bluuebunny/crossref_metadata_2025_split huggingface dataset:
La progettualità CLIL e l'autonomia del discente: un'analisi meta-cognitiva e di mediazione psico-linguistica nella didattica della Filosofia.
Authors: Gerbino Lucia 
Published: June 2016

Abstract:Considering the romance languages, especially spanish, it is of vital importance, to study the autonomous feedback of every single student, basing the analysis on the description of CLIL's independence and general characteristics. Furthermore, I will examine the didactic method as a result of the idea of "Bildung", discussed in Philosophy, Science Education and IT. in the third part, the paper will underline the philosophycal and practical foundation of education in both CLIL (Content and Language Integrated Learning) and the autonomy of the student. Moreover it will consider these determinants from a psycho-pedagogical point of view and from that of the digital learning created by the new technologies in communication. As a final remark, the paper illustrates the pilot experiment realized, thanks to the collaboration of Professor J. Sarabia Martinez (interpreter), at the High School of Rome "Lucrezio Caro", in the academic year 2014/15.Keywords: paideia/mimesis, philosophy, education, cooperative learning, comunication, L/2, metacognition, contrast in linguistics, digital. Abstract:In base alla descrizione di alcune caratteristiche generali dell’autonomia clil (content and language integrated learning) occorre studiare il feed-back autonomo del discente, nelle lingue romanze, in particolare la lingua spagnola. successivamente si analizza la metodologia didattica come una risultanza dell’idea di “bildung” discussa in filosofia, scienze dell’educazione e nuove tecnologie. Nella terza parte vengono sottolineati i nuclei fondativi della pratica filosofica come determinanti, sia nella prassi clil, che nell’autonomia del discente, anche dal punto di vista psico-pedagogico e delle tecniche e forme comunicative dell’apprendimento nel digitale. nelle mie osservazioni conclusive con una scheda della sperimentazione pilota, realizzata insieme al lettore, prof. j. sarabia martinez, presso il liceo lucrezio caro di roma, a.s. 2014/15, vengono riassunte le questioni principali di questo paper.Keywords: paideia/mimesis, filosofia, educazione, cooperative learning, comunicazione, LS/2, meta-cognitivo, linguistica contrastiva, digitale.
Envejecimiento, Discapacidad Intelectual, Calidad de Vida. Situación y Necesidades.
Authors: DEL BARRIO CAMPO JOSE ANTONIO , Santurde del Arco Estefania 
Published: June 2016

El presente trabajo está dirigido a conocer la opinión que los profesionales consultados tienen sobre la importancia y el grado de utilización de los servicios de apoyo que proporcionan a personas mayores con discapacidad intelectual. Obtener esta información constituye un punto de partida fundamental para lograr la mejora de la Calidad de Vida de las personas con Discapacidad Intelectual y para establecer los criterios que deben determinar las acciones a tomar en cada elemento de su sistema de vida. Con ello, además, pretendemos aportar, a través de los resultados, criterios para la mejora de Calidad de los servicios y atención. Se realizó una entrevista a 49 profesionales de atención directa con las personas con discapacidad intelectual y sus familias. Para tratar la información facilitada por los profesionales participantes en la investigación, se hizo uso, de los indicadores fundamentales asociados a cada una de ocho áreas de calidad de vida. PALABRAS CLAVE: Envejecimiento, Discapacidad Intelectual, Calidad de vida, Necesidades.
Sistema de electrocoagulación como tratamiento de aguas residuales galvánicas
Authors: Morales Posada Nelly Bibiana , Acosta Niño Gema Eunice 
Published: June 2016

<span>El presente artículo muestra la segunda fase del proyecto "Implementación y evaluación de un sistema piloto de electrocoagulación como tratamiento de aguas residuales con fines de reuso. Estudio de caso: aguas residuales industriales de origen galvánico". Para su desarrollo, se valoró y optimizó un prototipo existente en la Universidad, a partir de ensayos realizados en aguas residuales con contenido de metales, implementando un porcentaje mayor al 47% para la remoción de metales pesados como Cr+6, Pb y Zn de tales aguas, mediante proceso de electrocoagulación. Para el estudio, se utilizaron 10L de agua residual correspondientes al vertimiento de la empresa Compañía Eléctrica Ltda. Los análisis se hicieron, mediante la confrontación de parámetros de Cu, Cr, Cr+6, Ni, Pb y Zn, antes y después del tratamiento de electrocoagulación. Se obtuvo una reducción en Cr del 51.65%, donde el valor arrojado está por debajo de los estándares establecidos en materia de vertimientos (Res. No 1074 28 Oct. 1997), Ni del 18.09%, Pb del 50%, Zn del 47.37%, los cuales a pesar de la remoción producida, tienen valores superiores a lo estipulado en esta normativa. El Cu tuvo un aumento del 519.48%, debido a la placa empleada para el tratamiento. Los valores promedio obtenidos durante los ensayos fueron: pH: 3.18, conductividad: 21.83 mS/m y temperatura: 48.5 ºC. A pesar de que los valores de las variables y los parámetros no se encuentran dentro de los rangos </span><span>generalmente expuestos por la literatura consultada para sistemas de electrocoagulación con aguas residuales, se obtuvo una reducción relevante en cuanto a la presencia de los metales estudiados.</span>
A Genetic Approach for Enhancing Recommender System’s Stability
Authors: Kali Pradeep Immidi , Jaya Bhaskar Dr. M , Hima Bindu Dr. K 
Published: June 2016

<em>With the growing scope of the E-commerce industry, a recommender system places a critical role in predicting correct entity to the user. Accuracy and degree of trust are most important parameters of a recommender system. Many recommender algorithms are proposed in the literature to enhance the accuracy of recommendations to the user. This paper is focused on enhancing the stability of recommender system using genetic and repetitive smoothening approach. Stability determines the degree of trust by the user to use the items recommended by a recommender system. SVD and slope one recommenders systems are used along with the proposed approach and it has been shown that stability is enhanced using the genetic-repetitive algorithm. Genetic approach has shown significant improvements in the field of research and is considered one of the robust techniques. </em>
Prophylactic antiepileptic drug administration following brain tumor resection: results of a recent AANS/CNS Section on Tumors survey
Authors: Dewan Michael C. , Thompson Reid C. , Kalkanis Steven N. , Barker Fred G. , Hadjipanayis Constantinos G. 
Published: June 2016

OBJECTIVEAntiepileptic drugs (AEDs) are often administered prophylactically following brain tumor resection. With conflicting evidence and unestablished guidelines, however, the nature of this practice among tumor surgeons is unknown.METHODSOn November 24, 2015, a REDCap (Research Electronic Database Capture) survey was sent to members of the AANS/CNS Section on Tumors to query practice patterns.RESULTSResponses were received from 144 individuals, including 18.8% of board-certified neurosurgeons surveyed (across 86 institutions, 16 countries, and 5 continents). The majority reported practicing in an academic setting (85%) as a tumor specialist (71%). Sixty-three percent reported always or almost always prescribing AED prophylaxis postoperatively in patients with a supratentorial brain tumor without a prior seizure history. Meanwhile, 9% prescribed occasionally and 28% rarely prescribed AED prophylaxis. The most common agent was levetiracetam (85%). The duration of seizure prophylaxis varied widely: 25% of surgeons administered prophylaxis for 7 days, 16% for 2 weeks, 21% for 2 to 6 weeks, and 13% for longer than 6 weeks. Most surgeons (61%) believed that tumor pathology influences epileptogenicity, with high-grade glioma (39%), low-grade glioma (31%), and metastases (24%) carrying the greatest seizure risk. While the majority used prophylaxis, 62% did not believe or were unsure if prophylactic AEDs reduced seizures postoperatively. The vast majority (82%) stated that a well-designed randomized trial would help guide their future clinical decision making.CONCLUSIONSWide knowledge and practice gaps exist regarding the frequency, duration, and setting of AED prophylaxis for seizure-naive patients undergoing brain tumor resection. Acceptance of universal practice guidelines on this topic is unlikely until higher-level evidence supporting or refuting the value of modern seizure prophylaxis is demonstrated.
Improved patient quality of life following intradural extramedullary spinal tumor resection
Authors: Viereck Matthew J. , Ghobrial George M. , Beygi Sara , Harrop James S. 
Published: June 2016

OBJECTIVE
Resection significantly improves the clinical symptoms and functional outcomes of patients with intradural extramedullary tumors. However, patient quality of life following resection has not been adequately investigated. The aim in this retrospective analysis of prospectively collected quality of life outcomes is to analyze the efficacy of resection of intradural extramedullary spinal tumors in terms of quality of life markers.

METHODS
A retrospective review of a single institutional neurosurgical administrative database was conducted to analyze clinical data. The Oswestry Disability Index (ODI), visual analog scale (VAS) for pain, and the EQ-5D-3 L descriptive system were used to analyze quality of life preoperatively, less than 1 month postoperatively, 1–3 months postoperatively, 3–12 months postoperatively, and more than 12 months postoperatively.

RESULTS
The ODI scores increased perioperatively at the < 1-month follow-up from 36 preoperatively to 47. Relative to preoperative values, the ODI score decreased significantly at 1–3, 3–12, and > 12 months to 23, 17, and 20, respectively. VAS scores significantly decreased from 6.1 to 3.5, 2.4, 2.0, and 2.9 at the < 1-month, 1- to 3-, 3- to 12-, and > 12-month follow-ups, respectively. EQ-5D mobility significantly worsened at the < 1-month follow-up but improved at the 3- to 12-and > 12-month follow-ups. EQ-5D self-care significantly worsened at the < 1-month follow-up but significantly improved by the 3- to 12-month follow-up. EQ-5D usual activities improved at the 1- to 3-, 3- to 12-, and > 12-month follow-ups. EQ-5D pain and discomfort significantly improved at all follow-up points. EQ-5D anxiety and depression significantly improved at 1- to 3-month and 3- to 12-month follow-ups.

CONCLUSIONS
Resection of intradural extramedullary spine tumors appears to significantly improve patient quality of life by decreasing patient disability and pain and by improving each of the EQ-5D domains.
Comparison of pedicle screw–based dynamic stabilization and fusion surgery in the treatment of radiographic adjacent-segment degeneration: a retrospective analysis of single L5–S1 degenerative spondylosis covering 4 years
Authors: Han Yu , Sun Jianguang , Luo Chenghan , Huang Shilei , Li Liren , Ji Xiang , Duan Xiaozong , Wang Zhenqing , Pi Guofu 
Published: June 2016

OBJECTIVE
Pedicle screw–based dynamic spinal stabilization systems (PDSs) were devised to decrease, theoretically, the risk of long-term complications such as adjacent-segment degeneration (ASD) after lumbar fusion surgery. However, to date, there have been few studies that fully proved that a PDS can reduce the risk of ASD. The purpose of this study was to examine whether a PDS can influence the incidence of ASD and to discuss the surgical coping strategy for L5–S1 segmental spondylosis with preexisting L4–5 degeneration with no related symptoms or signs.

METHODS
This study retrospectively compared 62 cases of L5–S1 segmental spondylosis in patients who underwent posterior lumbar interbody fusion (n = 31) or K-Rod dynamic stabilization (n = 31) with a minimum of 4 years' follow-up. The authors measured the intervertebral heights and spinopelvic parameters on standing lateral radiographs and evaluated preexisting ASD on preoperative MR images using the modified Pfirrmann grading system. Radiographic ASD was evaluated according to the results of radiography during follow-up.

RESULTS
All 62 patients achieved remission of their neurological symptoms without surgical complications. The Kaplan-Meier curve and Cox proportional-hazards model showed no statistically significant differences between the 2 surgical groups in the incidence of radiographic ASD (p > 0.05). In contrast, the incidence of radiographic ASD was 8.75 times (95% CI 1.955–39.140; p = 0.005) higher in the patients with a preoperative modified Pfirrmann grade higher than 3 than it was in patients with a modified Pfirrmann grade of 3 or lower. In addition, no statistical significance was found for other risk factors such as age, sex, and spinopelvic parameters.

CONCLUSIONS
Pedicle screw–based dynamic spinal stabilization systems were not found to be superior to posterior lumbar interbody fusion in preventing radiographic ASD (L4–5) during the midterm follow-up. Preexisting ASD with a modified Pfirrmann grade higher than 3 was a risk factor for radiographic ASD. In the treatment of degenerative diseases of the lumbosacral spine, the authors found that both of these methods are feasible. Also, the authors believe that no extra treatment, other than observation, is needed for preexisting degeneration in L4–5 without any clinical symptoms or signs.
Aetiology of Asymptomatic Raised Serum Alanine Aminotransferase in Patients with Type 2 Diabetes Mellitus
Authors: Haque Hasna Fahmima , Afroz Farhana , Afroze Samira Rahat , Ahmed Jamal Uddin , Ahmed AKM Shaheen , Hossain Md Delwar , Rahman Md Raziur , Musa AKM , Uddin Khwaja Nazim , Rahim Muhammad Abdur , Mitra Palash , Amin Gaffar 
Published: June 2016

Background: Elevated level of serum alanine aminotransferase (ALT) is not uncommon in routine laboratory test. This study was aimed to find out the aetiology of asymptomatic raised ALT in hospitalized type 2 diabetes mellitus (T2DM) patients Methods: This cross-sectional study was done in BIRDEM over a period of six month. T2DM patients having asymptomatic raised serum ALT were evaluated clinically and by laboratory tests.Results: Total number of patients was 53. Among them male were 39 and female were 14. Male and female ratio was 2.8:1. Mean age was 49.2±7.9 years. Mean body mass index (BMI) was 25.5±5 kg/m2. Among the study subjects, 25 (47.2%) were overweight and 16 (30.2%) were obese. Hypertension, hepatomegaly and dyslipidaemia were present in 29 (54.7%), 11 (20.8%) and 36 (67.96%) cases respectively. Non-alcoholic fatty liver disease (NFALD) was the commonest (37, 69.8%) aetiology for raised ALT in this study. Seropositivity for hepatitis B virus (HBV) surface antigen (HBsAg) and antibody against hepatitis C virus (anti-HCV) were present in 7 and 5 cases respectively. In 4 cases cause could not be identified. Most of the cases with >5 times raised ALT had hepatitis B or C infection.Conclusion: Elevation of serum ALT is common in T2DM patients. NAFLD is the commonest cause followed by hepatitis B and C virus infection.Birdem Med J 2016; 6(1): 32-35
Entre becos e passagens : um olhar estético das cenas aonde arte e drogas transitam
Authors: Gobira Pablo , Garcia Daniela Ramos 
Published: June 2016

Este trabalho tem como objetivo pensar os becos na Belo Horizonte (Minas Gerais, Brasil) contemporânea à luz da ideia de "passagem" presente em Walter Benjamin. Isso será realizado, tendo em vista as experiências estéticas apreendidas junto a um serviço de saúde que tem acesso aos becos e aos seus personagens. Para essa aproximação, também precisaremos investir em alguns conceitos – tais como território, espaço e paisagem – bem como na relação entre um possível « flâneur contemporâneo » e o contexto das cenas de uso de drogas.
The pernicious Effects of Post-event Processing in Social Anxiety Disorder
Authors: Rowa Karen , Gavric Dubravka , Stead Victoria , LeMoult Joelle , McCabe Randi E. 
Published: June 2016

Aims Post-event processing (PEP) in social anxiety disorder (SAD) involves ruminating about social encounters after the fact. There is a clear relationship between PEP and SAD, but less is known about the negative effects of PEP. The goal of the current study was to investigate these negative effects in a sample of people with SAD. We hypothesized that PEP would contribute to decreased willingness to try a similar task again and to increased anxiety about engaging in a similar task. We also hypothesized that the degree of PEP would mediate the relationship between initial self-evaluation of performance and follow-up self-evaluation. Methods Forty-one individuals with a principal diagnosis of SAD completed the study. Participants completed baseline measures of symptom severity and state affect and then completed an impromptu speech task. After completing the speech, they completed a self-evaluation of their performance. Five days later, they rated the degree to which they engaged in PEP about their speech performance, indicated their willingness and anxiety about completing a similar speech task in the future, and completed a second self-evaluation of their performance. Results PEP contributed unique and significant variance to willingness (R2 change = .12, p < .05) but not to anxiety ratings (R2 change = .027, p = .13) once symptom severity, depressive symptoms, and state anxiety were controlled for. Using bias-corrected bootstrapping, PEP mediated the relationship between initial and follow-up performance ratings. Conclusions The more people engage in PEP, the less willing they appear to be to re-enter difficult social situations, likely perpetuating a cycle of avoidance. PEP also appears to be one factor that keeps negative self-perceptions “alive” after a challenging social situation. The current study provides unique evidence of the negative consequences of PEP for individuals with SAD.
Refractory bleeding from ectopic varices stopped by percutaneous transhepatic portal vein recanalization and stenting
Authors: Poggi Guido , Saluzzo Cesare Massa , Montagna Benedetta , Picchi Chiara , Salerno Francesco 
Published: June 2016

Ectopic varices is an uncommon cause of gastrointestinal bleeding. We reported a case of severe bleeding due to jejunal varices which arose as a complication of extrahepatic portal vein thrombosis. The patient was successfully treated by portal vein recanalization and percutaneous transhepatic stent placement.
Is multivessel intervention in ST‐elevation myocardial infarction associated with early harm? Insights from observational data
Authors: Chatterjee Saurav , Yeh Robert W. , Sardar Partha , Ul Hassan Virk Hafeez , Mukherjee Debabrata , Parikh Sahil A. , Kumbhani Dharam J. , Kirtane Ajay , Bashir Riyaz , Cohen Howard , Kolansky Daniel M. , Wilensky Robert L. , Giri Jay 
Published: June 2016

ObjectivesAppraisal of evidence for recommendations for multivessel coronary intervention in ST‐elevation myocardial infarction (STEMI).BackgroundMulti‐vessel disease (MVD) is common in patients with ST‐segment elevation myocardial infarction (STEMI). Published observational data has suggested that multi‐vessel percutaneous coronary intervention (MVPCI) at the time of initial hospitalization for STEMI may be harmful in contrast to evidence from recent randomized trials.MethodsWe queried the nationwide inpatient sample (NIS) to identify characteristics of hemodynamically stable STEMI patients undergoing MVPCI on index admission and subsequent mortality in raw and adjusted models. To compare our results with published observational data, we searched multiple databases from inception through July 15, 2015.ResultsFrom 2009–2012, excluding cardiac arrest or cardiogenic shock, there were 11,454 MVPCI and 157,011 single‐vessel PCI (SVPCI) for STEMI patients in the NIS. Compared to SVPCI, MVPCI on index admission was not associated with higher in‐hospital mortality in unadjusted or propensity‐adjusted models (MVPCI 1.91% vs. SVPCI 5.32%, P < 0.001). Our analysis of index hospitalization MVPCI versus infarct‐related artery (IRA)—only PCI in the meta‐analysis of observational studies (19 studies, N = 76,399) demonstrated no difference in in‐hospital mortality with MVPCI compared with IRA‐only PCI (OR 0.87, 95% CI 0.65–1.17; P = 0.37), with confirmation in study sequential analysis.ConclusionsMVPCI is uncommonly performed during index hospitalization in hemodynamically stable STEMI patients, likely reflecting widespread adherence to prior guidelines. Based on observational data, there does not appear to be early harm associated with MVPCI on the index admission in hemodynamically stable STEMI patients. © 2016 Wiley Periodicals, Inc.
Neuropathic pain prevalence following spinal cord injury: A systematic review and meta‐analysis
Authors: Burke D. , Fullen B.M. , Stokes D. , Lennon O. 
Published: June 2016

AbstractFollowing spinal cord injury (SCI), chronic pain is a common secondary complication with neuropathic pain (NP) cited as one of the most distressing and debilitating conditions leading to poor quality of life, depression and sleep disturbances. Neuropathic pain presenting at or below the level of injury is largely refractory to current pharmacological and physical treatments. No consensus on the prevalence of NP post SCI currently exists, hence this systematic review was undertaken. The review comprised three phases: a methodological assessment of databases [PubMed, Embase, Web of Knowledge, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library and Physiotherapy Evidence Database (PEDro)] identifying potential papers and screening for inclusion criteria by two independent reviewers; data extraction; and finally rating of internal validity and strength of the evidence, using a published valid and reliable scale. Meta‐analysis estimated pooled point prevalence rates using a random effects model. In total, 17 studies involving 2529 patients were included in the review. Overall point prevalence rates for NP were established at 53% (38.58–67.47); 19% (13.26–26.39) for at‐level NP and 27% (19.89–34.61) for below‐level NP, with high heterogeneity noted (I2 = 84–93%). Prevalence rates for NP following SCI are high. Future studies should include established definitions, classification systems and assessment tools for NP at defined time points post SCI to follow the trajectory of this problem across the lifespan and include indices of sleep, mood and interference to allow for appropriate, optimal and timely NP management for each patient.What does this review add?This is the first systematic review and meta‐analysis to record pooled point prevalence of neuropathic pain post spinal cord injury at 53%. Additional pooled analysis shows that neuropathic pain is more common below the level of lesion, in patients with tetraplegia, older patients and at 1 year post injury.