bluuebunny/crossref_metadata_2025 huggingface dataset:
Pentoxifylline: A New Agent for Intermittent Claudication
Authors: McLeod Donald C. , Baker Danial E. , Campbell R. Keith
Published: October 2017

Pentoxifylline is approved by the Food and Drug Administration for the treatment of patients with intermittent claudication on the basis of chronic occlusive arterial disease of the limbs. It is not a substitute for surgical bypass or removal of arterial obstructions, but will improve function and symptoms of the disease state. The mechanism by which pentoxifylline works is not well known, but appears to be related to erythrocyte adenosine triphosphate (ATP) concentrations and the phosphorylation of erythrocyte membrane proteins, both mechanisms resulting in an improvement in erythrocyte flexibility. Efficacy studies indicate that pentoxifylline is significantly more effective than placebo or nylidrin therapy. Adverse reactions are mainly of the gastrointestional type and are minimized by the use of a controlled-release dosage form.
Ticlopidine as a Hemorrhagic Risk Factor in Coronary Surgery
Authors: Criado Antonio , Juffé Alberto , Cannona Juan , Otero Carlos , Avello Fernando
Published: October 2017

We retrospectively reviewed the postoperative hemorrhagic risk in patients undergoing surgery for coronary revascularization who had received platelet antiaggregants preoperatively.

A significant increase in postoperative hemorrhage and a higher percentage of reoperations for this reason was observed in the patients treated with ticlopidine. However, there were no major differences in the platelet counts among the groups compared.
Influence of Assay Methodologies and Interferences on the Interpretation of Digoxin Concentrations
Authors: Fitzsimmons William E.
Published: October 2017

The interpretation of serum digoxin concentrations is an area where pharmacists can have substantial clinical input. Important in this interpretation is the knowledge of various factors that may interfere with the reported concentration. These include drugs, metabolites of digoxin, protein concentration, and endogenous digoxin-like substances. The patients for whom these interferences are most significant include neonates, patients with renal failure and liver disease, and pregnant women. Pharmacist knowledge of these interferences can have an important impact on the quality of patient care.
Effect of Haloperidol on Dopamine-Induced Increase in Renal Blood Flow
Authors: Armstrong Deborah K. , Dasta Joseph F. , Reilley Thomas E. , Tallman Richard D.
Published: October 2017

Increasing renal blood flow (RBF) by the administration of low-dose dopamine is one mechanism to increase urine output in oliguric patients. This response is mediated in part by stimulation of dopaminergic receptors in the kidney, which could be attenuated by the dopamine blocker haloperidol. We evaluated this interaction by administering both drugs in clinically used doses to six anesthetized mongrel dogs. A dopamine regimen of 2.5 μg/kg/min significantly increased RBF along with cardiac output and stroke volume. Simultaneous administration of haloperidol 50 μg/kg iv did not influence the ability of low-dose dopamine to increase RBF. Although haloperidol is an antagonist of dopaminergic receptors, the increase in RBF associated with low-dose dopamine is maintained when intravenous haloperidol is concurrently administered to dogs.
Costs and Strategies for Managing Nosocomial Urinary Tract Infections
Authors: Rutledge Kenneth A. , McDonald Harold P.
Published: October 2017

Four cost studies show that extra time spent in hospital because of nosocomial urinary tract infection ranged from 0.6 to 5.0 days. Extra hospital charges ranged from $146 to $558 with an average cost of about $355. Updated hospital costs project annual national costs of $1.8 billion. Strategies for managing nosocomial urinary tract infections are presented.
Cost of Antibiotic Prophylaxis in Cesarean Section
Authors: Ford Larry C.
Published: October 2017

Two hundred sixty-three patients were randomly assigned to receive either piperacillin or cefoxitin for prophylaxis in cesarean section. Although both drugs were considered effective, piperacillin achieved a level of 98 percent satisfactory prophylaxis compared with only 91 percent for cefoxitin.

Costs of prophylactic failure in cesarean section were calculated and then assessed for four different antibiotic regimens (based on 100 patients). Because of its high failure rate, ampicillin was the most expensive antibiotic; piperacillin was the least expensive. It was suggested that highly effective prophylaxis with an antibiotic agent such as piperacillin can result in significant cost savings when used for high-risk patients undergoing cesarean section.
Therapy of Choice for the Empiric Treatment of the Febrile Neutropenic Patient
Authors: Barriere Steven L.
Published: October 2017

Patients who become neutropenic secondary to chemotherapy for malignancy are at high risk for bacterial infection. Since the most common organisms include enteric gram-negative bacilli and staphylococci, drug combinations have traditionally been used. In addition, available clinical evidence suggests that synergistic drug combinations are most effective in the treatment of infections due to Pseudomonas aeruginosa. Comparative clinical trials have not shown any particular drug combination to be superior to others tested. Therefore, the drug choice for the combination should be based on local susceptibility patterns, clinical experience, and cost. Newer betalactam compounds are broader in spectrum and more potent than older drugs, and have been tested as sole agents in this setting. Although results appear promising for drugs such as cefoperazone or ceftazidime, the development of resistance and lack of adequate antistaphylococcal activity preclude routine use of these drugs. Imipenem is currently undergoing clinical trials for this purpose and appears to have the appropriate breadth of spectrum. However, frequent development of resistance among isolates of P. aeruginosa is problematic. At the present time a combination of an aminoglycoside and an extended-spectrum penicillin seems to be the therapy of choice for the febrile, neutropenic patient.
Syndrome of Inappropriate Antidiuretic Hormone with Imipramine
Authors: Mitsch Rita A. , Lee Albert K.
Published: October 2017

Among the various medications that have been associated with the development of syndrome of inappropriate antidiuretic hormone secretion (SIADH) are the tricyclic antidepressants. A 69-year-old man admitted for treatment of a depressive disorder that had not responded to trazodone was prescribed imipramine. Twenty-two days after initiation of therapy, the patient developed hyponatremia. The patient also had depressed serum osmolality and elevated urine sodium concentrations consistent with SIADH. With the discontinuation of imipramine, fluid restriction, and several doses of furosemide, normal serum sodium concentrations were attained. As antidepressant therapy was indicated, doxepin was selected. The patient maintained normal electrolyte values and water balance over the next two months of follow-up. No reports of doxepin-related SIADH were found in the literature; therefore, this agent may be considered as an alternative therapy in patients developing SIADH during antidepressant drug therapy.
Acute Interstitial Nephritis Associated with Intermittent Rifampin Use
Authors: Katz Michael D. , Lor Edward
Published: October 2017

Rifampin is a widely used antimicrobial agent, most commonly administered in the treatment of tuberculosis. Since its introduction in the late 1960s, rifampin has become a standard agent in the treatment of tuberculosis, especially with the acceptance of short-course chemotherapy in the U.S. Rifampin also is being used with increasing frequency in the treatment of nontuberculous infections, especially serious staphylococcal infections. While rifampin usually is well tolerated in most patients, adverse effects, including serious forms of toxicity, have been reported. Some of these adverse effects include liver toxicity and various immunologic reactions such as skin rashes, eosinophilia, and interstitial nephritis. This report documents a case of acute interstitial nephritis, most likely secondary to intermittent rifampin administration.
Antimicrobial Surveillance in a Vamc Teaching Hospital–Resulting Cost Avoidance
Authors: Powers Douglas A.
Published: October 2017

The economic impact of an antimicrobial surveillance service is presented. The antimicrobial surveillance service operates as a component of antimicrobial utilization review and serves as a means of identifying and reporting patterns of antimicrobial usage for the hospital. A record of all antimicrobial agent orders is maintained by the pharmacy service. Concurrent antimicrobial utilization review is conducted on specific agents using previously approved criteria. All cases of antimicrobial use failing to meet established criteria receive immediate intervention. From September, 1983 to June, 1985, a total of 229 cases of antimicrobial use received clinical pharmacy intervention. The cost avoidance appreciated from the selection of a more cost-effective regimen was $65 381.60. Additionally, extensive educational efforts directed to cefazolin q8h vs. cefazolin q6h administration resulted in a substantial reduction in cefazolin expenditures. Indiscriminate/inappropriate use of antimicrobial agents delivers a tremendous economic burden to the health care system. Utilizing antimicrobial surveillance as a component of antimicrobial utilization review serves as a means for identifying and reporting patterns of antimicrobial usage for the medical center and has a positive economic impact as illustrated.
Intrasubject Variability of Theophylline Clearance in a Morbidly Obese Patient
Authors: Slaughter Richard L. , Nairn Dawn
Published: October 2017

It is well appreciated that theophylline pharmacokinetics exhibits wide intersubject variation. Within-subject changes in clearance have been generally reported in patients with acute exacerbations of disease states such as cor pulmonale or heart failure. Apparent random changes in theophylline clearance within the same patient have recently been reported. This report describes a case of suspected changes in the clearance of theophylline in a morbidly obese patient (250 kg) over a two-month period of time. Frequent dosage adjustments were required to maintain theophylline concentrations within the range of 8.2 to 27.3 μg/ml. Possible explanations for these changes included hypoxia and medically induced starvation. Daily theophylline doses ranged from 600 to 1600 mg/d. It is concluded that in some individuals, within-subject changes in theophylline clearance can be substantial, thus requiring frequent monitoring of theophylline concentration.
Refined response axis decoupling axiom for a coupled vibrating system with spectrally-varying mount properties
Authors: Hu Jinfang , Zhu Dongdong , Chen Jiajia , Li Weihan
Published: October 2017

Real-life engine mounts inherently exhibit considerable frequency- and amplitude-dependent characteristics, and the base flexibility has a significant effect on engine vibration and forces transmitted to the vehicle body. A new analytical formulation is proposed that incorporates spectrally-varying stiffness and damping properties of multi-dimensional mounts in the presence of a compliant base (with many vibration modes over the applicable lower frequency regime). A refined analytical axiom for the response axis decoupling of coupled system is also mathematically formulated using spectral response axis decoupling indices. Two examples are chosen to prove the refined axiom. Firstly, a powertrain mounting system with two hydraulic mounts is redesigned in terms of their stiffness and damping properties, and mount locations for both powertrain and sub-frame systems used the refined axiom in torque roll axis (TRA) direction. Frequency and time domain results demonstrate that the TRA of the redesigned powertrain mounting system is indeed decoupled from other powertrain motions. The effects of parameter uncertainties on the response axis decoupling indices are also examined. Then, a laboratory experiment consisting of a powertrain, three powertrain mounts including two hydraulic mounts, a sub-frame, and four bushings is then used to mathematically validate the refined axiom in vertical axis direction. The quasi-linear system formulation of the coupled system is also verified by comparing the frequency responses with the results obtained by the direct (matrix) inversion method and measurements.
The Bioinformatics of Integrative Medical Insights: Proposals for an International Psycho-Social and Cultural Bioinformatics Project
Authors: Rossi Ernest , Rossi Kathryn , Yount Garret , Cozzolino Mauro , Iannotti Salvador
Published: October 2017

We propose the formation of an International Psycho-Social and Cultural Bioinformatics Project (IPCBP) to explore the research foundations of Integrative Medical Insights (IMI) on all levels from the molecular-genomic to the psychological, cultural, social, and spiritual. Just as The Human Genome Project identified the molecular foundations of modern medicine with the new technology of sequencing DNA during the past decade, the IPCBP would extend and integrate this neuroscience knowledge base with the technology of gene expression via DNA/proteomic microarray research and brain imaging in development, stress, healing, rehabilitation, and the psychotherapeutic facilitation of existentional wellness. We anticipate that the IPCBP will require a unique international collaboration of, academic institutions, researchers, and clinical practioners for the creation of a new neuroscience of mind-body communication, brain plasticity, memory, learning, and creative processing during optimal experiential states of art, beauty, and truth. We illustrate this emerging integration of bioinformatics with medicine with a videotape of the classical 4-stage creative process in a neuroscience approach to psychotherapy.
Asclepius and Hygieia in Dialectic: Philosophical, Ethical and Educational Foundations of an Integrative Medicine
Authors: Giordano James , Jonas Wayne
Published: October 2017

In this essay, we posit that modern medicine, in its Asclepian focus, has subordinated the need and importance of Hygieian healing and caring, and in so doing has lost a quality that is essential to medicine, and fundamental to its lasting moral value. We argue that an integrative medicine must be based upon a core philosophical foundation that re-enjoins Asclepian and Hygieian approaches in true conceptual and practical dialectic, such that integration represents a synthesis of these orientations in epistemic, humanitarian and ethical domains.

While we assert that a core philosophy is critical to the development and sustainability of an integrative medicine, such claims remain vacant in the absence of some meaningful attempt to put these concepts into action. We believe that to apply such philosophical foundations, an approach is necessary that simultaneously engages education, research, practice and policy.

This involves not simply studying and co-opting new (or older, more ancient) modalities in a curative paradigm, but represents a paradigm shift that requires and is based upon understanding of, and skills for the application(s) of the most appropriate types of treatment(s) to affect disease, illness and health in a patient-centered model of care.
Place, Class Interaction, and Urban Segregation: Experiencing Inequality in Mexico City
Authors: Bayón Maria Cristina , Saraví Gonzalo A.
Published: October 2017

Based on ethnographic research conducted in wealthy and deprived areas of Mexico City, this article analyzes and discusses the contribution of place and class interaction in shaping urban segregation. Spatial isolation and social homogeneity are both the result of structural forces and cultural processes embodied in individual practices. Focusing on cultural processes, three main issues are explored: “the sense of place” in poor peripheries; the experience of “being-in-place,” or “being-out-of-place” among people coming from disadvantaged and privileged backgrounds; and the process of “othering” in urban encounters between social classes. We conclude that current processes give a new character to the experience of urban inequality, which deeply erodes social coexistence, recognition, and solidarity.
Penal power at the border: Realigning state and nation
Authors: Barker Vanessa
Published: October 2017

Penal power at the border relies on coercive tools such as expulsion, eviction, criminalization, and penalization to respond to mass mobility, which is perceived to be a social threat rather than a political expression of rights. By deploying its primal power, its material and symbolic violence invested in criminal justice, the state taps into unparalleled capacity to impose meaning on others, backed by the moral weight of censure and sanction. The criminalization and penalization of migrants are effective precisely because they bring moral weight to this sorting process, separating the worthy from the wrongdoer. This article develops conceptual tools to understand the structural and communicative capacities of penal power to reconstitute the nation state, to reset the national frame of reference, and reassert the state’s dominion over it.
Carceral Citizenship: Race, Rights and Responsibility in the Age of Mass Supervision
Authors: Miller Reuben Jonathan , Stuart Forrest
Published: October 2017

Scholars have shown how formal processes of legal exclusion coupled with ubiquitous criminal justice contact relegate the largely black poor targets of the carceral state to second-class citizenship. Building upon but departing from this work, we reveal how carceral expansion has not just produced new forms of second-class citizenship for poor black Americans, but an alternate citizenship category and a distinct form of political membership—what we call carceral citizenship. The criminal record does this work through a process we call translation, marking the conventional citizen and making them legible, as a carceral citizen, for governance through institutions of coercion and care. We delineate the features of carceral citizenship and discuss its implications for how we understand the role, force, and consequence of the state in the lives of the raced and criminalized poor.
Faltering growth
Authors: Roche Emma , Shrestha Baneera
Published: October 2017

Faltering growth is a common paediatric presentation in primary care; it often presents following routine health visitor surveillance or is highlighted by parental concern. It is important to recognise, as it may be the presentation of an underlying medical or social problem, and because there may be long-term consequences for growth and development. Reassuringly, however, most children with faltering growth do not fall into these groups and will improve with community-based interventions including dietary advice and health visitor input. This article describes the recognition, causes, assessment and management of faltering growth in infants and children.
Robotic prostatectomy leading to a delayed MRSA infected lymphocele: a case report and review of the literature
Authors: Kaminski Monica , Recco Rose , Siegel Steven
Published: October 2017

Prostate cancer is the second leading cancer-related cause of death in the USA with the majority presenting as localized disease. In the last decade minimally invasive, robotic-assisted laparascopic, radical prostatectomy has become the most favored treatment choice. A complication that has been observed in 27% of patients is the formation of an asymptomatic lymphocele. It is a very rare complication for these to become infected, and when they do 80% have occurred 2–12 months post-procedure. In this case report the patient presented with fever and leukocytosis of unknown origin and was found to have a methicillin-resistant Staphylococcus aureus (MRSA) infected lymphocele over 2 years after a radical prostatectomy. The infected fluid collection was drained percutaneously and the patient was treated with a 4-week course of intravenous ceftaroline with complete resolution of symptoms.
A network perspective on the visualization and analysis of bill of materials
Authors: Cinelli Matteo , Ferraro Giovanna , Iovanella Antonio , Lucci Giulia , Schiraldi Massimiliano M
Published: October 2017

A bill of materials (BoM), or product structure, is a diagram that lists all the components and parts required to produce one unit of a finished product, or end part. It is often represented as a tree structure with hierarchical relationships among different components and materials. In this article, we introduce two procedures to convert single and multiple BoM into networks. These procedures allow us to leverage the potentialities of networks analysis, providing new perspectives in terms of representation and extractable informative content, and thus gaining insights into the criticalities of parts and components. We conclude interpreting some network measures and their outcomes in terms of practical implications in industrial management, for example, product functional design and, above all, variety reduction programs.
Assessment of clot length with multiphase CT angiography in patients with acute ischemic stroke
Authors: Polito Vanessa , La Piana Roberta , Del Pilar Cortes Maria , Tampieri Donatella
Published: October 2017

Introduction

Existing stroke literature demonstrates that rapid recanalization of vessels improves long-term prognosis after acute ischemic stroke. However, further optimization of the speed of the thrombectomy procedure, used to recanalize a blocked vessel, is limited by our minimal knowledge of the clot dimensions pre-procedure. Knowing the clot dimensions would allow planning of the thrombectomy procedure with the appropriate size and length of stent retriever, and determination of the correct site of the stent deployment ensuring total coverage of the clot by the stent retriever.

Methods

We performed a feasibility study to assess if multiphase computed tomography angiography (mCTA) can be used to estimate clot length by comparing CTA imaging data with imaging data obtained from conventional digital subtraction angiography (DSA). A retrospective chart review was performed of patients with clots in the proximal middle cerebral artery and adequate collateral circulation, who underwent both mCTA and DSA.

Results

Clot length was not significantly different on 3D mCTA versus mCTA MIPs, nor was it significantly different on MIP mCTA versus DSA. Pathological evidence also supported our ability to measure clot length on mCTA.

Conclusions

We suggest that mCTA is a reliable and valid measure of clot length in acute ischemic stroke patients.
Evaluating Dietary Knowledge and Barriers to Self-Management of Type 2 Diabetes in Rural Kentucky: Cross-Sectional Interview Survey
Authors: Ashrafzadeh Sahar , Tohidi Hadi , Nasseh Kianoosh
Published: October 2017

To determine the challenges that residents of rural Kentucky face regarding diabetes self-management and to identify methods that may promote diabetes management based on a population’s needs, semistructured questionnaires were used to interview 71 adults with diabetes (40 food pantry customers and 31 grocery store customers). Although 70.1% reported following healthy diets, only 43.3% could correctly choose between pairs of healthy/unhealthy food options. Only 21% of food pantry customers (assumed low-income participants) ate healthy. Lower income participants had a 7.79 times greater chance of having a family history of diabetes and had lower perception of having proper weight than grocery store customer participants ( p = .036). Of all participants, 85.5% were motivated to manage their diabetes through diet, and 73.8% were interested in attending free healthy cooking classes. Participants who believed that diet is important in controlling diabetes revealed greater interest in attending cooking classes ( p = .017). To promote healthy diets, offering free healthy cooking classes may be an effective way of communication with patients with diabetes from lower socioeconomic and educational status.
Adverse Outcomes and Prediction of Cardiopulmonary Complications in Elective Spine Surgery
Authors: Passias Peter G. , Poorman Gregory W. , Delsole Edward , Zhou Peter L. , Horn Samantha R. , Jalai Cyrus M. , Vira Shaleen , Diebo Bassel , Lafage Virginie
Published: October 2017

Study Design:

Retrospective cohort study.

Objectives:

The purpose of this study was to report incidence of cardiopulmonary complications in elective spine surgery, demographic and surgical predictors, and outcomes. Understanding the risks and predictors of these sentinel events is important for risk evaluation, allocation of hospital resources, and counseling patients.

Methods:

A retrospective review of the National Surgical Quality Improvement Program (NSQIP) was performed on 60 964 patients undergoing elective spine surgery (any region; laminectomy, arthrodesis, discectomy, or laminoplasty) between 2011 and 2013. Incidence of myocardial infarction, cardiac arrest, unplanned reintubation, on ventilator >48 hours, perioperative pneumonia, and pulmonary embolism was measured. Demographic and surgical predictors of cardiopulmonary complications and associated outcomes (length of stay, discharge disposition, and mortality) were measured using binary logistic regression controlling for confounders.

Results:

Incidence rates per 1000 elective spine patients were 2.1 myocardial infarctions, 1.3 cardiac arrests, 4.3 unplanned intubations, 3.5 on ventilator >48 hours, 6.1 perioperative pneumonia, and 3.7 pulmonary embolisms. In analysis of procedure, diagnosis, and approach risk factors, thoracic cavity (odds ratio = 2.47; confidence interval = 1.95-3.12), scoliosis diagnosis, and combined approach (odds ratio = 1.51; confidence interval = 1.15-1.96) independently added the most risk for cardiopulmonary complication. Cardiac arrest had the highest mortality rate (34.57%). Being on ventilator greater than 48 hours resulted in the greatest increase to length of stay (17.58 days).

Conclusions:

Expected risk factors seen in the Revised Cardiac Risk Index were applicable in the context of spine surgery. Surgical planning should take into account patients who are at higher risk for cardiopulmonary complications and the implications they have on patient outcome.
Effects of daratumumab on natural killer cells and impact on clinical outcomes in relapsed or refractory multiple myeloma
Authors: Casneuf Tineke , Xu Xu Steven , Adams Homer C. , Axel Amy E. , Chiu Christopher , Khan Imran , Ahmadi Tahamtan , Yan Xiaoyu , Lonial Sagar , Plesner Torben , Lokhorst Henk M. , van de Donk Niels W. C. J. , Clemens Pamela L. , Sasser A. Kate
Published: October 2017

Key Points

NK cells decline as daratumumab exposure increases in a maximum effect type dose-response relationship, with no efficacy and safety impact. Remaining PBMC cell fractions maintained the ability to carry out daratumumab-mediated ex vivo ADCC.
Joan Robinson and MIT
Authors: Gram Harvey , Harcourt G. C.
Published: October 2017

Roger Backhouse remarks in “MIT and the Other Cambridge” (History of Political Economy 46, supplement) that the capital theory controversy came to be seen by most of the economics profession as a waste of time. Joan Robinson's 1953 paper “The Production Function and the Theory of Capital” started the controversy. An abbreviated version, published in the second volume of her Collected Economic Papers, made clear that her critique came in two parts. The “constructive” part drew attention to the phenomena of reverse capital deepening and re-switching of techniques and attracted the interest of theorists at MIT and elsewhere. The “negative” part concerned the problem of getting into equilibrium and was, for Robinson, the essence of the controversy. A close reading of the literature shows not only that Robinson was never credited with an understanding of the Achilles' heel that plagues dynamic general equilibrium models, but also that the problem, though variously recognized, was essentially ignored. The suggestion that the capital theory controversy was a waste of time fails to recognize that Robinson had drawn attention to a fundamental unsolved problem in economic theory.
Narratives of Theory Transfer
Authors: Kinder Anna
Published: October 2017

Focusing on the methodological challenges and the empirical dimension of transatlantic theory transfer, this article provides an overview of the concepts and ideas of theory transfer. By examining the deployment of the term and by reconstructing the respective concepts of theory, it considers the specific traditions in Germany and the United States. Providing statistical data, the article sheds light on success stories of transatlantic theory transfer from Germany to the United States and thus reassesses the concepts outlined in the first part.
The Anonymity of Siegfried Kracauer
Authors: von Moltke Johannes
Published: October 2017

This article investigates the role of names, naming, and anonymity in the career and reception history of Siegfried Kracauer. A signature motif of his life and writings, the notion of anonymity is ambivalent, signaling both invisibility and success. The article traces this motif from its treatment in Kracauer's novel Ginster to the role the author ascribes to it in his correspondence with Theodor W. Adorno, to the posthumous fate of his works on both sides of the Atlantic. A comparative reception history shows the different valences of Kracauer's name in German and Anglo-American scholarship, particularly in the history of film studies. The article situates the trope of anonymity at the heart of Kracauer's oeuvre, where it helps define a nonsovereign subject in response to modernity.
Niklas Luhmann
Authors: Rasch William
Published: October 2017

Niklas Luhmann expressed puzzlement that his work was not well or extensively received in the Anglophone world, especially because he saw himself working within an American tradition characterized by cybernetics and scientific complexity theory. Yet the late twentieth-century intellectual ground was not fertile for his brand of social theory. By and large, nonquantitative social theory was no longer welcome in sociology departments. By opposing the ideology critique of the Frankfurt School tradition, Luhmann branded himself “conservative.” And, unlike the kinds of theory prevalent in the humanities (e.g., deconstruction), Luhmann never advanced his ideas with close readings of classical texts. Nevertheless, underneath the dissonance of the theoretical language that he used, the resonance with “postmodern” trends was profound, and a small but persistent cohort of scholars continues to engage in the literal and figurative translation of his work in the United States and the Commonwealth.
“Half a Heart and Double Zeal”: Critical Theory's Afterlife in the United States
Authors: Zwarg Robert
Published: October 2017

Critical theory has had an extraordinarily productive reception in the United States, most notably in journals like Telos and New German Critique. The article, based on a larger study, sketches the American reception of the Frankfurt School as (1) an attempt to come to grips with the political failure of the New Left and the student movement and (2) an unconscious encounter with the American particularity vis-à-vis Europe. As such, the article advances an understanding of what it means to speak of critical theory's “temporal core.” The notion of “afterlife,” the article argues, serves as a meaningful concept with which to study the historical transmission of the writings of first-generation critical theory.
Surface wear-resistance and fatigue strength support at electro-erosion processing
Authors: Федонин Олег , Fedonin Oleg , Съянов Сергей , Siyanov Sergey , Папикян Алина , Papikyan Alina
Published: October 2017

This paper represents the results generalization of theoretical investigations in the matter of an electro-erosion processing impact upon operating properties of die mold shaping parts. A basic problem is wear-resistance and fatigue strength support at the electro-erosion processing of the products of these types. The analysis carried out has shown that the processing modes and a coefficient after an electro-erosion processing influence fatigue strength. A wear-resistance index is defined both by processing modes, and physical-mechanical properties of blank material. To ensure product operating characteristics a physical situation of complex parts processing should be defined through the choice of optimum modes for electro-erosion processing.
Peculiarities of formation and behavior of functional poly-layers on surfaces of tribosystem parts
Authors: Бутенко Виктор , Butenko Viktor , Дуров Дмитрий , Durov Dmitry , Шаповалов Роман , Shapovalov Roman
Published: October 2017

There are shown results of model and metallographic researches of mechanisms of component possible displacements within functional poly-layers on parts surfaces of tribosystems and the segregation formation in them allowing the reveal of the impact degree of segregated elements upon structuring peculiarities of functional poly-layers material in engineering processes of their formation and a conduct at friction, and also the definition of a direction of a possible controlled impact upon their state with the purpose of the wear-resistance increase in surfaces of tribosystem parts and the friction constant decrease between their contacting surfaces under conditions of high loads, velocities and hostile environments.
Strategy and the Strategist: How It Matters Who Develops the Strategy
Authors: Van den Steen Eric
Published: October 2017

This paper addresses primarily two questions. First, when (and why) should a company’s strategy be developed by its CEO versus by some outside analyst or other insider? Second, how does strategy interact with vision (in the sense of a strong belief about the right course of action)? The paper studies these questions using a functional definition of strategy as “the smallest set of choices to optimally guide other choices.” Among other things, the paper shows that strategy formulation by the CEO leads to both better strategy and better execution, and that a strategist’s vision may improve execution. In the process, the paper also identifies criteria that make a decision strategic and derives explanations why strategies often reflect the background of the strategist.

This paper was accepted by Bruno Cassiman, business strategy.
Delay Analysis of the Max-Weight Policy Under Heavy-Tailed Traffic via Fluid Approximations
Authors: Markakis Mihalis G. , Modiano Eytan , Tsitsiklis John N.
Published: October 2017

We consider switched queueing networks with a mix of heavy-tailed (i.e., arrival processes with infinite variance) and exponential-type traffic and study the delay performance of the max-weight policy, known for its throughput optimality and asymptotic delay optimality properties. Our focus is on the impact of heavy-tailed traffic on exponential-type queues/flows, which may manifest itself in the form of subtle rate-dependent phenomena. We introduce a novel class of Lyapunov functions (piecewise linear and nonincreasing in the length of heavy-tailed queues), whose drift analysis provides exponentially decaying upper bounds to queue-length tail asymptotics despite the presence of heavy tails. To facilitate a drift analysis, we employ fluid approximations, proving that if a continuous and piecewise linear function is also a “Lyapunov function” for the fluid model, then the same function is a “Lyapunov function” for the original stochastic system. Furthermore, we use fluid approximations and renewal theory in order to prove delay instability results, i.e., infinite expected delays in steady state. We illustrate the benefits of the proposed approach in two ways: (i) analytically, by studying the delay stability regions of single-hop switched queueing networks with disjoint schedules, providing a precise characterization of these regions for certain queues and inner and outer bounds for the rest. As a side result, we prove monotonicity properties for the service rates of different schedules that, in turn, allow us to identify “critical configurations” toward which the state of the system is driven, and that determine to a large extent delay stability; (ii) computationally, through a bottleneck identification algorithm, which identifies (some) delay unstable queues/flows in complex switched queueing networks by solving the fluid model from certain initial conditions.
Front Matter: Volume 5 (Proceedings of CBU)
Authors: Hájek Petr , Vít Ondřej , Bašová Petra , Krijt Matyáš , Paszeková Helena , Součková Olga , Mudřík Radomír
Published: October 2017

This PDF file contains the front matter associated with CBU Proceedings Volume 5 including the Title Page, Copyright information, Table of Contents, Introduction, and Conference Committee listing.
Diagnosis of haemophilia A in a Miniature Longhaired Dachshund
Authors: Gordon GM , Kilpatrick S
Published: October 2017

This case report presents a 6-month-old, male, Miniature Longhaired Dachshund diagnosed with haemophilia A. The clinical procedures, as well as nursing interventions, leading to the diagnosis are presented. Treatment and management of haemophilia A is also described.
Today's students are tomorrow's professionals
Authors: Stokes Laura
Published: October 2017

I recently attended VetEd 2017 – the annual Veterinary Education Symposium. Hosted by a different veterinary school each year, this year it was held at the University of Liverpool. Many veterinary conferences place their emphasis on providing continued professional development (CPD) for veterinary surgeons and veterinary nurses in practice; highlighting recent knowledge and skills within the industry and showcasing new developments in veterinary equipment and practice management. These highly valuable sources of CPD and networking for veterinary professionals and students, however, do not bridge the gap between education, teaching and student learning experiences and the workplace.
Effect of Sieve Drum Inclination Angle on Wheat Grain Cleaning in a Novel Rotary Cleaning Device
Authors: Krzysiak Zbigniew , Samociuk Waldemar , Skic Anna , Bartnik Grzegorz , Zarajczyk Janusz , Szmigielski Marek , Dziki Dariusz , Wierzbicki Slawomir , Krzywonos Leszek
Published: October 2017

Abstract. In this study, a novel rotary cleaning device was used for the separation and cleaning of wheat grains. This research analyzed the influence of the inclination angle of the sieve drum (K) of the device on the quality of these processes. In this article, the results obtained for four selected rotational speeds (nb) of the sieve drum are presented. The quality of the separation and cleaning of the wheat grains was evaluated using three cleaning process parameters: coefficient of plump grain mass separation (Wz), coefficient of fine impurities separation (Wd), and total coefficient of cleaning effectiveness (E). Based on statistical analysis of the results, the inclination angle of the sieve drum had a significant effect on the quality of the wheat grain separation process. Coefficient Wz was highest for sieve drum inclination angles of K = 0° and K = 2.5°, whereas Wd was highest for K = -2.5°. The total coefficient of cleaning effectiveness (E) was characterized by different values for different inclination angles of the sieve drum. Keywords: Cleaning effectiveness, Conical sieve, Rotary cleaning device, Wheat grain cleaning.
Performance evaluation of Hydrodynamic Vortex Separator at different hydraulic retention times applied in Recirculating Biofloc Technology system
Authors: Shi Mingming , Ruan Yunjie , Wu Binxin , Ye Zhangying , Zhu Songming
Published: October 2017

Abstract.

Recirculating biofloc technology (RBFT) has been gradually acknowledged for its positive effect on the control of biofloc concentration using a hydrodynamic vortex separator (HDVS). To operate an RBFT system at maximum performance, the removal efficiency of an HDVS at different hydraulic retention times (HRTs) must be fully predictable. Hence, a numerical study of the fluid flow and particle dynamics was performed to characterize the performance of an HDVS at varying HRTs. First, flow simulation was conducted to determine an economical mesh size at an HRT of 248 s. Then, with respect to the total suspended solids (TSS) in the RBFT system and the physical properties of the flocs, two-way coupling of the dense discrete phase model (DDPM) and discrete element model (DEM) methods was used to predict floc tracking in an HDVS. Additionally, the Reynolds averaged Navier-Stokes (RANS) equations with the Reynolds stress turbulence model (RSM) were solved using the finite volume method based on the semi-implicit method pressure-linked equations (SIMPLE) pressure correction algorithm in the computational domain. Finally, pilot-scale studies were conducted to verify the simulation models. Based on the simulation results, floc management in an RBFT system is briefly discussed. Due to limited research on the numerical simulation and operating conditions of an HDVS in an RBFT system, this article describes an original investigation of the modeling approach. Keywords: Computational fluid dynamics, Dense discrete phase model, Discrete element model, Floc management, Flow field, Removal efficiency, Total suspend solids.
DESENVOLVIMENTO DE AÇÕES DE PROMOÇÃO DA SAÚDE NA USF SOBRADINHO I: RELATO DE EXPERIÊNCIA DA OPERACIONALIZAÇÃO DE UM PLANEJAMENTO E PROGRAMAÇÃO LOCAL EM SAÚDE
Authors: Nunes Filho Heraldo Rocha , Damasceno Jonh Almeida , Almeida Naiah Enéas da Silva , Pereira Ueslei Menezes de Araújo , Musse Jamilly de Oliveira
Published: October 2017

O objetivo do presente estudo foi descrever o processo de Planejamento e Programação Local em Saúde (PPLS) e as ações desenvolvidas na comunidade do Sobradinho I, durante as atividades do módulo de Práticas de Integração Ensino, Serviço e Comunidade II. Trata-se de um relato de experiência sobre cinco oficinas de saúde, que orientaram a população sobre a Hipertensão Arterial Sistêmica, a importância de exercícios físicos e alimentação saudável para a prevenção e controle dessa patologia, bem como sobre os riscos do tabagismo, consumo excessivo de álcool e estresse para o agravamento do quadro clínico. Além disso, foram realizadas aferições da pressão arterial e medidas de dados antropométricos. Os resultados apontaram que muitos hipertensos não conheciam a doença que os acometem. Grande parte controlava o nível pressórico apenas com medicação. A maioria praticava atividade física e não mudou os hábitos alimentares com o diagnóstico. O número de fumantes e consumidores de álcool foi pequeno e o estresse foi apontado por muitos como fator agravante. Assim, concluiu-se que a PPLS é um instrumento importante para organizar as ações na comunidade. Na área de abrangência do Sobradinho I, essa ferramenta permitiu a negociação entre os diversos participantes interessados no desenvolvimento de ações de promoção de saúde no controle e prevenção da Hipertensão Arterial Sistêmica.
VIVÊNCIA DA HOMEOPATIA: UMA RACIONALIDADE MÉDICA INTEGRATIVA NA UNIVERSIDADE ESTADUAL DE FEIRA DE SANTANA – UEFS
Authors: Carneiro dos Santos Célia Maria , Gutiérrez Ingrid Estefania Mancia de , Souza Filho Marcelo Luiz Pereira de , Pereira Ewerton Vinicius da Silva
Published: October 2017

Novos paradigmas em saúde no fim do século XX efetivaram a consolidação da homeopatia no âmbito da Saúde Pública como um dos elementos das Práticas Integrativas e Complementares (PIC). A divulgação dos conhecimentos básicos das PIC entre os profissionais de saúde ainda é assunto distante da medicina convencional praticada e vivenciada nos cursos de graduação do país. O objetivo deste trabalho é relatar as atividades de homeopatia desenvolvidas no curso de Medicina da Universidade Estadual de Feira de Santana (UEFS), assim como a construção de liga acadêmica sobre o tema por parte dos estudantes de medicina. Para este estudo descritivo, foram avaliados os prontuários dos pacientes atendidos no ambulatório de Homeopatia do Programa Terapias Não Conven-cionais da UEFS e nas consultas clínicas do módulo de Práticas de Integração Ensino, Serviço e Comunidade (PIESC), no período entre 2012-2016. Nesse período foram acompanhados clinicamente 54 usuários, predominante do gênero feminino (72,2%), adultos (77,8%), sendo prescritos 39 medicamentos homeopáticos, prevalecendo os de origem vegetal (59,0%), seguidos dos medicamentos de origem animal (28,2%) e mineral (12,8%). Salientamos a importância de introduzir os conhecimentos da homeopatia nas grades curriculares dos cursos de saúde, a fim de formar profissionais capacitados para a correta indicação e realização de tais práticas nos serviços de saúde.
The websites of primary and secondary schools in Portugal: an evaluation proposal
Authors: Santos Ana Maria , Cordón García José Antonio , Gómez Díaz Raquel
Published: October 2017

This article proposes an evaluation the quality in educational websites of two degrees of education, Primary School and the High school. To stablish this analysis was used a Model of Evaluation of the Quality of Educational Websites (EQEWS) divided into Functional Aspects, with five criteria: authority, update, usability, accessibility and communication; and Technical-Aesthetic Aspects, with five principles: graphic design and multimedia quality, content, navigation, speed of access and interaction. This propose model of evaluation applied to 57 websites, according to the Likert scale of 0 to 4. We conclude that Secondary School web sites achieved better results in most of the evaluated criteria, it is verified that the authors of these resources are entirely identified with the needs and with the requirement that this degree of education requires the students, with levels of focused on achieving excellent results for university entrance.
Metalinguistic comments and multilingual awareness: Estonian-Russian language contacts in blogs
Authors: Verschik Anna
Published: October 2017

The paper focuses on the manifestation of multilingual awareness (MLA) and the impact of Estonian in Russian-language blogs by ethnic Russians. MLA can be defined as “an ability to focus on linguistic form and to switch focus between form and meaning” (Jessner, Ulrike. 2014. On multilingual awareness or why the multilingual learner is a specific language learner. In Miroslaw Pawlak & Larissa Aronin (eds.),Essential topics in applied linguistics and multilingualism. Studies in Honor of David Singleton, 175–184. Wien: Springer.). The purpose is to show that metalinguistic comments form as a subcategory of metalinguistic awareness, i.e., the latter conditions the former but not vice versa. I consider not only explicit examples of metalinguistic comments, such as discussion on differences between Russian of Russia and Russian in Estonia, proficiency in Estonian, sometimes including discussions on fine points of Estonian grammar, but also implicit and more subtle examples, such as visual separation of Estonian stems and Russian inflections, playful switches from Cyrillic to Latin characters and back within a sentence or even a word. All blogs are in the Live Journal environment, a medium which combines features of stand-alone blogs and social networks. The bloggers are reasonably proficient in Estonian and work or study in a predominantly Estonian-language environment. Data comes from fifteen blogs from the period 2008–2012. The bloggers position themselves as autonomous language users and consider blogs as their private virtual space with an individual language policy. This is in accordance with the views of some contact linguists (e.g., Thomason, Sara Grey. 2007. Language contact and deliberate change.Journal of Language Contact1. 41–62.), who consider change by deliberate decision as one of the mechanisms of contact-induced language change.