bluuebunny/crossref_metadata_2025_split huggingface dataset:
Expressed emotions and experiences from relatives regarding having a family member living in a nursing home for older people
Authors: Dorell Åsa , Sundin Karin 
Published: January 2019

Objectives: The purpose of this study was to describe the topics relatives with a family member in a nursing home for older persons choose to talk about and focus on when participating in a nurse-led “Family Health Conversations” intervention. Family Health Conversations consisted of a series of three nurse-led conversations with each family, with a 2-week interval between meetings. Methods: The Family Health Conversations meetings were tape-recorded and analyzed using qualitative content methods. The participants were relatives of family members living in a nursing home for older persons in a municipality in Sweden. Results: The findings showed how the relatives talked about their suffering and difficulties concerning the new situation. The relatives talked about frustration and sadness together in a new way, with a focus on how to manage the future. They also wished that they had been offered an opportunity to talk about this with nurses earlier in the illness trajectory. Conclusion: The relatives had a significant need to talk about their experiences together within the family and together with the nurses. Nurses have an especially important task in supporting relatives having a family member living in a nursing home.
Idiopathic Acute Mitral Regurgitation Due to Chordal Rupture in Infants: Surgical Management and Results
Authors: Yoshizawa Kosuke , Fujiwara Keiichi , Ohno Nobuhisa , Watanabe Kentaro , Sakazaki Hisanori 
Published: January 2019

Objective: Emergency surgical treatment is required for idiopathic acute mitral regurgitation due to chordae rupture in infants. Nevertheless, mitral valve repair for such a patient population still remains challenging. We report our experience with mitral valve repair for idiopathic acute mitral regurgitation due to chordae rupture in infants. Methods: From 2005 to 2017, six infants (four boys) were diagnosed with acute mitral regurgitation due to chordae rupture and underwent mitral valve repair. The median age, mean body weight, and median follow-up period were 5.5 months (range: 4-9 months), 6.8 kg (range: 5.5-8.0 kg), and 6.4 years (range: 6 months to 10 years), respectively. Results: In all cases, surgical intervention was performed within 24 hours of admission. Artificial chordae reconstruction and paracommissural edge-to-edge repair were utilized in three and four cases, respectively, while Kay’s annuloplasty was performed in all cases. Mean cardiopulmonary bypass time and aortic cross-clamp time were 117 minutes (range: 70-143 minutes) and 73 minutes (range: 35-108 minutes), respectively. No early or late deaths and reoperations had occurred during the follow-up period. Moreover, postoperative mitral regurgitation was significantly reduced, while no chronologic progression of mitral regurgitation was observed. Conclusions: The combination of various techniques, such as artificial chordae reconstruction, paracomissural edge-to-edge repair, and Kay’s annuloplasty, can be a promising surgical option for idiopathic acute mitral regurgitation due to chordae rupture in infants.
Risk Factors and Outcome of Post Fallot Repair Junctional Ectopic Tachycardia (JET)
Authors: Paluszek Corinna , Brenner Paolo , Pichlmaier Maximilian , Haas Nikolaus A. , Dalla-Pozza Robert , Hagl Christian , Hakami Lale 
Published: January 2019

Background: Junctional ectopic tachycardia (JET) is a common arrhythmia causing hemodynamic impairment following corrective cardiac surgery such as tetralogy of Fallot (TOF) repair. Methods: We report our experience with postoperative JET following surgical repair of TOF. The retrospective study was done from 2003 to 2012 with a total of 105 patients who underwent TOF repair. These patients’ clinical and electrocardiographic data (pre-, intra-, and postoperative) were monitored to identify risk factors for the occurrence of JET and to evaluate the outcome of the affected patients. Results: Incidence—Fourteen patients developed JET, with only four patients going directly from sinus rhythm to JET. In all others, either a transient atrioventricular (AV) block or a junctional rhythm preceded JET, mostly intraoperatively, showing a significant relation ( P = .010). Age—Patients with JET were of younger age ( P = .025) and had longer cardiopulmonary bypass ( P = .044) and aortic cross-clamping times ( P = .038). Increased cost and care—The occurrence of JET was associated with a longer stay in the intensive care unit (ICU) and a prolonged need for inotropic support and mechanical ventilation. Time to rate control correlated with length of ICU and hospital stay. Mortality: All JET patients converted into sinus rhythm, one of them died shortly after cessation of JET and two patients subsequently developed a first-degree AV block. Conclusion: The occurrence of JET remains an important complication during the initial postoperative period by increasing mechanical ventilation time, the need for inotropic support, and prolonging the length of ICU and hospital stay. Risk factors are younger age, longer aortic cross-clamping/bypass times, and intraoperative arrhythmias.
Association between endometriosis, headache, and migraine
Authors: Karamustafaoglu Balci Burcin , Kabakci Zehra , Guzey Damla Y , Avci Bartu , Guler Murathan , Attar Erkut 
Published: January 2019

Introduction: Available data suggest that there is an association between endometriosis and a group of disorders including autonomic nervous system irregularities. A deeper understanding of relationship between endometriosis and autonomic nervous system is needed as it may lead to novel discoveries on the causes or consequences of endometriosis. In this study, we analyzed the prevalence of migraine in patients with endometriosis. Methods: In this cross-sectional study, medical records of women were reviewed through January 2013 to December 2017. Women with laparoscopically proven endometriosis (n = 185) were compared with those without endometriosis (n = 168). The 3-item screening questions (ID Migraine™) test was used to screen migraine. Data were analyzed using SPSS v25 (IBM Corporation). The χ2 test was used for analyzing the nominal parameters and group comparisons. Pearson χ2 was used to study the association between endometriosis and migraine. Results: The mean age was 31.86 ± 4.49 years of the endometriosis group and 28.95 ± 5.11 years of the controls (p = 0.408). The two pre-screening questions of ID Migraine test were answered positively by 86 patients of the endometriosis group (75.4%) and by 53 patients of the control group (54.6%) (p = 0.001). Of these patients, 51 (44.7% of endometriosis group) and 26 (26.8% of control group) were diagnosed as having migraine using 3-item Migraine questionnaire (p = 0.007). Conclusion: This study showed that the prevalence of migraine was significantly higher in patients with endometriosis. Because there is a strong correlation, patients with endometriosis should be screened for headache and migraine to increase the benefits of care.
Using Machine Learning to Predict Lower-Extremity Injury in US Special Forces
Authors: CONNABOY CHRIS , EAGLE SHAWN R. , JOHNSON CALEB D. , FLANAGAN SHAWN D. , MI QI , NINDL BRADLEY C. 
Published: January 2019

ABSTRACT

Introduction
Musculoskeletal injury rates in military personnel remain unacceptably high. Application of machine learning algorithms could be useful in multivariate models to predict injury in this population. The purpose of this study was to investigate if interaction between individual predictors, using a decision tree model, could be used to develop a population-specific algorithm of lower-extremity injury (LEI) risk.

Methods
One hundred forty Air Force Special Forces Operators (27.4 ± 5.0 yr, 177.6 ± 5.8 cm, 83.8 ± 8.4 kg) volunteered for this prospective cohort study. Baseline testing included body composition, isokinetic strength, flexibility, aerobic/anaerobic capacity, anaerobic power, and landing biomechanics. To evaluate unilateral landing patterns, subjects jumped off two-feet from a distance (40% of their height) over a hurdle and landing single-legged on a force plate. Medical chart reviews were conducted 365 d postbaseline. χ2 automatic interaction detection (CHAID) was used, which compares predictor variables to LEI and assigns a population-specific “cut-point” for the most relevant predictors.

Results
Twenty-seven percent of operators (n = 38) suffered LEI. A maximum knee flexion angle difference of 25.1% had the highest association with injury in this population (P = 0.006). Operators with >25.1% differences in max knee flexion angle (n = 13) suffered LEI at a 69.2% rate. Seven of the 13 Operators with >25.1% difference in max knee flexion angle weighed >81.8 kg, and 100% of those operators suffered LEI (P = 0.047; n = 7). Only 33% of operators with >25.1% difference in max knee flexion angle that weighed <81.8 kg suffered LEI.

Conclusions
This study demonstrated increased risk of LEI over a 365-d period in Operators with greater differences in single-leg landing strategies and higher body mass. The CHAID approach can be a powerful tool to analyze population-specific risk factors for injury, along with how those factors may interact to enhance risk.
No Thermoregulatory Impairment in Skin Graft Donor Sites during Exercise-Heat Stress
Authors: CRAMER MATTHEW N. , MORALEZ GILBERT , HUANG MU , CRANDALL CRAIG G. 
Published: January 2019

ABSTRACT
The US Army’s Standards of Medical Fitness, AR 40-501, state that “Prior burn injury (to include donor sites) involving a total body surface area of 40% or more does not meet the standard.” Inclusion of donor sites (sites harvested for skin grafts) in this standard implies that thermoregulatory function is impaired within donor sites during exercise-heat stress; however, supporting evidence is currently lacking.

Purpose
To test the hypothesis that well-healed donor and noninjured sites demonstrate similar elevations in skin blood flow and sweating during exercise-induced hyperthermia.

Methods
Twenty burn survivors (>1 yr postinjury; four females) cycled for 60 min in a 39.7°C ± 0.3°C and 21.1% ± 3.3% relative humidity environment at approximately 50% of maximal aerobic capacity. Core and mean skin temperatures were recorded throughout exercise. Skin blood flow (laser-Doppler imaging) was measured at baseline and after exercise within donor (LDFDON) and adjacent noninjured control (LDFCON) sites. At 45 min of exercise, local sweat rates (Technical Absorbents) were measured within the same donor (LSRDON) and noninjured (LSRCON) areas.

Results
After 60 min of exercise, core and skin temperatures reached 38.2°C ± 0.4°C and 35.5°C ± 1.2°C, respectively. The increase in skin blood flow from baseline to end-exercise (LDFDON, 91.6 ± 44.5 AU; LDFCON, 106.0 ± 61.6 AU; P = 0.17) and local sweat rates (LSRDON, 0.46 ± 0.26 mg·cm−2·min−1; LSRCON, 0.53 ± 0.25 mg·cm−2·min−1; P = 0.14) were not different between donor and noninjured control sites.

Conclusions
Well-healed donor sites retain the ability to increase skin blood flow and sweating during exercise heat stress, providing evidence against the inclusion of donor sites when determining whether a burn injury meets the Army’s Standards of Medical Fitness.
Evaluating a positive mental health programme for students
Authors: Burford Nicola , Hardy Sheila 
Published: January 2019

With the number of students presenting at university mental health services increasing, Nicola Burford and Sheila Hardy set up a pilot project to equip them with the skills to self-manage their mental health Background: The past 20 years have seen the number of students attending university double in the UK. More than a quarter of students report having mental health problems, with the majority being anxiety and depression, and the number of suicides continues to increase. Students should be able to go to university and feel supported and well looked after, with access to timely, appropriate services and resources, and be empowered to develop skills to self-care. The aim of this project was to equip students attending one university in England with the skills to self-manage their mental health and seek further help when needed. Method: A programme of education called ‘HeadsUp!’ was developed which included six sessions: practical preventative information; common problems for students part 1; common problems for students part 2; self-help methods and local services and support; unhealthy behaviours; and Look After Your Mate, based on the Student Minds Campaign. The sessions were offered on a Thursday evening for up to 10 students and it was advertised through flyers, posters and Tweets. A place could be reserved through an online booking system. The sessions were evaluated using questionnaires. Results: The education programme was developed successfully. Advertising appeared to be effective as a total of 16 students signed up to one or more sessions. Between four and eight booked for five sessions, however, no one booked for the last session. Between one and three students attended the sessions. They scored the effectiveness of all five sessions as 4.3 out of a maximum score of 5. Next steps: Practice staff will get involved in open days and the Freshers Fair, and use social media as a way of making sure students are aware of the groups. The sessions will run again over the next academic year and will be amended according to the feedback received. They will be held on the university site and earlier in the academic year to improve attendance.
Diabetes and foot problems: The role of the practice nurse
Authors: Nazarko Linda 
Published: January 2019

As the number of people being diagnosed with diabetes continues to increase, practice nurses need to understand the associated conditions. Linda Nazarko explains diabetic foot care, the development of ulcers, and methods to support people with diabetes Around 1.4 million people in the UK had diabetes mellitus (DM) in 1996 ( Diabetes UK, 2010 ). There are now 3.59 million people who have been diagnosed ( Diabetes UK, 2017 ). In the past, diabetic foot care was managed by podiatrists; however, in recent years practice nurses have begun to undertake diabetic foot assessments ( Lakha and Lee, 2018 ). DM increases the risk of foot problems and the person with diabetes is vulnerable to major complications, including ulcers and amputations. A person with DM is 30 times more likely to require an amputation than a person without diabetes ( Khanolkar et al, 2008 ). Every day, 20 people with diabetes have a lower limb amputation in England ( Diabetes UK, 2016 ). Routine foot care assessments and risk ratings can enable the nurse to determine the patient's level of risk and know when to refer; they can also determine the frequency of monitoring. The practice nurse can also educate and support the person with diabetes to manage their health to reduce the risks of foot problems. Simple interventions such as smoking cessation, inspecting feet daily, seeking help if there are any concerns, and wearing suitable footwear can reduce the risk of ulcers and amputations and improve quality of life. This article aims to enable the practice nurse to understand the components of diabetic foot care, the reasons why people with diabetes develop foot ulcers, and to enable the practice nurse to provide appropriate care and support to people with diabetes.
Bactericidal efficacy of hydrogen peroxide on Cutibacterium acnes
Authors: Hernandez P. , Sager B. , Fa A. , Liang T. , Lozano C. , Khazzam M. 
Published: January 2019

Objectives The purpose of this study was to examine the bactericidal efficacy of hydrogen peroxide (H2O2) on Cutibacterium acnes (C. acnes). We hypothesize that H2O2 reduces the bacterial burden of C. acnes. Methods The effect of H2O2 was assessed by testing bactericidal effect, time course analysis, growth inhibition, and minimum bactericidal concentration. To assess the bactericidal effect, bacteria were treated for 30 minutes with 0%, 1%, 3%, 4%, 6%, 8%, or 10% H2O2 in saline or water and compared with 3% topical H2O2 solution. For time course analysis, bacteria were treated with water or saline (controls), 3% H2O2 in water, 3% H2O2 in saline, or 3% topical solution for 5, 10, 15, 20, and 30 minutes. Results were analyzed with a two-way analysis of variance (ANOVA) (p < 0.05). Results Minimum inhibitory concentration of H2O2 after 30 minutes is 1% for H2O2 prepared in saline and water. The 3% topical solution was as effective when compared with the 1% H2O2 prepared in saline or water. The controls of both saline and water showed no reduction of bacteria. After five minutes of exposure, all mixtures of H2O2 reduced the percentage of live bacteria, with the topical solution being most effective (p < 0.0001). Maximum growth inhibition was achieved with topical 3% H2O2. Conclusion The inexpensive and commercially available topical solution of 3% H2O2 demonstrated superior bactericidal effect as observed in the minimum bactericidal inhibitory concentration, time course, and colony-forming unit (CFU) inhibition assays. These results support the use of topical 3% H2O2 for five minutes before surgical skin preparation prior to shoulder surgery to achieve eradication of C. acnes for the skin. Cite this article: P. Hernandez, B. Sager, A. Fa, T. Liang, C. Lozano, M. Khazzam. Bactericidal efficacy of hydrogen peroxide on Cutibacterium acnes. Bone Joint Res 2019;8:3–10. DOI: 10.1302/2046-3758.81.BJR-2018-0145.R1.
Keypoints in Wound Contractures
Authors: Sudjatmiko Gentur , Tania Vika 
Published: January 2019

Wound contracture is a challenging problem to deal with. By understanding the phases of wound healing, attempts can be performed to prevent abnormal wound healing that can lead to scar contracture. This article will attempt to provide a simple summary of wound contracture and how to prevent it.Although most wounds can be expected to heal uneventfully, infection, dehiscence, and delayed healing continue to be problems, associated with signi!cant morbidity, mortality, and economic cost. Wound contracture is one of morbidities that caused by delayed healing and incorrect management of wound.
Standardization of Honey Application on Acute Partial Thickness Wound
Authors: Raymond Benni , Sudjatmiko Gentur 
Published: January 2019

Backgrounds: : Inthe past few years, clinicians worldwide have been using honey for wound treatment. But until now, there was no such standard on method of honey application on wound. In our center, honey was applied on wound by once a day application and the result was observationally satisfactory. What if application of honey were done once every two days? Would the result become more satisfactory? This study aims to search honey application method, which gives the best result on wound treatment.
Methods: This is single-blinded non-randomize clinical trial, which was conduscted in Cipto Mangunkusumo Hospital Jakarta from July until September 2012. 14 Patients with acute partial thickness wound resulted from STSG harvesting were involved in this study. Patients were devided into 2 groups: control (once every two days application of honey) and the rate of wound healing were evaluated. Rate of wound healing will be assessed as number of percentage of reduced non-epithelialized areas on the seventh day of application.
Results: The mean percentage of non-epithelialized area reduction on treatment gruop was 86,76% and 97,97% on control group. There was significant difference on percentage of reduced area between control and treatment group (p<0,00).

Conclusion: There was statistically signi!cant difference between once a day and once every two days application of honey. However, changing of honey dressing once a day is still a preferable method in wound treatment.
Is The ‘Rule of Tens’ a Necessary Screening Criteria in Cleft Lip Surgeries
Authors: Ibadurahman Ibadurahman , Sudjatmiko Gentur 
Published: January 2019

Background: The “rule of tens” (ROT) is still widely applied nowadays in many cleft centers worldwide for cleft lip surgery, although many surgeons do not implement it as a standard ru Recent advances in the field of anesthesiology have enhanced the safety of surgery for neonates. In Indonesia, ROT is still applied but is still flexible, due to some pertaining social confiicts. The relevance of ROT to the rate of mortality and morbidity is still unknown. This study aims to assess the need of using ROT in cleft lip surgeries.Methods: A retrospective study was conducted. Data was obtained from the medical records of patients who had undergone cleft lip repair between January 2004 to December 2005 in one day care setting. All data related to ROT parameters was categorized in two groups, either fit or unfit according to ROT criterias. The relationship of ROT to rate of associated morbidity and mortality was evaluated.Results: There were 204 cases of cleft lip repair with age range of 6-week to 12-year old. More than half (52.9%) was unfit for ROT. There were twelve cases of wound dehiscence and one total breakdown of the sutures, and no mortality. There were no statistically significant correlation ce between ROT and the rate of dehiscence. Conclusion: ROT is not a definitive criterion that could predict the success of cleft lip repair surgery.
Percepção dos Gestores das Unidades Básicas de Saúde Sobre as Práticas Integrativas e Complementares
Authors: Plácido André Lima , Morais Karla Cavalcante Silva de , Silva Carla Pequeno da , Tavares Felix Meira 
Published: January 2019

Com base na existente crise do paradigma da medicina moderna executada no Sistema Único de Saúde, surgiu a necessidade de integrar práticas de saúde não convencionais e beneficiar a integralidade na atenção à saúde. Denominadas como Práticas Integrativas e Complementares em saúde, com a criação da Política Nacional de Práticas Integrativas e Complementares pretendeu-se assegurar o acesso aos usuários da atenção básica às medicinas tradicionais e complementares. O objetivo do estudo foi identificar o conhecimento e opiniões dos gestores de saúde que atuam nas Unidades Básicas de Saúde sobre as Práticas Integrativas e Complementares. Estudo do tipo qualitativo. A coleta de informações ocorreu no período de outubro de 2018, por meio entrevistas com os gestores de uma Unidade de Saúde Básica. Os resultados mostraram desconhecimento dos gestores com relação às políticas nacionais de saúde que preconizam as práticas integrativas, denotando um desafio para sua implementação na atenção básica.
Administração Tributária Municipal
Authors: Viana Rafaela Lopes , Costa Antonia Valdelucia 
Published: January 2019

O presente estudo trouxe uma abordagem sobre tributos, no qual se conhecimentos sobre a administração pública no âmbito de arrecadação. Os impostos têm sua alíquota diferentes em determinadas competências de arrecadação, pois a União, estado, Distrito Federal e municípios possuem impostos específicos de sua inteira competência. A esfera municipal é responsável pela arrecadação dos impostos: IPTU, ITBI e ISS. A origem dos imposto remota à antiguidade, e veio se aperfeiçoando no decorrer dos séculos. A pesquisa feita, objetivou apresentar os impostos arredados pelos municípios, as etapas de arrecadação municipal, e o sistema tributário nacional em todas as suas esferas. Para tanto, utilizou-se da metodologia bibliográfica, tendo por base obras de autores renomados e pesquisas feitas em lei e sites confiáveis. O município tem sua autonomia na cobrança de determinados impostos e a sua aplicação deve estar voltada para o bem-estar social.