bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efeitos deletérios da ventilação mecânica invasiva em prematuros: revisão sistemática
Authors: Guedes Jéssica Magalhães , Conceição Suane Lopes , Albergaria Tatiane Falcão dos Santos 
Published: February 2018

INTRODUÇÃO: O recém-nascido é considerado pré-termo pela Organização Mundial da Saúde (OMS) quando nascido com menos de 37 semanas de gestação. A prematuridade acarreta consigo diversos problemas devido a imaturidade biológica, dentre as complicações mais graves relacionadas à prematuridade está o subdesenvolvimento do sistema respiratório. OBJETIVOS: reexaminar a literatura dos últimos 5 anos sobre os efeitos deletérios da VM em prematuros. MATERIAIS E MÉTODOS: Foi realizada uma revisão sistemática de estudos em bases de dados Medical Literature Analysis and Retrieval System Online (PubMed/Medline) e Literatura Latino- Americana e do Caribe em Ciências da Saúde (LILACS ) e SciELO. Foram excluídos os artigos de revisão narrativa e os demais artigos que não correspondessem aos critérios de inclusão: Artigos que abordassem em seu desfecho primário ou secundário os efeitos deletérios da ventilação mecânica em prematuros, nos idiomas inglês, português ou espanhol. RESULTADOS: Foram selecionados 20 artigos, 12 de intervenção, 3 observacionais, 3 revisões sistemáticas e 2 meta-análise, que obtiveram pontuação entre 8 e 25 segundo critérios utilizados por Vieira e colaboradores e pontuação máxima na versão adaptada do instrumento AMSTAR, respectivamente, em sua qualificação metodológica. Foram encontrados 15 tipos de efeitos deletérios associados ao uso de ventilação mecânica invasiva. CONCLUSÃO: Demonstrou a ocorrência de 15 tipos diferentes de efeitos deletérios associados ao uso de ventilação mecânica em prematuros e dentre estes o efeito com maior incidência é a broncodisplasia pulmonar seguido pela lesão pulmonar induzida pela ventilação mecânica.
Gait performance and quality of life in stroke survivors: a cross-sectional study
Authors: Marinho Camila , Monteiro Maiana , Santos Luciana , Oliveira-Filho Jamary , Pinto Elen Beatriz 
Published: February 2018

INTRODUCTION: Stroke is one of the major causes of neurological deficiencies in the world, and can lead to a wide spectrum of physical deficiencies, including gait performance. These gait abnormalities have a substantial impact on functional activities, lifestyle, and the individual's perceptions about the functionality of daily life and well-being after stroke. OBJECTIVE: To evaluate gait performance, identifying determining which gait components were associated with impaired quality of life in stroke survivors. METHODS: Individuals with independent gait after a stroke, with or without the use of walking aids such as crutches or canes were included in the study. The socio-demographic and clinical data were recorded, then some tests were evaluated, with o 6-minute walk test (6MWT), 10-meters walk test (10MWT), Timed Up & Go (TUG), modified Barthel Index (mBI),National Institutes of Health Stroke Scale (NIHSS) and European Quality of life – 5 dimensions (EQ-5D). A stepwise multivariable logistic regression model assessed predictors of impaired QoL. RESULTS: A total of 124 individual with a mean age of 66 years and median NIHSS of 3 points were included. The mean EQ-5D was 0.44 (SD 0.38) and 91 individuals (73%) had impaired QoL. There was a positive correlation between 6MWT and EQ-5D (r = 0.48, p <0.001). Increasing age, functional capacity, 6MWT, 10MWT, stroke severity and female sex were associated with impaired QoL (p<0.05). In the multivariable analysis, 6MWT (OR 0.94 per 10m increase, p=0.046), functional capacity (OR 0.66, p=0.022) and age (OR 0.54 per 10 year increase, p=0.002) were associated with impaired QoL. CONCLUSION: Distance walked in 6MWT was the strongest gait aspect independently associated with quality of life in community-dwelling individuals with independent gait after a stroke.
Travma sonrası erken gebelik kaybı: olgu sunumu
Authors: CENGER Cüneyt 
Published: February 2018

Travmaya
bağlı ortaya çıkan sağlık sorunları adli tıp disiplininin en önemli uğraş
alanıdır. Travma sonrası erken gebelik kaybı olgusunda travmanın direk etkisi
ya da sonuç ile travma arasındaki nedensellik bağının kurulması kişinin tedavi
ve rehabilitasyon ihtiyacı kadar; hukukçular tarafından vücut dokunulmazlığına
karşı işlenen suçların ‘neticesiyle ağırlaşmış yaralama’ kapsamında değerlendirebilmesi nedeniyle de adli tıp disiplini açısından önem
taşımaktadır. Aralık 2010’da bir toplumsal gösteri sırasında kolluk
kuvvetleri tarafından künt travma ve göz
yaşartıcı kimyasal gazlara maruz kalma sonucu gebelik kaybı iddiasıyla gelen
olgunun fiziksel muayenesinde herhangi bir travmatik lezyon saptanmamıştır.
Olaydan 52 gün sonra yapılan tüm vücut kemik sintigrafisinde öyküsünde
aktardığı fiziksel travmayı destekler nitelikte bulgular tespit edilmiş, ruhsal
değerlendirmesinde travma sonrası stres bozukluğu ve majör depresyon
tanılarıyla takibe alınmıştır. Olay sonrası başvurduğu sağlık merkezlerinin
raporları değerlendirilmiş, olgunun erken gebelik kaybının etiyolojisinde
travmayı ortaya koyabilecek tıbbi verilerin tartışılması amaçlanmıştır.
NT-proBNP Predicts All-Cause Mortality in a Population of Insurance Applicants, Follow-up Analysis and Further Observations
Authors: Fulks Michael , Kaufman Valerie , Clark Michael , Stout Robert L. 
Published: February 2018

Objective. – Further refine the independent value of NT-proBNP, accounting for the impact of other test results, in predicting all-cause mortality for individual life insurance applicants with and without heart disease.
Method. – Using the Social Security Death Master File and multivariate analysis, relative mortality was determined for 245,322 life insurance applicants ages 50 to 89 tested for NT-proBNP (almost all based on age and policy amount) along with other laboratory tests and measurement of blood pressure and BMI.
Results. – NT-proBNP values ≤75 pg/mL included the majority of applicants denying heart disease and had the lowest risk, while values &gt;500 pg/mL for females and &gt;300 pg/mL for males had very high relative risk. Those admitting to heart disease had a higher mortality risk for each band of NT-proBNP relative to those denying heart disease but had a similar and equally predictive risk curve.
Conclusion. – NT-proBNP is a strong independent predictor of all-cause mortality in the absence or presence of known heart disease but the range of values associated with increased risk varies by sex.
Presentación
Authors: Vaillant Denise 
Published: February 2018

Este nuevo número de Cuadernos de Investigación Educativa agrupa las colaboraciones en dos secciones.La primera se titula “Reflexiones compartidas” y busca contribuir a la formación de estudiantes de Programas de Doctorado en Educación, mediante artículos en co-autoría con investigadores experimentados. Iniciamos por primera vez la sección con el artículo del joven investigador Jesús Manso quien se encuentra en proceso de finalización de su tesis doctoral en la Universidad Autónoma de Madrid. El autor realizó una pasantía de investigación durante el año 2010 en la Universidad ORT Uruguay, bajo la dirección de la Dra. Denise Vaillant, en el marco del Programa Nacional de Formación de Profesorado Universitario de España. El artículo presentado constituye la síntesis de dicha reflexión conjunta y se titula "Re-pensar las políticas sobre la formación inicial docente a la luz de nuevas iniciativas". Los autores proponen un análisis acerca de iniciativas identificadas en la literatura, para la mejora de la formación inicial de maestros y profesores, y para que ésta tenga real impacto en las aulas. Esperamos que de ahora en adelante la sección “Reflexiones compartidas” se nutra de artículos similares, que recojan estudios e investigaciones conjuntas de noveles y experimentados investigadores.La segunda sección titulada “Temas de investigación” recoge artículos basados en investigaciones y seleccionados mediante un proceso de evaluación de pares por su rigor científico, desarrollo creativo y audacia en la innovación. Los estudios presentados en este número buscan generar reflexión a partir de los problemas que se suscitan en las aulas contemporáneas. Refieren a muy diversos contextos y niveles educativos pero que tienen como común denominador la profunda preocupación por estudiar, analizar y mejorar los procesos de aprendizaje y los procesos de enseñanza.
INSTITUTIONAL SHAREHOLDING A MODERATOR TO AUDIT COMMITTEE CHARACTERISTICS AND EARNINGS MANAGEMENT OF LISTED CONGLOMERATE FIRMS IN NIGERIA
Authors: Umar Abbas , Hassan Shehu Usman 
Published: February 2018

The relevance of audit committee characteristics in constraining managerial opportunistic tendencies has been explored by various researchers; the confrontational view in terms of the direction of their relationship has paint a vague picture which begs the introduction of other monitoring mechanism that may give a clear cut picture on direction of this relationship. This study uses two-stage least squares model and examines the impact of audit committee characteristics, institutional shareholding on discretionary accruals of listed conglomerate firms in Nigeria. Secondary data were extracted from the annual reports of 6 most active listed firms on the Nigerian Stock Exchange for the period 2006 to 2015. After running the OLS regression, a robustness test was conducted for validity of statistical inferences. A multiple regression was employed using HACC Model. The study documents that audit committee characteristic and institutional shareholding has significant impact on earnings management of the firms, specifically, audit committee size, audit committee financial expertise and institutional shareholding are inversely related with earnings management, while audit committee independence is positively and significantly related with earnings management, but there is no such impact of audit committee meetings. Furthermore, institutional shareholding and audit committee size are inversely related with earnings management; audit committee independence and institutional shareholding are positively, strongly and significantly constraining earnings management, while audit committee financial expertise with committees’ meetings and institutional shareholding reveals no impact on earnings management. In line with the findings, the study recommended that regulatory bodies like CAMA, SEC, and NSE should ensure that listed conglomerate firms in Nigeria strictly adhere with code of best practice so that the interest of various stakeholder’s would be fully protected.
PENGARUH TEKNIK ROLE PLAYING DALAM BIMBINGAN KELOMPOK TERHADAP TOLERANSI PADA PESERTA DIDIK KELAS X SMK NEGERI 26 JAKARTA
Authors: Pratiwi Elsya Pratiwi , Hanim Wirda , Badrujaman Aip 
Published: February 2018

Penelitian eksperimen ini bertujuan untuk meningkatkan toleransi peserta didik kelas X SMK Negeri 26 Jakarta melalui teknik role playing dalam bimbingan kelompok. Populasi sebanyak 360 peserta didik. Sampel dalam penelitian ini adalah kelas X SMK Negeri 26 Jakarta yaitu 10 untuk kelompok eksperimen dan 10 untuk kelompok kontrol yang didapatkan dengan menggunakan teknik Purpossive sampling. Metode yang digunakan adalah eksperimen dengan desain kuasi eksperimen dalam bentuk pretest-posttest nonequivalent group design. Pengukuran pada penelitian ini menggunakan instrumen toleransi yang berjumlah 47 butir dengan realibilitas 0.745. Hasil pengujian hipotesis menggunakan Mann Whitney U-Test menunjukkan nilai Asymp. Sig sebesar 0.000 yang berarti nilai probabilitas lebih kecil dari nilai signifikansi α 0.05, Sehingga H0 ditolak dan H1 diterima. Hasil penelitian menunjukan teknik role playing dalam bimbingan kelompok berpengaruh positif terhadap toleransi siswa kelas X SMK Negeri 26 Jakarta. Selanjutnya, guru BK dapat mengimplementasikan teknik role playing dalam bimbingan kelompok sebagai salah satu alternatif layanan untuk meningkatkan toleransi peserta didik di sekolah.
La figura del administrador de hecho y su incidencia en sede concursal
Authors: Armijo Pliego Ana 
Published: February 2018

El artículo 133 de la LSA (Ley 26/2003, de 17 de julio) introdujo en nuestro ordenamiento jurídico la figura del administrador de hecho al regular –por primera vez- un régimen de responsabilidad para quienes ejercitan el facultadas de gestión y control sin ostentar formalmente el cargo de administrador social, actuaran como tal; si bien, el texto legal no introdujo una definición de dicho concepto.
El sector financiero español y los sistemas extrajudiciales de resolución de litigios: Actualidad y tendencia.
Authors: Estupiñan Cáceres Rosalía 
Published: February 2018

Asistimos como profesionales en los distintos ámbitos y, a la vez, como consumidores a un periodo de verdadera convulsión en el ámbito financiero, pues desde que comenzara la crisis económica mundial, años 2007-2008, ha sido este sector, y dentro de él el bancario y bursátil, uno de los más conflictivos, como lo demuestran las estadísticas extrajudiciales, judiciales y noticias frecuentes en los medios de comunicación. Al propio tiempo se insiste desde la Unión Europea, e incluso se impone a los Estados miembros, el velar por el establecimiento de procedimientos eficaces y efectivos de resolución extrajudicial de conflictos entre empresas y consumidores, así como por la existencia de organismos independientes e imparciales para tal menester en todos los sectores, incluido el sector financiero. Nos planteamos, por tanto, si nuestros actuales sistemas de resolución extrajudicial en este sector cumplen tales estándares en la actualidad, así como cuál debería ser la tendencia en un futuro próximo.
Fashion Design: Libertà dello stilista e onere di differenziazione nella giurisprudenza europea
Authors: Maffei Alberti Verónica 
Published: February 2018

L’industria del fashion e del lusso è un’eccellenza tutta europea, il cui valore costituisce senza dubbio un importante apporto all’economia dell’Unione. Secondo i dati raccolti dalla Commissione Europea, infatti, in tale indotto sono impiegate circa 5 milioni di persone, il valore dei beni di lusso (quali abbigliamento, accessori, gioielli e orologi, articoli in pelle, profumi e cosmetici), provenienti dalle grandi marche europee, rappresenta il 74% del valore mondiale di tutti i prodotti della stessa categoria, con una stima delle esportazioni che si aggira sui 260 miliardi di euro, corrispondenti al 10% di tutte le esportazioni europee (su questi dati, si veda la pagina web: https://ec.europa.eu/growth/sectors/fashion/high-end-industries/eu_it).
Central Pontine Myelinolysis: A Case Study
Authors: Arrowsmith Leigh , Tolar Christopher 
Published: February 2018

Abstract
Central Pontine Myelinolysis (CPM) commonly presents as a complication of treatment in patients with profound life threatening hyponatraemia. It occurs when the sodium level is corrected too rapidly. Hyponatraemia should never be corrected at a rate greater than 8-10mmol/L of sodium per day. Rapid correction causes extracellular tonicity and will continue to drive water out of the brain’s cells leading to cellular dysfunction.
Frequent clinical signs include dysphagia, dysarthria, diplopia and acute para/quadraparesis. Patients can also experience locked in syndrome, where cognitive function is intact but all muscles are paralysed with the exception of eye blinking.
CPM gets its name as it occurs when cell dysfunction causes destruction of the myelin sheath of nerve cells in the brain stem, more specifically the pons. It is associated with poor prognosis and prevention is of primary importance.
Freddy is a 35 year old freelance graphic designer, fitness instructor and ultra-marathon runner. In October 2011 he competed in the Sahara Marathon in Morocco, a 6 day 255km ultra-marathon. At the end of the third day Freddy was found collapsed and vomiting. He was confused and was suffering severe leg cramps. The next morning Freddy suffered a single convulsive episode and was subsequently transferred to a hospital in Egypt.
Yesterday, Today & Tomorrow: Best Practice for CSF Sampling of an EVD to Minimise Patient Risk
Authors: Crane Ruby , King Nicole 
Published: February 2018

Abstract
Managing raised intracranial pressure (ICP) with the use of an external ventricular drain (EVD) is a common occurrence in a neurosurgical setting. A central role of the neuroscience nurse in managing that EVD is to monitor the patient for signs and symptoms of infection otherwise known as ventriculitis. Cerebrospinal fluid (CSF) sampling from an EVD has historically been completed as a daily routine specimen to monitor for any signs of infection. However, in more recent times there has been evidence to suggest that specimens should only be collected when infection or ventriculitis is suspected to minimise the interruption of the closed system. Different practices have been identified related to the frequency of sampling, the best solution for decontamination of the sampling site/port and preferable port for obtaining the specimen. Our aim was to complete an integrative literature review. Medline Complete and CINAHL were searched and articles were screened. Nine articles were used to form the integrated review. The main findings were collated and found that daily sampling is no longer recommended. The proximal port was the most popular choice for sampling. Decontaminating solutions used for accessing an EVD varied with no evidence to support the choice of solution. Findings of the majority of papers were focussed on sampling frequency and other associated ways to minimise infection rather than choice of sampling site or the use of specific decontaminating solutions.
Enquiry into Practice: Management of Terminal Catastrophic Intracranial Haemorrhage in Palliative Care
Authors: Smith Anna 
Published: February 2018

Abstract
The management of terminal catastrophic haemorrhage is a rare clinical palliative emergency for which the management is based largely on anecdotal and experiential guidelines, with no high grade evidence but rather robust contention and controversy. Whilst often rapid and deadly, inevitably dramatic and devastating for the treating health professionals and family, the key management areas include risk identification, supportive practices, the use of sedative medication and the ethical issues faced in the management of terminal haemorrhage.
The Applicability of the Difficulty with Mobility Questionnaire (DMQ) as an Outcome Measure for Dog Guide Instruction
Authors: Grow Steve La , Towers Andy , Kim Dae , Haneline Rod 
Published: February 2018

Abstract

This study sought to assess the reliability, validity, and sensitivity of the Difficulty with Mobility Questionnaire (DMQ) to determine its applicability as an outcome measure for dog guide instruction. Forty-nine trainees receiving dog guide instruction from Leader Dogs for the Blind participated in this study. All rated their overall ability to get around (AGA) and the difficulty they experienced with 16 separate mobility related behaviours (DMQ-16) before and after training. The DMQ-16 was found to be reliable, valid, and sensitive enough to register change over time and therefore useful as an outcome measure. Dog guide instruction was found to result in changes in mean AGA, mean DMQ-16 and all but one of the 16 items this measure assesses.
Evaluating the Validity of Texas 2 STEPS
Authors: Hallak Tracy L. , Aguerrevere Luis E. 
Published: February 2018

Abstract
The Texas 2 STEPS Evaluation Tool was assessed for face validity. Thirty Certified Orientation and Mobility Specialists (COMS) piloted the tool while evaluating children under the age of five years. Each participant was asked to evaluate their comfort level working with this population and report the number of years’ experience they have working as a COMS. The majority of participants found the tool useful for assessing orientation and mobility (O&M) skills in children. The Texas 2 STEPS was also found to be user friendly regardless of the COMS years of experience. Together these findings indicate that the Texas 2 STEPS has the potential to be a valid and reliable tool for assessing O&M skills in children with vision impairment.
A Novel Biased Energy Distribution (BED) Technique for Cluster-Based Routing in Wireless Sensor Networks
Authors: Salami A. F. , Bello-Salau H. , Anwar F. , Aibinu A. M. 
Published: February 2018

Abstract
This paper presents the impact of utilizing a biased energy distribution (BED) scheme for clustering sensor networks. In clustering sensor networks, some of the nodes are elected as aggregators and they compress the data from their cluster members before sending the aggregated data to the sink. Existing clustering routing protocols assume that all the nodes are provided with equal amount of energy but this shortens the network lifetime and makes the network unstable. This paper proposes a solution prioritizing the network into higher and lower energy nodes. The aim of this approach is to ensure well balanced energy consumption in order to maximize network lifetime. It is shown by simulation that the proposed technique exhibits better performance when compared to existing clustering routing techniques in terms of throughput, network lifetime and energy consumption.
Diesel Particulate Analysis using Sem-Edx and Laser-Induced Breakdown Spectroscopy
Authors: Ikezawa S. , Wakamatsu M. , Ueda T. 
Published: February 2018

Abstract
In this paper, composition analysis using scanning electron microscopy/energy-dispersive X- ray spectroscopy analysis (SEM-EDX) and laser-induced breakdown spectroscopy (LIBS) for particulate matter in diesel exhaust is presented. Conventionally, scanning mobility particle sizer (SMPS) has been widely used to obtain particle size distribution of the suspended particles. However, real-time analysis of the composition of diesel particulate matter is difficult because of the small sized particles and rapidly exhausted. The particulates are less than a few micrometers in diameter. Realtime chemical analysis of the very small sized particles emitted from diesel fuels is facilitated with LIBS technique.
Design an Intelligent Controller for Full Vehicle Nonlinear Active Suspension Systems
Authors: Aldair A. A. , Wang W. J. 
Published: February 2018

Abstract
The main objective of designed the controller for a vehicle suspension system is to reduce the discomfort sensed by passengers which arises from road roughness and to increase the ride handling associated with the pitching and rolling movements. This necessitates a very fast and accurate controller to meet as much control objectives, as possible. Therefore, this paper deals with an artificial intelligence Neuro-Fuzzy (NF) technique to design a robust controller to meet the control objectives. The advantage of this controller is that it can handle the nonlinearities faster than other conventional controllers. The approach of the proposed controller is to minimize the vibrations on each corner of vehicle by supplying control forces to suspension system when travelling on rough road. The other purpose for using the NF controller for vehicle model is to reduce the body inclinations that are made during intensive manoeuvres including braking and cornering. A full vehicle nonlinear active suspension system is introduced and tested. The robustness of the proposed controller is being assessed by comparing with an optimal Fractional Order PIλDu (FOPID) controller. The results show that the intelligent NF controller has improved the dynamic response measured by decreasing the cost function.