bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ampleur et impact de l’économie de la connaissance à Bruxelles
Authors: Puyenbroeck Tom Van , Eyckmans Johan , Teirlinck Peter , Spithoven André , Hamme Gilles Van 
Published: December 2024

Nous analysons l’ampleur, la croissance et la répartition spatiale de l’emploi à forte intensité de connaissances dans la région de Bruxelles-Capitale et dans l’agglomération bruxelloise au sens large, et les comparons à celles observées dans les entités géographiques voisines. Nous en examinons l’impact sur l’emploi total, au moyen d’une analyse économétrique et d’une analyse entrées-sorties. Près d’un emploi sur deux à Bruxelles peut être considéré comme étant à forte intensité de connaissances. Pour la période 2008-2020, le taux de croissance annuel composé de l’emploi à forte intensité de connaissance le plus élevé a été enregistré dans l’aire urbaine fonctionnelle de Bruxelles. L’agglomération bruxelloise présente une forte concentration de plusieurs services à forte intensité de connaissances, avec des schémas d’implantation différents. Le secteur financier reste très présent dans les centres-villes de l’agglomération, tandis que d’autres activités s’implantent plutôt en périphérie, à l’instar de l’industrie pharmaceutique et du secteur de la comptabilité. L’écart négatif du taux de croissance de l’emploi total entre Bruxelles et le reste de la Belgique est dû à un effet de mixité sectorielle. Chaque nouvel emploi à forte intensité de connaissances à Bruxelles peut être associé à la création de deux emplois supplémentaires. En ce qui concerne les emplois générés par les secteurs à forte intensité de connaissances, 40 % de ceux créés à Bruxelles concernent une main-d’œuvre à moindre intensité de connaissances.
Louis Althusser et la crise du parti comme forme d’union de la théorie et de la pratique
Authors: Bruschi Fabio 
Published: December 2024

Cet article analyse le travail de réflexion sur la forme-parti réalisé par Louis Althusser au cours des années 1970 dans le contexte de transformation « eurocommuniste » du Parti communiste français. Ce travail permet de comprendre le passage du « communisme » à la « gauche » comme le moment du dénouement du fil qui reliait un mouvement de masse à visée révolutionnaire et d’une théorie de la société et de l’histoire à visée scientifique.
Early Mobility After Cardiac Surgery: A Quality Improvement Project
Authors: Cook Ansley , Grill Faith , Taylor Cole , Toles Lauren , Baker Natalie 
Published: December 2024

Background
Coronary artery bypass graft surgery is one of the most common cardiac procedures performed worldwide. The longer these patients remain in bed, the greater their risk of postoperative complications and prolonged length of stay.

Local Problem
At the authors’ institution, the average length of stay after coronary artery bypass graft surgery was 7.27 days, longer than the national average of 6.9 days. This quality improvement project was undertaken to increase these patients’ postoperative mobility and thereby reduce their length of stay.

Methods
Data on mobility and length of stay of patients with isolated coronary artery bypass graft surgery during an 8-week period were collected retrospectively to establish preintervention values. These values were compared with postintervention values for an equivalent period. An evidence-based nurse-driven early mobility protocol was used to mobilize appropriate patients from bed to chair on postoperative day 0. This level of mobility was documented as a score of 4 on the Johns Hopkins Highest Level of Mobility Scale.

Results
From before to after protocol implementation, the postoperative length of stay decreased by 1.04 days. None of the 103 patients in the preintervention group scored a 4 on the Johns Hopkins Highest Level of Mobility Scale, compared with 36 of 134 patients in the intervention group. The difference in postoperative length of stay was clinically but not statistically significant (2-sided P = 1.95).

Conclusion
Early mobility may help improve patient outcomes by reducing hospital length of stay and minimizing complications associated with prolonged immobility.
Using Compressed Virtual Reality Exposure Therapy for an Adult Critical Illness Survivor: A Case Report
Authors: Peach Brian C. , Cox Caitlin L. 
Published: December 2024

Introduction
Nearly one-quarter of adult critical illness survivors develop posttraumatic stress disorder symptoms triggered by sensory stimuli after intensive care unit discharge. Intensive care unit delirium is a risk factor for posttraumatic stress disorder. Compressed virtual reality exposure therapy (C-VRET) incorporates sensory stimuli to reduce posttraumatic stress disorder symptoms through habituation.

Clinical Findings and Diagnosis
A critical illness survivor developed intensive care unit delirium and enrolled in a C-VRET trial to treat posttraumatic stress disorder. She reported self-isolation because of infection fears and posttraumatic stress disorder symptoms triggered by medical commercials and lawn equipment sounds. She repetitively checked her heart rate at night for fear of missing illness signs and waking up intubated.

Interventions
The participant completed therapy. Screening tests were administered before, 2 weeks after, and 3 months after therapy to measure posttraumatic stress disorder symptoms (Clinician-Administered PTSD Scale for DSM-5; range, 0-60), depression (Center for Epidemiologic Studies Depression Scale; range, 0-60), physical activity (International Physical Activity Questionnaire), and resiliency (Connor-Davidson Resilience Scale; range, 0-100).

Outcomes
The participant’s posttraumatic stress disorder symptom scores declined from 36 to 11 to 5; depression scores declined from 19 to 5 to 1; physical activity scores increased from 499 to 2013 to 4599; and resiliency scores increased from 70 to 76 to 83.

Conclusion
This report highlights the severity of posttraumatic stress disorder symptoms in critical illness survivors and the importance of strategies to limit delirium and posttraumatic stress disorder. Compressed virtual reality exposure therapy may reduce posttraumatic stress disorder symptoms in critical illness survivors.
Assistive Communication Device Used During Pediatric Noninvasive Ventilation
Authors: Otto Emily , Kaspar Ashley , Kerr Keith , Droemer Gayle , Waddle Allison 
Published: December 2024

Introduction
Noninvasive ventilation therapy is a common approach in acute respiratory failure as an alternative to invasive mechanical ventilation. Assistive communication strategies are necessary to overcome communication impairments and anxiety caused by oronasal obstruction in pediatric intensive care unit patients undergoing noninvasive ventilation.

Clinical Findings and Diagnosis
A 7-year-old girl was admitted with a history of pulmonary arterial hypertension and recurrent respiratory failure requiring bilevel positive airway pressure intervention. The patient experienced initial lack of bilevel positive airway pressure mask compliance due to oronasal mask discomfort.

Interventions
The trial of a novel communication device (SPEAX, Ataia Medical) involving a microphone that attaches to the patient’s bilevel positive airway pressure mask for enhanced communication.

Outcomes
Use of the assistive communication device was associated with increased intelligibility to familiar listeners, mask compliance, enhanced mobility, and reduced patient anxiety levels throughout hospitalization and in later episodes of readmission.

Conclusion
The implementation of assistive communication devices can alleviate communication barriers in pediatric bilevel positive airway pressure users, contributing to increased compliance and diminished anxiety for patients and caregivers. Providing a pathway for effective communication may reduce sedation use, minimizing risks of sedation-related delirium and improving overall quality of life in these patients.
A case report of chondroblastic osteosarcoma following treatment for Hodgkin lymphoma
Authors: Abrahams Tenille A. , Rahman Farah , Parasnath Sharlene 
Published: December 2024

Patients diagnosed with Hodgkin lymphoma (HL) have improved survival because of the early use of effective therapies and positron emission tomography (PET) – adapted strategies. However, long-term observational studies have shown that HL survivors have an increased risk of secondary cancers and other complications, which include cardiovascular disease, infertility and endocrinopathies. Therefore, long-term follow-up and screening of HL survivors is important.Contribution: We report a case of a 22-year-old female with chondroblastic osteosarcoma following treatment of HL. We have devised a simple screening algorithm to ensure comprehensive long-term surveillance of HL survivors.
A study on surgical outcome of glaucoma drainage device by “tunnel and track” technique done in North-Eastern India
Authors: Ganguly Santanu , Chakraborty Somnath 
Published: December 2024

Background:
Management of refractory glaucoma is difficult and this study aims to find the success rate of glaucoma drainage device (GDD) among such advanced glaucoma patients.

Materials and Methods:
This study was done in 37 patients who underwent GDD implantation, either Ahmed glaucoma valve (AGV) (21 cases) or Aurolab aqueous drainage implant (AADI) (16 cases) for management of refractory glaucoma. Surgery was performed by a single surgeon, over a duration of 1 year; outcome measures were assessed sequentially over 1 year and after that medical records from GDD implanted patients were analyzed. The surgical method was glaucoma valve implantation with patch less scleral graft with “tunnel and track” technique. Main outcome measures included intraocular pressure (IOP), visual acuity (V/A) before and after surgery, complications, need for repeat procedure, comparison between AGV and AADI and success rate. Surgical success was defined as IOP between 5 and 22 mmHg with or without antiglaucoma medications or need for further IOP lowering surgeries or at least V/A of perception of light. In all visits, IOP was measured with Goldmann/Perkins applanation tonometer.

Results:
The most prevalent cause of refractory glaucoma in the study group was neovascular glaucoma (NVG) in 51.35% cases. Mean IOP before surgery among 37 patients was 43.05 ± 8.14 mmHg and after 1 year follow-up, mean IOP was found to be 17.02 ± 6.84 mmHg. Repeat procedure was done in 37.83% cases and it included hyphema wash in 27% and tube-repositioning in 2.7%. Improvement of vision was not significant in the study group. Common complications encountered were early postoperative hyphema (27%), hypotony (10.8%), hypertensive phase (18.91%), tube block (2.7%), and valve dislocation (2.7%). Success was achieved in 72.97% cases. Among the two types of valve, AADI cases had more than 5 mm lower IOP values at 1 year compared to AGV.

Conclusion:
GDD implantation is a very useful method to reduce IOP in refractory glaucoma. As success was achieved in over 70% cases, this surgery can be eye saving in conditions where prognosis is very poor and traditional methods are destined to fail. This surgery can be particularly suitable for NVG and postretinal surgery glaucoma as well.
O PAPEL TRANSFORMADOR DA TECNOLOGIA NO CONTEXTO DAS METODOLOGIAS ATIVAS TENDÊNCIAS E DESAFIOS
Authors: Nascimento Raimundo Nonato Nunes do 
Published: December 2024

Este Trabalho tem como objetivo discutir o papel transformador da tecnologia nas metodologias ativas, identificando tendências e desafios associados a essa integração. O tema aborda a importância da tecnologia na educação e como ela pode ser usada para melhorar a aprendizagem dos alunos. A metodologia utilizada foi uma análise abrangente das metodologias ativas, da influência da tecnologia na educação e do papel específico do Design Thinking, com o intuito de revelar insights significativos sobre as transformações em curso no ambiente educacional. Os resultados mostram que a compreensão dos fundamentos, desafios e oportunidades dessas abordagens é essencial para informar práticas pedagógicas eficazes. A integração cuidadosa de tecnologia nas metodologias ativas é importante para personalizar o aprendizado dos alunos e melhorar a qualidade da educação. No entanto, os desafios enfrentados pelos educadores ao implementar metodologias ativas com o uso da tecnologia incluem a necessidade de adaptação contínua, treinamento docente robusto e consideração ética ao abraçar inovações educacionais.
Analisis Komunikasi Pariwisata Disbudpar Kota Tangerang dalam Event Pariwisata Festival Cisadane 2024
Authors: Gilang Kurniawan  , Faisal Tomi Saputra  , Mochammad Mirza  
Published: December 2024

The Cisadane Festival is an annual event organised with the aim of preserving culture in Tangerang City. This festival is one of the large and lively tourist agendas because there are various interesting events presented. Thus, it needs to be promoted to increase the number of tourist visits. This research aims to analyse and find out how the Tourism Communication of the Tangerang City Culture and Tourism Office in promoting the Cisadane Festival held in Tangerang City, as well as to examine the obstacles that exist in the promotion process carried out. This research uses the theory of integrated marketing communication, with the method used in this research is descriptive qualitative. The results showed that tourism communication used by Disbudpar Tangerang City in promoting the Cisadane Festival integrated the promotion mix. This can be seen from the utilisation of various types of media: print media such as Live magazine and Kota Benteng newspaper, outdoor media such as banners and billboards, and electronic media which includes online media coverage and social media content. Barriers to promotional activities are due to marketing budget factors, urgent event readiness, and the lack of optimisation of the Tangerang Live service application.
Analiasa Bentuk-bentuk Konflik dalam Lingkungan Kerja.
Authors: Anggil Risnawati  , Kasirul Fadli  , Manja Asmira  , Rohid Nurfadillah  
Published: December 2024

In the work environment, employees definitely have different identities such as origin, religion, ethnicity and education. However, these differences do not affect the condition of the company unless accompanied by bad behavior from the employees employed there. Inappropriate behavior disrupts communication and communication effectiveness. This creates conflict between employees in both horizontal and vertical relationships. conflict is a dispute between two or more parties who argue due to lack of status or resources and attempt to control or control each other through damage, loss, or other controlled means, resulting in the following consequences Damaging the relationship between the parties. Forms of conflict that often occur in the work environment, namely interpersonal conflict, conflict between groups, and conflict between parts of the organization. Conflict can create positive and negative impacts in the work environment. Conflict can be controlled with appropriate conflict management strategies, one of which is using a conflict management strategy with the Interest-Based Relational Approach (IBRA) introduced by Fisher and Ury, namely by (1) Separating people from problems, (2) Focusing on interests, not a position, (3) Invent options for mutual gain, and (4) Insist on using Objective criteria. By implementing the right strategies, conflict can become an opportunity for organizations to innovate, improve internal processes, and build stronger relationships among employees.
Perfil clínico, diagnóstico y terapéutico de pacientes con trombo intraventricular izquierdo en tres centros de alta complejidad durante el período 2000-2022
Authors: Lozano Pineda Felipe , Cardona Buitrago Carolina , Giraldo Ramírez Santiago , Gándara Ricardo Jairo Alfonso , Muñoz Ortiz Edison , Gallego Muñoz Catalina , Valencia Duque Juan David , Mejía Guerra Edgar Alonso , Dallos Ferrerosa Juan Nicolás , Senior Sánchez Juan Manuel 
Published: December 2024

Objetivo. Determinar el perfil clínico, diagnóstico y terapéutico de pacientes con trombo intraventricular izquierdo (TVI) en tres centros de alta complejidad en Medellín, Colombia, entre enero de 2000 y enero de 2022. Materiales y métodos. Estudio observacional y transversal que incluyó 307 pacientes con TVI. Se analizaron los registros hospitalarios para identificar el perfil clínico y terapéutico, y se evaluó la resolución del trombo y la embolia sistémica. Se realizaron análisis univariado y bivariado con la prueba exacta de Fisher y un modelo de regresión logística. Resultados. La prevalencia de TVI fue 9,75%. El 85% de los casos fueron diagnosticados mediante ecocardiograma transtorácico, el 75,9% fueron hombres y la mediana de edad fue 62 años. Las comorbilidades más frecuentes fueron falla cardiaca (95,77%) e hipertensión arterial (69,7%). El 27% de los TVI ocurrieron en el contexto de un síndrome coronario agudo (SCA). La heparina de bajo peso molecular (HBPM) se administró en el 78,5% y la warfarina fue el anticoagulante más común (82,7%). El 19,2% presentó complicaciones hemorrágicas, principalmente gastrointestinales, y el 35% tuvo resolución del trombo. El 30% desarrolló embolia sistémica, principalmente al sistema nervioso central. La mortalidad fue del 15%. Conclusiones. La prevalencia de TVI fue del 9,75%. La warfarina sigue siendo el tratamiento estándar, aunque las terapias alternativas se utilizan en casos especiales. La disfunción apical se asoció con embolismo sistémico.
Influencia de las emociones en la dinámica de equipos de trabajo
Authors: Salguero  Sánchez Sonia Marlenw , Vinueza Caizaluisa Katherine Solange , Vargas Montealegre Alba Ruth , Raigosa Lara Alejandro 
Published: December 2024

Las emociones tienen una gran influencia en la dinámica de los diferentes equipos de trabajo y en la productividad organizacional. Este estudio tiene como objetivo analizar el impacto de las emociones en la dinámica de los equipos de trabajo en una cooperativa de ahorro y crédito en Machachi, Ecuador. Se aborda desde el método mixto y se aplican instrumentos como el cuestionario y la observación directa. Los principales resultados indican que las emociones positivas, como la alegría y el entusiasmo, contribuyen significativamente a una mayor motivación y eficiencia en el trabajo, mientras que las emociones negativas, como el estrés y la frustración, disminuyen la cohesión y el rendimiento del equipo. Además, se destacó que la inteligencia emocional y una relación cercana con los directivos son cruciales para manejar eficazmente las emociones y resolver conflictos, creando un entorno laboral más armonioso y productivo.
Unexpected Journeys: The Professional Identity Development of Canadian Accessibility Advisors
Authors: McDermott Brenda 
Published: December 2024

Through examining nine Accessibility Advisors' (AA) stories of becoming, this study provides an important entry point into understanding the individuals whose work is central to supporting students with disabilities within Canadian post-secondary institutions. This understanding adds to the existing literature, augmenting the current work on student experience and policy development. The respondents describe an unplanned, but formative, journey that led to a committed career in disability advising. AA’s construction of their professional identities provides a lens into how post-secondary disability support is tied to the medicalization of disability and advisors’ acknowledgement of the social construction of disability. Advisors start their narratives in post-secondary institutions and experiences related to disability, leading up to an unanticipated job opportunity. Once in the role, the narratives note the importance of professional development in understanding the role. As the advisors conclude their stories of becoming, they return to their pre-role experiences adding new intentionality to the past experiences, connecting post-secondary context to a social definition of disability. As a result, the narratives show how AA situate their work as policy drivers as neutral – neither faculty nor student aligned. However, this neutrality reflects the need of the AA in research-focused universities to develop cultural capital as third space professionals.
A systematic review of afterschool STEM literature in education
Authors: Sogut Mehmet , Tasar Mehmet Fatih 
Published: December 2024

In this study, the literature on Afterschool STEM education was reviewed from the Proquest database. Within the scope of the research, 25 theses and dissertations that met the criteria were examined. The year, type, a method used, data collection tools, study group and number, and keywords of the theses were systematically analyzed. The systematic review method, one of the qualitative research methods, was used to examine the graduate theses on Afterschool STEM. As a result of the findings obtained by examining the theses related to Afterschool STEM; it was found that the first thesis study was a doctoral dissertation in 2003, there was a great increase in the number of theses published in 2015, and no thesis was published between 2004-2013, and most of the published theses were in the doctoral thesis type. In addition, in the distribution of theses according to the fields selected in the Proquest database, it was determined that most theses were published in the field of Science Education, qualitative and mixed research methods were used equally and mostly as research methods, and survey, interviews, and observation were mostly used as data collection tools. In the analyzed theses, data were collected mostly from Middle school students. When the number of participants in the theses was examined, the participants between 31-100 were mostly preferred in the studies. According to the keywords used in the theses, the words "education", "out of school time", "afterschool", "STEM" and "STEM education" were preferred.
Advancing Socially Just Intimate Partner Violence Expert Testimony for Victim-Survivors Charged with Homicide: Critiquing the Old Bones of Knowledge
Authors: Smith Rachel , Tolmie Julia , Wepa Dianne , Wilson Denise 
Published: December 2024

In assessing whether victim-survivors of intimate partner violence (IPV) were acting in self-defence in response to homicide charges, the criminal court favours disciplinary knowledges which erase social context and structural violence. This article argues that these factors are integral to understanding victim-survivors' experiences of IPV. The courts' overreliance on Euro-Western psych disciplines (psychiatry and psychology) that privilege neoliberal ideas of self and perpetuate flawed psychological theories of IPV is a significant problem. Critically, the white epistemology underpinning the psych disciplines and mainstream theories of IPV omit any appreciation of the operation of colonial violence, institutional racism, and the marginalisation of Indigenous women. This article suggests that experts must be able to critique the family violence response system using intersectional and anti-colonial conceptual frameworks. This will assist the criminal courts in understanding Indigenous and marginalised women's realities and support socially just outcomes in cases involving prosecuted victim-survivors. The article concludes by sharing the authors’ insights from providing expert evidence on social and systemic entrapment at trial and sentencing in the 2020 New Zealand case of R v Ruddelle.