bluuebunny/crossref_metadata_2025_split huggingface dataset:
Heart Rate Variability Analysis: Higuchi and Katz’s Fractal Dimensions in Subjects with Type 1 Diabetes Mellitus
Authors: Garner David M. , de Souza Naiara Maria , Vanderlei Luiz Carlos M. 
Published: April 2019

Abstract

Background and aims: Statistical markers are valuable when assessing physiological status over periods of time and in certain disease states. We assess if type 1 diabetes mellitus promote modification in the autonomic nervous system using the main two types of algorithms to estimate a Fractal Dimension: Higuchi and Katz.

Material and methods: 46 adults were divided into two equal groups. The autonomic evaluation consisted of recording heart rate variability (HRV) for 30 minutes in supine position in absence of any other stimuli. Fractal dimensions ought then able to determine which series of interbeat intervals are derived from diabetics’ or not. We then equated results to observe which assessment gave the greatest significance by One-way analysis of variance (ANOVA1), Kruskal-Wallis technique and Cohen’s d effect sizes.

Results: Katz’s fractal dimension is the most robust algorithm when assisted by a cubic spline interpolation (6 Hz) to increase the number of samples in the dataset. This was categorical after two tests for normality; then, ANOVA1, Kruskal-Wallis and Cohen’s d effect sizes (p≈0.01 and Cohen’s d=0.814143 –medium effect size).

Conclusion: Diabetes significantly reduced the chaotic response as measured by Katz’s fractal dimension. Katz’s fractal dimension is a viable statistical marker for subjects with type 1 diabetes mellitus.
Type 2 Diabetes and Hashimoto Thyroiditis-Possible Associations and Clinical Correlations - Preliminary Results
Authors: Parlițeanu Oana-Andreea , Cheța Dan Mircea 
Published: April 2019

Abstract

Background and aims: The primary objective is to evaluate the possible relationship between Type 2 Diabetes (T2DM) and Hashimoto Thyroiditis (HT), since the only correlation described until now is between Type 1 Diabetes and HT based on the autoimmune mechanism. The secondary end-point is to evaluate if there is a correlation between the characteristics of Type 2 Diabetes and autoimmune thyroiditis and if the metabolic component may be a factor of association.

Material and method: We designed a retrospective, observational research, enrolling patients from “Sanamed” Hospital from Bucharest. Between 2016 and 2017 in our clinic a number of 150 patients were enrolled, in the following groups: 50 only with T2DM, 50 only with HT and 50 with both T2DM and HT.

Results: The main observations of the study were the following: the prevalence of obesity was higher in patients with T2DM (p<0.001) than in the group with HT (p<0.001); Dyslipidemia was higher in the HT group (p<0.001) than in the group of T2DM (p<0.001); Ischemic cardiac disease was more frequent in the HT group (p<0.001) than in the Diabetes group (p<0.001); in the group that had both T2DM and HT, the HbA1c was correlated with pre-existing Thyroid pathology (p<0.001), also Dyslipidemia was associated with hepatic steatosis (p<0.001).

Conclusions: After assessing all the parameters we have reached the conclusion that there is an association between the characteristics of T2DM and HT, as well as an interaction between these two diseases, considering their metabolic component.
Bone Augmentation and Bilateral Sinus Elevation at a Female Patient with Type 2 Diabetes
Authors: Gavrilovici Andrei Mihai , Jivănescu Anca , Negruțiu Meda Lavinia 
Published: April 2019

Abstract

Introduction. Chronic periodontal diseases and dental caries are the primary reasons for tooth loss in adults, which is further increased in people with diabetes. In most cases of bone loss, the treatment of partial edentulous patients with implant supported restorations impose additional surgical procedures, like sinus lift elevation and bone augmentation, which can complicate the healing process.

Case report. This case report presents a type 2 diabetes female patient with several oral health problems, like periodontal disease, poor decay control, bad oral hygiene, a severe maxillary atrophy and the presence of a large maxillary periapical cyst. After a careful examination, based on clinical and radiographic findings, a comprehensive treatment plan was established. The sequential treatment plan consists in extraction, surgical removal of periapical cyst, bilateral external sinus lift procedures and bone augmentation. The surgical protocol was adapted to the particular health conditions of this type 2 diabetes patient.

Conclusion. Sinus elevation and bone augmentation are predictable procedures often required when restoring the posterior maxilla with dental implants. In case of diabetes patients with bone resorption and defects due to periapical cyst, if the correct protocol is followed, no post-surgical complications and good result in bone augmentation can be attaint.
Very Severe Hypertriglyceridemia-Casre Report with General Considerations
Authors: Miulescu Rucsandra Dănciulescu , Tinu Anna Maria , Margină Denisa , Grădinaru Daniela , Ungurianu Anca , Guja Loreta 
Published: April 2019

Abstract
Hypertriglyceridemia is defined as a value of fasting serum triglyceride over 150 mg/dl. The classification of hypertriglyceridemia according to the Endocrinology Society include mild and moderate hypertriglyceridemia, severe hypertriglyceridemia and very severe hypertriglyceridemia. Mild and moderate hypertriglyceridemia increase the risk for cardiovascular events while severe and very severe hypertriglyceridemia is a risk factor for acute pancreatitis. Conventional pharmacological therapy of hypertriglyceridemia includes: fibrates, niacin, statins, ezetimibe, omega-3-fatty acid. Other triglyceridelowering therapies are represented by plasmapheresis and lipoprotein lipase gene therapy. The present work refers to a 59-year old man without history of family diabetes, dyslipidemia, premature coronary artery disease, diagnosed with T2DM in 2012, from 2014 on insulin treatment; he was hospitalized for endocrine evaluation. History: high blood pressure for approximately 25 years, chronic kidney disease, very severe hypertriglyceridemia, thyroid papillary carcinoma. The patient followed treatment with hypoglycemic, hypolipemic, low salt content diet, fibrates, statins, omega-3-fatty acid. Due to the fact that the patient did not respond to conventional therapy plasmapheresis was considered.
Web of Causation between Dietary Patterns and Childhood Obesity: Applying Hill's Criteria
Authors: Șerban Costela Lăcrimioara , Șerban Denis Mihai , Butica Ștefania Ioana , Lungeanu Diana 
Published: April 2019

Abstract
Since their publication in 1965, the Bradford Hill criteria for causality have been largely used as a framework for causal inference in epidemiology. We aim at employing this classical approach to shed new light onto the web of causation of childhood obesity. Although the fundamental cause of obesity is the long-term imbalance between energetic need and intake, this medical condition is multifactorial in its origin, influenced by genetic, behavioral, socioeconomic, and environmental factors. This imbalance leads to accumulation of excessive adipose tissue. Observational studies tend to mostly quantify association between dietary factors and accumulation of adipose tissue. On the other hand, multivariate analysis proved some of these associations to be spurious, therefore prospective trials are needed to demonstrate causality. Short term experimental studies have been conducted to identify unique dietary pattern changes on specific outcomes, but long term, community-based studies would offer more comprehensive answers on dietary pattern effects. We conducted a literature review on PubMed, Scopus, Web of Science, and Google Scholar. From a total of 323 papers identified at first stage, we further discuss the applicability of Bradford Hill criteria for 31 articles, by examples of dietary patterns and accumulation of excess body fat as exposure-response associations. We also put forward and analyzed the evidence prospective studies would bring, as foundation for future interventions.
Humanitarian and economic aspects of digitalization in road safety systems
Authors: Savchenko-Belsky V. Yu. , Strygin A. V. 
Published: April 2019

In the article we examine relevant problems regarding human rights on roads with arising digitalized processes. The problems cover three aspects. First, are the rights of drivers, passengers, and impaired individuals who use digitalized management systems while on the roads. Second, is the protection of the rights of those who are dismissed from driving the public transport with digitalized management systems. Third, is the potential danger to the society from economic outcomes of further digitalization. In the end, the article gives a comprehensive argument about the importance of securing human rights on the roads as it was brought up to our attention by the United Nations.Following the afore mentioned aspects of the problem, the article derives hypothetical solutions regarding human rights of road users with arising digitalized process. First of all, it remains essential to reinforce drivers’ rules on the roads. Next, safety of pedestrians, people who are travelling on foot, needs to be ensured since they are worse off in case of an emergency on the roads. Finally, it is a special focus on ensuring the rights of persons with disabilities. The latter applies not only to the drivers and pedestrians, but also to passengers with disabilities who use the means of urban ground transportation.
A NOÇÃO DE UMA CULTURA DA JUVENTUDE ROMÂNTICA EM WALTER BENJAMIN
Authors: Stuart da Silva Priscilla 
Published: April 2019

Neste artigo apresenta-se a noção de uma cultura da juventude romântica em Walter Benjamin e as ideias relacionadas a ela, a saber: crítica, espírito e formação. Analisa-se a crítica do autor quanto ao conceito de experiência, relacionada ao adulto/filisteu, e sua proposta para o cultivo da cultura da juventude. Utilizam-se os ensaios Experiência, Sobre o programa da filosofia futura e A vida dos estudantes.
O QUE DIZ O PROFESSOR DA EDUCAÇÃO BÁSICA SOBRE A EXISTÊNCIA DO BULLYING NA ESCOLA INCLUSIVA
Authors: Souza Rejane De Aquino , Meneses Branca Maria De 
Published: April 2019

Este trabalho se refere a um relato de experiência sobre a concepção do docente da educação básica a respeito da existência do bullying no ambiente escolar, especialmente, no que concerne ao aluno em situação de inclusão. Para isso, foram realizadas seis questões a um(a) professor(a) de Língua Portuguesa de uma escola pública municipal de Campo Grande-MS, sendo uma, exclusivamente, sobre a ocorrência de bullying contra aluno em situação de inclusão.
PENGUNGKAPAN ANTI KORUPSI DAN KINERJA KEUANGAN PERUSAHAAN: STUDI KASUS PERUSAHAAN TERDAFTAR DI INDEKS SRI KEHATI
Authors: Karim Nina Karina , Animah A , Sasanti Elin Erlina 
Published: April 2019

Corruption within the corporation has become an important issue in the academic and public debate. The negative consequences caused by companies that engage in corruption are enormous, such as market distortion and incentives, resource allocation inefficiencies, as well as the increased of poverty and social inequality. Companies have the opportunity through a corporate responsibility (CSR) to prevent the problem of corruption. As important as labor, human and environmental rights, corruption mitigation is an important aspect in promoting CSR. CSR can be profitable in sales revenue and market share by improving the perception of ethical corporate customers. However, with the involvement of corruption, it can reduce the confidence of investors and the public against the company which may result in reduced financial performance. The purpose of this study is to determine empirically the correlation of anti-corruption disclosure reported by the companies listed in the Sri Kehati Index and FTSEGoods Bursa Malaysia Index on their financial performance, both the short and long term. The results showed that only the whistle blowing policies were fully disclosed by all companies in the sample of this study. The results also show that the disclosure of anti-corruption has significant influence on the company's profitability only in the long term for companies registered in Sri Kehati Indonesia index. As for the sample of companies registered in Malaysia FTSEGoods Index, the results showed that the disclosure of anti-corruption affect the company's financial performance both in the short term and in the long term. This implies that investors were responding to the anti corruption issues disclosed by the companies and companies should keep the disclosure practice in the future.
Keywords: anti-corruption, corporate social responsibility, disclosure, financial performance.
Evaluasi Permukiman Berdasarkan Tingkat Kerawanan Banjir Pada Das Wae Ruhu
Authors: Tentua Vinka Cilsya , Gaspersz Ellisa J , Puturuhu Ferad 
Published: April 2019

This study aims to map the level of flood vulnerability and its distribution in the Wae Ruhu watershed, evaluating residential areas that are at different levels of flood vulnerability in the Wae Ruhu watershed. This research was carried out in Wae Ruhu Watershed, Sirimau Subdistrict, Ambon City in August - September 2018. This research was divided into three stages, namely the research preparation stage which included secondary data collection, making land unit maps, fieldwork maps, flood hazard maps. The field research phase includes observing and verifying flood parameters, verifying the extent of flood vulnerability, observing position, density, building construction, and data analysis and reporting stages that produce flood hazard maps and maps of flood-prone residential areas. The results showed that the high vulnerability had an area of ​​60 ha or 3.68%, the medium vulnerability level was 1096 ha or 67.28% and the low vulnerability level was 473 ha or 29.04%. The results of the study also obtained the position of settlements already in the river border even on the banks of the river, the density of settlements were divided into two, namely: 1) densely populated class settlements (99.6%); and 2) infrequent density class settlements (30.5%), and permanent settlement construction , multilevel and not terraced.
Keywords: flood, settlement, vulnerability

ABSTRAK
Penelitian ini bertujuan memetakan tingkat kerawanan banjir dan sebarannya di DAS Wae Ruhu, mengevaluasi wilayah permukiman yang berada pada tingkat kerawanan banjir yang berbeda di DAS Wae Ruhu. Penelitian ini dilaksanakan pada DAS Wae Ruhu Kecamatan Sirimau Kota Ambon pada bulan Agustus – September 2018. Penelitian ini terbagi menjadi tiga tahap yakni tahap persiapan penelitian yang meliputi pengumpulan data sekunder, pembuatan peta satuan lahan, peta kerja lapangan, peta kerawanan banjir. Tahap penelitian lapangan yang meliputi pengamatan dan verifikasi parameter banjir, verifikasi batas tingkat kerawanan banjir, pengamatan posisi, kepadatan, kostruksi bangunan serta tahap analisis data dan pelaporan yang menghasilkan peta tingkat kerawanan banjir dan peta wilayah permukiman rawan banjir. Hasil penelitian diperoleh tingkat kerawanan tinggi memiliki luas 60 ha atau 3,68%, tingkat kerawanan sedang memiliki luas 1096 ha atau 67,28% dan tingkat kerawanan rendah memiliki luas 473 ha atau 29,04%. Hasil penelitian juga di peroleh posisi permukiman sudah berada di sempadan sungai bahkan di bantaran sungai, kepadatan permukiman dibagi atas dua yaitu: 1) permukiman kelas kepadatan padat (99,6%); dan 2) permukiman kelas kepadatan jarang (30,5%), serta konstruksi permukiman permanen, bertingkat dan tidak bertingkat.
Kata kunci: banjir, permukiman, tingkat kerawanan
Fibromialgia y síndrome de dolor miofascial abordadas desde la liberación miofascial y la punción seca
Authors: Betancur Rojas Liseth Yurany , Ovalle Vivas Maria Paula 
Published: April 2019

La terapia manual es un área de la fisioterapia que utiliza técnicas con finalidades terapéuticas sobre tejidos musculares, óseos, conjuntivos y nerviosos, para favorecer reacciones fisiológicas que promueven la disminución del dolor. Objetivo: Describir, mediante revisión los efectos reportados en la literatura científica, las técnicas de liberación miofascial y punción seca en pacientes con Fibromialgia y Síndrome de Dolor Miofascial. Método: Se realizó una revisión a de Ensayos Clínicos Controlados en materia de intervención con técnicas de liberación miofascial y punción seca en pacientes con diagnóstico de fibromialgia y síndrome de dolor miofascial. Se excluyeron estudios en participantes con trastornos psiquiátricos y neurológicos, o con participación en otro tipo de tratamiento. La consulta se realizó en diferentes bases de datos: Pubmed, Elsevier, Ebscohost, Proquest, Pedro mediante términos DeCS. Resultados: El análisis de resultados se realizó a partir de la clasificación de los documentos según las técnicas de liberación miofascial (masaje, inducción miofascial, presión manual o isquémica) y la punción seca. Las medidas efecto varían de acuerdo a los diferentes protocolos de intervención, con un valor p< 0.001 y 0.005. Discusión: Se demuestra que tanto las técnicas de liberación miofascial como la punción seca, logran disminuir el dolor, mejorar rangos de movimiento y la funcionalidad principalmente en pacientes con Fibromialgia y Síndrome de Dolor Miofascial
Incidence of injuries confused with pressure injuries in oncology intensive care unit
Authors: Pires Júnior José , Borges Eline , Spira Josimare 
Published: April 2019

Objectives: Estimate the incidence of the confounding lesions (CL) with pressure injuries in an intensive care unit of an oncology hospital, to characterize the patients and the confused injuries. Methods: Prospective cohort study conducted in an adult intensive care unit of an oncology hospital in Belo Horizonte, Minas Gerais. The sample consisted of 67 patients who met the inclusion criteria. The data were collected during the period of one month by single researcher stomatherapist and registered in the form prepared for this purpose. The study was approved by the Research Ethics Committee. Results: 58.1% were women, 65.1% were elderly, 51.2% were white, with gastrointestinal cancer predominating, 71.6% were using adjuvant chemotherapy, with below-normal body mass index, 100% had urinary incontinence or fecal and diaper use. The incidence of these injuries was 35.8%, and the average time for their onset was 11 days after admission. Most patients had skin changes such as maceration, peeling, erythema, dehydration, and edema. Conclusion: We can conclude that the incidence of confused injuries is high in oncology patients admitted to intensive care units. It was possible to describe the demographic and clinical profile of the patients of the sample and to characterize the injuries and the skin around them.
THE EFFECT OF USING CABRI 3DV2PLUS SOFTWARE WITH COOPERATIVE INTERACTION SETTING LEARNING MODEL ON STUDENTS' MATHEMATICAL UNDERSTANDING IN TRANSFORMATION MATERIALS
Authors: Batubara Nur Asiah 
Published: April 2019

This study is aimed at identifying the effect of using Cabri 3DV2Plus software with a learning model of cooperative interaction settings of students who get conventional learning seen from the level of students' abilities (high, medium, or low). The research uses a quasi-experimental method. The population in this study were students of class XI. The sampling technique was done by random sampling, and a sample of 182 students was obtained. The instrument used in this study was a test of mathematical understanding. The data collection techniques for mathematical understanding were carried out by giving a pretest and a posttest. The statistical analysis carried out was a normality test and a homogeneity test as a condition for taking the treatments, and a t-test to see the average difference in each class. From the t-test, the tcount and ttable values were obtained respectively. tcount1 = 11.20

ttable = 2.042, tcount2 = 9.819

ttable = 2.042, and tcount3 = 4.861

ttable = 2.042 then overall H0 is rejected; meaning that there is influence of using Cabri 3DV2Plus software with the learning model of cooperative interaction settings of students who get conventional learning in terms of the level of students' ability (high, medium, or low).
Comprehensive study of ovarian tumours in Kathmandu University Hospital
Authors: Tamrakar Suman Raj , Makaju Ramesh , Shrestha Abha , Kayastha Suresh 
Published: April 2019

Background: Ovarian tumours account for 15% to 25% of all primary malignancy and the leading cause of death from gynaecolgical malignancies. There are limited publications related to ovarian tumours from Nepal. Ovarian related surgeries are the common surgeries in Kathmandu University Hospital. This study aims to provide basic information related to ovarian tumours from this geographical region of Nepal.
Objectives: To review the nature of ovarian problems and certain socio-demographic information namely: caste, age, address and co-morbid condition of the patients presenting with ovarian problems.
Methodology: This is a retrospective study of patients seeking surgical treatment of ovarian lesions in Kathmandu University Hospital from January 1, 2011 to June 30, 2018. This study was undertaken by reviewing the inpatient, outpatients and OT records in the Department of Obstetrics and Gynaecology and the records from Department of Pathology. All the files and computer records were reviewed and analyzed for nature of ovarian problems and certain demographic variables.
Results: Out of the 860 cases, about 61% were non-neoplastic while benign ovarian tumours and malignant ovarian tumours were 35% and 3.7 % respectively. Almost one third of the cases were of Brahmin/Chhetri (37.3%) and 58.3% of the patients were from Kavre district. Mean age of the patients with ovarian problems was 34.89±11.15 years (range 12-72 years). There was no statistically significant difference between the mean age of patients with non-neoplastic ovarian lesions and neoplastic ovarian lesions (p value = 0.3371). There was statistically significant difference between the mean age of patients with benign ovarian tumours and malignant ovarian tumours (p value = 0.0001). And malignant ovarian tumours were significantly high among patients above 41 years in comparison to benign ovarian tumours of same age group (p value = 0.0008). Out of 32, ten malignant ovarian tumours occurred in relatively young age group. Of the 860 ovarian lesions, 438 and 422 ovarian lesions were removed through open technique and laparoscopic techniques respectively. Mature cystic teratoma (64.1%) was the commonest benign tumor and serous cyst adenocarcinoma (43.8%) was the commonest malignant tumour in this study.
Conclusion: Ovarian tumours are one of the gynaecological diagnoses in Kathmandu University Hospital. If only ovarian neoplasms are considered, most of the ovarian tumours are benign and few are malignant. Minimal invasive surgeries are possible, except that for malignant ovarian tumours.
A case report on an unusual degeneration of uterine leiomyoma: Myxoid degeneration
Authors: Paneru Rupa , Thapa Meena 
Published: April 2019

Background: Leiomyomas are benign smooth muscle neoplasm that typically occurs from the myometrium. Most of the women with uterine leiomyoma remain asymptomatic. Various degeneration including hyaline, cystic, myxoid and red degeneration and dystrophic calcification occur in leiomyoma, among them myxoid degeneration occurs rarely. Here is a case report of 40 years with one living child and two abortions who came with complaints of feeling of heaviness and pain at lower abdomen for six months, palpable lower abdominal mass for four months and difficulty in passing urine since 15 days. Multiple fibroids with cystic degeneration were suspected in Computed Tomography scan report. The patient underwent Total Abdominal Hysterectomy with Bilateral Salphingectomy. On cut section there was a cystic area on the body of uterus containing 1. 1 liter of straw coloured fluid. Final histopathological findings concluded multiple leiomyoma with myxoid degeneration.