bluuebunny/crossref_metadata_2025 huggingface dataset:
Linguistic Aspects of Video Game Localization
Authors:   Perm National Research Polytechnic University, Koptelova Svetlana A. , Rutskaya Ekaterina A. ,   Perm National Research Polytechnic University
Published: December 2022

The paper deals with the linguistic aspects of video game localization. The practical material for the study is the original and localized versions of the games Dishonored 2, Control, and Monster Hunter: Rise. The paper provides a brief overview of scientific research on localization. The analysis of existing studies gives grounds to speak about the relevance of investigating the linguistic aspect of video game localization, its specific features, and interrelation with other aspects of this process. Video game discourse as a multi-genre product, which includes all types of communicative influence, is considered in the paper as a kind of computer discourse based on a number of common features, previously distinguished in the literature. This discourse is creolized text consisting of visual and auditory components. The linguistic component of this discourse is presented in written and audio form. The paper indicates the main types of modern video games depending on the plot and the role of the gamer. A brief overview of the history of the term ‘localization’, which is currently interpreted as the process of adapting a product or content for a particular region or market, is presented. The authors examine the relationship between the concepts of ‘localization’ and ‘translation’ in the context of modern translation studies and translation practice. The paper provides a typology of video game localization levels and a description of its main models. The analysis of video game localization is carried out considering the three ‘blocks’ of localization that require work with linguistic aspects, namely translation: interface, in-game text, subtitles and dubbing. Linguistic and extralinguistic, primarily technical, factors were found to be the main factors complicating the translation process.
Migrations et politique linguistique au Maroc
Authors: HAIDAR Mehdi
Published: December 2022

Le présent travail porte sur la problématique de l’intégration linguistique au Maroc. Il a été constaté depuis quelques années que le Royaume du Maroc est passé progressivement d’un pays de transit à un pays d’accueil des migrants venus principalement des pays subsahariens. Ce changement mène à une reconsidération de la place des migrants dans la société marocaine et à une prise en compte de leurs différents besoins langagiers. S’appuyant sur des enquêtes de terrain, l’étude a montré qu’il existe au Maroc des mécanismes d’aide à l’intégration linguistique mis en place par les instances publiques et d’autres organismes comme les ONG Caritas et la Fondation Orient / Occident permettant aux migrants nouvellement arrivés sur le territoire marocain de mieux évoluer dans un environnement linguistique des plus complexes dans lequel différentes langues cohabitent. L’objectif de cette étude est de relever aussi les besoins linguistiques ainsi que les langues que devront acquérir prioritairement les migrants afin de trouver leur place dans la société marocaine.
Le français est important, mais ne suffit pas pour réussir en Côte d'Ivoire
Authors: BOUTIN Akissi Béatrice , VAHOUA Kallet Abraham
Published: December 2022

L’axe 4 du Projet de recherche Dynamique des langues et des variétés de français en Côte d’Ivoire (2013-2014) a porté sur le « bilan de l’utilisation des langues nationales comme médium d’enseignement ». Cet article présente une partie de ce bilan. Le français étant la langue officielle de la Côte d’Ivoire, toutes ses variétés locales assurent, dans ce pays, la promotion économique et sociale. Mais il n’a pas fait disparaitre les langues nationales dont la promotion est de plus en plus appelée pour redynamiser la croissance économique et sociale toujours attendue. Les premières politiques en faveur de cette promotion sont l’instrumentalisation et l’introduction des langues nationales dans le domaine écrit à travers l’agriculture et l’école. Et toutes les initiatives, de Mopoyem (1981) au PEI (2000), visant à utiliser les langues nationales comme matières mais surtout comme médium d’enseignement ont donné des résultats probants et montré des perspectives prometteuses avec une opinion hautement favorable des premiers bénéficiaires. Cependant, toutes ces initiatives ont été abandonnées parce que très largement dépendants de financements extérieurs aléatoires.
Miser sur les langues et les cultures pour la réalisation des Objectifs de développement durable en Afrique de l’Ouest
Authors: ZOUOGBO Jean-Philippe
Published: December 2022

On ne peut pas parler de développement si les langues et cultures des populations les plus fragiles sont ignorées. Notre article n’est pas un plaidoyer en faveur de l’introduction des nombreuses langues locales d’Afrique subsaharienne dans les systèmes éducatifs. Il ne s’agit pas non plus d’une énième contribution aux nombreuses philippiques, souvent infondées, à l’encontre du français, langue officielle et de son statut, en Afrique de l’Ouest. Nous entendons nous positionner clairement en faveur des populations qui parlent ces langues et dont les besoins quotidiens réels ne sont pas pris en compte dans la détermination des politiques linguistiques et des stratégies de communication mises en place dans le cadre du développement. Nous mettons en évidence les raisons pour lesquelles les langues et cultures locales devraient être prises en compte et montrons comment cela peut être envisagé.
Les enjeux interculturels des investissements du Maroc en Afrique de l’Ouest
Authors: THERY Benoît
Published: December 2022

Le Maroc développe une politique d’influence en Afrique, aussi bien politique qu’économique. Sur le plan politique, le Maroc a réintégré l’Union Africaine en janvier 2017 et obtenu un accord de principe à son adhésion à la Communauté économique des Etats d’Afrique de l’Ouest - CEDEAO en juin 2017. Sur le plan économique, les investissements marocains en Afrique de l’Ouest se sont multipliés au cours des dernières années. Les relations entre le Maroc et l’Afrique de l’Ouest sont millénaires. Sur quels fondements culturels, historiques, religieux, managériaux s’appuie cette percée diplomatique et économique, et quels en sont les principaux enjeux interculturels ?
Le français langue africaine : une approche sociolinguistique
Authors: SOMÉ Kogh Pascal
Published: December 2022

Cet article analyse quelques caractéristiques communes de la dialectalisation du français sur les territoires francophones d’Afrique de l’Ouest, au-delà des frontières géopolitiques. Il montre qu’elles sont le corollaire de conditions sociolinguistiques partagées. Il fait l’hypothèse de l’émergence, en cours de développement, d’un français ordinaire d’Afrique partagé par les grandes villes d’Afrique subsaharienne dont l’étude devrait intéresser davantage les États africains francophones concernés.
Langues et développement : le rôle des radios communautaires
Authors: DIAO Ousmane
Published: December 2022

Cette étude a pour cadre Vélingara, une commune située dans la région de Kolda au sud du Sénégal. Elle porte sur le rapport langues, décentralisation et développement local et s’intéresse au rôle des radios communautaires dans un contexte multilingue. Depuis son accession à l’Indépendance en 1960, la carte administrative du Sénégal a subi des modifications. La dernière en date, l’acte III de la décentralisation qui veut relever les défis des inégalités de développement avec la création-responsabilisation des institutions décentralisées compétentes, s’est accompagnée de la création de radios dites communautaires. L’une des missions de ce type de radio est de préserver et de redynamiser les langues locales dans un contexte de développement durable. L’étude présente d’abord la situation sociolinguistique de la commune de Vélingara, puis examine le rôle des radios communautaires dans un contexte multilingue et de développement local que l’on veut durable.
Organizational culture according to the double S cube model
Authors: Fernández Jeri Leoncio Hertz
Published: December 2022

Culture has an important effect on management and knowing the type of culture is valuable information for the management of any type of organization. The present investigation is carried out with the objective of knowing what type of organizational culture a faculty has in a Peruvian public university, applying the double S cube model, which supposes two variables; sociability and solidarity (double S). Applying the corresponding questionnaire, it is obtained that the faculty mainly has a fragmented culture in 03 of its academic departments and only in 01 department does it have a communal culture, the latter due to its significantly higher level of solidarity with respect to what the other 03 departments had. Among the consequences for management, it is pointed out that, the type of culture fragmented due to its characteristics will hinder some policies to improve the quality of teaching, research and social projection.
Organizational Culture and Service Quality at the “Rafael Narváez Cadenillas of Trujillo” Educational Institution
Authors: Orbegoso Ayala Vicente , Quispe Mendoza Roberto
Published: December 2022

The objective was to determine the relationship between organizational culture and quality of educational service at the "Rafael Narváez Cadenillas of Trujillo" Institution. The type of study was theoretical, with a quantitative approach; the method used was the hypothetical deductive with cross-sectional correlational design. The sample consisted of 36 teachers of the Institution. Likewise, the survey technique and the questionnaire instrument were used for the variables organizational culture and service quality with a Likert scale. The instrument was validated with the judgment of 5 experts and Cronbach's alpha test, yielding a reliability result of 0.955. The distribution of scores for each variable and dimension was calculated using the Shapiro-Wilk normality test, with a significance of 0.05, since no normal distribution was found, the median and interquartile range were calculated. Spearman's correlation was used to test the hypothesis. It is concluded that there is a significant correlation between the variables organizational culture and the service with a p-value of 0.01; Likewise, a Spearman's Rho correlation coefficient of 0.45 was evidenced, showing a moderate positive correlation between organizational culture and quality of educational service at the Rafael Narváez Cadenillas educational institution of Trujillo.
Marketing management and its relationship with the quality of customer service
Authors: Ordoñez S. José Gonzalo , Martínez V. Paul Denis , Ledesma M. Marco , Ordoñez S. Susana
Published: December 2022

The companies or organizations are apparently efficient. However, an evaluation of these organizations can contribute to an accurate rating of their work. The objective was to determine the relationship of the Marketing Management with the Quality of customer service in the Cosmetic Perfumery Company "Belleza"-Huancayo 2022. The type of research was descriptive correlational with the explanatory level. 30 questionnaires with 20 questions evaluated with the Likert scale were processed in Marketing Management (independent variable) and Quality of customer service (dependent variable). It is concluded that the Marketing Management has a positive and significant relationship with the Quality of customer service, supported by the Pearson impact coefficient of 0.958 and a p value of 0.000. As there is sufficient statistical evidence, the alternative hypothesis that posits a positive relationship between both variables is accepted. The Pearson connection of the dimensions between both variables showed a moderate positive connection to a high positive connection: Feeling with Empathy (r = 0.560; p = 0.001); Responsive performance (r = 0.742; p = 0.000); Loyalty with confidence (r = 0.614; p = 0.000).
Provincial municipal budget execution of Viru and its impact on improving the quality of life of its population
Authors: Céspedes Tania
Published: December 2022

The present study was carried out in the province of Viru during the year 2013, in order to determine the impact of the execution of the budget of the Provincial Municipality on the quality of life of its population; also, analyze the level of budget execution, and identify how budget execution influenced quality of life. The research method implemented was inductive-deductive, descriptive, analytical, observational, cross-sectional, qualitative and quantitative. 367 surveys were applied to residents and 36 to officials of the provincial municipality; being processed in MS Excel, to determine the mean, standard deviation and coefficient of variation; likewise, the contrast test statistics of the variables under study. The level of expenditure execution was sufficient (98%); the efficiency of social spending has been 75.52%, referring to investments in basic services, health, education, and welfare in general; spending efficiency was 19% higher. There is a significant correlation (0.62) between the provincial municipal budget execution, during the year 2013, and the standard of living of its population. It is concluded that the execution of the budget of the Provincial Municipality had an impact on the quality of life of the population of the Province of Viru.
Determining factors of museological culture in he city of Trujillo
Authors: Vega Llerena Humberto Manuel , Lopez Rodriguez Nancy Isela
Published: December 2022

The research aimed to describe the determining factors of the museological culture in the city of Trujillo, from the presence of the State in the promotion of cultural policies, encouraging on the other hand the growth of a capitalist economy, for the benefit of the expansion of concrete structures. armed, shaping the urbanizations of the city and disrupting the use of agricultural land, to attend to the accelerated demographic growth. The research is developed from two fundamental techniques, the documentary analysis and the survey. One of the most relevant findings is that the museological culture of the city of Trujillo is weak, because many times the idiosyncrasy of the city population leads to an interest in learning about foreign museums, to the detriment of local museums. In addition, the lack of a quality improvement policy in management would allow a weak museological research that would not fully allow citizen participation and interaction in identifying with their heritage and strengthening citizenship.
Effectiveness of an educational program in the maternal knowledge about the neurodevelopment of the premature neonate
Authors: Lizana Gallardo Wendy Keyko , Vargas Castañeda Nora Idania
Published: December 2022

The study was carried out at the Víctor Lazarte Echegaray Hospital, Trujillo, during the months of january-february 2020, with the aim of establishing the effectiveness of an educational program "In the arms of mom", in the maternal knowledge about the neurodevelopment of the premature neonate. Had sample universe made up of 20 mothers who met the inclusion criteria. The following questionnaire was used to determine the level of maternal knowledge about the neurodevelopment of the premature neonate developed. The results are presented in simple and double-entry tables. To determine the relationship between variables, the statistical test “student t” was used. The results: Before the application of the program, 10% of mothers obtained a good level of knowledge, 50% of mothers, regular and 40% a poor level; after the application of the program, 80% reached a high level of knowledge and 20% a regular level, which indicates that the educational program was highly significant (p = 0.000).
Collaborative Economy: Breaking the Traditional Scheme of Entrepreneurial Businesses
Authors: Recuenco Cabrera Aurelio Daniel
Published: December 2022

The main objective of this article is to highlight the importance that the collaborative economy has been having in current times as part of the evolution of societies. The collaborative economy with a strong presence in economic development is closely linked to the technological aspect and with an extreme link in consumerist and capitalist systems. Today it shows its presence through digital platforms, generating a world full of innovation and entrepreneurship management, seeking new opportunities and creating new lifestyles. This is why it presents many points in its favor, although it is also questioned by detractors in certain aspects such as legal and labor, especially. The idea is to share entrepreneurial experiences, but certainly seeking a benefit for those involved, leading even to other forms of business such as the cooperative economy. Although this form of economy seems to have consolidated for some, it is also still uncertain for others. Nonetheless, it is the booming business model in the world today.
Bosnian Journal of Basic Medical Sciences becomes Biomolecules and Biomedicine
Authors: Mujić Muzafer , Vranić Semir , Skenderi Faruk
Published: December 2022

From February 2023 (Volume 23, Issue 1), the title of the Bosnian Journal of Basic Medical Sciences will be changed to Biomolecules and Biomedicine. The new title reflects the increasing number of published research done on subcellular/molecular level as well as translational and clinical research contained in the term Biomedicine. Biomolecules and Biomedicine will continue to be published by the Association of Basic Medical Sciences of the Federation of Bosnia and Herzegovina.
Read more in the PDF.
Understanding Students’ Free-Body Diagrams Using the Metarepresentations Survey for Physics
Authors: Taasoobshirazi Gita , Heddy Benjamin C. , Danielson Robert W. , Abraham Eric R.I. , Joji Shelby
Published: December 2022

Study purpose. The Metarepresentations Survey for Physics (MSP) was developed to assess students’ metarepresentational knowledge during physics problem solving. 
Materials and methods. The survey was given to 288 introductory-level college physics students. Psychometric properties of the instrument, including construct validity, were evaluated by confirmatory factor analysis and Rasch analysis. 
Results. We also examined students’ beliefs about the use of free-body diagrams, as well as thoroughly examined the link between students’ problem solving success and free-body diagrams. 
Conclusions. We recommend the use of the MSP for physics instructors and science education researchers who want to evaluate students’ free-body diagrams. Additionally, we suggest the subject of physics can be replaced with chemistry, genetics, or another science to assess metarepresentations in other domains.
Enhancing Students’ Well-being: do Gender and Interpersonal Communication Matter?
Authors: Suwarti Suwarti , Pasca Mayang Sety Febyarna , Rahardjo Pambudi , Nuraeni Nuraeni
Published: December 2022

Study purpose. Building social interactions is challenging due to difficulties in communicating clearly and adjusting to new learning systems. Because of the Covid-19 pandemic, there is a significant difficulty with this. There is a need to promote student well-being because of this unfavorable situation, which undoubtedly makes it harder to achieve. This research aimed to study the effect of interpersonal communication on students’ well-being in view of their gender in students in grades X and XI at Madrasah Aliyah Negeri 2 Banyumas, Indonesia, during learning in the pandemic period. 
Materials and methods. This study used the quantitative method by testing simple linear regression and t-test. The study sample comprised a total of 265 students selected using the method of proportionate stratified random sampling. The instruments in this research used the scale of student well-being with reliability of (α Cronbach = 0.835), and the scale of interpersonal communication with reliability of (α Cronbach = 0.761). 
Results. The results of this study showed that 1) interpersonal communication has an effect of 20.1% on the variation of students’ well-being; 2) students’ well-being for male and female students was not significantly different. The interpersonal communication between male and female students, however, differed significantly. 
Conclusions. Therefore, according to this research, it is essential to practice the skill of interpersonal communication in order to be able to improve students’ well-being.
Influencing Factors and Current Approaches to Academic Dishonesty in the Philippines during COVID-19 Pandemic: an Overview
Authors: Beruin Laurence
Published: December 2022

Study purpose. As the Philippines welcomes its new school year, academic dishonesty remains a prevalent concern in the academe. To provide an overview of the situation, this review paper was developed with the goal of presenting current information about academic dishonesty through 1) identification of influencing factors and 2) application of current approaches to academic dishonesty. 
Materials and methods. Utilizing review of existing literature, this study described possible internal (laziness or procrastination, lack of proper time management, fear of failure, poor learning capability, motivation, state of mental health, self-attitude, capability, and intention) and external influencing factors (peer involvement, overwhelming academic workload, difficulty of subject/course, limited assistance of teachers, parental expectations, and use of digital technology) and current approaches to academic dishonesty (deterrence theory, rational choice theory, neutralization theory, planned behavior theory, as ignorance or confusion on teacher’s expectations, as learned behavior, and as coping strategy to stressful environment) that will serve as a reference point for researchers in investigating the extent of academic dishonesty in the country. 
Results and conclusions. Similarly, findings revealed here can assist teachers, school administrators, and policymakers in crafting more effective solutions to limit or eliminate any forms of academic dishonesty within educational institutions.
Do dental screening and treatments prior to heart valve interventions help prevent prosthetic valve endocarditis? A systematic review
Authors: Adriana Jacoba Kouwenberg , G Mensink , MWA Van Geldorp , J Schaap , RG Bentvelsen , JE Bergsma
Published: December 2022

Routine screening for infectious dental foci prior to elective heart valve replacement may help prevent postoperative Prosthetic Valve Endocarditis (PVE), a potentially fatal complication. This systematic review assesses the effect of routine screening for infectious dental foci on the incidence of postoperative PVE. The Cochrane Library, PubMed and EMBASE databases were all searched for relevant primary studies. The GRADE system was used to rate the studies. Three primary studies with a very low level of evidence were included in the review. No significant difference was found between the incidence of PVE in groups with or without routine screening for infectious dental foci prior to heart valve replacement. The results of this review do not support or disprove the need for preoperative screening for infectious dental foci to prevent PVE in patients undergoing heart valve replacement. Further research is necessary.
Русский язык. Практика. 5-9 класс: сб. заданий и упражнений: Учебное пособие для 5-9 классов.
Authors: А.Н. Кузнецова
Published: December 2022

Учебное пособие "Русский язык" является вспомогательной частью (тренажером) для основных учебников 5-9 классов, подтвержденных государственным стандартом образования Рабочие тетради включают материалы, изучаемые в 5-9 классах. Учебное пособие "Русский язык" разработано на материале обобщения передового педагогического опыта Сборник заданий может быть полезен для педагогов, в качестве дополнительного материал, разработанного с учётом заданий, построенных ва кумулятивной и эвристической беседе Некоторые задания разработаны с учётом исследовательского диалога как с учителем, так и для коллегиальной или групповой работы обучающихся, при дифференциации заданий для более сильных учеников Пособие содержит задания, упражнения, контрольные и проверочные работы для Текущего и итогового контроля знаний учащихся Издание предназначено для проверки теоретических знаний и правописных навыков обучающихся и может быть использовано как на уроках, так и во время ‘самостоятельной работы Также учебное пособие может быть использовано для пошаговой подготовки учащихся к единому государственному экзамену по русскому языку в 9-х классах Оно позволяет проводить экспресс-контроль после изучения или повторения каждого
Romances Cripto-Judaicos Portugueses
Authors: Fontes Manuel da Costa
Published: December 2022

Portuguese crypto-Jews preserve five biblical ballads. Although 1. O Sacrifício de Isaac (á-o) is current in Spain and among Moroccan Sephardim, it is exclusively crypto-Jewish in Portugal, and incorporates extra-biblical elements derived from the Midrash. The strophic character of 2. Jonas and 3. Daniel na Cova dos Leões suggest proximity to more modern broadsides, but there are reasons to think that they may go far back in time. 4. A Passagem do Mar Vermelho (á-o), survives only among the Sephardim of the Eastern Mediterranean. Although based on the Book of Exodus, the ballad also includes folkloric details in common with the Midrash. 5. A Pedra Mara (á-a), exists only in Portugal, and condenses two episodes about the lack of water during the pilgrimage of the Jewish People in the desert. The “pedra” recalls the water that Moses causes to flow from a rock in Horeb, and Mara refers to the bitter waters that the prophet makes drinkable in a place with the same name. The last crypto-Jewish poem, 6. No Céu Está um Castelo (í-a), dechristianizes a Christian ballad.
Taking a Dialogical Approach to Guiding Gaming Practices in a Non-Family Context
Authors: Seddighi Gilda
Published: December 2022

As the inclusion of youths in decision-making around their media use is increasingly normalized in the family context in the Global North, one could ask how media literacy support can be adjusted for youths in vulnerable situations, situations where their family cannot be involved in regulating their media use, such as gaming. Drawing on interviews conducted in 2021 with 13 unaccompanied refugee youths (16–25 years old) and 10 social actors working in eight organizations, this study investigates the gaming habits of such youths in Norway and the ways in which relevant social actors are involved in guiding their gaming practices. This study shows that social actors’ views on gaming vary according to their level of involvement in the youths’ housing arrangements. Whilst those working directly with such arrangements are involved in direct or indirect rule-setting for gaming practices, others struggle to find their role within this context. The youths, however, emphasize the importance of gaming in building relationships with other unaccompanied refugees, learning about the culture of socialization, and mitigating trauma. Moreover, there is a lack of a dialogical approach to welfare services’ regulation of these youths’ gaming practices. Employing such an approach could not only give these youths a voice but also expand gaming’s democratization ability beyond the family context.
Children’s News Media as a Space for Learning About Difference
Authors: Haavisto Camilla , Chajed Avanti , Kyllönen Rasmus
Published: December 2022

In this article, we show how everyday difference is conceptualised in Finland through our analysis of media products for children (HBL Junior, HS Lasten Uutiset, and Yle Mix). We consider media as a part of the “lived curriculum” through which media professionals intentionally or unintentionally reproduce particular discourses of difference and sameness that become part of children’s everyday learning and understanding of multicultural society. Our aim in doing so is to consider what marks these discourses produced specifically for children, and what versions of difference they replicate and advance. We find that children’s media advances discourses of “comfortable conviviality” through the paradigms of colour-blind friendship, the universal experience of childhood, and through a firm belief in social cohesion as the master signifier of Finnish society. Through the lens of inclusiveness, we discuss the implications of these discourses on journalism and media literacy.
Práticas de inovação em hotelaria hospitalar: um estudo de caso em hospital do sistema Unimed
Authors: Paz de Oliveira Verônica , Oneide Sausen Jorge , Charão Ferreira Gloria
Published: December 2022

Este estudo tem como objetivo identificar e classificar as práticas de inovações desenvolvidas na área de hotelaria hospitalar em um hospital do sistema Unimed, a partir das tipologias do Manual de Oslo. Trata-se de estudo de caso único, de natureza exploratória e de abordagem qualitativa. Os dados foram coletados através da realização de entrevistas com os líderes do hospital, com a observação in loco e análise de documentos. A coleta de dados ocorreu durante o segundo semestre de 2021 e primeiro de 2022. Os dados foram analisados através da técnica análise de conteúdo. Os resultados apontam que o hospital implantou 17 das 26 práticas de hotelaria hospitalar analisadas, resultando em 20 inovações nas três tipologias: produto, processo e organizacional, mas, no entanto, a inovação de marketing não foi evidenciada. As inovações de produtos e processos estão relacionadas a novas tecnologias, proporcionando um aumento na produtividade, velocidade e segurança na prestação do serviço. Já em relação as inovações organizacionais, foi possível identificar mudanças nas práticas de negócios da organização hospitalar e inovações pertinentes relacionadas a qualidade, o que resultou na Acreditação pela ONA. Esse resultado demostra que o hospital busca de forma contínua inovar em seus serviços de apoio para prestar um atendimento de excelência. No que tange as limitações do estudo, destaca-se o fato de ser um estudo de caso único, apenas um hospital, portanto, sugere-se novos estudos na perspectiva de uma análise multicaso.Palavras-chave: Práticas de Inovação. Hotelaria hospitalar. Hospital.
Mobilidades, hospedagem e territórios de hospitalidade no entorno do Hospital do Amor, em Barretos/SP, Brasil
Authors: Allis Thiago , Spolon Ana Paula Garcia , Fratucci Aguinaldo César
Published: December 2022

O Hospital do Amor (HA), antigo Hospital do Câncer de Barretos, faz referência a uma questão relevante e sensível: a importância do cuidado com as pessoas. Localizado no interior de São Paulo, é um dos maiores complexos da categoria na América Latina, destinado a pacientes oncológicos oriundos de todo o Brasil. Este trabalho buscou reconhecer e compreender a estrutura dos alojamentos (Al) e casas de apoio (CA), um conjunto de espaços alternativos de hospedagem que se constituiu para acolher pessoas que viajam a Barretos para tratamento médico. Este esforço de compreensão se deu a partir da análise das dinâmicas socioespaciais urbanas resultantes da maneira de funcionamento dessas unidades e de sua interação com o HA. A forma tradicional como se organizam as cidades para hospedar quem chega e a prática ética da hospitalidade são as categorias que orientam o olhar para a miríade de mobilidades associadas ao turismo médico em Barretos. A pesquisa, qualitativa, baseou-se em entrevistas, em visitas e em observação participante, e no acompanhamento de fluxos de serviços. Notou-se um grau reduzido de interação dos usuários dos Al e CA com o ambiente urbano, sendo esta interação induzida majoritariamente por mobilidades mandatórias, como idas e vindas ao hospital, deslocamentos intermunicipais e interestaduais e movimentações em direção a equipamentos de apoio como farmácias, igrejas e comércio local. Outra constatação é a do reconhecimento das mobilidades como protagonistas neste processo de cuidado em saúde no território, que estrutura sociabilidades e coloca a hospitalidade no coração da vida social.
Intramedullary spinal cord metastases: current state of the problem
Authors: Ovchinnikov V. A. , Zuev A. A.
Published: December 2022

Intramedullary metastases are a rather rare manifestation of the underlying cancer. Their presence indicates an unfavorable prognosis and leads to a noticeable decrease in the quality of life. The absence of pathognomonic symptoms prevents the rapid and accurate identification of this pathology, which leads to a late diagnosis. The main methods of treating spinal metastases include surgical treatment; radiation and chemotherapy; steroid therapy. Refining diagnostic algorithms and optimizing protocols for managing patients with intramedullary metastases can help play a role in improving overall prognosis and patient survival. The review covers the epidemiology, the mechanisms of metastasis, the clinical picture, modern methods of diagnosis and treatment of intramedullary metastases, as well as the outcomes of this pathology. The main methods of treatment of spinal metastases include surgical treatment; radiation and chemotherapy; steroid therapy.
Surgical treatment of cerebrovascular diseases in a hybrid operating room
Authors: Sergeev A. V. , Cherebillo V. Yu. , Savello A. V. , Chemurzieva F. A.
Published: December 2022

Background. Surgical treatment of complex neurovascular pathology remains an important problem requiring use of a combination of various techniques. Utilization of a hybrid operating room allows to simultaneously or sequentially combine microsurgical and endovascular surgical methods which can improve treatment outcomes.

Aim. To improve surgical treatment of patients with cerebrovascular pathology by utilizing the capabilities of a hybrid operating room.

Materials and methods. Surgical interventions were performed in a hybrid operating room with a combination of endovascular and microsurgical methods for treating the following cerebrovascular pathologies: complex dural fistulas, complex aneurysms, arteriovenous malformations. The type of surgical intervention – hybrid, combined, staged – was chosen in accordance with the nature of the pathology.

Results. In 5 years, 41 patients underwent surgery in the hybrid operating room. Among them, 33 patients had arteriovenous malformations, 6 had complex aneurysms, 2 had complex dural fistulas. Combination interventions were performed in 27 patients, staged – in 12, hybrid – in 2. According to the Modified Rankin Scale (mRS) the following outcomes were observed: no complications in cases of complex aneurysms (6 patients) – mRS 0 (points), as well as in cases of dural fistulas (2 patients) – mRS 0 (points); in arteriovenous malformation, 30 patients did not have any complications – mRS 0; 3 patients had complications (of different types) – mRS 1.

Conclusions. The combination of microsurgical and endovascular methods of treatment in a hybrid operating room allows to combine the positive features of the two methods in accordance with surgical needs which improves the outcomes of neurosurgical interventions in complex neurovascular pathology.
Metabolic navigation during brain tumor surgery: analysis of a series of 403 patients
Authors: Goryaynov S. A. , Potapov A. A. , Okhlopkov V. A. , Batalov A. I. , Afandiev R. O. , Belyaev A. Yu. , Aristov A. A. , Caveleva T. A. , Zhukov V. Yu. , Loshchenov V. B. , Gusev D. V. , Zakharova N. V.
Published: December 2022

Introduction. Metabolic navigation with 5‑ALA is one of methods for intraoperative imaging in neuro‑oncology.

Aim. To perform a comparative analysis of sensitivity of metabolic navigation with 5‑ALA during surgery of primary and secondary brain tumors of various histological nature and degree of malignancy.

Materials and methods. During the period from 2013 to 2020, our group have performed surgery to 403 patients using metabolic navigation: microsurgical resections were performed in 384 people with brain tumors, 220 of them were with glial tumors, 101 were with intracranial meningiomas, 63 were with metastatic brain damage. Among patients with metastases, 39 patients had a solitary injury, 16 had a multi‑focal injury, so 72 cases of metastatic nodes were considered in this group. Stereotactic biopsies with 5‑ALA‑assistance were performed in 19 people. Metabolic navigation was performed with the drug 5‑ALA, which was taken orally at a dose of 20 mg/kg 2 hours before surgery. Intraoperative fluorescence was evaluated using microscope with a fluorescent module.

Results. Metabolic navigation using microscope has a high sensitivity when employed during microsurgery (including repeated implementation of surgery) in cases of anaplastic gliomas (65 % in total, 58 % with bright glow), glioblastomas (94 % in total, 53 % with bright glow), intracranial meningiomas (94 % in total, 64 % – with bright glow). The use of 5‑ALA has significant limitations in sensitivity in cases of diffuse gliomas (46 % – in total, 27 % – with bright glow) and brain metastases (in total 87 % – for the solid part, 52 % – for the bed, with bright glow – 51 %). In diffuse gliomas, the glow areas had significantly higher proliferative index and cell nuclei density than the fluoronegative zones. Among the most important factors affecting the glow of gliomas it can be noted: the status of the IDH1 mutation, the volume of the contrasting part of the glioma according to MRI data, the methionine accumulation index according to positron emission tomography, the tumor blood flow indicators according to the arterial spin marking method – ASL perfusion.

Conclusions. Implementation of 5‑ALA navigation with the use of microscope provides high sensitivity in cases of glioblastomas, anaplastic gliomas (especially for detecting of non‑contrasting part of tumor that is not visually altered in the white light of operating microscope) and brain meningiomas. The method is less effective in low‑grade gliomas and intracranial metastases.
A clinical case of a combined approach to restoring post-traumatic deformation of the bones of the arch and base of the skull, bones of the middle zone of the face
Authors: Komar V. V. , Yaroshchik T. M. , Dudich O. N. , Andryuk K. V. , Vecherskaya A. A.
Published: December 2022

Background. The article is extremely relevant due to growing traumatism, current condition of craniofacial traumatology, debatable and incomplete tactics of restoring traumatic defects and deformations of bones of the skull and face. Plastic surgery of the skull defects has developed from simple defect closure to restoring an aesthetically attractive area of the skull, which shape repeats the individual structure of the area lost due to trauma or surgical treatment (trepanation surgery, osteoplastic trepanation, treatment of a depressed skull fracture, etc.). To restore the defects specialists use auto‑ and allografts. In recent years, materials to manufacture implants are simulated using a 3D‑shape.

Aims. To describe the clinical case of a combined approach for the restoration of post‑traumatic deformation of the bones of the arch, base of the skull and bones of the middle zone of the face. To show the importance of multidisciplinary teams in providing assistance to this group of patients, as well as the use of individual 3D simulated titanium plates for reconstructive operations. Emphasize the need to perform reconstructive operations as soon as possible.

Materials and methods. Patient Sh., 43 years old, was admitted to the neurosurgical department of the City Clinical Emergency Hospital (Minsk), in the long term severe traumatic brain injury, with defects of the arch and base of the skull and deformation of the bones of the facial skull on the left. Titanium implants were modeled on a 3D printer, which were used during the operation performed by a multidisciplinary team consisting of a neurosurgeon, maxillofacial surgeon and ophthalmologist‑surgeon. Us for closing defects in the cranial vault, the bottom wall of the orbit and in eliminating deformation skeleton midface line. Titanium implants are made by specialists of Medbiotech SP LLC, Minsk, Republic of Belarus.

Results. The late postoperative period proceeded without peculiarities, the wounds healed by primary tension. Post-operative CT showed that the condition of the implants is satisfactory.

Conclusion. This clinical observation demonstrated the need for a multidisciplinary approach, as well as the priority in using 3D simulated titanium implants to restore post‑traumatic deformation of the bones of the arch and base of the skull and midline bones.
Case report: Surgical treatment of combined dural arteriovenous fistula and angiographically occult arteriovenous malformation complicated by intracerebral hemorrhage
Authors: Prirodov A. V. , Bakharev E. Yu. , Kozlova R. M. , Sinkin M. Yu. , Grin A. A.
Published: December 2022

Background. Cerebral arteriovenous malformations and dural arteriovenous fistulas are relatively rare pathologies with frequency of 1–1.5 and 0.1–0.2 cases per 100 000 people per year, respectively. Probability of a combination of these pathologies in a single patient is extremely low. The authors were not able to find publications describing a combination of these pathologies of the cerebral vasculature.

Aim. To present a clinical case of successful surgical treatment of combined cerebral pathology – dural arteriovenous fistula and angiographically occult arteriovenous malformation – in a patient with intracranial hemorrhage.

Materials and methods. Analysis of the results of treatment of patient with dural arteriovenous fistula with hemorrhagic disease course at the N.V. Sklifosovsky Research Institute of Emergency Medicine (Moscow) was performed. The patient underwent osteoplastic cranial trepanation, resection of the dural arteriovenous fistula. Intraoperatively an angiographically occult arteriovenous malformation was detected which caused the hemorrhage.

Results. Surgical treatment allowed to achieve a satisfactory outcome. Intraoperatively diagnosed angiographically occult arteriovenous malformation was confirmed histologically.

Conclusions. The presented clinical observation shows the necessity of careful revision of hematoma cavity in the presence of isolated intraparenchymal hemorrhage from dural arteriovenous fistula.
Aneurysm of the primitive trigeminal artery: a clinical case and a literature review
Authors: Goroshchenko S. A. , Rozhchenko L. V. , Bobinov V. V. , Kolomin E. G. , Petrov A. E.
Published: December 2022

Background. The primitive trigeminal artery is a fetal anastomosis connecting carotid and vertebrobasilar basins during embryonic period of development. After birth, this artery in the child is obliterated and reduced in most cases. Sometimes the obliteration does not occur and as a result the aneurysms may be formed on this artery (due to change in ordinary hemodynamics in carotid basin), as a consequence, it produces a risk of subarachnoid hemorrhage that sharply worsens prognosis of the disease outcome. The usual microsurgical treatment methods of aneurysms of such localization are of little use and are highly traumatic due to the very “low” location of the neck, because the surgery may need extended basal accesses requiring resection of skull base bones. Also, an “open” surgery produces risks of perforating arteries injury that often extend from trigeminal artery and feed the brain stem, the injury will immediately result in brain ischemic damage. That is why the preferred method for treatment of that kind of pathology may include endovascular intervention both of non‑reconstructive type employing microcoils only and those of reconstructive requiring implantation of assisting or flow‑redirecting stents.

Aim. To demonstrate a case of successful treatment of patient with a primitive trigeminal artery aneurysm.

Materials and methods. A woman, who was admitted to clinic with complaints of convergent strabismus, undergone surgery for large aneurysm located on primitive trigeminal artery. CT brain angiography revealed large aneurysm of primitive trigeminal artery on the right, the result was later confirmed by data of selective cerebral subtraction angiography. Taking into account oculomotor disorders in the patient, it was decided to refrain from microcoils use due to risk of the mass‑effect preservation. Under double disaggregant therapy (ticagrelor 90 mg twice daily + acetylsalicylic acid 100 mg once daily in the evening) and monitoring the functional activity of platelets, a flow‑deflecting stent was implanted into the right internal carotid artery.

Results. The patient was discharged from hospital on the 1st day after the surgery and returned to work. A control angiography performed 3 years later revealed a total shutdown of the aneurysm from bloodstream as well as a partial regression of oculomotor disorders. Intravascular treatment in this situation served as an effective method of choice and made it possible to reliably turn off the aneurysm from bloodstream without impairing the functional outcome of patient’s treatment.

Conclusions. It can be assumed that intravascular intervention in case of such aneurysms serves as an effective method of choice as minimally invasive and low‑traumatic surgery in the treatment of patients with that type of pathology.
Tales from “THE disK FILES”: Lessons Learnt from a Data Recovery Project in 2003–2006 at the National Archives of Australia
Authors: Pearson David , Doig James
Published: December 2022

This case study re-evaluates a large-scale project carried out by the National Archives of Australia (NAA) between 2003 and 2006. The project aimed to identify obsolete digital media (physical data carriers) in its collection and to describe and recover the data from the carriers using a third-party data recovery provider.1 A detailed process for data recovery was developed that included the capture of a full audit trail of steps in the data recovery process. The project was completed in four stages: phase 1 obtained bit-level images from the carriers; phase 2 extracted individual bit-files from the carriers; phase 3 identified duplicate files and proprietary or complex file formats; and phase 4 was a final report that documented processes, made recommendations on future processes, and provided lessons learned. Recent work described in this article indicates that files extracted from the carriers in 2004–2005 can be accurately rendered in current computer environments. The ongoing significance of the project is that it is an early demonstration of the success of bit-level preservation and the need to create disk images as part of a preservation workflow, suggesting a sustainable methodology for digital preservation. The project also influenced archival policy at the NAA and influenced the development of subsequent software tools that became widely known in the broader digital preservation community. The focus on archival principles of authenticity, integrity, chain of custody, and provenance of the recovered records were key learnings to ensuring long-term access and usability. Finally, the metrics resulting from the project, for example, rates of readable carriers and rates of data recovery by carrier type, are useful data from a point in time that correspond quite closely to similar data recovery projects undertaken by other institutions at about the same time and provide a benchmark for future research.