bluuebunny/crossref_metadata_2025_split huggingface dataset:
Multi-criteria analysis applied to multi-objective optimal pump scheduling in water systems
Authors: Carpitella Silvia , Brentan Bruno , Montalvo Idel , Izquierdo Joaquín , Certa Antonella 
Published: August 2019

Abstract
This work presents a multi-criteria-based approach to automatically select specific non-dominated solutions from a Pareto front previously obtained using multi-objective optimization to find optimal solutions for pump control in a water supply system. Optimal operation of pumps in these utilities is paramount to enable water companies to achieve energy efficiency in their systems. The Fuzzy Technique for Order of Preference by Similarity to Ideal Solution (FTOPSIS) is used to rank the Pareto solutions found by the non-dominated sorting genetic algorithm (NSGA-II) employed to solve the multi-objective problem. Various scenarios are evaluated under leakage uncertainty conditions, resulting in fuzzy solutions for the Pareto front. This paper shows the suitability of the approach for quasi real-world problems. In our case-study, the obtained solutions for scenarios including leakage represent the best trade-off among the optimal solutions, under some considered criteria, namely, operational cost, operational lack of service, pressure uniformity and network resilience. Potential future developments could include the use of clustering alternatives to evaluate the goodness of each solution under the considered evaluation criteria.
Experimental study on leakage monitoring of pressurized water pipeline based on fiber optic hydrophone
Authors: Guo Chengchao , Shi Kunming , Chu Xuanxuan 
Published: August 2019

Abstract
Leakage of water pipelines will significantly endanger the safety operation and service performance of the pipelines. Based on the vibration of pressurized water pipelines deriving from leakage, the BA-FH3200 fiber optic hydrophone (FOH) leakage detection long-term detection system was adopted in prototype tests. The vibration-based real-time leakage monitoring method of the pressurized water pipeline was studied. During the test, the leakage was simulated by opening a spherical valve in the middle of the pipe, and an FOH was placed right above the pipe wall to detect the vibration signal along the pipe. The FOH analysis software was used to monitor the pipeline operation status in real time and acquire data. Then, the data were processed by a self-developed post-processing program, and the parameters were optimized through back-calculation. The test results reveal that the leakage positioning error lay between ±0.07 m, and real-time monitoring (i.e., early warning alarm and leakage positioning) of the FOH for the pressurized water pipeline was feasible.
The Acute Dialysis Orders Objective Structured Clinical Examination (OSCE)
Authors: Prince Lisa K. , Nee Robert , Yuan Christina M. ,   for the Nephrology Education Research and Development Consortium (NERDC)
Published: August 2019

Background and objectives
Acute kidney replacement therapy (KRT) prescription is a critical nephrology skill. We administered a formative objective structured clinical examination (OSCE) to nephrology fellows to assess acute KRT medical knowledge, patient care, and systems-based practice competencies.

Design, setting, participants, & measurements
Prospective cohort study of an educational test using the unified model of construct validity. We tested 117 fellows: 25 (four programs) in 2016 and 92 (15 programs) in 2017; 51 first-year and 66 second-year fellows. Using institutional protocols and order sets, fellows wrote orders and answered open-ended questions on a three-scenario OSCE, previously validated by board-certified, practicing clinical nephrologists. Outcomes were overall and scenario pass percentage and score; percent correctly answering predetermined, evidence-based questions; second-year score correlation with in-training examination score; and satisfaction survey.

Results
A total of 76% passed scenario 1 (acute continuous RRT): 92% prescribed a ≥20 ml/kg per hour effluent dose; 63% estimated clearance as effluent volume. Forty-two percent passed scenario 2 (maintenance dialysis initiation); 75% correctly prescribed 3–4 mEq/L K+ dialysate and 12% identified the two absolute, urgent indications for maintenance dialysis initiation (uremic encephalopathy and pericarditis). Six percent passed scenario 3 (acute life-threatening hyperkalemia); 20% checked for rebound hyperkalemia with two separate blood draws. Eighty-three percent correctly withheld intravenous sodium bicarbonate for acute hyperkalemia in a nonacidotic, volume-overloaded patient on maintenance dialysis, and 32% passed overall. Second-year versus first-year fellow overall score was 44.4±4 versus 42.7±5 (one-tailed P=0.02), with 39% versus 24% passing (P=0.08). Second-year in-training examination and OSCE scores were not significantly correlated (r=0.15; P=0.26). Seventy-seven percent of fellows agreed the OSCE was useful in assessing “proficiency in ordering” acute KRT. Limitations include lack of a validated criterion test, and unfamiliarity with open-ended question format.

Conclusions
The OSCE can provide quantitative data for formative Accreditation Council for Graduate Medical Education competency assessments and identify opportunities for dialysis curriculum development.

Podcast
This article contains a podcast at https://www.asn-online.org/media/podcast/CJASN/2019_08_08_CJASNPodcast_19_09_.mp3
Comparative effectiveness of a human fibroblast-derived dermal substitute and a viable cryopreserved placental membrane for the treatment of diabetic foot ulcers
Authors: Sabolinski Michael L , Capotorto John V 
Published: August 2019

Objective:
To compare a human fibroblast-derived dermal substitute (HFDS) to a viable cryopreserved placental membrane (vCPM) for use in diabetic foot ulcers (DFUs).
Methods:
An electronic medical record database of 1622 refractory DFUs with areas 1–40 cm
2
was analyzed.
Results:
Cox estimates of wound closure for HFDS (1444 wounds) were significantly greater (p = 0.0002) by weeks 12 (31 vs 21%), 24 (55 vs 39%) and 36 (68 vs 51%) compared with vCPM (178 wounds). HFDS reduced the median time to wound closure by 55% compared with vCPM, (20 vs 36 weeks, p = 0.0002). HFDS also increased the probability of wound closure by 60% (hazard ratio = 1.60 [95% confidence interval, (1.25, 2.06)], p = 0.0002).
Conclusion:
HFDS improved time and frequency of wound closure in DFUs versus vCPM.
Megatrendy rozwojowe współczesnej branży pocztowej
Authors: Michalski Konrad 
Published: August 2019

Branża pocztowa, której tradycyjnym produktem są list i paczka, traktowana jest obecnie jako część szerszego rynku KEP (kurier, ekspres, paczka). Dla rynku KEP można zidentyfikować zjawiska rozwojowe (megatrendy) mające wpływ na jego funkcjonowanie w dłuższej perspektywie. Wiedza o tych zjawiskach powinna być podstawą każdej decyzji o strategicznym charakterze.Celem opracowania jest usystematyzowanie istoty zmian w otoczeniu branży pocztowej. Niektóre zjawiska w otoczeniu tego rynku już przyczyniły się do komodyzacji (utraty wartości i konieczności redefinicji podstawowych założeń) niektórych rodzajów usług, a w odniesieniu do innych, do ich całkowitego zniknięcia z rynku. Megatrendy w otoczeniu branży pocztowej decydują o tym, że publiczni operatorzy stoją dzisiaj przed koniecznością zmiany modeli funkcjonowania. Być może, w niedalekiej przyszłości, konieczność zmian będzie dotyczyć także paradygmatów zarządzania. Artykuł podejmuje tematykę branży pocztowej z perspektywy wyzwań w zakresie zarządzania, gdzie zauważyć można istotną lukę w polskim piśmiennictwie. Opracowanie ma charakter teoretyczny z aspektami praktycznymi i jest oparty na przeglądzie literatury naukowej oraz popularno-naukowej. W artykule dokonano aktualizacji literatury z punktu widzenia obecnego stanu rzeczy branży pocztowej. Wykorzystano wtórne źródła danych.
Metoda wskaźnikowa w ocenie płynności finansowej jednostek samorządu terytorialnego na przykładzie gmin województwa lubelskiego
Authors: Cyburt Agnieszka , Gałecka Agnieszka 
Published: August 2019

Celem opracowania było zwrócenie uwagi na zastosowanie metody wskaźnikowej w ocenie płynności finansowej jednostek samorządu terytorialnego na przykładzie gmin województwa lubelskiego. W artykule podkreślono potrzebę i metody dokonywania analizy płynności finansowej w jednostkach samorządu terytorialnego. Do oceny poziomu płynności finansowej JST wykorzystano wskaźniki płynności podstawowej (CR), szybkiej (QR), w ujęciu kasowym i w ujęciu memoriałowym. Badaniami objęto gminy województwa lubelskiego. Okres badań obejmował lata 2012-2016. Na podstawie przeprowadzonych analiz stwierdzono, iż gminy województwa lubelskiego w badanym okresie posiadały wystarczające środki na pokrycie niezbędnych wydatków i rozchodów zarówno na koniec, jak i trakcie roku budżetowego.
Wykorzystanie influencer marketingu w kreowaniu wizerunku marki
Authors: Jaska Ewa , Gomoła Bartosz , Werenowska Agnieszka 
Published: August 2019

Celem artykułu jest zdefiniowanie influencer marketingu i jego wykorzystania w procesie kreowania wizerunku marki oraz podejmowania decyzji zakupowych. Scharakteryzowano pojęcie influencera, zastosowanie Facebooka i Instagramu w tym zakresie. Wykorzystując przykłady 4 marek ( Żywiec Zdrój, Huawei, Daniel Wellington, NA-KD) opisano udział ambasadorów i influencerów w procesie kreowania wizerunku marek oraz promocji ich produktów. Przeprowadzono badanie ankietowe aby zweryfikować założenie badawcze dotyczące wpływu influencerów na rozpoznawalność i wizerunek marki oraz podejmowanie decyzji zakupowych. Marki Daniel Wellington oraz NA-KD wykorzystano do zilustrowania potencjału istniejącego w twórcach posiadających małe zasięgi na platformach społecznościowych, a marki Żywiec Zdrój i Huawei współpracowały z rozpoznawalnymi influencerami będącymi równocześnie ich ambasadorami (M. Wojciechowska i K. Wojewódzki). Jak wynika z przeprowadzonego badania ambasadorowie marek a zarazem influencerzy zwiększają rozpoznawalność marki i wpływają na jej wizerunek wśród konsumentów. Z kolei polecenie influencera ma większy wpływ na podejmowanie decyzji zakupowych niż ambasadorzy marek. Przeprowadzono analizę literatury przedmiotu i materiałów źródłowych, wykorzystano metodę studium przypadku i sondażu diagnostycznego.
<p>Efektivitas mengonsumsi keju Brie terhadap kenaikan pH saliva</p><p>Effectiveness of consuming Brie cheese on increasing salivary pH</p>
Authors: Lazarus Celia , Mandalas Henry Yonatan , Suwindere Winny 
Published: August 2019

Pendahuluan: Derajat keasaman (pH) saliva merupakan faktor kunci utama keseimbangan demineralisasi dan remineralisasi gigi. Demineralisasi email terjadi pada keadaan pH <5,5 dan terjadi dalam waktu beberapa menit setelah asupan sukrosa. Saliva memiliki peran signifikan dalam proses meningkatkan pH rongga mulut sehubungan dengan kemampuan buffering, yaitu kandungan bikarbonat yang dapat menetralkan pH sehingga mencegah enamel gigi dari demineralisasi. Tujuan penelitian ini untuk mengukur atau menilai peranan keju Brie dalam menaikan pH saliva. Metode: Penelitian ini merupakan eksperimental semu bersifat komparatif. Jumlah subjek penelitian adalah 32 orang yang dibagi menjadi kelompok perlakuan, yaitu mengonsumsi keju Brie dan kelompok kontrol, yaitu tidak mengonsumsi keju Brie. Subjek penelitian diukur nilai pH saliva awal dan akhir menggunakan pH test strip. Hasil: Rerata selisih nilai pH awal dan akhir pada kelompok perlakuan adalah sebesar 0,48 dan pada kelompok kontrol adalah sebesar -0,29. Rerata selisih pH saliva pada kelompok perlakuan, yaitu mengonsumsi keju Brie, lebih besar dibandingkan dengan kelompok kontrol, dengan perbedaan yang signifikan (p<0,05). Simpulan: Mengonsumsi keju Brie efektif dalam meningkatkan pH saliva.Kata kunci: Efektivitas, keju Brie, pH saliva ABSTRACTIntroduction: Salivary acidity degree (pH) is the main key factor in the balance of tooth demineralisation and remineralisation. Enamel demineralisation occurs at the pH < 5.5 and occurs within minutes after sucrose intake. Saliva has a significant role in the process of pH increase in the oral cavity due to the buffering ability, which is the bicarbonate content which able to neutralise the pH value to prevent tooth enamel demineralisation. The purpose of this study was to measure or assess the effect of Brie cheese consumption in raising the salivary pH. Methods: This study is a quasi-experimental comparative. The number of research subjects was 32 people who were divided into treatment groups which consumed Brie cheese, and the control group which did not consume Brie cheese. Each research subject was measured the initial and final salivary pH values using a pH test strip. Results: The average difference in the initial and final pH values of the treatment group was 0.48, and in the control group was -0.29. The average difference of the salivary pH in the treatment group, which was consuming Brie cheese, was higher than the control group, with a significant difference (p < 0.05). Conclusion: Consuming Brie cheese is effective in increasing the salivary pH.Keywords: Effectiveness, Brie cheese, salivary pH
Experiences of Persons Living with Severe and Persistent Mental Illness
Authors: Van Rooyen Dalena , Topper Kegan , Shasha Nontembeko Grycelda , Strümpher Juanita 
Published: August 2019

The mental healthcare needs of individuals suffering from mental illness, especially those with severe and persistent mental illness, are neglected and often misunderstood in South African rural communities. The purpose of the study was to explore and describe experiences of persons living with severe and persistent mental illness and those of their families in respect of mental health services provided by primary healthcare facilities in rural Eastern Cape, South Africa. A qualitative, descriptive, exploratory research design was utilised. Convenience sampling was used to select primary healthcare facilities in the rural Emalahleni sub-district of the Chris Hani Health District in the Eastern Cape. Purposive sampling was used to recruit persons living with severe and persistent mental illness (n = 18) and their family members (n = 11). A total of 29 in-depth, unstructured individual interviews were conducted using an audio recorder. Tesch’s thematic analysis was used to identify themes from the data. Two central themes emerged from the data, namely the challenges in accessing primary healthcare services, and the inadequate provision of mental healthcare. Primary healthcare in rural South Africa needs to be better prioritised by national government to deal with mental healthcare. Improvements in infrastructural and staff capacity are needed to improve access and availability of mental healthcare services in rural communities. Nursing education programmes should better integrate mental healthcare into curricula, especially rural mental healthcare. Cost-effective, evidence-based, culturally-sensitive mental health innovations focusing on the mental health needs throughout the person’s life course should be implemented.
Perfil dos óbitos por lesões autoprovocadas (suicídios) em Teresina-Piauí
Authors: De Queiroz Bruna Furtado Sena , Cipriano de Moura Marielle , Lima Braga Kátia , De Sousa Oliveira Francisca Jessica , Dias de Sousa Paulo Ricardo , Lima de Sousa Iara Rege , De Souza Costa Annielson , Ribeiro Diego Rislei , Oliveira do Monte Vanessa , Goncalves Roza Yanca Ytala , Da Silva Lemos Matheus Henrique , Lopes Vieira Jayris , Da Silva Oliveira Josiane , Lima Fontes Francisco Lucas de , Lopes Mousinho Neiva Maria de Jesus 
Published: August 2019

Objetivo: Traçar um perfil das lesões autoprovocadas em Teresina Piauí no período de 2006 a 2016. Métodos: Pesquisa do tipo descritiva, retrospectiva, epidemiológica e de abordagem quantitativa, os dados foram coletados no mês de março do ano de 2019 no Departamento de Informática do Sistema Único de Saúde (DATASUS) e Sistema de Informação de Mortalidade (SIM).Resultados e Discussão: Os óbitos por lesões autoprovocadas (suicídio) apresentam um total de 737 óbitos, o ano de 2016 teve um maior número de óbitos, o gênero masculino apresentou 73 % de equivalentes a 540 óbitos, a maioria dos óbitos ocorram no domicilio 60,90%, a faixa etária de 20 a 29 anos tem o maior incidência 30,1%, a cor/raça parda tem 68,1% dos óbitos pessoas que tinham o estado civil solteiro apresentaram um maior número de óbitos.Conclusão: A pesquisa possibilitou um perfil detalhado sobre os óbitos por lesões autoprovocadas em Teresina Piauí espera-se que os dados possam servir como base para futuras pesquisas relacionadas a temática, e embasar novos modelos de políticas de prevenção.
Utilização de biomarcadores cardíacos na detecção de infarto agudo do miocárdio
Authors: Borges Lysandro Pinto , De Jesus Rafaella Campos Silva , Moura Raissa Litsas 
Published: August 2019

Objetivo: Analisar os biomarcadores cardíacos mais efetivos e solicitados para o diagnóstico do IAM. Métodos: Trata-se de revisão bibliográfica, que utilizou artigos e pesquisas científicas constantes em banco de dados como Sciello, Lilacs e outras bibliotecas virtuais. Os critérios de inclusão adotados foram: publicações cujo acesso fosse do texto na íntegra; que o resumo mantivesse relação com o objetivo proposto; trabalhos em todas as línguas; e, cujo ano de publicação não data mais de 12 anos. Resultados: Das 15 publicações utilizadas, 12 são revisão de literatura, 1 Estudo de caso, 1 Ensaio Clínico e 1 estudo transversal. As publicações utilizadas concluíram pelo uso de biomarcadores como prática eficiente no diagnóstico e prognóstico de doenças cardiovasculares. Conclusão: Apresentada as funções, e levando em consideração aspectos como especificidade, sensibilidade e perfil de liberação na corrente sanguínea, conclui-se que a Mioglobina e a fração MB da Creatinoquinase (CK-MB) possuem baixa especificidade por estarem presentes tanto na musculatura esquelética como também na musculatura cardíaca, mas são considerados sensíveis. Diferentemente das Troponinas cardíacas T e I, que mostram ter maior especificidade para o coração e sensibilidade clínica alta.
Convivendo com a infecção pelo vírus da imunodeficiência humana em Boa Vista (RR): um estudo sobre autoatenção e itinerários terapêuticos
Authors: Barbosa Alves Ana Paula , Pellegrini Marcos Antonio 
Published: August 2019

Objetivo: conhecer os processos de autoatenção e os fatores que influenciam nos itinerários terapêuticos no contexto de pessoas soropositivas, e compreender as relações sociais e os significados na experiência de saúde/doença. Métodos: é uma pesquisa qualitativa, realizada em Boa Vista-RR. Participaram do estudo sete sujeitos, entre dezembro de 2012 a março de 2013. Na coleta de dados, foram utilizadas as narrativas dos sujeitos obtidas pelas entrevistas semiestruturadas. As narrativas foram analisadas de acordo com as principais temáticas encontradas. Resultados: os sujeitos sofrem influência do contexto sociocultural e dos distintos sistemas ou racionalidades médicas. Os itinerários terapêuticos são diversos e/ou únicos, resultam das negociações cotidianas dos sujeitos afetados e por sua rede social de apoio, as suas escolhas são orientadas segundo o que lhes confere ‘sentido’ e dependem do grau de satisfação e não possuem uma ordem pré-concebida. O grupo de autoajuda favorece uma interação social, o compartilhar de experiências, o resgate da autoestima, conhecimentos sobre a doença, cidadania. Conclusão: As práticas de autoatenção são condutas coletivas, dinâmicas, e ajustáveis pelo grupo para seu benefício. Os profissionais de saúde, devem conhecer os sujeitos, suas redes de relações, e as estratégias que estão sendo acionadas para o enfrentamento de seus padecimentos visando uma contribuição mais efetiva no processo terapêutico.
Fatores sociais e de saúde relacionados à gravidez na adolescência
Authors: Freitas Joana Elisabeth de Sousa Martins , Miranda Matheus Gaspar de , Simeão Luma Goiana Pinto , Aguiar Scarlet Frota , Gomes Larissa Freire , Gomes Laércio da Silva , Freitas Dora Isabel de Sousa Martins , Costa Gabriel da Silva , Gomes Lucas Alexandre Gonçalves do Nascimento , Alencar Adriano Rocha , Chagas Clóvis Ferreira das , Castro João Victor Alves de , Neta Zulmira Barreira Soares , Brito Edna Albuquerque , Santos Marize Melo dos 
Published: August 2019

Objetivo: Relacionar características socioeconômicas, uso do fumo, do álcool e do comportamento sexual entre as adolescentes primíparas, primigestas e nulíparas. Métodos: Delineamento transversal controlado, analítico, realizado em unidades básicas, Teresina-PI. Amostragem de 105 adolescentes, 35 por grupo. Utilizado formulário para coleta de dados com variáveis socioeconômicas, tabagismo, comportamento sexual e Alcohol Use Disorder Identification Test para identificação consumo de álcool. Resultados: Apresentou médias de idade (p=0,005) entre 16-17 anos, e escolaridade (p=0,007), 10-12 anos de estudo. As primíparas e primigestas apresentaram maiores frequências de vivência com companheiro (p<0,001), maior percentual sem ocupação, menor número de estudantes (p=0,003), maior frequência de mães com baixa escolaridade (p=0,022), pertencentes aos estratos econômicos C, D ou E, (p=0,009). As primíparas apresentaram frequências mais elevadas de fumantes ou ex-fumantes, uso nocivo de álcool, não utilização de preservativos na primeira relação e de relação nos últimos 12 meses (p=0,014), porém com maior uso do preservativo (p=0,126). Conclusão: As primíparas e primigestas apresentaram condições socioeconômicas mais desfavoráveis. As primigestas e nuligestas, menor exposição ao uso do fumo e álcool. Maior frequência de proteção na primeira relação sexual, mesmo assim caracterizando maior risco de saúde tanto para a mãe, como para o bebê.
FACTORS RELATING OF POSTPARTUM DEPRESSION IN INDEPENDENT PRACTICES OF MIDWIFE MISNI HERAWATI, HUSNIYATI AND SORAYA
Authors: Anggarini Inge Anggi 
Published: August 2019

The postpartum period is a time when various changes, it occurs with women after childbirth, such as physiological, psychological, and socio-cultural and spiritual changes. Complex physical and emotional changes require adaptation to adjust lifestyle after labor and the new role of women to become mothers. It is also the originator of various psychological reactions, ranging from mild emotional reactions to severe levels of mental disorders. This study aims to determine the relationship between age, parity, education level, social support and physical exercise against postpartum depression. The design of this study is a descriptive correlative research type with a cross sectional approach. The number of samples was 32 respondents using concecutive sampling technique. Data collection using questionnaires and data analysis using chi-square. The results showed no significant relationship between age, parity, education level of postpartum depression. (p value> 0.05) and for social support and physical exercise factors during pregnancy there was a significant relationship with postpartum depression (p value <0.05). Keywords : Age, parity, social support, physical exercise during pregnancy, postpartum depression