bluuebunny/crossref_metadata_2025_split huggingface dataset:
Outcome of laparoscopic ovariectomy and laparoscopic-assisted ovariohysterectomy in dogs: 278 cases (2003–2013)
Authors: Corriveau Kayla M. , Giuffrida Michelle A. , Mayhew Philipp D. , Runge Jeffrey J. 
Published: August 2017

Abstract
OBJECTIVE To compare outcomes for laparoscopic ovariectomy (LapOVE) and laparoscopic-assisted ovariohysterectomy (LapOVH) in dogs.
DESIGN Retrospective case series.
ANIMALS 278 female dogs.
PROCEDURES Medical records of female dogs that underwent laparoscopic sterilization between 2003 and 2013 were reviewed. History, signalment, results of physical examination, results of preoperative diagnostic testing, details of the surgical procedure, durations of anesthesia and surgery, intraoperative and immediate postoperative (ie, during hospitalization) complications, and short- (≤ 14 days after surgery) and long-term (> 14 days after surgery) outcomes were recorded. Data for patients undergoing LapOVE versus LapOVH were compared.
RESULTS Intraoperative and immediate postoperative complications were infrequent, and incidence did not differ between groups. Duration of surgery for LapOVE was significantly less than that for LapOVH; however, potential confounders were not assessed. Surgical site infection was identified in 3 of 224 (1.3%) dogs. At the time of long-term follow-up, postoperative urinary incontinence was reported in 7 of 125 (5.6%) dogs that underwent LapOVE and 12 of 82 (14.6%) dogs that underwent LapOVH. None of the dogs had reportedly developed estrus or pyometra by the time of final follow-up. Overall, 205 of 207 (99%) owners were satisfied with the surgery, and 196 of 207 (95%) would consider laparoscopic sterilization for their dogs in the future.
CONCLUSIONS AND CLINICAL RELEVANCE Results suggested that short- and long-term outcomes were similar for female dogs undergoing sterilization by means of LapOVE or LapOVH; however, surgery time may have been shorter for dogs that underwent LapOVE. Most owners were satisfied with the outcome of laparoscopic sterilization.
Evaluación democrática versus tecno-evaluación
Authors: Beltrán LLavador Francisco 
Published: August 2017

<p>En este artículo, a partir de una problematización en torno a la evaluación desarrollada desde una racionalidad instrumental , <strong>"tecno-evaluación",</strong> el autor nos entrega elementos interesantes para comprender las implicancias, posibilidaddes y/o alternativas de una evaluación de las instituciones sociales orientada por una racionalidad práctica, denominada <strong>"evaluación democrática".</strong> El texto focaliza sus planteamientos en torno a la evaluación de centros escolares y otras instituciones educativas y la evaluación del profesorado.</p><p>Un aspecto central que orienta y permite esta propuesta es el reconocimiento de una lógica que tradicionalmente ha concebido la evaluación como un medio de verificación de la efectividad institucional, basándose en el logro de unos objetivos preestablecidos, desconociendo, con ello, la verdadera naturaleza de los hechos sociales. Desde esta perspectiva, se llega a definir la evaluación como un proceso de producción de conocimiento formalizado en donde los actores colectivos asumen un rol preponderante que tiene a la base las propias actuaciones, con todas las implicancias morales que ello supone.</p><p>Resulta interesante el reconocimiento en torno a la necesidad de significar a las instituciones sociales, y con ello a las instituciones educativas, como espacios que conforman a los sujetos que las pueblan pero que, a la vez, son conformadas por ellos. Esta circunstancia permite un cuestionamiento al supuesto tecnológico, centrado en la objetividad, para situarse en una racionalidad que reconoce el papel constructivo de los sujetos, lo cual nos sitúa en una mirada evaluativa desde la intersubjetividad, propia de todo hecho social y educativo en tanto relacional.</p>
La Instrucción y la Formación en la Educación... entre tensiones, herencias y tradiciones
Authors: Portela Gaurín Henry 
Published: August 2017

<p>El escrito invita a pensar la tensión entre los conceptos de instrucción y formación, al encuentro de sus relaciones, posibilidades, diferencias, similitudes y movilidades. No los coloca en disyuntiva, sino en diálogo y significación desde principios teóricos distintos. Ambos son conceptos que discurren en la Educación desde su propia génesis, porque los medios desde los cuales operan ciertas versiones de la instrucción, desentrañan maneras propias de pensar, sentir y vivificar la formación, es decir, tras ciertas intenciones instructivas hay unas intenciones formativas.</p><p>Así, en la racionalidad técnica y en la racionalidad crítica hay intenciones formativas e instructivas diferentes, propias de un contexto social, político y económico, en el que la condición de lo humano juega sus propias expectativas, necesidades y aprensiones culturales, en la primera, domina una concepción desde el hacer, en la otra, desde el sentir, el pensar y el realizar. El artículo sugiere mirar como se tejen la instrucción y la formación desde sus propias tramas de significación y comprensión y desde el propio diálogo de racionalidades como configuración de sentidos. </p>
RANCANG BANGGUN ALAT DETEKSI RINTANGAN PADA LINTASAN KERJA TRAKTOR BERBASIS PENGOLAHAN CITRA
Authors: Putri Irriwad , Ahmad Usman , Desrial Desrial 
Published: August 2017

Sensor deteksi rintangan (obstacle detection sensor) merupakan komponen yang penting dalam pengembangan traktor otomatis (autonomous tractor) dalam rangka mengenal lingkungannya. Penelitian ini bertujuan untuk merancang dan membuat alat deteksi rintangan pada lintasan outdoor traktor berbasis pengolahan citra. Tahapan penelitian ini meliputi penelitian pendahuluan, perancangan alat, pembuatan alat, dan uji fungsional alat. Alat ini menggunakan kamera CCD sebagai sensor utama dan dilengkapai pointer laser. Pada penelitian pendahuluan diperoleh spesifikasi komponen alat yang digunakan yaitu pointer laser berjumlah enam buah dengan sinar laser berwarna merah yang berupa visible light dengan panjang gelombang 650 nm dengan daya < 5mWatt. Kamera perekam yang digunakan merupakan jenis kamera CCD color dengan resolusi 640 x 480 dan FL 60 mm. Secara keseluruhan alat deteksi rintangan mempunyai konsistensi penyinaran diatas 85%. Hal ini membuktikan bahwa alat ini mampu digunakan sebagai alat deteksi rintangan pada lintasan outdoor traktor.
KONSEP DIYAT SEBAGAI ALTERNATIF PEMIDANAAN DALAM SISTEM PERADILAN PIDANA UNTUK MENGATASI FENOMENA OVERCAPACITY LEMBAGA PEMASYARAKATAN
Authors: Marbun Rocky 
Published: August 2017

Through the ecletic-incorporation method and prismatic concept, the concept of diyat which has been modified will make it able to experience the unification of the law for the nation of Indonesia. Through the goodness and excellence of the concept of diyat, the author believes it is an alternative solution to the failure of the Criminal Justice System that is currently used. The main objective of the Paradigm of the Pancasila Law is not just to achieve justice, but also to achieve peace in the life of society, nation and state. Reversing the conditions of the community to its original state (restitutio in integrum) is the main goal in the Paradigm of the Pancasila Law. However, the infiltration process of the concept of diyat, must be realized through in-depth study, in particular against any criminal acts that can be applied. The concept of diyat in its essence also brings about a shrinkage of the powers of the judge in imposing imprisonment against perpetrators of certain crimes that are established by the Political Criminal Law and Criminal Law System in Indonesia, once peace and justice is achieved by the victims and / or their families. The writing of this paper uses normative juridical method with approach to legislation, conceptual approach, philosophical approach and sociological approach. Keywords: diyat, fiqh, jinayat, crime, society
Una educación que apuesta por el atraso.
Authors: Yarlequé Chocas Luis Alberto , Padilla Sánchez Maribel , Navarro García Linda Loren 
Published: August 2017

<p style="text-align: justify;">Se discute la Resolución Ministerial N° 0622-2011-ED., a la luz de la tesis de Vygotsky acerca de la relación entre aprendizaje y maduración. Se presentan evidencias que conducirían a poner en duda la solidez de los argumentos psicológicos subyacentes a la referida resolución.</p><p style="text-align: justify;"> </p>
Ética y valores en la educación, una reflexión contextual necesaria.
Authors: Amat y León Joan Lara 
Published: August 2017

<p style="text-align: justify;">En el presente artículo se analiza brevemente y se apuntan respuestas a varios de los interrogantes en materia de “Ética y valores en la educación” que preocupan a la sociedad, se pretende aportar elementos que ayuden a clarificar algunos de los debates sobre la Ética y valores en una sociedad que ha sufrido enormes cambios en las últimas décadas, que muchas veces no se es consciente de los aspectos “macros” que guían estas transformaciones y que en líneas generales tienen muy poco de nacionales y más de tendencias internacionales. Dicho esto, no se puede obviar que esas transformaciones tienen repercusiones y significaciones diferentes según la posición que se ocupe en la estructura internacional: económica, política y cultural. Y no es posible olvidar que la educación, y con ella la educación en Ética y valores, pertenece a esta última dimensión cultural. Para ello se analizan: el miedo al relativismo, la presunta crisis de valores, el papel de los medios de comunicación y las tecnologías del yo, así como el difícil espacio dejado a la educación y sobre todo a la “Ética y valores en la educación”. Por ello se apela a una enseñanza de esta disciplina que reflexione con su contexto para comprender la tradición heredada y permita la valoración sobre que debe trasmitirse de esta tradición y qué es preferible dejar atrás.</p>
Community Survey Report: Lekhnath 2, Rithepani
Authors: Lammichane Anju , Devkota A , Thakuri B , Sahl D , Magar K 
Published: August 2017

Community diagnosis is defined as the pattern of disease in a community described in terms of the important factors which influence the pattern -King Maurice ed (1982). It is based on collection and interpretation of the relevant data such as age, sex, population distribution by social groups, vital statistics and incidence and prevalence of important diseases of the area. As per the curriculum of Tribhuvan University, B.Sc Nursing 1st year, we were provided an opportunity to fulfill the practicum of community health nursing in the city of seven lakes of Rithepani-2, Lekhnath, Kaski from July 17th to Aug 11th 2016. Total population of Rithepani ward no 2 was 4529, male population was 2100 and female population was 2429 respectively. Each of the five students was assigned with ten different families for community diagnosis in order to promote the health of the individual, family and community. The main objective of community diagnosis was to find out the health related aspects and to provide preventive, promotive curative and rehabilitative services to the individual and community as a whole.All the findings were presented among the key members of the community. On survey total population of 50 houses was found 239, among them 126 were male population and 113 were female population. Sanitation of the community was found appropriate. Moreover immunization services among under five children was adequate. Likewise, antenatal, intranatal and postnatal care was found appropriate and effective in all the houses. This signifies that people are utilizing the all health services in an appropriate manner.Journal of Gandaki Medical College Vol. 10, No. 1, 2017, Page: 63-65
Fully endoscopic lumbar interbody fusion using a percutaneous unilateral biportal endoscopic technique: technical note and preliminary clinical results
Authors: Heo Dong Hwa , Son Sang Kyu , Eum Jin Hwa , Park Choon Keun 
Published: August 2017

OBJECTIVEMinimally invasive spine surgery can minimize damage to normal anatomical structures. Recently, fully endoscopic spine surgeries have been attempted for lumbar fusion surgery. In this study, the authors performed a percutaneous unilateral biportal endoscopic (UBE) technique as a minimally invasive surgery for lumbar fusion. The purpose of this study is to present the UBE technique of fully endoscopic lumbar interbody fusion (LIF) and to analyze the clinical results.METHODSPatients who were to undergo single-level fusion surgery from L3–4 to L5–S1 were enrolled. Two channels (endoscopic portal and working portal) were used for endoscopic lumbar fusion surgery. All patients underwent follow-up for more than 12 months. Demographic characteristics, diagnosis, operative time, and estimated blood loss were evaluated. MRI was performed on postoperative Day 2. Clinical evaluations (visual analog scale [VAS] for the leg and Oswestry Disability Index [ODI] scores) were performed preoperatively and during the follow-up period.RESULTSA total of 69 patients (24 men and 45 women) were enrolled in this study. The mean follow-up period was 13.5 months. Postoperative MRI revealed optimal direct neural decompression after fully endoscopic fusion surgery. VAS and ODI scores significantly improved after the surgery. There was no postoperative neurological deterioration.CONCLUSIONSFully endoscopic LIF using the UBE technique may represent an alternative minimally invasive LIF surgery for the treatment of degenerative lumbar disease. Long-term follow-up and larger clinical studies are needed to validate the clinical and radiological results of this surgery.
Minimally invasive direct pars repair with cannulated screws and recombinant human bone morphogenetic protein: case series and review of the literature
Authors: Ghobrial George M. , Crandall Kenneth M. , Lau Anthony , Williams Seth K. , Levi Allan D. 
Published: August 2017

OBJECTIVEThe objective of this study was to describe the use of a minimally invasive surgical treatment of lumbar spondylolysis in athletes by a fluoroscopically guided direct pars screw placement with recombinant human bone morphogenetic protein–2 (rhBMP-2) and to report on clinical and radiographic outcomes.METHODSA retrospective review was conducted of all patients treated surgically for lumbar spondylolysis via a minimally invasive direct pars repair with cannulated screws. Demographic information, clinical features of presentation, perioperative and intraoperative radiographic imaging, and postoperative data were collected. A 1-cm midline incision was performed for the placement of bilateral pars screws utilizing biplanar fluoroscopy, followed by placement of a fully threaded 4.0-mm-diameter titanium cannulated screw. A tubular table-mounted retractor was utilized for direct pars fracture visualization and debridement through a separate incision. The now-visualized pars fracture could then be decorticated, with care taken not to damage the titanium screw when using a high-speed drill. Local bone obtained from the curettage was then placed in the defect with 1.05 mg rhBMP-2 divided equally between the bilateral pars defects.RESULTSNine patients were identified (mean age 17.7 ± 3.42 years, range 14–25 years; 6 male and 3 female). All patients had bilateral pars fractures of L-4 (n = 4) or L-5 (n = 5). The mean duration of preoperative symptoms was 17.22 ± 13.2 months (range 9–48 months). The mean operative duration was 189 ± 29 minutes (range 151–228 minutes). The mean intraoperative blood loss was 17.5 ± 10 ml (range 10–30 ml). Radiographic follow-up was available in all cases; the mean length of time from surgery to the most recent imaging study was 30.8 ± 23.3 months (range 3–59 months). The mean hospital length of stay was 1.13 ± 0.35 days (range 1–2 days). There were no intraoperative complications.CONCLUSIONSLumbar spondylolysis treatment with a minimally invasive direct pars repair is a safe and technically feasible option that minimizes muscle and soft-tissue dissection, which may particularly benefit adolescent patients with a desire to return to a high level of physical activity.
Cervical vertebroplasty for osteolytic metastases as a minimally invasive therapeutic option in oncological surgery: outcome in 14 cases
Authors: Stangenberg Martin , Viezens Lennart , Eicker Sven O. , Mohme Malte , Mende Klaus C. , Dreimann Marc 
Published: August 2017

OBJECTIVEThe treatment of cervical spinal metastases represents a controversial issue regarding the type, extent, and invasiveness of interventions. In the lumbar and thoracic spine, kypho- and vertebroplasties have been established as minimally invasive procedures for patients with metastases to the vertebral bodies and without neurological deficit. These procedures show good results with respect to pain reduction and low complication rates. However, limited data are available for kypho- and vertebroplasties for cervical spinal metastases. In an effort to add to existing data, the authors here present a case series of 14 patients who were treated for osteolytic metastases of the cervical spine using vertebroplasty alone or in addition to another surgical procedure involving the cervical spine in a palliative setting to reduce pain and restore stability.METHODSFourteen patients consisting of 8 males and 6 females, with a mean age of 64.7 years (range 44–85 years), were treated with vertebroplasty at the authors’ clinic between January 2015 and November 2016. In total, 25 vertebrae were treated with vertebroplasty: 10 C-2, 5 C-3, 2 C-4, 2 C-5, 3 C-6, and 3 C-7. Two patients had an additional posterior stabilization and 5 patients an additional anterior stabilization. In 13 cases, the surgical approach was a modified Smith-Robinson approach; in 1 case, the cement was injected into the corpus axis from posteriorly. Patients with osteolytic defects of the posterior wall of the vertebral body did not undergo surgery, nor did patients with neurological deficits. Preoperatively, on the 2nd day after surgery, and at the follow-up, neck pain was rated using the visual analog scale (VAS).RESULTSTwelve patients were examined at follow-up (mean 9 months). Neck pain was rated as a mean of 6.0 (range 3–8) preoperatively, 2.9 on Day 2 after surgery (range 0–5), and 0.5 at the follow-up (range 0–4), according to the VAS. The mean Neck Disability Index at follow-up was 3.6% (range 0%–18%).CONCLUSIONSAnterior vertebroplasty of the cervical spine via an anterolateral approach represents a safe and minimally invasive procedure with a low complication rate and appears suitable for reducing pain and restoring stability in cases of cervical spinal metastases. Vertebroplasties can be combined with other anterior and posterior operations of the cervical spine and, in the axis vertebra, can be performed transpedicularly from posteriorly. Thus, in cases in which the posterior wall of the vertebral body is intact, vertebroplasty represents a less invasive alternative to vertebral replacement in oncological surgery. Prospective randomized trials with a longer follow-up period and a larger patient cohort are needed to confirm the encouraging results of this case series.
Clinical and radiological outcomes of spinal endoscopic discectomy–assisted oblique lumbar interbody fusion: preliminary results
Authors: Heo Dong Hwa , Kim Jin-Sung 
Published: August 2017

OBJECTIVEDirect neural decompression cannot be achieved by performing lateral lumbar interbody fusion (LLIF). To overcome the indirect decompressive effect of LLIF, additional endoscopic discectomy with oblique lumbar interbody fusion (OLIF) has been attempted. The purpose of this study was to assess the clinical and radiological outcomes of patients who underwent OLIF with additional endoscopic discectomy.METHODSSpinal endoscopic discectomy–assisted OLIF was attempted to remove herniated disc material. Only patients with a follow-up time that exceeded 12 months were enrolled. Clinical parameters examined were the Oswestry Disability Index and visual analog scale scores of back and leg pain. Postoperative MRI was also performed.RESULTSFourteen patients were enrolled. Central and foraminal disc herniations were evident in 8 and 6 patients, respectively. Concomitant central or foraminal herniated discs were removed completely after additional endoscopic discectomy, and disc removal was confirmed by postoperative MRI. Mean preoperative visual analog scale scores and Oswestry Disability Index scores improved postoperatively.CONCLUSIONSOLIF with additional endoscopic discectomy results in successful direct neural decompression without posterior decompressive procedures. Endoscopic assistance might overcome the limitations of LLIF.
Minimally invasive transforaminal lumbar interbody fusion with expandable versus static interbody devices: radiographic assessment of sagittal segmental and pelvic parameters
Authors: Hawasli Ammar H. , Khalifeh Jawad M. , Chatrath Ajay , Yarbrough Chester K. , Ray Wilson Z. 
Published: August 2017

OBJECTIVEMinimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) has been adopted as an alternative technique to hasten recovery and minimize postoperative morbidity. Advances in instrumentation technologies and operative techniques have evolved to maximize patient outcomes as well as radiographic results. The development of expandable interbody devices allows a surgeon to perform MIS-TLIF with minimal tissue disruption. However, sagittal segmental and pelvic radiographic outcomes after MIS-TLIF with expandable interbody devices are not well characterized. The object of this study is to evaluate the radiographic sagittal lumbar segmental and pelvic parameter outcomes of MIS-TLIF performed using an expandable interbody device.METHODSA retrospective review of MIS-TLIFs performed between 2014 and 2016 at a high-volume center was performed. Radiographic measurements were performed on lateral radiographs before and after MIS-TLIF with static or expandable interbody devices. Radiographic measurements included disc height, foraminal height, fused disc angle, lumbar lordosis, pelvic incidence, sacral slope, and pelvic tilt. Mismatch between pelvic incidence and lumbar lordosis were calculated for each radiograph.RESULTSA total of 48 MIS-TLIFs were performed, predominantly at the L4–5 level, in 44 patients. MIS-TLIF with an expandable interbody device led to a greater and more sustained increase in disc height when compared with static interbody devices. Foraminal height increased after MIS-TLIF with expandable but not with static interbody devices. MIS-TLIF with expandable interbody devices increased index-level segmental lordosis more than with static interbody devices. The increase in segmental lordosis was sustained in the patients with expandable interbody devices but not in patients with static interbody devices. For patients with a collapsed disc space, MIS-TLIF with an expandable interbody device provided superior and longer-lasting increases in disc height, foraminal height, and index-level segmental lordosis than in comparison with patients with static interbody devices. Using an expandable interbody device improved the Oswestry Disability Index scores more than using a static interbody device, and both disc height and segmental lordosis were correlated with improved clinical outcome. Lumbar MIS-TLIF with expandable or static interbody devices had no effect on overall lumbar lordosis, pelvic parameters, or pelvic incidence–lumbar lordosis mismatch.CONCLUSIONSPerforming MIS-TLIF with an expandable interbody device led to a greater and longer-lasting restoration of disc height, foraminal height, and index-level segmental lordosis than MIS-TLIF with a static interbody device, especially for patients with a collapsed disc space. However, neither technique had any effect on radiographic pelvic parameters.