bluuebunny/crossref_metadata_2025 huggingface dataset:
Realidade Virtual na Reabilitação: Por Que Sim e Por Que Não? Uma Revisão Sistemática
Authors: Dores Artemisa R , Barbosa Fernando , Marques António , Carvalho Irene P , De Sousa Liliana , Castro-Caldas Alexandre
Published: October 2022

O processo de reabilitação, independentemente da área de saúde a que se refere, continua a ser um desafio para profissionais, pacientese suas famílias. Na tentativa de superar as limitações das intervenções tradicionais, a tecnologia de Realidade Virtual (RV)tem sido aplicada de forma crescente à reabilitação e começa a fornecer importantes ferramentas que, contudo, geram debate eposicionamentos divergentes.Com o objetivo de investigar quais os contributos da RV aplicada ao domínio da reabilitação, nomeadamente em termos das vantagense limitações que comporta, o presente estudo procede a uma revisão sistemática da produção científica nesta área e apresentaum modelo que permite, de modo hierarquizado, descrever e sistematizar a natureza dos estudos revistos e as principais temáticasabordadas.A revisão sistemática focou-se sobre trabalhos científicos indexados, até novembro de 2010, na base de dados ISI Web of Knowledge.Os trabalhos incluídos foram analisados por dois investigadores independentes no programa NVivo 9 e o modelo desenvolvidoaplicado à recodificação do material em análise. Foram identificados 963 artigos, dos quais, aplicados os critérios de exclusão, 288títulos e resumos foram analisados. O modelo desenvolvido indica, como categorias centrais da bibliografia: Tipo de Artigo (Empírico;Teórico); Contextualização do Projeto; Tipo de Abordagem (Tecnologia Assistiva; Realidade Aumentada; Abordagens Tradicionais;Realidade Virtual). Esta última categoria (RV) foi decomposta de forma exaustiva para documentação da sua aplicabilidade, efeitose tendências futuras. Como vantagens da RV, surgem: a possibilidade de sua aplicação a uma diversidade de domínios, funçõescognitivas, comportamentos, doenças neurológicas e incapacidades físicas; as suas características e respetivas consequências; e apossibilidade de superar limitações das intervenções tradicionais. Do lado das limitações aparecem discutidos: os efeitos secundáriosda RV, as causas das limitações e precauções sugeridas. Os resultados evidenciam tendências promissoras acerca da utilização datecnologia de RV no domínio da reabilitação, com implicações para a forma como será realizada no futuro. Sugerem ainda a necessidadede dar continuidade aos trabalhos que procuram avaliar a aplicabilidade da RV na reabilitação em geral e na reabilitação (neuro)cognitiva em particular.
Lesões Decorrentes do Posicionamento para Cirurgia: Incidência e Fatores de Risco
Authors: Menezes Sónia , Rodrigues Regina , Tranquada Raquel , Müller Sofia , Gama Karina , Manso Tânia
Published: October 2022

Introdução: O posicionamento cirúrgico adequado é um passo essencial que é muitas vezes subestimado, no entanto há que considerar que pode levar a lesões graves, mas evitáveis. O objetivo deste estudo é avaliar a incidência de lesão decorrente do posicionamento cirúrgico, bem como tentar identificar os seus fatores de risco. Material e Métodos: Estudo prospetivo que decorreu durante um ano e incluiu doentes de diferentes especialidades cirúrgicas propostos para cirurgia eletiva. Os doentes foram avaliados previamente à intervenção cirúrgica, sendo considerados critérios de exclusão: idade menos de 18 anos, classificação da American Society of Anesthesiologists ASA > III, neuropatia ou doenças neuromusculares documentadas. Consideraram-se lesões decorrentes do posicionamento: eritema não reversível sob digitopressão e/ou persistente > 30 minutos; dor severa em pontos de pressão e não relacionada com o local cirúrgico (Escala analógica visual - VAS ≥ 7) e lesão de nervo periférico. Avaliaram-se as variáveis: sexo, idade, Índice Massa Corporal, classificação ASA, técnica anestésica, tipo de posicionamento, duração da cirurgia e a sua relação com o aparecimento de lesão pós-operatória. Resultados: Dos 172 doentes incluídos no estudo, foram identificadas lesões perioperatórias em 12,2%, sendo que cinco destes doentes apresentaram mais do que uma lesão (dor em ponto de pressão + neuropatia). Destes, 9,9% queixou-se de dor severa (Escala analógica visual - VAS ≥ 7) em pontos de pressão, 4,7% apresentou neuropatia periférica e 0,6% apresentou eritema que não cedia à digitopressão. No grupo que desenvolveu lesão, não houve diferença significativa no que diz respeito à idade, sexo, técnica anestésica, duração da cirurgia e posicionamento. No que diz respeito à classificação ASA, verificou-se que os doentes ASA II e III apresentaram uma maior incidência de lesão (90,5%) quando comparados com os doentes ASA I (9,5%), p < 0,05. O Índice Massa Corporal > 30 Kg / m2 mostrou também estar associado ao desenvolvimento de lesão perioperatória, p < 0,001. Na análise isolada de lesão neuropática constatou-se que o Índice de Massa Corporal > 30 Kg / m2 estava relacionado com a ocorrência de neuropatia, p < 0,05. No que se refere às restantes variáveis e sua relação com neuropatia pós-operatória, não se verificou uma relação estatisticamente significativa. Conclusão: A evidência científica para a prevenção das lesões no peri operatório, nomeadamente das neuropatias, é limitada. A avaliação pós-operatória dos doentes é também essencial pois permite o reconhecimento precoce das lesões e a sua documentação e orientação.
Tumores Oncocíticos da Supra-Renal
Authors: Capela Andreia , Martinho Aurélia , Paixão Duarte Fernanda , Garcia Hermano , Rocha Pires Francisco , Theias Manso Rita , Aparício Samuel , Costa Ana Maria
Published: October 2022

Os tumores oncocíticos da supra-renal são neoplasias pouco frequentes. Atualmente existem 147 casos publicados. Os autores descrevem o caso de um homem de 34 anos admitido no hospital por lombalgias e febre. À observação identificava-se massa no quadrante superior esquerdo do abdomen. Os doseamentos das hormonas da supra-renal foram normais e a angiotomografia abdominal mostrou lesão retroperitoneal esquerda com 145 x 157 x 128 mm com extensas áreas necrosadas e hemorrágicas. O doente foi submetido a ressecção cirúrgica completa da lesão. O tumor pesava 1495 g e o exame anatomo-patológico concluiu tratar-se de tumor oncocítico da supra-renal com potencial maligno incerto. A maioria dos tumores oncocíticos é não funcionante e devem ser considerados no diagnóstico diferencial de tumores do córtex da supra-renal. O comportamento biológico e o seu prognóstico são variáveis e ainda estão mal estabelecidos. A propósito da raridade deste tipo de tumores os autores fazem uma revisão da bibliografia publicada.
Lipoma Vulvar: Um Diagnóstico Raro
Authors: Nunes Carla , Oliveira Vera , Ribeiro Jorge
Published: October 2022

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Novos Caminhos Para a Anatomia
Authors: Goyri-O'Neill João , Furtado Ivo A.
Published: October 2022

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Anatomia Radiológica da Disfunção Erétil Arteriogénica: Uma Abordagem Sistematizada
Authors: Pereira José António , Bilhim Tiago , Rio Tinto Hugo , Fernandes Lúcia , Martins Pisco João , Goyri-O'Neill João
Published: October 2022

Introdução: A disfunção erétil é uma doença com elevada prevalência existindo crescente interesse na sua terapêutica endovascular. Devido à complexidade do sistema arterial pélvico masculino, o conhecimento anatómico é fundamental. Avaliou-se a aplicabilidade da classificação de Yamaki na avaliação de doentes com disfunção erétil arteriogénica usando a Angiografia Tomográfica Computorizada e a Angiografia Digital de Subtração.Métodos: Análise retrospetiva dos achados imagiológicos de Angiografia Tomográfica Computorizada e Angiografia Digital de Subtração em 21 doentes do sexo masculino, com suspeita de disfunção erétil arteriogénica, que foram submetidos a embolização pélvica seletiva numa única instituição. A função erétil foi avaliada através do IIEF-5. O padrão de bifurcação da Artéria Ilíaca Interna foi caracterizado de acordo com a classificação de Yamaki. O diagnóstico da disfunção erétil arteriogénica foi feita baseado na presença de lesões ateroscleróticas da Artéria Ilíaca Interna e da Artéria Pudenda Interna.Resultados: A idade média foi de 67,2 anos; a média do IIEF foi 10,6 pontos. A Angiografia Tomográfica Computorizada e a Angiografia Digital de Subtração permitiram a classificação de todos os 42 lados pélvicos de acordo com a classificação de Yamaki. Vinte e quatro lados pélvicos foram classificados como Grupo A (57%), nove como Grupo B (21,5%) e nove como Grupo C (21,5%). A Angiografia Digital de Subtração detectou 19 Artérias Pudendas Internas anormais (lesões ateroscleróticas) (45%). A Angiografia Tomográfica Computorizada detectou 24 Artérias Pudendas Internas anormais (57%).Conclusão: Os achados por Angiografia Tomográfica Computorizada e Angiografia Digital de Subtração incluem estenoses e oclusões da Artéria Ilíaca Interna e da Artéria Pudenda Interna. A classificação de Yamaki tem reprodutibilidade radiológica e permite o reconhecimento da Artéria Pudenda Interna em doentes com disfunção erétil arteriogénica.
Quaternarian Seridó
Authors: Tavares Caio , Pereira Fernando Xerxes
Published: October 2022

The territory known as Seridó, located in Septentrional Northeastern Brazil, corresponds to one of the most severe semi-arid climate conditions in the country. Archaeological evidence, such as sites near drainage channels and rock art depicting river boats, point to milder climatic conditions in the past. Isotopic data on speleothems, bones, and charcoal have recorded the installation, during the Holocene, of the Caatinga biome, adapted to dry and hot climatic conditions. The occurrence of now extinct Pleisto-Holocene fossiliferous associations typical of aquatic environments (e.g., Hydrochoerus hydrochaeris and Tapirus terrestres), archaeological remains, and radiocarbon dating confirm paleoecological relationships and position the changes in space in deep time. This paper attempts to make the state of the art of paleoenvironmental information about the territory and, based on geological, archaeological, paleontological, palaeohydrological, speleological, and eustatic evidence, project the evolution of the Seridó landscape in a global perspective over the last 13 thousand year.
Innovative Behavior of Indonesian Pharmaceutical Employees: The Role of Psychological Empowerment and Leadership
Authors: Kusumaputri Erika Setyanti , Wahyuning Gustia Sekar Putri
Published: October 2022

Innovative behavior is considered a critical and essential factor for companies in the world of work. This study aims to determine the extent to which psychological empowerment influences the innovative behavior of employees working in pharmaceutical companies, with transformational leadership and transactional leadership as moderators. The research subjects were 115 employees from various pharmaceutical companies across ten cities in Indonesia. Innovative behavioral scales, psychological empowerment scales, transformational leadership scales, and transactional leadership scales were used to collect the data. Subgroup analysis and moderated regression analysis were used to analyze the data. The results show that transformational leadership has a higher score compared to transactional leadership. This result indicates that the hypothesis is accepted. Namely, that psychological empowerment is related to innovative behavior. Specifically, the correlation between variables showed that transformational leadership has a more substantial effect than transactional leadership
Kekerasan terhadap Anak sebagai Mediator antara Stres Pengasuhan pada Ibu di Masa Pandemi COVID-19 dan Depresi Anak
Authors: Aniella Hosea Laurensia , Widyorini Endang , Sumijati Sri
Published: October 2022

Semua orang dapat mengalami depresi, termasuk juga pada anak-anak. Pandemi COVID- 19 mengharuskan ibu memberikan waktu pengasuhan yang lebih banyak kepada anak di samping penurunan kondisi finansial yang dapat menyebabkan adanya stres pengasuhan pada ibu. Stres pengasuhan pada ibu dapat menyebabkan kerentanan pada ibu dalam melakukan tindakan kekerasan kepada anak. Penelitian ini bertujuan untuk mengetahui apakah kekerasan pada anak menjadi mediator hubungan antara stres pengasuhan yang dimiliki oleh ibu dimasa pandemi COVID-19 dengan depresi pada anak. Penelitian ini merupakan penelitian kuantitatif dengan melibatkan 96 responden dengan cara convenience sampling. Berdasarkan hasil analisis jalur ditemukan bahwa stres pengasuhan pada ibu di masa pandemi Covid-19 tidak berkontribusi secara signifikan pada terjadinya kekerasan terhadap anak (â = .179, p = .082). Hasil ini menunjukkan bahwa kekerasan terhadap anak tidak menjadi mediator hubungan antara stres pengasuhan pada ibu di masa pandemi COVID-19 dengan depresi yang terjadi pada anak. Namun demikian, depresi pada anak terjadi dengan adanya kontribusi stres pengasuhan pada ibu di masa pandemi COVID-19 (â = .325, p = .000) serta kekerasan terhadap anak (â = .532, p = .000).
Peran Kontrol Diri sebagai Mediator Hubungan Komunikasi Efektif Orang Tua Remaja dengan Agresivitas Remaja
Authors: Onik Pratidina Putu Ayu , Marheni Adijanti , Sampe Tondok Marselius
Published: October 2022

Aggressiveness is one of the most critical problems in adolescents in their relationships with other people. Various factors that influence adolescent aggressiveness include effective parent- adolescent communication and self-control. However, there is still limited research examining the effect of effective parent-adolescent communication on adolescent aggressive behavior, especially mediated by self-control. This study aimed to determine the effect of effective parent-adolescent communication on adolescent aggressiveness mediated by self-control. The participants of this study were 228 high school students, middle adolescence (15-18 years). Data were collected using the Parent-Adolescent Effective Communication Scale, Aggressiveness Scale, and Self-Control Scale. The hypotheses were tested using mediation analysis using the JASP statistical program. The results showed that self-control partially mediated the relationship between effective parent-adolescent communication on adolesent aggressiveness. Furthermore, parents’ communication with adolescent girls was more likely to be open than with boys. These results can be a reinforcement that effective parent-adolescent communication plays an important role in the development of a child from an early age because it supports the development of self-control and behavior of children.
Konsep Harga Diri: Studi Komparasi Perspektif Psikologi Modern dan Islam
Authors: Arroisi Jarman , Badi' Syamsul
Published: October 2022

Harga diri (self-esteem) merupakan penilaian harga diri manusia dalam dunia psikologi yang dikaji melalui seperangkat metode yang telah dirumuskan oleh para tokoh psikologi Barat. Dalam pandangan mereka pola pikir, sikap dan perilaku serta keberadaan seseorang, sangat menentukan tinggi rendahnya harga diri. Artikel ini bertujuan mengeksplor perbedaan harga diri dan muru’ah dalam pandangan psikologi Barat dan Islam. Dengan menggunakan metode deskriptif-analisis serta menjadikan perpustakaan sebagai basis data peneliti sampai pada beberapa kesimpulan antara lain sebagai berikut; harga diri merupakan harga diri seseorang yang bisa dinilai melalui sikap, pola pikir dan tingkah laku manusia saja. Sementara muru’ah merupakan harga diri seseorang yang dapat diukur dengan pola pikir, sikap dan tingkah laku seseorang dan dapat dilihat melalui hubungan seseorang dengan sesamanya dan juga hubungannya dengan Tuhan. Harga diri dinilai mampu mewujudkan kesejahteraan psikologis manusia namun tidak mampu menghadirkan kesejahteraan spiritual seperti yang ditawarkan dalam psikologi Islam. Psikologi Islam memiliki corak tersendiri karena bersumber pada wahyu Tuhan. Berbeda dengan psikologi modern yang menyandarkan kajiannya pada kekuatan penelitian dan eksprimen. Sebab itu, untuk kepentingan yang lebih besar serta kesejahteraan yang lebih holistik perlu ditelaah kembali paradigma yang tertanam dalam konsep harga diri, tentu dengan melihat aspek kelebihan dan kekurangannya. Sekaligus meneguhkan perlunya konsep muru’ah dalam Islam menjadi standar dan tolak ukur dalam melihat harga diri seseorang.
Translasi, Adaptasi dan Validasi Skala Intolerance of Uncertainty Short Version 12-item (IUS-12) ke Bahasa Indonesia
Authors: Nur Istiqomah Alifah , Fadilla Helmi Avin , Widhiarso Wahyu
Published: October 2022

The COVID-19 pandemic has pushed people to experience the situasion of volatility, uncertainty, complexity, and ambiguity (VUCA) which has the potential to cause various mental health problems. Research on Intolerance of Uncertainty (IU) is immportant because of its crucial role as a risk factor for mental health disorders. Unfortunately, the measuring tool for that cognitive function has not yet been adapted into Indonesian culture and language. This Study aims to adapt the 12-item Intolerance of Uncertainty Scale (IUS-12) to Indonesia and determine the psychometric properties of the scale.
Eksistensi Subkultur Blue Wall of Silence dalam Permasalahan Integritas Polisi Indonesia
Authors: Rahmah Laily , Ufieta Syafitri Diany , Retnowati Sofia , Riyono Bagus , Setiyawati Diana
Published: October 2022

ubkultur Blue Wall of Silence (BWoS) merupakan larangan tidak tertulis untuk tidak melaporkan dan menutupi pelanggaran yang dilakukan rekan polisi. Hal ini diasumsikan sebagai salah satu faktor penyebab sikap defensif Kepolisian Republik Indonesia (Polri) yang tidak memberikan akses kepada penelitian akademis, inspeksi publik dan investigasi media untuk mendapatkan informasi aktual terkait perilaku tidak berintegritas (misbehave) yang dilakukan polisi. Studi eksplorasi kualitatif ini bertujuan menyelidiki eksistensi BWoS dalam praktek pemolisian Indonesia agar dapat dipahami faktor-faktor penyebab dan proses berkembangnya subkultur tersebut guna mengupayakan strategi untuk meminimalisir. Sebanyak 117 Staf Polisi yang berasal dari 13 satuan kerja yang berkantor di salah satu Kepolisian Daerah (Polda) di Pulau Jawa dilibatkan sebagai subjek penelitian. Data dari subjek diperoleh melalui kuesioner terbuka (open-ended questionnaire) dan diolah dengan menggunakan teknik analisis tematik dan analisis isi. Temuan studi menunjukkan bahwa BWoS juga ditemukan di Polri. Sikap diam sementara atas perilaku tidak berintegritas rekan polisi menjadi respon spesifik yang tidak ditemukan dalam penelitian terdahulu. Adapun faktor penyebab, proses dan dampaknya dalam proses pemolisian di Indonesia dipaparkan dalam diskusi dan ditampilkan dalam bentuk peta tematik dinamika eksistensi subkultur BWoS. Temuan ini dapat dijadikan referensi bagi pihak manajemen Polri untuk membuat kebijakan ataupun strategi pengelolaan Sumber Daya Manusia (SDM) yang dapat meningkatkan integritas polisi.
Application of Umbilical Cord Tissue Allografts in Reduction Mammoplasty Wound: A Case Study
Authors: Lambert Naomi , Vinke Eric , Barrett Tyler , Meglin Allen , Shou John , Welch Kevin
Published: October 2022

Nearly 15 million patients undergo cosmetic surgery in the United States each year, with breast augmentations such as implants, lifts, or reductions being some of the most common procedures. The most common complications of these procedures are scarring and infection at the incision site, which often necessitates expensive corrective surgery. After significant weight loss, the patient in this study underwent an elective lower body lift in conjunction with a breast reduction and nipple-areolar transplant. An autologous skin graft was used at the transplant donor site. The skin graft unfortunately necrosed, warranting the need for rapid wound closure to avoid further pain and infection. The patient was treated for eight weeks with conservative measures. After eight weeks of failed attempts to close her wound, she was referred for specialist care. Upon initial examination, the donor site wound measured 3.5 cm x 3.5 cm with no sign of epithelialization. The patient received a single dose of Wharton’s jelly flowable perinatal tissue allograft and five hyperbaric oxygen therapy treatments over seven weeks. Upon inspection at the final examination, the wound was closed entirely with 100% epithelialization overlying granulation tissue. This case study demonstrates a precedent for the application of Wharton’s jelly flowable allografts in complicated cosmetic post-surgical wounds. Future efforts will be directed at applying Wharton’s jelly allografts on a preventative basis. Preventative applications could be in stage 2 pressure sores or intra-operatively to decrease potential patient suffering, prevent emotional distress, and reduce unnecessary healthcare expenses.
A Self-closed Turbulence Model for the Reynolds-averaged Navier-Stokes Equations
Authors: Sun Bohua
Published: October 2022

In this paper, for the Reynolds-averaged Navier-Stokes equations, a self-closed turbulence model without any adjustable parameter is formulated. The validation rule for self-closed turbulence model is rigorously derived from the Reynolds-averaged Navier-Stokes equation. The rule is not effected by turbulence modelling on the Reynolds stresses.
Aldrich and McCreery (eds.), Monarchies and Decolonisation in Asia (Manchester University Press, 2020)
Authors: Jones Aidan
Published: October 2022

Review of Robert Aldrich and Cindy McCreery, eds., Monarchies and Decolonisation in Asia (Manchester: Manchester University Press, 2020).
Neal, The Letters of Edward: Political Communication in the Thirteenth Century (Boydell Press, 2021)
Authors: Del Val Vales Paula
Published: October 2022

Review of Kathleen B. Neal, The Letters of Edward: Political Communication in the Thirteenth Century (Woodbridge: Boydell Press, 2021).
Tingle, Chaucer’s Queens: Royal Women, Intercession, and Patronage in England, 1328–1394 (Palgrave Macmillan, 2020)
Authors: Benz Lisa
Published: October 2022

Review of Louise Tingle,  Chaucer’s Queens: Royal Women, Intercession, and Patronage in England, 1328–1394 (Cham: Palgrave Macmillan, 2020).
Between Public and Private Spaces: Jacobite Diplomacy in Vienna, 1725-1742
Authors: Griffin Stephen
Published: October 2022

This article assesses Jacobite activities at the Habsburg court in Vienna from the mid-1720s to the early 1740s. Three Jacobite diplomatic agents belonging to the Stuart court in exile were sent to Vienna during this time. Although the emperor did not recognise the head of the Stuart court, its representatives were sometimes able to partake in the diplomatic rituals and ceremonies of court. By analysing correspondence between the Stuart court and its agents, one can identify how they operated in and used public and private spaces in Vienna to influence and gain the support of the Habsburg court. The agents were granted private audiences with Imperial ministers and could communicate informally with courtiers at public gatherings. Such contacts led them to gain access to the Imperial chambers to witness public events, to obtain news, and to communicate with members of the Imperial family. By examining these activities it is also possible to gain further insight into relations between these two courts. Despite the emperor’s refusal to engage with them, Jacobites maintained active public lives in Vienna, and they continuously made use of their opportunities both inside and outside of court to further their private diplomatic missions.
Women’s Quarters, an Influential and Political Pole: A Study of the Frankish Inner-Court (Sixth–Seventh Century)
Authors: Cudorge Justine
Published: October 2022

The question of women exercising power and influence appears to be central, if not fundamental, to gender studies, as it allows an in-depth reflection on both societal norms and the way we perceive them today. The historian’s vision has been biased for a long time by a dichotomic consideration of society, with a clear gendered partition where women would have been confined to the private, domestic sphere. Their actions were thus perceived as inconsequential at best, invisible at worst, for they were perpetually limited to private quarters and familial intimacy, while men’s authority and actions supposedly influenced the public sphere and politics in a larger measure. It would be a mistake, however, to keep considering that politics and familial intimacy should be studied separately. The palace environment in particular proves to be especially favorable to women’s authority, for they often benefit from a specific access to the sovereign that even major dignitaries can be deprived of, seeing as they are generally not received privately by the ruling dynasty. Studying women’s quarters thus brings to light a mosaic of interdependent relationships, of intercessors, factional processes, and intricate political networks. Although women can be, and often are, limited in some specific ways, such as their physical presence within the public space, they can still achieve political relevance and play a key role within the palace hierarchy and court mechanics. In other words, women are not only instrumental in displaying royal authority but can, at times, fully embody it without specifically causing a break with tradition. Merovingian private quarters in particular offer a very meaningful example, in that they are a reflection of the Merovingian matrimonial practice—polygyny. By multiplying the female pole within the palatial structure, power and authority come into play, taking various shapes and influencing many areas of the political and private life of the sovereign.
Minimally Invasive Transforaminal Lumbar Interbody Fusion with Enhanced Recovery after Surgery (ERAS): Early Experience with Initial Consecutive Cases at a Spine Naïve Community Hospital
Authors: Dalton Jonathan F , Oyekan Anthony , Ridolfi Dominic , Gannon Emmett , Ruh Ethan , Sharma Vivek
Published: October 2022

Objective: The objective of this study was to examine a spine naïve community hospital’s ability to perform MITLIF safely and with speedy discharge via implementation of a minimally invasive spine surgery (MISS) program utilizing ERAS. Methods: Single community hospital retrospective cohort analysis for initial consecutive MITLIF cases with unilateral pedicle screws performed by a single surgeon from October 2019 to March 2021. Minimum postoperative follow-up was one year. Narcotic use was assessed per the state prescription drug monitoring program. Surgery protocol included single paraspinal incision, non-expandable 18/22 mm tube, operating microscope, fluoroscopic guidance, EMG with SSEP monitoring and Enhanced Recovery After Surgery (ERAS) protocol. Results: 52 patients were included. Average OR time, and fluoroscopy time were 143±115 minutes, and 1.00±0.47 minutes, respectively. Patients were prescribed an average of 38±33 post-operative opioid doses for an average of 8±7 days. All patients on preoperative, chronic narcotics had no prescription changes, pre-op versus post-op, despite clinical improvement. Complications included one irrigation a(1.9%) nd debridement with retention of hardware for surgical site infection, and one revision(1.9%) for displaced hardware. Discharge data included 47 (90.4%), four (7.7%), and one patients (1.9%) discharged on POD1, POD2, and beyond POD2, respectively.Conclusion: MITLIF can be safely and successfully performed at a spine naïve community hospital with excellent intraoperative metrics, a low complication rate, and speedy discharge. MITLIF performed well in multiple perioperative and postoperative variables compared to MISS techniques. Considerations for implementation of MITLIF in the community setting include special equipment, personnel training, surgeon experience, ERAS protocols and diligent patient/indication selection.
Generalized pairwise comparisons of prioritized outcomes are a powerful and patient-centric analysis of multi-domain scores
Authors: Deltuvaite-Thomas Vaiva , De Backer Mickaël , Parker Samantha , Deneux Marie , Polgreen Lynda E. , O'Neill Cara , Salvaggio Samuel , Buyse Marc
Published: October 2022

Background
Generalized pairwise comparisons (GPC) can be used to assess the Net Benefit of new treatments for rare diseases. We show the potential of GPC through simulations based on data from a natural history study in mucopolysaccharidosis type IIIA (MPS IIIA).
Methods
Using data from a historical series of untreated children with MPS IIIA aged 2 to 9 years at the time of enrolment and followed for 2 years, we performed simulations to assess the operating characteristics of GPC to detect potential (simulated) treatment effects on a multi-domain symptom assessment. Two approaches were used for GPC: one in which the various domains were prioritized, the other with all domains weighted equally. The Net Benefit was used as a measure of treatment effect. We used increasing thresholds of clinical relevance to reflect the magnitude of the desired treatment effects, relative to the standard deviation of the measurements in each domain.
Results
GPC were shown to have adequate statistical power (80% or more), even with small sample sizes, to detect treatment effects considered to be clinically worthwhile on a symptom assessment covering five domains (expressive language, daily living skills, and gross-motor, sleep and pain). The prioritized approach generally led to higher power as compared with the non-prioritized approach.
Conclusions
GPC of prioritized outcomes is a statistically powerful as well as a patient-centric approach for the analysis of multi-domain scores in MPS IIIA and could be applied to other heterogeneous rare diseases.
Recent Progress on the Pollution Characteristics and Inactivation Approaches of Fungi in Water
Authors: Chen Zhenzhen , Li Guo-Qiang , Xu Hong-Bin
Published: October 2022

Fungi are ubiquitous components of the phylogeny and functional diversity of almost all ecosystems on earth, and are widely distributed in natural and artificial water bodies. People are constantly exposed to fungi. Direct or indirect contact with certain fungi can cause human diseases. People’s awareness and demand for safe water have gradually increased in recent years. This paper mainly reviews the fungal contamination characteristics in water and two kinds of fungal inactivation approaches. The first method for fungal inactivation is single disinfectant inactivation, such as chlorine inactivation, chlorine dioxide inactivation, ultraviolet inactivation and ozone inactivation. The second method is combined inactivation, such as advanced oxidation technology (AOT) combined with ultraviolet-chlorine, and ozone-chlorine sequential inactivation processes. Among all the fungal inactivation pathways mentioned above, AOT and sequential inactivation have been shown to be better than single disinfectant inactivation. UV radiation and sunlight enhance the inactivating effect of oxidants on fungi by producing hydroxyl radicals. Synergistic effects play an important role in sequential inactivation. This paper has significance as a reference on how to choose inactivation methods and what follow-up fungal inactivation research is warranted.
Challenges in interpersonal relationships in ICU nurses: A systematic review
Authors: Mahvar Tayebeh , Kamravamanesh Mastaneh , Mahdavikian somayeh , Fallahi Masoud , Ghanbari vahid , Jalali Amir , Fallahi Hamoun , Mashalchi Hamideh
Published: October 2022

Background
Interpersonal relationships among nurses are a dynamic, continuous, and unavoidable process with its unique and multidimensional specifications. Interpersonal relationships in ICU nurses are highly important given the complicated and critical conditions of patients in these wards and that the nurses have to face ethical distresses. These relationships and the way of resolving conflicts among nurses are functions of the ruling mood and culture in ICUs. Through perceiving these relationships and identifying the facilitators and barriers of such relationships in nurses we can create and preserve a healthy work environment. The form of professional and occupational relationship in nurses affects therapeutic performance. The purpose of this review was to review relationship challenges in ICU nurses
Method
In this study, systematically-reviewed articles written in English and Persian language and indexed in Science Direct, PubMed, and Scopus databases and Google Scholar containing keywords namely “interpersonal relationships, nurses, professional communication, intensive care unit” published between 2008 and 2018 were searched for. The text of articles was studied several times and the relationship challenges in nurses were extracted, categorized, and explained.
Results
Out of 155 articles, 26 entered the final stage of review. The interpersonal relationship challenges in ICU nurses were categorized into five categories namely 1- professional environment, 2- relationship differences at different levels, 3- background condition of interpersonal relationships among nurses, 4- solution to create efficient relationships, 5- outcomes and results of an efficient relationship.
Conclusion
Factors like religious beliefs, educational level, behavioral and speech skills, cooperative attitudes, work experience, self-confidence, accepting criticism, supporting colleagues, and negative feelings can be effective in the development of interpersonal relationship culture. Work model and the way of assigning tasks to nurses were also indispensable parts of efficient relationships at work. By determining the challenges, the findings can be useful for determining proper solutions and functions to solve interpersonal relationship challenges in nurses. This can result in proper and healthy relationships among nurses and also promote similar relationships, which in return leads to quality and efficient care.
Two-dimensional Titanium Nitride as a Highly Active Electrocatalyst for Ammonia Production via NO Electroreduction
Authors: Kokabi Alireza , Fayazi Mina
Published: October 2022

Promising downhill and natural electrocatalysis characteristics for NO-reduction are obtained from the single-layer hexagonal TiN. Interestingly, the highest yield of NH \(_3\) by TiN electrocatalysis is shown to be at atmospheric pressure, indicating its feasibility for applications under ambient conditions. Two possible adsorption configurations for NOER, side-on and end-on are achieved. The NO side-on configuration binds more strongly to the TiN surface rather than the end-on. The mentioned NO-reduction leads to the formation of two byproducts (NH$_3$ and N \(_2\) H$_2$) controlled by the coverage of NO molecules. The NH$_3$ formation under low NO coverage has an overall downhill free-energy profile, indicating that the TiN structure is an excellent catalyst for NOER at the early stages of NO contamination. Favorably, low NO concentration leads to a higher yield of NH$_3$ formation, which is also fascinating.
An Iterative Analytic Approximation for a Class of Non-Linear Singularly Perturbed Parabolic Partial
Authors: KHARI KARTIKAY , Kumar Vivek
Published: October 2022

In this article, a closed-form iterative analytic approximation to a class of nonlinear singularly perturbed parabolic partial differential equation is developed and analysed for convergence. We have considered both parabolic reaction diffusion and parabolic convection diffusion type of problems in this paper. The solution of this class of problem is polluted by a small dissipative parameter, due to which solution often shows boundary and interior layers. A sequence of approximate analytic solution for the above class of problems is constructed using Lagrange multiplier approach. Within a general frame work, the Lagrange multiplier is optimally obtained using variational theory and Liouville-Green’s transformation. The sequence of approximate analytic solutions so obtained is proved to converge the exact solution of the problem. To demonstrate the proposed method’s efficiency and accuracy, two linear and one nonlinear test problem have been taken into account.
Pilot study of biofouling occurrence in a brackish water reverse osmosis system using intermittent operation
Authors: Jeong Seongpil , Kim Hye-Won , Choi Woodan , Suh Dongwoo , Baek Youngbin , Cho Kyungjin
Published: October 2022

Water scarcity is a severe issue for humans owing to global climate change. Water reuse via reverse osmosis (RO) has been widely used to stabilize water supplies; however, RO membrane fouling increases operational costs and necessitates intermittent operation. The biofouling study on the RO pilot was operated either intermittently or continuously using collected brackish water. The environmental microbiome was incubated under oxic and anoxic conditions to simulate surface and groundwater conditions as the feed water. The least fouling was observed on the RO membrane surface when the RO system was operated intermittently using feed water incubated under anoxic conditions. The microbial results showed that specific biofilm communities were formed on RO membrane surface after brackish water RO (BWRO) operation. The major biofilm-forming bacteria distinctively differed with influent water conditions (i.e., oxic vs. anoxic), whereas they were less different with operational strategies (i.e., continuous vs. intermittent). Intermittent operation could compensate for physical cleaning. However, chemical cleaning showed the most effective results for microbe removal on the membrane surface. Therefore, intermittent operation using anoxic feed water can mitigate fouling formation on RO membranes.
Characterization of nanometric thin films with far-field light
Authors: Salomon Adi , klimovsky hodaya Ester , Shavit Omer , Julien Carine , Olevsko Ilya , Hamode Mohamed , Abulafia Yossi , Suaudeau Hervé , Armand Vincent , Oheim Martin
Published: October 2022

The fabrication and characterisation of ultra-thin, transparent films is paramount for protective layers on semiconductors, solar cells, as well as for nano-composite materials and optical coatings. Similarly, the probe volume of nano-sensors, as well the calibration of axial distances in super-resolution microscopies, all require the metrology of axial fluorophore distances. However, the reliable production and precise characterisation of such nanometric thin layers are difficult and labor-intense and they require specialized equipment and trained personnel. In our present work, we describe a simple, non-invasive, all-optical technique for simultaneously measuring the refractive index, thickness, and homogeneity of such thin films. We assemble transparent layers from My-133-MC, a biomimetic transparent polymer with a refractive index of 1.33, amenable for applications in the life sciences. All parameters characterising the films are obtained in a single measurement from the analysis of supercritical angle fluorescence radiation patterns acquired on a minimally modified inverted microscope. Results compare favorably to those obtained through a combination of atomic force and electron microscopy, surface-plasmon resonance spectroscopy and ellipsometry. To illustrate the utility of our technique, we present two applications, one in metrology and one in bio-imaging; (i), the calibration of axial fluorophore distance in a total internal reflection fluorescence geometry; and, (ii), live-cell super-resolution imaging of organelle dynamics in cortical astrocytes, an important type of brain cell. Our approach is cheap, versatile and it has obvious applications in profilometry, biophotonics, photonic devices, and optical nano-metrology.
Presence of Microplastics in Estuarine Environment- A Case Study from Kavvayi and Kumbla Backwaters of Malabar Coast, Kerala, India
Authors: Padmachandran Aiswriya V , Sree Nhavilthodi , Nasrin Fathima , Muthuchamy Muthukumar , Muthukumar Anbazhagi
Published: October 2022

Microplastics (MPs) are gaining global attention in recent years due to its widespread distribution and potential health impacts. The present study focuses on the distribution and characterization of microplastics in the sediments and bottom dwelling organisms of Kavvayi and Kumbla backwaters of Northern Malabar region, Kerala, India. MP isolation procedure including density separation, organic matter digestion and membrane filtration followed by visual and spectral analysis using optical microscope and confocal Raman spectroscopy have been utilised for the microplastic evaluation. Microplastics of size range up to 500 nanometres were analysed and presence of MPs were detected in all samples with an average abundance of 99.5 ± 69.43 particles/ kg and 96.57 ± 29.96 particles/ kg in Kavvayi and Kumbla backwaters respectively. Raman spectral analysis confirmed about 50% of MPs to be synthetic elastomers with the remaining half encompassed by PA, PE, PEST, PU and PP. Higher abundance of MPs in the edible aquatic organisms like clams, prawns and fishes confirmed the transfer of MP from the environment into living organisms envisages the need of further investigation on toxicological impacts and management strategies.
Models of Motion in Abstract Linear Algebra
Authors: Drumea Bianca
Published: October 2022

This paper will solve problems using numerical tools from various branches of math, including linear algebra, analytical topology, and calculus. The main question is of how one can define an abstract algebraic group within a Hilbert space to describe an individual performing a specific movement. Several other questions arise from this, including the modeling of an axis of rotation. These are best resolved by an abstract representation of a motion of a body in space, then applying it to a specific material case. The abstract representation will be in the form of an algebraic group with a defined topology. The model maps the possible singular points in space the individual could occupy. The method of arriving at a solution for each step of the problem was the creation of a series of conclusions, linked by reasoning, expanding from an initial material example. This is known as divergent reasoning. Existent theories related to the concept at the root of the computational result were analyzed to identify any contradictions in lines of reasoning. The model was developed by means of an example case of a sport with elements of martial arts and gymnastics, called tricking. This was accomplished using four theorems: the Hilbert Basis theorem, the Nullstellensatz theorem, the weak Nullstellensatz theorem, and a new theorem, which describes the axis of rotation. The intended outcome is achieved by the end of the paper. The model was proved with a physical example, in which the algebraic group was translated into a vector function in R3 between a limiting interval of time.
Site Suitability in Water Harvesting Management Using Remote Sensing Data and Gis Techniques: A Case Study of Sulaimaniyah Province, Iraq
Authors: Noori Shaho , Ghasemlounia Redvan , Noori Abbas Mohammed
Published: October 2022

The human-induced water use changes and the climate change effects have impartially led to long-term drought, water shortages and some casual flood incidents. These, have significantly impacted the northern region of Iraq over the past few decades. Water resources management has become a key to resolving this dilemma, particularly for the arid and semi-arid areas. Harvested water could be exploited for consumption, domestic, and animal use. Moreover, it is considered a valuable resource for irrigating agricultural lands. This study aims to identify appropriate sites for rainwater harvesting in the Sulaimaniyah province, Iraqi Kurdistan region. These processes have been done by using remote sensing, Geographic Information System (GIS) techniques and multi-criteria decision making (MCDM). The analytical hierarchy process (AHP) model has been used to find out suitable locations for water harvesting. The criteria considered were runoff, slope, soil type, land cover and drainage density. Each factor is assigned to its weight depending on its effect. Based on the findings, the average region that is outstanding and well-suited for water collection is 32% of the whole area. The model that has been applied in the current study is extremely significant and supportive for water resource management.
Magnetite record of repose after recharge leading to the Plinian eruptions at Sakurajima
Authors: Araya Naoki , Nakamura Michihiko , Matsumoto Keiko , Okumura Satoshi
Published: October 2022

Mafic magma recharge of crustal reservoirs has been considered to be a direct trigger of volcanic eruptions. However, although recharge frequently occurs in many active volcanoes, it rarely leads to an eruption, making its role as a trigger ambiguous. Sakurajima volcano has vigorously erupted three times since the 15th century following a common process, that is, mixed magmas after recharge were once in a shallow, thick conduit before each eruption. We reconstructed the magma migration with a high time resolution by examining multiple elements in different minerals. Magnetite, which has the fastest elemental diffusivity among the phenocrysts, is homogeneous within each crystal but its chemistry varies among crystals, implying the final repose of the zoned, pre-charged magma body for more than dozens of days. Therefore, mafic recharge was not the immediate cause of the eruptions. Instead, crystallization-driven volatile exsolution and bubble growth in a shallow thick conduit might have finally triggered the eruptions.
Creep anisotropy reduction and improvement via post-heat treatment in yttrium-added Hastelloy-X fabricated by laser powder bed fusion
Authors: Banoth Santhosh , Palleda Thaviti Naidu , Saito Takuma , Murakami Hideyuki , Koji Kakehi
Published: October 2022

The development of laser powder bed fusion (LPBF) has made it possible to produce complex three-dimensional components for high-temperature applications. The LPBF process needs to be refined to address several key factors, such as high-temperature elongation, microstructure heterogeneity, and mechanical anisotropy. Hastelloy-X Ni-based superalloy was used to illustrate these issues in this study. First, yttrium (Y) was added to Hastelloy-X alloy to prevent grain boundary embrittlement. The second step involves post-heat treatment at a higher temperature to eliminate the microstructural heterogeneity and creeps anisotropy. We used Hastelloy-X (HX) as reference material, along with 0.046 wt.% Y (HX-y). The aging was done at 850°C for 2 h (DA) for carbides and solution heat-treatment at 1240°C for 8 h upon aging at 850°C for 2 h (HTA) to eliminate microstructural heterogeneity. The creep properties were studied at 900°C/ 80 MPa. The HX-y specimen was strengthened by solid solution and Y-rich oxides and stabilizing oxygen-based contamination at the grain boundary. The DA and HTA HX-y specimens had better creep properties than HX specimens. The HX-y specimen showed superior creep properties to the HX specimen due to the presence of carbides M6C and Cr23C6 inside grains and at grain boundaries. However, carbides remained stable even at high temperatures within grains and at grain boundaries. Nevertheless, the HTA HX-y specimen exhibited superior isotropic creep properties. As a result of grain boundary pinning, serrated grain boundaries prevented grain boundary sliding. In contrast, HX specimens exhibited poor creep properties.