bluuebunny/crossref_metadata_2025 huggingface dataset:
Refractory Syncope with Head Rotation Leading to the Diagnosis of Bowhunter’s Syndrome Requiring Intensive Rehabilitation: A Case Report
Authors:   Temple University Hospital/ MossRehab, Department of Physical Medicine and Rehabilitation, Siddiqui Mohammed
Published: November 2021

This is a case report regarding the presentation of Bowhunter’s syndrome, also known as vertebral artery rotational occlusion, leading to surgical intervention and intensive rehabilitation [1]. A 74-year-old man presented with syncope and vertigo with symptom onset after head rotation and CT angiogram showing cervical spondylosis and lateral mass hypertrophy causing significant compression of the right vertebral artery at C4-C5. A diagnostic cerebral angiogram then showed vertebral artery compression in the C4-C5 transverse foramen by lateral mass hypertrophy with lateral rotation of the head to the right. There was resolution of stenosis with the head in neutral or rotated to the left. The patient underwent a right C4-5 facetectomy with C3-6 fusion for Bowhunter’s Syndrome. After neurosurgical intervention, the patient had significant reduction in his symptoms, but with significant functional deficits. Bowhunter’s Syndrome is a rare cause of syncope that must be evaluated due to risk of ischemia to the posterior circulation. Intensive rehabilitation should be considered for patients that present with significant deficits due to prolonged ischemia leading to impaired activities of daily living and mobility after neurosurgical decompression
Pervasive Developmental Disorders in Iraqi Children
Authors:   Advisor in Pediatrics, Pediatric Psychiatry Children Teaching Hospital of Baghdad Medical City and Head, Iraq Headquarter of Copernicus Scientists International Panel Baghdad, Iraq, Jalal Al Mosawi Aamir
Published: November 2021

Background: Pervasive developmental disorders include five chronic disorders marked by early impairment in socialization, communication and behavior. Little is known about the types of pervasive developmental disorders in Iraq. This is a retrospective clinical study aiming at determining the types of pervasive developmental disorders in Iraqi children observed at the pediatric psychiatry clinic in a tertiary pediatric referral center. Patients and methods: During nine months period (November 18th, 2018 to July 18th, 2019), fifty one patients with a diagnosis of pervasive developmental disorders (30 males and 21 females) were observed at the psychiatry clinic at the Children Teaching Hospital of Baghdad Medical City. Their ages ranged from two and half years to twelve years. Results: Thirty two (17 males and 15 females) patients had autism without significant mental retardation as indicated by adequate urine and bowel control and self care skills particularly spoon feeding. Thirteen patients were considered to have atypical autism or Pervasive developmental disorder not otherwise specified (10 boys and 3 girls), in eleven of them, the disorder was considered atypical because of the lack of adequate urine and bowel control and self care skills particularly appropriate spoon feeding indicating significant degree of mental retardation. In one patient, his condition was considered a typical because of the presence of an acceptable eye contact and response appropriately to name in most instances. Three patients had Asperger syndrome including two girls and one boy. Two boys had childhood disintegrative disorder (Heller syndrome), one of them have changes on brain MRI suggestive of cerebral vasculitis. One girl had Rett syndrome and her case and early treatment was published. Conclusion: In this series, typical autism without significant mental retardation accounted for 63%. Atypical autism (Pervasive developmental disorder not otherwise) was the second most common type of Pervasive developmental disorders accounting for about 25%. Asperger syndrome accounted for only 6% of the cases in this series
Father Killed his Three Children
Authors:   Faculty of Law, International University of Brcko District, Brcko, Bosnia and Herzegovina, Franjić Siniša
Published: November 2021

At the beginning of December 2018, in Bihać, Bosnia and Herzegovina, a man (born 1981.) killed his three children and then he commited suicide by hanging. The children were 7, 5 and 2 years old. The media reported that a man left a wife twenty days ago and is assumed to be the motive for this terrible crime. Police officers and forensic experts could not do much, but the place of this terrible crime would forever remain in their memory.
Revisiting the Concept of Sexual Fantasies: A Narrative Review
Authors:   Nurse Intern, Aga Khan Hospital, Karachi Pakistan, Abdul Rahim Komal
Published: November 2021

Background: A sexual fantasy is a mental thought process which blends with individual’s sexuality and causes sexual excitement. This characteristic connects sexual fantasy more with the sexual and reproductive health of a person. There are differences in the nature and frequency of sexual fantasy experienced by both males and females which are greatly influenced by gender roles and societal forces. Method: A literature review is done using databases “Google Scholar, PubMed, and Medline”. A thorough analysis of the literature was done to extract the most relevant information. Results: The sexual fantasies are divided as typical and atypical. In typical sexual fantasy, all normal imaginations are included such as dominancesubmissiveness, watching pornography, oral and anal sex, and bondage. On the other hand, atypical sexual fantasies include deviant imaginations like paraphilia. Conclusion: While sexual fantasies are of variant types, it was found that these are more commonly reported in Western countries than in the Eastern countries; therefore, there is a growing need to conduct more studies in Eastern countries to better conclude the findings.
Revisiting the Concept of Sexual Fantasies: A Narrative Review
Authors:   Nurse Intern, Aga Khan Hospital, Karachi Pakistan, Abdul Rahim Komal
Published: November 2021

Background: A sexual fantasy is a mental thought process which blends with individual’s sexuality and causes sexual excitement. This characteristic connects sexual fantasy more with the sexual and reproductive health of a person. There are differences in the nature and frequency of sexual fantasy experienced by both males and females which are greatly influenced by gender roles and societal forces. Method: A literature review is done using databases “Google Scholar, PubMed, and Medline”. A thorough analysis of the literature was done to extract the most relevant information. Results: The sexual fantasies are divided as typical and atypical. In typical sexual fantasy, all normal imaginations are included such as dominancesubmissiveness, watching pornography, oral and anal sex, and bondage. On the other hand, atypical sexual fantasies include deviant imaginations like paraphilia. Conclusion: While sexual fantasies are of variant types, it was found that these are more commonly reported in Western countries than in the Eastern countries; therefore, there is a growing need to conduct more studies in Eastern countries to better conclude the findings
Antipsychiatry Against Psychiatry: Remonstrations vs. Responsibilities
Authors:   Full Professor of Psychiatry, University of Social Welfare and Rehabilitation Sciences (USWR), Razi Psychiatric Hospital, Tehran – Iran, Shafti Saeed Shoja
Published: November 2021

Psychiatry is, indeed, basically similar to the rest of medicine. it is based upon making reliable diagnoses and applying evidence - based treatments that have success rates comparable with those used in other specialties. Psychiatric syndromes may be defined as disorders that are conventionally treated with treatments used by psychiatrists. The illnesses in which psychiatrists have developed proficiency have tended to be those that either manifest with disordered psychological functioning (thinking, perception, emotion, and memory) or those which have no obviously established organic basis. However, scientific developments are showing us that these so - called psychological ailments are linked with abnormalities of the brain, just as so - called medical illnesses are deeply affected by psychological factors. Modern psychiatry is an evolving field that is becoming less hospital based, more evidence based, and more neuroscience based. Nonetheless, during the last decades, random antipsychiatry attitudes have amalgamated and turned into a conjectural effort, which has a humanistic appearance, too. On the other hand, publicized criticisms by some associates, including known psychiatrists or psychotherapists, have, radically, stirred and reinforced the movement. Anyway, though various criticisms or worries about psychiatry, either as a subdivision in science or as a clinical practice in medicine are understandable due to existing scientific or diagnostic deficits, anti-psychiatry stance, which comprises many historical exaggerations based on happenings and primitive conditions from a century ago, may help to keep us rigorous and honest about what we do and inspiring us to insistently seek better diagnostic prototypes and management standards. In the present article, the said antagonism, in addition to the existing facts and expected responsibilities of psychiatry has been discussed concisely.
Aggression and Violence Affecting Youth During the COVID-19 Pandemic: A Narrative Review
Authors:   University of Miami/Miller School of Medicine, Fielding Graduate University, Field Tiffany
Published: November 2021

Experiencing aggression and violence has long-term developmental effects. Youth have indirectly or directly experienced aggression and violence during COVID-19. Aggression and violence have been happening in communities throughout the world, and with excessive social media exposure, youth are observing violence. Partner violence has also been experienced at home along with sibling violence. Being the target of aggression/violence has been reported by youth via texting hotlines and via self and parent-report surveys. This narrative review includes summaries of this COVID-19 research as well as potential underlying mechanisms for aggression/violence including frustration and touch deprivation. Limitations of these studies include their nonrepresentative samples and cross-sectional data deriving from different pandemic periods
The Impact of CO2 Emissions on the GDP per Capita, Employment Rate and Energy Consumption of China, Korea and Japan
Authors: Mendoza Allieah A. , Garret T. Reyes Kirby Duane , D. Soriano Pauline Antonette , Cabauatan Ronaldo
Published: November 2021

This paper aims to investigate the relationship between CO2 Emissions and GDP per capita of three East Asian countries (China, Japan, and South Korea). The Environmental Kuznets Curve hypothesis and its possible implications to the implementation of the Kyoto Protocol Agreement will be tested. The independent variables Employment and Energy consumption will be used as control variables. Multiple regression analysis and cointegration tests will be used on time series data of Japan, Korea, and China that is obtained from the World Bank database. GDP per capita is measured in constant 2010 US$, CO2 emission in kt, Employment in the ratio of total employment to total population aged 15 and above, and Energy Consumption in annual kWh per capita.
Yapay sinir ağlarının farklı aktivasyon fonksiyonlarında uygulaması: Türkiye’de ördek popülasyonu öngörüsü
Authors: ÇELİK Şenol
Published: November 2021

Bu çalışmada farklı aktivasyon fonksiyonlarında Türkiye’de ördek sayısını modellemek ve tahmin edecek bir Yapay Sinir Ağı (YSA) modeli geliştirilmiştir. YSA modelinin geliştirilmesinde girdi parametresi olarak zaman değişkeni olan yıllar, çıkış parametresi ise ördek sayısı kullanılmıştır. Araştırma verileri Türkiye’de 1991-2020 dönemine ait ördek sayısından oluşmaktadır. En uygun modeli belirlemek için yarı doğrusal, sigmoid, bipolar sigmoid ve hiperbolik tanjant gibi 4 farklı aktivasyon fonksiyonları kullanıldı. En uygun aktivasyon fonksiyonunu belirlemek için modelin etkinliğini belirleyen Hata Kareler Ortalaması (MSE) ve Hatanın Mutlak Ortalaması (MAE) istatistikleri kullanılmıştır. Farklı aktivasyon fonksiyonların performansları karşılaştırıldığında en uygun aktivasyon fonksiyonu hiperbolik tanjant fonksiyonu olmuştur. Çünkü hiperbolik tanjant fonksiyonu kullanıldığında en küçük MSE ve MAE değerlerine ulaşılmıştır. YSA modeli tek gizli katmanlı, 12 işlem elemanlı (1-12-1) ve öğrenme algoritması olarak Levenberg–Marquardt geri yayılım algoritması (trainlm) olarak kullanılan bir ağ mimarisi şeklindedir. YSA ile ördek sayısının 2021-2025 yılları arası öngörüsü yapılmıştır. Öngörü sonuçlarına göre, 2021-2025 yılları arasında ördek sayısının 531 242-479 407 arasında olacağı beklenmektedir.
WORKING AND STUDYING: CHALLENGES FACED BY THE DIPLOMA NURSE WHILE UPGRADING
Authors: Kamau S , Mwangi J
Published: November 2021

Background: Personal development and pursuance of higher education in nursing is considered important for the nurses to stay abreast in the dynamic medical world and promote excellence in practice. There are workplace barriers that cause challenges for nurses who are upgrading as well as after upgrading.

Objectives: Determine institution related challenges that determine whether a nurse enrolls in a diploma to degree nursing program, their performance during the program and their decision to hold on to the end                                   

Methodology: The study adopted a descriptive cross sectional design, carried out among a randomly sampled population of 220 nurses who work in the hospital. Data was collected using self-administered questionnaires from a simple random sample of 140 nurses. Data analysis was done by SPSS version 22.0. Measures of central tendency mean and range were used. The findings have been presented in form of figures, tables, pie-charts and narrative texts.

Results:  A total of 120 participants filled questionnaires representing an 85% response rate. 78% (n=93) were female, and 22% (n=27) were male, Inferential analysis on institution related factors and their influence on upgrading nurses were assessed. Findings showed that the need for a promotion was the most important institution –related factors (n=62, 57.4%) underlying the motivation for nurses to upgrade (X2=17.601, df=7, p=0.014).   

Conclusion: Upgrading is a worthwhile venture for both the nurse and the work place. Promotion is one of the greatest motivational factors of upgrading. More diploma nurses think it is worth to upgrade.

Recommendations:  This research recommends that a caring curriculum should be designed for the working nurse and recognition and promotion according to education level and awareness of policies on promotion after upgrading.
Current situation and solutions to accelerate the implementation of gas projects in Vietnam to effectively exploit domestic resources
Authors: Hoang Thi Dao , Doan Van Thuan
Published: November 2021

Ensuring the implementation progress of Vietnam's major gas projects (Block B, Ca Voi Xanh and Ken Bau) with early gas flow to the shore not only provides gas for power projects on time in accordance with the draft National Power Development Master Plan for the 2021 - 2030 period, with a vision to 2045 (draft Power Master Plan VIII), but also maintains the momentum of economic growth and increase revenues for the State budget.

Vietnam needs solutions to accelerate the progress of projects to bring gas to shore to ensure energy security (meeting the increasing domestic gas demand), and to convert gas resources into national budget in the trend of energy transition and efficiency of investment capital (for projects having state-owned enterprise’s capital).

The article analyses the fluctuation of State budget revenue when gas projects are slow to be put into operation, compares the national benefits of gas extraction projects with LNG import, and thereby recommends solutions to put gas projects into early operation.
TABAGISMO: UM DESAFIO A SE PERFAZER
Authors: Rodrigues Duarte Gabriel , Ramos de Oliveira Júlia Victória , Oliveira da Silva Uidma
Published: November 2021

Objetivo: elucidar os efeitos toxicológicos dos derivados de tabaco ao organismo humano, as dificuldades e justificativas em cessar o hábito de fumar, o impacto na sociedade, incluindo as partes financeiras da saúde e qualidade de vida. Metodologia O documento foi construído após uma revisão teórica sobre o tabaco e seus efeitos tóxicos aos seres humanos. O levantamento bibliográfico foi realizado utilizando-se as bases de dados PubMed, Lilacs, Scielo e Google Acadêmico. Resultado: o tabaco é uma mistura de aproximadamente 4.700 substâncias tóxicas que se distribuem em duas fases de compostos de elevado grau de toxicidade; abordamos a Nicotina e sua alta capacidade de gerar dependência; buscamos informar a dificuldade que um indivíduo tem de a abolir o hábito, pelo qual a nicotina produz efeitos que reforçam o seu uso. A severidade da dependência a nicotina pode ser ilustrada com o fato de que apenas 33% das pessoas que deixam de fumar sozinhas permanecem abstinentes por um período superior a 2 dias, e menos de 5% mantém-se abstinentes por mais de 1 ano. Conclusão: os avanços no controle do tabagismo dependem de uma visão de futuro baseada em metas, estratégias e rigidez nas políticas antitabagistas.
VIABILIDADE DA HÉLICE CONTÍNUA NA CONSTRUÇÃO CIVIL
Authors: Mascagna Costa Wallace , Quaresma José Eduardo , Florian Fabiana
Published: November 2021

O presente trabalho apresenta um breve estudo referente a viabilidade sobre a utilização da hélice contínua na construção civil, por meio de uma revisão bibliográfica sobre as etapas deste processo de execução das fundações profundas. Apresenta-se as vantagens e desvantagens deste processo e também como é realizado. O objetivo deste estudo é verificar os aspectos construtivos de projeto de fundações em hélice contínua. O metodologia é a de revisão bibliográfica. Como resultados evidenciou-se que as estacas cravadas do tipo hélice contínua estão cada vez mais próximas de serem controladas por outras maneiras mais técnicas, devido à disposição de sistemas de computadores capazes de realizar o monitoramento de todo o processo executivo, e que, atualmente já existem um valor representativo sobre o número de equipamentos em operação no mercado da construção civil, o que confirma a boa atuação deste processo no meio técnico.
Women, Religion and Health Policy in a Nigerian Community
Authors: Olademo Oyeronke
Published: November 2021

Focusing in recent decades on the city of Ilorin, in Kwara State, southwest Nigeria, I propose to consider the interrelationships and tension between religious convictions and healthcare policy, as a case study for evaluating the status of women in the Nigerian polity. My resolve on this approach is informed by the pervasive religiosity of the Nigerian nation and by the minimal attention accorded religion in policy formation and Nigerian women. The correlation between philosophy and religion mandates the serious consideration of religion in policy formation and execution. One foremost example is the case of Kwara State’s health sector, especially noticeable in policies concerning child and maternal mortality. I intend to investigate the underlining principles among the people for certain practices that have presented serious challenges to health care policies and their implementation. While three major religions of Nigeria are adequately represented in Ilorin, Islam prevails over Christian and indigenous religions. Although the Islamic system of sharia is not practiced as the sole judicial system in Ilorin, Kwara State, the implications of sharia, which is practiced in conjunction with the civil justice system, for the status of women is apparent. An attempt will be made to proffer explanations and answers where applicable to critical questions. What is the role of religion in women’s identity formation? How does this role affect women’s status in the society and health programs in Nigeria e. g maternal and child health and education policies? How may an appreciation of the status of women in the religious sector affect their reception and utilization of official health policies? Are there mutual avenues that accommodate the religious identity of women and explicate health issues? How may religion serve as a prism for re-evaluating the state’s health care policy for women?
Homosexuality in Ghana: Perspectives of Science, Social Learning Theory and Religion
Authors: Gedzi Victor Selorme , Ahenkora Kwakye Siaw , Dumbe Yunus
Published: November 2021

The study discusses homosexuality in Ghana. It has analyzed the interdisciplinary views of science, the social learning theory and religion on the phenomenon. The approach is mainly qualitative involving both individual and group interviews. Individual and group informants were respectively selected using purposeful and availability sampling designs in institutions, towns/cities, and secret homosexual parties. The findings were that homosexuality in Ghana portrays a learnt behavior; it is not genetically caused as some claim. Religiously, the phenomenon is seen as a sinful act. The study suggests ways that homosexuals can be helped to overcome their situation. The study is important because it highlights the state of homosexuality in Ghana and suggests helpful ways of dealing with it. It also contributes to existing local and global debates on the phenomenon.
Threats to Marriage Institution in the Modern World: Islamic Panacea
Authors: Owoyemi Samuwilu Alade
Published: November 2021

Marriage, a universally recognized union between a man and a woman, has been continually evolving, undergoing changes and redefinitions in the modern world. Towards the end of the 20th century, other forms of unimaginable unions emerged and were consequently legalized thereby constituting threats to marriage. Issues like gay union, high cost of wedding feast, indiscriminate use of contraceptives by the unmarried, accessibility to free porn, sex video, sex dolls and sex games on the Internet/social media and a host of others are seen as threats and challenges to the institution of marriage. It seems that the legal union between man and woman is being re-interpreted and discouraged. Discussing the marriage institution from Islamic perspective, this paper, adopting analytical method, critically examines the threats against marriage and makes a concise attempt to identify ways of combating them. The paper, which also highlights divergent views of Muslim jurists on marriage, offers Islamic panacea to what constitutes threat to marriage; with a view to sustaining the institution through, the establishment of marriage counseling units, complimentary role of government, the Imams/missionaries, relatives and friends in offering financial and spiritual support for the unmarried and married couples. Realizing the distinguishing features between human beings and animals, the paper offers recommendations towards preserving the institution of marriage and as well discouraging all other forms of unions that are forbidden in Islam.
Lockean Political Philosophy And Its Implications For Nigerian Politics
Authors: Adefarasin Victor
Published: November 2021

The political ideas of John Locke have greatly influenced the modern world. His political ideas have actually given to the modern world the concepts of constitutional government, religious toleration, representative institutions, the freedom of individual and private property. In addition, the philosophical theories are embedded in the American and British Constitutions. It is against this background that Lockean political philosophy and its implications for Nigerian politics are discussed in this paper. The paper concludes that Lockean Political Philosophy is of vital importance to Nigerian politics.
Os Matemáticos da Evolução: Complexidade Especificada
Authors: Souza Josiney Alves de
Published: November 2021

Este artigo revisita as incursões históricas de matemáticos na teoria evolucionária. O objetivo é apresentar algumas reflexões de tratativas matemáticas na discussão da complexidade presente na evolução. Os matemáticos propõem caminhos alternativos por coevolução mútua, metabiologia, ou design, infligindo desafios mais profundos na compreensão dos processos evolutivos de organismos vivos.
The Liverpool Medical School in Morecambe Bay: progress report
Authors: Flanagan Mike
Published: November 2021

This article is intended for all our readers but the action plan applies mostly to hospital-based activities. The next issue of the journal will concentrate on development in primary care.
Posibilidades educadoras de familias jornaleras agrícolas migrantes en México ante las condiciones de la pandemia del SARS-CoV-2
Authors: Méndez Puga Ana María , Castro Valdovinos Irma Leticia , Herrera Martín del Campo Ignacio Roberto
Published: November 2021

Este texto tiene por objetivo mostrar algunas de las condiciones que facilitan o complican el acceso al derecho a la educación, así como la permanencia de la escuela para familias jornaleras agrícolas migrantes en los tiempos del SARS-CoV- 2, considerando que gran parte del proceso de aprendizaje recae sobre las propias familias. Se realiza un análisis desde la cultura y la gramática escolar, contemplando las características de la escuela para estas familias y las posibilidades que tienen de responder a las condiciones derivadas del programa oficial mexicano “Aprende en casa”. Se realizó un estudio cualitativo de alcance descriptivo, con entrevistas a hombres y mujeres de estas familias, con relación al conocimiento que tienen acerca de la pandemia, sobre las condiciones para hacer posible el cuidado necesario para no contagiarse y la escolarización para niñas y niños; se retomó información sobre las características de las familias y sus dinámicas, derivadas de investigaciones anteriores. Se encontró que algunos jornaleros y sus familias tienen acceso a información, que asumen la consigna de cuidado en tanto posibilidades materiales; y que por lo que ellos y ellas conocen, son pocas las posibilidades de escolarización en esta época. Se concluye con la necesidad de generar estrategias colectivas y buscar el apoyo de empresarios, sociedad civil y autoridades educativas.
Representación, reconocimiento y significado del número irracional y la función periódica en la formación del Profesorado de Educación Secundaria
Authors: Reina Luis Darío , Wilhelmi Miguel R.
Published: November 2021

En este trabajo se estudia un fenómeno didáctico que puede emerger en la construcción de dos nociones matemáticas, a saber, los números irracionales y la función periódica (Reina y Wilhelmi, 2017; 2019). Se analizan los conflictos semióticos asociados al reconocimiento visual de la periodicidad numérica y funcional. Se observa que estos conflictos se pueden agrupar fundamentalmente en tres dimensiones: una, cognitiva, relativa a la forma de adquisición de las nociones por los sujetos, en especial en aquellos aspectos relativos a la percepción visual; otra, epistémica, relativa al significado atribuido a los objetos matemáticos; y, finalmente, de enseñanza, relativa a reglas del contrato didáctico. El estudio fundamenta teóricamente y aporta datos empíricos sobre las dificultades asociadas a estas tres dimensiones en la construcción de número irracional y de la función periódica.
Crítica Genética e documentos obtidos no Instagram
Authors: Pessoa Priscilla de Paula , Ghizzi Eluíza Bortolotto
Published: November 2021

Artistas brasileiros têm usado suas redes sociais digitais para compartilhar, além de imagens de seus trabalhos, muitas vezes, também, registros dos respectivos processos criativos. Posto que a Crítica Genética investiga as obras de arte a partir de sua gênese, através de documentos gerados durante e após seus processos criativos, o presente artigo aborda a possibilidade do crítico genético valer-se de imagens e textos compartilhados publicamente pelos próprios artistas em seus perfis na rede social Instagram, tratando-os como documentos passíveis de serem considerados dentro de metodologias próprias da Crítica Genética - entendida a partir dos estudos de Cecília Salles - e analisados com base na Fenomenologia e na Semiótica Geral de Charles S. Peirce - conforme revista por Lucia Santaella. Apresentam-se considerações sobre o perfil de Instagram de 20 pintores contemporâneos brasileiros e o estudo de caso mais aprofundado do perfil da pintora Ana Elisa Egreja, a partir do qual investiga-se o papel da fotografia no processo criativo da pintura Banheiro rosa com polvos.
Semiótica social, multimodalidade e Youtube®
Authors: Lage Gualberto Clarice , Brito Regina , Pimenta Sônia
Published: November 2021

Este trabalho é resultado de uma pesquisa de doutorado, que, considerando a popularidade da plataforma YouTube®, tem dois objetivos principais: o primeiro é mostrar uma metodologia que desenvolvemos para análise de vídeo; o segundo é analisar identidades apresentadas pelos chamados “influenciadores”, através de modos semióticos visuais e cinéticos. O corpus de análise são vídeos de um canal do YouTube® bem conhecido pelo público, principalmente no Brasil: SmallAdvantages, de Gavin Roy. A partir da Semiótica Social (HODGE; KRESS,1988; VAN LEEUWEN, 2005; KRESS, 2010) e sob a ótica da multimodalidade (KRESS; VAN LEEUWEN, 2001; KRESS, 2010), iniciamos nossa pesquisa elencando quatro categorias: a) aparência do youtuber; b) cenário e ambientação; c) câmera e edição; d) uso das cores. Para a análise, utilizamos a Gramática do Design Visual (KRESS; VAN LEEUWEN, 2006, 2021), a Teoria dos Metamodos Kineikônicos (BURN, 2013) e os estudos sobre Cores (KRESS; VAN LEEUWEN, 2002). Embora o youtuber tente passar uma imagem despojada e natural diante de seu público seguidor, ainda assim, percebemos uma tentativa de harmonização e validação realizada pela orquestração dos modos visuais e cinéticos.
Clinical comparison of intravenous thrombolysis and bridging artery thrombectomy in hyperacute ischemic stroke with unknown time of onset
Authors: Qingke Bai , Ping Zheng , Jianying Zhang , Zhenguo Zhao
Published: November 2021

Introduction

The aim of the study was to explore the clinical efficacy and safety of intravenous thrombolysis and bridging artery thrombectomy for hyperacute ischemic stroke with unknown onset time.

Material and methods

One hundred and twenty-eight patients with hyperacute cerebral infarction and without a clear time of onset were randomly divided into intravenous thrombolysis (n = 66) and bridging artery thrombectomy groups (n = 62).

Results

In the intravenous thrombolysis group, 37 patients’ vessels had recanalization, 32 patients’ 24-hour National Institute of Health Stroke Scale (NIHSS) score improved, and 42 patients’ 90-day modified Rankin Scale (mRS) score was good. In the bridging artery thrombectomy group, 62 patients’ vessels had recanalization, 28 patients’ 24-hour NIHSS score improved, and 38 patients’ 90-day mRS score was good.

Conclusions

The benefits and adverse events between intravenous thrombolysis and bridging artery thrombectomy for ischemic stroke with unknown time of onset are similar.
Relación entre la vulneración del derecho de bonificación y su tratamiento en el proceso contencioso administrativo por preparación de clases de los docentes de la Unidad de Gestión Educativa Local – San Martín, 2018
Authors: Moreno Aguilar Jhin Demetrio , Ruiz Paredes Gelver
Published: November 2021

Esta investigación tiene como objetivo general determinar cuál es la relación entre la vulneración del derecho de bonificación y su tratamiento en el proceso contencioso administrativo por preparación de clases de los docentes de la UGEL – San Martín, 2018. La investigación es mixta, con diseño no experimental de índole descriptivo correlacional de corte transversal. La muestra estudiada es de 132 procesos contenciosos administrativos, que tienen como pretensiones el reconocimiento del 30% de sus remuneraciones por preparación de clases y evaluación, de los resultados obtenidos se aceptó la hipótesis alterna que establece que existe una relación significativa entre las variables estudiadas; por lo que se concluyó que se vulneró sistemáticamente el derecho solicitadoen el año 2018 en un 99.25%, puesto que, la Sala Civil Descentralizada de Tarapoto revocaron las sentencias de primera instancia y consecuentemente la declararon improcedentes las demandas  contenciosas administrativas.
Performativa teatral como vínculo de la reparación social y dignificación desde el rescate de la memoria histórica intergeneracional
Authors: Melgar Nilcer , Mejía Johana
Published: November 2021

Estudiar los actos performativos implica dar una mirada crítica de lo que significa dignificarse como seres humanos desde el reconocimiento colectivo de la barbarie hasta la búsqueda de la liberación. Esta investigación parte de la teoría de la posmemoria, noción elaborada por Marianne Hirsch y los aportes de la psicología social acuñados por Ignacio Martín-Baró. Estos encuadres han sido utilizados para analizar los vínculos intergeneracionales de las comunidades repobladas del nororiente de Chalatenango para estudiar el impacto psicosocial ocasionado por el conflicto armado de acuerdo con los procesos psicointercomunitarios que han quedado manifiestos en el posconflicto, mediante el reconocimiento y la implementación de la rama artística, específicamente el teatro. Los resultados evidenciaron que, efectivamente, la performativa teatral ha activado procesos que han contribuido a la reparación social y a la dignificación desde y hacia las víctimas. Es decir, el teatro se ha convertido en una herramienta de resistencia utilizada como denuncia y reconstructora del tejido social dañado. A través de este, las comunidades establecen una comunicación afectiva intergeneracional, consolidan el sentido de pertenencia comunitaria, instalan un posicionamiento político público y movilizan sus capacidades de agencia.

ECA Estudios Centroamericanos, Vol. 76, No. 765, 2021: 241-266.
Policy recommendations for environmental conservation in the Chindwin River Basin
Authors:   Stockholm Environment Institute, Melati Kuntum , Thazin Aung May , Gómez González Juanita , Nguyen Phuong , Bhatpuria Dhyey
Published: November 2021

The Chindwin Basin is facing habitat loss and species population decline driven by economic development activities combined with the impacts of climate change. Given the interdependency of livelihoods and biodiversity in this part of Myanmar, this brief explores ideas for enhancing community-based conservation in the Chindwin River Basin.
E-Digital Learning sebagai Media Pemberdayaan Pendidikan Era Covid-19 di Desa Kidal Tumpang
Authors: Susilawati Lis , Muliyono Nurwakhid
Published: November 2021

Pembelajaran E-Digital pada era pendemi membuat para orangtua merasa gelisah perihal kelanjutan dari program pembelajaran peserta didik di sekolahan yang belum juga mendapati tanda-tanda untuk kembali melakukan aktifitas sekolah secara normal. Berdasarkan hasil survey masyarakat banyak sekali kendala yang sangat dirasakan oleh wali murid. Berdasarkan permaslahan yang ada maka perlu dilakukan kegiatan pengabdian pada masyarakat desa Gondangmanis dengan pendampingan secara intensif dalam pengembangan minat peserta didik dalam pembelajaran berbentuk daring. Metode yang digunakan dalam kegiatan pengabdian pada masyarakat ini menggunakan metode ceramah,diskusi, demonstrasi dan brainstorming melalui pendekatan kontekstual,konsep, open ended, basis kompetensi dan induktif. Hasil penilaian kemampuan peserta didik menunjukkan bahwa 90% peserta didik sangat baik yang menunjukkan adanya peningkatan peserta. Sebanyak 10% peserta didik cukup baik, yang menunjukkan peserta didik kurang mampu mengikuti kegiatan yang diselenggarakan karenakan keterbatasan kemampuan diri dan tingkat pemahaman yang bebeda. Hasil penilaian ketrampilan Guru SD/MI memperoleh skor rata-rata 8,86 yang tergolong cukup baik.Tingkat antusias peserta didik ada kecenderungan awalnya tinggi menurun dipertengahan kegiatan dan meningkat lagi di akhir kegiatan.
Pembekalan Metode Pengajaran Imla’ Bagi Pengajar Bimbingan Masuk Gontor Yogyakarta
Authors: Maslul Syaifullahil , Khizbullah Muhammad Amin , Thonthowi Thonthowi , Fithroni Fajar , Novitasari Apriani
Published: November 2021

Kepercayaan yang besar terhadap Pondok Modern Darussalam Gontor ditunjukkan oleh mas¬yarakat dengan datangnya ribuan calon pelajar dari seluruh Indonesia untuk men¬daf¬tar¬kan diri dan mengikuti ujian seleksi di Pondok Modern Darussalam Gontor. Materi Imla adalah salah satu materi yang diujikan dalam ujian masuk Pondok Modern Darussalam Gontor. Tujuan dari pengabdian ini adalah untuk membekali para pengajar untuk melaksakan bimbingan masuk Gontor. Bimago Yogyakarta adalah lembaga penyelenggara kursus persiapan calon santri Pondok Modern Darussalam Gontor. Bimago Yogyakarta bekerjasama dengan IKPM Yogayakarta mengadakan Pembekalan Metode Pengajaran Imla’ Bagi Pengajar Bimago Yogyakarta. Metode yang digunakan dalam pengabdian masyarakat ini menggunakan workshop dengan tiga tahapan, pemaparan materi, praktek mengajar dan evaluasi. Hasil dari pengabdian masyarakat berupa penanaman dua metode self preparation methode dan student as observation object dalam pengajaran imla’.
Value of ultrasound-guided aspiration of hip arthroplasties performed in an orthopedic clinic by orthopedic surgeons
Authors: Duck Holly , Tanner Suzanne , Zillmer Debra , Osmon Douglas , Perry Kevin
Published: November 2021

Abstract. Background: Total joint arthroplasties continue to increase as do periprosthetic joint
infections (PJIs). Ultrasound-guided aspiration can yield useful synovial
fluid for analysis while avoiding radiation exposure. This study presents a
high-yield, ultrasound-guided technique with analysis of aspiration results.
Methods: All consecutive ultrasound-guided aspirations of hip arthroplasties
performed from May 2016 through to April 2019 were retrospectively reviewed.
Patient demographic information, component specifics, presence of draining
sinus, and inflammatory markers were recorded. Results of aspiration
including volume, appearance, lavage use, synovial fluid differential
leukocyte count, synovial neutrophil percent, and culture results were
recorded. Surgical results, specimen cultures, and surgeon description of
purulence were recorded. Aspiration results were compared to the surgical
specimen results in all patients who underwent reoperations.
Results: Review of 349 hip aspirations demonstrated accuracy of 87 %, sensitivity
of 83 %, specificity of 89 %, positive predictive value of 79 %, and negative
predictive value 91 %. Surgical and aspiration cultures matched in 81 % of cases.
Bloody aspirates and aspirates obtained after lavage had less
accuracy at 69 % and 60 %, respectively. Specificity was 100 % for
cultures obtained with lavage and 91 % for bloody aspirates. Synovial
leukocyte count and neutrophil percentage was obtained in
85 % of aspirations, and cultures were obtained in 98 % of aspirates. Contamination rate
was 2 %.
Conclusion: Ultrasound-guided aspirations aid in the diagnosis of PJI. The use of lavage
to obtain fluid is helpful when aspiration cultures are positive. Bloody
aspirates are less accurate but have high specificity. A low contamination
rate and 88 % accuracy results with this meticulous technique.
Brief Communication: Key papers of 20 years in Natural Hazards and Earth System Sciences
Authors: Gain Animesh K. , Bühler Yves , Haegeli Pascal , Molinari Daniela , Parise Mario , Peres David J. , Pinto Joaquim G. , Schröter Kai , Trigo Ricardo M. , Carmen Llasat María , Kreibich Heidi
Published: November 2021

Abstract. To mark the twentieth anniversary of Natural Hazards and Earth System Sciences (NHESS), an interdisciplinary and international journal dedicated to the public discussion and open-access publication of high-quality studies and original research on natural hazards and their consequences, we highlight eleven key publications covering major subject areas of NHESS that stood out within the past 20 years. The selected articles represent excellent scientific contributions in the major areas of natural hazards and risks and helped NHESS to become an exceptionally strong journal representing interdisciplinary areas of natural hazards and risks. At its 20th anniversary, we are proud that NHESS is not only used by scientists to disseminate research results and innovative novel ideas but also by practitioners and decision-makers to present effective solutions and strategies for sustainable disaster risk reduction.
Simulating the feedback between corrosive gas generation and water availability for the evaluation of radionuclide mobility in the context of radioactive waste disposal
Authors: Wissmeier Laurin , Poppei Joachim
Published: November 2021

Abstract. It has been recently recognized that the availability of liquid water
may be a controlling factor in the feedback between the physical
processes of variably saturated liquid and gas flow on the one hand,
and various chemical processes such as metal corrosion in an
underground storage facility for radioactive waste on the other hand
(e.g., Huang et al., 2021, and reference therein). Iron corrosion in
anoxic conditions produces hydrogen gas and consumes water, as
expressed by the following stylized chemical equation (e.g., Diercks
and Kassner, 1988; Senior et al., 2021): 3Fe+4H2O⟶Fe3O4+4H2 Since water is an educt the corrosion reaction may be suspended or suppressed by the scarcity of water near the corroding surfaces. At the same time, gas pressure build-up through hydrogen generation may limit further water ingress. We developed a model that focuses on the close coupling between gas generation through iron corrosion and water availability. The feedback between iron corrosion, gas generation and liquid phase flow is considered by implementing the corrosion reaction in the subsurface flow and transport simulator PFLOTRAN
(Hammond et al., 2012; Lichtner et al., 2015, 2020)
making use of its coding provisions to implement source/sink terms for water and gas. These source/sink terms reflect the kinetics of the iron corrosion and its dependence on the educts, where the availability of water is approximated by the local liquid saturation. The model was applied to evaluate the mobility of radionuclides in, and their release from a hypothetical geological storage facility for radioactive waste. The radionuclides are traced through the emplacement chambers and drift by means of advective and diffusive transport. Parameter variations illustrate the influence of crucial modelling parameters on the simulation results.
Michigan International Copper Analogue (MICA) project – current status
Authors: Liebscher Axel , Reijonen Heini , Aaltonen Ismo , Lilja Christina , Norris Simon , Waffle Lindsay , Diomidis Nikitas
Published: November 2021

Abstract. One of the key requirements for the deep geological disposal of high-level
nuclear waste is the assessment of its long-term performance and safety (up to
1 Ma). Regarding engineered barrier system materials, such as copper, much of
the data available comes from short-term investigations, such as laboratory
experiments at different scales. Copper is an important part of many waste
packaging and disposal concepts, e.g. KBS-3 developed in Sweden and Finland
and Mark II developed in Canada. Natural analogues provide another important way of obtaining understanding on
potential repository system behavior. Observations made from the geological
systems can be utilized in the safety case, providing information on the
assessment time scale. Copper analogue studies (both natural analogues and
archaeological analogues) have been reported in the literature and they have
been extensively reviewed by various authors (e.g. Miller et al., 2000) and by
safety case projects (e.g. Reijonen et al., 2015) within waste management
organizations. So far, only a few studies have focussed on the general
stability of native copper within its natural media (e.g. Milodowski et al.,
2000; Marcos, 2002). Keweenaw native copper occurrences (Lake Superior, USA) have been mentioned as
a qualitative source of information (e.g. in Miller et al., 2000); however,
data to be used in process-based safety assessments for geological disposal
are lacking. These deposits have been mined for a long time and there is a
great deal of knowledge related to them as well as samples collected, but no
formal review has been made from the geological disposal point of
view. The native copper at the Keweenaw area reflects various geological
environments from bedrock to sediment and even anthropogenic mine site
remnants and geochemical environments (e.g., anoxic vs. oxic, sulphur-free
vs. sulphur-bearing). It thus provides a unique complementary data
source that will be useful for estimating processes governing behavior of
metallic copper. The MICA project phase I systematically collects and reviews
the existing literature and data on the Michigan copper analogue sites and
available sampling potential. Here, we present the current status of the
project.
Deformation mechanisms and their microstructural indicators in the compaction of crushed salt as a geotechnical barrier
Authors: Svensson Kristoff , Zemke Kornelia , Laurich Ben
Published: November 2021

Abstract. Following 30 years of research, it is common sense that crushed salt is the most suitable geotechnical material for encapsulating radioactive waste in a rock salt repository (e.g., Chaikowski et al., 2020). After emplacement, it provides sufficient permeability to allow outflow of unwanted canister-corrosion gases. In the long term, however, when it becomes compacted by converging cavity walls, it safely hinders any fluid flow from and to the waste. Hence, it is essential to know the evolution of (1) the material's key parameters during compaction, such as porosity and permeability, backfill resistance and viscosity; (2) the material's response to environmental controls, such as temperature, humidity, and stress; and (3) the material's long-term rheology. Here we align microstructural deformation indicators with physical processes that underlie compaction (Mills et al., 2018a). We strive to identify and – where feasible – to quantify the dominant deformation mechanisms (Blenkinsop, 2002; Jackson and Hudec, 2017). As a preliminary result, we show that the abundancy of deformation indicators increases with increasing compaction state. In early compaction, we observe more brittle mechanisms, such as grain fracturing (Fig. 1a) and cataclastic flow. At later stages, especially in the presence of moisture, plastic deformation overtakes. Therein, we observe an increased presence of indicators for pressure solution precipitation (grain boundary seams) and dislocation creep (subgrain formation, Fig. 1b), with progressing deformation. In our upcoming work, we aim at linking the observed indicators to environmental controls, such as moisture content, temperature, and strain rate by applying our approach to larger suits of samples compacted under best-known controlled conditions. Final goal is the joint interpretation with findings from in situ-compacted material (Mills et al., 2018b). Do lab tests mimic in situ processes of crushed salt compaction adequately? Can we learn how to do better by means of microstructural investigations?