bluuebunny/crossref_metadata_2025 huggingface dataset:
Prospects of Agricultural Education in Pakistan-Options and Challenges
Authors: Ashraf Saleem , Hassan Zakaria Yousaf , Ashraf Ijaz , Hassan Gulfam , Raza Hammad
Published: October 2018

Agricultural education is significant aspects as agriculture is the driving force of economy of the country. Published literature on agricultural education impact and challenges is scant. Hence, through a mixed methods technique, this chapter is formulated to bridge the literature gap and persuade others to carry on research. Grey literature and primary data collected through interviews was utilized to formulate this chapter. Collected data was qualitative in nature and through content analysis, a meaningful interpretation was created. Agricultural universities, training institutes and the Department of Extension are major pillars for agricultural education of students and the farming masses. Different case studies are quoted inside the chapter to reflect trends, impacts and challenges. This chapter summarized that the quality of agricultural education across the country is poor and quantity-oriented. For quality assurance we would have to shift our priorities and develop holistic approaches to bring improved quality, particularly in agricultural institutions.
Experiences and Challenges of the Chinese Rural Education Development in the Context of the Rapid Urbanization
Authors: Wu Chenbing , Lyu Cong , Li Jiacheng
Published: October 2018

With the speeding-up of the Chinese economy, China is experiencing the rapid urbanization. Meanwhile, the Chinese rural education is also developing, which has made great progress in recent years. However, inequity between urban and rural education prevalently exists in China, and the unbalanced development of urban and rural areas still influences the Chinese education. However, the Chinese have taken a lot of measures to enhance the quality of rural education, such as ad hoc post policy, the school meal program, and so on. In addition, the rural schools have also launched some activities to develop the students and to serve the society.
Efficacy of adalimumab in moderate to severe hidradenitis suppurativa: Real life data
Authors: Kyriakou Aikaterini , Trigoni Anastasia , Galanis Nikiforos , Sotiriadis Dimitrios , Patsatsi Aikaterini
Published: October 2018

Hidradenitis suppurativa (HS) is a relapsing, inflammatory disease characterized by painful nodules, abscesses, sinuses track formation and scarring. HS has a great impact on patients’ quality of life and its treatment may be really challenging. Adalimumab provides a new therapeutic option for HS. Our aim was to assess the therapeutic potential of adalimumab on patients with HS based on the data from the daily clinical practice of an HS Outpatient Clinic. 19 patients with clinically evident moderate to severe HS, under adalimumab treatment for at least 24 week, participated in this observational, retrospective study. The Hidradenitis Suppurativa Physician’s Global Assessment scale, Modified Santorius scale and Dermatology Life Quality Index (DLQI) at baseline, week 4, week 12 and week 24 were retrieved from the records. Both Modified Santorius score and DLQI were significantly decreased during the weeks of evaluation (Friedman’s test; P < 0.001). The proportion of patients who achieved clinical response was 10.5% (n = 2) at week 4, 42.1% (n = 8) at week 12 and 63.2% (n = 12) at week 24. Treatment with adalimumab was linked with both clinical remission of HS and improvement of patients’ quality of life.
Knee kinematics in anatomic anterior cruciate ligament reconstruction with four- and five-strand hamstring tendon autografts
Authors: Sideris Anders , Hamze Ali , Bertollo Nicky , Broe David , Walsh William
Published: October 2018

An alternative to the gold standard fourstrand hamstring tendon autograft for anterior cruciate ligament (ACL) reconstruction is the five-strand graft. The rationale for its use is to increase graft width to better restore the anatomical footprint and biomechanical properties of the native ACL when unable to create a four-strand graft of 8 mm in diameter. To date, there are no trials assessing the use of this wider graft and its effect on the kinematics of the knee. The aim of this study was to determine whether the use of a wider five-strand hamstring tendon autograft in ACL reconstructive surgery better replicated the kinematics of a normal non-injured knee than the gold standard four-strand graft. Forty-four patients (27 operative and 17 normal control) were recruited for this study over a 12-month period. Twenty patients underwent anterior cruciate ligament reconstruction with the four-strand hamstring tendon autograft construct and seven with the five-strand construct. All patients underwent kinematic testing using the KneeKG System (EMOVI, CA) according to a strict testing protocol. The operative group underwent testing at six (T1) and twelve (T2) weeks postoperatively. Analysis of variance was used to compare six degrees of freedom kinematic data across groups and correlations were made between kinematic data and intraoperatively measured graft width. Postoperative kinematic data revealed no statistically significant differences between graft types. At 12 weeks significant differences were seen between the four-strand and control group in the flexion/extension cycle in the preloading phase and at terminal stance. Significant correlations were seen between graft width and rotational stability at Preloading (Pearson’s r=0.415) and Maximum Internal Rotation (Femoral Width Pearson’s r=0.456 and Tibial Width Pearson’s r=0.476) at 12 weeks regardless of graft type. This study demonstrated that to achieve anatomic knee kinematics in primary ACL reconstruction in the first 12 weeks postoperatively, a technique to optimise autograft width using a five-strand hamstring tendon autograft is useful. A relationship was found between graft width and more stable rotational kinematics of the knee during walking, regardless of graft type.
Agtergronde van die ekumeniese beweging
Authors: Van Zyl F.J.
Published: October 2018

No abstract available.
Gister, Vandag en Môre
Authors: Pont A.D.
Published: October 2018

No abstract available.
Boekbesprekings
Authors: De Wet J.I. , Dreyer P.S. , Muller J.J.P.
Published: October 2018

No abstract available.
Newton Complementary Duals of -Ideals
Authors: Budd Samuel , Van Tuyl Adam
Published: October 2018

A square-free monomial ideal$I$of$k[x_{1},\ldots ,x_{n}]$is said to be an$f$-ideal if the facet complex and non-face complex associated with$I$have the same$f$-vector. We show that$I$is an$f$-ideal if and only if its Newton complementary dual$\widehat{I}$is also an$f$-ideal. Because of this duality, previous results about some classes of$f$-ideals can be extended to a much larger class of$f$-ideals. An interesting by-product of our work is an alternative formulation of the Kruskal–Katona theorem for$f$-vectors of simplicial complexes.
Étude du potentiel de valorisation énergétique du biogaz de la décharge d’Akouédo (Abidjan, Côte d’Ivoire)
Authors: Adjiri Adjiri , Koudou Aimé , Soro Gbombélé , Biemi Jean
Published: October 2018

This study aims to evaluate the biogas production potential of the Akouédo landfill in Abidjan, Ivory Coast. Buried biodegradable organic waste generates biogas, which in particular contains methane, which is a greenhouse gas, but is also an alternative source of energy. An efficient capture of biogas thus makes it possible on the one hand to avoid diffuse emissions into the atmosphere and the associated impacts on the increase of the greenhouse effect, and on the other hand the energy recuperation of methane. Productivity measurements were made at the landfill site under static and intermittent pumping conditions. The results reveal a high biogas production potential composed of an average of 71.30 % v/v of methane and 27.10 % v/v of CO2. The monitoring carried out on the different wells of catchment suggests statistically a relatively uniform production on the whole of the site. However, many factors influence the production potential, including moisture and compaction of the waste mass, age and nature of waste, landfill methods, and so on. The valorization of methane must take into account these constraints for a faster amortization of the investment.

Cette étude a pour objectif d’évaluer le potentiel de production de biogaz de la décharge d’Akouédo d’Abidjan en Côte d’Ivoire. Les déchets organiques biodégradables enfouis génèrent du biogaz contenant notamment du méthane qui est un gaz à effet de serre mais constitue également une source d’énergie alternative. Un captage efficace du biogaz permet donc d’une part d’éviter les émissions diffuses dans l’atmosphère et les impacts associés sur l’augmentation de l’effet de serre, et d’autre part la valorisation énergétique du méthane. Des mesures de productivité ont été réalisées sur le site de la décharge dans des conditions statiques et de pompage intermittents. Les résultats révèlent un potentiel élevé de production de biogaz composé en moyenne 71,30 % v/v de méthane et 27,10 % v/v de CO2. Les suivis réalisés sur les différents puits de captage suggèrent statistiquement une production relativement uniforme sur l’ensemble du site. Cependant, de nombreux facteurs influencent le potentiel de production, notamment l’humidité et la compaction du massif de déchets, l’âge et la nature des déchets, les méthodes d’enfouissement, etc. La valorisation du méthane doit prendre en compte ces contraintes pour un amortissement plus rapide de l’investissement.
Dealing with diversity and anti-racism in adult education: An institutional perspective
Authors: Sprung Annette
Published: October 2018

This paper discusses organisational development in institutions of adult education aimed at enhancing diversity and preventing the discrimination of migrants. A critical analysis of three approaches, inter- cultural opening, managing diversity and fighting institutional racism, will be presented and amplified in the light of critical whiteness studies. The concepts differ in terms of their main goals, traditions, fields of practice and discourses of legitimation. The paper is based on the theoretical and empirical results of an Austrian applied research project, which explored how adult education institutions deal with migrant-related diversity. Finally, a strategic approach for opening up Austrian adult education for migrants, which was developed as part of the project, is presented.
Emancipatorne prakse s perspektive študentske populacije
Authors: Razpotnik Špela
Published: October 2018

V članku so raziskane in predstavljene perspektive udeleženih v različnih emancipatornih praksah, porajajočih se znotraj visokošolskega prostora, konkretno na ljubljanski Pedagoški fakulteti. Prek emancipatornih praks se udejanjajo nekatera ključna načela socialne pedagogike, kot so pedagogika srečevanja, delovanje v življenjskem prostoru, poskus potopitve v resničnosti ljudi, ki nas zanimajo, ter preseganje ločnic »mi-oni« s praksami zabrisovanja. Empirični del izhaja iz pripovedi in refleksij študentov in študentk, udeleženih v petih tovrstnih praksah, ter nam približa, kako oni koncipirajo tovrstno udejstvovanje in kaj to zanje pomeni. Komponente, ki jih udeleženi v tovrstnih praksah omenjajo kot ključne, so: avtonomija, ustvarjanje povezane in horizontalno delujoče skupine, poskusi preseganja institucionalnih omejitev ter omogočanje prostora za kritični razmislek in ustvarjanje sprememb; glavni omejitvi, ki ju pri tovrstnih praksah zaznavajo, pa sta začasnost in z njo omejen domet tovrstnih praks v smislu vidnih družbenih sprememb.
Jezikovna izobraževanja za odrasle priseljence na primeru francoskega nevladnega sektorja
Authors: Gorenc Vesna
Published: October 2018

V članku je predstavljena praksa jezikovnih izobraževanj za odrasle priseljence v Franciji. Avtorica se osredotoča na nevladni sektor v pariški regiji, ki se pogosto opira na metodo sociolingvističnih delavnic. Slednja poskuša hitro in učinkovito odgovoriti na komunikativne in socialne potrebe priseljencev v novem okolju. Obstaja še vrsta drugih načinov in pristopov poučevanja francoščine, kot je na primer »sprejemna delavnica« društva Atouts Cours, ki jo predstavlja avtorica ter dodaja nekaj strokovnih in izkustvenih spoznanj. Zaključi z razmislekom o možnih aplikacijah svojih ugotovitev v slovensko prakso.
Radicalising citizenship education
Authors: Moir Stuart , Crowther Jim
Published: October 2018

Democracy faces two key threats today. The first is evident in the growth of authoritarian, right-wing, populism which is evident in a number of European countries and beyond. The second has been the un- dermining of democratic life by neoliberalism. Liberal democracy has aided the latter by the separation of economics from politics and the focus on the individual at the expense of the public sector and the common good. At the same time, some of the virtues of liberal democracy – the separation of powers, for example – are threatened by authoritarianism. We argue the importance of a critical engagement with current versions of democracy by drawing on a more participatory and active democratic tradition. This has significant implications for how we view citizenship and citizenship education. The dominant ver- sion of citizenship education in Scotland and the UK (possibly in Europe too) embodies a ‘minimalist’ model of citizenship through a curriculum for taking personal responsibility. This is inadequate for the challenge democracy faces. We argue the need to ground citizenship education in more radical soil, to nurture a critically engaged and active citizenry capable of challenging the democratic threats of right- wing populism and neoliberal subjectivity.
Participacija starejših odraslih v praksah skupnosti in v skupnosti prakse
Authors: Gregorčič Marta
Published: October 2018

Članek predstavlja analizo fokusne skupine, ki je bila marca letos izvedena v občini Ajdovščina v okviru projekta Old Guys Say Yes to Community. V projektu z evropskimi partnerji ugotavljamo vključenost starejših odraslih (zlasti moških 60+) v prakse skupnosti in skupnosti prakse, v članku pa analiziramo, kako udeleženci fokusne skupine iz Ajdovščine opažajo in razumejo vključevanje starejših odraslih v svojem okolju ter kje vidijo ovire in možnosti za večjo vključenost moških 60+ v tovrstne prakse. Z metodo odprtega kodiranja in identificiranjem preliminarnih tematskih kategorij ter prek selektivnega kodiranja in sintetiziranja konceptualnih kategorij je bilo ugotovljeno, da so udeleženci fokusne skupine svoje družbeno okolje opredeljevali prek socioloških vidikov in societalnih vrednot, najranljivejših populacij (kamor so prištevali tudi starejše odrasle) in preživetvenih strategij ter ustvarjalnosti kot prispevka starejših občanov k razvoju skupnosti. Izzive in vizije za kakovostno in dostojno življenje starejših odraslih so oprli zlasti na varstvo in skrbstvo, medtem ko so možnosti za skupnosti prakse videli v raznolikih že obstoječih in drugih izobraževalnih in učnih programih, informiranju in ozaveščanju o njih ter premišljanju o nadomestnih aktivnostih za vključevanje moških (60+) v družbeno življenje. Poudarjeni so bili še vloga ozaveščanja moških o pomenu iskanja novih družbenih okolij že v procesu upokojevanja, pripravljenost za prenos dobrih praks v svoje lokalno okolje itn. Ugotovitve analize fokusne skupine so relevantne za nadaljnje raziskovanje vključenosti starejših moških v skupnost v Sloveniji in Evropi, kjer se tovrstni razmisleki šele vzpostavljajo.
Globalisation and europeanisation of adult education
Authors: Borut Mikulec
Published: October 2018

This thematic issue of Andragogic Perspectives brings to the fore a topic which has, since the turn of the century, enjoyed considerable international attention in the field of (adult) education and lifelong learning. In Slovenia, however, the influence of globalisation and/ or Europeanisation on adult education has not in fact been systematically addressed. The editorial board made the decision to encourage a wide-ranging discussion about the influence and impact of globalisation and/or Europeanisation processes on adult education and learning, lifelong learning and higher education, hence the current thematic issue.
The usefulness of adult education: Lifelong learning in the European Union and the portuguese public policy
Authors: Guimarães Paula
Published: October 2018

The article first discusses the aims of lifelong learning proposed by the European Union and then analyses the reinterpretations present in the Portuguese policies of adult education in the last two decades. Finally, the influence of the European Union on policy discourses in Portugal is stressed, with increasing attention paid to the usefulness of adult education in relation to economic development and human resource management, while humanistic meanings and aims concerning critical education may be found to a lesser extent.
Nova oblika vladavine v Evropski uniji in njeni izrazi na področju izobraževanja odraslih v Sloveniji
Authors: Štremfel Urška
Published: October 2018

V središču prispevka je odprta metoda koordinacije (OMK) na področju izobraževalnih politik. Pri tem v prispevku sledimo opredelitvam, da OMK ni nevtralna metoda, kot to prikazujejo njene izvorne opredelitve, temveč posebna oblika (političnega) vladanja. Temeljni uvidi v predpostavke njenega delovanja so predstavljeni na podlagi teoretsko-konceptualnega okvira nove oblike vladavine, evropeizacije, javnopolitičnega učenja in na podatkih temelječega oblikovanja politik, metoda pa je osvetljena tudi z analizo konkretnih mehanizmov njenega delovanja (sprejetih formalnih javnopolitičnih in drugih neformalnih dokumentov ter izvedenih aktivnosti) v evropskem in slovenskem izobraževalnem prostoru. V prispevku prikazujemo, kako se je evropsko sodelovanje na področju izobraževanja odraslih od leta 2000 dalje na podlagi uporabe posameznih elementov OMK poglobilo in kakšne implikacije so navedeni procesi imeli za vsebino in postopke oblikovanja politik izobraževanja odraslih v Sloveniji v preučevanem obdobju. Z navedenimi izsledki osvetljujemo doslej zaznano nekritično sprejemanje evropskih usmeritev na področju izobraževanja odraslih v Sloveniji.
Vpliv evropeizacije izobraževanja na potrženje in poblagovljenje politike in prakse izobraževanja odraslih v Sloveniji
Authors: Jelenc Krašovec Sabina , Mikulec Borut
Published: October 2018

V prispevku preučujemo evropeizacijske vplive na oblikovanje politike in prakse izobraževanja odraslih v Sloveniji. V prvem delu pojasnjujemo koncept evropeizacije izobraževanja, analiziramo evropsko politiko izobraževanja odraslih in opozarjamo na prevladujočo instrumentalno ekonomistično konceptualizacijo izobraževanja odraslih. V drugem, empiričnem delu analiziramo politiko izobraževanja odraslih – resoluciji o nacionalnem programu izobraževanja odraslih (2004, 2013) ter letne programe izobraževanja odraslih za obdobje od 2005 do 2018 – in opažamo, kako je evropski ekonomistični diskurz prežel nacionalni kontekst, kakor tudi, kako so finančni mehanizmi potržili področje izobraževanja odraslih v Sloveniji. Ugotavljamo, da se je slovenska politika izobraževanja odraslih priporočilom Evropske unije prilagodila tako, da so od začetka krize v letu 2008 do leta 2016 nacionalna sredstva za izobraževanje odraslih stalno upadala, kar je posledica varčevalnih ukrepov, ki zadevajo izobraževalni sistem, šele po letu 2016 so se postopno začela spet povečevati. S tem ko se Slovenija vztrajno podreja evropskim standardom, ki vključujejo zlasti reformo poklicnega izobraževanja, privatizacijo in komercializacijo izobraževanja odraslih, izgublja svojo izhodiščno vlogo, ki jo je pri razvoju izobraževanja odraslih imela po osamosvojitvi.
Bottom-up cultural initiatives in local communities – between retreat and social engagement
Authors: Słowińska Sylwia
Published: October 2018

The goal of this text is to discuss the ways in which the creators/organizers of bottom-up cultural initiatives in local communities shape relationships with these communities and to present their involvement in the communities’ affairs and problems. This is considered in the context of concepts of local education and learning in the local community. I describe five ways of shaping relations with the local community that can be located on a continuum between two poles: retreat (distance from the community) and engagement in its affairs. In the conclusion I present three models of bottom-up cultural initiatives constructed on the basis of the research findings: enclave, niche and platform initiatives. At the end I point out that all three types of bottom-up cultural initiatives provide various opportunities for learning in local communities, but it is primarily ‘platforms’ that create a space of local education strictly connected with the needs and problems of the local community.
Assessing London CO2, CH4 and CO emissions using aircraft measurements and dispersion modelling
Authors: Pitt Joseph , Allen Grant , Bauguitte Stéphane , Gallagher Martin , Lee James , Drysdale Will , Nelson Bethany , Manning Alistair , Palmer Paul
Published: October 2018

Abstract. We present a new modelling approach for assessing atmospheric emissions from a city, using an aircraft measurement sampling strategy similar to that employed by previous mass balance studies. Unlike conventional mass balance methods, our approach does not assume that city-scale emissions are confined to a well-defined urban area and that peri-urban emissions are negligible. We apply our new approach to a case study conducted in March 2016, investigating CO, CH4 and CO2 emissions from London using aircraft sampling of the downwind plume. For each species, we simulate the flux per unit area that would be observed at the aircraft sampling locations based on emissions from the UK national inventory, transported using a Lagrangian dispersion model. To reconcile this simulation with the measured flux per unit area, assuming the transport model is not biased, we require that inventory values of CO, CH4, and CO2 are scaled by 1.00, 0.70, and 1.57, respectively. However, our result for CO2 must be treated with strong caution as we do not account for the influence of the land and ocean biosphere in this work. For comparison, we also calculate fluxes using a conventional mass balance approach and compare these to the emissions inventory aggregated over the Greater London area. Using this method we derive much higher inventory scale factors for all three gases, as a direct consequence of neglecting emissions outside the Greater London boundary. That substantially different conclusions are drawn using the conventional mass balance method demonstrates the danger of using this technique for cities whose emissions cannot be separated from significant surrounding sources.
Characteristics of ozone and particles in the near-surface atmosphere in urban area of the Yangtze River Delta, China
Authors: Chen Huimin , Zhuang Bingliang , Liu Jane , Wang Tijian , Li Shu , Xie Min , Li Mengmeng , Chen Pulong , Zhao Ming
Published: October 2018

Abstract. To improve the understanding of the interactions between particles and trace gases in a typical city of the YRD region, continuous measurements of particles and trace gases were made at an urban site in Nanjing during cold seasons in 2016 in this study. The average of particles, including black carbon (BC), PM2.5, and PM10 are 2.602 ± 1.720 μg/m3, 58.2 ± 36.8 μg/m3, and 86.3 ± 50.8 μg/m3, respectively, while the average of trace gases, which contain CO, O3, NOx, and NOy, are 850.9 ± 384.1, 37.7 ± 33.5, 23.5 ± 14.7, and 32.8 ± 22.3 ppb, respectively. Compared to National Ambient Air Quality Standards in China (NAAQS-CN), we found 48 days excess of PM2.5, 14 days excess of PM10, and 40 days excess of O3. The particles, CO, and nitrogen oxide concentrations shared a similar pattern of seasonality and diurnal cycles, which are different from O3. The former ones are all high in DJF and at rush hours, while the latter one had high loadings in the daytime, especially when the ultra violet (UV) was high. Correlation analysis reveals the formation of secondary aerosols, especially PM2.5, under high O3 and temperature conditions, and suggests a VOC-sensitive regime for photochemical production of O3 in urban Nanjing in cold seasons. Backward trajectory analysis suggests the prevailing winds in Nanjing were northerly and easterly during cold seasons in 2016. Air masses from eastern without passing through the urban agglomeration and those from northern without crossing BTH regions were cleaner, but air masses from local regions were more polluted in winter. A case study for a typical O3 and PM2.5 episode in December 2016 demonstrated that the episode was generally associated with regional transport and stable weather system. Air pollutants were mostly transported from the western areas with high emissions and weather conditions are controlled by anticyclone and high-pressure system in this region. This study further reveals the important effects of weather system and human activities on the environment in the YRD region, especially in the urban areas, and it's an urgent need for improving air quality in these areas.
The Ogooue Fan (Gabon): a modern example of deep-sea system on a complex sea-floor topography
Authors: Mignard Salomé , Mulder Thierry , Martinez Philippe , Garlan Thierry
Published: October 2018

Abstract. The Ogooue deep-sea Fan located in the northeastern part of the Gulf of Guinea expands over more than 550 km westwards of the Gabonese shelf and passes through the Cameroun volcanic line. Here are presented the first study of acoustic data (multibeam echosounder and 3.5 kHz seismic data) and piston cores covering the deep-sea part of this West African system. This study led to the construction of the sedimentary processes map of this area. The overall system corresponds to a well-developed mud-sand rich deep-sea fan, fed by the Ogooue River 'sedimentary load. This system presents the typical morphological elements of clastic slope apron: tributary canyons, distributary channel-levees systems and lobes elements. However, variations on the slope gradient cumulated with the presence of numerous seamounts, including volcanic islands and mud volcanoes, led to a more complex fan architecture and sedimentary facies distribution. In particular, turbidity currents derived from the Gabonese shelf deposit across several interconnected sedimentary sub-basins located on the low gradient segments of the margin. The repeated spill-overs of the most energetic turbidite flows have notably led to the incision of a large distal valley connecting an intermediate sedimentary basin to the more distal lobe area. The sedimentary facies repartition over the fan indicates that pelagic to hemipelagic sedimentation is dominant across the area. Distribution and thickness of turbidite sand beds is highly variable along the system, however turbidite sands preferentially deposit in the bottom of channel-levee systems and on the most proximal depositional areas. The most distal depocenters receive only the upper parts of the flows, which are composed of fine-grained sediments. The Ogooue deep-sea system is predominantly active during periods of low sea-level because canyon heads are separated from terrestrial sediment sources by the broad shelf. However, the northern part of this system appears active during sea-level highstands. This feature is one deeply incised canyon, the Cape Lopez canyon, located on a narrower part of the continental shelf has a different behaviour and receives sediments transported by the longshore drift.
A Call to Action: Nurse Leader Succession Plan in Acute Care
Authors: Kerich Mary
Published: October 2018

Nurse leader succession plan in acute care is a business strategy that has a financial impact. Quality care and patient safety is reliant on effective clinical leadership. Efficiency and effectiveness in care delivery processes and outcomes translate into corporate financial sustainability. The premise of nurse leader succession plan is to build leadership capacity for clinicians, and enlarge nursing portfolio. Potential candidates acquire skills and knowledge pertinent to professional growth and leadership roles. Structured mentorship program focus on inter-professional collaboration that enhance clinical and leadership competencies. Individualized professional development plans align competencies with personal career goals. Emerging nurse leaders are inspired to demonstrate commitment and ownership of healthcare processes and outcomes. Regular performance appraisal and feedback provide objectivity in training and development programs. Additionally, communication and relationship management lead to efficiency and mentorship program integration. Succession plan and leadership development advances nursing discipline, autonomy, career development and job satisfaction. Therefore, a nurse leader succession plan provides a reflection on the voice of a nurse in hospital environment.
“You can stay here with your papa and die or you can go with me”: The Ethical Imperative of The Road
Authors: Elmore Rick , Elmore Jonathan
Published: October 2018

Critics remain divided over the moral of The Road. Is McCarthy's post- apocalyptic novel a Christian allegory, a critique of capitalism, or a meditation on the indifference of the universe? While all these accounts have their merits, this article argues that an investigation of the historical and cultural setting of The Road and a detailed reading of the novel's conclusion demonstrate that The Road is a didactic novel, laying out direct ethical imperatives. Through an analysis of the dream of the cave with which the novel begins and ends, we show that there never was any possibility of returning to the world or worldview of the novel's father, a worldview defined by an ethos of individual survival over communal sharing. Hence, in the figure of the son, McCarthy develops an ethos toward community and the alleviation of suffering, one that the novel suggests might be the only hope for humans at the end of the world.
Evaluación de la indicación de cateterismo cardíaco diagnóstico a pacientes con enfermedad arterial coronaria.
Authors: Granados Flores Neftalí Alexander
Published: October 2018

Objetivo. Identificar si el procedimiento de cateterismo cardíaco es indicado adecuadamente a los pacientes con sospecha de enfermedad arterial coronaria, en el Hospital Médico Quirúrgico del Instituto Salvadoreño del Seguro Social, de enero a diciembre 2016. Metodología. Estudio descriptivo retrospectivo. Se realizó una revisión de 290 expedientes clínicos, se calculó la muestra a través del net quest, resultando 209 expedientes de pacientes sometidos a cateterismo cardíaco. Se cataloga la indicación del cateterismo como apropiada, incierta o inadecuada. El riesgo pre test de coronariopatía se calculó con los Global Registry of Acute Coronary Events and Thrombolysis in Myocardial Infarction Scores. Utilizando Chi-cuadrado se compararon las variables categóricas. Resultados. La mayor parte de pacientes sometidos a cateterismo cardíaco fueron hombres mayores de 50 años, con alto riesgo pretest para coronariopatía, tanto por el Global Registry of Acute Coronary Events Score como por el Thrombolysis in Myocardial Infarction Score. Se observó una relación entre el grado del riesgo pre test para coronariopatía y la identificación de lesión angiográfica. Respecto a la categoría asignada con base en los “Criterios de uso apropiado del cateterismo cardiaco diagnóstico”, el 68% de los cateterismos se catalogaron como indicación apropiada y de estos, en el 99% se pudo detectar enfermedad arterial coronaria. Conclusiones. Los cateterismos cardíacos están siendo indicados de manera adecuada en el Hospital Médico Quirúrgico. Existe relación entre el riesgo pretest para coronariopatía y la categoría asignada a la indicación del cateterismo, de acuerdo con el Appropriate Use Criteria for Diagnostic Catheterization en la identificación de enfermedad arterial coronaria.Alerta Año 2018, Vol. 1 No. 1: 18-25
“¡Qué manos más grandes tienes!” Hallazgos de un tumor musculoesquelético – neurogénico
Authors: Frank Cristiam , Ramírez Bautista
Published: October 2018

La macrodistrofia lipomatosa es una entidad nosológica descrita por primera vez en 1953, con afectación del sistema nervioso periférico, asociado a infiltración grasa y que se expresa por sobrecrecimiento de los tejidos a los que corresponde la inervación del nervio afectado, siendo mayormente involucrado en esta patología el nervio mediano. El caso clínico trata de un paciente adolescente, quien consultó con historia de dolor, dificultad a la flexión y crecimiento de los tejidos blandos y óseos de la mano derecha, identificándose en una radiografía convencional de ambas manos sobrecrecimiento (aumento de volumen) de la mano derecha. Lo anterior fue confirmado mediante ultrasonografía y resonancia magnética. En el pasado, la macrodistrofia lipomatosa del nervio mediano era una patología que se confirmaba mediante histopatología. En la actualidad, su diagnóstico se realiza por hallazgos que se reportan a través de resonancia magnética, como en el presente caso clínico.Alerta Año 2018, Vol. 1 No. 1: 72-76
Prólogo Vol. 1 No. 1
Authors: Pleités Sandoval Ernesto
Published: October 2018

Alerta Año 2018, Vol. 1 No. 1: 4-5
Condiciones de integración y fragmentación en la configuración de comunidades académicas en una universidad pública hondureña
Authors: Barahona Henry Elma
Published: October 2018

La comunidad académica, es un concepto que surgió con la universidad moderna de investigación en Alemania (Clark, 1997), con el propósito de cultivar la ciencia a través de la investigación científica. En la actualidad, a toda institución que se denomine universidad, se le exige desarrollar investigación, sin embargo, esto será posible si cuentan con una comunidad académica, la cual puede encontrarse en diferentes grados de madurez en cuanto al desarrollo de la disciplina científica y la interdisciplina. Dado lo anterior, se presentan los resultados obtenidos al estudiar la comunidad académica en el contexto de una universidad pública con modelo profesionalizante en Honduras, a fin de comprender las condiciones de integración y fragmentación que influyen en su configuración. Los resultados evidenciaron dos macro dinámicas de interacción que se presentan a nivel institucional y que explican las condiciones de integracion y fragmentación en la configuracion de comundiades académicas, siendo estas: (a) conflicto y estacamiento conceptual versus fragmentación-rigidez estructural y (b) condiciones para el cambio progresivo a nivel conceptual y estructural. A partir de estas dinámicas, identificaron tres perspectivas para desarrollar futuras investigaciones, como ser: la perspectiva teorica-metodologica y etica, perspectiva desde la gestion y administracion universitaria, y la perspectiva desde gestión de la educación superior.
Enseñanza de la dimensión social en la formación de profesionales de odontología en la Universidad Nacional Autónoma de Honduras
Authors: Barahona Henry Claudia , Moncada Godoy German
Published: October 2018

Los y las docentes universitarios se encuentran ante la transición de la enseñanza enfocada en un paradigma cuyo objeto de estudio es fraccionado e individual para movilizarse hacia concepciones que plantean un sentido holístico en la visión de salud. Las implicaciones de estas transformaciones para el trabajo de enseñanza se analizan en esta investigación delimitada a la formación de profesionales de Odontología en el contexto de la Universidad Nacional Autónoma de Honduras (UNAH) en Tegucigalpa, Honduras. Se dio especial atención a cómo se enseña el eje de la dimensión social, primero, desde la contrastación del paradigma biologicista vigente en la enseñanza odontológica y la propuesta de una mirada más integradora del proceso salud enfermedad, identificado en el Modelo de Atención Primaria de Salud; y segundo, desde el análisis de una serie de categorías que identifican el conocimiento base para la enseñanza propuesto por Lee Shulman (1987).
Formación inicial de docentes para la atención a la diversidad en contextos inclusivos
Authors: Paz Delgado Carla Leticia
Published: October 2018

Los docentes son una pieza fundamental del proceso educativo. Por ello, su calidad profesional, desempeño laboral, y compromiso con los resultados son elementos claves para que la educación responda a las demandas de la sociedad actual en armonía con las expectativas de las comunidades, las familias y los estudiantes (OREALC, 2006). Sumado a ello, los nuevos modelos educativos y la concepción de la diversidad como un valor intrínseco de la educación exigen un nuevo perfil docente. En este sentido la presente investigación, tuvo como propósito identificar un modelo de formación inicial de docentes para atender la diversidad, para ello se realizó un proceso de investigación -acción con estudiantes de la carrera de Educación Básica. Como resultado de la implementación del plan de acción, los participantes manifestaron haber incrementado las competencias vinculadas con la atención a la diversidad en contextos inclusivos.
A biotic strategy to sequester carbon in the ornamental containerized bedding plant production: A review
Authors: Alvarez Jose M. , Pasian Claudio , Lal Rattan , Lopez-Nuñez Rafael , Fernández Manuel
Published: October 2018

Identifying options of climate change mitigation is of global interest to researchers. Whereas wide range of techniques of reducing greenhouse gas (GHG) emissions and carbon sequestration have been studied in row crops and forest systems, little research has been done on the ornamental horticulture. The ornamental industrial sector has indeed some negative impacts on the global environment, but also presents opportunities to reduce GHG emissions and increase C sequestration. Thus the objective of this study was to synthesize the potential contributions of some substrates used in the horticultural sector to carbon sequestration. The specific focus of the review is on the possible use of compost, vermicompost and biochar as soilless substrate substitutes for containerized ornamental plants production. Around 11 million kilograms of sphagnum peat moss are used annually in the world for horticultural production. Therefore, the potential of using compost, vermicompost and biochar as growing media is assessed on the basis of data from greenhouse studies. Peat-based substrate can be substituted up to 30% to 35% by compost or vermicompost and up to 20% to 25% by biochar. Some examples from field studies are included to conduct the life cycle assessment of using these growth media. An estimate of C storage on the long-term basis in soil indicates up to 3 million tons of CO2 equivalent as the maximum C potential storage per year in the global productive sector if the peat-based growing media are substituted by compost/vermicompost and biochar at the ratios mentioned above. Finally, synergies between compost vermicompost and biochar are discussed when these materials are combined as growing media additives and research gaps in this area of activity have been identified for further research.
Common Tumors and Tumor-like Lesions of the Shoulder
Authors: Lee Donald H. , Hills Jeffrey M. , Jordanov Martin I. , Jaffe Kenneth A.
Published: October 2018

Shoulder lesions range from tumor-like lesions such as simple bone cysts to aggressive high-grade sarcomas. The clinical presentation is often nonspecific with shoulder pain as the primary complaint, which may lead to a delayed or missed diagnosis. Delayed diagnosis or a poorly planned biopsy of a malignant shoulder lesion can have a detrimental effect on the patient's prognosis and treatment options. Because the initial patient assessment is crucial for successful treatment, knowledge of the key features of common shoulder tumors and tumor-like conditions can help determine the diagnosis and treatment plan. This article reviews the key features and treatment options of the more commonly encountered benign and malignant shoulder bone and soft-tissue tumors and tumor-like conditions.
Alzheimer Dementia in the Orthopaedic Patient
Authors: Aneja Arun , Zuelzer David A. , Moghadamian Eric S. , Kates Stephen L.
Published: October 2018

Alzheimer disease is a neurologic disorder characterized by the progressive cognitive decline. As the population continues to age, orthopaedic surgeons need to become familiar with surgical and nonsurgical treatment considerations in this complex population. Despite the advances in geriatric and dementia care, surgical and postoperative management of both elective and emergent surgery remain complex and controversial in this patient population. Appropriate perioperative and postoperative management can optimize outcomes, and the management can significantly affect the quality of life of patient and caregiver and limit disease burden. Any treatment decision should be guided first and foremost by the goals of care as agreed between the surgeon, other providers, and family. Surgical management must be demand matched to the patient accounting for the severity of disease, life expectancy, and the social support system. The authors conducted a literature review of Alzheimer dementia care in orthopaedic patients via a Pubmed search of relevant articles published since 1980.
Meniscal and Chondral Pathology Associated With Anterior Cruciate Ligament Injuries
Authors: Pike Andrew N. , Patzkowski Jeanne C. , Bottoni Craig R.
Published: October 2018

Anterior cruciate ligament (ACL) ruptures are commonly associated with meniscal and articular cartilage injuries, and the presence of these defects influences both short- and long-term outcomes. Multiple variables are predictive of this pathology including time from injury, age, and sex. Revision ACL reconstructions demonstrate higher rates of chondral injury than primary reconstructions. Menisci are important secondary stabilizers of the knee in the setting of ACL deficiency, and specific tear types are more consistently associated with ACL injury. Successful outcomes with multiple treatment options for meniscal tears in conjunction with ACL reconstruction have been reported. Maintaining meniscal integrity may be protective of both joint surfaces and graft stability in the long term; however, clear treatment recommendations for tear subtypes remain ill defined. High-grade chondral defects have the most consistent and potentially largest negative effect on long-term patient-reported outcomes; however, optimal treatment is also controversial with successful results demonstrated with several modalities including benign neglect.
Prevalence and Risk Factors of Limited Musculoskeletal Health Literacy in the Outpatient Setting: A Logistic Regression Model
Authors: Noback Peter C. , Seetharaman Mani , Tantigate Direk , Strauch Robert J. , Rosenwasser Melvin P. , Vosseller J. Turner
Published: October 2018

Introduction:

The purpose of this study was to determine the risk factors of limited musculoskeletal health literacy (MHL) in a general population of orthopaedic patients.

Methods:

Patients presenting to either a foot or ankle surgeon or hand or wrist surgeon were given the Literacy in Musculoskeletal Problems (LiMP) questionnaire, a nine-item survey for assessing “limited” MHL (LiMP score < 6). After confirming group homogeneity, the two populations were analyzed together to determine factors significantly correlated with and predictive of limited MHL.

Results:

Overall, 231 patients were included in the analysis. Average LiMP score was 5.4 ± 1.8, and 49% of participants had “limited” MHL. Chi-square analysis revealed that being non-Caucasian, using cigarettes, and having a less than college-level education were associated with a higher prevalence of “limited” MHL (P < 0.05). Logistic regression revealed that being of non-Caucasian race (P = 0.04) or having less than college-level education (P = 0.03) were significant independent predictors of “limited” MHL, with adjusted relative risks of 1.37 and 1.40, respectively.

Discussion:

In this study, the patients at the greatest risk of limited MHL are often at the risk of many other complications. These results should be used as a groundwork to craft directives aimed at improving MHL and outcomes in these patients.
The Role of Athletic Event Coverage in Orthopaedic Residency Training: A National Survey of Residency Program Directors
Authors: Miller Daniel J. , Trofa David P. , Parisien Robert L. , Noback Peter C. , Lynch T. Sean , Popkin Charles A. , Jobin Charles M. , Levine William N. , Ahmad Christopher S.
Published: October 2018

Introduction:

No Accreditation Council for Graduate Medical Education guidelines exist regarding athletic event coverage by orthopaedic residents. This study assesses the availability and characteristics of event coverage opportunities in residency programs.

Methods:

An anonymous web-based survey assessing resident athletic event coverage opportunities was distributed to members (n = 158) of the American Orthopaedic Association's Council of Orthopaedic Residency Directors.

Results:

The survey response rate was 39% (n = 62). Most of the programs (76%) offer athletic event coverage opportunities for residents, most (54%) of which are optional. Of the programs with coverage opportunities, 34 (74%) have a teaching curriculum and 10 (22%) report that residents are always under the direct supervision of an attending orthopaedic surgeon. Thirty programs (64%) count the time spent at athletic events toward duty hours.

Discussion:

A comprehensive and uniform resident experience for athletic event coverage does not exist. This finding may represent an area of deficiency in orthopaedic training requiring enhanced national standards.
Clinical Approach in Youth Sports Medicine: Patients' and Guardians' Desired Characteristics in Sports Medicine Surgeons
Authors: Beck Jennifer J. , Murray Martha M. , Christino Melissa A.
Published: October 2018

Introduction:

Adolescent athletes' and their guardians' preferences for sports medicine surgeon characteristics are unknown.

Methods:

Unique, anonymous surveys regarding preferences in characteristics of sports medicine surgeons were given to both patients (aged 10 to 18 years) and their guardians before being seen by a sports medicine surgeon.

Results:

Patients and their guardians reported shared decision making as the most important surgeon characteristic, followed by understanding patients' sports and goals. A higher percentage of male patients than female patients had a surgeon sex preference (P = 0.005); however, for both the groups, this ranked lower than other surgeon qualities. Nearly all respondents reported that the adolescent patient should be involved in medical decision making; yet, physician selection was determined by the guardian 65% of the time.

Conclusions:

Both adolescent patients and their guardians reported shared decision making and understanding patients' sports and goals as surgeon qualities that were more important to them than surgeon sex.

Level of Evidence:

Level IV, cross-sectional study