Hypothalamic Lipoma: Outcome of an Intracranial Developmental Lesion

Background. Hypothalamic lipomas are benign developmental lesions that tend to be discovered incidentally. This article describes the radiological features, outcome, and the postulated theories behind hypothalamic lipomas development. Methods. The electronic archive of neurosurgery was retrospectively reviewed. All patients with a neuroradiological diagnosis of hypothalamic lipoma, between 2005 and 2020, were included. Results. Out of 246 patients with intracranial lipomas, a total of six patients with hypothalamic lipomas have been identified. On computed tomography images, one of the hypothalamic lipomas demonstrated calcification. On magnetic resonance imaging, peripheral enhancement after contrast administration was noted in one of the lesions. Considering the benign nature of the lesions, neurosurgical intervention was not indicated. Conclusion. The majority of patients with hypothalamic lipomas are asymptomatic and undergo brain imaging for other indications. Although uncommon, such developmental lesions can be identified in the general population, especially with the advancement of neuroimaging techniques.

Moving From Evidence To Decisions in Guidelines: An Analysis of Guidance Documents

Background The process of moving from evidence to decisions (EtD) represents a cornerstone within guideline development methods. Little is known about the processes used by organizations in charge of guideline development and what criteria they consider when formulating recommendations. Objective To identify and describe the processes suggested for the formulation of healthcare recommendations in health care guidelines available in guidance documents. Methods We searched in spring 2020 the Guidelines International Network (G-I-N) website, MEDLINE, and The Cochrane Methodology Register to retrieve guidance documents published in the last decade by organizations dedicated to guideline development. Pairs of researchers independently selected and extracted data about the characteristics of the guidance document, including explicit or implicit recommendation-related criteria and processes considered, as well as the use of frameworks. We conducted both descriptive and bivariate analyses. Results We included 68 guidance documents, published mostly by scientific societies (58%). Most of the organizations reported a system for grading the strength of recommendations (88%), half of them being the GRADE approach. Two out of three guidance documents (66%) proposed the use of a framework to guide the EtD process. We identified 14 recommendation-related criteria. The GRADE Evidence to Decision (GRADE-EtD) framework was the most often reported framework (19 organizations, 42%), whereas 20 organizations (44%) proposed their own multi-criteria frameworks. Using any EtD framework was related with a more comprehensive set of recommendation-related criteria compared to no framework, especially for criteria like values, equity, and acceptability. A similar association was observed between the GRADE-EtD framework and either no framework or another EtD frameworks. Conclusion The use of systematic and structured processes for moving from evidence to decisions is still limited among international organizations. The use of EtD frameworks facilitates the inclusion of relevant recommendation criteria. Among the structured frameworks, the GRADE-EtD framework offers the most comprehensive perspective for evidence-informed decision-making processes. More complete and detailed reporting in the guidance documents is warranted.

Development of Authentic Assessment Instruments Oriented Reading Skills Based Language Literacy through the Scaffolding Model

This research aims to develop an authentic assessment instrument product based on language literacy with a scaffolding model that is oriented towards reading skills. This research method uses research and development methods. The research results show that the preliminary research phase describes the results of curriculum analysis and student analysis. At the product development stage and validation by experts, the percentage of authenticity instrument eligibility consisting of three indicators is 82%. It can be concluded that the instrument is suitable for use in learning activities. The practicality stage given to 20 students in one of the Manyak Payed Public High Schools, Aceh Tamiang District, consisted of four alternative answers, 25% were declared practical. Thus, high school teachers are advised to use the scaffolding model as a solution to improve reading comprehension and language literacy skills.

Agility in Software Development and Project Value

Agile Development Methods, considered as an alternative to the traditional plan-based methods, have received much attention since their inception. These practices have evolved and developed over time, culminating in 2001 with the Agile Manifesto. Since that time, preferred methodologies, implementations, and best practices have continued to evolve with a focus on doing what works best for the individual company or project. However, the concept of agility in software development has remained quite nebulous, lacking in clarity particularly about its underlying dimensions. In this research the authors conceive agility in terms of four distinct dimensions. Drawing from the theoretical perspective of holographic organization, they develop a model explaining how each of these underlying dimensions of agility contributes to project value in software teams. The authors test the model using survey data collected from industry practitioners and discuss findings.

A Practical Exploration of Cybersecurity Faculty Development With Microteaching

The growth and development of cybersecurity jobs and careers have created a need for new skilled faculty that can effectively teach the appropriate content to students at all levels. Often instructors are hired based on their academic credentials and professional experience without the use of assessment and faculty development methods to discover if these instructors can teach effectively or even improve the way they teach. Effective instructors have the ability constructively adjust teaching approaches when students are excelling or struggling based on skillful observation and constant assessment. If a student learns something with great ease, perhaps that approach would be of benefit to others. Part of what helps novices develop expertise here is their explicit attempt to understand how and why something works for students. The implementation and use of microteaching can provide a quality improvement approach to help cybersecurity instructors on all levels improve their ability to teach effectively.

An Inquiry into Gradable Zero-Waste Apparel Design

The implementation of standardized grading production practices within the mass market has been challenging for scholars experimenting with zero-waste apparel design. The purpose of this research was to test the efficacy of the Carrico Zero-waste Banded Grading (CZWBG) technique, which utilizes bands inserted in strategic locations as a method of grading zero-waste patterns across various consumer categories. An additional purpose was to evaluate the ways in which this grading approach affected the aesthetic outcomes of garments across a size run, and to determine whether this method affected the overall design process of the designers involved. Through experimental research design, six design scholars successfully tested and incorporated the CZWBG technique in zero-waste one or two-piece apparel item(s), subsequently developing three sizes in an industry-specified size range for their product category. Each design was cut from zero-waste patterns in a mid-range size and graded up and down one–two sizes using an industry-standardized grading scale. The grading was achieved by varying the widths and lengths of strategically inserted bands of fabric or trim. The designers utilized various grading methods, textiles, pattern development methods, and size runs, showing that the CZWBG technique can successfully be applied across multiple consumer categories in the apparel industry.

Security Assurance in Agile Software Development Methods

Agile software development was introduced in the beginning of the 2000s to increase the visibility and efficiency software projects. Since then it has become as an industry standard. However, fitting sequential security engineering development models into iterative and incremental development practices in agile methods has caused difficulties in defining, implementing, and verifying the security properties of software. In addition, agile methods have also been criticized for decreased quality of documentation, resulting in decreased security assurance necessary for regulative purposes and security measurement. As a consequence, lack of security assurance can complicate security incident management, thus increasing the software's potential lifetime cost. This chapter clarifies the requirements for software security assurance by using an evaluation framework to analyze the compatibility of established agile security development methods: XP, Scrum, and Kanban. The results show that the agile methods are not inherently incompatible with security engineering requirements.

Challenges and Trends of Agile

Rapidly increasing of requirements of business pushed researchers to define new approaches and methodologies to meet marketing needs. Agile methodology has been created and replaced the traditional-driven development methods that focus on soliciting, documenting a complete set of requirements, and take a long time comparing to market change. On the other hand, customers need to be closer to the development process and collaborate with team development. Despite agile advantages, introducing new tools, coordination, and collaboration concepts, some challenges still need to be discussed and improved. These challenges relate to achieve balanced IT service development process in the organization. As a result, new trends have been created to facilitate new changes in software development. This chapter will study agile methodologies and different challenges with suggested solutions generated from agile philosophy itself.