bluuebunny/crossref_metadata_2025_split huggingface dataset:
Revised Framingham Stroke Risk Score, Nontraditional Risk Markers, and Incident Stroke in a Multiethnic Cohort
Authors: Flueckiger Peter , Longstreth Will , Herrington David , Yeboah Joseph 
Published: January 2018

Background and Purpose—
Limited data exist on the performance of the revised Framingham Stroke Risk Score (R-FSRS) and the R-FSRS in conjunction with nontraditional risk markers. We compared the R-FSRS, original FSRS, and the Pooled Cohort Equation for stroke prediction and assessed the improvement in discrimination by nontraditional risk markers.

Methods—
Six thousand seven hundred twelve of 6814 participants of the MESA (Multi-Ethnic Study of Atherosclerosis) were included. Cox proportional hazard, area under the curve, net reclassification improvement, and integrated discrimination increment analysis were used to assess and compare each stroke prediction risk score. Stroke was defined as fatal/nonfatal strokes (hemorrhagic or ischemic).

Results—

After mean follow-up of 10.7 years, 231 of 6712 (3.4%) strokes were adjudicated (2.7% ischemic strokes). Mean stroke risks using the R-FSRS, original FSRS, and Pooled Cohort Equation were 4.7%, 5.9%, and 13.5%. The R-FSRS had the best calibration (Hosmer–Lemeshow goodness-of-fit, χ
2
=6.55;
P
=0.59). All risk scores were predictive of incident stroke. C statistics of R-FSRS (0.716) was similar to Pooled Cohort Equation (0.716), but significantly higher than the original FSRS (0.653;
P
=0.01 for comparison with R-FSRS). Adding nontraditional risk markers individually to the R-FSRS did not improve discrimination of the R-FSRS in the area under the curve analysis, but did improve category-less net reclassification improvement and integrated discrimination increment for incident stroke. The addition of coronary artery calcium to R-FSRS produced the highest category-less net reclassification improvement (0.36) and integrated discrimination increment (0.0027). Similar results were obtained when ischemic strokes were used as the outcome.

Conclusions—
The R-FSRS downgraded stroke risk but had better calibration and discriminative ability for incident stroke compared with the original FSRS. Nontraditional risk markers modestly improved the discriminative ability of the R-FSRS, with coronary artery calcium performing the best.
Influence of perceived stress on dressing and eating behaviors of Chinese female university students residing in the United States
Authors: Kandiah Jayanthi , Saiki Diana , Dues Kiya , Adomaitis Alyssa Dana 
Published: January 2018

AbstractThe objective of this research was to evaluate how perceived stressful conditions (PSC) and perceived non-stressful conditions (PNSC) influence eating and dressing behaviors of Chinese females. Chinese female university students (18–30 years) residing in the United States, completed a validated and reliable 45-itemized Chinese Stress Eating and Dressing Survey (CSEDS). The CSEDS included: (i) effort to control making healthy eating choices and dressing, (ii) foods eaten and dress items selected during PSC, (iii) foods eaten and dress items selected during PNSC, and (iv) demographics. Seven comfort food categories and eight appearance categories were used. The CSEDS included multiple choice, yes/no, and Likert scale questions. Statistical analyses were performed using t tests. A total of 129 females completed the CSEDS. Mean body mass index (BMI) calculated from reported heights and weights was 20.86 ± 3.86. From PNSC to PSC, there were significant decreases in all dressing patterns (p < .028), and the majority of the participants reported dressing casually during PSC (78.3%). Overall, there was a decrease in the types of foods eaten during PNSC to PSC, but significance was noted for common foods (e.g., Chinese, Other Asian, Italian, American, and Mexican; p = .033), mixed dishes (e.g., casseroles, soy and vegetable based dishes, meat entrees, and salads; p = .018), and soft foods (e.g., rice, noodles, bread, dumplings, and eggs; p = .003). During PSC, Chinese females tended to select a limited variety of foods, forgo appearance enhancement items, and dress casually suggesting that ethnic groups vary in eating and dressing behaviors. Findings from this research contribute to the body of knowledge related to stress and its influence on appearance (eating and dressing) behaviors specifically of Chinese female university students when transitioning from one country to another.
Prediction of whiteness index of cotton using bleaching process variables by fuzzy inference system
Authors: Haque Abu Naser Md. Ahsanul , Smriti Shamima Akter , Hussain Manwar , Farzana Nawshin , Siddiqa Fahmida , Islam Md. Azharul 
Published: January 2018

AbstractA fuzzy prediction model has been built based on hydrogen peroxide concentration, temperature and time of bleaching as the input variables and knitted fabric whiteness index as the output variable. The process parameters affecting the whiteness index of cotton knitted fabrics are very non-linear. Fuzzy inference system is a prospective modeling tool as it can map effectively in nonlinear domain with minimum investigational data. Triangular-shaped membership functions were considered for the variables and total 48 rules were created in this study. It was found that the sole effect of the concentration of hydrogen peroxide on whiteness is pretty low, but is affected by temperature noticeably even in a fixed concentration of hydrogen peroxide. The model proposed in the present study has been verified by additional experimental data set. The root mean square, mean absolute error percentage and coefficient of determination (R
2
) between the predicted and experimental values were found to be 0.536, 0.798 and 0.959 respectively. The results validate that the model can be applied suitably for the prediction of fabric whiteness index in textile industries.
Developmental coordination disorder, psychopathology and IQ in 22q11.2 deletion syndrome
Authors: Cunningham Adam C. , Delport Sue , Cumines Wendy , Busse Monica , Linden David E. J. , Hall Jeremy , Owen Michael J. , van den Bree Marianne B. M. 
Published: January 2018

Background22q11.2 deletion syndrome (22q11.2DS) is associated with high rates of neurodevelopmental disorder, however, the links between developmental coordination disorder (DCD), intellectual function and psychiatric disorder remain unexplored.AimsTo establish the prevalence of indicative DCD in children with 22q11.2DS and examine associations with IQ, neurocognition and psychopathology.MethodNeurocognitive assessments and psychiatric interviews of 70 children with 22q11.2DS (mean age 11.2, s.d. = 2.2) and 32 control siblings (mean age 11.5, s.d. = 2.1) were carried out in their homes. Nine children with 22q11.2DS and indicative DCD were subsequently assessed in an occupational therapy clinic.ResultsIndicative DCD was found in 57 (81.4%) children with 22q11.2DS compared with 2 (6.3%) control siblings (odds ratio (OR) = 36.7,P< 0.001). Eight of nine (89%) children with indicative DCD met DSM-5 criteria for DCD. Poorer coordination was associated with increased numbers of anxiety, (P< 0.001), attention-deficit hyperactivity disorder (ADHD) (P< 0.001) and autism-spectrum disorder (ASD) symptoms (P< 0.001) in children with 22q11.2DS. Furthermore, 100% of children with 22q11.2DS and ADHD had indicative DCD (20 of 20), as did 90% of children with anxiety disorder (17 of 19) and 96% of children who screened positive for ASD (22 of 23). The Developmental Coordination Disorder Questionnaire score was related to sustained attention (P= 0.006), even after history of epileptic fits (P= 0.006) and heart problems (P= 0.009) was taken into account.ConclusionsClinicians should be aware of the high risk of coordination difficulties in children with 22q11.2DS and its association with risk of mental disorder and specific neurocognitive deficits.Declaration of interestNone.
Enhancing energy literacy in children using zn/cu/potato batteries
Authors: Polikovsky Mark , Sharon Avigdor , Golberg Alexander 
Published: January 2018

Background. The major challenges that prevent the wide-scale adoption of emerging personal clean energy production are unawareness and low self-confidence. We tested a hypothesis that a combination of a new technology and educational methods could lead to the increase in awareness of children to clean energy possibilities and to an increase in self-confidence in applying them. Methods. Here we report on a toolkit that combines low carbon, clean energy source, Zn/Cu/potato batteries, sufficient to power light-emitting diodes, with a non-formal education by experience program, based on case studies and hands-on experience with battery assembly for 6-11 years old children, led by trained 12-14 old youth leaders. Results. The results show that the education experience increased the awareness of the children to produce electricity at home from unconventional, yet available raw materials and their self-confidence in being able to do this (p=0.008). Conclusions. The developed toolkit supports environmental and energy literacy education through non-formal training, increasing awareness and self-confidence in children to actually apply this in their living environment to produce clean energy.
Hepatotoxicity in hyperthyroid patient after consecutive methimazole and propylthiouracil therapies
Authors: Gomez-Peralta Fernando , Velasco-Martínez Pablo , Abreu Cristina , Cepeda María , Fernández-Puente Marta 
Published: January 2018

Summary
Methimazole (MMI) and propylthiouracil (PTU) are widely used antithyroid drugs (ATD) that have been approved for the treatment of hyperthyroidism. Hepatotoxicity may be induced by these drugs, though they exert dissimilar incidence rates of hepatotoxicity and, possibly, with different underlying pathogenic mechanisms. We report the case of a 55-year-old woman with no relevant medical history diagnosed with hyperthyroidism due to Graves’ disease, who developed two episodes of acute hepatitis concurrent with the consecutive administration of two different ATDs, first MMI and then PTU. Given the impossibility of administering ATDs, it was decided to perform a total thyroidectomy because the patient was found to be euthyroid at that point. Pathological anatomy showed diffuse hyperplasia and a papillary thyroid microcarcinoma of 2 mm in diameter. Subsequent clinical check-ups were normal. This case suggests the importance of regular monitoring of liver function for hyperthyroid patients. Due to the potential severity of this side effect, it is recommended to determine baseline liver function prior to initiation of treatment.

Learning points:

We present a rare case of two acute hepatitis episodes concurrent with two different consecutive ATD therapies.

Our results highlight the relevance of a liver function monitoring during the treatment with MMI or PTU.

A baseline assessment of the liver function before starting an ATD treatment should be recommendable.
Adhortacja apostolska „Amoris laetitia”. Wartość „synodalna” adhortacji apostolskiej
Authors: Paglia Vincenzo 
Published: January 2018

Autor artykułu prezentuje w sposób analityczny nową adhortację apostolską papieża Franciszka Amoris laetitia. Nau­czanie papieża Franciszka o rodzinie i małżeństwie jest przedstawione przez autora w kontekście całego nauczania Kościoła. Autor, idąc tropem papieża Franciszka, nawiązuje szczególnie do dokumentu Jana Pawła II o rodzinie w świecie współczesnym Familiaris consortio. Autor nie tylko przedstawia teologiczne fundamenty nauczania Kościoła o rodzinie, ale pokazuje praktyczne, duszpasterskie konteksty tego nauczania. Autor pokazuje papieża Franciszka jako proroka naszych czasów, zatroskanego o dobro każdej rodziny na świecie. Wzruszająca i pełna nadziei jest końcowa zachęta papieża Franciszka adresowana do rodzin, którą autor kończy swój artykuł: „Rodziny, podążajmy naprzód i nie ustawajmy! […] Nie traćmy nadziei z powodu naszych ograniczeń, ale nie rezygnujmy też z dążenia do pełni miłości i jedności, które zostały nam obiecane” (AL, 325).
Etyczne ramy komunikowania w sytuacjach zagrożeń
Authors: Drożdż Michał 
Published: January 2018

Celem niniejszego artykułu jest pokazanie roli i funkcji mediów oraz zadań dziennikarzy w sytuacjach zagrożeń w świetle wybranych kodeksów etyki dziennikarskiej. Sytuacje realnych zagrożeń bezpieczeństwa, zdrowia i życia obywateli we współczesnych społeczeństwach zostały także ukazane w kontekście wybranych procesów wirtualizacji i mediatyzacji realnego świata. Autor artykułu reprezentuje stanowisko, że media nie tylko realizują określone funkcje, ale także z racji ich misyjnego charakteru w sytuacjach zagrożeń na planie pierwszym powinna się ujawniać ich odpowiedzialność za bezpieczeństwo i dobro obywateli. Problematyka etycznych ram komunikowania w sytuacjach zagrożeń została ujęta przez autora z perspektywy aksjologii dziennikarskiej.
EMPODERAMIENTO EMOCIONAL. Cambio en la estructura del reconocimiento individual y en las relaciones interpersonales. / Emotional empowerment Change in the structure of individual recognition and interpersonal relationships.
Authors: Santiago Valdivia Marina 
Published: January 2018

Estudio de iniciación a la Sociología emocional a partir del cual se pretende conocer mejor los cambios y consecuencias del comportamiento social desde el ámbito de las emociones. Centrándonos concretamente el concepto de empoderamiento emocional, se analizará como éste puede ocasionar cambios en las relaciones interpersonales cercanas, y cómo puede generarse una consecuencia de expansión que logre cambios en la estructura cultural de comportamiento social.Emotional empowerment Change in the structure of individual recognition and interpersonal relationships.The following study is an introduction to qualitative research. It is aimed at gaining a deeper understanding of the effects of emotions—specifically the concept of emotional empowerment—on social behavior, while seeking to ingrate this concept into the field of emotional sociology. Control, responsibility or empowerment of one’s own emotions has become a global market, which is presented as modernity’s new toolkit for behavior. In other words, the isolation and individualism that we increasingly face due to unbridled capitalist globalization has resulted in us not being able to find a safer place to be other than ourselves. As if the time had come to cleanse the subjectivity, which has lain dormant after so many years of mass consumption, misinformed information and globalized individualism, in order to strengthen the bonds of social coexistence based on individuality. For this reason, the study below intends to describe how the acquisition of emotional empowerment affects the development of individual recognition and interpersonal relationships. Thus, it identifies a new structure of personal recognition that, on the basis of how we see we ourselves behave, serves to determine how we behave towards others or, to put it another way, to define new patterns of social behavior.
Análisis de la influencia en el aprendizaje del alumnado tras la organización de tertulias musicales dialógicas en un centro educativo. / Analysis of the influence on student learning after the organization of dialogical musical gatherings in an educational center
Authors: Cantero Rodríguez Nuria 
Published: January 2018

Las tertulias musicales dialógicas (TMD), son parte de las actuaciones de éxito de una Comunidad de Aprendizaje (CdA). El objeto de este estudio se centra en una experiencia realizada en un centro educativo que realiza estas actuaciones con todos los miembros de la comunidad educativa. El CEIP Navas de Tolosa realiza TMD de forma semanal en todas las aulas del centro. El profesorado en general, no solo el de música, realiza esta actividad con el alumnado de forma sistemática, obteniendo grandes beneficios en todas las competencias básicas. La selección de las obras musicales contrastadas procedentes de los clásicos universales, ha sido programada por la dirección del centro, también especialista de música. El estudio analizado desde una mirada cualitativa bajo dos enfoques, la observación participante realizada por la propia docente e investigadora del aula y la moderación de grupos de discusión orientados a conocer la percepción de los discentes sobre el conjunto de actuaciones de éxito realizadas en el aula de música.Analysis of the influence on student learning after the organization of dialogical musical gatherings in an educational center.Dialogical musical gatherings (TMD) are part of the successful actions of a Learning Community (CdA). The object of this study is centered on an experience carried out in an educational center that performs these actions with all the members of the educational community. The CEIP Navas de Tolosa performs TMD on a weekly basis in all the classrooms of the center. The teachers in general, not only the music, perform this activity with the students in a systematic way, obtaining great benefits in all basic skills. The selection of the contrasted musical works from the universal classics has been programmed by the center’s management, also a music specialist. The study analyzed from a qualitative perspective under two approaches, the participant observation made by the teacher and researcher of the classroom and the moderation of discussion groups aimed at knowing the perception of the students on the set of successful performances in the classroom of music.
Geriatric presentation to the emergency department-spectrum of illness and co-relation with social factors
Authors: Hanumanthaiah Ramesh Gorghatta , Farhath Sheerin , Prasanna Bangalore Krishnappa Panchakshari , P. Dheemantha , Ranganath T. S. 
Published: January 2018

Background: Increase in the elderly population presenting to Emergency Department is a prime concern as it has maximum implications on the delivery of health care. Older patients account for 12%-24% of all ED patients worldwide. A need for this study is to understand and analyze the current and future of Emergency department (ED) and examines the presentation of geriatric patient to emergency department in our institute in an urban setup of the fastest growing population segment in the city.Methods: An observational study over a period of one year from 2015 to 2016. All patients aged 60 years and above, visiting the Emergency Medicine. The following data were obtained. (I) Demographics, (II) Urban and Rural population (III) Presence of co-morbidities, (IV) Common conditions (V) Clinical symptoms and Diagnoses, Socio-demographic data collected directly from patient or immediate caregiver.Results: Total No of patients included during the study were 5489. Data was assessed male patient, predominance was found with 61%, 39% female. The urban population 74.8% was more predominant. Rural being at 25.2%, 1620 (29.2%) poisoning cases,1322 (24.1%) trauma cases,318 (5.8%) cancer cases, 247(4.5%) COPD cases and 230 (4.2%) stroke cases were encountered. Male72.58%, females 27.42%. CCU 58.5% male, 41.55% females. ICU 55.21% males and 44.79 % females. The average time was 3.75 to 4.25.Conclusions: Road Traffic accidents and poisoning together contributed to many cases. Observation was inadequate training amongst ED doctors and nurses in assessing and managing Trauma patients who lack ATLS protocols in stabilizing geriatric emergencies. Hence ED staff should be well trained to facilitate management of an ageing patients. Hazmat bay should be well organized with specific antidotes to the commonly available poisons. Atypically presentation was common in ED. Considerable overlapping of symptoms were commonly encountered in patients presenting to Emergency department.
Mythes et modernité dans Madame Bâ d'Érik Orsenna
Authors: Faye Elhadji Souleymane 
Published: January 2018

Questionner la modernité, aujourd’hui dans le contexte tragique des migrations entre l’Afrique et l’Europe, soulève la problématique fondamentale du voyage en général articulée à la construction d’une humanité. Madame Bâ, l’héroïne d’un roman éponyme Madame Bâ et de Mali Ô Mali, réussit le tour de force herculéen de se frotter crânement aux réductionnismes identitaires et déshumanisants de la modernité occidentale, de se défaire des liens inextricables de la tradition africaine souvent étouffante. Derrière l’écume de ces combats solitaires pointe la question centrale d’un humanisme qui, sommé de (sur)vivre fait travailler en lame de fond la substance des mythes. Questioning modernity, nowadays in the tragic context of migration between Africa and Europe, raises the fundamental problem of travel in general articulated to the construction of a humanity. Madame Bâ, the heroine of the same name, Madame Bâ and Mali Ô Mali, two novels by French writer Érik Orsenna, succeeds in the Herculean tour de force of bravely rubbing against the identity and dehumanizing reductionism of Western modernity, of getting rid of the inextricable and often stifling links of the African tradition. Behind the foam of these solitary struggles is the central question of a humanism which, summoned to live on, makes the substance of myths work in the background.
Urodynamic findings in squamous metaplasia of bladder mucosa and cystitis cystica in children
Authors: Piechuta Leszek , Kalicka Karolina , Sikora Przemysław 
Published: January 2018

WstępIntegralnym elementem przewlekłych zapaleń pęcherza, obok nawrotów zakażeń dróg moczowych, są zaburzenia funkcji pęcherza i cewki moczowej. Autorzy podjęli próbę odpowiedzi, czy badania urodynamiczne mogą pomóc w decyzji o konieczności wykonania cystoskopii w celu wykluczenia metaplazji płaskonabłonkowej (MPN) lub cystitis cystica (CC).Materiał i metodyRetrospektywnej ocenie poddano wyniki badań urodynamicznych 12 dziewcząt, które na podstawie przebiegu klinicznego choroby oraz wykonanych badań skierowano na badanie cystoskopowe i rozpoznano MPN lub CC.WynikiW grupie 12 dziewcząt MPN rozpoznano u 1, współistnienie MPN i CC u 3, CC bez MPN u 6, a niecharakterystyczny obraz z przekrwieniem śluzówki trójkąta pęcherza u 2 z nich. Obraz badań urodynamicznych był różnorodny. Wśród pacjentek z MPN, w początkowym okresie obserwacji, badania urodynamiczne sugerowały bardzo szerokie spektrum – od osłabienia kurczliwości wypieracza, po bardzo silne jego skurcze w czasie mikcji. Nadreaktywność wypieracza zaobserwowano u 70% badanych. Wyniki początkowych badań urodynamicznych, w porównaniu z wynikami po kilku latach obserwacji, ewoluowały w kierunku zmniejszenia nadreaktywności wypieracza i osłabienia jego kurczliwości w czasie mikcji, zwłaszcza u dziewcząt z CC. Stwierdzono poprawę krzywych przepływów u 6 badanych pacjentek (w tym u 2 z MPN i 4 z CC) w okresie końcowym obserwacji, po leczeniu MPN i CC.WnioskiPrzy podejmowaniu decyzji o skierowaniu dziecka z zaburzeniami mikcji i nawrotami ZUM na badanie cystoskopowe należy się kierować obrazem klinicznym. Na podstawie analizy badanej grupy, za podejrzeniem MPN lub CC może przemawiać ewoluowanie badań urodynamicznych w trakcie obserwacji w kierunku osłabienia kurczliwości wypieracza w czasie mikcji.
Methods of cleft lip and palate treatment over the centuries – a historical view
Authors: Ilczuk-Rypuła Danuta , Pietraszewska Daria , Kempa Maria , Zalewska-Ziob Marzena , Wiczkowski Andrzej 
Published: January 2018

WprowadzenieRozszczep podniebienia jest jedną z najczęstszych wad rozwojowych twarzoczaszki, polegającą na braku ciągłości anatomicznej i niedorozwoju tej struktury. Powoduje ponadto liczne zaburzenia czynnościowe (oddychania, ssania, połykania, żucia i mowy) oraz sprzyja infekcjom dróg oddechowych i ucha środkowegoCel pracyPrzedstawienie na podstawie piśmiennictwa różnych metod leczenia rozszczepu podniebienia, zarówno leczenia protetycznego przy zastosowaniu obturatorów, jak i leczenia chirurgicznego.PodsumowanieRozszczep podniebienia, podobnie jak inne choroby, prawdopodobnie znany był ludzkości od początku jej istnienia. Na przestrzeni wieków podejmowano wiele prób wyleczenia tej wady lub zniwelowania efektów ubocznych. Obecnie obowiązuje wielospecjalistyczny model leczenia rozszczepu podniebienia.