bluuebunny/crossref_metadata_2025_split huggingface dataset:
Positive Culture Change in Long-Term Care: A Procedure to Enhance Speech-Language Pathologist–Certified Nursing Assistant Collaboration
Authors: Page Christen , Howell Dana , Douglas Natalie 
Published: October 2019

Background
The majority of residents in long-term care (LTC) facilities have cognitive communication impairments impacting their ability to communicate basic wants and needs to caregivers, particularly certified nursing assistants (CNAs). Speech-language pathologists (SLPs) are the most qualified individuals to educate CNAs about residents' communication behaviors; however, there is limited literature that outlines specific, evidence-based procedures for CNAs and residents in the LTC environment. The purpose of this article is to describe such a procedure, including 2 case examples, within a framework of positive culture change.

Method
This clinical focus article aims to describe the details and benefits of providing professional support for CNAs during a communication plan intervention. Then, the article will discuss the association between professional support and positive culture change in LTC. Professional support involves valuing the experience and time CNAs spend with residents, consistently requesting feedback regarding trained communication strategies, educating, demonstrating, and problem-solving with CNAs, as well as acknowledging CNAs' use of communication strategies during daily care with residents.

Conclusions
SLPs can serve as trendsetters in establishing a positive, functional organizational culture in LTC by providing professional support to CNAs. This article outlined an evidence-based procedure designed for SLPs working in the LTC environment to contribute to such positive culture change.
24-h-Blutdruckmessung bei HIV+-Patienten in Malawi: Ergebnisse einer Pilotstudie
Authors: Kasper Philipp , Phiri Sam , Chaweza Tom , Tweya Hannock , Mwagomba Beatrice , Neuhann Florian , Steffen Hans-Michael 
Published: October 2019

ZUSAMMENFASSUNGKardiovaskuläre Erkrankungen wie die arterielle Hypertonie gewinnen in Subsahara-Afrika neben infektiösen Erkrankungen zunehmend an Bedeutung. Die ambulante 24-h-Blutdruck-Langzeitmessung (24-h-ABDM) ist das Verfahren der Wahl zur Diagnosesicherung einer Hypertonie. Als Teil der LighTen Cohort Study hat diese Untersuchung das Ziel, die Machbarkeit einer 24-h-ABDM und ihre Bedeutung für Diagnose und Management des Hochdrucks bei HIV+-Patienten unter antiretroviraler Therapie zu bestimmen. Analysiert wurden die Praxis-Blutdruckwerte und 24-h-ABDM-Daten 34 erwachsener HIV+-Patienten sowie die Daten von 20 HIV--Kontrollpersonen. Bei einem Viertel der antihypertensiv behandelten Patienten und Kontrollen war der Blutdruck kontrolliert. Die 24-h-ABDM-Untersuchung erwies sich unter den Bedingungen eines Entwicklungslandes als machbar und identifizierte Patienten mit prognostisch ungünstigem nächtlichem Blutdruckverhalten sowie Patienten mit Weißkittelhypertonie und wahrscheinlich guter Prognose.
Neue Werkzeuge zur Selbst- und
Praxisausrichtung
Authors: Sperlich Franz 
Published: October 2019

ZusammenfassungEtwa 11000 Kollegen der ambulanten Medizin führten 2018 in Deutschland die
Zusatzbezeichnung „Naturheilverfahren“. Das sind gut 7 % aller ambulant tätigen
Ärzte. Viele von ihnen bieten jedoch keine oder nur wenige Leistungen aus dem
Spektrum ihrer Zusatzbezeichnung in ihrer Praxis an und rechnen diese selten
oder gar nicht ab.Die Gründe liegen dabei neben sachlich rationalen Umständen auch in vorbewussten,
emotionalen Mechanismen. Dieser Artikel untersucht diese Hintergründe und bietet
Strategien für die tägliche Praxis.
The Evolution of Breast Implants
Authors: Kaoutzanis Christodoulos , Winocour Julian , Unger Jacob , Gabriel Allen , Maxwell G. Patrick 
Published: October 2019

AbstractBreast augmentation remains one of the most commonly performed aesthetic procedures in the United States and worldwide. Throughout the last few decades, the implants used for this procedure have undergone significant advancements, which has allowed surgeons to provide safer and more aesthetically pleasing outcomes. This article discusses the history of breast implants since their invention in 1962. Particular emphasis is given to the evolution of silicone implants with its many challenges, which has resulted in the development of the currently used fourth- and fifth-generation devices. Knowledge of these advances will allow physicians to more critically evaluate their results, and also will encourage them to provide more up-to-date scientific data on these devices to further improve the clinical outcomes of their patients.
Update in Direct-to-Implant Breast Reconstruction
Authors: Perdanasari Aurelia Trisliana , Abu-Ghname Amjed , Raj Sarth , Winocour Sebastian J. , Largo Rene D. 
Published: October 2019

AbstractImplant-based reconstruction (IBR) remains the most commonly utilized breast reconstruction option for post-mastectomy patients. IBR can be approached as either a one-stage reconstruction or a two-stage reconstruction. Facilitated by improvements in surgical technology and advanced techniques, one-stage reconstruction, also known as direct-to-implant (DTI) reconstruction, involves the insertion of an implant at the time of mastectomy. The decision to pursue either a DTI or a two-stage reconstruction is based on several factors, including the patient's overall health, expected risk of postoperative complications, and associated costs to both the patient and hospital.
Insurance Coverage and Utilization of Nicotine Patches after Receipt of a Prescription
Authors: Struble Roger D. , Knox Blaine A. , Richter Kimber P. , Ellerbeck Edward F. 
Published: October 2019

Introduction: Changes in reimbursement policy have made nicotine replacement therapy (NRT) much more available, but little is known about what happens to patients after they receive their prescription. This study describes rates of successfully filling prescriptions for NRT and its association with type of insurance. Methods: We identified 224 patients who received a prescription for NRT during an outpatient visit to an academic medical center between January 1st 2016 and February 10th 2017. We conducted telephone surveys to assess whether they tried to fill their prescriptions and if so, determine the effects of insurance type on the ability to successfully fill the prescription. Results: Of 117 patients completing the survey, 23 (19.6%) did not attempt to fill and 6 (5.1%) had no insurance. Of the 90 patients with insurance who attempted to fill their prescription, 67 (74.4%) were successful and 23 (25.6%) were unsuccessful in obtaining medications. Success varied by insurance with successful fills ranging from 34 (87.2%) of those with commercial insurance, 24 (70.6%) with Medicaid, to 9 (52.9%) with Medicare. Of 37 participants living with another smoker, 31 (83.7%) wanted an NRT prescription specifically for their partner; several volunteered that they had shared patches with their partner. Conclusions: Despite widespread coverage for NRT, many patients may still encounter difficulties in getting their prescriptions filled. Some tobacco users might also benefit from getting NRT prescriptions for their partners that smoke.
Cyber and Physical Systems Topology for the Industry 4.0 Smart Factory
Authors: Zakoldaev D A , Gurjanov A V , Shukalov A V , Zharinov I O , Zharinov O O 
Published: October 2019

Abstract
To project digital companies of the Industry 4.0 is a production task which requires to implement in the industrial infrastructure the elements of multi-agent environment. Multi-agent environment is components (cyber and physical systems) of two elements: the automatic one in physical level and program one (model) in the virtual level. Physical element is a digital system of automatic control. The program one is a code fragment to describe the functionality of cyber and physical system with a mathematical model. There is a scheme of physical and virtual cyber and physical system components interaction for digital automatic production of the Industry 4.0. The properties of the Industry 4.0 production company (a smart factory) depends on the interaction scheme of the digital company infrastructure. Cyber and physical systems interaction scheme is generated in a smart factory cloud. There are some options of cyber and physical systems topology which are good for the Industry 4.0 production infrastructure.
Software for Reduction of Energy Capacity of Cargo Transportation by Road Transport
Authors: Chainikov D , Relyan N 
Published: October 2019

Abstract
The article deals with the problem of improving the efficiency of vehicle use by reducing the consumption of fuel and energy resources of trucks during the carriage of goods. A solution is proposed, based on the development of a special software product that allows taking into account the vehicles` adaptability of different weight categories to the mass of the transported cargo. It is offered the software to calculate the objective fuel consumption norms on cargo transportation.
Optimization of the Work of Road Transport With the Help of Navigation Equipment on the Example of the Branch of “Mostostroy-11”, JSC, TF “Mostootryad-36”
Authors: Chikishev E , Fisher A , Alontsev V 
Published: October 2019

Abstract
The article deals with the control of fuel consumption in automotive engineering with the help of navigation equipment. As a result of the experiment on trucks VOLVO FMX 6x4 and Mercedes-Benz Actros 3346S it was found out that the actual fuel consumption is 2-16% lower than the standard. Thus, using the complex of navigation equipment in transport of the company allows not only to significantly reduce fuel costs, but also to optimize control over road flight performance, and also the regime of work and rest of the drivers. As a result of the economic calculation, it was established that the equipment costs are paid off in less than 1 month.
Application of Information Technologies for Automation of Railway and Cargo Owner Interaction
Authors: Strelko O H , Kyrychenko H I , Berdnychenko Yu A , Sorochynska O L , Ya Pylypchuk O 
Published: October 2019

Abstract
The results of formalization of the components in the process of calculation of the time of delay in the movement of wagons are presented. The formalization was carried out in accordance with the principles of system analysis with the purpose of next modeling and automation of the technological process of cargo transportation during the delay by the fault of a cargo owner. It was proposed to apply a methodology of the conceptual-logical mapping and project modeling by constructing models of the process of interaction between modes of transport.
Technology of Poultry Manure Utilization as a Renewable Energy Source
Authors: Zapevalov M V , Sergeyev N S , Redreev G V , Chetyrkin Yu B , Zapevalov M S 
Published: October 2019

Abstract
the aim of the research is to improve the efficiency of technologies for recycling poultry manure. The achievement of this goal involves the development of technological regulations for the processing of manure, research and development work on the creation of technological lines for the production of fuel briquettes and organic fertilizer, development of the technological process of processing of manure and its introduction into production. The technological scheme of the manure processing complex has been developed and substantiated, which includes: a receiving and storage station for receiving manure coming from poultry houses, and its dosed supply for further processing; a container for collecting liquid formed during the drying of manure; a technological line for the production of fuel briquettes and a line for the production of organic-mineral fertilizer. The capacity of the complex with a litter moisture content of 65-70% coming for processing is about 5 t/h. It is proved that the annual processing of manure at the round-the-clock operation of the complex will be about 43.0 thousand tons. At the same time, the production of organic-mineral fertilizers with a nutrient content of up to 32% will be about 1.5 thousand tons, and the fuel briquettes with a calorific value of up to 18.0 mJ/kg will be about 8.0 thousand tons. The estimated annual economic effect from the processing of litter on this complex is about 20.0 million rubles, the payback period of the complex is up to 1.5 years. This technology of poultry manure utilization allows to process all poultry manure removed from poultry houses in the stream, as a result of which there is no need for a litter storage. The production of organic fertilizer can solve the problem of increasing soil fertility. When the price of one ton of this fertilizer is 5thousand rubles and the contents until 320 kg of active ingredient, its use in the cultivation of crops would be economically profitable. As a result of the utilization of manure through this technology, the company receives energy, agro-chemical, economic, environmental and social effects.
Investigation of Moving Flat Hexagonal Disk Attachment
Authors: Soyunov A S , Prokopov S P , Zaripova N A , Yu Golovin A , Abdylmanova R K 
Published: October 2019

Abstract
The article “Investigation of moving flat hexagonal disk attachment” reviewed the operation of flat hexagonal disk attachment used on discer for tilling the soil, exposed to wind erosion. The research of flat disk attachment is carried out in FSBEI HE OSAU named by P.A. Stolypin. The main laws are set and described and the quality evaluation criteria of cutting up weed vegetation δ in dependence upon angle of attack, cultivation depth and the distance between discs on the shaft are also represented. Using received dependences in practice it is not difficult to define the quality of weed vegetation cutting up and when required to make regulations of disc implement for quality weed vegetation cutting up. Arrangement is done by setting of basic parameters of stubble cleaner: angle of attack, cultivation depth and the distance between discs on the axle.
Improving the Efficiency of the Power Take-Off Drive
Authors: Redreev G V , Sorokin A N , Luchinovich A A , Chervenchuk V D , Popov S D 
Published: October 2019

Abstract
power tools that are used in various industries have power take-off drives for aggregating various machines and mechanisms. In the agro-industrial complex, one of the most common power tools are tractors manufactured by the Minsk Tractor Plant. The drive of power take-off in these tractors is carried out at the expense of the planetary mechanism. The wheel and the solar gear of the planetary mechanism are connected to the drums, alternately stopping the drums is carried out on and off the drive. The brake tape of the firing drum connected to the sun gear is most susceptible to wear, as the drum is loaded with a torque of at least one third of the torque to the drive of the aggregated machine.Due to the design features of the existing control mechanism, the turn–on time is 1.5-2 times less than recommended for devices of this kind. As a result, there is an intense wear of the friction lining of the inclusion drum tape.Regulation of the control mechanism of adjusting screws is carried out untimely, as a result, the durability of the tapes is very low.To improve the durability and efficiency of the power take-off drive, a drive-on design is proposed by electromagnets.Applying force to the tape by electromagnets at four points, instead of one in the previous design, will improve the braking efficiency of the inclusion drum.It is possible to include electromagnets not at the same time, but with some time offset, with a gradual pressing of the tape, starting with the portion of the tape closest to the axis of its suspension. This improves the fit of the tape to the drum inclusion.In the transition from a mechanical drive to an electrical device, the control operation is eliminated, which reduces maintenance time, significantly increases the life of the brake belt and increases the efficiency of the power take-off drive.
Practice of Use of Professional Standard While Developing Program of Professional Retraining on Ecological Safety
Authors: Belyakin S K , Smirnova N K , Krivobokova V A 
Published: October 2019

Abstract
the article considers the practice of the use of the professional standard “Specialist on ecological safety (in industry)” while realizing professional retraining of specialists and organizations on ecological safety. On the basis of this standard the program of professional retraining is developed. The curriculum and the fund of rating means are given. The material may be interesting for the people, providing professional training, retraining of specialists on ecological safety.
Electron Beam Welding, Heat Treatment and Hardening of Beta-Titanium
Authors: Akhonin S V , Yu Belous V , Selin R V 
Published: October 2019

Abstract
Analysis of the electron beam welding and different modes of heat treatment such as local heat treatment, furnace annealing, slow speed cooling, water quenching and aging impact on the structure and mechanical properties of pseudo-β titanium alloy VT19 welded joints. Microstructure of obtained welded joints in the states after welding and heat treatment were investigated. Using welded joints microsections approximate amount of β-phase has been obtained. Mechanical properties of the welded joints were analyzed and dependency of tensile strength and amount of β-phase were build.
Structure and Properties of Titanium Modified Silicon-carbide at EBM
Authors: Akhonin S V , Berezos V O , Yu Severyn A , Gadzyra M P , Tymoschenko Y G , Davydchuk N K 
Published: October 2019

Abstract
Aim of the work is development of technology of production of ingots from sparsely-alloyed titanium alloys using electron beam melting method. To get high mechanical characteristics in titanium alloy, the modifiers of high-dispersion carbide compounds were used as foundry alloys. They in process of electron beam melting provide strengthened with nanoparticles structure of a material suitable for further deformation processing. In order to develop nanosized alloying modifiers for high-strength titanium alloys there were synthesized nanosized powder in form of carbon solution in silicon-carbide. A technology was developed for production of ingots from sparsely-alloyed titanium alloys using electron beam melting method. The works on production of 200 mm diam. titanium ingots with addition of 0.5% and 1.5% of the alloying modifiers based synthesized nanosized silicon-carbide were carried out with the help of determined modes. Hot deformation processing of ingots was performed, 15 mm thick deformed sheets were produced and then subjected to further heat treatment. Structure and properties of obtained material were investigated.
Development of the Specialized Contact Highly Productive Scanning Sensor
Authors: Lavrinovich A V , Bolotov M A , Ruzanov N V , Kudashov E V 
Published: October 2019

Abstract
The article is devoted to the development of specialized high-contact scanning probe, intended to equip the technology of measuring and processing equipment. Conducted a literature review allowed to identify the main types of design solutions for contact measurement sensors on the basis of which was formed by generalizing the decision tree by type layouts. The first part of the selection of parameters is performed using a sensor structure in a simulation environment ANSYS. After selecting the design performed sensor fabrication including the use of additive technology for the production of the main structural elements of the sensor. Experimental studies to identify the calibration curves and the homogeneity of the developed sensitivity of the sensor fields.
A Trend Forecast of Import and Export Trade Total Volume based on LSTM
Authors: Qu Qinglin , Li Zhao , Tang Juanjuan , Wu Shiwei , Wang Ruishuang 
Published: October 2019

Abstract
The monthly import and export data are usually with the challenging characteristics including large scale, nonlinear and hard to fit, leading to their development trends can be hardly predicted. To tackle this problem, we propose to leverage the LSTM-based recurrent neural network to forecast the development trend in this paper. We demonstrate the effectiveness of our approach based on the monthly import and export data of Shandong Province from January 2001 to June 2018. In particular, we achieve the MSE score of 124.39, which outperforms the traditional time series model less than 12.2%.
Research on the Prediction of Popular Opinion Trend of Web News based on BP neural Network and LSTM
Authors: Wu Jiale , Zhang Lulin , Yin Fulian 
Published: October 2019

Abstract
Current prediction methods on public opinion trend of network news are often carried out according to human experience or traditional time series prediction, but they sometimes lack scientific principle and immediacy. This paper researches on the prediction of public opinion trend of network news based on deep learning. Firstly, we use the BP neural network and LSTM to predict public sentiment trend, then combine word2vec with LSTM to classify the text sentiment and finally use doc2vec algorithm and k-means to cluster the text. Experiment result shows that the mean square error with good performance, which reveals the beneficial effect of our prediction method.
Intelligent Attitude Control of Aircraft Based on LSTM
Authors: Li Bo , Gao Peixin , Li Xitong , Chen Daqing 
Published: October 2019

Abstract
The flight attitude control is the core part of the maneuvering process in air combats. Traditional flight attitude control methods have high computational complexity, low flexibility and poor ability to learn sequential feature. This paper proposes a flight attitude control model based on long short term memory network, which utilizes its special gates structure to memorize historical information, and acquire the variation law of the attitude control variable from the time sequential data including the battlefield situation and flight parameters automatically. Moreover, the basic framework and training methods of the model are also introduced, and the influence caused by various LSTM network parameters is deeply discussed. The experiment results show that the proposed model has better prediction accuracy and convergence performance than the traditional recurrent neural network.
Modelling Soft Tissue Deformation Based on Spatial Kriging
Authors: Zhao Mengxiao , Gao Dedong , Zhao Shijian , Wang Linze , Li Lirong 
Published: October 2019

Abstract
People can only obtain incomplete information when needle get into soft tissue. The actual conditions limit monitoring results. The kriging, as a statistical interpolation method, can effectively transform discrete point information into facial continuous information. On the basis of displacement data of pork soft tissue, the correlation parameter setting and optimal semi-variance model selection of kriging were studied to determine the kriging interpolation results. The results show that the accuracy of the kriging model can reach millimetre level, the maximum error is about 0.8mm, the average standard error is 0.35mm, and the calculation is simple. It can help doctors provide references when the soft tissue cannot be directly observed, and predict the deformation within the soft tissue.