bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cáncer paratiroideo como causa de fractura y osteoporosis secundaria en el adulto mayor
Authors: Huertas-Quintero J. Andrea , Camila Romero María , Trejos Juan Antonio , Maldonado Luis Miguel 
Published: November 2021

Introducción. El carcinoma paratiroideo es infrecuente y más en población geriátrica, afecta el metabolismo óseo y es enmascarado por patologías comunes que causan fracturas de bajo impacto.
Objetivo. Ilustrar el cáncer paratiroideo dentro del estudio de las fracturas patológicas y la osteoporosis secundaria, para favorecer el diagnóstico temprano en el adulto mayor.
Presentación del caso. Mujer de 71 años con osteoporosis presentó fractura de fémur mientras caminaba. Se evidenció síndrome constitucional, anemia, nefrolitiasis y lesiones osteolíticas; se consideró metástasis óseas versus tumores pardos. Se descartaron neoplasias ginecológicas frecuentes y tumores de células plasmáticas. Estudios tomográficos mostraron nódulo pulmonar y nódulo tiroideo (4 cm), el perfil fosfocálcico indicó hiperparatiroidismo primario, gammagrafía paratiroidea Tc99 MIBI fue negativa. Previa dosis de zoledronato, se realizó exploración de paratiroides, hemitiroidectomía izquierda en bloque y paratiroidectomía superior derecha. Histología e inmunohistoquímica de masa cervical reportó carcinoma de paratiroides. Seguimiento posquirúrgico indicó paratohormona y calcio elevado, e imágenes con metástasis pulmonares.
Discusión y conclusión. Las fracturas por osteoporosis son frecuentes, pero ante fracturas atípicas y/o puntaje Z?-2, se deben considerar causas tumorales, infecciosas y evaluación temprana del metabolismo fosfocálcico. El cáncer de paratiroides es más frecuente alrededor de los 50 años, pero puede presentarse a cualquier edad; en adultos mayores comparte características clínicas con entidades prevalentes como osteoporosis posmenopáusica, nefrolitiasis y nódulo tiroideo. El cáncer paratiroideo tiene un espectro clínico amplio y debe ser una posibilidad diagnóstica ante fracturas patológicas o hiperparatiroidismo grave, incluso en ausencia de lesión paratiroidea en un Tc99 MIBI o en presencia de patología tiroidea. El abordaje quirúrgico temprano es la mejor opción terapéutica, y el diagnóstico histológico debe apoyarse en inmunohistoquímica por falta de características citológicas específicas del cáncer paratiroideo.
Strategi Mengenalkan Matematika Kelas Tinggi kepada Siswa Kelas Rendah Menggunakan Pendekatan Pemecahan Masalah
Authors: Yohanes Rudi Santoso 
Published: November 2021

Akhir-akhir ini, pada kelas olimpiade matematika, ada kecenderungan untuk mengenalkan konsep matematika kelas tinggi kepada siswa kelas rendah. Konsep matematika yang biasanya diajarkan di sekolah menengah, sekarang mulai dikenalkan di sekolah dasar, bahkan di sekolah dasar kelas rendah. Bruner mengatakan bahwa mengenalkan materi matematika kepada anak lebih awal bukan merupakan masalah, asalkan cara pembelajarannya sesuai dengan taraf kemampuan berpikir anak. Fenomena ini memunculkan tantangan bagi guru, yaitu: Bagaimana strategi pembelajaran untuk mengenalkan matematika kelas tinggi kepada siswa kelas rendah, sehingga materi matematika kelas tinggi dapat dipahami secara bermakna oleh siswa kelas rendah? Penelitian ini merupakan penelitian kepustakaan yang teknik pengumpulan datanya dengan melakukan telaah terhadap buku, literatur yang berkaitan dengan masalah yang ingin dipecahkan. Dalam artikel ini dipaparkan 4 buah contoh strategi mengenalkan metematika tingkat tinggi kepada siswa kelas rendah, yaitu: Jarak Kecepatan Waktu, Sistem Persamaan Linier, Kombinatorik, Luas Daerah. Hasil penelitian ini menunjukkan bahwa strategi pemecahan masalah: menerka dan menguji kembali, membuat daftar, membuat gambar mempunyai potensi yang besar untuk digunakan mengenalkan matematika kelas tinggi kepada siswa kelas rendah. Keuntungan menggunakan strategi pemecahan masalah ini adalah: (1) Anak tidak bergantung pada rumus, (2) Kemampuan berpikir kritis dan kreatif, serta penalaran siswa dapat terlatih, (3) Membuka peluang bagi anak untuk menemukan rumus sendiri.
Roldynamiek binnen juridische professies
Authors: Mascini Peter , Doornbos Nienke 
Published: November 2021

Reappraisal of the role concept: a dynamic perspective on the fulfillment of professional roles within the legal field
This special issue focuses on the role concept, which has largely fallen out of use in sociology, but which seems ideally suited to analyze the circumstances in which legal professionals work nowadays. Their occupations are often surrounded by constitutional guarantees and professional standards, but at the same time in full swing due to policy reforms referred to as New Public Management and Socially Effective Judiciary (Maatschappelijk Effectieve Rechtspraak). This combination of relative role stability and rapid change can ensure that the predictability and desirability of the interpretation attributed to professional roles become subject of discussion and reflection. The way the role concept is used in this special issue is deliberately decoupled from the much-criticized structural functionalism with which it is often associated. The fact that this sociological perspective has lost much of its sway since the 1960s, because of its conservative character, makes it easier to give dynamics, ambiguity, conflict and resistance a prominent place in contemporary analyzes in which the role concept is central. The authors in this special issue examine whether the role fulfillment by professionals working in the legal field is actually subject of discussion and reflection and how this dynamic manifests itself.
ЭЛЕКТРОХИМИЧЕСКОЕ МОДИФИЦИРОВАНИЕ ПОВЕРХНОСТИ АЛЮМИНИЯ ПРИ КАТОДНОЙ ОБРАБОТКЕ В ХИТОЗАНСОДЕРЖАЩИХ ВОДНЫХ ФОСФАТ- МОЛИБДАТНЫХ РАСТВОРАХ
Authors: ПОПОВА СВЕТЛАНА СТЕПАНОВНА , ХУССЕЙН ХУССЕЙН АЛИ , ФРОЛОВА ИРИНА ИЛЬИНИЧНА , ЛОПУХОВА МАРИНА ИВАНОВНА 
Published: November 2021

Исследованы морфология поверхности алюминиевого электрода, элементный состав поверхностного слоя до и после катодной обработки в гальваностатическом режиме. Установлено, что в области катодных плотностей тока менее 0,1 мА/см2 на алюминиевом катоде происходит преимущественно адсорбция полимолибдат– и полифосфатмолибдат–ионов, сопровождающаяся образованием в адсорбированном слое полимерных цепочек из оксидов молибдена промежуточной валентности Mo (VI) → Mo (IV) → Mo (II), двойных оксидов, алюминатов, полиоксофосфат-молибдатов алюминия, обеспечивающих свободное перемещение катионов щелочного металла и водорода. Формирование слоя гетеро-полиоксофосфатмолибдатов, согласно данным бестоковой хронопотенциометрии, вторичной ионной масс-спектрометрии и сканирующей электронной микроскопии, протекает уже в отсутствие тока. Определяющую роль в формировании морфологии модифицирующего слоя и его элементного состава играет введение фосфорной кислоты в раствор молибдата натрия. При 0,5 мА/см2 и более высоких плотностях катодного тока протекает преимущественно процесс выделения водорода как по реакции разряда ионов водорода и молекул воды, так и за счет химического взаимодействия алюминия и образующегося, вследствие протекания процесса внедрения, сплава алюминия с натрием с молекулами воды и фосфорной кислоты. На это указывает подщелачивание приэлектродного слоя раствора. Скорость интеркалирования ионов водорода и натрия в структуру полиоксофосфат-молибдатного слоя резко возрастает с увеличением плотности тока до значений 5…10 мА/см2, когда на электроде устанавливается потенциал от −1,3…−3,0 В. Этому способствует не только волокновая структура формирующегося слоя полигетерооксофосфатмолибдатов алюминия и натрия, но и образование в растворе протонированных катионов и анионов фосфорной кислоты, которые облегчают взаимодействие хитозана с поверхностью электрода, вследствие перехода в фосфатный комплекс, и обеспечивают усиление пленкообразующего эффекта и упорядочение структуры модифицирующего слоя. На это указывает снижение краевого угла смачивания.
Découverte de deux spécimens rares d’Arthrodires, poissons fossiles de 400 millions d’années, dans les Grès de Gaspé, Québec
Authors: Pageau Yvon 
Published: November 2021

La faune des vertébrés inférieurs (poissons) des Grès de Gaspé était presque inconnue il y a 50 ans, sauf un Cephalaspis ostéostracé (poisson sans mâchoires) décrit en 1954 par Russell, dont Belles-Isles a changé le genre en 2011. En 1969, Pageau a décrit d’autres Ostéostracés : des Placodermes Arthrodires (poissons avec mâchoires), des Acanthodiens (poissons avec épines osseuses aux nageoires) et des Sélaciens (requins). Dans cet article, 2 spécimens rares d’Arthrodires sont décrits dans leur contexte géologique, un milieu deltaïque fait de dépôts provenant de l’érosion d’une chaîne de montagnes en pleine surrection. L’un est le toit crânien d’un bouclier céphalique, l’autre est un bouclier thoracique. Ils sont rares parce que ce sont des spécimens articulés (le bouclier thoracique a même la plaque spinale en place) et qu’ils proviennent de la formation géologique York River des Grès de Gaspé à L’ Anse-à-Brillant, au sud de la baie de Gaspé, ce qui est nouveau. Ces spécimens confirment que la formation York River à L’ Anse-à-Brillant est du Dévonien inférieur d’âge emsien (407-394 Ma) et que la formation géologique Battery Point à Cap-aux-Os, au nord de la baie de Gaspé, est proche du sommet de la formation York River, donc aussi d’âge emsien.
Transdisciplinary Clinical Practice between Physiotherapists and Traumatologists in Orthopaedic Medicine
Authors: Montoya Luis E. López , García Valadez Luis Roberto , Montoya Ángel D. López , Sandoval Joceline , Cabanillas Diana Yucari López 
Published: November 2021

Introduction: The transdisciplinary scope is conceived as an emerging practice and corpus of knowledge since it comes from the interactions between different disciplines. Transdisciplinarity emerges to solve in a more efficient way health problems of humanity that overcome the traditional biomedical interdisciplinary attention model. In this article, the transdisciplinary physiotherapist is exposed as the beginning of an authentic dialogue between the physiotherapist and the traumatologist in the care of the orthopedic patient that includes all treatment phases of integral rehabilitation, as well as its factors to consider the possible advantages and dares that this scope may present to the health services.
Objective: This paper aims to propose to the scientific community the context of transdisciplinary clinical practice between traumatologists and physical therapists.
Methods: It is performed a grounded theory approach to develop a thesis based on our observations and a reflection of literature that intends to explain transdisciplinary clinical practice phenomenon between traumatologists and physical therapists and pose the potential outcomes of this interactions and its implications.
Conclusion: Exist theoretical and practical background to support the clinical practice of transdisciplinary care in Orthopedic and Physical Therapy attention; which make possible professionals to develop transdisciplinary clinical skills, and team shared decision making. Transdisciplinary clinical practice, as with any educational process, should ideally foster specific shared competencies in healthcare professionals, including teamwork, leadership, consensus building, the ability to identify and achieve common patient care goals and variable shared practical skills that may even include other specialization areas.
A Review of the Status of Rothschild’s Giraffe Sub-Species Population in Africa
Authors: Gathuku George Njagi , Gichuki Cecilia , Ngare Innocent 
Published: November 2021

Africa is the cradle of the world’s giraffe species and the sub-species that keep evolving with more conservation approaches. However, the population of Rothschild’s Giraffe (Giraffa camelopardalis rothschildi) has been impacted at different sects in the wild. The aim of this paper was to review the status of Rothschild’s giraffe in Africa. A desktop descriptive review approach was used through perusal of different scholarly articles on giraffes. From the existing literature, this review exposes the effect of human effects on giraffes, climate change extremes on wildlife, ecological and significance of wildlife, and socio-economic impacts of communities on giraffes. The existing literature shows the impact of climate change extremes on giraffe habitats, with notable droughts, triggers of diseases, and unfit habitat migrations. Conservation of wildlife has to deal with socio-economic and ecological issues that are complex and, most of the time, overwhelming. We recommend the need for community engagement in conservation of wildlife resources and the development of climate prediction models to better understand climate extremes that happen and affect giraffe habits and population.
Effect of Plant-Products Fumigation on Air-Borne Microbes
Authors: Mahfooz Shaista , Itrat Malik , Hamiduddin . 
Published: November 2021

Background and Objective: Purity of the ambient air is essential for our health and well-being. One of the main factors influencing air quality is the presence of microbes. Fumigation of herbs has been recommended in Unani medicine to purify the air. Hence, the present study was aimed to evaluate the effect of selected Unani herbs fumigation on air-borne microbes.
Methods: In this study, the effect of fumigation with Unani Medicinal herbs powder on air-borne microbes was assessed using differences in total colony counts of microbes in pre and post fumigation samples. Microbial load in the air was quantified using the passive open-air petri plate method. Formalin and potassium permanganate served as positive control, while tamarind wood charcoal fumigation served as negative control.
Results: Fumigation with Unani medicinal herbs powder at a dose of 45 grams was found to be the most effective in reducing the microbial load of the air. Significant reduction in aerial microbial colonies was observed with fumigation at 30 and 45 gms in the fumigated areas (P<0.05).
Conclusion: It can be inferred from the findings of the present study that the test drugs fumigation efficiently reduces the air-borne microbes, hence may be recomanded for air disnfectant. However, various factors that were not considered in this study, such as the effect of temperature and humidity on disinfection efficiency of fumigants should be addressed in further studies.
Determination of Ballistic Six Exercises and Theraband Exercises on Physical Performance in Badminton Players: A Randomized Controlled Clinical Trial
Authors: Narang Simran , Patil Deepali 
Published: November 2021

Aims: During regular training, players sustain injuries on a regular basis. Based on the fact that badminton isn't seem at all a contact sport the majority of ailments are caused by overuse. A participant must perform a variety of quick yet repeated shoulder actions and repetitive motions put tension mostly on tissues with time, putting them at risk of damage. Current study was done to compare the effects of Ballistic Six training and Theraband exercises on shoulder strength, agility, speed and function in novice badminton player.
Study Design: Randomized Controlled Trial.
Place and Duration of Study: Sport clubs were selected according to feasibility in Wardha, from July 2020 to June 2021.
Methodology: 40 subjects of both gender aged between 18 to 25 years were selected who have being playing badminton for more than a year. Subjects were randomized into two groups, Group A (Ballistic Six Exercise group) and Group B (Theraband exercise group). Assessments done were sitting medicine ball throw test (SMBT) for shoulder strength, closed kinetic chain upper extremity stability test (CKUCEST) for agility, plate tapping test (PTT) for speed and Kerlan Jobe Orthopaedic Clinical Score (KJOC) for shoulder function. Assessments were done at baseline, post 8 weeks of training and at the end of 6 months.
Results: Significant increase in mean sitting medicine ball throw test SMBT, CKUCEST, PTT and KJOC score in both group but Group A showed more improvement than Group B.
Conclusion: Study concluded that adding of Ballisitic Six plyometric training for novice badminton players would increase the shoulder strength, agility, speed and function than the theraband exercises.
A Comparative Study to Evaluate the Efficacy of Supervised Exercise Program and Cyriax Physiotherapy on Pain and Function in Lateral Epicondylitis
Authors: Kalaskar Gouri , Phansopkar Pratik 
Published: November 2021

Aims: To see the effectiveness of supervised exercises and cyriax physiotherapy both including therapeutic ultrasound for improving pain and function in adults with lateral epicondylitis.
Study Design: Comparative study- to find out the efficacy of effectiveness of two different interventions for reducing pain and improving function in patients with lateral epicondylitis
Place and Duration of Study: Department of Musculoskeletal Physiotherapy Sciences, Ravi Nair Physiotherapy College, Sawangi (Meghe), Wardha, for 12 months.
Methodology: A total of 30 people with lateral epicondylitis (tennis elbow) were selected to take part in a comparative research. Subjects were randomized 1:1 to either (1) supervised exercise programme group, or (2) cyriax physiotherapy group. Over just a 4-week period, three times each week for a sum of 12 sessions, promptly after baseline evaluation and randomization, subjects received static stretching of Extensor Carpi Radialis Brevis followed by eccentric strengthening of the wrist extensors and Therapeutic Ultrasound in supervised exercise programme group. While those in cyriax physiotherapy group received deep transverse friction massage for 10 min immediately followed by Mill’s manipulation and Ultrasound. The study concluded at the 4 weeks.
Results: Out of 30 patients half were placed in each group, where p=.0001. Significant increase in mean in the group I and II in pre ad post-test VAS score (4.20±0.77 and 5.20±0.67) and TEFS score pre and post-test (17.33±1.44 and 19.80±1.42). analysis showed significant improvement in both the groups.
Conclusion: From the observations and results, the conclusion drawn that there is significant improvement in both the groups but effect of cyriax physiotherapy in the form of deep friction massage and mills manipulation combined with therapeutic ultrasound for improving pain on VAS and function on TEF scale.
Effectiveness of the Philippine Government’s Responses to COVID-19 Pandemic
Authors: Cocal Christopher J. 
Published: November 2021

Background: The COVID–19 pandemic is a health issue and concern that posed domino effects along with health, economy, transportation, and education, among others. In response to the pandemic, governments and institutions worldwide have implemented various measures to slow down the spread of the virus. In the Philippines, both the national and local governments have responded to the COVID-19 pandemic with declarations of emergency, community quarantine, closure of schools and public meeting places, and other restrictions intended to slow the progression of the virus.
Aims: The study assessed the effectiveness of the government's responses to the COVID–19 pandemic as perceived by professionals.
Place and Duration of the Study: Pangasinan State University between March 2020 to May 2020.
Methodology: The descriptive-survey research design was employed to a total of 522 professionals from Northern Luzon, Philippines. Data was gathered for one week after the 60 days implementation of enhanced community quarantine/lockdown using google form.
Results: The results of the study showed that the government's responses to the COVID 19 pandemic was perceived effective (grand mean = 3.53); and most effective on the implementation of physical isolation (overall mean = 3.60; DR - effective) but least effective in the implementation of medical responses (overall mean = 3.37; DR – moderately effective). Further, 64.56% believed that the President's decisiveness to address the pandemic was the number factor contributing to the effectiveness of the government's responses. On the other hand, the general public's lack of discipline was seen as the number one factor contributing to the failure of the government's responses to the pandemic, as perceived by 77.39% of the respondents.
Conclusion: Despite the pandemic's continuous progression, the people believed that the national and local governments have effectively responded to the pandemic.
Decision making and heart rate variability: A systematic review
Authors: Forte Giuseppe , Morelli Matteo , Grässler Bernhard , Casagrande Maria 
Published: November 2021

AbstractHeart rate variability (HRV) reflects the balance of the autonomic nervous system and is associated with cognitive functions. However, its relationship with the process related to making a decision is unclear. This systematic review aims to analyze the relationship between HRV and decision‐making. A qualitative analysis was conducted according to the PRISMA‐Statement. Fifteen studies were included, with a total of 1051 healthy participants. Our results show an association between higher vagally mediated HRV and better decision‐making performance, especially under risk and uncertainty. At the same time, a lower HRV is associated with lower performance in developing good decisions. This systematic review highlights the influence of the autonomic nervous system in decision‐making processes. HRV could be considered a biomarker of making decisions. However, the nature of this relationship is still difficult to clarify, and further studies are needed.
Fatigue Is Not Associated With Objective Assessments of Inflammation During Tocilizumab Treatment of Patients With Rheumatoid Arthritis
Authors: Hammer Hilde Berner , Agular Birte , Terslev Lene 
Published: November 2021

ObjectiveIn patients with rheumatoid arthritis (RA), the relation between fatigue and disease activity is not established, and our objective was to explore in post hoc analyses the associations between fatigue and subjective as well as objective assessments of inflammation during follow‐up of patients with RA initiating biologic treatment.MethodsIn a Nordic multicenter study, patients with RA starting tocilizumab were examined for fatigue (Functional Assessment of Chronic Illness Therapy–Fatigue sum score) as well as patient‐reported outcome measures (PROMs) (patient's global disease activity, joint pain, and Health Assessment Questionnaire Disability Index), clinical examinations (examiner's global disease activity, 28 tender/swollen joint counts), laboratory variables (erythrocyte sedimentation rate, C‐reactive protein), and ultrasound assessments (semiquantitative scoring [0‐3]) of gray scale and Doppler of 36 joints and 4 tendons) at baseline and 4, 12, and 24 weeks. The associations were explored by using nonparametric tests, including the Wilcoxon rank test, the Mann–Whitney U test, Spearman correlations, and a linear regression and linear mixed model.ResultsOne hundred ten patients were included (83% female, mean [SD] age 55.6 [12.1] years, mean [SD] RA duration 8.7 [9.5] years, 81% anti–cyclic citrullinated peptide positive). Fatigue, PROMs, and clinical, laboratory, and ultrasound variables all decreased significantly during follow‐up, already at 4 weeks (P < 0.001). Fatigue was both cross‐sectionally and longitudinally associated with PROMs, whereas there were no or low associations with clinical, laboratory, or ultrasound assessments of inflammation. Baseline fatigue was predictive of PROMs at 12 and 24 weeks (P < 0.05 and P < 0.001, respectively) but not of any objective assessments.ConclusionFatigue was primarily associated with subjective assessments of disease activity. Thus, the present study supports fatigue to reflect other aspects of RA disease activity than inflammation.