bluuebunny/crossref_metadata_2025_split huggingface dataset:
LOW COST ALTERNATIVE SOLAR COLLECTOR WITH ABSORPTION SURFACE FORMED BY PVC TUBES
Authors: Souza L. G. M. , Santos R. D. , L. Neto H. J. 
Published: October 2018

A no conventional new model of solar collector is presented, composed for multiple units of PVC tubes in parallel to absorb solar radiation, through a new model of linking between same and the pipes of admission and water exit. The collector’s box is made with a composite of matrix ceramic and coated with resin, propitiating the elimination of the thermal isolation, usually glass wool. The collector is composed of only three elements: the box, the absorb grid and glass. It will board constructive aspects, demonstrating the easiness to manufacture such archetype that is characterized for presenting a cost of manufacture sufficiently reduced. It will be presented values of thermal parameters of the collectors, working in regimen of thermosiphon in a volume of water in the order of 250 liters (66.03 gallons). One will demonstrate the thermal, economic and the materials viability of this collector, enabling it to serve as another option to the conventional systems of market heating, mainly to the attainment of low temperatures.
USE OF MINI POLYTUNNELS FOR THE MAINTENANCE OF A CLONE GARDEN OF ACACIA MEARNSII DE WILDEMAN IN DIFFERENT SEASONS OF THE YEAR
Authors: Flôres Junior Paulo César , Engel Mara Luana , Ikeda Angela Cristina , Alcantara Giovana Bomfim , Higa Antonio Rioyei 
Published: October 2018

The aim of this study was to verify the influence of mini polytunnels on the quality of shoots produced in a black wattle clone garden. The treatments used were: T1 – clone garden with mini polytunnels inside the greenhouse; T2 – clone garden with no mini polytunnels inside the greenhouse; T3 – clone garden with mini polytunnels outside the greenhouse; and T4 – clone garden with no mini polytunnels outside thegreenhouse. These four treatments formed a 4 x 3 factorial along with three seasons of the year: winter/2015, summer/2015-2016, and autumn/2016. A randomized block design was used with six blocks and ten cuttings per plot. Survival rate, number of shoots per cutting, and mean shoot length were evaluated. Shoots were collected from the cuttings and a rooting experiment with the same design was installed. Rooting rate, rate of shoots with calluses, number of roots per shoot, and mean shoot length per cutting were evaluated. There was interaction between the environment in the clone garden and the season of the year. In the winter, the treatment with mini polytunnels outside the greenhouse (T3) showed the best results, mainly in what concerns to the rooting of shoots. Shoots survived in the four clone garden environments, and the lowest survival rates were observed in the autumn/2016 season. The best responses were observed in the summer season.
Dedifferentiated Liposarcoma With Myofibroblastic Differentiation
Authors: Wang Grace Y. , Lucas David R. 
Published: October 2018

Context.—
Liposarcoma is divided into myxoid, pleomorphic, well-differentiated, and dedifferentiated subtypes. Dedifferentiated liposarcoma displays the greatest histomorphologic diversity, including a subset with myofibroblastic differentiation that shares similarities with a spectrum of reactive, benign, and malignant soft tissue lesions. Misdiagnosis may lead to deleterious consequences, as dedifferentiated liposarcoma differs significantly in its prognosis and treatment from its mimics.

Objective.—
To review the clinicopathologic, immunohistochemical, and molecular features of the myofibroblastic variant of dedifferentiated liposarcoma as well as the key distinguishing features from its mimics.

Data Sources.—
Review of pertinent literature on major features and current understanding of dedifferentiated liposarcoma with myofibroblastic differentiation.

Conclusions.—
The myofibroblastic variant of dedifferentiated liposarcoma is an uncommon and underrecognized sarcoma with several important differential diagnoses, and likely represents the major subset of aggressive retroperitoneal tumors that may have been misdiagnosed as desmoid-type fibromatosis, inflammatory myofibroblastic tumor, or another type of sarcoma in the past.
The Legacy of the “Cyprus Codex” (MS. Torino J.II.9): Creating New Technologies and Compositions through a Collaborative Process
Authors: Sammoutis Evis , Sheppard Skaerved Peter , Hsu Timothy 
Published: October 2018

MS. J.II.9 (also known as the “Cyprus Codex”) is an anonymous Codex composed in the court of Nicosia in the first part of the 15th century during Cyprus’s Frankish period and the Lusignan Dynasty. It is the only known Codex of Western music in the region and one of the few exclusively French codices known from that time. Its style lies in the threshold between Ars Nova and Ars Subtilior with unique features. Composer Evis Sammoutis, violinist Peter Sheppard Skaerved and Music technology professor Timothy Hsu have built a collaboration inspired by the legacy of MS. J.II.9. This resulted in the creation of new bows and techniques of performing the violin and the creation of new compositions based both on the material from MS. J.II.9 and technological advancements.
Le management relationnel d’une association de l’économie sociale et solidaire1
Authors: Phanuel Dominique 
Published: October 2018

Les tenants de la « -Relational View- invitent à une lecture partenariale des parties prenantes de l’organisation. Cet article mobilise trois perspectives complémentaires des parties prenantes. L’approche normative exige la reconnaissance des parties prenantes, l’approche descriptive s’appuie sur leur connaissance et l’approche instrumentale ou stratégique fait référence au management du portefeuille relationnel. Comment identifier le portefeuille de parties prenantes de l’organisation ? Quelles stratégies relationnelles formuler et mettre en oeuvre ? Nous répondrons à ces questions à l’appui d’une étude de cas issue de l’économie sociale et solidaire : l’association « A.I.D.E.R ».
Factitious disorders and the 'professional patient'
Authors: Lande Col. Raymond G. 
Published: October 2018

Abstract
Factitious disorders are fabricated illnesses. Conceptually, these disorders lie in the gray zone between malingering and real diseases. Clinical awareness will prevent unnecessary diagnostic and therapeutic interventions. The author profiles those patients and symptoms that accompany factitious disorders as well as factitious disorders by proxy. In the case of the latter, child abuse may be uncovered as well. Although rare, factitious disorders will be present in a busy primary care practice. Clinical detection based on patient profiles can aide discovery. Early recognition and management may prevent a chronic and debilitating course from culminating into one in which the person becomes a "professional patient."
Inferior glenohumeral dislocation (luxatio erecta humeri)
Authors: Padgham Michael , Walker James S. 
Published: October 2018

Abstract
A 67-year-old woman was seen in the emergency department because of severe pain and inability to move her left shoulder after falling on an abducted left arm. The fall was the result of a near-syncopal episode. On examination, the left arm was hyperabducted and elevated approximately 80 degrees from the horizontal plane. Furthermore, the patient was unable to move her left arm. Radiographs of the shoulder revealed an inferior dislocation of the glenohumeral joint. Closed reduction in the emergency department was successful. This rare but classic case of inferior glenohumeral dislocation (Iuxatio erecta humeri) serves to emphasize that a heightened awareness for this injury is necessary if it is to be recognized and treated appropriately. It is important to obtain orthopedic consultation or follow-up (or both) for this injury, because of the high incidence of accompanying tears of the rotator cuff. Neurovascular compromise is also commonly associated with this dislocation. The neurologic injuries are more common than the vascular injuries but tend to resolve after reduction.
The motherhood meanings for adolescents assisted by the family health strategy / O significado da maternidade para adolescentes atendidas na Estratégia de Saúde da Família
Authors: Torres Jaqueline D'Paula Ribeiro Vieira , Torres Silvério de Almeida Souza , Vieira Gedeon D'Paula Ribeiro , Barbosa Géssica Pereira , Souza Meriele Santos , Teles Mariza Alves Barbosa 
Published: October 2018

Objetivo: Conhecer os significados da maternidade para as adolescentes atendidas pela Estratégia de Saúde da Família, no município de Montes Claros-MG/Brasil. Métodos: Trata-se de um estudo descritivo com abordagem qualitativa, cujos sujeitos foram 11 adolescentes mães cadastradas na ESF Santa Rafaela. Resultados: Dentre os motivos que levaram a adolescente à gravidez, destacaram-se o desejo de ser mãe e a não utilização de métodos contraceptivos. Em relação às mudanças ocorridas após o nascimento do filho, as adolescentes revelaram a adoção de novas responsabilidades e o abandono de atividades relacionadas ao lazer, amizades, estudo e trabalho. Quanto aos projetos futuros, as adolescentes mães demonstram preocupações em prover uma boa qualidade de vida aos filhos. Conclusão: Contribui para o incremento da qualidade da assistência à saúde dos adolescentes, na elaboração de programas de intervenção e com outros estudos relacionados à maternidade na adolescência.
The health of elderly people bearing Alzheimer’s disease: an integrative review / Saúde do idoso com doença de Alzheimer: revisão integrativa
Authors: Ventura Hemmily Nóbrega , Tavares da Fonseca Leila de Cássia , Borges Bruno César Fernandes , Nóbrega Jéssica Yasmine Lacerda , Ventura Herbert Nóbrega , Nóbrega Maria Leosimar Leite 
Published: October 2018

Objetivo: Verificar o conhecimento produzido pelos pesquisadores a respeito da saúde do idoso com Doença de Alzheimer (DA). Métodos: Revisão integrativa da literatura com levantamento bibliográfico realizado na Biblioteca Virtual em Saúde (BVS), MEDLINE e nos bancos de dados do Portal de Periódicos Capes. Resultados: Observou-se a incipiência de artigos científicos publicados sobre a Doença de Alzheimer com enfoque na saúde da pessoa idosa. Conclusão: Verificou-se a necessidade de pesquisas para investigar a saúde do idoso em face à doença de Alzheimer que possibilitem aporte teórico na elaboração de políticas públicas de saúde mais abrangentes para os cuidados aos idosos. Descritores: Envelhecimento, Doença de Alzheimer, Autonomia pessoal, Saúde do idoso.
Serum vitamin D level not correlated with hepatitis B virus replication in patients with chronic hepatitis B virus infection
Authors: Yang Chun‐Chun , Tseng Tai‐Chung , Chen Jiann‐Hwa , Li Chung‐Hsien , Wang Pin‐Chao , Lin Hans Hsienhong , Wang Chia‐Chi 
Published: October 2018

SummaryBackgroundsVitamin D is an important immune modulator in chronic liver diseases. The study aims to investigate the relationship between vitamin D and hepatitis B virus replication.MethodsThis was a prospective study. Hepatitis B virus (HBV) carriers were enrolled from May to Oct 2014 in Taipei Tzu Chi Hospital. All have positive hepatitis B surface antigen (HBsAg) for more than 6 months. Serum alanine aminotransferase (ALT), quantitative HBsAg (qHBsAg), HBV DNA and 25(OH)D3 were measured in each participant.Results204 patients (male 103; mean age 47.86 ± 10.22 years) with chronic HBV infection (94.12% HBeAg‐negative) were enrolled. Of them, 13 (6.4%) had severe deficiency (25(OH)D3 < 10 ng/mL), 176 (86.3%) insufficiency (25(OH)D3 ≥ 10 and < 30 ng/mL) and 15 (7.4%) adequate (25(OH)D3 ≧ 30 ng/mL) vitamin D levels. In the regard of age and sex, there was no difference in vitamin D levels. Using linear regression analysis, there was no correlation between serum vitamin D and HBV DNA/qHBsAg levels. While serum vitamin D levels were categorized by quartiles, there was no association between vitamin D levels and HBV DNA/qHBsAg levels using univariate and multivariate analyses.ConclusionsIn this study, 92.6% of patients with chronic HBV infection have inadequate vitamin D levels. Serum vitamin D levels do not correlate with the markers of HBV replication including serum HBV DNA and qHBsAg levels.Copyright © 2017, The Gastroenterological Society of Taiwan, The Digestive Endoscopy Society of Taiwan and Taiwan Association for the Study of the Liver.
Acute phlegmonous gastritis
Authors: Chen Chi‐Hung , Shin Jeng‐Shiann , Huang Jen‐Chieh 
Published: October 2018

SummaryAcute phlegmonous gastritis is an uncommon and often life‐threatening disease characterized by suppurative bacterial infection of the stomach. Here we report a case of acute plegmonous gastritis in a 51‐year‐old male patient with underlying alcoholic cirrhosis. When admitted to the emergency department, he initially presented with upper abdominal pain, and fever for three days. The patient's vital signs were unstable, including blood pressure 90/55 mmHg, heart rate 110 beats per minute, respiratory rate 25 breaths per minute, and body temperature 38°C. Emergent imaging results suggested acute phlegmonous gastritis. The patient was admitted to the intensive care unit for immediate treatment with intravenous antibiotics, and results of endoscopic tissue culture and blood culture on day four identified the underlying pathogen as Klebsiella pneumonia. In this case report, we share the patient's clinical course, ultrasonography and computed tomography images, and endoscopic findings, accompanied by brief literature review.Copyright © 2017, The Gastroenterological Society of Taiwan, The Digestive Endoscopy Society of Taiwan and Taiwan Association for the Study of the Liver.
Type 1 (IgG4‐related) autoimmune pancreatitis: Experiences in a medical center in southern Taiwan within the past 10 years
Authors: Chen Yen‐Chun , Chan Hoi‐Hung , Lai Kwok‐Hung , Tsai Tzung‐Jiun , Hsu Ping‐I 
Published: October 2018

SummaryBackgroundsAutoimmune pancreatitis (AIP) is a relatively rare disease and has similar presentations to pancreatic cancer. There are limited reports about this disease in Taiwan.MethodsWe retrospectively reviewed 14 cases of type 1 AIP from March 2007 to March 2016 in Kaohsiung Veterans General Hospital. The diagnosis was made according to the international consensus diagnostic criteria (ICDC) for AIP.ResultsThere were 12 male and two female patients diagnosed with type 1 AIP, with a mean age of 63.6 (33 – 88) years. The rates of DM and HTN were 28.5% and 35.7%, respectively. The clinical presentations were mainly weight loss, epigastric pain, and obstructive jaundice. Most patients didn't have the habits of cigarette smoking or drinking alcohol. Minority of these patients had leukocytosis but the majority of them had anemia. All patients had a normal range of platelet count. Most patients had elevation of alanine transaminase, alkaline phosphatase or lipase. Serum immunoglobulin G (IgG) or IgG4 tests were done in most cases, and high‐up levels were seen in most of them. Six of them had an upraised CA 19‐9. All patients had a normal range of coagulation profiles (prothrombin time and activated partial thromboplastin time). Diffuse or focal swellings of the pancreas were observed from CT or MRI among different patients. Six of them had pathology evidence. Three of them received Whipple's operation. Seven of them underwent ERCP. Four of them received PTCD. Two of them received PTGBD. Corticosteroids were prescribed to all patients after the diagnosis of AIP except of that one lost to follow‐up. There were eight patients taking steroid only and five taking steroid in combination with another immunomodulator.ConclusionsType 1 AIP has several common features with pancreatic cancer so accurate diagnosis is important to avoid unnecessary operation. The diagnosis involves clinician's alertness and several diagnostic modalities, including serology, radiology and pathology. Though steroid is effective for type 1 AIP, the relapse rate is high. longterm follow‐up is required. Several clinical features in this study are different from those in other reports and further study is still required for investigation.Copyright © 2017, The Gastroenterological Society of Taiwan, The Digestive Endoscopy Society of Taiwan and Taiwan Association for the Study of the Liver.
Metachronous duodenal neuroendocrine neoplasms after endoscopic mucosal resection
Authors: Wang Hsin‐Ming , Liang Chih‐Ming , Wu Cheng‐Kun , Chiu Yi‐Chun , Chou Yeh‐Pin , Wu Keng‐Liang , Huang Chao‐Cheng , Chuah Seng‐Kee , Tai Wei‐Chen , Lu Lung‐Sheng 
Published: October 2018

SummaryDuodenal neuroendocrine tumors (D‐NETs) may or may not be associated with a functional clinical syndrome. The term D‐NETs includes all duodenal tumors with neuroendocrine features as determined by histological/ immunohistochemical methods including positivity for neuroendocrine cytosolic markers (neuron‐specific enolase, or secretory vesicle proteins (chromogranin A (CgA), synaptophysin)). More than 90% of all D‐NETs arise in the first and second part of the duodenum. Approximately 20% of D‐NETs occurs in the periampullary region. Most D‐NETs are asymptomatic and incidentally detected during upper gastrointestinal (GI) endoscopy examinations for symptoms unrelated to the carcinoid tumor. D‐NETs account for 2% ‐ 5% of GI neuroendocrine tumors, and usually present as solitary small lesions confined to the duodenal submucosa. Endoscopic treatment is generally recommended for D‐NETs less than 10 mm as it is associated with a low frequency of lymph node invasion and distant metastases. However, the report of metachronous or synchronous concurrence of D‐NETs is scarce. Herein, we present a case of metachronous duodenal neuroendocrine tumor status successfully treated by hybrid endoscopic submucosal dissection.Copyright © 2017, The Gastroenterological Society of Taiwan, The Digestive Endoscopy Society of Taiwan and Taiwan Association for the Study of the Liver.
Recurrent bleeding of colonic diverticular hemorrhage after endoscopic treatment: Clinical experience of an endoscopic center
Authors: Huang Chun‐Lin , Wu Chi‐Huan , Chen Tsung‐Hsing , Lin Wei‐Pin , Sung Chang‐Mu , Kuo Chia‐Jung , Chen Chun‐Wei , Lin Wei‐Ran , Ho Yu‐Pin , Lin Chun‐Jung , Hsu Chen‐Ming , Su Ming‐Yao , Chiu Cheng‐Tang 
Published: October 2018

SummaryAimsDiverticular bleeding is one of the most common etiologies of lower GI bleeding. Endoscopy is a useful tool in both diagnosis and therapeutic management. The endoscopic hemostatic methods included epinephrine injection, thermal coagulation, clipping or combination of them. The aim of this study was to evaluate the outcome of different type of hemostasis.Patients and methodsWe reviewed the medical record of all patients who underwent endoscopic therapy for diverticular bleeding from December 2000 to December 2011. We measured hemoglobulin before procedure, early rebleeding (< 30 days), late rebleeding (> 30 days), blood transfusion requirement, hospital stay and complication.ResultsIn our hospital, acute lower GI bleeding leads to almost 600 patients in the past 10 years. We identified 21 patients who underwent endoscopic hemostatic treatment for the diverticular hemorrhage. Patients with epinephrine injection alone had one of thirteen with early rebleeding (< 30 days) and one of thirteen with late rebleeding (> 30 days). Patients with combination therapy (epinephrine injection combined with coagulation or clipping) had one of eight with early bleeding and two of eight patients had late bleeding. There was no significant difference between these two groups on early rebleeding and late rebleeding.ConclusionsIn our series, epinephrine injection alone for diverticular hemorrhage seems to be non‐inferior to the combination therapy for providing good initial hemostasis and preventing recurrent bleeding.Copyright © 2017, The Gastroenterological Society of Taiwan, The Digestive Endoscopy Society of Taiwan and Taiwan Association for the Study of the Liver.
Endoscopic features and treatment response have better prediction rate than clinical symptoms/signs in distinguishing Crohn's disease and intestinal tuberculosis
Authors: Lin Wei‐Chen , Chang Chen‐Wang , Wang Tsang‐En , Wang Horng‐Yuan , Shih Shou‐Chuan , Chu Cheng‐Hsin , Hsu Tzu‐Chi 
Published: October 2018

SummaryBackgroundIntestinal tuberculosis (ITB) is less common than Crohn's disease (CD) in Taiwan. Despite the worldwide decline in TB incidence over last several years, the prevalence yet remains high. Therefore, there is a necessity to increase the clinical awareness of this serious health problem. The aim of this study was to investigate the value of clinical methods that may be helpful in distinguishing CD from ITB.MethodsEighty‐five patients, 67 and 18 patients diagnosed with CD and ITB, respectively, from January 2000 to April 2015 at Mackay Memorial Hospital, Taipei were included. The clinical, laboratory, endoscopic, and histological characteristics were reviewed retrospectively.ResultsCD patients (33 ± 13 years) were younger than ITB patients (57 ± 21 years) (p = 0.103). The incidences of hematochezia, abdominal pain, diarrhea, fever, and weight loss were not significantly different (p = 0.388, p = 0.699, p = 0.751, p = 0.468, and p = 0.611, respectively). The hemoglobin, platelet, and C‐reactive protein (CRP) levels were also not significantly different (p = 0.388, p = 0.440, and p = 0.330, respectively). The endoscopic features of aphthous ulcer and cobblestone appearance were seen more often in CD patients (p = 0.043 and p = 0.010, respectively). Rectal lesions (29.9 vs. 0%; p = 0.020) were seen only in CD patients. Patulous ileocecal valve was specifically seen in ITB patients (p = 0.006). The histological features of granuloma, cryptitis and crypt abscess, and fissure formation were not significantly different (p = 0.377, p = 0.293, and p = 0.212, respectively).ConclusionsThe endoscopic features of aphthous ulcerations, cobblestone appearance, and rectal involvement in CD and of patulous ileocecal valve in ITB, along with clinical treatment follow‐up, tend to be useful diagnostic characteristics differentiating CD and ITB.Copyright © 2017, The Gastroenterological Society of Taiwan, The Digestive Endoscopy Society of Taiwan and Taiwan Association for the Study of the Liver.