bluuebunny/crossref_metadata_2025 huggingface dataset:
A pilot study examining the profile of older people on clozapine
Authors: Benbow Jen , Wand Anne PF , Simpson Brett
Published: September 2018

Objective:

The primary aim was to comprehensively describe the characteristics of a cohort of older people taking clozapine.

Method:

Participants aged ⩾ 60 had a geriatric assessment including full medical, medication and social history. Standardized screening tools for cognition, function, comorbidity and antipsychotic side effects were administered and descriptive statistics utilized.

Results:

Thirteen patients were eligible to participate and 10 were assessed. The mean age was 69 years. The mean clozapine dose was 309 mg/day and mean duration of use was 10 years. All participants had executive dysfunction, and half had cognitive impairment. The mean number of co-morbid conditions was five. Seven people met the criteria for polypharmacy. Eight people experienced moderate–severe antipsychotic-related side-effects. The majority demonstrated impaired physical functioning.

Conclusions:

This cohort of older people taking clozapine experienced considerable morbidity, functional and cognitive impairment. We suggest routine screening of cognition and function in clozapine patients aged ⩾ 60 years. Those screening positive should be considered for further assessment by Older Person’s Mental Health Services and/or a Geriatric Medicine service.
Blocking force measurement of shape memory polymer composite hinges for space deployable structures
Authors: Dao Thanh Duc , Goo Nam Seo , Yu Woong Ryeol
Published: September 2018

This study introduces a method for measuring the blocking force of a shape memory polymer composite hinge to quantify the performance of a shape memory polymer composite hinge for space deployable structure applications. A detailed design of how to select heating elements for a self-deployable configuration is also suggested. The shape memory polymer composite hinge consists of two reverse carpenter shape memory polymer composite tapes that were made from carbon-epoxy fabric, shape memory polymer resin, and two heating elements. The heating elements were attached to the shape memory polymer composite tape using the composite manufacturing method, and they were used as the heating source in the deployment test. The blocking force and moment of the hinge were measured using a pulley–mass system setup to examine the mechanical performance of the hinge. During the test, the shape change was recorded with a camera to calculate the moment arms. While the blocking force was 7.21 N in the initial test, it decreased slightly with the working cycle and was 6.27 N in the repeated test. The maximum hinge moment was 0.47 N m in the repeated test. In addition, the results revealed that a pop-up phenomenon occurred at the middle period of deployment. These results confirm that the shape memory polymer composite hinge works well with heating elements and provide a guideline for performance evaluation of the shape memory polymer composite hinge.
Review of Sociosexuality Curricular Content for Individuals With Developmental Disabilities
Authors: Wolfe Pamela S. , Wertalik Jennifer L. , Domire Monaco Sarah , Gardner Stephanie , Ruiz Salvador
Published: September 2018

Human sexuality encompasses aspects of physiology and emotions. The need for sociosexuality education for individuals with developmental disabilities (DD) is widely acknowledged; yet, there is little known about what topics of sexuality are presented. This review identified curricular content used in comprehensive, commercially available sexuality curriculum for individuals with DD. Results indicated that biological aspects such as anatomy and physiology were taught in all the curriculums; however, issues related to culture and society were less frequently present. The need for specific sexuality content is discussed as well as future implications.
Haematological and morphological evaluation of feline whole blood units collected for transfusion purposes
Authors: Spada Eva , Perego Roberta , Baggiani Luciana , Proverbio Daniela
Published: September 2018

Objectives

Despite the increasing availability of feline blood collected and stored for transfusion purposes, few studies have been performed on feline blood units. The aim of this prospective in vitro study was to evaluate haematological and morphological changes in feline blood cells in whole blood units between collection and end of storage.

Methods

Haematological examination (red blood cells [RBCs], haemoglobin, haematocrit, red cell distribution width, mean cell volume, mean cell haemoglobin concentration, mean cell haemoglobin, white blood cells [WBCs] and platelet [PLT] count) was performed on 40 non-leukoreduced feline whole blood units at the time of collection (day[D]0) and after storage (D35). The blood was collected into citrate–phosphate–dextrose–adenine anticoagulant-preservative solution using an open system in a veterinary blood bank and stored for 35 days at 4 ± 2°C. Twenty of these feline whole blood units were also analysed for blood cell morphology (normal RBCs, macrocytes, echinocytes, spherocytes, schistocytes, lysed RBCs, RBCs with Heinz bodies and recognisable WBC and PLT count). Differences between the two examination times were statistically analysed.

Results

There was a statistically significant decrease in WBC and PLT counts after storage at D35 ( P <0.0001 for both). The most significant cellular morphological changes after storage were an increase in echinocyte count ( P = 0.0001), and lysed RBCs ( P <0.0001), and a decrease in normal RBCs ( P <0.0001). Recognisable WBCs – mainly lymphocytes – were present at the end of storage.

Conclusions and relevance

This study showed that significant morphological changes occur in RBCs in feline blood units during storage for 35 days. In vivo studies are required to establish if these changes could affect the ability of stored RBCs to circulate and provide adequate oxygen delivery after transfusion.
‘A Pillar of Strength’: Empowering Women and the Resilience of Township-Dwelling Adolescents
Authors: Pretorius Tanya , Theron Linda
Published: September 2018

Only a limited number of resilience studies report what challenges and enables adolescents living in townships. Even fewer report the aforementioned from the perspective of adolescents themselves. Given that resilience is a contextually and developmentally sensitive process, it is an oversight to marginalize the risk- and resilience-related insights of township-dwelling adolescents. We correct this oversight in this article. To this end, we report a grounded theory study with 17 South African adolescents (aged 17–19) who generated visual and narrative data. Two core insights emerged. First, parental expectations underpin adolescent disillusionment. Second, empowering women (i.e., mothers, woman relatives and/or woman teachers) are key to how adolescents adjust well to the aforementioned challenge. These insights, which extend what was previously understood about the risk and resilience of township-dwelling adolescents, fit with social ecological understandings of resilience and offer useful leverage points to champion adolescent resilience.
Correlation of wear and work in dual pivoted jaw crusher tests
Authors: Terva Juuso , Valtonen Kati , Siitonen Pekka , Kuokkala Veli-Tapani
Published: September 2018

A laboratory sized jaw crusher with uniform movement of the jaws, the dual pivoted jaw crusher, was used to determine the relationship between wear and work. Wear was concentrated on the jaw plates opposing each other and was measured as mass loss of the specimens. Work was measured directly from the force and displacement of the instrumented jaw, which allowed work to accumulate only from the actual crushing events. The tests were conducted with several jaw geometries and with two motional settings, where the relation of compressive and sliding motion between the jaws was varied. The tests showed that the relation between wear and work was constant in many of the tested cases. In certain tests with larger lateral and faster contact speed, wear occurred at relatively lower amounts of work. This behavior was more definite when the relation of wear and work was investigated using modified Archards wear equation. The results indicate that the lower amount of needed work could stem from the material reaching a dynamic situation, where the flow stress becomes increasingly strain-rate dependent.
Deep principal component analysis: An enhanced approach for structural damage identification
Authors: Silva Moisés , Santos Adam , Santos Reginaldo , Figueiredo Eloi , Sales Claudomiro , Costa João CWA
Published: September 2018

The structural health monitoring relies on the continuous observation of a dynamic system over time to identify its actual condition, detect abnormal behaviors, and predict future states. The regular changes in environmental factors have been reported as one of the main challenges for the application of structural health monitoring systems. These influences in the structural responses are in general nonlinear, affecting the damage-sensitive features in the most varied forms. The usual process to remove these normal changes is referred to as data normalization. In that regard, principal component analysis is probably the most studied algorithm in structural health monitoring, having numerous versions to learn strong nonlinear normal changes. However, in most cases, not all variability is properly accounted for via the existing nonlinear principal component analysis approaches, resulting in poor damage detection and quantification performances. In this article, a new paradigm based on deep principal component analysis, rooted in the deep learning field, is presented to overcome these limitations. This approach extracts the most salient underlying feature distributions by stacking multiple feedforward neural networks trained to learn an identity mapping of the input variables, where the network inputs are reproduced into the outputs. Similar to the traditional nonlinear principal component analysis–based approach, our approach identifies a nonlinear output-only model of an undamaged structure by comprising modal features into an internal bottleneck layer, which implicitly represents the independent environmental factors. The proposed technique is validated through the application on a progressively damaged prestressed concrete bridge and a three-span suspension bridge. The experimental results demonstrate that capturing the most slight nonlinear variations in the data can lead to improved data normalization and, consequently, better damage detection and quantification performances.
Identity Sorting and Political Compromise
Authors: Davis Nicholas T.
Published: September 2018

In this article, I explore the relationship between sorting and the value that individuals assign to compromise. Analyzing four separate, nationally-representative surveys from 2007 to 2016, I show that a reliable asymmetry among partisans exists regarding their preference for political leaders who compromise. Among persons with right-leaning identities, high levels of overlap between partisanship and ideology undercut the professed desirability of compromise and amplify the association between compromise and selling out one’s principles. However, when individuals are asked about the specific extent to which one’s “side” deserves greater deference in the policymaking process, differences between persons with left- and right-leaning identities disappear. Well-sorted individuals are uniformly unwilling to distribute policymaking demands equally. Although this disconnect is emblematic of the general tension between abstract principles and episodic behavior (or “practicing what you preach”), it also highlights how the introduction of material threat may challenge expressive commitments to lofty ideals.
The Pathological Features of Colorectal Cancer Determine the Detection Performance on Blood ctDNA
Authors: He Na , Song Lele , Kang Qian , Jin Peng , Cai Guoxiang , Zhou Jinfeng , Zhou Guangpeng , Sheng Jianqiu , Cai Sanjun , Wang Jianming , Han Xiaoliang , Nie Yongzhan , Wu Kaichun
Published: September 2018

Background and Aim:

Methylated SEPT9 is a novel circulating tumor DNA marker for colorectal cancer, while the effects of various colorectal cancer clinicopathological factors on its detection performance have not been fully evaluated. This study aims to investigate the significance of the clinicopathological factors on methylated SEPT9 performance in a symptomatic endoscopy cohort, with a specific focus on colorectal cancer.

Methods:

A total of 1160 participants were recruited in this study, including 300 patients with colorectal cancer, 122 patients with adenoma, 103 patients with hyperplastic polyps, 568 normal participants (no evidence of disease), and 67 patients with other gastrointestinal diseases. Peripheral blood samples of these participants were collected from 3 Chinese hospitals, and the methylated SEPT9 level was measured using the Epi proColon 2.0 assay.

Results:

Cancer stage, size, and invasion depth were positively correlated with the detection sensitivity, while no difference in sensitivity was identified among cancers at various locations. Infiltrative colorectal cancer exhibited higher sensitivity than ulcerative and protrude colorectal cancer, while no difference in sensitivity was observed among assessed histological types. The colorectal cancer differentiation showed a clear correlation with the cancer stage, and moderate and poorly differentiated colorectal cancer exhibited higher sensitivity than well-differentiated colorectal cancer. Furthermore, colorectal cancer with distal metastasis (M1) showed higher sensitivity than those without any metastasis, while colorectal cancer with lymph node metastasis (N1 and N2) did not show statistical significance compared to those without it. Finally, local vessel or nerve invasion did not affect the sensitivity.

Conclusion:

Factors that reflect the colorectal cancer intrinsic properties, including cancer stage, size, invasion depth, classification, differentiation, and metastasis, exhibited significant effect on the mSEPT9 detection performance.
A composite model of field reliability based on a generalized Arrhenius model and a support vector machine model for spindle systems
Authors: Li Xiaoxu , Yang Zhaojun , Chen Chuanhai , Zhu Dong , Zhao Hongxun , Li Yang , Li Xiaotao
Published: September 2018

A spindle system is one of the key subsystems of machine tools, whose reliability affects machining precision and production cycle directly. In the field, spindle systems expose to operating environmental conditions and complex working conditions that are referred to as stresses in this article collectively, which can accelerate or decelerate the process of failure. In order to analyze field reliability of spindle systems, the main structure, failure modes of spindle systems are analyzed, and main stresses involved with reliability are determined preliminarily. Then, based on the failure mode and the characteristics of stresses, a linear relationship of stresses and field reliability is built based on generalized Arrhenius models assuming that stresses are independent of each other. The non-linear, coupling relationship of stresses is described by a support vector machine model, whose parameters are selected by cross-validation. Then, two models are integrated to a composite model for minimum assessment error using optimal combined forecasting method. Finally, the proposed model is validated by a real case study, and the assessment errors conform to the production requirement.
Extending the Passive-Sensing Toolbox: Using Smart-Home Technology in Psychological Science
Authors: Nelson Benjamin W. , Allen Nicholas B.
Published: September 2018

New smart-home devices provide the opportunity to advance psychological science and theory through novel research opportunities in home environments. These technologies extend the in vivo research and intervention capabilities afforded by other assessment techniques such as Ecological Momentary Assessment methods as well as mobile and wearable devices. Smart-home devices contain a multitude of sensors capable of continuously and unobtrusively collecting multimodal data within home contexts. These devices have some complementary strengths and limitations compared with other assessment methods. This article (a) briefly reviews data collection methods in home environments, (b) discusses the unique advantages of smart-home devices, (c) describes the extant smart-home literature, (d) explores how these devices may advance evaluation and refinement of psychological theories, (e) describes examples of psychological processes that are potential targets for smart-home assessment and intervention, (f) considers methodological challenges and barriers, (g) discusses ethical considerations, and (h) concludes with a discussion of future directions for research and the merging of passive-sensing technologies with active self-report methods. This article aims to highlight the potential utility of smart-home devices within psychological research to evaluate psychological theories related to behavior within the home context.
Where Did You Get That Story?
Authors: Johnson Kirsten A.
Published: September 2018

A content analysis of 560 articles from 56 citizen journalism websites based in the United States showed more than a quarter of the stories didn’t use sources and nearly half used only one source. When sources were used, traditional media and press releases were often cited. When citizen journalists used traditional media as a source, they tended to quote directly from previously published material and then used an external hyperlink. Press releases were often quoted directly from, or published directly to, the citizen journalism sites. More than 90% of the stories did adhere to the traditional journalistic norm of objectivity since many stories were sourced from mainstream media reports and press releases. Stories reported most often included event, political, and business stories.
Opposite relations of epicardial adipose tissue to left atrial size in paroxysmal and permanent atrial fibrillation
Authors: Psychari Stavroula N , Tsoukalas Dionysios , Varvarousis Dimitrios , Papaspyropoulos Anastasios , Gkika Eleni , Kotsakis Athanasios , Paraskevaidis Ioannis A , Iliodromitis Efstathios K
Published: September 2018

Objectives:

Atrial fibrillation has been associated with obesity in epidemiological studies. Epicardial adipose tissue is an ectopic fat depot in the proximity of atria, with endocrine and inflammatory properties that is implicated in the pathophysiology of atrial fibrillation. Inflammation also has a role in atrial arrhythmogenesis. The aim of this study was to investigate the potential relations of epicardial adipose tissue to left atrial size and to adiponectin and the pro-inflammatory mediators, high-sensitivity C-reactive protein, and interleukin-6 in paroxysmal and permanent atrial fibrillation.

Methods:

This was a cross-sectional study of 103 atrial fibrillation patients, divided into two subgroups of paroxysmal and permanent atrial fibrillation, and 81 controls, in sinus rhythm. Echocardiography was used for estimation of epicardial adipose tissue and left atrial size and high-sensitivity C-reactive protein, interleukin-6 and adiponectin were measured in all subjects.

Results:

Atrial fibrillation patients had significantly larger epicardial adipose tissue compared with controls (0.43 ± 0.17 vs 0.34 ± 0.17 cm, p = 0.002). Atrial fibrillation presence was independently related to epicardial adipose tissue thickness ( b = 0.09, p = 0.002). Opposite associations of epicardial adipose tissue with left atrial volume existed in atrial fibrillation subgroups; in the paroxysmal subgroup, epicardial adipose tissue was directly related to left atrial volume ( R = 0.3, p = 0.03), but in the permanent one the relation was inverse ( R = −0.7, p < 0.0001). Adiponectin, high-sensitivity C-reactive protein and interleukin-6 were elevated in both atrial fibrillation groups. Only interleukin-6 was related to epicardial adipose tissue size.

Conclusion:

Opposite associations of epicardial adipose tissue with left atrial size in paroxysmal and permanent Atrial fibrillation and elevated inflammatory markers, suggest a role of epicardial adipose tissue and inflammation in the fibrotic and remodeling process.
Prayer and Helping
Authors: Sharp Shane
Published: September 2018

I propose a theoretical framework to understand how the religious practice of prayer influences helping. Drawing on work from symbolic interaction and cognitive psychology, I argue that individuals’ concepts of divine others become more cognitively accessible during the act of prayer. Because most people attribute the characteristics of omniscience and the desire for humans to help others to divine others, people are more likely to help known and unknown others the more cognitively accessible divine other concepts are to them. This leads to the prediction that frequency of prayer will be positively and linearly associated with frequency of helping. Using data from the General Social Survey (GSS), I find support for my argument. Frequency of prayer is positively and linearly associated with the frequency in which individuals engaged in several helpful behaviors toward known and unknown others in the past year, even after accounting for other religious and sociodemographic factors.
Public Employment Policy for an Aging Workforce
Authors: Wandner Stephen A. , Balducchi David E. , O’Leary Christopher J.
Published: September 2018

Americans are working longer. For many older workers, employment earnings are essential for self-sufficiency. When older workers are forced to change jobs, they suffer bigger earnings losses and take longer to find new jobs than prime-age workers. Unfortunately, public workforce policy has not adapted to serve older workers. Our strategic survey of published research evidence and government statistics suggests a variety of ways that employment programs could be adapted to benefit older workers. In this article, we examine the changing age composition of the labor force, the employment patterns of older workers, and offer specific improvements in public employment policy for an aging workforce.
Analysis of the Hindfoot Alignment Measured in 3D After a Medializing Calcaneal Osteotomy Using a Pre- and Postoperative Weightbearing CT
Authors: Burssens Arne , Barg Alexej , Leenders Timothy , Clockaerts Stefan , Burssens Peter , Victor Jan
Published: September 2018

Category:

Hindfoot

Introduction/Purpose:

An adult acquired flat foot (AAFD) is a complex 3D deformity. A medializing calcaneal osteotomy (MCO) is a surgical procedure frequently performed to correct the valgus alignment of the hindfoot in a stage II AAFD, when conservative measurements fail. However currently little is known on its accurate influence regarding the hindfoot alignment (HA). The aim is therefore to assess the influence of a MCO on the 3D HA using computer aided software analysis of the images retrieved from a weightbearing cone beam CT (WBCT).

Methods:

Twelve patients with a mean age of 49,4 years (range 18-67yrs) were prospectively included in a pre-post study design. Indications for surgical correction by a MCO with a solitary translation consisted of an AAFD stage II (N=10) and a posttraumatic valgus deformity (N=2). Fixation of the osteotomy was performed by a step-plate or double screw. WBCT was obtained pre- and post-operative. Images were subsequently segmented to allow a HA calculation in 3D(HA3D) by an angle between the anatomical tibia axis and the axis connecting the computed inferior calcaneuspoint and the centroid of the talus in the coronal plane based on a Cartesian coordinatesystem(Fig 1A, C). The tibia in the HA3D was separately assessed by the anatomical tibia axis (TAx 3D) and the axis to determine the tibial rotation(TR 3D) in the axial plane by connecting the computed most outer point of the anterior and posterior tubercle of the incisura fibularis(Fig 2A, D).

Results:

The mean medial translation of the calcaneal osteotomy during surgery was 5.72 mm (SD = 3.9). The mean HA3D pre-operatively equaled 18.21 degrees of valgus (SD = 6.6) and post-operatively 9.31 degrees of valgus (SD = 6.18). The Paired Student’s t-test showed a significant correction of 8.89 degrees (95%CI [5.99, 11.80], P<0.001). The mean TAX 3D pre-operatively was 6.80 degrees of valgus (SD = 3.38) and post-operatively 4.11 degrees of valgus (SD = 2.77), with a significant difference of 2.69 degrees (95%CI [1.79, 3.59], P <0.001). The mean TR3D pre-operatively was -27.11 degrees (SD = 4.77) and post-operatively - 28.80 degrees (SD = 5.98) and showed a significant difference of 1.69 degrees (95%CI [0.41, 2.97], P = 0,016).

Conclusion:

This study shows an effective correction of the valgus hindfoot in an AAFD. It appears that the correction is not only situated in the calcaneus but also to a lesser extent in the tibia and this resulted in 15% of the achieved HA correction. The novelty is the 3D weightbearing assessment of a hindfoot correction and the shown influence on the tibia. This information could be of use to take in to account when performing a pre-operative planning of a hindfoot deformity.
A Comparative Analysis of Risk and Cost-effectiveness of Outpatient versus Inpatient Hindfoot Fusion
Authors: Moon Andrew , McGee Andrew , Patel Harshadkumar , Huntley Samuel , Pinto Martim , Naranje Sameer , Stibolt Robert , Lehtonen Eva , Pitts Charles , Shah Ashish
Published: September 2018

Category:

Hindfoot

Introduction/Purpose:

Hindfoot fusion procedures are increasingly being performed in the outpatient setting. However, the cost-effectiveness of hindfoot fusion procedures compared with risk and benefit have not been clearly investigated. The primary objective of this study was to investigate the cost-effectiveness of outpatient versus inpatient hindfoot arthrodesis. Secondary objectives were to compare patient characteristics and short-term complications of patients in each cohort.

Methods:

This was a retrospective review of all patients who underwent inpatient and outpatient hindfoot fusion procedures at a single institution from 2013-2017. Data collected for each patient included demographic information, operative variables, comorbidities, complications, and any subsequent emergency department visits, readmissions or reoperations. Cost data was collected for each inpatient or outpatient encounter, as well as any subsequent encounters related to the index procedure.

Results:

Of 151 total hindfoot procedures performed over the study period, 37 were inpatient and 114 were performed in the outpatient setting. There were 3 more readmissions, 22 more ED visits, and 0 more reoperations after outpatient surgery vs inpatient surgery. The average total cost for an outpatient hindfoot fusion procedure was significantly lower than the average total cost for inpatient hindfoot fusion, without a significant increase in complication rate. We are currently in the process of performing the total cost analysis, and will have the completed cost and risk/benefit information within the next two weeks.

Conclusion:

Outpatient hindfoot fusion surgery may be more cost-effective when compared to inpatient fusion surgery without a significant increase in complications, ED visits, or readmissions.
Last Resort Salvage of Failed Below Knee Amputations
Authors: Strauss Michael
Published: September 2018

Category:

Other

Introduction/Purpose:

The consequences of failed transtibial amputations especially if the remaining tibia is less than 5 cm is revision to an above knee amputation (AKA). This has important ramifications regarding mobility, energy requirements for ambulation and function. An innovative management protocol has been employed to maximize the likelihood of healing and maintaining a functional knee joint.

Methods:

Five severely vasculopathic patients with failed short transtibial (TT) amputations and greater than 60 degree knee flexion contractures were followed progressively using the protocol of resecting the remaining fibula, releasing the hamstring insertions, debridement of bursa & cicatrix, osteotomy & beveling of the distal end of the tibia, creative flap closures, and maintenance of knee extension with pins or external fixation across the knee joint. The patient’s courses were followed prospectively. All patients were referred for more proximal amputations, but wanted everything possible be done to salvage their knee joints and avoid AKAs. Four of the five patients were diabetic; one was a smoker with osteomyelitis at the end of the tibia.

Results:

Salvage of the knee joint occurred in 4 of 5 patients (80%) even though the remaining tibia lengths were 5 cm or less. Threaded 3/16th inch Steinmann pins placed cross-wise through the knee joints were used in 4 patients and an external fixator in a 5th patient. The pins remained for 3 to 6 weeks. Four of the 5 patients achieved healing with 2 of the 4 having initial minor wound dehiscences. The failed case occurred in a diabetic patient with renal failure and only collateral circulation below the groin. There was insufficient viable muscle/fascia in this patient to cover the tibia. The 4 patients who avoided an AKA were able to be fitted with TT prostheses and use them in a functional capacity.

Conclusion:

The use of temporary pin fixation across the knee joint and removal of the remaining fibula to salvage “end stage” failed TT amputations served the purposes of maintaining knee extension during the healing period, allowing closure & healing of threatened and/or dehisced flaps and maintaining knee function. Motivated, compliant patients with failed, otherwise considered non salvageable TT amputations should be considered for using our protocol in deference to proceeding to an AKA.
Arthroscopic anatomical reconstruction of anterior talofibular ligament and calcaneofibular ligament for chronic ankle instability
Authors: Zhou Yunfeng , Song Bin
Published: September 2018

Category:

Arthroscopy

Introduction/Purpose:

To evaluate the clinical results of an anatomical reconstruction of anterior talofibular ligament and calcaneofibular ligament under arthroscopy in treatment of chronic ankle instability. Methods From June 2013 to August 2016, 27 patients (28 ankles) with chronic ankle instability were treated with the anatomical reconstruction of anterior talofibular ligaments and calcaneofibular ligaments. All patients were evaluated preoperatively and at the last follow up using the visual analog scale(VAS) score, American Orthopaedic Foot and Ankle Society (AOFAS) score. The talar tilt angle and anterior translation were assessed radiographically in pre- and postoperative ankle stress views.

Methods:

From June 2013 to August 2016, 27 patients (28 ankles) with chronic ankle instability were treated with the anatomical reconstruction of anterior talofibular ligaments and calcaneofibular ligaments. All patients were evaluated preoperatively and at the last follow up using the visual analog scale(VAS) score, American Orthopaedic Foot and Ankle Society (AOFAS) score. The talar tilt angle and anterior translation were assessed radiographically in pre- and postoperative ankle stress views.

Results:

The operations were lasted for 75.8 minutes(72~104 minutes). 28 cases were received a mean follow up of 14.8 months(range, 12~25 months. The mean VAS pain score decreased from 5.79 to 1.54(t=26.63, P<0.01), and the medial AOFAS score improved from 63.64 to 90.21(t=-16.57, P<0.01). Imageological examination were completed 16.8 months after the operation (range, 12~25 months). The mean talar tilt decreased from 15.6°to 6.01°(t=25.39, P<0.01),and anterior translation of the talar reduced from a mean of 10.82 to 4.03 mm(t=15.79, P<0.01).

Conclusion:

Arthroscopic anatomical reconstruction of anterior talofibular ligament and calcaneofibular ligament could improve the function and stability of ankle joints effectively, providing a valid option for treating chronic ankle instability.
Access to primaquine in the last mile: challenges at the service delivery points in pre-elimination era, Myanmar
Authors: Han Kay Thwe , Wai Khin Thet , Oo Tin , Thi Aung , Han Zayar , Aye Daw Kyin Hla , Win Aung Ye Naung , Sattabongkot Jetsumon
Published: September 2018

Background

Alongside monitoring of the disease burden, the successful move towards malaria elimination relies on the readiness of the health care delivery system. However, there is a lack of evidence in the gap of existing National Guidelines and access to low dose primaquine in real practice under varying degrees of antimalarial resistance in the pre-elimination phase in Myanmar. Therefore, this study addressed the essential information from the service delivery points (SDPs) of public and private sectors on the availability and the use of primaquine in both supply and demand side. Concomitantly, the study aimed to underscore challenges in health system infrastructure to promote the sustained flow in rolling out primaquine in line with National Guidelines for malaria elimination.

Methods

A cross-sectional study conducted from September 2017 to February 2018 included six townships of three states/regions. The team used an observation checklist for documenting primaquine supplies at SDPs. Semi-structured interviews, key informant, and in-depth interviews focused both public and private sectors including staff from the Vector-Borne Diseases Control (VBDC) teams in each state/region and rural health centers (n = 25), those from the non-governmental organizations (NGOs), general practitioners and drug sellers (n = 11), and recently infected malaria patients (n = 11). Triangulation of quantitative and qualitative data provided meaningful interpretations.

Results

Public sector staff reported an adequate stock of primaquine, but it was unavailable at the general practitioners’ clinics without any connection to NGOs and also at the unlicensed drug shops. Health care providers of the public sector experienced challenges in poor compliance of malaria patients to primaquine treatment in conjunction with an artemisinin-based combination therapy, loss-to-follow-ups especially in conflict areas, and delays in timely substitution of new batches of primaquine. Respondents from the private sector demanded for the refresher training course on updated antimalarial treatment guidelines.

Conclusion

Monitoring compliance and safety of primaquine treatment was found as a barrier especially among mobile migrant workers and those who were in conflict areas. An alternative strategy by the NMCP could enable to prevent the underutilization of primaquine in vivax malaria to reach the malaria elimination targets.
The effect of lithium on thyroid function in patients with bipolar disorder.
Authors: Kraszewska Agnieszka , Abramowicz Maria , Chłopocka-Woźniak Maria , Sowiński Jerzy , Rybakowski Janusz
Published: September 2018

Począwszy od roku 1963 stosowanie litu stanowi najbardziej udokumentowany sposób postępowania długoterminowego w chorobie afektywnej dwubiegunowej (ChAD), zarówno dla zapobiegania epizodom depresyjnym, jak i maniakalnym, a także zmniejszania ryzyka samobójstwa. W ChAD czynność gruczołu tarczowego i osi podwzgórze-przysadka-tarczyca (PPT) ma istotne znaczenie dla patofizjologii, przebiegu klinicznego i leczenia tej choroby. Wpływ litu na gruczoł tarczowy stanowi jedno z najważniejszych działań niepożądanych długotrwałej terapii tym lekiem. Lit jest gromadzony w tarczycy w stężeniu 3 do 4 razy większym niż w osoczu, a w wyniku jego stosowania dochodzi do zmniejszenia produkcji i hamowania uwalniania hormonów tarczycy oraz zmian w procesach immunologicznych dotyczących tego gruczołu. Najczęstszymi objawami ubocznymi związanymi z działaniem długotrwałego stosowania litu na tarczycę jest wole i niedoczynność tarczycy. Rzadkim powikłaniem stosowania litu jest nadczynność tarczycy. Lit może też powodować wzrost autoimmunizacji tarczycy, zwłaszcza, jeśli jest ona obecna przed rozpoczęciem leczenia oraz zmiany strukturalne tego gruczołu. W artykule omówiono również postępowanie w opisanych wyżej powikłaniach oraz zasady monitorowania czynności tarczycy u osób otrzymujących długotrwałą terapię litem.
Building the evidence base in health visiting: Writing for publication
Authors: Moffat Polly
Published: September 2018

If you have considered writing an article for publication, you may not be sure how or where to start. This article provides some tips on what to think about before you submit your article, the planning and writing process, and a guide to peer review
Migrant Steps: Interview with Göze Saner
Authors: Saner Göze , Yeni Naz
Published: September 2018

Migrant Steps is a theatre project that engages migrant women living in the UK and Europe. Starting from the figure of a travelling tortoise and combining methodologies such as psycho-geography, performance art, physical theatre and autobiographical writing, the project explores the participants’ relationship with the cities where they live.
Book Reviews
Authors: Reid-Walsh Jacqueline , Ue Tom , Wilson Michael , Levy Michael
Published: September 2018

When We Were Alone, David A. Robertson and Julie Flett
(2016) Winnipeg, Manitoba: Highwater Press, 24 pp., ISBN: 978-1-55379-673-2, h/bk, £14.25.

Frankenstein or, The Modern Prometheus: The 200th Anniversary Edition, Mary Shelley (author) and David Plunkert (illus.) (2018) Beverly: Rockport Publishers-The Quarto Group, 248 pp., ISBN 978-1-63159-397-0, h/bk, $25.00

Party Pieces: Oral Storytelling and Social Performance in Joyce and Beckett, Alan W. Friedman (2007) New York: Syracuse University Press, 256 pp., ISBN 978-0-81563-123-1, h/bk, £43.95

Journeys from the Abyss: The Holocaust and Forced Migration from the 1880s to the Present, Tony Kushner (2016) Liverpool: Liverpool University Press, 360 pp., ISBN: 978-1-78694-062-9, h/bk, £85.00, p/bk, £24.95, ebook £24.95
Une typologie des intérêts et valeurs accordés aux clichés d’imagerie médicale par les patients atteints d’un cancer
Authors: Estival Cécile
Published: September 2018

Cet article vise à analyser l’apport de la visualisation des clichés d’imagerie médicale dans le parcours thérapeutique des patients atteints d’un cancer. Il évoque la relation patient/médecin et plus précisément la manière dont certaines variables sociales la déterminent. A travers la construction d’une typologie des intérêts que les patients accordent à leurs clichés, il s’agira d’étudier les profils de patients pour qui la visualisation est souhaitée. L’article abordera, notamment, la manière dont la visualisation des clichés intervient au sein de la relation patient/médecin, mais aussi la question de la perception du corps.
Um panorama sobre os estudos relacionados ao conforto térmico em salas de aula
Authors: Arenhardt Nilmar Luís , Wander Paulo Roberto
Published: September 2018

Este trabalho objetiva analisar as características das publicações sobre conforto térmico em salas de aula nas bases de dados Scopus e Web of Science (WOS), identificando as principais fontes, os principais autores e algumas particularidades sobre a produção científica deste tema. O estudo compreende uma revisão bibliográfica que foi realizada a partir de uma pesquisa bibliométrica, na qual por meio de uma análise estatística foi possível mapear e gerar alguns indicadores para o tratamento da informação, constituindo assim, uma abordagem quantitativa e qualitativa. Na base Scopus, foram encontradas 231 publicações relacionadas e na WOS, 135 publicações. Os resultados comparativos mostraram que o número de trabalhos relacionados ao conforto térmico em salas de aula aumentou consideravelmente na última década. Verificou-se que a China é o país com o maior número de publicações. O Brasil surge na 12ª posição na base Scopus e na 10ª posição na base WOS. Também verificou-se a importância do periódico Building and Environment para o tema e que para as salas de aula e ambientes de estudo, há uma estreita relação entre os tópicos conforto térmico, ventilação e qualidade do ar interno, uma vez que estes podem interferir consideravelmente no rendimento e na saúde dos alunos.
Análise do payback descontado em sistemas residenciais de captação de água de chuva no Estado de Santa Catarina
Authors: Silva Carlos Eduardo da , Henrique Daniel Christian , Mimura André Toshio
Published: September 2018

Esse trabalho tem como objetivo central analisar o tempo de recuperação de investimento em sistemas de captação de água de chuva para utilização em residências unifamiliares no estado de Santa Catarina. Como objetivo secundário foi estabelecido a construção de dois softwares de análise em PHP e HTML (SILVA, 2017a, 2017b): (1) Dimensionamento dos Reservatórios de Água de Chuva e (2) Cálculo do Payback Descontado. Foram analisadas residências localizadas em cinco cidades do estado com aplicação de uma análise de sensibilidade para verificar o Payback Descontado com diferentes níveis de pluviosidade, variando o número de habitantes entre três e cinco pessoas, assim como mesclado com vários tamanhos de telhados (com o intuito de averiguar várias configurações residenciais). Constatou-se que é um investimento economicamente viável principalmente para famílias que tenham um grande consumo de água decorrido do seu maior número de residentes e em cidades em que seu custo é elevado. Cidades com um índice pluviométrico maior também são mais favorecidas, pois necessitam uma infraestrutura que exige um investimento inicial menor.
Pode a Filosofia contaminar a tecnociência? A Filosofia nos cursos de licenciatura a distância
Authors: Bogéa Diogo
Published: September 2018

Tendo como fio condutor a questão “Para que serve a filosofia?”, o texto propõe uma investigação sobre o lugar da Filosofia nos cursos de licenciatura a distância. São bem conhecidas as reflexões heideggerianas sobre “a técnica” e a “época tecnocientífica” como essencialmente caracterizadas pelo “puro cálculo”, o qual oblitera a possibilidade de uma lida autêntica com a Filosofia. Queremos chamar a atenção para uma outra dimensão da relação entre Filosofia e “técnica” que Heidegger não explorou: a possibilidade de que através dos infindáveis aparatos tecnológicos que hoje povoam nosso mundo, o gosto pelo autêntico filosofar possa atingir pessoas e lugares até bem pouco tempo inalcançáveis. Para pensar o que possa ser esse “autêntico gosto pelo filosofar” chamamos em nosso auxílio algumas reflexões de Hannah Arendt e Ortega y Gasset.
Educação a distância no ensino superior em contexto de reclusão enquanto política de formação humana em Portugal
Authors: Moreira José António , Machado Ana , Trindade Sara Dias
Published: September 2018

O Ensino Superior em Portugal tem passado por grandes transformações devido aos avanços das tecnologias de informação e comunicação (TIC) e às alterações decorrentes do Processo de Bolonha, que prevê a criação de condições para que todos tenham acesso à aprendizagem, independentemente de fatores de exclusão social, como a reclusão. O presente artigo tem, pois, por objetivo conhecer as perceções de quinze sujeitos (estudantes e técnicos superiores de reeducação) relativamente à qualidade dos processos pedagógicos na modalidade de Educação a Distância numa prisão portuguesa. Situando-se num quadro de um paradigma não positivista é um estudo que coloca a ênfase na perceção dos sujeitos, recorrendo a uma metodologia de cariz qualitativo. Os resultados, obtidos através de entrevistas, revelam a existência de imensas fragilidades e limitações no processo educativo, no que diz respeito à sua organização, avaliação, recursos disponíveis e disponibilidade horária. Concluiu-se que é fundamental criar melhores condições de frequência nesta modalidade nas prisões, porque esta formação superior, pode constituir-se como uma oportunidade de qualificação profissional e de desenvolvimento pessoal, aumentando as suas perspetivas de sucesso no futuro.
The philosophical basis of optimism in Distance Education
Authors: Frambach Danilo Bantim , Teixeira de Oliveira Marcio Francisco
Published: September 2018

Recently, Distance Education has been receiving a lot of attention due to its expansion. In this process, the optimism that some defenders have for this new teaching modality is often seen, identifying it as a kind of panacea for the problems of education. This work intends to investigate the philosophical background of the Distance Education, highlighting one of its main representatives, the philosopher Pierre Lévy, and his optimism regarding the cyberculture for the realization of educational and social construction. The main question lies in understand the philosopher’s arguments which, when analyzed, reveal a modern inspiration in the faith of the absolute power of the human reason.
El vortex de programas online en la formación de profesores en Colombia
Authors: Pineda Pedro , Celis Jorge
Published: September 2018

El reemplazo de la interacción humana directa por el computador conectado al internet constituye una de las reformas más radicales en la historia de la universidad. En una primera parte, mostramos cronológicamente cómo–a diferencia de la correspondencia, la radio, y la televisión–el internet ha sido la única tecnología que ha pretendido reemplazar la interacción humana en la formación educación docente en Colombia. Mediante consulta de bases de datos describimos la institucionalización de programas virtuales en términos de una vorágine con problemas y tensiones que ocurren mientras crecen exponencialmente para representar 18,3% y 33,8% de la oferta en educación superior y en ciencias de la educación en Colombia. En una segunda parte, comparamos la experiencia de 1.206 profesores que estudian programas de formación posgradual docente en Bogotá tanto en modalidad online y presencial mediante una encuesta estudiantil y una prueba de escritura. Los resultados indican desempeños ponderados más bajos en el contenido teórico y volumen de trabajo y un puntaje promedio más bajo, pero no estadísticamente significativo de habilidades de escritura académica en los profesores que cursan sus programas en modalidad online. La historia y los problemas encontrados en la importación de modelos curriculares enteramente basados en internet merece estudiarse empíricamente en los programas de formación docente para determinar sus efectos educativos.
PENGEMBANGAN POTENSI PERTANIAN PERKOTAAN DI KAWASAN SUNGAI PALU
Authors: Hamzens Wildani Pingkan S. , Moestopo Meidy Widayanto
Published: September 2018

Ide Pengembangan Pertanian Perkotaan di Kawasan Sungai Palu berasal dari peneliti. Ketertarikan meneliti berawal dari adanya keinginan Pemerintah Kota Palu untuk mengembangkan Kota Palu menjadi Kota Hijau. Selain itu, kehadiran Kawasan Ekonomi Khusus di Kota Palu kelak akan menyebabkan peningkatan jumlah penduduk, merupakan peluang menghasilkan bahan pangan. Kawasan Sungai Palu merupakan salah satu lokasi potensial untuk Pengembangan Pertanian Perkotaan, namun Kawasan Sungai Palu perlu ditangani khusus, di sinilah penelitian ini menjadi menarik. Tujuan penelitian untuk mengidentifikasi upaya-upaya yang perlu dilakukan untuk Pengembangan Potensi Pertanian Perkotaan. Penelitian ini termasuk penelitian survei, dan fenomena yang berlangsung adalah data utama yang diolah pada penelitian ini. Teknik analisis data yang digunakan adalah analisis deskriptif berdasarkan hasil observasi. Hasil Penelitian memperlihatkan upaya-upaya yang perlu dilakukan meliputi: (1) Konsolidasi Tanah; (2) Penetapan Jenis Aktivitas ; (3) Perekrutan Pelaksana  dan Pembinaan Sumber Daya Manusia ; (4) Penyiapan Prasarana dan Sarana ; dan (5) Manajemen Berkelanjutan.
How international is AJET?
Authors: Heinrich Eva , Henderson Michael , Redmond Petrea
Published: September 2018

While carrying ‘Australasia’ in its name, our journal aims to achieve a strong global presence in the English-speaking world. In this editorial we examine data collected by our journal management software OJS to ascertain the outreach of AJET beyond its Australasian borders. We look at data concerning AJET’s readership, submissions, authors, and reviewers for the years 2016, 2017 and 2018 (to mid-August).
DWIE KONCEPCJE ROMSKIEJ IMAGOLOGII
Authors: Kledzik Emilia
Published: September 2018

DWIE KONCEPCJE ROMSKIEJ IMAGOLOGII