bluuebunny/crossref_metadata_2025_split huggingface dataset:
Population-based Survivorship of Computer-navigated Versus Conventional Total Knee Arthroplasty
Authors: Antonios Joseph K. , Kang Hyunwoo Paco , Robertson Djani , Oakes Daniel A. , Lieberman Jay R. , Heckmann Nathanael D. 
Published: January 2020

Background:
The goal of computer navigation in total knee arthroplasty (TKA) is to improve the accuracy of alignment. However, the relationship between this technology and implant longevity has not been established. The purpose of this study was to analyze survivorship of computer-navigated TKAs compared with traditionally instrumented TKAs.

Methods:
The PearlDiver Medicare database was used to identify patients who underwent a primary TKA using conventional instrumentation versus computer navigation between 2005 and 2014. Conventional and computer-navigated cohorts were matched by age, sex, year of procedure, comorbidities, and geographic region. Kaplan-Meier curves were generated to estimate survivorship with aseptic mechanical complications, periprosthetic joint infection, and all-cause revision as end points.

Results:
During the study period, 75,709 patients who underwent a computer-navigated TKA were identified and matched to a cohort of 75,676 conventional TKA patients from a cohort of 1,607,803 conventional TKA patients. No difference existed in survival between conventional instrumentation (94.7%) and navigated TKAs (95.1%, P = 0.06) at 5 years. A modest decrease was found in revisions secondary to mechanical complications associated with navigation (96.1%) compared with conventional instrumentation (95.7%, P = 0.02) at 5 years. No differences in revision rates because of periprosthetic joint infection were observed (97.9% versus 97.9% event-free survival, P = 0.30). In a subgroup of Medicare patients younger than 65 years of age, use of computer navigation was associated with a decrease in all-cause revision (91.4% versus 89.6% event free survival, P = 0.01) and revision secondary to mechanical complications (89.6% versus 87.8% event-free survival, P = 0.01) at 5 years.

Discussion:
Among Medicare patients, no notable difference existed in TKA survival associated with the use of computer navigation at the 5-year follow-up. Use of computer navigation was associated with a slight decrease in revisions secondary to mechanical failure. Although improved survivorship was associated with patients younger than 65 years of age who had a navigated TKA, generalizability of these findings is limited given the unique characteristics of this Medicare subpopulation.
Toezicht en handhaving van Europees voedselveiligheidsrecht door de NVWA; de Nieuwe Controleverordening (EU) 2017/625
Authors: Gawronski S.A. 
Published: January 2020

Toezicht en handhaving van Europees voedselveiligheidsrecht door de NVWA; de Nieuwe Controleverordening (EU) 2017/625
Ambtenaren van de NVWA houden toezicht op de naleving van het Europese en nationale voedselveiligheidsrecht. De bevoegdheden daartoe ontlenen zij aan de Algemene wet bestuursrecht en de Warenwet. Op 14 december 2019 is EU-Verordening (EU) 2017/625 inzake deze officiële controles van toepassing geworden. Deze verordening gaat ook in op onderwerpen die niet (afdoende) zijn geregeld in het nationale recht. Dit artikel laat zien hoe het toezicht van voedselveiligheidsrecht is geregeld in de context van de nieuwe Verordening (EU) 2017/625 inzake officiële controles en toont de impact op het bestuursrecht op drie onderwerpen: de mystery shopper, risicogeoriënteerd toezicht en verplichte handhaving.Verordening (EU) 2017/625 van het Europees Parlement en de Raad van 15 maart 2017 betreffende officiële controles en andere officiële activiteiten die worden uitgevoerd om de toepassing van de levensmiddelen- en diervoederwetgeving en van de voorschriften inzake diergezondheid, dierenwelzijn, plantgezondheid en gewasbeschermingsmiddelen te waarborgen (…), PbEU 2017, L 95/1.
Conceptos sensibilizantes en la historia de un caso: una reflexión profesional
Authors: Martinez Perez Beatriz 
Published: January 2020

La reflexión sobre la praxis de un caso reflejada en el presente artículo es el resultado de un insight profesional tras más de 15 años de profesión. En concreto la voz y el sentir tras los resultados inesperados y equidistantes de los objetivos planteados durante la intervención de un caso de desprotección de una persona mayor y su cuidadora en la Región de Murcia, municipio de Alcantarilla. Se trata del atrevimiento a hacer una parada en seco como límite del maremágnum de acción de una profesión carente de tiempo para la reflexión, sumergida en la exigencia propia y del Sistema y a la inversa que se ve reflejada en las intervenciones de los casos con la mayor o menor reclamación en función de algunos factores como por ejemplo la categoría del colectivo de intervención, el espíritu crítico del profesional y de manera fundamental la violencia estructural y silenciosa que ejerce el Sistema, donde el profesional entra en un sopor existencial camuflado en la eficacia de la acción. Acción que se exige y a su vez es asumida cual cómplice anestésico. El resultado son intervenciones exprés, usuarios no escuchados con demandas reales no atendidas. Sin embargo el desenlace de los casos una vez más supondrá una lección profesional y de vida, poniendo delante la problemática realidad de la necesidad subjetiva no declarada del sujeto.
El presente artículo pone de relieve El Tiempo como protagonista de la intervención y no el tiempo Khronos de llegar al objetivo planificado sino el tiempo Kairos de las partes o sujetos intervinientes imprescindible para la toma de conciencia y la responsabilidad del profesional y de los sujetos de intervención sobre la verdadera necesidad que no es otra que la realidad de la práctica cotidiana.
La emergencia de las fábricas de moler en la Vega Alta del Segura
Authors: Trigueros Molina Juan Carlos , Alcaraz Pérez Rubén , Yelo López Víctor 
Published: January 2020

El presente estudio analiza desde una perspectiva histórica siete molinos hidráulicos harineros en las demarcaciones de Cieza, Abarán y Blanca (Vega Alta del Segura, Región de Murcia) durante la Edad Moderna. Lo que se pretende es reconocer los agentes que condicionaron el establecimiento de estas fábricas; quiénes fueron sus fundadores, sus propietarios, sus sistemas de funcionamiento; cómo evolucionaron estos ingenios desde el punto de vista de la propiedad; qué cifras rondaban sus arrendamientos. El estudio se remata con el contexto actual de estos molinos desde el punto de vista patrimonial. Para componer este trabajo ha sido esencial utilizar documentos históricos derivados de los Protocolos Notariales del Archivo Histórico Provincial de Murcia.
The present study examines seven hydraulic mills a current and historical perspective on the demarcations of Cieza, Abarán and Blanca (Vega Alta del Segura, Región de Murcia) during the modern age. What is intended is to recognize agents which conditioned these stablishment of these factories; how were the founders, owners; what were their operating systems; as these mills were evolving from the point of view of the property; what price averaged ther leases. The study is topped with the current context of these mills from the heritage point of view. To compose this study it has been essential to use historial documents the Protocols Notary of File Historical Provincial of Murcia.
Sacralidad y singularidad de los espacios de enterramiento en Totana (Murcia) a partir del siglo XVI
Authors: Cánovas Mulero Juan 
Published: January 2020

En este trabajo estudiamos el cambio de ubicación de los distintos cementerios de Totana en el siglo XIX. Hasta 1811 estos espacios se situaron en templos y ermitas. Las epidemias de principios del siglo XIX obligaron a materializar las disposiciones que Carlos III había publicado en el siglo XVIII y que decretaban alejar los enterramientos de los núcleos urbanos. Fue así como las autoridades locales iniciaron la construcción de un primer cementerio en la población en 1813. Este ámbito estuvo en uso hasta que en 1885 se edificó el cementerio actual, el de Nuestra Señora del Carmen, más alejado de la población y siguiendo un modelo estético e higienista establecido por el arquitecto diocesano Justo Millán Espinosa.
In this work we study the change of location of the different cemeteries of Totana in the 19th century. Until 1811 these spaces were located in temples and hermitages. The epidemics of the early nineteenth century forced to carry out the provisions that Carlos III had published in the eighteenth century which decreed the removal of burials from urban centres. This is how local authorities began the construction of a first cemetery in the population in 1813. This place was in use until 1885 when the current cemetery of «Nuestra Señora del Carmen» was built. This cemetery is further away from the population and follows an aesthetic and hygienist model established by the diocesan architect Justo Millán Espinosa.
Los pasatiempos como recurso didáctico en el aula de E/LE (1): Planteamientos generales. Los mensajes cifrados
Authors: Aguilar Ruiz Manuel José 
Published: January 2020

Resumen: Los juegos lingüísticos que conocemos como pasatiempos (normalmente, los crucigramas y sopas de letras) se han venido ofreciendo tradicionalmente como un recurso lúdico muy útil para el aprendizaje de español como L2 y LE. Su uso se ha extendido en los últimos tiempos, sobre todo, gracias a las ventajas de multitud de páginas web como, por ejemplo, los Pasatiempos de Rayuela, del Instituto Cervantes. El aprovechamiento didáctico de estos juegos presenta un potencial enorme, ya que pueden emplearse, siempre lúdicamente, no solo como actividad motivadora en la que el aprendiz de E/LE adquiera vocabulario nuevo, sino también como un ejercicio de refuerzo que le ayude a repasar el léxico ya aprendido.
En el presente artículo trataremos de analizar brevemente los beneficios que conlleva utilizar este tipo de juegos en clase de E/LE. Nos centraremos fundamentalmente en el pasatiempo llamado mensaje cifrado o criptograma, y en algunos modos de resolverlo mediante la reflexión de la morfología y fonotaxis española, además de ofrecer un método para crearlo.

Palabras clave: Español, E/LE, pasatiempos, mensaje cifrado.

Abstract: Word puzzles as crosswords and word search puzzles have been traditionally offered as a playful resource for learning Spanish as a Second Language and Spanish as a Foreign Language. Its use has extended in recent times thanks to the advantages of a multitude of webs, such as Pasatiempos de Rayuela by Instituto Cervantes. The didactic use of these games presents an enormous potential, since they can be used not only as a motivating activity in which the learner of Spanish acquires new vocabulary, but also as a reinforcement exercise that helps the learner of Spanish to review the vocabulary learned.
In this article we will try to briefly analyze the benefits of using this type of games in Spanish class. We focus primarily on the puzle called cryptogram and in some ways to solve it by through the Spanish morphology and phonotactics, and we will offer a method to create it.

Keywords: Spanish, Spanish as a Second Language / Spanish as a Foreign Language, word puzzles, cryptogram
¡Entonemos del revés!: algunas estrategias para mejorar la entonación emocional de los alumnos de ELE / Let’s modulate our voice inside out!: some strategies to practice the emotional intonation with Spanish as a foreign language students
Authors: Arlandis Toledano Carla , Meseguer Monfort Elena 
Published: January 2020

En este artículo se propone una secuencia de actividades basada en algunas ideas del Método verbo-tonal (Guberina/Murillo, 2008; Padilla, 2018) la cual consta de cinco actividades, secuenciadas en percepción-producción/consciente-inconsciente (Padilla, 2015), para practicar la entonación expresiva. El elemento motivador que se emplea a lo largo de la secuencia didáctica es la película Del revés. En esta secuencia de actividades perseguimos dos objetivos: contrastar la entonación neutra con la emotiva y practicar la entonación neutra y emotiva en enunciados declarativos. Para ello, haremos una contrastación de los valores emotivos con los neutros, trabajando las seis emociones básicas: alegría, miedo, asco, enfado, tristeza y sorpresa.

Palabras clave: verbo-tonal, actividades, entonación, expresiva, emociones

This article aims to develop a sequence of five activities based on some of the ideas of the verbo-tonal method (Guberina/Murillo, 2008; Padilla, 2018). They are classified as different processes in order to practice the expressive intonation: perception and production in a conscious and unconscious way (Padilla, 2015). The primary motivation is the movie- Inside out. This sequence of activities has two objectives: contrasting the neutral intonation with the emotional intonation and practicing the neutral and emotional intonation when using declarative statements. To do so, this sequence of activities will contrast the neutral values with the emotional ones by working with the six basic emotions: happiness, fear, disgust, anger, sadness and surprise.

Key words: verbo-tonal, activities, intonation, expressive, emotions
Dibujar la conversación en ELE: la enseñanza de la toma de turnos del español
Authors: Espinosa Guerri Guadalupe 
Published: January 2020

Uno de los componentes necesarios para el desarrollo de la competencia pragmática es la toma de turnos. No obstante, aunque nuestro conocimiento sobre la estructura de la conversación coloquial y sobre el funcionamiento del sistema de toma de turnos se ha visto ampliado gracias a los estudios que se han realizado desde el Análisis de la Conversación y el Español Coloquial, son muy pocos los intentos de trasvasar ese conocimiento teórico al campo de la enseñanza de lenguas extranjeras (Cestero, 2012).
El presente trabajo pretende dar a conocer algunos de los hallazgos en torno al sistema de alternancia de turnos de la conversación coloquial española y proponer dos herramientas didácticas para su enseñanza en el aula de ELE: 1) los dientes de sierra, herramienta de visualización que permite reconocer gráficamente la relación entre los turnos de un diálogo; y 2) una tipología de figuras interaccionales que recoge las diferentes estructuras que se producen en la toma de turnos de la conversación coloquial española.
Breastfeeding Practice among HIV Positive Mothers Receiving Care for PMTCT at the University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt, Nigeria
Authors: Ichendu Paul Nsirimobu , Alex-Hart Balafama Abinye 
Published: January 2020

Background: Exclusive Breastfeeding (EBF) is the recommended feeding method for HIV exposed infants in resource limited settings. This study aimed to evaluate the feeding practices and possible determinants among HIV-positive mothers receiving care for prevention of mother-to-child transmission programme (PMTCT) in Port Harcourt, Nigeria.
Methods: This was a cross-sectional study among HIV positive mothers who were receiving care for PMTCT. A structured questionnaire was self-administered to mothers whose babies were at least one year old. Information obtained included the sociodemographic characteristics of the mothers, the choice of feeding practiced by the mothers, reason for the choice of feeding, duration of breastfeeding and reason for breastfeeding. Obtained data was analysed and a p-value of <0.05 was considered statistically significant.
Results: A total of 234 mothers participated in the study. Exclusive breastfeeding (EBF) was the predominant type of feeding practiced by the mothers with an EBF rate of 91.4%. Prevention of HIV transmission to the child (85.5%) and the nutritional benefits of the milk (70.9%) were the main underlying reason for the mother’s choice of feeding. One hundred and sixty eight (76.4%) breastfed for 7-12 Months, 156 (70.9%) practiced breastfeeding because of personal choice, while 42 (19.9%) breastfed for fear of HIV status being disclosed. Significantly more of the married mothers exclusively breastfed their children than the unmarried counterparts (X 2 = 23.99, p = 0.0001).
Conclusion: Breastfeeding is the commonest feeding practice among HIV positive mother and the EBF rate among these mothers is high and must be encouraged. Regular and consistent use of ART among HIV positive mothers must be encouraged and supported since the desire to prevent MTCT was the commonest motivation for the feeding choice among these mothers.
Economic Analysis of Cut Flower (Rose and Gerbera) Production under Polyhouse in Jabalpur District of Madhya Pradesh, India
Authors: Tiwari Yogesh , Awasthi P. K. , Pandey Prem Ratan 
Published: January 2020

Flowers are crowning beauty of God's creation. They are inseparable part of human joy and sorrows. It is said that man is born with flowers, lives with flowers and finally dies with flowers.The main objective of the present study was to analyze the cost of production of selected cut flower i.e. rose, gerbera grown under polyhouses in Jabalpur district. From the selected blocks a list of polyhouse cut flower growers were collected with the help of officials of the Joint Director of Horticulture, Jabalpur There are eight cut flowers polyhouse established in the district during last year. The primary data required for the study were collected by personal interview of the respondents. The information on cost and return in production of cut flower were collected personally by the use of well structured interview schedule. The data were collected through selected farmers. This paper examined the cost and return and benefit cost ratio of cut flower cultivation under protected condition. The study revealed that total cost in gerbera and rose production grown on an average 1200 m2 were Rs 909206 and Rs. 882517, respectively. The annual gerbera and rose production on sample polyhouse 409288 nos and 342000 nos flowers respectively which is 108 and 76% higher than the break- even level, Net profit was to the extent of Rs 529868 and Rs 345288 and benefit- cost ratio was 1:85 and 1:61 respectively. Thus, existing production technology yield sufficient profit to the cut flowers growers. huge investment requirement, shortage of trained manpower, price fluctuation, lack of scientific knowledge & training, attack by pest & disease, lack of extension work came out as major financial and technical problems (Wani NI, 2017). There is a need to establish a research and development wing in order to develop better methods of cultivation and optimum use of recommended inputs in floriculture.
Evaluation of Youth Vulnerability to Community Cultism in Selected States in the Niger Delta Region of Nigeria
Authors: Nwaogu N. R. , E. Weli V. , D. Mbee M. 
Published: January 2020

Background of Study: Cultism is one of the major sources of violence and causes of death among youths in the Niger Delta region, Nigeria. Youths join different cult groups to have more influence and power than their peers. Supremacy of a particular cult group in a community gives its members edge to take control of proceeds and royalties accruing from crude oil production in the area. As a result, many cult groups are at conflict to assume dominance and control. This rivalry among them triggered inter and intra cult violence such as assassination, abduction, clashes, and destruction of properties as well as insecurity and upsurge in criminal activities.
Methods and Materials: This study examines the vulnerability of youths to community cultism in the Niger Delta. It looks at reasons joining cultism, crimes committed by cultists and extent of cult attacks and fatalities in the area. Adopting cross sectional research design, this study was conducted in the 20 Local Government Areas (LGAs) where amnesty was offered to cultists by government in 2016. The study population was the entire population of the repentant cultists (cultists who embraced the amnesty package) and Taro Yamene’s formula was used in selecting the sample size of 400. Snowball sampling technique was employed in selecting repentant cultists. Data relied on primary and secondary sources, and were analyzed using descriptive statistics such as frequencies, percentages, weighted means and choropleth maps.
Results: The highest reason youths engage in cultism in communities was for protection. Also, quest for influence/power, money and peer group were other reasons. Fun and desire for political connection were the least reasons. The major crimes committed by cultists were murder/killing, intimidation, kidnapping and political thuggery. Cult attacks were highest in 2018 with 109 cases and least in 2010 with 33 cases while fatalities peaked in 2017 with 92 deaths and lowered in 2010 with 13 deaths.
Conclusion: Youths are vulnerable to joining cult gangs for protection and to exert influence/power over their peers. Re-orientation and sensitization programs are recommended to disabuse their minds and discourage them from engaging in anti-social behaviors.
Morphological and Molecular Characterization of Endophytic Fungi Associated with Cocoa (Theobroma cacao L.) in India
Authors: Chaithra M. , Vanitha S. , Ramanathan A. , Jegadeeshwari V. , Rajesh V. , Hegde V. , Apshara E. 
Published: January 2020

Aim: To identify cocoa associated endophytic fungi through morphological and molecular techniques.
Place and Duration of Study: Department of Plant Pathology, TNAU, Coimbatore, Tamil Nadu from April 2018 to November 2019.
Methodology: Endophytic fungal isolates were isolated from different parts of cocoa using Petrini method. Isolated endophytic fungal strains were grown in Malt extract broth and total genomic DNA was isolated and amplified using universal primers ITS1F and ITS4R. Amplified rDNA was visualized and documented.
Results: Morphological and molecular characterization of six endophytic fungi revealed that they are from four different taxa viz., Lasiodiplodia pseudotheobromae PAK-7, Arthrinium rasikravindrae P11, Arthrinium rasikravindrae P12, Diaporthe sp. Vef-3, Lasiodiplodia theobromae TN-R-3, Colletotrichum sp. TN-9-2 belonging to four different families viz., Botryosphaeriaceae, Apiosporaceae, Diaporthaceae and Glomorellaceae under Phylum Ascomycota.
Conclusion: The present study indicates the distribution and diversity of fungal endophytes in different plant parts of the cocoa tree in south India.