bluuebunny/crossref_metadata_2025_split huggingface dataset:
“There is no respectable woman . . . that sells books!”
Authors: Braun (124–39) Jolie 
Published: August 2021

This article examines three memoirs by women canvassers: Annie Nelles, or, The Life of a Book Agent by Annie Nelles Dumond (1868), Six Years Experience as a Book Agent by Mrs. J. W. Likins (1874), and Facts by Harriet Wasson Styer (1881). These works record the physical, intellectual, and emotional labor of canvassing, offering a window into the otherwise little-documented experiences of women’s experiences working in a field that both recruited and presented numerous challenges for them.
Wiskott-Aldrich syndrome caused by a novel mutation in the WAS gene and presenting with a mild phenotype
Authors: Garkaby Jenny , Upton Julia 
Published: August 2021

Background: Wiskott-Aldrich syndrome (WAS) is an X-linked recessive disorder associated with combined immunodeficiency, microthrombocytopenia, eczema, and an increased risk of autoimmunity and cancer. Aim: To report the clinical presentation, immune features, and genetic mutation in a patient with a novel mutation in the Wiskott-Aldrich syndrome (WAS) gene, causing a mild phenotype of WAS. Methods: The patient’s chart was reviewed. We report the phenotypical and laboratory characteristics of a patient with a mild phenotype of WAS identified by WAS gene sequence analysis. Results: Our patient presented with thrombocytopenia and 3 episodes of otitis media at 24 months of age, with no other significant manifestations suggestive of immunodeficiency or immune dysregulation. A missense mutation was found in exon 12 of the WAS gene, C1498>T, leading to a Trp500Arg amino acid change. Currently, he is 15 years old and remains in good health, free of infections or other complications to date. Conclusion: Genetic analysis is helpful for the diagnosis of WAS; our patient’s mutation was found to cause a mild phenotype. Statement of novelty: We describe a patient with a mild phenotype of WAS with a novel mutation in the WAS gene, thus, expanding the spectrum of WAS gene mutations.
Comparison of plasmapheresis with medical apheresis in terms of efficacy and cost in the acute treatment of hypertriglyceridemia in children with lipoprotein lipase deficiency
Authors: Erdol Sahin , Bilgin Huseyin , Saglam Halil 
Published: August 2021

Abstract

Objectives
We aimed to compare plasmapheresis and medical apheresis as lipid-lowering therapies in children with familial lipoprotein lipase (LPL) deficiency.

Methods
The data of 13 patients who were followed up after a diagnosis of LPL deficiency were retrospectively analyzed. Plasma triglyceride, cholesterol, amylase, and lipase values and complications were recorded before and after each patient underwent plasmapheresis or medical apheresis.

Results
The mean follow-up period of the patients was 99.64 ± 52.92 months in the medical apheresis group and 118 ± 16.97 months in the plasmapheresis group. While the mean triglyceride level before plasmapheresis was 1,875.38 ± 547.46 mg/dL, it was 617 ± 228.28 mg/dL after plasmapheresis. While the mean triglyceride level before medical apheresis was 1,756.86 ± 749.27 mg/dL, it was found to be 623.03 ± 51.36 mg/dL after medical apheresis. Triglyceride levels were decreased by 59.62% with medical apheresis and 65.57% with plasmapheresis. The cost of treatment for medical apheresis was found to be lower compared to plasmapheresis 296.93 ± 29.94 Turkish lira (USD 43.34 ± 4.01) vs. 3,845.42 ± 156.17 Turkish lira (USD 561.37 ± 20.93; p<0.001).

Conclusions
Although there is no standardized strategy for the acute treatment of hypertriglyceridemia due to LPL deficiency, medical apheresis is a safe and effective treatment with a low risk of side effects. Unlike plasmapheresis, medical apheresis can be performed in any center, which is another important advantage of the procedure.
Novel nomogram for predicting the 3-year incidence risk of osteoporosis in a Chinese male population
Authors: Mao Yaqian , Xu Lizhen , Xue Ting , Liang Jixing , Lin Wei , Wen Junping , Huang Huibin , Li Liantao , Chen Gang 
Published: August 2021

Objective
To establish a rapid, cost-effective, accurate, and acceptable osteoporosis (OP) screening model for the Chinese male population (age ≥ 40 years) based on data mining technology.

Materials and methods
This was a 3-year retrospective cohort study, which belonged to the sub-cohort of the Chinese Reaction Study. The research period was from March 2011 to December 2014. A total of 1834 subjects who did not have OP at the baseline and completed a 3-year follow-up were included in this study. All subjects underwent quantitative ultrasound examinations for calcaneus at the baseline and follow-ups that lasted for 3 years. We utilized the least absolute shrinkage and selection operator (LASSO) regression model to select feature variables. The characteristic variables selected in the LASSO regression were analyzed by multivariable logistic regression (MLR) to construct the predictive model. This predictive model was displayed through a nomogram. We used the receiver operating characteristic (ROC) curve, C-index, calibration curve, and clinical decision curve analysis (DCA) to evaluate model performance and the bootstrapping validation to internally validate the model.

Results
The predictive factors included in the prediction model were age, neck circumference, waist-to-height ratio, BMI, triglyceride, impaired fasting glucose, dyslipidemia, osteopenia, smoking history, and strenuous exercise. The area under the ROC (AUC) curve of the risk nomogram was 0.882 (95% CI, 0.858–0.907), exhibiting good predictive ability and performance. The C-index for the risk nomogram was 0.882 in the prediction model, which presented good refinement. In addition, the nomogram calibration curve indicated that the prediction model was consistent. The DCA showed that when the threshold probability was between 1 and 100%, the nomogram had a good clinical application value. More importantly, the internally verified C-index of the nomogram was still very high, at 0.870.

Conclusions
This novel nomogram can effectively predict the 3-year incidence risk of OP in the male population. It also helps clinicians to identify groups at high risk of OP early and formulate personalized intervention measures.
Truth-Telling by Wrong-Doers? The Construction of Avowal in Canada’s Truth and Reconciliation Commission
Authors: Chalmers Jason 
Published: August 2021

The truth commission has emerged in the last thirty years as a distinct juridical form that views the production of truth as necessary, and in some cases sufficient, for achieving justice. In his history of truth-telling in juridical forms, Michel Foucault conducts a genealogy of avowal (or confession) in western judicial practice; critical to his definition of avowal is that the truth-teller and wrong-doer must be the same subject. In my analysis, I consider avowal in light of a relatively recent judicial innovation: the truth commission, with Canada’s Indian Residential Schools Truth and Reconciliation Commission (TRC) as a particular case. The TRC’s emphasis on the testimony of victims rather than perpetrators means that truth-telling and wrong-doing are decoupled in this juridical form, suggesting that avowal is not a function of truth commissions according to Foucault’s criteria. Does this mean that truth commissions are not involved in truth production, or perhaps that they are not a juridical form in the lineage of those examined by Foucault? The truth commission is a juridical form that Foucault was unable to address because it developed only after his death, and it is possible that it challenges his core understanding of avowal; however, the truth commission also appears to be consistent with trends that he predicted about the role of truth-telling in the modern judicial system.
The ‘Frozen’ Heart of the Continent: Place-Myths and Winnipeg in Canadian Crime Films
Authors: Gacek James , Kohm Steven 
Published: August 2021

Within Canadian national cinema, audiences view places that draw attention to the shared experience of being within these geopolitical, socio-spatial locations. This paper contends that crime films set in Winnipeg, a city situated in the centre of North America, reflect and contribute to the cultural identity of the city within the national imaginary. Place-myths have the potential to construct meanings about a particular place, indicating whether it is romantic or dangerous, progressive or “backward,” vibrant or decaying. While currently branded by local civic boosters as the ‘Heart of the Continent,’ (Kives, 2008) the construction of Winnipeg-as-place on film tells a different tale. By implementing a qualitative media analysis, we argue that place-myths manifest themselves within Canadian crime film narratives, and that a better understanding of place allows us to observe how Winnipeg becomes socially spatialized onscreen. As our paper suggests, one’s sense of space can only constellate when one’s experiences of being and acting within a place is taken into account. Winnipeg ultimately becomes represented on film as a place where crime is rampant and law enforcement is unable to combat the criminal behaviour within the city—in other words, where law and justice is ‘frozen.’ Dans le cinéma national canadien, les auditoires vont associer les lieux avec leur propre expérience de ces emplacements géopolitiques et de leur espace social. Cet article soutient que les films policiers qui se déroulent à Winnipeg, une ville située au centre de l’Amérique du Nord, reflètent et contribuent à forger l’identité culturelle de la ville au sein de l’imaginaire national. Les mythes liés aux endroits ont le potentiel de construire des significations autour d’un lieu spécifique, indiquant si cet espace est romantique ou dangereux, progressif ou « rétrograde », animé ou déserté. Même si des représentants de Winnipeg vont qualifier la ville de « cœur du continent » (Kives, 2008), sa construction imaginaire au cinéma raconte une autre histoire. Par la mise en œuvre d’une analyse qualitative des médias, nous soutenons que les mythes des lieux se manifestent dans les trames narratives des films policiers canadiens, et qu’une meilleure compréhension des lieux nous permet de constater comment l’espace social de Winnipeg a été présenté à l’écran. Comme notre article le suggère, notre perception de l’espace ne peut s’exprimer pleinement que si nous expérimentons concrètement et agissons dans celui-ci. Winnipeg devient finalement représenté au cinéma comme un endroit où le crime est à la hausse et les organismes d’application de la loi incapables de combattre les comportements criminels dans la ville – en d’autres mots, où la loi et la justice sont « immobiles ».
Using Collaboration Patterns for Contextualizing Roles in Community Systems Design
Authors: De Moor Aldo 
Published: August 2021

Activation of collaborative communities is hampered by the communicative fragmentation that is at least partially caused by their distributed tool systems. We examine the role of domain, conversation, and functionality roles in modelling community activation. We show how collaboration patterns can be used to design appropriate socio-technical solutions. These patterns contextualize the various types of roles by linking them to the (1) relevant usage context (2) communicative workflow stages and (3) functionality components across the tool system.
Uso de conos de metal trabecular para defectos óseos severos en cirugía de revisión de reemplazo total de rodilla
Authors: García-Mansilla Ignacio , Costantini Julián , Nicolino Tomás , Astoul Bonorino Juan , Carbó Lisandro 
Published: August 2021

Introducción: Las alternativas reconstructivas para defectos óseos severos en la cirugía de revisión de prótesis son las camisas metafisarias, los conos de metal trabecular y el injerto óseo impactado o estructural. El objetivo del estudio fue analizar la tasa de osteointegración de los conos de metal trabecular en pacientes con cirugía de revisión de prótesis total de rodilla. El objetivo secundario fue analizar los resultados funcionales, las tasas de complicaciones y reoperaciones.
Materiales y Métodos: Cohorte retrospectiva de pacientes con conos de metal trabecular colocados en la cirugía de revisión de prótesis y un seguimiento mínimo de 2 años. Se evaluaron las causas de la revisión, cirugías previas, tipo de defecto óseo, cantidad y tipo de conos utilizados, y los diseños de las prótesis. Se realizó una evaluación clínico-radiográfica, se registraron las complicaciones y las revisiones ulteriores.
Resultados: Se evaluó a 35 pacientes (49 conos de metal trabecular) en forma retrospectiva, con un seguimiento promedio de 32.1 meses. La mayoría de los defectos eran tibiales AORI 3, seguidos de los femorales tipo 3. La tasa de osteointegración de los conos fue del 94%; la de complicaciones, del 20% y la de reoperaciones, del 8,5%. El KSS objetivo promedio aumentó de 39 en el preoperatorio a 71 en el último control y el puntaje de la EAV promedio fue 8 y 2,5, respectivamente.
Conclusión: La excelente tasa de osteointegración (94%) y los buenos resultados clínicos posicionan a los conos de metal trabecular como una alternativa para los defectos óseos severos.
Improving Discharge Efficiency and Charge Containment on a Pediatric Acute Care Cardiology Unit
Authors: Madsen Nicolas L. , Porter Andrew , Cable Rhonda , Hanke Samuel P. , Hoerst Amanda , Neogi Smriti , Brower Laura H. , White Christine M. , Statile Angela M. 
Published: August 2021

BACKGROUND
Hospital discharge delays can negatively affect patient flow and hospital charges. Our primary aim was to increase the percentage of acute care cardiology patients discharged within 2 hours of meeting standardized medically ready (MedR) discharge criteria. Secondary aims were to reduce length of stay (LOS) and lower hospital charges.

METHODS
A multidisciplinary team used quality improvement methods to implement and study MedR discharge criteria in our hospital electronic health record. The criteria were ordered on admission and modified on daily rounds. Bedside nurses documented the time when all MedR discharge criteria were met. A statistical process control chart measured interventions over time. Discharge before noon and 30-day readmissions were also tracked. Average LOS was examined, comparing the first 6 months of the intervention period to the last 6 months. Inpatient charges were reviewed for patients with &gt;2 hours MedR discharge delay.

RESULTS
The mean percentage of patients discharged within 2 hours of meeting MedR discharge criteria increased from 20% to 78% over 22 months, with more patients discharged before noon (19%–32%). Median LOS decreased from 11 days (interquartile range: 6–21) to 10 days (interquartile range: 5–19) (P = .047), whereas 30-day readmission remained stable at 16.3%. A total of 265 delayed MedR discharges beyond 2 hours occurred. The sum of inpatient charges from care provided after meeting MedR criteria was $332 038 (average $1253 per delayed discharge).

CONCLUSIONS
Discharge timeliness in pediatric acute care cardiology patients can be improved by standardizing medical discharge criteria, which may shorten LOS and decrease medical charges.
Infant Deaths From Medical Causes After a Maltreatment Report
Authors: Schneiderman Janet U. , Prindle John , Putnam-Hornstein Emily 
Published: August 2021

OBJECTIVESTo examine whether postneonatal infants reported for maltreatment face a heightened risk of deaths attributable to medical causes.METHODSBirth and death records for all children born in California between 2010 and 2016 (N = 3 455 985) were linked to administrative child protection system records. Infants were prospectively followed from birth through death or age 1 year. Reports of maltreatment and foster care placement episodes were modeled as time-varying covariates; sociodemographic characteristics at birth were modeled as baseline covariates. Stratified, multivariable competing risk models were used to estimate the adjusted relative hazard of postneonatal infant death attributed to a medical cause (n = 1051).RESULTSAfter adjusting for baseline risk factors, and compared with infants never reported for maltreatment, the medical-related mortality risk was almost twice as great among infants reported once for maltreatment (hazard ratio: 1.77; 95% confidence interval: 1.36–2.30) and 3 times greater if there was &gt;1 maltreatment report (hazard ratio: 3.27; 95% confidence interval: 2.48, 4.30). Among infants reported for maltreatment, periods of foster care placement reduced the risk of death by roughly half.CONCLUSIONInfants reported for alleged maltreatment had a higher risk of death from medical causes, with foster care emerging as protective. Targeted support services for parents and improved communication between the child protection system and the pediatric health care community is needed, especially when infants who may be medically fragile remain at home after an allegation of abuse or neglect.
Faculty development in the context of a research-intensive university
Authors: Geertsema Johan 
Published: August 2021

AbstractContexts, knowledge, and theory matter for faculty development (also known as staff, academic, or educational development) because of the complexity of higher education and therefore of faculty professional development. This paper attempts to unpack this complexity by examining higher education contexts more closely, in particular: academic identity in relation to research and the discipline, change management in higher education, and the importance to academic development of valuing teaching in a coherent, integrated, and holistic way. The paper is framed by two ‘big ideas’, that of pedagogical content knowledge (Shulman, 1986, 1987), and that of learning as acquisition and participation (Sfard, 1998). I end by providing examples of practice underpinned by these ideas and considering implications for academic development.
Prática Colaborativa de Ensino Híbrido: uso de smartphone no Design de aula de inglês
Authors: Da Silva Willian Rufato , Garcia Marilene Santana dos Santos 
Published: August 2021

O objetivo deste estudo é aprofundar o conhecimento de como dispositivos móveis transformam-se em plataformas para ancorar atividades educacionais híbridas, ocupando espaços mediados por tecnologias no espaço de sala de aula. Na prática, trata-se do uso de smartphones, celulares e tablets para envolver alunos e professores em atividades que qualifiquem esses contextos de aprendizagem. Esse estudo apresenta orientações sobre algumas práticas pedagógicas colaborativas aplicadas com dispositivos móveis e avalia de que forma os professores se sentem com tais aplicações. A pesquisa é de natureza descritiva, com abordagem qualitativa, em que cinco professores foram convidados a participar de atividades pedagógicas híbridas, com uso de celulares móveis e do aplicativo Duolingo, trabalhado na disciplina de língua inglesa em uma escola pública. Como resultados constatou-se que práticas com Mobile Learning abrem oportunidades para o uso de recursos tecnológicos digitais, como objetos de aprendizagem, aplicativos, músicas, micro-conteúdos, sites entre outros, com apoio de metodologias ativas e quando bem contextualizadas, melhoram competências socioemocionais e culturais e trazem mais motivação à aprendizagem. Paa tanto, foram definidos dez (10) indicadores para realização dessas atividades híbridas. Foram tomados os seguintes autores para apoios teóricos basais: Starker Horn (2015), Filatro (2018), Garcia (2016), Moran (2018), Bacich (2018), Ladd (2009), Campbell (2012) , Cechinel (2017).
A combined Surgical-Orthodontic treatment in skeletal Class II malocclusion patients
Authors: Shetty Prathyaksha , Baruah Dipjyothi , Rekhawat Amit , Cariappa Karthik , Ganapati Durgekar Sujala , Belludi Anup , M Aravind 
Published: August 2021

Skeletal Class II malocclusion with mandibular deficiency is one of the most common problems that patients seek treatment. Adult patients with severe skeletal Class II malocclusion need orthognathic surgery for successful treatment. Bilateral sagittal split osteotomy (BSSO) is the most often preferred technique for these patients. This case report briefs about two male patient of age 24 years presented with Class II Skeletal relation, mesoprosopic facial form, horizontal growth pattern and Angle’s Class II div 1 malocclusion who were treated with Bilateral sagittal split osteotomy (BSSO) mandibular advancement. The ideal anteroposterior relation was established along with a Class I molar, incisor, canine relationship and ideal overjet, overbite and the overall facial esthetics were significantly improved. Combined surgical-orthodontic treatment aims to obtain a more harmonious facial, skeletal, dental and soft tissue relationship with an added patient self esteem.
Extracorporeal shock wave therapy- An emerging prospect in dentistry
Authors: Chickanna Rudrakshi , Genevieve Azevedo Roxanne , MLV Prabhuji 
Published: August 2021

There has been an upsurge for exploring new frontiers in the field of medical science for improved treatment. Extracorporeal shockwave therapy (ESWT) has been extensively used in medical practice, for the management of urolithiasis, cholelithiasis, in various orthopedic and musculoskeletal disorders. The prospective applications of ESWT in the field of dentistry in providing beneficial outcomes, is no exception to this trend. : To assess the awareness of the application of Extracorporeal Shockwave Therapy as a possible paradigm in various dental treatments among dental professionals.: This cross-sectional study was conducted among dental professionals across India. An online structured questionnaire was created and circulated to dental professionals via various online communication platforms. The result obtained was tabulated into tables and graphs.: A large percentage of General dentists and postgraduates were aware of ESWT and the benefits it can bring about. : ESWT is no-exception to the emerging therapies that needs to be up to date among dental professionals. ESWT may be of useful adjunct for the management of Periodontal disease.