bluuebunny/crossref_metadata_2025_split huggingface dataset:
Optimal Angle of the Bone Tunnel for Avoiding Axillary Nerve Injuries During Arthroscopic Transosseous Rotator Cuff Repair: A Magnetic Resonance Imaging–Based Simulation Study
Authors: Gupta Himanshu , Mishra Pallav , Kataria Himanshu , Jain Vineet , Tyagi Amit Raj , Mahajan Harsh , Upadhyay Ashish Datt 
Published: November 2018

Background: Axillary nerve injury and suture cutout through the roof of the tunnel are potential complications of arthroscopic transosseous rotator cuff repair (ATORCR). Purpose: To determine a safe angle of drilling for the bone tunnel during ATORCR such that the axillary nerve is not at risk. The thickness of the bone bridge over the tunnel for different angles of drilling was also determined. Study Design: Descriptive laboratory study. Methods: The drilling of a straight tunnel was simulated on 30 magnetic resonance imaging (MRI) scans in the oblique coronal plane by drawing a straight line that passed at a “safe distance” of 5 mm from the axillary nerve and emerging at the medial border of the insertion of the rotator cuff on the greater tuberosity. The angle made by this line with the horizontal axis of the humerus was measured on 3 MRI sections: anterior (passing just posterior to the lateral lip of the bicipital groove), middle (at the most lateral point of the proximal humerus), and posterior (an equal number of cuts away from the middle section as between anterior and middle). The thickness of the overlying bone roof was measured for this line as well as for simulation lines drawn at 50°, 55°, 60°, and 65° with the horizontal axis. A “safe limit,” defined as the mean – 2SD, was also calculated. Results: The axillary nerve was found to be safe, with a safety margin of 5 mm, at drill angles of less than 61.1° and 60.3° in the posterior and middle sections, respectively. The safe limit value for thickness of the overlying bone roof for the tunnel drilled at 60° was 5.0 mm in the posterior section (mean, 8.2 ± 0.3 mm) and 5.5 mm in the middle section (mean, 8.1 ± 0.2 mm). In the anterior section, the minimum safe angle was 57.7°, and the mean thickness of the bone roof for the 55° angle was 6.3 ± 0.2 mm (safe limit, 3.7 mm). Conclusion: Straight bone tunnels in ATORCR surgery should be drilled at an angle of 60° to the horizontal axis of the humerus or 30° to the humeral shaft to ensure the safety of the axillary nerve while at the same time ensuring adequate thickness of the overlying bone roof. The anterior tunnel close to the bicipital groove should be drilled cautiously at 55° to the horizontal axis or 35° to the humeral shaft. Clinical Relevance: The findings of the present study will help the surgeon choose the best angle for drilling tunnels during ATORCR surgery to avoid axillary nerve injuries as well as suture cut-through without the need for any proprietary device.
Implementation of a second victim program in the neonatal intensive care unit: An interim analysis of employee satisfaction
Authors: Merandi Jenna , Winning Adrien M , Liao Nancy , Rogers Erin , Lewe Dorcas , Gerhardt Cynthia A 
Published: November 2018

Background While research has established the negative impact of medical errors or adverse events on healthcare providers, few organizations have evaluated support programs for second victims. Thus, we examined satisfaction with a peer support program to provide lessons learned from early implementation. Methods Participants ( N = 466) were recruited from seven neonatal intensive care units affiliated with a large, pediatric hospital. Following implementation of a peer support program, a mixed-method online survey assessed program satisfaction at 12 month follow-up ( n = 250, 54%). Results Most participants were female ( n = 243, 97%), white ( n = 239, 96%), and nurses ( n = 180, 72%), with an average age of 40.80 (SD = 11.89) years. Ninety-three (37%) participants observed or were directly involved in an error or adverse event during the preceding six months. Thirty-six (14%) received support from someone within the neonatal intensive care unit, and 16 (16%) had spoken with a peer supporter after the event. All users reported benefit from the interaction. However, most participants were unaware of the program or had not utilized it. Conclusion Findings suggested that peer support programs are likely to be viewed favorably by second victims. Healthcare providers who accessed the program felt it was a valuable resource and helped them return to work effectively after an error or adverse event. Better communication is needed during early implementation of any peer support program to increase awareness and use of this resource among healthcare providers.
Physical and mechanical therapies for lower limb symptoms in children with Hypermobility Spectrum Disorder and Hypermobile Ehlers‐Danlos Syndrome: a systematic review
Authors: Peterson Benjamin , Coda Andrea , Pacey Verity , Hawke Fiona 
Published: November 2018

AbstractBackgroundHypermobility Spectrum Disorder and Hypermobile Ehlers Danlos Syndrome are two common heritable genetic disorders of connective tissue. Both conditions are characterised by excessive joint range of motion and the presence of musculoskeletal symptoms, and are associated with joint instability, motion incoordination, decreased joint position sense, and musculoskeletal pain. Hypermobility Spectrum Disorder is the new classification for what was previously known as Joint Hypermobility Syndrome. This systematic review evaluates the evidence for physical and mechanical treatments for lower limb problems in children with Hypermobility Spectrum Disorder and Hypermobile Ehlers Danlos Syndrome.MethodsMEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, PUBMED and CINAHL were searched to October 2017 for randomised controlled trials (RCT) and quasi‐RCTs evaluating physical and mechanical interventions for lower limb problems in children with hypermobility. Two authors independently screened studies for eligibility for inclusion and three review authors independently assessed risk of bias of included studies. One author extracted and analysed statistical data, which were checked by a second author.ResultsTwo RCTs including a total of 86 participants were eligible for inclusion. Trials evaluated differences between generalised versus targeted physiotherapy programs and between performing knee extension exercises to the neutral versus hypermobile range. There was no clear benefit of any of the physical therapies evaluated.ConclusionThere is very limited evidence to guide the use of physical and mechanical therapies for lower limb problems in children with Hypermobility Spectrum Disorder and Hypermobile Ehlers Danlos Syndrome. Mechanical therapies have not been evaluated in RCTs and results of the two RCTs of physical therapies do not definitively guide physical therapy prescriptions. Current studies are limited by small sample sizes and high attrition rates. No physical therapy has been compared to a sham intervention no intervention or no intervention, so overall effectiveness is unknown.
One-Step Conversion to a Disubstituted Cyclopentenone from 2-Deoxy-d-Glucose and Application to Synthesis of Prostaglandin E1 Methyl Ester
Authors: Kamishima Takaaki , Nonaka Toshiyuki , Watanabe Toshihiro , Koseki Yoshitaka , Kasai Hitoshi 
Published: November 2018

Abstract
We have developed a facile one-step conversion of 2-deoxy-d-glucose to form a disubstituted cyclopentenone through catalyst-free hydrothermal reaction under mild conditions. The use of 2-deoxy-d-glucose in one-pot conversion is to provide the formation of a carbon five-membered ring instead of the common biomass-derived furans such as furfural, 5-HMF, etc. The cyclopentenone has a potential to be a building block for the preparation of chemical products. As one example, we successfully demonstrated the synthesis of prostaglandin E1 methyl ester.
THE IMPACT OF GLOBALIZATION ON THE FOOD BEHAVIOUR OF CONSUMERS – LITERATURE AND RESEARCH REVIEW
Authors: Hanus Gabriela 
Published: November 2018

Currently, market behaviour, including the food behaviour of consumers, shaped in societies is largely a consequence of civilizational and cultural development and the ongoing globalization process. The aim of this article is to discuss the impact of globalization on the food behaviour of consumers based on secondary sources of information published over the period of 1995-2017. The article shows theoretical aspects of globalization and the food behaviour of consumers, the globalization phenomenon in the contemporary world and the impact of globalization on the food behaviour of consumers. Across the studies covered by this paper it was found that the impact of globalization on the food behaviour of consumers is visible in such behaviour as buying food in supermarkets, eating in fast food restaurants, looking for both comfort in eating and unique experiences. However, it has also been indicated that globalization influence on creation of some moves and attitudes against it, such as preferring domestic or ecological products, slow food ideas or actions in the field of food safety.
METHODS FOR THE IDENTIFICATION OF CYBER RISKS: AN ANALYSIS BASED ON PATENT DATA
Authors: Klapkiv Lyubov , Klapkiv Yurij 
Published: November 2018

The problem of fast-rising cyber-risks become very important in the era of the Fourth Industrial Revolution. Cyber-risks cause not only high losses but also break the chain of economic relations between companies and their customers. Besides, cyber risks change their form and structure rapidly, so the tools of risk management must be adequate. That is why the problem of cyber-risk identification and assessment has gotten attention and become so actual. The purpose of this study is to outline new approaches to identifying and estimating cyber-risks based on the dates of the World International Property Organization (WIPO). In order to conduct our study, we will use various tools and techniques such as: citation analysis, cluster analysis, and visualization. We have analyzed the patent information from the groups of “Electric digital data processing”, “Transmission of digital information” and data processing systems or methods, specially adapted for financial purposes. In our findings, we analyze the technical and economic significance of patents.Our work has led us to conclude that the number of methods of cyber risk identification that were the objects of applications granted by WIPO has a strong connection with the number of cyber-attacks from 2010 to 2017. That is why the innovative methods that were granted have a wide spectrum of influence and could be used in different stages of risk management. We selected patents that based on cyber risk identification and assessment from the data of WIPO and divided these patents into clusters. This helps us in understanding the trends and characters of innovative activities directed to successful management of cyber risks.
EUROPE’S BORDERS AND NEIGHBOURHOOD: GOVERNMENTALITY AND IDENTITY
Authors: Grzymski Jan 
Published: November 2018

This article argues that the EU's neighbourhood policy is deeply entrenched in the Eurocentric spatial imaginaries of the EU as the universal core of and pole of attraction to its neighbours. This is especially clear in the European Neighbourhood Policy (ENP) and Eastern Partnership (EaP) concept of an asymmetrical partnership and neighbourhood. The ENP and EaP constituted the EU as a fully European core, while simultaneously othering its neighbourhood as not-fully European with an uncertain status of being between the inside and outside. This article attempts to expose how the ENP and EaP's practices draw a border for the EU/Europe and its neighbourhood with the use of specific EU policy instruments, which are not just technical or professional tools. To the contrary, these instruments hold some potential power in constituting and envisioning the EU's closest outside neighbours. This article will move beyond application-oriented research and draw on critical social theory, especially the already-existing governmentality research as well as Michel Foucault's theory of power. The article concludes with the exposed mechanisms of constructing the political and cultural space of neighbourhood (and ultimately Europe too) through the ENP and EaP's governmental rationalities of their border practices.
THE EXPERIMENTS WITH A TRANSFORMER IN HIGH SCHOOL
Authors: Sitkey Matúš 
Published: November 2018

This article describes the education of secondary school pupils in relation to a set of experiments using a school transformer and the Tesla coil. The set of practical experiments consists of 9 that can be used in the teaching of pupils of physics at secondary school in the thematic unit relating to electricity and magnetism. Each experiment contains a description of the relevant section of the International Standard Classification of Education in which it can be used. These descriptions include a motivational title, pedagogical goals, new keywords, a device list, and a level of difficulty based on the devices used. It also includes an experimental procedure, its physical explanation and experiment note, and supplementary questions for pupils. The research focuses on increasing the interest of pupils and improving their understanding of theory on the subject of electricity and magnetism by way of theoretical lessons connected to practical experiments using the Tesla coil. The research involved a special questionnaire for evaluation using the Thurstone method, which measures the preference of the respondent group. The results are analyzed using a modified Thurstone method of paired comparison with the software, Mathematica.
ASSESSMENT OF CASE STUDY METHOD IMPLEMENTATION IN THE BUSINESS ENGLISH TEACHING
Authors: Strelchonok Angela 
Published: November 2018

The paper presents research carried out with the purpose to evaluate the results of case study method implementation in the Business English language classroom with undergraduate students of RISEBA University of Business, Arts, and Technology. The research question is whether students who are taught Business English through case studies develop better linguistic competence as well as greater proficiency in both language and business communication skills than students who are taught without the use of case study method.An experiment was conducted on two equal groups during one academic semester. Each group was administered tests devised by the lecturer before and after the experiment. Data were analysed using statistical ANOVA methodology and evidence to support the hypothesis was obtained.The results of statistical analysis confirmed the hypothesis about the advantage of implementation of the case study method in the Business English language classroom.
THE INCIDENCE AND CHARACTERISTIC FEATURES OF ANEMIA IN OLDER PATIENTS WITH CORONARY ARTERY DISEASE
Authors: James Alpha , Pavliukovych Nataliia , Pavliukovych Oleksandr 
Published: November 2018

INTRODUCTION: Previous studies have shown that the presence of anemia is associated with increased short- and long-term outcomes in patients with cardio-vascular diseases, especially coronary artery disease. Decreased hemoglobin level is associated with increased mortality, increased frequency of hospitalization due to different reasons, decreased quality of life and worsening of the clinical course of the main and comorbid diseases. Knowledge about the origin of the patient’s anemia should result in its treatment and possible prevention of the rapid progression of the main cardio-vascular disease, particularly in elderly patients.OBJECTIVES: determination of the incidence and characteristic features of anemia in elderly and senile patients with chronic forms of coronary artery disease.METHODS: 1993 case reports of patients with chronic forms of coronary artery disease with comorbid anemia were analyzed retrospectively.RESULTS: Among all examined patients with coronary artery disease, anemia is found in nearly 70% of cases. In people after the age of 60, anemia is more common in men than in women. Only in less than a hundred case reports, the diagnosis of anemia was recorded in the final clinical diagnosis during patients’ discharge from the hospital. The incidence of anemia does not depend on the form of the chronic CAD (stable angina pectoris or cardiosclerosis). In most patients with CAD, comorbid anemia is of a normochromic and normocytic character. Along with the progression of the severity of the comorbid anemia, a statistically significant increase of the hospitalization period is observed. In patients with CAD and comorbid anemia the frequency of hospitalizations per year is also increased.CONCLUSIONS: Chronic forms of coronary artery disease in elderly and senile patients in 69,89% of cases are complicated by comorbid anemia of different degrees of severity. In older patients with CAD, anemic syndrome is most often caused by respiratory diseases, stomach and duodenal ulcers, and cancer of various localizations. In most patients with CAD, comorbid anemia is of a normochromic and normocytic character. Concomitant anemia in patients with CAD contributes to the prolongation of the patients’ in-hospital treatment and increases the frequency of hospitalizations due to the main disease throughout the year.
COPING AND EMOTIONAL COMFORT OF CAREGIVERS
Authors: Novysedláková Mária , Zrubáková Katarína , Magerčiaková Mariana , Moraučíková Eva 
Published: November 2018

Introduction: The aim of this research is to find coping strategies for dealing with stress among caregivers who look after a chronically ill family member and to assess which of the most common emotions they are experiencing.Methods: We used a standard 28-item questionnaire Brief COPE (Carver, 1997) with Likert scale with values of 6-1 and standardized Variety habitual emotional, subjective well-being in this study (Džuka, Dalbert, 2002). The questionnaire was distributed by nurses who care for ill relatives in the Home Care Agency. We used descriptive statistical methods.Results: Exploratory data includes answers from 30 respondents, who were caregivers of a patient with chronic illness at home. The average age of respondents was 66.3 years + 4,5, ranged between 56 and 71 years old. Concerning the custodies, these were the most often the life partners - husband / wife (63 %). The average length of treatment was half a year - year (27 %). Top active strategies for coping with stress were: planning, instrumental social support, acceptance, religiosity, emotional support, with the average from 4,65 to 4,27. The least used coping strategies were humor and drug use. Respondents experienced more frequent negative than positive emotions - pain with average 4,30, sadness 4,24, fear 4.23,Conclusion: The study shows that the caregivers can select an active strategy to help them overcome difficulties while taking care of the sick. When assessing emotional survival, we found out that respondents had negative emotions.
ELECTROTRANSFER OF CYTOKINE GENES FOR CANCER TREATMENT
Authors: Chopra Sonam , Satkauskas Saulius 
Published: November 2018

Gene electrotransfer, which designates the combination of gene transfer and electroporation, is a physical method for transfecting genes into cells and tissues. Many reports for the utilization of this techniques in animals confirmed that gene electrotransfer is a safe and efficient method. One of the major advantages of electrogene therapy is that it does not result in systemic toxicity. Gene electrotransfer (GET) of plasmids encoding cytokines has been shown to generate a potent anti-tumor effect. Delivery of plasmids encoding cytokines induces not only a local immune response but a systemic one as well. Cytokines can be used to stimulate host inflammatory responses and immunity to cancers. This review aims to summarize preclinically tested cytokine genes with the help of electroporation for cancer treatment.
Gender, sex and romance in role playing video games: Dragon’s Dogma, Fable III and Dragon Age: Inquisition
Authors: Navarro-Remesal Victor 
Published: November 2018

Abstract
Gender, as Judith Butler argued, is performative. People define their gender by ‘doing’, often unknowingly, through manners, gestures and practices. Video games are cybertexts with configurative performances, that is, the act of playing is a constant performance that affects not only the creation of meaning, but the resulting text of the game as well. When we play, we shape the discourse by ‘doing’. Representation – how the game elements can be seen to articulate meaning – and performance – how the player uses the game to complete and modify this meaning – cannot be separated in game analysis. Every game gives us a set of actions, or mechanics that we use at will to achieve goals following clear rules, and these rules and actions are precisely the building blocks of a game. Ludofictional worlds have an ingrained idea of ‘reality’ that we can take at face value or explore, even question. So, if games are performances, is our performance within them gendered? That is, are we reproducing our learned performativity or breaking away from it? Is the game a procedure we follow or an instrument we use to express ourselves? In this article, I use game analysis tools and theory to describe if and how three particular games, Dragon’s Dogma (Capcom, 2012), Fable III (Lionhead Studios, 2010) and Dragon Age: Inquisition (BioWare, 2014), each coming from a different territory: Japan, Europe and the United States – give the player freedom and opportunity to perform gender, and how they include pluralism and/or diversity. The article has no intention to describe all of the current gaming culture, but to illustrate some trends in mainstream games regarding representation and player freedom in the design of gender and sex. Romance can be seen as the frame of a conversation between the designers and the players.
Fan preservation of ‘flopped’ games and systems: The case of the Virtual Boy in Spain
Authors: Mora-Cantallops Marçal , Bergillos Ignacio 
Published: November 2018

Abstract
This article presents Planet Virtual Boy (PlanetVB) and Virtual Boy enthusiast practices in Spain as a case study for fan preservation of failed games and systems. Using a historical approach and contributions from cultural studies, fan studies and game studies, practices and motivations for fan curation are discussed. Online communities serve as a common ground where fandom collaborates and negotiates at different levels in order to support video game preservation. The tensions that arise and the practices that take place are explained and connected to previous theory. Virtual Boy in Spain illustrates how the fragile, ambivalent and chaotic nature of online communities can also contribute to a successful preservation of game culture and video game history.