bluuebunny/crossref_metadata_2025 huggingface dataset:
Sexuality and the elderly: factors implicated in
sexual dysfunctions in the elderly
Authors: Kokkios Theodosios , Kolentsi Foteini
Published: June 2022

The debate about sexuality, a key parameter of the quality of lifeof older people in the aging process, has undoubtedly matured in recent years, due to the problems that older people face in this regard. The aim of the present review is the theoretical approach, both of the changes that take place in the physiology of sexual function of elderly people and of the factors and situations that are blamed for the occurrence of these dysfunctions. For the writing of this review, a systematic approach was used to search and identify all recently published literature (articles, studies and reviews) related το the factors that cause Sexual Dysfunctions in Elderly, through the scientific databases Pub Med, Academia.Edu, Research Gate. Pathophysiological and anatomical changes, organic and psychological problems, which occur over time, negatively affect the frequency of sexual intercourse, sexual desire and in general the sexuality of older people. Older men, on the one hand, have mainly problems with erectile dysfunction,
problematic ejaculation and decreased sexual desire, while women, on the other hand, mainly due to menopause, which causes hormonal, physical and mental changes, mainly show reduced sexual desire and stimulation, insufficiency of vaginal lubrication and dyspareunia. Older people have a variety of health problems that have a negative effect on their sexual activity, while each gender is faced with specific problems, medical, pharmaceutical and psychosocial reasons, which negatively affect their sex
life
The political logics of EU-FLEGT in Thailand’s multistakeholder negotiations: Hegemony and resistance
Authors: Lewis Sophie R , Bulkan Janette
Published: June 2022

The reduction of illegal logging and related trade has been on the international policy agenda since the 1990s. The EU's Forest Law Enforcement, Governance and Trade initiative (EU-FLEGT) seeks to address illegal logging through a scheme that rests on multistakeholder negotiations. However, past initiatives seeking to reform forest governance in the global South have reproduced the uneven outcomes of colonial forest governance by further empowering national government authorities. In the case of Thailand, FLEGT negotiations between November 2013 and April 2021 succeeded in opening a political space for civil society to engage with government actors. However, FLEGT negotiations during this period failed to address the uneven outcomes of forest governance, benefiting elites at the expense of the rural poor due to an 'anti-politics effect. The FLEGT multistakeholder negotiations did not consider the uneven historical relations to land and resource rights nor the intrinsic power dynamics of different actor groups. As such, dominant actors from the government and private sector succeeded in structuring the terrain of the FLEGT negotiations to determine which civil society demands for reforms to tenure and resource rights they would concede, and which they would not.
Short cognitive screening in elderlies as a part of advanced pharmaceutical care in Slovak community pharmacies - The pilot study KOGNIMET-SK
Authors: Mačeková Z. , Krivošová M. , Fazekaš T. , Snopková M. , Klimas J.
Published: June 2022

The aim of this study is to evaluate the implementation of a simple, easy-to-use cognitive screening test in the pharmaceutical care of elderly patients (aged 60 years and over) in community pharmacies and to test whether cognitive decline is associated with metabolic syndrome (MetS).

Current research has reported the increasing prevalence of MetS with age and indicated a link between cardiovascular risk factors and impairment of cognitive functions. We hypothesized that the short cognitive test realised in pharmaceutical care in community pharmacies could help identify risk groups of patients with potential cognitive decline. Because of the increasing pressure on primary care, collaboration between community pharmacists and general practitioners is essential, especially in preventive programmes and regarding chronically ill patients.

The study included 222 elderly patients aged 60 years and over reached between February 2018 and February 2019 in 16 community pharmacies in Slovakia. Criteria for the classification of MetS were used, following the International Diabetes Federation Worldwide Definition of MetS (2005) for European populations. Cognitive performance was evaluated using the Slovak version of the Montreal Cognitive Assessment. The scale range of the MoCA test is 0–30 points, and the cut-off for cognitive impairment is ≤ 24 points.

Our outcomes show that the presence of metabolic syndrome only slightly contributes to the impairment of cognitive functions of patients receiving routine pharmaceutical care in community pharmacies. Cognitive assessment might be an important tool for identifying risk groups of patients that would benefit from a specific approach within the framework of pharmaceutical care.
Review of online X-ray diagnostic services based on artificial neural networks in dentistry
Authors: Mokrenko M. E. , Guseynov N. A. , Alhaffar J. , Tuturov N. S. , Sarkisyan M. S.
Published: June 2022

Aim. This review is devoted to the analysis of available on-line services and programs using artificial neural networks (ANNs) in dentistry, especially for cephalometric analysis.

Materials and methods. We searched for scientific publications in the information and analytical databases PubMed, Google Scholar and eLibrary using combinations of the following keywords: artificial intelligence, deep learning, computer vision, neural network, dentistry, orthodontics, cephalometry, cephalometric analysis. 1612 articles were analyzed, of which 23 publications were included in our review.

Results. Deep machine learning based on ANN has been successfully used in various branches of medicine as an analytical tool for processing various data. ANNs are especially successfully used for image recognition in radiology and histology. In dentistry, computer vision is used to diagnose diseases of the maxillofacial region, plan surgical treatment, including dental implantation, as well as for cephalometric analysis for the needs of orthodontists and maxillofacial surgeons.

Conclusion. Currently, there are many programs and on-line services for cephalometric analysis. However, only 7 of them use ANNs for automatic landmarking and image analysis. Also, there is not enough data to evaluate the accuracy of their work and convenience.
Actual aspects of radiological diagnosis of septic pulmonary embolism
Authors: Vinokurov A. S. , Belenkaya O. I. , Yudin A. L.
Published: June 2022

Aim. To form for viewers an actual vision of the issue of septic pulmonary embolism in the terminological, morphological and clinical aspects, as well as presentation of the methodic of medical imaging of such patients, to systematize and illustrate the main and rare CT signs of septic embolism.

Materials and methods. We analyze the data of national and foreign scientific papers for 2001-2021 on the platforms PubMed, Elibrary, etc., as well as earlier "classic" publications on sepsis, infectious endocarditis and septic pulmonary embolism. Also presents own experience of practice with such patients in multidisciplinary hospitals and typical cases, taking into account more than 5 years of experience on this topic in radiology departments in cooperation with related specialists (cardiologists, therapists, purulent surgeons, morphologists).

Results. 52 of the most relevant scientific papers were selected from 162 available articles. Based on the results, a review was compiled on the peculiarities of terminology, epidemiology, etiology, clinical presentations, as well as methods for diagnosis of septic pulmonary embolism, CT signs of verified cases during primary scanning, as well as follow-up images, which is extremely important in differential diagnosis. The part with the pathological anatomy of septic embolism makes it possible to better understand CT signs and the difference between this process from ordinary pneumonia.

Conclusion. Due to the fact that septic embolism is a secondary process, the correct and quick interpretation of the CT images initiates the search for the primary purulent source of embolism in the body, and follow-up CT-scans (especially in infectious endocarditis) allows you to assess the effectiveness of therapy.
Analysis of echographic signs of ovarian tumors
Authors: Ozerskaya I. A. , Chekalova M. A. , Ivanov V. A. , Kazaryan G. G.
Published: June 2022

Purpose: analysis of echographic signs of benign and malignant formations of the uterine appendages using the recommendations of the IOTA group.Materials and methods. 17 articles published in the journal Ultrasound in Obstetrics & Gynecology for 2007–2020 were analyzed. Each article is devoted to the histologically verified pathology of the uterine appendages, of which 431 are benign and 1205 are malignant neoplasms. When describing pathological formations, the re-searchers used a single protocol recommended by the IOTA group. 21 parameters were assessed, including the morphology of the formation, the structure of fluid inclusions and solid component, the presence of fluid in the posterior uterine pocket and ascites, as well as the degree of tumor vascularization.Results. Аll ultrasound signs of tumors were found in both groups, but the frequency of their occurrence was different. Thus, unilocular neoplasms were more often detected in benign tumors than in malignant ones (p = 0.05). Also, acoustic shadows were found significantly more frequently in benign tumors (p < 0.05). When assessing tumor morphology, attention should be paid to tendencies that are more characteristic of malignant tumors, which include a solid structure (p = 0.13) and the occurrence of ascites (p = 0.13), while a multilocular structure without a solid component was more common in benign (p = 0.10). The size of the neoplasm, uneven contour, papillary growths, hyperechoic inclusions and the nature of the internal contents of the cystic cavities are found with approximately the same frequency in both groups. When as-sessing the blood supply to a pathological formation, hypervascularization confidently indicated a malignant tumor (p < 0.05), while avascularization in such neoplasms was rare, however, the differences with benign ones were insignificant (p = 0.06).Conclusions. There are no reliable echographic signs of the nature of the neo-plasm. The set of criteria will improve the quality of preoperative ultrasound diagnostics of ovarian tumors.
Sequence of actions for visualization of soft tissue hemorrhages/hematomas in elderly patients infected with SARS-CoV-2
Authors: Buriev I. M. , Melkonyan G. G. , Vaganova P. S. , Guzeeva E. B. , Zamyatina K. A. , Kuzeev A. N. , Misiano S. A. , Pchelin V. V. , Kаrmаzаnovsky G. G.
Published: June 2022

Aim. To determine ultrasound, computed tomography and angiographic image characteristics for soft tissue hemorrhages/hematomas, the sequence of using imaging methods in patients infected with SARS-CoV-2, to study the morphology of changes in soft tissues, to determine the essence of the concept and to develop treatment tactics for this complication of COVID-19.

Material and methods. During 4 months of treatment of elderly patients (+60) infected with SARS-CoV-2, 40 patients were identified with soft tissue hemorrhages/hematomas, of which 26 (65%) patients with large hematomas (>10 cm in size and > 1000 ml in volume). The analysis of clinical and laboratory parameters, methods of instrumental diagnostics (ultrasound – 26 patients, CT – 10 patients, angiography – 9 patients, punctures – 6 patients) was carried out; autopsy material was studied in 11 cases.

Results. Image characteristics of hemorrhages/hematomas of soft tissue density were obtained using modern instrumental methods, and the sequence of application of visualization methods was determined. A tactic for managing a patient with stopped and ongoing bleeding has been developed. The morphological substrate of hemorrhagic complications in a new viral infection was studied. All patients were treated with conservative and minimally invasive procedures (embolization, puncture with pressure bandage). 15 patients (57.7%) recovered, 11 patients (42.3%) died from the progression of COVID-19 complications.

Conclusion. Comprehensive clinical and laboratory sequential instrumental diagnosis of soft tissue hemorrhages in COVID-19. Treatment should be conservative and significantly invasive. The use of the term “soft tissue hematoma” in SARS-CoV-2 infected patients is not a natural quality of the normal pathological process and should not be observed from our point of view.
EFFECT OF LOYALTY PROGRAM ADVANTAGES TOWARDS SATISFACTION AND BRAND LOYALTY: INDONESIAN BUBBLE TEA INDUSTRY
Authors: Sheng Hong Fu , Bernarto Innocentius
Published: June 2022

Tujuan dari penelitian ini adalah untuk mengevaluasi hubungan antara berbagai jenis program loyalitas (praktis, hedonis dan simbolik), kepuasan program dan loyalitas e-commerce (loyalitas program dan loyalitas e-commerce) terkait dengan minuman bubble tea Indonesia. Sebanyak 389 kuesioner dikumpulkan di antara anggota pelanggan bubble tea Indonesia menggunakan purposive sampling. Hubungan antara variabel-variabel yang diusulkan diuji dengan menggunakan model Persamaan Struktural Partial Least Square (PLSSEM). Hasil penelitian menunjukkan bahwa di antara ketiga keunggulan (praktis, hedonis, dan simbolik), hanya keunggulan hedonis dan simbolik yang berpengaruh positif signifikan terhadap kepuasan program. Selain itu, kepuasan program telah terbukti memberikan kontribusi yang signifikan dan positif terhadap program dan loyalitas merek. Ditemukan pula bahwa loyalitas program berpengaruh positif terhadap loyalitas merek. The study aims to shed light on the connection between different type of loyalty programs (practical, hedonic and symbolic), towards program satisfaction and customer loyalty (loyalty to the program and loyalty to the brand) related to Indonesian bubble tea beverages. A total of 389 questionnaires were collected amongst members of the Indonesian bubble tea customers using convenience sampling. The degree of significance between variables was tested using a Partial Least Square Structural Equation modeling (PLS-SEM). Acquired data and analysis infer that among the three advantages (practical, hedonic, and symbolic), only hedonic and symbolic advantages have a significant positive impact on program satisfaction. In addition, program satisfaction has been shown to make a significant and positive contribution to program and brand loyalty. Finally, it is found that program loyalty has a positive effect on brand loyalty.
PENGARUH STRES KERJA, KEPUASAN KERJA DAN PENGEMBANGAN KARIR TERHADAP TURNOVER INTENTION KARYAWAN
Authors: Marcella Jessica , Ie Mei
Published: June 2022

Organisasi harus mengurangi tingkat turnover intention pegawai dengan berfokus pada variable stres kerja, kepuasan kerja, serta pengembangan karir. Melalui tingginya tingkat turnover, badan usaha berisiko kehilangan staf yang kompeten, serta mampu membahayakan kinerja badan usaha. Turnover intention didefinisikan rasa ingin atau niat pekerja yang belum terpenuhi untuk berhenti kerja atau pindah ke tempat lain. Riset ini mempunyai tujuan guna mengetahui dampak stres kerja, kepuasan kerja, serta pengembangan karir bagi turnover antention karyawan PT XYZ. Peneliti mengirimkan survei ke semua pegawai yang telah bekerja untuk badan usaha, setidaknya selama satu tahun. Sampel pada riset sebanyak 65 responden menerapkan purposive sampling. Proses analisis data dikerjakan secara kuantitatif menggunakan Structural Equation Modeling (SEM), pengolagan data menggunakan aplikasi SmartPLS Versi 3.3.3. Temuan riset memperlihatkan meskipun stres kerja mempunyai dampak signifikan serta positive pada turnover intention di PT XYZ, kepuasan kerja serta pengembangan karir berdampak signifikan serta negative pada turnover intention. Temuan riset diprediksi akan memberikan manfaat nyata yang penting sebab mempunyai potensi guna menyelesaikan berbagai masalah terkait dengan stres kerja, kepuasan kerja, serta pengembangan karir pada turnover intention. Organizations should reduce employee turnover intention rates by focusing on variable job stress, job satisfaction, and career development. Through high turnover rates, business entities are at risk of losing competent staff, as well as being able to harm the performance of business entities. Turnover intention is defined by a worker's unfulfilled desire or intention to quit their job or move elsewhere. This research aims to determine the impact of job stress, job satisfaction, and career development for the turnover of pt XYZ employee authentication. Researchers sent surveys to all employees who had worked for a business entity, for at least one year. The sample in the study as many as 65 respondents applied purposive sampling. The data analysis process is done quantitatively using Structural Equation Modeling (SEM), data management using the SmartPLS Version 3.3.3 application. Research findings show that although work stress has a significant and positive impact on turnover intentions at PT XYZ, job satisfaction and career development have a significant and negative impact on turnover intentions. The research findings are predicted to provide important tangible benefits because they have the potential to solve various problems related to job stress, job satisfaction, and career development in turnover intentions.
Respons Fisiologis dan Komponen Hasil Jagung Manis skibat Pemberian Pupuk Hayati dan NPK di Lahan Gambut
Authors: Zulfita Dwi , Budi Setia , Hariyanti Agus , Rahmidiyani Rahmidiyani
Published: June 2022

Tanaman Jagung Manis merupakan komoditas yang digemari oleh masyarakat dengan permintaan yang tinggi namun produktivitas di masyarakat masih rendah. Salah satu faktor pembatas pertumbuhan tanaman jagung manis adalah kesuburan tanah. Penelitian ini bertujuan untuk mencari efektivitas penggunaan beberapa pupuk hayati yang dapat mengefisienkan penggunaan pupuk NPK terhadap respon fisiologis dan komponen hasil jagung manis pada lahan gambut. Rancangan yang digunakan pada penelitian ini adalah faktorial Rancangan Acak Kelompok perlakuan faktorial (RAK). Faktor pertama adalah pupuk hayati (H) terdiri dari 3 aras yaitu h1 (Pupuk hayati Bio Ekstrim) dengan konsentrasi 5 ml/L, h2 (Pupuk hayati Bio Nano) dengan konsentrasi 1 ml/L dan h3 (Pupuk hayati Bio Optifarm) dengan konsentrasi 2 ml/L. Konsentrasi perlakuan pupuk hayati mengikuti konsentrasi anjuran pada kemasan. Faktor kedua adalah Pupuk NPK Mutiara 16:16:16 (P) terdiri dari 3 aras yaitu p1 (400 kg/ha atau 7,5g/tanaman), p2 (300 kg/ha atau 5,6 g/tanaman) dan p3 (200 kg/ha atau 3,73 g/tanaman). Variabel fisiologis tanaman adalah Indeks Luas Daun, Laju Asimilasi Bersih, Laju Pertumbuhan Tanaman dan variabel komponen hasil meliputi bobot per tongkol tanpa kelobot, panjang tongkol dan diameter tongkol. Data hasil pengamatan dianalisis menggunakan analisis varians (uji F), apabila uji F menunjukkan adanya pengaruh nyata dari masing-masing perlakuan maupun interaksinya maka dilanjutkan dengan uji DMRT pada taraf 5%. Hasil penelitian menunjukkan bahwa Proses fisiologis dan komponen hasil jagung dengan pemberian pupuk hayati Bio Optifarm lebih baik dibandingkan tanaman jagung dengan pemberian pupuk hayati Bio Nano dan pupuk hayati Bio Ekstrim. Perlakuan pupuk NPK takaran 50% dari takaran anjuran (200 kg/ha) menunjukkan proses fisiologis dan komponen hasil jagung yang paling baik dibandingkan dengan pupuk NPK takaran anjuran (400 kg/ha) dan pupuk NPK takaran 75% takaran anjuran (300 kg/ha). Interaksi pupuk hayati Bio Optifarm disertai dengan pupuk NPK takaran 200 kg/ha menunjukkan proses fisiologis dan komponen hasil tanaman jagung yang paling baik pada lahan gambut.
Analisis Fitokimia Dan Kandungan Vitamin C Pada Biskuit Dengan Penambahan Bubuk Ampas Jeruk Siam (Citrus Nobilis Microcarpa)
Authors: Kristiandi Kiki , Fertiasari Rini , Asta Hidayat , Antopani Tendi
Published: June 2022

Biscuits are one of the food groups favored by all people. Biscuits are food products obtained by baking dough made from flour, butter and sugar and other additives. The purpose of this study was to analyze the phytochemical content and vitamin C content of siam orange dregs biscuits. The sample used in this study was Siamese orange dregs. for the tests carried out on the Siamese orange biscuits were water content and ash content using the SNI 01-2891-1992 test method, fat content using the Shoxlet test method, Protein SNI 01-2354.4-2006, carbohydrates by difference, crude fiber using the test method gravimetry and vitamin C content. The making of Siamese orange biscuits was given three treatments. The first treatment was using 30 grams of refined sugar (F1), 30 grams of Siamese orange pulp powder (F2), 15 grams of refined sugar and 15 grams of Siamese orange pulp powder (F3). Based on the results of the analysis that has been carried out that the water content, ash content and crude fiber with three treatments have met the standard, fat is only in F2 (27.217) and F3 (27.416) and for carbohydrates the highest test results are in F2 ( 56. 7912) as well as for the content of vitamin C F2 (0.055). Tests using these seven parameters can be said to meet market measurements for biscuit products, even though the vitamin C content does not meet daily needs.
El concepto de ‘cooperación conversacional’ revisado desde el punto de vista de la teoría de los juegos
Authors: Bonilla Álvarez Sebastián
Published: June 2022

En este artículo, se propone la aplicación de un modelo del comportamiento microeconómico –la Teoría de Juegos– en el análisis del componente estratégico que subyace en las interacciones conversacionales, ejemplificadas mediante muestras extraídas de corpus lingüísticos y audiovisuales, con el doble objetivo de revisar críticamente el concepto de cooperación griceano y potenciar la capacidad explicativa que necesita el analista de la conversación para estudiar el componente estratégico presente en las interacciones comunicativas, a las que habitualmente sólo se les aplica un análisis descriptivo.La conclusión que se deriva de la aplicación de la Teoría de Juegos en el análisis conversacional es que la cooperación no tiene un objetivo ético o altruista, como se sugiere en el planteamiento de Grice, sino que supone la optimización del egoísmo: la preferencia por la cooperación frente a la competencia es una decisión estratégica egoísta.
Aportes de un modelo lingüístico-transaccional al análisis de la interacción comunicativa del aula
Authors: Álvarez Guadalupe
Published: June 2022

En este artículo se establecen inicialmente los aportes y las limitaciones de las propuestas que han analizado intercambios comunicativos reales en el aula. Esta revisión muestra que aun faltan conceptos adecuados para dar cuenta de las acciones que los participantes logran realizar mediante el lenguaje a través de esfuerzos conjuntos. En este sentido, se integran aportes de dos propuestas teóricas –la lingüística sistémico funcional (Halliday, 1985/1994; Martin, 1992) y las reformulaciones de la teoría de los actos de habla (en especial, Sbisà, 1992, 2001, 2002)– en un modelo lingüístico-transaccional para analizar cualitativamente la interacción comunicativa en términos de las acciones que derivan de posibles acuerdos (o transacciones) que establecen los interlocutores. Después, para demostrar las ventajas de este modelo, se analiza un ejemplo extraído de la bibliografía. Según este análisis, se demuestra que el modelo permite comprender en profundidad la interacción comunicativa al mostrar las formas en que dos o más hablantes logran establecer tanto una fuerza transaccional (fuerza ilocucionaria prevista confirmada por un efecto ilocucionario correspondiente) como un efecto transaccional al poner en funcionamiento una serie de recursos lingüísticos en relación con determinados contextos (situación, cultura, género), que los mismos recursos contribuyen a crear.
Figuras paternas: el líder político como representante moral. (Análisis de discursos de José Luis Rodríguez Zapatero y Mariano Rajoy)
Authors: Molpeceres Sara
Published: June 2022

En su obra Moral Politics. How Liberals and Conservatives Think, George Lakoff expone que al pensar y hablar de política, habitualmente nos valemos de léxico e ideas que provienen del campo semántico de la moral y la familia. Al aplicar esta idea al análisis de la política norteamericana, nuestro autor descubrió que detrás de la ideología de conservadores y liberales había dos grupos de valores morales diferentes que se basaban en un modelo de familia distinto: el del ‘padre estricto’ en los conservadores y el de la ‘familia protectora’ en los liberales. En este artículo pretendemos comprobar si los modelos propuestos por Lakoff para la política norteamericana son aplicables a la derecha y a la izquierda en España. Trataremos de averiguar si los líderes de los dos principales partidos políticos son conscientes de la relación entre moral y política y si en sus discursos hablan de valores. Según Lakoff, ésta sería la manera de conectar con el electorado. Tambiénprestaremos atención a cómo se plantean los temas desde los marcos del padre estricto y de la familia protectora, y a si nuestros políticos tienen en cuenta que para ser más persuasivo es necesario volver a enmarcar desde el propio punto de vista un tema expuesto por el oponente.
El concepto de oración para el español oral
Authors: Alcántara Plá Manuel
Published: June 2022

La lengua hablada ha ganado en los últimos años un protagonismo claro como objeto de estudio gramatical frente a una tradición basada fundamentalmente en la lengua escrita. Este cambio hace necesaria la revisión de cómo se definen los conceptos gramaticales utilizados. El presente trabajo plantea una propuesta inicial para la redefinición del concepto sintáctico de oración. Se repasan los problemas de las definiciones existentes, que nos obligan a considerar las estructuras orales como fragmentarias e incompletas, así como las frecuentes confusiones existentes con términos prosódicos y pragmáticos. Nuestra propuesta se fundamenta en la semántica oracional y en la exclusión de todo contenido extralingüístico, ilustrada con casos tomados de corpus de habla espontánea. Las conclusiones finales muestran que un acercamiento de este tipo permite el análisis oracional sin necesidad de recurrir a reconstrucciones gracias al manejo de la noción de explicitud sintáctica.
Caracterización pragmática de la expresión gramaticalizada 'ya te digo': su valor en estrategias conversacionales
Authors: López Quero Salvador
Published: June 2022

La partícula modal ya convierte a ya te digo en un marcador discursivo, propio del discurso oral, que tiene un valor polifuncional, dependiendo de sus múltiples situaciones contextuales. Ya te digo puede funcionar como un marcador conversacional de modalidad epistémica (de evidencia), o como un marcador metadiscursivo conversacional. En la primera de estas funciones ya te digo –que ocupa una posición parentética o de apéndice– suele mitigar el desacuerdo o intensificar el acuerdo a través de estrategias de ‘cortesía positiva’, y va precedido del conector contraargumentativo “pero”, del marcador epistémico “claro”, del enfocador de la alteridad “hombre”, o intensificando con una forma adverbial una aserción negativa o afirmativa. Por otra parte, como marcador metadiscursivo –siempre en posición parentética–, acumula la información y hace que la conversación progrese, tras una pausa o digresión. Para ello determinados recursos contextuales facilitan el carácter metadiscursivo del marcador, a modo de retardadores.
Hacia una semiótica de la identidad social: gestos en la manifestación de ideales de la personalidad socio-cultural en discursos académicos
Authors: Bravo Diana
Published: June 2022

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Contribuciones y desafíos para la comparación y la enseñanza de las lenguas
Authors: E. Carranza Isolda
Published: June 2022

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La producción de la cortesía verbal y la deixis socio-comunicativa
Authors: Serrano María José
Published: June 2022

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CATALÁN, D., Arte poética del romancero oral, Madrid, Siglo Veintiuno de España editores, S. A., 1997-98, 2 volúmenes, XXXV, 362 y 339 págs.
Authors: Salazar Flor
Published: June 2022

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Percepciones y manifestaciones de la (des)cortesía en la atención al público: el caso de una institución pública ecuatoriana
Authors: Placencia María Elena
Published: June 2022

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La producción de segundas versiones más elaboradas de una historia en la conversación cotidiana
Authors: Acuña Ferreira Virginia
Published: June 2022

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“¿Quién da la vez?” Fórmulas para pedir turno en los mercadillos
Authors: Polo José
Published: June 2022

Con el presente trabajo intento mostrar una serie de estructuras “comunicativas” difíciles de ver en un manual para la enseñanza del español a extranjeros, etc., así como, ya que no dar las explicaciones pertinentes de tales fenómenos, sí al menos insinuar algunas de las cuestiones gramaticales y sociolingüísticas que surgen de dichos materiales. The present paper studies a number of communicative structures which cannot be usually found in S/FL manuals (Spanish as a Foreign Language). The article does not aim to explain them fully, but to point out some grammatical and sociolinguistic characteristics relevant to the functioning of these structures
The outskirts of the Crimean Khanate (on the question of the mainland territories of the Crimean Khanate)
Authors: Kadyrov Rasim Reshatovich
Published: June 2022

The article deals with issues related to the development of the possessions of the Crimean Khanate of the XV-XVIII centuries. Located outside the Crimean Peninsula, which, unfortunately, with the exception of a few researches, have not received proper coverage in historical literature. Among them are the processes of expanding territorial borders, the emergence of settlements and issues of administrative management. To cover this topic, materials from written and cartographic sources were involved, as well as the achievements of historians who touched on issues of historical geography were used. In the course of the study, the author comes to the conclusion that, unlike the territory of the Crimean Peninsula, where an agricultural culture was formed, contributing to the development of an administrative system with clear delineations into districts, the mainland possessions of the Khans were inhabited by nomads, in which the traditional order of governance was preserved. Nevertheless, we cannot say that the vast territory from the Dniester to the Don was considered by the Tatars exclusively as a place of nomadic grazing. Analysis of the sources showed the presence of stationary settlements and fortifications on the banks of the Dnieper River, which indicates the cultural development of these lands. For the Crimean Khans, the preservation and expansion of dominance in the forest-steppe zone of Eastern Europe was extremely important, since it strengthened the security of the interior of the country and expanded the military capabilities of the state due to the migration of nomads to these territories. In addition, the Khanate controlled overland trade routes leading to the Black Sea ports on the peninsula.
Three in Every 10 School-aged Children in Brazil Report Back Pain in Any Given Year: 12-Month Prospective Cohort Study of Prevalence, Incidence, and Prognosis
Authors: Santos Veronica Souza , Leite Mariana Nascimento , Camargo Barbara Isabel Aparecida , Saragiotto Bruno T. , Kamper Steven J. , Yamato Tiê P.
Published: June 2022

Objective

To estimate the prevalence, incidence, and prognosis of back pain in children and adolescents.

Design

Prospective cohort study.

Methods

We followed children and adolescents between the ages of 8 and 18 years with and without back pain over 12 months (3, 6, and 12 months) from public and private schools. At baseline, parents (or guardians) answered questionnaires including sociodemographic characteristics and perception of sleep quality of their children and adolescents. Children and adolescents answered questionnaires including sociodemographic characteristics, presence of back pain, pain intensity, quality of life, and psychosomatic symptoms. At follow-up, children and adolescents answered questions about the presence of back pain.

Results

Six hundred fifteen children and adolescents were included, 163 of whom had back pain and 452 of whom had no back pain at baseline. The mean age of participants was 11.6 years (SD = 2.5), and the majority were female (n = 362; 59%). The 1-month prevalence of back pain was 26% (95% confidence interval: 23%–30%). The incidence rate of back pain was 35% (31%–40%) over 12 months. Of the 163 participants who had back pain at baseline, 83% had recovered by 12 months. Of those who recovered within 6 months, 31% had a recurrence of back pain at the 12-month follow-up.

Conclusion

Two to 3 in every 10 children and adolescents reported back pain in the last month. New cases of back pain were reported by 3–4 in every 10 children and adolescents for a period of 12 months. Nearly all children recover within 12 months, but recurrence seems to be common. J Orthop Sports Phys Ther 2022;52(8):554–562. Epub: 19 June 2022. doi:10.2519/jospt.2022.10819
Over Half of Clinical Trials of Mobilization and Manipulation for Patients With Low Back Pain May Have Limited Real-World Applicability: A Systematic Review of 132 Clinical Trials
Authors: Maddox C. Daniel , Subialka Joshua A. , Young Jodi L. , Rhon Daniel I.
Published: June 2022

Objective

To evaluate the existing body of trials assessing manual therapy for low back pain (LBP) to determine where it falls on the efficacyeffectiveness continuum.

Design

Methodology systematic review.

Literature Search

PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), CENTRAL (Cochrane Central Register of Controlled Trials), and PEDro (Physiotherapy Evidence Database) were searched for trials published between January 1, 2000, and April 30, 2021.

Study Selection Criteria

We included randomized clinical trials investigating joint mobilization and manipulation for adults with nonspecific LBP that were available in English.

Data Synthesis

We used the Rating of Included Trials on the Efficacy-Effectiveness Spectrum (RITES) tool to score included trials across 4 domains: participant characteristics, trial setting, flexibility of intervention(s), and clinical relevance of experimental and comparison intervention(s). Proportions of trials with greater emphasis on efficacy or effectiveness were calculated for each domain.

Results

Of the 132 included trials, a greater proportion emphasized efficacy than effectiveness for domains participant characteristics (50% vs 38%), trial setting (71% vs 20%), and flexibility of intervention(s) (61% vs 25%). The domain clinical relevance of experimental and comparison intervention(s) had lower emphasis on efficacy (41% vs 50%).

Conclusion

Most trials investigating manual therapy for LBP lack pragmatism across the RITES domains (ie, they emphasize efficacy). To improve real-world implementation, more research emphasizing effectiveness is needed. This could be accomplished by recruiting from more diverse participant pools, involving multiple centers that reflect common clinical practice settings, involving clinicians with a variety of backgrounds/experience, and allowing flexibility in how interventions are delivered. J Orthop Sports Phys Ther 2022;52(8):532–545. Epub: 19 June 2022. doi:10.2519/jospt.2022.10962
Looking at Both Sides of the Coin: Addressing Rupture of the Therapeutic Relationship in Musculoskeletal Physical Therapy/Physiotherapy
Authors: Miciak Maxi , Rossettini Giacomo
Published: June 2022

Synopsis

As physical therapists, we may have all experienced tense moments in our therapeutic relationships with patients. Whether small or large, implicit or explicit, relational breakdowns are a normal part of human interactions. Within the clinical encounter, these tensions are called “ruptures.” In psychotherapy, ruptures have been associated with increased dropout rates and poor clinical outcomes. To increase the likelihood that physical therapists establish, maintain, and strengthen therapeutic relationships with their patients, recognizing and repairing ruptures would seem logical. However, we contend that relational tensions, although inevitable, are most often avoided by physical therapists, potentially to the peril of the therapeutic relationship. A responsive approach that involves adjusting our mind-set, being aware, and taking appropriate action could facilitate rupture repair. We provide clinical examples of rupture and repair and discuss the opportunities that “the other side of the coin” presents for professional and personal growth. J Orthop Sports Phys Ther 2022;52(8):500–504. Epub: 19 June 2022. doi:10.2519/jospt.2022.11152
Subsequent Musculoskeletal Injury Incidence Are Similar Between General Infection and COVID-19 Among High School Athletes in the Unites States Despite Higher Illness Incidence During Academic Years 2019–2020 and 2020–2021
Authors: Shanley Ellen , Thigpen Charles A. , Prats-Uribe Albert , Norhen Tyler , Staley Trey , Bullock Garrett S.
Published: June 2022

Objectives

To describe overall illness and COVID-19- specific illness in high school athletes in the 2019–2020 and 2020–2021 academic school years, and to describe and assess the risk of musculoskeletal injury following general infection and after COVID-19.

Design

Ecological study.

Methods

High schools (6 states; 176 high schools) were matched between the 2019–2020 and 2020–2021 academic school years, based on 2020–2021 high school sport participation. Illness and injury data were collected from the high school athletic trainers. Illness was stratified by overall illness, general infection, and COVID-19. Injuries following moderate or severe infections or COVID-19 were recorded. Illness and injury incidence rate per 100 athletes per year, with 95% confidence intervals (95% CIs), were calculated. Negative binomial models comparing injury following general infections and COVID-19 infections were calculated.

Results

A total of 98 487 and 72 521 athletes participated in the 2019–2020 and 2020–2021 years. Illness incidence rate was less in the 2019–2020 academic school year [0.30 (95% CI: 0.27, 0.34)] than the 2020–2021 academic school year [1.1 (1.0–1.2)], resulting in a difference of 0.8 (95% CI: 0.7, 0.9). COVID-19 incidence rate was 0.52 (0.47–0.58) in the 2020–2021 year. Injury following general infection incidence rate was 27.9 injuries (21.4–34.5) per 100 athletes in 2019–2020, and 22.5 injuries (19.3–25.7) per 100 athletes in 2020–2021. There was no difference in injury risk following general infection and COVID-19 [rate ratio: 1.2 (95% CI: 0.7, 2.4)].

Conclusions

The incidence rate for all illnesses in high school athletes was slightly (0.8) greater in the 2020–2021 academic compared to the 2019–2020 year. Most of the incidence increase was due to infections and COVID-19. Subsequent injury incidence following moderate and severe infections were similar between years and between general infections and COVID-19. J Orthop Sports Phys Ther 2022;52(8):546–553. Epub: 19 June 2022. doi:10.2519/jospt.2022.11200
Acute progression of cerebral amyloid angiopathy-related inflammation diagnosed by biopsy in an elderly patient: A case report
Authors: Kuwahara Kiyonori , Moriya Shigeta , Nakahara Ichiro , Kumai Tadashi , Maeda Shingo , Nishiyama Yuya , Watanabe Midoriko , Mizoguchi Yoshikazu , Hirose Yuichi
Published: June 2022

Background:

Cerebral amyloid angiopathy-related inflammation (CAA-I) presents with slowly progressive nonspecific neurological symptoms, such as headache, cognitive function disorder, and seizures. Pathologically, the deposition of amyloid-β proteins at the cortical vascular wall is a characteristic and definitive finding. Differential diagnoses include infectious encephalitis, neurosarcoidosis, primary central nervous system lymphoma, and glioma. Here, we report a case of CAA-I showing acute progression, suggesting a glioma without enhancement, in which a radiological diagnosis was difficult using standard magnetic resonance imaging.

Case Description:

An 80-year-old woman was admitted due to transient abnormal behavior. Her initial imaging findings were similar to those of a glioma. She presented with rapid progression of the left hemiplegia and disturbance of consciousness for 6 days after admission and underwent emergent biopsy with a targeted small craniotomy under general anesthesia despite her old age. Intraoperative macroscopic findings followed by a pathological study revealed CAA-I as the definitive diagnosis. Steroid pulse therapy with methylprednisolone followed by oral prednisolone markedly improved both the clinical symptoms and imaging findings.

Conclusion:

Differential diagnosis between CAA-I and nonenhancing gliomas may be difficult using standard imaging studies in cases presenting with acute progression. A pathological diagnosis under minimally invasive small craniotomy may be an option, even for elderly patients.
Early experience with patient-specific low-cost 3D-printed polymethylmethacrylate cranioplasty implants in a lower-middle-income-country: Technical note and economic analysis
Authors: Ashraf Mohammad , Choudhary Nabeel , Kamboh Usman Ahmad , Raza Muhammad Asif , Sultan Kashif Ali , Ghulam Naseeruddin , Hussain Syed Shahzad , Ashraf Naveed
Published: June 2022

Background:

Polymethyl methacrylate (PMMA) cranioplasty, while widely prevalent, has limitations associated with freehand manual intraoperative molding. PMMA has been superseded by titanium or Polyetheretherketone implants, prefabricated commercially from preoperative CT scans, and boasting superior clinical and cosmetic outcomes. However, such services are extremely inaccessible and unaffordable in the lower-middle-income country (LMIC) settings. The study aims to describe, in detail, the process of making ultra-low-cost patient-specific PMMA cranioplasty implants with minimum resources using open-access software. We report the first such service from the public health-care system within Pakistan, a LMIC.

Methods:

Using open-source software, preoperative CT heads were used to prefabricate three-dimensional implants. Both implant and cranial defects were printed using polylactic acid (PLA) to assess the implant’s size and fit preoperatively. From the PLA implant, we fashioned a silicon mold that shapes the PMMA implant. Ten patients who underwent cranioplasty using our technique for various cranial defects with at least a 12-month follow-up were retrospectively reviewed. Clinical, cosmetic, and radiological outcomes were objectively assessed.

Results:

Etiology of injury was trauma (8), malignant MCA infarct (1), and arteriovenous fistula (1). We produced seven frontotemporal-parietal implants, one bifrontal, one frontal, and one frontoparietal. At 1 year, eight patients reported their cosmetic appearance comparable to before the defect. Radiological outcome was classified as “excellent” for eight patients. No postoperative complications were encountered, nor did any implant have to be removed. One patient’s implant involving the orbital ridge had an unsatisfactory cosmetic outcome and required revision surgery. The average cost per implant to the National Health Service was US$40.

Conclusion:

Prefabricated patient-specific PMMA cranioplasty implants are cost-effective. A single surgeon can fashion them in a limited resource setting and provide personalized medicine with excellent clinical/cosmetic-radiological results. Our method produces patient-specific cranioplasty implants in an otherwise unaffordable LMIC setting.
Oikonyms of the Arctic zone of the Republic of Sakha (Yakutia)
Authors: Никаева Т.М. , Старостина А.С.
Published: June 2022

Топонимия каждого региона – это особый пласт лексики, который содержит слова разных исторических эпох и разных языков. Якутской арктической системе ойконимов свойственно многоязычие. В статье представлены этимология и значение наименований населенных пунктов улусов и районов, относящихся к арктической зоне Республики Саха (Якутия): Абыйского, Аллаиховского, Анабарского национального (долгано-эвенкийского), Булунского, Верхнеколымского, Верхоянского, Жиганского национального эвенкийского, Момского, Нижнеколымского, Оленекского эвенкийского национального, Среднеколымского, Усть-Янского и Эвено-Бытантайского национального. Актуальность исследования обусловлена необходимостью изучения ойконимов арктической Якутии в обобщенном и систематизированном виде, что ранее предпринято не было. В этом заключается научная новизна научной работы. Цель исследования - определить значение и происхождение названий городов, поселков и сел арктической зоны Республики Саха (Якутия) и выяснить от каких языков-источников было образовано наибольшее количество ойконимов. В ходе этимологического анализа и статистической обработки всех наименований населенных пунктов было определено, что большинство ойконимов улусов арктической зоны Республики Саха (Якутия) были образованы от слов якутского языка. Таких географических наименований более сорока двух процентов.

The toponymy of each region is a special layer of vocabulary that contains words from different eras and different languages. The Yakut Arctic system of oikonyms is characterized by multilingualism. The article presents the etymology and meaning of the names of settlements of uluses and districts belonging to the Arctic zone of the Republic of Sakha (Yakutia): Abysky, Allaikhovsky, Anabar national (Dolgan-Evenk), Bulunsky, Verkhnekolymsky, Verkhoyansky, Zhigan national Evenk, Momsky, Nizhnekolymsky, Oleneksky Evenk national, Srednekolymsky, Ust-Yansky and Eveno-Bytantay national. The relevance of the study is due to the need to study the oikonyms of Arctic Yakutia in a generalized and systematized form, which was not previously undertaken. This is the scientific novelty of the study. The purpose of the study is to determine the origin of the names of cities, towns and villages of the Arctic zone of the Republic of Sakha (Yakutia) and to find out from which source languages the largest number of oikonyms were formed. During the etymological analysis and statistical processing of the names of settlements, it was determined that most of the oikonyms of the ulus of the Arctic zone of the Republic of Sakha (Yakutia) were formed from the words of the Yakut language. There are more than 42 percent of such geographical names.
Synthesis and styrene copolymerization of novel ring-monosubstituted tert-butyl phenylcyanoacrylates
Authors: Agaiby Juliana M. , Chrzanowska Agnes , Hall Marissa , Huang Alina , Ismail Jasmine , Jimenez Angelica , Johnson Brooke L. , Lodhika Saniya S. , Perepelitsky Pamela , Schjerven Sara M. , Tassone Nicholas M. , Kharas Gregory B.
Published: June 2022

Novel ring-monosubstituted tert-butyl phenylcyanoacrylates, RPhCH=C(CN)CO2C(CH3)3 (where R is 4-t-butyl, 4-hexyloxy, 4-benzyloxy, 4-acetoxy, 3-cyano, 4-cyano, 4-dimethylamino, 4-diethylamino) were prepared and copolymerized with styrene. The acrylates were synthesized by the piperidine catalyzed Knoevenagel condensation of ring-substituted benzaldehydes and tret-butyl cyanoacetate, and characterized by CHN analysis, IR, 1H and 13C NMR. The acrylates were copolymerized with styrene in solution with radical initiation at 70C. The compositions of the copolymers were calculated from nitrogen analysis.