANG
Authors: Pranita Dina , Mediawati Ati Surya , Mirwanti Ristina 
Published: July 2019

Standard precautions is an action to prevent infection in any cases of medical treatment toward patients. However, some studies have shown that the implementation of standard precautions has not been optimal due to the barriers perceived by nurses. This study aimed to identify the barriers perceived by nurses in the implementation of standard precautions. Descriptive-quantitative method was used with cross-sectional approach in 37 nurses in General Hospital Emergency Department by using total sampling technique. The data were collected by using questionnaires consisting of 48 statements, including five action of standard precautions (hand hygiene, use of PPEs, safe injection, environmental disinfection, and respiratory hygiene practices/ethics of cough and sneezing) and have been through the content and face validity test. The data were analyzed by using frequency distribution and presented in percentage. The results showed that there were some barriers perceived by nurses on standard precautions action. The most perceived barriers are limited PPEs equipment (45.9%), equipment that irritates the skin on hand hygiene (37.8%), increased number of patients in environmental disinfection (32.4%), limited support and supervision in the implementations of standard precautions for safe injection (16.2%), and equipment limitations on respiratory hygiene practices/ethics of cough and sneezing (10.8%). Based on this research, the hospital should strengthen the function properly and regularly to overcome some equipment, seek hand hygiene equipment containing emollient/moisturizers and alcohol type hand rub n-propanol to overcome skin irritation, and pay attention to the study of the ratio of nurses and patients to safe working practices. In addition, the hospital should create a practice program, socialize rewards or penalties to improve it in standard precautions.
The role of dupilumab in managing allergic contact dermatitis
Authors: Desrosiers Andrew , Huynh Thy , Helms Stephen , Brodell Robert 
Published: July 2019

Recently, there has been vigorous debate about the value of using dupilumab, a biologic that targets TH2-mediated processes, in the management of recalcitrant allergic contact dermatitis. A review of the current literature found the following: 1) The cytokine polarity of the immunologic response in ACD depends upon the inciting allergen, so the therapeutic approach to ACD must be individualized; 2) a single allergen can elicit different immunological responses in patients with and without underlying AD; 3) there is limited evidence in support of using dupilumab for ACD in patients without concomitant AD; 4) the cost of this drug further argues against its use in all patients with ACD; 5) dupilumab’s benign side effect profile, particularly its lack of immunosuppression, relative to other systemic therapies make it a reasonable option in AD patients with systemic ACD to certain allergens known to elicit a significant type 2 immune response who have failed other treatments.
Specifics of Interrelations between the Russian and European Financial Markets
Authors: Zvonova E. A. 
Published: July 2019

The subject of the researchis the state of interrelationship between the Russian and European financial markets in the context of the economic and financial sanctions imposed on Russia by the European Union.The relevanceof the research stems from the strategic goal set by the President of the Russian Federation — to ensure the “breakthrough” of the Russian economy in order to enter the top five world’s developed economies by 2024–2025.The purpose of the paperwas to develop a roadmap for the implementation of the mobilization model of cross-border flows of the Russian capital in the context of modern transformations of the global monetary and financial system. Based on the revealed and analyzed mainstream trends in the interaction of the Russian and European financial markets, a mobilization model of cross-border flows of the Russian capital under the modern conditions has been developed. The asymmetry in mutual exchanges between the Russian and European financial markets is revealed and the risks of all identified forms of asymmetry are defined. The reference structure of foreign assets of the Russian financial market is determined, priority directions for the correction of the structure of external assets and liabilities have been established, and the institutional structure of the monetary and financial regulation of the Russian financial market are specified.It is concludedthat based on the roadmap for the model of cross-border flows of the Russian capital under conditions of modern transformations of the global monetary and financial system developed for the period 2019–2025, the Russian financial market is expected to be fairly stable over the next three years, which should be taken into account by the Bank of Russia in making decisions on the monetary policy and accumulation of international currency reserves.
The Role of the Standardized Approach to Measuring the Counterparty Credit Risk Exposures (Basel III) in Order to Create Conditions for Russia’s Economic Growth
Authors: Shaker I. E. 
Published: July 2019

The subject of the researchis the Standardized Approach to measuring the Counterparty Credit Risk (SA-CCR) exposures according to the reform of the international standards of macroprudential regulation to ensure a breakthrough in the scientific, technological and socio-economic development of Russia. The purposeof the research was to assess the introduction and use of the post-crisis Basel III standard until 2021 to create financially sound credit and banking institutions as the main triggers of the system risk in order to maintain public confidence in the financial system and ensure sustainable economic growth. The paper examines the prospects for the implementation of the Basel III standard, taking into account the standardized approach to measuring the counterparty credit risk to meet the challenges of Russia’s entry into the top five world economies.Given the global financial market conditions, the economic growth is ensured by the economies of scale as well as by harmonization of structural macroprudential rules in different countries, which requires an international standardized approach to system risk management when macro-prudential policies are aimed at alleviating credit risks thereby having a positive impact on the economic growth.The effectiveness of the macro-prudential policy for banks is reduced when less regulated financial intermediaries increase the market share and openness allowing organizations and households to receive money from foreign financial sources.The paper concludesthat in shaping the country’s macro-prudential policies, it is necessary to assess the relative importance of each channel of manifestation and transformation of the system risk and its impact on the economic growth in the national economy.
The Draft Guidelines for the Development of the Russian Financial Market in 2019–2021 prepared by the Bank of Russia: Expert Opinion of Financial University
Authors: Abramova M. A. , Lavrushin O. I. , Pishchik V. Ya. , Rubtsov B. B. , Solyannikova S. P. 
Published: July 2019

The relevance of the analysis of the draft guidelines for the development of the Russian financial market in 2019–2021 set forth in the draft program document issued by the Bank of Russia comes from the fact that in the current situation of the macroeconomic and financial instability Russia’s entry into the top five leading world economies is impossible unless business entities have access to internal sources of financing, primarily to debt and equity financing instruments, as well as to risk insurance tools.The subject of the research is the plans of the Bank of Russia for the development of the Russian financial market in 2019–2021 set out in the draft program document of the Bank of Russia to be approved in the summer of 2019. The purpose of the paper was to assess the above guidelines in terms of whether they can achieve the goal of boosting the growth and efficiency of the economy. Proposals are made to harmonize issues related to the development of the financial market with monetary and fiscal policy issues.The paper concludes that it is necessary to seek a balance between financial stability and stimulation of business activities of banks in the cooperation between the Bank of Russia and business corporations. It is noted that the program of the financial market development does not include issues related to the development of certain segments of the financial market (foreign exchange and precious metals markets).
Some Imperatives of the Russian Economic Leadership: The Development of Science
Authors: Sukharev O. S. 
Published: July 2019

The paper outlines system capabilities of Russia to join the scientific and technological leaders through changes in the staff policy in the science field, which was the purpose of the research.The subject of the research is institutional changes occurring in science and, particularly, staff training. The status of the Russian science is assessed in terms of changes in the basic rules and their adjustment with an emphasis on material and non-material incentives, staff rotation and training of young scientists. The paper proves that the frequency and content of institutional changes affect the quality of the scientific development and the training of scientific staff; moreover, copying the rules already in use reduces the competitive potential of science. From the scientific and practical standpoint, the research is novel in that it formulates proposals for establishing a labor compensation system and introduction of basic institutions (rules) to ensure the functioning of the scientific sphere and the efficiency of functions immanent to the latter. The paper proposes a “scientific product” doctrine that can be used for assessment of a scientist’s labor, according to which the scientist creates a product that is assessed not by the citation frequency or the number of published articles and books but by the importance of discoveries in theory and practice, the significance of new formulas and methods developed. It is suggested that the scientist’s labor compensation system be presented by two levels: the current salary and the estimated value of the total scientific product created. The problem of scientific work incentives can be solved by introducing a special tariffqualification grid tied to the system of the scientist’s promotion.