bluuebunny/crossref_metadata_2025_split huggingface dataset:
Healing ulcers and preventing their recurrences in the diabetic foot
Authors: Sabapathy S. Raja , Periasamy Madhu 
Published: December 2016

ABSTRACTFifteen percent of people with diabetes develop an ulcer in the course of their lifetime. Eighty-five percent of the major amputations in diabetes mellitus are preceded by an ulcer. Management of ulcers and preventing their recurrence is important for the quality of life of the individual and reducing the cost of care of treatment. The main causative factors of ulceration are neuropathy, vasculopathy and limited joint mobility. Altered bio-mechanics due to the deformities secondary to neuropathy and limited joint mobility leads to focal points of increased pressure, which compromises circulation leading to ulcers. Ulcer management must not only address the healing of ulcers but also should correct the altered bio-mechanics to reduce the focal pressure points and prevent recurrence. An analysis of 700 patients presenting with foot problems to the Diabetic Clinic of Ganga Hospital led to the stratification of these patients into four classes of incremental severity. Class 1 – the foot at risk, Class 2 – superficial ulcers without infection, Class 3 – the crippled foot and Class 4 – the critical foot. Almost 77.5% presented in either Class 3 or 4 with complicated foot ulcers requiring major reconstruction or amputation. Class 1 foot can be managed conservatively with foot care and appropriate foot wear. Class 2 in addition to measures for ulcer healing would need surgery to correct the altered bio-mechanics to prevent the recurrence. The procedures called surgical offloading would depend on the site of the ulcer and would need an in-depth clinical study of the foot. Class 3 would need major reconstructive procedures and Class 4 would need amputation since it may be life-threatening. As clinicians, our main efforts must be focused towards identifying patients in Class 1 and offer advice on foot care and Class 2 where appropriate surgical offloading procedure would help preserve the foot.
Limb salvage with microvascular free fibula following primary bone sarcoma resection
Authors: Parag Sahasrabudhe , Yogesh Panchwagh , Rathod Jesal , Nikhil Panse , Amit Jadhav 
Published: December 2016

ABSTRACT
Background: Extremity sarcomas are challenging to manage. Total eradication of tumour has to be balanced with restoration of limb function to prevent mortality and morbidity. Disease-free survival with maximum limb function is the ultimate goal in these patients. Materials and Methods: We present a series of ten cases of extremity malignancies, where limb salvage was attempted with microvascular free fibula for limb reconstruction from the period of 2008 to 2015. Results: Of the ten cases in the study, there were two females and eight males. There were nine patients with lower limb malignancies and one patient with upper limb malignancy. There were four patients with Ewing’s sarcoma of femur, five patients with osteosarcoma of femur and one patient with chondrosarcoma of the humerus. The follow-up period ranged from 1.2 to 6.2 years with mean follow-up of 3.1 years. There were two deaths during follow-up, both were due to distant metastasis. The assessment of the function was done on the basis of Musculoskeletal Tumour Society functional score. Maximum score was 30 and minimum score was 24, the average score being 26. Of the eight surviving patients, three patients had full weightbearing, four patients had partial weightbearing at end of 2 years and one patient of upper limb reconstruction had complete upper limb function. None of the patients had to undergo limb amputation. Conclusion: Limb salvage with vascularised fibula graft offers good functional outcome along with good disease-free survival rates.
Gracilis muscle transposition as a workhorse flap for anal incontinence: Quality of life and functional outcome in adults
Authors: Kalra Guru Dayal Singh , Sharma Amit Kumar , Shende Kaustubh Sharad 
Published: December 2016

ABSTRACT
Background/Purpose: Anal incontinence is one of the most psychologically and socially debilitating conditions in an otherwise healthy individual. It can lead to social isolation, loss of self-esteem, self-confidence and depression. This study is devoted to the problem of anal incontinence in the adult patients. The aim of our study is to analyse the results of gracilis muscle transposition for anal incontinence and improvement in quality of life (QOL) of patients. Materials and Methods: This was a retrospective study. A total of 18 patients with complaint of anal incontinence were enrolled in this study. All patients were treated with gracilis muscle transposition. Results: All patients are continent, and there is an improvement in their QOL. Conclusion: Gracilis muscle transposition is a good option for patients of anal incontinence who are not treated by non-surgical means.
Pre-maxillary complex morphology in bilateral cleft and hypothesis on laterality of deviated pre-maxilla
Authors: Murthy Jyotsna , Manisha Devi 
Published: December 2016

ABSTRACTIntroduction: Pre-maxillary complex (pre-maxilla [PMX] + vomer) morphology in bilateral complete cleft of primary and secondary palate (BCLCP) is very complex and less reviewed in literature. Materials and Methods: In this retrospective cross-sectional study, 200 consecutive BCLCP patients were selected. Their pre-operative clinical photographs and dental casts were evaluated by a single investigator at two different points of time, to study the morphology of PMX and vomer with special emphasis on deviation of vomer and rotation of PMX. Results: It is found that in above 70% of patients, PMX and vomer both displaced or deviated towards left side in horizontal plane and PMX rotated anticlockwise at PMX vomerine suture (PVS). In 10% of cases, both PMX and vomer are displaced towards the right side, PMX rotated clockwise at PVS. In 11% of cases, vomer is displaced towards the left side, but PMX rotated clockwise at PVS. In 5% of cases, vomer is displaced towards the right side, but PMX rotated anticlockwise at PVS. Both PMX and vomer are in midline in 4% of cases. Conclusion: Specific morphological deviation of vomer and PMX has been studied. We put forward the probable hypothesis to explain the deviation and rotation of PMX.
La conciencia corporal como herramienta en la formación inicial del profesorado
Authors: Macazaga López A. Mª. , Vaquero Barba A. , Macias Muñoz M. O. 
Published: December 2016

<div data-canvas-width="216.20490931937456">Este artículo presenta una experiencia en torno al desarrollo de competencias emocionales en el grado de Maestro de Educación Primaria. El cuál ha sido desarrollada en colaboración por tres profesoras, en el contexto creado por la asignatura de Didáctica de la Educación física y el Practicum II. Ha permitido poner en relación el conocimiento teórico con el práctico y establecer puentes de conexión entre la universidad y la escuela. Las estrategias formativas sobre las que se ha articulado han sido: el trabajo de experimentación y conciencia corporal y la auto-observación del enfado en el aula durante la realización de las prácticas. El trabajo de experimentación y conciencia corporal realizado, asociado al trabajo de escritura proyectado en las auto-observaciones y relatos finales elaborados por el alumnado, ha revertido en el desarrollo profesional del alumnado participante porque ha proporcionado una mayor conciencia y capacidad de regulación de la emoción de enfado en el contexto de las relaciones profesor-alumno.</div>
La primera experiencia en España en formación de posgrado en Trabajo Social: la Universidad Pública de Navarra
Authors: Anaut-Bravo S. 
Published: December 2016

<p>Con el EEES, cada universidad ha desarrollado diversas estrategias de especialización (grados y posgrados) y de <em>lifelong learning.</em><strong> </strong>En esta última década, las trayectorias seguidas por cada ámbito disciplinar tampoco han sido siempre confluyentes. Para poder profundizar, este artículo presenta los principales resultados alcanzados en la formación de posgrado/máster en Trabajo Social en la Universidad Pública de Navarra por ser la primera universidad en ponerlo en marcha y ser la que impulsó su introducción en la Educación Superior en España.<strong> </strong>Para ello, se ha recopilado la información cuantitativa facilitada por la sección de posgrado de la citada Universidad sobre el alumnado. Asimismo, se han analizado las encuestas internas de satisfacción del máster y, en el caso de docentes, los informes y autoinformes elaborados por petición de la ANECA (Agencia Nacional de Evaluación de la Calidad y Acreditación).</p><p>Los resultados apuntan a que este máster es un instrumento idóneo para una mayor empleabilidad eficiente de sus egresados, sobre todo, por la flexibilidad de la oferta académica, las opciones de especialización y el reconocimiento socio-político. En su trayectoria ha alcanzado y mantenido un alto nivel de calidad formativa para el desempeño de labores investigadoras, académicas y/o profesionales.</p><p>Los resultados obtenidos ejemplifican una adecuada interrelación de los contenidos y estrategias didácticas con el interés por dar respuestas a los retos de un contexto socioeconómico complejo con perfiles profesionales con un alto grado de especialización y con capacidad para manejar un cuerpo teórico y práctico más diverso y multidimensional.</p>
Escrevivência e produção de subjetividades: reflexões em torno de “Olhos d ’Água ”, de Conceição Evaristo
Authors: Melo Henrique Furtado , De Godoy Maria Carolina 
Published: December 2016

Este trabalho apresenta um conjunto de reflexões que compõem parte de nossa pesquisa atual em torno da escrevivência evaristiana. Através de uma leitura do conto Olhos d’Água, republicado no livro mais recente de Conceição Evaristo, buscamos observar alguns traços recorrentes na prosa da autora, destacando suas funções dentro da escrevivência, a qual pode atuar como mecanismo emancipatório da voz negra, recobrando poder sobre meios de produção de subjetividades negras. Destacamos, como base teórica, a Esquizoanálise e as próprias palavras da autora com relação à escrevivência.
Teologia Política em Martinho Lutero
Authors: Rosa Wanderley Pereira da 
Published: December 2016

<p>O texto <em>Teologia Política em Martinho Lutero</em> pretende apresentar a ética política luterana com base nos principais tratados do reformador alemão a esse respeito. Recorreremos também a especialistas e historiadores do pensamento luterano que o interpretam sob diferentes pontos de vista para fundamentarmos nossa posição. Identificaremos nos textos de Martinho Lutero, em primeiro lugar, um claro ataque à autoridade papal e da Cúria, e suas pretensões de soberania universal sobre todas as instâncias da vida. Demonstrar-se-á que Martinho Lutero parte desse duro ataque à autoridade papal e uma defesa intransigente da obediência à autoridade secular em seus primeiros anos, para uma posição distinta dessa. Esse primeiro posicionamento de Lutero era resultado de sua interpretação da Bíblia, especialmente de textos do Novo Testamento, como, por exemplo, Romanos 13 e Mateus 22:21. Em seu período mais maduro, Lutero passa a fazer uma defesa da resistência pacífica à autoridade injusta e daí, à resistência armada contra o tirano, quando este ameaçar a fé cristã. </p>
Michael Löwy: marxismo e crítica da modernidade - Resenha
Authors: Py Fábio 
Published: December 2016

<p>Livro</p><p>QUERIDO, Fábio Mascaro. <strong>Michael Löwy: </strong>marxismo e crítica da modernidade.<strong> </strong>São Paulo: Boitempo; Fapesp, 2016. 199p. ISBN 978-85-7559-483-4 </p>
A taxonomic and morphological re-evaluation of “Halitherium” cristolii Fitzinger, 1842 (Mammalia, Sirenia) from the late Oligocene of Austria, with the description of a new genus
Authors: Voss Manja , Berning Björn , Reiter Erich 
Published: December 2016

The fossil sirenian material from the upper Oligocene Linz Sands of Upper Austria is reviewed and re-described in detail following a recent approach on the invalidity of the genus Halitherium Kaup, 1838. This morphological study provides the first evidence for the synonymy of “Halitherium” cristolii Fitzinger 1842, “H.” abeli Spillmann, 1959 and “H.” pergense (Toula, 1899), supporting the hypothesis that only a single species inhabited the late Oligocene shores of present-day Upper Austria. In the course of the taxonomic revision of the “Halitherium” species-complex, this taxon is now assigned to the new genus Lentiarenium Voss gen. nov. It represents a more derived sirenian compared to Eocene and early Oligocene taxa distributed across Central Europe and North Africa, which is in accordance with the stratigraphical data. An updated inventory list of all identifiable and referable skeletal material is provided, including a detailed synonymy list for the new taxonomic combination.
Suicidal Ideation and Suicide Attempts After Direct or Indirect Psychotherapy
Authors: van Ballegooijen Wouter , Rawee Josine , Palantza Christina , Miguel Clara , Harrer Mathias , Cristea Ioana , de Winter Remco , Gilissen Renske , Eikelenboom Merijn , Beekman Aartjan , Cuijpers Pim 
Published: September 2024

ImportanceSuicidal ideation and suicide attempts are debilitating mental health problems that are often treated with indirect psychotherapy (ie, psychotherapy that focuses on other mental health problems, such as depression or personality disorders). The effects of direct and indirect psychotherapy on suicidal ideation have not yet been examined in a meta-analysis, and several trials have been published since a previous meta-analysis examined the effect size of direct and indirect psychotherapy on suicide attempts.ObjectiveTo investigate the effect sizes of direct and indirect psychotherapy on suicidal ideation and the incidence of suicide attempts.Data SourcesPubMed, Embase, PsycInfo, Web of Science, Scopus, and the Cochrane Central Register of Controlled Trials were searched for articles published up until April 1, 2023.Study SelectionRandomized clinical trials of psychotherapy for any mental health problem, delivered in any setting, compared with any control group, and reporting suicidal ideation or suicide attempts were included. Studies measuring suicidal ideation with 1 item were excluded.Data Extraction and SynthesisPRISMA guidelines were followed. Summary data were extracted by 2 independent researchers and pooled using 3-level meta-analyses.Main Outcomes and MeasuresHedges g was pooled for suicidal ideation and relative risk (RR) was pooled for suicide attempts.ResultsOf 15 006 studies identified, 147 comprising 193 comparisons and 11 001 participants were included. Direct and indirect psychotherapy conditions were associated with reduced suicidal ideation (direct: g, −0.39; 95% CI, −0.53 to −0.24; I2, 83.2; indirect: g, −0.30; 95% CI, −0.42 to −0.18; I2, 52.2). Direct and indirect psychotherapy conditions were also associated with reduced suicide attempts (direct: RR, 0.72; 95% CI, 0.62 to 0.84; I2, 40.5; indirect: RR, 0.68; 95% CI, 0.48 to 0.95; I2, 0). Sensitivity analyses largely confirmed these results.Conclusions and RelevanceDirect and indirect interventions had similar effect sizes for reducing suicidal ideation and suicide attempts. Suicide prevention strategies could make greater use of indirect treatments to provide effective interventions for people who would not likely seek treatment for suicidal ideation or self-harm.
Superior Li‐Ion Transport in LiNb0.5Ta0.5Cl6
Authors: Lei Ming , Li Bo , Yin Rongrong , Ji Xiulei David , Jiang De‐en 
Published: September 2024

AbstractHalide‐based solid‐state electrolytes have emerged as promising candidates for all‐solid‐state lithium batteries. Among them, amorphous LiTaCl6 and LiNbCl6 have shown remarkable conductivities at room temperature, up to 11.0 and 13.5 mS cm−1 at 298.15 K, respectively. Surpassing these values, molecular dynamics simulations based on machine‐learning force fields predict that the Li‐ion conductivity in LiNb0.5Ta0.5Cl6 can reach 15.7 mS cm−1 at 298.15 K with an activation energy of 0.146 eV. Li‐ion mobility is found to correlate with the degree of anharmonic cation‐anion coupling: LiNb0.5Ta0.5Cl6 shows the strongest coupling of low‐frequency Li‐ion modes with Cl‐ion vibration modes. Despite the many similarities between Nb and Ta, this work demonstrates that when both are present, the synergy between Nb and Ta can result in significantly enhanced superionic Li‐ion conductivity in LiNb0.5Ta0.5Cl6, surpassing that observed in both LiTaCl6 and LiNbCl6.
Reversible Emission Color, Brightness, and Shape Changes of AIEgen‐containing Bulk Polymers
Authors: Wang Kaojin , Si Han , Du Xianchao , Han Pengbo , Mei Gaohuai , Cheng Yanhua , Qin Anjun , Tang Ben Zhong 
Published: September 2024

AbstractBulk polymers generally exhibit faster response, higher shape‐deformation speed, and stronger mechanical properties than the hydrogels. However, it still remains a formidable challenge to enable bulk polymers to exhibit reversible changes in shape and fluorescence simultaneously. Herein, for the first time, the temperature‐responsive reversible changes in fluorescence color, brightness, and shape of semi‐crystalline poly(ε‐caprolactone) (PCL) network doped with a D‐A based aggregation‐induced emission luminogen (AIEgen) is realized. The fabricated flower‐like and dragonfly‐shaped actuators show reversible blooming‐closing and wing fanning behaviors, respectively, as well as reversible fluorescence‐changing effects. Notably, the response and shape‐deformation speed as well as mechanical properties of the system is much better than the reported hydrogels. Moreover, a smart switch is developed to demonstrate the potential applications. The stick fabricated by the sample can lift and release an object 1000 times larger than its weight, serving as a color‐changing artificial muscle. This material design strategy may shine light on the design and preparation of other reversible shape‐deformation polymers in combination with stimuli‐responsive luminescence‐changing AIEgens, such as mechanochromic, thermochromic, and photochromic luminogens.
Flexible Porous Ag2Se Films: From Freestanding Inorganic Films to Inorganic‐Network/Organic‐Skeleton Thermoelectric Generators
Authors: Wang Hengyang , Lin Xinyu , Han Guang , Zhang Bin , Chen Yao , Zhang Lin , Lu Xu , Wang Guoyu , Zhou Xiaoyuan 
Published: September 2024

AbstractSilver selenide (Ag2Se) flexible films are promising near‐room‐temperature thermoelectric candidates for low‐grade heat harvesting. However, existing Ag2Se films are generally attached on substrates, which impedes further flexibility improvement of the films and constrains the scenarios of applications. Here a cost‐effective and scalable strategy is presented, which combines screen printing and annealing, for synthesizing freestanding Ag2Se inorganic films with different densities of pores. High‐density pores and thin thickness endow the films with high flexibility, while films with low‐density pores obtain higher power factor. Furthermore, by utilizing the porous microstructure, a composite structure consisting of a Ag2Se conductive network and an organic polydimethylsiloxane (PDMS) skeleton is fabricated, which further improves films’ stability under bending and torsion. Finally, a flexible thermoelectric generator comprising five Ag2Se/PDMS legs and encapsulated PDMS outputs a voltage of 20.2 mV and a maximum power of 810 nW (the corresponding power density is 5.4 W m−2) at a temperature difference of 30 K, verifying potential application at near room temperature. This work offers a useful paradigm for fabricating substrate‐free Ag2Se porous films with high flexibility for near‐room‐temperature thermoelectric applications.
A Novel Ce─Mn Heterojunction‐Based Multi‐Enzymatic Nanozyme with Cancer‐Specific Enzymatic Activity and Photothermal Capacity for Efficient Tumor Combination Therapy
Authors: Qiao Qianqian , Liu Zerui , Hu Fei , Xu Ziqiang , Kuang Ying , Li Cao 
Published: September 2024

AbstractCatalytic medicine, using enzymes or nanozymes, is an emerging method for cancer treatment. However, its applicability is limited by the low catalytic activity in the tumor microenvironment (TME). In this work, a versatile and synthesis‐friendly nanozyme, CeO2Mn1.08Ox nanoclusters, is prepared. This novel Ce─Mn heterojunction is formed by oxidation of CeO2 nanoparticles through H2SO4/KMnO4. CeO2Mn1.08Ox exhibits high multi‐enzymatic catalytic activities and acts as a catalase (CAT), peroxidase (POD), and oxidase (OXD) mimics under acidic conditions. It can regulate the TME by relieving hypoxia and consuming endogenous glutathione (GSH). Glucose oxidase (GOx) is then incorporated into CeO2Mn1.08Ox and linked with poly(ethylene glycol) (PEG) to obtain the cascade enzyme system (Ce─Mn)‐PEI/GOx‐PEG. CeO2Mn1.08Ox exhibits CAT‐like properties, which sensitize GOx‐based starvation therapy, and POD‐ and OXD‐like properties, which generate highly cytotoxic reactive oxygen species (ROS) in cancer cells. The glucose catabolic product, H2O2, is also used to generate O2 and ROS. In addition, the heterojunction structure provides CeO2Mn1.08Ox with near‐infrared (NIR) photothermal capability, making it suitable for photothermal therapy (PTT). Density functional theory (DFT) calculations provide possible reasons for the high catalytic activity and photothermal capability of CeO2Mn1.08Ox. When combining mild PTT with catalytic therapy, the cascade enzyme system (Ce─Mn)‐PEI/GOx‐PEG can efficiently ablate tumors.
Stimuli‐Responsive Dual‐Emission Property of Single‐Luminophore‐Based Materials
Authors: Sun Hao , Shen Shen , Li Chenzi , Yu Wanting , Xie Qishan , Wu Dayu , Zhu Liangliang 
Published: September 2024

AbstractSingle luminophore enabling stimuli‐responsive dual‐emission characteristic has received considerable interest in recent years due to its special advantages in advanced optical events. A large number of reports around the globe have involved the dynamic or adjustable dual‐emission phenomenon (e.g., the dual emission intensity or ratio) in single‐emitter based systems. However, a systematic overview summarizing the underlying mechanisms, stimuli‐responsive behaviors, and applications of this topic is, so far, missing. To further promote the development and extend the important role of such a kind of materials in diverse communities, in this review, the latest advancements in the field of single‐luminophore based materials that exhibit stimuli‐responsive dual‐emission characteristics are summarized. The discussion is centered on the underlying the photophysical mechanisms, the innovative design approaches, strategies for modulating the dual emission properties, and the advanced applications of these single‐luminophore based systems. This review is anticipated to provide new insights into the distinctive field of the organic luminescence community from a materials perspective.