bluuebunny/crossref_metadata_2025 huggingface dataset:
Bilateral cochlear implantation in a patient with osteopathia striata voorhoeve and cranial sclerosis
Authors:   Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Marburg, Philipps-Universität Marburg, Germany, Thangavelu Kruthika , Müller-Mazzotta Jochen ,   Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Marburg, Philipps-Universität Marburg, Germany, Schulze Maximilian ,   Department of Neuroradiology, University Hospital Marburg, Philipps-Universität Marburg, Germany, Weiß Rainer ,   Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Marburg, Philipps-Universität Marburg, Germany, Stuck Boris A ,   Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Marburg, Philipps-Universität Marburg, Germany, Reimann Katrin ,   Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Marburg, Philipps-Universität Marburg, Germany
Published: October 2021

Objective: Osteopathia Striata with Cranial Sclerosis (OS-CS) is a rare form of X-linked dominant sclerosing bone dysplasia. The estimated prevalence of OS-CS is less than 1 in 1,000,000 in the general population with a little over 100 reported cases so far. Up to half of the patients suffer from hearing loss. Hearing loss is usually conductive rather than mixed or sensorineural in patients with OS-CS sclerosis. Herein, we report our experience with a patient who although initially had a conductive hearing loss, later developed sensorineural hearing loss on both sides and was treated with bilateral cochlear implantation. Patient: Thirteen-year-old female patient suffering from Osteopathia striata with cranial sclerosis and functional deafness in the left ear and a high-grade sensorineural hearing loss in the right ear. Intervention: Bilateral cochlear implantation Main outcome measures: Postoperative hearing gain, clinical outcome, audiological examination. Results: The patient showed good hearing gain of 30 dB on the left side and between 30 dB and 40 dB on the right side. Conclusions: Despite the cranial sclerosis, cochlear implantation is a viable option in improving life quality of patients with Osteopathia striata. Nevertheless, it should be noted that in such cases, there is a possibility of progressive sclerosis leading to further narrowing of the internal auditory canal or even complete closure thereby damaging the auditory nerve irreversibly. Keywords: Purple urine bag syndrome (PUBS); purple discolouration; urinary tract infection (UTI); long-term catheterization.
Unusual presentation of an intracochlear schwannoma
Authors:   LSU Shreveport Dept of Otolaryngology/Head and Neck Surgery, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA, 71103, USA, Holmes Sean , Watson Jeremy ,   School of Medicine, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA, 71103, USA, Babin Katherine ,   School of Medicine, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA, 71103, USA, Mankekar Gauri ,   LSU Shreveport Dept of Otolaryngology/Head and Neck Surgery, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA, 71103, USA
Published: October 2021

In this report, the authors discuss the case of a 49-year-old male presenting with sudden onset moderately severe left-sided Sensorineural Hearing Loss (SNHL), tinnitus, left otalgia, and disequilibrium. Prior to referral to our facility, an MRI was obtained which demonstrated non-specific asymmetric enhancement of the left cochlea that was initially suspected to be labyrinthitis. Patient was treated with valacyclovir and a prednisone burst-taper prior to referral. Despite this treatment, his left SNHL worsened, and he was noted to have left-sided peripheral weakness on Videonystagmography (VNG). Upon referral to our facility, MRI demonstrated an Intra-Cochlear Schwannoma (ICS), with possible associated hemorrhage into the cochlea. After discussion of treatment options, repeat imaging in 6-month interval demonstrated stable persistence of the lesion with no growth. The patient is currently being followed with a “Wait-andScan” regimen. Sudden unilateral SNHL is a rare presenting symptom for ICS and this case highlights not only the rarity in presentation, but also the complexity in diagnosis due to the possibility of intracochlear hemorrhage complicating the imaging work-up. Keywords: Intra-labyrinthine schwannoma; vestibular schwannoma; sensorineural hearing loss; disequilibrium. Abbreviations: SNHL: Sensorineural Hearing Loss; VNG: Videonystagmography; ICS: Intracochlear Schwannoma; MRI: Magnetic Resonance Imaging; IAC: Internal Auditory Canal; ILS Intra-Labyrinthine Schwannomas; CT: Computed Tomography; SRT: Speech Reception Threshold.
Refractory chronic otitis media and mixed hearing loss due to infection with levaquin-resistant KERSTERSIA GYIORUM: A case report and review of the literature
Authors:   D1LSU Shreveport Dept of Otolaryngology/Head and Neck Surgery, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA, 71103, USA, Holmes Sean , Busby Matt ,   School of Medicine, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA, 71103, USA, Noonan Mackenzie ,   School of Medicine, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA, 71103, USA, Mankekar Gauri ,   D1LSU Shreveport Dept of Otolaryngology/Head and Neck Surgery, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA, 71103, USA
Published: October 2021

A 39-year-old Caucasian male, with a past medical history of purulent drainage of both ears as an infant and multiple tympanostomy tube placements in childhood, presented our ENT clinic complaining of right ear fluid drainage and hearing loss for the past year. Two months prior to presentation, he began to have increased fluid drainage from the right ear. Examination of the right external auditory canal showed thick, white fluid and a tympanic membrane perforation with a protruding small mass. A sample of the fluid was obtained. Culture of the right EAC fluid grew aerobic, gram-negative rods, identified as Kerstersia Gyiorum. The patient was initially treated with topical ofloxacin and topical prednisolone drops. He was seen again 4 weeks later and was noted to have persistent fluid drainage from the right ear. At this time, oral sulfamethoxazole-trimethoprim was added to his regimen Keywords: Chronic otitis media; hearing loss; treatment resistant otitis media; uncommon infectious microorganism; Kerstersia Gyiorum
Recurrent soft tissue infections associated with complex regional pain syndrome type ll: Reports of two unusual cases
Authors:   St Luke’s University Health Net Work, Warren Campus, Phillipsburg, NJ 08865, USA., Walter Kannangara Don , Dhyanesh Pandya ,   St Luke’s University Health Net Work, Warren Campus, Phillipsburg, NJ 08865, USA.
Published: October 2021

Complex Regional Pain Syndrome (CRPS) (Synonyms: Reflex Sympathetic Dystrophy, Causalgia, Sudeck’s atrophy, Algodystrophy) is a chronic neurological condition, usually involving the limbs, that is characterized by severe pain along with sensory, autonomic, motor and trophic involvement. CRPS type ll is when there is an identifiable preceding event causing nerve damage. We present 2 unusual cases: 1. spontaneous bleeding from left leg associated with recurrent infections 2. a calcified mass in abdominal wall with recurrent infections. Recurrent soft tissue infections are rare in CRPS. Both presentations were unique.
Targeted temperature management following third trimester cardiac arrest
Authors:   Department of Obstetrics and Gynecology, Virginia Commonwealth University, Richmond, Virginia, United States., Conrad Sarah K , Lutins Erika ,   Virginia Commonwealth University, Medical, Richmond, Virginia, United States., Lanni Susan ,   Department of Obstetrics and Gynecology, Virginia Commonwealth University, Richmond, Virginia, United States., Karjane Nicole ,   Department of Obstetrics and Gynecology, Virginia Commonwealth University, Richmond, Virginia, United States.
Published: October 2021

Background: According to the American Heart Association (AHA), post-cardiac arrest use of targeted temperature management (TTM) can be considered for pregnant patients; however, data is lacking, particularly following fetal viability. Case: A 31 year old, female presented at 36 weeks gestation after an out-of-hospital cardiac arrest. Resuscitation resulted in return of spontaneous circulation (ROSC); however, the patient was unresponsive upon hospital arrival. She underwent TTM, was cooled and rewarmed without incident. She underwent cesarean delivery 36 hours after cardiac arrest. By time of discharge, she had full neurological recovery, with only amnesia surrounding the acute cardiac event. The neonate was discharged after a brief stay in the neonatal intensive care unit, having met discharge criteria. Conclusion: TTM should be considered post cardiac arrest, even in the third trimester. Keywords: Targeted temperature management; Cardiac arrest; Pregnancy. Abbreviations: AHA: American Heart Association; TTM: Targeted Temperature Management; ROSC: Return Of Spontaneous Circulation; EMS: Emergency Medical Services; ARCTIC: Advanced Resuscitation Cooling Therapeutics Intensive Care; NICU: Neonatal Intensive Care Unit; OHCA: Out of Hospital Cardiac Arrest.
Dasatinib-induced pleural and pericardial effusion: A case report and review
Authors:   Department of Internal Medicine, Neuchâtel Hospital Network, Maladière 45, 2000 Neuchâtel, Switzerland., Matile Siméon , Voegeli Jérôme ,   Rue Numa-Droz 187, 2300 La Chaux-de-Fonds, Switzerland., John Gregor ,   Geneva University, Michel-Servet 1 Geneva, Switzerland.
Published: October 2021

Introduction: Tyrosine Kinase Inhibitors (TKI) have dramatically changed the prognostic of chronic myeloid leukemia. However, they have been associated with several side effects. Case report: We describe a case of a patient admitted for bilateral exudative pleural and pericardial effusions. After a complete work-up, we concluded to a dasatinib-related side effect. Management and outcome: The patient received oxygen supply, aerosols of ipratropium/salbutamol, and 50 mg of Prednisone for 5 days. The treatment by dasatinib was stopped. She remained asymptomatic at the two-month control by her haematologist. The chest xray showed a small remaining bilateral effusion. Discussion: Based on this case, we performed a literature review on the subject to give insight on the associated risk factors, treatment options and prognostic. Dasatinib-related pleural effusion is frequent, but most often asymptomatic. Further studies are needed to better understand its mechanism and help guide treatment. Keywords: Dasatinib; pleural; pericadial; effusion; side effect; case report.
An innovative oxygen delivery method with the help of pacifier assembly for infants
Authors:   Department of CTVS, All India Institute of Medical Sciences, Rishikesh, India., Gupta Anish , Gupta Bhavna ,   Department of Anesthesiology, All India Institute of Medical Sciences, Rishikesh, India.
Published: October 2021

Infants have an intense need to suck since birth and often cry because of various reasons including cry, anger, frustration etc, the situation become more challenging when kids are admitted in hospitals. Some babies may cry more often than others, even when there is nothing wrong. They are not mature neurologically and are often calmed by sucking. Some of the suggested methods to soothe infants include holding up, rocking in baby carriers, talk a walk in a stroller, breast feeding, get support from family, or trying a baby pacifier. Pacifiers are referred to any object which helps children adjust to new situation or calm them or relieve their stress. 75-85% of kids use pacifiers in western countries and hospital nurseries commonly give them to newly born babies. Although breastfeeding is the most effective way to calm infants, and often kids have reflex to place their hands or thumbs in their mouths, pacifiers can be very helpful for discontented or cranky babies who cannot or will not suck their thumbs or fingers.
A case report of a child with autism spectrum disorder grieving after losing her father during covid-19 pandemic
Authors:   School of Medicine, Koç University, İstanbul, Turkey, Uzunay Nur Sena , Mutluer Tuba ,   Department of Psychiatry, Koç University, İstanbul, Turkey.
Published: October 2021

Background: Bereavement is one of the least studied conditions in children, especially among the ones diagnosed with ASD. Lack of enough understanding about what to expect from a grieving child with ASD complicates how to help them and their caregivers. Case presentation: In this paper, we present a 13-year-old girl with ASD who lost his dad recently due to myocardial infarction during COVID-19 pandemic period while lockdown was implemented, and how that girl reacted to this adverse event. Informed consent is obtained from the mother. Conclusion: Grief of a child with ASD may be dissimilar to what is used to seen in other grieving people. However, similar to all bereaving individuals, psychoeducation and counselling should be prioritized for both the grieving children with ASD and their caregivers. Keywords: ASD; autism; bereavement; COVID; grief; psychoeducation.
Overt to covert follicular lymphoma
Authors:   Haematology Department, Antrim Area Hospital, BT41 2RL, Northern Ireland., Niblock Aaron L
Published: October 2021

A 32-year-old female was found to have an elevated lymphocyte count and referred to haematology. Initially she presented to her GP in 2018 with fatigue and dizziness. The symptoms had fully resolved by the time she was reviewed in haematology.
Ping-pong gaze in a refractory focal status epilepticus
Authors:   Department of Neurology, Hospital Universitari de Girona Doctor Josep Trueta, Girona, Spain., Sánchez-Cirera Laura , Bravo Gary Álvarez ,   Department of Neurology, Hospital Universitari de Girona Doctor Josep Trueta, Girona, Spain.
Published: October 2021

An 83-year-old woman presented to emergency department with fever, low level of consciousness and right deviation in the conjugate gaze. Neurological examination revealed a spontaneous, slow, horizontal and continuous conjugate eye deviation alternating every 2 to 3 seconds. An electroencephalogram revealed periodic paroxysmal activity with a frequency of 2-3 Hz in left frontal hemispheric. Neuroimaging didn’t show pathological findings. Polymorphonuclear leukocytes were observed in CSF without evidence of microorganisms. Antiepileptic therapy was started without improvement. Finally, the patient died because of refractory focal status. Ping Pong Gaze (PPG) is a slow and rhythmical horizontal abnormal eye movement with a fixed frequency that is observed in comatose states and indicates diffuse structural brain lesions with preserved brainstem functions. PPG presence is an indicator of bad prognosis. We describe a PPG case with a synchronous eye movement with the electroencephalogram activity. Keywords: Ping-pong gaze; status epilepticus; electroencephalography; epilepsy; seizure.
Primary hyperoxaluria as an indication of liver and kidney transplantation: Case report and literature review
Authors:   Department of Transplantation Medicine, Nephrology and Internal Medicine, Medical University of Warsaw, Warsaw, Poland., Chekhovych Anastasiya , Gozdowska Jolanta ,   Department of Transplantation Medicine, Nephrology and Internal Medicine, Medical University of Warsaw, Warsaw, Poland., Durlik Magdalena ,   Department of Transplantation Medicine, Nephrology and Internal Medicine, Medical University of Warsaw, Warsaw, Poland.
Published: October 2021

Primary Hyperoxaluria (PH) is a metabolic liver disease that results in oxalate overproduction that cannot be metabolized by the liver [1]. PH is caused by mutations in one of three genes that encode enzymes involved in glyoxylate metabolism. As oxalate is primarily excreted in the urine, the kidney is the prime target for oxalate deposition, which leads to end-stage kidney disease [2]. A patient named MN with Nephrocalcinosis (NC) was referred to the Children`s Memorial Health Institute of Warsaw in early childhood. The patient was diagnosed with PH type 1. PH type 1 is caused by mutations in a gene called AGXT that encodes alanine-glyoxylate aminotransferase. This enzyme is found in hepatic peroxisomes. It converts a compound called glyoxylate to the amino acid glycine [3]. In 02.12.1996, at the age of 13 the patient received a first kidney transplant from family member. In 16/09/1998 graftectomy was performed due to rapidly progressive kidney failure, nephrocalcinosis and infections. The patient had to return to hemodialysis after renal allograft loss. Also the patient was diagnosed with chronic HCV genotype 4 infection in 1998. In 08.11.2002, at the age of 19, the patient was qualified for a simultaneous liver and second kidney transplantation due to primary hyperoxaluria. The patient was treated with combination of: Daclizumab, steroid, tacrolimus, mycophenolate mofetil. Since October, 2015 the patient had been treating with combination of ombitasvir, paritaprevir, ribavirin and ritonavir. Hepatitis C Virus (HCV) was successfully eliminated. Patients with kidney failure from primary hyperoxaluria type 1 should not undergo kidney transplantation alone due to the very high risk of recurrence. Combined liver and kidney transplantation is the treatment of choice [4]. Keywords: Primary hyperoxaluria; kidney insufficiency; kidney transplantation; combined liver; kidney transplantation.
The liver and thyroid gland: What’s the connection?
Authors:   Professor of Pediatrics, Pediatric Endocrinology Unit, Faculty of Medicine, Assiut University, Assiut, Egypt., Metwalley Kotb Abbass , Farghaly Hekma Saad ,   Professor of Pediatrics, Pediatric Endocrinology Unit, Faculty of Medicine, Assiut University, Assiut, Egypt.
Published: October 2021

Thyroid hormones are essential for the normal growth, development, and function of body organs. These hormones regulate the basal metabolic rate of all cells, including hepatocytes. A complex interplay exists between the thyroid and the liver. Thyroid dysfunction can cause liver function test abnormalities, usually reverted by normalizing thyroid status. On the other hand, liver disorders may cause thyroid function abnormalities that may or may not need to be treated. Nevertheless, the relationship between liver and thyroid is often overlooked, and thyroid function is not commonly investigated in patients with liver diseases and vice versa. Keywords: Hyperthyroidism; liver cirrhosis; hypothyroidism; hepatitis.
Role of Sodium Thiosulphate in Calciphylaxis
Authors:   Griffin Hospital, Derby, CT, 130 Division Street, 06418, USA., Qaiser Meshal , Kanwardeep Arora ,   Griffin Hospital, Derby, CT, 130 Division Street, 06418, USA.
Published: October 2021

Calciphylaxis, also known as Calcific Uremic Arteriolopathy (CUA), is a rare condition often but not exclusively seen in end stage renal disease. Current literature recommends trial of Sodium Thiosulphate (STS) in all CUA patients. The long - term use of STS is limited by the adverse effect of Anion Gap Metabolic Acidosis (AGMA) which can be managed timely to maximize the benefits of STS.
Kırım Savaşının Osmanlı Toplumsal Yaşamına Etkileri
Authors: BADEM Candan
Published: October 2021

Makale Kırım Savaşının Osmanlı toplumsal yaşamındaki etkilerini incelemektedir. 1853-1856 Kırım Savaşı, Osmanlı devletinin İngiltere, Fransa ve Sardinya krallığının Rusya İmparatorluğuna karşı verdiği ve bir dünya savaşınının prototipi olan ilk modern savaştır. Bu savaşaynı zamanda 19. yüzyıl Osmanlı modernizasyonu içinde önemli bir dönüm noktasıdır. Savaş süresince çok sayıda Avrupalı seyyah, asker, gazeteci ve çeşitlik mesleklerden insan İstanbul'u ziyaret etti ve Osmanlıların Avrupalılarla teması gözle görünür biçimde arttı. Padişah Abdülmecit İngiltere ve Fransa elçiliklerinin balolarına katılarak bu temasları en üst düzeyde temsil etti. Makale savaşın genel etkilerine değil Osmanlı toplumsal yaşamındaki etkilerine yoğunlaşmaktadır. Bu etkiler, günlük yaşam, giyim kuşam, sofra adabı, balolar, kadın erkek ilişkileri ve müslim gayrimüslim ilişkileri gibi birçok alanı kapsamaktadır.
Dini Kültlerde Terör Örgütüne Dönüşme Potansiyeli: Aum Shinrikyo Vakası
Authors: ERGÜN Kürşad Kağan
Published: October 2021

Günümüzde, Dünya üzerinde belki de milyonlarca dini grup ve oluşum bulunmaktadır. Bu grup ve oluşumların bir kısmı, yapısal olarak ve kuruluş̧ amaçları itibariyle şeffaf ve yalnızca ibadet odaklı olup, diğer bir kısmı ise kült olarak tabir edilen yapılarla ortak özellikler göstermektedir. Kült benzeri özellikler taşıyan bu dini grupların bir kısmı bürokratik, ekonomik ve insan gücü anlamında büyük bir gücü elinde barındırmaktadır. Kült benzeri özellikler taşıyan ve büyük bir gücü bünyesinde barındıran dini grupların büyük çoğunluğu toplum açısından herhangi bir tehlike arz etmez iken, bu gruplar terör örgütlerine dönüşmeleri durumunda, devlet ve toplum açısından geleneksel bir terör örgütünden çok daha fazla tehlike yaratacaklardır. Bu makalede, kült benzeri dini grupların terör örgütlerine dönüşmeleri halinde, sahip oldukları avantajlar nedeniyle geleneksel terör örgütlerinden daha tehlikeli olacakları hususu, yaşanmış bir örnek olan Aum Shinrikyo örgütü merkeze alınarak analiz edilecektir.
Study of the bioecology of Chrysomya (Robineau-Desvoidy, 1830) (Diptera: Calliphoridae): Collections
Authors: Carlos Henrique Marchiori
Published: October 2021

The Chrysomya primary importance to the field of medico legal Forensic Entomology is due to the genus' predictable life cycle length, allowing researchers to accurately estimate a postmortem interval. The aim of this study was to carry out a bibliographical summary on the blowflies of the genus Chrysomya (Insecta: Calliphoridae) with emphasis on the species: Chrysomya albiceps (Wiedemann, 1819) (Diptera: Calliphoridae), Chrysomya megacephala, (Fabricius, 1794) (Diptera: Calliphoridae) and Chrysomya putoria (Wiedemann, 1830). The mini review consists of bibliographical research on the muscoid dipterans (Muscomorpha) (Order: Diptera). The research was carried out in studies related to quantitative aspects of the Family and Species (taxonomic groups) and in conceptual aspects such as origin, geographic distribution, biology, life cycle, as a secondary vector of enterobacteria, for causing secondary myiasis and importance in Forensic Emtomology. A literature search was carried out containing articles published from 1971 to 2021. The mini review was prepared in Goiânia, Goiás, from August to September 2021, through the Online Scientific Library (Scielo) and internet. This is a family of blowflies of great ecological and medical-sanitary importance, as they are decomposers of organic matter, with their larvae usually developing in decayed material of animal origin, decomposing it and quickly consuming the carcasses, thus removing possible sources of diseases and recycling nutrients.
Über Raupen, Blumenwiesen und Kreidekreise
Authors: Rauscher Erwin
Published: October 2021

Festansprache zur ersten Bachelor-Graduierungsfeier der Elementarpädagog*innen Mi., 29. Sept. 2021, PH NÖ
Yoga in der Primarstufe
Authors: Thomay Gerlinde , Neumüller-Reuscher Martina
Published: October 2021

Aufgrund der Schutzmaßnahmen gegen das Coronavirus ist digitales Lernen auch in der Primarstufe in den Vordergrund gerückt. Infolgedessen verbringen Kinder im Falle eines Lockdowns mehrere Stunden am Tag vor den Bildschirmen. Diese Art des Lernens stellt für Kinder in der Primarstufe aufgrund ihres natürlichen Bewegungsdranges eine Herausforderung dar. Daher sind Lehrkräfte gefordert, Instrumentarien im digitalen sowie realen Unterricht anzuwenden, die Ausgeglichenheit und Entspannung bei Kindern hervorrufen und konzentrationssteigernde Wirkungen erzielen. Der vorliegende Beitrag möchte mithilfe des Kaseler Konzentrationstests aufzeigen, dass Kinderyoga im schulischen Kontext positive Auswirkungen auf die Konzentrationsleistung der Primarstufenkinder hat. Als Anregung und Hilfe für die Praxis, Kinderyoga in den Schulalltag zu integrieren, werden Bilder sowie Lehrvideos in Form von QR- Codes zur Verfügung gestellt.
Herausforderungen für den Bildungshausbau
Authors: Schopper Monika
Published: October 2021

Der Bildungshausbau ist Thema aktueller Debatten in der Stadtentwicklung und Stadtplanung sowie in der Pädagogik. Viele Expert*innen beschäftigen sich in Studien mit Fragen zu gutem und gelingendem Schulbau. Die Anforderungen der Gesellschaft an Bildungshäuser verändern sich, wenn in ganztägigen Schulformen nicht nur Unterricht, sondern auch Freizeitbetreuung für die Schülerinnen und Schüler stattfinden soll. Gleichzeitig soll Schule ein Ort der Begegnung und Kommunikation, des sozialen Lernens und der Kooperation sein. Schule ist in vielfacher Hinsicht in Bewegung. Um mit den Veränderungen und Ansprüchen Schritt zu halten, steht der Bildungshausbau immer wieder vor Herausforderungen. Einerseits werden Leuchtturmprojekte geschaffen, andererseits entstehen nach wie vor Bildungsbauten, die den gegenwärtigen Anforderungen und zukünftigen Entwicklungen nicht gerecht werden.
Innsbruck cantat
Authors: Nagiller-Rendl Elisabeth
Published: October 2021

„Innsbruck cantat“ stellt die erste Evaluation des Kooperationsprojekts „Singende Schule“ dar. In diesem Pilotprojekt kooperieren verschiedene öffentliche Innsbrucker Volksschulen mit der Musikschule der Stadt Innsbruck. Im Rahmen des Regelunterrichts übernehmen Musikpädagog*innen Teile des Unterrichtsfaches Musikerziehung in Projektklassen. Die Klassenlehrer*innen sind während des Unterrichts anwesend, beobachten und unterstützen die Arbeit der Musikpädagog*innen. Für die Evaluation wurden zwei Volksschulen ausgewählt, an denen die Autorin seit Jahren als Musikpädagogin im Projekt im Einsatz ist. Ziel der Untersuchung war die detaillierte Identifizierung des Mehrwerts des Projekts. Gleichzeitig galt es, Schwachstellen im Projekt zu erkennen sowie identifizierte Qualitätsverbesserungsmöglichkeiten aufzuzeigen. Nach Auswertung aller Daten stellen die Ergebnisse dem Projekt ein positives Zeugnis aus. So sollte das Projekt „Singende Schule“ in Zukunft unbedingt weitergeführt werden. Die differenzierte Betrachtung einzelner Teilergebnisse wird im Beitrag diskutiert.
Distance Learning an steirischen Mittelschulen in Zeiten der COVID-19-Pandemie
Authors: Weber Helene , Schön Sandra , Ebner Martin
Published: October 2021

Die COVID-19-Krise führte im März 2020 zur Schließung des gesamten österreichischen Schulbetriebs, was zur Folge hatte, dass Präsenzunterricht durch Distance Learning ersetzt werden musste. Der Beitrag stellt die Ergebnisse einer Master-Thesis vor, die das Ziel verfolgte, die technische und organisatorische Umsetzung von Distance Learning während der COVID-19-Krise an den steirischen Mittelschulen im Sommersemester 2019/20 zu untersuchen. An der schriftlichen Befragung nahmen 69 steirische Mittelschulleitungen teil. Der Beitrag beschreibt die schulischen Anordnungen, die Implementierung der Schulinitiativen und das Arrangement der Tools für Lern- und Lehrszenarien. Die Ergebnisse der Befragung zeigen, dass mehr als die Hälfte der steirischen Mittelschulen im Beobachtungszeitraum im Distance Learning keinem extra dafür erstellten Konzept für dessen Durchführung folgten. Videokonferenzen wurden von vielen Schulleitungen angeordnet und E-Mails stellten das beliebteste Kommunikationsmittel dar. Online Lern- und Arbeitsplattformen wurden vermehrt eingesetzt, aber auch auf das Bereitstellen gedruckter Lernmaterialien wurde großer Wert gelegt.
Innovationsdruck durch Schulentwicklungsberater/innen?
Authors: Loparics James Ian Simon
Published: October 2021

Der Beitrag widmet sich der Fragestellung, ob Schulentwicklungsberater/innen und Vortragende in der schulinternen Lehrer/innenfortbildung Einstellungen aufweisen, die den bestehenden Innovationsdruck an Schulen verstärken könnten. Ausgehend von der bisherigen Evidenz, dass die Adressatenorientierung und die Haltung von externen Schulentwicklungsberater/innen wesentlich ist, wurde die modellhafte Annahme entwickelt, dass Haltungen als Inputfaktor auf den Beratungsprozess und somit letztlich auf die Schulqualität wirken. Haben die Berater/innen nun Haltungen, die Innovationsdruck fördern, so werden hierfür negative Effekte angenommen. Durch eine reine Existenz von Beratung (ohne die entsprechende Reflexion) wird daher keine Erhöhung der Schulqualität zu erreichen sein. Um diese Überlegungen vorzubereiten, wurde im Rahmen einer empirischen Studie mit den Berater/innen und Lehrenden in der schulinternen Lehrer/innenfortbildung einer österreichischen Pädagogischen Hochschule eine quantitative Studie durchgeführt, die entsprechende Haltungen nachweist. Auch zeigen sich spezifische Cluster an Haltungen und Rollenverständnissen, vor allem in Bezug auf die Rolle der Bildungsadministration und der Regulierung von Schulen. Zum Schluss wird diskutiert, dass bei Berater/innen, die entsprechende Merkmale aufweisen, wohl wenig Adressatenorientierung erwartet werden kann.
Waldorf- und Regelschulen in Österreich
Authors: Wallner-Paschon Christina , Wiesinger Lisa
Published: October 2021

Mit PISA werden alle drei Jahre die Kompetenzen der Jugendlichen in Lesen, Mathematik und Naturwissenschaft erfasst. In Österreich beteiligen sich seit PISA 2000 auch die Waldorfschulen an diesen Erhebungen. Der Beitrag widmet sich, nach einer kurzen Charakterisierung der Waldorfschüler*innen hinsichtlich Geschlechterverteilung und dem Berufsstatus und Bildungsniveau der Eltern, den Ergebnissen in Lesen, Mathematik und Naturwissenschaft. Dabei werden mit Hilfe von Leistungsmittelwerten und Kompetenzstufen die Schüler*innen aus Waldorfschulen jenen aus den österreichischen Regelschulen gegenübergestellt. Die Analysen zur Leistungsentwicklung der Waldorfschüler*innen zeigen über die PISA-Erhebungsjahre relativ stabile Ergebnisse in allen drei Kompetenzbereichen. Während sich Schüler*innen in Waldorf- und Regelschulen in ihren Kompetenzen unterscheiden, sind die Geschlechterunterschiede in den drei Kompetenzbereichen ähnlich hoch ausgeprägt. Detailanalysen zur Lesekompetenz zeigen, dass Waldorfschüler*innen im Vergleich zu den Jugendlichen in den Regelschulen ein deutliches Kompetenzprofil aufweisen. Sowohl die Lesefreude als auch das Leseselbstkonzept ist bei den Waldorfschüler*innen sehr positiv ausgeprägt.
Über den Zusammenhang von Wissen und Anwendung kompetenzorientierter Leistungsfeststellungs- und Leistungsbeurteilungsformate
Authors: Erhard Franz , Lehmann Elena
Published: October 2021

Dieser Artikel stellt die Ergebnisse einer empirisch-quantitativen Untersuchung zu kompetenzorientierter Leistungsfeststellung und Leistungsbeurteilung an niederösterreichischen Berufsschulen vor. Dabei baut der Fragebogen, der dieser Datensammlung zugrunde liegt, im Sinne einer sequentiellen Nachschau, auf den Ergebnissen einer vorangegangenen qualitativen Erhebung auf (Lehmann & Erhard, 2020). Durch einen weiteren Abgleich der Ergebnisse beider Datensammlungen soll der bisher gewonnenen Erkenntnislage im Abschnitt Diskussion und Ausblick mehr Aussagekraft verliehen werden.

Im Zuge der zuvor durchgeführten qualitativen Untersuchung verdichtete sich die Annahme, dass die aktuell angewendeten Prüfungsformate und Beurteilungsinstrumente, die Implementierung kompetenzorientierter Unterrichtsentwicklung, wie sie seit 2012 auch an niederösterreichischen Berufsschulen eingeführt wurde, unzureichend widerspiegeln (ebd., S.10).

Nach Auswertung der quantitativen Fragebogenerhebung konnte eine teils eingeschränkte Umsetzung von vorhandenem Wissen um kompetenzorientierte Leistungsfeststellung und Leistungsbeurteilung, bestätigt werden. Somit kann angenommen werden, dass der tatsächliche Handlungsspielraum, wie ihn die Leistungsbeurteilungsverordnung (LBVO) in Bezug auf Kompetenzorientierung vorsieht, nicht in seinem vollen Umfang ausgeschöpft wird.
Konzepte von Zeit und Historizität im Zuge der Altersschätzung eines historischen Gemäldes
Authors: Schweiger Christina
Published: October 2021

Im Beitrag wird gezeigt, warum im Rahmen von Bildkompetenz und historischem Lernen die Beschäftigung mit dem Alter von (künstlerischen) Artefakten sinnvoll ist. Als Träger von Zeit-, Historizitäts- und Nachhaltigkeitskonzepten ermöglichen sie vielfältige Zugänge und Bezüge zur Gegenwart. Die empirische Untersuchung, in der Schüler*innen der Grundstufe II das Alter eines Gemäldes aus dem 17. Jahrhundert schätzten und ihre Schätzung begründeten zeigt, dass sie über Zeit- und Historizitätskonzepte verfügen, die zu fördern es sich im Sinne der reflexiven Grundbildung lohnt.
Inspeção eletromagnética em cabos de aço usados na indústria de petróleo offshore utilizando técnicas de vazamento de fluxo magnético.
Authors: Oliveira Raquel Lima , Moura Neto Tibério de , Silva Vitor Manoel , Macedo Rodrigo Brandolt Sodre de
Published: October 2021

Sistemas de inspeção eletromagnética em cabos de aço ferromagnético utilizam o sensor hall como elemento sensor ao se apropriar do efeito hall para tanto.  Sensores hall são transdutores que, quando estão submetidos ao efeito de um campo magnético, variam sua tensão de saída. A forma como essa tensão de saída vai variar depende da relação de aproximação do sensor com o material magnetizado ou em relação a aproximação de um ímã. À medida que há variação na intensidade do fluxo magnético que passa ao longo de uma seção do cabo de aço, em virtude da presença de ímãs permanentes de neodímio, esse sistema é capaz de medir essa variação derivada da perda de uma seção metálica em virtude da presença de pites de corrosão, perda de área metálica devido a corrosão, entalhes, trincas e rompimento de arames das pernas do cabo de aço. Em suma, este estudo tem a intenção de vir em assistência ao segmento da indústria de petróleo offshore e suas plataformas semissubmersíveis que utilizam linhas de ancoragem a partir de cabos de aço. O estudo, por meio de testes, desenvolverá sensores capazes de detectar defeitos em cabos de aço e um projeto mecânico conceitual a partir do solidworks dará formas à essa ferramenta de inspeção.
O imaginário enquanto dinamizador da identidade profissional docente: uma interlocução com as ações realizadas
Authors: Fetter Shirlei Alexandra , Silva Denise Regina Quaresma da
Published: October 2021

O presente texto apresenta como objetivo as concepções sobre a constituição do imaginário a partir do processo dialógico com a constituição da identidade profissional. Com isso, a metodologia conta com o embasamento teórico realizado através de revisão de literatura, por meio de artigos científicos, teses, dissertações e livros de renomados autores. A partir dos resultados da pesquisa, foi possível identificar que a subjetividade, isto é, a identidade docente, está caracterizada pelas suas ações nas relações pedagógicas, constituídas pelos processos dialógicos com temáticas emergentes. As considerações compreendem as características que compõem da competência para a identidade docente da educação num contexto prático, social e cultural, isto é, a partir do imaginário é possível constituir-se, desconstruir-se e reconstruir-se enquanto profissional docente.
Hemodialysis Minimal is the Future
Authors: Tarif Nauman
Published: October 2021

Father of Hemodialysis, Willelm Kolff a Dutch physician, during the terrible times of Nazi occupation risked his life to experiment and invent the first hemodialysis machine. One can imagine, that the power to do something good for your fellow human beings does not wait for the perfect times and facilities.
Intra-access Pressure: Do We Really Need to Know? A Critical Review
Authors: Rehman Abaid ur , Imtiaz Salman
Published: October 2021

Arteriovenous (AV) fistula and AV graft are considered superior to venous catheter access, remarkable success has been achieved in increasing prevalence of AV fistula. However, vascular access complications are common and result in increased hospitalization, mortality and expense. Guidelines suggest various methods to maintain patency of vascular access. Amongst these various methods used for vascular access monitoring and surveillance, intra-access pressure (PIA) is a simple tool which can be helpful in early detection and management of stenosis in vascular access. Intra-access pressure, although a very simple and quick method of vascular access evaluation, has a low diagnostic accuracy in prediction of vascular access stenosis as compared to other methods of access surveillance. We discuss here the physiology, methodology and the utility of intra-access pressure.
Prevalence of Mineral Bone Disease in Dialysis Patients
Authors: Rizvi Nabiha , Tasleem Faiza , Altaf Ulfat
Published: October 2021

Progressive loss of kidney function in chronic kidney disease (CKD) leads to reduced production of 1-α-(OH)2-D3 (1,25-dihydroxyvitamin D; calcitriol) and abnormal mineral homeostasis leading to bone mineral disorders. The disorder starts with stage 2 CKD but manifests itself as the disease progresses until stage 3 CKD.

Material and methods

This study was carried out on 61 patients with end-stage renal disease on regular HD at our Centre. After obtaining informed consent, complete blood count, blood urea level, serum creatinine level, albumin level, uric acid level, Ca level, phosphate level, alkaline phosphatase level, and PTH level were done.

Results

Out of 60 patients 41 (68.33%) were high bone turnover,10 (16.6%) were normal bone turnover whereas 9(15%) were low bone turnover.

Conclusion

The prevalence of CKD-MBD among dialysis patients is 83.33% at our center and needs proper monitoring by routine investigations including serum phosphate, calcium, vitamin D levels and most importantly i-PTH levels according to guidelines.
Acute Kidney Injury with Hemolytic Uremic Syndrome
Authors: Naqvi Rubina , Abbas Khawar , Akhtar Syed Fazal
Published: October 2021

We report here, case series of patients with acute kidney injury (AKI) developing in associationwith hemolytic uremic syndrome (HUS). Different causes of HUS and outcome of patients in this group of patients is aimed to be reported.

Patients and Methods: subjects for the study reported here comprised of a cohort of 105 patients admitted with the diagnosis of AKI due to HUS. AKI was defined according to RIFLE criteria and HUS on basis of hematological, biochemical and/or histological features. All patients had normal size kidneys on ultrasonography and no previous co- morbidity.

Results: One hundred and five patients with AKI due to HUS were brought to this institute from January 2000 - July 2019; among these 76 were females, mean age of these patients was 27.83±10.50 years. Causes of HUS were febrile illness, with or without diarrhea, diarrhea alone, pregnancy related complications and one each from snake bite, HCV infection / IFN therapy and use of combination of drugs. In pregnancy related HUS one patient had HUS during pregnancy while rest were during postpartum. Renal replacement was required in 95.23 % patients. Complete renal recovery was observed in 22 patients, while 15 died during acute phase of illness. CKD-V developed in 24 patients, 41 patients lost long term follow up, but were dialysis free till last follow up. Treatment with plasmapheresis revealed significantly better renal recovery (p value 0.026) in this group of patients.

Conclusion:

HUS can be severe life threatening disease; AKI with background of HUS may remain irreversible in many of these patients. Plasmapheresis should be offered to patients with established diagnosis of HUS.
Prologue: Peritoneal Dialysis in Pakistan: A Journey Just Started.
Authors: Khan Qamar
Published: October 2021

I was asked to write on recent initiatives taken to promote peritoneal dialysis (PD) in Pakistan. I will try to take you through this journey that led us here, that is in establishing PD as a viable and reasonable alternative to hemodialysis (HD) in a subset of end stage renal disease (ESRD) patients.
Peritoneal Dialysis Utilization Globally and Opportunities in Lower Income Countries
Authors: Finkelstein Fredric , Khan Qamar
Published: October 2021

There has been an expansion of peritoneal dialysis (PD) utilization globally over the past several years. This has occurred for several reasons. First, there has been a global increase in the number of patients receiving end-stage kidney disease (ESKD) treatment in high income, middle income and low income countries. Second, recent studies have emphasized the reduced cost of PD compared to hemodialysis (HD) if PD supplies can be acquired at a reasonable cost.  Thirdly, it is now widely accepted that since PD is much simpler to do than HD (that is, it does not require large amounts of water, complex water treatment systems, electricity, and machinery), the use of PD in low resource countries has certain obvious advantages. Fourthly, it has become clear from experiences in Hong Kong and Thailand that have developed PD First programs (i.e. the government paying for ESKD care only if PD eligible patients start on PD rather than HD) and programs in Mexico (where there has been limited availability of HD centers) that the vast majority of patients with ESKD, even in low resource countries, are able to successfully be cared for with PD.  And, importantly, as programs expand in low resource countries and experience is gained, outcomes of  PD improve.  Lastly, the International Society of Peritoneal Dialysis (ISPD) has developed comprehensive guidelines for the care of PD patients that has resulted in a dramatic improvement in outcomes for PD patients over the last several years.
Local Experience: Battling for CAPD in Pakistan: The Shifa Experience
Authors: Khurshid Kiran
Published: October 2021

Peritoneal Dialysis (PD) is recognized as a patient centered modality for End Stage Kidney Disease worldwide. Compared to In-Centre Hemodialysis, it gives the patients a better quality of life.   Rather than urgent start, 2 weeks rest after placement of PD catheter is preferred to avoid leaks.

Since I joined Shifa International hospital Islamabad, Pakistan, a gradual increase in CPAD population was seen.  We share our experience and  discuss the issues faced.
Acquiring Hepatitis-C Viral Infection during Maintenance Hemodialysis Patients at DHQ Hospital Sheikhupura:
Authors: Hussain Yaris , Sabir Anum , Naz Saba , Munawar Nazish , Anjum Roshina
Published: October 2021

Background: End stage kidney disease (ESKD) is one of the end results of chronic kidney disease. In center hemodialysis is the most common renal replacement therapy (RRT) for these patients used in Pakistan. It is associated with increased risk of health care-related infections. Hepatitis-C is the frequent blood born viral infection in hemodialysis center. Its frequency is very high in hemodialysis patients as compared to general and even to thalassemia population.

Purpose of the study: To assess the gravity of Hepatitis-C viral infection in hemodialysis patients.

Methods: A retrospective cross-sectional study done in dialysis center of DHQ hospital Sheikhupura, Punjab, Pakistan in January 2018. All the patients who had started hemodialysis with HCV negative status and had remained on hemodialysis for more than three months were included in the study. Patients with Hepatitis-C positive status, acute kidney disease and on dialysis less than three months were excluded. All patients were tested by enzymes linked immune-sorbent essay (ELISA) method for HCV status.

Results: Out of 153 Hepatitis-C negative patients at the time of initiation of dialysis, 60 (39.21 %) converted positive while 93 (60.78 %) were still HCV negative by ELISA method at the time of study. Number of dialysis were having significant p value.

Conclusion: Most of the patients had acquired Hepatitis-C infection during in-center hemodialysis. This emphasizes the importance of stringent infection prevention and control practices
Clinical Presentation and Outcomes of Covid-19 in Maintenance Hemodialysis Patients in Pakistan: A single-Center Study
Authors: Yaqub Soniya , Hamid Amna , Naeem Zarghoona , Awan Safia
Published: October 2021

The objective of the present study was to review clinical presentation and short-term outcomes of COVID-19 in patients on maintenance hemodialysis (MHD).  The study was conducted at three coordinated outpatient hemodialysis units at Aga Khan University Hospital from 1st May 2020 to 31st July, 2020.

METHODOLOGY: Detailed analysis of 15 patients on MHD diagnosed with COVID-19 during the study period was done along with comparison between surviving and deceased subjects.

RESULTS: Out of 108 MHD patients, 17 were diagnosed with COVID-19 through polymerase chain reaction (PCR) and 15 of them were included in the study. Mean age of subjects was 62.8 years; 53.3% were females.  Median HD vintage was 15 months (IQR 8-14). Forty percent of the patients were asymptomatic. Frequent symptoms observed were shortness of breath (40%), cough (26.7%) and fever (20%). Lymphopenia was not seen in our study and 40% had no radiographic finding. Acute respiratory distress syndrome, myocardial injury, hepatic dysfunction and thrombotic event were observed complications. Compared to survivors, deceased patients were significantly older (p=0.01) and had higher inflammatory markers including C-reactive protein, ferritin, procalcitonin, lactate dehydrogenase. Forty percent were hospitalized and 83.3% required ventilation (invasive or noninvasive). By the end of follow up; 40% patients died. 

CONCLUSION:

Patients on MHD are susceptible to severe COVID-19 and higher mortality. Asymptomatic presentation demands high clinical suspicion for prompt diagnosis. Following trend of inflammatory markers may help clinician in identification of severe cases and appropriate management.
Histologic Variants of FSGS: An Epidemiological and Pathological Perspective.
Authors: Shakeel Shaheera , Rashid Rahma , Mubarak Muhammed
Published: October 2021

Focal segmental glomerulosclerosis (FSGS) is a conglomerate of glomerular pathological lesions unified by the segmental distribution of proliferative, sclerosing or collapsing lesions in less than 50% of glomeruli (i.e., focal distribution) in the early stages of the process and can only be diagnosed on renal biopsy. Epidemiologically, FSGS has acquired the top position among the causes of nephrotic syndrome (NS) in adults in many parts of the world and has emerged as the main cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD) worldwide. Numerous approaches have been used to classify this lesion, but all have merits and demerits and no one system is entirely satisfactory. One of the popular schemes for the classification is based on morphological features and distribution of the lesions in the glomeruli, the so-called Columbia classification of FSGS. In this review, we briefly summarize the relevant epidemiology and pathology of FSGS variants in the light of our own experience with the use of this classification.
Uncontrolled Hypertension and its Contributing Factors in a Tertiary Care Hospital of Lahore, Pakistan.
Authors: Sabir Omer , Rashid Anam , Riaz Muhammad Mohsin
Published: October 2021

Abstract:

Hypertension is a major cause of morbidity and mortality worldwide. In spite of the availability of adequate medical therapy, more than half of the patients have blood pressures persistently above the treatment threshold (140/90 mmHg).

Objective:

To investigate the factors responsible for uncontrolled hypertension.

Materials and Methods: It was a descriptive cross-sectional study. The study population comprised of 152 consecutive hypertensive patients more than 18 years of age presenting to the Nephrology Clinic at Fatima Memorial Hospital during the period of one month (July 2020) were included in this study. The criteria for control was defined as an office BP of less than 140/90 mmHg.

Results: 96 patients (63.2%) had controlled blood pressure and 56 patients (36.8%) had uncontrolled blood pressure. Males exhibited uncontrolled BP (59%) more than females. Out of all the factors studied, volume status had a significant effect on control of HTN (p=0.003).

Conclusion

Control of hypertension in our population is still far being perfect. There is a need to fortify our efforts to control hypertension so as to reduce associated morbidity and mortality. At the same time there is a need to conduct large studies to fully elucidate the factors contributing to uncontrolled hypertension in our population.
Renal Transplant Pathology Series-V
Authors: Mubarak Muhammed
Published: October 2021

Not applicable