bluuebunny/crossref_metadata_2025_split huggingface dataset:
Treatment of partial-thickness burns with a tulle-gras dressing and a hydrophilic polyurethane membrane: a comparative study
Authors: Sahin Cihan , Kaplan Pinar , Ozturk Sinan , Alpar Sule , Karagoz Huseyin 
Published: January 2019

Objective: The purpose of this revisited study was to compare the clinical efficacy and long-term scar evaluation of a hydrophilic polyurethane membrane (HPM), Omiderm (Omikron Scientific Ltd., Rehovot, Israel) and an antimicrobial tulle-gras dressing (TGD), Bactigras (Smith & Nephew) in the management of partial-thickness burns. Method: Patients with partial-thickness burns were enrolled in this prospective study. Burn areas were divided into two areas and both dressings were applied to each field at the same time. Time to full re-epithelialisation and scar evaluation were compared using the Vancouver Scar Scale (VSS). Results: A total of 21 patients, mean age 36.8 years, with 22 burns areas participated. The results showed that there is no statistically significant difference in terms of full epithelialisation time in the application of either dressing (p>0.05). However, with deep dermal burns, the HPM provided slightly faster epithelialisation (p>0.05). A VSS assessment showed no statistically significant difference (p>0.05) between applying either dressing materials. Conclusion: This study indicated that both dressings had the same effectiveness in treatment of partial-thickness burn wounds. However, the use of the HPM, especially in deep dermal second-degree burns, should be one of the first-line clinical choices, based on the advantages discerned by this study.
Management of elevated blood glucose in type 2 diabetes
Authors: Holmes Patrick 
Published: January 2019

The first of a series of three articles, Patrick Holmes discusses the findings of several trials exploring the pharmaceutical manangement of type 2 diabetes which will aid nurses advising patients on hyperglycaemia The aim of this series of three articles is to give an overview and an update on the pharmaceutical management of elevated glucose in patients with type 2 diabetes. The articles will incorporate the findings of the published (or soon to be published) Cardiovascular Outcome Trials, offer opinion on their potential impact on clinical practice, and evaluate guidelines. Most importantly, they aim to help practice nurses make informed choices alongside patients with diabetes when choosing when and how to manage hyperglycaemia.
Community alcohol detoxification in primary care services
Authors: Fernandez Jeff 
Published: January 2019

Jeff Fernandez explains how primary care services are vital to providing cost-effective and successful alcohol detoxification treatment in the community, and they should not be reduced as a result of cuts to healthcare funding The good provision of alcohol and drug services need to be protected despite budget cuts and the continual redesign of primary care services. This article will examine the alcohol detoxifications completed in one alcohol and drug service over a 2-year period and asserts that what is effective should be retained in any service redesign. An in-depth case study of a typical patient of the service will be presented to illustrate in detail the positive effects that detoxification can have. This article suggests that this valuable work should not be lost or reduced as a result of funding cuts to the health service.
A Inclusão Educacional de Alunos com Autismo: Desafios e Possibilidades
Authors: Silva Marìlia Marluce Da , Nunes Cícera Alves , Sobral Maria do Socorro Cecílio 
Published: January 2019

O presente trabalho teve a finalidade de realizar uma discussão sobre a inclusão educacional do aluno com autismo sem preconceito nenhum em sala de aula, onde esta ou qualquer outra deficiência, que os mesmos tenham o direito de inclusão em escolas do ensino regular. O objetivo foi compreender como acontece a inclusão educacional de alunos com deficiência no ensino regular. Diante dos estudos realizados para desenvolvimento deste trabalho de pesquisa científica no que concerne ao conceito ficou evidente que o autismo é um transtorno global do desenvolvimento caracterizado por alterações significativas no desenvolvimento, prejudicando totalmente a capacidade na comunicação, na interação social e no comportamento da criança. A metodologia utilizada foi uma revisão bibliográfica de caráter qualitativo. Ao longo do estudo perceberam-se como resultados: a importância do processo de inclusão no ensino regular, fator defendido pela lei vigente, assim como a mediação do professor neste processo e no desafio de ensinar o aluno autista para o seu desenvolvimento pleno, com suas limitações, mas jamais excluído do processo que a ele é garantido o direito por lei. Ainda nesse contexto percebeu-se que o aprendizado é individual ocorre de modo diferente para cada aluno, há necessidade da escola e a família estarem sempre preparadas para que aconteça realmente a inclusão, de mãos dadas buscando a socialização, interação e mediação para uma aprendizagem, onde a escola tem que ser um ambiente acolhedor e de uma educação de qualidade.
Avaliação do Perfil das Interações Medicamentosas e os Fatores Associados em Prescrições Médicas de Pacientes Internados em Unidade de Terapia Intensiva
Authors: Dutra Ana Paula Rodrigues , Lemos Larissa Morgan Andrade , Damascena Rodrigo Santos 
Published: January 2019

Em Unidades de Terapia Intensiva (UTIs), o risco de reações adversas e tratamento terapêutico ineficaz é elevado, tal fato se deve as interações medicamentosas, que podem ocorrer quando a terapêutica prescrita é composta de diversos fármacos de diferentes classes. Essas terapias com múltiplos medicamentos acontecem porque tais unidades tratam pacientes críticos. Objetivo Primário: avaliar o perfil das interações medicamentosas e os fatores associados em prescrições médicas de pacientes internados em UTI em uma unidade hospitalar de grande porte no interior da Bahia. Materiais e Métodos: Trata-se de um estudo quantitativo, descritivo, realizado em um hospital público de grande porte através da análise das prescrições médicas da Unidade de Terapia Intensiva no período­ de 06 de setembro a 06 de outubro de 2018. Resultados: Foram encontradas 1485 Interações Medicamentosas nas prescrições referentes a 52 pacientes que estiveram internados no período da análise documental do presente estudo. Estas foram quantificadas, tiveram sua frequência analisada e classificadas de acordo com sua relevância em Secundária, Moderada, Importante e Contraindicada. Discussão: foi identificado 63,37% de IM-Importantes e 2,09% das IM encontradas foram contraindicadas, tal dado é preocupante pois entre os possíveis sinais e sintomas da interação medicamentosa classificada como importante figura hipotensão, bradicardia, hipoatividade e síndromes piramidais e as IMs contraindicadas geram riscos de morte e agravos importantes a saúde do paciente. Considerações Finais: O conhecimento do perfil das IMs que ocorrem em um determinado contexto assistencial contribui para a elaboração de ações de prevenção e o acompanhamento dos resultados clínicos das interações pela equipe de saúde
HUBUNGAN BODY IMAGE DENGAN ASUPAN ENERGI DAN PROTEIN SERTA PERILAKU KONSUMSI SUPLEMEN PADA MAHASIWA DI SEMARANG
Authors: Sugiar Iglas Er , Dieny Fillah Fithra 
Published: January 2019

Latar Belakang : Remaja adalah masa mencari identitas diri termasuk penampilan selain itu remaja rentan terpengaruh oleh penggambaran media tentang bentuk tubuh ideal, sehingga perhatian pada body image pada pria sekarang ini menjadi hal serius dan dapat menyebabkan body image negatif atau tidak puas dengan tubuhnya. Padahal Body image negatif pada remaja dapat mempengaruhi asupan energi dan protein serta perilaku dalam mengkonsumsi suplemen.Metode : Penelitian ini menggunakan desain cross-sectional. Subjek berjumlah 88 orang dan merupakan mahasiswa Fakultas Hukum, Universitas Diponegoro, Semarang. Pemilihan subjek dengan kriteria tertentu atau kriteria inklusi. Data body image didapatkan menggunakan kuesioner body shape questionere (BSQ). Penilaian body image dapat dikelompokkan menjadi empat yaitu puas (<80), ketidakpuasan ringan (80-110), ketidakpuasan sedang (111-140) dan ketidakpuasan berat (>140). Asupan energi dan protein didapat dari wawancara metode recall 24 jam selama 3 hari tidak berurutan. Data perilaku konsumsi suplemen diperoleh menggunakan kuesioner yang berisi pertanyaan apa, berapa banyak, dan berapa sering konsumsi suplemen selama satu tahun terakhir. Data status gizi didapat melalui pengukuran tinggi dan berat badan kemudian dihitung IMT nya. Analisis data menggunakan program statistik komputer, dengan metode uji korelasi pearson.Hasil : Usia subjek antara 18-21 tahun. Sebagian besar subjek memiliki status gizi normal (63,6%), lalu overweight-obese (27,3%), dan underweight (9,1%). Sebanyak 57,9% memiliki body image negatif. Terdapat 98,8% subjek mengalami kekurangan asupan energi dan 62,5% kekurangan asupan protein. Sebanyak 36,4% subjek pernah mengkonsumsi suplemen, paling banyak yang dikonsumsi jenis penambah massa otot, penambah tinggi badan dan peningkat stamin. Tidak berhubungan (p>0,05) antara body image dengan asupan energi (p=0,743) dan asupan protein (p=0,948) serta tidak ada hubungan dengan perilaku konsumsi suplemen (p=0,498). Simpulan : Sebagian subjek memiliki body image negatif namun tidak berhubungan signifikan antara body image dengan asupan energi, protein dan perilaku konsumsi suplemen.
Kadar Serum Selenium Pada Remaja Akhir Usia 17-19 Tahun Berdasarkan Status Obesitas dan Stunting
Authors: Hidayat Yusuf , Sulchan Mohammad , Panunggal Binar 
Published: January 2019

Latar Belakang : Remaja yang obesitas dan stunting ditemukan mengalami penurunan kadar selenium di tubuh. Penurunan kadar selenium berdampak terhadap kejadian stress oksidatif yang merupakan prekursor berbagai masalah kesehatan. Penelitian ini bertujuan mendeskripsikan perbedaan kadar serum selenium pada remaja akhir usia 17-19 tahun berdasarkan status obesitas dan stunting.Metode : Penelitian cross-sectional ini dilakukan pada 88 remaja usia 17-19 tahun yang dibagi dalam 4 kelompok berdasarkan status obesitas dan stunting. Obesitas ditentukan dengan nilai WHtR >0.5 untuk perempuan dan >0.51 untuk laki-laki. Stunting ditentukan dengan TB/U >-2 SD. Kadar serum selenium ditentukan menggunakan ICP-OES. Perbedaan kadar serum selenium dianalisis dengan uji Annova.Hasil : Rerata kadar serum selenium pada kelompok stunted-obesity sebesar 277,5±96,4, stunted-non obesity 418±93,4, non stunted-obesity 304±64,9, dan non stunted-non obesity 330±112,2. Terdapat perbedaan signifikan kadar serum selenium pada kelompok.Simpulan : Kadar serum selenium pada seluruh kelompok tergolong lebih tinggi dibanding nilai normal. Kelompok stunted-obesity dan non stunted-obesity memiliki kadar serum selenium yang lebih rendah dibanding kelompok non stunted-non obesity, sedangkan kelompok stunted-non obesity memiliki kadar selenium serum yang lebih tinggi dibanding kelompok non stunted-non obesity.
Lipschitz Extensions to Finitely Many Points
Authors: Basso Giuliano 
Published: January 2019

AbstractWe consider Lipschitz maps with values in quasi-metric spaces and extend such maps to finitely many points. We prove that in this context every 1-Lipschitz map admits an extension such that its Lipschitz constant is bounded from above by the number of added points plus one. Moreover, we prove that if the source space is a Hilbert space and the target space is a Banach space, then there exists an extension such that its Lipschitz constant is bounded from above by the square root of the total of added points plus one. We discuss applications to metric transforms.
Fabrication of Micro Structured Dental Implant Abutments for Optimized Soft Tissue Integration
Authors: Doll P. W. , Semperowitsch C. , Häfner M. , Ahrens R. , Spindler B. , Guber A. E. 
Published: January 2019

Abstract
Within this work we demonstrate a UV-Lithography based method for the fabrication of microgrooves on titanium surfaces. The microgroove period, depth and profile form are easily controllable by process parameters. By controlled under-etching of a lithographically structured photo resist, different profile forms from nearly rectangular, over curvy/spiked to sinus-shaped forms with different amplitudes and sizes can be realized. The resulting microgrooves can be directly used as implant or implant abutment surfaces to enhance soft tissue integration or to create molds for cell/substrate interaction studies. Due to the lithographic process the whole method is highly controllable and reproducible.
Comparison Between Static and Dynamic Analyses of The Solid Fat Content of Coconut Oil
Authors: Dhaygude Vinod , Soós Anita , Zeke Ildikó , Somogyi László 
Published: January 2019

Abstract
The objective of this work was to compare the physical and thermal characteristics of two coconut oils and their blends which were observed by the results of differential scanning calorimetry (DSC) and pulsed nuclear magnetic resonance (pNMR). Fat blends composed of different ratios (fully hydrogenated coconut oil / non-hydrogenated coconut oil: 25/75, 50/50 and 75/25) were prepared and examined for solid fat content. The solid fat content of samples was determined as a function of temperature by pNMR. The DSC technique determines the solid fat index by measuring the heat of fusion successively at different temperatures. DSC calculates the actual content of solids in fat samples and how it changes throughout the duration of heating or cooling. A characteristic curve is constructed by the correlation of enthalpies. Based on our results, it is clear that both DSC and pNMR techniques provide very practical and useful information on the solid fat content of fats. DSC is dynamic and pNMR is static. A difference in the values of the solid fat indexes of samples was observed which may be due to a fundamental difference between the two techniques. These data can be used by food manufacturers to optimize processing conditions for modified coconut oil and food products fortified with coconut oil.
Comparison of Particle Size Distribution Models for Polymer Swelling
Authors: Wirnhardt Ádám , Varga Tamás 
Published: January 2019

Abstract
In polymer technologies, various particle shapes and size distributions can be found. One of these are heterodisperse polymer beads. The capabilities of polymer swelling can be used in industries, e.g in the production of ion-exchange resins, to intensify specific technological steps such as sulphonation in the manufacturing process of ion-exchange resins. According to the literature different approaches can be used to create models for describing the behavior of disperse systems, of which the simplest models are the particle size distribution models for a given state of the solid phase. The aim of our examination was to compare and evaluate these simple models in terms of modeling polymer swelling. Hence, most of these models examine how each of the investigated models can be applied to approximately describe growth in a heterodisperse polymer system and how the identified model parameters in each time step could be interpreted. All the models were fitted to generate particle size distributions based on a swelling rate constant. The swelling of a styrene divinylbenzene-based copolymer was chosen as the basis of our examination. A model is proposed that is capable of describing the changes in the size of beads over time in this system.
Climate change in Upper East Region of Ghana; challenges existing in farming practices and new mitigation policies
Authors: Fagariba Clifford James , Song Shaoxian , Baoro Serge Kévin Gildas Soule 
Published: January 2019

Abstract
Countries and international organizations are making conscious effort to address climate change threat to humanity. Rising fossil fuel burning and land use changes to meet human demands continuously emit large quantities of greenhouse gases into the atmosphere thus causing climate change. The research used Talensi District as a case study to determine factors influencing farmers’ adaptation response and the actual practices used to avert climate change impact. A total of 225 small-scale farmers were sampled for survey and 100 key informants were used in focus group discussions. Utilizing the logistic regression model, the study indicated that education, transportation, inputs cost and extension services were the factors with high tendency of undermining farmers’ ability to adapt to climate change. In addition, Weighted Average Index used to measure weather extremes revealed that drought and temperature had the highest level of occurrence. Climate change adaptation practices assessed in the study showed that change in planting date, improved crops varieties and land rotation were the most preferred practices. The study concluded that farmers resilience could be enhanced if governments and concerned organizations intensify adaptation campaigns, increase access to weather information, and train farmers on adaptable practices including, timely planting and alternative sources of livelihood. In addition, intensifying government support for agriculture including input subsidies, and provision of irrigation facilities were also good interventions to improve climate change resilience.
Influence of epoxidized ethylene propylene diene rubber on nonisothermal crystallization kinetics and mechanical properties of poly(butylene terephthalate)/polypropylene blend
Authors: Liu Bo , Wu Wei 
Published: January 2019

Abstract
The epoxidized ethylene propylene diene rubber (eEPDM) was successfully prepared by the epoxidation of ethylene propylene diene rubber (EPDM) using t-butyl hydroperoxide as the oxidant in association with molybdenum oxide as the catalyst and characterized by Fourier-transform infrared (FTIR) spectrometer and 1H-nuclear magnetic resonance analyses. Then the poly(butylene terephthalate) (PBT)/eEPDM/polypropylene (PP) blends with different eEPDM contents were prepared using a twin-screw extruder, and the effect of eEPDM on nonisothermal crystallization kinetics of PBT/PP blend was investigated by differential scanning calorimetry. Meanwhile, morphological features of samples were observed using scanning electron microscopy. Also, the mechanical properties of samples were evaluated. Analyses of the crystallization data by various macro-kinetic models like Jeziorny modified Avrami and Liu-Mo model demonstrated that PP as diluents accelerated the crystallization of PBT in PBT/PP. Moreover, the addition of eEPDM into PBT/PP further facilitated the crystallization of PBT in PBT/eEPDM/PP. The eEPDM was an effective crystallization promoter for PBT/PP blend. And the presence of eEPDM promoted the uniform dispersion of PP in PBT matrix. When the content of eEPDM was 5 phr, the PBT/eEPDM/PP exhibited the highest notched impact strength and Young’s modulus among all the specimens.
Efficient monitoring of dosimetric behaviour for copper nanoparticles through studying its optical properties
Authors: Bekhit Mohamad , Sobhy Asmaa , Ali Zakaria I. , Gafar Sameh M. 
Published: January 2019

Abstract
A novel high-dose dosimeter based on γ radiation reduction of copper ions and formation of copper metal inside polymer matrix were investigated. γ radiation induced synthesis of copper nanoparticles (CuNPs) in poly vinyl alcohol films were studied by UV-Visible Spectrophotometer, X-ray diffraction (XRD) and Fourier Transform Infrared Spectroscopy (FTIR). The optical absorption spectra showed that the Cu/PVA nanocomposite films have surface plasmon resonance (SPR) of copper nanoparticles which depending on irradiation doses. Upon γ irradiation these films turns its color from faint blue to deep reddish brown depending on metal ion concentration. The XRD pattern and FTIR spectrum confirm the formation of the CuNPs. The response of Cu/PVA nanocomposite dosimeters depends on both the irradiation doses and concentration of copper precursor. The dose range for these films was from 50 to 650 kGy, revealing its important applications for high dose dosimetry. Cu/PVA nanocomposites films exhibit good post-irradiation stability in dark and light.
Determining the early corticospinal-motoneuronal responses to strength training: a systematic review and meta-analysis
Authors: Mason Joel , Frazer Ashlyn K. , Pearce Alan J. , Goodwill Alicia M. , Howatson Glyn , Jaberzadeh Shapour , Kidgell Dawson J. 
Published: January 2019

Abstract
Several studies have used transcranial magnetic stimulation to probe the corticospinal-motoneuronal responses to a single session of strength training; however, the findings are inconsistent. This systematic review and meta-analysis examined whether a single bout of strength training affects the excitability and inhibition of intracortical circuits of the primary motor cortex (M1) and the corticospinal-motoneuronal pathway. A systematic review was completed, tracking studies between January 1990 and May 2018. The methodological quality of studies was determined using the Downs and Black quality index. Data were synthesised and interpreted from meta-analysis. Nine studies (n=107) investigating the acute corticospinal-motoneuronal responses to strength training met the inclusion criteria. Meta-analyses detected that after strength training compared to control, corticospinal excitability [standardised mean difference (SMD), 1.26; 95% confidence interval (CI), 0.88, 1.63; p<0.0001] and intracortical facilitation (ICF) (SMD, 1.60; 95% CI, 0.18, 3.02; p=0.003) were increased. The duration of the corticospinal silent period was reduced (SMD, −17.57; 95% CI, −21.12, −14.01; p=0.00001), but strength training had no effect on the excitability of the intracortical inhibitory circuits [short-interval intracortical inhibition (SICI) SMD, 1.01; 95% CI, −1.67, 3.69; p=0.46; long-interval intracortical inhibition (LICI) SMD, 0.50; 95% CI, −1.13, 2.13; p=0.55]. Strength training increased the excitability of corticospinal axons (SMD, 4.47; 95% CI, 3.45, 5.49; p<0.0001). This systematic review and meta-analyses revealed that the acute neural changes to strength training involve subtle changes along the entire neuroaxis from the M1 to the spinal cord. These findings suggest that strength training is a clinically useful tool to modulate intracortical circuits involved in motor control.
Fatigue Damage Accumulation Model of 6082-T6 Aluminum Alloy in Conditions of Block Bending and Torsion
Authors: Böhm Ewelina , Kurek Marta , Łagoda Tadeusz 
Published: January 2019

Abstract
This article presents a comparison of damage accumulation calculations performed according to the Palmgren-Miner linear damage hypothesis and a new nonlinear damage accumulation aggregation hypothesis based on material memory for completed experimental block tests of 6082-T6 aluminum alloy. Block loads represent operating runs by way of application in proper sequence blocks with the specific number of cycles of the sinusoidal course. Depending on the combination chosen, the duration of the first block was 20, 40, or 60 % of the base number of cycles Nf and of the second block until damage. Block tests were carried out for both bending and torsion. Moreover, the article contains a review of the newest proposals regarding the assessment of fatigue damage accumulation. The results obtained from calculations of the analyzed two hypotheses of fatigue damage accumulation have been compared with the calculations of a damage degree for random loading. During the analysis of the average values obtained, it may be observed that the authors’ new proposal gives better results.