bluuebunny/crossref_metadata_2025 huggingface dataset:
everyday lives of video game developers: Experimentally understanding underlying systems/structures
Authors: O'Donnell Casey
Published: January 2018

This essay examines how tensions between work and play for video game developers shape the worlds they create. The worlds of game developers, whose daily activity is linked to larger systems of experimentation and technoscientific practice, provide insights that transcend video game development work. The essay draws on ethnographic material from over 3 years of fieldwork with video game developers in the United States and India. It develops the notion of creative collaborative practice based on work in the fields of science and technology studies, game studies, and media studies. The importance of, the desire for, or the drive to understand underlying systems and structures has become fundamental to creative collaborative practice. I argue that the daily activity of game development embodies skills fundamental to creative collaborative practice and that these capabilities represent fundamental aspects of critical thought. Simultaneously, numerous interests have begun to intervene in ways that endanger these foundations of creative collaborative practice.
Army rolls through Indianapolis: Fieldwork at the Virtual Army Experience
Authors: Allen Robertson
Published: January 2018

This essay takes an ethnographic look at the individuals and institutions associated with the development, production, and implementation of the Virtual Army Experience (VAE), a mobile mission simulator that travels across the United States to venues such as state fairs and air shows. As an explicit aid to Army recruitment and interaction with the public, the VAE is an interesting nexus point that often channels public anxieties surrounding the medium of the video game and its role in the militarization of society. Here, I present my own experience of doing ethnography at this site, describing how it is received by visitors and interpreted by its employees. By means of the example of the VAE, I argue that polarizing media reports and academic criticisms that pit the processes of militarization against critical reflection of those processes are counterproductive and result in silencing more nuanced and thoughtful critical reflection that is already present at sites such as the VAE.
"Dungeons & Dragons": The gamers are revolting!
Authors: Bryant Rebecca
Published: January 2018

The negative response by players to corporate changes to the rule systems governing Dungeons & Dragons suggests that tabletop RPGs have more in common with fan fiction than with computer games.
examination of living through enjoyment: Live-action role-play
Authors: Odom Amanda
Published: January 2018

Many in the gaming community argue that video gaming has enhanced the RPG experience, allowing for ever more immersive experiences for players. The live-action aspects of LARPing anticipated the movement toward virtual play that video games have worked to create.
birth of a community, the death of the win: Player production of the "Middle-earth Collectible Card Game"
Authors: Bisz Joe
Published: January 2018

Collectible card games (CCGs) are at the midpoint of the spectrum of game playing: half game, half story. An examination of a CCG based on Tolkien's Middle-earth illustrates the ways in which fans of the story have changed the game, especially in removing the focus on winning.
Playing Sue
Authors: Beck Julia , Herrling Frauke
Published: January 2018

Using ludology and narrative theory, we explore the concept of the Mary Sue in RPGs as well as in fandom. In fantasy RPGs, self-insertion and wish fulfillment are encouraged. However, the presence of a Mary Sue can still disrupt the gaming experience.
Endless loop: A brief history of chiptunes
Authors: Driscoll Kevin , Diaz Joshua
Published: January 2018

Chiptune refers to a collection of related music production and performance practices sharing a history with video game soundtracks. The evolution of early chiptune music tells an alternate narrative about the hardware, software, and social practices of personal computing in the 1980s and 1990s. By digging into the interviews, text files, and dispersed ephemera that have made their way to the Web, we identify some of the common folk-historical threads among the commercial, noncommercial, and ambiguously commercial producers of chiptunes with an eye toward the present-day confusion surrounding the term chiptune. Using the language of affordances and constraints, we hope to avoid a technocratic view of the inventive and creative but nevertheless highly technical process of creating music on computer game hardware.
Intrinsic motivation: "flOw," video games, and participatory culture
Authors: Soderman Braxton
Published: January 2018

Through a comparison of the free online Flash game updated for PlayStation 3 to World of Warcraft, I investigate participatory culture in the game community. The question of why people pursue activities that offer no monetary or similar reward is answered in part by analyzing fan-produced game modifications or mods.
"In the hunt: Unauthorized essays on 'Supernatural,'" edited by Supernatural.tv
Authors: Hornick Alysa
Published: January 2018

Review of Supernatural.tv, ed. In the hunt: Unauthorized essays on "Supernatural." Dallas, TX: BenBella Books, 2009. Paperback, $14.95 (275p) ISBN 978-1-933771-63-2.
"What you don't know": "Supernatural" fan vids and millennial theology
Authors: Stein Louisa Ellen
Published: January 2018

The millennial discourse on religion, dogma, faith, and belief are evident both in Supernatural and the fan vids it inspires.
Fan engagement
Authors: Editor TWC
Published: January 2018

Editorial for TWC No. 22 (September 15, 2016).
Female-centered fan fiction as homoaffection in fan communities
Authors: Narai Ria
Published: January 2018

In the scholarship of fan studies, a lot has been said about why female fan communities enjoy writing about male characters and relationships in fan fiction. In contrast, there has been a dearth of research into female fan communities that are centered around female characters and their relationships with each other. Here I examine the heretofore unnamed female-centered fan fiction genre of homoaffection fic through a close reading of examples chosen from the Star Trek fandom. I show how this fan fictional genre reworks the masculine narratives of the television series and movies in order to define female experience and demonstrate the way in which this in turn creates female communities in both the world of the fic and our own world.
Surrendering authorial agency and practicing transindividualism in Tumblr's role-play communities
Authors: Howard Shannon
Published: January 2018

The writer who engages in acts of online role-play or make-believe is often thought to promote him or herself as an individual agent. However, when members of Tumblr's role-play communities engage in play, they create scenes together that prompt surrender of authorial agency. In doing so, they engage in transindividual work, which allows them to work across, among, and between other entities until the boundaries of the self become porous rather than fixed.
Christine de Pizan's "The Book of the City of Ladies" as reclamatory fan work
Authors: Nielsen E. J.
Published: January 2018

In what ways can medieval texts be looked at as fan works? How might the rhetorical tools of fan studies or affect theory aid in further understanding of these texts? Likewise, can we use medieval understandings of literary production to look at modern fan works in order to complicate our contemporary ideas of authorship? Here I consider how Christine de Pizan's The Book of the City of Ladies (Le Livre de la Cité des Dames) can be read as a reclamatory fan work addressing issues of representation and gender within both the texts it responds to and the larger culture within which the work is situated. Moreover, contextualizing de Pizan's work as fan work can help fan scholars by locating fan studies within a broader literary history. By reframing these earlier works of literature as part of a longer history of women's writing that also involves the works being done today within modalities of fan writing, and by reconsidering fan works as part of a historical continuum of women's writing, we, much as de Pizan herself did, create a theoretical space that historicizes, contextualizes, and indeed valorizes women writers of both fannish and nonfannish works.
"International perspectives on shojo and shojo manga," edited by Masami Toku
Authors: Lamerichs Nicolle
Published: January 2018

Review of Masami Toku, editor, International perspectives on shojo and shojo manga: The influence of girl culture. New York: Routledge, 2016, hardcover, $96.45 (268p) ISBN 978-1138809482; e-book, $54.95 (13538 KB) ASIN B00YY63KQM.
margins of print? Fan fiction as book history
Authors: Coker Catherine
Published: January 2018

Contemporary fan fiction is overwhelmingly digital in both publication and dissemination; it has never been easier to access this subculture of writers and writing. However, fan fiction in print has likewise never been so accessible, as a slew of recent popular novels proudly proclaim their fannish origins and make claims such as "More Than 2 Million Reads Online—FIRST TIME IN PRINT!" Further, traditional fannish mores insist that fan work should never be done for profit, and yet numerous print works adapted from fan fiction have become best sellers. I would like to problematize how we consider form and content in both creation and reception, how the popular value of work waxes and wanes in relation to its fan fiction status. In other words, how can we read fan fiction as part of a continuum of historical publication practices by women, and problematize our hierarchies of value between print and digital?
"Girls' feminist blogging in a postfeminist age," by Jessalyn Keller
Authors: Marwick Alice
Published: January 2018

Review of Jessalyn Keller, Girls' feminist blogging in a postfeminist age. London: Routledge, 2015, hardcover, £95 (198p) ISBN 978-1138800144, e-book, £24.49 ISBN 9781315755632.
Theme park as interface to the wizarding (story) world of Harry Potter
Authors: Godwin Victoria
Published: January 2018

Theme parks such as Universal Orlando's Wizarding World of Harry Potter (WWoHP) offer material interfaces that engage multiple senses (touch, taste, and smell, as well as the sight and sound of more conventional narrative forms) to facilitate immersion in imaginary story worlds. They thus offer new aspects of both fan tourism and material fan practices to explore. Both fan studies and current scholarship on theme parks emphasize active participatory conceptions, countering oversimplifications and misrepresentations of both audiences and theme park visitors as passive spectators or consumers. Corporate-created and -controlled theme parks frame and market fan activities to encourage consumption. Yet fans often use merchandise as additional interfaces to participate actively and to facilitate immersion. For example, in WWoHP, interactive wands use technology to create specific physical "spell" effects in specific locations. Both wands and spells act as a synecdoche for the story world's magic, enabling immersion.
"By any media necessary: The new youth activism," by Henry Jenkins et al.
Authors: McCracken Allison
Published: January 2018

Review of Henry Jenkins, Sangita Shresthova, Liana Gamber-Thompson, Neta Kligler-Vilenchik, and Arely Zimmerman. By Any Media Necessary: The New Youth Activism. New York: NYU Press, 2016, hardcover, $29.95 (352p) ISBN 9781479899982; e-book $19.86 (58780 KB), ASIN B0171WAJAA. Full text available online: http://connectedyouth.nyupress.org/.
Fan fiction in the library
Authors: Price Ludi , Robinson Lyn
Published: January 2018

Although several notable collections of fan fiction exist in libraries, such as the Sandy Hereld Fanzine Collection at Texas A&M University (http://oaktrust.library.tamu.edu/handle/1969.1/149935) and the digital fanzine archives at the University of Iowa (http://www.lib.uiowa.edu/sc/resources/fandomresources/), not much attention is given to the systematic selection, acquisition, indexing, preservation, and sharing of fan works in the UK, considering the popularity of fandom, the volume of creative work that exists, and the rate at which new texts are produced. Here we present the results of an investigation into the extent to which UK libraries collect and manage fan fiction, and our attempts to ascertain the reasons underlying collection policy in local, public, special, academic, and national institutions. Our report is based on a review of recent literature, an analysis of the collection policies of a selection of UK libraries, and a brief survey of the views of Library & Information Science students. The empirical work was carried out in spring 2016. Results show that there is a little-known and less-understood dark side to fan fiction, in regard to how it is understood and valued in the library sector, which feeds a widening gap in our cultural heritage.
Subversive drinking: Remixing copyright with free beer
Authors: Walker Seth M.
Published: January 2018

For over the past decade, the Free Beer movement has provided producers, consumers, and hobbyists in the craft beer industry with a way to uniquely engage issues related to innovation and creativity: an "open source" beer that is encouraged to be uniquely transformed in the production of each subsequent batch. While contemporary conversations regarding copyright law and the legal protection of one’s work increasingly take place in digital contexts, Free Beer allows these conversations to (re)emerge outside of these settings, in an analog format, and inform those who are not engaged in the production of software or other digital media of the broader ramifications associated with excessive restriction and control. This paper examines how Free Beer functions as a critique of both copyright law and the suppression of creativity and innovation, and as a demonstration of alternative models of information protection and exchange.
"When the RP gets in the way of the F": Star Image and intertextuality in real person(a) fiction
Authors: Popova Milena
Published: January 2018

This article uses a case study from the hockey RPF community to explore textual processes in real person(a) fiction, and particularly the intertextual relationship between different facets of the star image and the RPF character. I argue that the crisis in legitimacy faced by the fandom revealed a dense of web of intertextuality between the celebrity's public and official private personas, the imagined real person behind them, and the RPF character, all involved in a side-by-side reading of the similarities and differences between the celebrity fan object and the fan work. I highlight the complex relationship between celebrity persona, RPF character, and other seemingly unrelated elements that may be drawn into an archive by RPF readers and writers and show the collectively created RPF character was overwhelmed by these other elements.
"Post-object fandom: Television, identity and self-narrative," by Rebecca Williams
Authors: Jones Bethan
Published: January 2018

Review of Rebecca Williams. Post-object Fandom: Television, Identity and Self-Narrative. London: Bloomsbury, 2015, hardcover, £80 (235p) ISBN 978-1-623-56463-6.
"Role playing materials," by Rafael Bienia
Authors: Odom Amanda D.
Published: January 2018

Rafael Bienia. Role playing materials. PhD diss., Maastricht University, 2016. 216p.
Milk and mythology in "Singin' in the Rain"
Authors: Marshall Kelli
Published: January 2018

I debunk one of the most widely disseminated myths about the film musical Singin' in the Rain (1952): that set designers added milk (or ink) to the water so that raindrops would show up on screen. In so doing, I also attempt to locate the milk myth's origin and explain why this falsehood has intensified over the last 20 years.
Envisioning queer female fandom
Authors: Ng Eve , Russo Julie Levin
Published: January 2018

Editorial for "Queer female fandom," edited by Julie Levin Russo and Eve Ng, special issue, Transformative Works and Cultures, no. 24 (June 15, 2017).
Copyright and Open Access
Authors: Editor TWC
Published: January 2018

Editorial for Transformative Works and Cultures, no. 25 (September 15, 2017).
On defining "yuri"
Authors: Friedman Erica
Published: January 2018

The term yuri, referring to lesbian-themed Japanese animation and comics, is both descriptive and divisive, shaped by creators and industry and by different audiences within fandom. The story of yuri is the story of a genre driven forward and backward between conflicting requirements and heterogeneous audiences.
Constructing queer female cyberspace: "The L Word" fandom and Autostraddle.com
Authors: Cameron Kelsey
Published: January 2018

Autostraddle.com is the most popular independently owned Web site for queer women and a central, organizing force in queer female cyberspace. It also grew out of The L Word fandom, though its appearance now occludes the history of fan recapping that laid its groundwork. In this article, I reconnect Autostraddle to The L Word fandom, tracing the gradual accumulation of online fan activity into a stable Web site and queer female social space. In doing so, I revise dominant conceptions of fan productivity as individual-centered and temporally bound, arguing for a more expansive consideration of the large-scale creations fans can build over time. My intervention is twofold: a plea for history where the Web can seem to be an eternally present medium, and an assertion of fandom's inseparability from the larger landscape of queer female life online.
Locating black queer TV: Fans, producers, and networked publics on YouTube
Authors: Day Faithe , Christian Aymar Jean
Published: January 2018

Abstract—For black creators, television remains an elusive yet illustrious art form. Corporate television networks have restricted access to black writers, limiting black representations. However, through a more open distribution system on the Internet, black writers have expanded the art of television, producing stories in a wider range of genres through a variety of intersectional identities and intersecting art forms. Here we interrogate indie black cultural production to first locate how writers queer traditional television production. We then examine how audiences form counterpublics to read and respond to these works in comments and on blogs. We engage a broad array of popular indie series whose creators span identities and whose narratives span genres, including the black queer and lesbian dramas Between Women (2011–present) and No Shade (2013–2015) as well as the comedic black gay pilots Twenties (2013) and Words with Girls (2012–2014). We explore how and why producers conceived of these series alongside how viewing publics interpreted and consumed them. To varying degrees, these series queer not only the norms of television production and form but also of viewership and audience response.
Queerly imagining "Super Girl" in an alternate world: The fannish worlding in FSCN femslash romance
Authors: Zhao Jing (Jamie)
Published: January 2018

A globally formatted, Idol-style, reality singing contest produced by a Chinese provincial TV station, Super Girl (SG; Hunan Satellite TV, 2004–2006) received staggeringly huge commercial success nationwide. It only allowed female participants and featured a large number of gender-defying finalists. This article explores femslash fan fiction published and circulated on feise chaonü (FSCN), one of the most popular Mainland Chinese femslash fandoms of 2006 SG participants. The lesbian romance depicted in FSCN fan fiction is inspired by and further articulates the intentionally "queered" content of SG. However, these lesbian stories are often narrated within culturally distant, fictional settings, such as Western, futuristic, or historical backdrops. My reading of FSCN femslash fan fiction explores how and why this prevailing, yet self-contradictory, femslash writing strategy helps the fans to queerly construct an "alternate world" that enacts, facilitates, or legitimizes Chinese lesbianism. I reveal the underlying ways in which this FSCN worlding practice ambiguously appropriates and ridicules contemporary Chinese female gender- and sexuality-related norms and ideals. Ultimately, I argue that the "worlded" contexts and plotlines of queer fantasy in FSCN femslash can be construed as active fannish responses to and negotiations with the realities and histories of Chinese lesbian-related public cultures.
surface of women
Authors: Baker Lucy Irene
Published: January 2018

This essay examines the range of gender designations, particularly those referring to women (as a class), within the research I conducted on genderswap fan work. The survey I did as part of that research had 295 participants, who were provided a short-answer field to explain their gender identity. The vast majority can be considered as being in the class of "women," but the ways in which they define themselves offer a significant expansion to the surface that "women" can be conceived to cover.
"Yes, the Evil Queen is Latina!": Racial dynamics of online femslash fandoms
Authors: Pande Rukmini , Moitra Swati
Published: January 2018

Online media or participatory fandom has long been theorized as a unique creative and communicative space for women. Further, scholarly work has highlighted the possibility of it functioning as a space that is conducive to the articulation of queerness—both through transformative work and participant identity. However, this theorization has failed to account for the differential operations of these spaces when they are forced to deal with issues of race and racism. This essay argues that this is a significant blind spot as fannish spaces cannot but negotiate with the multiple loci of privilege and intersectional concerns that underpin their functioning. It therefore proposes a significant intervention in the study of the same, drawing our attention to the historically queer and oft-sidelined fannish spaces of femslash fandoms. This analysis seeks to locate the ways in which such queer spaces grapple with critiques of misogyny and homophobia in popular cultural texts and online spaces, as well as the problematics of race and racial identity within such spaces, focusing on the queer fan community built around the relationship of Regina Mills and Emma Swan, eponymously known as Swan Queen, in the television show Once Upon a Time (2011–).
Unseen international music idol femslash
Authors: Lin Elaine Han
Published: January 2018

One sector of femslash appears to have developed in relative isolation from the rest. This sector is international music idol femslash.
"Once Upon a Time" in queer fandom
Authors: Strauch Sandra
Published: January 2018

I approach the topic of queer female fandom through the television program Once Upon a Time (2011–) and its femslash fan fiction in order to investigate how fans explore queer scenarios and deal with narrative weaknesses of the canon story line.
Where the femslashers are: Media on the lesbian continuum
Authors: Stanfill Mel
Published: January 2018

Some texts are femslashier than others. Drawing on Alexander Doty's argument that television shows with primary relationships between women are "lesbian sitcoms," I argue that media driven by relationships between women are "structurally lesbian media" that generate femslash fandoms.
Novel Transcriptional Activity and Extensive Allelic Imbalance in the Human MHC Region
Authors: Gensterblum-Miller Elizabeth , Wu Weisheng , Sawalha Amr H.
Published: January 2018

The MHC region encodes HLA genes and is the most complex region in the human genome. The extensively polymorphic nature of the HLA hinders accurate localization and functional assessment of disease risk loci within this region. Using targeted capture sequencing and constructing individualized genomes for transcriptome alignment, we identified 908 novel transcripts within the human MHC region. These include 593 novel isoforms of known genes, 137 antisense strand RNAs, 119 novel long intergenic noncoding RNAs, and 5 transcripts of 3 novel putative protein-coding human endogenous retrovirus genes. We revealed allele-dependent expression imbalance involving 88% of all heterozygous transcribed single nucleotide polymorphisms throughout the MHC transcriptome. Among these variants, the genetic variant associated with Behçet’s disease in the HLA-B/MICA region, which tags HLA-B*51, is within novel long intergenic noncoding RNA transcripts that are exclusively expressed from the haplotype with the protective but not the disease risk allele. Further, the transcriptome within the MHC region can be defined by 14 distinct coexpression clusters, with evidence of coregulation by unique transcription factors in at least 9 of these clusters. Our data suggest a very complex regulatory map of the human MHC, and can help uncover functional consequences of disease risk loci in this region.
Corrigendum: Exploring judgement and internal bias of Life Orientation teachers in sexuality teaching
Authors: Swanepoel Eben H. , Beyers Christa , De Wet Lizette
Published: January 2018

No abstract available.
Historical Theology: Content, methodology and relevance
Authors: Dreyer Wim A. , Pillay Jerry
Published: January 2018

In this contribution, the authors reflect on historical theology as theological discipline. The authors propose that historical theology be applied to different areas of research, namely prolegomena, history of the church, history of missions, history of theology, history of ecumenical theology or public theology and church polity. The point is made that historical theology, when properly structured and presented, could play a major role in enriching the theological and ecclesial conversation and in assisting the church in the process of reformation and transformation.
Pharmacy Practice in Kenya
Authors: Aywak Dorothy , Jaguga Collins D P , Nkonge Nancy G , Kinuthia Rosaline , Ambale Claris , Awle Ismail A
Published: January 2018

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Higiene bucal no paciente internado em unidade de terapia intensiva: revisão integrativa
Authors: Nogueira Jane Walkiria Da Silva , Jesus Cristine Alves Costa de
Published: January 2018

A prevenção e a promoção da saúde bucal dos pacientes internados em uma unidade de terapia intensiva é responsabilidade da equipe de enfermagem. Revisão integrativa que teve o objetivo de identificar as contribuições das pesquisas produzidas por enfermeiros sobre os cuidados bucais aos pacientes internados nestas unidades. Selecionou-se 17 artigos publicados no período de 2010 a 2016 indexados no State National Library of Medicine (PubMed/MEDLINE) e na Biblioteca Virtual em Saúde (BVS). Os estudos foram categorizados conforme as intervenções para o controle do biofilme dental. A escovação foi apontada como a melhor prática para o controle mecânico e o gluconato de clorexidina a 0,12% para controle químico. As intervenções mecânica e química combinadas foram mais eficazes na prevenção das infecções respiratórias. Estudos clínicos comparativos devem ser desenvolvidos por enfermeiros que atuam na prática clínica, para que seja possível traçar condutas efetivas sobre os cuidados bucais.
Diagnóstico de enfermagem “náusea” durante a quimioterapia: análise de conceito
Authors: Moysés Aline Maria Bonini , Almeida Ana Maria de , Durant Lais Corsino , Gozzo Thais De Oliveira
Published: January 2018

Estudo com o objetivo de analisar o conceito náusea no tratamento quimioterápico, a fim de aperfeiçoar o diagnóstico de enfermagem “náusea”. Utilizados como referencial teórico o modelo proposto por Walker e Avant e uma revisão integrativa realizada nos portais PUBMED, EMBASE, CINAHL e LILACS, sem restrição temporal. Amostra constituída por 30 artigos, identificaram-se 44 antecedentes, sendo 25 relacionados ao paciente/biofísico, oito ao tratamento/fatores farmacológicos e 11 aos fatores psicológicos. Na mesma amostra, foram identificados 17 consequentes, sendo os mais frequentes: “redução na qualidade de vida”, “quimioterapia pode ser adiada, alterada, dose reduzida ou tratamento interrompido” e “diminuição da nutrição/má nutrição”. Nas definições de náusea, o tratamento quimioterápico não é citado como causa. Os antecedentes deste conceito devem ser investigados na prática clínica de forma individualizada. A avaliação dos consequentes nesta clientela pode permitir intervenções precoces e diminuir os efeitos indesejáveis da náusea.
Towards a Cognitive Cultural Approach to Public Management Reform
Authors: Wierenga Sijko , Kamsteeg Frans
Published: January 2018

This paper tries to give a preliminary theoretical and methodological answer to a rather complex question: how can we explain the diffusion of an organizational change initiative, inspired by New Public Management (NPM) against the background of the organizational context in which it is supposed to be implemented? The need of such an answer is demonstrated by an analysis of 281 NPM studies, which shows that NPM researchers often produce only abstract or fragmented analyses of the content of both context and change initiatives, and hardly address the question what exactly is to be changed in reality. Our argument is that we should develop an approach that starts from the workplace reality as interpreted by the organizational actors, which may help to fundamentally rethink the way in which NPM initiatives can be implemented successfully. To this end, we present a Cognitive Cultural (CC) approach. We show what results can be obtained by means of a CC research method, by presenting the main conclusions of two NPM case studies taken from the field of education. We then discuss how the CC approach yields substantial and reliable information for assessing the cognitive relevance of NPM reforms and their underlying elements. Finally, we shall give some suggestions how further research into NPM can benefit from the CC approach.
Atypical Sjögren presentation of pruriginous rash and mild eosinophilia with minor sicca symptoms: A case report
Authors: Tremblay Noemie , Bourque Alexandra , Costa Jean-Pascal
Published: January 2018

We report a case of an 82-year-old woman diagnosed with Sjögren syndrome on the basis of salivary gland biopsy and anti-Ro/SSA antibodies who presented to our institution with a pruriginous maculopapular pancorporeal rash with diffuse eosinophilic infiltrate and mild eosinophilia. Sicca symptoms were mild. Cutaneous and hematologic findings resolved spontaneously within 4 weeks, the rash did not respond to antihistamines but was mildly attenuated by topical corticosteroid. Both the rash and hypereosinophilia greatly improved while the patient received oral corticosteroids for a contrast medium allergy before a CT-scan. When the patient was diagnosed with SS, hydroxychloroquine treatment was introduced. This case report aims to raise awareness of the possibility of such a clinical presentation, considering the known increased risk of non-hodgkin lymphoma associated with Sjögren syndrome estimated to 5%-10% lifetime risk which is 5 to 44 times higher than that of the general population.
An Exploration of Life Skills Programme on Pre-School Children in Embu West, Kenya
Authors: Gatumu Jane Ciumwari , Kathuri Wilfred Njeru
Published: January 2018

The Life Skills Programme, which is one of the newest programmes in the Kenya Preschool educational system wasexplored to establish the impact it had on the lives of preschool children in Embu West, Kenya. A primary school thatis perceived as having well-disciplined children was purposively selected. The sample consisted of 39 students, 43preschool teachers and 31 parents. The data collection methods included use of a questionnaire, interviews,observations and a documentary analysis. A content analysis was used to examine the data collected. A main findingwas that, teachers and parents seemed to cherish the Life Skills Programme as a subject that enabled children to acquirerelevant skills for their growth, development and survival. Another finding was an indication of a link between childrenwho had mastered the life skills and academic performance. The study recommended the need to develop clear policyand supervisory guidelines to allow the effective implementation of the Life Skills Programme to benefit all children.
Outcomes after Radiation Therapy for HIV Positive Patients with Invasive Cervical Cancer
Authors: Molinier Victoire , Huguet Florence , Ballester Marcos , Karmochkine Marina , Hennequin Christophe , Mazeron Jean-Jacques , Durdux Catherine
Published: January 2018

Objective: To assess tolerance, local control, and survival outcomes for HIV (human immunodeficiency virus) positive patients with locally advanced cervical cancer (CC) treated with external beam radiation therapy (EBRT) and/or brachytherapy from an Assistance Publique - Hôpitaux de Paris (APHP) retrospective cohort.Methods: Between 2000 and 2014, 28 HIV positive patients presenting with a non-metastatic CC were treated in one of the five APHP radiation therapy centers. Fifteen patients (54%) underwent primary surgery. Twenty-four patients (88%) received EBRT, with concurrent chemotherapy in 22 cases, and 68% received brachytherapy.Results: The median follow-up was 58 months. At 5 years, local control (LCR) and overall survival rates (OS) were 56% and 46.5% respectively. A grade 3-4 acute toxicity (mainly hematological toxicity) was reported in 18 patients (64%). In univariate analysis, total irradiation dose (p=0.03) and cisplatin-based chemotherapy (p=0.005) were predictive of acute toxicity. A grade 3-4 late toxicity (mainly gastro-intestinal and renal) was observed in 7 patients (25%). In univariate analysis, HIV stage at diagnosis (p=0.02) and an initial CD4 count <200/mm3 (p=0.03) were predictive factors of late toxicity.Conclusion: In this study including HIV positive patients with CC, local control and overall survival rates seemed to be lower than those reported in the literature for non-HIV patients. We also reported an increase in acute and late toxicity, mainly hematological, underlying the fundamental role of immunosuppression in tolerance to radiation therapy.
A Study of EFL Curriculum of China’s Science and Technology Institutes under Graded Teaching Model
Authors: He Chunyan , Han Fei
Published: January 2018

Recent years, most universities and colleges have been reforming the English as a foreign language (EFL) curriculum system in China. Some reformed EFL curriculum into English for Specific Purposes (ESP) courses, for instance, while some conducted a graded teaching model in EFL teaching. However, the effect of this reform was not so good, especially at science and technology institutes. Therefore, in view of different opinions to classification of foreign language teaching, the classification scheme of English teaching was improved and rebuilt at first, based on the analysis of the learners’ feedback from the perspective of learner’s needs on the current EFL curriculum system of China’s science and technology institutes under graded teaching model. And then a new EFL curriculum system of China’s science and technology institutes under graded teaching model was designed based on learning-centered approach to course and curriculum design to promote the development of EFL teaching and China’s ESP courses and accordingly meet nation’s needs for cultivating international and integrated high-quality talents of foreign languages.
Traditional Governance and Innovative Strategies in Italian Family SMEs: Evidence from Tuscany
Authors: Bonti Mariacristina , Cori Enrico
Published: January 2018

Governance in family businesses is a relatively recent research topic in the field of management studies. Much research has sought to shed light on the factors that shape the relationship between governance structures and corporate strategies. Nevertheless, very little research has specifically addressed the relationships between the configuration of the Board of Directors and the firm’s willingness to carry out innovative strategies. Our study aims to shed light on the relationship between the corporate governance structures and the pace of innovation within family SMEs. Evidence from three family-owned SMEs located in Tuscany (Italy) highlights that a traditional type of governance structure can co-exist with the search for innovative strategies and that the intensity of the innovation processes may not be tied to the Board’s composition.
Abnormal Returns and Fundamental Analysis in Institutional Investors’ Decision-making: An Agency Theory Approach
Authors: Mustilli Mario , Campanella Francesco , D’Angelo Eugenio
Published: January 2018

The purpose of this paper is to investigate the abnormal returns achieved by institutional investors. Distinguishing between institutional investors operating with a specific mandate to invest and those that operate their own choices independently from such a specific delegation, we show that the former achieve higher abnormal returns than the latter. The conceptual explanation of this result is attributable to the use of the fundamental analysis that the first type of institutional investors realized in a higher and more effective way than the second. This different approach in selecting securities might be due to the relationship between the institutional investor and the savers who provided capital. This different agency relationship might have been reflected in the institutional investor's investment policies through the agent behaviour, which changes depending on the nature of the principal who has given the mandate. The empirical analysis has been conducted on a sample of 5,500 institutional investors operating all around the world in 2014, drawing data from institutional investor's annual report, from their investment relations and from Bloomberg, Thomson Reuters, Bankscope, Eurostat and through Computer Assisted Telephone Interviews.
Oral hyperpigmentation as adverse effect to capecitabine
Authors: Silva Paula Verona Ragusa , Chicrala Gabriela Moura , Soares-Junior Luiz Alberto Valente , Dias Rafael Rodrigues , Santos Paulo Sérgio Silva
Published: January 2018

Capecitabine (Xeloda®) is an antineoplastic drug normally used as adjuvant chemotherapy for metastatic colorectal and breast cancer. A common adverse effect of capecitabine is hand and foot syndrome (HFS), a condition that, although not life threatening, can reduce drastically quality of life and result in patient withdrawal from treatment. Palmoplan- tar hyperpigmentation is a condition that has been found as the initial manifestation of HFS in most patients. The association of palmoplantar and oral hyperpigmentation as an adverse effect to capecitabine has rarely been described in the literature. We report a case of oral and palmoplantar hyperpigmentation in a 61-year-old woman receiving ca- pecitabine for metastatic colon cancer. At the chemotherapy 2nd cycle, the patient referred burning mouth, and clinical inspection revealed brownish spots measuring between 2 and 10 mm, in addition to similar hyperpigmentated macules in palms and soles of feet, both asymptomatic. A 7-month-follow-up, still under chemotherapy with oral Xeloda®, showed regression of mouth manifestations while the palmoplantar spots intensified, with progression of dryness and tingling. This report highlights the importance of early diagnosis of HFS through the oral hyperpigmentation, which is a manifestation easily detectable by the dentist.
Eight-year follow-up of central giant cell lesion treated with corticosteroid
Authors: Costa Tila Fortuna , Dantas Juliana Borges de Lima , Silva Daniel Santana , Reis Silvia Regina de Almeida , Marchionni Antônio Márcio Teixeira , Medrado Alena Ribeiro Alves Peixoto
Published: January 2018

Introduction: Central giant-cell granulomas (CGCL) are benign, but occasionally ag- gressive, lesions that traditionally have been treated surgically. Nonsurgical treatments, such as intralesional corticosteroid injections, systemic calcitonin and interferon have been reported. The advantages of this therapy include its less-invasive nature, the pro- bable lower cost to the patient and the preservation of important structures. Objectives: This paper aims to report a case of a pediatric patient with CGCL of the jaw, which was successfully treated with intralesional corticosteroid injections as it’s only therapy and discuss if there is an ideal waiting period between nonoperative treatment and the need for surgical intervention. Methods and Materials: an eight-year-old boy with a central giant cell lesion on the right side of the mandible was treated with intralesional corticos- teroids injections. Results and Conclusion: After an eight-year follow-up, the patient’s bony architecture was near normal. The panoramic radiography showed areas of new bone formation and neither recurrence nor side effects of the medication have been also detected. Is there an ideal waiting period between nonoperative treatment and the need for surgical intervention? It is estimated that a monitoring period of 6-8 years is necessary to determine the success of such treatment.
Prevalence of oral precancer and cancer in south kerala population
Authors: Mathew Anuna Laila , Daniel Mathew Pothen , Cherian Sunu Alice
Published: January 2018

Introduction: Oral cancer is a major concern in developing countries. India accounts for one third of worlds oral cancer and has a high rate of oral precancer. Early detection of premalignant conditions can improve the prognosis of the disease. Objective: 1.To evaluate the prevalence of oral precancer and oral cancer among patients in south Kerala, India. 2. To evaluate the association of tobacco related oral precancer and oral cancer with abusive habits. Methods: A total number of 10999 patients, aged 20-80yrs, who visited the outpatient department of a dental college for the diagnosis of various complaints over a period of 8 months were interviewed for oral risk habits, duration and frequency of the habit and current usage of any medications. Patients were clinically examined by trained professionals. Result: The prevalence of oral precancer and cancer was seen in 1.08 % of the population. The prevalence of oral lichen planus was 0.72 % followed by leukoplakia 0.23 %, oral submucous fibrosis .072 %, oral cancer .036%, and erytroplakia .009%. Tobacco related oral lesions like leukoplakia, oral submucous fibrosis, oral cancer, erythroplakia were more prevalent among men as compared to women. The tobacco re- lated abusive habits like smoking and chewing tobacco were more prevalent among men. Conclusion: This study provides the prevalence of oral precancer and oral cancer among patients in South Kerala. It also reinforces the association between tobacco products and tobacco related oral precancerous lesions.
Anatomic Variation of Paranasal Sinuses
Authors: Simoes Natália Myrrha , Carneiro Pollyanna Moura Rodrigues , Silva Amaro Ilidio Vespasiano , Souza Paulo Eduardo Alencar de , Manzi Flávio Ricardo
Published: January 2018

Introduction: The sinus are very important on the upper respiratory tract, formed by the ostrich complex (COM) and by the paranasal sinuses. The deep knowledge of the anatomy and variations of the ostium-meatal complex and the paranasal sinuses is a skill expected from the radiologist as well the possible variations with the disease states. Objective: The aim of this study was to evaluate the prevalence of anatomic variations and pathological processes in the paranasal sinuses and the ostiomeatal complex in a population of a large city. Furthermore, association among the presence and localization of anatomic variations and the occurrence of pathological processes was also accessed. Materials and Methods: This study evaluated 1005 CT scans of the sinuses obtained by multislice technique (64 apparatus detectors) with axial and coronal reconstructions, both with 1 and 2 mm thick. Patients of both sexes, aged between 12 and 92 years, who were referred by otolaryngologists were included. Results: Our results showed high prevalence of paranasal sinus CT alterations. The most common were: septal deviation (80.7%), concha bullosa (35.1%), Haller cells (9.6%), and ethmoidal bulla (3.3%). Among the pathological processes, mucoperiosteal thickening associated with acute and chronic inflammation of the sinuses were the most frequent. Ocasionally, it caused obstruction of drainage ostiomeatal complex, in addition to sinusitis (acute and chronic). Odontogenic sinusitis, fungal sinusitis, osteomas, fibrous dysplasia and nasal diseases were also found. There was no association among anatomical variations (changes in the nasal septum, bone spur, concha bullosa, nasal turbinate hypertrophy) and increased chances of obstruction of drainage of frontal, ethmoid and maxillary sinuses. Conclusion: Association between obstruction of the drainage and the occurrence of sinusitis on all paranasal sinuses were also detected. As the population has a high frequency of anatomical variations of the paranasal sinuses, the incorrect interpretation of the images of the sinonasal complex should cause misdiagnosis, compromising patient care. In conclusion, knowledge of the prevalence and characteristics of paranasal sinus CT alterations should be useful for defining specific diagnosis criteria.
Association of Treatment and a 3-D image follow - up on a Recurrent Keratocyst
Authors: Thereza-Bussolaro Claudine , Pachêco-Pereira Camila , Flores-Mir Carlos , Aburad Arlindo
Published: January 2018

Introduction: Accordingly to the latest edition of the World Health Organization (WHO) the previously known Keratocyst Odontogenic Tumour (KCOT) has now returned to the simple odontogenic cyst (OKC) classification. We present a case successfully treated by a combination of minimal-invasive approaches. Case Presentation: A large OKC was identified extending from tooth 3.8 through the condylar process in the mandible and staged surgical conservative approaches were performed. Total healing was achieved and followed - up over 8 years. The case was well documented via panoramic radiographs, CBCTs, and a 3D image tool illustrates the cortical bone destruction (before treatment) and the cortical bone healing after treatment. Discussion: Agreement regarding terminology and treatment of OKC has been reached. In this case, a complete healing of a recurrent OKC was achieved by decompression, enucleation, and blurring of the bone walls. Rigo- rous follow-up enriched by a 3D reconstruction imaging allows an educational view of the healing. Conclusion: This case suggests that a staged surgery approaches concurrent to rigorous patient follow-up could be a feasible alternative to extensive OKT treatment. And, reinforces the importance of collaboration between orthodontist, pathologist, OMS, and the patient have crucial importance in the conservative management of the lesion.
A clinical case report of dens in dente in an unusual location
Authors: Greco Alexandre Camisassa Diniz Leite , Azevedo Carolina Drumond de Barros e , Cardoso Cláudia Assunçao e Alves , Cardoso Fábio Oliveira , Rios Morena Maureem Nogueira Soares , Simoes Natália Myrrha , Manzi Flávio Ricardo
Published: January 2018

Introduction: Dens in dente or dens invaginatus is an anomaly of tooth formation, result of the invagination of coronary tissue in the pulp chamber, which occurs previously to tissue calcification. The majority of dens in dente cases are discovered by routine imaging exams, in which it is possible to identify an invagination of enamel into the pulp chamber, where the enamel appears well delineated, giving the impression of “a small tooth inside the other”. Objective: Approach the clinical and radiographic aspects, as well as diagnose this pathology using imaging exams, through an atypical clinical case report of Oehlers type II dens in dente in the left maxillary third molar. Case report: Female patient, 20 years old, went to the Dental Clinic of the Odontology Scholl at PUC Minas, to have the third molars extracted. The panoramic radiograph examination showed shape change in the left maxillary third molar. Considering the atypical form, a cone beam computed tomography was requested. Conclusion: The case related showed how important are the image exams to do the precise diagnosis on this anomaly. The cone bean computer tomo- graphy should be ask if the conventional imaging tests aren’t able to value the disease and plan the treatment.