bluuebunny/crossref_metadata_2025_split huggingface dataset:
How Does the Presence of Unstable Chondral Lesions Affect Patient Outcomes After Partial Meniscectomy? The ChAMP Randomized Controlled Trial
Authors: Bisson Leslie J. , Kluczynski Melissa A. , Wind William M. , Fineberg Marc S. , Bernas Geoffrey A. , Rauh Michael A. , Marzo John M. , Zhou Zehua , Zhao Jiwei 
Published: December 2017

Background: Chondral lesions are commonly encountered during arthroscopic partial meniscectomy (APM); however, it is unknown how these lesions affect postoperative outcomes. Purpose: The authors compared postoperative outcomes among patients with and without unstable chondral lesions 1 year after APM. Study Design: Cohort study; Level of evidence, 3. Methods: The authors conducted a secondary analysis of data from the ChAMP (Chondral Lesions and Meniscus Procedures) randomized controlled trial. They compared the following outcomes for patients with unstable chondral lesions that were left in situ and observed (CL-noDeb) versus patients without unstable chondral lesions (NoCL) at 1 year after APM: Western Ontario and McMaster Universities Osteoarthritis Index, Knee injury and Osteoarthritis Outcome Score, visual analog scale for pain, the Short Form Health Survey, range of motion, quadriceps circumference, and effusion. Multivariate linear regression was used to obtain mean differences (MDs) with corresponding 95% CIs adjusted for age, body mass index, and preoperative score (for postoperative scores). Results: Compared with the CL-noDeb group, the NoCL group had greater improvement in Western Ontario and McMaster Universities Osteoarthritis Index for pain (MD, 7.9, 95% CI: 2.7-13.1), stiffness (MD, 9.1, 95% CI: 1.9-16.3), and physical function (MD, 4.6, 95% CI: 0.1-9.0) and Knee injury and Osteoarthritis Outcome Score for pain (MD, 8.4, 95% CI: 2.7-14.0), function in sport and recreation (MD, 11, 95% CI: 3.0-19.1), and quality of life (MD, 10.4, 95% CI: 2.3-18.5). The NoCL group was less likely than the CL-noDeb group to have an effusion ( P = .02) 1 year after surgery. Conclusion: Patients undergoing APM without unstable chondral lesions had better outcomes than patients with unstable chondral lesions.
Preoperative Computed Tomography–Determined Sarcopenia and Postoperative Outcome After Surgery for Non-Small Cell Lung Cancer
Authors: Kim E. Y. , Lee H. Y. , Kim K. W. , Lee J.-I. , Kim Y. S. , Choi W.-J. , Kim J. H. 
Published: December 2017

Background: Sarcopenia, reduced skeletal muscle mass, is associated with frailty, injuries, and mortality. The purpose of this study was to evaluate the impact of computed tomography–determined sarcopenia on surgical complications and outcomes after resection of non-small cell lung cancer. Methods: For a total 272 non-small cell lung cancer patients that underwent surgery between 2011 and 2016, cross-sectional area of muscle at the third lumbar vertebra (L3) was retrospectively measured using preoperative chest computed tomography images. Sarcopenia was defined as an L3 muscle index of <55 cm2/m2 for men and of <39 cm2/m2 for women. Clinical characteristics, postoperative complications, disease-free survival, and overall survival of patients with or without sarcopenia were compared. Results: A total of 60.3% ( n = 164) were male, and mean patient age was 62.9 ± 9.6 years. The prevalence of sarcopenia was 22.4% for all study subjects, 32.9% for men, and 6.5% for women. No significant difference was observed between patients with or without sarcopenia in terms of intensive care unit or hospital stay ( p = 0.502 and p = 0.378, respectively), and the presence of sarcopenia was not associated with postoperative complications. Furthermore, no significant difference was observed between the 3-year disease-free survival rate (74.3% vs 66.7%, p = 0.639) or 3-year overall survival rate (83.9% vs 87.7%, p = 0.563) of patients with or without sarcopenia. Conclusion: Sarcopenia as determined by preoperative computed tomography does not appear to have a negative impact on surgical outcome or overall survival for resected non-small cell lung cancer patients.
Hemodynamic profile of pulmonary hypertension (PH) in ARDS
Authors: Calcaianu George , Calcaianu Mihaela , Gschwend Anthony , Canuet Matthieu , Meziani Ferhat , Kessler Romain 
Published: December 2017

Acute respiratory distress syndrome (ARDS) is a diffuse lung injury that leads to a severe acute respiratory failure. Traditional diagnostic criteria for pulmonary hypertension (PH), in this situation, may be unreliable due to the effects of positive pressure ventilation and vasoactive agents. The aim of this study is to describe the hemodynamic characteristics of PH secondary to ARDS, in relation with respiratory parameters. We assessed the hemodynamic, respiratory function, and ventilator parameters in a cohort of 38 individuals with ARDS‐associated PH defined by mean pulmonary arterial pressure (mPAP) ≥ 25 mmHg. Individual characteristics: PaO2/FiO2 = 110 ± 60 mmHg, alveolar‐arterial oxygen gradient (A‐aO2) = 549 ± 148.9 mmHg, positive end‐expiratory pressure (PEEP) = 8.7 ± 3.5 cmH2O, pulmonary static compliance (Cstat) = 30 ± 12.1 L*cmH2O‐1, mPAP = 35.4 ±6.6 mmHg, pulmonary artery wedge pressure (PAWP) = 15.6 ± 5.5 mmHg, cardiac index (CI) = 3.4 ± 1.2 L/min/m2, pulmonary vascular resistance (PVR) = 3.3 ± 1.6 Wood units (WU), right atrial pressure (RAP) = 13.4 ± 5.4 mmHg, diastolic pulmonary gradient (DPG) = 12.6 ± 6.5 mmHg, and trans‐pulmonary gradient (TPG) = 19.7 ± 7.7 mmHg. The composite marker—DPG >7 mmHg and PVR > 3 WU—is associated with lower CI (P = 0.016), higher mPAP (P = 0.003), and lower pulmonary static compliance (P = 0.028). We confirmed a poor prognosis of ARDS associated with PH, with a 50% survival rate after 17 days. We observed that the survival rate at 28 days was better in the case of improvement in the PaO2/FiO2 ratio in the first 24 h (log rank P = 0.003). ARDS associated with PH is a severe condition with a very poor survival rate. The composite marker DPG > 7 mmHg and PVR > 3 WU seemed to better describe the hemodynamic and respiratory dysfunction. The improvement in PaO2/FiO2 ratio in the first 24 h defined a better survival in our cohort of patients.
Middle Eastern Rhinoplasty: Relationship of the Nasal Spine and Caudal Septum to Tip Projection and Columellar‐Labial Angle
Authors: Arden Richard L. , Baldwin Brett J. , Coffey Mary P. 
Published: December 2017

ObjectiveTo measure the anterior nasal spine length (ANSL) and septal caudal extension (SCE), as well as assess the strength of association between these variables and tip projection in the Middle Eastern nose. Our secondary aim was to assess if columellar‐labial angle (CLA) or columellar‐spinal angle (CSA) vary as a function of ANSL and/or SCE.Study Design/SettingProspective single institutional study.SubjectsMiddle Eastern primary rhinoplasty patients without nasal trauma or prior endonasal surgical history.MethodsPhotographic and intraoperative caliper measurements were used to determine Goode ratio (GR), CLA, CSA, ANSL, and SCE. Associations between numeric variables were examined with scatterplots, including use of LOWESS curves and Pearson correlation coefficients. Linear regression models were used for predicting quantitative variables (GR, CLA, CSA). Logistic regression models were used for predicting overprojection status based on GR.ResultsIn total, 102 patients met inclusion criteria (82 females, 20 males). Mean ANSL and SCE were 8.6 mm and 14.9 mm, respectively; ANSL and SCE had a strong positive association with each other. SCE and ANSL were found to have low predictability for GR, CLA, or CSA.ConclusionDeterminations of projection status using the GR method do not appear to be related to ANSL or SCE values in our Middle Eastern study group. Relationships of absolute columellar‐labial or columellar‐spinal angles are likely more complex than isolated value implications of SCE or ANSL.
Atorvastatin enhances bone marrow endothelial cell function in corticosteroid-resistant immune thrombocytopenia patients
Authors: Kong Yuan , Cao Xie-Na , Zhang Xiao-Hui , Shi Min-Min , Lai Yue-Yun , Wang Yu , Xu Lan-Ping , Chang Ying-Jun , Huang Xiao-Jun 
Published: December 2017

Key PointsImpaired BM EPCs were found in corticosteroid-resistant ITP patients. Atorvastatin improved BM EPC quantity and function, representing a novel therapy approach for corticosteroid-resistant ITP patients.
Role of common hypnotics on the phenotypic causes of obstructive sleep apnoea: paradoxical effects of zolpidem
Authors: Carberry Jayne C. , Fisher Lauren P. , Grunstein Ronald R. , Gandevia Simon C. , McKenzie David K. , Butler Jane E. , Eckert Danny J. 
Published: December 2017

Hypnotics are contraindicated in obstructive sleep apnoea (OSA) because of concerns of pharyngeal muscle relaxation and delayed arousal worsening hypoxaemia. However, human data are lacking. This study aimed to determine the effects of three common hypnotics on the respiratory arousal threshold, genioglossus muscle responsiveness and upper airway collapsibility during sleep.21 individuals with and without OSA (18–65 years) completed 84 detailed sleep studies after receiving temazepam (10 mg), zolpidem (10 mg), zopiclone (7.5 mg) and placebo on four occasions in a randomised, double-blind, placebo-controlled, crossover trial (ACTRN12612001004853).The arousal threshold increased with zolpidem and zopicloneversusplacebo (mean±sd−18.3±10 and −19.1±9versus−14.6±7 cmH2O; p=0.02 and p<0.001) but not with temazepam (−16.8±9 cmH2O; p=0.17). Genioglossus muscle activity during stable non-REM sleep and responsiveness during airway narrowing was not different with temazepam and zopicloneversusplacebo but, paradoxically, zolpidem increased median muscle responsiveness three-fold during airway narrowing (median −0.15 (interquartile range −1.01 to −0.04)versus−0.05 (−0.29 to −0.03)% maximum EMG per cmH2O epiglottic pressure; p=0.03). The upper airway critical closing pressure did not change with any of the hypnotics.These doses of common hypnotics have differential effects on the respiratory arousal threshold but do not reduce upper airway muscle activity or alter airway collapsibility during sleep. Rather, muscle activity increases during airway narrowing with zolpidem.
COACHING: UMA PONTE NO ABISMO RELACIONAL E GERENCIAL EM ORGANIZAÇÕES
Authors: Campos Rafaella Cristina , Cappelle Mônica Carvalho Alves , Silva Tayriane Mayre 
Published: December 2017

Objetiva-se neste artigo conhecer as demandas das organizações apresentadas aos profissionais de coaching, visando atendimento focal para os gerentes seniores e juniores. Identificam-se poucas pesquisas nacionais que cunham o termo ‘coaching’ como aspecto central de seus trabalhos; sendo assim, há baixo volume de publicação e pouca profundidade científica no tema, que tem, em contrapartida, apelo no mercado nacional. Para este artigo opta-se pela metodologia qualitativa, com método exploratório. Foram entrevistados em profundidade dois profissionais de coaching, prosseguindo a análise por meio da técnica de análise de conteúdo por grade fechada. Conclui-se que o abismo entre gerentes seniores e juniores é tecnológico e vivencial. As organizações estão interessadas em amenizar as diferenças da construção de carreira de ambos profissionais, a fim de absorver suas competências diferencialmente, para equilibrar o desenvolvimento e manutenção das lideranças gerenciais, garantindo a produtividade, a lucratividade e a diversidade.
Διερεύνηση αναγκών των νηπιαγωγών: μία προσπάθεια τεκμηρίωσης του πλαισίου της προσχολικής εκπαίδευσης
Authors: Τσαλαγιώργου Ελένη Ιωάννης , Αυγητίδου Σοφία 
Published: December 2017

Οι σύγχρονες κοινωνικο-οικονομικές συνθήκες που επικρατούν στην Ελλάδα (οικονομική κρίση, ανεργία, αύξηση των μονογονεϊκών οικογενειών) έχουν επηρεάσει σε μεγάλο βαθμό το ελληνικό εκπαιδευτικό σύστημα το οποίο είναι αντιμέτωπο με την έλλειψη των απαραίτητων οικονομικών πόρων, την υποβάθμιση των υλικοτεχνικών υποδομών, την απουσία προγραμμάτων επιμόρφωσης των εκπαιδευτικών και την περιορισμένη ανανέωση του εκπαιδευτικού προσωπικού. Λαμβάνοντας υπόψη τη σύγχρονη πραγματικότητα, η παρούσα έρευνα αποσκοπεί σε μια συστηματική καταγραφή των αναγκών που αντιμετωπίζουν οι νηπιαγωγοί οι οποίες υπηρετούν στα νηπιαγωγεία όλης της επικράτειας στην τρέχουσα συγκυρία. 600 νηπιαγωγοί από όλη την Ελλάδα συμπλήρωσαν ηλεκτρονικά ένα ερωτηματολόγιο με 50 ερωτήσεις σχετικές με βασικές δομές και λειτουργίες του σύγχρονου ελληνικού νηπιαγωγείου, όπως η καταλληλότητα του χώρου και η υλικοτεχνική υποδομή των νηπιαγωγείων, η λειτουργία του ολοήμερου νηπιαγωγείου, ο μετασχηματισμός του προγράμματος σπουδών, η συνεργασία με τους γονείς καθώς και για τις επιμορφωτικές ανάγκες τους. Ο σχεδιασμός και η υλοποίηση της έρευνας πραγματοποιήθηκε ύστερα από συνεργασία του Ινστιτούτου Εκπαιδευτικής Πολιτικής (ΙΕΠ) με το Τμήμα Νηπιαγωγών του Πανεπιστημίου Δυτικής Μακεδονίας (ΠΔΜ). Τα αποτελέσματα αναδεικνύουν σημαντικές ελλείψεις στο επίπεδο της υλικοτεχνικής υποδομής και στο χώρο μέσα και έξω από το νηπιαγωγείο. Όμως, τα αποτελέσματα δείχνουν ότι οι νηπιαγωγοί μπορούν να υπερβούν τις δυσκολίες και να οργανώσουν ένα πλούσιο μαθησιακό περιβάλλον για τα παιδιά με διαφορετικές περιοχές παιχνιδιού και μάθησης. Επίσης, παρόλο που η πλειοψηφία των νηπιαγωγών αναγνωρίζει τη σημασία του ελεύθερου παιχνιδιού, οι μισές δηλώνουν ότι οι οργανωμένες δραστηριότητες κυριαρχούν στο ημερήσιο πρόγραμμα, υπογραμμίζοντας την έλλειψη ευελιξίας στο πρόγραμμα του νηπιαγωγείου. Σχετικά με τη συνεργασία νηπιαγωγείου-οικογένειας, οι νηπιαγωγοί δηλώνουν ότι καταφέρνουν να επικοινωνούν με τους γονείς συστηματικά και αποτελεσματικά. Όμως, φαίνεται να προτιμούν τη συμμετοχή των γονέων ως εθελοντών και ακροατών παρά ως συνδιαμορφωτών του εκπαιδευτικού προγραμματισμού του νηπιαγωγείου. Η πλειοψηφία των νηπιαγωγών δίνει έμφαση στη συνεχιζόμενη επαγγελματική μάθηση που συνδέεται τόσο με τη διδακτική συγκεκριμένων γνωστικών αντικειμένων όσο και με ευρύτερα θέματα γενικής παιδαγωγικής γνώσης. Η έρευνα αποτελεί ένα πρώτο βήμα στην προσπάθεια συσχέτισης της εκπαιδευτικής πολιτικής με ερευνητικά αποτελέσματα, τα οποία μπορούν να οδηγήσουν στην ανάληψη πρωτοβουλιών που αφορούν στην καλύτερη λειτουργία των νηπιαγωγείων στη χώρα μας και στη βελτίωση του εκπαιδευτικού έργου που παρέχεται στην προσχολική εκπαίδευση.
Presença abençoada ou ausência sentida: a água na toponímia da Bahia
Authors: Prudente Clese Mary , Abbade Celina Márcia 
Published: December 2017

A Onomástica, ramo da Lexicologia que estuda os nomes próprios de pessoas (antropônimos) e de lugares (topônimos), representa uma fonte de estudo da língua e sua relação com o patrimônio cultural de um povo. Nessa perspectiva, considerando os topônimos como testemunhos da história da língua e buscando conciliar as abordagens teóricas da Etnolinguística e da Lexicologia, com foco nos estudos onomásticos, discute-se, neste artigo, a importância da água, como presença abençoada ou ausência sentida, no processo de nomeação do espaço na Bahia. Povoados, vilas, aldeias surgiram às margens de rios, lagoas e riachos e o povo aprendeu a identificar o lugar por essa presença, imprescindível à existência de vida. Analisa-se, nesse contexto, o número significativo de hidrotopônimos, uma taxe de natureza física, no corpus estudado, que envolve os 169 designativos dos municípios presentes nos volumes XX e XXI da Enciclopédia dos Municípios Brasileiros, publicados pelo Instituto Brasileiro de Geografia e Estatística (IBGE) em 2 de julho de 1958. De acordo com o sistema classificatório proposto por Dick (1990, 1992) para a realidade toponímica brasileira, as taxes de natureza física refletem a visão imediata da terra, causa nominativa principal na toponímia baiana analisada, resultado que se contrapõe ao registrado em outras regiões do Brasil, onde a supremacia da colonização portuguesa, predominantemente marcada pela fé religiosa, se sobrepõe à força da natureza no ato de nomear o lugar.
Incorporating popular music and dance: A student-centred approach to middle school chorus
Authors: Debrot Ruth A. 
Published: December 2017

Abstract
Middle school chorus in the United States is, from an adolescent perspective, primarily a means of socializing and making friends. Using Green’s (2008) notion of critical musicality, I designed a constructionist learning environment. Using critical participatory action research, conducted with my students rather than on them, we explored alternative pedagogical approaches to choral teaching and learning. We learned that collaborative learning fostered musical and social development in a heterarchical classroom environment that contributed to intersubjective understandings. It became possible for students to apply prior knowledge from outside of school to holistic, contextual, self-generated learning goals in the choral classroom. Incorporating popular music, technology and dance into the curriculum made learning relevant for these students. Choral educators may be able to implement student-centred curricula in choral settings more easily than is on occasion assumed.
Infancia, lecturas regionalistas y Dictadura en Formosa. Tendencias ideológico/pedagógicas en la obra “Mis Lecturas”
Authors: Nuñez Javier Maximiliano 
Published: December 2017

A fines de la década de 1970 se publicaron en la provincia argentina de Formosa, dos libros infantiles de lectura, destinados a los alumnos del nivel primario de la enseñanza. Los textos fueron editados en una temporalidad atravesada por las singularidades que el “Proceso de Reorganización Nacional” -PRN-, adquiría en las llamadas zonas y áreas de frontera. Si las provincias fronterizas eran consideradas un antemural patriótico, la escuela debía erigir una barrera educativa para contrarrestar las distorsiones foráneas, y de ese modo traducir a su currículum y sus prácticas, las premisas securitarias de la dictadura en clave escolar. Se promovió la exaltación nativista, costumbrista y exotizante, como postales de una “identidad de frontera” que debía ser custodiada y transmitida sin bemoles. En esta literatura autorizada, sólo tenían lugar los estereotipos “formoseñistas”, el trabajo mancomunado, los lugares comunes sobre una infancía inocua, y una sociedad expurgada de contradicciones sociales.
La historia del género y el género en historia. Apuntes preliminares dentro del profesorado en Historia, de la Universidad Nacional de La Plata
Authors: Rocha Milagros 
Published: December 2017

El presente artículo propone un análisis en torno a la historia del género y el género en la enseñanza de la historia. Para ello nos detendremos, en primera instancia, en un análisis de índole historiográfico reparando de esta manera en la “historia investigada” sobre dicha categoría. Por otro lado realizaremos, a modo de apunte y señalamientos preliminares, un estudio sobre la visibilidad y abordaje de la perspectiva de género dentro de la carrera del Profesorado en Historia, de la Universidad Nacional de La Plata. Es decir, indagaremos cómo dialoga esta “historia investigada” con la “historia enseñada” poniendo sobre la superficie programas de la carrera. Asimismo destacaremos, desde una mirada más amplia, el camino que fue abriendo esta perspectiva dentro de la Unidad Académica, reparando entonces en una “historia institucional”. En definitiva, el escrito plantea vincular la “historia investigada”, la “historia enseñada” y la “historia institucional” desde la trama de género.
Cloud accounting on the basis of cloud computing: A conceptual framework<p>Bulut bilişim temelinde bulut muhasebesi: Kavramsal bir çerçeve
Authors: Kırlı Mustafa , Özdemir Ersöz Şenay , Kulu Tekmez , Tokmak Safiye 
Published: December 2017

Digital economic applications have begun to gain acceptance much more than before by reaching a dizzying speed in information and communication technologies. Cloud computing emerging as a new concept and application among digital economic applications in recent years is a kind of programming that reduces computing costs in companies, distributes some opportunities provided by regular and scalable computing technologies and is consumed as a service by using internet technologies in a real time. There have been three basic components within the scope of cloud computing such as software, platform and infrastructure. Software component states updated version of all web-based software includes office applications and all management functions from e-mail services to accounting. Platform component states informatics medium that provides development of new applications to users. Infrastructure component is a tool which provides all information operations to be realized on the network. The usage of cloud computing based-accounting programs in companies provides the advantage of time and cost rather than the usage of classical accounting programs.Extended English abstract is in the end of Full Text PDF (TURKISH) file. ÖzetBilgi ve iletişim teknolojilerinde yaşanan gelişmelerin baş döndürücü bir hıza ulaşmasıyla dijital ekonomi uygulamaları giderek daha fazla kabul görmeye başlamıştır. Son yıllarda dijital ekonomi uygulamaları arasında yeni bir kavram ve uygulama olarak ortaya çıkan bulut bilişim, işletmelerde bilişim maliyetlerini düşüren ve eş zamanlı bir şekilde internetin sunduğu teknolojik olanakları kullanan bir çeşit programlamadır. Bünyesinde yazılım, platform ve altyapı olmak üzere üç temel unsur bulunduran bulut bilişim, sistematik ve ölçeklenebilir bilişim teknolojilerinin sunduğu olanakları kullanmaktadır. Yazılım unsuru, elektronik posta hizmetinden muhasebe dahil tüm işletme fonksiyonlarına ve ofis uygulamalarını da içerecek şekilde web tabanlı tüm yazılımların en güncel sürümlerini ifade eder. Platform unsuru, kullanıcılara yeni uygulamaların geliştirilmesine olanak sağlayan bilişim ortamını ifade etmektedir. Altyapı unsuru ise ağ üzerinde tüm bilgi işlemlerinin yapılabilmesini sağlayan bir araçtır. Bulut bilişim tabanlı muhasebe programlarının işletmelerde kullanımı, klasik muhasebe programlarının kullanımına oranla; işletmelere zaman ve maliyet avantajı sağlamaktadır.
Má význam brániť „neproduktívne“ vzdelávacie obsahy v dnešných časoch?
Authors: Danišková Zuzana 
Published: December 2017

Jedným z prejavov oslabovania pozornosti k učivu vo vyučovaní je značne vábivý dôraz na mäkké zručnosti, a s tým súvisiaca nekonečná kumulácia textov tematizujúca kľúčové kompetencie a mäkké zručnosti . Tie sa však medzičasom stali univerzálnym zaklínadlom. Ako kedysi satiricky poznamenal Pupala (2004), že sa záverečné a kvalifikačné práce predbiehajú v tom, ktorá ponúkne humanistickejšiu podobu vyučovania – dnes môžeme vysloviť podobný súd aj o kompetenciách, či zručnostiach adorovaných na rôznych úrovniach pedagogického diskurzu. Existujú však aj kritické postrehy poukazujúc na následné sploštenie poslania školy používaním metafor ako učilište, továreň, prípravka pracovných síl pre kapitál, či pobočka súkromného sektora (napr. Rybák, 2012), Finkielkraut (2017) ironizuje, že zo školy sa škola vysťahováva. Týmto textom chceme posilniť hlas oponentov obhajobou skrytých významov „neproduktívnych obsahov“, ktoré môžu pomôcť rehabilitovať netriviálnosť a významnosť formálneho školského kurikula. Pokúsime sa sumarizovať, prepojiť a pripomenúť argumenty, ktoré nachádzame roztrúsené na rôznych miestach, pričom práve téma obsahov vzdelávania ich navzájom prepája.