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2021

Abstract This paper reports on a teaching innovation using participant-generated drawings. Experienced managers were asked to produce a drawing to illustrate their work from an accounting perspective. The drawings were then used to make the managerial context of the participants the explicit starting point for personalized executive learning. This study is the first in the sphere of accounting education and research to take drawing seriously as a learning method. The results of the experiment show how drawing can be further used as a tool in management education by facilitating the visualization of the managerial contexts participants work within.

Iron replacement therapy in the management of anaemia in non-dialysis Chronic kidney disease patients: Perspective of the Spanish Nephrology Society …

2021

This work presents an update on the management of iron deficiency in patients with chronic kidney disease (CKD), either with or without anaemia. A review is made of the recommendations of the guidelines for the treatment of iron deficiency in CKD. It also presents new studies on iron deficiency in patients with CKD, as well as new findings about iron therapy and its impact on clinical outcomes.Anaemia is a common complication of CRF, and is associated with a decrease in the quality of life of the patients, as well as an increase in morbidity and mortality. Iron deficiency (absolute or functional) is common in non-dialysis chronic kidney disease patients, and may cause anaemia or a low respo…

Acute liver failure and HELLP syndrome: A clinical case and literature review.

2021

Summary Background HELLP syndrome is a pregnancy-related liver disease associated with increased maternal and foetal mortality. In rare cases, it can lead to the development of a subcapsular hepatic haematoma as well as its rupture. This rupture is life-threatening if not urgently treated. Method We describe a clinical case of HELLP syndrome involving a ruptured subcapsular liver haematoma and contextualise this with a literature overview. Clinical case A 39-year-old woman of 40 weeks’ gestation presented to her local Emergency Department with symptoms and serology classically associated with HELLP syndrome. However, she clinically deteriorated and developed a ruptured subcapsular haematoma…

Use of antidepressants among Finnish family caregivers : a nationwide register-based study

2021

Abstract Purpose The purpose of this study was to compare the use of antidepressants over 6 years between family caregivers providing high-intensity care and a matched control population using register-based data. Methods The study includes all individuals, who received family caregiver’s allowance in Finland in 2012 (n = 29,846 females, mean age 66 years; n = 12,410 males, mean age 71 years) and a control population matched for age, sex, and municipality of residence (n = 59,141 females; n = 24,477 males). Information on purchases of antidepressants, including the number of defined daily doses (DDD) purchased, between 2012 and 2017 was obtained from the national drugs reimbursement registe…

HUMAN MILK IS NOT “MERELY NUTRITIOUS”: HOW ITS BIOACTIVE ROLE CAN INFLUENCE CHILD HEALTH

2021

Maternal milk represents the best food for the newborn, providing specific physiologic advantages over the other sources of nutrition. It also contains many hundreds to thousands of bioactive molecules that protect against infection (i.e. IgA), inflammation (i.e. 5-methylthioadenosine) and contribute to eliciting strong immune responses in breastfed children (i.e. allergens or viral antigens). Quality and quantity of breast milk components may influence the development of infant body composition in the first years of life; in particular, it has been shown that a different composition of human oligosaccharides (HMOs) in overweight/obese women’s human milk can be correlated with her offspring…

Sedimentary Ancient DNA (sedaDNA) Reveals Fungal Diversity and Environmental Drivers of Community Changes throughout the Holocene in the Present Bore…

2021

Fungi are ecologically important in several ecosystem processes, yet their community composition, ecophysiological roles, and responses to changing environmental factors in historical sediments are rarely studied. Here we explored ancient fungal DNA from lake Lielais Svētiņu sediment throughout the Holocene (10.5 kyr) using the ITS metabarcoding approach. Our data revealed diverse fungal taxa and smooth community changes during most of the Holocene with rapid changes occurring in the last few millennia. More precisely, plankton parasitic fungi became more diverse from the Late Holocene (2–4 kyr) which could be related to a shift towards a cooler climate. The Latest Holocene (~2 kyr) showed …

Pulse Oximetry as a Diagnostic Tool to Determine Pulp Vitality: A Systematic Review

2021

Pulse oximetry (PO) can be used as a technique to assess vascularization. Although it is commonly used in the field of medicine, it still has limited use in dentistry. The aim of this study is to evaluate, by means of a systematic review, if pulse oximetry is a viable and effective system to determine pulp vitality and assess the clinical criteria for its use. A literature search was performed in Medline, Scopus, Embase, and Web of Science databases. Clinical studies using pulse oximetry as a tool to determine pulp vitality in permanent teeth were eligible. Quality assessment of the included studies was performed following the Quality Assessment for Diagnostic Accuracy Studies (QUADAS-2) gu…

New palaeoecological approaches to interpret climatic fluctuations in Holocene sites of the Pampean region of Argentina

2021

The apparently regular and favourable climate that characterizes the Holocene as an interglacial period shows, however, important climatic instability well documented in the Northern Hemisphere. These fluctuations from colder to warmer or wetter to drier affected both biodiversity and human societies in the last 12,000 years, although the impact in Southern America is still poorly known. We are here investigating the biodiversity of small mammal faunas, more sensitive to climatic changes than large mammals, combining taphonomic and palaeoecological data in the Argentine Pampas to better understand the global nature and effect of these Holocene climatic fluctuations. This paper is pioneering…

Evaluation of deep learning algorithms for national scale landslide susceptibility mapping of Iran

2021

The identification of landslide-prone areas is an essential step in landslide hazard assessment and mitigation of landslide-related losses. In this study, we applied two novel deep learning algorithms, the recurrent neural network (RNN) and convolutional neural network (CNN), for national-scale landslide susceptibility mapping of Iran. We prepared a dataset comprising 4069 historical landslide locations and 11 conditioning factors (altitude, slope degree, profile curvature, distance to river, aspect, plan curvature, distance to road, distance to fault, rainfall, geology and land-sue) to construct a geospatial database and divided the data into the training and the testing dataset. We then d…

Widespread Pain Hypersensitivity and Lumbopelvic Impairments in Women Diagnosed with Endometriosis.

2021

Abstract Objective To explore hypersensitivity to pain and musculoskeletal impairments in the lumbopelvic area in women with and without endometriosis. Methods This cross-sectional study included 66 women (41 women with endometriosis and 25 healthy women). Pain and related catastrophizing thoughts were assessed through a numeric rating scale, pressure pain thresholds (PPTs), the slump test, and the Pain Catastrophizing Scale. Lumbopelvic muscles were evaluated through ultrasound imaging, flexor/extensor resistance tests, and the lumbopelvic stability test. Results Women with endometriosis showed increased self-reported intensity of current pelvic pain (CuPP), reduced local PPTs (42.8–64.7% …

Alterations in Tau Protein Level and Phosphorylation State in the Brain of the Autistic-Like Rats Induced by Prenatal Exposure to Valproic Acid

2021

Autism spectrum disorder (ASD) is a neurodevelopmental condition characterized by deficient social interaction and communication besides repetitive, stereotyped behaviours. A characteristic feature of ASD is altered dendritic spine density and morphology associated with synaptic plasticity disturbances. Since microtubules (MTs) regulate dendritic spine morphology and play an important role in spine development and plasticity the aim of the present study was to investigate the alterations in the content of neuronal α/β-tubulin and Tau protein level as well as phosphorylation state in the valproic acid (VPA)-induced rat model of autism. Our results indicated that maternal exposure to VPA indu…

Modern Aspects in the Diagnosis and Surgical Treatment of Breast Cancer in Early Stages

2021

Abstract Breast cancer is the most common cancer in women and a major public health problem, affecting 2.1 million women each year globally and causing the highest number of cancer-related deaths among women. In 2018, an estimated 627,000 women died from breast cancer (about 15% of all cancer deaths among women). To improve survival, early detection is essential. There are two strategies for early detection of breast cancer: early diagnosis and screening.(1) In Romania, the latest statistics show a higher incidence of breast cancer compared to the European average of 7929 new cases / year with a mortality of 3101 deaths / year.(2)

Shared DNA methylation signatures in childhood allergy: The MeDALL study

2021

Contains fulltext : 232514.pdf (Publisher’s version ) (Open Access) BACKGROUND: Differential DNA methylation associated with allergy might provide novel insights into the shared or unique etiology of asthma, rhinitis, and eczema. OBJECTIVE: We sought to identify DNA methylation profiles associated with childhood allergy. METHODS: Within the European Mechanisms of the Development of Allergy (MeDALL) consortium, we performed an epigenome-wide association study of whole blood DNA methylation by using a cross-sectional design. Allergy was defined as having symptoms from at least 1 allergic disease (asthma, rhinitis, or eczema) and positive serum-specific IgE to common aeroallergens. The discove…

Contrasting biogeographical patterns in Margarella (Gastropoda: Calliostomatidae: Margarellinae) across the Antarctic Polar Front

2021

International audience; Members of the trochoidean genus Margarella (Calliostomatidae) are broadly distributed across Antarctic and sub-Antarctic ecosystems. Here we used novel mitochondrial and nuclear gene sequences to clarify species boundaries and phylogenetic relationships among seven nominal species distributed on either side of the Antarctic Polar Front (APF). Molecular reconstructions and species-delimitation analyses recognized only four species: M. antarctica (the Antarctic Peninsula), M. achilles (endemic to South Georgia), M. steineni (South Georgia and Crozet Island) and the morphologically variable M. violacea (=M. expansa, M. porcellana and M. pruinosa), with populations in s…

Pediatric routine vaccinations in the COVID 19 lockdown period: the survey of the Italian Pediatric Society

2021

Abstract Background COVID-19 pandemic was responsible for disrupting routine immunization activities all over the world. Aim of the study was to investigate the reduced adherence to the national children vaccination schedule during the lockdown period in Italy. Materials and methods Through social channels, the Italian Pediatric Society conducted a survey among Italian families on children vaccination during lockdown period. Results In the study period, 1474 responders were collected. More than one third (34%) of them skipped the vaccine appointment as they were afraid of SARS-CoV-2-virus (44%), vaccination services postponed the appointment (42%) or was closed to public (13%). Discussion R…

Latvijas Universitātes Muzeja sekcija "Zinātņu vēsture un muzeoloģija": referātu tēžu krājums

2021

Collection of abstracts of the 80th International Scientific Conference section "History of Science and Museology". The work of the section was organized by the Museum of the University of Latvia in three sessions: “History of the University of Latvia. Personalities and Events ”, “The Student Karzer Phenomenon in the Context of the History of European Universities” and “Discovering Nature” and took place online in March 2022.

HYDROTHERMAL LIQUEFACTION OF WASTE BIOMASS FOR THE PRODUCTION OF FUELS

2021

Therapeutic strategies for severe COVID-19: a position paper from the Italian Society of Infectious and Tropical Diseases (SIMIT)

2021

Abstract Scope Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has become pandemic, reaching almost one million death worldwide. At present standard treatment for coronavirus disease 2019 (COVID-19) is not well defined because the evidence, either from randomized or observational studies, with conflicting results, has led to rapid changes in treatment guidelines. Our aim was to narratively summarize the available literature on the management of COVID-19 in order to combine current evidence and interpretation of the data by experts who are treating patients in the frontline setting. Methods The panel conducted a detailed review of the literature and eventual press rele…

Giant deep lobe parotid tumor removal via total parotidectomy without mandibulotomy. A simple and safe technique

2021

The transmandibular route is often combined with the transparotid-transcervical approach when extensive surgical field exposure is required, as in the case of deep parotid lobe tumors measuring over 4 cm in size. This procedure implies great morbidity and prolongs surgery time. Furthermore, in cases where additional lip division is performed, the aesthetic outcomes may be poorer. A description is made of the technique used for the removal of giant pleomorphic adenomas of the parapharyngeal space, without mandibulotomy. Key words:Parapharyngeal space tumor, pleomorphic adenoma, transcervical-transparotid approach, transmandibular approach.

Gender differences in theory-based predictors of physical activity in university students with disabilities

2021

Abstract University students with disabilities engage in physical activity to a lesser extent than their able-bodied peers, with women reporting less physical activity than men. The present study aimed to examine gender differences in theory-based predictors of physical activity in this population. Spanish university students with different disabilities (n = 1076) completed measures of the Theory of Planned Behaviour constructs and the reduced Spanish version of the Barriers to Physical Activity Questionnaire for People with Mobility Impairments. Self-efficacy and controllability were significantly lower in women and gender differences on the barriers predicting controllability were obtaine…

A randomised, placebo-controlled phase 3 study to evaluate the efficacy and safety of ASP0113, a DNA-based CMV vaccine, in seropositive allogeneic ha…

2021

BACKGROUND: Cytomegalovirus (CMV) is a complication of allogeneic haematopoietic cell transplantation (allo-HCT). ASP0113, a DNA-based vaccine, contains two plasmids encoding human CMV glycoprotein B and phosphoprotein 65 (pp65). We assessed ASP0113 in CMV-seropositive allo-HCT recipients. METHODS: In this phase 3, randomised, placebo-controlled study, CMV-seropositive allo-HCT recipients were randomly assigned (1:1) via interactive response technology to receive five injections of 1 mL of 5 mg/mL ASP0113 or placebo. The pharmacist and designated staff were unblinded. Masked syringes maintained the blind for patients and study personnel. Efficacy and safety analyses included patients who re…

The influence of oversizing on maintenance cost in wastewater treatment plants

2021

Abstract Management of Wastewater Treatment Plants (WWTPs) is a complex process, not only from a technical point of view but also from an economic point of view. There are several factors that influence the wastewater treatment process and can cause an increase in management costs. One of these factors is the treatment capacity, in particular the WWTPs’ oversizing problem. The difference between the design population equivalent (p.e.) and the actual p.e. treated generates imbalances in the wastewater treatment process costs. This paper analyses the influence that oversizing has on the maintenance costs for WWTPs in the Valencia region (Spain). Through an econometric approach, the behaviour …

Italy's Island Systems: Competitiveness in the Mediterranean Context

2021

From ancient times, the Mediterranean basin has connected peoples from different countries, facilitating both commercial and cultural exchanges. Within the Mediterranean basin, both large and small islands have always been transit and temporary stopping places, thereby promoting trade and acting as sorting centers for goods and knowledge. Today, these territories, which differ in size, population and economic and cultural activities, are the core of new exchanges and activities, among which tourism stands out. The Mediterranean basin has more than 100 islands belonging to six states that are members of the European Union (EU). However, despite the diversity and uniqueness of each island, th…

Abdominal splenosis and its differential diagnoses: What the radiologist needs to know

2021

Abstract Splenosis is a benign acquired condition characterized by the presence of heterotopic viable splenic tissue in other organs or within cavities such as peritoneum, retroperitoneum, or thorax after splenic trauma or surgery. Abdominal splenosis is often an incidental finding and computed tomography and magnetic resonance usually allow a confident diagnosis. The typical enhancement that parallels the spleen is a useful hallmark of splenosis. Splenic implants lack contrast uptake in the hepatobiliary phase and show high signal at high b-values on diffusion-weighted images. In some cases splenosis may mimic malignant and benign conditions in the peritoneum as well as in hollow and paren…

Differences and Similarities in Neuropathy in Type 1 and 2 Diabetes: A Systematic Review

2021

Background: Diabetic neuropathy is defined as the dysfunction of the peripheral nervous system in diabetic patients. It is considered a microvascular complication of diabetes mellitus. Its presence is associated with increased morbidity and mortality. Although several studies have found alterations at somatic motor, sensory levels and at the level of autonomic nervous system in diabetic patients, there is not a systematic approach regarding the differences in neuropathy between the major variants of diabetes, e.g., type 1 and 2 diabetes at both neurological and molecular level. Data sources: we systematically (Medline, Scopus, and Cochrane databases) evaluated the literature related to the …

Jóvenes y uso problemático de las tecnologías durante la pandemia: una preocupación familiar

2021

espanolLa situacion de confinamiento, derivada de la pandemia mundial por la COVID-19, ha supuesto un cambio drastico en nuestras conductas en las diferentes esferas de nuestra vida. Asi, el desempeno de las actividades laborales, el afrontamiento de las responsabilidades academicas y la ocupacion del tiempo de ocio se han visto condicionadas por una limitacion de la movilidad y una mayor permanencia en el hogar. El confinamiento se ha vinculado a un mayor consumo de tecnologia en sus diferentes formatos, generando una preocupacion en el entorno familiar por un uso excesivo de ellas, asi como de las posibles consecuencias que podrian derivarse. Bajo esta perspectiva, el presente estudio pre…

Quantifying the evolution of animal dairy intake in humans using calcium isotopes

2021

International audience; The contribution of dairy products to modern human diets has a debated role in the expansion of Neolithic economies and the dynamics of demographic transitions. While current methods allow discussing dairy production and processing, no approach allows reconstructing quantitatively its effective consumption. Calcium isotopes (δ44/42Ca) potentially represent such a marker due to the abundance of isotopically fractionated Ca in dairy products. Here, we test Ca isotope sensitivity to dietary intake of dairy product: we first used a dietary model based on a compilation of available data of dietary Ca sources; we then compared the modelled outputs to available and newly ac…

A PDCD1 Role in the Genetic Predisposition to NAFLD-HCC?

2021

Obesity and non-alcoholic fatty liver disease (NAFLD) are contributing to the global rise in deaths from hepatocellular carcinoma (HCC). The pathogenesis of NAFLD-HCC is not well understood. The severity of hepatic steatosis, steatohepatitis and fibrosis are key pathogenic mechanisms, but animal studies suggest altered immune responses are also involved. Genetic studies have so far highlighted a major role of gene variants promoting fat deposition in the liver (PNPLA3 rs738409

Bipolar disorder: An evolutionary psychoneuroimmunological approach

2021

Abstract Bipolar disorder is a mental health disorder characterized by extreme shifts in mood, high suicide rate, sleep problems, and dysfunction of psychological traits like self-esteem (feeling inferior when depressed and superior when manic). Bipolar disorder is rare among populations that have not adopted contemporary Western lifestyles, which supports the hypothesis that bipolar disorder results from a mismatch between Homo sapiens’s evolutionary and current environments. Recent studies have connected bipolar disorder with low-grade inflammation, the malfunctioning of the internal clock, and the resulting sleep disturbances. Stress is often a triggering factor for mania and sleep probl…

Changes in Salivary Amylase and Glucose in Diabetes: A Scoping Review

2021

Background and Objective: Diabetes mellitus (DM) is a common long-term disease which can be related with salivary amylase levels. DM has recently been associated with salivary amylase diagnostics that could further impair diagnoses in the diabetic population, as well as being an interesting alternative to traditional methods of determine glucose levels. The main advantage of this method is related to the fact that it is a fast diagnostic method. The DM population experiences changes to their metabolism which affects their salivary parameters, making this an alternative procedure for diagnosis and follow-up of the illness due to the non-invasive nature of salivary analyzes. The objective of …

Maximising resource recovery from wastewater grown microalgae and primary sludge in an anaerobic membrane co-digestion pilot plant coupled to a compo…

2021

[EN] A pilot-scale microalgae (Chlorella spp.) and primary sludge anaerobic co-digestion (ACoD) plant was run for one year in an anaerobic membrane bioreactor (AnMBR) at 35 °C, 70 d solids retention time and 30 d hydraulic retention time, showing high stability in terms of pH and VFA concentration. The plant achieved a high degree of microalgae and primary sludge substrate degradation, resulting in a methane yield of 370 mLCH4·gVSinf¿1. Nutrient-rich effluent streams (685 mgN·L¿1 and 145 mgP·L¿1 in digestate and 395 mgNH4-N·L¿1 and 37 mgPO4-P·L¿1 in permeate) were obtained, allowing posterior nutrient recovery. Ammonium was recovered from the permeate as ammonia sulphate through a hydrophob…

Creating Learning Environments Free of Violence in Special Education through the Dialogic Model of Prevention and Resolution of Conflicts

2021

Violence suffered by children is a violation of human rights and a global health problem. Children with disabilities are especially vulnerable to violence in the school environment, which has a negative impact on their well-being and health. Students with disabilities educated in special schools have, in addition, more reduced experiences of interaction that may reduce both their opportunities for learning and for building protective social networks of support. This study analyses the transference of evidence-based actions to prevent violence in schools –the Dialogic Model of Prevention and Resolution of Conflicts (DMPRC)– in the context of a special school, and its impact on the reduction …

Treatment of multiple myeloma-related bone disease

2021

In this Policy Review, the Bone Working Group of the International Myeloma Working Group updates its clinical practice recommendations for the management of multiple myeloma-related bone disease. After assessing the available literature and grading recommendations using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) method, experts from the working group recommend zoledronic acid as the preferred bone-targeted agent for patients with newly diagnosed multiple myeloma, with or without multiple myeloma-related bone disease. Once patients achieve a very good partial response or better, after receiving monthly zoledronic acid for at least 12 months, the treating…

CT-Determined Maximum Pulmonary Artery to Ascending Aorta Diameter Ratio in Nonsevere COVID-19 Patients

2021

Covid-19, documento SIAARTI e gerarchie di cura: cambiamenti e comportamenti sanitari in Italia

2021

In periodi segnati da pandemie sanitarie e crisi economiche profonde, l’incertezza rende ansiosi, influenzando comportamenti singoli, collettivi. Il Covid-19 ha già provocato e comporterà una serie di mutamenti che in Italia toccano diversi aspetti e tra questi sicuramente si annovera il principio della cura, per cui l’uso delle risorse e le politiche sanitarie necessitano di un processo di analisi e approfondimento ad oggi non maturo. L’articolo pone sotto i riflettori un tema lasciato nell’ombra: il diritto alla cura e il principio di gerarchia che è stato applicato durante la pandemia (1). Pietra miliare è il documento della Società Italiana di Anestesia, Analgesia, Rianimazione e Terapi…

Precision physics with inclusive QCD processes

2021

The inclusive production of hadrons through electroweak currents can be rigorously analysed with short-distance theoretical tools. The associated observables are insensitive to the involved infrared behaviour of the strong interaction, allowing for very precise tests of Quantum Chromodynamics. The theoretical predictions for $\sigma(e^+e^-\to\mathrm{hadrons})$ and the hadronic decay widths of the $\tau$ lepton and the $Z$, $W$ and Higgs bosons have reached an impressive accuracy of $\mathcal{O}(\alpha_s^4)$. Precise experimental measurements of the $Z$ and $\tau$ hadronic widths have made possible the accurate determination of the strong coupling at two very different energy scales, providi…