bluuebunny/crossref_metadata_2025_split huggingface dataset:
Shockwave Therapy Associated With Eccentric Strengthening for Achilles Insertional Tendinopathy: A Prospective Study
Authors: Mansur Nacime Salomão Barbachan , Baumfeld Tiago , Villalon Fernando , Aoyama Bruno Takeshi , Matsunaga Fabio Teruo , dos Santos Paulo Roberto Dias , dos Santos Bruno Schiefer , Tamaoki Marcel Jun Sugawara 
Published: February 2019

Background. The usual initial treatment for insertional Achilles tendinopathy is nonsurgical. Yet there is no standard conservative treatment for Achilles insertional tendinopathy. Shockwave therapy (SWT) has become a reliable option for the management of this illness over the past years. The aim of this study is to report the effectiveness of low-energy SWT associated with an eccentric strengthening protocol in 19 consecutive patients. Methods. This is a prospective study with 19 patients aged between 26 and 72 years diagnosed with insertional Achilles tendinopathy. The protocol consisted of SWT associated with eccentric exercises for 12 weeks. All patients were evaluated on the first day and after 24 weeks (final follow-up) with the Victorian Institute of Sports Assessment–Achilles (VISA-A) score, visual analogue scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) questionnaire, and by algometry. At the last follow-up, patients were also assessed for adherence to the protocol, complications and final outcome (in their perception as success or fail). Results and Conclusion. Fifteen (79%) patients were fully adherent to the Alfredson protocol, and 13 (68%) patients considered the treatment protocol successful. At the last evaluation, patients demanded higher pressure on calcaneus to trigger pain (algometry 1), reported less pain when the algometer was applied with 3 kg (algometry 2), had less global pain (VAS), and had higher AOFAS and VISA-A scores. This study evidences that eccentric loading associated with SWT can dramatically improve patients’ symptoms. We can conclude that eccentric loading associated with SWT is an effective treatment for Achilles insertional tendinopathy. Levels of Evidence: Therapeutic, Level III: Prospective cohort
Syndesmotic Fixation With Suture Button: Neurovascular Structures at Risk: A Cadaver Study
Authors: Lehtonen Eva J. , Pinto Martim C. , Patel Harshadkumar A. , Dahlgren Nicholas , Abyar Eildar , Shah Ashish 
Published: February 2019

Objectives: The objective of this study was to describe the anatomic variations in the saphenous nerve and risk of direct injury to the saphenous nerve and greater saphenous vein during syndesmotic suture button fixation. Methods: Under fluoroscopic guidance, syndesmotic suture buttons were placed from lateral to medial at 1, 2, and 3 cm above the tibial plafond on 10 below-knee cadaver leg specimens. The distance and position of each button from the greater saphenous vein and saphenous nerve were evaluated. Results: The mean distance of the saphenous nerve to the suture buttons at 1, 2, and 3 cm were 7.1 ± 5.6, 6.5 ± 4.6, and 6.1 ± 4.2, respectively. Respective rate of nerve compression was as follows, 20% at 1 cm, 20% at 2 cm, and 10% at 3 cm. Mean distance of the greater saphenous vein from the suture buttons at 1, 2, and 3 cm was 8.6 ± 7.1, 9.1 ± 5.3, and 7.9 ± 4.9 mm, respectively. Respective rate of vein compression was 20%, 10%, and 10%. A single nerve branch was identified in 7 specimens, and 2 branches were identified in 3 specimens. Conclusion: There was at least one case of injury to the saphenous vein and nerve at every level of button insertion at a rate of 10% to 20%. Neurovascular injury may occur despite vigilant use of fluoroscopy and adequate surgical technique. Further investigation into the use of direct medial visualization of these high-risk structures should be done to minimize the risk. Levels of Evidence: Therapeutic, Level II: Prospective, comparative study
Functional Outcomes After Fracture-Dislocation of the Ankle
Authors: Tantigate Direk , Ho Gavin , Kirschenbaum Joshua , Bäcker Henrik C. , Asherman Benjamin , Freibott Christina , Greisberg Justin K , Vosseller J. Turner 
Published: February 2019

Background. Fracture dislocation of the ankle represents a substantial injury to the bony and soft tissue structures of the ankle. There has been only limited reporting of functional outcome of ankle fracture-dislocations. This study aimed to compare functional outcome after open reduction internal fixation in ankle fractures with and without dislocation. Methods. A retrospective chart review of surgically treated ankle fractures over a 3- year period was performed. Demographic data, type of fracture, operative time and complications were recorded. Of 118 patients eligible for analysis, 33 (28%) sustained a fracture-dislocation. Mean patient age was 46.6 years; 62 patients, who had follow-up of at least 12 months, were analyzed for functional outcome assessed by the Foot and Ankle Outcome Score (FAOS). The median follow-up time was 37 months. Demographic variables and FAOS were compared between ankle fractures with and without dislocation. Results. The average age of patients sustaining fracture-dislocation was greater (53 vs 44 years, P = .017); a greater percentage were female (72.7% vs 51.8%, P = .039) and diabetic (24.2% vs 7.1%, P = .010). Wound complications were similar between both groups. FAOS was generally poorer in the fracture-dislocation group, although only the pain subscale demonstrated statistical significance (76 vs 92, P = .012). Conclusion. Ankle fracture-dislocation occurred more frequently in patients who were older, female, and diabetic. At a median of just > 3-year follow-up, functional outcomes in fracture-dislocations were generally poorer; the pain subscale of FAOS was worse in a statistically significant fashion. Levels of Evidence: Therapeutic, Level III
“If my family is happy, then I am happy”: Quality-of-life determinants of parents of school-age children
Authors: Eck Kaitlyn M , Delaney Colleen L , Olfert Melissa D , Shelnutt Karla P , Byrd-Bredbenner Carol 
Published: February 2019

Objective: Obesity is a public health concern for children and adults and effective obesity prevention programming is needed urgently. The effectiveness of health-related messaging and interventions is influenced by the way content is framed. HomeStyles is an obesity prevention program, which aims to promote health through the frame of improved quality of life. Methods: Thus, focus groups were conducted with English- and Spanish-speaking parents of school-aged children (ages 6–11) to identify key quality-of-life determinants as described by parents. Results: Parents (n = 158) reported that their quality of life was influenced by family happiness and parent and child health (e.g. adequate sleep, exercise, healthy diet). Many parents expressed that their busy schedules and lack of family time were detrimental to their quality of life. Work–life balance and financial stability were other factors commonly noted to impact quality of life. Spanish-speaking parents also reported being undocumented and feeling a lack of a sense of community negatively influenced their quality of life. Conclusion: Considering parent-defined quality-of-life determinants when framing health-related messaging and developing interventions may increase participant interest and ultimately improve health-related behaviors. Next steps in the HomeStyles project include using parent-reported quality-of-life determinants to guide the development of intervention materials.
Polarisation signals: a new currency for communication
Authors: Marshall N. Justin , Powell Samuel B. , Cronin Thomas W. , Caldwell Roy L. , Johnsen Sonke , Gruev Viktor , Chiou T.-H. Short , Roberts Nicholas W. , How Martin J. 
Published: February 2019

ABSTRACTMost polarisation vision studies reveal elegant examples of how animals, mainly the invertebrates, use polarised light cues for navigation, course-control or habitat selection. Within the past two decades it has been recognised that polarised light, reflected, blocked or transmitted by some animal and plant tissues, may also provide signals that are received or sent between or within species. Much as animals use colour and colour signalling in behaviour and survival, other species additionally make use of polarisation signalling, or indeed may rely on polarisation-based signals instead. It is possible that the degree (or percentage) of polarisation provides a more reliable currency of information than the angle or orientation of the polarised light electric vector (e-vector). Alternatively, signals with specific e-vector angles may be important for some behaviours. Mixed messages, making use of polarisation and colour signals, also exist. While our knowledge of the physics of polarised reflections and sensory systems has increased, the observational and behavioural biology side of the story needs more (and more careful) attention. This Review aims to critically examine recent ideas and findings, and suggests ways forward to reveal the use of light that we cannot see.
Internet-based measurement of visual assessment skill of trainee radiologists: developing a sensitive tool
Authors: Thirkettle Martin , Thyoka Mandela , Gopalan Padmini , Fernandes Nadiah , Stafford Tom , Offiah Amaka C 
Published: February 2019

Objective:
Expert radiologists exhibit high levels of visual diagnostic accuracy from review of radiological images, doing so after accumulating years of training and experience. To train new radiologists, learning interventions must focus on the development of these skills. By developing a web-based measure of image assessment, a key part of visual diagnosis, we aimed to capture differences in the performance of expert, trainee and non-radiologists.

Methods:
12 consultant paediatric radiologists, 12 radiology registrars, and 39 medical students were recruited to the study. All participants completed a two-part, online task requiring them to visually assess 30 images (25 containing an abnormality) drawn from a library of 150 paediatric skeletal radiographs assessed prior to the study. Participants first identified whether an image contained an abnormality, and then clicked within the image to mark its location. Performance measures of identification accuracy, localisation precision, and task time were collected.

Results:
Despite the difficulties of web-based testing, large differences in performance, both in terms of the accuracy of abnormality identification and in the precision of abnormality localisation were found between groups, with consultant radiologists the most accurate both at identifying images containing abnormalities (p &lt; 0.001) and at localising abnormalities on the images (p &lt; 0.001).

Conclusions:
Our data demonstrate that an online measurement of radiological skill is sufficiently sensitive to detect group level changes in performance consistent with the development of expertise.

Advances in knowledge:
The developed tool will allow future studies assessing the impact of different training strategies on cognitive performance and diagnostic accuracy.
Multi-Criteria Decision Making (MCDM) Approach for Selecting Solar Plants Site and Technology: A Review
Authors: Ghasempour Roghayeh , Alhuyi Nazari Mohammad , Ebrahimi Morteza , Ahmadi Mohammad Hossein , Hadiyanto H. 
Published: February 2019

Renewable energies have many advantages and their importance is rising owing to gravely mounting concerns for environmental issues and lack of fossil fuels in the future. Solar energy, well acknowledged as an inexhaustible source of energy, is developing dramatically for different purposes such as desalination and electricity generation. Appropriate solar power plant is very important factor for power generation due to its cost and other constraints. The applied technology is as important as the solar power plants location. In this paper, a wide variety multi criteria decision making (MCDM) methods, investigated by various researchers, are presented to obtain effective criteria in selecting solar plants sites and solar plants technologies. There is not any comprehensive research providing all required criteria for decision making for site and technology selection. Based on the reviewed researches, weight of each criterion depends on many factors such as region, economy, accessibility, power network, maintenance costs, operating costs, etc. The important criteria for site selection are represented and investigated thoroughly in this review paper.© 2019. CBIORE-IJRED. All rights reservedArticle History: Received June 17th 2017; Received in revised form March 7th 2018; Accepted June 16th 2018; Available onlineHow to Cite This Article: Ghasempour, R., Nazari, M.A., Ebrahimi, M., Ahmadi, M.H. and Hadiyanto, H. (2019) Multi-Criteria Decision Making (MCDM ) Approach for Selecting Solar Plants Site and Technology: A Review. Int Journal of Renewable Energy Development, 8(1), 15-25.https://doi.org/10.14710/ijred.8.1.15-25
Design, Analysis and Optimization of a Hybrid Microgrid System Using HOMER Software: Eskişehir Osmangazi University Example
Authors: Çetinbaş İpek , Tamyürek Bünyamin , Demirtaş Mehmet 
Published: February 2019

This study presents design, performance analysis, and optimization of a hybrid microgrid for the hospital complex located on Eskişehir Osmangazi University (ESOGU) campus using Hybrid Optimization of Multiple Energy Resources (HOMER) software. Solar energy potential of the campus and the real electricity consumption of the hospital collected over one-year period were used in the design of the microgrid. The optimization takes into account the overall performance and the economic feasibility of the microgrid system over its lifetime. The designed microgrid consisting of photovoltaic (PV) modules, diesel generators, batteries, converters, and loads is configured as a grid-connected hybrid system. In order to optimize the system, PV module failures, increase in demand, increase in fuel cost of diesel generators, and mains interruptions are defined as performance variables and realistically modelled in the HOMER simulation. Later, both the individual and the combined effects of these variables on the performance of the microgrid was investigated via simulation using five operating scenarios. The objective was to obtain reliable data from the microgrid design that reflects the realistic operation of microgrid over its 25-years of service time. Simulation results have shown that the economic feasibility and the performance of the microgrid are greatly affected by these factors. For example, in a worst case scenario where all variables are acting together, net present cost increases to 40.44%, cost of energy increases to 21.92%, and operating cost rises to 53.91%. Moreover, the results show a reduction up to 33.30% in the portion of energy that is directly transferred from renewable sources to the load. The simulation results were then used to optimize the design of the microgrid system for the best overall performance. In conclusion, it was demonstrated that the proposed hybrid microgrid system supplies the energy demand of the hospital, lowers the cost of electricity consumption, provides a reasonable payback time, and the best of all, it contributes to the clean campus concept.©2019. CBIORE-IJRED. All rights reserved Article History: Received May 16th 2018; Received in revised form October 18th 2018; Accepted December 16th 2018; Available onlineHow to Cite This Article: Çetinbaş, I., Tamyürek, B., and Demirtaş, M. (2019) Design, Analysis, and Optimization of a Hybrid Microgrid System Using HOMER Software: Eskişehir Osmangazi University Example. Int. Journal of Renewable Energy Development, 8(1), 65-79.https://doi.org/10.14710/ijred.8.1.65-79
Fractional Order Sliding Mode Control of PMSG-Wind Turbine Exploiting Clean Energy Resource
Authors: Khan Muhammad Waseem , Wang Jie , Xiong Linyun , Ma Meiling 
Published: February 2019

The extensive application of permanent magnet synchronous generator (PMSG) based wind energy conversion system (WECS) has attracted growing interests of power researchers on its control and operation. This paper aims to propose a kind of fractional order sliding mode based (FOSM) power output control scheme of PMSG based WECS with fast exponential reaching law (FERL). The FERL based FOSM control technique proves to be better capable of attenuating the level of the chattering phenomenon with faster convergence speed. The boost converter and the neutral point clamped inverter, both of which are utilized to connect the PMSG and the power grid, are controlled with the proposed FOSM control scheme. Furthermore, the direct and quadrature grid current are tracked, which leads to the control of the active and reactive power output. The effectiveness of the proposed method is verified with an 8kW wind turbine simulation and the test results indicate that the proposed method can better track the reference value of active and reactive power. In addition to that, the total harmonic distortion level of the grid current is largely mitigated.©2019.CBIORE-IJRED. All rights reservedArticle History: Received June 2nd 2018; Received in revised form October 6th 2018; Accepted January 7th 2019; Available onlineHow to Cite This Article: Khan, M.W., Wang, J., Xiong, L. and Ma, M. (2019). Fractional Order Sliding Mode Control of PMSG-Wind Turbine Exploiting Clean Energy Resource. International Journal of Renewable Energy Development, 8(1), 81-89.https://doi.org/10.14710/ijred.8.1.81-89
Interrelation Between Tensile Properties of Yarns and Woven Fabrics with These Yarns
Authors: Kumpikaitė Eglė , Tautkutė-Stankuvienė Indrė , Redeckienė Dovilė 
Published: February 2019

Abstract
The main parameters of tensile tests for fabrics and yarns are the breaking force and the elongation at break. The aim of this investigation was to find the relation between the tensile properties of yarns and woven fabrics for different natural raw materials. Manmade bamboo, natural single flax, blended plied flax and natural silk yarns, plied combed cotton yarns, blended plied cotton, and polyester yarns were used for the research. The warp of almost all fabrics, except of one fabric, was from flax. This fabric was woven using blended flax and silk yarns in the warp. Weft yarns were more various – yarns of one kind were used in the weft for certain fabrics; yarns of two kinds were used in 1:1 repeats in other fabrics. It was established that the breaking force for both woven fabrics and yarns increases when the elongation at break increases. The relationships between the tensile parameters of yarns and woven fabrics were established. The results showed weak dependence between the tensile parameters of yarns and fabrics because the coefficients of determination of the dependences are small.
Selective serotonin reuptake inhibitor fluvoxamine ameliorates stress- and NSAID-induced peptic ulcer possibly by involving Hsp70
Authors: Khotib Junaidi , Rahmadi Mahardian , Ardianto Chrismawan , Nisak Khoirotin , Oktavia Rianur , Ratnasari Ayu , Dinintia Yunita , Shinta Dewi Wara , Aryani Toetik , Suharjono  
Published: February 2019

Abstract

Background
Selective serotonin reuptake inhibitors (SSRIs) have recently become potential candidates for a new therapeutic approach to ulcer and gastric bleeding. Heat shock protein 70 (Hsp70) plays an important role in cellular resistance to nonsteroidal anti-inflammatory drugs (NSAIDs). However, there is lack of evidence that fluvoxamine recruits Hsp70 to affect stress-induced gastric ulcer. Therefore, we investigated the effect of fluvoxamine on NSAID- and stress-induced gastric ulcer and the possible involvement of Hsp70.

Methods
ICR mice were used in the study. Stress induction was made by the water-immersion-plus-restraint method. NSAID-induced gastric ulcer was produced by oral administration of indomethacin. Fluvoxamine was given orally 30 min before stress induction and indomethacin treatment.

Results
Stress and indomethacin treatment significantly increased the ulcer index and intraluminal bleeding score. Stress and indomethacin treatment also significantly increased the expression of Hsp70. Fluvoxamine significantly decreased the ulcer index and intraluminal bleeding in both ulcer models. Moreover, fluvoxamine further increased the expression of Hsp70 in the gastric tissue of stress- and indomethacin-treated mice.

Conclusions
Our results indicate that fluvoxamine may have a protective effect against stress- as well as NSAID-induced gastric ulcer. In addition, the present study suggests the possible involvement of Hsp70 in the amelioration of gastric ulcer by fluvoxamine.
Comparison of the effects of nature sounds and reflexology on hemodynamic indices among traumatic comatose patients: A randomized controlled clinical trial
Authors: Bahonar Elahe , Najafi Ghezeljeh Tahereh , Haghani Hamid 
Published: February 2019

Abstract

Background
Traumatic comatose patients may experience disturbances in hemodynamic indices due to the nature of their disorder. This study aimed to compare the effects of nature sounds and reflexology on hemodynamic indices in traumatic comatose patients.

Methods
This randomized clinical trial using a factorial design was conducted on 120 traumatic comatose patients in two teaching hospitals in two urban areas of Iran. The patients were selected using a sequential sampling method and assigned into randomized quadruple blocks as control, nature sounds, reflexology and nature sounds-reflexology (combined) groups. The interventions were performed twice daily in two consecutive days lasting 30 min each time. The hemodynamic indices were measured before, and immediately, 30 min, and 2 h after the intervention using calibrated monitors. Descriptive and inferential statistics, including one-way ANOVA, Scheffe ad hoc, repeated measure ANOVA, Bonferroni ad hoc Chi-square test and Fisher’s exact tests were used for data analysis via the SPSS software V.16.

Results
Significant differences were reported in terms of the mean arterial pressure between the control and reflexology groups (p=0.002), and the combined group (p=0.008) immediately after the interventions. The combined group showed statistically differences in systolic blood pressure compared to the nature sounds (p=0.007) and control (p=0.015) groups 30 min after the interventions. The nature sounds group showed differences in the pulse rate from the reflexology (p=0.048) and control (p=0.015) groups 30 min after the interventions in the second day.

Conclusions
While the immediate effects of the interventions on induction of the feeling of relaxation and tranquility, and reduction of hemodynamic indices were reported, they diminished over time. Nature sounds and reflexology as low-cost and relaxing tranquilizing methods can be used for the reduction of tension and improvement of hemodynamic indices among traumatic comatose patients.