bluuebunny/crossref_metadata_2025_split huggingface dataset:
Age Is a Risk Factor for Postoperative Complications Following Excisional Laminectomy for Intradural Extramedullary Spinal Tumors
Authors: Phan Kevin , Vig Khushdeep S. , Ho Yam Ting , Hussain Awais K. , Di Capua John , Kim Jun S. , White Samuel J. W. , Lee Nathan J. , Kothari Parth , Cho Samuel K. 
Published: August 2018

Study Design: Retrospective analysis. Objective: The incidence of intradural extramedullary (IDEM) spinal tumors is increasing. Excisional laminectomy for removal and decompression is the standard of care, but complications associated with patient age are unreported in the literature. Our objective is to identify if age is a risk factor for postoperative complications after excisional laminectomy of IDEM spinal tumors. Methods: A retrospective analysis was performed on the 2011 to 2014 ACS-NSQIP (American College of Surgeons National Surgical Quality Improvement Program) database for patients undergoing excisional laminectomy of IDEM spinal tumors. Age groups were determined by interquartile analysis. Chi-squared tests, t tests, and multivariate logistic regression models were employed to identify independent risk factors. Institutional review board approval was not needed. Results: A total of 1368 patients met the inclusion criteria for the study. Group 1 (age ≤ 44) contained 372 patients, group 2 (age 45-54) contained 314 patients, group 3 (age 55-66) contained 364 patients, and group 4 (age > 66) contained 318 patients. The univariate analysis showed that mortality and unplanned readmission were highest among patients in group 4 (1.26%, P = .011, and 10.00%, P = .039, respectively). Postoperative wound complications were highest among patients in group 1 (2.15%, P = .009), and postoperative venous thromboembolism and cardiac complications were highest among patients in group 3 (4.4%, P = .007, and 1.10%, P = .032, respectively). Multivariate logistic regression revealed that elderly age was an independent risk factor for postoperative venous thromboembolism (group 3 vs group 1; odds ratio = 6.739, confidence interval = 1.522-29.831, P = .012). Conclusions: This analysis revealed that increased age is an independent risk factor for postoperative venous thromboembolism in patients undergoing excisional laminectomy for IDEM spinal tumors.
DuraSeal Exact Is a Safe Adjunctive Treatment for Durotomy in Spine: Postapproval Study
Authors: Kim Kee D. , Ramanathan Dinesh , Highsmith Jason , Lavelle William , Gerszten Peter , Vale Fernando , Wright Neill 
Published: August 2018

Study Design: A nonrandomized, two-armed prospective study. Objective: Water-tight dural closure is paramount to the prevention of cerebrospinal fluid (CSF) leakage and associated complications. Synthetic polyethylene glycol (PEG) hydrogel has been used as an adjunct to sutured dural repair; however, its expansion postoperatively is a concern for neurological complications. A low-swell formulation of PEG sealant was introduced as DuraSeal Exact Spine Sealant System (DESS). A Post-Approval Study was performed primarily to evaluate the safety and efficacy of DESS for spinal dural repair compared to current alternatives, in a large patient population, reflecting a real-world practice. Methods: A total of 36 sites in the United States enrolled 429 patients treated with DESS as an adjunct to dural repair in the spinal sealant group and 406 patients treated with all other modalities in the control arm, from October 2011 to June 2016. The primary endpoint was the incidence of CSF leak within 90 days of operation. The secondary endpoints evaluated were deep surgical site infection and neurological serious adverse events. Results: The CSF leakage in the DESS group (6.6%) was not significantly different from the control group (6.5%) ( p = .83), and there was no significant difference in the time to first leak. The two groups had no significant differences in deep surgical site infection (1.6% versus control 2.1%, p = .61) or proportion of subjects with neurological serious adverse events (2.9% versus control 1.6%, p = .516). Conclusions: DuraSeal Exact Spinal Sealant is safe when compared to current alternatives for spinal dural repair.
Personality classification based on profiles of social networks’ users and the five-factor model of personality
Authors: Souri Alireza , Hosseinpour Shafigheh , Rahmani Amir Masoud 
Published: August 2018

AbstractOnline social networks have become demanded ways for users to show themselves and connect and share information with each other among these social networks. Facebook is the most popular social network. Personality recognition is one of the new challenges between investigators in social networks. This paper presents a hypothesis that users by similar personality are expected to display mutual behavioral patterns when cooperating through social networks. With the goal of personality recognition in terms of analyzing user activity within Facebook, we collected information about the personality traits of users and their profiles on Facebook, hence we flourished an application using API Facebook. The participants of this study are 100 volunteers of Facebook users. We asked the participants to respond the NEO personality questionnaire in a period of 1 month in May 2012. At the end of this questionnaire, there was a link that asked the participants to permit the application to access their profiles. Based on all the collected data, classifiers were learned using different data mining techniques to recognize user personality by their profile and without filling out any questionnaire. With comparing classifiers’ results, the boosting-decision tree was our proposed model with 82.2% accuracy was more accurate than previous studies that were able to foresee personality according to the variables in their profiles in five factors for using it as a model for recognizing personality.
‘Deprescribing’ antipsychotics in schizophrenia: witless and dangerous?
Authors: Mortimer Ann 
Published: August 2018

SUMMARY‘Deprescribing’ here comprises arguments against treating patients who have been psychotic beyond first episode. Nevertheless, four out of five patients relapse, compared with only two of five still taking medication. However, much first-episode psychosis is not schizophrenia, but persistent substance-induced psychotic disorder. Virtually nothing is known about factors which facilitate this in the minority who develop it, nor how to decide if the patient will relapse off medication. Patients who are well, stable and tolerating minimal doses of medication should be the first to suggest that they try to do without it, not us.DECLARATION OF INTERESTA.M. has worked with pharmaceutical companies regarding the introduction of atypical antipsychotic treatments for schizophrenia, received research funding and spoken at conferences.
A paradigm shift: relationships in trauma-informed mental health services
Authors: Sweeney Angela , Filson Beth , Kennedy Angela , Collinson Lucie , Gillard Steve 
Published: August 2018

SUMMARYTrauma-informed approaches emerged partly in response to research demonstrating that trauma is widespread across society, that it is highly correlated with mental health and that this is a costly public health issue. The fundamental shift in providing support using a trauma-informed approach is to move from thinking ‘What is wrong with you?’ to considering ‘What happened to you?’. This article, authored by trauma survivors and service providers, describes trauma-informed approaches to mental healthcare, why they are needed and how barriers can be overcome so that they can be implemented as an organisational change process. It also describes how past trauma can be understood as the cause of mental distress for many service users, how service users can be retraumatised by ‘trauma-uninformed’ staff and how staff can experience vicariously the service user's trauma and can themselves be traumatised by practices such as restraint and seclusion. Trauma-informed mental healthcare offers opportunities to improve service users' experiences, improve working environments for staff, increase job satisfaction and reduce stress levels by improving the relationships between staff and patients through greater understanding, respect and trust.LEARNING OBJECTIVES•Appreciate broad-based definitions of trauma•Gain an understanding of what trauma-informed approaches are and why they have emerged, including the potential for (re)traumatisation in the mental health system•Consider how to practise trauma-informed approaches, including in ‘trauma-uninformed’ organisations, and the potential barriers to and opportunities from doing soDECLARATION OF INTERESTA. S. is funded by a National Institute for Health Research (NIHR) Post-Doctoral Fellowship. This article presents independent research partially funded by the NIHR. The views expressed are those of the authors and not necessarily those of the National Health Service, the NIHR or the Department of Health.
A Review of Bin Filling Technologies for Apple Harvest and Postharvest Handling
Authors: Zhang Zhao , Pothula Anand Kumar , Lu Renfu 
Published: August 2018

Abstract. Bin fillers play a critical role in transporting and distributing fruit evenly and without bruising into individual bins or containers from harvest platforms infield or sorting lines in the packinghouse. Over the years, a large variety of bin fillers have been developed for infield use and postharvest handling. This article reviews different bin filling technologies in terms of major design features, performance, and throughput, as well as automatic control and safety features. For infield use, bin filler designs have evolved from the early use of conveyors and reciprocating plates to recent adoption of soft pads and foam rollers, to reduce bruising and improve fruit distributions. For postharvest use, tilted bins and conveyors commonly used with early bin fillers have been replaced with hinged trays and vacuum suction cups for fruit transport and cylinder brushes and swingable dividers for bruise prevention. While many types of bin fillers have been developed, few are suitable for infield use because it imposes more constraints than postharvest use. Despite the use of automatic sensing and control in most bin fillers, human assistance is still needed during their operation. There are still major issues with the current bin fillers, such as large size, complexity in design, uneven fruit distributions, and low throughput. Further effort should, therefore, be directed towards the development of high throughput, simple yet reliable, compact and fully automated, or even intelligent bin fillers for infield and postharvest use. Keywords: Apple, Automation, Bin filler, Harvest, Infield, Postharvest handling.
Prenatal Tetanus, Diphtheria, Acellular Pertussis Vaccination and Autism Spectrum Disorder
Authors: Becerra-Culqui Tracy A. , Getahun Darios , Chiu Vicki , Sy Lina S. , Tseng Hung Fu 
Published: August 2018

BACKGROUND:
Increasing vaccination of pregnant women makes it important to assess safety events potentially linked to prenatal vaccination. This study investigates the association between prenatal tetanus, diphtheria, acellular pertussis (Tdap) vaccination and autism spectrum disorder (ASD) risk in offspring.

METHODS:
This is a retrospective cohort study of mother-child pairs with deliveries January 1, 2011 to December 31, 2014 at Kaiser Permanente Southern California hospitals. Maternal Tdap vaccination from pregnancy start to delivery date was obtained from electronic medical records. A diagnosis of ASD was obtained by using International Classification of Diseases, Ninth and Tenth Revision codes. Children were managed from birth to first ASD diagnosis, end of membership, or end of follow-up (June 30, 2017). Cox proportional hazards models estimated the unadjusted and adjusted hazard ratios (HRs) for the association between maternal Tdap vaccination and ASD, with inverse probability of treatment weighting to adjust for confounding.

RESULTS:
Women vaccinated were more likely to be Asian American or Pacific Islander, be nulliparous, have a higher education, receive influenza vaccination prenatally, and give birth at term. ASD was diagnosed in 1341 (1.6%) children, and the incidence rate was 3.78 per 1000 person years in the Tdap exposed and 4.05 per 1000 person years in the unexposed group (HR: 0.98, 95% confidence interval: 0.88–1.09). The inverse probability of treatment weighting–adjusted analyses revealed that prenatal Tdap vaccination was not associated with an increased ASD risk (HR: 0.85, 95% confidence interval: 0.77–0.95).

CONCLUSIONS:
Prenatal Tdap vaccination was not associated with an increased ASD risk. We support recommendations to vaccinate pregnant women to protect infants, who are at highest risk of death after pertussis infection.
Legislation to Increase Uptake of HPV Vaccination and Adolescent Sexual Behaviors
Authors: Cook Erin E. , Venkataramani Atheendar S. , Kim Jane J. , Tamimi Rulla M. , Holmes Michelle D. 
Published: August 2018

BACKGROUND:
Despite preventive health benefits of the human papillomavirus (HPV) vaccination, uptake in the United States remains low. Twenty-four states have enacted legislation regarding HPV vaccination and education. One reason these policies have been controversial is because of concerns that they encourage risky adolescent sexual behaviors. Our aim in this study is to determine if state HPV legislation is associated with changes in adolescent sexual behaviors.

METHODS:
This is a difference-in-difference study in which we use data on adolescent sexual behaviors from the school-based state Youth Risk Behavior Surveillance System from 2001 to 2015. Sexual behaviors included ever having sexual intercourse in the last 3 months and condom use during last sexual intercourse. We compared changes in sexual behaviors among high school students before and after HPV legislation to changes among high school students in states without legislation.

RESULTS:
A total of 715 338 participants reported ever having sexual intercourse in the last 3 months, and 217 077 sexually active participants reported recent condom use. We found no substantive or statistically significant associations between HPV legislation and adolescent sexual behaviors. Recent sexual intercourse decreased by 0.90 percentage points (P = .21), and recent condom use increased by 0.96 percentage points (P = .32) among adolescents in states that enacted legislation compared with states that did not. Results were robust to a number of sensitivity analyses.

CONCLUSIONS:
Implementation of HPV legislation was not associated with changes in adolescent sexual behaviors in the United States. Concern that legislation will increase risky adolescent sexual behaviors should not be used when deciding to pass HPV legislation.
2029 - o fim dos jornais em papel em Portugal? Um estudo longitudinal sobre os principais indicadores de desempenho no sector da imprensa escrita tradicional portuguesa
Authors: Quintanilha Tiago Lima 
Published: August 2018

Os novos produtos no formato digital e as novas técnicas tendem a assumir uma forte influência no sector da imprensa escrita e na sua vertente mais tradicional, o formato em papel, consubstanciando-se em agentes de mudança (Küng, 2013; Storsul, 2013) incremental e inovação radical e disruptiva (Sádaba, 2016a, b, c), ao interferirem nas lógicas convencionais de utilização e consumo de notícias por parte dos utilizadores.
Vários autores (Hjarvard, 2012; Barnhurst, 2010; Brock, 2015; Nossek et al, 2015) abordam os efeitos da mutabilidade tecnológica no sector da imprensa escrita e no seu segmento em papel, apontando de forma genérica para cenários em que as vendas de jornais no formato físico têm vindo a diminuir ao longo dos anos, na Era da híper-informação e do imediatismo online, e em função da forte migração dos públicos de notícias para os formatos online sustentados no multiformato, policentralidade e participação (Queuniet, 2011).
A partir da análise longitudinal dos resultados coligidos pela APCT (Associação Portuguesa Para O Controlo De Tiragem E Circulação) sobre o exercício de vendas em papel e tiragens dos principais títulos de imprensa escrita de alcance nacional, durante o período 2008-2017, confirmamos a tendência de agudização do sector da imprensa escrita em papel, a partir da constatação de um cenário de queda continuada do volume de vendas. Criamos também um novo índice de eficiência para cálculo da força das publicações no mercado, e, com base no cálculo da taxa de variação do número médio mensal de vendas para o período 2008-2017, chegamos ao ano de 2029 como data hipotética para o fim das vendas de jornais em papel em Portugal.
Kronik Hastalık Nedeni İle Takip Edilen Çocukların Bakım Verenlerinin Bakım Verme Yükünün Değerlendirilmesi
Authors: Türe Esra , Yazar Abdullah , Akın Fatih , Aydın Adem 
Published: August 2018

Amaç:
Çocuk
acil kliniğimize başvuran kronik hastalığı olan çocukların bakım verenlerinin epidemiyolojik
özelliklerini ve bakım verme yükünü araştırıp, bunlar arasındaki ilişkiyi
değerlendirmeyi amaçladık.Gereç ve Yöntem: 18 yaş altında, kronik hastalık
nedeni ile takip edilen hastaların bakım verenleri çalışmaya dahil edildi. Bakım verenlerin yaşadığı stresi
değerlendirmek amacıyla Zarit
Bakım Verme Yükü Ölçeği (ZBYÖ) kullanıldı.
Bulgular:
ZBYÖ puanları
24–83 arasında değişmekte olup
ortalama 47,64±15,31 olarak bulundu. Bakım yükü ile bakım verenlerin yaş grupları
incelendiğinde, &gt;40 yaş olan 21 bakım verenin 13’ü (p= 0,001) ağır derecede
yüke, 18-25 yaş arasındaki 25 bakım verenin 14’ü istatistiksel anlamlı olarak
(p= 0,001) hafif derecede yüke sahip idi. Bakım verenlerin gelir düzeyi
incelendiğinde; ağır derecede yüke sahip 41 hastanın 19’u istatistiksel anlamlı
olarak &lt;1000 TL gelire sahip idi (p= 0,004). Hastane ziyaret sayıları
incelendiğinde; &lt;5/yıl hastane ziyareti olan 34 hastanın bakım vereninin
33’ü (p= 0,001) hafif yüke, &gt;10/yıl hastane ziyareti olan 25 hastanın bakım
vereninin 16’sı (p= 0,001) istatistiksel anlamlı olarak ağır yüke sahip idi. Sonuç:
Bakım
verenlerinin bakım verme yüklerini belirlemek, yaşadıkları güçlükleri
tanımlamak, gerekli sosyal ve ekonomik desteği sağlamak, yaşam kalitelerini
artırmak ve hastaların daha kaliteli hizmet alması için gereklidir.

Anahtar Kelimeler: Bakım veren; bakım
verme yükü; kronik hastalık
INVESTIGATION OF LEAVE LEVEL OF COPPER ORE OF ZHEZKAZGAN DEPOSIT
Authors: Zhalgasuly N. , Kogut A. V. , Ismailova A. A. 
Published: August 2018

In the conditions of the Zhezkazgan copper deposit, which is worked underground, the losses of ore in the left pillars fluctuate from 12 to 25 %, sometimes reaching 40%. During the development of the Zhezkazgan deposit, tens of millions of tons of rich ore were left in various kinds of losses. The annual increase in ore losses in various parts, taking into account the increasing production, is approximately equal to the annual productivity of the whole mine. Also in the production process so far rich in content of the interlayer copper ores of low power. Therefore, the search for the most effective methods of mining lost, off-balance and waste ores is of paramount importance. One of such methods is underground leaching, which allows to carry out their secondary development and make maximum use of the mineral wealth. The aim of the research was to experimentally study the leaching of oxidized, mixed and sulphide copper ores of the old spent mines in the Zhezkazgan deposit using various solvents. The squeezing of oxide and sulphide rudes was carried out in 2 stages, when the durability of the experimental crests was 35 hours and the durable 294 hours. The oxidant-sulphide ore is 20 mm high and can be cured at 50-80 % media, for 10 months. For the period of time, the chalcocin rudus is derived from 30 to 50 % of media, and from 5 to 12 % of bernital chalcopyrite, which results in the effectiveness of the subsequent method of squeezing the effluent. The best dissolves are acidic acid (5-10 g/l) and acidified sulphate oxide (5 g/l). Residual cystic acid production and development of oxidant processes up to 1.6-3.2 t/t for medium oxidized rudder and up to 2.54.1 t/t for chalcocin rudder, which acts as a catalyst for thawing technical and economic indicators.
ESTABLISHMENT OF REGULARITY OF CHANGES IN CHEMICAL CHARACTERISTICS OF INTERMETALLIDES OF ALUMINUM SYSTEMS - LANTANIDES OF COMPOUNDS Al11Ln3, β-Al11Ln3 AND Al3Ln
Authors: Chamanova M. , Akhmedov Sh. A. , Nazhmudinov Sh. Z. , Badalov A. 
Published: August 2018

Ensuring the effective development of industries based on natural resources, taking into account the necessary qualitative scientific justification, balancing the reasonable level of scientific and technological progress, is justified by the creation of new materials with specified characteristics. For this, fundamental studies of the physico-chemical and thermodynamic properties of various systems, in particular intermetallides (MI), are an important applied problem. At present, the study of aluminum-based metal systems involving rare-earth metals becomes especially urgent. The problem of determining the regularities of the changes in the thermochemical characteristics of the IM aluminum-lanthanide systems of the α-Al11Ln3, β- Al11Ln3 and Al3Ln compositions is considered, by refining the values of the temperature and melting enthalpy using semiempirical and calculated methods that allow obtaining fairly complete characteristics on the temperature and enthalpy of melting of the IM compositions of the rich aluminum with a demand in modern technology.
Dyadic adjustment and hopelessness levels among infertile women
Authors: Durat Gülgün , Özdemir Kevser , Çulhacık Gümrah Duygu 
Published: August 2018

Purpose: Infertility is a health problem that causes psychological, physiological and social problems such as hopelessness, loneliness, anxiety, depression, social withdrawal, marital maladjustment, divorce etc. This study aims at identifying the relationship between dyadic adjustment and hopelessness among infertile women.Materials and Methods: This study, which is a cross-sectional type study, was carried out at the Infertility outpatient clinics of Sakarya Education and Research Hospital. Research sample consists of 442 infertile women who have accepted to participate in the study. Data was collected with the “Interview Form”, “Beck Hopelessness Scale and “Dyadic Adjustment Scale”. Results: Socio-demographic characteristics such as age, family type, residence, chronic illness background and infertility type, affected the hopelessness level of infertile women. A negative relationship was found between the scores of infertile women in the Beck Hopelessness Scale and the Dyadic Adjustment Scale.Conclusion: It can be said that provision of psychological support that improves dyadic adjustment to couples consulting to infertility polyclinics may be useful for continuity of treatment by reducing hopelessness.
As dimensões estruturantes do trabalho policial
Authors: Torres Karoline Bernardes , Campos Ioneide De Oliveira , Rodrigues Daniela Da Silva 
Published: August 2018

Este artigo tem como objetivo investigar as dimensões estruturantes do trabalho do policial militar em ação e identificar as estratégias de defesa utilizados pelo trabalhador em seu contexto laboral. Trata-se de uma pesquisa qualitativa, realizada no período de outubro a novembro do ano de 2015, com base em um estudo de caso de uma policial militar em ação, e conduzida segundo os pressupostos da visão macro e microergonômico da tarefa, e da atividade que compõem o trabalho policial. Os dados foram coletados por meio de entrevista semiestruturada, e observação do ambiente de trabalho, analisados com base na técnica de análise de conteúdo, e nas dimensões estruturantes do trabalho. Após vivenciar situações estressantes, o sujeito pode manter ou compensar as perdas por meio do uso de estratégias que viabilizam novas formas de desempenho das atividades instrumentais de vida diária e do trabalho.