bluuebunny/crossref_metadata_2025 huggingface dataset:
Dis/connecting from Policy and Practice
Authors: Bossio Diana , Bélair-Gagnon Valérie , Holton Avery E. , Molyneux Logan
Published: October 2024

Newsroom norms and values have long been communicated through processes of social control, but this is being replaced with explicit policies, at least in the case of social media. Chapter 4, “Dis/connecting from Policy and Practice,” presents a discourse analysis spanning scholarly literature, industry press, and newsroom social media policies themselves. It finds that these policies are driven by corporate desire for identity and reputation management. The means to achieve this are a blanket prohibition on individual opinion, limits on interactivity and tone, and the removal of online privacy expectations for individual journalists. Inherent in these newsroom social media policies are several paradoxes that arise from newsrooms’ need to balance opportunity and risk and also from newsrooms seeking to balance editorial and social media logics in a hybrid media system.
Introduction
Authors: Buehler Branden
Published: October 2024

This introductory chapter works to document the full extent of what the project terms “managerial sports media,” describing how a strong managerial fixation has been felt everywhere from sports films that glorify roster maneuvering to sports radio and television programs fixated on drafts and free agency to sports video games in which gameplay revolves around salary cap management. Beyond establishing the dramatic scope of sports media’s managerial interest, the chapter also offers broad explanations for the recent ubiquity of managerial sports media. In the process, the chapter not only addresses the industrial origins of managerial sports media, like the demand for inexpensive, year-round sports media content, but also touches on its roots in the closely related phenomena of managerialism, financialization, quantification, postindustrialization, and the ongoing reconfiguration of hegemonic masculinity.
The Managerial American Dream
Authors: Buehler Branden
Published: October 2024

This chapter addresses how sports media’s managerial fixation has manifested within the sports film by way of a new managerial subgenre that reorients the traditional sports film narrative. First, the chapter establishes the parameters of this subgenre, in the process arguing that managerial sports films like Moneyball and Draft Day have largely retained the familiar underdog narrative arc in which hard work leads to victory but have reframed that arc to highlight managerial work and managerial figures. Second, the chapter analyzes the ideological workings of managerial sports films. As the chapter explains, the reorientation of the sports film around administration has not only promoted managerialism by valorizing the rewards of bureaucratic work, but also refigured how the sports film treats race, class, and gender. More specifically, the chapter suggests managerial sports films continue the sports film’s traditional interest in remasculinizing white men in the face of perceived threats to their status but have updated that ideological project to respond to anxieties around white-collar work.
The Crucible of Crime
Authors: Griffith Ivelaw Lloyd
Published: October 2024

The Caribbean crime crucible is dramatized by the high murder rates. Jamaica, for instance, had a 2021 murder rate three times the regional average and eight times the global one. The chapter shows crime as both multidimensional and transnational. Gangs and guns feature prominently and there is deep concern that some of the crime is vicious. The crime crucible also derives from the limited coping capacity of countries to deal adequately with it. Criminality has significant economic and social costs and considerable civilizational implications, notable in relation to overcrowded and deplorable prisons. The chapter shows that declaring States of Emergency has been necessary and that coping strategies require holistic, multidimensional, and local-global engagements.
Security and Sovereignty Under Siege
Authors: Griffith Ivelaw Lloyd
Published: October 2024

This chapter’s two cases—the 2010 Dudus affair in Jamaica and the 2011 State of Emergency (SoE) in Trinidad and Tobago—demonstrate that drugs and crime present high-intensity threats. Central to the Dudus affair was Christopher “Dudus” Coke, a criminal entrepreneur. Efforts to extradite him to the United States led to clashes between his supporters and the security forces, resulting in more than 100 fatalities and 4,614 arrests. The affair showed that the security forces did not exercise a monopoly of force within the country. The SoE declared in Trinidad and Tobago in August 2011 was justified by the tragedy of multiple murders. By the end of the SoE, more than 7,000 people had been detained and the murder rate was reduced by 50 percent.
Dynamics of Geonarcotics and Geopolitics
Authors: Griffith Ivelaw Lloyd
Published: October 2024

Désiré Bouterse’s emergence as Suriname’s president following the 2010 elections generated hopes about political unity but also raised anxieties because of Bouterse’s record as a two-time coup maker and authoritarian ruler. Authorities in the United States were worried about the creation of a narco state, which was a misplaced concern. The geopolitical discussion examines the territorial and maritime disputes with Guyana. The former is over the New River Triangle, 6,000 square miles of mineral-rich territory. The maritime dispute was over an oil-rich zone of some 5,251 square miles. It was settled by a U.N. tribunal, with Guyana awarded two-thirds of the disputed zone. The chapter also discusses Bouterse’s political demise, with his conviction in 2019 by a military tribunal for political murders in 1982 and his electoral defeat in 2020.
Pondering Challenged Sovereignty
Authors: Griffith Ivelaw Lloyd
Published: October 2024

In probing the central question “How secure is security, and how sovereign is sovereignty?” this chapter illustrates how the drugs, crime, terrorism, and cybercrime PWPs aggravate the region’s vulnerability, conducing to a condition of challenged sovereignty, with the coronavirus pandemic worsening things. This situation necessitates the pursuit of strategic partnerships, driven by a collaboration imperative, in order to cope with the extant realities. The chapter contends that the study has offered abundant evidence that the clear and present dangers facing the Caribbean are such that they have resulted in a circumstance of challenged sovereignty for the region. It posits that although despair has been manifesting itself in some places, for the region as a whole fatalism is not an option.
“The Greatest Fraud of Our Time in the Field of Religion”
Authors: Wiewora Nathaniel
Published: October 2024

Between late 1829 and about 1831, evangelicals developed a formulaic set of criticisms about Mormonism. Evangelicals lumped Mormonism with followers of faiths that were based on rival revelations, like Muslims. They also characterized Mormonism as a too enthusiastic religious movement, sharing similar faults of the Shakers. Since several of the founders of Mormonism participated in treasure hunting, antebellum evangelicals charged Mormons with dabbling in occult practices. Evangelicals finally compared Mormonism to discredited civic groups, like the Freemasons. Through the deployment of these earliest criticisms of Mormonism, evangelicals saw Joseph Smith as a false prophet and viewed the Mormon faith as outside the bounds of reasoned faith. More than paranoia lay behind the evangelical reaction to Mormonism in these earliest years. Some of the first evangelical criticisms of Mormonism attacked the followers of Joseph Smith for creating a new religious faith, using the Book of Mormon in a selective fashion, and muddling religious truth. Among their own ranks, evangelicals had similar struggles with coreligionists who manipulated the Bible to suit their own personal or theological agenda. Evangelicals additionally feared the emotional displays of Mormonism. The malevolent descriptions of early Mormon worship services mirrored critical depictions of evangelical revivals sweeping across antebellum America.
“Restoration of Body and Mind”
Authors: Wiewora Nathaniel
Published: October 2024

The evangelical group that felt most under siege by Mormonism was the Stone-Campbell movement. Both shared a dedication to restoring Christianity to its earliest forms and impulses. Rival claims of restoration, along with attacks from other evangelicals that members of the Stone-Campbell movement were actually Mormons, led the leaders of the Stone-Campbell movement to explicitly distance themselves from Mormonism. Contrasting themselves with Mormonism was not the only reason for this systematic and vigorous antagonism. The leaders of the Stone-Campbell movement also used anti-Mormonism to further an internecine religious agenda. For Alexander Campbell, one of the leaders of the Disciples of Christ, this meant ridding his movement of elements that supported radical spiritism.
A Leftist Myth
Authors: Fava Maria Cristina
Published: October 2024

Chapter 5 explores the role of Blitzstein’s The Cradle Will Rock, a work that merged music and theater in a powerful example of political activism, as one of the strongest manifestations of the labor theater. This Chapter argues that Cradle stems from the experimental productions of the Workers’ Theater Movement and its search for theatrical and musical forms to engage audiences in social change. Revisiting its reception, though, shows that the left-wing theater’s exploitation of Cradle in the fortuitous non-scenery staging with piano accompaniment masked its artistic merits and led to a myth that discouraged commentators from considering its artistic value. Comparing sketches from Cradle in their piano version with the orchestrated version displays Blitzstein’s musical ingenuity and the constructive effectiveness of the script.
Reclaiming Diasporic Identity
Authors: Lee Sangmi
Published: October 2024

This book explores the diasporic experiences of Hmong, who have been geographically dispersed in various countries around the world. Based on multi-sited ethnographic fieldwork with Hmong in Laos and the United States, it situates their diasporic experiences in both transnational and national contexts. The book’s main concept is diasporic identity, which argues that the sense of belonging among diasporic peoples consists of both the transnational continuity of their social relations and cultures across national borders and cultural and discursive differences caused by their simultaneous affiliation with the nation-states in which they reside. Therefore, diasporic identity is not only based on deterritorialized, transnational processes but also incorporates the impact of nation-states. Ultimately, diasporized subjects adopt a partial sense of national belonging while simultaneously maintaining transnational connections through shared cultural practices across national borders. The book examines Hmong’s historical, diasporic consciousness based on migratory dispersal, the lack of a coherent ethnic homeland, and multiple affiliations with nation-states and the contemporary ethnic marginality of Hmong in Laos and Hmong Americans. The transnational aspects of the diaspora are illustrated through Hmong kinship principles as a hegemony and ideology, economic and emotional remittances, and shamanistic rituals. National differences in the diaspora are examined based on funeral rituals and New Year celebrations in relation to tradition and cultural authenticity as well as contrasting perceptions and discourses in the context of differing nation-states.
Hmong Diasporic History and Multiple Homeland Narratives
Authors: Lee Sangmi
Published: October 2024

This chapter explores the historical formation of the Hmong diaspora, which is a product of multiple migratory dispersals. It discusses scholarly theories that define how the Hmong people originated in China while incorporating narrative accounts from interviews and cultural practices, which reveal considerable uncertainty and multiple theories about ethnic homeland and ancestral origins. Because of a long diasporic history of multiple dispersals and the absence of a concrete ancestral homeland, Hmong research participants in Laos and the United States have developed an ambivalent and complex relationship with multiple nation-states as possible homelands and retain a diasporic consciousness as a “people without a country.”
Compassionate Money
Authors: Lee Sangmi
Published: October 2024

This chapter argues that remittances from Hmong Americans to their Hmong kin in Laos are not simply an economic means of sustenance but are imbued with social meanings and emotional values. However, there is a discrepancy in the meaning of money between senders and receivers of remittances. Although Lao Hmong interviewees perceived the financial contribution from their co-ethnics residing in the United States as an important symbol of familial “love,” the remittance senders did not clearly make such connections and were less enthusiastic about the emotions or feelings of love expressed through money. Nonetheless, such “emotional remittances” promote transnational social continuity and solidarity between Hmong in both countries that are critical to their diasporic belonging and identity.
Cultural Differences in the Diaspora
Authors: Lee Sangmi
Published: October 2024

This chapter examines national cultural differences in the Hmong diaspora by focusing on funeral rituals. Diasporic Hmong in Laos and the United States have modified their cultural practices in response to varying national economic systems, policies and regulations, and mainstream social pressures, which are all part of the nation-state. The chapter analyzes how the US nation-state is more intrusive for Hmong Americans to change their funeral ceremonies to a greater extent than Hmong in Laos, unlike the case of the Hmong New Year. Ultimately, diasporic cultures are subject to the shifting power of the nation-state, which produce significant differences among diasporic Hmong in terms of ethnic traditions as well as discourses about cultural authenticity.
Leo Sowerby
Authors: Sargent Joseph
Published: October 2024

For much of the early twentieth century Leo Sowerby (1895–1968) was a leading light of the American musical scene, composing well-received works for major orchestras and helping to shape debates on the future of American music. Later in his career, however, his public visibility faded after he devoted greater attention to music for the church, an arena in which he became an undisputed leader as a composer, musician, and thinker. Today, Sowerby’s music remains something of a niche enterprise: enjoyed and appreciated in certain quarters, but far from mainstream. In view of Sowerby’s lengthy career across a panorama of sacred and secular musical life, a more extended study of his music and his place in American cultural history seems long overdue. Such are the twin tasks of this book, the first published Sowerby biography. The book traces the development of Sowerby’s life and career, showing how the commonly accepted secular-to-sacred narrative is not as accurate as it first appears. It endeavors to bring disparate audiences together in considering Sowerby as a “complete” composer—not simply a sacred specialist, or a rise-and-fall concert figure—and removing some the obscurity that has surrounded his achievements.
Late diagnosis of ADHD in elderly patients and the exacerbation of neurological changes resulting from the aging process
Authors: Rodrigues Pedro Henrique , de Castro Natália Gonçalves , Leal Mirela Ambrósio , Moreira Gabriel Barreto Ferreira
Published: October 2024

Early diagnosis of ADHD in older adults is crucial to differentiate their learning difficulties from aging, allowing them to maintain daily activities. The study reveals how identifying and treating ADHD can improve the quality of life and functional capacity of these patients.
VISÃO GERAL SOBRE A FOTOQUÍMICA APLICADA À POLIMERIZAÇÃO: UTILIZAÇÃO DE COMPLEXOS METÁLICOS NA FOTOPOLIMERIZAÇÃO DE MONÔMEROS
Authors: Cipriano Talita Ferreira , Silvino Alexandre Carneiro , De Oliveira Dayane Carvalho R. S.
Published: October 2024

Este artigo traz uma breve abordagem sobre a fotoquímica e sua aplicação na polimerização, bem como novas e recentes perspectivas de seu uso para fotopolimerização de monômeros com interesse comercial e biomédico. Recentes estudos que utilizam complexos metálicos como fotocatalisadores para aplicação na polimerização fotoiniciada de monômeros acrilatos ou epóxidos, por exemplo, têm se revelado como uma via promissora para o desenvolvimento de novas rotas para obtenção de materiais poliméricos com um baixo custo e utilizando condições brandas de reação, além de condições ambientalmente favoráveis. Neste artigo os autores dão destaque a complexos baseados em metais mais abundantes, como o ferro (Fe), cobre (Cu) e zinco (Zn), metais de baixo custo e baixa toxicidade cujos complexos apresentam, conforme dados da literatura, atividades promissoras para a aplicação em fotopolimerização.
RICHTER'S HERNIA: A CASE REPORT
Authors: Bandeira Mariana Malheiro Negrão , Arruda Eduardo Fernandes , Yamamoto Gizelly Ayumi , de Souza Claudio Kleber Juiz , Falcão Juliano Serger , Pontes Henrique Budib Dorsa , Xavier Julie de Souza , dos Santos Kilder Carmo
Published: October 2024

Introduction: Richter's hernia is a rare condition characterized by the protrusion of part of an intestinal loop with entrapment or strangulation of the antimesenteric border through a small defect in the abdominal wall. Case report: An elderly patient with an acute obstructive abdomen due to an incarcerated femoral hernia, diagnosed as an intraoperative Richter's hernia. The case highlights the importance of early diagnosis and rapid treatment to avoid complications.
Оюутнуудын спорт тоглоомын төрлүүдийн техникийн гүйцэтгэлд хийсэн дүн шинжилгээ
Authors: Сувд Туул , Соодой Бөхбат , Лхгава Уртнасан
Published: October 2024

Sports improve a person's physical development, affect their ability to respond to complex situations, and allow for the development of management skills to make correct decisions quickly. Therefore, some types of sports should dominate in the high school physical education curriculum.
This research aims to study today's 17 to 18-year-old college students' abilities in sports in the area of (1) passing, dribbling & shooting a basketball, (2) the ability to pass and serve a volleyball, and (3) the ability to change direction and passing techniques in football.
A complex set of exercises based on the minimum skills to be mastered by the physical education curriculum at the basic & secondary education levels was developed and used in the study of 204-216 students.
The results find students' abilities in performing certain sports skills as follows: the ability to pass a basketball - above-average, the ability to shoot from dribbling - below-average, and female students performing at a lower level than their male counterparts. Statistically significant differences between gender and performance were observed during complex basketball drills.
In football, the ability to change the direction of the ball was well below-average, the ability to pass the ball to be above-average; with 29% of male students and 45% of female students had low or insufficient ability to perform complex football exercises at higher speeds.
In volleyball, passing and serving skills were all above-average.
This study proves that the expected results of the proposed physical education program are not fully implemented in sports other than volleyball.(?)
BÁO CÁO CA BỆNH: THẢI GHÉP CẤP QUA TRUNG GIAN TẾ BÀO SAU GHÉP TIM
Authors: Ngô Đình Trung , Ngô Thị Minh Hạnh , Nguyễn Tài Thu , Lê Nam Khánh , Nguyễn Thanh Bình , Nguyễn Thị Thu , Đào Trọng Chính , Hồ Nam , Đỗ Văn Nam
Published: October 2024

Thải ghép cấp là một biến chứng thường gặp và là nguyên nhân phổ biến hàng đầu gây ra rối loạn chức năng mảnh ghép sau ghép tim. Triệu chứng của thải ghép cấp thường không đặc hiệu. Khi có các dấu hiệu nghi ngờ, cần có xét nghiệm mô bệnh học sinh thiết cơ tim để xác định chẩn đoán và định hướng điều trị. Số ca ghép tim được thực hiện tại Việt Nam chưa nhiều, do đó chưa có bài báo nào báo cáo về tình trạng thải ghép cấp trên nhóm bệnh nhân (BN) này. Báo cáo này trình bày một ca lâm sàng cặp ghép tim cùng nhóm máu ABO tại Bệnh viện Trung ương Quân đội (BVTWQĐ) 108. Thời điểm hậu phẫu ngày thứ 7 BN có triệu chứng phù và khó thở. Theo dõi trên siêu âm tim có hình ảnh thất trái dày lên, dịch màng ngoài tim tăng lên. Kết quả sinh thiết xác định chẩn đoán thải ghép cấp qua trung gian tế bào mức độ nhẹ. BN sau đó được điều trị bằng liệu pháp corticosteroid liều cao trong 3 ngày đồng thời tăng liều các thuốc chống thải ghép. Sau thời gian 2 tuần điều trị BN hết các triệu chứng khó thở và phù. Đồng thời siêu âm tim cũng cho thấy dày thành thất trái, dịch màng ngoài tim giảm dần và hết sau 2 tuần điều trị. Quá trình điều trị đợt thải ghép cấp không có biến chứng nào được ghi nhận.
BÁO CÁO LOẠT CA BỆNH: QUẢN LÝ HUYẾT ĐỘNG THEO ĐÍCH TRONG PHẪU THUẬT GHÉP THẬN
Authors: Lê Văn Dũng , Thạch Minh Hoàng
Published: October 2024

Mục tiêu: Đánh giá sự biến đổi huyết động ở 8 ca có nguy cơ tim mạch cao trong phẫu thuật ghép thận bằng phương pháp PiCCO và Flotrac. Phương pháp nghiên cứu: Nghiên cứu can thiệp lâm sàng trên 8 bệnh nhân (BN) có nguy cơ tim mạch cao được tiến hành gây mê để phẫu thuật ghép thận tại Bệnh viện Chợ Rẫy từ tháng 5/2023 - 6/2024. Các chỉ số trước, trong, sau mổ và quá trình theo dõi định kỳ được ghi nhận và báo cáo. Kết quả: 8 BN đều được phẫu thuật thành công. BN được truyền dịch theo mục tiêu, các thông số huyết động được duy trì ổn định khi áp dụng điều trị theo mục tiêu dựa vào phương pháp PiCCO và Flotrac. Không có trường hợp nào có biến chứng trong và sau phẫu thuật. BN được xuất viện vào ngày thứ 6 sau mổ. Sau ghép 6 tháng, thận ghép hoạt động bình thường. Kết luận: Liệu pháp điều trị theo mục tiêu khi sử dụng PiCCO hay Flotrac có thể cá nhân hoá điều trị ở BN ghép thận có nguy cơ tim mạch cao.
KẾT QUẢ GHÉP THẬN TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC TỪ NĂM 2006 - 2023
Authors: Nguyễn Thế Cường , Man Thị Thu Hương , Hà Phan Hải An , Nguyễn Thị Thủy , Nguyễn Quang Nghĩa , Dương Đức Hùng
Published: October 2024

Mục tiêu: Báo cáo tổng kết kết quả ghép thận tại Bệnh viện Hữu nghị Việt Đức từ năm 2006 - 2023. Phương pháp nghiên cứu: Nghiên cứu hồi cứu, mô tả loạt ca bệnh trên 1.850 người bệnh (NB) ghép thận tại Bệnh viện Hữu nghị Việt Đức từ năm 2006 - 2023. Kết quả: Từ năm 2006 - 2023, chúng tôi thực hiện ghép cho 1.850 trường hợp (TH), chủ yếu là từ người hiến sống (90%), từ người hiến chết não là 185 TH (10%). Tỷ lệ sống sau ghép 5 năm đạt trên 98,9%, sau 10 năm là 95,7%. Tỷ lệ NB có kháng thể kháng HLA trong huyết thanh là 15,3%, trong đó có 20,3% người nhận có kháng thể kháng trực tiếp người hiến (DSA). Có 24,8% NB mắc viêm gan trước ghép thận. Về điều trị dẫn nhập, 51,8% NB sử dụng Baxiliximab. Về phác đồ thuốc ức chế miễn dịch duy trì, 94,5% NB sử dụng phác đồ có tacrolimus + Mycophelonate acid (MPA)/Mycophelanate mofeti (MMF). Tỷ lệ các biến chứng nhiễm trùng sau ghép: Nhiễm BK máu 12,3%, nhiễm CMV máu 6,2%, nhiễm trùng hô hấp 12,1%, nhiễm khuẩn tiết niệu 12,4%... Kết luận: Phương pháp điều trị hiệu quả, tuy nhiên tỷ lệ biến chứng nhiễm trùng và đái tháo đường sau ghép vẫn là một thách thức lớn.
BÁO CÁO CA LÂM SÀNG: HẸP ĐỘNG MẠCH THẬN GHÉP
Authors: Nguyễn Thu Trang , Nguyễn Thị Thủy , Nguyễn Thế Cường
Published: October 2024

Hẹp động mạch thận ghép (Transplant renal artery stenosis - TRAS) là một biến chứng mạch máu được thường gặp sau ghép thận, thường xảy ra trong vòng 3 tháng đến 2 năm sau ghép, thường xuyên nhất là trong 6 tháng đầu sau ghép và là một trong những nguyên nhân chính gây mất thận ghép và tử vong sớm ở người được ghép thận. Chúng tôi báo cáo một trường hợp nam 32 tuổi tăng huyết áp (THA) kháng trị và rối loạn chức năng thận ghép, được chẩn đoán xác định là TRAS sau ghép thận 7 tháng, đã được can thiệp nội mạch nong bóng và đặt stent động mạch thận. Kết quả can thiệp tốt, cải thiện đáng kể chức năng thận ghép và kiểm soát được tình trạng THA.
SỰ BIẾN ĐỔI ĐỘ LỌC CẦU THẬN SAU MỘT NĂM Ở NGƯỜI SỐNG HIẾN THẬN
Authors: Diệp Thắng , Trần Thái Thanh Tâm , Hoàng Khắc Chuẩn , Thai Minh Sâm
Published: October 2024

Mục tiêu: Khảo sát sự biến đổi độ lọc cầu thận ước đoán (eGFR) và một số yếu tố liên quan đến biến đổi eGFR trong năm đầu ở người sống sau hiến thận. Phương pháp nghiên cứu: Nghiên cứu hồi cứu, mô tả trên 189 người hiến thận từ tháng 01/2014 - 12/2020 tại Phòng khám Ghép thận, Bệnh viện Chợ Rẫy. Kết quả: 189 người hiến thận (106 nữ và 83 nam) có tuổi trung bình lúc hiến là 49,68 ± 9,00, eGFR trước hiến là 88,74 ± 13,27 mL/phút/1,73m2. Sau hiến 1 tháng, eGFR là 65,19 ± 10,56 mL/phút/1,73m2, giảm 26,5%; sau 1 năm, eGFR tăng lên 70,68 ± 11,94 mL/phút/1,73m2 so với sau hiến 1 tháng tăng 5,49 ± 9,85 mL/phút/1,73m2 (p < 0,001). Biến đổi eGFR sau 1 năm tương quan nghịch với cystatin C huyết thanh (ScysC) và phương pháp xạ hình thận với 99mTc-DTPA (mGFR) trước hiến (r lần lượt là -0,17 và -0,16; p < 0,05). Kết luận: Độ lọc cầu thận ước đoán cải thiện dần theo thời gian sau hiến thận. ScysC và mGFR trước hiến tương quan nghịch với biến đổi eGFR sau hiến một năm, tuy nhiên mức độ yếu. Theo dõi định kỳ và quản lý dấu hiệu sớm các vấn đề sau hiến thận giữ vai trò rất quan trọng.
SỬ DỤNG MẢNH GHÉP DACRON Ở MỘT TRƯỜNG HỢP GHÉP THẬN BỊ BÓC TÁCH ĐỘNG MẠCH CHẬU NGOÀI
Authors: Nguyễn Hoàng Quân , Trương Hồ Trọng Tấn , Nguyễn Duy Điền , Thái Minh Sâm
Published: October 2024

Biến chứng mạch máu trong phẫu thuật ghép thận tuy hiếm gặp nhưng có thể dẫn đến tỷ lệ mất thận ghép cao. Trong trường hợp mạch máu vùng chậu xơ vữa, phẫu thuật viên phải rất thận trọng khi khâu nối mạch máu. Việc sử dụng mạch máu nhân tạo trong ghép thận vẫn còn nhiều tranh cãi. Chúng tôi chia sẻ kinh nghiệm sử dụng mạch máu nhân tạo nhân một trường hợp ghép thận có sử dụng mạch máu nhân tạo tại Bệnh viện Chợ Rẫy. Bệnh nhân (BN) nam 30 tuổi, tiền căn bệnh thận mạn giai đoạn cuối, tăng huyết áp, được ghép thận từ người hiến sống là mẹ ruột. Sau khi tái tưới máu, thận ghép hồng mềm, phát hiện nội mạc động mạch chậu ngoài bị bóc tách đoạn dài tới động mạch chậu chung tạo huyết khối. Chúng tôi đã sử dụng mảnh ghép Dacron thay thế đoạn động mạch chậu chung phải, động mạch chậu ngoài bị bóc tách nội mạc và khâu nối động mạch thận ghép vào đó. Sau phẫu thuật, chức năng thận diễn tiến thuận lợi, eGFR khi xuất viện là 63 mL/phút/1,73m2 và không có biến chứng. Sau 4 năm, thận ghép hoạt động tốt, eGFR là 94 mL/phút/1,73m2. Việc sử dụng mạch máu nhân tạo khi không có sẵn mạch máu từ người hiến là một phương pháp khả thi.
ỨNG DỤNG CHƯƠNG TRÌNH CHĂM SÓC PHỤC HỒI SỚM SAU PHẪU THUẬT (ERAS) CHO NGƯỜI BỆNH GHÉP THẬN
Authors: Nguyễn Quang Huy , Hoàng Khắc Chuẩn , Thái Minh Sâm , Lê Thị Hạnh Phước , Hà Thị Như Xuân
Published: October 2024

Ghép thận là phương pháp điều trị hiệu quả cho người bệnh (NB) suy thận giai đoạn cuối. Tuy nhiên, thống kê gần đây cho thấy 36 - 55% người nhận thận không tuân thủ điều trị và khoảng 36 - 45% trong số họ bị nhiễm trùng lần đầu trong vòng 3 năm sau ghép thận. Chính vì thế, điều dưỡng cần có tầm nhìn xa và quan sát tổng thể các vấn đề của NB ghép thận để đưa ra các biện pháp can thiệp cụ thể. Vậy câu hỏi đặt ra là: “Điều dưỡng can thiệp chăm sóc những gì trong giai đoạn NB ghép thận?” Để trả lời câu hỏi này, giao thức phục hồi nâng cao sau phẫu thuật (ERAS) đã ra đời như một khái niệm đa mô thức liên ngành. ERAS đóng vai trò quan trọng trong việc tối ưu hóa quá trình phục hồi, hỗ trợ NB ghép thận trước, trong và sau phẫu thuật. ERAS rút ngắn thời gian nằm viện, giảm tỷ lệ biến chứng và cải thiện chất lượng cuộc sống nói chung bằng cách cho phép NB quay trở lại các hoạt động bình thường nhanh hơn. Phương pháp tiếp cận toàn diện này đảm bảo NB nhận được sự chăm sóc tối ưu suốt hành trình ghép thận, dẫn đến kết quả thành công và nâng cao sự hài lòng của NB.
QUẢN LÝ NGƯỜI CHẾT NÃO TIỀM NĂNG HIẾN MÔ TẠNG TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC
Authors: Đồng Văn Hệ , Phạm Thị Đào , Lê Ngọc Trọng , Lương Thu Thảo , Đỗ Hoàng Phương Nam , Đỗ Mạnh Hùng , Nguyễn Thị Thúy Hằng , Đồng Thị Hồng Hạnh
Published: October 2024

Mục tiêu: Đánh giá kết quả quản lý người chết não tiềm năng hiến mô tạng tại Bệnh viện Hữu nghị Việt Đức. Phương pháp nghiên cứu: Nghiên cứu tiến cứu trên 362 người bệnh (NB) chết não tiềm năng hiến mô tạng, xây dựng mô hình quản lý người chết não tiềm năng hiến mô tạng và áp dụng tại Bệnh viện Hữu nghị Việt Đức từ tháng 01 - 6/2024. Chúng tôi phát hiện, ghi nhận, quản lý người chết não tiềm năng hiến. Đánh giá kết quả quản lý dựa vào tỷ lệ phát hiện, ghi nhận, thông báo, tiếp cận người chết não tiềm năng và tỷ lệ đồng ý hiến mô tạng. Phân tích các yếu tố liên quan. Kết quả: 362 NB chết não tiềm năng hiến đã được phát hiện và báo cáo (362/577 = 62,7%). Cao nhất là ở Phòng khám cấp cứu (100%) và Hồi tỉnh 3 (91,8%). Tỷ lệ tại các khoa khác < 30% (p < 0,05). 12/362 gia đình người chết não tiềm năng đồng ý hiến mô tạng (3,3%). Tỷ lệ đồng ý hiến mô tạng tại phòng cấp cứu là 8/240 (3,3%), hồi tỉnh 3 là 4/79 (5,1%), cao hơn các khoa khác (p < 0,05). Tỷ lệ đồng ý hiến mô tạng cao hơn tại các khoa phát hiện, ghi nhận và thông báo chết não tiềm năng. Kết luận: Quản lý tốt người chết não tiềm năng hiến sẽ giúp tăng tỷ lệ người chết não hiến mô tạng.
VIÊM PHỔI DO PNEUMOCYSTIS JIROVECII TRÊN NGƯỜI BỆNH GHÉP THẬN: CA LÂM SÀNG VÀ TỔNG QUAN Y VĂN
Authors: Huỳnh Ngọc Phương Thảo , Trần Minh Hoàng , Bùi Thị Hạnh Duyên
Published: October 2024

Viêm phổi do Pneumocystis Jirovecii (PJP) là tình trạng nhiễm trùng cơ hội có thể gặp trên người bệnh (NB) ghép thận, nhất là trong giai đoạn 6 tháng đầu sau ghép. Đây là nguyên nhân quan trọng gây tử vong ở NB ghép thận. Chúng tôi báo cáo hai trường hợp PJP trên NB ghép thận được điều trị tại Bệnh viện Đại học  Y Dược Thành phố Hồ Chí Minh (BV ĐHYD TPHCM). Trường hợp thứ nhất, NB được ghép thận tại BV ĐHYD TPHCM, đây là ca đầu tiên ghi nhận biến chứng PJP tại trung tâm của chúng tôi. Trường hợp này, PJP xảy ra sau ghép khoảng 2,5 tháng, với các triệu chứng lâm sàng không rõ ràng và tổn thương phổi khá nặng trên phim X-quang. Trường hợp thứ hai, NB ghép thận tại một trung tâm khác, PJP xảy ra tương đối trễ, sau ghép thận 4 năm. Trong trường hợp này, triệu chứng lo ngại đầu tiên không phải là triệu chứng hô hấp mà là sụt cân không rõ nguyên nhân. Cả hai trường hợp PJP đều nặng, NB có giai đoạn phải chuyển theo dõi tại Khoa Hồi sức tích cực, suy hô hấp nặng phải thông khí hỗ trợ. Mặc dù vậy, cả hai trường hợp đều đáp ứng tốt với điều trị và xuất viện với tình trạng hô hấp hồi phục hoàn toàn.
Analysis of subtract quality along the Wiringtasi River, Barru Regency, Indonesia
Authors: Patang
Published: October 2024

This research aims to determine the quality of the substrate of the Wiringtasi River, Barru Regency, Indonesia. The research locations include location 1, namely the location around the rice field area; location 2, namely the location around the pond area and beach; and location 3, namely the location around the river estuary where many mangrove plants grow around it. Subtract samples were taken at the research location, then the samples were taken to the laboratory for analysis. The results of laboratory analysis are made in the form of pictures and tables, then analyzed using descriptive analysis. The results of the research show that in this study the substrate quality of the Wiringtasi River, Barru Regency, Indonesia, each had a pH value of the substrate in the range of 8.05-8.64, total nitrogen was in the range. Nitrogen was in the range of 0.049-0.121%. The organic material content of the substrate is in the range of 0.33-0.59. The ammonia (NH3) content of the substrate is in the range of 0.019–0.45 ppm. The nitrite content of the research location is in the range of 0.0025-0.0064 ppm. The substrate texture of location 1 is dusty clay, while locations 2 and 3 are sandy.
Health and Environmental Communication
Authors: Zafar Amara
Published: October 2024

Environmental communication has the potential to address the problem of emphasising development at the expense of sustainability. The field must employ critical practices making sure that the impact of its actions is thoroughly examined. It is essential to keep in mind that problems, like solutions, are products of social construction. It contends that even if significant environmental threats exist, what motivates individuals to take action is their perception of these threats rather than the actual dangers they face. Environmental communication has a substantial impact on managing the health issues and campaigns related to the health problems. Environmental communication can be adapted in various ways. It depends upon the health promoters and other related agencies to efficiently plan how to use this environmental communication to make people aware of the facts and reduce the infection rate. In this study, the various aspects of environmental communication have been identified to help address health-related challenges. The research has been conducted using the qualitative approach and considering the secondary research data.
Landesque Cosmography
Authors: Freidel David A. , Rice Prudence M. , Rich Michelle E.
Published: October 2024

The Maya materialized beings from Creation Time by shaping natural features of the landscape. They made cosmographic landscapes from the Preclassic period. This chapter focuses the crocodile orthogonal form of Nixtun Ch’ich’ at the western end of Lake Peten Itza, dating from the beginning of the Middle Preclassic, and the turtle terraformed hill with in-line triadic locales registering the Maya constellation incorporating the belt stars of Orion at the eastern end of El-Peru Waka’, dating from the Late Preclassic. These are examples of the Maya practice of landesque cosmography, investing in the shaping of the landscape as sacred for future generations of inhabitants. Another example of landesque cosmography is given in the case of the Hearth Stones of Creation in Chapter 4.
Domesticating Time
Authors: Stanton Travis W. , Taube Karl A. , Collins Ryan H.
Published: October 2024

The transition to settled life during the early portion of the Preclassic (1000 BCE–800 CE) had a tremendous impact on peoples’ lifeways across Mesoamerica. Early permanent settlements widely shared views of space and time, materialized in the built environment, particularly visible in the quadripartite symbolism of foundational events. As maize was gradually adopted as a staple crop during the Middle Preclassic (800–350 BCE), emerging elites leveraged their ability to access sacred knowledge, and presented themselves as the original workers and bearers of the burden of time. Their moral behavior and spiritual wellness maintained the balance, juxtaposing the ordered human world with the timeless wild world beyond. This chapter discusses the significance of the material manifestations of quadripartite symbolism in the founding of early Maya centers, using the site of Yaxuná as a case study. The authors argue that the quadripartite symbolism present in site planning principles throughout the Preclassic—from the Middle Preclassic establishment of the E Group to the Late Preclassic expansion of the monumental zone through the construction of causeways in a cross-like plan—represents a sustained commitment to celebrating the agrarian calendar by an emerging elite who shared the burden of time.
In the Shadow of Descending Gods
Authors: Estrada-Belli Francisco , Freidel David A.
Published: October 2024

The early site of Cival had three monumental postholes framing a singular monumental hole that was also the location of a rich Middle Preclassic jade celt offering. The massive posts that likely stood in these holes were gnomon, clocking in their shadows the passage of the sun and the occasion of zenith passage at the beginning of the rainy season. The symbolism of the poles includes the lighting on the trees of the Great Bird, solar avatar of the creator, as depicted in the Pinturas Shrine at San Bartolo. The Bird, sacrificed and companioned by the Maize God, was thus harbinger of the timing of the planting and harvest cycle of maize. Other early sites, Cerro Maya (Cerros), and Uaxactun, also have monumental gnomon postholes and served to clock the agrarian year. Ceremonies of the descending god referencing birds, the sun, and maize are still practiced and were tied to these monumental poles from the Preclassic onward.
“How Much May They Not Have Written?”
Authors: Rice Prudence M.
Published: October 2024

The Maya materialized historical time anchored into their calendars. The Long Count of days from creation day (11–13 August 3114 BCE) was used through the Classic Period in the southern lowlands. In that Calendar, k’atuns (20 360-day years) were marked with Ajaw named days with cycling numbers. Some Ajaw dates, such as 8 Ajaw, were particularly momentous historically. Here the author focuses on k’atun 11 Ajaw dates and suggests that the Itza of Chichen Itza established their city in an 11 Ajaw k’atun and abandoned it as a major capital in another 11 Ajaw k’atun one cycle of 13 k’atuns later. The cycle of 13 k’atuns was important at least in the northern lowlands and as the author has proposed was also probably of significance to southern lowland Classic Maya realms as well. The author reviews the significance of Maya use of calendar prophecy, clearly documented in the sixteenth century and later texts called the Chilam Balam books that were based in transliterated glyphic texts of the Precolumbian era. She proposes that calendar prophecy based in k’atun cycles played a significant role in the history of the Itza and other Classic period Maya peoples.
Boswell and Sterne in 1768
Authors: New Melvyn
Published: October 2024

Despite the fact that in 1768 Laurence Sterne was a dying man, writing his final work, and James Boswell was a vigorous young man, writing his first masterpiece, the similarities and congruences between the two are worth exploring. Both, for example, exhibited a continued attraction to women, despite an awareness of religious and social prohibitions, and both struggled with questions of an immortal soul and the afterlife of Judgment. And of course both wanted to believe in free will, although that belief would result in their damnation for their, respectively, misspent youth and old age.
Dancing in Ohio and Nigeria
Authors: Osumare Halifu
Published: October 2024

Osumare affirms the solidification of her transition from artist to scholar with the completion of her doctoral degree and her move from Hawaii to take on an Assistant Professor employment in Ohio. With this career and location move, she further explores her hip-hop scholarship and dance instruction, aiming to understand the different dimensions of dance and the humanities of performance. She reflects on the transformations the new millennium brings on, within both her personal relationships, specifically that of the maternal bond she forms with one of her students as well as her divorce, to her further exploration of religion as a Yoruba priestess and visitation of spiritual shrines in Nigeria. She also details her encounters with critiques on both hip-hop and dance scholarship, as well as her continued experiences representing the Katherine Dunham legacy. She also covers her experiences of isolation, cultural distinctions within Ohio/the Midwest and Michigan (specifically Detroit and Toledo), and how she challenged narrow perspectives on racial, cultural, and gender perspectives related to dance. Osumare’s final transition from the arts to the humanities was cemented by her acceptance to an assistant professorship in African American and African Studies at the University of California, Davis.
We Got Next!
Authors: Osumare Halifu
Published: October 2024

In this final chapter of her memoir, Osumare takes a deep dive into the way that technology influences our contemporary lives, the construct of Afrofuturism, specifically the socio-cultural issues it presents, the idea of “digital Blackness” and what Afrofuturism truly means. She also touches upon the current climate of racism, especially politically as she compares the Age of Aquarius Pollyanna notion of post-racial celestial harmony with the racist and demagogue Trumpian ideologies that oversaw the four years of Trump’s presidency. She also expands on her last years in academia, her role in the directorship of UCD’s African American & African Studies Program and in the completion of dancers’ terminal degrees, as well as the experience of how Black dancers survived the pandemic. She concludes her piece with the publishing of her first memoir.
The Search for the Southern Past
Authors: Bertrand Michael T.
Published: October 2024

In chapter 2, Bertrand begins with a recounting of the popular film O Brother, Where Art Thou? It is a film that accentuated the prevalence and ubiquity of music in the southern experience. The Coen Brothers, producers of the movie, along with countless numbers who have seen the film, seemed to have an intuitiveness about the region’s connection to music that is rare in academic histories. Bertrand discusses why that might be, focusing on the academic historian’s lack of communication with musicologists and music theories. Bertrand focuses on how popular music trends, like blackface minstrelsy, have influenced historians; his research is based on autobiographical sources and interviews of historians, including W.E.B. Du Bois, Bill Malone, John Hope Franklin, Lawrence Levine, Sterling Stuckey, Charles Joyner, Angela Davis, Grace Elizabeth Hale, and George Tindall, among others. Study of the region’s music highlights the biracial nature of southern culture.
Remixing the Master, Restoring the Music
Authors: Bertrand Michael T.
Published: October 2024

In chapter 3, Bertrand focuses on historian Ulrich B. Phillips, considered within the field as the founder of southern history. What is argued here is that popular music, particularly blackface minstrelsy, helped shape Phillips’s view of the past, particularly regarding African Americans. The argument is based on Phillips’s own published and unpublished work, correspondence, and contemporary views of his scholarship. The 1928 “Central Theme of Southern History,” perhaps his most well-known work, is examined within the context of the Jazz Age. One of his early biographers wrote that the central theme was more about Phillips’s/the South’s present than it was about the South’s past. The author supports that claim, and argues that the main gist of Phillips’s theme, that the “South shall be and remain a white man’s country,” was a response to the suddenly pervasive public presence of African Americans, particularly as displayed through jazz.
Country Music Goes to War
Authors: Bertrand Michael T.
Published: October 2024

In chapter 4, Bertrand places the emergence (1920s–1940s) of the barn dance radio phenomenon at the forefront of the South’s “Culture War.” This conflict engaged the region’s color/culture line. Th author discusses the fears of the region’s whites over jazz and the “Africanization” of “their” culture. Following the lead of U. B. Phillips and the literary Agrarians in protecting the “whiteness” of southern culture, barn dance radio attempted to erase African Americans from its version of the South’s history. Focusing on radio stations and barn dance programs such as WSM (Nashville) and the Grand Ole Opry, the chapter demonstrates how “whiteness” was constructed and consumed, particularly through the dissemination of European-derived folk music. The process also involved the use of blackface performers on the programs to highlight racial differences and deny the biracial nature of southern culture. Bertrand utilizes contemporary media accounts, radio ephemera, manuscript collections, and trade paper accounts.
“Everybody’s Station”
Authors: Bertrand Michael T.
Published: October 2024

In chapter 5, Bertrand examines the evolution of Black radio programming in the South during the late 1940s and 1950s, beginning with Martin Luther King Jr. commending disk jockeys for bringing about social change. Bertrand documents how the programs, despite belonging to white-owned stations, nevertheless put forth a positive image of African Americans that conflicted with segregationist dogma. Relying on a Jackie Robinson anecdote and sociologist Howard Odum’s unpublished notes from his Southern Regional Laboratory and Workshop, Bertrand emphasizes the regional prevalence of “the credo” and how it reflected deep-seated negative attitudes of white southerners toward their Black counterparts. By the late 1940s, however, “the credo” was not the only “voice” on racial matters available in the South. Charismatic personality disk jockeys affiliated with stations, such as Memphis’s WDIA, dominated the airwaves of Black radio and presented a different message than segregationist politicians and “the credo.” Black radio programming, a byproduct of postwar affluence, compiled playlists that highlighted rhythm and blues and captured both Black and white southern teenage listeners. Acknowledging the region’s biracial character, Black radio eventually helped R&B transition into rock ’n’ roll. The chapter includes the illuminating story of Henry Louis Gates Jr. and WLAC.
Setting the Stage for Study of the Codex Borgia
Authors: Milbrath Susan
Published: October 2024

Chapter 1 discusses where the Codex Borgia was created in Central Mexico and how it arrived in Europe. This chapter then examines the format of different almanacs in the Codex Borgia and parallels with other “Borgia Group” screenfold books and Aztec codices. A comparative study of Central Mexican calendars outlines the 260-day divination count and the 365-day year divided into 20-day veintenas. Chapter 1 also explains how different layouts of the 260-day divination count had different directional associations, as did the yearbearers naming the year in the 52-year cycle. The Calendar Round dates in a directional almanac on Borgia 49–52 divide the 52-year cycle into four sets of thirteen years, which establishes conceptual links between time and space. Calendar Round dates also set the Codex Borgia in historical context, which helps date the astronomical events portrayed in the codex.
Fire, Earth, and Water
Authors: Marken Damien B. , Ricker Matthew C.
Published: October 2024

This chapter focuses on urbanism in El Perú-Waka’, with a concentration on the settlement, agricultural practices, and hydraulic engineering present in the ancient city. The structure of the city is the product of centuries of adaptation to the local rainforest environment. The city possesses a densely nucleated core and widely dispersed hinterland. Scattered throughout each are several open areas ideally suitable for agriculture, both canals and waterways, and large reservoirs capable of collecting and storing the abundant water of the rainy season. This is confirmed by both the application of aerial lidar and ground-based mapping to the scattered cityscape. Particularly impressive is the hydraulic engineering present, in its capacity and scale to shape the hydrology of the settlement, directing water from the urban core to the open areas of the hinterland. The archaeology of these systems clearly shows the Classic Maya ability to continuously transform their environment to meet evolving socio-ecological circumstances.
The Ancient Inhabitants of Waka’
Authors: Patterson Erin E.
Published: October 2024

This chapter studies the osteological data from the numerous Classic Maya burials of El Perú-Waka’ in order to open a perspective on the comprehensive health for the inhabitants of ancient El Perú-Waka’. Through osteology, this chapter explores the differences in health and diet between males and females, the occupants in different residential zones, and individuals with differential access to food and resources. This is done using several well-known osteological indicators, including, but not limited to, hypoplasia, cranial porosity, periosteal reaction, and dental caries. The physical anthropology here describes the archaeology for the different manner of funerary treatment from single skull burials to royal tombs. In the end, the research reveals clear differences in skeletal and dental pathologies, suggesting that males, elites, and perhaps those in the urban core may have been more buffered from such pathologies due to a greater diversity of diet.