bluuebunny/crossref_metadata_2025_split huggingface dataset:
An incidental finding behind adrenal incidentaloma
Authors: Crimì Filippo , Barbiero Giulio , Tizianel Irene , Evangelista Laura , Ceccato Filippo 
Published: June 2022

Summary
A 61-year-old man went to the Emergency Department with left upper abdominal quadrant pain and low-grade fever, as well as a loss of weight (3 kg in 6 weeks). A solid-cystic lesion in the left adrenal lodge was discovered by abdominal ultrasonography. A slight increase in the serum amylase with normal lipase was observed, but there were no signs or symptoms of pancreatitis. A contrast-enhanced CT revealed a tumor that was suspected of adrenocortical cancer. Therefore, he was referred to the endocrine unit. The hormonal evaluation revealed no signs of excessive or inadequate adrenal secretion. To characterize the mass, an MRI was performed; the lesion showed an inhomogeneous fluid collection with peripheral wall contrast-enhancement, as well as a minor 18-fluorodeoxyglucose uptake at PET/CT images. The risk of primary adrenal cancer was minimal after the multidisciplinary discussion. An acute necrotic collection after focal pancreatitis was suspected, according to the characteristics of imaging. Both CT-guided drainage of the necrotic accumulation and laboratory analysis of the aspirated fluid confirmed the diagnosis.

Learning points

Different types of expansive processes can mimic adrenal incidentalomas.

Necrotic collection after acute focal pancreatitis could be misdiagnosed as an adrenal mass, since its CT characteristics could be equivocal.

MRI has stronger capacities than CT in differentiating complex lesions of the adrenal lodge.

A multidisciplinary approach is fundamental in the management of patients with a newly discovered adrenal incidentaloma and equivocal/suspicious imaging features (low lipid content and size >4 cm).
Clinical Effectiveness of Telemedicine-Based Pediatric Genetics Care
Authors: Szigety Katherine M. , Crowley Terrence B. , Gaiser Kimberly B. , Chen Erin Y. , Priestley Jessica R.C. , Williams Lydia S. , Rangu Sneha A. , Wright Christina M. , Adusumalli Priyanka , Ahrens-Nicklas Rebecca C. , Calderon Brandon , Cuddapah Sanmati R. , Edmondson Andrew , Ficicioglu Can , Ganetzky Rebecca , Kalish Jennifer M. , Krantz Ian D. , McDonald-McGinn Donna M. , Medne Livija , Muraresku Colleen , Pyle Louise C. , Zackai Elaine H. , Campbell Ian M. , Sheppard Sarah E. 
Published: June 2022

BACKGROUND AND OBJECTIVES
Telemedicine may increase access to medical genetics care. However, in the pediatric setting, how telemedicine may affect the diagnostic rate is unknown, partially because of the perceived importance of the dysmorphology physical examination. We studied the clinical effectiveness of telemedicine for patients with suspected or confirmed genetic conditions.

METHODS
We conducted a retrospective cohort study of outpatient encounters before and after the widespread implementation of telemedicine (N = 5854). Visit types, diagnoses, patient demographic characteristics, and laboratory data were acquired from the electronic health record. Patient satisfaction was assessed through survey responses. New molecular diagnosis was the primary end point.

RESULTS
Patients seen by telemedicine were more likely to report non-Hispanic White ancestry, prefer to speak English, live in zip codes with higher median incomes, and have commercial insurance (all P &lt; .01). Genetic testing was recommended for more patients evaluated by telemedicine than in person (79.5% vs 70.9%; P &lt; .001). Patients seen in person were more likely to have a sample collected, resulting in similar test completion rates (telemedicine, 51.2%; in person, 55.1%; P = .09). There was no significant difference in molecular diagnosis rate between visit modalities (telemedicine, 13.8%; in person, 12.4%; P = .40).

CONCLUSIONS
Telemedicine and traditional in-person evaluation resulted in similar molecular diagnosis rates. However, improved methodologies for remote sample collection may be required. This study reveals the feasibility of telemedicine in a large academic medical genetics practice and is applicable to other pediatric specialties with perceived importance of physical examination.
Quality of Life and Well-Being for Children and Youth With Special Health Care Needs and their Families: A Vision for the Future
Authors: Coleman Cara L. , Morrison Mia , Perkins Sarah K. , Brosco Jeffrey P. , Schor Edward L. 
Published: June 2022

OBJECTIVES
To fulfill the promise of a life of dignity, autonomy, and independence for children and youth with special health care needs (CYSHCN) and their families, greater value must be assigned to meaningful outcomes, such as quality of life and well-being.

METHODS
Despite decades of research, programs, and measurements addressing quality of life and well-being for CYSHCN and their families, there still is no consensus on how to measure, implement, or achieve them.

RESULTS
As the US health care system strives to reach the health care goals of safe, efficient, effective, equitable, timely, and patient-centered care, youth and families must be equal partners at all levels of the health care system—from clinical decision making to designing and implementing programs and policies.

CONCLUSIONS
The health care system must systematically measure the priorities of CYSHCN and their families. It also must incorporate data on quality of life and well-being when developing services, supports, and systems that help CYSHCN and their families to flourish rather than hindering them.
Ongoing Dizziness Following Acute COVID-19 Infection: A Single Center Pediatric Case Series
Authors: Drogalis-Kim Diana , Kramer Collin , Duran Silvestre 
Published: June 2022

BACKGROUND
Dizziness is a common concern discussed at adolescent medical visits. In this series, we describe 9 pediatric patients with postacute sequelae of severe acute respiratory syndrome coronavirus disease 2 (SARS-CoV-2) who presented with persistent, debilitating dizziness for weeks to months after their acute infection.

METHODS
Among the 9 patients, median age was 14 years (range: 11 to 17), 6 were female, and 8 had not received any SARS-CoV-2 vaccines. Five patients met diagnostic criteria for postural orthostatic tachycardia syndrome (POTS) by active standing testing and benefited from a combination of nonpharmacologic therapy (NPT) and medication.

RESULTS
NPT alone did not improve symptoms in any patients. Patients who did not meet conventional criteria for POTS, but continued to have symptoms despite NPT compliance, also demonstrated subjective improvement in dizziness when medications were initiated. The majority of patients experienced improvement in dizziness and quality of life, including returning to sports teams and a regular school schedule.

CONCLUSIONS
A review of the postacute sequelae of SARS-CoV-2 literature demonstrates increasing recognition of a subset of patients who develop autonomic dysfunction, including POTS, although the etiology and prognosis are not completely understood. Our case series aims to highlight the phenomenon of dysautonomia after acute SARS-CoV-2 infection and its response to therapy.
O problema da representação do Real em Todos os Nomes
Authors: Lencina Mariana Perizzolo , Fioruci Wellington Ricardo 
Published: June 2022

O presente artigo identifica nas características da produção ficcional de José Saramago em sua fase finissecular uma preocupação maior com a linguagem, sugerindo, então, que ela passa a ocupar o lugar central que antes era do discurso histórico em seus romances. A partir disso, a análise se debruça sobre a obra Todos os Nomes, de 1997, na qual é possível supor diálogos entre o narrador de Saramago e as constituições narrativas de Borges, além de outras reflexões filosóficas de autores como Roland Barthes, Jacques Derrida e Michel Foucault. A principal reflexão a que este artigo se dedica é sobre a possível preocupação de Saramago em relação ao problema da representação do real pela linguagem.
The neural networks underlying the illusion of time dilation: case study and literature survey
Authors: Sheikh Mubbahsir , Koubeissi Mohamad , Constable R. Todd , Spencer Dennis D. , Alkawadri Rafeed 
Published: June 2022

AbstractThis is the first known case report of a profound illusionary time dilation produced by direct electrical cortical stimulation. The patient with drug‐resistant epilepsy was undergoing invasive EEG evaluation for the localization of the focus prior to resection. Stimulation of the non‐dominant claustrum/insula and inferior right frontal gyrus correlated with the equivalent of a pacemaker of an internal clock in the brain. The site exhibited strong outflow connectivity with a wide region of the right fronto‐parietal executive network and pre‐motor system. The patient described the experience as unique and fascinating, and underwent resection involving the face motor area where seizures arose from, with a substantial decrease in seizure burden >90%. Extensive brain networks are employed in evaluation/assessment of time, which may be modulated via electrical stimulation. This is the first of such an incident. Further studies may investigate the potential benefit of neuromodulation of these brain regions in the management of conditions in which time‐perception may be impaired.
Cortical unihemispheric brain edema (CUBE) due to a multi‐system inflammatory syndrome in adults (MIS‐A)
Authors: Maramattom Boby Varkey , Rao Tejaswi 
Published: June 2022

AbstractUnilateral hemispheric edema may occur with or without seizures. It is a rare entity, found more often in children, than in adults. As many of these patients develop pronounced unilateral complete cortical hemispheric (uni‐hemispheric) edema on MRI, we have used the term “cortical unihemispheric brain edema” (CUBE) to describe this entity. We describe a case of CUBE occurring along with a post COVID multi‐system inflammatory syndrome in adults (MIS‐A). A 30‐year‐old man was admitted with status epilepticus. He was found to have CUBE and features of MIS‐A. He had a history of mild COVID‐19 illness one month earlier. He was noted to have persistently elevated inflammatory markers and multiorgan dysfunction compatible with MIS‐A. We review the cases of CUBE in the literature and describe the features and etiology of this uncommon syndrome. Furthermore, we discuss the differences between two types of CUBE; cytotoxic CUBE (CUBE‐C) and vasogenic CUBE (CUBE‐V).
Female monstrosity and Franco’s dictatorship: the Catholic spinster in Una vela para el diablo = Monstruosidad femenina y franquismo: la solterona católica en Una vela para el diablo
Authors: Tiburcio Moreno Erika 
Published: June 2022

Este artículo analiza Una vela para el diablo, producida por Eugenio Martín y estrenada en 1973. El objetivo es relacionar históricamente el monstruo femenino con los conflictos en torno a la modernización a partir de los años sesenta. La película revela una serie de conflictos inherentes a los últimos años de la dictadura franquista, especialmente aquellos en torno a la represión y la liberación sexual, así como la respuesta de un gobierno que se negaba a aceptar los cambios. This article analyses the film Una vela para el diablo, produced by Eugenio Martín and released in 1973. The aim is to relate the film’s female monster to the conflicts around modernization that started in Spain in the 1960s. It shows the persistent conflicts that permeated the last years of Franco's dictatorship, especially those surrounding repression and sexual liberation, as well as the reactionary response of a government that refused to accept the social changes.
Lo monstruoso femenino como revisitación de la frontera México-Estados Unidos: deshumanización y barbarie en From dusk till dawn (1996)=The monstruous-feminine as a revamping of the U.S.-Mexico Border: dehumanization and savagery in From dusk till dawn (1996)
Authors: Gregorio Fernández Noelia 
Published: June 2022

Tomando como punto de partida diversas teorías sobre la monstruosidad en la frontera México-EE. UU (Alemán 2006; Miller y Van Riper 2012) y referentes de lo monstruoso-femenino (Kristeva 1983; Creed 1993), este artículo pretende analizar From Dusk Till Dawn (Robert Rodriguez, 1996) como un mosaico transcultural reconvertido en alegato sobre la aceptación del “otro” a través de la monstruosidad de su protagonista femenina. This article analyses the concept of the monstrous feminine entrenchment through Robert Rodriguez’s From Dusk Till Dawn and Planet Terror. Drawing from current socio-political imaginaries that have put the spotlight on the oppressed power across women in film, the insertion of horror and the monstrosity in their narratives display a transnational process that reflects cinematic U.S.-Mexico border discourses.
La somaestética de Medusa en las adaptaciones teatrales de Lope de Vega, Calderón de la Barca y Quinault=Somaesthetics in Medusa’s baroque theatrical adaptations: Lope de Vega, Calderón de la barca and Quinault
Authors: Mira Alonso Alexandra 
Published: June 2022

Este artículo explora la versión del mito de Perseo y Andrómeda escrita por Lope de Vega, Pedro Calderón de la Barca y Quinault desde la perspectiva de la somaestética y la amplificación del uso de la personificación filosófica a través de la figura de la Medusa barroca. Esta filosofía interdisciplinaria permite analizar la metamorfosis de Medusa y su movimiento, entre otros, desde un plano filosófico y corpóreo a través del cual entender la adaptación a los cánones de belleza y alegorías de la época. This article explores the version of the myth of Perseus and Andrómeda written by Lope de Vega, Pedro Calderón de la Barca and Quinault from the perspective of somaesthetics and the amplification of the use of philosophical personification through the figure of the baroque Medusa. This interdisciplinary philosophy allows us to analyze the metamorphosis of Medusa and her bodily movements, among others, from a philosophical and corporeal lens, thanks to which one understands the adaptation of beauty canons and allegories.
Review of Anko Itosu. The Man. The Master. The Myth. Biography of a Legend, by Thomas Feldmann
Authors: De la Fuente Eduardo Gonzalez 
Published: June 2022

This review considers the book Anko Itosu. The Man. The Master. The Myth. Biography of a Legend, published in 2021 by Thomas Feldmann. The volume is a thorough biographical study of Anko Itosu (1831–1915), Okinawan born and essential figure to interpret initial developments of karate history during the 20th century. Approximately two decades before this indigenous martial art was to be popularized in mainland Japan by Funakoshi Gichin (1868–1957) and Mabuni Kenwa (1889–1952), and officially recognized by the Dainippon Butokukai [Greater Japan Martial Arts Virtue Society] (1933), Itosu consolidated important technical and discursive changes for karate. This novel way to practice and describe karate, still molding the perception of the art today, had the intention, among others, to further support its inclusion in the school system of Okinawa. Using a huge amount of written and oral sources, historical documents, and scholarly studies on Okinawa, this text offers a vivid picture of Itosu's life. In a manner unusual among the publications on the topic, the text not only explores the early days of modern karate through the existential vicissitudes of the master, but even more importantly it does so against the background of how the cultural, social, and political life was articulated in Okinawa at the time. Such a remarkable effort bears a value that should not go unnoticed among martial arts researchers and the interested reader alike.
Influência das cinzas de bagaço de cana-de-açúcar nas propriedades mecânicas do concreto
Authors: Congro da Rocha Liliane Rodrigues , Mennucci Marina Martins , Suegama Patricia Hatsue 
Published: June 2022

As cinzas do bagaço da cana-de-açúcar (CBC) vêm sendo utilizadas como material sustentável em substituição do cimento e empregadas na produção de concreto e argamassas. Esse trabalho avaliou por meio de ensaios de resistência mecânica, absorção de água a possibilidade de utilizar as CBC (secas e peneiradas) na produção de concreto armado, substituindo parcialmente o cimento em 0, 10, 20 % para efeitos comparativos, e analisou o ensaio de resistência mecânica em corpos de prova de pastas cimentícias e corpos de prova de concreto. Foi realizado a caracterização química das cinzas após a secagem e peneiração, e verificou-se que essas cinzas são ricas em sílica. Apesar do aumento da absorção de água nos corpos de prova de concreto, a resistência à compressão obteve um aumento de 30 % com a substituição de 10 % de cimento por CBC e substituindo 20 % de cimento por CBC, a resistência à compressão obteve o mesmo valor da amostra sem CBC, além de que após comparação com ensaios nos corpos de prova de pastas cimentícias, pode-se concluir que as CBC atuam no concreto mais como filler do que como material pozolânico.
Effectiveness of Life Skills Training in Reducing Neurosis Symptoms in Women
Authors: Safaraa Maryam , Saedib Zahra , Doudaran Pooya Jafari 
Published: June 2022

Background: Neurotic people have intense and continuous emotional sensitivity to others and avoid expressing their feelings. Because of the low level of ego power, they are easily overcome by their emotions and are unable to adapt their behavior to various situations. Training the life skills improves psycho-social abilities which can empower individuals to deal with conflicts and contradictions of life.
Methods: This study determined the effectiveness of training programs of life skills to reduce the symptoms of neurosis in married women living in deprived areas of Isfahan, in 2017. To achieve this end, a clinical trial was conducted using pretest-posttest and control group. Among all married women living in deprived areas of Isfahan, 40 individuals who acquired the highest scores in assessment of neurosis by NEO Five-Factor Personality Inventory-short Form were selected and randomly divided into two experimental and control groups (20 people per group). Life skill training was performed for experimental group for 8 sessions, one session per week, each session lasting 2 hours. Data were analyzed with SPSS using descriptive statistics (Mean and standard deviation) and inferential statistics (ANOVA, Analysis of covariance).
Results: The results of analysis of covariance showed that life skill training program significantly reduced the symptoms of neurosis among women (P<0.005). Such a change was not seen in women in the control group.
Conclusions: Findings of the study reflect the efficacy of life skills training on diminishing neurosis symptoms in women.
Investigating the relationship between knowledge absorptive capacity and talent management with organizational performance
Authors: Motaghi Monika , Heidar Ali Asghar , Gholizadeh Lida 
Published: June 2022

Background: The capacity to absorb knowledge and manage organizational talent and performance is important to the survival of organizations. The aim of this study was to investigate the relationship between knowledge absorptive capacity and talent management with the performance of the organization.
Methods: This applied research used the causal design. The statistical population and sample size were 500 and 217 nurses, respectively. Three standard questionnaires were used to collect data. The knowledge absorption capacity questionnaire had Cronbach's alpha 0.705 and included 19 items. Moreover, the organizational innovation variable of the Atlay and Akif questionnaire with Cronbach's alpha 0.795 and 18 items, Hersi and Goldsmith with Cronbach's alpha of 0.762 with 42 items, and Phillips and Rapper with 28 items were used for the talent management component. Data were imported to SPSS20 and analyzed using PLS Descriptive and inferential statistics.
Results: The mean age of participants was 24.3±4.5.3 years, 52.54% of nurses were male and 42.46% were female. Also, 61.75% of nurses had a bachelor's degree and 38.15% had an MSc degree. Mean±SD of knowledge acquisition capacity was 17.56±4.63, that of talent management was 17397±4.87, that of organizational innovation was 18.22±4.65. and that of organizational performance was 18.39±4.95. Knowledge acquisition capacity, and talent management had a significant relationship with innovation and organizational performance (1.96<2.57, 3.8, 5.41 and 2.63), and organizational innovation was also correlated with organizational performance (1.96<2.94). According to the results of the Sobel test, the capacity to absorb knowledge and talent management was related to organizational performance with the mediating role of organizational innovation (1.96<2.45 and 3.21).
Conclusion: Given the relationship between knowledge absorptive capacity and talent management with organizational performance, managers should be able to effectively improve the capacity to absorb knowledge and spread it throughout the organization.
Structure of darkness: The Dark Triad, the ‘Dark’ Empathy and the ‘Dark’ Narcissism
Authors: Gojković Vesna , Dostanić Jelena S. , Đurić Veljko 
Published: June 2022

While it is universally agreed that empathy deficit is a necessary condition for the dark roster membership, the literature provides no consensus regarding differential associations between individual Dark Triad traits with cognitive and affective empathy. With this in mind, we have investigated topology of the network consisting of Affective and Cognitive Measure of Empathy, Narcissistic Admiration and Rivalry Questionnaire, and Short Dark Triad traits (SD3). The network analysis disclosed cohesive configuration of multiply connected study variables, thus confirming their aversive coaction. Two main axes of study variables were identified: the ‘dark’ affective dissonance-rivalry-psychopathy axis, and the ‘brighter’ admiration-SD3 narcissism axis; each characterized by its specific manifestation of empathic deficit. Affective dissonance was the most central while affective resonance was the most redundant node of the network. Rivalry — a node connecting the two axes — had the greatest strength in the network and was closer to affective dissonance than to psychopathy. Involvement of affective dissonance uncovered the dual nature of Machiavellianism by shifting it away from psychopathy and closer to narcissism. Overall, by use of structural information not accessible by other means, this study substantiates the proposition about the essential role of distinct empathic deficits in the constellation of antagonistic traits.