bluuebunny/crossref_metadata_2025_split huggingface dataset:
An Application of Artificial Neural Network to Compute the Resonant Frequency of E–Shaped Compact Microstrip Antennas
Authors: Akdagli Ali , Toktas Abdurrahim , Kayabasi Ahmet , Develi Ibrahim 
Published: October 2013

Abstract
An application of artificial neural network (ANN) based on multilayer perceptrons (MLP) to compute the resonant frequency of E-shaped compact microstrip antennas (ECMAs) is presented in this paper. The resonant frequencies of 144 ECMAs with different dimensions and electrical parameters were firstly determined by using IE3D(tm) software based on the method of moments (MoM), then the ANN model for computing the resonant frequency was built by considering the simulation data. The parameters and respective resonant frequency values of 130 simulated ECMAs were employed for training and the remaining 14 ECMAs were used for testing the model. The computed resonant frequencies for training and testing by ANN were obtained with the average percentage errors (APE) of 0.257% and 0.523%, respectively. The validity and accuracy of the present approach was verified on the measurement results of an ECMA fabricated in this study. Furthermore, the effects of the slots loading method over the resonant frequency were investigated to explain the relationship between the slots and resonant frequency.
Oral cavity and oropharyngeal squamous cell carcinoma in young adults: a review of the literature
Authors: Majchrzak Ewa , Szybiak Bartosz , Wegner Anna , Pienkowski Piotr , Pazdrowski Jakub , Luczewski Lukasz , Sowka Marcin , Golusinski Pawel , Malicki Julian , Golusinski Wojciech 
Published: October 2013

AbstractBackground. Head and neck squamous cell carcinoma (HNSCC) is a disease of middle-aged to elderly adults. However, an increased incidence of HNSCC in young people under 45 years of age has been reported recently. In the present review, we focused on the epidemiology and aetiology of HNSCC in adults under 45 years of age.Methods. We reviewed literature related to HNSCC in adult patients less than 45 years of age and discussed current treatment options and prognosis.Results. HNSCC in young adults is associated with a higher incidence rate in nonsmokers, lower female-to-male ratio, a higher percentage of oral cavity and oropharynx tumours, and fewer second primary tumours. However, aside from traditional risk factors of tobacco and alcohol exposure, the causes of these cancers in young adults remain unclear. Agents that might contribute to risk include infection with high-risk human papillomavirus subtypes as well as genetic factors or immunodeficiency status. The expected increase in incidence and mortality of the young with HNSCC may become a major public health concern if current trends persist, particularly lifestyle habits that may contribute to this disease.Conclusions. Given the younger age and potential long-term adverse sequelae of traditional HNSCC treatments, young adults should be treated on a case-by-case basis and post-therapy quality of life must be considered in any treatment-decision making process.
The Patterns of Oral Diseases among Type 2 Diabetes Mellitus Patients Attending at National Healthcare Network (NHN) Mirpur Centre, Dhaka, Bangladesh
Authors: Mahmud SZ , Mustakim A , Taleb A 
Published: October 2013

Background: The term diabetes mellitus describes a group of disorders characterized by elevated levels of glucose in the blood and abnormalities of carbohydrate, fat and protein metabolism. A number of oral diseases and disorders are associated with diabetes mellitus and, gingivitis and periodontitis have been identified as possible risk factors for poor metabolic control in subjects with diabetes. Objective: To assess oral diseases in type 2 diabetes mellitus patients and controls who attended at National Healthcare Network (NHN), Mirpur Centre, Dhaka, Bangladesh. Materials & Methods: A total of 100 subjects - 47 diabetics and 53 non-diabetics fulfilled the eligibility criteria were selected consecutively. Pretested semi-structured interviewer administered questionnaire and check list were utilized to assess the main objective of the study. Cross tabulations and associations were found out by using Chi-square Test Statistical Package for the Social Sciences was used for data analysis. Results: The cases were relatively older than the controls with mean age of the subjects in case group being significantly higher than that in the control group (p < 0.001), but the groups were not statistically different in terms of sex (p = 0.194). More than two-thirds (68.1%) of the cases and 52.8% of the controls exhibited burning mouth syndrome (p = 0.120). Candidiasis and dental caries were associated, more than in case control group (p = 0.020 and p < 0.001 respectively). Gingivitis was found significantly higher in case group compared to control group (78.7% vs. 37.7%, p < 0.001). In the case group, nearly half (48.9%) had periodontitis, 29.8% alveolar bone loss and 27.7% collagen metabolism, as opposed to none in the control group (p < 0.001). Conclusion: Oral diseases are multi-factorial and the factors responsible for these diseases are preventable. Dentists must be familiar with techniques to diagnose, treat and prevent oral diseases in patients with diabetes. DOI: http://dx.doi.org/10.3329/bjdre.v3i2.16602 Bangladesh Journal of Dental Research & Education Vol.3(2) 2013: 5-11
Effect of Parents Education on Childs Oral Health
Authors: Aurangjeb AM , Zaman T 
Published: October 2013

Children under the age of 12 years generally spend most of their time with their parents and guardians even when they attend schools. It has been found that young children's oral health maintenance and outcomes are influenced by their parent's knowledge and beliefs, and knowledge and beliefs are influenced by their educational background. This study was done to assess the relation between parents education and their childs oral health. Parents of children aged 3-12 years, attending The Dhaka Project School, Dokkhin Khan, Uttara, Dhaka were invited to participate in the study. A 17-item questionnaire covering socio-demographic characteristics, dietary practices and oral hygiene practices was distributed to their parents and a 8 item checklist was used during their visit to the school. Responses of the parents and findings of oral health of children were recorded. The sample comprised of 251 parents either mother or father, with the mean age of children being 5.65 years. Mean plaque index 1.60, calculus index 1.30, gingivitis index 1.11, decayed teeth index 1.69, missing teeth index 0.22 and filled teeth index was 0.07. Parents with higher educational qualification and information gained through dentist had a better knowledge about child's oral health. DOI: http://dx.doi.org/10.3329/bjdre.v3i2.16609 Bangladesh Journal of Dental Research & Education Vol.3(2) 2013: 26-28
Periostin: A Matricellular Protein Involved in Peritoneal Injury during Peritoneal Dialysis
Authors: Braun Niko , Sen Kontheari , Alscher M. Dominik , Fritz Peter , Kimmel Martin , Morelle Johann , Goffin Eric , Jörres Achim , Wüthrich Rudolf P. , Cohen Clemens D. , Segerer Stephan 
Published: October 2013

Background Periostin is a matricellular protein involved in tissue remodeling through the promotion of adhesion, cell survival, cellular dedifferentiation, and fibrogenesis. It can be induced by transforming growth factor beta and high glucose concentrations. We hypothesized that this protein might be expressed in the peritoneal cavity of patients on peritoneal dialysis (PD) and even more in patients with signs of encapsulating peritoneal sclerosis (EPS). Method In this retrospective study, we included peritoneal biopsies from patients on PD with EPS ( n = 7) and without signs of EPS ( n = 10), and we compared them with biopsies taken during hernia repair from patients not on PD ( n = 11) and during various procedures from uremic patients not on PD ( n = 6). Periostin was localized by immunohistochemistry, scored semiquantitatively, and quantified by morphometry. Periostin protein concentrations were measured by ELISA in dialysates from 15 patients. Periostin messenger RNA was quantified in vitro in peritoneal fibroblasts. Results In control biopsies, periostin was present in the walls of larger arteries and focally in extracellular matrix in the submesothelial zone. Patients on PD demonstrated interstitial periostin in variable amounts depending on the severity of submesothelial fibrosis. In EPS, periostin expression was very prominent in the sclerosis layer. The area of periostin was significantly larger in EPS biopsies than in control biopsies, and the percentage of periostin-positive area correlated with the thickness of the submesothelial fibrosis zone. Periostin concentrations in dialysate increased significantly with time on PD in patients without signs of EPS; in patients with EPS, periostin concentrations in dialysate were low and demonstrated the smallest increase with time. In vitro, periostin was found to be strongly expressed by peritoneal fibroblasts. Conclusion Periostin is strongly expressed by fibroblasts and deposited in the peritoneal cavity of patients with EPS and with simple peritoneal fibrosis on PD. This protein might play a role in the progression of peritoneal injury, and low levels of periostin after prolonged time on PD might be a marker of EPS.
Assessment of Coronary Risk Based on Cumulative Exposure to Lipids in Systemic Lupus Erythematosus
Authors: Nikpour Mandana , Gladman Dafna D. , Ibanez Dominique , Harvey Paula J. , Urowitz Murray B. 
Published: October 2013

Objective.To quantify the independent role of each of low-density lipoprotein cholesterol (LDL-C), total cholesterol:high-density lipoprotein cholesterol ratio (TC:HDL-C), triglyceride (TG) level, and HDL-C as a marker of coronary risk in systemic lupus erythematosus (SLE).Methods.Patients with lipid measurements taken before a coronary event (or last clinic visit) were included. Mean and time-adjusted mean (TAM) levels were calculated for each lipid variable in each patient. Time-dependent proportional hazards regression models were used to quantify the risk of coronary event [myocardial infarction (MI) or angina], after adjustment for age.Results.Among 384 patients, over a mean (SD) followup of 3.81 (2.58) years, there were 21 “first” coronary events (6 MI, 15 angina). Mean and TAM LDL-C (HR 1.83, 95% CI 1.19–2.81, p = 0.006), TC:HDL ratio (HR 1.43, 95% CI 1.02–2.00, p = 0.04), and TG (HR 2.11, 95% CI 1.32–3.39, p = 0.0019) were predictive of coronary event at subsequent visits. In contingency table analysis, TAM LDL-C cutpoint of 2.0 mmol/l had a sensitivity and negative predictive value for coronary event of 85.7% (95% CI 63.7–97.0) and 93.9% (95% CI 83.1–98.7), respectively. However, at this cutpoint the specificity was only 12.7% (95% CI 9.4–16.5).Conclusion.This study links LDL-C, TC:HDL-C ratio, and TG to coronary risk in patients with SLE and quantifies the magnitude of this risk. SLE-specific risk assessment levels for lipids may be selected to optimize positive or negative predictive values.
Nailfold Capillaroscopy for Prediction of Novel Future Severe Organ Involvement in Systemic Sclerosis
Authors: Smith Vanessa , Riccieri Valeria , Pizzorni Carmen , Decuman Saskia , Deschepper Ellen , Bonroy Carolien , Sulli Alberto , Piette Yves , De Keyser Filip , Cutolo Maurizio 
Published: October 2013

Objective.Assessment of associations of nailfold videocapillaroscopy (NVC) scleroderma (systemic sclerosis; SSc) (“early,” “active,” and “late”) with novel future severe clinical involvement in 2 independent cohorts.Methods.Sixty-six consecutive Belgian and 82 Italian patients with SSc underwent NVC at baseline. Images were blindly assessed and classified into normal, early, active, or late NVC pattern. Clinical evaluation was performed for 9 organ systems (general, peripheral vascular, skin, joint, muscle, gastrointestinal tract, lung, heart, and kidney) according to the Medsger disease severity scale (DSS) at baseline and in the future (18–24 months of followup). Severe clinical involvement was defined as category 2 to 4 per organ of the DSS. Logistic regression analysis (continuous NVC predictor variable) was performed.Results.The OR to develop novel future severe organ involvement was stronger according to more severe NVC patterns and similar in both cohorts. In simple logistic regression analysis the OR in the Belgian/Italian cohort was 2.16 (95% CI 1.19–4.47, p = 0.010)/2.33 (95% CI 1.36–4.22, p = 0.002) for the early NVC SSc pattern, 4.68/5.42 for the active pattern, and 10.14/12.63 for the late pattern versus the normal pattern. In multiple logistic regression analysis, adjusting for disease duration, subset, and vasoactive medication, the OR was 2.99 (95% CI 1.31–8.82, p = 0.007)/1.88 (95% CI 1.00–3.71, p = 0.050) for the early NVC SSc pattern, 8.93/3.54 for the active pattern, and 26.69/6.66 for the late pattern versus the normal pattern.Conclusion.Capillaroscopy may be predictive of novel future severe organ involvement in SSc, as attested by 2 independent cohorts.
What Has Been the Effect on Trial Outcome Assessments of a Decade of Patient Participation in OMERACT?
Authors: de Wit Maarten P.T. , Abma Tineke A. , Koelewijn-van Loon Marije S. , Collins Sarah , Kirwan John 
Published: October 2013

Objective.Since 2002, 58 patients have participated as collaborating partners in 6 Outcome Measures in Rheumatology (OMERACT) conferences. Little is known about how they engage with researchers and how they have influenced conference outcomes.Methods.A responsive evaluation was carried out, including a thematic document analysis of conference proceedings and gray literature, participant observation, and 38 interviews with patients and professionals representing research, industry, and regulators. Interview transcripts were subjected to an inductive content analysis.Results.The role of patients has evolved from a single focus group in 2002 to full integration in all parts of the conference in 2012. Longterm engagement has made a significant change in the scope and conduct of rheumatology research. It has enriched the research agenda by identifying previously neglected outcome domains such as fatigue, sleep disturbances, and flares, and it has contributed to more patient-relevant outcomes in clinical trials. Facilitating factors have been a strong commitment of the leadership, adequate selection procedure, inclusive conference design, interactive and encouraging moderation style, and self-organized support. The intensity of the program and doubts regarding the representativeness of the patient group were still seen as challenges for the future.Conclusion.Making patient participation an integral part of the vision and procedures of OMERACT has significantly contributed to the success of OMERACT. It has changed the perceptions and beliefs of many participants. Full use of patients’ experiential knowledge before and during the conference is still challenging.
Une archéologie de l'« archéologie ». Sur une parenté rhétorique entre Husserl et Foucault
Authors: Heidenreich Felix 
Published: October 2013

On a remarqué très tôt qu’il existait une parenté quant aux moyens rhétoriques entre la phénoménologie de Husserl et l’Archéologie de Foucault. Si on comprend la rhétorique non pas (comme les premiers dialogues de Platon voulaient le montrer) comme contraire de la philosophie, ni comme son vis-à-vis, mais comme dimension incontournable de l’argumentation philosophique, à travers la mise en place de moyens rhétoriques, performatifs et de mise en scène, alors cette parenté gagne une nouvelle signification. Husserl lui-même utilise le concept d’« archéologie phénoménologique », dans un texte de 1932 (ici présenté, pour la première fois en français) et ce, dans un sens programmatique. À partir de cet arrière-plan, une convergence se dessine entre les tentatives de Husserl et de Foucault, d’une part de comprendre leur propre entreprise comme archéologie et de pourvoir celle-ci du prestige d’une science héroïque et en même temps d’une sobriété toute positiviste ; d’autre part d’éviter l’implication d’une ontologie platonicienne-dualiste de l’apparence et de l’Être, de la surface et de la profondeur à travers des interprétations spécifiques, visant à mettre en place une disposition horizontale des objets.
Une guerre à couteaux tirés. Heidegger et le rationalisme
Authors: Perrin Christophe 
Published: October 2013

Opposant du rationalisme et opposé à son pendant, Heidegger n’a de cesse de penser la rationalité métaphysique pour nous prévenir du danger qu’elle contient et que manifeste le monde contemporain. Parce que nuancée – elle est contre une chose sans être pour son contraire – et limitée – elle prévient mais ne guérit rien –, sa position s’est heurtée aux caricatures et aux dénonciations. Aussi est-il quelque bonne raison à en proposer une défense par la bonne compréhension de sa plus fameuse illustration, celle qu’offre le mot « la science ne pense pas ». Après la considération de ce dit, de son dire et de ses redites, l’étude de l’essence de la technique permettra la saisie de cette science en son essence impensée.
Le corps du monstre
Authors: Fondacci Alain 
Published: October 2013

Transfert fraternel, transfert homosexuel... L’auteur avance qu’existe aussi pour Freud, et par ailleurs, dans le lien amical, la tentative répétée d’élaborer un trauma, (Ferenczi), de réparer un empiètement (Winnicott) par une « mère morte » (Green) hantée par son fils Julius. Le sentiment d’étrangement ( Vermorel ), le trouble d’identité primaire, de déréalisation, l’hallucinose, sont les expériences vécues, les manifestations, les formes temporelles, du trauma et du clivage post-traumatique, et l’auteur, selon la prescription freudienne d’une attention soutenue, en cherche les traces dans la créativité de Freud.
Poésie du rêve et dépersonnalisation
Authors: Civitarese Giuseppe , Avakian Daniela 
Published: October 2013

La capacité humaine de rêver, aussi bien de nuit qu’éveillé, peut être vue comme l’activité de construction d’un film de sens qui fonctionne comme un écran de pare-excitation par rapport au caractère traumatique du réel. La peau psychique que le rêve produit est le masque d’auto-illusion/fiction, au sens étymologique de « feindre » (figurer/penser), qui nous permet de devenir des personnes. En latin, « personne » signifie masque, précisément. Rêver exprimerait ainsi une capacité poétique de la psyché. Comme la poésie, le texte onirique vise à recomposer à chaque fois une harmonie entre le corps et la psyché, à redonner corps à la psyché ou alors à réinstaller la psyché dans le corps ; avec les mots de Winnicott, il vise à personnaliser, c’est-à-dire à faire avancer le processus de subjectivation.
Époché poème
Authors: Hamacher Werner 
Published: October 2013

Depuis son commencement chez Platon et Aristote, la philosophie se définit comme phénoménologie : comme un logos se portant lui-même à l'apparaître dans un pur intuitionner. Selon les derniers traits de sa philosophie dans la phénoménologie spéculative de Hegel et dans la phénoménologie transcendantale de Husserl, se signalent sa réduction au phénomène Esprit et la thèse originaire de l'Ego à travers une « relève » et une « époché » qui, elles, ne semblent pas davantage réductibles. À la lecture d'un poème de Paul Celan – Parenthèse ouverte, parenthèse fermée – , il devient clair que la poésie trouve la manière de conduire encore le résidu transcendantal et spéculatif de la phénoménalité, de l' aisthesis et de la thesis à ses plus extrêmes limites, de dépasser celles-ci, d'exposer le résidu dans une aphénoménalité absolue et de parler avec ce reste dépourvu d'apparence et de parole.
L'attendant, le venant, le pensant, l'écrivant, le lisant, le voyant, le noyant, le sauvant, le maintenant... Sur quelques types d'illumination profane chez Walter Benjamin
Authors: Wohlfarth Irving 
Published: October 2013

Les figures de Benjamin – oxymore, chiasme, ellipse, emploi particulier du gérondif – préfigurent la « langue universelle » également annoncée par Rimbaud dans sa lettre du voyant (1871). Les « illuminations » de l'un, largement inspirées par la Commune de Paris, et la « prose messianique » de l'autre, portée notamment par l'élan de l'URSS naissante, refondent les oppositions dominantes – raison⁄ivresse, théologie⁄matérialsme... – au nom d'une société sans classes. Or Rimbaud voit également venir « le temps des Assassins » ; et Benjamin de nouvelles exterminations du masse. La clairvoyance d'un Kafka, écrit-il à ce propos en 1938, résulte du désenchantement réciproque produit par l'interaction de deux forces inégales, la vieille mystique ruinée et la modernité ruineuse, chacune à elle seule étant inefficace et honteuse. Un essai antérieur, Sur le pouvoir mimétique , voit un désenchantement analogue – la liquidation⁄sublimation des anciens pouvoirs de clairvoyance – à l'œuvre dans la genèse du langage humain. Celui-ci aurait-t-il donc tracé la voie que l'histoire devra encore emprunter ? Cependant l'Ange de l'Histoire voit, médusé, l'innommable catastrophe du soi-disant Progrès tout entraîner dans sa Chute, surtout le langage. Comment donc résister au Capital déchaîné ? Deuil ( Trauer ), lamentation ( Klage ), grève ( Stillstellung ), détour ( Umweg ) retournement ( Umkehr ), écart ( Abweichung ), démantèlement ( Abbau ) : autant d'affects et de gestes qui comptent pour Benjamin parmi les seules véritables réponses humaines à la honte persistante de l'humain...
The Association between Use of a Clinical Decision Support Tool and Adherence to Monitoring for Medication-Laboratory Guidelines in the Ambulatory Setting
Authors: Lau B. , Overby C. L. , Wirtz H. S. , Devine E. B. 
Published: October 2013

SummaryBackground: Stage 2 Meaningful Use criteria require the use of clinical decision support systems (CDSS) on high priority health conditions to improve clinical quality measures. Although CDSS hold great promise, implementation has been fraught with challenges, evidence of their impact is mixed, and the optimal method of content delivery is unknown.Objective: The authors investigated whether implementation of a simple clinical decision support (CDS) tool was associated with improved prescriber adherence to national medication-laboratory monitoring guidelines for safety (hepatic function, renal function, myalgias/rhabdomyolysis) and intermediate outcomes for antidiabetic (Hemoglobin A1c; HbA1c) and antihyperlipidemic (low density lipoprotein; LDL) medications prescribed within a diabetes registry.Methods: This was a retrospective observational study conducted in three phases of CDS implementation (2008–2009): pre-, transition-, and post-Prescriptions evaluated were ordered from an electronic health record within a multispecialty medical group. Adherence was evaluated within and without applying guideline-imposed time constraints.Results: Forty-thousand prescriptions were ordered over three timeframes. For hepatic and renal function, the proportion of prescriptions for which labs were monitored at any time increased from 52% to 65% (p<0.001); those that met time guidelines, from 14% to 21% (p<0.001). Only 6% of required labs were drawn to monitor for myalgias/rhabdomyolysis, regardless of timeframe. Over 90% of safety labs were within normal limits. The proportion of labs monitored at any time for LDL increased from 56% to 64% (p<0.001); those that met time guidelines from 11% to 17% (p<0.001). The proportion of labs monitored at any time for HbA1c remained the same (72%); those that met time guidelines decreased from 45% to 41% (p<0.001).Conclusions: A simple CDS tool may be associated with improved adherence to guidelines. Efforts are needed to confirm findings and improve the timeliness of monitoring; investigations to optimize alerts should be ongoing.Citation: Lau B, Overby CL, Wirtz HS, Devine EB. The association between use of a clinical decision support tool and adherence to monitoring for medication-laboratory guidelines in the ambulatory setting. Appl ClinInf 2013; 4: 476–498http://dx.doi.org/10.4338/ACI-2013-06-RA-0041