bluuebunny/crossref_metadata_2025_split huggingface dataset:
Psoriasis Vulgaris: Relationship between Oral and Periodontal Conditions and Disease Severity
Authors: Ligia Méndez Gaviria , Leira Solis , Constanza Rodríguez , Lorena Chila-Moreno , Rosa Buenahora María , Nathaly Delgadillo , Andrés Prieto , Luis A Castro , Consuelo Romero-Sánchez 
Published: September 2019

Introduction:Psoriasis has been associated with other diseases, or comorbidities, within which the oral cavity is involved. However, there is no consensus regarding the clinical description. The objective of this study was to establish the oral and periodontal status in a group of patients withPsoriasis vulgarisin relation to markers of clinical severity.Materials and Methods:Descriptive, cross-sectional, and observational study. 71 Patients diagnosed with psoriasis at the Hospital Militar Central. The indexes PASI and DLQI to determine their clinical activity were evaluated. We also evaluated serum markers of activity, A direct observation, ganglion palpation, extraoral, intraoral examination, and periodontal clinical index. Chi-squared test for associations was performed, All analyses involved a significance level of 5% and were carried out using the statistical analysis program STATA, version 11.1.Results:Periodontal disease was present in 70% of our patients with a moderate degree of severity in most cases. The presence ofP. gingivaliswas detected in 23% of patients, 9% of patients withP. gingivalispresented with severe psoriasis (p: 0.189); of these patients, 55% also had periodontal disease (p: 0.189); although this was not statistically significant. Furthermore, 91% of our patients presented with some form of lesion or anatomical variation in the oral cavity; of these, 28% had a single lesion, 63% had multiple lesions and 81.80% of the subjects showed lesions with strong psoriatic association (p = 0.033), including fissured tongue (60.87%; p = 0.034), angular cheilitis (14.49%; p = 0.03) and oral erythematous lesions (13.04%; p = 0.023).Conclusion:We did not detect statistically significant associations between the severity of psoriasis and periodontal disease but our findings related to oral changes could have good relevance for this type of patients. Our data indicate the need for multidisciplinary management between the clinician and specialists in periodontics and oral pathology.
Behavior of Concrete-Filled Single and Double-Skin uPVC Tubular Columns Under Axial Compression Loads
Authors: Woldemariam Abraham M. , Oyawa Walter O. , Nyomboi Timothy 
Published: September 2019

Background:There is an increased demand for high-performance materials in the construction industry due to the high cost, the difficulty of sourcing and shortcomings of the existing construction materials. Some of the deficiencies are corrosion of steel, brittle failure and rapid deterioration of reinforced concrete structures in a harsh environment. Nowadays, there is also a move from one material to another due to the difficulty of sourcingi.e.timber electric poles to concrete poles due to the difficulty of sourcing native hardwood. These situations have triggered the interest to develop an alternative structural system.Objective:This paper presents the behavior of unconfined concrete, Concrete-Filled Single Skin uPVC Tubular (CFSUT) and concrete-filled double skin uPVC tubular (CFDUT) members under axial compression loads.Method:The unconfined concrete cylinders, CFSUT and CFDUT specimens were prepared from a concrete class of C25 and tested using a UTM machine at a rate of 0.2MPa/s. The parameters considered where thickness to diameter ratio (2t/D), aspect ratio (h/D) and hollow ratio (d/D). Also, a model was developed to predict the peak strength of CFSUT and CFDUT specimens.Results:The result shows that both CFSUT and CFDUT specimens exhibited improved strength, ductility, and energy absorption capacity. For CFSUT and CFSUT specimens, the strength, ductility, and energy absorption capacity increased by more than 1.32, 3.75 and 14.75 times compared to the unconfined concrete specimens, respectively. It is found that the strength decreased as the h/D and d/D ratios increased. The result also shows that the strain of CFSUT and CFDUT at the peak strength increased by more than 3.16 times compared to the unconfined concrete specimens. The proposed model accurately predicted the peak strength with AAE of 2.13%.Conclusion:The uPVC confinement provided a remarkable improvement on the strength, ductility and energy absorption of concrete. Therefore, uPVC tubes can be used as confining material for bridge piers, piles, electric poles, and building columns to increase the strength, ductility and energy absorption of concrete structures.
Marine Actinomycetes Derived Pyrrolo Compounds Mediated Green Synthesis of AgO and Ag2O3 Nanoparticles and its Antidermatophytic Activity
Authors: Ravi Lokesh , Chocalingam Riven , Menta Vignesh , Krishnan Kannabiran 
Published: September 2019

Background:
Antimicrobial potential of silver nanoparticles synthesised by using
various biological sources was already been reported by many researchers. The green synthesis of
silver nanoparticles using microbial sources has been proved to be more effective.

Methods:
In this study, anti-dermatophytic silver nanoparticles were synthesised by using pyrrolo
metabolites producing actinomycetes as a green catalyst. Different characterization methods such
as UV-Visible, XRD, and AFM were used to identify the physiochemical characteristics of synthesised
nanoparticles.

Results:
The synthesised nanoparticles showed λ-max at 427 nm and 402 nm, respectively. The
XRD analysis based on the JCPDS database identified the two synthesized nanoparticles as silver
oxide nanoparticles (AgO NPs) and silver peroxide nanoparticles (Ag2O3 NPs). The size of these
nanoparticles was found to be in the range of 40-44 nm (AgO NPs) and 23-25 nm (Ag2O3 NPs),
respectively. The synthesized nanoparticles demonstrated significant anti-fungal activity against
dermatophytic fungi Trichophyton mentagrophyes with the zone of inhibition of 38 mm by AgO
NP and 17 mm by Ag2O3 NPs.

Conclusion:
Screening of marine actinomycetes LG003 and LG005 revealed the presence of
pyrrolo derivatives as the major metabolites, suggesting that these pyrrolo derivatives could be responsible
for synthesis and stabilization of AgO and Ag2O3NPs. Among the synthesized NPs, the
AgO NPs showed great potential as an anti-dermatophytic agent. This study provides further research
opportunities for AgONPs as anti-fungal agents.
Reducing Potentially Inappropriate Prescriptions for Older Patients Using Computerized Decision Support Tools: Systematic Review
Authors: Monteiro Luís , Maricoto Tiago , Solha Isabel , Ribeiro-Vaz Inês , Martins Carlos , Monteiro-Soares Matilde 
Published: September 2019

Background
Older adults are more vulnerable to polypharmacy and prescriptions of potentially inappropriate medications. There are several ways to address polypharmacy to prevent its occurrence. We focused on computerized decision support tools.

Objective
The available literature was reviewed to understand whether computerized decision support tools reduce potentially inappropriate prescriptions or potentially inappropriate medications in older adult patients and affect health outcomes.

Methods
Our systematic review was conducted by searching the literature in the MEDLINE, CENTRAL, EMBASE, and Web of Science databases for interventional studies published through February 2018 to assess the impact of computerized decision support tools on potentially inappropriate medications and potentially inappropriate prescriptions in people aged 65 years and older.

Results
A total of 3756 articles were identified, and 16 were included. More than half (n=10) of the studies were randomized controlled trials, one was a crossover study, and five were pre-post intervention studies. A total of 266,562 participants were included; of those, 233,144 participants were included and assessed in randomized controlled trials. Intervention designs had several different features. Computerized decision support tools consistently reduced the number of potentially inappropriate prescriptions started and mean number of potentially inappropriate prescriptions per patient. Computerized decision support tools also increased potentially inappropriate prescriptions discontinuation and drug appropriateness. However, in several studies, statistical significance was not achieved. A meta-analysis was not possible due to the significant heterogeneity among the systems used and the definitions of outcomes.

Conclusions
Computerized decision support tools may reduce potentially inappropriate prescriptions and potentially inappropriate medications. More randomized controlled trials assessing the impact of computerized decision support tools that could be used both in primary and secondary health care are needed to evaluate the use of medication targets defined by the Beers or STOPP (Screening Tool of Older People’s Prescriptions) criteria, adverse drug reactions, quality of life measurements, patient satisfaction, and professional satisfaction with a reasonable follow-up, which could clarify the clinical usefulness of these tools.

Trial Registration
International Prospective Register of Systematic Reviews (PROSPERO) CRD42017067021; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42017067021
Mobile Clinical Decision Tools Among Emergency Department Clinicians: Web-Based Survey and Analytic Data for Evaluation of The Ottawa Rules App
Authors: Quan Amanda My Linh , Stiell Ian , Perry Jeffrey J , Paradis Michelle , Brown Erica , Gignac Jordan , Wilson Lindsay , Wilson Kumanan 
Published: September 2019

Background
The Canadian CT Head Rule (CCHR), the Canadian Transient Ischemic Attack (TIA) Score, and the Subarachnoid Hemorrhage (SAH) Rule have all previously demonstrated the potential to significantly standardize care and improve the management of patients in emergency departments (EDs). On the basis of user feedback, we believe that the addition of these rules to the Ottawa Rules App has the potential to increase the app’s usability and user acceptability.

Objective
This study aimed to evaluate the perceived usefulness, acceptability, and uptake of the enhanced Ottawa Rules App (which now includes CCHR, TIA, and SAH Rules) among ED clinicians (medical students, residents, nurses, and physicians).

Methods
The enhanced Ottawa Rules App was publicly released for free on iOS and Android operating systems in November 2018. This study was conducted across 2 tertiary EDs in Ottawa, Canada. Posters, direct enrollment, snowball sampling, and emails were used for study recruitment. A 24-question Web-based survey was administered to participants via email, and this was used to determine user acceptability of the app and Technology Readiness Index (TRI) scores. In-app user analytics were collected to track user behavior, such as the number of app sessions, length of app sessions, frequency of rule use, and the date app was first opened.

Results
A total of 77 ED clinicians completed the study, including 34 nurses, 12 residents, 14 physicians, and 17 medical students completing ED rotations. The median TRI score for this group was 3.38, indicating a higher than average propensity to embrace and adopt new technologies to accomplish goals in their work or daily lives. The majority of respondents agreed or strongly agreed that the app helped participants accurately carry out the clinical rules (56/77, 73%) and that they would recommend this app to their colleagues (64/77, 83%). Feedback from study participants suggested further expansion of the app—more clinical decision rules (CDRs) and different versions of the app tailored to the clinician role. Analysis and comparison of Google Analytics data and in-app data revealed similar usage behavior among study-enrolled users and all app users globally.

Conclusions
This study provides evidence that using the Ottawa Rules App (version 3.0.2) to improve and guide patient care would be feasible and widely accepted. The ability to verify self-reported user data (via a Web-based survey) against server analytics data is a notable strength of this study. Participants’ continued app use and request for the addition of more CDRs warrant the further development of this app and call for additional studies to evaluate its feasibility and usability in different settings as well as assessment of clinical impact.
The Media and HIV/AIDS Education Campaigns: Corporate Responsibility, Aesthetics and Power
Authors: Martens Cheryl 
Published: September 2019

Chandran (2014) argues that the use of media in HIV and AIDS education has been on a scale unprecedented in health education, and social media in particular has played a key role in producing the universal awareness of HIV and AIDS. Theoretical perspectives on the media in HIV/AIDS education vary considerably. Early critical accounts stress that the mass media played a role in the distortion of scientific and medical findings concerning HIV and AIDS, privileging certain types of information over others, such as emphasising AIDS in the early years as a ‘gay plague’, gave precedence to biomedical constructions of HIV/AIDS. Many feminist, queer and AIDS activist accounts move beyond these discussions of media distortion and moral panic of HIV/AIDS by considering the distinctive ways in which discourses actively operate in the construction of gender, sexuality and epidemic. For the most part, however, these analyses maintain a focus on national HIV/AIDS education campaigns and their mediation by public policy.
A postagem de nudes na plataforma Facebook sob a ótica do neotribalismo
Authors: Murad Carolina , Correa Cynthia 
Published: September 2019

A interação no ciberespaço remete à ideia de hedonismo e presenteísmo em que a efemeridade é recorrente, quando novos comportamentos são fomentados, como o fenômeno da postagem de nudesque passou a ganhar destaque. Diante da crescente necessidade de visibilidade por parte do sujeito pós-moderno, que coloca em xeque as noções de público e privado, este artigo tem como objetivo compreender o fenômeno da prática de nudes, a partir de um estudo de caso da comunidade Ousadia permitida via plataforma Facebook. A pesquisa foi realizada com base em revisão teórica, na técnica da etnografia virtual, na aplicação de enquete e condução de entrevistas. Entre os resultados, observa-se que a busca de visibilidade é alcançada na comunidade. Além disso, o grupo elabora estratégias para driblar os mecanismos do Facebook que coíbem a exposição de nudez, vigorando o sentimento de pertença que mantém os integrantes unidos.
“It’s a match! you and Rio have liked each other”: uma análise da representação identitária de estrangeiros no Tinder sob a luz da sociologia do cotidiano e do imaginário
Authors: Evangelo Naiara Silva , Braga Robson 
Published: September 2019

Este artigo propõe uma análise sobre a representação identitária de estrangeiros usuários do aplicativo de relacionamentos Tinder, no Rio de Janeiro, resultado de pesquisa que investigou as experiências de cidade e de sociabilidade desses viajantes suscitadas em interações iniciadas no aplicativo. A análise é feita a partir da revisão teórica da sociologia do imaginário fundada por Durand (1993) e do cotidiano de Maffesoli (1984), complementada pelas etapas empíricas inspiradas no método etnográfico de: a) observação feita diretamente no Tinder; b) e entrevista, em trabalho de campo, com um dos usuários estrangeiros abordados na plataforma. No estudo, identificamos a recorrência de estereótipos identitários em interações sociais interculturais e analisamos como elas se expressam no Tinder e em interações iniciadas nele.
Efficacy of Physiologically Active nutrients in the Treatment of Asthenic Disorders in Patients with Chronic Diffuse Liver Diseases
Authors: Mayevskaya M. V. , Morozova M. A. , Beniashvili A. G. , Lunkov V. D. , Ivashkin V. T. 
Published: September 2019

Over the period after an exacerbation of chronic liver diseases, patients often retain common symptoms (weakness or fatigue, bad mood, sleep disorder, vegetative disorders — asthenic syndrome). In the context of prevention and treatment of these symptoms, such nutraceutical products as enriched foods in the form of tablets, sachets, etc, have been increasingly attracting research attention.Aim.To study the efficacy of the “Hepato Smart” nutraceutical product for the treatment of asthenic syndrome in outpatients suffering from chronic diffuse liver diseases with compensated function and functional disorders of the gallbladder over the period after exacerbation.Materials and methods. The study included 50 patients, with 41 of them having completed the program. The nutraceutical product (curcumin, piperine, tanshinone IIA, choline; standardized for curcumin and choline) was assigned 1 pill 3 times a day with meals for 4 weeks. To objectify common symptoms, we used a D-FIS questionnaire (Daily Fatigue Impact Scale), a 4DSQ Four-Dimensional Symptom Questionnaire for assessing distress, depression, anxiety and somatization, and a SF-36 questionnaire for assessing the quality of life.Results.Following 4 weeks of the “Hepato Smart” course, a statistically significant decrease in fatigue was noted by D-FIS scores (p = 0.003), as well as a decrease in the level of distress, depression, anxiety and somatization by 4DSQ scores (p = 0.005; p = 0.006; p = 0.003; p = 0.003, respectively). The quality of patients’ life according to the SF36 questionnaire also improved due to both physical and psychological components (p = 0.003). 16 patients continued taking the preparation for another 8 weeks to maintain the achieved result. As an additional effect, the disappearance of pain in the right hypochondrium was noted in those cases when patients presented this complaint at the time of inclusion in the observation program. The safety profile was good, 1/3 of the patients noted the appearance of heartburn, which was eliminated when taking the product with food.Conclusion. The “Hepato Smart” nutraceutical product improves the general condition of patients with chronic diffuse liver diseases and functional disorders of the gallbladder due to a significant reduction in fatigue and anxiety. It also improves the quality of patients’ life due to the physical and mental components of health.
A Cause of Diarrhea in a Patient with Selective Immunoglobulin A Deficiency
Authors: Gonik M. I. , Shcherbakha V. S. , Yuryeva E. Yu. , Kartavenko I. M. , Tertychny A. S. , Pavlov P. V. , Leonovich A. E. , Lapina T. L. , Ivashkin V. T. 
Published: September 2019

Aim. To present a clinical case with differential diagnosis of the cause of diarrhea in a patient with selective IgA deficiency.Key findings. A 46-year-old woman complained of a mushy stool without pathological impurities up to 5 times a day. An outpatient colonoscopy revealed signs of terminal ileitis. The patient’s medical history included selective IgA and vitamin B12 deficiency. Despite the absence of antibodies to parietal cells and intrinsic factor, a diagnosis of autoimmune gastritis was established on the basis of histologically confirmed atrophy of the stomach; decrease in serum pepsinogen I and the ratio of pepsinogen I to pepsinogen II, hypergastrinemia; vitamin B12 deficiency; proven autoimmune thyroiditis (antibodies to thyroglobulin and thyroid peroxidase in the diagnostic titre). Histologically, lymphoid hyperplasia of the stomach was determined. Colonoscopy revealed erosive terminal ileitis and colitis, as well as an increase in the lymphoid follicles of the sub-mucosal layer in the ileum and all parts of the colon, which gave a rough pattern to the mucosa. Histological examination revealed pronounced follicular hyperplasia of the lymphoid tissue of the ileum and colon. The clinical diagnosis was established as follows. The combined main disease: 1. Selective IgA deficiency with a nodular lymphoid hyperplasia of the stomach, small and large intestine. 2. Autoimmune gastritis with erosions in the gastric fornix. Vitamin B12 deficiency. Concomitant diseases: Autoimmune thyroiditis.Conclusion. The presented clinical observation demonstrates the importance of recognizing nodular lymphoid hyperplasia, which is established as the cause of diarrhea in a patient with selective IgA deficiency after excluding the diagnosis of Crohn’s disease. A specific feature of the presented clinical case is a combination of autoimmune gastritis and autoimmune thyroiditis with selective IgA deficiency.
Poner el cuerpo: desigualdades de género en la experiencia de usuarias con Técnicas de Reproducción Asistida
Authors: Johnson María Cecilia 
Published: September 2019

Poner el cuerpo: Gender Inequalities in The Experience of Assisted Reproduction Techniques Users ResumenDesde un análisis teórico-empírico este trabajo de investigación se propone comprender las maneras en que el poder biomédico se hace cuerpo en las experiencias de mujeres usuarias de Técnicas de Reproducción Humana Asistida (TRHA). Las TRHA abren alternativas reproductivas pero al mismo tiempo suponen crecientes procesos de patologización y medicalización de la reproducción de las mujeres.Desde un enfoque biográfico, mediante entrevistas realizadas a mujeres usuarias de la ciudad de Córdoba, este artículo explora las diferentes formas en que el poder biomédico opera en los cuerpos de las usuarias, partiendo de los sentidos subjetivos de la experiencia con TRHA. La fragmentación, la alienación, la maleabilidad y la performatividad del cuerpo resultan vivencias que forman parte de la experiencia subjetiva con las TRHA. Así mismo el género aparece como una categoría central que da cuenta de las desigualdades en el tratamiento. AbstractFrom a theoretical-empirical analysis, this research seeks to understand the ways the biomedical power is embodied in the experiences of women using Assisted Reproduction Techniques (ART). The ARTs brings reproductive alternatives but at the same time they involve increasing processes of pathologization and medicalization of the reproduction of women.From a biographical approach, through interviews with female users of Córdoba city, and analyzing the corporal and subjective senses of the experience with ARTs, this article explores the different ways the biomedical power relationships are implicated in the biographical experiences of users. The fragmentation, alienation, malleability and the performativity of the body are part of the subjective experience with the ART. In addition, gender appears as a central category showing the inequalities during the treatment. Key words: Assisted Reproduction, Gender, Biographies, Medicalization