bluuebunny/crossref_metadata_2025 huggingface dataset:
L’interview réflexive : regards de thérapeutes
Authors: Tettamanti Manuel , Grand Julien , Auberjonois Katharina
Published: June 2020

Notre équipe a mis en place il y a quelques années une recherche visant à évaluer l’effet thérapeutique de pratiques de réflexivité, standardisées sous forme d’une interview réflexive semi-structurée (cf. Auberjonois et al. , 2011). Dans ce texte, nous souhaitons rendre compte de la manière dont la pratique de cette interview a été vécue par les thérapeutes impliqués dans la recherche. Pour ce faire, nous nous appuierons sur les données d’une séance de focus group réalisée avec ceux-ci. Nous souhaitons également suggérer, au travers d’un bref rappel historique, que le questionnement sur la réflexivité en thérapie, bien que promu et souvent associé au courant dit « postmoderne », est présent dès les origines des thérapies familiales systémiques.
Home Telehealth Technologies for Heart Failure: An Examination of Adherence Among Veterans
Authors: Guzman-Clark Jenice , Yefimova Maria , Farmer Melissa M. , Wakefield Bonnie J. , Viernes Benjamin , Lee Martin L. , Hahn Theodore J.
Published: June 2020

The current retrospective cohort study uses Department of Veterans Affairs (VA) clinical and facility data of Veterans with heart failure enrolled in the VA Home Tele-health (HT) Program. General estimating equations with facility as a covariate were used to model percent average adherence at 1, 3, 6, and 12 months post-enrollment. Most HT patients were White, male, and of older age (mean = 71 years). Average adherence increased the longer patients remained in the HT program. Number of weekly reports of HT use, not having depression, and being of older age were all associated with higher adherence. Compared to White Veterans, Black and other non-White Veterans had lower adherence. These findings identify subgroups of patients (e.g., those with depression, of younger age, non-White) that may benefit from additional efforts to improve adherence to HT technologies. [
Journal of Gerontological Nursing, 46
(7), 26–34.]
No Longer Expert: A Meta-Synthesis Describing the Transition From Clinician to Academic
Authors: Grassley Jane S. , Strohfus Pamela K. , Lambe Andrea C.
Published: June 2020

Background:

Recruitment of nurse clinicians into academic nursing has been important in addressing the faculty shortage. A description of their experiences as novice faculty could provide insights into easing their transition and improving faculty retention.

Method:

A systematic review of existing qualitative evidence was conducted to describe how nurses experience the transition from clinical practice to nursing academic. Criteria established by the Joanna Briggs Institute guided the review.

Results:

The meta-synthesis of the 12 selected qualitative studies yielded 11 themes and four meta-themes, which included: Unprepared, No Longer an Expert, In Search of Mentoring, and Beginning to Thrive.

Conclusion:

The transition from expert clinician to novice faculty is difficult as teaching is different than practicing nursing. The expert clinicians often were unprepared for the demands of their faculty role and missed being experts. To begin to thrive, they needed orientation to the academic culture, intentional mentoring, and professional development in teaching and learning.

[
J Nurs Educ
. 2020;59(7):366–374.]
Gaming in Nursing Education: Recent Trends and Future Paths
Authors: Reed Janet M.
Published: June 2020

Background:

Game-based learning has attracted much attention in education in recent years due to its ability to increase student motivation and engagement in learning. This study reviewed the literature to answer the research questions: What learning outcomes have been linked to games in nursing education? What are potential gaps in the field's knowledge regarding games in nursing education?

Method:

A systematic literature search was completed in CINAHL and Google Scholar from 2009–2019 with the keywords of
games
,
gaming
, and
nursing education
.

Results:

A total of 49 papers were identified; of these, 34 were excluded, and 15 empirical studies were evaluated. The majority reported beneficial learning outcomes, such as increased knowledge, higher test scores, and positive student comments. Several methodological weaknesses were noted, such as small sample sizes, convenience samples, and lack of control groups or randomization.

Conclusion:

Games have the potential to prepare new nurses for improved clinical decision making. More robust research methodologies are needed to confirm best practices for educators.

[
J Nurs Educ
. 2020;59(7):375–381.]
Exploring the Relationships Among Moral Distress, Moral Courage, and Moral Resilience in Undergraduate Nursing Students
Authors: Gibson Erin , Duke Gloria , Alfred Danita
Published: June 2020

Background:

Nurses and students face a demanding and fluid health care system that can present overwhelming challenges. Moral distress is a challenge encountered by students who experience complex situations. Certain virtues such as moral courage and moral resilience are necessary to navigate around this phenomenon.

Method:

Using a descriptive correlational study design, a convenience sample of nursing students distributed among three sites were surveyed using three tools: The Moral Distress Thermometer (MDT), the Connor-Davidson Moral Resilience Scale (CD-RISC), and the Moral Courage Scale for Physicians (MCSP).

Results:

Students reported mild levels of moral distress (
M
= 2.73,
SD
= 1.9). Moral resilience was significantly correlated with moral courage, age, and students having a previous degree.

Conclusion:

Interventions to cultivate moral resilience in nursing curricula are necessary. Valid instruments to measure moral resilience and moral distress in nursing students should be investigated further.

[
J Nurs Educ
. 2020;59(7):392–395.]
Deep Learning and IoT
Authors: Memon Muhammad Suleman , Kumar Pardeep , Mirani Azeem Ayaz , Qabulio Mumtaz , Sodhar Irum Naz
Published: June 2020

The agriculture sector plays a big part in the overall economy of any country. The population of the world is increasing day by day, which is also increasing the overall demand of the food. Due to various diseases and nature of the soil, it is difficult to meet the overall demand of the food. The agronomists and farmers also face many problems in the agriculture sector such as disease identification, knowing nature of the soil, pesticide management, etc. The old methods of managing crop do not help in an effective way in meeting the increasing demand for food. The modern methods such IOT, machine, deep learning, and image processing help to identify the crop health and to predict crop yield. This chapter generally discusses various state-of-the-art technologies and methods for predicting crop yield and disease identification.
A Survey on Intrusion Detection in Wired and Wireless Network for Future IoT Deployment
Authors: Ponnusamy Vasaki , Bakhshad Said , Sharma Bobby , Annur Robithoh , Seong Teh Boon
Published: June 2020

An intrusion detection system (IDS) works as an alarm mechanism for computer systems. It detects any malicious activity that happened to the computer system and it alerts an alarm message to notify the user there is malicious activity. There are IDS that are able to take action when malicious or anomalous networks are detected, which include suspending the traffic sent from suspicious IP addresses. The problem statement for this project is to find out the most accurate machine learning algorithm and the types of IDS with different placement strategies. When it comes to the deployment of a wireless network, IDS is not as easy a task as deploying a traditional network IDS. There are many unexpected complexities of the problem of reliable intrusion detection in a wireless network. The motivation of this research is to find the most suitable classification techniques that are able to increase the accuracy of an IDS. Machine learning is useful for the upcoming trend; it provides better accuracy in the detection of malicious traffic.
Analyzing the Performance and Efficiency of IT-Compliant Audit Module Using Clustering Methods
Authors: Saeed Soobia , Jhanjhi N. Z. , Naqvi Mehmood , Humayun Mamoona , Ponnusamy Vasaki
Published: June 2020

Human beings have a knack for errors. Counter-effective actions rendered to specify and rectify such errors in a minimum period of time are required when effectiveness and swift advancement depends on the capability of acknowledging the faults and errors and repair quickly. The software as audit module application in IT complaint is in review in this commentary as is another significant instrument created in the field of data analysis that digs deep into quickly and successfully assessing the imprecisions or grievances identified by the users in a certain company. The target of this study is to evaluate the statistical significance in relationship between client reporting attitude and client reliability and to evaluate the impact of strong responsiveness on client reliability, to measure the statistically noteworthy effect of client grievance conduct on service quality, and to test the impact of service quality on client dedication.
Does the Bargaining Power of Vertical Parties Improve or Worsen the Effect of Family Influence on Long-Term Performance?
Authors: Martínez-Alonso Rubén , Martínez-Romero María J. , Diéguez-Soto Julio , Rojo-Ramírez Alfonso A.
Published: June 2020

Grounding in the socioemotional wealth approach, this chapter explores the effect of family influence on long-term performance. Moreover, this study also examines the moderating role of the bargaining power of vertical parties, namely supplier (SBP) and customer (CBP) bargaining power, on the preceding relationship. By utilising a panel dataset of 3,118 observations of Spanish private manufacturing firms in the 2007–2016 period, the chapter finds that family influence negatively impacts long-term performance. The findings also reveal that CBP mitigates the negative effect of family influence on long-term performance. In this light, CBP is found to be a potential environmental factor that enables family influenced firms enhancing their long-term performance.
‘No Line on the Horizon'
Authors: Stiegler Christian
Published: June 2020

This chapter applies and extends the concept of social media logic to assess the politics of immersive storytelling on digital platforms. These politics are considered in the light of what has been identified as mass media logic, which argues that mass media in the 20th century gained power by developing a commanding discourse that guides the organization of the public sphere. The shift to social media logic in the 21st century, with its grounding principles of programmability, popularity, connectivity, and datafication, influenced a new discourse on the logics of digital ecosystems. Digital platforms such as Facebook are offering all-surrounding mediated environments to communicate in virtual reality (‘Horizon') as well as immersive narratives such as Mr. Robot VR. This chapter provides an overview of the changing dynamics within Facebook's VR strategy as well as an understanding of the politics of immersive storytelling and its underlying principles of programmability, user experience, popularity, and platform sociality, which define immersive technologies in the 21st century.
Fake Photos in the European Refugee Crisis
Authors: Howarth Anita
Published: June 2020

The escalation of fake news and images during times of crisis and uncertainty is not a new phenomenon, but something quantitatively and qualitatively different is happening now. This chapter adopts an aesthetic approach to locate fake images in the gap between a form of representation and the representation itself. Anxiety with fake images deployed by the radical right during the refugee crisis is about a politics of manipulation within that gap, which enables an image to be re-appropriated or altered fundamentally in ways that reorder the range of possible interpretations to fit a pre-determined narrative. While fake images are not their exclusive preserve, the radical right is widely associated with them, and this chapter explores an aesthetic conceptualisation of fake images through an analysis of the La Vlora fake image, which was used to buttress their invasion narrative. The chapter argues that the affective power of re-imaging was derived from a nativist ideology and a storyline that echoed a dystopic, anti-immigration novel that has assumed cult status in extremist circles.
Use of Mobiles for Promoting Agriculture in Puducherry, India
Authors: Aram I. Arul , Sakthivel Murugan G.
Published: June 2020

This research work is based on an empirical investigation into mobile advisory services co-created by the National Bank for Agriculture and Rural Development (NABARD), M.S. Swaminathan Research Foundation (MSSRF), and the agriculture farmers' community of the Union Territory of Puducherry, India. This research work investigates the effectiveness of the agricultural extension tool of mobile phone audio messages among farmers in areas of rural in Puducherry, during the years 2010-2013. The research work analysed farmers' benefits, gaps in mobile advisory services (MAS), perception of mobile messages, socio-demographic, and socio-economic data. As a result, farmers were able to acquire knowledge and skills relating to their livelihoods and make timely decisions to cope with emerging issues and trends in agriculture to an extent of diversifying their cropping patterns. These messages enhanced their knowledge in crop management, latest farming technologies, and agriculture-related government schemes and entitlements, and post-harvest techniques along with care and management of livestock.
The Role of ‘Delegated Transferable Vote' for Supporting Tactical Voting in First-Past-the-Post Elections
Authors: Bishop Jonathan , Beech Mark
Published: June 2020

This chapter investigates a method of counting votes called ‘Delegated Transferable Vote' (DTV) as a means to ensure that every vote counts by enabling voters to be able to vote for the candidate they want in the knowledge that their vote will be tactically allocated by the candidate they vote for if they get less than 50% of the vote. The theory is that if a voter trusts someone enough to vote for them then they should trust them to allocate their vote to a candidate with similar policies or political philosophies to them. The chapter finds that in elections where the candidates want to keep out a particular candidate or party, such as because they have a hegemony, then DTV can be effective in changing the outcome. However, in election where tactical voting has already taken place, such as where people vote on issues instead of party lines, then the outcome of counting votes using DTV is on the whole not different from the one presently used in the United Kingdom, which is First-Past-the-Post (FPTP).
CIO Power Influences the Social Alignment and IT-Business Strategic Alignment Relationship
Authors: Gerow Jennifer E.
Published: June 2020

To give information technology (IT) a more central role in an organization and avoid disrupting the existing executive team power balance, chief information officers (CIOs) should only leverage their power in certain situations. The authors propose CIOs can leverage their expert, prestige, and structural power attributes to influence the social-intellectual alignment relationship versus the social-operational alignment relationship in unique ways. Analyzing data collected from 140 CIOs, the results suggest IT knowledge strengthens the social-strategic alignment relationship, business knowledge, and structural power weaken the social-intellectual alignment relationship, and prestige power has no impact on the social-strategic alignment relationship.
Surgical implications of the hip-spine relationship in total hip arthroplasty
Authors: Mancino Fabio , Cacciola Giorgio , Di Matteo Vincenzo , Perna Andrea , Proietti Luca , Greenberg Alexander , Malahias MA , Sculco Peter K. , Maccauro Giulio , De Martino Ivan
Published: June 2020

Total hip arthroplasty (THA) is considered the most successful orthopedic surgical procedure of the last century with excellent survivorship up to 20-years. However, instability remains a major issue representing the most common reason for revision after THA. Hip-spine relationship has gained progressive interest between arthroplasty surgeons and its understanding is crucial in order to identify high-risk patients for postoperative dislocation. Spinal deformity and abnormal spinopelvic mobility have been associated with increased risk for instability, dislocation and revision THA. Preoperative workup begins with standing anteroposterior pelvis x-ray and lateral spinopelvic radiographs in the standing and sitting position. Hip-spine stiffness needs to be addressed before THA in consideration of adapting the preoperative planning to the patient’s characteristics. Acetabular component should be implanted with different anteversion and inclination angles according to the pattern of hip-spine motion in order to reduce the risk of impingement and consequent dislocation. Different algorithmic approaches have been proposed in case of concomitant hip-spine disease and in case of altered sagittal balance and pelvic mobility. The aim of this review is to investigate and clarify the hip-spine relationships and evaluate the impact on modern total hip arthroplasty.
What are the benefits of robotic-assisted total knee arthroplasty over conventional manual total knee arthroplasty? A systematic review of comparative studies
Authors: Mancino Fabio , Cacciola Giorgio , Malahias Michael-Alexander , De Filippis Roberto , De Marco Davide , Di Matteo Vincenzo , Gu A , Sculco Peter K. , Maccauro Giulio , De Martino Ivan
Published: June 2020

Total knee arthroplasty (TKA) is a highly successful operation that improves patients’ quality of life and functionality. Yet, up to 20% of TKA patients remain unsatisfied with the functional outcomes. Robotic TKA has gained increased attention and popularity in order to improve patient satisfaction and implant survivorship by increasing accuracy and precision of component implantation. The current systematic review was run in order to compare implant survivorship, complication rates, clinical outcomes, and radiological outcomes between robotic-assisted TKA (RA) and conventional manual TKA (CM). Articles were referenced from the US National Library of Medicine (PubMed/MEDLINE), EMBASE, and the Cochrane Database of Systematic Reviews. Nine comparative studies with 1199 operated knees in 1159 patients were included, 614 underwent active or semiactive robotic-assisted TKA compared to 585 CM-TKA. Improvements in the RA group were reported for early functional outcomes, radiographic outliers (RA 16% vs CM 76%) and radiolucent lines (RA 0% vs CM 35%). No significant differences between the two groups were reported in overall survivorship (RA 98.3% vs CM 97.3%), complication rate (RA 2.4% vs CM 1.4%) and operative time (RA 88 min vs CM 79 min). Despite higher costs, roboticassisted TKA offers better short-term clinical outcomes when compared to conventional manual technique with reduction in radiographic outliers and reduced risks of iatrogenic soft tissues injuries (reduced blood loss and postoperative drainage). Further high-quality long-term studies of modern robotic systems are required in order to evaluate how the increased accuracy and reduced outliers affect the long-term survivorship of the implants and the clinical outcomes.
Efficacy of postoperative drainage in total knee arthroplasty: Review of the literature
Authors: Basilico Mattia , Vitiello Raffaele , Liuzza Francesco , Minutillo Felice , Ruberto Pasquale , Matrangolo Maria Rosaria , Palmacci Osvaldo , Maccauro Giulio , Malerba Giuseppe
Published: June 2020

Postoperative drainage after total knee arthroplasty (TKA) is an established routine procedure for orthopedic surgeries, and is considered a useful practice in postoperative, but the use of drainage is controversial. Our study aims to clarify this aspect of knee prosthetic surgery. A systematic review of the literature was performed in the electronic databases to investigate the risks and the benefits of wound drainage in total knee arthroplasty: 30 articles were included in our review for eligibility. After the analysis of the literature performed, we found no significant advantages related with the use of wound drain following total knee replacement (TKR) in terms of pain, transfusion rate, blood loss, swelling, postoperative range of motion, wound complications, deep infection and hospital stay, while no drainage means a significant cost saving compared to drainage use. Thus, the use of drainage after TKA cannot be justified on the basis of the results of this study.
Surgical approach for fracture of distal humerus: Posterior vs lateral
Authors: Saracco Michela , Smimmo Alessandro , De Marco Davide , Palmacci Osvaldo , Malerba Giuseppe , Vitiello Raffaele , Maccauro Giulio , Minutillo Felice , Rovere Giuseppe
Published: June 2020

Humeral fractures have an incidence of 3-5% and a bimodal age distribution. They may occur in young patients after highenergy traumas or in elderly osteoporotic patients after low-energy injuries. In nondisplaced fractures or in elderly patients, humeral fractures are treated by conservative methods. Open reduction and internal fixation (ORIF) should be the treatment of choice in case of multi-fragmentary fractures associated with radial nerve palsy or not. ORIF is usually regarded as the gold standard treatment, but, depending on the different types of fracture, the surgical approach can change. In this review, we compare results and complication rates between lateral and posterior surgical approaches in the management of extraarticular distal humeral shaft fractures. An internet-based literature research was performed on Pubmed, Google Scholars and Cochrane Library. 265 patients were enrolled: 148 were treated by lateral or antero-lateral approach, while 117 by posterior or postero-lateral approach. The literature shows that no differences between the posterior and lateral approach exist. Certainly, the posterior approach offers undoubted advantages in terms of exposure of the fracture and visualization of the radial nerve. In our opinion, the posterior approach may also allow better management of complex and multi-fragmentary fractures.
Resurfacing capitate pyrocarbon implant after proximal row carpectomy: A literature review
Authors: Fulchignoni Camillo , Caviglia Daniele , Rocchi Lorenzo
Published: June 2020

Up to a decade ago, to treat patients with chronic wrist pain due to advanced stages of arthritis, surgeons had four main solutions: partial or total wrist arthrodesis, total wrist prosthesis and proximal row carpectomy (PRC). Since 2010, a new technique has been described in literature using the Resurfacing Capitate Pyrocarbon Implant (RCPI), combined to PRC. The aim of this article is to review the literature and determine the indications, outcomes and complications associated with RCPI. An electronic literature research was carried out and pertinent articles were selected. Surgical technique, results and complications described in those articles are presented. From this review of the literature, authors conclude that Resurfacing Capitate Pyrocarbon Implant can be considered as a good alternative to arthrodesis and total wrist arthroplasty, at any ages, when proximal row carpectomy alone would not be indicated.
3D printing in shoulder surgery
Authors: Campana Vincenzo , Cardona Valentina , Vismara Valeria , Monteleone Andrea Stefano , Piazza Piero , Messinese Piermarco , Mocini Fabrizio , Sircana Giuseppe , Maccauro Giulio , Saccomanno Maristella Francesca
Published: June 2020

Three-dimensional (3D) printing is a novel modality with the potential to make a huge impact in the surgical field. The aim of this paper is to provide an overview on the current use of 3D printing in shoulder surgery. We have reviewed the use of this new method in 3 fields of shoulder surgery: shoulder arthroplasty, recurrent shoulder instability and orthopedic shoulder traumatology. In shoulder arthroplasty, several authors have shown that the use of the 3D printer improves the positioning of the glenoid component, even if longer clinical follow-up is needed to determine whether the cost of this system rationalizes the potential improved functional outcomes and decreases glenoid revision rates. In the treatment of anterior shoulder instability, the literature agrees on the fact that the use of the 3D printing can: enhance the dept and size of bony lesions, allowing a patient tailored surgical planning and potentially reducing operative times; allow the production of personalized implants to restore substantial bone loss; restore glenohumeral morphology and instability. In orthopedic trauma, the use of 3D printing can be helpful to increase the understanding of fracture patterns, facilitating a more personalized planning, and can be used for resident training and education. We can conclude the current literature regarding the use of 3D printed models in orthopedic surgery agrees finding objective improvements to preoperative planning and to the surgical procedure itself, by shortening the intraoperative time and by the possibility to develop custom-made, patient-specific surgical instruments, and it suggests that there are tangible benefits for its implementation.
Hip and knee replacement in patients with ochronosis: Clinical experience and literature review
Authors: Meschini Cesare , Cauteruccio Michele , Oliva Maria Serena , Sircana Giuseppe , Vitiello Raffaele , Rovere Giuseppe , Muratori Francesco , Maccauro Giulio , Ziranu Antonio
Published: June 2020

Patients with alkaptonuria can present ochronotic degenerative arthropathy due to the accumulation of pigments in the cartilages. Ochronotic arthropathy initially affects the spine, then there is the involvement of the other large joints, with greater frequency of the knees. In this article we will present two patients with alkaptonuria who have been effectively treated with knee and hip replacement, comparing our experience with what is available in the literature.
A Report of a Rare Case of Hurthle Cell Carcinoma of Thyroid with Metachronous Renal Metastasis
Authors: Kumar Ritesh , Biswas Rituparna , Mathur Sandeep , Bhasker Suman , Damle Nishikant , Bal CS , Dhamija Ekta
Published: June 2020

Renal metastasis from Hurthle cell thyroid carcinoma is an extremely rare phenomenon which when present usually indicates widely disseminated disease. Herein, we present a case of Hurthle cell carcinoma of thyroid in a 58-year-old gentle lady, with metachronous renal metastasis which happens to be the fourth reported case in English literature.
Epidemiologic Study of Patients Registered in Oncology Unit at a Hepatobiliary Tertiary Care Center in India
Authors: Sharma Namita , Kumar Guresh , Sahai Puja , Yadav Hanuman Prasad
Published: June 2020

Background: Cancer accounts for about 1 in 7 deaths, worldwide. Primary cancers of the hepatobiliary system are significant health problems worldwide and their management presents great challenges for the hepatobiliary specialist. The incidence of hepatobiliary malignancies is on an increasing trend in India. Study: We did a retrospective study for the epidemiologic, clinical characteristics, and outcomes of patients with cancer registering for treatment in the oncology division at the Institute of Liver and Biliary Sciences, Delhi, India, between January 1, 2017 and December 31, 2017. Results: Atotal of 502 new patients were registered during the study period. The majority of the patients were male (M:F 1.69:1), in the age group of 35–64 years (64.3%) and presented in advanced stages of the disease (72.7% in Stage III and IV). The most common cancers were gallbladder cancer (GBC) (29.7%) and hepatocellular carcinoma (HCC) (17.3%). GBC was the most common in females (M: F 1:1.6), 86.6% were advanced (Stage III and IV), and gallstones were present in 44.3% patients (M: F 1:2.9). Periampullary carcinoma presented in early stages (71% in Stage I and II). Survival at 6 months (n = 110 evaluable patients) was 100% for Stage I, 88% for Stage II, 73.7% for Stage III and 42.1% for Stage IV, and 62.7% overall (P < 0.001). Survival at 6 months (n = 123 evaluable patients) was 56.5% for biliary cancers, 71.4% for HCC, and 75% for nonbiliary cancers (P = 0.15). 217 (43%) patients had one visit to the hospital and 168 (34%) patients had 2–5 visits with no or little follow-up. Conclusions: Most of the disease burden was in the male gender (GBC was more common in females), in the age group 35–64 years and with advanced disease presentation (except periampullary cancer). Survival diminished significantly with increasing stage of disease. Survival was worse for patients with biliary cancers. This could be due to advanced presentation, poor follow-up, and inadequate public health awareness.
Celebrating His Second Chance at Life Again
Authors: Raturi Manish
Published: June 2020

Sooraj was an athletic teenager who is diagnosed to have blood cancer. He meets his donor and undergoes stem cell transplantation. Finally, he celebrates his second chance at life. The author pens down this experience in the configuration of a poem.
Drug Review: Ibrutinib
Authors: Karunakaran Parathan
Published: June 2020

Ibrutinib is an irreversible BTK inhibitor, characterized by high selectivity and potency. It has revolutionized the therapy of B-cell lymphomas, especially chronic lymphocytic leukemia (CLL) and mantle cell lymphoma. Importantly, it has expanded the armamentarium for those patients who are refractory to conventional chemoimmunotherapy. This small-molecule inhibitor has shown efficacy in this difficult-to-treat subset – those with del(17p)/TP53-mutated CLL. Its immunomodulatory properties make it an excellent choice for combining with other immunotherapeutic agents such as venetoclax. The drug is not without drawbacks. The need for indefinite therapy and the presence of adverse effects such as infection, bleeding, hypertension, and arrhythmia temper our enthusiasm for this versatile drug. But overall, ibrutinib's favorable risk profile and lack of myelosuppression make it an ideal therapy for the elderly and those with multiple comorbidities.
Ectopic Non-gestational Pure Choriocarcinoma of the Urinary Bladder in a Young Nulliparous Female: A Diagnostic Challenge
Authors: Mannan Rahul , Sharma Sonam , Goyal Saloni , Bhasin Tejinder Singh
Published: June 2020

Choriocarcinoma can occur at ectopic extragenital locations such as lungs, mediastinum, retroperitoneum, and even in the brain (nongestational choriocarcinoma). Choriocarcinoma arising in the urinary bladder is extremely uncommon with only a few cases reported worldwide. It is important to recognize and give comprehensive diagnosis of this entity, as it has poorer prognosis as compared to the conventional gestational choriocarcinoma and requires stepped-up chemotherapy. Here, we present such a case in a 19-year-old girl and the diagnostic conundrum associated with it.
Motor Unit Potential Analysis of the Palatal Muscles in Obstructive Sleep Apnea Syndrome
Authors: Karaali-Savrun Feray , Adatepe Nurten Uzun , Şenel Gülçin Benbir , Inan Rahsan , Kaynak Hakan , Kaytaz Asim , Karadeniz Derya
Published: June 2020

Objectives:

Among different theories about pathogenesis of obstructive sleep apnea syndrome (OSAS), dysfunction of upper airway muscles still awaits to be delineated. The aim of this study is to examine differences in motor unit potential (MUP) parameters of upper airway muscles between OSAS patients and healthy controls.

Methods:

Ten male patients diagnosed as OSAS by whole-night polysomnography were analyzed for MUP parameters of genioglossus (GG) muscle, palatoglossus muscle (PG), palatopharyngeus muscle, and uvular (U) muscle. Eight healthy volunteer men matched by age were enrolled as a control group.

Results:

In PG muscle parameters, the mean MUP area was significantly smaller (P = 0.040) in OSAS patients than those in controls. On the other hand, U muscle parameters showed a significantly larger mean MUP area (P = 0.022) in OUAS patients compared to those in the control group. In OSAS patients, the percentages of polyphasic MUPs of GG and PG muscles were significantly high (P < 0.001 and P = 0.05, respectively). Body mass index was positively correlated with number of phases of GG muscle (r
s = 0.63, P < 0.05) and duration of U muscle (r
s = 0.71, P < 0.05) in OSAS patients. Other MUP parameters of palatal muscles were similar between the two groups.

Conclusion:

Our results showed that, although mild in severity, structural neurogenic and myogenic changes characterized as mild and nonuniform MUP changes may co-exist in OSAS patients. These changes in palatal muscles may be attributed to compensatory adaptation of muscle fibers to other precipitating factors in OSAS.
Recurrent urinary tract infection in women and overactive bladder – Is there a relationship?
Authors: Ke Qian-Sheng , Lee Cheng-Ling , Kuo Hann-Chorng
Published: June 2020

Overactive bladder (OAB) in women has similar symptomatology with other common urologic diseases such as recurrent urinary tract infection (UTI). Recent evidence showed that chronic low-grade bacterial bladder colonization might exacerbate OAB symptoms and could be the etiology of recurrent UTI. The high prevalence of lower urinary tract dysfunction is associated with OAB. Women with urgency urinary incontinence refractory to antimuscarinic therapy had more bacteria and a more diverse urinary microbiome. The bacterial reside in the superficial urothelial cells to form intracellular bacterial community and outbreak when the host innate immunity is low. Women with recurrent UTI are found to have highly prevalent voiding dysfunction and detrusor overactivity. These functional abnormalities will further damage the urothelial barrier integrity and create vulnerable to uropathogen invasion. The defective urinary microbiota is less common in women with recurrent UTI, suggesting that the normal flora in the urine might inhibit uropathogen growth and invasion. The defective urothelial barrier function, deficient basal proliferation, and deficient maturation might be owing to chronic suburothelial inflammation, resulting in activation of sensory nerves (causing OAB) and failure elimination of intracellular bacterial communities (causing recurrent UTI). Precision diagnosis and multidisciplinary treatment of the underlying pathophysiology of OAB and recurrent UTI is necessary.
Continuity of condenser capacity under holomorphic motions
Authors: Pouliasis Stamatis
Published: June 2020

We show that condenser capacity varies continuously under holomorphic motions, and the corresponding family of the equilibrium measures of the condensers is continuous with respect to the weak-star convergence. We also study the behavior of uniformly perfect sets under holomorphic motions.
О сложности реализации системы из двух мономов схемами композиции
Authors: Korneev S A
Published: June 2020

Исследуется сложность реализации систем мономов схемами композиции. Под сложностью в такой модели понимается минимальное число операций композиции, необходимое для вычисления системы мономов. Основным результатом работы является точная формула, которая для произвольной заданной пары мономов выражает сложность их совместной реализации схемами композиции.
Concepciones del cuerpo en contextos multi e interculturales
Authors: Chaparro Héctor Rolando , Zebadúa Juan Pablo , Reynosa Karla Chacón
Published: June 2020

Este artículo, producto asociado al proyecto “Cuerpo territorio de paz: escenas educativas posibles para la interculturalidad y las diferencias” repasa los condicionamientos conceptuales que pesan sobre el multiculturalismo y la interculturalidad, en general, como formas del pluralismo que se manifiestan desde la diversidad cultural observada en los procesos culturales de realidad contemporánea. Se analiza, entonces, la interculturalidad a partir de la diversidad, entendida ésta como un escenario cognitivo por donde se arbitran los conflictos interculturales. Se parte del enfoque del multiculturalismo para entender cómo se dinamizan las diversidades desde sus connotaciones sociales y políticas, para después alcanzar la interculturalidad, como otro enfoque pero ahora de interacción cultural y diálogo que intenta superar la mirada esquemática de la condición múltiple de las sociedades, para pasar a una situación de construcción de procesos interculturales como formas de encuentros y de disputas por la inclusión. Para analizar dichos procesos, se indican tres grandes campos de reflexión intercultural: el filosófico, el modélico y el dialógico, que sitúa al concepto como parte de una perspectiva transversal que puede atender distintas problemáticas culturales y, al mismo tiempo, propone a la interculturalidad como un campo de estudio de tal importancia para la comprensión de las realidades actuales desde ese punto de vista. Finalmente, se intenta conceptualizar al cuerpo para apuntar su apuesta como proceso cultural emergente, que se construye en el conflicto y coliga la diferencia en la convivencia entre culturas. Se profundiza la importancia que reporta la multiculturalidad y la interculturalidad en el análisis de la diversidad cultural, la inclusión social, las identidades colectivas, para visibilizarlos en el cuerpo como auténtico artífice material y simbólico intercultural, el lugar de la intersección de flujos, tensiones y contradicciones del proceso intercultural, siempre precario.
Editorial
Authors: Gomes Aguinaldo Rodrigues , Sousa Neto Miguel Rodrigues de
Published: June 2020

Editorial de albuquerque: revista de história, v. 12, n. 23.
Van Bölgesinde Yakın Saha Deprem Hareketlerinde Spektral Sönüm Parametresi, κ (kappa)
Authors: BİRO Yesim , SİYAHİ Bilge , AKBAŞ Bülent
Published: June 2020

Anderson ve Hough (1984) tarafından ilk kez kullanılmaya başlanan spektral sönüm parametresi, κ (kappa), birçok uygulamada gittikçe artarak kullanılmaktadır ve bir istasyonda kaydedilmiş kuvvetli yer hareketinin spektral alanda yüksek frekanstaki eğimini ifade eder. Geçtiğimiz son yıllarda, kappa tahmini ve deprem tehlike analizi sonuçlarına etkisi üzerine birçok yaklaşım geliştirilmiştir. Kappa’nın zemin koşullarına bağlı olarak, yüksek frekans aralığındaki yer hareketinde deprem tehlike değerlerinde 3 hatta zemine bağlı olarak 6 kat artış gözlemlenmiştir. Bu parametrenin önemi sebebiyle Van Bölgesi için κ tespit edilmeye çalışılmıştır. Bu çalışmada, κ tahminleri için Afet ve Acil Durum Yönetimi Başkanlığı Kuvvetli Yer Hareketi gözlem ağına ait (AFAD) Van bölgesindeki istasyonlarından alınan ivme-ölçer deprem kayıtları kullanılmıştır.
Factors involved in the number of tourist visits in the Muara Badak, Indonesia
Authors: Caisar Darma Dio , Maria Siti , Kasuma Jati , Lestari Dirga
Published: June 2020

The natural tourism sector which still exists today is the beach. Beach attractions have brought economic, social, and cultural activities in an attractive environment. This study discusses at factors such as: tourist revenue, cost of travel, cost of travel to other attractions, travel time, and facilities, which influence the number of tourist visits in the Muara Badak district, in Indonesia. The study approach was designed by a survey and we conducted interviews with 99 questionnaires (domestic and foreign tourists). The use of the OLS model is used to simplify data analysis techniques. Empirical findings presented that tourist income and facilities significantly influence the existence of tourist visits. This is evidenced by the significance of the two variables are 0.007 and 0.035 (p <0.05). The implications of this study provide evidence of the importance of supporting factors such as travel cost and travel time for tourists because it is inseparable.
Habilidades Socioemocionales: aportes desde la Socioformación y el Pensamiento Complejo / Socioemotional skills contributions from Socioformation and Complex Thought
Authors: Carrillo Ruiz Miriam
Published: June 2020

El propósito del presente artículo es identificar el papel que juegan los aspectos socioemocionales en el proceso educativo, principalmente en el nivel de educación superior y dar cuenta del tratamiento de estos componentes desde los aportes epistemológicos del pensamiento complejo y de la socioformación. Se trata de un análisis documental en torno a diversas categorías, el estudio constituye un acercamiento al conocimiento de conceptos como educación integral, habilidades socioemocionales, inteligencia emocional, pensamiento complejo, socioformación, conformando el estado del arte en torno a la temática. A partir de este análisis se evidencia que aún hace falta avanzar en metodologías y estrategias tendientes al desarrollo socioemocional de los estudiantes; para garantizar así, una formación integral de los mismos, principalmente en el nivel de educación superior. Sin embargo, existen aportes interesantes para mejorar la integralidad de su formación, así como en la unidad compleja del abordaje holístico de los aspectos cognitivos y afectivos.
¿Cómo vincular la enseñanza de las matemáticas con el desarrollo social sostenible y la socioformación?
Authors: Larios Jesús Antonio
Published: June 2020

Las matemáticas son una ciencia que constantemente se vincula con diversas áreas del conocimiento y de aplicación a nivel de la educación, ya que se busca que los alumnos le tomen sentido e importancia. En México se presentan bajos índices en el manejo de las matemáticas en la resolución de situaciones o problemas; es necesario ver como todas las áreas del conocimiento convergen en el desarrollo social sostenible, esto es posible mediante la vinculación de las áreas. Mediante un análisis documental se encontró que la vinculación de los contenidos de matemáticas con cuestiones de desarrollo social sostenible es posible, mediante un ejercicio docente, una revisión a detalle de los temas que se llevan en el currículo de educación básica y la implementación del enfoque socioformativo al interior de las aulas. Se llega a la conclusión que las matemáticas logran vincularse con el desarrollo sostenible, mediante el enfoque socioformativo.
Relationship of Work Engagement on Turnover Intention of Teaching Personnel of Southern Luzon State University: A Comparative Study Between Regular and Part-Time
Authors: Miano Leomar C.
Published: June 2020

The purpose of this study is to explore the relationship of work engagement on intention turnover of regular and part-time teaching personnel in Southern Luzon State University (SLSU). This study used correlational design, involving 172 respondents consisting of 86 regular and 86 part-time. This study proves that the vigor of regular and part-time teaching personnel was good, having scale response of agreed with a mean of 3.44. On the other hand, the absorption of regular teaching personnel was excellent, having a scale response of strongly agreed with a mean of 3.61 and for part-time were agreed with a mean of 3.34. Moreover, the dedication of regular and part-time teaching personnel was strongly agreed with a mean of 3.85 and 3.75, respectively. However, the intention turnover of regular teaching personnel was never with a mean of 1.35 and for part-time was sometimes with a mean of 1.58. Through Pearson correlation, the relationship was revealed that the computed value of 0.3990 is greater than the critical value of 0.1959 at 0.01 level of significance. Therefore, there is a statistically significant relationship between work engagement and intention turnover of regular and part-time teaching personnel at Southern Luzon State University.
La teoría de las representaciones sociales: posibilidades en el municipio de Aracataca, Magdalena, Colombia
Authors: Gómez Rodríguez Dustin Tahisin , Téllez Bedoya Carlos Arturo , Velasco Castañeda Natalye
Published: June 2020

El objetivo del presente artículo de reflexión fue describir la teoría de las representaciones sociales como línea argumentativa para visualizar la subjetividad de los pobladores rurales en el caso específico del municipio de Aracataca, Magdalena, Colombia. La metodología es de corte cualitativo y el método es de revisión documental por matrices. La principal conclusión es que las representaciones sociales son una teoría inacabada. En efecto, tienen una gran cantidad de críticas por su falta de rigidez. Sin embargo, esa característica desde el punto de vista cualitativo es un punto positivo, ya que hace, que esta sea más dinámica para entender los fenómenos sociales como lo son las subjetividades propias de la población rural, en virtud que es una teoría adaptativa. Sin olvidar, que esta característica, posibilita el dialogo entre actores sociales  en una   sociedad tan fragmentada  como los es  la colombiana. Precisamente, puede abrir  puertas para socializar como reivindicar  los discursos obliterados  de la población  del municipio por 60 años de conflicto armado.
The educational-mystical role of intermediate centers (Ribat) along the Silk Road from China to Iran
El rol educativo-místico de los centros intermedios (Ribats) a lo largo de la Ruta de la Seda de China a Irán
Authors: Karimyan Maedeh
Published: June 2020

The silk road path to the northern part from China to Europe and from southern paths to lateral paths of Iran- Mesopotamia to Antioch and Mediterranean, had been the place of construction the historical monuments and works such as castles, towers, mills, graves, and intercity Ribats. Sufi Ribats as the mystical orientation and educational centers had a special place in the Silk Road, these intermediate buildings are buildings that functioned militarily in the first centuries of Islam (8th, 9th, and 10th centuries AD), and over time have been used to mean monasteries. The architectural style of the Ribats was similar to that of a military castle, and most of them consisted of a rectangular building with four watchtowers. Examining the Ribats of the Silk Road, it will become clear that the architectural form and plan of the Ribats are very similar to those of religious schools and Caravanserais. The Sufi historians and researchers have recorded many reports over these Ribats, have investigated the introduction, application, and position of Ribats in detail and have left fairly invaluable information to the futures. In this regard, the historical books and Sufi educational books and mystical literature are endowed with reports over intra-city and intercity Ribats built mainly on the way of main paths, particularly the main path of the Silk Road and its lateral ways. In this article, these Ribats have been described in detail as well as their role on the Silk Road.
Educational and instructional center for railway transportation: international cooperation and exhibition activities
Authors: Starykh O. V.
Published: June 2020

The international cooperation and exhibition activities of the Educational and instructional center for railway transportation are considered. International exhibitions provide an opportunity to get acquainted with foreign experience and development trends of professional education. As part of the business program of international exhibitions, the Educational and instructional center for railway transportation organizes round tables “Transport Book of Russia”, which presents transport-related publications that popularize the history of Russian railways, the history of the organization and management of Russian railway transport; dictionaries of railway terms; educational literature on transport safety and environmental protection. It was noted that the presentations are held with the goal of implementing the main directions of the Federal Target Program “Development of the Transport System of Russia until 2030” and the Federal Target Program “Development of Culture and Tourism” for 2013–2020, forming a positive image of Russia as an object of travel and investment capital.

The work of the Educational and instructional center for railway transportation on mutually beneficial cooperation with educational institutions and railway enterprises of foreign countries is shown. Agreements and memoranda “On cooperation and joint activities” were signed between the Educational and instructional center for railway transportation with educational institutions and transport structures of Kazakhstan, Kyrgyzstan, Uzbekistan and the DPRK.