bluuebunny/crossref_metadata_2025_split huggingface dataset:
Therapeutic procedures in shoulder impingement syndrome (SIS) for professionally active people: randomized research
Authors: Skopowska Agnieszka , Biernacki Maciej , Dekowska Monika , Łukowicz Małgorzata , Łukasz Sielski , Filarecka Agnieszka 
Published: November 2019

Objectives. Pain and limitation of motions in the glenohumeral joint are frequently the consequence of the shoulder impingement syndrome (SIS). Misdiagnosis or improper treatment of the illness may effect in a serious functional impairment of the upper limb. The treatment, dependent on the medical condition, involves: rest, NSAID therapy, physiotherapy as well as kinesitherapeutic procedures. The aim of the research was to conduct a detailed diagnosis of the shoulder impingement syndrome and the efficacy assessment of the matched rehabilitating procedures considering the symptoms.Material and methods. The research was conducted in 39 people aged 30 to 81 treated for SIS. 85% of the respondents were professionally active.In order to assess the efficacy of the therapy the following were carried out: the pain assessment test, functional tests (Neer’s, Ludington’s, Hawkins’, Apley’s, Job’s and the active painful arc test) as well as measurements of the active range of motion of the joint. The patients were subjected to two kinds of physiotherapy – ultrasound therapy (US) procedures and the short wave diathermy (SWD), both connected with procedures aiming at mobilization of the shoulder complex and off-load exercises. The outcome was submitted to statistic analysis. Results. The results obtained in both groups of patients were compared via the Mann-Whitney U test. No significant differences between the SWD and the US groups in the efficacy of the conducted procedures were observed. The data analysis within therapeutic groups revealed the existence of significant differences (p<0,01) before and after the therapy, in the VAS and Laitinen scales as well as in the measurements of the range of motions. Conclusions. The outcome of both conducted therapies in both research groups included: decrease in pain, increase in the range of motions of the glenohumeral joint and improved function of the upper limb. Both procedures may be successfully employed in the treatment of SIS in professionally active people.
Sudden death amongst people practicing competitive sports (Review Article)
Authors: Wrzesiński Bartłomiej , Piechocka Edyta , Duda Grzegorz , Wojtczak Paweł 
Published: November 2019

Sudden cardiac death is and unexpected cardiac arrest that may occur both during exercise and also an hour after its completion. It most often occurs in young sportsmen under 35 years of age and is usually associated with improperly performed physical activity proceeded by lack of specialized medical examination and research. Natural and cardiac causes are two basic phenomena that lead to cardiac death. As confirmed by Framingham Heart Study, conducted in the eighties of the twentieth century on the population of Americans, natural causes accounted for 13% while cardiac causes accounted for 88% off all. The statistics of the largest centers of sport medicine are presented as follows: Germany – 1 death per 200,000 people practicing sports (total) while United States of America – 1 death per 80,000 people per year. The problem of of sudden deaths is and important topic worthy of a broader and more specific analysis. It should be noted that physical exertion is not is not a direct cause of sudden deaths. Currently the most research concerns professional athletes who have extensive support and knowledge about the exercise they perform. The main problem concerning subject of sudden deaths are not diagnosed hearth defects. <> Additional topic of interest is rarity of medical tests performed by amateur athletes and athletes at the lower levels of competition. Such athletes do not have as extensive knowledge as their experienced idols, which may bring tragic consequences.
DESMUNDO: UMA EXPERIÊNCIA DE EXÍLIO E (RE)CONSTRUÇÃO IDENTITÁRIA
Authors: Elias Ieda Maria Sorgi Pinhaz , Marson Cíntia Roberto 
Published: November 2019

O presente trabalho tem o intuito de analisar de que forma se estabelece o exílio, a exiliência e a (re)construção identitária em Desmundo (1996), obra de Ana Miranda. O romance propõe uma nova visão sobre a história do início da colonização no Brasil. A protagonista da narrativa, Oribela, uma órfã portuguesa, é enviada à colônia, junto a mais seis meninas, incumbidas de se casarem com os colonos desbravadores do novo mundo. A jovem é uma imigrante insatisfeita com o seu deslocamento da Europa para a América Latina e com o destino predeterminado para sua vida, em um espaço desconhecido, que se configura como um desmundo. Oribela é uma das personagens da obra que vivencia o exílio, experiência que lhe oprime, mas que ao mesmo tempo lhe impulsiona a lutar por seus ideais. Por meio das situações vividas e das relações interpessoais que a personagem desenvolve ao longo da narrativa, Oribela tem a chance de (re)construir a sua identidade, que se encontra fragmentada devido ao desenraizamento espacial e cultural. Assim, as experiências se tornam significativas para que a órfã encontre, novamente, a si mesma. Perante o exposto, este trabalho tem como principal suporte teórico, crítico e analítico os estudos de Edward Said (2001), Alexis Nouss (2016), Zygmunt Bauman (2005) e Stuart Hall (2006).
RACISMO E CONSTRUÇÃO IDENTITÁRIA DO SUJEITO HÍBRIDO EM AUTOBIOGRAFIA DE UM EX-NEGRO, DE JAMES WELDON JOHNSON
Authors: Sobrinho Rosa Leonardo Júnio , Oliveira Luiz Manoel Da Silva 
Published: November 2019

Autobiografia de um ex-negro, de James Weldon Johnson (1871-1938) perpassa o período da segunda metade do século XIX (o momento posterior à Guerra Civil dos EUA [1861-1865]) e vai até o início do século XX. A obra narra a história de um personagem anônimo em um entrelugar de culturas e espaços, vivenciando desde a infância as crueldades das questões étnico-raciais. Essa problemática é tão latente que leva o protagonista a sofrer constantes processos de fragmentação e hibridismo cultural. Em virtude da relevância dessa obra, este trabalho busca analisar o processo de construção identitária do seu narrador-personagem, sendo que, essa constituição se dá frente aos constantes deslocamentos dele pelos espaços geográficos, emocionais e interespaços identitários. Esse trânsito por distintos espaços leva o narrador a uma transformação de subjetividade, representada pela transição de “negro a ex-negro”. Além disso, a questão identitária revela o processo de formação de um sujeito híbrido e multicultural. Assim, convém esclarecer que esse viés interpretativo guarda uma tangível relação com a segregação racial. Intenta-se demonstrar como a questão racial nos Estados Unidos foi pautada por muitas décadas desde aquela época por princípios de violência e objetificação direcionadas aos negros por meio de políticas respaldadas pelo sistema político e judiciário estadunidense. Antes do aprofundamento dessas questões, é apropriado elencar informações sobre o escritor, o romance e o movimento da Renascença do Harlem. Para alcançar os objetivos propostos, o presente trabalho utiliza como aporte crítico-teórico as contribuições de Bonnici (2009), Hall (1998 e 2003), Said (2003), dentre outros (as).
A UTILIZAÇÃO DO WHATSAPP COMO FERRAMENTA MOTIVADORA NO ENSINO DE LÍNGUA PORTUGUESA PARA ALUNOS SURDOS
Authors: Sena Fábia Sousa , Matos Denilson Pereira , Cavalcante Marianne Carvalho Bezerra 
Published: November 2019

O objetivo deste trabalho é demonstrar como a ferramenta WhattsApp pode ser utilizada como dispositivo pedagógico para o letramento, em Língua Portuguesa, de alunos surdos do Ensino Fundamental Anos Finais, de uma maneira eficiente e prazerosa, estimulando sua produção textual. O WhattsApp é um software que apresenta uma interface atrativa e descomplicada, podendo ser utilizado para troca de mensagens instantâneas de textos, áudios e vídeos. O recurso oferece potencialidade de uso, funcionando como dispositivo pedagógico (LEMOS&MATOS, 2016), inclusive no letramento do surdo, que, no Brasil, está baseado na Lei 10.436/02, que estabelece a LIBRAS como L1 no currículo do surdo e a Língua Portuguesa, como L2, na modalidade escrita. A prática segue a concepção sociocultural do desenvolvimento humano e admite a aprendizagem como processual e socialmente mediada. Como metodologia, adotamos a pesquisa qualitativa de natureza interpretativista e a fundamentação teórica segue postulados de Quadros e Schimiedt (2006), Lacerda (1998), que norteiam seus trabalhos acerca do letramento do surdo, além de estudiosos como Coscarelli (2010), que utilizam estratégias para integrar tecnologias às atividades práticas em sala de aula. A partir de sequência didática, aplicamos oficina que utilizou da ferramenta WhatsApp com os alunos do 7º ano do ensino fundamental, tendo em vista que o recurso visual em questão favorece o processo de letramento do sujeito surdo e os textos multimodais oferecem grandes contribuições, promovendo novos caminhos para a construção de conhecimentos, estabelecendo a construção de práticas sociais de leitura e escrita de forma significativa para os mesmos. Um dos resultados mais relevantes repousa no fato de que o educador é beneficiado em sua prática pedagógica, que se apresenta com maior eficácia e de maneira lúdica. Em relação aos alunos surdos, a metodologia favorece a interação com a atividade e com os demais alunos.
Evaluating sexual function education for patients after a spinal cord injury
Authors: Rodger Sian 
Published: November 2019

Aim: this article shares findings from a service evaluation exploring the views of patients relating to the specialist sexual function education and information provided following a spinal cord injury. Background: education optimises patients' involvement in their own decision-making and care processes, with the aim of promoting adherence to agreed plans, reducing the risks of post-injury complications, promoting independence and improving quality of life. Sexual function is a well-known quality-of-life indicator and it has been widely documented that it is not well addressed following spinal cord injury. A previous service evaluation exploring education provided to patients with spinal cord injury identified the need for improved provision of sexual function education/information. As a result, weekly 1-hour sessions focused on sexual function for up to three patients of the same sex were held, facilitated by a clinical nurse specialist. The sessions had an open forum structure. They were initially designed to discuss thoughts and feelings around intimacy and sex after a spinal cord injury, but focused on group members' requests. In addition, patients were offered a one-to-one session where the ‘mechanics’ of sex could be discussed in further detail. Design and methods: a service evaluation used a questionnaire survey to collect data from a purposive convenience sample of spinal cord injury patients. Data were collected between July and September 2018. Participants completed a locally designed paper questionnaire, which included Likert-style questions and space to add free text comments. Descriptive analysis of the data was used. Results: survey results suggest that the newly formed sexual function education session is positively evaluated in terms of usefulness and all attendees to date would recommend this session to other patients. Conclusions and recommendations: following completion of data analysis, findings will inform the further development of sexual function education, with a particular focus on tailoring it to the patient and reducing the stigma around talking about sex.
Constraints and ethical tensions in the area of young-onset dementia
Authors: Kilty Caroline , Naughton Corina , de Roiste Aine 
Published: November 2019

Background: young-onset dementia (under age 65) varies in many respects to typical aged dementia. Health professionals are centrally involved in supporting individuals and families to cope with the unique challenges that young-onset dementia (YOD) brings. Aims: this study aimed to explore professionals' perceptions of the key challenges faced by people living with YOD and their families, and how they provide support to this group. Methods: qualitative interviews were conducted with nine health professionals from a range of health and social care contexts. Data were analysed using interpretative phenomenological analysis. Findings: interviewees reported significant challenges in trying to enact support for people with YOD, and families. Particular challenges relate to delays in accessing timely diagnosis, and difficulty in accessing relevant, age-appropriate supports. Interviewees experienced ethical tensions working in this area; interviewees were keen to enact support for the person following diagnosis, but felt constrained by service options that were not relevant or readily accessible to the person, and in some instances, traditional dementia services added to, rather than lessened the stress experienced by those involved. Conclusion: dementia and health services should be cognisant of the unique challenges of YOD, and models of service provision should aim to respond accordingly. Nurses and other health professionals should be afforded the necessary structures to support people living with YOD. This relates to dedicated YOD models of care, specifically timely diagnosis, post-diagnosis support and community services that enhance personhood and resilience.
Preventing wrong tooth extractions
Authors: Woolcombe Sarah , Kazmi Alizey , Tagar Harjit 
Published: November 2019

The role of the dental nurse in designing, implementing and maintaining an effective patient safety policy Aim To provide an overview of National Safety Standards for Invasive Procedures (NatSSIP) and detail how they can be used to create a Local Safety Standard for Invasive Procedures (LocSSIP) to prevent wrong tooth extraction. Objectives To understand the benefits of Local Safety Standards for Invasive Procedures To be able to describe the key roles of dental nurses in patient safety To understand how to create and implement a Local Safety Standard for Invasive Procedures both in theory and in practice GDC development outcomes A, B and C
Improvement of glyphosate adsorption using new composites based on Ghassoul and chitosan: Kinetics and equilibrium study
Authors: Hnana Karim , Barhoun Abdeslam , Draoui Khalid 
Published: November 2019

Clay materials combined with other compounds are intensely used in several fields. The present study focuses on the synthesis of organoclays and nanocomposites based on the intercalation of surfactant and biopolymer into swelling Moroccan clay. The produced materials were used in the removal of glyphosate from the aqueous medium. The organoclay was obtained by the intercalation of cetyltrimethylammonium bromide (CTAB) in the interlamellar space of stevensite, and the nanocomposite was fabricated by the direct interaction between the stevensite and chitosan. These materials were characterized by mean X-Ray Diffraction, Fourier Transform Infra-Red Spectroscopy (FTIR), Thermal Analysis and Transmission Electron Microscopy (TEM). The results showed that the stevensite is the dominant clay mineral of Ghassoul and confirmed that the nanocomposite has an intercalated clay structure. The batch mode was accomplished to quantify the glyphosate removal capacity from aqueous solution by these materials. The enhancement of hydrophobic properties has promoted the retention of the herbicide. The pseudo-second-order kinetic model of adsorption was the most suitable to describe the process of adsorption and the Freundlich isotherm equation fitted satisfactory the adsorption isotherm data. The capacity of adsorption was more outstanding for the nanocomposite chitosan/Ghassoul and reached a significant value of 159.10 mg.g-1. The nanocomposites based on chitosan/Ghassoul could be considered as promising materials for treatments of pesticide-contaminated water.
Tracing the Genealogical Self: Entanglements of drawing with Tim Ingold's Lines
Authors: Veryeri Alaca Ilgım , Dinç Betül Gaye 
Published: November 2019

Abstract
The Genealogical Self Project is a component of a basic drawing course open to undergraduates from diverse disciplines and cultures, and engages students in critical drawing activities at Koç University, a liberal arts college in Īstanbul. By introducing a chapter from Tim Ingold's book, Lines: A Brief History, to the course, we aim to revisit the elements and processes that constitute drawing education, and what lines and mark-making mean in art and daily life. Thus, Tim Ingold's anthropological approach to elements of drawing opens a door to the expanded capacity of this art in general and invites students to interact with a text that handles parallel topics such as line. The project offers students an experimental way of building a drawing via inspiration from the text covered in the course and by inspiring them to base their work on myriad sources from their life going beyond drawing physical objects.
Learning drawing: Sustaining the primacy of visualcy within a neo-liberal artschool curriculum
Authors: Riley Howard 
Published: November 2019

Abstract
The paper champions an articulacy in drawing – visualcy – as central to a visual arts pedagogy, arguing that the one domain of human inquiry which distinguishes the visual arts from other disciplines is surely that surrounding the faculty of vision. The ascendency within the artworld of a relational aesthetics often devoid of perceptual insights is traced through a brief history of the relationships between visual artforms and their sociopolitical contexts, culminating with the shift of emphasis away from the perceptually intriguing and towards the contemporary imperatives of a professional practice defined in terms of the neo-liberal values permeating the UK Higher Education sector since 2010. The text rehabilitates the Formalist notion of enstrangement as a means of revitalizing the primacy of perceptual inquiry over 'looking through language', and is illustrated with drawings by the author.
The rupture as a drawing-in of experience
Authors: Kay-Jones Simon 
Published: November 2019

Abstract
The rupture as a drawing-in of experience constructs perspectives on architectural education, as an act of architectural discourse proper in order that architectural education might facilitate the learning of how to draw-in experience as a process. This paper unpacks material engagement theory from the vantage of drawing and elicits three levels of engagement; of action, object and meaning together with a fourth proposed here, that of experience. It goes on to follow a student-led project using rupturing as a methodological approach to understand the role of drawing and the four aspects that influence practitioners: the act of drawing as a means to illuminate fields of learning as distinct paradigms of design strategies; the process of drawing as a strategy of architectural work; the construction of a drawing process and Learners Journey as a sequentially mapped out procedure of work; and the experiencing of drawing in broadening the context to develop a new terroire or theory of drawing. These four aspects of drawing evidence an emergent theory and methodological approach in using drawing to engage with cultural and architectural conversations, materially. Through the process of rupture, this text positions drawing at the heart of a reframing of the interactions with things and experiences of material agency and material imagination through the act of drawing. Rupturing as a method therefore offers the potential for significant and insightful opportunities in understanding the role of drawing and its ability to further MET theory's main aims. The paper also puts forward the notion that the role of drawing more broadly may sit along materiality, material turns and its techniques to interact into and through a wider anthropological study of drawing as a comparative study in the materiality of art; the way drawing affects our learning, our thinking and our understanding of culture and matter.
The grey space in the middle: Using drawing to meet the object half way
Authors: Morris Martin , Molloy Paddy 
Published: November 2019

Abstract
Through the concept defined by David Bowie as the 'grey space in the middle', a theoretical space through which the meaning and worth of a piece of art is defined, this text looks at how Martin Morris and Paddy Molloy teach and develop processes towards drawing on the Illustration Animation BA (Hons) course, part of the Design School at Kingston School of Art (KSA), Kingston University. Their pedagogic process is examined through a set of six images made by three different students (covering life drawing, copying, memory drawing and Virtual Reality [VR]) alongside the respective students' responses to their work and their experience of drawing the images. Through the mental and physical space between observer and object in which new ideas are generated and filtered through the myriad of internal and external processes involved with drawing, Morris and Molloy analyse and investigate this 'grey space' with the aim to quantify the interaction and outcomes that occur between viewer (student/tutor) and object (drawing) and furthermore consider insights gleamed from the process and questions raised. By sharing these observations this paper seeks to demonstrate that the interaction that happens in this theoretical space between viewer and object, which is the malleable mental and physical space between, can be considered as fundamental to both the development of visual communication and how we come to read works of art. This can be applied to the teaching of drawing enabling students to gain insight, ask questions, inform their understanding of draughtsmanship and discover their individual voice.
Three Cases of Alcohol-Induced Acute-On-Chronic Liver Failure With Successful Support by Adipose-Derived Stem Cells
Authors: Götze Tobias , Krueger Michael , Meutsch Juliane , Dörfel Max , Born Stephan , Sowa Jan-Peter , Canbay Ali 
Published: November 2019

OBJECTIVES:
Acute liver failure (ALF) and acute-on-chronic liver failure (AOCLF) are critical medical conditions with urgent therapy requirements. When ALF or AOCLF are due to alcohol intoxication or based on chronic alcohol abuse, virtually, no therapeutic options are available as liver transplantation is prohibited. In this case series, treatment of alcohol-induced ALF/AOCLF with adipose--derived stem cells (ASC) was tested under compassionate use.

METHODS:
ASC from 2 donors were isolated, cultured, and expanded by established protocols. ASC were administered to 3 individuals with either ALF or AOCLF due to alcohol abuse under compassionate use. Clinical presentation, serum measurements, and other diagnostic methods were compiled before ASC treatment and during the disease course after ASC administration.

RESULTS:
Three patients were admitted to the Department of Gastroenterology, Hepatology, and Infectious Diseases (University Hospital Magdeburg) with acute or AOCLF due to alcohol abuse. All 3 patients presented in impaired general condition and with elevated, in 1 case drastically elevated, serum liver enzyme concentrations. Treatment with ASC led to improvements in general condition and reduction of serum transaminases. In 2 cases, reduction of liver stiffness and increase of liver function by the C13 methacetin breath test were observed after ASC treatment. Recovery to a normal condition was achieved between 1 and 2 months after ASC treatment. No adverse effects associated to ASC treatment were observed.

DISCUSSION:
ASC treatment may be a feasible option to enhance recovery from alcohol-induced ALF or AOCLF. ASC treatment seems safe in the presented cases.