bluuebunny/crossref_metadata_2025 huggingface dataset:
Reverse Shoulder Arthroplasty After Prior Rotator Cuff Repair: A Matched Cohort Analysis
Authors: Marigi Erick M. , Tams Carl , King Joseph J. , Crowe Matthew M. , Werthel Jean-David , Eichinger Josef , Wright Thomas , Friedman Richard J. , Schoch Bradley S.
Published: November 2021

Introduction:

Rotator cuff repair (RCR) is commonly performed before reverse shoulder arthroplasty (RSA) with conflicting evidence on the effect on arthroplasty outcomes. The purpose of this investigation was to evaluate the effect of a prior RCR on the outcomes and complications of primary RSA.

Methods:

Between 2007 and 2017, 438 RSAs performed in patients with a prior RCR and 876 case-matched controls were identified from a multicenter database. Patients were grouped based on a preoperative diagnosis of glenohumeral osteoarthritis (GHOA) and rotator cuff tear arthropathy (CTA). Data collected included range of motion, strength, complications, and revisions. Additional clinical metrics included American Shoulder and Elbow Society score, Constant score, Shoulder Pain and Disability Index, Simple Shoulder Test, and the University of California Los Angeles shoulder score.

Results:

Compared with controls, both GHOA and CTA study groups demonstrated lower postoperative forward elevation (FE) (133° versus 147°, P < 0.001; 133° versus 139°, P = 0.048) and FE trength (6.5 versus 8.2, P = 0.004; 6.1 versus 7.3, P = 0.014). In addition, inferior improvements were observed in the GHOA and CTA study groups with respect to abduction (38° versus 52°, P = 0.001; 36° versus 49°, P = 0.001), FE (41° versus 60°, P < 0.001; 38° versus 52°, P = 0.001), ER (16° versus 25°, P < 0.001; 10° versus 17°, P = 0.001), and Constant score (28.4 versus 37.1, P < 0.001; 26.2 versus 30.9, P = 0.016). Compared with controls, no differences were observed in the GHOA and CTA study groups with respect to notching (11.2% versus 5.6%, P = 0.115; 5.8% versus 7.9%, P = 0.967), complications (4.3% versus 1.6%, P = 0.073; 2.5% versus 2.7%, P = 0.878), and revision surgery (3.1% versus 0.9%, P = 0.089; 1.1% versus 1.3%, P = 0.822).

Conclusion:

RSA after a prior RCR improves both pain and function, without increasing scapular notching, complications, or revision surgery. However, compared with patients without a prior RCR, postoperative shoulder function may be slightly decreased.

Level of Evidence:

III; Retrospective Cohort Study.
Regional or Neuraxial Anesthesia May Help Mitigate the Effects of Bone Cement Implantation Syndrome in Patients Undergoing Cemented Hip and Knee Arthroplasty for Oncologic Indications
Authors: Rao Sandesh S. , Suresh Krishna V. , Margalit Adam , Morris Carol D. , Levin Adam S.
Published: November 2021

Introduction:

Bone cement implantation syndrome (BCIS) occurs during and after cementation of implants and is associated with hypotension, hypoxia, and cardiovascular collapse. In this study, we aimed to identify risk factors and potential mitigating factors of BCIS in the oncologic adult cohort undergoing cemented arthroplasty.

Methods:

We retrospectively reviewed oncologic patients aged 18 years or older who underwent cemented arthroplasty of either the hip or knee from 2015 to 2020. All implants were stemmed. We classified BCIS into three separate categories: (1) grade 1: intraoperative moderate hypoxia (<94%) or drop in systolic blood pressure >20%; (2) grade 2: intraoperative severe hypoxia or drop in systolic blood pressure >40%; and (3) grade 3: cardiovascular collapse requiring cardiopulmonary resuscitation. Demographics, primary malignancy diagnosis, intraoperative factors including cement timing, development of BCIS, 30-day postoperative outcomes, and mortality up to 2 years postoperatively were evaluated. Bivariate analyses and multivariate logistic regression were performed.

Results:

Sixty-seven patients met inclusion criteria. Of these, 31 patients (46%) developed BCIS. No difference was found in age (65.5 versus 60.9 years; P = 0.15) or body mass index (28.8 kg/m2 versus 29.3 kg/m2; P = 0.76), comorbidities, intraoperative factors, or postoperative surgical outcomes between those who developed BCIS and those who did not (all; P > 0.05). An association with the type of anesthesia administered and development of BCIS in patients receiving general anesthesia alone (17/24 patients, 71%), neuraxial and general (4/15 patients, 27%), and regional and general anesthesia (10/28 patients 36%, P = 0.01) was found. Compared With neuraxial and regional anesthesia, general anesthesia alone had 5.8 (P = 0.007) and 4.5 times (P = 0.006) greater odds of developing BCIS, respectively. No differences were noted in rates of BCIS between regional and neuraxial anesthesia (P = 0.81).

Discussion:

Addition of regional or neuraxial anesthesia may be protective in reducing development of BCIS in the orthopaedic oncologic cohort undergoing hip and knee arthroplasty.

Level of Evidence:

III
Orthopaedic Urgent Care Versus the Emergency Department: Cost Implications for Low-energy Fracture Care
Authors: Pean Christian A. , Bird Mackenzie L. , Buchalter Daniel B. , Yang S. Steven , Egol Kenneth A.
Published: November 2021

Introduction:

This study compared costs, length of visit, and utilization trends for patients with fractures seen in an immediate care orthopaedic center (I-Care) versus the emergency department (ED) in a major metropolitan area.

Methods:

A retrospective chart review of consecutive patients seen on an outpatient basis in the ED and I-Care over a 6-month period was conducted. Patient demographics, procedures done, care category, estimated costs, and disposition information were included for statistical analysis. Within the low-acuity fracture care group, a cost-comparison analysis was conducted.

Results:

A total of 610 patients met inclusion criteria with 311 seen in I-Care and 299 in the ER. I-Care patients were more likely to have low-acuity injuries compared with ED patients (60.1% versus 18.1%, P < 0.001). The length of visit was longer for patients seen in the ED compared with I-Care (6.1 versus 1.43 hours, P value < 0.001). A cost analysis of low-acuity patients revealed that an estimated $62,150 USD could have been saved in healthcare costs by the initial diversion of low-acuity patients seen in the ER to I-Care during the study period.

Discussion:

These results suggest that the I-Care orthopaedic urgent care model is a more cost-effective and more efficient alternative to the ED for patients with fractures requiring procedural treatment and low-acuity patients managed on an outpatient basis.
Discharge Opioid Prescribing Patterns in an Academic Orthopaedic Setting: Level of Training and Subspecialty Patterns
Authors: Fang Francia Y. , Weir Tristan B. , Codd Casey M. , May Catherine C. , Abzug Joshua M.
Published: November 2021

Introduction:

Despite increased research on opioids in the orthopaedic literature, little is known of the prescribing practices of orthopaedic providers based on their level of training. The purpose of this study was to describe the discharge opioid prescribing patterns of orthopaedic providers, stratifying by level of training and orthopaedic subspecialty, within a single medical system.

Methods:

A retrospective review of orthopaedic surgical encounters was performed over a 1-year period for adults who received a discharge opioid prescription. Patient demographics and prescriber characteristics were collected, including the provider's level of training (attending, fellow, resident, physician assistant [PA], and nurse practitioner [NP]) and surgical subspecialty. Junior residents were postgraduate year 1 to 3, whereas senior residents/fellows were postgraduate year 4 to 6. Discharge opioids were converted to milligram morphine equivalents (MMEs). Overprescribing was defined as a prescribing more than a seven-day supply or >45 MMEs per day. Multivariable linear regression analysis determined the factors associated with discharge MMEs, whereas logistic regression determined the factors associated with overprescribing opioids.

Results:

Of the 3,786 patients reviewed, 1,500 met the criteria for inclusion in the study. The greatest proportion of opioid prescriptions was written by junior residents (33.9%), followed by NPs (30.1%), PAs (24.1%), senior residents/fellows (10.6%), and attendings (1.2%). Compared with junior residents, senior residents prescribed −59.4 MMEs, NPs prescribed +104 MMEs, and attendings prescribed +168 MMEs (P < 0.05), whereas PAs prescribed similar amounts (P > 0.05). Orthopaedic subspecialty was also predictive of discharge MMEs (P < 0.05). Senior residents and attendings were more likely to prescribe more than seven days of opioids (P < 0.05), whereas NPs and PAs were more likely to prescribe >45 MMEs per day (P < 0.05).

Discussion:

This study demonstrates significant variability in opioid prescribing practices according to provider level of training and subspecialty. National guidelines for opioid prescribing practices and educational programs may help reduce such variability.

Level of Evidence:

Level III, retrospective cohort study
Pan evaporation and sensor based approaches of irrigation scheduling for crop water requirement, growth and yield of okra
Authors: VIKAS SHARMA  , P.K. SINGH  , S.R. BHAKAR  , K.K. YADAV  , S.S. LAKHAWAT  , MANJEET SINGH
Published: November 2021

The results of this study revealed that the pan evaporation and sensor based irrigation scheduling along with fertigation scheduling significantly affected the plant height, fruit weight, fruit length, crop water requirement, crop yield and water use efficiency of okra crop. The pan evaporation and crop evapotranspiration (ETc) values significantly vary over different stages of okra crop. The maximum and minimum average daily pan evaporation was recorded 8.4 mm day-1 and 4.5 mm day-1 at mid stage and late stage of okra crop respectively while, the maximum average daily ETc was recorded 7 mm day-1 at mid stage of okra crop. A approach of irrigation scheduling with 100 per cent field capacity, based on soil moisture sensor under automated drip irrigation system along with 100 per cent RDF through fertigation in equal splits at 4 day intervalor 80 % per cent of volume of crop water requirement based on pan evaporation under automated drip irrigation along with 100 per cent RDF through fertigation in equal splits at 2 day interval, can be used for irrigating okra crop with significant water saving, crop yield and water use efficiency under limited availability of daily weather datain climatic condition of Udaipur district of Rajasthan.
Revisiting Magiciens de la terre
Authors: Cohen-Solal Annie
Published: November 2021

“The common statement that artistic production can only exist in the Western world can be blamed on the arrogance of our culture,”[1] wrote Jean-Hubert Martin, chief curator of the Magiciens de la Terre exhibition, in the catalogue. This unusual catalogue, formatted akin to an atlas, appeared to be a radical manifesto against the iniquities of the Western world, offering a body of political texts, photos, illustrations, and collages. It also included references to the 104 exhibited artists, presented in an unusual manner: the two pages allocated to each artist offered biographies and reproductions of works, as well a small planisphere indicating their geographical location. Interestingly, in each case, the planisphere was reoriented in such a way that the referent dot remained at the center. Among other contributors to the catalogue, Pierre Gaudibert also condemned “the symbolic violence of the Western world”[2] and Mark Francis ironically stigmatized the “condescending position” of those who had excluded non-Western artists from their museums for so long.
Investigation of the liquefaction possibility of Ermenek lignite as an alternative clean energy source
Authors: AKSOĞAN KORKMAZ Aydan
Published: November 2021

Coal liquefaction; can be defined as the transformation of coal into products that have a high energy density, can be easily stored and transported and do not create environmental pollution, to meet both fuel and chemical raw material requirements.

This study was carried out to determine the yields of the products formed as a result of the liquefaction of Konya-Ermenek lignite in the N2 atmosphere and under non-catalytic conditions. Proximate and ultimate analysis of the obtained solid and liquid products was made. The composition of the oil product was determined by GC-MS. As a result of liquefaction, the char yield was 71.37%, the preasphaltene yield was 12.24%, the asphaltene yield was 2.23% and the oil + gas yield was 14.16%. It was determined that the higher heating value of 4199 kcal/kg in raw lignite is twice as high in liquefaction products. It was determined that the sulfur content of 3.94% in raw lignite decreased to 1.54%, 0.85% and 0.44% in char, preasphaltene and oil, respectively.
CORRELATION ANALYSIS BETWEEN SCHUMANN RESONANCE FREQUENCIES AND Dst, Kp
Authors: CANYILMAZ Murat , GUZEL Esat , YALÇIN Emrah
Published: November 2021

In this study, the relationship between Schumann resonance frequencies (SRF) and the Geomagnetic indices (Dst, kp) was statically inquired. The relationship between the data of Schuman resonance frequencies for the first five months of 2016 and the values of hourly average of Dst and three-hour average of Kp was determined by applying the correlation analysis separately. The highest correlation coefficients are found -12.4% for SRF-Dst at 35 Hz, -11.6% for SRF-Kp*10 at 7 Hz.
Workaholism in the Conditions of a Pandemic: a Comparative Analysis between Bulgaria and Hungary
Authors: Krumova Albena , Juhasz Marta , Garvanova Magdalena , Repaczki Rita , Hristova Plama
Published: November 2021

The present study examined workaholism in Bulgaria and Hungary during a critical pandemic situation caused by COVID-19. A total of 805 respondents aged 18–70 years from Bulgaria and Hungary completed the online version of the two-dimensional measure – dubbed the Dutch Workaholism Scale (DUWaS). The research aimed to reveal differences in the state and modifications of this phenomenon during a pandemic situation. The obtained results were processed with SPSS-25. The data analysis shows that in conditions of a pandemic, the socio-economic context is the one that causes the significant differences between Bulgarians and Hungarians in relation to the Excessive (WE) and Compulsive workaholism (WC) levels.
Translation Equivalence of English Passive Constructions in Literary Discourse in Vietnamese
Authors: Thuy Pham Thi
Published: November 2021

Translation of English passive constructions into Vietnamese has been of interest to scholars and researchers worldwide. However, not much research has been done into translation equivalence of the English passives in Vietnamese. This paper aims to explore into the translation equivalence of English passive constructions in Vietnamese in literary discourse. To reach this aim, data were collected from classic works of American and English literature and their translations in Vietnamese. The data were further analysed and classified, applying Widdowson’s (1979) trichotomy of translation equivalence. The research findings show five strategies for translating the English passives into Vietnamese with this order of frequency: activization, passivization, ergativization, adjectivalization, and copularization, and the translation equivalence includes both structural and semantic. The paper also attempts to explain the reasons behind the preference of activization strategy.
Research on Art Intervention in Rural Design Based on the Cultural Ecology: A Case Study of the Xun Jiansi Village in Jiangxi Province, China
Authors: Wang Mengqi
Published: November 2021

In 2021, the world will enter the post-epidemic era. China is at the end of the 13th Five-Year Plan for the integration of urban and rural development and rural revitalization. At the same time, the internal circular economy brings opportunities for rural development and regional revitalization. This article uses interdisciplinary research methods, integrates various design models involved in cultural ecology, and strengthens the connections between them, combined with innovative thinking in rural design, art promotion, cultural inheritance, and industrial upgrading paths. The article intends to solve how to use environmental art and public Art, experimental art and other art forms are involved in rural design, and based on the theoretical framework of cultural ecology, the rural design method is constructed through the case analysis of the Xun Jiansi village, and the innovative and characteristic development path of art intervention in rural design is studied.
Business Model Construction from Dynamic Capabilities Perspective
Authors: Wang Xiong , Photchanachan Sarana
Published: November 2021

The construction of the business model is to shape the structure of various activities in the plate according to the task attributes and task objectives of each section in the business model. The Dynamic Capabilities of the enterprise determine the result of the construction of the business model, and its strength also affects the adaptation and operation of the business model institutions to the new business model. Enterprises with strong Dynamic Capabilities have a good execution ability in the business model architecture, and can also quickly adapt to the structural framework of changing their business model, and improve the feasibility of the actual operation of the business model. This paper will be in the framework of the Dynamic Capabilities theory, the construction of business model, through the case from model construction, design innovation to the coordinated operation of the new model, concluded that the two have a strong interaction, including the enterprise higher-order Dynamic Capabilities has a strong positive influence on the choice of business model, construction and application.
Diversifiable and Non-diversifiable Risk and the Advanced Choice under Ambiguous or Uncertain Conditions
Authors: Alhabeeb M.J.
Published: November 2021

The objective of this paper is to revisit the concepts of diversifiable and non-diversifiable risk, expound the portfolio risk in two ways: mathematically first, and with practical examples, second It also explains lending and borrowing at the risk-free rate of return, in addition to juxtaposing the diversification method to measure the unsystematic risk against utilizing Beta to measure the systematic risk. Furthermore, it briefly examines the mathematical simulation and sensitivity analysis, and mathematically delineates the technique for choices under risk, ambiguity, and uncertainty. The practical implication of this conceptual paper is to offer a further clarification of theoretical terms, especially those which might be interchangeable in financial and economic literature, and further show, by examples, the terms’ applicability.
Influência da recuperação de falhas na percepção sobre qualidade, satisfação e lealdade de clientes bancários
Authors: Tontini Gérson , Silveira Amélia , Pozza Diovani Luzia
Published: November 2021

Objetivo: o objetivo geral desta pesquisa consistiu em avaliar a influência de falhas e ações de recuperação de falhas, na percepção da qualidade, satisfação e lealdade de clientes bancários.Metodologia: os dados foram obtidos por meio de uma pesquisa quantitativa, caracterizada como descritiva, de corte transversal e de método survey. O tratamento dos dados ocorreu por meio de análise descritiva, em seguida foram realizados os testes de confiabilidade Alpha de Cronbach, Confiabilidade Composta e Variância Média Extraída. Posteriormente foi realizada a Modelagem de Equações Estruturais por meio do software Smart PLS, com o objetivo de verificar a relação entre os construtos do modelo e testar as hipóteses.Principais resultados: os resultados da pesquisa evidenciam relações positivas entre os construtos apresentados, exceto nas relações entre Gravidade da Falha e Qualidade. Assim, os achados demonstram que não se pode pensar em qualidade sem se considerar a importância da recuperação de falhas para os serviços oferecidos.Contribuições metodológicas: este trabalho contribui para a observação da influência de falhas e ações de recuperação de falhas, na percepção da qualidade, satisfação e lealdade de clientes bancários.Relevância: dada a natureza do serviço bancário, os problemas na prestação de serviços são esperados e eventuais falhas são inevitáveis, e, com isso, os resultados podem gerar insatisfação. Para manter clientes satisfeitos e leais às instituições, fazem-se necessárias ações de recuperação de falhas.
Por uma partitura integradora: orquestrando a prática e o gosto no consumo musical
Authors: Castro Álvaro Leonel de Oliveira , Rezende Daniel Carvalho de , Brito Mozar José de
Published: November 2021

Objetivo: apresentar uma estrutura conceitual que promova a interlocução entre as práticas de consumo e o gosto no contexto das cenas musicais.Método: realizou-se uma revisão integrativa da literatura existente sobre o tema, adotando a abordagem sugerida por Torraco (2016).Originalidade/Relevância: consiste no entendimento de que o ouvinte passivo-ativo pode desempenhar práticas de internalização e externalização do gosto em uma cena musical. Isto ocorreria por meio de um processo de constituição mútua, dependente da integração entre objetos, ações e significados que viabilizam a prática musical.Resultados: a estrutura conceitual apresentada situa que, em uma cena musical, o processo de aprendizagem em face a formação de um regime de gosto pode ser guiado por ouvintes ativos e/ou plataformas digitais. Dessa forma, o gosto é julgado em face às experiências do ouvinte, que aprimora sua capacidade e se torna um ser particular em uma cena musical. Esse indivíduo desempenha performances do gosto em uma cena musical, seja na esfera das comunidades virtuais; ao ritualizar práticas musicais; ou ao frequentar espaços estéticos apropriados. Isto causaria implicações para o gosto musical do ouvinte, podendo, ainda, gerar um novo gosto.Contribuições teóricas: propõe-se uma alternativa para a compreensão das práticas de consumo que retratam os gostos dos praticantes, evidenciando a música como um elemento central nesse processo. Sugere-se uma agenda de pesquisa no âmbito das cenas musicais, contemplando as múltiplas práticas musicais que constituem a internalização e a externalização do gosto.
Electrochemical studies of lateral flow assay test results for procalcitonin detection
Authors: Gupta Yachana Gupta , Kalpana  , Sharma Ghrera Aditya
Published: November 2021

In this study, the lateral flow assay (LFA) has been developed for the detection of bacterial infection (BI) by specific biomarker procalcitonin (PCT), without a need for complicated instrumentations and technical expertise. For the development of the assay, gold nanoparticles (AuNP) and their conjugates with antibodies specific to the model antigen PCT are assessed. Polyclonal antibody (pAb) labelled with gold nanoparticles (AuNP) to obtain the AuNP-pAb complex and the specific monoclonal antibody (mAb) have been dropped at the test zone. This complex is placed over the conjugate line of the LFA strip. In the absence of PCT or the presence of other biomarkers, the test line remained colourless, which revealed the specificity of assay towards PCT among a pool of various analytes. Herein, observations have been made through two different platforms for quantitative and qualitative analysis for the detection of PCT biomarker. The qualitative analysis has been performed on the basis of appearance red color in the test band, while for quantitative analysis, a novel approach has been adopted. Herein, the nitrocellulose membrane (paper strip) is cut out from the LFA strip and used for electrochemical studies under similar solution conditions. Different paper strips presented different cyclic voltammograms (CV) that could be correlated to varying PCT concentrations captured at the test line of the paper strip. The qualitative detection limit for PCT using this LFA was determined to be 2 ng/ml and the quantitative detection limit was 1 ng/ml. The electrochemical response studies of the paper strip by CV technique revealed the sensitivity value of 0.695 mA ng/ml.
Arbeits- und Dienstrecht für das Public Management
Authors: Kanzenbach Katrin
Published: November 2021

Das Lehrbuch "Arbeits- und Dienstrecht für das Public Management” umfasst das individuelle und kollektive Arbeits- und Dienstrecht unter Berücksichtigung des Dienstordnungsrechts für die Beschäftigten im öffentlichen Dienst.

Es bietet eine vergleichende Beschreibung und Darstellung der Besonderheiten des Arbeits-, des Dienstordnungs- und des Beamtenrechts. Es beschreibt und vergleicht die unterschiedlichen Beschäftigungsverhältnisse im öffentlichen Dienst auf Grundlage der einschlägigen gesetzlichen Regelungen und stellt die relevante höchstrichterliche Rechtsprechung vor.

Das Lehrbuch eignet sich besonders für die Beschäftigten im öffentlichen Dienst mit Personalverantwortung, insbesondere für die Angestellten der Unfallversicherungsträger, sowie für Bachelor- und Masterstudierende im Public Management Studiengang. Die Rechtsmaterie wird durch eine Vielzahl von Übersichten, Fallbeispielen verständlich dargestellt. Zur Vertiefung des vermittelten Lehrstoffes enthält das Buch eine Vielzahl von weiterführenden Literatur- und aktuellen Rechtsprechungshinweisen, sowie am Ende jeden Abschnittes Wiederholungsfragen und/oder Selbsttests mit Lernerfolgskontrollfragen.

Katrin Kanzenbach, Professorin für Personal und Recht an der Hochschule der DGUV (HGU), University of Applied Sciences. Die Autorin verfügt über berufliche Erfahrungen in der Personal- und Führungsverantwortung in der Privatwirtschaft und im öffentlichen Bereich. Seit sechs Jahren lehrt sie nebenberuflich und jetzt hauptberuflich das Arbeits- und Dienstrecht inkl. des Beamtenrechts.
Exekutive Normsetzung in der Pandemie
Authors: Steinkühler Ramona
Published: November 2021

Der Verlauf der Corona-Pandemie und das niedersächsische Vorgehen im Hinblick auf den Erlass der Rechtsnormen durch die Exekutive bilden die Ausgangsbasis für einen Rechtsvergleich, der die im Zeitraum von Mitte März bis Ende Oktober 2020 geltenden Corona-Regeln der Bundesländer Niedersachen, Bremen, Nordrhein-Westfalen und Sachsen-Anhalt gegenüberstellt.

Dabei werden die einschränkenden Maßnahmen der Bundesländer zu Versammlungen, zu den allgemeinen Verhaltensregeln, zur Erbringung von Dienstleistungen, zum Einzelhandel und verschiedenen Freizeiteinrichtungen sowie zur Gastronomie, zum Sportbereich, zum innerdeutschen Reiseverkehr und zur Religionsausübung beschrieben. Unter Berücksichtigung der Absprachen zwischen Bund und Ländern und der aktuellen Rechtsprechung wird pro Kapitel eine Quintessenz zu statistischen Effekten, Fragestellungen nach Wiederöffnungszeitpunkten oder zur Ausgestaltung der Rechtslage gezogen. Die gewonnenen Erkenntnisse fließen in die Bewertung der exekutiven Normsetzung ein und beantworten die Fragen nach deren Besonderheiten sowie nach den Vor- und Nachteilen des föderalistischen Vorgehens in der Pandemie. Die Ausführungen münden in konkreten Empfehlungen für den weiteren Verlauf der Pandemie unter Berücksichtigung des am 18.11.2020 neu erlassenen § 28a Infektionsschutzgesetz.

Ramona Steinkühler erwarb 2021 im berufsbegleitenden Studiengang Public Management ihren MBA an der Hochschule Osnabrück. Im ersten Jahr der Corona-Pandemie war sie als Referentin der für den Gesundheitsdienst verantwortlichen Ersten Kreisrätin des Landkreises Osnabrück tätig. Durch ihre Aufgabe war sie intensiv mit den aktuellen niedersächsischen Corona-Regeln und Änderungen betraut und erarbeitete u. a. Anwendungshinweise zu den aktuell geltenden Allgemeinverfügungen und Corona-Verordnungen.
Ulcerative Lesions of the Oral Cavity
Authors: Yildirimyan Nelli
Published: November 2021

Apart from dental and periodontal diseases, oral mucosal lesions are also frequently encountered by both general dentists and dental specialists in outpatient clinics. Although these soft tissue lesions may only reveal a localized issue, sometimes they may be the only sign of a more serious underlying systemic condition. Thus, oral ulcerations pose a unique diagnostic challenge for healthcare providers and should be cautiously handled when they last for more than two weeks, even after any possible traumatic etiologies are eliminated. There are many different classifications regarding oral ulcerations based on their etiologic or clinical features. In order to provide a logical and simple stepwise guidance to accurate diagnosis, this chapter will categorize and explain these lesions based on their clinical properties.
Melatonin serum level, sleep functions, and depression level after bilateral anodal transcranial direct current stimulation in patients with Parkinson’s disease: a feasibility study
Authors: Hadoush Hikmat , Alqudah Ansam , Banihani Saleem A. , Al-Jarrah Muhammed , Amro Akram , Aldajah Salameh
Published: November 2021

Objective: Parkinson’s disease (PD) is associated with non-motor complications such as sleep disturbance and depression. Transcranial direct current stimulation (tDCS) showed therapeutic effects on the motor dysfunctions. However, the potential effects of tDCS therapy on melatonin hormone, sleep dysfunctions, and depression in patients with PD still unclear. This feasibility study aimed to identify any potential changes in melatonin serum level, sleep functions and depression after the bilateral anodal tDCS in patients with PD.

Material and Methods: Tensessions of bilateral anodal tDCS stimulation applied over left and right prefrontal and motor areas were given to twenty-five patients with PD. Melatonin serum level, Pittsburgh sleep quality index, and geriatric depression scale examined before and after tDCS stimulation.

Results: After bilateral anodal tDCS, there was a significant reduction in melatonin serum level, improvement in depression, improvements in overall sleep quality, and sleep latency. Correlations test showed significant associations between melatonin serum level reduction and changes in subjective sleep quality, and sleep duration, as well as between improvements in depression and overall sleep quality, sleep latency, and sleep disturbance.

Conclusion: Bilateral anodal tDCS therapy was a feasible and safe tool that showed potential therapeutic effects on melatonin serum level, sleep quality, and depression level in patients with PD. Although the further large scale and randomized-control trial studies are crucially needed, there is still a need for such a feasibility study to be established before such trials can be implemented as is recommended in the new medical research council guidelines.
Precise Numerical Differentiation of Thermodynamic Functions with
Multicomplex Variables
Authors: Deiters Ulrich K. , Bell Ian H.
Published: November 2021

The multicomplex finite-step method for numerical differentiation is an extension
of the popular Squire–Trapp method, which uses complex arithmetics to compute
first-order derivatives with almost machine precision. In contrast to this, the
multicomplex method can be applied to higher-order derivatives. Furthermore, it can be
applied to functions of more than one variable and obtain mixed derivatives. It is
possible to compute various derivatives at the same time. This work demonstrates the
numerical differentiation with multicomplex variables for some thermodynamic problems.
The method can be easily implemented into existing computer programs, applied to
equations of state of arbitrary complexity, and achieves almost machine precision for
the derivatives. Alternative methods based on complex integration are discussed,
too.
THE STRATEGIC COMPETITIVENESS OF THE SOUTH AFRICAN MINING INDUSTRY IN THE AGE OF THE FOURTH INDUSTRIAL REVOLUTION
Authors: Zulu Steven , Pretorius Tinus , van der Lingen Elma
Published: November 2021

The South African mining industry has a history of a range of major challenges, including high operating costs that have had a negative impact on mines’ profitability and financial sustainability. The advent of Fourth Industrial Revolution technologies has opened up new opportunities for the mining industry, among other things, to improve its cost-effectiveness and future competitiveness. Most South African mining companies have begun to adopt Fourth Industrial Revolution technologies; however, quite a large number of their projects have not been successful. The main objective of the paper is to conduct an integrative literature review to determine why some of the companies in the minerals, mining, and processing industry have not been successful in implementing Fourth Industrial Revolution technologies. The findings of the study outline areas of organisational and technological capability on which the industry could focus when developing future innovation strategies.
Re-imagining patient narrative: exploring patient experience of genetic medicine through art practice
Authors:   , O'Connor Emma Frances
Published: November 2021

I contend that art practice can critique and have an impact on the expectation and form of the patient narrative of genetic medicine, as promoted and experienced in medical contexts, and this is proposed as a contribution to knowledge. My second – methodological – contribution lies in the expansion of autoethnography to include autobiographical art practice to amplify possibilities for insight and new understanding. I construct and reflect upon my patient narrative as an artist and carrier of the CDH1 genetic mutation, associated primarily with Hereditary Diffuse Gastric Cancer. Art practice is proposed as a means of documenting, articulating, and analysing patient experience of genetic diagnosis and preventative surgery. Art works are employed to examine the relation between genetic diagnosis and patient narrative, with attention to the CDH1 genetic mutation. The discourse and structure of patient narrative are considered, questioning if current definitions accommodate the complex relation between genetic diagnosis and patient narrative. I trace the historical emergence of patient narrative (the means by which a selfidentifying patient or family member articulates personal experience of illness), examining dominant ideas in the field of patient narrative: biographical disruption, narrative reconstruction, and the sociologist Arthur Frank’s typologies of illness narrative. I explore Frank’s ideal illness narrative – the quest narrative – in my own quest, led by art practice, to locate my stomach. Contextualising my work in this field, I construct new ways to explore my patient experience through art practice, challenging existing models that fail to reveal what it means to be a patient of genetic medicine. Autoethnography is both a research methodology and outcome, informed by my experience. The work of others enhances my understanding of different approaches to narrative, providing models for addressing patient narrative in a meaningful way. Readings of two films by Jean-Luc Godard, Passion (1982) and Scénario du film ‘Passion’ (1982), and Dora García’s film The Joycean Society (2013) provide a framework for my practical experimentation as I discover narrative elements to explore through production. Recognising the experimental potential of narrative formation, I work with movement, rhythm, reflection, opacity, focus, emplotment, sequence, editing, fragment, sound, staging, framing, light, and documentation, investigating narrative forms – sonic, haptic, performed, embodied, book, digital – and singular, dialogic, and multiple narratives
Expériences du mourir et de la mort
Authors: Le Gall Josiane , Samson Marie-Ève , Fortin Sylvie
Published: November 2021

Les études sur les expériences de fin de vie et de mort du point de vue des familles et des proches sont parcellaires, davantage encore dans un contexte de diversité religieuse, ethnique et socioculturelle tel que Montréal. Les quelques travaux qui en tiennent compte soulignent une différence de perspectives entre patients, familles et intervenants, notamment en regard de ce qui est entendu par une « bonne mort ». Cet article se base sur les résultats d’une recherche sur les expériences de fin de vie et de mort à domicile et en institution de soins auprès de familles et proches de groupes minoritaires à Montréal. S’appuyant sur des entretiens approfondis menés auprès de 23 proches ayant accompagné un aîné immigrant âgé de 80 ans et plus en fin de vie, l’article aborde spécifiquement les attentes des familles en ce qui a trait à une fin de vie de qualité et les enjeux soulevés par la rencontre avec les services de santé. Les résultats révèlent une diversité des expériences (des bonnes et des moins bonnes) et montrent que le regard porté par les familles sur la fin de vie et la mort est influencé par l’écart possible entre ce qui est souhaité pour l’aîné et leur appréciation des soins professionnels reçus.
Concevoir une linguistique de la mort (note de recherche)
Authors: Erard Michael , Kerbiriou Anne-Hélène
Published: November 2021

Bien que la mort et le mourir constituent un élément central de l’expérience humaine, les linguistes n’ont jamais mis leur science au service de l’explication des phénomènes linguistiques et communicationnels qui se produisent au chevet des mourants ou à proximité. Une série d’entretiens informels effectués avec des linguistes permet de comprendre pourquoi les linguistes ont ignoré cette question : la difficulté de recueillir des données, les problèmes de financement pour ce faire, et d’autres problèmes de navigation dans la recherche moderne ; les tabous entourant la mort et le mourir en tant que sujet d’étude ; et le manque d’expérience en matière de mourir. Une esquisse de l’histoire de la linguistique permet d’avancer une raison supplémentaire : ce champ d’études est fondamentalement orienté vers les origines et les commencements, et dans la linguistique contemporaine les controverses théoriques les plus accentuées portent sur l’acquisition du langage.
Architectes de leur mort
Authors: Giampaoli Michelangelo
Published: November 2021

Si, comme le disait Edmond Haraucourt dansRondel de l’adieu(1890), « [p]artir, c’est mourir un peu », il est vrai aussi que mourir signifie quitter ce monde et, également, commencer à s’organiser en vue de ce que (peut-être) il y aura juste après le dernier souffle. Pour un nombre surprenant de personnes, cela signifie se préparer à sa propre mort en se consacrant à l’achat d’une concession funéraire et à la création de sa dernière demeure : on choisit le cimetière, le monument, les matériaux, les symboles, l’épitaphe… On construit, en fait, un dernier foyer pour soi-même et, souvent, pour sa propre famille. Dans le cadre d’une plus vaste recherche anthropologique conduite dans des cimetières en Italie, aux États-Unis et au Brésil, on a pu se confronter à des individus qui ont décidé de passer leurs derniers mois ou années de vie à choisir, acheter, décorer et personnaliser leur propre tombe. Qu’ils fassent cela pour réaliser leurs derniers rêves et volontés — avant qu’il ne soit trop tard et en ne se fiant pas trop au fait que les autres le fassent pour eux — ou, tout « simplement », pour ne pas penser à la maladie et à la destruction du corps, le résultat est souvent le même : sous forme d’une chapelle, d’un buste, d’un petit jardin ou d’une photographie funéraire, et dans des espaces — les cimetières — qu’on apprend à aimer chaque jour davantage, des individus pensent à la mort de façon constructive et, souvent, artistique. C’est surtout une manière de ne pas la subir, la mort ; au contraire, on apprend à la connaître et à la maîtriser, jusqu’à en faire une oeuvre d’art ou juste un agréable espace de mémoire.
Fins de vie, controverses et conceptions de la personne
Authors: Schepens Florent
Published: November 2021

L’univers de la fin de vie est traversé par deux entreprises morales en France. L’une est le fait des soignants des soins palliatifs qui s’appuient sur la légitimité de la science et de la médecine pour fonder leur approche ; l’autre est celle des tenants d’une aide active à mourir qui mettent en oeuvre une rhétorique émotionnelle pour produire de l’intolérable et obliger le législateur à intervenir et à prendre en considération leurs revendications. Derrière les discours portés par les différents acteurs apparaissent deux figures de la personne malade : l’une isolée, l’autre prise dans un collectif ; l’une référée principalement à sa corporalité biologique, l’autre à son psychisme. In fine, ce sont deux conceptions de la personne aux propriétés différentes qui s’affrontent ici.
La formation des psychoéducateurs et des psycho-éducatrices au Québec : rétrospective et prospective
Authors: Caouette Martin , Bégin Jean-Yves , Trudel Dominique
Published: November 2021

Les psychoéducateurs constituent un groupe de plus de 5000 professionnels québécois qui interviennent auprès de personnes aux prises avec des difficultés d’adaptation se manifestant sur le plan comportemental dans leurs différents milieux de vie. Cette expertise s’appuie notamment sur une formation initiale universitaire de 1eret de 2e cycle. Dans une visée rétrospective et prospective, cet article retrace d’abord l’évolution de la formation des psychoéducateurs au cours des soixante dernières années, de ses origines dans les internats pour jeunes en difficulté d’adaptation jusqu’au développement de programmes doctoraux en psychoéducation. L’arrivée de l’ordre professionnel, en 2000, est ensuite présentée comme un jalon important de cette histoire avec l’encadrement des programmes donnant accès au permis d’exercice. Enfin, un regard est posé sur les défis que cette formation devra relever au cours de la prochaine décennie.
L’intégration des psychoéducateurs au système professionnel québécois : histoire et
perspectives
Authors: Trudel Dominique , Leclerc Denis , Legault Isabelle
Published: November 2021

À l’automne 2000, les psychoéducateurs célébraient les 20 ans de leur
intégration au système professionnel. Ce moment marquant de leur histoire collective était
en préparation depuis nombre d’années. Entre autres conséquences, le regroupement des
psychoéducateurs dans un ordre a signifié la mise en place de structures d’accès, de
surveillance et de discipline de l’exercice de la profession. Cet article pose un regard sur
cette histoire, tenant compte du contexte de réforme des professions liées à la santé
mentale et aux relations humaines, en cours depuis 2009 (PL 21). Après avoir retracé les
principales étapes de développement de l’Ordre des psychoéducateurs et psychoéducatrices du
Québec (OPPQ), quelques observations sur l’évolution de la pratique de ces professionnels
sont présentées. Celles-ci pourraient avoir un impact sur les activités de l’Ordre dans
l’avenir.
La psychoéducation classique est-elle une discipline en dissipation? Le parcours de l’École de psychoéducation de l’Université de Montréal en parallèle de quatre périodes doctrinaires : de la réforme à la rééducation vers l’hétérogisme et le contrôle
Authors: Le Blanc Marc , Morizot Julien
Published: November 2021

Cet article présente l’évolution de la psychoéducation au Québec en la situant dans le contexte de quatre périodes historiques qui correspondent chacune à des doctrines successives de la prise en charge des jeunes en difficulté par l’État québécois. Les racines de l’École de psychoéducation (ÉPÉ), créée à l’Université de Montréal au début des années 1970, sont déterrées jusqu’au dernier quart du 19e siècle lorsque la doctrine dominante était la réforme. Par ailleurs, une formation sur la jeunesse inadaptée avait pris forme dans des internats pour enfants et adolescents avant la création de l’ÉPÉ dans les années 1950-1960. La doctrine de la rééducation commençait alors à remplacer celle de la réforme. Cette rééducation scientifique se construisait déjà en raison de son assise théorique, d’activités diverses de recherche et de stages. Le Boscoville classique atteignait alors son apogée. L’ÉPÉ a repris ce modèle avec des cours sur les théories du développement psychologique et les connaissances sur l’organisation et le fonctionnement d’un internat et des stages pratiques. Par la suite l’ÉPÉ s’est adaptée, à partir du milieu des années 1970, à la doctrine de l’hétérogisme qui prônait, entre autre, la désinstitutionalisation et la diversification des services et des approches cliniques. Elle a alors pris la direction des recherches longitudinales, soit expérimentale ou évaluative. Surtout, elle a accepté progressivement un large éventail de types de difficultés d’adaptation et une diversité de milieux pour la pratique de la psychoéducation. Elle a aussi remplacé, au cours des années 1990, l’approche psychodynamique par celle dite cognitivo-comportementale et elle a fait un clin d’oeil à la psychopathologie. La dernière période, depuis 2000, a été celle du contrôle légal, organisationnel, professionnel et scientifique, c’est-à-dire l’imposition de processus, règles et procédures qui limitent les initiatives créatrices. Tous ces changements et contraintes successives amènent à conclure que la psychoéducation est devenue une discipline en dissipation.
Boscoville d’hier à aujourd’hui
Authors: Martin Frédérick , Stan Simina , Pinsonneault Michelle
Published: November 2021

À travers les lignes de cet article, les auteurs souhaitent illustrer l’évolution de Boscoville, berceau de la psychoéducation, qui nonobstant ses différents mandats au fil des ans, a su garder sa mission sociale envers les jeunes du Québec. Dans la première partie, les auteurs décrivent la naissance de Boscoville en tant que camp d’été, puis la transition vers la mise en place d’un centre permanent pour jeunes en difficultés au cours des années 50. On y peint notamment la contribution de différents acteurs qui ont participé à la naissance de la psychoéducation tels que le père Albert Roger et Gilles Gendreau. Dans la seconde partie, les auteurs illustrent la transition de Boscoville vers une organisation à but non lucratif visant à développer des pratiques d’interventions novatrices. On y découvre la contribution de Gilles Gendreau, de Marc Leblanc et de Jacques Dionne dans le développement d’un nouveau savoir-faire en collaboration avec les centres de réadaptation, ainsi que l’ouverture de l’organisation sur les milieux de la petite enfance, scolaire et communautaire. La troisième et dernière partie de l’article élabore sur la plus récente phase d’évolution de Boscoville. On y décrit le passage vers une nouvelle manière de travailler en collaboration avec différents chercheurs et les milieux terrain. La méthode de travail de l’équipe de Boscoville est décrite dans son désormais rôle central pour le développement des meilleures pratiques, mais également pour le soutien des milieux dans l’adaptation et l’application de ces contenus. On peut y lire également différentes rétroactions des milieux d’interventions travaillant en collaboration avec Boscoville. Finalement, les auteurs décrivent les perspectives d’avenir pour continuer de contribuer au bien-être des jeunes du Québec.