bluuebunny/crossref_metadata_2025_split huggingface dataset:
Positieve jeugdontwikkelingsbenadering in jongerencentra en jeugdclubs
Authors: Faché Willy 
Published: May 2021

Abstract

Positive youth development outcomes of youth centers. International literature study.

This article is about open access youth centers. Because these centers focus on the age group 14-25, a target group that is in the transition from child to adulthood, they must seek to maximize positive developmental outcomes for youth. After discussing the positive developmental approach, we describe how open access youth centers realize youth development in the world. This article is based on an analysis of Dutch, English, French and German language studies on the outcomes, objectives and functions of youth centers in Europe, USA, Canada and Australia. The positive development outcomes, which I found in the literature, have been brought together in fifteen functions. The aim of this article is to give inspiration for improvement and innovation of youth work practice in Flanders.
Editorial, 2017.1
Authors: Gorni Carla 
Published: May 2021

A Revista Científica do UBM, com 20 anos de existência, está indexada em 4 bases de dados[1] e foi classificada em estrato B4 na Lista de Periódicos Qualis[2]. A iniciativa em estruturar e gerenciar um periódico semestral interdisciplinar científico, de publicação gratuita, com livre acesso, online e de fluxo contínuo representa o cumprimento de sua missão.

[1] GeoDados, Sumarios.Org, Funadesp e LiVre
[2] Na área Interdisciplinar
Olga Tokarczuk’s Portrait of Jacob Frank against the Backdrop of His Times
Authors: Jarzębski Jerzy , Huss Joanna Trzeciak 
Published: May 2021

Abstract
In Księgi Jakubowe [The Books of Jacob], a fictionalized account of the eighteenth-century religious leader Jacob Frank and his followers, Olga Tokarczuk crafts a narrative that privileges the diverse and often nonconvergent perspectives of characters caught up in historical events that they do not fully understand. Likewise, in Bieguni [Flights], Tokarczuk allows the diverse narratives making up this “constellation novel” to unfold under the autonomy of their protagonists. Allowing for the coexistence of narrative elements that clash is a special case of an overall literary strategy that can be found throughout Tokarczuk’s work: conflicting ideas deliberately juxtaposed to elicit philosophical and existential questions. This implies that the process of interpreting a sprawling work such as The Books of Jacob cannot succeed under the assumption that one is encountering a clearly defined reality with a fixed essence. Rather, one must approach the task of interpretation in a piecemeal fashion, such that gradually a picture of Frank, his followers, and his time emerges. This picture captures Poland and the rest of East Central Europe on the cusp of modernity.
Looking for a Path of One’s Own: The Groundbreaking Role of Olga Tokarczuk’s House of Day, House of Night
Authors: Czyżak Agnieszka , Green Ryan 
Published: May 2021

Abstract
This essay presents an analysis of Olga Tokarczuk’s Dom dzienny, dom nocny [House of day, house of night, 1998], a book significant for the consideration of her artistic choices. This novel was a turning point in Tokarczuk’s career: it can be perceived as her first attempt at creating a distinct narrator who tries to understand problems of the contemporary world. In the novel, Tokarczuk completes the task she set for herself by creating literary images of heterotopic places and spaces, which have been affected by erosion, disintegration, and the death of space. The transformation, as an essential form of existence, is confronted with a set model of social roles and interpersonal behavior.
Influence of Thoracic Kyphosis on Reverse Total Shoulder Arthroplasty Outcomes
Authors: Reintgen Christian , Armington Samuel , Vigan Marie , Werthel Jean-David , Patrick Matthew , King Joseph , Wright Thomas , Schoch Bradley 
Published: May 2021

Introduction:
Patient dissatisfaction after primary reverse total shoulder arthroplasty (rTSA) has been reported as high as 9%. In patients with excessive thoracic kyphosis, the scapula protracts and tilts anteriorly, which may lead to early impingement with the acromion and loss of forward elevation. The primary purpose of this study was to evaluate the effect of thoracic kyphosis on overhead ROM after rTSA.

Methods:
A prospectively collected shoulder registry was retrospectively reviewed for all patients undergoing primary rTSA with a minimum of 2-year follow-up. Preoperative and latest follow-up ROM (forward elevation, abduction, internal rotation, and external rotation), patient-reported outcome measures (SPADI, SST-12, ASES, UCLA, SF-12, and the visual analog scale), and the Constant score were collected. Postoperative radiographs were evaluated for implant loosening and notching. Patients were separated into three groups according to the thoracic kyphosis angle (<25°, 25 to 45°, and >45°) and also analyzed as a continuous variable. The groups were compared using analysis of variance and chi-square tests as indicated.

Results:
Three hundred five shoulders in 279 patients were reviewed at a mean follow-up of 3.9 years (range 2 to 10 years). Female patients and patients with a history of heart disease were statistically more likely to have increased thoracic kyphosis (P < 0.05). After surgery, forward elevation and abduction were similar among all groups (<25: 133°, 25 to 45: 132°, >45: 127°; P = 0.199 and <25: 123°, 25 to 45: 122°, >45: 117°; P = 0.330). All other postoperative ROM measurements and all patient-reported outcome measures were also similar, regardless of measured kyphosis. In addition, no association was observed between the degree of thoracic kyphosis and scapular notching (P = 0.291).

Discussion:
Despite thoracic kyphosis being a known risk factor for loss of overhead motion in the native shoulder, shoulders with excessive thoracic kyphosis demonstrated similar overhead ROM at early follow-up after primary rTSA.

Level of Evidence:
III
Effects of Skilled Nursing Facility Partnerships on Outcomes Following Total Joint Arthroplasty
Authors: Kaidi Austin C. , Shah Roshan P. , Doucet Mary G. , Neuwirth Alexander L. , Geller Jeffrey A. , Cooper H. John 
Published: May 2021

Introduction:
Post-total joint arthroplasty (TJA) discharge to a skilled nursing facility (SNF) is associated with higher costs and more complications than home discharge; however, some patients still require postoperative SNF care. To improve outcomes for patients requiring postoperative SNF care, this article analyzed the effect of SNF-surgeon partnerships on TJA postoperative costs and patient outcomes.

Methods:
This was a retrospective study of primary TJA patients who were part of Medicare's Comprehensive Care for Joint Replacement (CJR) pilot program at our urban, academic medical center. We identified all patients discharged to SNF and designated SNFs as “preferred” if they maintained a partnership with our surgical team. SNF costs, total 90-day postoperative costs, average length of stay in SNF, 90-day readmission rates, and readmission diagnoses were recorded. Data were compared using Student t-tests. Readmission rates and the presence of a readmission diagnosis were analyzed using z-scores.

Results:
Our search identified 189 patients (22.9%) discharged to SNFs, with 128 (67.8%) discharged to preferred and 61 (32.2%) discharged to nonpreferred facilities. Over the 4-year CJR pilot program, SNF costs ($10,981.23 versus $7,343.34; P < 0.005) and overall postdischarge costs ($23,952.52 versus $18,339.26; P = 0.07) were higher for patients discharged to nonpreferred SNFs versus preferred SNFs. Patients discharged to nonpreferred SNFs also had increased length of stay (14.8 versus 10.1 days; P < 0.005) and increased readmission rates (19.7% versus 3.9%; P < 0.005). These differences became more pronounced across the study period.

Conclusion:
For patients undergoing primary TJA, hospital partnership with SNFs can improve CJR performance by cost reduction and overall outcomes for TJA patients.
Orthopaedic Surgeon Physiological Indicators of Strain as Measured by a Wearable Fitness Device
Authors: Jevsevar David S. , Molloy Ilda B. , Gitajn Ida Leah , Werth Paul M. 
Published: May 2021

Introduction:
Symptoms of stress, depression, and burnout are prevalent in medicine, adversely affecting physician performance. We investigated real-time measurements of physiological strain in orthopaedic resident and faculty surgeon volunteers and identified potential daily stressors.

Methods:
We performed a prospective blinded cohort pilot study in our academic orthopaedic department. Physicians used a wearable fitness device for 12 weeks to objectively measure heart rate variability (HRV), a documented parameter of overall well-being. Baseline burnout levels were assessed using the Maslach Burnout Inventory questionnaire. Daily surveys inquiring on work responsibilities (clinic, operating room [OR], or “other”) were correlated with physiological parameters of strain. Descriptive statistics and linear mixed effects modeling were used to evaluate bivariate relationships.

Results:
Of the 21 participating surgeons, 9 faculty and 12 residents, there was a response rate of 95.2% for the initial burnout survey. Daily surveys were completed for 63.8% (54.9 ± 22.3 days) of the total collection window, and surgeons wore the device for 83.2% of the study (71.6 ± 25.0 days). Residents trended toward lower personal accomplishment and greater psychological detachment on the Maslach Burnout Inventory, with 5 surgeons including 1 faculty surgeon (11.1%) and 4 resident surgeons (33.3%) found to have negatively trending HRV throughout the study period demonstrating higher physiological strain. Time in the OR led to increased next-day HRV (y-intercept = 47.39; B = 4.90; 95% confidence interval, 2.14-7.66; P < 0.001), indicative of lower physiological strain. An increase in device-reported sleep from a surgeon's baseline resulted in a significant increase in next-day HRV (y-intercept = 50.46; B = 0.64; 95% confidence interval, 0.11-1.17; P = 0.02).

Discussion:
Orthopaedic residents, more than faculty, had physiologic findings suggestive of burnout. Time in the OR and increased sleep improved physiological strain parameters. Real-time biometric measurements can identify those at risk of burnout and in need of well-being interventions.

Level of Evidence:
Level III
Hoe vangen we zieke uitzendkrachten op?
Authors: Jansen Niels 
Published: May 2021

Hoe vangen we zieke uitzendkrachten op?
Is gebruik van het zogenoemde uitzendbeding bij ziekte toelaatbaar? De beantwoording van deze vraag staat centraal in deze bijdrage. Op basis van een analyse van rechtspraak, literatuur, dogmatiek en wetsgeschiedenis komt de auteur tot de conclusie dat dit gebruik in beginsel niet toelaatbaar is. Een uitzondering op deze hoofdregel is aan de orde wanneer het uitzendwerk voorziet in een tijdelijke en dringende personeelsbehoefte. In dat bestaat er volgens de auteur immers een voldoende rechtvaardiging voor uitzonderingen die wringen met fundamentele uitgangspunten van het Nederlandse arbeidsrecht.
Depressive Symptoms Among Sarajevo University Students: Prevalence and Socio-Demographic Correlations
Authors: Džubur Amela , Abdulahović Damir , Kurspahić-Mujčić Amira , Džubur Alen , Loga-Zec Svjetlana , Škrijelj Vanesae 
Published: May 2021

<p><strong>Objectives.</strong> The aim of this research was to detect the presence of depressive symptoms among the student population at a Faculty of Medicine, as well to determine the correlation between the socio-demographic characteristics and students’ lifestyle and depressive symptoms.</p><p><strong>Subjects and Methods. </strong>Of 800 students enrolled and asked to participate, 412 responded to the survey. The study included Students from all 6 years of studies. The degree of depressive symptoms was measured by a 21-item revised form of the Beck Depression Inventory (BDI). We built bivariate logistic regression models to study whether age, gender, housing accommodation, year of medical training, and school success status (Grade Point Average - GPA) were associated with depressive symptoms. The results are reported as odds ratios (OR) with 95% confidence intervals (CI).</p><p><strong>Results</strong>. The study revealed that almost one third of students reported BDI &gt;16 (30.1%). The present study did not find any association between BDI scores and study year or age difference, but we found that there was an association between housing accommodation and depressive symptoms. Students who lived with their parents had lower BDI scores than those who lived in a dormitory. The results of this study showed there is a negative correlation between physical activity and depressive symptoms in students, as well as that there is a positive correlation between depressive symptoms and substance abuse. </p><p><strong>Conclusion</strong>. Overall, our study confirms that the factors associated with an increase in medical students’ depressive symptoms are housing accommodation, a lack of physical activity and substance abuse. Regarding failing a year of study at the medical school, as well as gender and age differences, we did not find any significant difference between students with higher compared to those with lower depressive symptoms.</p>
Genomic-Based Therapy of Gynecologic Malignancies
Authors: Markman Maurie 
Published: May 2021

<p>This paper will review the current status of genomic-based therapy of gynecologic malignancies. The routine “standard-of-care” delivery of targeted therapeutics based on the presence of specific molecular biomarkers in the management of the gynecologic malignancies has been delayed compared to the substantial progress made in several other tumor types. However, relatively recently reported and rather robust phase 3 trial data have confirmed a potentially major role for PARP inhibitors as both active treatment and maintenance therapy of advanced ovarian cancer. Further, data demonstrating the presence of a specific molecular phenotype (micro-satellite instability high – MSI-H) is a valid biomarker for the potential clinical utility of checkpoint inhibitor immunotherapy has relevance for all gynecologic malignancies, and particularly in the setting of metastatic or recurrent endometrial cancer.</p><p><strong>Conclusions. </strong>The introduction of PARP inhibitors into the oncology armamentarium has substantially impacted standard-of-care strategies in the management of ovarian cancer. It is anticipated that the results of ongoing and future trials will further define the role of genomic-based therapy in ovarian cancer and other gynecologic malignancies.</p>
Acceptance of Orthodontic Therapy according to the Aesthetic Component of the Index of Orthodontic Treatment Need among Schoolchildren - a CrossSectional Study
Authors: Zovko Ruzica , Gorseta Kristina , Cvitanovic Stipo , Mabic Mirela , Coric Anka , Sarac Zdenko , Glavina Domagoj 
Published: May 2021

<p><strong>Objective</strong>. Orthodontic anomalies with impaired facial aesthetics and disturbed oral functions have a major effect on emotional and social development. It is necessary to determine the degree of acceptance of treatment. This study includes an evaluation of the Index of Orthodontic Treatment Need (IOTN) according to the Aesthetic Component (AC) of dental health in schoolchildren.</p><p><strong>Methods</strong>. The research included 300 schoolchildren (150 girls, 150 boys) with an age range from 12 to 15 years. An evaluation of the need for orthodontic treatment according to the AC consisted of a ten-grade scale illustrated with a sequence of ten intraoral photographs showing different degrees of acceptability of dental appearance. Results were expressed as absolute and relative frequencies. The Chi-square test (in the absence of the expected frequencies of Fisher’s Exact test) was used for testing the significance of differences. Cohen’s kappa statistic measure was used for measuring the agreement between the children and<br /> dentists.</p><p><strong>Results</strong>. There is a significant substantial agreement between children and dentists in assessing the need for orthodontic treatment. Differences in assessment of the degree of orthodontic anomalies by the doctor of dental medicine with respect to boys and girls, are negligible, and statistical analysis did not show any significant difference. Analysis of the need for orthodontic treatment with respect to the age of the children showed a significant difference.</p><p><strong>Conclusion</strong>. The need for orthodontic treatment is more pronounced in older children, and there is no difference between boys and girls.</p>
Sealing Ability of Mineral Trioxide Aggregate, Biodentine and Glass Ionomer as Root-End Materials: A Question of Choice
Authors: Džanković Aida , Hadžiabdić Naida , Korać Samra , Tahmiščija Irmina , Konjhodžić Alma , Hasić-Branković Lajla 
Published: May 2021

<p class="Default"> </p><p class="Default"><strong><span>Objectives</span></strong><span>. The goal of this study was to determine the sealing ability of MTA, Biodentine, and Fuji IX as root-end materials after ultrasonic retrograde preparation using a dye penetration method. </span></p><p class="Default"><strong><span>Materials and Methods</span></strong><span>. Seventy permanent anterior teeth were used in this study. Root canals were prepared using rotary endodontic files, and obturated using the lateral condensa­tion technique. The resection of the root apices was performed perpendicularly to the long axis, and 3 mm deep retrocavities were made by ultrasonic tips. The samples were randomly divided into three experimental groups (N=20) and two control groups (N=5). The root-end cavities were filled with mineral-trioxide aggregate (Rootdent MTA, TehnoDent, Russia) in Group 1, Biodentine (Septodont, Saint Maur des Fossés, France) in Group 2 and Fuji IX GP (GC Corporation, Tokyo, Japan) in Group 3. The retrocavities of the positive control group were left unfilled, while retrocavities in the negative control group were sealed using a flowable composite material. The samples were made transparent, and dye penetration was assessed under a stereomi­croscope (x10). The data were analyzed with the Kruskal-Wallis test and the Mann-Whitney U-test. </span></p><p class="Default"><strong><span>Results</span></strong><span>. The Biodentine group had a lower mean leakage value than the MTA and Fuji IX groups, and the difference was statistically significant (P&lt;0.01). No statistical difference in apical microleakage was found between the MTA and Fuji IX groups (P&gt;0.05). </span></p><p class="Default"><strong><span>Conclusion</span></strong><span>. Within the limitations of this study, it was concluded that Biodentine provides better sealing ability as a root-end material than MTA and Fuji IX. There was no statistically significant difference between the sealing ability of MTA and Fuji IX as root-end materials.</span></p>
Comunidades profesionales de aprendizaje en escuelas públicas mexicanas: Explorando su desarrollo
Authors: Flores-Fahara Manuel , Bailey-Moreno Josefina , Mortera-Cavazos Lucía Elmira 
Published: May 2021

Este estudio buscó responder ¿Qué acontece cuando profesores y directivos se involucran en una comunidad de aprendizaje profesional para efectuar su planeación escolar? Bajo un enfoque de casos múltiples cualitativo, participaron directivos y profesores de cinco escuelas públicas de educación básica, en los estados de Nuevo León, Chihuahua y Sonora en México. La investigación inició con un seminario como detonador que permitió establecer la misión y visión de cada escuela, y acorde con estas y sus necesidades crear las temáticas de las comunidades y concretar sus acciones de planeación. Se efectuaron observaciones participantes in situ de cada comunidad, entrevistas a profesores y directivos y revisión documental. Los hallazgos se organizaron en las fases de inicio, desarrollo y terminación del proceso de implementación de la comunidad, dentro de las cuales se identificaron las categorías: proceso de comprensión de la comunidad de aprendizaje, organización, trabajo colaborativo, facilitadores y barreras, así como los beneficios percibidos. Se encontraron en general algunas semejanzas y diferencias en las cinco escuelas, entre las primeras destacaron las resistencias y desconcierto inicial de los profesores para trabajar en una comunidad, la sobrecarga de trabajo, el desconocimiento de metas en algunas de las escuelas, así como la falta de tiempo para participar. Sin embargo, reconocieron haber tenido un espacio y oportunidad de interacción y comunicación para el trabajo colaborativo, y la importancia de la comunidad para aprender y compartir, mientras que las directoras destacaron su utilidad como un medio que puede apoyar su gestión. Cada escuela como caso particular presentó características distintivas, dado que mientras una de las escuelas fue exitosa en su organización y concreción de acciones en sus comunidades, otras tuvieron dificultades para obtener resultados debido a carecer de un ambiente de trabajo óptimo y liderazgo de la dirección.
Mediación parental y escolar: uso de tecnologías para potenciar el rendimiento escolar
Authors: Halpern Daniel , Piña Martina , Ortega-Gunckel Constanza 
Published: May 2021

Con la asimilación masiva de las nuevas plataformas digitales en el mundoeducacional, en que diversos usuarios pueden generar contenido de formasimultánea, colaborar integrando distintas fuentes y consumir esta informaciónsegún sus propias preferencias y necesidades, el saber cómo controlar y escogerlos canales indicados para sus procesos de aprendizaje se ha vuelto cada vez más relevante. En este contexto, y haciendo caso al llamado de diversos expertos en el área educacional a enseñar sobre el uso de las tecnologías en el hogar y la escuela, esta investigación presenta tres grandes objetivos: 1) identifica el impacto de la mediación parental y escolar en el rendimiento académico, 2) observa la relación entre las herramientas de estudio y el rendimiento escolar, y 3) explica los motivos que hay tras los resultados obtenidos. Para ello se desarrolló una investigación mixta, aplicando un cuestionario a más de 7000 estudiantes chilenos de 12 a 18 años y entrevistas a 14 especialistas en el área de educación. El estudio arrojó tres grandes resultados: en primer lugar, mostró que la mediación que realizan los padres en el hogar tiene un impacto mucho mayor –en el uso de tecnologías y en el rendimiento académico– que la mediación realizada en los colegios.En segundo lugar, se observó que los estudiantes que utilizan YouTube comoherramienta de estudio tienen un rendimiento menor que los estudiantes queutilizan el cuaderno. Y, en tercer lugar, se identificaron dificultades y desafíos enla implementación de TIC en clases. Así, este trabajo adquiere especial relevancia al aportar sobre cómo se puede influir en las prácticas del uso de TIC de un sistema educativo que ha tenido que adaptarse a la modalidad online.