bluuebunny/crossref_metadata_2025 huggingface dataset:
HCC screening: assessment of an abbreviated non-contrast MRI protocol
Authors: Chan Michael Vinchill , McDonald Stephen J. , Ong Yang-Yi , Mastrocostas Katerina , Ho Edwin , Huo Ya Ruth , Santhakumar Cositha , Lee Alice Unah , Yang Jessica
Published: December 2019

Background

Hepatocellular carcinoma (HCC) guidelines recommend ultrasound screening in high-risk patients. However, in some patients, ultrasound image quality is suboptimal due to factors such as hepatic steatosis, cirrhosis, and confounding lesions. Our aim was to investigate an abbreviated non-contrast magnetic resonance imaging (aNC-MRI) protocol as a potential alternative screening method.

Methods

A retrospective study was performed using consecutive liver MRI studies performed over 3 years, with set exclusion criteria. The unenhanced T2-weighted, T1-weighted Dixon, and diffusion-weighted sequences were extracted from MRI studies with a known diagnosis. Each anonymised aNC-MRI study was read by three radiologists who stratified each study into either return to 6 monthly screening or investigate with a full contrast-enhanced MRI study.

Results

A total of 188 patients were assessed; 28 of them had 42 malignant lesions, classified as Liver Imaging Reporting and Data System 4, 5, or M. On a per-patient basis, aNC-MRI had a negative predictive value (NPV) of 97% (95% confidence interval [CI] 95–98%), not significantly different in patients with steatosis (99%, 95% CI 93–100%) and no steatosis (97%, 95% CI 94–98%). Per-patient sensitivity and specificity were 85% (95% CI 75–91%) and 93% (95% CI 90–95%).

Conclusion

Our aNC-MRI HCC screening protocol demonstrated high specificity (93%) and NPV (97%), with a sensitivity (85%) comparable to that of ultrasound and gadoxetic acid contrast-enhanced MRI. This screening method was robust to hepatic steatosis and may be considered an alternative in the case of suboptimal ultrasound image quality.
Anterior tibial displacement on preoperative stress radiography of ACL-injured knee depending on knee flexion angle
Authors: Noh Jung Ho , Nam Woo Dong , Roh Young Hak
Published: December 2019

Purpose

To compare side-to-side difference (SSD) of anterior tibial translation in instrumented stress radiography for each series of anterior cruciate ligament (ACL)-injured subjects according to knee flexion angle.

Methods

Forty subjects who were suspected of having significant ACL injury by manual Lachman test and MRI were recruited for this prospective study. These subjects took stress radiographs for both knees with corresponding knee flexion of 10° (series M1) and 30° (series M2) using Telos stress device. Mean SSDs of M1 and M2 were compared. Sensitivities of M1 and M2 were assessed using the SSD ≥ 3 mm or ≥ 5 mm as a cutoff value.

Results

Mean SSDs in series M1 and M2 were 4.22 ± 3.72 mm and 3.25 ± 3.30 mm, respectively (p < 0.001). When 3 mm of SSD was used as a cutoff value, sensitivities of series M1 and M2 were 47.5% (19/40) and 32.5% (13/40), respectively (p = 0.171). When 5 mm of SSD was used as a cutoff value, sensitivities of series M1 and M2 were 45.0% (18/40) and 22.5% (9/40), respectively (p = 0.033).

Conclusions

Anterior tibial translation on stress radiographs using a Telos device is more prominent when knee flexion angle is 10° compared to that when knee flexion angle is 30°. However, stress radiography using Telos device, either at 10° or 30° of knee flexion, might not be suitable to make decision on surgical treatment due to relatively low sensitivities.
Role of fused PET/CT compared to the standard contrast-enhanced CT in the follow-up assessment of the treated gastric malignancy
Authors: Baz Ahmed A. , Hassan Talaat A.
Published: December 2019

Background

To investigate the use of fused positron emission tomography/computed tomography (PET/CT) compared to contrast-enhanced computed tomography (CECT) in the follow-up of treated gastric malignancies, all data were collected and analyzed retrospectively, enrolling 68 patients (18 females and 50 males) (their age range = 34–73 years). The patients had been referred to a private imaging center for their assessment by PET/CT.

Results

Adenocarcinoma was present in 73.5%, lymphoma was present in 23.5%, and malignant carcinoid was found in 3% of cases. All patients had received at least one treatment method including endoscopic/surgical resection, chemotherapy, and radiotherapy.

By PET/CT, gastric recurrence/residual was depicted in 30 patients (47.0%) compared 46 patients (67.5%) as detected by CECT, and this was statistically significant (Pvalue = 0.006), nodal metastasis was present in 18 patients (26.5%) compared to 26 patients (38%) as detected by CECT (Pvalue = 0.143), and distant metastasis was present in 18 patients (26.5%) compared to 24 patients (35%) as depicted by CECT (Pvalue = 0.265).

Conclusion

PET/CT offered a useful diagnostic modality as compared to CECT for follow-up evaluation of cases with treated gastric malignancies through a precise detection of the gastric lesions but it had rather comparable results in the detection of nodal and distant metastases.
Fast least-squares reverse time migration via a superposition of Kronecker products
Authors: Gao Wenlei , Matharu Gian , Sacchi Mauricio D.
Published: December 2019

Least-squares reverse time migration (LSRTM) has become increasingly popular for complex wavefield imaging due to its ability to equalize image amplitudes, attenuate migration artifacts, handle incomplete and noisy data, and improve spatial resolution. The major drawback of LSRTM is the considerable computational cost incurred by performing migration/demigration at each iteration of the optimization. To ameliorate the computational cost, we introduced a fast method to solve the LSRTM problem in the image domain. Our method is based on a new factorization that approximates the Hessian using a superposition of Kronecker products. The Kronecker factors are small matrices relative to the size of the Hessian. Crucially, the factorization is able to honor the characteristic block-band structure of the Hessian. We have developed a computationally efficient algorithm to estimate the Kronecker factors via low-rank matrix completion. The completion algorithm uses only a small percentage of preferentially sampled elements of the Hessian matrix. Element sampling requires computation of the source and receiver Green’s functions but avoids explicitly constructing the entire Hessian. Our Kronecker-based factorization leads to an imaging technique that we name Kronecker-LSRTM (KLSRTM). The iterative solution of the image-domain KLSRTM is fast because we replace computationally expensive migration/demigration operations with fast matrix multiplications involving small matrices. We first validate the efficacy of our method by explicitly computing the Hessian for a small problem. Subsequent 2D numerical tests compare LSRTM with KLSRTM for several benchmark models. We observe that KLSRTM achieves near-identical images to LSRTM at a significantly reduced computational cost (approximately 5–15× faster); however, KLSRTM has an increased, yet manageable, memory cost.
A multiple filtering and correlation array signal processing technique for cased-hole acoustic logging and applications
Authors: Kong Fan-Tong , Jiang Can , Su Yuan-Da , Tang Xiao-Ming
Published: December 2019

In cased-hole acoustic logging, estimating the formation velocity is often problematic when the casing is poorly bonded with the formation. The overwhelmingly large casing waves dominate the measured waveforms and overlap with the low-coherence, weak formation arrival, contributing to the failure of conventional semblance processing method. To tackle this problem, we have developed a filtered frequency semblance array waveform signal processing technique. The multiple filter technique is first used to filter the measured waveforms. We then apply the [Formula: see text]th root stacking method to the filtered signals. Consequently, the coherence of the formation signal on the obtained 3D semblance correlogram is significantly enhanced and clearly separated with the casing waves. We have applied the method to process synthetic and field cased-hole acoustic waveform data. Our results indicate that the new method significantly enhances the coherence of the desired formation signal and simultaneously estimates the formation of the P- and S-wave velocity.
The Dead, the Living, and the Sacred
Authors: Wu Judy Tzu-Chun
Published: December 2019

This article focuses on the antinuclear and antimilitarism politics of Patsy Takemoto Mink (1927–2002), the first Japanese American female lawyer in Hawai‘i, the first woman of color to become a U.S. congressional representative, and the namesake for Title IX. During the late 1960s and 1970s, Mink challenged the use of the Pacific lands, waters, and peoples as sites of military experimentation, subject to nuclear and chemical testing as well as war games. Mink’s political worldview, shaped by her experiences and understanding of the interconnectedness between human and nonhuman life as well as water and land, reflected a Pacific World sensibility. She worked with, but also articulated political priorities that differed from, indigenous peoples of the Pacific. Focusing on these connected yet divergent Pacific imaginaries provides an opportunity to explore the significance of these antimilitarism campaigns for the study of transnational feminisms as well as Asian American and Pacific Islander studies. First, the protests of Mink and Native Hawaiian activists against U.S. militarism in the Pacific represented gendered critiques of U.S. empire, although in different ways. Second, Mink’s advocacy via political liberalism provided opportunities for coalition formation yet also constrained the range of her gendered arguments and limited possible solutions beyond the U.S. polity. Third, the coalitional possibilities and incommensurabilities reveal the points of convergence and divergence between Asian American demands for full inclusion and Pacific Islander calls for decolonization and sovereignty.
Reflections on Feminist Interventions within the 2015 Anticorruption Protests in Lebanon
Authors: Kaedbey Deema , Naber Nadine
Published: December 2019

This essay reflects upon the themes of collaborative research, intersectional feminist activism, and social movements against corruption and sectarianism in the context of Lebanon. The authors focus on the summer of 2015 when protesters filled the streets in response to the government’s mismanagement of garbage in what they called the “You Stink” movement. Feminists, primarily through the formation the “Feminist Bloc,” joined in the protests and presented nuanced frameworks for understanding the problem and mobilizing against the state with a gendered lens. In the pages that follow, the authors historicize the conditions that inspired feminist participation in these protests in order to present the perspectives of a few feminist activists voicing their own analysis of this period. In addition, they reflect upon what it means to write and research collaboratively, between the United States (Nadine) and Lebanon (Deema).
Mind the gap: natural cleft palates reduce biting performance in bats
Authors: Curtis Abigail A. , Arbour Jessica H. , Santana Sharlene E.
Published: December 2019

Novel morphological traits pose interesting evolutionary paradoxes when they become widespread in a lineage while being deleterious in others. Cleft palate is a rare congenital condition in mammals in which the incisor-bearing premaxilla bones of the upper jaw develop abnormally. However, ∼50% of bat species have natural, non-pathological cleft palates. We used family Vespertilionidae as a model and linear and geometric morphometrics within a phylogenetic framework to (1) explore evolutionary patterns in cleft morphology, and (2) test if cleft morphological variation is correlated with skull shape in bats. We also used finite element analyses (FEA) to experimentally test how presence of a cleft palate impacts skull performance during biting in a species with extreme cleft morphology (hoary bat, Lasiurus cinereus). We constructed and compared performance of two FE models: one based on the hoary bat's natural skull morphology, and another with a digitally filled cleft simulating a complete premaxilla. Results showed cleft length and width are correlated with skull shape in Vespertilionidae, with narrower, shallower clefts seen in more gracile skulls and broader, deeper clefts in more robust skulls. FEA showed that the model with a natural cleft produced lower bite forces, and had higher stress and strain than the model with a filled cleft. In the rostrum, safety factors were 1.59–2.20 times higher in the model with a filled cleft than in the natural model. Our results demonstrate that cleft palates in bats reduce biting performance, and evolution of skull robusticity may compensate for this reduction in performance.
Impact of Menstrual Blood Loss and Oral Contraceptive Use on Oxygen-carrying Capacity
Authors: KELLER MELISSA F. , HARRISON MICHELLE L. , LALANDE SOPHIE
Published: December 2019

Purpose

The effect of menstrual blood loss on oxygen-carrying capacity remains equivocal. The purpose of this study was to determine the effect of menstrual blood loss on hemoglobin mass in young, healthy women.

Methods

Twenty-one women (age, 23 ± 6 yr; height, 168 ± 7 cm; weight, 66.1 ± 12.6 kg) with regular menstrual cycles, either using (n = 10) or not using oral contraceptives, participated in the study. Hemoglobin mass was assessed using carbon monoxide rebreathing on three separate occasions over the course of one menstrual cycle.

Results

Visits for women not using oral contraceptives were performed in the early follicular phase (3 ± 1 d after the onset of menses), late follicular phase (1 ± 1 d after the surge of luteinizing hormone in urine), and luteal phase (9 ± 1 d after the late follicular visit). Visits for women using oral contraceptives were performed in the early follicular phase (3 ± 1 d after the onset of menses), late follicular phase (15 ± 3 d after the onset of menses), and luteal phase (9 ± 2 d after the late follicular visit). Hemoglobin mass was not affected by menstrual cycle phase (early follicular, 618 ± 61; late follicular, 610 ± 65; luteal, 607 ± 68 g; P = 0.52). Interestingly, when normalized to weight, hemoglobin mass was 12% higher in women using oral contraceptives in comparison to nonusers (10.0 ± 1.2 vs 8.9 ± 1.2 g·kg−1, P < 0.05).

Conclusion

Menstrual blood loss had no measurable effect on hemoglobin mass in eumenorrheic women. However, oral contraceptive use resulted in a greater oxygen-carrying capacity, potentially leading to a greater maximal oxygen uptake.
Άντρες και μελλοντικοί νηπιαγωγοί: Διερεύνηση των αντιλήψεών τους για τον ρόλο τους
Authors: Σοφού Ευστρατία , Στεργίου Λήδα
Published: December 2019

Η παρούσα εργασία παρουσιάζει και αναλύει τις απόψεις αντρών και μελλοντικών νηπιαγωγών αναφορικά με την επαγγελματική τους ταυτότητα σε σχέση με το φύλο και τις προκλήσεις που αντιμετωπίζουν επιλέγοντας να φοιτήσουν σε έναν χώρο στον οποίο υπερτερεί το γυναικείο φύλο. Η μελέτη βασίζεται σε μια ποιοτική έρευνα που διεξήχθη μέσω ημιδομημένων συνεντεύξεων σε πέντε φοιτητές παιδαγωγικού τμήματος νηπιαγωγών. Η ανάλυση των δεδομένων αναδεικνύει πως ο κυρίαρχος λόγος αναφορικά με τις έμφυλες διαφορές είναι τόσο ισχυρός που, παρά τις ατομικές εμπειρίες σπουδών και εκπαιδευτικής πρακτικής των αντρών της έρευνας, η αμφισβήτησή του και η σύγκρουση με αυτόν συνιστά δύσκολο και απαιτητικό εγχείρημα. Σε αυτό το πλαίσιο, γίνεται  προφανής η αναγκαιότητα ουσιαστικής ενασχόλησης με το ζήτημα της έμφυλης διάστασης στην προσχολική εκπαίδευση, τόσο στο επίπεδο των σπουδών, όσο και στο επίπεδο των παιδαγωγικών πρακτικών στο νηπιαγωγείο. Για την καλύτερη κατανόηση των πολλαπλών διαστάσεων της υποεκπροσώπησης αντρών στην προσχολική εκπαίδευση και για τις δυνατότητες αντιμετώπισής της απαιτείται περαιτέρω έρευνα σχετικά με τις αντιλήψεις, τις εμπειρίες και τους περιορισμούς που βιώνουν οι φοιτητές παιδαγωγικών τμημάτων προσχολικής εκπαίδευσης.
Η σχεδιαστική δραστηριότητα στο νηπιαγωγείο: από την κατανόηση των ιδεών και εμπειριών των παιδιών στον σχεδιασμό και την οργάνωση του εκπαιδευτικού έργου
Authors: Κωνσταντινίδου Ζωή , Μπρέντας Φίλιππος , Μητρούσκα Καλλιόπη
Published: December 2019

Στην παρούσα εργασία, παρουσιάζονται κρίσιμες φάσεις και περιστατικά από τη χρήση της σχεδιαστικής δραστηριότητας, ως εργαλείο διερεύνησης και κατανόησης των ιδεών και εμπειριών των παιδιών κατά τη διάρκεια του σχολικού έτους 2018-2019. Οι δράσεις που παρουσιάζονται και συζητιούνται  αναπτύχθηκαν στο πλαίσιο ενός προγράμματος επαγγελματικής ανάπτυξης για την αξιοποίηση της σχεδιαστικής δραστηριότητας στην εκπαιδευτική διαδικασία. Δίνονται συγκεκριμένα παραδείγματα για τον τρόπο με τον οποίο οι εκπαιδευτικοί αξιοποίησαν τα σχέδια των παιδιών για την οργάνωση, το σχεδιασμό και την εξέλιξη των εκπαιδευτικών προγραμμάτων της τάξης, αλλά και για την προαγωγή της αλληλεπίδρασης και επικοινωνίας μεταξύ των παιδιών.
«Μου το λέει και ο αδερφός μου ότι κάνω μουτζούρες όταν ζωγραφίζω». Οι ‘μουτζούρες’ αλλιώς: Ένα σχέδιο εργασίας με πολύ μικρά παιδιά
Authors: Τσακιρπάλογλου Παναγιώτα , Παπανδρέου Μαρία
Published: December 2019

«Οι ‘μουτζούρες’ αλλιώς» είναι ένα σχέδιο εργασίας που αναπτύχθηκε στο Παιδικό Κέντρο του ΑΠΘ, σε μια τάξη μικρών παιδιών (2,5-3 ετών) κατά τη διάρκεια του σχολικού έτους 2017-2018. Στην παρούσα εργασία, παρουσιάζονται οι αρχικές δράσεις των παιδιών που αποτέλεσαν το κίνητρο για την εκκίνηση αυτής της διερεύνησης, ενώ στη συνέχεια περιγράφονται αναλυτικά και συζητιούνται οι τρεις φάσεις της διαδικασίας που ακολουθήσαμε. Το ταξίδι αυτό αναπτύχθηκε στο πλαίσιο ενός προγράμματος επαγγελματικής ανάπτυξης για την αξιοποίηση της σχεδιαστικής δραστηριότητας στην εκπαιδευτική διαδικασία και είναι προϊόν της ιδιαίτερης εστίασης των παιδιών στις ‘μουτζούρες’ τους, των συζητήσεων που αναπτύχθηκαν στο πλαίσιο της ομάδας του προγράμματος και της συνεχούς ανατροφοδότησης που παρείχε η συντονίστρια του προγράμματος. Τα παραδείγματα που παρουσιάζονται δείχνουν το τρόπο που τα ίδια τα παιδιά κατεύθυναν την εξέλιξη της διερεύνησης, αλλά και τη σταδιακή αλλαγή της στάσης τους απέναντι στις ‘μουτζούρες’ τους.
Σημείωμα της Διευθύντριας Έκδοσης
Authors: Κακανά Δόμνα
Published: December 2019

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Guidelines for conducting an appropriate curriculum vitae
Authors: Kelesi-Stavropoulou Martha , Fasoi Georgia
Published: December 2019

When searching for a job, the composition of a properly formulated Curriculum Vitae (CV) is particularly important.The CV is the key element of evaluation from the side of businesses. It describes concisely and accurately all the individual knowledge, experiences and skills which were acquired both in education and in his professional career.The goal of the CV is to stimulate the interest and attention of future employers and to convince them for the suitability of the candidate in a specific position. A properly formulated CV is often cited as the most appropriateway of advertising oneself.Although there isn’t a strict reporting methodology in drafting a CV, the literature describes points which should be followed, and others which should be avoided, so that it clearly demonstrates the ability of the candidate for a jobthrough the description of qualifications. Also specific sections of the CV are described which should always focus on what is requested by an enterprise. The ultimate goal is the information relating to the person described in sucha way as to demonstrate that it excels against fellow candidate for the position.
The effectiveness of artificial enteral nutrition in intensive care unit patients
Authors: Papagiannopoulos Ioannis , Marvaki Aikaterini , Kavoura Paraskevi , Papagiannopoulos Sotirios , Lagiou Anthoula , Dokoutsidou Eleni
Published: December 2019

Introduction: The artificial enteral nutrition is an important therapeutic intervention for the prevention of the effects of starvation and the positive effect on the final outcome of the disease.Aim: The aim of this study was to investigate the efficacy of artificial enteral nutrition as they are assessed by laboratory nutritional markers.Material and Methods: The studied sample consisted of 70 patients who were hospitalized in the Intensive Care Unit General Hospital in Athens from June 2013 to June 2014. For data collection a special registration form with information derived from medical records of patients was used. Results: Τhe majority of the studied sample were male (61,4%, n=43), with a mean age of 56.3 years and an average hospital stay of 25.5 days. In most cases the possible diagnosis was consistent with the final diagnosis in most patients the sample to be blunt trauma (24,6%, n= 14) or have respiratory failure (19.3%, n = 11) CCIcerebral hemorrhage (26,3% n=15). All patients received Special Diet preparation(1,5 kcal / ml) within the first 48 hours of admission with a mean duration of enteral nutrition 24 days and average time for tracheostomy six days after admission. The most common mechanical complications were nostril ulceration (65.6%, n=44), reflux and aspiration (4.4%, n=3) and nasogastric tube leaking(1,5%, n=1) Most common gastrointestinal complications were diarrhea (80.9%, n = 55), abdominal pain (29.9%, n = 20), nausea (13.4%, n=9) and bowel distension (32.4%, n=22), while most common metabolic complications were hyperglycemia (40.9%, n=21), fluid overload (7.4%, n=5) and the electrolyte disturbances (27.9%, n=19). Regarding to laboratory markers was effectuated three consecutive weekly blood tests. The results of the statistical analysis leading to the conclusion that the total proteins , albumins, platelets and the absolute lymphocyte count are the laboratory markers which vary significantly over these tests, and hence the positive outcome of enteral nutrition.Conclusions: The results of this study contribute to the identification of laboratory markers that act as important determinants of the effectiveness of artificial enteral nutrition in hospitalized patients in Intensive Care Units.
The effect of fatigue on self-perceived health in patients with hemoglobinopathies in a greek representative sample
Authors: Aslani Eleni , Kattamis Antonios , Lyrakos Georgios , Andriopoulos Panagiotis , Tsironi Maria
Published: December 2019

Purpose: The purpose of the present study was to measure the effect of fatigue in quality of life by measuring self-perceived health in patients with thalassemia.  Methods: 302 patients undergoing transfusion treatment from 5 hospitals around Greece participated in the study. Fatigue was measured with open access questions and quality of life with the Euro5D thermometer as self-perceived health. Statistical analysis was performed with SPSS21.Results: 236 patients (78.7%) reported that they were suffering from fatigue while only 21.3 % (n=66) reported that they had no fatigue. Present health status had a mean of 69.9 with an SD 19.3. Almost half (48.2%) declared they had fatigue a few times over a months period, while 41.7% replied that daily activities were the cause for feeling fatigue. Females reported statistically significant higher existence of fatigue (x2= 5.744; p=0.017). Education and marital status had no correlation with self-perceived health. Existence, frequency of fatigue, existence of fatigue during the last month, self-interpretation of the cause of fatigue and  frequency of fatigue before transfusion all had significant differences with self-perceived health (p<0.05).Conclusions: Fatigue has been identified as a very common symptom in patients with thalassemia affecting the self-perceived health in this population. This result broadens the evidence regarding fatigue in hemoglobinopathies and leads us to the need for distinguishing the etiologies leading to fatigue in hemoglobinopathies since it is an important factor affecting HPQoL. Longitudinal studies are needed in order to understand the path of fatigue and the factors influencing the condition
Outcome after Intravenous Thhrombolysis in patients with Acute Ischemic Stroke
Authors: Mallisova Evagelia , Dokoutsidou Helen , Kalogianni Antonia , Vasilopoulos Georgios
Published: December 2019

Introduction: Vascular disorders represent a major cause of mortality worldwide, with ischemic stroke to be the second cause of mortality, after coronary artery disease. Aim: The aim of the present review was to investigate the contribution of thrombolysis in the outcome of patients with ischemic stroke. Material and Method: This is a systemic review of the literature. The sources of the literature were the databases EBSCO HOST, Elsevier Science Direct, PubMed, Medline, CINAHL, and Google Scholar.No time limit was set. The following keywords were used: ischemic stroke, thrombolysis, infarction, outcome, time window, side effects, benefits, alteplase, etiology, diagnosis, treatment. Results: Three multicenter studies were found to meet the inclusion criteria, the NINDS trial, the ECASS II and the STARS. Thrombolysis in ischemic stroke has been associated with a significantly lower mortality, fewer intracranial hemorrhages and improved neurological outcome when administered in less than 3 hours. Conclusions: The therapeutic benefits of alteplase reduced with time, while it has been determined that after 4.5 hours from the onset of symptoms of ischemic stroke has a significant benefit.
Customer's Welcoming in the beauty insitute
Authors: Michailidou Nicoletta , Goula Maria
Published: December 2019

he customer of an aesthetics institute looks for a welcoming and safe place to be taken care of. The establishment of a friendly atmosphere and normal flow of procedures inside the beauty institute as well as providing personalized services play a major role for customers. The personality of the aesthetician and interpersonal relations based on kindness, politeness, stability, humor and dialogue are fundamental virtues for professional success. An organized customer list, recording and keeping personal data of the customer according to current legislation are helpful in solving the customer’s problem properly. The social media, advertising and marketing skills are useful for aestheticians. Strategies that look for innovative and improved ways to meet the clients’ wishes and needs are creative and potent. An aesthetics business has to choose a marketing strategy in order to be competitive. Owners of aesthetics institutes need to put their businesses in the center of special marketing procedures. In addition, adapting to his/her needs according to their sex, age and socioeconomic level is important. Personal hygiene and professional appearance of the aesthetician is equally important.
Post – operative analgesia in patients under thoracotomy
Authors: Giavasopoulos Evangelos
Published: December 2019

The thoracotomy is one of the most painful surgery operations, and the final outcome is directly associated with the postoperative pain control, because it allows quick mobilization, intense respiratory physiotherapy and reduces postoperative morbidity. Unfortunately, patients under thoracotomy, incur a significant risk of chronic pain. Although there are guidelines for the management of post-operative pain relief in these patients, however there is no widespread surgical or anesthetic "gold standard."  In the present article it has been investigated the current literature related to the proposed therapies and other interventions that were recommended for  post-operative pain relief  after thoracotomy. The treatment of chronic pain after thoracotomy is difficult and includes physical rehabilitation techniques and multimodal approach. More and more researchers support that minimization of acute post-operative pain is the best method so as to avoid, prevent or reduce post- thoracotomy pain syndrome.
Association between haematopoietic stem cell transplantation and distress - anxiety - depression
Authors: Kiropoulou Asimina , Polikandrioti Maria
Published: December 2019

Introduction: In recent decades, more and more studies indicate that haematopoietic stem cell transplantation triggers numerous mental disorders to the haematological patient. Aim: The aim of the present study was to review the literature on the occurrence of mental disorders, such as distress, anxiety and depression in hematological patients undergoing haematopoietic stem cell transplantation. Material-Method: The method of this study included research of the literature from reviews and researches in «pubmed» and «google scholar» databases, which referred to the association between haematopoietic stem cell transplantation and the occurrence of psychiatric disorders. The search covered the period 2000-2015. Results: According to the literature, the process of bone marrow transplantation is often associated with the onset of distress, anxiety and depression in patients, which may adversely affect their compliance to treatment, the outcome of the procedure, and survival rates. However, many patients are reluctant to express their feelings, and are not questioned by health professionals about their mental worries. As a result, the psychological aspects of their disease may be underestimated. Furthermore, in this group of patients that display numerous physical symptoms, is difficult to diagnose and treat psychological aspects because they often mimic those of their disease. Conclusions: The systematic appraisal of distress, anxiety and depression should be an integral part of the treatment of hematological patients undergoing transplantation.
Something different
Authors: Delidaki Athena
Published: December 2019

Dear colleagues,My name is Athena Delidaki and I work as the supervisor nurse of “Agioi Anargyroi” Hospital‘s Homecare Nursing Department. I have been involved in homecare nursing since 1993 (22 years till now).My daily program includes scheduled appointments in order to provide nursing care, deliver medication, take blood samples, control and take care of wounds, ulcers, stomia etc.Every Monday detailed weekly schedule is programmed and if necessary emergency appointments are added on. Staff transportation is made by official cars, fully equipped with all the necessary medical materials.
Causes of microbial carriers during admission to intensive care unit
Authors: Panagiotopoulou Efthymia , Nteves Ioannis , Kadda Olga , Kapadohos Theodore , Vasilopoulos Georgios , Marvaki Christina
Published: December 2019

Introduction: The recording of microbial agent upon patients admission in the Intensive Care Unit (ICU) can be useful for the prevention and reduction of dispersion, forecasting new colonization or infection respectively bacteria and guide empirical antimicrobial therapy. Aim: The aim of the present study was to investigate the factors associated with microbial colonization of patients admitting to ICU. Material and Method: The studied sample consisted of 72 patients admitted to the ICU in a period of seven months. During patient admission in the ICU, rectal swab and secretions were received, samples were cultivated and an epidemiological registration form was completed.Results: Bronchial colonization was more frequent in patients with pressure ulcers of previous hospitalization (33.3%). These patients were in mechanical ventilation for longer, and they had central venous catheter and catheter bladder for longer compared to patients who were not colonized. Rectal colonization was more frequent in patients with chronic breakdown (p=0.001). These patients had catheter bladder for longer (6.8 days) compared to patients who were not colonized (p=0.049).Conclusion: In both types of colonization samples tested, the rate of positive performance was significant. Only few well-known factors that prognosticate positive admittance carriers were found to be statistically significant in this analysis. We presume that continuing and improving the recording and analysis process will lead to the identification of more and stronger correlations.
Educational interventions for patients with heart failure: a systematic review of randomized controlled trials
Authors: Kroustalli Elpida , Papadopoulos Constantinos H. , Vasileiadis Ioannis , Karatzanos Eleftherios , Nanas Serafim
Published: December 2019

Background: Patient education is an important intervention for the management of heart failure; however, in practice patient education varies considerably. The purpose is to systematically review educational interventions that have been implemented for heart failure patients and assess their effectiveness.Method and Material: Randomized controlled trials from 2008 to 2018 in MEDLINE were reviewed using the following search terms: nursing teaching, education, intervention, patients with heart failure, hospital. From the Randomized controlled trials 26 abstracts were reviewed.Results: A total of 2484 patients were included in the 19 studies that met the inclusion criteria. Commonly, the initial educational intervention was a one-on-one didactic session conducted by nurses supplemented by written materials and multimedia approaches. One study referred to a theoretical model as a framework for their educational intervention. Studies used a variety of outcome measures to evaluate their effectiveness. Of the studies reviewed, 17 demonstrated a significant effect from their intervention in at least one of their outcome measures.Conclusions: Despite improvements in knowledge, we have variable results in outcomes and this is very likely related to the heterogeneity of the studies included in this review. It was difficult to establish the most effective educational strategy as the educational interventions varied considerably in delivery methods and duration as well as the outcome measures that were used for the evaluation. A patient-centered multidisciplinary approach based on educational theory and evaluated appropriately may assist to develop an evidence base for patient education.
Content-Context Model of Teaching Mathematics in Economic University
Authors: Konnova Larisa , Rylov A. , Stepanyan I.
Published: December 2019

Introduction: A competent specialist for the digital economy must have applied mathematical methods and computer technology, as well as professional skills The paper proposes an integrative model of learning mathematics at the Computer Workshop for students-economists in the Bachelor. The authors for the fi rst time use two technologies within one model: contextual and content, and expand opportunities of content training, applying it in an unconventional form. Materials and methods: The main research method is pedagogical modeling based on the following methodological approaches: competence, integrative, activity, context, content and the concept of the zone of immediate development. Results: The proposed model corresponds to the strategic goal of the Financial University under the Government of the Russian Federation on the early profiling of education. A contextual approach is used to strengthen the applied orientation of basic training of students: the content of the academic discipline is fi lled with a professional context (subject-technological and social). The second component of the model is the content approach. A joint study of interrelated disciplines allows us to demonstrate general patterns and most effectively distribute the classroom load, and the learning process becomes more motivated, informed and active. The model is implemented at a Computer Workshop with the aim of mathematical preparation of students, the formation of professional skills in the use of computer technology in Economics and Finance. Mathematics is used as the content of the model, the applied orientation of learning is enhanced by the economic context, and computer technologies act as means of implementation. Student survey shows the eff ectiveness of this model. Discussion and Conclusions: The relevance of owning mathematical methods and computer technology for specialists of the broadest profi le allows us to generalize the constructed model, fi lling it with various professional contexts.
How to Survive in Academia: Demands, Resources and Study Satisfaction Among Polish PhD Students
Authors: Konrad Kulikowski  , Anna Potoczek  , Emil Antipow  , Szymon Król
Published: December 2019

There is a great deal of research showing that PhD students suffer from dissatisfaction. Whereas most studies in this field strived to identify factors negatively related to PhD students’ well-being, still little is known about factors positively related to the well-being of young academics. We based our analysis on the Job Demands-Resource Theory (JD-R), to identify study resources positively related to PhD student satisfaction. Building on the results of the survey conducted among 360 PhD students of the Jagiellonian University (Poland) we singled out seven main resources most strongly related to PhD student satisfaction. Our findings might provide initial evidence about what type of resources are worth developing to maximize PhD student well-being. These results could be of particular importance and interest for candidates who look for PhD positions and PhD students already working in different academic environments, as well as for broader academic community and higher education policymakers.
Mental health in rhinoplasty applicants, before and after surgery
Authors: ghahramani leila , Motevasel Mina , Fararooei Mohammad , Rakhshani Tayebeh
Published: December 2019

Aim of the study

Background: Rhinoplasty surgery is among the most common cosmetic surgeries and patients applying for rhinoplasty comparing to other cosmetic surgeries have more psychological disorders. Present study aims to investigate the mental health in rhinoplasty applicants, before and after Surgery.

Subject or material and methods

Materials & Methods: This is cross- sectional study conducted on 179 applicants for rhinoplasty in Abadan city during first half of 2018 by using convenience sampling method. The data collection tool was Symptom Checklist-90.

Results

Results: Results of this test indicated that there was a significant difference between dimensions of mental health before and after surgery (R<0.001).

Discussion

Results indicated that people who were operated by nasal rhinoplasty surgery, their psychological health situation was better in all dimensions after surgery, indicating their proper situation before their surgery.

Conclusions

Conclusion: In conclusion, finding of this study, indicated the mental health situation of rhinoplasty applicant surgery, was better in all dimensions after surgery.
Influence Activities, Coalitions, and Uniform Policies: Implications for the Regulation of Financial Institutions
Authors: Friedman Henry L. , Heinle Mirko S.
Published: December 2019

We examine a setting in which agents can form lobbying coalitions to influence a policy maker. Policy uniformity causes agents to free ride on each other’s lobbying and gives them an incentive to form lobbying coalitions. We investigate when coalitions are formed by similar or dissimilar agents and show that endogenous coalition formation causes the effects of policy uniformity and lobbying costs on aggregate lobbying activity and policy strength to be nonmonotonic. Our model suggests that increased competition in the market for coalition-facilitating lobbyists can lead to less lobbying. We discuss implications for the regulation of financial institutions.

This paper was accepted by Shiva Rajgopal, accounting.
UMA PROPOSTA DISCURSIVA DE LEITURA NAS CONDIÇOES DO PROFLETRAS: NO JOGO ENTRE PARÁFRASE E POLISSEMIA
Authors: Di Raimo Luciana Cristina Ferreira Dias
Published: December 2019

Neste artigo, apresentamos uma proposta discursiva de leitura de cunho discursivo voltada para mestrandos do Profletras como exemplar de uma possível abordagem discursiva da textualidade, tendo-se em vista a mobilização dos conceitos, a saber: condições de produção, os processos de paráfrase e polissemia e processos de constituição de sentidos (na relação com a memória). A proposta tem como objetivo apresentar possíveis encaminhamentos para o texto e problematizar algumas questões pertinentes ao ensino da leitura de língua materna, tais como a evidência dos sentidos, a contradição e a equivocidade.
NEM AUTORITÁRIO, NEM CÍNICO, APENAS POLÊMICO: AS FORMAS DO DISCURSO PEDAGÓGICO ATUAL E SEUS PROCESSOS DE IDENTIFICAÇÃO
Authors: Fernandes Carolina
Published: December 2019

Este trabalho apresenta uma análise do funcionamento do discurso pedagógico escolar atual, visando refletir sobre sua implicação no ensino de línguas com a produção de autoria em gestos singulares de interpretação. O corpus de análise reúne diários de campo de observações de aulas de Língua Portuguesa de professores da rede municipal da cidade de Bagé, interior do RS, e de projetos de ensino de estágios curriculares e do Mestrado Profissional em Ensino de Línguas. Ao analisar o discurso pedagógico, Eni Orlandi (2009) observa existir fundamentalmente três tipos de discursos: o autoritário, o lúdico e o polêmico. A partir das análises, observei que, além da forma autoritária, o discurso pedagógico atualmente assume uma forma cínica, já que o sujeito-professor, em uma posição-enunciativa de especialista na área da linguagem, apropria-se das críticas ao ensino da gramática e da metalinguagem passando a defender o ensino da leitura e produção textual, entretanto, em sua prática pedagógica, mantém a antiga metodologia sobretudo com o ato mecânico da “cópia”. Percebendo a prática docente como uma prática discursiva, cujo enlace com o aporte teórico se efetiva de modo equívoco, incompleto e descontínuo, faço uma reflexão sobre como as formas do discurso pedagógico determinam os processos de ensino-aprendizagem, trazendo como alternativa o discurso pedagógico polêmico como propulsor de novos gestos de leitura e de ensino.
O ESPAÇO CEMITERIAL: LEITURAS DISCURSIVAS DO ESPAÇO URBANO
Authors: Barbosa de Sousa TATIANA , VENTURINI MARIA CLECI
Published: December 2019

O centro de nossas discussões é espaço urbano e os seus sentidos a partir da leitura de um cemitério, entendendo-o como lugar que guarda traços da história da cidade, dos sujeitos que formam seu corpo social, suas filiações, memórias, contribuindo para a leitura/interpretação e compreeensão da cidade-texto. O cemitério conjuga o tempo tridimensional – passado, presente e futuro e um dos pressupostos que autoriza a leitura da cidade por esse viés decorre da contradição dada pela morte – comum a todos os sujeitos e sinalizar, conforme Catroga (2009), para traços que revelam, mas também escondem a experiência temporal e a indissociabilidade do espaço. O impulso para essas discussões adveio de projetos desenvolvidos junto a professores do ensino fundamental e médio no Programa de Desenvolvimento Educacional (PDE/PR), em que atuamos como orientadoras e significamos a leitura como prática social e discursive e a história da cidade como constitutiva do sujeito. Nesses projetos, o espaço urbano é tomado como objeto discursivo lido na relação sujeito, história e memória. Nesse artigo, recortamos o túmulo de Maria Elizabeth de Oliveira, localizado no cemitério Municipal Vera Cruz, na cidade de Passo Fundo, cuja materialidade estrutura-se por mensagens de agradecimentos e de adoração, e, especialmente, de rosas vermelhas. Nossa proposta consiste em desnaturalizar os sentidos saturados e homogêneos, sublinhando os sentidos como sempre outros. Além do túmulo e do cemitério, recorteamos sequências discursivas do “Uma estrela no céu - Maria Elizabeth de Oliveira”, publicado em 1969, por Fidélis Dalcin Barbosa (34a. edição).
A ROUPA DA RUA: PRECONCEITO LINGUÍSTICO EM DISCURSO
Authors: Pacífico Soraya Maria Romano , Leandro Michel Luís Da Cruz Ramos
Published: December 2019

Este artigo está fundamentado na Análise do Discurso que tem Michel Pêcheux como seu maior expoente. O trabalho foi construído com o objetivo de interpretar o discurso de sujeitos-alunos do Ensino Médio, de uma escola particular de Ribeirão Preto - SP, sobre preconceito linguístico. Segundo a Análise do Discurso, as condições de produção, que compreendem a relação dos interlocutores sempre afetada pela ideologia, o contexto da enunciação e o contexto sócio-histórico são fundamentais para a construção dos sentidos.  Por isso, é importante destacar que os interlocutores, nesse caso, sujeito-professor e sujeitos-alunos discursivizaram sobre língua, linguagem, discurso e preconceito linguístico, dentro e fora da escola, sem que um único sentido sobre a temática fosse imposto. O poder da chamada língua padrão não foi desconsiderado, ao contrário, mesmo estando inseridos na instituição escolar, os sujeitos foram autorizados a criticar as relações desiguais de poder e de saber. Foram lidos vários textos, especialmente, o livro de Marcos Bagno, Preconceito linguístico: o que é, como se faz; documentário, vídeo e palestra sobre língua/linguagem foram assistidos. Após o acesso a esses textos, iniciou-se a coleta de dados e constituição do corpus. Os sujeitos-alunos produziram seminários e realizaram prova escrita acerca da temática. Para este artigo, serão analisados recortes das provas escritas. Os resultados mostram que os sujeitos-alunos (re)conhecem o preconceito linguístico e argumentam contra ele, embora, muitas vezes, eles se filiem à formação discursiva dominante que reforça a legitimidade de uma língua correta. Diante disso, entendemos que as práticas de ensino de língua têm de colocar em funcionamento as variedades linguísticas que a constituem, de modo a desnaturalizar a visão reducionista e preconceituosa de língua ideal, correta, padrão, ou seja, a língua da escola.
A LEITURA POLÍTICA DA PALAVRA: UMA EXPERIÊNCIA DIDÁTICA, TEÓRICA E TAMBÉM POLÍTICA
Authors: Silva Sobrinho Helson Flávio da
Published: December 2019

Este artigo possui dois objetivos que estão essencialmente articulados, quais sejam: apresentar resultados de uma atividade didática de leitura-interpretação produzida em uma universidade e que foi estendida pelos/as alunos/as a outros grupos de sujeitos fora do espaço universitário; e refletir teórica e politicamente sobre essa experiência/vivência educativa enquanto gesto político de ensino. O texto está dividido em duas partes: primeiramente, traçaremos questões de ordem teórica e metodológica na Análise de Discurso (AD) de filiação pecheutiana quanto à produção histórica de sentidos, sobretudo, nas práticas educativas. Já na segunda parte seguiremos com o relato e a reflexão crítica sobre a vivência da atividade didática em seus gestos de interpretação que possibilitaram o questionamento da produção de sentidos por meio da análise da palavra “política”, a partir de sua articulação com as condições históricas de produção. Esperamos que o/a leitor/a possa nos acompanhar nesta reflexão, tomar posição crítica e, até mesmo, buscar outros lugares possíveis para ressignificar as práticas educativas e seus gestos políticos de intepretação.
ENTREVISTA COM VANISE MEDEIROS
Authors: Medeiros Vanise Gomes de , Fonseca Rívia Silveira
Published: December 2019

Entrevista com Vanise Medeiros, professora do Programa de Pós-Graduação em Estudos da LInguagem da Universidade Federal Fluminense e pesquisadora em Análise do Discurso.
COMPARAÇÃO DA QUALIDADE DO AR EM LOCALIDADES INDUSTRIAL E URBANA
Authors: De Almeida Raphael Perciliano da Silva , E Souza Thainá De Carvalho , De Souza Simone Lorena Quiterio , Martins Eduardo Monteiro , Corrêa Sergio Machado
Published: December 2019

Este estudo compara a qualidade do ar de duas localidades da Região Metropolitana do Rio de Janeiro, a saber: uma área predominantemente impactada pelas emissões veiculares na Taquara (TQ), Jacarepaguá e a outra pelas emissões industriais em Jardim Primavera (JP), Duque de Caxias. Os dados utilizados correspondem às médias horárias entre 2014 a 2016 para óxidos de nitrogênio (NOx, NO2e NO), ozônio (O3), monóxido de carbono (CO), dióxido de enxofre (SO2) e material particulado (MP10), além dos dados meteorológicos. Para interpretar os resultados utilizou-se a Linguagem R. A razão calculada entre as duas localidades para os valores de concentração mediana (JP: 10,7 ppb; TQ: 5,4 ppb) e máxima (JP: 197 ppb; TQ: 146 ppb) para O3foi de 1,98 e 1,35, respectivamente. É mostrada a importância da utilização de softwareestatístico para o manuseio e tratamento dos dados e apresentação de resultados provenientes de estações de qualidade do ar.