bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of Local Infiltration Analgesia on the Quality of Recovery After Anterior Total Hip Arthroplasty: A Randomized, Triple-Blind, Placebo-Controlled Trial
Authors: Tan Nicole L. , Gotmaker Robert , Barrington Michael J. 
Published: June 2019

BACKGROUND:
Local infiltration analgesia (LIA) is commonly used in anterior total hip arthroplasty (THA) surgery; however, evidence for its efficacy is lacking. We hypothesized that LIA with 0.2% ropivacaine when compared with injection of placebo (0.9% saline) would improve patient quality of recovery on postoperative day (POD) 1, as measured by the Quality of Recovery-15 (QoR-15) score.

METHODS:
Patients scheduled to have a primary unilateral anterior THA with a single surgeon in a tertiary level metropolitan hospital were randomized to receive LIA with either 2.5 mL/kg of 0.2% ropivacaine or 0.9% saline as placebo. Patients and clinical and study personnel were blinded to group allocation. Perioperative care was standardized and this included spinal anesthesia and oral multimodal analgesia. The primary outcome was a multidimensional (pain, physical comfort, physical independence, emotions, and psychological support) patient-reported quality of recovery scale, QoR-15, measured on POD 1.

RESULTS:
One hundred sixty patients were randomized; 6 patients were withdrawn after randomization and 2 patients had incomplete outcome data. The intention-to-treat analysis included 152 patients. The median (interquartile range [IQR]) QoR-15 score on POD 1 of the ropivacaine group was 119.5 (102–124), compared with the placebo group which had a median (IQR) of 115 (98–126). The median difference of 2 (95% confidence interval [CI], −4 to 7; P = .56) was not statistically or clinically significant. An as-per-protocol sensitivity analysis of 146 patients who received spinal anesthesia without general anesthesia, and the allocated intervention, also showed no evidence of a significant difference between groups. Secondary outcomes (worst pain numerical rating scale at rest and with movement on POD 1, opioid consumption on PODs 1 and 2, mobilization on POD 1, Brief Pain Inventory severity and interference on POD 90, and length of stay) were similar in both groups.

CONCLUSIONS:
LIA with 0.2% ropivacaine when compared with 0.9% saline as placebo did not improve quality of recovery 1 day after anterior THA.
Estilos de aprendizaje y rendimiento académico de estudiantes de la carrera de obstetricia
Authors: Altamirano-Droguett, MSc Janet Elizabeth , Araya-Crisóstomo, MSc Sandra Patricia , Contreras, MSc Marcela Paz 
Published: June 2019

Introducción: el presente estudio analizó los estilos de aprendizaje de estudiantes universitarios de obstetricia de Concepción y su relación con las variables edad, año de la carrera que cursa y rendimiento académico. Se planteó como hipótesis que el estilo de aprendizaje que incrementa en mayor medida el rendimiento de los estudiantes es el estilo reflexivo. Materiales y métodos: se realizó un estudio descriptivo, transversal y relacional en 208 alumnos matriculados entre los años 2015 a 2018. Se utilizó el cuestionario CHAEA de Estilos de Aprendizaje de Honey y Alonso. Para el análisis estadístico se utilizó la prueba ji Cuadrado y la prueba anova con comparaciones planificadas, para determinar si existían diferencias significativas entre rendimiento académico y estilo de aprendizaje. Resultados: los resultados muestran predominancia del estilo reflexivo en el 50 % de los estudiantes y en un 48 % en la predominancia combinada reflexivo-teórico. El análisis inferencial determinó que existen diferencias estadísticamente significativas entre rendimiento académico y estilo de aprendizaje predominante (p = .001). Conclusión: no existe relación entre estilos de aprendizaje y edad o año de carrera que cursan los estudiantes; sin embargo, sí existe relación entre estilos de aprendizaje y rendimiento, la cual podría estar determinada por el vínculo entre características del estilo reflexivo y competencias genéricas a desarrollar en esta carrera de salud.
Choosing the right rectangular expander and maximising the benefits from expanded tissue
Authors: Durgun Mustafa , Aksam Ersin 
Published: June 2019

Objective: Tissue expanders are widely used in the reconstruction of tissue wounds. This study aims to demonstrate how to choose the correct size of rectangular expander in relation to wound size and the maximum advancement technique for wound coverage in order to achieve a successful outcome. Methods: The present study included patients who were operated on between January 2013 and January 2017. The expander height chosen was more than half the length of the wound and the expander width was chosen to be as wide as possible, based on the width of the wound. The expander was placed in a site adjacent to the wound. Maximum advancement method was used to achieve coverage of the wound. Results: A total of 19 patients were included in the study, mean age 17.5 (range: 11–25) years. Indication included burn scar (n=14) and congenital nevus (n=5). The tissue expander was inserted into the scalp in 17 patients and supraclavicular area in two patients. A successful wound repair was achieved with the planned flaps in all patients. Conclusion: In expansion using rectangular expanders, the required expanded skin is gained through the height of the expanded tissue. Thus, expander size should be preoperatively planned to ensure the height of expanded tissue would be, at least, half of the wound length. Maximum benefit will be achieved from the expanded tissue through the correct placement of expanded tissue lateral flaps.
Le secret de famille dans Non-dits et Mentir vrai de Gisèle Fournier
Authors: Bernard Isabelle 
Published: June 2019

Abstract
This article focuses on the theme of the family secret as literary genre, motif, and structure in the work of the contemporary French author Gisèle Fournier. Following a triaxle scheme, the article analyzes the particular polyphonic writing of the secret and the unspeakable, and explores the long psychological process of the victims as depicted in Fournier’s writings. In addition, the study situates Fournier’s oeuvre in the same tradition as two of the most prominent contemporary French authors, Marie NDiaye and Laurent Mauvignier.
Trials of Curiosity: Flaubert’s La Tentation de saint Antoine and Bouvard et Pécuchet
Authors: Buch Robert 
Published: June 2019

Abstract
Flaubert regarded his last two novels, La Tentation de saint Antoine and the unfinished Bouvard et Pécuchet, as companion pieces. For all their obvious differences in terms of setting and generic models, certain similarities have struck readers, not least the way in which both works depart from the parameters of the writer’s influential poetics. Among the most prominent similarities are an unmistakable and at times tiresome repetitiveness and the overwhelming encyclopedic scope of the scientific knowledge and disciplines informing both works. The essay charts the different generic lineages that make for the difficulty in situating Flaubert’s late work to then discuss a theme that is often overlooked: curiositas. Hans Blumenberg’s magisterial history of curiosity, Der Prozeß der theoretischen Neugierde, allows us to account for the peculiar mix of science and religion, gnostic and scientific curiosity, in La Tentation, while the philosopher’s short study Das Lachen der Thrakerin, an extension of the curiosity book, casts a new light on the ambivalent status of libido sciendi in Bouvard et Pécuchet.
Akustische Repräsentation und Polyphonie in Gryphius’ Carolus Stuardus
Authors: Previšić Mongelli Boris 
Published: June 2019

Abstract
Gryphius reworks the first version of his tragedy Carolus Stuardus. In doing so, he elucidates not only the parallels with the Passion of Christ but also the presentation of the human voices at the medial interface between description and song. Irregular rhythmic arrangements of character discourse and the independence of the choruses from the plot point to a multifaceted contrast polyphony that can be readily measured against contemporary musical models.
Radiation outcome in mechanical thrombectomy of acute ischemic stroke
Authors: Cai Xiaoying , Ding Xianhui , Wang Wenbin , Yang Ke , Zhou Zhiming , Fang Yannan , Shi XiaoLei 
Published: June 2019

Abstract

Objective
Mechanical thrombectomy is recommended for acute ischemic stroke (AIS) with large artery occlusion. Radiation during the endovascular procedure would increase the risk of skin diseases. We sought to identify radiation outcomes during mechanical thrombectomy.

Methodology
We prospectively collected and analyzed radiation parameters during mechanical thrombectomy in 41 patients affected with acute cerebral artery occlusion.

Results
There were 41 cases (68.73 ± 11.05 years) in this study, with a National Institute Health Stroke Scale (NIHSS) score of 15.66 ± 5.94. The time parameters were recorded as following: 84.45 ± 31.66 min (operation duration), 129.71 ± 81.14 s (angiographic run), 16.02 ± 11.03 min (fluoroscopy) and 18.19 ± 11.14 min (angiographic exposure). The doses produced in the procedure were: 1276.43 ± 1647.56 mGy (shot dose), 607.26 ± 412.34 mGy (fluoroscopy) and 1635.52 ± 593.65 mGy (angiographic exposure). Further analysis discovered no association between NIHSS and these time and radiation parameters (P > 0.05).

Conclusion
This study provided the description of radiation details during mechanical thrombectomy for acute cerebral artery occlusion. The stroke severity would not influence the procedure parameters.
New orientation of study on economic psychology and behaviour
Authors: You Yucong 
Published: June 2019

Abstract
Economic psychology refers to the impact of psychological factors on economic changes, and its outward manifestation is economic behaviour. Psychology, as a science studying human psychology and behaviour, has no reason to ignore the study of economic activities. This study summarizes the latest research results and conclusions of economic psychology from three aspects of behaviour level, body signal and other people’s movement or displacement. In addition, it expounds the reflection of economic psychology, the reflection of rational human hypothesis of traditional economics and the prospect of future research. From the perspective of economic psychology, it is of great significance to analyse the psychological motivation behind the conflicts and interests in the study of economic psychology and behaviour so as to construct the harmonious behaviour relationship of “psychological contract” on the basis of the rational mechanism of interest distribution.
Decision-making ability of professional managers based on neurocognitive
Authors: Liang Guo , Li Xiyuan 
Published: June 2019

Abstract
In order to explore the factors influencing managers' decision-making ability and the relationship among them, this study puts forward the hypothesis on the basis of analysing the factors influencing the decision-making ability, constructs a neurocognitive model of the factors influencing the decision-making ability, analyses and verifies the hypothesis with the neurocognitive model in combination with the questionnaires, and calculates the path coefficient through the model. The empirical results show that decision-making information, leadership authority and corporate culture have significant influence on the decision-making ability, in which leadership authority is the main factor, and governance structure and decision-making system indirectly influence the decision-making ability through other intermediaries.
Characteristics of cognitive in children with learning difficulties
Authors: Liang Feng , Li Panpan 
Published: June 2019

Abstract
In order to explore the relationship between cognitive function in children with learning difficulties and social environment, this study uses the Wechsler Intelligence Scale and the self-made general environment questionnaire to investigate 185 children with learning difficulties and compares them with 185 normal children, and gives attention test to 50 children with learning difficulties. The results show that family environment has a certain influence on the children with learning difficulties, they have a significantly lower verbal intelligence quotient (VIQ), performance intelligence quotient (PIQ) and full scale intelligence quotient (FIQ), and the separation of VIQ and P IQ is common among them. As the children with learning difficulties grow older, their ability for abstract generalization tends to decline, which may be a characteristic of their intelligence development. This study aims to compare the functional differences in cortical regions between children with learning difficulties and children without from the perspective of cognitive neuropsychology, so as to provide effective assistance for children with learning difficulties.
Zur Theorie und Typologie der Erfolgsmedien
Authors: Kärtner Jurit 
Published: June 2019

Zusammenfassung
Im Artikel wird die Theorie der Erfolgsmedien (Geld, Wahrheit etc.) weiterentwickelt und für dadurch mögliche Erkenntnisgewinne argumentiert. Mit Hilfe der basalen Unterscheidung von soziologischen Operationstheorien als Handlungs- oder Kommunikationstheorien (1.1) werden zunächst die klassischen Operationstheorien und Typologien der Erfolgsmedien (Parsons, Luhmann) dargestellt (1.2) und kritisiert (1.3). Darauf folgt die Entwicklung einer kommunikationstheoretisch basierten Medientheorie und -typologie (1.4), um deren heuristische Fruchtbarkeit dann an den Beispielen der Ökonomisierungsthese und der Soziologie der (Be)Wertung deutlich zu machen (1.5). Ordnungstheoretisch werden die zentralen Probleme und Teiltheorien der Medienschöpfung (durch Banken, Universitäten etc.), -zirkulation (von Geld, Publikationen etc.) und -speicherung (durch Eigentümer, Wissenschaftler etc.) samt der entsprechenden Krisen skizziert, wodurch das umfassende Potenzial der prinzipiell vergleichenden Theorie der Erfolgsmedien deutlich wird (2).
Gibt es eine Zunahme gleichgeschlechtlicher Partnerschaften in Deutschland? Theoretische Überlegungen und empirische Befunde
Authors: Lengerer Andrea , Bohr Jeanette 
Published: June 2019

ZusammenfassungObwohl gleichgeschlechtliche Partnerschaften einen enormen Zuwachs an gesellschaftlicher und rechtlicher Anerkennung erfahren haben, ist das empirisch gesicherte Wissen über ihre Verbreitung weiterhin gering. Der vorliegende Beitrag beschäftigt sich mit der Entwicklung gleichgeschlechtlicher Partnerschaften in Westdeutschland seit Beginn der 1970er-Jahre. Auf Basis des Mikrozensus werden gleichgeschlechtliche Partnerschaften im gemeinsamen Haushalt – teilweise mit Hilfe eines Schätzverfahrens – nicht nur im Zeitverlauf, sondern erstmals auch im Lebensverlauf von Kohorten betrachtet. Theoretisch wird argumentiert, dass die Wahl eines gleichgeschlechtlichen Partners nicht allein von der sexuellen Orientierung, sondern auch von sozialen und strukturellen Rahmenbedingungen abhängt. Die Ergebnisse zeigen, dass der Anteil gleichgeschlechtlicher Partnerschaften im Zeitverlauf kontinuierlich ansteigt. Dieser Anstieg ist auf einen Kohorteneffekt zurückzuführen und zeigt sich für beide Geschlechter, fällt bei Männern allerdings stärker aus.
Q & A with Daniel L. Hartl, Recipient of the 2019 Thomas Hunt Morgan Medal
Authors: L. Hartl Daniel 
Published: June 2019

Abstract
The Genetics Society of America’s Thomas Hunt Morgan Medal honors researchers for lifetime achievement in genetics. The recipient of the 2019 Morgan Medal is Daniel Hartl of Harvard University, who is recognized for his influential and diverse contributions to genetics research. The unifying theme of Hartl’s broad impacts on transmission, population, evolutionary, and medical genetics has been the combination of theoretical insights with cutting-edge experimental techniques. Some of his contributions include revealing the genetics of segregation distortion, developing statistical frameworks for estimating the effects of selection, application of these frameworks to natural and experimental populations, discovery of the mariner transposon and its influence on genome evolution, insights into the evolution of gene expression differences, and modeling the evolution of malaria parasite populations. Hartl is also known as a supportive mentor who has trained many prominent geneticists that continue to shape the field.
Short-term clinical outcomes in patients with acute myocardial infarction after successful percutaneous coronary revascularization: the role of promoter polymorphism of the endothelial nitric oxide synthase gene
Authors: Petyunina Olga V. , Kopytsya Mykola P. , Babichev Denis P. , Berezin Alexander E. 
Published: June 2019

Background: The purpose of this study was to investigate the associations between variants of a promoter polymorphism of the endothelial nitric oxide synthase (eNOS) gene and clinical outcomes in acute ST-segment elevation myocardial infarction (STEMI) patients after a successful primary percutaneous coronary artery intervention (PCI).
Methods: 177 patients with acute STEMI, 82 patients with angiographically proven stable coronary artery disease, and healthy volunteers were included in the study. The primary end-point was a combined event (follow-up major adverse cardiac events –MACEs and hospitalization) that occurred within 6-month of the discharge from the hospital.
Results: The combined end-point was determined in 72 patients from the entire acute STEMI population (40.6%), including 24 events for 786TT genotype, 23 events for 786TC genotype and 25 events for 786CC genotype. Kaplan-Meier curves demonstrated that acute STEMI patients with 786CC eNOs genotype had lower MACEs free accumulation when compared to those with 786TC and 786TT eNOs genotypes at 6-month follow up period (Log-rank p < 0.001). Multivariate Cox regression analyses identified 786CC in eNOs gene as an independent predictor of clinical outcomes in STEMI after PCI.
Conclusions: the 786CC polymorphism in eNOs gene is an independent predictor for clinical outcomes after a successful primary PCI in acute STEMI.
A Prediction Model to Identify Febrile Infants ≤60 Days at Low Risk of Invasive Bacterial Infection
Authors: Aronson Paul L. , Shabanova Veronika , Shapiro Eugene D. , Wang Marie E. , Nigrovic Lise E. , Pruitt Christopher M. , DePorre Adrienne G. , Leazer Rianna C. , Desai Sanyukta , Sartori Laura F. , Marble Richard D. , Rooholamini Sahar N. , McCulloh Russell J. , Woll Christopher , Balamuth Fran , Alpern Elizabeth R. , Shah Samir S. , Williams Derek J. , Browning Whitney L. , Shah Nipam , Neuman Mark I. ,   for the Febrile Young Infant Research Collaborative
Published: June 2019

OBJECTIVES:
To derive and internally validate a prediction model for the identification of febrile infants ≤60 days old at low probability of invasive bacterial infection (IBI).

METHODS:
We conducted a case-control study of febrile infants ≤60 days old who presented to the emergency departments of 11 hospitals between July 1, 2011 and June 30, 2016. Infants with IBI, defined by growth of a pathogen in blood (bacteremia) and/or cerebrospinal fluid (bacterial meningitis), were matched by hospital and date of visit to 2 control patients without IBI. Ill-appearing infants and those with complex chronic conditions were excluded. Predictors of IBI were identified with multiple logistic regression and internally validated with 10-fold cross-validation, and an IBI score was calculated.

RESULTS:
We included 181 infants with IBI (155 [85.6%] with bacteremia without meningitis and 26 [14.4%] with bacterial meningitis) and 362 control patients. Twenty-three infants with IBI (12.7%) and 138 control patients (38.1%) had fever by history only. Four predictors of IBI were identified (area under the curve 0.83 [95% confidence interval (CI): 0.79–0.86]) and incorporated into an IBI score: age &lt;21 days (1 point), highest temperature recorded in the emergency department 38.0–38.4°C (2 points) or ≥38.5°C (4 points), absolute neutrophil count ≥5185 cells per μL (2 points), and abnormal urinalysis results (3 points). The sensitivity and specificity of a score ≥2 were 98.8% (95% CI: 95.7%–99.9%) and 31.3% (95% CI: 26.3%–36.6%), respectively. All 26 infants with meningitis had scores ≥2.

CONCLUSIONS:
Infants ≤60 days old with fever by history only, a normal urinalysis result, and an absolute neutrophil count &lt;5185 cells per μL have a low probability of IBI.
Revisando el constructo articulación trabajo-familia: entre el conflicto y el enriquecimiento
Authors: Gabini Sebastián 
Published: June 2019

Objetivo: El presente artículo de revisión tuvo como objetivo proporcionar una puesta al día acerca de la teoría e investigación sobre articulación trabajo-familia.
Método: Se realizó una búsqueda bibliográfica de artículos a texto completo correspondiente a los últimos cinco años (2011-2016) en bases de datos definidas como Grupo 1 (calidad AAA) por el Conicet, utilizando los descriptores: articulación trabajo-familia, conflicto trabajo-familia, enriquecimiento trabajo-familia. Luego de delimitar los resultados en función de determinados criterios de selección, se trabajó con un total de 54 artículos.
Resultados: La revisión realizada permitió sistematizar los principales mecanismos de vinculación de la interfase trabajo-familia, sus dimensiones constitutivas, las variables antecedentes y consecuentes, así como los instrumentos de medición desarrollados para evaluarla. De la misma surge que la literatura sobre el constructo ha estado dominada por la perspectiva del conflicto. A su vez, la inexistencia de un marco teórico integrador para el aspecto positivo de la articulación trabajo-familia ha dificultado las investigacionesen el área.
Conclusiones: La naturaleza del fenómeno debe ser investigada a partir de la evaluación conjunta de ambos aspectos de la articulación trabajo-familia. Futuras investigaciones podrían avanzar hacia una tipología que incorpore las diversas combinaciones de CTF y ETF, ampliar los alcances del modelo para verificar su validez transcultural y validar instrumentos con adecuadas propiedades psicométricas para tales fines.
A Legal Perspective on Social Media Use and Employment: Lessons for South African Educators
Authors: Coetzee Susanna Abigael 
Published: June 2019

Abstract
In this article, the author provides a legal perspective on the interplay between social media use and employment. The unique characteristics of social media are identified in order to frame the article before a number of considerations with regard to employment relationships that impact on deciding social media misconduct cases are deliberated upon. Thereafter, the author reflects on the implications of social media transgressions for educators' professions and contemplates the forms that social media misconduct by South African educators can take, with specific focus on defamation. Before the article reaches its conclusion, social media evidence and the impact of the unique characteristics of social media on users' legitimate expectations of privacy are also considered. The article concludes with a few guidelines on how educators can avoid the pitfalls that make social media use potentially hazardous to their employment.