bluuebunny/crossref_metadata_2025_split huggingface dataset:
Barreras de acceso a la cobertura de riesgos laborales en contratos de prestación de servicios en el sector público de salud en Bogotá
Authors: Correa Moreno Yerson Ali , Luna García Jairo Ernesto , Arango Soler Juan Manuel , Campos Adriana Carolina 
Published: October 2015

<p><strong>Objetivo</strong> Identificar barreras de acceso al Sistema General de Riesgos Laborales (SGRL) de Colombia en un grupo de profesionales independientes (contratados por prestación de servicios) del sector público de salud en Bogotá.</p><p><strong>Metodología </strong>Investigación cualitativa (narrativa) mediante entrevistas a 4 profesionales independientes de la Secretaria Distrital de Salud, 4 profesionales independientes del Hospital de Tunjuelito y 3 expertos en riesgos profesionales. Para el manejo de la información se utilizó el análisis de contenido.</p><p><strong>Resultados </strong>En<strong> </strong>las dos instituciones consultadas del sector público de salud en Bogotá se han adelantado estrategias que facilitan el acceso a la seguridad social en riesgos laborales de los trabajadores independientes. Sin embargo, los trabajadores y los expertos entrevistados identifican una serie de barreras de acceso que se presentan para la afiliación de los trabajadores independientes al Sistema General de Riesgos Laborales, entre estas barreras de acceso están la falta de cultura de la prevención ante los riesgos laborales, el desconocimiento sobre la normatividad y utilidad del sistema y la no concepción del mismo como parte fundamental del sistema de seguridad social del país.</p><p><strong>Conclusiones </strong>Es necesario que el Sistema General de Riesgos Laborales sea entendido como parte integral y fundamental de la seguridad social del país, lo cual depende de una construcción cultural sobre la importancia de un sistema de riesgos laborales en las organizaciones estatales, los empleadores y los empleados.</p><p> </p>
Desenvolvimento de porta-enxerto de goiabeira sob irrigação com água salinizadas e doses de nitrogênio
Authors: Souza Leandro de Pádua , Nobre Reginaldo Gomes , Silva Evandro Manoel da , Sousa Fablo Fernandes de , Silva Israel Almeida da 
Published: October 2015

Os efeitos dos sais nos solos, causando variações na estrutura, permeabilidade e aeração do solo, afetam indiretamente o crescimento das plantas. Desta forma o incremento da dosagem de nitrogênio, como fator isolado, pode promover melhor eficiência na produção de mudas. Neste sentido, objetivou-se com este trabalho, analisar a influência da salinidade da água de irrigação associada a doses crescentes de nitrogênio sobre o desenvolvimento de porta-enxerto de goiabeira de genótipo ‘Crioula’. O experimento foi conduzido em tubetes sob condições de ambiente protegido no CCTA/UFCG. Utilizou-se o delineamento experimental em blocos casualizados, com os tratamentos dispostos em esquema fatorial 5 x 4, correspondentes a cinco níveis de condutividade elétrica da água – CEa (0,3; 1,1; 1,9; 2,7 e 3,5 dS m<sup>-1</sup>) e quatro doses de nitrogênio (70, 100, 130 e 160% de N da dose recomendada para cultivo de mudas de goiabeira cv. Paluma) com 4 repetições e 5 plantas por parcela. Não houve interação significativa entre os fatores salinidade da água de irrigação e adubação nitrogenada sob o crescimento de porta-enxerto de goiabeira de genótipo “Crioula”. O aumento da CEa a partir de 0,3 dS m<sup>-1</sup> afeta negativamente e de forma linear o diâmetro do caule (DC), número de folhas (NF), taxa de crescimento absoluto (TCAap) e relativo da altura de planta (TCRap), o equilíbrio de crescimento altura de planta/ diâmetro do caule e a exportação de massa seca da folha para o resto da planta (RMF). A dose de 70% de N (541,1 mg de N dm<sup>-1</sup> de solo) proporciona maiores valores do DC, NF, TCAap e TCRap de porta-enxerto de goiabeira “Crioula”.
Which Biology Marker Can be a Predictor for Higher Syntax Score?
Authors: Lison Linda , Yusuf Irawan , Sutrisna Bambang , Kabo Peter , Santoso Teguh , Sandra Ferry 
Published: October 2015

BACKGROUND: Syntax score is a lesion-based angiographic scoring system, originally devised to grade the anatomic complexity of coronary artery disease (CAD) and thereby facilitate consensus in the study of a diagnostic angiogram between surgeons and interventional cardiologists. Suitable biology marker to predict the severity of CAD and to have a treatment decision for revascularization by percutaneous coronary intervention (PCI) or bypass surgery, is still unknown. Which biology marker can be a predictor for higher Syntax score remains unknown as well.METHODS: Severity of 105 patients who underwent coronary angiography, were evaluated with Syntax score. Laboratory tests were conducted for routine blood test, serum glutamic oxaloacetic transaminase (SGOT), serum glutamic pyruvic transaminase (SGPT), high-sensitivity C-reactive protein (hs-CRP), total cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, triglycerides, kidney function, creatinine and hemoglobin A1c (HbA1c).RESULTS: Ureum had significant correlation with Syntax score, p=0.016 and 95% confidence interval (CI)=0.05-0.55. Result of logistic regression analysis showed that HDL and haematocrit had significant correlation with Syntax score, with cut off point 34 (p=0.02, p=0.0033, respectively). Based on multi-variate analysis, Syntax score 34 = 16 (HDL ≤40 + Ureum ≥23) + 10 (Neutrophil/Lymphocyte ≥3.789) +10 (HbA1c ≥7 ) + 13 ( monocyte ≥9%).CONCLUSION: HDL cholesterol, ureum, neutrophil-lymphocyte ratio, HbA1c and monocyte altogether can predict the higher Syntax score.KEYWORDS: syntax, neutrophil, lymphocyte, HDL, cholesterol, ureum, HbA1c, monocyte
Hidden Farmworker Labor Camps in North Carolina: An Indicator of Structural Vulnerability
Authors: Summers Phillip , Quandt Sara A. , Talton Jennifer W. , Galván Leonardo , Arcury Thomas A. 
Published: October 2015

Objectives. We used geographic information systems (GIS) to delineate whether farmworker labor camps were hidden and to determine whether hidden camps differed from visible camps in terms of physical and resident characteristics. Methods. We collected data using observation, interview, and public domain GIS data for 180 farmworker labor camps in east central North Carolina. A hidden camp was defined as one that was at least 0.15 miles from an all-weather road or located behind natural or manufactured objects. Hidden camps were compared with visible camps in terms of physical and resident characteristics. Results. More than one third (37.8%) of the farmworker labor camps were hidden. Hidden camps were significantly larger (42.7% vs 17.0% with 21 or more residents; P ≤ .001; and 29.4% vs 13.5% with 3 or more dwellings; P = .002) and were more likely to include barracks (50% vs 19.6%; P ≤ .001) than were visible camps. Conclusions. Poor housing conditions in farmworker labor camps often go unnoticed because they are hidden in the rural landscape, increasing farmworker vulnerability. Policies that promote greater community engagement with farmworker labor camp residents to reduce structural vulnerability should be considered.
Neighborhood-Based Socioeconomic Position and Risk of Oral Clefts Among Offspring
Authors: Lupo Philip J. , Danysh Heather E. , Symanski Elaine , Langlois Peter H. , Cai Yi , Swartz Michael D. 
Published: October 2015

Objectives. We determined the association between maternal neighborhood socioeconomic position (SEP) and the risk of cleft lip with or without cleft palate (CL±P) or cleft palate alone (CP) in offspring. Methods. We obtained information on CL±P (n = 2555) and CP (n = 1112) cases and unaffected controls (n = 14 735) among infants delivered during 1999 to 2008 from the Texas Birth Defects Registry. Neighborhood SEP variables, drawn from the 2000 US Census, included census tract-level poverty, education, unemployment, occupation, housing, and crowding, from which we created a composite neighborhood deprivation index (NDI). We used mixed-effects logistic regression to evaluate neighborhood SEP and oral clefts. Results. Mothers with CL±P-affected offspring were more likely to live in high-NDI (adverse) areas than mothers with unaffected offspring (odds ratio [OR] = 1.20, 95% confidence interval [CI] = 1.05, 1.37). This association was strongest among Hispanic mothers (OR = 1.32, 95% CI = 1.07, 1.62). No associations were observed with CP. Conclusions. Using data from one of the world’s largest active surveillance birth defects registries, we found that adverse neighborhood SEP is modestly associated with CL±P, especially among Hispanics. These findings may have important implications for health disparities prevention.
A Systematic Review of Community Engagement in the US Environmental Protection Agency’s Extramural Research Solicitations: Implications for Research Funders
Authors: Yuen Tina , Park Alice N. , Seifer Sarena D. , Payne-Sturges Devon 
Published: October 2015

Objectives. We systematically reviewed the Environmental Protection Agency, National Center for Environmental Research’s (NCER’s) requests for applications (RFAs) and identified strategies that NCER and other funders can take to bolster community engagement. Methods. We queried NCER’s publically available online archive of funding opportunities from fiscal years 1997 to 2013. From an initial list of 211 RFAs that met our inclusion criteria, 33 discussed or incorporated elements of community engagement. We examined these RFAs along 6 dimensions and the degree of alignments between them. Results. We found changes over time in the number of RFAs that included community engagement, variations in how community engagement is defined and expected, inconsistencies between application requirements and peer review criteria, and the inclusion of mechanisms supporting community engagement in research. Conclusions. The results inform a systematic approach to developing RFAs that support community engagement in research.
Dental Caries: Racial and Ethnic Disparities Among North Carolina Kindergarten Students
Authors: Matsuo Go , Rozier R. Gary , Kranz Ashley M. 
Published: October 2015

Objectives. We examined racial/ethnic disparities in dental caries among kindergarten students in North Carolina and the cross-level effects between students’ race/ethnicity and school poverty status. Methods. We adjusted the analysis of oral health surveillance information (2009–2010) for individual-, school-, and county-level variables. We included a cross-level interaction of student’s race/ethnicity (White, Black, Hispanic) and school National School Lunch Program (NSLP) participation (< 75% vs ≥ 75% of students), which we used as a compositional school-level variable measuring poverty among families of enrolled students. Results. Among 70 089 students in 1067 schools in 95 counties, the prevalence of dental caries was 30.4% for White, 39.0% for Black, and 51.7% for Hispanic students. The adjusted difference in caries experience between Black and White students was significantly greater in schools with NSLP participation of less than 75%. Conclusions. Racial/ethnic oral health disparities exist among kindergarten students in North Carolina as a whole and regardless of school’s poverty status. Furthermore, disparities between White and Black students are larger in nonpoor schools than in poor schools. Further studies are needed to explore causal pathways that might lead to these disparities.
Meniscal Root Repairs
Authors: LaPrade Robert F. , Moulton Samuel G. , Cram Tyler R. , Geeslin Andrew G. , LaPrade Christopher M. , Engebretsen Lars 
Published: October 2015

Meniscal root tears are substantial injuries that usually require surgical management. If left untreated, meniscal root tears can lead to the rapid onset of osteoarthritis similar to that seen after a total meniscectomy. Meniscal root tears often go unnoticed on magnetic resonance imaging and arthroscopy, in large part because meniscal root anatomy and its biomechanical importance have been defined only recently. In a transtibial meniscal root repair, the current clinical standard of care, the root is reattached to its native attachment site on the tibial plateau, restoring tibiofemoral contact mechanics. While this video article shows a posterior medial root repair technique, the same anatomic, biomechanical, and surgical principles apply to a posterior lateral meniscal root attachment.
The principal steps in this procedure include (1) verifying the presence of a posterior medial meniscal root tear with arthroscopic visualization and probing, (2) inspecting the root tear and debriding the root attachment site to bone with a curet, (3) arthroscopic release of any adhesions that cause retraction of the meniscal root to a nonanatomic position, (4) drilling of two separate transtibial tunnels that extend down to the anteromedial portion of the tibia, (5) placing an accessory portal to pass the sutures, (6) placing two simple sutures through the torn meniscal root and shuttling them down the tibial tunnels, and (7) tying the sutures over a surgical button on the anteroproximal portion of the tibia with the knee flexed 90°. Postoperatively, patients remain non-weight-bearing for six weeks. Passive knee flexion from 0° to 90° is allowed for the first two weeks. After two weeks, motion is increased as tolerated. Patients initiate weight-bearing at postoperative week six and commence the use of a stationary bicycle. Resistive exercises are slowly progressed, and the patient should avoid squatting as well as squatting and lifting for four months. Patients are expected to return to normal physical activity within four to six months postoperatively.
Baicalin-induced Cytotoxicity and Apoptosis in Multidrug-resistant MC3/5FU Mucoepidermoid Carcinoma Cell Line
Authors: Xu Xiaofang , Li Qihong , Yu Kaitao , Murtaza Ghulam , Liu Bin 
Published: October 2015

Background:Multidrug Resistance (MDR) is a serious hindrance to cancer chemotherapy and profoundly influences the clinical findings. Many Traditional Chinese Medicines (TCM) have been tested with the aim of developing effective resistance modulators or anticancer drugs to overcome the MDR of human cancers.Methods:The anticancer effect of baicalin on multidrug-resistant MC3/5FU (5-fluorouracil) cells was investigated by MTT test and xenografts in nude mice. Cell apoptosis was studied by transmission electron microscopy, Hoechst-33342 staining, DNA fragmentation detection, and flow cytometry. RT-PCR and Rhodamine 123 efflux assay was also used to detect its effect on ABC drug transporter proteins, ABCB1 (P-glycoprotein, P-gp) and ABCC1 (multidrug resistance protein 1, MRP1).Results:The results indicate that there was no significant effect of baicalin on ABC transporters expression or efflux function, although it induced potent growth inhibition in MC3/5FU cells. Flow cytometry, Hoechst 33342 staining and transmission electron microscope revealed that baicalin caused MC3/5FU cell death through the induction of apoptosis. It is demonstrated that baicalininduced apoptosis could be mediated by up-regulation of Bax and caspase-3 protein levels and downregulation of Bcl-2 protein levels. In addition, daily intraperitoneal injection of baicalin (100 and 200 mg/kg) for 2 weeks significantly inhibited the growth of MC3/5FU cells xenografts in nude mice.Conclusion:Our results suggest that baicalin possesses considerable cytotoxic activity in multidrug resistance MC3/5FU cells in vitro and in vivo.
Adsorption of Oxyanions from Industrial Wastewater using Perlite‐Supported Magnetite
Authors: Verbinnen Bram , Block Chantal , Vandecasteele Carlo 
Published: October 2015

ABSTRACT: Most studies on oxyanion adsorption focus on their removal from synthetic solutions. It is often claimed that the considered adsorbents can be used to treat real (industrial) wastewaters, but this is seldom tested. Perlite‐supported magnetite was characterized first by determining its specific surface area, magnetite content and by examining the coating. Tests on a synthetic solution showed that at the ideal pH values (pH 3 to 5), the order of adsorption is Mo(VI) > As(V) > Sb(V) > Cr(VI) > Se(VI). Most oxyanions can be removed for more than 75% with an adsorbent dosage of 1 g/l. Furthermore, perlite‐supported magnetite has a higher removal efficiency for oxyanions than commercially available adsorbents and comparable adsorbents described in literature. Perlite‐supported magnetite is suitable for treating real wastewaters: it can remove several oxyanions simultaneously from the considered industrial wastewater, but the adsorption order changes due to the presence of interfering anions.
Diagnostic Assessment of Movement Disorders and Psychomotor Deficiency in Residual Schizophrenia
Authors: IlankoviÄ‡ Vera , IlankoviÄ‡ Andrej N. , IlankoviÄ‡ Nikola N. 
Published: October 2015

Movement disorders and motor deficiency is highly represented among patients in Schizophrenia â€“ residual type (DSM IV):Â 37% of patients examined in our research had psychoâ€‘motor disturbances. Dominant disturbances are the following: disturbed tonus among 65% of patients, abnormal postural reactions among 90%, abnormal voluntary movements among 75%, disturbed speech among 85%, disturbed static and dynamic postures among 90%. Involuntary movements are present among 20% of patients.Classic neurological diagnostics offers general assessment of the motor status. Standardized clinical motor scales only register the presence and intensity of the motor disturbance. Rehabilitation treatment requires individual and up to date functional diagnostics of the motor deficiency.We would like to stress that psychiatric patients in psychotic, (prepsychotic) and postpsychotic states, besides being mentally ill, also suffer from serious movement disordersÂ (psychomotor disturbances and deficits) which put them into the category ofÂ disabled persons, who besides requiring psychiatric (neuropsychiatric) treatment, also require systematic psychomotor and speechÂ rehabilitation.
Common Carotid Artery Thickness in Chronic Kidney Disease
Authors: Lubomirova Mila , Djerassi Rejina , Bogov Boris 
Published: October 2015

AIM: Previous studies showed that patients with chronic kidney disease (CKD) > 2 dergee had increased intima-media thickness (IMT).Â We evaluate the relationship between IMT and parameters for renal function.METHODS: 130 subjects were examined â€“ 66 with CKD, 44 without CKD, as well as 20 healthy volunteers. The first group- patients with CKD were with creatinine clearance (CrCl) over 20 ml/min and below 90 ml/min. The second group included 44 pts. with normal renal function, CrCl > 90 ml/min. All examined patients with and without CKD had hypertension.Â Â The two groups were streamed into two subgroups: with and without vascular disease. To evaluate the renal function creatinine clearance was calculated in ml/min. IMT was measured in both common carotid artery (CCA) using high resolution sonography in all examined subjects.RESULTS: CCA IMT increased in pts. with CKD and was > 0.75 ( 0.76 Â± 0.14 v.s contols 0.59 Â± 0.10) Patients with vascular disease (VD) had higher IMT which increased significant when CKD with GFR < 90 ml/min was included (0.77 Â± 0.06/0.81 Â± 0.10, p < 0.05). Multiple regression analysis proved that renal function deterioration directly affected CCA IMT (R2=0.208, p=0.022).CONCLUSION: Increased IMT is presented in mild renal dysfunction. CKD â€“GFR< 90 ml/min could be an independent vascular risk factor.
Mental Health, Physical Health and Other Individual Risk Factors for Elder Maltreatment: Findings from the National Study
Authors: Markovik Marijana , Jordanova Peshevska Dimitrinka , Serafimovska Eleonora , Sethi Dinesh 
Published: October 2015

OBJECTIVES: The first Macedonian National Prevalence study of elder maltreatment in private settings was conducted in 2011 and 2012. This article provides an overview of the risk factors on individual level regarding the ecological model of human development.METHOD: The study involved 960 respondents who provided answers to a face-to-face survey questionnaire and a Geriatric Depression Scale. Â The Mini-Mental State Examination test was used as a pre selection criterion. The achieved sample was weighted to be representative on the Macedonian population aged 65 and over. Â RESULTS: Being women, being married, with elementary school education, suffering from certain chronic diseases, sensory impairment, are potential risk factors on individual level for elderly Maltreatment.CONCLUSION: The findings support the previous quantitative data obtained in other countries, as well as the concept of ecological framework.
Childhood Abuse, Household Dysfunction and the Risk of Attempting Suicide in a National Sample of Secondary School and University Students
Authors: Raleva Marija , Jordanova Peshevska Dimitrinka , Filov Izabela , Sethi Dinesh , Novotni Antoni , Bonevski Dimitar , Haxhihamza Kadri 
Published: October 2015

OBJECTIVES: One of the main objectives of this paper is to analyze the associations between childhood abuse, household dysfunction and the risk of attempting suicide among young adolescents in the country.METHOD: A representative sample consisted of total 1277 students (58.6% female and 41.6% male), aged 18 and above in year four of 664 secondary school and 613 first- and second-year university students. The data were obtained using Adverse Childhood Experiences Study Questionnaires (Family Health History Questionnaire) for collecting information on child maltreatment, household dysfunction and other socio-behavioural factors, applying WHO/CDC-recommended methodology. Statistical significance was set up at p<0.05.RESULTS: Emotional neglect, physical abuse and physical neglect were the most frequent abusive experiences students had. Overall, suicide attempts were reported by 3.1 % of respondents (4.7% by females and 0.8% by males). Those respondents who had been emotionally abused were almost three times as likely to attempt suicide, physical abuse almost doubles the chances of attempting suicide, substance abuse in the family increased the chances 2.3 times for attempting suicide, violent treatment of the mother almost quadrupled them for attempted suicide, having a family member who had been in prison increased the odds of almost 3.5 times for attempting suicide. Attempted suicide was found to be 1.5 times more likely as the number of ACEs reached 3 and 3.4 times more likely as the number of adverse childhood experiences reached four or more.Â CONCLUSION: Identifying and treating children, adolescents and young adults who have been affected by adverse childhood experiences may have substantial value in our evolving efforts to prevent suicide.