bluuebunny/crossref_metadata_2025_split huggingface dataset:
P059 What Are the Biggest Concerns About Family Planning in Female and Male Perception?
Authors: Lima Fernanda , Machado Marta 
Published: December 2019

BACKGROUND:
Inflammatory Bowel Disease (IBD) predominantly affects young and reproductive age patients. Fears that IBD itself and / or its medication may inadvertently affect the course and outcome of pregnancy are a significant concern for IBD patients. The objectives were to evaluate what are the major concerns about family planning in men and women with inflammatory bowel disease.

METHODS:
This prospective study was conducted by a self-completed cross-sectional online questionnaire answered by 951 female and male IBD patients over 18 years of age throughout Brazil in 2019 for 10 weeks.

RESULTS:
A total of 951 patients answered the questionnaire, 80% (761) of the questionnaires were usable. The respondent population was 76.34% female, of these 76.38% aged between 18 and 38 years, 57.29% were diagnosed with Crohn's disease, 38.54% ulcerative colitis and 4.17% colitis. undetermined. Regarding the male data, a total of 23.66% of the sample, 78.2% were between 18 and 38 years old; 69.67% were diagnosed with Crohn's disease, 27.96% ulcerative colitis and 2.37% indeterminate colitis. The biggest concerns about family planning identified among women were: Fear of having a risky/complicated pregnancy due to illness: 62.50%. Fear of medication causing harm to baby 58.27%. Fear of illness will harm the baby: 44.49%. Fear of passing the disease to the baby: 38.60%. Fear of not being able to take care of the baby because of the disease: 36.76%. Fear of failing to get pregnant due to illness: 36.76%. The biggest family planning concerns identified among men were: Fear of not being able to take care of the baby because of the disease: 39.42%. Fear of passing the disease to the baby: 28.85%. Other: 22.60%. Fear of illness will harm the baby: 19.71%. Fear of medication causing harm to baby 12.02%. Fear of not being able to get pregnant due to illness: 11.54%. Fear of partner having a risky/complicated pregnancy because of my illness: 7.69%

CONCLUSION(S):
The data show that men are less afraid than women, both care-related and drug-related, this concern is expressed even in the number of male responders, notably smaller. Among the concerns presented by both sexes, they fear that IBD could lead to a complicated pregnancy and that the disease itself could cause fetal harm or hinder the care of the baby.
P068 Assessing the Effectiveness of an Educational Series on Prior Authorization of IBD Treatments
Authors: Faler Whitney , Perez Jan , Tordoff Sharon , Gross Tara , Salinas Greg 
Published: December 2019

BACKGROUND:
Prior authorization (PA) poses a burden to HCPs and their staffs when prescribing biologic therapy for patients with IBD. Our aim was to determine the effectiveness of 3 CME activities on clinician knowledge, confidence, and performance related to PA processes and success rates for biologic therapy.

METHODS:
Outcomes measurements were taken directly before (n ≥ 241) and after the activities (n ≥ 229), as well as 3-months after activity completion. This 3-month follow-up sample (n = 30) was matched at the same time to a control sample of clinicians who did not participate in the education (n = 30).

RESULTS:
4,840 learners completed the 3 modules, including 1,195 downloads of the podcast version. Key knowledge improvements were shown in helping patients with medication co-pays, use of specialty pharmacists, standardizing EHR clinical documentation of patients with IBD, requesting peer-to-peer review, and expediting submissions with the use of templates. Prior to participation, confidence in the current processes to manage prior authorizations was low. Three months following education, nearly all clinicians surveyed indicated that they were “confident” or “extremely confident” in these elements of care. Comparative analysis shows a large effect when comparing the educational learners pre- vs. post-activity (Cohen’s d = 1.37) and pre- vs. 3 –month follow-up (d = 0.55). However, comparing post-participation vs. a non-participant control is smaller (d = 0.20, 15%). This shows that our particular educational learners were coming at this program with more knowledge and practice gaps in the pre-authorization process than the general clinician population. Predictive modeling utilized a regression analysis showed increasing confidence in the use of AGA Care Pathways will significantly increase documentation of pertinent lab results and imaging related to IBD and significantly increase use of a template.

CONCLUSION(S):
This program achieved large reach with education targeted specifically to those clinicians who needed it most. The education increase clinician knowledge and confidence in the use of this knowledge to acquire prior authorization for biologics. For future PA initiatives, learners may benefit from a mock review of a PA request to best explain individual elements of the decision-making process.
P072 Takayasu's Arteritis and Inflammatory Bowel Diseases: Different Immune-Mediated Disorders or a Rare Extra-Intestinal Manifestation?: Case Series and Literature Review
Authors: Facanali Carolina , Sobrado Carlos , Queiroz Natália , Pereira Rosa Maria , Scanavini Neto Arceu , Borba Marcelo , Facanali Marcio , Nahas Sergio , Ivan Cecconello 
Published: December 2019

BACKGROUND:
Takayasu's arteritis (TA) is a chronic granulomatous inflammatory vasculitis of unknown etiology that affects large arteries, especially the aortic arch and its branches, and is rarely associated with inflammatory bowel disease (IBD) (1). In most cases where this association is described in the literature, TA occurs after the diagnosis of IBD, with a time lapse of 10 to 36 months, and maintains a positive correlation with the activity of intestinal disease (2). This study aims to report a series of six cases of concomitant TA and IBD, determining its clinical features, diagnostic methods, their relationship with intestinal disease activity and responses according to therapeutic interventions. The authors also performed a review of the current literature in this field.

METHODS:
Patients were identified at our IBD unit through electronic medical record searches including the keywords “Takayasu”, “arteritis” and “vasculitis”. Data regarding patient characteristics, disease phenotype and treatment were retrospectively collected from identified patients using a standardized chart review.

RESULTS:
Six patients (50% male) with TA were identified in a total of 2,749 patients with IBD (46.8% CD, 53, 2% UC). Four patients had Crohn’s disease (CD) and 2 had ulcerative colitis (UC). The mean age of the patients at diagnosis was 33 years old (18–63). In 5 patients, TA occurred after the diagnosis of IBD, and 4 patients had another associated extra-intestinal manifestation. Vascular surgery was required in 2 patients due to extensive lesions and inflammatory activity. Most patients were clinically treated with corticosteroids, immunomodulators and anti-TNF agents. Simultaneous occurrence of both AT and CD is quite rare (1 in 10 billion) (3). However, the existence of common physiopathological pathways indicates that these conditions may be strongly associated 4. Moreover, since both diseases can be treated with the same agents, diagnostic delay may occur.

CONCLUSIONS:
The report of this case series reinforce, based on the literature reviewed, that a linkage among TA and IBD may exist. In view of the limitations of the retrospective study design further investigations are needed. Moreover, the possible role of genetic links and immune factors (T helper 1 and T helper 17 cells, cytokines, chemokines) should be explored.
P075 Inflammatory Bowel Diseases and Autoimmune Hepatitis: Is Anti-TNF Therapy an Option?
Authors: Rocha Beatriz , Queiroz Natália , Azevedo Matheus , Alexandre Carlos , Milani Luciane , Cançado Eduardo , Terrabuio Debora , Barros Luísa , Oba Jane , Leite André , Sipahi Aytan , Damião Adérson 
Published: December 2019

BACKGROUND:
Comorbidities among immune mediated inflammatory disorders are frequently reported (1). Although some physicians are not aware of the potential association between autoimmune hepatitis (AIH) and inflammatory bowel diseases (IBD) it is not uncommon (2). As anti-tumor necrosis factor (anti-TNF) therapy has the potential to induce autoimmunity, including AIH (3), the safety of its utilization in this condition is unknown and often avoided by physicians.

METHODS:
Data from patients with concomitant diagnosis of IBD and AIH in the IBD unit of the Department of Gastroenterology of the Clinics Hospital of University of São Paulo was retrospectively collected based on medical records.

RESULTS:
Two female (29 and 33 years old) and one male (29 years old) patients with concomitant AIH and ulcerative colitis (pancolitis) were identified. These three patients needed to start infliximab because of persistent clinical and endoscopic activity in two of them and gangrenous pyoderma in the other case. All of them were taking azathioprine when anti-TNF was initiated. Two had type 1 AIH and one AIH with no markers. Two were cirrhotic (Child A/MELD 11 and Child B/MELD 14) with portal hypertension and one did not have signs and symptoms of cirrhosis. After a follow up of an average of 20 months under anti-TNF treatment transaminases slightly reduced (mean ALT prior treatment 50 ± 32 U/L, mean ALT during treatment 27 ± 8 U/L) and immunoglobulin G level slightly increased (pretreatment mean 2062 ± 626 mg/dL, mean during treatment 2595 ± 1158 mg/dL). Clinically, cirrhotic patients persisted with compensated liver disease (Child A / MELD 11 and Child B / MELD 15) and the one who was not cirrhotic did not have any clinical deterioration. After 19 months with anti-TNF the patient with MELD 15 (blood type B) was successfully submitted to liver transplantation and infliximab was discontinued after that. It is important to emphasize that MELD before and after anti-TNF in this case was almost the same. After 3 years, the patient with gangrenous pyoderma reactivated the skin lesions due to poor adherence to infliximab treatment, progressing to infectious complications and subsequent death.

CONCLUSION(S):
Anti-TNF do not seem to alter the course of liver disease in IBD patients with concomitant diagnosis of AIH. Due to potential side effects it needs to be applied with caution and in a multidisciplinary approach in tertiary centers with special attention to infectious complications.
P078 Obstructive Giant Inflammatory Polyposis as a Manifestation of Crohn’s Disease
Authors: Ramirez del Pilar Rodolfo , Cortes Espinosa Tomas , López Goméz Jesús , Trujillo de la Fuente Korely , Navarro Gerrard Christian , Paredes Amenabar Carlos , Aguilar Hernandez Jhonatan , Aleman Abitia Dassaev , Klimek Albarrán Gabriel 
Published: December 2019

INTRODUCTION:
Giant inflammatory polyposis (GIP) is a benign condition that occurs as a rare manifestation of inflammatory bowel disease (IBD). It consists of numerous filiform polyps that give the appearance of a "worm-like mass" of >1.5 cm. It is hypothesized that they are formed during the regeneration and healing process of the colonic mucosa after an inflammatory event. They are mainly located in the transverse colon (40%), sigmoid (15%), cecum (14%), splenic flexure (7%) and hepatic flexure (7%). Its related symptoms are anemia, abdominal pain, melena, diarrhea, palpable mass, intestinal obstruction (15%) and intussusception (3%).

CLINICAL CASE:
A 44-year-old male presented with a three-month history of fever, diaphoresis, weight loss of 18 kg and difficulty in passing stools. The initial evaluation revealed cachexia, abdominal distension, tenderness, and the rectal examination was negative for bleeding. A heterogeneous lesion was noted in the sigmoid colon in the abdominal CT scan. Rectosigmoidoscopy revealed multiple polypoid lesions, the histopathology report revealed a sessile hyperplastic polyps and moderate nonspecific chronic colitis. Symptoms persisted until evolving into an acute abdomen. Dilatation of intestinal loops and hydro-aerial levels were noted in the abdominal radiography. An exploratory laparotomy was performed with findings of abdominal tumor involving the sigmoid and rectosigmoid colon. There was also a formation of a pericolonic abscess draining to the abdominal cavity, and no signs of intestinal perforation. The histopathology report was chronic transmural IBD with hyperplasia of the muscular layer and granulomatous non-casing lesions consistent with the diagnosis of Crohn's disease (CD). Treatment with Infliximab was started.

DISCUSSION:
GIP is twice as frequent in Ulcerative Colitis than in CD. It can manifest in an inactive or active stage of the disease, as presented in this case. In a similar way to a case reported by Syal et al., the first manifestation of IBD in our patient was GIP. It acted as a tumor that obstructed the intestinal lumen, and therefore the main differential diagnosis is polypoid colon adenocarcinoma. In summary, we present a case of GIP presenting with colonic obstruction as the first clinical manifestation of IBD. This is a clinical entity that must be considered by gastroenterologists, surgeons and pathologists. Surgical resection is inevitable when PIG presents obstruction and / or intussusception that cannot resolve with polypectomy, as happened with the case which we presented.
P066 A Patient Toolkit for the Transition of Care of Active Duty Patients With IBD to the Veterans Administration Healthcare System
Authors: Patel Anish , Keefer Laurie 
Published: December 2019

BACKGROUND:
The shift from being an active duty military patient with inflammatory bowel disease (IBD) seen in a military treatment facility (MTF) to being a veteran receiving chronic illness care within the Veterans Administration (VA) is a time of increased vulnerability and risk for loss of continuity of care, and poor disease outcomes. A transitional care program must prioritize the psychosocial growth, self-efficacy and disease-specific knowledge of active military patients who are transitioning to VA care as well as enhance collaborative management between military and VA providers. The Department of Defense (DoD) has established the Transition Assistance Program (TAP) to assist military members to civilian life, but limit preparedness in skills to navigate/understand medical care. There is currently no available data on transition readiness from active duty military medical care to VA medical care and our objective is to determine the feasibility and acceptability of a self-management intervention.

METHODS:
We prospectively measured readiness with the use of the IBD Self-Efficacy Scale (IBD-SES) and Transition Readiness Assessment Questionnaire (TRAQ). All enrolled patients (50 active duty servicemembers) were in disease remission and underwent TAP and 50% were further randomized to undergo TRAQ-based educational and behavioral interventions via mobile applications and clinical consults.

RESULTS:
Servicemembers who underwent further TRAQ-based interventions compared to those only undergoing TAP demonstrated significant improvement in medication/appointment management, tracking/managing health issues, and talking with providers (P < 0.001). Furthermore, these servicemembers also demonstrated significant improvement in self-efficacy and self-management which was maintained up to 3 months post military discharge (P < 0.001). Servicemembers had an average VA primary care wait time of 3.5 months and for Gastroenterology specialist of 5.4 months, resulting in >60% of servicemembers having to discontinue therapy due to lapse in care (50% rate of flares) and unnecessary therapy switch.

CONCLUSION(S):
This is the first and only study to assess transitioning from active duty service to VA medical care for a chronic illness. We demonstrated improved and sustained self-efficacy outcomes with a transition program for IBD along with potential limitations in the VA transition. We have an opportunity to influence the conversation of appropriate DoD transition of medical care and to develop a model of care with wider applicability.
A relação entre Mídia e o Medo do Crime: breves considerações
Authors: Souza Thaís dos Santos 
Published: December 2019

O presente artigo discute a complexidade do fenômeno da relação entre a mídia e o medo do crime, tendo em vista que a mídia retrata a criminalidade, notadamente o crime violento, com pouco comprometimento com a função social. Frente a estas notícias e informações relatadas pela mídia, proporciona consequências à segurança pública, tais como o aumento do sentimento de insegurança. Diante disto, o presente estudo tem como objetivo compreender a relação entre a mídia, o medo do crime e suas consequências para a segurança pública.
Palavras-chave: Mídia. Insegurança. Consequências.
The ius liberorum of non-Roman citizens in Egypt. Some notes on an old Taubenschlag’s hypothesis
Authors: Ma Sánchez-Moreno Ellart Carlos 
Published: December 2019

Abstract
Normally the ius liberorum is associated with Roman citizens, but in the lex Irnitana we have evidence of non-Roman members of the curial class of Baetica who took advantage of this privilege. In Roman Egypt, the constitution of the boulai in the nome capitals could have provided a similar context for the selection of local elites in which Romanized Egyptians obtained that privilege.
Automating lane changes and collision avoidance on highways via distributed agreement
Authors: Molinari Fabio , Grapentin Aaron , Charalampidis Alexandros , Raisch Jörg 
Published: December 2019

Abstract
This work presents a distributed hierarchical control strategy for fleets of autonomous vehicles cruising on a highway with diverse desired speeds. The goal is to design a control scheme that can be employed in scenarios where only vehicle-to-vehicle communication is available and where vehicles need to negotiate and agree on their positions on the road. To this end, after reaching an agreement on the lane speed with other traffic participants, each vehicle decides whether to keep cruising along the current lane or to move into another one. In the latter case, it negotiates the entry point with others by taking part in a distributed auction. An onboard controller computes an optimal trajectory transferring the vehicle with agreed velocity to the desired lane while avoiding collisions.
Der „Out-of-the-box-Open-Access-Verlag“
Authors: Biesemeier Ralf 
Published: December 2019

Abstract
Wer im universitären Bereich Dissertationen, Abhandlungen oder jegliche andere Art von wissenschaftlichen Publikationen ohne Hürden zugänglich machen will, kommt an dem Thema „Open Access“ nicht vorbei. Wer zudem Wert darauf legt, dass Open Access-Publikationen mit entsprechender Sichtbarkeit und damit einhergehender Relevanz auch im Handel zugänglich gemacht werden, mit entsprechenden Leistungen und dem Renommee eines wissenschaftlichen Verlags, sollte sich das Konzept von readbox unipress einmal genauer anschauen. Über den Dienstleister kann ohne großen Kosten- oder Personalaufwand ein eigener Hochschulverlag etabliert werden. Die anfallenden Verwaltungstätigkeiten wickelt die Hochschule über den „unipress publisher“, eine speziell entwickelte Publikationsplattform ab. Auch und insbesondere durch das jahrelang aufgebaute Know-How des Anbieters in Sachen Metadatenmanagement für mehr Sichtbarkeit und Relevanz ist diese Lösung eine interessante Alternative zu reinem „Book-on-Demand“ und Veröffentlichungen bei „klassischen“ Wissenschaftsverlagen.
Does Church Tax Matter?
Authors: Riegel Ulrich , Gutmann David , Peters Fabian , Faix Tobias 
Published: December 2019

Abstract
Disaffiliation indicates a major future challenge to the Roman Catholic and Protestant churches in Germany, particularly regarding the church tax. This article addresses that issue by first describing the particular German context of disaffiliation. It then summarises previous research, which indicates that the church tax is the trigger to leave the church. An analysis of recent data reveals that the portion of church members is lowest in those income classes that have to pay an above average amount of church tax. Moreover, the likelihood to resign from church membership is highest when the individual begins his or her first paid job. Both findings ascribe church tax a more powerful role in the process of disaffiliation than previous research.
Improvisieren für mehr Beteiligung am Gottesdienst?
Authors: Schirr Bertram 
Published: December 2019

Abstract
Analyzing contemporary experiments in homiletical and liturgical improvisation shows fresh and exciting potential for more participation in worship. The use of Free Jazz as a paradigm for liturgical and homiletical practice is complimented by the model of Theatrical Improvisation. By rendering empirical improvisations in liturgy and preaching as interactions, a grid of participatory improvisational strategies is generated that can be usefully employed for the analysis and improvement of other pastoral practices such as pastoral care or ministerial training.
The Qurʾan and Domestic Violence: An Islamic Feminist, Spiritually Integrative Reading of Verse 4:34
Authors: Reda Nevin 
Published: December 2019

Abstract
This paper examines Qurʾan 4:34, also known as the “beating verse,” through an Islamic feminist lens, focusing attention on the importance of spirituality in the contemporary context. It contends that reading the Qurʾan as a spiritual method sheds new light on this verse, changing its interpretation from one that makes allowances for wife-beating to one that provides tangible techniques to combat this phenomenon. The paper examines how the verse introduces both positive and negative intervention strategies to restrain and overcome wife-beating, in conversation with Sufi conceptualizations of the spiritual path and progression from the “animal self” to the self-critical self.
Practical Theology in Brazil and Latin America Today: An Attempt to Report
Authors: Adam Julio Cezar 
Published: December 2019

Abstract
This text attempts to report on the development of practical theology in the context of Brazil and Latin America. It presents the difficulty of constructing such an account. The article is organized into four parts: 1) a brief description of the Latin American context; 2) the permanent challenge of conceptualizing Practical Theology as a theological discipline; 3) relevant developments of the discipline; 4) current and future challenges for practical theology in this reality.