bluuebunny/crossref_metadata_2025_split huggingface dataset:
Developing the Standard of Care for Post-Concussion Treatment: Neuroimaging-Guided Rehabilitation of Neurovascular Coupling
Authors: Wing Benjamin H. , Tucker Braden J. , Fong Alina K. , Allen Mark D. 
Published: October 2017

Background:Emerging research proposes the imbalance between microvascular supply and metabolic demand as a contributing factor in the pathophysiology of mild traumatic brain injury. Prolonged effects on the dysregulation of neurovascular coupling may explain persistent symptomatic models such as Post-Concussion Syndrome.Objective:Increased knowledge of what we refer to as neurovascular uncoupling provides a template for establishing a new concussion treatment standard in the assessment and therapeutic guidance of concussion.Methods:The degree and localization of neurovascular uncoupling were statistically contextualized against a normative-based atlas in 270 concussed patients. Functional NeuroCognitive ImagingTMwas used to establish pre-treatment benchmarks and guide neurotherapy. Conventional and functional neurocognitive imaging-directed measures were used to evaluate post-rehabilitative outcomes.Results:Functional neurocognitive imaging was successful in identifying regions of Neurovascular uncoupling unique to each patient’s brain and concussion profile. Longitudinal objective outcome measures demonstrated timely and lasting improvement of neurovascular coupling functioning in a significant majority of patients.Conclusion:We present practice-based evidence supporting the clinical administration of functional neurocognitive imaging with particular efficacy in the neurorehabilitation of concussion. We advocate the reliability of functional neurocognitive imaging in assessing severity and localization of neurovascular uncoupling, and promote its use in the therapeutic guidance and neurorehabilitation of mild traumatic brain injury. We further support the continual exploration of other potential pathophysiological alterations resulting from concussion.
Awareness, Knowledge and Perception of The National Health Insurance Scheme (NHIS) Among Health Professionals in Mthatha General Hospital, Eastern Cape, South Africa
Authors: Oladimeji Olawumi , Alabi Adeyinka , Adeniyi Oladele Vincent 
Published: October 2017

Objective:This Eastern Cape study assessed the awareness, knowledge and perceptions of the healthcare professionals in Mthatha General Hospital on National Health Insurance Scheme (NHIS).Method:A descriptive cross-sectional study was conducted among health professionals at Mthatha General Hospital. A simple random sample of 100 participants drawn across the various categories of health professionals responded to a validated questionnaire on awareness, purpose and challenges of implementation of NHIS.Results:Of the total (N=100), 86 health professionals returned the questionnaire (response rate=87%); 54 female (63%) and 32 male (37%). The majority of the respondents were nurses (67%) and doctors (28%). Others were radiographers (n=2) and clinical associates (2). The majority of the respondents (89.5%) were aware of NHIS and their sources of information on NHIS were: seminars and meetings (n=32), television and radio (n=26), friends and family members (n=14), newspapers (n=10) and internet (n=4). Good understanding of the objectives of NHIS was demonstrated by 81.3% (n=70) of the respondents. The poor state of health facilities and inadequate staffing across the country were reported as the major impediments to the implementation of NHIS. However, the majority of the respondents (n=64) expected that the quality of healthcare service delivery would improve by increasing the staff strength in the various health facilities.Conclusion:The majority of the health professionals in this setting were aware of NHIS. Both the infrastructure and staff strength require the attention of the health authorities in order to effectively implement the scheme in the district.
THE EFFECT OF PROPOLIS EXTRACT AND PROPOLIS CANDIES ON THE GROWTH OF AGGREGATIBACTER ACTINOMYCETEMCOMITANS ATCC 43718
Authors: Khodijah Khodijah , Farida Ratna , Soedarsono Nurtami 
Published: October 2017

Objective: This experiment aimed to analyze the effect of propolis extract and propolis containing candies on the growth of Aggregatibacter actinomycetemcomitans using spectrophotometric analysis and colony-forming units (CFU) counts.Methods: After A. actinomycetemcomitans were exposed to propolis extract and candies, the minimum inhibitory concentration (MIC) and the minimum bactericidal concentration (MBC) were determined with spectrophotometry and post-exposure colony counting.Results: The MIC of propolis extract against A. actinomycetemcomitans was determined to be 10%, and the MBC was 20%. A decrease in the total CFU count of A. actinomycetemcomitans was observed after propolis extract and candy exposure.Conclusions: Propolis extract and propolis candies were effective in inhibiting the growth of A. actinomycetemcomitans ATCC 43718 in vitro.
The Experience of Diabetes-Related Language in Diabetes Care
Authors: Dickinson Jane K. 
Published: October 2017

Objective.
The goal of this study was to understand how adults with diabetes experience the words used in diabetes care.

Methods.
This qualitative study guided by Critical Theory used two virtual and two in-person focus groups conducted by the same facilitator. A total of 68 focus group members participated. The facilitator transcribed and coded focus group data using individual responses as the unit of analysis. The facilitator used constant comparison to analyze responses and developed a research summary of themes that emerged. A second coder confirmed the themes originally identified, and participants provided feedback on the summary.

Results.
Many negative and stigmatizing words are used in diabetes care. Several themes emerged from the data, including judgment; fear and anxiety; labels, reminders, and assumptions; oversimplification and directives; misunderstanding, misinformation, and disconnection; and body language and tone. Participants reported experiencing negative diabetes-related words in the general public, with their health care providers (HCPs), and in the media. Participants made suggestions for HCPs to replace negative words; they raised a concern that current negative words will be replaced by others with similar negative connotations; and they said they would feel more like a partner in their care if HCPs stopped using these words.

Conclusion.
The language used in diabetes care has an impact on people who live with the disease. Awareness is the first step in eradicating stigma in diabetes care. HCPs can improve patient-provider communication and contribute to a more positive experience for people living with diabetes by choosing words that empower.
Paradojas actuales del significante amo
Authors: Dessal Gustavo 
Published: October 2017

El ocaso de la imago paterna formulado por Lacan es pensado aquí en términos de paradojas, y al que le sucede el resurgimiento del superyó materno. Se plantea la presencia del ideal y el objeto como recursos del sujeto frente a la imposibilidad para orientarse respecto de un goce al que no puede tratar mediante el artifi cio clásico del Nombre del Padre.
Palabras claves: Paradojas-Ocaso de la imago paterna-Superyó materno - Nuevo paradigma histórico
La anatomía y sus destinos
Authors: Vieira Marcus André 
Published: October 2017

Partiendo de la negación de célebre frase de Freud “la anatomía es el destino”, el autor se aboca a la cuestión de la proliferación de los géneros desde una perspectiva psicoanalítica, considerando tanto la relectura de Lacan del término fálico, como la distinción de los goces, para concluir: el goce femenino no es un género.
Palabras claves: Género - Falo - Masculino - Femenino -Goce opaco.
Los siervos de la radicalidad
Authors: Ordoñez Pilar 
Published: October 2017

El texto diferencia dos caras del Superyó, una ligada al Ideal y otra que se sustrae de cualquier contenido social y queda reducida a una voz de mando. Ubica las fi guras clásicas de la autoridad y su anudamiento al poder, para destacar la efi cacia política y la novedad del discurso analítico. Una autoridad que se sostiene de una versión diferente del poder, un poder que reconfi gura la relación al Superyó y desagrega las servidumbres a la radicalidad de la orden.
Palabras clave: Superyó, autoridad, imperativo, servidumbre
Ammonia concentrations in canine whole blood, EDTA-anticoagulated whole blood, and plasma measured by use of a point-of-care ammonia meter
Authors: Odunayo Adesola , Tobias Karen M. , Okafor Chika C. , Flatland Bente 
Published: October 2017

Abstract
OBJECTIVE To investigate the use of canine whole blood (WB) for measurement of ammonia concentration by use of a point-of-care ammonia meter and to compare results of measuring ammonia concentrations in WB, EDTA-anticoagulated WB, and plasma.
ANIMALS 40 client-owned dogs.
PROCEDURES A blood sample (2 mL) was obtained from each dog. One drop of WB was immediately applied to a test strip for evaluation with an ammonia meter. The remainder of the blood sample was placed in an EDTA-containing tube, and 1 drop of EDTA-anticoagulated WB was applied to a test strip. The remaining EDTA-anticoagulated WB sample was centrifuged, and the plasma was harvested and placed on ice. One drop of plasma was applied to a test strip; the remainder of the plasma sample was transported on ice and used for ammonia measurement with a reference laboratory instrument. All samples were tested within 1 hour after sample collection. Results were evaluated to detect significant differences in ammonia concentration.
RESULTS Ammonia concentrations did not differ significantly between WB and EDTA-anticoagulated WB and between plasma samples measured with the meter and reference laboratory instrument. However, median ammonia concentration was significantly higher in plasma than in WB or EDTA-anti-coagulated WB.
CONCLUSIONS AND CLINICAL RELEVANCE Anticoagulant-free WB was a valid sample for measurement by use of the ammonia meter. Plasma samples had higher ammonia concentrations than did WB samples. Results for each sample type should be interpreted by use of specimen- and method-specific reference intervals.
Cardiovascular effects of premedication with medetomidine alone and in combination with MK-467 or glycopyrrolate in dogs subsequently anesthetized with isoflurane
Authors: Salla Kati M. , Tuns Cosmin I. , Bennett Rachel C. , Raekallio Marja R. , Scheinin Mika , Kuusela Erja , Vainio Outi M. 
Published: October 2017

Abstract
OBJECTIVE To compare cardiovascular effects of premedication with medetomidine alone and with each of 3 doses of MK-467 or after glycopyrrolate in dogs subsequently anesthetized with isoflurane.
ANIMALS 8 healthy purpose-bred 5-year-old Beagles.
PROCEDURES In a randomized crossover study, each dog received 5 premedication protocols (medetomidine [10 μg/kg, IV] alone [MED] and in combination with MK-467 at doses of 50 [MMK50], 100 [MMK100], and 150 [MMK150] μg/kg and 15 minutes after glycopyrrolate [10 μg/kg, SC; MGP]), with at least 14 days between treatments. Twenty minutes after medetomidine administration, anesthesia was induced with ketamine (0.5 mg/kg, IV) and midazolam (0.1 mg/kg, IV) increments given to effect and maintained with isoflurane (1.2%) for 50 minutes. Cardiovascular variables were recorded, and blood samples for determination of plasma dexmedetomidine, levomedetomidine, and MK-467 concentrations were collected at predetermined times. Variables were compared among the 5 treatments.
RESULTS The mean arterial pressure and systemic vascular resistance index increased following the MED treatment, and those increases were augmented and obtunded following the MGP and MMK150 treatments, respectively. Mean cardiac index for the MMK100 and MMK150 treatments was significantly greater than that for the MGP treatment. The area under the time-concentration curve to the last sampling point for dexmedetomidine for the MMK150 treatment was significantly lower than that for the MED treatment.
CONCLUSIONS AND CLINICAL RELEVANCE Results indicated concurrent administration of MK-467 with medetomidine alleviated medetomidine-induced hemodynamic changes in a dose-dependent manner prior to isoflurane anesthesia. Following MK-467 administration to healthy dogs, mean arterial pressure was sustained at acceptable levels during isoflurane anesthesia.
Clinical characteristics and muscle glycogen concentrations in warmblood horses with polysaccharide storage myopathy
Authors: Lewis Susannah S. , Nicholson Anne M. , Williams Zoë J. , Valberg Stephanie J. 
Published: October 2017

Abstract
OBJECTIVE To characterize clinical findings for polysaccharide storage myopathy (PSSM) in warmblood horses with type 1 PSSM (PSSM1; caused by mutation of the glycogen synthase 1 gene) and type 2 PSSM (PSSM2; unknown etiology).
SAMPLE Database with 3,615 clinical muscle biopsy submissions.
PROCEDURES Reported clinical signs and serum creatine kinase (CK) and aspartate aminotransferase (AST) activities were retrospectively analyzed for horses with PSSM1 (16 warmblood and 430 nonwarmblood), horses with PSSM2 (188 warmblood and 646 nonwarmblood), and warmblood horses without PSSM (278). Lameness examinations were reviewed for 9 warmblood horses with PSSM2. Muscle glycogen concentrations were evaluated for horses with PSSM1 (14 warmblood and 6 nonwarmblood), warmblood horses with PSSM2 (13), and horses without PSSM (10 warmblood and 6 nonwarmblood).
RESULTS Rhabdomyolysis was more common for horses with PSSM1 (12/16 [75%] warmblood and 223/303 [74%] nonwarmblood) and nonwarmblood horses with PSSM2 (221/436 [51%]) than for warmblood horses with PSSM2 (39/147 [27%]). Gait abnormality was more common in warmblood horses with PSSM2 (97/147 [66%]) than in warmblood horses with PSSM1 (1/16 [7%]), nonwarmblood horses with PSSM2 (176/436 [40%]), and warmblood horses without PSSM (106/200 [53%]). Activities of CK and AST were similar in warmblood horses with and without PSSM2. Muscle glycogen concentrations in warmblood and nonwarmblood horses with PSSM1 were significantly higher than concentrations in warmblood horses with PSSM2.
CONCLUSIONS AND CLINICIAL RELEVANCE Rhabdomyolysis and elevated muscle glycogen concentration were detected in horses with PSSM1 regardless of breed. Most warmblood horses with PSSM2 had stiffness and gait abnormalities with CK and AST activities and muscle glycogen concentrations within reference limits.
Computed tomographic imaging and mechanical analysis of cellophane banding secured with locking polymer clips for portosystemic shunts in canine cadavers
Authors: Losinski Sara L. , Townsend Katy L. , Kruzic Jamie J. , Robertson Bria Love , Sandwisch Joanna M. Murdoch , Milovancev Milan , Nemanic Sarah 
Published: October 2017

Abstract
OBJECTIVE To determine whether cellophane banding secured with locking polymer clips on cadaveric splenic veins would cause less CT imaging artifact and achieve equivalent mechanical strength, compared with cellophane banding secured with metal vascular clips.
ANIMALS 10 canine cadavers.
PROCEDURES Clips of each material were applied to each cadaver in a crossover design study. Triple-layer cellophane bands secured with 4 medium-large or large polymer or metal clips were placed on cadaveric splenic veins and evaluated by use of CT. Beam-hardening artifact was assessed by artifact length, attenuation, and a subjective grading scale ranging from 1 to 3 for mild to severe imaging artifacts. Secured cellophane bands were mechanically tested to determine force-deformation curves and yield forces. Findings for clip methods were compared with a 1-way ANOVA with a Tukey post-test.
RESULTS For metal clips, beam-hardening artifact lengths and subjective artifact grades were significantly higher, whereas attenuation values were significantly lower, than findings for polymer clips. Polymer clips were significantly lower in strength than metal clips with mean ± SD yield loads of 1.9 ± 0.6 N (medium-large polymer clips), 2.8 ± 1.3 N (large polymer clips), 6.0 ± 1.9 N (medium-large metal clips), and 8.4 ± 2.7 N (large metal clips).
CONCLUSIONS AND CLINICAL RELEVANCE Use of locking polymer clips to secure cellophane banding resulted in less CT imaging artifact and mechanical strength, compared with use of metal vascular clips. Use of locking polymer clips may allow improved assessment of postoperative CT imaging in dogs with extrahepatic portosystemic shunts, which warrants in vivo clinical evaluation.
Analisis Framing Pemberitaan Persebaya Pasca Kongres PSSI 10 November 2016 pada Harian Surya dan Jawa Pos
Authors: Saputro Iwan 
Published: October 2017

The purpose of this research is to know how newspaper Jawa Pos and Daily Surya in framing Persebaya Club Coverage after PSSI congress dated November 10, 2016, which void to acknowledge Persebaya status. Data collection techniques that researchers use in this study is Documentation. In this case the documented data is in the form of a collection of news texts from both the Surya and Jawa Pos newspapers dated 11 - 17 November 2016, Observation. This method is used to observe news related to Club News Persebaya After PSSI Congress. So the data observations conducted by the authors are daily newspaper Harian Surya and Jawa Pos, Data Classification. Based on the model of Zhongdang Pan and Gerald M.Kosicki, this research clarifies the facts based on a framing device that includes four large structures, which include syntactic, script, thematic, and rhetorical structures. Based on the result of research, show that both media of Jawa Pos and Harian Surya in telling news different from each other. In this case it encompasses the sources, opinions, writings, content and news images. Keywords: Framing Analysis, PSSI Congress, Harian Surya, Jawa Pos
Religión como tratamiento complementario, posibles consecuencias en la terapéutica. Revisión
Authors: Prestes Carlos 
Published: October 2017

El propósito de esta revisión fue la búsqueda de evidencias de forma sistematizada de si la religión interviene en la progresión de una dolencia o enfermedad cuando se utiliza como complemento al tratamiento tradicional. Un total de 6 estudios cumplieron los criterios de selección mostrando que no hay diferencias significativas entre las distintas terapias (terapia convencional versus terapia convencional + abordaje espiritual/religioso). Igualmente se encontró que en pacientes con depresión mayor y enfermedades crónicas la religión puede fomentar la presencia de sentimientos positivos. En ancianos con enfermedades crónicas se puede encontrar un menor nivel de fatiga o “mayor energía” para realizar sus actividades diarias. En pacientes con cáncer puede aumentar el nivel de espiritualidad, mejorar el bienestar emocional y mejorar la calidad de vida. En pacientes en tratamiento por esquizofrenia puede mejorar la asistencia a los controles médicos. Si bien no altera el curso de una enfermedad puede brindar optimismo, sentido de propósito en la vida, generosidad y gratitud. La hipótesis que se plantea es que la religión secundariamente puede ejercer una modulación en la percepción de la calidad de vida y la percepción del estado de su propia enfermedad, colaborando finalmente con la disminución del sufrimiento. Hay que destacar que hasta la fecha no hay publicaciones específicas en esta temática y metodología en el idioma español.
Individuals Post Achilles Tendon Rupture Exhibit Asymmetrical Knee and Ankle Kinetics and Loading Rates During a Drop Countermovement Jump
Authors: Powell Hayley C. , Silbernagel Karin Grävare , Brorsson Annelie , Tranberg Roy , Willy Richard W. 
Published: October 2017

Study Design Cross-sectional laboratory study. Background Asymmetrical knee loading during jogging and hopping has been reported in individuals who have ruptured their Achilles tendon. No studies have examined knee loads in individuals post Achilles tendon rupture during high-demand tasks, such as single-limb landings. Objectives We sought to determine whether individuals post Achilles tendon rupture demonstrated asymmetrical knee loads and impact forces during drop countermovement jumps (CMJs). Methods Achilles tendon length and the single-leg heel-rise test for endurance were assessed in 34 individuals (31 male) 6.1 ± 2.0 years post Achilles tendon rupture. Movement patterns were assessed during a drop CMJ. Data were analyzed via repeated-measures analyses of variance, with comparisons between limbs and prior treatment history (surgery versus nonsurgery). Results An 8.6% longer Achilles tendon (P<.001) was found in the involved limb. During the single-leg heel-rise test, the involved limb demonstrated 22.4% less endurance and 14.6% lower heel-rise height (all, P<.001). During the landing phase of the drop CMJ, the involved limb exhibited 39.6% greater loading rate (P<.001), 16.8% greater eccentric knee power (P = .048), but 21.6% lower eccentric ankle power (P<.001). During the take-off phase, the involved limb exhibited 12.1% lower jump height and 19.9% lower concentric ankle power (both, P<.001). Conclusion Elevated eccentric knee joint power and higher loading rates during a drop CMJ in individuals who experienced Achilles tendon rupture several years earlier may be a compensation pattern for reduced plantar flexor function. This movement pattern may place individuals who have had an Achilles tendon rupture at greater risk for knee injuries. J Orthop Sports Phys Ther 2018;48(1):34–43. Epub 26 Oct 2017. doi:10.2519/jospt.2018.7684
The Effects of Economic and Financial Development on Financial Inclusion in Africa
Authors: Evans Olaniyi 
Published: October 2017

This study provides empirical evidence on the effects of economic and financial development on financial inclusion in Africa, using panel FMOLS for the 2005-2014 period. The study shows that economic growth has a significant positive impact on financial inclusion, meaning that African countries with higher economic growth have more inclusive financial systems. GDP per capita has a significant positive impact on financial inclusion. That is, income is an important factor in explaining the level of ﬁnancial inclusion in Africa. It is, as well, established in this study, that although both economic and financial development promote financial inclusion, though the effects of economic development are much stronger. Also, inflation is negatively linked to financial inclusion, and as well insignificant across all specifications. Deposit interest rate is positively linked to financial inclusion, though insignificant. The low deposit interest rates in African countries do not encourage inclusive financial systems. Population, though positive, is insignificant. Internet has positive significant impact on financial inclusion, meaning that internet access is indispensable in a fast-moving and digital African economy. Literacy is also statistically significant, meaning that adult literacy is an important factor in explaining the level of ﬁnancial inclusion in Africa. As well, Islamic banking presence and activity are associated with higher financial inclusion.
MODIFIKASI GENSET BERBAHAN BAKAR HYBRID DI PILOT PLANT DME BERBAH
Authors: Khudhori Muhrom 
Published: October 2017

Genset modified with biogas, when biogas empty genset can’t used gasoline. Beside that, when genset operated with biogas are corrosion at fuel system, because in the biogas are water steam. So to solution this problems must to research modifications genset with hybrid fuel (biogas-gasoline). A research with modified on carburetor to assembly venturi mixer. Step a research are engineering design, manufacturing design, and performances test genset modified. Performance parameters are power (watt), voltage (volt), frequency (Hz) and current (ampere). The conclusion of the research are the genset can operate with carburetor modified, and optimum performances at throttle open 25%. On load 0 the result are voltage 212 Volt, frequency 50,9 Hz, current 0,01 A, power 0 watt, with 800 result voltage 196 Volt, frequency 31,5 Hz, current 2,89 A, power 594 watt. Optimum 700 watt with result voltage 217 volt, frequency 44,3 Hz, current 3,09 A, power 694 watt.