bluuebunny/crossref_metadata_2025 huggingface dataset:
A Comprehensive Update of Prolotherapy in the Management of Osteoarthritis of the Knee
Authors: Zhao Alex Tang , Caballero Cassidy J. , Nguyen Linh T. , Vienne Hunter C. , Lee Christopher , Kaye Alan D.
Published: May 2022

This is a comprehensive review of the literature focusing on the use of prolotherapy in the treatment of osteoarthritis of the knee. It covers the background, efficacy, and advantages of prolotherapy in the management of osteoarthritis symptoms and then covers the existing evidence of the use of prolotherapy for this purpose. Current treatments for osteoarthritis of the knee are numerous, yet patients continue to endorse chronic pain and poor quality of life. Prolotherapy is a treatment that has been inadequately studied with poor sample sizes and lack of standardization between trials. However, in recent years the literature on prolotherapy in the treatment of knee osteoarthritis has grown. Although there is still a lack of homogeneity, trials have shown that dextrose prolotherapy, autologous conditioned serum, hyaluronic injections, and normal saline administered either intra- or peri-articularly are comparable in reducing pain scores to other primary treatment options. The mechanism of action for prolotherapy is still unclear, but researchers have found that prolotherapy plays some role in cartilage growth or chondrogenesis and has been shown to have improved radiographic outcomes. Prolotherapy appears to be a safe treatment alternative that has been shown to improve stiffness, pain, function, and quality of life in osteoarthritis of the knee. Knee osteoarthritis is remarkably prevalent in the United States and is one of the most common causes of disability in the elderly population. Although there are many treatment options, patients continue to live with chronic pain which can incur high costs for patients. A safe, long-term, and effective solution has not yet been identified. Prolotherapy has been shown to be a safe option for improving pain, function, and quality of life as effectively as other treatment options.
Minimally Invasive and Conservative Interventions for the Treatment of Sacroiliac Joint Pain: A Review of Recent Literature
Authors: Aranke Mayank , McCrudy Grace , Rooney Kelsey , Patel Kunaal , Lee Christopher A. , Hasoon Jamal , Kaye Alan D.
Published: May 2022

Sacroiliac joint (SIJ) pain is responsible for approximately 15-25% of reported back pain. Patients with SIJ pain report some of the lowest quality of life scores of any chronic disease. Understanding of the physiology and pathology of the SI joint has changed dramatically over the years, and SI joint pain and injury can now be thought of in two broad categories: traumatic and atraumatic. Both categories of SI joint injury are thought to be caused by inflammation or injury of the joint capsule, ligaments, or subchondral bone in the SI joint. Treatment of SI joint pain usually involves a multi-pronged approach, utilizing both, multi-modal medical pain control and interventional pain/surgical techniques such as steroid injections, radiofrequency nerve ablation, and minimally invasive sacroiliac arthrodesis. Though conservative management through multi-modal pain control and physical therapy have their role as first line therapies, an increasing body of evidence supports the use of minimally invasive procedures, both as adjuvant treatments to conservative management and as second line therapies for patient’s that fail first line treatment.
An Update on Posterior Tarsal Tunnel Syndrome
Authors: Fortier Luc M , Leethy Kenna N , Smith Miranda , McCarron Margaret M , Lee Christopher , Sherman William F , Varrassi Giustino , Kaye Alan D
Published: May 2022

Posterior tarsal tunnel syndrome (PTTS) is an entrapment neuropathy due to compression of the tibial nerve or one of its terminal branches within the tarsal tunnel in the medial ankle. The tarsal tunnel is formed by the flexor retinaculum, while the floor is composed of the distal tibia, talus, and calcaneal bones. The tarsal tunnel contains a number of significant structures, including the tendons of 3 muscles as well as the posterior tibial artery, vein, and nerve. Focal compressive neuropathy of PTTS can originate from anything that physically restricts the volume of the tarsal tunnel. The variety of etiologies includes distinct movements of the foot, trauma, vascular disorders, soft tissue inflammation, diabetes mellitus, compression lesions, bony lesions, masses, lower extremity edema, and postoperative injury. Generally, compression of the posterior tibial nerve results in clinical findings consisting of numbness, burning, and painful paresthesia in the heel, medial ankle, and plantar surface of the foot. Diagnosis of PTTS can be made with the presence of a positive Tinel sign in combination with the physical symptoms of pain and numbness along the plantar and medial surfaces of the foot. Initially, patients are treated conservatively unless there are signs of muscle atrophy or motor nerve involvement. Conservative treatment includes activity modification, heat, cryotherapy, non-steroidal anti-inflammatory drugs, corticosteroid injections, opioids, GABA analog medications, tricyclic antidepressants, vitamin B-complex supplements, physical therapy, and custom orthotics. If PTTS is recalcitrant to conservative treatment, standard open surgical decompression of the flexor retinaculum is indicated. In recent years, a number of alternative minimally invasive treatment options have been investigated, but these studies have small sample sizes or were conducted on cadaveric models.
Dedifferentiated Chondrosarcoma: A Case Series and Review of the Literature
Authors: Gusho Charles A. , Lee Linus , Zavras Athan , Seikel Zachary , Miller Ira , Colman Matthew W. , Gitelis Steven , Blank Alan T.
Published: May 2022

Background

Dedifferentiated chondrosarcoma (DCS) is a rare and aggressive malignancy with a poor prognosis. The purpose of this investigation was to describe our treatment and outcomes of 16 DCS patients at our institution and provide a review of the current literature.

Methods

This study was a retrospective review over a consecutive twenty-year period. Data including treatment details and outcomes were recorded.

Results

A total of 16 cases from 2000 to 2018 were identified. The median age (IQR) was 62 years (52; 69) and the majority of DCS arose in the femur (50%, n=8) and pelvis (25%, n=4). Fourteen (88%) cases underwent limb salvage/wide margin resection (n=13) or intralesional surgery (n=1). For all DCS, the median survival (IQR) was 46 months (12; 140), with both a five and ten-year probability of 32.1% (95% CI, 7.3% to 57.0%). At study conclusion, 81.3% (n=13) were deceased and 18.7% (n=3) were alive.

Conclusions

Our findings confirm the poor prognosis of DCS patients, with a five-year estimate of 32%. Together with existing literature, our data might help enable future strategic recommendation of these patients.
En Bloc Resection of Giant Cell Tumor following Neoadjuvant Denosumab: A Case Report and Review of the Literature
Authors: Tepper Sarah C , Spellman Ari M , Gusho Charles A , Blank Alan T
Published: May 2022

Introduction

The RANK ligand inhibitor denosumab has been used to treat cases of unresectable giant cell tumors of bone (GCTB) or preoperatively to facilitate intralesional curettage. However, there are no clear guidelines for use of denosumab prior to en bloc resection.

Case Presentation

In this study, a 26-year-old patient presented with atraumatic lateral knee pain. X-rays demonstrated a destructive lesion within the proximal fibula, and biopsy confirmed the diagnosis of GCTB.

Management and Outcomes

The patient received 3 months of neoadjuvant denosumab with complete resolution of his pain and cortical rim formation surrounding the tumor. The tumor was removed en bloc with negative margins. At 6-month follow-up, the patient had returned to his functional baseline with no evidence of tumor recurrence.

Conclusion

Neoadjuvant denosumab can mitigate symptoms related to GCTB and promotes cortical bone formation, facilitating en bloc resection and permitting acceptable functional outcomes in select cases.
OUTCOMES AFTER UNSTABLE FRACTURES OF THE ANKLE: WHAT’S NEW? A SYSTEMATIC REVIEW
Authors: Monestier Luca , Riva Giacomo , Coda Zabetta Lorenzo , Surace Michele F
Published: May 2022

Background

Unstable ankle fractures are very frequent. Given the instability, they often require surgical treatment, but literature scarcely reports on the outcomes of their management.

Questions/purposes

For this systematic review we asked: (1) What are the outcomes in treatment of unstable ankle fractures? (2) What about complications of treatment in unstable fractures? (3) What factors influence the outcomes? (4) What about the role of the posterior malleolus?

Methods

The electronic databases PubMed, Scopus, and Embase were interrogated using the search terms “bimalleolar” or “trimalleolar” and “fracture”. Studies were included if they reported on: (1) bimalleolar or trimalleolar fracture in adults; (2) treatment; (3) outcomes reported by scales; (4) follow-up. The final review included 33 studies. The quality of the studies was evaluated with the Methodological Index for Non-randomized Studies (MINORS) questionnaire.

Results

All the outcomes of the thirty-three selected studies were analyzed.

Discussion

Surgical fixation of unstable ankle fractures should always be performed within the first 48 hours from the trauma, preventing instability and post-traumatic osteoarthritis. Surgeon should consider factor may influence functional outcomes. Posterior malleolar fractures should be fixed regardless the size, considering some individual factors.
Posttraumatic Stress Disorder (PTSD): Level 4 – Efficacious
Authors: Moss Donald , Shaffer Fredric , Watkins Matthew
Published: May 2022

Posttraumatic stress disorder (PTSD) is a psychophysiological disorder characterized by chronic sympathetic nervous system activation, persisting perceptual/sensory vigilance for threats, and recurrent distressing memories of a traumatic event. Persons with PTSD frequently experience intrusive memories, nightmares, and flashbacks lived as if in the present moment. Many also exhibit a persisting negative emotional state, including fear, anger, guilt, and shame (Badour et al., 2017; Moss, 2017). PTSD often produces significant disability, lowered quality of life, and functional impairment (Alonso et al., 2004).

The syndrome and symptoms of PTSD have been reported since the early 1800s and described under various diagnostic labels as exhaustion, irritable heart, Da Costa syndrome, and shell shock. Kardiner (1941) described the condition as a physioneurosis, a disorder that is both physiological and psychological. The psychophysiological basis of PTSD calls for psychophysiologically based interventions. Bessel van der Kolk has highlighted the problems in PTSD with affect regulation and called for mind–body interventions such as yoga and neurofeedback (NF) to enhance affective self-regulation (van der Kolk, 2014; van der Kolk et al., 2014, 2016).

The purpose of this article is to review the published research on applications of biofeedback (BFB) and NF treatment of PTSD. Much of the research on this topic is still exploratory; several studies were conducted to show the viability of specific protocols. Accordingly, the review will include pilot studies, quasi-experimental studies, and randomized controlled studies. There is an emerging body of research on whether BFB or NF training before combat deployment or before childbirth can prevent the development of PTSD (Hourani et al., 2016; Pyne et al., 2019; Schlesinger et al., 2020). This important research will not be reviewed here.
Determine the Accuracy & Use of Ultrasound Guidance and Alvarado Score for Diagnosing Acute Appendicitis
Authors: Khattak Nadia , Haider Syed Imran , Butt Nadeem Akram , . Yasrab , Sharif Sana , Kiani Asma Afzal
Published: May 2022

Background: Appendicitis is one of the most common and frequently encountered operations in surgical emergencies. It is the most frequent cause of acute abdominal pain. Early and accurate diagnosis can reduce the rate of negative appendectomy (surgical removal of appendix) and helps to provide better treatment with no extra cost and complications. Aim: The objective of this study was to examine the accuracy and use of ultrasonography and Alvarado score system for diagnosing Acute Appendicitis. Place and Duration of Study: Radiology Department Hayatabad Medical Complex, Peshawarfor duration of six months from January 2021 to June 2021. Methods: In this cross-sectional observational study, 130 patients of abdominal pain having ages of 10 years to 70 years were included. All patients had diagnosis with Alvarado scoring system and ultrasound for identifying Acute Appendicitis. Patients’ detailed history including age, sex and histopathology and ultrasonographic results were recorded. All statistically data was analyzed by SPSS version 17. P-value <0.05 was considered as significant. Results: Out of 130 patients, 95 (73.08%) patients were men and 35 (26.92%) patients were women. 15 (11.54%) patients were ages less than 20 years, 75 (57.70%) patients having ages between 20 to 39 years, 32 (24.62%) patients were aged between 40 to 59 years and 8 (6.15%) patients were ages of >59 years. Symptoms observed in all patients such as anorexia, nausea and vomiting, tenderness in right iliac fossa, rebound tenderness, elevated temperature as 71.54%, 53.85%, 100%, 95.39% and 84.62% respectively. In all 130 patients 122 (93.85%) had found acute appendicitis by using ultrasound. As per histopathology results 95 % had acute appendicitis and 5 % had chronic or normal appendicitis. Conclusion: It is concluded that Alvarado Score system along with noninvasive ultrasound guidance resulted accurately and helps to reduce the rate of negative appendectomy, complications and infections with no extra cost. The combine role of Alvarado score and ultrasonography can helps to provide better treatment in acute appendicitis. Keywords: Alvarado score system, Histopathology findings, ultrasound results, Appendicitis.
Risk Factors of Acute Otitis Media in Early Age (A Meta-Analysis)
Authors: Ahmed Ishfaq , Lakhiar Akhtar Ali , Yousuf Sajjad , Kumar Amrat , Ashraf Muhammad Asif , Chaudhry Abid Rafique
Published: May 2022

Objective: The purpose of this study is to evaluate the risk factors of acute otitis media in children. Study Design: Case Control study Place and Duration: Conducted at Bilawal medical Hospital Kotri, LUMHS Jamshoro, during from the period August 2021 to January 2022. Methods: There were 110 children with ages 1 month to 6 years were presented in this study. After obtaining informed written permission, a mother's age, parity, gestational age, and smoking history were documented in detail for each of the instances described. Patient’s clinical presentation were also recorded. All the patients had confirmed acute otitis media. Risk factors of AOM among enrolled cases were recorded. SPSS 21.0 was used to analyze complete data. Results: Among 110 children, there were 65 (60.2%) males and 43 (39.8%) females. We found that majority of the cases 42 (38.2%) were aged between 1month to 2-years had AOM.Symptoms included fever, otalgia, otorrhea, restlessness, nausea, vomiting, hearing loss, and tinnitus or vertigo in individuals. Tobacco usage by the parents, premature birth, supine bottle feeding, pacifier use, and day care attendance were all significant risk factors for acute otitis media (AOM). The current investigation showed no link between AOM and a craniofacial abnormality. Conclusion:We found that bottle feeding,day care attendance during the first 10 months of life, supine bottle feeding, pacifier usage in the second 6 months of life, parental cigarette smoking, preterm infant, and allergy were significant risk factors for AOM. Keywords:Children, AOM, Pacifier, Smoking Clinical Features
Environmental Literacy among Students of the Faculty of Education at Yarmouk
Authors: Al – Omari Ali. A. , Al khawaldeh Salem. A.
Published: May 2022

This study aimed at examining the environmental literacy among students of the Faculty of Education at Yarmouk University. The researchers designed a four-part instrument for measuring environmental literacy consisting of: environmental knowledge, attitude towards the environment, environmental practices, and a concern for environmental issues. The sample of the study consisted of 430 male and female students in the second semester of the academic year 2010/2011.The findings revealed that the subjects' level of environmental knowledge and attitudes towards the environment are below the accepted educational standard 75% with a statistically significant difference ( = 0.05), and that the level of environmental practices matches the accepted educational standard. The findings also showed a statistically significant difference in the mean scores on environmental knowledge scale due to gender in favor of female, while no differences were found due to the variables of year of study and specialization. A statistically significant difference was also found in the means of the subjects' responses on attitudes towards the environment scale due to specialization while no differences were found due to year of study and gender. Unlike specialization, both year of study and gender were found to cause a statistically significant difference in the means of the subjects' responses to the concern for environmental issues scale in favor of female respondents. None of the variables of the study was found to make any statistically significance differences in the means of the subjects' responses to the environmental practices scale.
Processo de Design e Trabalho Remoto
Authors: Freire Florentino Viviane , Florêncio de Sousa Ana Luisa , dos Santos de Assis Maria Consuelo , dos Santos André Luiz , Silveira Ferreira Suzana Maria , Nascimento Santiago Caminha Camille
Published: May 2022

O trabalho remoto tornou-se um modo de trabalho impositivo para alguns profissionais, após o início da pandemia da COVID-19 em 2020, nas organizações sem a devida cultura de home office. Este cenário propiciou o desenvolvimento deste artigo, que  tem como objetivo apresentar a importância da imersão no problema dentro do processo de design, utilizando como objeto a problemática do colaborador super conectado e o seu direito à desconexão. Para isso, foi realizado estudo de caso de natureza exploratória, utilizando técnicas qualitativas de design para exploração dos problemas relacionados ao trabalho remoto. Os resultados permitiram observar como imergir em dados reais auxilia no correto entendimento do problema, gerando insights relevantes para as demais fases do processo de design.
Jornada do Branding
Authors: Meneses Gabriel , Tsibana Higa Amanda , Auriani Marcia
Published: May 2022

A onda do empreendedorismo motivada pelas crises econômicas, diminuição da oferta de emprego, facilidade e acesso à informação, busca por oportunidades e mudanças comportamentais das novas gerações, motivou o aumento significativo das pequenas e médias empresas no Brasil. O presente artigo discorre sobre a importância da gestão de marca para estas PMEs no contexto atual, utilizando-se de cases de mercado e a relação com os fundamentos do branding. Como resultado, a Jornada do Branding é apresentada como um guia prático para que empreendedores e gestores de marcas possam utilizar como referência para a elaboração de suas estratégias, alavancar o brand equity e construir trajetórias baseadas no propósito da marca.
Pandemic Impact on Design and Communication for Theater Cultural Contents
Authors: Lameiro Mónica
Published: May 2022

Design allows us to respond to a constantly changing world. The pandemic had a profound impact on arts and cultural sectors, affecting global well-being and economy of institutions and countries. The cultural sector was forced to close doors and with that resolution several new priorities in artistic production have emerged.
While some areas of the creative industries were already using technologies to promote their art, theater was until then dependent on the classic models: the physical audience. With the pandemic, theaters were forced to become more flexible and to implement a set of new solutions to promote and keep their productions alive in the minds of their audiences.
In record time, design and designers followed this crisis in culture and played an active role in adapting the ways and means of disseminating theater. The designer played a fundamental role in this action, not only in the establishment of a cohesive digital communication program, but also to differentiate theaters and productions.
The theater failed to accomplish its purpose of physical connection between actors and public, becoming part of visual paths in social network feeds. But it is not only from the stage that theater stories are made, as there is a wide range of content associated with the productions that are worth to be shared.
The present study reflects on the impact of the pandemic on cultural design and disclosure of theater shows, suggestion to look at the production of digital contents in an open perspective of access to culture, represented in a digital platform (prototype) dedicated to conversation, thinking and sharing of theater stories and the people who make it.
‘1 Question 10 Answers’
Authors: Bertolotti Elisa , Serbanescu Anca
Published: May 2022

'1 Question 10 answers' is a didactic exercise, designed to investigate the notion of interpretation in communication design, and to reflect upon issues that arise in the creation of non-fiction narratives. In particular, this research analyses the relationship between the interviewer and the interviewee, as well as the poetic devices of collection, tabulation and repetition in storytelling.
The exercises discussed in this project were applied in various educational contexts: initially from 2017-2019 on the Typography module of the BA in Design at the Universidade da Madeira (Madeira, Portugal), and subsequently in February 2021 during an intensive workshop with MA Communication students in the School of Design at the Politecnico di Milano (Milan, Italy).
The exercise consisted of posing a question to ten people and collecting their narrative responses, before exploring how these might be interpreted as texts and translated into artefacts. The results produced by the students at the Universidade da Madeira were small books, while the students at Politecnico di Milano invented communication systems within several different types of media.
This article discusses ‘the rules of the game’ applied during the exercises, describes the learning process, and analyses various works made by the students reflecting on delicate balance that exists between a work of interpretation and the processes of dialogue and active listening. 
The exercises discussed in this project were applied in various educational contexts: initially from 2017-2019 on the Typography module of the BA in Design at the Universidade da Madeira (Madeira, Portugal), and subsequently in February 2021 during an intensive workshop with MA Communication students in the School of Design at the Politecnico di Milano (Milan, Italy).
The exercise consisted of posing a question to ten people and collecting their narrative responses, before exploring how these  might be interpreted as texts and translated into artefacts. The results produced by the students at the Universidade da Madeira were small books, while the students at Politecnico di Milano invented communication systems within several different types of media.
This article will discuss ‘the rules of the game’ that were applied during the exercise: it will describe the learning process, analyse various works made by the students and reflect upon the potentialities of the method in future contexts.
Association between lead poising and chronic kidney disease in a sample of Iraqi population
Authors: Darwish Khulood M. , Nada Shaymaa Z. , Kazar Sajid H.
Published: May 2022

High environmental exposure to lead is associated with kidney failure, but the effect of low-level environmental exposure has not been well studied  .Objective : The aim of the study was to evaluate the blood lead levels in the serum of patients with renal failure and compare it with those in the control group, as well as to verify its relationship with kidney function. Subjects and Method : The study included 87 people, their ages ranged (17-72 years), 45 of them were diagnosed with chronic kidney disease, while 32 of them were diagnosed with good health. Samples were collected from December 2022 to May 2022 and blood lead levels were estimated using atomic absorption Shimadzu in China, biochemical parameters were measured weight calculated for body mass index divided by height squared in meters, serum creatinine and blood urea by colorimetric methods using Spectrophotometer from Genway company . Results : The average levels of lead in the blood in the group of chronic kidney patients were much higher than it was in the control group (p≤ 0.01).
Synthesis and spectroscopic study of new ligand 3-(acetylthioureido)propanoic acid with their metal complexes
Authors: Kader Thuraya A. , Sarhan Basima M.
Published: May 2022

A new ligand 3-(3-acetylthioureido)propanoic acid (ATA) was prepared through the reaction of acetyl chloride, ammonium thiocyanate and b- alanine. For this study the following methods were used: FT-IR, 1H-NMR 13C-NMR spectra and the Elemental analysis. complexesis of M+2=Mn,Cu,Ni,Co,Zn,Cd and Hg derived from3-(3-acetylthioureido) propanoic acid have been synthesized and characterized by elemental analyses, molar conductance, magnetic suscpility, FT-IR, UV Vis spectra, The results have shown complexation with b-alanine derivative  with metal ion in a 1:2 ratio. The spectral characterization confirms the formation of ligand and complexes. The evidences from the above results suggest the ligand to be abi dentate ion.
study on impact of performance analysis of HDFC mutual funds
Authors: Chakravarty Kavita , Dukhande Priyanka , Shah Rahul , Gosrani Kinjal Kapurchand
Published: May 2022

Mutual Fund is professionally managed investment fund, it is also known for pooling of savings or money, based on the trust who invests the savings of a number of investors who shares a common financial goal, like the capital appreciation and dividend earning. The most important thing is you can diversify your portfolio as per your risk appetite and switch money from debt to equities.  In this study the researcher has done performance evaluation of selected midcap mutual funds of HDFC.  For the study purpose 5 topmost mutual funds has been selected & the whole study is been done on secondary data.  The analysis is done using various statistical tools like average return, standard deviation, beta, Sharpe’s ratio, Treynor’s ratio & Treynor’s ratio. The findings of the study depicts that investors with the age group of 36 to 40 years have more experience and prefer investing in Mutual Funds & investors mostly prefer in investing in Equity based Mutual Funds though it is a risky investment. As per Sharpe’s Formula HDFC Hybrid Equity Fund is the best performer and is ranked 1st position amongst the top 5 selected funds.
exploratory investigation of women leadership in developing economies with special reference of India
Authors: Singh Upasana
Published: May 2022

Gender, religion, and culture all come together in this research, which aims to find out what it's like for women in leadership roles. The study investigates the effect religion and cultural norms have in Pakistani women rising to positions of leadership based on an inductive-qualitative analysis. And the study investigates women’s leadership in India and how is the women’s increase the economies. Rather than holding liberal or socialist/Marxist feminist ideals, Pakistani women leaders, according to the study, have an Islamic feminist worldview instead. It looked as though women's leaders were attempting to recover their religious faith from those who supposedly hold it prisoner to monolithic theological views. For the last two decades, researchers have been looking at how women may lead in higher education. This review of 64 articles from throughout the world, with a particular emphasis on India, Pakistan, Sri Lanka, Indonesia, and Malaysia, was conducted.
Antifungal drugs susceptibility towards candida albicans in female patients with UTI
Authors: Tannupriya  , Kapoor Deepika , Garg Vivek Kumar
Published: May 2022

Background: In women urinary tract infection is a growing concern clinically. The most common human fungal pathogens are candida species reportedly. The aim of the present study was to identify the Candida species causing UTIs and Antifungal susceptibility test. Methods: The study was conducted on 448 urine samples of female patients in Gurugram, Haryana. Urine sample of in-patients and out patients were collected during the period of 2 months for the diagnosis of candida species. Antifungal susceptibility test was done using disk diffusion method. Result: In the present study 13 Candida isolates were found. All the isolates found to be candida albicans (n=13) and Amphotericin B (100%) found to be the most effective drug against Candida albicans followed by voriconazole (92.3%) and fluconazole (61.53%) is the least sensitive drug against C. albicans. Conclusion: Study concluded that only C. albicans species found prevalent fungal species in female. It is also noticed that fungal UTI were less prevalent than bacteria UTI. amphotericin B was 100% sensitive drug towards all the isolates of C.albicans.
Episteme gerencial educativo en tiempo postmoderno desde la complejidad
Authors: Marrero Rico Juan , Illas Ramírez Wilfredo
Published: May 2022

El siguiente artículo tiene como finalidad acercar de forma reflexiva el devenir de la educación como un proceso fundamental, que influye en el pertinente desarrollo del ser humano apoyado en el entorno tecnológico y social. Ello, debido a que se sobrepone el factor humanitario en una era que necesita dar ese paso hacia la posmodernidad sustentada en la Teoría del Pensamiento Complejo de Morin como creador de un nuevo saber mediador entre el viejo y nuevo sistema educativo. Es por esto, que surge la necesidad de ampliar mediante un trabajo de investigación doctoral una respuesta que mejore los procesos epistémicos de la gerencia educativa posmoderna. Por tal motivo, como doctorando estudioso de las ciencias sociales genero el próximo aporte epistémico asociado a la educación venezolana en un proceso empírico y complejo como lo es la posmodernidad. En la actual dinámica social, el ámbito gerencial apunta a la creación de vínculos educacionales para adaptarse a la respuesta social del sector educación. En un siglo XXI donde las instituciones desarrollan procesos creadores que brindan un nuevo sistema de oportunidades para el fortalecimiento de la distinción analítica efectuada por el pensamiento complejo en la educación, para el resurgimiento del conocimiento globalizado que requiere de una actualización transdisciplinaria en la imperante posmodernidad.
Actividad inhibitoria de los extractos de hoja y corteza del árbol Tetragastris panamensis (Engl.) Kuntze, sobre crecimiento in vitro de Moniliopthora roreri (cif) H.C.Evans, Stalpers, Samson & Benny. (1978), laboratorio de Biología, UNAN- MANAGUA, 2021
Authors: Gómez Murillo Jubram José , Reyes Mejía Kennett Antonio , Mercado Gaitán Noel Efraín , Guevara López Indira Sofía , Ruiz Urbina Juan Carlos
Published: May 2022

El presente artículo tiene como propósito analizar las funciones diplomáticas, históricas, políticas-económicas entre el gobierno estadounidense y nicaragüense, particularmente durante la etapa conocida como: la dictadura militar somocista (1937-1963), ofreciendo una profunda visión analítica de los hechos de mayor impacto en la sociedad nacional. El método que se ha utilizado en esta investigación es el deductivo e inductivo, análisis-síntesis a través de la lectura, fichaje y el análisis de diversas fuentes académicas localizadas en repositorios digitales como Scielo, Dialnet y La Referencia, así como espacios físicos como la Biblioteca Central Salomón de la Selva y Centro de difusión de las humanidades (CDIHUM). La técnica empleada en este texto es la revisión documental, lo cual permitió la recopilación de información para enunciar los conceptos que sustentan el estudio de los fenómenos referidos al tema. Como conclusión tenemos que la implantación de las políticas exteriores por parte del gobierno de los EEUU en Nicaragua dio como resultados: en primer lugar, a grupos separatistas libero-conservador como también simpatizantes al antiimperialismo, ambos grupos armados para luchar contra el sistema imperante. Asimismo, este período se tomaron distintas medidas para reforzar esta relación y, en segundo lugar, la instalación de empresas estadounidenses en el territorio en favor de sus intereses derivando en la explotación a las clases desprivilegiadas. Todo esto habría sido un plan orquestado desde los EEUU para neutralizar el comunismo en su afán de expandirse al Mundo en el contexto de la Guerra Fría.
El escrito nace a partir de orientaciones establecidas en la clase de Prácticas de Profesionalización II en lo que concierne a la tesis monográfica (en proceso). Está adscrito a la línea de investigación Geopolítica, Seguridad y Defensa Nacional de la Facultad de Humanidades y Ciencias Jurídicas pertenecientes a la Universidad Autónoma de Nicaragua (UNAN-Managua), se trabajó durante el mes de marzo a julio del 2021 teniendo al único autor ya mencionado.
Neonatologist-Performed Cranial Ultrasonography in the Neonatal Intensive Care Unit
Authors: Cho Hye Jung , Kim Eun Jin , Son Dong Woo
Published: May 2022

Cranial ultrasound (CUS) is an initial screening imaging tool used to evaluate the neonatal brain. It is an accessible, inexpensive, and harmless technique that can be used at bedside as frequently as required. Timely focused CUS in the neonatal care unit can play a major role in the diagnosis, follow-up, and management of brain damage. Despite the increasing use of point-of-care ultrasonography by intensive care physicians, neonatologist-performed CUS remains unusual. This review aims to provide an overview of neonatal CUS to neonatologists, focusing on the optimal settings, standard planes of the brain, and main pathologies in preterm infants. Adding Doppler studies allows evaluation of the patency of intracranial arteries and veins, flow velocities, and indices. This may provide an opportunity for earlier targeted circulatory support to prevent brain injury and improve long-term neurodevelopmental outcomes.
Implication of E-commerce Emerging Markets in Post-Covid Era
Authors: Ahmed Nasif , Kumari Akriti
Published: May 2022

The process of buying and selling via internet platforms is referred to as E-commerce. E-commerce has become a worldwide trend in recent years. People from all around the world have begun to purchase things online. Mobile commerce, money transfer, inventory management, and other aspects of electronic commerce are included. With only a few clicks, anyone can send anything to anyone, whether it's money or presents. In the future, electronic commerce might have a significant economic impact. Internet business will permanently alter the face of business. Furthermore, in the twenty-first century, E-commerce will transform banking. E-commerce has had a wide range of effects on the increasing global economy. First and foremost, it has impacted information technology and all economic sectors; above all, E-commerce has boosted global productivity growth and its impact are too high. They are able to determine the number of qualified people required to advance their country's information economy, as well as calculate the amount of investment required to provide businesses with internet access. Some benefits are now in a position to compare their economies to those of their international competitors, and there are numerous ways to boost productivity growth in present emerging markets.
The Role of Word-Of-Mouth, Shopping Lifestyle and City Walk Concept on Brand Image Mall in Indonesia
Authors: Wiyanti Sari , Hanfan Ahmad
Published: May 2022

ABSTRACT

After 2 years of going through the covid-19 pandemic, now malls or shopping centers can operate normally. Economic growth in Tegal is quite high, changing people's lifestyles and consumption behavior. The consumerism character of the people of Tegal has an impact on the high purchasing power and circulation of money. The fairly high competition does not discourage mall and retail business players from competing competitively. People will look for shopping places that provide comfort, magnificent buildings, exterior and interior form a good image of a mall. This study uses a randomized quantitative approach with the population being Mall visitors in Tegal. The number of samples taken in this study were 100 respondents. The sampling technique used was purposive sampling, namely samples that were met by chance and met the criteria in this study. The research data was obtained through questionnaires distributed and filled in by the respondents, which would then be processed with SPSS 22. The results of this study found that "The Role of Word-of-Mouth, Shopping Lifestyle and City Walk Concept significantly affects the Brand Image Mall in Tegal".
Forme di scrittura audiovisiva del sé: esperienze e pratiche schermiche di studenti e docenti in Didattica a Distanza nel nuovo panorama mediale
Authors: Bertoloni Luca
Published: May 2022

La pandemia da Coronavirus ha scosso non solo la scuola italiana, cogliendola impreparata sul piano tecnologico, ma anche la vita degli studenti, alterando molte delle loro abitudini. I giovani della generazione Z tuttavia non stati colti così impreparati dalle innovazioni digitali, poiché da tempo sperimentano quotidianamente, sfruttando le strutture elementari del linguaggio audiovisivo, esperienze schermiche soggettive che poi diventano oggetto di narrazioni del sé, secondo modalità ritenute da loro più efficaci rispetto alla scrittura tradizionale e a quella multimediale. Con la Didattica a Distanza e con la trasformazione dell’ambiente-scuola in mediascape, tali pratiche si sono estese all’ambito scolastico: studenti e docenti si sono così ritrovati ad agire, insieme, in un unico grande ambiente mediale generato dalle rilocazioni del dispositivo-scuola e dell’ambiente domestico, con un cortocircuito tra essi. Le loro esperienze sono state testimoniate dai social network, terreno mediale in cui sia studenti che docenti, come mediantropi, sostanziano adeguatamente le proprie emozioni digitali. Per cogliere i legami tra DaD, schermi, esperienze e pratiche, si analizzerà un corpus testuale di area italiana estratto da TikTok, social network audiovisivo molto utilizzato dai giovanissimi, offrendo focus specifici su casi di docenti e studenti che si sono distinti nel flusso mediale, imprimendosi in poco tempo nell’immaginario pandemico dei giovani italiani.
Emotions and foreign language learning in online classrooms: affective strategy applications
Authors: Beseghi Micòl
Published: May 2022

This article sets out to investigate the emotional aspects of foreign language learning in virtual classrooms. The pandemic has brought about a sudden transition to online and/or hybrid teaching in Italian universities, giving teachers and students new academic challenges while causing worry, stress, and anxiety. Since emotions are of fundamental importance to students’ learning as well as their wellbeing, this study explores possible interventions in the online classroom that target the emotional realities of foreign language learning and are aimed at building a safe and collaborative learning environment. Such interventions, based on affective strategies (Oxford, “Anxious Language Learners”), promote mindful learning (Langer, “Mindful Learning”) and autobiographical writing in the form of online journals in which learners can share their emotions using the foreign language.
Online Teaching of Chinese as a Second Language in an Emergency Situation: Methods and Findings
Authors: Ornaghi Valentina , Juan Ching-yi Amy
Published: May 2022

The purpose of this study was to identify problems teaching Chinese as a second language during the unexpected sudden lockdown in 2020 and then to propose strategies for similar future situations and better ways of planning remote teaching programs. The Covid-19 lockdown caused courses at Italian universities that are normally carried out face-to-face to be moved online. This affected language courses particularly severely. This article is focused on the experiences of staff and students involved in three Chinese language courses at two state universities in northern Italy. Background literature about online teaching is analyzed first, then the online teaching methods and tools that were used in the emergency are described and student survey results are assessed. The results are used to identify the strengths and weaknesses of the emergency online teaching provision. The possibility of using self-learning material and watching video-lessons was appreciated, but one of the main drawbacks was the lack of oral and written interaction. Actions for future development are proposed here. These include using asynchronous and synchronous tools to promote active language learning and interaction. An innovative proposal for a long-term teaching program is the flipped classroom, which would allow students to undertake self-learning at home but with a focus on interactions and practical activities during face-to-face classes.
José Donoso: itinerario de un diario íntimo y vicisitudes de su edición
Authors: García Huidobro Mc Cecilia
Published: May 2022

Los diarios íntimos suelen ser textos de alta vulnerabilidad al verse enfrentados a la autocensura, al poco reconocimiento en el campo cultural e incluso a la destrucción cuando quedan en manos de descendientes. El escritor chileno José Donoso dejó ochenta cuadernos que inició en 1950 y escribió hasta prácticamente su muerte en 1996. Si el escritor no los publicó en vida ¿por qué hacerlo post-mortem? Y lo que es más relevante ¿bajo qué criterios hacerlo? Este artículo se propone reflexionar en torno a dichas preguntas, poner en valor los diarios íntimos de José Donoso en diálogo con su obra narrativa y muy especialmente cómo abordar la complejidad que supone su edición.
Non di solo lago L’immortale narrativa di Piero Chiara
Authors: Caponi Paolo
Published: May 2022

Mauro Novelli, Nel golfo irrequieto. La narrativa di Piero Chiara, Milano, Fondazione Arnoldo e Alberto Mondadori, 2020, 286 pp. ISBN 888-593-873-6

di Paolo Caponi
La scrittura come forma di elaborazione del lutto collettivo in Cile
Authors: Montanaro Marianna
Published: May 2022

Alia Trabucco, La sottrazione (Roma, Sur, 2020, 186 pp. ISBN 849-426-222-X) di Marianna Montanaro
Cursos de Arquivologia Brasileiros à Luz do Regime de Informação
Authors: Rocha Maria Meriane Vieira da , Freire Isa Maria
Published: May 2022

Objetivo: Analisar o Regime de Informação dos atores sociais no contexto da Ciência da Informação e dos cursos de Arquivologia a partir do ano 2000, nesse sentido, explora as mediações dessa forma de vida acadêmica a partir do modelo de Regime de Informação proposto por González de Gómez, partindo do pressuposto de que a cultura informacional, compartilhada pelos atores no âmbito de certo espaço social, contribui para se entender sua aplicação em certo contexto. O referencial teórico aborda o Regime de Informação com perspectivas e abordagens no contexto da Ciência da Informação, as Política de Informação nos espaços do saber e a possibilidade de uma inteligência coletiva para o compartilhamento de informações.Metodologia: A pesquisa é de natureza descritiva, a partir de uma abordagem qualitativa.Resultados: Os resultados demonstram que a pesquisa contribui para mais abertura de um Regime de Informação no contexto da Ciência da Informação e dos cursos de Arquivologia como espaço de relações e de trocas de informações entre os atores sociais.Conclusão: No que tange à inteligência coletiva, os atores sociais atuam coletivamente, porque as necessidades de informação mudam o tempo todo e são regidas pela precisão de busca e uso da informação no âmbito da forma de vida acadêmica.
Movimento antivacina e hesitação vacinal na COVID-19: reflexões e percepções para a Ciência da Informação
Authors: Vignoli Richele Grenge , Silva Rafaela Carolina da , Maran Maria Fabiana Izídio de Almeida , Vitoriano Márcia Cristina Carvalho Pazin
Published: May 2022

Objetivo: A pandemia da COVID-19 potencializou os movimentos antivacina e a hesitação vacinal, além de fenômenos informacionais como a infodemia, a desinformação, a misinformação e as fake news. Com base nesse cenário, este estudo buscou problematizar, especialmente os movimentos antivacina e a hesitação vacinal frente à COVID-19, sob a ótica da Ciência da Informação. Como objetivo foi estabelecido identificar pesquisas no campo da Ciência da Informação relacionadas ao movimento antivacina e à hesitação vacinal, de modo a elucidar como a área tem se posicionado em suas publicações que destacam os motivos pelos quais um indivíduo hesita ser vacinado contra a COVID-19.Metodologia: Para atingir o objetivo proposto, o estudo caracteriza-se como de natureza qualitativa, do tipo exploratório a partir de uma pesquisa bibliográfica.Resultados: Como principais resultados destaca-se que os movimentos antivacina e a hesitação vacinal se relacionam a diferentes motivos envoltos em fenômenos informacionais, além de a Ciência da Informação poder atenuar a proliferação desses acontecimentos, por meio da divulgação de informações verídicas e confiáveis, que podem salvar vidas.Conclusões: Para isso, o profissional da informação necessita expandir sua atuação para os contextos sociais, a fim de contribuir com os mais diversificados cenários, no qual a informação assume um papel decisivo em diferentes frentes, como é o caso da vacinação contra a COVID-19.
Cervical Laminoplasty Versus Posterior Laminectomy and Fusion: Trends in Utilization and Evaluation of Complication and Revision Surgery Rates
Authors: McDonald Christopher L. , Hershman Stuart H. , Hogan William , Alsoof Daniel , DiSilvestro Kevin J. , Zhang Andrew S. , Kuris Eren O. , Daniels Alan H.
Published: May 2022

Introduction:

Cervical laminoplasty (LP) and laminectomy with fusion (LF) are common operations used to treat cervical spondylotic myelopathy. Conflicting data exist regarding which operation provides superior patient outcomes while minimizing the risk of complications. This study evaluates the trends of LP compared with LF over the past decade in patients with cervical myelopathy and examines long-term revision rates and complications between the two procedures.

Methods:

Patients aged 18 years or older who underwent LP or LF for cervical myelopathy from 2010 to 2019 were identified in the PearlDiver Mariner Database. Patients were grouped independently (LP versus fusion) and assessed for association with common medical and surgical complications. The primary outcome was the incidence of LP versus LF for cervical myelopathy over time. Secondary outcomes were revision rates up to 5 years postoperatively and the development of complications attributable to either surgery.

Results:

In total, 1,420 patients underwent LP and 10,440 patients underwent LF. Rates of LP (10.5% to 13.7%) and LF (86.3% to 89.5%) remained stable, although the number of procedures nearly doubled from 865 in 2010 to 1,525 in 2019. On matched analysis, LP exhibited lower rates of wound complications, surgical site infections, spinal cord injury, dysphagia, cervical kyphosis, limb paralysis, incision and drainage/exploration, implant removal, respiratory failure, renal failure, and sepsis. Revision rates for both procedures at were not different at any time point.

Conclusion:

From 2010 to 2019, rates of LP have not increased and represent less than 15% of posterior-based myelopathy operations. Up to 5 years of follow-up, there were no differences in revision rates for LP compared with LF; however, LP was associated with fewer postoperative complications than LF.

Level of Evidence:

Level III retrospective cohort study