bluuebunny/crossref_metadata_2025 huggingface dataset:
High-intensity interval training in people with Parkinson’s disease: a randomized, controlled feasibility trial
Authors: Harvey Marguerite , Weston Kathryn L , Gray William K , O’Callaghan Ailish , Oates Lloyd L , Davidson Richard , Walker Richard W
Published: December 2018

Objectives:

To investigate whether people with Parkinson’s disease can exercise at a high-intensity across a 12-week intervention and to assess the impact of the intervention on cardiorespiratory fitness.

Design:

This is a randomized, controlled, feasibility study with waiting list control. Assessors were blinded to group allocation.

Setting:

The intervention took place at an exercise centre and assessments at a district general hospital.

Subjects:

This study included 20 people with idiopathic Parkinson’s disease.

Intervention:

A total of 36 exercise sessions over 12 weeks, with each session lasting ~45 minutes, were conducted.

Main measures:

The main measures were maximal heart rates achieved during exercise, recruitment rate, attendance, drop-out, change in peak oxygen consumption, cardiac output, cognitive function and quality of life. The study was considered technically feasible if participants achieved ⩾85% of maximal heart rate during exercise.

Results:

There were 12 male and 8 female participants; they had a mean age of 68.5 years (standard deviation 6.825). Two participants were of Hoehn and Yahr stage I, 11 stage II and 7 stage III. In all, 17 participants completed the intervention. The median (interquartile range) proportion of repetitions delivered across the intervention which met our high-intensity criterion was 80% (67% to 84%). Mean peak heart rate was 88.8% of maximal. Peak oxygen consumption increased by 2.8 mL kg−1 min−1 in the intervention group and 1.5 mL kg−1 min−1 in the control group after 12 weeks of exercise. We estimate that a fully powered randomized controlled trial would require 30 participants per group.

Conclusion:

High-intensity interval exercise is feasible in people with Parkinson’s disease. Improvements in cardiorespiratory function are promising.
Using sedative substances until death: A mortality follow-back study on the role of healthcare settings
Authors: Ziegler Sarah , Schmid Margareta , Bopp Matthias , Bosshard Georg , Puhan Milo Alan
Published: December 2018

Background:

In the last decade, the use of sedative substances to keep a patient in deep sedation until death increased fourfold in German-speaking Switzerland, where every third patient admitted to hospital, palliative care unit or hospice died continuously deeply sedated.

Aim:

To investigate sedation practices across healthcare settings and to identify their associations with conventional symptom control.

Design:

National mortality follow-back study in Switzerland between 2013 and 2014. Questionnaires on medical end-of-life decisions were sent to attending physicians of a continuous random sample of all registered deaths aged 1 year or older.

Setting/participants:

Of all sampled deaths, 3678 individuals who died non-suddenly and not through an external cause were included.

Results:

Across settings, continuous deep sedation appeared more likely in patients aged younger than 65 years (odds ratio range: 1.53–2.34) and as part of or after intensified alleviation of pain and symptoms (odds ratio range: 1.90–10.27). In hospitals, sedation was less likely for cancer patients (odds ratio: 0.7, 95% confidence interval: 0.5–1.0, p = 0.022). In nursing homes, sedation was more likely for people who were married (odds ratio: 1.8, 95% confidence interval 1.3–2.5, p = 0.001).

Conclusion:

In all settings, sedated patients have significantly more pain problems compared to patients not receiving sedation. Large differences between settings seem to indicate different patient populations, different levels of professionals’ palliative care experience and different availability of treatment options. Our study suggests that certain patient groups who may be as vulnerable to refractory pain and symptoms as others are less likely to receive continuous deep sedation until death when warranted.
Primary urethral squamous cell carcinoma: a unique manifestation of a penile tumor
Authors: Antwerpen Isabelle , Gstrein Lukas , Moskovszky Linda , Gissler Hans Martin , Möltgen Tilmann , Kwiatkowski Maciej , Wyler Stephen , Walter Matthias
Published: December 2018

This case report describes a unique manifestation of a primary urethral squamous cell carcinoma (SCC) as the underlying pathology in an 80-year-old male patient who underwent partial penectomy due to an enlarging penile mass. Persistent pain in the right knee was discovered to be a pathologic fracture using magnetic resonance imaging. Computed tomography-guided biopsy confirmed metastatic SCC. Whole-body positron emission tomography revealed systemic dissemination to multiple sites. Orthopedic knee replacement was performed in combination with local radiotherapy. Palliative chemotherapy was rejected due to poor performance status. Primary urethral SCC is rare and an uncommon cause of advanced penile cancer. These findings could be of great interest to clinicians for two reasons. First, a tumor’s appearance can be misleading. Consequently, histological work-up in accordance with clinical guidelines is necessary for accurate diagnosis. Second, a more comprehensive investigation is required when clinical symptoms persist despite the use of conventional treatment. Our case is an instance in which persistent pain masked the presence of downstream metastasis. We believe that these aforementioned points are of significant clinical importance and present a salient learning opportunity.
Help Musicians UK hearing survey: Musicians’ hearing and hearing protection
Authors: Greasley A. E. , Fulford R. J. , Pickard M. , Hamilton N.
Published: December 2018

Musicians’ hearing has received increased attention due to the rising prevalence of hearing loss among general and musical populations. This paper reports results of a national survey exploring professional musicians’ awareness of, and perceptions surrounding, their hearing health, and associated help-seeking behavior including attitudes towards hearing protection. Professional musicians ( N = 693) took part, the majority being orchestral or instrumental musicians. Forty percent of the sample had experienced hearing loss or other hearing issues and many attributed hearing problems to their musical careers. Fifty percent of the musicians were worried about noise at work; however, less than a third had taken a hearing test. Reasons for having a test included subsidized tests and experiencing symptoms of hearing loss or tinnitus, while reasons for not having a test included a lack of awareness about options. Data revealed an on-going tension between a concern to protect hearing and the perceived negative outcomes of wearing protection during musical performance, and highlighted the need for more in-depth research into the experiences of musicians in high-risk instrumental groups (e.g., amplified/band musicians, brass, percussion). Providing advice to musicians about the risks of noise-induced hearing loss (NIHL) prior to experiencing symptoms of hearing loss or tinnitus will support improved protection behavior.
Challenges to the development of an entrepreneurial university ecosystem: The case of a Finnish university campus
Authors: Lahikainen Katja , Kolhinen Johanna , Ruskovaara Elena , Pihkala Timo
Published: December 2018

The purpose of this study is to add to the literature on entrepreneurial university ecosystems by highlighting the ways in which academics engage or decouple in entrepreneurship processes and thereby in the emerging entrepreneurial ecosystem. The study extends our understanding of the emergence of an entrepreneurial university ecosystem by providing an in-depth analysis of a Finnish university campus, investigating how individuals’ perceptions respond to societal and institutional demands for the fostering of entrepreneurship. The findings suggest that education and research are regarded as the highly institutionalized logics of universities, and these logics tend to be maintained since more rewards are associated with them than are associated with the logic of entrepreneurial actions. These competing logics lead to conflicting interests and cause intentional and unintentional decoupling in the adaptation and implementation of entrepreneurial actions in universities.
Multitasking as distraction: A conceptual analysis of media multitasking research
Authors: Aagaard Jesper
Published: December 2018

The word “multitasking” gets thrown around a lot these days. For years it was touted as the cognitive default for a new generation of digital natives, but psychologists are increasingly warning us against its harmful effects on many different forms of human activity. What exactly is meant by the concept of multitasking, however, remains peculiarly taken-for-granted. The purpose of this article is therefore to analyze, evaluate, and interpret how the word “multitasking” is currently being used in scientific practice. Taking departure in the domain of media multitasking research, the article reveals an unacknowledged normativity in the empirical research literature: Multitasking does not in fact denote a quantitative enumeration of tasks, but a qualitative distinction between on- and off-task activity. In other words, multitasking is functionally equivalent to distraction. This article discusses how this insight challenges the scientific rationality of current media multitasking research and concludes with implications for future research.
Construct Validity of the WISC-V in Clinical Cases: Exploratory and Confirmatory Factor Analyses of the 10 Primary Subtests
Authors: Canivez Gary L. , McGill Ryan J. , Dombrowski Stefan C. , Watkins Marley W. , Pritchard Alison E. , Jacobson Lisa A.
Published: December 2018

Independent exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) research with the Wechsler Intelligence Scale for Children–Fifth Edition (WISC-V) standardization sample has failed to provide support for the five group factors proposed by the publisher, but there have been no independent examinations of the WISC-V structure among clinical samples. The present study examined the latent structure of the 10 WISC-V primary subtests with a large ( N = 2,512), bifurcated clinical sample (EFA, n = 1,256; CFA, n = 1,256). EFA did not support five factors as there were no salient subtest factor pattern coefficients on the fifth extracted factor. EFA indicated a four-factor model resembling the WISC-IV with a dominant general factor. A bifactor model with four group factors was supported by CFA as suggested by EFA. Variance estimates from both EFA and CFA found that the general intelligence factor dominated subtest variance and omega-hierarchical coefficients supported interpretation of the general intelligence factor. In both EFA and CFA, group factors explained small portions of common variance and produced low omega-hierarchical subscale coefficients, indicating that the group factors were of poor interpretive value.
Does Social Support Mediate the Association Between Maltreatment Experiences and Depressive Symptoms in Adolescence
Authors: Negriff Sonya , Cederbaum Julie A. , Lee Daniel S.
Published: December 2018

The current study examined social support as a mediator between maltreatment experiences (number of victimizations, maltreatment types) and depressive symptoms in adolescence. The data came from the first two time points of a longitudinal study of the effects of maltreatment on adolescent development. The enrolled sample were 454 male and females ( n = 303 maltreated, n = 151 comparison) between 9 and 13 years ( M age = 10.82); Time 2 (T2) occurred approximately 1 year after baseline. Maltreatment data came from case records; participants reported on perceived social support and depressive symptoms. Results from path models indicated that depressive symptoms mediated the association between maltreatment experiences (i.e., physical abuse, neglect, and number of maltreatment victimizations) and family social support. There was no evidence that social support functioned as a mediator. This is the first study to find support for depressive symptoms as a mechanism linking maltreatment with decreased perceived family support. These findings point to the importance of assessing mental health and social support simultaneously to understand the functioning of youth with maltreatment histories.
Digesting the Red Pill: Masculinity and Neoliberalism in the Manosphere
Authors: Van Valkenburgh Shawn P.
Published: December 2018

This article undertakes the first known qualitative study focusing on The Red Pill, an online forum wherein heterosexual men attempt to improve their seduction skills by discussing evolutionary psychology and economic theories. My content analysis of twenty-six documents (130,000 words) designated by the community as central to its purpose and ideology shows that The Red Pill is not just an expression of hegemonic masculinity but also explicitly integrates neoliberal and scientific discourses into its seduction strategies. I theorize that the resulting philosophy superficially resolves a contradiction between hegemonic masculinity’s prescriptive emotional walls and an inherent desire for connection by constructing women as exchangeable commodities.
Implementation and early adaptation of patient-reported outcome measures into an electronic health record: A technical report
Authors: Gold Heather Taffet , Karia Raj J , Link Alissa , Lebwohl Rachel , Zuckerman Joseph D , Errico Thomas J , Slover James D , Buckland Aaron J , Mann Devin M , Cantor Michael N
Published: December 2018

We integrated and optimized patient-reported outcome measures into the electronic health record to provide quantitative, objective data regarding patients’ health status, which is important for patient care, payer contracts, and research. With a multidisciplinary team from information technology, clinical informatics, population health, and physician champions, we used formal human–computer interaction techniques and user-centered design to integrate several technology platforms and computerized adaptive testing for the National Institutes of Health Patient-Reported Outcomes Measurement Information System. The patient-reported outcome measure system leverages software frequently used by health systems and provides data for research and clinical care via a mobile-responsive web application using Symfony, with REDCap for configuring assessments and de-identified data storage. The system incorporates Oracle databases and Epic flowsheets. Patients complete patient-reported outcome measures, with data viewable in MyChart and Epic Synopsis Reports. Researchers can access data portals. The highly usable, successful patient-reported outcome measures platform is acceptable to patients and clinicians and achieved 73 percent overall completion rates.
Vain foresight: Against the idea of implementation in planning
Authors: Kaza Nikhil
Published: December 2018

Why are many plans not implemented? Common explanations are planners have little power, they fail to account for political or environmental uncertainty in the plans or they failed to include enough voices during the planning process. The theoretical frameworks on which we base our understanding of plans focus on implementation as a key evaluative mechanism. I challenge the premise that plans realise their potential only when they are implemented. Monitoring implementation of plans presupposes that we know what plans there are to monitor. Such monitoring privileges published plans and ignores all the other plans that guide urban development. It assumes that the decision situations in which plans are used are observable. By jettisoning implementation as a key criterion by which to evaluate the effectiveness of plans, we can begin to focus on the myriad ways in which plan makers and others use plans. We can instead ask, ‘How are these plans used? Who uses them? When are they useful? How to make useful plans?’ With these questions, we can create different evaluative frameworks for different types of plans. Some unimplementable plans are worth making.
Developing Leadership Competencies for STEM Fields: The Case of Purdue Polytechnic Leadership Academy
Authors: Akdere Mesut , Hickman Louis , Kirchner Michael
Published: December 2018

The Problem

Employers view today’s science, technology, engineering, and math (STEM) program graduates as deficient in interpersonal skills that are essential for team and organizational performance. However, STEM programs continue to effectively engage in interpersonal skills development in college level, instead placing the responsibility of such development on employers.

The Solution

A competency modeling framework should inform the design of such education programs, and this article describes such a framework and an educational program that used the framework to identify needed interpersonal skills and successfully develop them in STEM students. The framework will help HRD (human resource development) professionals take an active role in identifying the competencies needed for STEM program graduate success.

The Stakeholders

The article provides HRD academics with a framework to identify competencies needed for workplace success in a given academic field. As education programs such as described here are developed, STEM organizations may receive workers who are more productive and less in need of leadership development expenditure.
Midterm Single-Center Results of Endovascular Aneurysm Repair With Additional EndoAnchors
Authors: Goudeketting Seline R. , Wille Jan , van den Heuvel Daniel A. F. , Vos Jan-Albert , de Vries Jean-Paul P. M.
Published: December 2018

Purpose: To review midterm clinical outcomes of EndoAnchor placement during or after endovascular aneurysm repair (EVAR) or chimney EVAR (ch-EVAR). Materials and Methods: A retrospective analysis was conducted of 51 consecutive patients [median age 75 years; 38 men] who underwent EVAR/ch-EVAR with EndoAnchor placement between June 2010 and December 2016 to prevent seal failures (31, 61%) or to treat type Ia endoleak and/or migration (20, 39%). Median aortic neck diameter was 27.7 mm and median neck length was 9.0 mm. Thirty-three (65%) had a conical neck; 48 (94%) had at least 1 hostile neck characteristic. Thirty-two (63%) patients had severe comorbidities (ASA score ⩾III). Eight patients had a single ch-EVAR procedure. Baseline patient characteristics, anatomic variables, procedure details, early and late complications, reinterventions, and aneurysm-related and all-cause mortality rates were recorded. Follow-up imaging was performed with computed tomography angiography (CTA) or duplex ultrasonography. Results: Median procedure time was 100 minutes; a median of 6 EndoAnchors were implanted. There were 10 (10%) residual type Ia endoleaks at the end of the procedure; 9 had resolved by the first postoperative CTA. One residual and 2 new type Ia endoleaks were identified at the first postoperative imaging. Median follow-up for the entire cohort was 24.0 months, during which 3 new type Ia endoleaks were identified. Five of the 6 type Ia endoleaks were treated, 1 resolved spontaneously. There was 1 endograft limb occlusion without clinical consequences, 1 chimney graft occlusion without possibilities for a reintervention, 1 rupture after type IV endoleak (a Nellix device was successfully deployed within the main device), and 1 complete graft explantation for infection. There was no new-onset hemodialysis. Kaplan-Meier estimates of freedom from type Ia endoleak, proximal neck–related reinterventions, and aneurysm-related mortality at 2 years were 87.3%, 92.2%, and 94.0%, respectively. Conclusion: EndoAnchors are helpful in the endovascular treatment of unfavorable proximal aortic necks, with fair midterm results.
Carotid Artery Stenting Without Embolic Protection Device: A Single-Center Experience
Authors: Garriboli Luca , Pruner Gianguido , Miccoli Tommaso , Recchia Andrea , Tamellini Paolo , Jannello Antonio Maria
Published: December 2018

Purpose: To evaluate the safety and efficacy of carotid artery stenting (CAS) performed without an embolic protection device (EPD) in a selected group of asymptomatic patients with primary internal carotid artery (ICA) stenosis or restenosis after carotid endarterectomy (CEA). Materials and Methods: Between May 2015 and May 2018, 77 patients (mean age 77 years; 60 men) underwent CAS without any embolic protection device. Forty-seven (61%) patients had primary ICA stenosis and were excluded from CEA because of high surgical risk; the other 30 (39%) patients had post-CEA restenosis (n=26) or a distal ICA flap after eversion CEA (n=4). The mean ICA stenosis was 82%. All procedures were performed from a femoral artery access. Pre- and/or postdilation were used in 64 patients. The primary outcome was the incidence of major complications (death, stroke, or myocardial infarction) during the procedure and within 30 days; the secondary outcome was the incidence of restenosis in follow-up. Results: No relevant bradycardia was encountered during CAS. The combined rate of stroke, death, or myocardial infarction at 30 days was 1.3%. The single stroke patient recovered fully after 2 months. Over a follow-up that ranged to 3 years (mean 24±18 months), no further neurological events were recorded. One (1.3%) patient had a >70% restenosis after 6 months; the lesion was dilated, successfully restoring the lumen contour. Conclusion: In our series, endovascular treatment of carotid stenosis without the use of protection devices in patients with primary stenosis or postsurgical restenosis can achieve satisfactory safety and efficacy outcomes. The choice of performing CAS without using EPDs should follow a tailored approach based on the appropriate patient anatomy and specific clinical parameters to minimize neurological complications.
Septic arthritis of the acromioclavicular joint: a case series and review of the literature
Authors: Steinmetz Raymond G , Maupin Jeremiah J , Smith Joel N , White Christopher B
Published: December 2018

Objective

To report a case series of three patients with septic arthritis of the acromioclavicular joint and a review of the literature for this condition. Additionally, we developed an algorithm for diagnosing and treating septic arthritis of the acromioclavicular joint.

Methods

A retrospective review of patients treated at our institution for septic arthritis of the acromioclavicular joint during the collection period was performed and three cases were identified. A review of the English literature on this rare condition was also performed with only 28 cases being identified.

Results

A series of three consecutive patients were treated for septic acromioclavicular arthritis with resolution of the infection. Two patients underwent open surgical debridement and one underwent aspiration. All patients were treated with a minimum of six weeks of tailored intravenous antibiotic therapy.

Conclusion

Septic arthritis of the acromioclavicular joint can be difficult to diagnose and requires a high index of suspicion. Surgical debridement, open or arthroscopic, with tailored antibiotic therapy is an effective means for the management of septic arthritis of the acromioclavicular joint. In patients who are unable to have surgical debridement, aspiration and tailored antibiotics have been shown to be effective.
Direct modulation of the bone marrow mesenchymal stromal cell compartment by azacitidine enhances healthy hematopoiesis
Authors: Wenk Catharina , Garz Anne-Kathrin , Grath Sonja , Huberle Christina , Witham Denis , Weickert Marie , Malinverni Roberto , Niggemeyer Julia , Kyncl Michèle , Hecker Judith , Pagel Charlotta , Mulholland Christopher B. , Müller-Thomas Catharina , Leonhardt Heinrich , Bassermann Florian , Oostendorp Robert A. J. , Metzeler Klaus H. , Buschbeck Marcus , Götze Katharina S.
Published: December 2018

Mesenchymal stromal cells (MSCs) are crucial components of the bone marrow (BM) microenvironment essential for regulating self-renewal, survival, and differentiation of hematopoietic stem/progenitor cells (HSPCs) in the stem cell niche. MSCs are functionally altered in myelodysplastic syndromes (MDS) and exhibit an altered methylome compared with MSCs from healthy controls, thus contributing to disease progression. To determine whether MSCs are amenable to epigenetic therapy and if this affects their function, we examined growth, differentiation, and HSPC-supporting capacity of ex vivo–expanded MSCs from MDS patients in comparison with age-matched healthy controls after direct treatment in vitro with the hypomethylating agent azacitidine (AZA). Strikingly, we find that AZA exerts a direct effect on healthy as well as MDS-derived MSCs such that they favor support of healthy over malignant clonal HSPC expansion in coculture experiments. RNA-sequencing analyses of MSCs identified stromal networks regulated by AZA. Notably, these comprise distinct molecular pathways crucial for HSPC support, foremost extracellular matrix molecules (including collagens) and interferon pathway components. Our study demonstrates that the hypomethylating agent AZA exerts its antileukemic activity in part through a direct effect on the HSPC-supporting BM niche and provides proof of concept for the therapeutic potential of epigenetic treatment of diseased MSCs. In addition, our comprehensive data set of AZA-sensitive gene networks represents a valuable framework to guide future development of targeted epigenetic niche therapy in myeloid malignancies such as MDS and acute myeloid leukemia.
Neurocritical Care Coding for Neurologists
Authors: Nuwer Marc R. , Vespa Paul M.
Published: December 2018

Coding specifies the work performed when providing patient care. Critical care services mostly use code 99291, and other codes specify additional time and procedures. Current Procedural Terminology defines critically ill as “a high probability of imminent or life-threatening deterioration in the patient’s condition,” a condition necessary for use of the critical care code. A patient may be critically ill for neurologic reasons even when stable from a cardiorespiratory status. Rules govern who can use these codes, whether they can be used by more than one physician, the locations where the code may be used, and what services are included and excluded. Physicians need to document the medical necessity of visits and nature of critical illness or high-risk medical decision making because auditors may not understand the nature of serious neurologic illness.
História, Direito e Literatura: uma triangulação em prol do Constitucionalismo
Authors: Karam Henriete , Alcântara Guilherme Gonçalves
Published: December 2018

O presente artigo, de viés interdisciplinar, tem como objetivo examinar os modos de incorporação da literatura aos estudos historiográfi cos do direito, particularmente no que diz respeito à esfera do direito constitucional. Partindo do pressuposto de que história e direito sempre estiveram próximos – embora tal proximidade não seja comumente reconhecida –, defende-se que a interlocução da historiografi a do direito com a literatura constitui uma via imprescindível para superar impasses e avançar na construção de uma cultura constitucional adequada à modernidade tardia brasileira. Para tanto, são examinadas, mediante pesquisa bibliográfi ca, as intersecções entre história e literatura, bem como entre direito e literatura, com ênfase na posição-limite que a literatura ocupa no âmbito da hermenêutica filosófica, marco teórico que viabiliza o diálogo das três disciplinas, possibilitando à triangulação história-direito-literatura contribuir para a renovação da história constitucional e, consequentemente, para a construção de uma cultura constitucional no Brasil. Conclui-se identifi cando três eixos de estudo a partir da triangulação proposta, os quais se caracterizam: (1) pelo emprego de conceitos e de metodologias oriundas da teoria literária no exame dos textos de história do direito, abordando seu caráter inexoravelmente narrativo; (2) pela proposta de reformulação da metáfora da integridade do direito como romance histórico em cadeia, que favoreceria sua aplicação no contexto da civil law; e (3) pela abordagem da história constitucional por meio de narrativas literárias, em contraposição ao levantamento e à análise apenas de textos especifi camente jurídicos.
PERSONALITY TYPOLOGY OF JUVENILE OFFENDERS
Authors: Новикова Галина , Novikova Galina , Новикова Любовь , Novikova Lubov
Published: December 2018

The article deals with the critical period of formation of the personality of a minor citizen, in which criminal behavior can be formed; describes the main types of personality of juvenile offenders.
Psychological problems of the peacekeeping contingent
Authors: Петров Владислав , Petrov Vladislav
Published: December 2018

The article is devoted to the analysis of psychologically significant problems of peacekeeping operations. In the course of the theoretical research the variety of problems is shown. The main problems are: the problem of dominance in peacekeeping; the problem of coordination of the peacekeeping contingent; the problem of neutrality; the problem of perception of the enemy's image; the problem of goal-setting of the military presence outside the national States; the problem of interethnic tolerance; language problems; the problem of psychological examination of international normative legal acts and documents; the problem of personnel potential of peacekeeping forces; the problem of interaction of psychologists of various departments and structures in the conduct of psychological work. The specificity of peacekeeping activities imposes additional requirements on psychologists of the Ministry of defense of Russia, the Ministry of internal Affairs of Russia and other law enforcement agencies such as: professional flexibility, mobility, activity, creativity, wide life and professional Outlook and experience, personal capacity, independence. The material of the article, the possession of the specifics of extreme activities in the field of peacekeeping operations allows to build an optimal system of psychological work.
HISTÓRIA FEMINISTA, GENEALOGÍAS QUEER
Authors: Navarro Pablo Pérez
Published: December 2018

Não existe uma trajetória histórica capaz de explicar, por si só, o surgimento de teorias queer no início dos anos noventa. Suas possíveis genealogias se estendem em múltiplas direções, dentro e fora dos limites da filosofia pós-estruturalista, dos estudos gays e lésbicos e, é claro, dos muros da academia. Apesar desta certeza, este artigo oferece uma genealogia, entre muitas possíveis, da crítica queer como um processo de fragmentação e proliferação de lutas e posições subjetivas, nas margens da política de identidade enraizada na história do pensamento e das políticas feministas.
SUBVERTIR LA HETERONORMA A TRAVÉS DE LA AMISTAD. CONVIVENCIAS Y REDES DE CUIDADO EN LA PRECARIEDAD
Authors: Gusmano Beatrice
Published: December 2018

El objetivo del artigo es volver la mirada sociológica a las personas LGB que deciden no priorizar la pareja frente a otras relaciones de interdependencia y cuidado, y optan por compartir la cotidianidad, también material, con lxs amigxs. Serán mostrados los resultados del estudio cualitativo sobre convivencia entre amigxs LGBT en la edad adulta desarrollado en Italia en el ámbito del proyecto INTIMATE. Será presentado el contexto italiano de fuerte precariedad. Frente a todo eso, las personas entrevistadas muestran como las redes de amistad se vuelven un medio no solo necesario, sino elegido, para construir relaciones íntimas resistentes. A través de una mirada que descentraliza las relaciones de pareja tomando en consideración todas las fuentes de cuidado más allá de la familia nuclear, el objetivo es visibilizar nuevas estrategias políticas colectivas contra el individualismo neoliberista.
CORPOS DISSIDENTES: AS IDENTIDADES QUE “INTERTRANSITAM” NO CINEMA ARGENTINO CONTEMPORÂNEO
Authors: Santos Maia Renata
Published: December 2018

O que faz os corpos serem alvo do interesse e do controle por parte de tantas instituições na determinação da sua sexualidade, da sua identificação de gênero e da aparência do seu sexo biológico? Com o auxílio do potencial de inserção social que o cinema possui é problematizada aqui a violência sofrida pelas pessoas que se encontram à margem da sexualidade dominante e os discursos que insistem em tratar as identidades trans e intersexuais como distúrbios e/ou anomalias, em uma perspectiva dos estudos de gênero e utilizando os filmes: XXY (2007), dirigido por Lucía Puenzo, El último verano de la Boyita (2009) da cineasta Julia Solomonoff, e Mía (2011), do diretor Javier van de Cauter.
Reflecting on emergencies
Authors: Kellett Mary
Published: December 2018

Reflective practice can be a helpful way of understanding clinical events, particularly if they are distressing. Mary Kellett describes a situation and uses a reflective model to evaluate what she learnt
Reproductive tourism
Authors: Winter George F
Published: December 2018

Travelling abroad to access procedures such as IVF, genetic diagnosis and sex selection are becoming increasingly common—bringing with them a host of ethical quandaries. George Winter explores
Inflammatory Biomarkers and Clinical Judgment in the Emergency Diagnosis of Urgent Abdominal Pain
Authors: Breidthardt Tobias , Brunner-Schaub Nora , Balmelli Catharina , Insenser Juan Jose Sancho , Burri-Winkler Katrin , Geigy Nicolas , Mundorff Lukas , Exadaktylos Aristomenis , Scholz Julia , Haaf Philip , Hamel Christian , Frey Daniel , Delport Karen , Peacock W Frank , Freese Michael , DiSomma Salvatore , Todd John , Rentsch Katharina , Bingisser Roland , Mueller Christian ,   for the BASEL VII Investigators, Walter Joan , Twerenbold Raphael , Nestelberger Thomas , Boeddinghaus Jasper , Badertscher Patrick , du Fay de Lavallaz Jeanne , Puelacher Christian , Wildi Karin
Published: December 2018

BACKGROUND

The early diagnosis of urgent abdominal pain (UAP) is challenging. Most causes of UAP are associated with extensive inflammation. Therefore, we hypothesized that quantifying inflammation using interleukin-6 and/or procalcitonin would provide incremental value in the emergency diagnosis of UAP.

METHODS

This was an investigator-initiated prospective, multicenter diagnostic study enrolling patients presenting to the emergency department (ED) with acute abdominal pain. Clinical judgment of the treating physician regarding the presence of UAP was quantified using a visual analog scale after initial clinical and physician-directed laboratory assessment, and again after imaging. Two independent specialists adjudicated the final diagnosis and the classification as UAP (life-threatening, needing urgent surgery and/or hospitalization for acute medical reasons) using all information including histology and follow-up. Interleukin-6 and procalcitonin were measured blinded in a central laboratory.

RESULTS

UAP was adjudicated in 376 of 1038 (36%) patients. Diagnostic accuracy for UAP was higher for interleukin-6 [area under the ROC curve (AUC), 0.80; 95% CI, 0.77–0.82] vs procalcitonin (AUC, 0.65; 95% CI, 0.62–0.68) and clinical judgment (AUC, 0.69; 95% CI, 0.65–0.72; both P < 0.001). Combined assessment of interleukin-6 and clinical judgment increased the AUC at presentation to 0.83 (95% CI, 0.80–0.85) and after imaging to 0.87 (95% CI, 0.84–0.89) and improved the correct identification of patients with and without UAP (net improvement in mean predicted probability: presentation, +19%; after imaging, +15%; P < 0.001). Decision curve analysis documented incremental value across the full range of pretest probabilities. A clinical judgment/interleukin-6 algorithm ruled out UAP with a sensitivity of 97% and ruled in UAP with a specificity of 93%.

CONCLUSIONS

Interleukin-6 significantly improves the early diagnosis of UAP in the ED.
Óbitos por Anomalias Congênitas do Coração e Circulatório no Estado do Pará nos anos de 2007 a 2017: Revisão Sistemática da Literatura
Authors: Silva Eliane Moura da , Olinda Antônia Gomes de , Barros Francisco Hilângelo Vieira , Roseno Maria Alcione Silva Gomes
Published: December 2018

As cardiopatias representam importantes causas de internação e óbitos em crianças e o conhecimento de informações de âmbito epidemiológico são determinantes para tomada de decisão nos serviços de saúde.  O objetivo do presente estudo é analisar o número de óbitos por causas evitáveis, desde o ano de 2007 até 2017, sobre anomalias congênitas do coração e circulatório em crianças menores de cinco anos no estado do Pará.  A pesquisa é do tipo qualitativa, descritivo-exploratória. Foi realizada uma análise documental, contidos nas declarações de óbitos, levantados pelo Sistema de Informação sobre Mortalidade (SIM) e a busca na literatura para identificar a importância da assistência de enfermagem no cuidado de crianças menores de cinco com anomalias congênitas do coração e circulatório. O estado do Pará ocupa, no ranking, o primeiro lugar (44,94%) em relação à região norte, embora o índice seja considerado baixo se comparado aos outros estados e regiões. Nas crianças menores de cinco anos, as mortes devido a malformações estão entre as principais causas de óbito, atrás apenas das afecções perinatais. A importância da assistência de enfermagem no cuidado dessas crianças possui uma tarefa desgastante do ponto de vista emocional, mas capaz de gerar grande satisfação pessoal. Acredita-se ser de grande importância a realização de pesquisas de enfermagem com famílias que vivenciam tal situação, a fim de melhor compreender sua experiência no processo de cuidar da criança em seu cotidiano.
Doing Democracy in indigenen Gemeinschaften
Authors: Rescher Gilberto
Published: December 2018

Das Valle del Mezquital in Zentralmexiko wird häufig als unterentwickelt und alten politischen Strukturen verhaftet angesehen. Auf Grundlage intensiver ethnographischer Feldforschung zeigt Gilberto Rescher jedoch, wie hier auf subtile Weise ein politischer Wandel ausgehandelt wird, der Perspektiven für Demokratisierung im Sinne wachsender Möglichkeiten zur Teilhabe eröffnet. Seine Studie geht dem Zusammenspiel der indigenen Akteure mit einer spezifischen Form der Organisation in Dorfgemeinschaften, der starken Präsenz transnationaler Migrationsprozesse und der sich verändernden gesellschaftlichen Positionierung bestimmter sozialer Gruppen - etwa von Frauen oder Jugendlichen - nach.
Wie zusammenwächst, was (nicht) zusammen gehört: Knochenschafe im Frakturspalt der Moderne
Authors: Schlünder Martina , Arens Pit
Published: December 2018

Martina Schlünder und Pit Arens beschäftigen sich in ihrem Beitrag mit konzeptionellen und praktischen Beziehungsformen zwischen Tieren und Menschen anhand der Geschichte der operativen Knochenbruchbehandlung. Eine Gruppe schweizerischer Chirurgen entwickelte in den 1960er Jahren das Verfahren der Osteosynthese: das Zusammenfügen von Knochenfragmenten und das Heilen eines Bruchspalts durch das Einfügen fremden, anorganischen Materials - Schrauben, Platten und Drähte aus Metall. Der Beitrag untersucht die überraschenden Beziehungs-(un-)fähigkeiten zwischen Menschen, Tieren und Dingen in der Form eines Comics. Seine sequenziellen Bilderabfolgen und die ihm eigene Materialität des Textes in Sprechblasen, Textboxen und Schriftbändern eröffnen Möglichkeiten auch in der Form, Beziehungen neu zu denken und das Text-Bildverhältnis anders zu gestalten. Dabei können z.B. Textzeilen in die Bilder wandern oder den Raum zwischen den Bildern als Möglichkeit nutzen, um zu visuellen Argumenten zu werden.
Sounds like Hamburg …
Authors: Wagner Hans-Ulrich
Published: December 2018

In his article (in German), Hans-Ulrich Wagner focuses on a sound document from the booming »radio times«, the late 1920s/early 1930s, that deals with Hamburg and its harbour: A special disc that promotes the »Hamburg Harbour Concert« which became a popular radio series at this time. The »Hamburg Harbour Concert« has been broadcast by the Norag since 1929 and the various Hamburg radio stations later on. This record from 1931 serves as a key source for a case study based on two major approaches. First, the study is situated in the ongoing research of an interdisciplinary working group called »Communicative Figurations« (Forschungsverbund »Kommunikative Figurationen«) in Hamburg und Bremen, thus the concept of »figurations« is employed. Second, the study on the Hamburg sound is located in the emerging field of Sound History. This means that the analysis of the historical sound document is critically reflected. With these two-folded perspectives we want to uncover the potential for both space- and sound-related historical research. The article conveys the decisive role of sounds within processes of media-related constructions of space.
Glaubenskrisen, Neue Religionen und der Papst
Authors: Stander-Dulisch Judith
Published: December 2018

Neue Religionen, der Papst im Wandel der Zeit, Spiritualität oder kirchliche Kontroversen: Religion ist auch in Nachrichtenmagazinen wie Stern und Spiegel fester Teil der Berichterstattung. Die Studie bietet erstmals eine Übersicht der religionsbezogenen Titelthemen dieser Magazine von 1960 bis 2014 und wendet sich der Frage zu, wie sprachliche und bildliche Mittel zur Emotionalisierung und Aufmerksamkeitserregung eingesetzt werden. Vor dem Hintergrund einer sich wandelnden Religionslandschaft zeigt Judith Stander-Dulisch aus religionswissenschaftlicher und linguistischer Perspektive, wie Bewertungen ausgedrückt und Sachverhaltsdeutungen vorgenommen werden.
Mobilität und Zeugenschaft
Authors: Kramer Max
Published: December 2018

Ist unabhängiges Dokumentarfilmschaffen im Kaschmirkonflikt möglich? Über den Fokus auf Mobilität zeigt Max Kramer neue theoretische und methodische Zugänge zur Erforschung von filmischen Praktiken in Konfliktregionen auf. Er argumentiert, dass die Herstellung von Zeugenschaft zunehmend auf verschiedene Momente von Mobilität bezogen ist. Die vorgeschlagene Forschungsperspektive nimmt nicht nur auf die umkämpften Repräsentationen und Narrationen von Konfliktregionen Bezug, sondern ebenso auf affektive und ästhetische Momente dokumentarfilmischer Praktiken.
Gegen den Strich gelesen
Authors: Hayer Björn
Published: December 2018

Björn Hayer eröffnet mit seinem Beitrag neue Sichtweisen auf Gotthold Ephraim Lessings Fabeln. Traditionellerweise begegnen wir Tieren in Fabeln als Motivträgern oder Metaphern. Sie repräsentieren aufgrund spezifischer Eigenschaften, die ihnen zugeschrieben werden, zumeist bestimmte Typen. Ausgehend von Lessings Fabeln sollen neuere methodische Ansätze der HAS erprobt werden, die Tiere nicht mehr nur als Repräsentationsfiguren für menschliche Eigenschaften, sondern als eigenständige Akteure wahrnehmen. Im Falle von Lessings Miniaturprosawerken kommt hinzu, dass die Tiere auch Aspekte tierethischer Diskussionen reflektieren, woraus sich ein weiterer, in der einschlägigen Forschung bislang vernachlässigter Interpretationshorizont ergibt.
Skizze einer Tierdidaktik mit anschließendem Unterrichtsentwurf
Authors: Stetter Julia
Published: December 2018

Julia Stetter widmet sich in ihrem Beitrag einer generellen Fundierung von Tierdidaktik sowie einem exemplarischen und verallgemeinerbaren Stundenverlaufsplan für eine 90-minütige Doppelstunde für den Deutschunterricht. Vor dem Hintergrund der aktuell in den Geisteswissenschaften florierenden Animal Studies wird auf in der Deutschdidaktik bestehende Ansätze - u.a. rezeptionsästhetische - rekurriert, um den Schüler/-innen Literatur als Medium des Nachdenkens näherzubringen. Zur Konkretisierung offeriert der Beitrag eine Liste mit 18 für den Deutschunterricht geeigneten Tiertexten. Für die Skizzierung einer praktischen Unterrichtsdurchführung wird auf den in der Deutschdidaktik generell bewährten Ansatz des literarischen Gesprächs von Christoph Bräuer zurückgegriffen. Mit ihm lassen sich aus den vorgeschlagenen Tiertexten flexibel Unterrichtsstunden generieren, die den Vorteil bieten, den Schüler/-innen möglichst viel Freiraum zur Entwicklung eigener tierethischer Gedanken einzuräumen.
Bildung und Liebe im Spiegel der transzendentalen Phänomenologie
Authors: Ernst Hans
Published: December 2018

Die Phänomenologie wird in ihrer transzendentalen Ursprungsform (Husserl/Scheler) in der Pädagogik kaum rezipiert. Insofern stellt das Phänomen Liebe und seine Herausarbeitung anhand des transzendentalphänomenologischen Paradigmas in der zeitgenössischen Erziehungswissenschaft ein Desiderat dar. Hans Ernst versucht diese Lücke im Anschluss an Schelers Ansatz und dessen Interpretation und Transformation bei Wojtyla zu schließen, arbeitet das Phänomen »Liebe« heraus und zeigt dessen Fundierungsverhältnis für Bildung. Damit wird der phänomenologische Liebesbegriff in seiner transzendentalen Kontur konstitutiv für den Bildungsdiskurs der Gegenwart fruchtbar gemacht.
Vom Text zum Bild
Authors: Köhler Helena
Published: December 2018

Peter Weiss ist als Künstler verschiedener Medien bekannt - seine bildende Kunst wird jedoch sowohl in der Öffentlichkeit als auch in der Forschung erstaunlicherweise wenig beachtet. Dabei stehen in seinen zentralen Werken wie »Der Schatten des Körpers des Kutschers« und »Abschied von den Eltern« Text und Bild direkt nebeneinander. Helena Köhler untersucht erstmals, wie Peter Weiss Text und Collage miteinander in Beziehung setzt, welche Funktionen die Collagen übernehmen und welche Rückschlüsse sich daraus für den Text ziehen lassen.
Architekturen bilden
Authors: Liptau Ralf
Published: December 2018

Das Entwerfen am physischen Modell prägt die architektonische Kultur der Nachkriegsmoderne. Sowohl für die Entwicklung neuer Entwurfsideen als auch zu deren Überprüfung wurde vor allem ab der zweiten Hälfte des 20. Jahrhunderts geknetet, geschnitten, gesägt und geklebt. Das physische Modell schließt die Lücke zwischen dem disegno als klassischem Entwurfsideal und heutigen computergestützten Verfahren. Ralf Liptau verschränkt die Architekturgeschichtsschreibung der Moderne mit aktuellen Entwurfs- und Wissenstheorien und analysiert hierzu zahlreiche bisher unveröffentlichte Archivalien aus der Entwurfspraxis von Egon Eiermann, Frei Otto, Paul Schneider-Esleben und anderen.
Open Education
Authors: Deimann Markus
Published: December 2018

»Open Education«, also das bildungspolitische Ziel, Bildung frei verfügbar zu machen, ist Gegenstand eines lebendigen Diskurses. Markus Deimann gibt einen systematischen Überblick zum Thema »Offene Bildung/Open Education« aus historischer, theoretischer und philosophischer Sicht und zeichnet nach, wie sich die Argumente pro und contra offener Bildung über die Zeit verschoben haben. Als Fazit skizziert er eine vorläufige Architektur offener Bildung im Kontext der Hochschule.
Klangliche Repräsentationen des ›Mauerfalls‹ in ausgewählten Hörfunkreportagen, Fernsehdokumentationen und fiktionalen Filmen
Authors: Binas-Preisendörfer Susanne
Published: December 2018

Vom Standpunkt der Popular Music Studies und aus der Perspektive einer Zeitzeugin widmet sich der Beitrag klanglichen Repräsentationen eines historischen Ereignisses der jüngeren Geschichte in Deutschland. Der »Mauerfall« und seine auditive Inszenierung findet v.a. angesichts runder Jubiläen in Radio, Film und Fernsehen einen unüberhörbaren Widerhall. Die Autorin fragt, welche Rolle Klang (z.B. in Form von O-Tönen, diegetischer oder nicht-diegetischer Musik, Sprechstimmen etc.) in diesen medialen Repräsentationen heutigen Erinnerns spielt und wie sich Erinnerungspolitiken und die analysierten populärkulturellen Geschichtsdarstellungen aufeinander beziehen und gegenseitig bedingen. Im Zentrum steht dabei die Frage nach den Regeln, die diese medialen Vergegenwärtigungen von Geschichte folgen und in welche Hörpraktiken sie eingebunden sind.