Repository Of Information Research Articles

Short-term Complications for Proximal Humerus Fracture Surgery Have Decreased: An Analysis of the National Surgical Quality Improvement Program Database.

Multiple surgical treatments exist for proximal humerus fractures (PHFs), but current practice patterns and short-term complication profiles remain poorly understood. This is in part due to changes in treatment paradigms over the past decade. A more thorough understanding of the evolution in management over this time as well as an appreciation of the preoperative factors associated with both the chosen surgical modality and short-term complications will help inform future surgical considerations. In this study, we sought to: (1) characterize trends in the surgical management of PHFs over time, including usage rates of various surgical modalities and changes in complication rates; (2) identify preoperative variables associated with the selection of surgical modality; and (3) assess the independent covariates of acute 30-day complications, including demographic variables, injury characteristics, and treatment type. The National Surgical Quality Improvement Program (NSQIP) database was queried using Current Procedural Terminology and ICD-9 and ICD-10 codes to identify individuals with PHF undergoing open reduction and internal fixation (ORIF), hemiarthroplasty (HA), or reverse total shoulder arthroplasty (RTSA) from 2007 to 2018. The NSQIP database was utilized because of its collection of detailed preoperative demographic information and large repository of clinically derived data, which is felt to be more accurate than claims or administrative data. In total, 5889 patients with PHFs met the inclusion criteria. Patients 17 years or older were included. Patients with isolated greater tuberosity, humeral shaft, and distal humerus fractures; nonunions; malunions; and those undergoing revision procedures were excluded. A Cochran-Armitage test was used to evaluate surgical trends over time. Multivariable logistic regression models were created to identify covariates associated with surgical modality and complications. Although complications were either classified as major or minor, specific complications were also individually analyzed to avoid potentially misleading conclusions associated with pooling. The proportion of patients with PHFs undergoing RTSA (4% in 2007 and 34% in 2018; p < 0.001) and ORIF (46% in 2007 and 57% in 2018; p < 0.001) increased over time, and the proportion of those undergoing HA (50% in 2007 and 9% in 2018; p < 0.001) decreased. Across each surgical modality, minor complication rates decreased over time (RTSA: 10% in 2018; p < 0.001; ORIF: 5% in 2018; p = 0.01; and HA: 6% in 2018; p = 0.01). After controlling for confounding variables like diabetes, chronic obstructive pulmonary disease, congestive heart failure, dialysis, and preoperative blood transfusion, the following factors were independently associated with an increased odds of a patient undergoing RTSA rather than HA: older age, higher BMI, independent functional status, and smoking. The following factors were independently associated with a decreased odds of a patient undergoing ORIF rather than RTSA and HA: older age, higher BMI, higher American Society of Anesthesiologists (ASA) classification, smoking, steroid/immunosuppressant use, as well as three- and four-part fractures. After controlling for age, ASA classification, functional status, and preoperative blood transfusion, we also found that in the latter part of the study period, arthroplasty (RTSA and HA) was no longer independently associated with 30-day major or minor complications compared with ORIF. The increasing utilization of RTSA and decreasing short-term complication rates for fixation and arthroplasty alike represent a substantial change compared even with recent historic norms in the management of proximal humerus fractures. Quantifying demographics, injury characteristics, and comorbidities associated with both the choice of surgical modality and complications serves as the groundwork for decision support tools, which can inform patients and surgeons of the probability of a particular surgical modality being chosen and the risk of complications, based on national benchmarks. Future studies should investigate longer term complication rates, as many differences between the approaches being compared might occur beyond the perioperative period and our study had no means to address questions about complications beyond that period, but obviously those must be considered when choosing a treatment for patients with these injuries. Future work might also investigate the mechanisms behind the decreasing rates of short-term complications. Level III, therapeutic study.

Implementation of the infection control estimate: A case study on the use of a newly developed digital tool for outbreak management in the acute setting.

An Infection Control Estimate (ICE) Tool was developed based on a previously published concept of applying military planning techniques to Infection Prevention and Control (IPC) management strategies in the acute healthcare setting. Initial testing of the outbreak management tool was undertaken in a large acute hospital in the North-West of England during a localised outbreak of COVID-19. The tool, developed using Microsoft Excel, was completed by trained IPC practitioners in real-time to log outbreak details, assign and manage meeting actions and to generate surveillance data. The ICE tool was utilised across five outbreak control meetings to identify and allocate tasks to members of the outbreak control team and to monitor progress. Within the meetings, the tool was used primarily by the trained IPC Specialist Nurses who were guided by and entered data into the relevant sections. Feedback indicated that the tool was easy to use and useful as the sole repository of outbreak information and data. Suggested improvements following the testing period were made and additional functionality was added. Utilisation of the ICE tool has the potential to improve our understanding of the efficacy of currently employed outbreak management interventions and provides a cognitive support and targeted education for teams responsible for the management of outbreaks. It is hoped that by guiding teams through an outbreak with prompts and guidance, as well as facilitating collection and presentation of surveillance data, outbreaks will be resolved sooner and risks to patients will be reduced.

Study on Quality Efficiency for Bim-Based Construction Projects

The Fourth Industrial Revolution (IR 4.0) has recently compelled the construction sector to employ Building Information Modelling (BIM) as a central repository for digital project information. BIM has thus become a major influence in the Architecture, Engineering, and Construction industries (AEC). Although BIM improves design quality by minimising disputes and decreasing rework, there is limited study on applying it throughout a project for quality control and effective information use. Thus, this paper explores and discusses the quality efficiency of BIM-based construction projects. There were 206 questionnaires distributed to government agencies/clients, consultants, and contractors. Quantitative data analysis was conducted using Statistical Package for Social Science (SPSS). Consequently, twenty-seven (27) attributes of quality efficiency of BIM-based construction projects were deemed the determining factor by the three research groups (Government, consultant, and contractor). The research result was to help BIM-based construction project players, especially government agencies/clients, contractors, and consultants, by giving a roadmap to be BIM-compliant and seeing the adoption process to attain BIM level 3 (full integration) for the Malaysian construction sector.

Promoting computationally reproducible research in applied linguistics: Recommended practices and considerations

Reproducible research is an important topic that has been discussed in many fields, including applied linguistics. It helps researchers to verify findings through attempts to re-create the numeric results reported in the original studies. Researchers can then evaluate the extent to which the analysis code is accurate, the statistical values are correctly reported, and errors in these aspects of the study influence the findings. Building on and extending recommended open science research practices, we describe and demonstrate how reproducible research can be further promoted and practiced from three methodological perspectives. First, we describe advantages of sharing supplementary information in online repositories, with a particular focus on IRIS (Instrument for Research Into Second Language Learning and Teaching) and OSF (Open Science Framework). Second, we consider ways to present such information in a reproducible manner by encouraging the use of R and R Markdown, a container, and a online platform. Finally, we focus on using simulated data created from the original data, which can be particularly useful when original data cannot be shared due to various reasons. Through these recommendations and considerations, we intend to enable readers to better understand how they can apply such practices to their own research context and eventually how these practices can advance the broader applied linguistics community.

A web-based review of global health programs in U.S. allopathic and osteopathic medical schools

Purpose There is no current centralized database of structured global health programs at U.S. medical schools and no published review in the past decade. This study aims to describe the prevalence, characteristics, and requirements of non-degree, longitudinal, structured global health programs in U.S. allopathic and osteopathic medical schools. Materials and methods In July 2021, the authors performed a web-based review of existing structured global health programs for the 154 U.S. allopathic medical schools and 35 U.S. osteopathic medical schools established prior to 2019. Results Of 189 institutions examined, 74 (39%) had online information about a structured global health program. Forty-three (53%) programs reported coursework requirements, 44 (54%) required a global health experience, and one program required demonstration of language or cultural knowledge. More internally administered programs required experiential work, while more externally administered programs required didactic work. There were few differences in program requirements between allopathic and osteopathic medical schools. Conclusions There has been a 75% increase over the past ten years in the number of U.S. allopathic medical schools with websites for structured global health programs. There appeared to be little standardization in their structure and requirements. The findings support the need for a web-based central repository for updated information regarding medical school global health curricula.

Exploring the Transient Microbe Population on Citrus Butterfly Wings.

ABSTRACTMicrobes carve out dwelling niches in unusual environments. Insects, in general, have been hosts to microbes in different ways. Some insects incorporate microbes as endosymbionts that help with metabolic functions, while some vector pathogenic microbes that cause serious plant and animal diseases, including humans. Microbes isolated from insect sources have been beneficial and a huge information repository. The fascinating and evolutionarily successful insect community has survived mass extinctions as a result of their unique biological traits. Wings have been one of the most important factors contributing to the evolutionary success of insects. In the current study, wings of Papilio polytes, a citrus butterfly, were investigated for the presence of ecologically significant microbes within hours of eclosing under aseptic conditions. Scanning electron microscopy (SEM) revealed the presence of bacteria dwelling in crevices created by a specific arrangement of scales on the butterfly wing. A total of 38 bacterial isolates were obtained from the patched wings of the citrus butterfly, and Bacillus spp. were predominant among them. We probed the occurrence of these microbes to assess their significance to the insect. Many of the isolates displayed antibacterial, antifungal, and biosurfactant properties. Interestingly, one of the isolates displayed entomopathogenic potential toward the notorious agricultural pest mealybug. All the wing isolates were seen to cluster together consistently in a phylogenetic analysis, except for one isolate of Bacillus zhangzhouensis (Papilio polytes isolate [Pp] no. 28), suggesting they are distinct strains.IMPORTANCE This is a first study reporting the presence of culturable microbes on an unusual ecological niche such as butterfly wings. Our findings also establish that microbes inhabit these niches before the butterfly has contact with the environment. The findings in this report have opened up a new area of research which will not only help understand the microbiome of insect wings but might prove beneficial in other specialized studies.

The Riverine Archive: Nausea and information loss on the neoliberal ship of fools

Within academia, as in other corporatized environments, there are irreconcilable tensions embedded in the managerial data imaginary, in contrast to the messy reality of lived experience and increasingly precarious working conditions for those at the coalface of Higher Education. Combined with student debt and escalating surveillance via so-called ‘artificially intelligent’ transactional data analysis, fantasies of control and domination converge on platitudes about Big Data and computational information, often presented as unambiguously neutral via idealized visualizations and ‘dashboards’ such as those commonly provided by Tableau and Google. As a structure, the digital archive is no different, open to fantasies of secure representation but, in fact, always unstable, subject to the materiality and flux of electronic, symbolic and social processes. As academics exposed to intensified metricization within increasingly data driven institutions, how can we counter the reduction of our qualitative research and experience to dashboards and scores? Drawing upon the work of Fleming’s Dark Academia: How Universities Die (2021), Poster’s The Mode of Information (1990), Cascella’s En Abime: Listening, Reading, Writing: An Archival Fiction (2012) and Bayne et al.’s The Manifesto for Teaching Online (2020) among others, and focusing on work developed by the authors from 2008 onwards, they discuss their contingent, often nauseating virtual reality information repository, the Riverine Archive, developed to hold and withhold information about their writing and art within the ugly hulk of what they define as a ‘neoliberal ship of fools’. The work seeks to offer a counter to prevailing platitudes and fantasies about the neutrality and realism of data to directly represent a stable, singular reality. The authors concur that information is not beautiful, but rather a fallacy of stability, servicing a rapacious, anti-academic neoliberal ideology that needs to be brought to the surface and subjected to honest discourse, away from hype and managerial wishful thinking. Truth and beauty cannot be framed as stable, monolithic or universal; to do so is to replicate a colonial projection of knowledge, a mono-logic, centring all truth upon the Global North.

Sahitya Akademi Award Winning ‘Gopalla Gramam’ - An Information Repository

The purpose of this article is to explore the disappearing uniqueness in Rajanarayana's Sahitya Academy Award-winning novel Gopalla Gramam. It is said to be a novel. But there is no complete storytelling in this novel that is unique to a novel. So no specific characters were found. There is no continuous sequel in the storytelling process. However, it has acquired the unique status that a novel deserves. A lot of people exist in this. A lot of incidents do happen. The novel is considered to be a wonderful work that contains a lot of information and traces of time. The characters in this novel have every kind of relevance. The novel also explores the lifestyles and customs of different types of people, both socially and individually. It has also recorded social issues. Many colloquialisms that have been in circulation at that time are recorded. On the whole, the purpose of this article is to explore the availability of Ki Ra’s ‘Gopalla Gramam’ as an information repository.

Plenary: Recombinant Scholarly Publishing: Challenges, Trends, and Emerging Strategies

SPEAKERS: Lisa Janicke Hinchliffe Professor and Coordinator, Information Literacy Services Affiliate Professor, School of Information Sciences and Center for Global Studies University of Illinois at Urbana-Champaign Roger C Schonfeld Vice President Organizational Strategy and Libraries, Scholarly Communication, and Museums Ithaka S+R REPORTER: Peter J Olson JAMA Network If you’re a member of CSE, you may be familiar with The Scholarly Kitchen,1 the official blog of the Society for Scholarly Publishing, which has established itself as a rich repository of information and an open forum for dynamic discourse that promotes collaborative, educational encounters among scholarly publishing professionals. Among the Scholarly Kitchen’s many designated “chefs” (i.e., regular writers) are Lisa Janicke Hinchliffe and Roger Schonfeld, both of whom possess a uniquely comprehensive, global perspective spanning the fields of scholarly publishing, scientific research, communication, academic libraries, and higher education. As joint plenary speakers at the 2022 CSE Annual Meeting in Phoenix, Arizona, Hinchliffe and Schonfeld shared their insights and observations about several recent trends and trajectories they’ve identified in the scholarly publishing industry. Hinchliffe began the tandem talk by framing it within the concept of future thinking—the goal of which is not necessarily to predict the future, but rather to engage in strategic dialogue and raise informed, enterprising questions that will serve to sculpt the world in which we eventually live. Doing so, she said, illuminates the policies and strategies that factor into a desirable future, with the caveat that a desirable future for one party may be unappealing to another. In […]

Heart Disease Prediction Using Machine Learning

Healthcare field features has immense quantity of information, for process those information bound techniques are used. Data processing is one in every of the techniques typically used. Cardiovascular disease is the major reason behind death world-wide. This technique predicts the arising prospects of Heart-Disease. However, it remains tough for clinicians to predict heart disease because it could be a complicated and expensive task. Hence, we tend to projected a medical web for predicting cardiovascular disease to assist clinicians with diagnostic and build higher selections. The end result of this technique provides whether or not the user features a heart disease or doesn't have a cardiovascular disease. The datasets are classified in terms of medical parameters. The aim of this project is to predict heart disease using data processing techniques and machine learning algorithms. This project implements five classification models scikit-learn: Logistic Regression, Support Vector Classifier, k-Nearest Neighbours, Neural Network and Random Forest Model to analyse their performance on heart information sets obtained from the UCI information repository and from Kaggle.com. The framework that may be accustomed build the project is Django.

DIGITALISATION OF LIBRARIES (DIGITAL LIBRARIES) AND ITS SCOPE

In comparison to traditional libraries, digital libraries provide efficient and qualitative services by collecting, organizing, storing, disseminating, retrieving and preserving the information. Digital libraries support preservation besides making information retrieval and delivery more comfortable. It provides online access to historical and cultural documents whose existence is endangered due to physical decay. The major areas which offer digital libraries great exploitation are: Information retrieval, multimedia database, data mining, data warehouse, on-line information repositories, image processing, hypertext, World Wide Web and Wide Area Information Services (WAIS). Digital libraries necessarily include a strong focus on the management of digital content, just as traditional libraries have focused for long on the management of content in physical forms. Most of the digital content that is being managed includes human language, either in the form of character-coded electronic text, scanned versions of printed or handwritten text, or digital representations of human speech. Language technology therefore plays a major role in managing digital content. This comes as no surprise, of course. Digital libraries today make good use of what we know about searching large collections, and techniques such as machine-assisted indexing are employed increasingly often as we strive to extend our reach to progressively larger collections. But we are on the verge of a new era, one in which our machines will learn from what we do and then apply those capabilities to enable the management of digital content at a far larger scale than we could ever hope to do ourselves. Few advantages of digital libraries according to Haddouti are:User can access the information anywhere Reduces bureaucracy by providing access to the information The information is not necessarily located in same place Understanding the catalogue structure is not necessary Cross references to other documents speed up the work of users Full text search Protected information source Wide exploration and exploitation of the information The knowledge dissemination is an integral part of the success story of the popularity of creating digital libraries. The aim is to provide universal access to human knowledge, and given the advancement of digital storage and communications this goal is now achievable. KEY WORDS: Digitalization of Libraries, Role of community information centers in digitalization of libraries.

PERANCANGAN USER INTERFACE SISTEM INFORMASI E-REPOSITORY KARYA ILMIAH PADA AKADEMI KEPERAWATAN BAITURRAHMAH PADANG BERBASIS WEB

This study aims to produce a user interface for scientific work repository information systems that are useful for facilitating the Baiturahmah Nursing Academy in searching for scientific work references online. Scientific works are scientific essays that present general facts and are written according to the correct writing methodology and the truth can be proven, the opinions in scientific works are always accompanied by supporting evidence, for that the process of storing scientific works can be arranged in a structured manner. The management of scientific works from the Baiturrahmah Nursing Academy community is currently still manual, the process to access scientific works is done by borrowing directly from the library. The method used in this research is the Waterfall Model System Development Life Cycle (SDLC) and system design tools using the UML model. While the programming language and database design used the PHP programming language and MySQL database. The results of this study are a scientific work repository application that can be accessed online which provides convenience in the process of storing scientific papers, making it easier for the Baiturrahmah Nursing Academy to find references for writing scientific papers.

A guide to avian museomics: Insights gained from resequencing hundreds of avian study skins.

Biological specimens in natural history collections constitute a massive repository of genetic information. Many specimens have been collected in areas in which they no longer exist or in areas where present‐day collecting is not possible. There are also specimens in collections representing populations or species that have gone extinct. Furthermore, species or populations may have been sampled throughout an extensive time period, which is particularly valuable for studies of genetic change through time. With the advent of high‐throughput sequencing, natural history museum resources have become accessible for genomic research. Consequently, these unique resources are increasingly being used across many fields of natural history. In this paper, we summarize our experiences of resequencing hundreds of genomes from historical avian museum specimens. We publish the protocols we have used and discuss the entire workflow from sampling and laboratory procedures, to the bioinformatic processing of historical specimen data.

Continuing Professional Development in Response to COVID-19: Knowledge Mobilization for Occupational Therapy and Physiotherapy via a Curated Web Site.

Once the COVID-19 pandemic was declared, clinicians were redeployed to prepare for increased hospitalizations. This disruption necessitated rapid continuing professional development (CPD) resources for health care providers. This mixed-method study explored the experiences of occupational therapists and physiotherapists who accessed a CPD Web site that provided educational resources related to the pandemic to refresh their clinical knowledge and skills. Faculty from the Michener Institute of Education at the University Health Network and University of Toronto along with 60 collaborators created a Web site to support the need for rapid CPD. An occupational therapist and physiotherapist advisory group informed the evolving design of the occupational therapy and physiotherapy content. In the occupational therapy profession 535 users created an account between April and November 2020 (236 practicing, 283 students, and 16 did not specify) and in the physiotherapy profession 829 created an account (532 practicing, 278 students and 19 did not specify). Each user viewed an average of 53 Web pages. Three themes emerged: (1)To prepare for practice changes, clinicians value a single repository of information; (2) Web site features can either facilitate or hinder access to the needed information; and (3) Participants described diverse learning needs. The Web site design features assisted participants in preparing for redeployment and patient care. Features to encourage self-directed learning, such as the grouping of relevant topics and self-check quizzes, can enhance the user experience.

Individual Inferences in Web-Based Information Environments: How Cognitive Processing Fluency, Information Access, Active Search Behaviors, and Task Competency Affect Metacognitive and Task Judgments

ABSTRACT Online information repositories increasingly serve as memory aids in people’s lives. Access to such information stores, however, can result in false perceived equivalencies between web-based information and personal knowledge, which can in turn influence judgments of oneself, of information search tasks, and of the Internet itself. Cognitive processing fluency, access to reliable web-based information, and actively searching for information are shown in a series of experiments to be associated with judgments related to metacognition and task performance. In the context of online information repositories accessed via web search activities, people are shown to (a) overemphasize the degree to which they find the web to be a ready source of relevant information, (b) overestimate their future task performance and the ease of tasks, and (c) inflate their own perceived cognitive and memory abilities. Results also show that those who are least competent in task completion overestimate their relative performance, whereas the most competent underestimate theirs, and that the availability of web-based information can inflate people’s estimated performance, particularly among the more competent. Collectively, three interrelated studies add considerable new insight regarding the impacts of near-ubiquitous access to contemporary information-saturated environments.

Meet Students Where They Are: Centering Wikipedia in the Classroom

There is a common classroom refrain, “Don’t use Wikipedia; it’s unreliable.” Unfortunately, this simple dismissal of the world’s largest repository of information fails to engage students in a critical conversation about how knowledge within Wikipedia is constructed and shared. Wikipedia is available in almost 300 languages, it is the top result in most Google searches, and it provides free, well-sourced, information to millions of people every day. However, despite these positives, there is uneven geographic, historical, and cultural representation; there are well-known information gaps related to women, gender, and sexual identity; and the majority of Wikipedia editors are white, Western, men. Engaging students in complex conversations about this information source is one way to improve students’ information literacy skills. In 2019 we decided to meet students where they are by developing a two-credit course, Wikipedia and Information Equity, at Oregon State University that centers and critically examines Wikipedia as an information source and as a community of editors co-creating public knowledge. This article shares our experience teaching this two-credit course three times, with the ultimate goal of providing a template and starting point from which other instructors can develop similar courses and curricula about information equity through the lens of Wikipedia.

Concurrent 15. Presentation for: Trusted environmental and geological information to support Australian energy resource development in a changing world

Presented on Wednesday 18 May: Session 15 The Australian Government’s Trusted Environmental and Geological Information (TEGI) program is a scientific program led by Geoscience Australia. The program is part of the Government’s Strategic Basin Initiative under its Gas-fired Recovery agenda, implemented as a post-COVID19 response to stimulate the economy. This program will deliver regional geological and environmental assessments underpinned by transparent, trusted baseline geological and environmental data, commencing in the north Bowen and Galilee and the Cooper and Adavale Basins. This repository of information is to be used in support of bringing forward energy and mineral developments in basins identified by the Government as strategic. This paper discusses how coupling resource assessments with baseline information such as groundwater, geology, energy and mineral resources, surface water and protected environmental matters, can be used to support exploration and development decisions by industry, regulators and other stakeholders. For example, by establishing a regional baseline resource assessment, through prospectivity play mapping, environmental assessments can be prioritised to match resource prospectivity. In anticipating future development scenarios, potential impacts on environmental assets, including groundwater, can be assessed in advance and with key knowledge gaps identified for redress. This approach aims to optimise the regulatory pathway to resource development and increase regulatory efficiency as future development opportunities arise across the scope of petroleum, minerals, carbon capture and storage, and hydrogen storage and production. An example of Geoscience Australia’s work on the Adavale Basin is presented in this paper describing the first steps in linking energy resources and environmental assessments in a changing world. To access the presentation click the link on the right. To read the full paper click here

RARE-17. Multi-institutional craniopharyngioma cohort highlights need for more comprehensive data collection on comorbidities and quality of life

BACKGROUND: Pediatric craniopharyngioma is associated with long-term survival, but tumor- and therapy-related complications often negatively impact quality of life (QoL). Standard treatments include resection and radiation, but institutional practices vary and recurrence rates remain high. In this review, we utilized a cohort from the Children’s Brain Tumor Network (CBTN) to evaluate outcomes for craniopharyngioma. METHODS: CBTN provides clinical and genomic data for pediatric patients diagnosed with primary central nervous system tumors across 25+ institutions. We collected data for 124 patients, ages 0-21, diagnosed with craniopharyngioma between 2012-2020. Variables collected included treatment, recurrence/progression, and comorbidities. RESULTS: Excluding patients without confirmed pathologic diagnosis (n=10) or follow-up data (n=39), 75 patients remained. For initial treatment, most (n=46, 61%) received surgery alone (9 partial, 33 near-total resection). Twenty-six (35%) underwent both surgery and radiation, with 9 receiving both therapies upfront and 17 receiving radiation at progression/recurrence. Four (5%) patients received chemotherapy. Over half of the cohort (n=39, 52%) had at least one progression/recurrence, and four died (5%). Significantly higher rates of progression/recurrence (84% vs. 32%, p=4.0e-5) were identified in patients that had surgery and radiation, compared to surgery alone. Time to recurrence, progression, or death was shorter for the surgery and radiation group (HR=4.1, p<1.0e-4), and for those that underwent partial versus near-total resection (HR=2.7, p=0.1.2e-2). Comorbidities were likely underreported, based on low rates of visual (32%), neuroendocrine (27%), and neurologic (28%) deficits at diagnosis, and 29 patients (39%) with unspecified medical history. CONCLUSIONS: CBTN provides a robust repository of information on treatment and survival of craniopharyngioma patients. However, we found a paucity of data on associated comorbidities and QoL outcomes. We advocate that future datasets and clinical trials routinely collect functional outcomes alongside therapy and survival data, particularly in craniopharyngioma where long-term survival is balanced with future QoL.

Educational Inequality before and During the Covid-19 Pandemic in Social and Virtuality

Decades ago, technology was seen as something futuristic, today we are facing a new learning reality: virtuality. This systematic review article aims to determine the importance of providing answers to the existing inequality in many of the homes where a student is found without internet and without technological tools that lead to the new paradigms of learning based on computational means. research, a descriptive systematic review and qualitative approach was used, which is achieved using the methodology of searching for information from the articles, with the Prism method, obtaining the information in the different repositories in which these investigations are deposited, such as Scopus, Scielo, Redaly or World wid Escience. Significant learning shows the relevance and significance of studying educational inequalities and the skills acquired by few students according to their economy.

Purse of medieval silver coins from royal shipwreck revealed by X-ray microscale Computed Tomography (µCT) scanning

We present the archaeological discovery and microscale X-ray Computed Tomography (µCT) scanning of a silver coin purse lost in a medieval shipwreck while the king who issued many of the coins was aboard. The find demonstrates that shipwrecks are extraordinary repositories of historical information, in this case providing insight into one of the most important and dramatic events of medieval Scandinavia. In the summer of 1495, Gribshunden, the flagship of King Hans, ruler of Denmark and Norway, burned and sank in the Baltic Sea en route to a political summit in Sweden. The identified coins in this purse impart direct evidence of Hans’ establishment of new mints to increase the amount of currency in circulation, and his decision not to recall and debase existing coins. These were essential elements of Hans’ comprehensive strategy for consolidating a Nordic political union and constructing a new nation. The recovered coins are too fragile for mechanical separation, but µCT allowed full or partial identification of 82% of the coins in the concreted purse. Our investigations suggest the purse likely was the personal possession of a high-ranking and trusted person in the king’s entourage. Further, the composition of the purse illuminates politics and monetary policy in medieval northern Europe.