bluuebunny/crossref_metadata_2025 huggingface dataset:
Patterns of Violence Victimization and Perpetration Among Adolescents Using Latent Class Analysis
Authors: Sessarego Stephanie N. , Siller Laura , Edwards Katie M.
Published: July 2019

Research has identified interpersonal violence (a broad term that includes stalking, harassment, sexual assault, and physical dating violence) as a major problem among adolescents. Research suggests that there are different patterns, or classes, of interpersonal violence victimization and perpetration, but little of this work has focused on adolescents. In the current study, we conducted latent class analysis using a sample of 2,921 adolescent girls and boys in high school from northern New England to assess varying patterns of interpersonal violence victimization and perpetration over the past 2 months, specifically stalking, harassment, sexual assault, and dating violence. Four classes of violence victimization and perpetration were identified: (a) No Victimization or Perpetration class ( n = 1,898, 65.0%), (b) Low Victimization and Perpetration class ( n = 343, 11.7%), (c) Harassment Victimization Only class ( n = 560, 19.2%), and (d) High Victimization and Low Perpetration class ( n = 120, 4.1%). Several differences in classes emerged as a function of demographic and behavioral health variables. For example, the High Victimization and Low Perpetration class had the highest proportion of girls and youth with sexual minority status. Furthermore, youth in the High Victimization and Low Perpetration class also had a significantly higher proportion of class members endorsing depressed mood and engagement in binge drinking than the youth in other classes. These findings demonstrate the heterogeneity in patterns of interpersonal violence, which future research should seek to better understand in terms of etiology, outcomes, and best practices for prevention and intervention.
Patterns of medication use before, during and after pregnancy in women with systemic lupus erythematosus: a population-based cohort study
Authors: Zusman E Z , Sayre E C , Aviña-Zubieta J A , De Vera M A
Published: July 2019

Objectives

This study aimed to characterize the patterns of medication use before, during and after pregnancy in a population-based cohort of women with systemic lupus erythematosus (SLE).

Methods

Using population-based administrative data in British Columbia, Canada, with valid information on start date of pregnancy, we identified women with SLE who had singleton pregnancies ending in deliveries between January 1, 2002, and December 31, 2012. We assessed the proportion of SLE pregnancies exposed to SLE medications – namely antimalarials and immunosuppressants – as well as glucocorticosteroids, and nonsteroidal anti-inflammatory drugs (NSAIDs) 24 months before pregnancy, each trimester of pregnancy, and 12 months postpregnancy. We also assessed discontinuation of antimalarials and immunosuppressants, defined as no prescriptions in a given window following a prescription in a preceding window.

Results

Of 376 pregnancies (284 women) with SLE, 24.2% had one or more dispensing for antimalarials, 8.2% for azathioprine, 19.7% for glucocorticosteroids and 4.8% for NSAIDs during pregnancy. We observed a 16.7% discontinuation of antimalarials in the year prior to pregnancy, 29.8% in the first trimester, 9.7% in the second trimester, and 26.0% in the third trimester. We also observed a 29.2% discontinuation of azathioprine in the first trimester, 8.0% in the second trimester, and 9.1% in the third trimester.

Conclusions

These population-based data show frequent discontinuation of medications, particularly antimalarials, in SLE pregnancies. These findings suggest the importance of educating women with SLE who are pregnant or planning to become pregnant on the benefits and risks of medications during pregnancy.
Ensuring universal social protection for the future of work
Authors: Behrendt Christina , Nguyen Quynh Anh
Published: July 2019

The debate about the future of work has sparked a debate about how to ensure that social protection systems can provide full and effective coverage for workers in all forms of employment, including ‘new’ ones. While some emerging work and employment arrangements may provide greater flexibility for workers and employers, they may lead to significant gaps in social protection coverage, at a time when demands on social protection systems are increasing. It is therefore necessary to strengthen and adapt social protection systems for a changing world of work. More than ever, they have a key role in preventing poverty, reducing inequality, enhancing income security and enabling workers and their families better to navigate work and life transitions. Comprehensive approaches, including contributory and non-contributory social protection mechanisms, with equitable and sustainable financing mechanisms available through taxes or contributions, stand the best chance of offering adequate social protection to all.
Improving Behavioral Health in Young People: It Is Time for Social Work to Adopt Prevention
Authors: Jenson Jeffrey M.
Published: July 2019

Behavioral health problems in young people are often addressed through costly and ineffective treatment, rehabilitation, and control strategies aimed at helping children and adolescents after problems are identified. Evidence indicates that many behavioral health problems can be prevented before they occur, thereby saving significant individual, economic, and social costs. Although policy, practice, and research in reducing behavioral health problems have increased dramatically in the past several decades, social work has been slow to join other disciplines in the critical debate about the most effective and humane ways to prevent behavioral health problems. It is time for social work to adopt prevention as a guiding framework for practice, policy, advocacy, and research in behavioral health settings.
Remediating Child Attachment Insecurity: Evaluating the Basic Trust Intervention in Adoptive Families
Authors: Zeegers Moniek A. J. , Colonnesi Cristina , Noom Marc J. , Polderman Nelleke , Stams Geert-Jan J. M.
Published: July 2019

Purpose:

This study evaluated the video-feedback intervention Basic Trust in families with internationally adoptive children aged 2–12 years. The intervention aims to reduce child attachment insecurity and behavior problems by enhancing mothers’ and fathers’ sensitivity and mind-mindedness (parents’ capacity to hold in mind the mind of their child).

Method:

Fifty-three adoptive families participated in a pretest, posttest, and 6-month follow-up assessment. Questionnaires on parenting stress, child attachment insecurity, and behavior problems were administered. Parents’ sensitivity was assessed from free-play observations at home, and mind-mindedness was measured with a describe-your-child interview.

Results:

Parents reported less child behavior problems, insecure and disorganized attachment, and parenting stress at posttest and follow-up. Parents’ mind-mindedness increased from pre- to post-test but not from pretest to follow-up. Parents’ sensitivity showed an improvement at follow-up.

Conclusions:

Future studies should investigate whether the present study’s positive results can be replicated under conditions of strict experimental control.
PD-L1/PD-1 Expression in Endometrial Clear Cell Carcinoma: A Potential Surrogate Marker for Clinical Trials
Authors: Jin Cao , Hacking Sean , Liang Sharon , Nasim Mansoor
Published: July 2019

Background. Endometrial clear cell carcinoma (ECCC) represents a rare subtype of endometrial cancer. Recently, immunotherapeutic drugs targeting programmed cell death protein 1 (PD-1)/programmed death ligand-1 (PD-L1) was associated with improved survival in several types of cancer (especially in patients with mismatch-repair (MMR)-deficient status). The aim of this study is to evaluate the correlation between the PD-L1/PD-1 axis and clinical and pathological features in strictly defined ECCC diagnosed at our institution. Design. Review of ECCC (diagnosed in the period of 2000 to 2017) identified 23 cases (n = 23) in our institution. The cases were reviewed by 2 gynecological pathologists. Estrogen receptor, progesterone receptor, napsin A, p16, and p53 were also performed so that only pure CCC cases were included. PD-L1 (SP142), PD-1, and MMR antibodies were performed. PD-L1 and PD-1 were scored in both the tumor and the peritumoral lymphocyte infiltration. Clinical and pathological features were recorded to correlate with the expression of the 2 markers. Results. Among the 23 cases, 20 cases were qualified for pure CCC by histology and immunohistochemistry patterns. Regarding PD-1 expression, 6/20 (30%) patients had positive expression in peritumoral lymphocyte infiltration. While 3/20 (15%) cases had PD-L1 either tumoral or peritumoral lymphocytes expression. Loss of MMR expression was present in 1 (5%) of 20 patients. PD-1 and/or PD-L1 expression cases tended to have deeper myometrial invasion and higher stage at presentation. Conclusions. Our results are suggestive of the roles of both PD-1 and PD-L1 in ECCCs as useful therapeutic biomarkers for immunotherapy.
The Dissident Interview: A Deterritorializing Guerrilla Encounter
Authors: Barlott Tim , Shevellar Lynda , Turpin Merrill , Setchell Jenny
Published: July 2019

Drawing from the work of Deleuze and Guattari, we experimentally chart a cartography of a peculiar interview (an “off-topic” and “dissident” interview that disrupts the agenda of the interviewer). In this article, we aim to traverse the micropolitics of the interview, the entangled relations of power and resistance. We intentionally chart the intensive topography of the peculiar and re-present what was once missed (or passed over). Thinking with theory rather than method, we have used Deleuze and Guattari’s conceptualization of social machines, deterritorialization, and desire, to interrogate and experiment with the dissident interview. Performed as a nine-movement guerrilla encounter, the peculiarities of the interview are re-presented as unconventional guerrilla tactics that deterritorialize and disrupt the interview. Our experimentation surfaced some of the ways an interview can be despotic, stifling affective production. However, a Deleuzio-Guattarian war machine prevented the capture and appropriation of the interview and produced a new creative machine.
Predicting Depression Among Jewish and Arab Israeli Women Who Are Victims of Intimate Partner Violence
Authors: Levy Drorit , Ben-Porat Anat , Kattoura Ola , Dekel Rachel , Itzhaky Haya
Published: July 2019

This study examined whether there were differences in levels of depression between Arab and Jewish Israeli female victims of intimate partner violence (IPV) and how various personal and environmental variables contributed to depression. A total of 303 women were selected. T tests were conducted, and no significant differences were revealed. Hierarchical regressions were also conducted. Background variables (violence in childhood and employment status) and psychiatric treatment contributed significantly to the variance in depression, and a negative contribution was made by personal and environmental variables (sense of mastery and social support). The interaction between ethnic origin and psychiatric treatment was also found to be significant. The discussion highlights the theoretical contribution and implications for practice in the field.
Enoxaparin Dosing for Venous Thromboembolism Prophylaxis in Low Body Weight Patients
Authors: Dybdahl Daniel , Walliser Grant , Pershing Michelle , Collins Christy , Robinson David
Published: July 2019

Background:

The appropriate dose of enoxaparin for venous thromboembolism (VTE) prophylaxis in low body weight patients is unknown.

Objective:

The aim of this study is to evaluate the impact of enoxaparin dosing on major and minor bleeding events in low body weight patients.

Methods:

This was a retrospective cohort study of patients weighing less than 45 kg receiving subcutaneous (SC) enoxaparin for VTE prevention. The primary objective was to determine whether enoxaparin dose was associated with major and minor bleeding. The secondary objective was to determine the incidence of VTE by enoxaparin dose.

Results:

There were 173 patients included in the study, of which 37 patients received 2 different courses of enoxaparin during hospitalization, resulting in 210 enoxaparin courses. Among all enoxaparin courses, 16.2% were associated with major bleeding and 5.2% with minor bleeding. There was no difference in the incidence of major bleeding by dose (enoxaparin 30 mg SC daily, 30 mg SC twice daily, or 40 mg SC daily; P = .409). Patients who experienced major bleeding were older (54.9 ± 16.1 years) than patients who did not (48.4 ± 18.4 years) ( P = .043). There was no difference in the incidence of minor bleeding by dosing schedule ( P = .14). No patients experienced a VTE.

Conclusion and Relevance:

The risk of bleeding was similar by enoxaparin dose but increased with age in low body weight patients. Given the low incidence of VTE in this study, it is reasonable to consider decreasing the prophylactic enoxaparin dose in low body weight patients, especially in the elderly population.
Varied treatment response in young children with autism: A relative comparison of structured and naturalistic behavioral approaches
Authors: Jobin Allison
Published: July 2019

Heterogeneity of treatment response is common in children with autism spectrum disorder. Thus, many providers vary the intervention used based on child characteristics and learning domain. An improved understanding of how to match treatments to different children and domain areas may enhance efforts to individualize treatment and improve treatment response. This study evaluated the relative efficacy of discrete trial training and pivotal response training for teaching young children at risk for autism spectrum disorder receptive and expressive language, play, and imitation skills. Using a single-subject adapted alternating treatments design, children received both the treatments for 12 weeks. Data were collected during treatment and at 3-month follow-up. All participants acquired target skills in both treatments and demonstrated some generalization, maintenance, and spontaneous skill use. Pivotal response training and discrete trial training were each more effective for some children and domains. The results suggest that early rates of learning may be predictive of longer-term treatment response and useful in informing treatment decisions.
Deflection distribution estimation of the main arch of arch bridges based on long-gauge fiber optic sensing technology
Authors: Zhang Qingqing , Sun Tongfei , Wang Jing , Liu Qianlong
Published: July 2019

Deflection of the main arch of arch bridges is one of the main indices for supporting the alignment after construction and evaluating the structural performance. The existing sensing technology and analysis method for deflection monitoring have developed, but it is still difficult to monitor the deflection of the main arch of a long-span arch bridge with great height difference between measuring points. On the contrary, in recent years, with the outstanding advantages of fiber optic sensing technologies, a long-gauge fiber Bragg grating sensing technology has been used in structural health monitoring due to its characteristics, including reflecting the macro and micro information and being connected into network. For these reasons, the long-gauge fiber Bragg grating sensing technology is proposed to develop a method to monitor the deflection of the main arch of arch bridges. A curvature load method for deflection distribution estimation using strain measurements is proposed. It deduces the expression of the complex relation between the strain and the deformation on the main arch element and then separates the coupled strain on the element through the specific sensor layout. A series of simulation tests of the deck arch bridge, half-through bridge, and through arch bridge was conducted. It is concluded that the proposed method can not only be applied to these long-span arch bridges but also can identify the static and dynamic deflections of the main arch effectively.
New proposed drift limit states for box-type structural systems considering local and global damage indices
Authors: Mohsenian Vahid , Mortezaei Alireza
Published: July 2019

The maximum displacement responses under the seismic motions are usually considered as an indicator for damage evaluation. It is obvious that appropriate selection of drifts corresponding to various damage levels plays an important role in safety and economy of a design project. Despite the extensive use of the box-type structural system in mass construction and housing industry, there is no special design requirement for this structural system. Due to three-dimensional behavior and interaction of intersecting walls and slabs, it is expected that this system presents different seismic performance in comparison to the conventional shear wall buildings. This study evaluates the overall and story failure mechanism as well as global and local damage indices in this structural system. Maximum allowable drift ratios of 0.45%, 0.65%, and 0.8% are suggested for the immediate occupancy, life safety, and collapse prevention levels, respectively. Moreover, a damage index based on the maximum relative inter-story drifts is proposed to assess the failure in the height domain. According to the assessments, the story and global failure occurring due to considerable damages in main load bearing elements reveals high importance of local damage indices in box-type structural system. Based on the results, it is concluded that the proposed maximum values for drifts in different standards and codes are not reliable. Considering the shear-control behavior and depending on the expected performance levels, the proposed local damage indices are considered as accurate control indicators for box-type structural system.
Exploring the long-term relationship between academic-media multitasking and adolescents’ academic achievement
Authors: van der Schuur Winneke A , Baumgartner Susanne E , Sumter Sindy R , Valkenburg Patti M
Published: July 2019

Adolescents commonly use media and communication devices during academic activities, also referred to as academic-media multitasking. Although there is evidence for the short-term effect of academic-media multitasking on academic achievement, support for its long-term effect is lacking. Therefore, we investigated the long-term relationship between academic-media multitasking and academic achievement, and the possible underlying mechanism of academic attention problems using a three-wave longitudinal study, with time intervals of 3–4 months, among 1215 adolescents (11–15 years, 52% boys). Although academic-media multitasking and academic achievement were cross-sectionally related, the findings showed neither support for a direct nor indirect long-term relationship between academic-media multitasking and subsequent academic achievement scores. However, academic-media multitasking was associated with an increase in subsequent academic attention problems. This study indicates that concerns regarding the long-term impact of academic-media multitasking on academic achievement need to be qualified.
Prospective Evaluation of the TIGRIS Vascular Stent Within a Modern Treatment Algorithm
Authors: Werner Martin , Gomari-Grisar Fatemeh , Belalcazar Silvia , Hirschl Mirko , Kalchhauser Georg , Al-Taiee Baker , Jäger Nadja , Westhausser Christoph , Tischler Mathias , Tischler Reinhold
Published: July 2019

Purpose: To prospectively evaluate the safety and efficacy of the TIGRIS Vascular Stent in the superficial femoral artery (SFA) and proximal popliteal artery within a treatment algorithm that reserved stent usage for more challenging patients. Materials and Methods: This prospective, single-center study enrolled 97 patients (mean age 68.7 years; 66 men) who were treated for 100 de novo or nonstented restenotic femoropopliteal lesions (≥70% stenosis) and had recoil or dissection after plain balloon predilation. The average lesion length was 5.6±2.3 cm (maximum 8 cm per protocol). The composite primary efficacy outcome was 12-month primary patency, defined as a peak systolic velocity ratio ≤2.5 at the stented target lesion on duplex ultrasound, and no clinically-driven reintervention within the stented segment. The primary safety outcome was freedom from device- and procedure-related target vessel revascularization, target limb major amputation (above the metatarsals), or death through 30 days. Secondary outcomes included secondary patency, clinically-driven target lesion revascularization (TLR), Rutherford category change relative to baseline, and binary restenosis of the target lesion. Results: All devices were successfully implanted with no device-related complications at the time of implant or within the 30-day postimplant window. The average stented length was 7.0±2.5 cm; no stent elongation was observed during deployment. One patient was lost to follow-up before 12 months and another died of an unrelated cause, leaving 95 patients (98 lesions) available for 12-month follow-up and 77 patients/lesions for the 24-month preliminary analysis. The binary primary and secondary patency rates at 12 months were 92.9% and 100%. The binary freedom from TLR was 94.9%. At 24 months, the Kaplan-Meier estimate of primary patency was 90.0%. Conclusion: This prospective study demonstrated that the TIGRIS Vascular Stent is a safe and effective device in a modern treatment algorithm that reserved bare stent use for postangioplasty dissection or recoil in distal femoropopliteal arteries.
Principles of STAGE Management for Diabetic Foot Ulcers Based on the Wagner and Texas Classification Systems
Authors: Zhu Chaojun , Zhou Bing , Lü Jiakang , Yue Ping , Liu Xianzhou , Huo Lei , Shi Yue , Liu Tingting , Zhang Zhaohui
Published: July 2019

The current Wagner and Texas classifications of diabetic foot ulcers (DFUs) are used worldwide to assess the extent of foot lesions, but wound treatment principles based on both the classification systems are lacking. We have summarized the STAGE principles of wound treatment for clinical practice based on the Wagner and Texas classification systems. The STAGE principles refer to the principles of surgical intervention during wound treatment of DFUs and emphasize that “based on anatomical layers, the management focuses on blood supply and includes layer-by-layer incision to the infected area, maintenance of effective wound drainage, and step-by-step treatment of the wound.” During treatment, microcirculation improvement and microvascular angiogenesis (A) are essential for granulation tissue formation in the bone (skeleton, S) and tendons (T) and healing of the wound with reepithelialization (E). We defined the above mentioned steps as the STAGE principles, namely, layer-by-layer incision and step-by-step management (Phase A is essential for the treatments in Phases S-T and G-E). Ulcers or gangrene formed during Phases S-T or T should be treated according to the STAGE or TAGE principles, respectively. Similar treatment principles are applied in the other phases. However, treatments at each phase are not isolated and can be performed simultaneously. The STAGE principle can be combined with the tissue, infection, moisture, and wound edge (TIME) and TIME-H chronic wound treatment principles to eliminate the shortcomings of a single principle in wound management.
Enhanced closed-loop systematic kinematics analysis of wheeled mobile robots
Authors: Han Ziyong , Yuan Shihua , Li Xueyuan , Zhou Junjie
Published: July 2019

The traditional homogeneous transform maintains central position in the kinematic modelling of robotics. However, for these kinematic modelling of wheeled mobile robots over uneven terrain, the homogeneous transform that represents angular velocity implicitly in the time derivative of the rotation matrix has a drawback in orientation representation. In this article, to improve the angular representation, a new general systematic method for kinematics modelling and analysis of wheeled mobile robot is proposed. The approach uses the Sheth–Uicker convention and loop-closure kinematic chains to derive the position, velocity and acceleration kinematics. The screw coordinates are used to reform the velocity kinematics to centroidal kinematics; then, the Jacobian calculation is simplified to solve the screw vector algebra equations instead of the matrix equations. Meanwhile, the linear and angular components of the centroidal kinematics are endowed with physical meanings and are easy to be selected as control variables. The approach is applied to a wheeled mobile robot, and its effectiveness is verified by the simulation results with various terrain.
A Three-Level Evaluation Process of Cultural Readiness for Strategic Foresight Projects
Authors: Panizzon Mateus , Barcellos Paulo Fernando Pinto
Published: July 2019

A critical issue in Strategic Foresight approaches is the expected effect on the organizational and individual behavior change, as understanding, mapping, and influencing the desired future is a function of the group’s effort to adopt a more disruptive or conservative scenario in a long-term thinking and planning context. As a learning process, a Strategic Foresight experience, due to the nature of new knowledge co-creation, can foster mindset changes. However, at the same time, a Foresight project deals with the existing group assumptions due to national and organizational cultures, which can be more (or less) oriented to long-term or disruptive thinking, as well as the established managerial mentality about the future orientation in strategic thinking. These cultural assumptions can exert positive or negative influence in a Foresight mindset, and should be assessed and understood previously, as the overall cultural readiness can affect the performance of a Foresight project in general. Also, the analysis of the cultural aspect as an evaluation process can generate new learning, when compared a pre-assessment with a post-assessment. Thus, the posed question is, “How to assess cultural dimensions before and after Foresight projects?” Based on Hofstede National Cultural model, Cameron and Quinn Competing Values model, and Amsteus Managerial Foresight model, this article proposes to discuss the applicability of a three-level (national, organizational, and individual) evaluation process to assess the cultural environment readiness for Strategic Foresight projects and the influence of a Foresight project on participants’ perception of the future through a two-phase approach. This research contributes to Strategic Foresight methods by proposing a research agenda about the cultural perspective in Foresight assessment. Managerial contributions about the pre-assessment interpretations of the proposed three-level process to better understand the cultural profile of the participant group are also discussed in a hypothetical scenario application.
Costs of medical care for mesothelioma
Authors: Borrelli Eric , Babcock Zachary , Kogut Stephen
Published: July 2019

Malignant mesothelioma is a rare and devastating form of cancer with an increasing economic burden. We sought to describe the direct cost burden of mesothelioma to the US health system. A systematic literature review was performed to locate published estimates of the medical cost of mesothelioma. In addition, we performed an analysis of hospital discharge data from the National Inpatient Sample, Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality. We also reviewed publicly available legal settlements. We found that published estimates of the cost of medical care for mesothelioma are sparse, and differ with respect to nation, timeframe, and types of cost included. For the year 2014 in the United States, we estimated a mean cost per mesothelioma hospitalization of US$24,124 (95% confidence interval: US$20,819–US$28,983) and a total cost for hospital care of US$44,214,835. In conclusion, we found that reports describing the direct medical cost of care for mesothelioma in the United States are lacking, yet the per-patient cost of care is substantial, as evidenced by analyses of inpatient care and legal settlements.
Associations between self-reported impulsivity and a latent variable of impulsive action constructed from three laboratory tasks
Authors: Hasegawa Akira , Somatori Keita , Nishimura Haruki , Hattori Yosuke , Kunisato Yoshihiko
Published: July 2019

Previous research on relationships between self-reported impulsivity and behavioral impulsivity has been limited because behavioral impulsivity was assessed using individual tasks. To alleviate the task-impurity problem and the low reliability of laboratory tasks assessing impulsivity, the present study examined the correlations between a latent variable constructed from the performances of three laboratory tasks assessing impulsive action and each dimension of self-reported impulsivity. University students in Japan ( N = 176) responded to the UPPS-P Impulsive Behavior Scale assessing five dimensions of self-reported impulsivity that included the following: negative urgency, lack of premeditation, lack of perseverance, sensation seeking, and positive urgency. They also conducted laboratory tasks for assessing impulsive action: the go/no-go task, stop signal task, and Conners continuous performance test 3rd edition (CCPT). Results indicated weak correlations between each dimension of self-reported impulsivity and the latent variable named impulsive action constructed from the performances of three laboratory tasks (mean r = .10) and with the performances of individual laboratory tasks (mean r = .03). The latent variable of impulsive action and the commission error rate in the CCPT were significantly correlated with sensation seeking. However, this association disappeared after controlling for the influence of gender. These findings suggested that measures of self-reported and behavioral impulsivity might assess different constructs.
Ensuring Continuity of Transitional Housing for Homeless Veterans: Promoting Disaster Resilience among the Veterans Health Administration’s Grant and Per Diem Providers
Authors: Gin June L. , Casey Roger J. , Quarles Jeffery L. , Dobalian Aram
Published: July 2019

The US Department of Veterans Affairs (VA) has committed significant resources toward eliminating homelessness among veterans as part of its health care mission. The VA Grant and Per Diem (GPD) program funds non-VA, community-based organizations to provide transitional housing and support services to veterans experiencing homelessness. During a disaster, GPD grantee organizations will be especially critical in ensuring the well-being of veterans residing in their programs. Recognizing the need to ensure continued access to this residential care, the VA GPD program implemented a disaster preparedness plan requirement for its grantee organizations in 2013. This study conducted semistructured interviews with leaders of 5 GPD grantee organizations, exploring their perceptions of the preparedness requirement, the assistance they would need to achieve desired preparedness outcomes, and their motivations toward preparedness. Organizations reported being extremely motivated toward improving their disaster preparedness, albeit often for reasons other than the new preparedness requirement, such as disaster risk or partnerships with local government. Two dominant themes in organizations’ identified needs were (1) the need to make preparedness seem as “easy and doable” as possible and (2) the desire to be more thoroughly integrated with partners. These themes suggest the need to develop materials specifically tailored to facilitate preparedness within the GPD nonprofit grantees, an effort currently being led by the VA’s Veterans Emergency Management Evaluation Center (VEMEC).
Hiring Managers’ Impressions of Business Communication’s Legitimacy
Authors: Engstrom Craig L.
Published: July 2019

Data from a survey of 864 executives and managers with hiring authority suggest that business communication has external legitimacy regardless of program sponsorship and that hiring managers favor courses that comprise the business communication curriculum, such as public speaking, leadership, business management, and interpersonal communication. Findings from the study can give students guidance when selecting coursework electives and writing résumés, guide faculty in making curricular and advertising decisions, and support the legitimacy of the business communication curriculum.
Introducing business regions in Denmark: The ‘businessification’ of strategic spatial planning?
Authors: Olesen Kristian , Hansen Carsten J
Published: July 2019

This paper explores the driving forces behind the promotion of new soft spaces of territorial governance in Denmark at the scale of city regions, the so-called business regions. We interpret the emergence of business regions as outcomes of the most recent round of reterritorialisation in Denmark, producing new spaces for promoting neoliberal policy agendas of competitiveness, job creation and economic growth. We argue that the business regions should not only be understood as products of neoliberalisation, but also as spaces of neoliberal experimentation, contributing to the normalisation of policy agendas of job creation and business development as taken-for-granted planning objectives. We conclude that the new business regions emerging at the scale of city regions constitute new political spaces for reworking the Danish planning culture in the context of neoliberalism. We suggest that this development can be conceptualised as a ‘businessification’ of strategic spatial planning.
Five Poems
Authors: Ross Sassy
Published: July 2019

A grandmother’s lost leg. A mother’s scarred sacrum. A daughter transformed into stone. In these five poems, history dwells in the body, the past deep in the bone. Confronting themes of poverty, intimate partner violence, and childhood sexual trauma, the poems speak to the varying ways the poet and women in her family have insisted on survival. These poems bear shifts in landscape and language, namely, from St. Lucia to the United States, from Antillean Creole to American English. Part of a manuscript in progress, the poems seek to probe inherited and lived-through pain so as to move the spirit ever more deeply toward healing, wholeness, and promise.
Poui before Rain
Authors: Mathur Ira
Published: July 2019

As the Me Too movement gathers momentum, the conversation about the historical exploitation of women and sexual power dynamics has spread to Caribbean literature. This story uses the Poui blossom that flowers in the dry season in Trinidad, an island in the Caribbean, as a metaphor for loss, fragility, renewal, and resilience, to demonstrate how it is impossible to separate these dynamics from the way vulnerable women, still embedded in age-old dynamics, turn to powerful men for protection and healing, ironically from the hurt from other men, leading to further abuse. In this particular instance, Poui before Rain explores the nikah, the Islamic marriage that allows a man living under Islamic law to marry up to three women in a simple ceremony using two witnesses. Equally, he is allowed to divorce by simply repeating Talaak (I divorce you) three times. The nikah is a largely hidden phenomenon in Trinidad (a multicultural democracy where people of all faiths live), but it is far more prevalent than previously believed. Poui before Rain is the story of a woman who is “saved” by a doctor from despair and ill-health after the death of her child and crumbling of her marriage to a gay man who prefers to remain in the closet. The doctor, who does a nikah with her, is on the verge of discarding her when she seeks justice, and in so doing, she finds redemption as well as healing from unexpected spaces.
Resisting Colonial Ghosts
Authors: Maillo-Pozo Sharina
Published: July 2019

Through a discussion of Dixa Ramírez’s Colonial Phantoms: Belonging and Refusal in the Dominican Americas, from the 19th Century to the Present (2018), this essay highlights and expands on the ways Dominican and Dominican American women have negotiated, resisted, and refused their historical obliteration in Western imaginaries. Three questions guide the commentary: How have Afro-Dominican women been ghosted from national building projects in both the Dominican Republic and the United States? How have Afro-Dominican women writers and performers refused traditional understandings of gender, sexuality, race, ethnicity, and nationality? How do the works of these women remind us that silences, omissions, and exclusions from dominant narratives are irresolute forms of violence executed and perpetuated by Western powers and constantly replicated by the Dominican intellectual and economic elite?
Remembering Paul Virilio
Authors: Armitage John
Published: July 2019

Paul Virilio, who passed away in 2018, was a significant figure in the study of cultural politics, as both pioneer and guide. This article prepares first-time readers for an encounter with Virilio’s critical thinking and essential writings and offers a personal remembrance by John Armitage of some of his principal theoretical and everyday convergences with and divergences from Virilio’s work from 1997 to the present day, including his three interviews with Virilio, the exchange of letters, a visit to the church of Saint Bernadette du Banlay, and Armitage’s own and others’ contributions to Virilio studies. In exploring Virilio’s influential ideas and their impact, the article maps out Virilio’s engagement with other important thinkers, such as Maurice Merleau-Ponty, and concludes with a discussion of recent translations of key texts by Virilio.
Should there be two genders? The case of intersex people
Authors: Pikramenou (Νικολέτα Πικραμένου) Nikoleta
Published: July 2019

Gender refers to all those social, cultural, and psychological traits which are linked to males and females through particular social contexts. Sex makes us male or female and gender makes us masculine or feminine. However, this relatively simple distinction masks a number of problems associated with its usage. It implies that all people can be conveniently placed into unambiguous “either–or” categories.Intersex people are born with characteristics that are in between male and female. Consequently, they often go through a lot of suffering because intersex infants are sometimes subjected to unnecessary medical or surgical treatment that is cosmetic rather that vital for health in order to fit in the gender binary model. Although at least one in every thousand people is born intersex, many countries do not acknowledge their existence. Their rights are also ignored because they don't fit into standard social and medical models.In this article, I will examine the negative effects of this gender binary distinction and justify my arguments by using the example of intersex people.
Γιατί Βιοηθική;
Authors: Πρωτοπαπαδάκης (Evangellos Protopapadakis) Ευάγγελος
Published: July 2019

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Κώδικας Δεοντολογίας Ιατρικώς Υποβοηθούμενης Αναπαραγωγής
Authors: Αγαλοπούλου (Penelope Agalopoulou) Πηνελόπη
Published: July 2019

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Tο δικαίωμα των ομοφυλόφιλων προς απόκτηση απογόνων στην Ελλάδα
Authors: Κηπουρίδου (Kalliopi Kipouridou) Καλλιόπη , Μηλαπίδου (Maria Milapidou) Μαρία
Published: July 2019

During the last decades there has been a change of attitude regarding the recognition of homosexual rights that is also reflected on their claims for recognition of their right to access to Medically Assisted Reproduction (MAR) or adoption.Although the Greek legislator has shown some signs of progressiveness by adopting laws that ensure the homosexuals’ rights, they have chosen not to include the homosexual couples in the l. 3719/2008 regarding civil partnership.In Greece, discussions concerning the integration of homosexuals in the civil partnership had already commenced during the vote of the relevant law. This discussion has revived after the conviction of our country by the ECHR in the case of Vallianatos and Others vs Greece.For the time being, however, the legal situation in Greece, as far as the homosexuals’ access to MAR or adoption is concerned, entails the following conclusions. Firstly, although the legal right to procreation is established in article 5 §1 of the Constitution, reality differs for homosexuals and especially for homosexual couples in Greece, which do not have access to MAR methods. It is quite common, in practice, for one of the members of a lesbian couple with fertility problems to visit a doctor as a single woman and gain access to MAR methods. On the contrary, homosexual men do not have any chance of having access to MAR methods either as single men or as a couple.Regarding the homosexuals’ access to adoption, Articles 1452 et seq. Civil Code make no specific reference either to the adopters’ sex or to their sexual orientation. So, in principle, it is possible for a single homosexual person to adopt a child. However, homosexual couples do not have the chance to be monitored by the social service in charge. According to articles 1545 et seq. Civil Code the same person’s adoption by more people at the same time is not possible unless they are married. Given the fact that in Greece same-sex marriage is not permitted, there is no possibility for a child’s adoption by a homosexual couple.In view of the above, there is a clear need for modernization of Family Law regarding the protection of the homosexuals’ rights as an attempt to cope up with contemporary social facts.
Διερευνώντας τα όρια της βιοηθικής: DTC Genetic Testing
Authors: Ζέρβα (Sophia Zerva) Σοφία , Λαχανά (Olympiada Lachana) Ολυμπιάδα , Μπουραζάνη (Eleni Mpourazani) Ελένη , Παπουτσάκη (Eleftheria Papoutsaki) Ελευθερία , Πετρόπουλος (Konstantinos Petropoulos) Κωνσταντίνος , Χριστοφίδη (Mairy Christophidi) Μαίρη , Κάτσιλα (Theodora Katsila) Θεοδώρα , Πατρινός (Giorgos Patrinos) Γεώργιος
Published: July 2019

Direct-To-Consumer (DTC) genetic tests are commercial services provided online, in drugstores and/or via television and press devoid of the consultation by a health professional or geneticist. Today, there are issues regarding their data validity and interpretation and the ethics of their use, as they allow access to the users’ genetic makeup.Indeed, DTC genetic services can influence consumers’ private life as well as the lives of those around them. We feel that DTC genetic tests and services need to be regulated and notably, regulation measures should be standardized among national and multinational regulatory bodies.
Η Διατροφογονιδιωματική και οι εμπορικά διαθέσιμες εφαρμογές της υπό το πρίσμα της Βιοηθικής
Authors: Ανεστίδου (Anastasia Ioanna Anestidou) Αναστασία Ιωάννα , Σπυροπούλου (Tatiani Spyropoulou) Τατιανή , Κουρκουτίδου (Maria Kourkoutidou) Μαρία , Χατζοβούλου (Evangelia Chatzovoulou) Ευαγγελία , Βογιατζάκης (Christos Vogiatzakis) Χρήστος , Κοσσιαρά (Chryssoula Kossiara) Χρυσούλα , Ξηρογιάννη (Sotiria Xirogianni) Σωτηρία , Κατσίλα (Theodora Katsila) Θεοδώρα , Πατρινός (Giorgos Patrinos) Γιώργος
Published: July 2019

Nutrigenomics, an emerging genomics field, aims to explore the interactions between nutrition and genes. Notably, nutrigenomics information and applications seem to be directly accessible to the public, partly due to advertising and direct-to-consumer online sales of nutrigenomics-related products and services. Nowadays, consumers have direct access to their genetic information. Access, however, does not guarantee interpretation and utility.This article, discusses the ethical and regulatory aspects of direct-to-consumer genetic services, focusing on nutrigenomic tests and the means they are promoted to the general public.
Impact of Corporate Culture on Success of Organizational Project Management System Implementation
Authors: Исакова Дарья , Isakova Daria
Published: July 2019

The article is devoted to the problem of the corporate culture influence on the success of the organizational project management system (OPMS) implementation. During the research, a survey was conducted to examine employees of companies where the OPMS was implemented. Due to the survey the implementation success was estimated and the corporate culture level was analyzed. Using statistical methods a model of corporate culture influence on the success of the OPMS implementation was built and recommendations to take this influence into account were given.
Symptomatic differences and symptoms stability in unipolar and bipolar depression. Medical charts review in 99 inpatients
Authors: Gosek Paweł , Heitzman Janusz , Stefanowski Bogdan , Antosik-Wójcińska Anna , Parnowski Tadeusz
Published: July 2019

Cel pracy

Późna rozpoznawalność choroby afektywnej dwubiegunowej (CHAD) może skutkować m. in. prowadzeniem nie w pełni adekwatnego leczenia, zwiększeniem cierpienia związanego z chorobą oraz ryzyka zachowań suicydalnych, a także wzrostem kosztów prowadzonej terapii. Brak sprawdzonych w warunkach klinicznych biomarkerów dwubiegunowości kieruje uwagę klinicystów na analizę przebiegu choroby i symptomatologii depresji w przebiegu CHAD. Celem niniejszej pracy była retrospektywna analiza różnic występowania i powtarzalności objawów depresyjnych u pacjentów z chorobą afektywną jednobiegunową (CHAJ) i chorobą afektywną dwubiegunową (CHAD) w trakcie trzech kolejnych epizodów depresji w warunkach szpitalnych.

Metoda

Retrospektywna analiza dokumentacji leczenia 99 pacjentów z CHAJ i CHAD w trakcie trzech kolejnych epizodów depresji. W analizie występowania objawów zastosowano test Chi-kwadrat oraz regresję logistyczną, do analizy powtarzalności występowania objawów współczynnik powtarzalności kappa Cohena.

Wyniki

Różnice istotne statystycznie obserwowano dla 7 spośród 22 objawów depresyjnych. Częściej u pacjentów z CHAJ obserwowano objawy somatyzacyjne (bólowe i nie-bólowe), pobudzenie psychomotoryczne i patologiczne poczucie winy. Częściej u pacjentów z CHAD obserwowano anhedonię, zaburzenia koncentracji uwagi i myśli suicydalne. W grupie CHAJ relatywnie najwyższą powtarzalnością cechowało się występowanie objawów somatyzacji, zaburzeń II fazy snu, wczesnego porannego wybudzania, zaburzeń koncentracji uwagi. W grupie CHAD natomiast występowanie urojeń, objawy somatyzacyjne, zaburzenia I i II fazy snu, zaburzenia pamięci, spowolnienie psychomotoryczne oraz patologiczne poczucie winy.

Wnioski

Obserwowane różnice symptomatologiczne mogą być dodatkowym klinicznym czynnikiem różnicującym pacjentów z CHAJ i CHAD. Niższa w grupie badanej niż uprzednio donoszono w literaturze powtarzalność występowania objawów depresji, wskazuje na konieczność analizowania profilu objawów w oparciu o więcej niż jeden epizod depresji.
Letter to Editor. The importance of anxiety component in the etiopathogenesis of selective mutism, classified as an "anxiety and fear-related disorder" in the upcoming 11th Revision of the International Classification of Diseases. Substantive comments.
Comment on the article The controversy around the diagnosis of selective mutism – a critical analysis of three cases in the light of modern research and diagnostic criteria by Justyna Holka-Pokorska et al.
Authors: Rozenek Emil , Nowicka Zuzanna , Wilczyńska Karolina , Waszkiewicz Napoleon
Published: July 2019

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Editorial
Authors: Dudek Dominika , Sobański Jerzy , Klasa Katarzyna
Published: July 2019

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