bluuebunny/crossref_metadata_2025_split huggingface dataset:
Preoperative Platelet and International Normalized Ratio Thresholds and Risk of Complications After Primary Hip Fracture Surgery
Authors: Varady Nathan H. , Yeung Caleb M. , Amen Troy B. , Schwab Pierre-Emmanuel , Chen Antonia F. 
Published: August 2020

Background:
A paucity of data exists on safe platelet and international normalized ratio (INR) thresholds for hip fracture surgery. Recent work has called into question the safety of preoperative INRs < 1.5 for total knee arthroplasty, and optimal platelet thresholds are unknown. The purpose of this study was to identify the risk of 30-day postoperative morbidity and mortality in patients with thrombocytopenia or elevated INRs undergoing hip fracture surgery.

Methods:
The National Surgical Quality Improvement Program database was queried for patients undergoing surgical treatment of a native hip fracture from 2012 to 2017 (N = 86,850). Patient demographic, laboratory, and complication data were collected. Patients with preoperative platelet counts or INRs within one day of surgery were included for analysis. Preoperative platelet counts and INRs were divided into four groups (<50 k/μL, ≥50 k to 100 k/μL, ≥100 k to 150 k/μL, ≥150 k/μL, and ≤1.0, >1.0 to 1.5, >1.5 to 2.0, and >2.0, respectively). Multivariable logistic regressions were used to assess the independent association between platelet count and INR on bleeding complications requiring transfusion, wound complications, reoperations, readmissions, and deaths.

Results:
A total of 72,306 and 56,027 patients were included for analysis of preoperative platelet and INR levels, respectively. In reference to platelet levels ≥150 k/μL, a notably increased risk of bleeding events was observed for patients with platelet counts ≥100 k to 150 k/μL (odds ratio [OR] 1.21, 95% confidence interval 1.15 to 1.27), ≥50 to 100 k/μL (OR 1.85, 1.69 to 2.03), and <50 k/μL (OR 1.60, 1.25 to 2.04). Decreasing platelet counts were associated with a stepwise increased risk of mortality from OR 1.12 (1.02 to 1.22) for platelet counts ≥100 k to 150 k/μL to OR 1.63 (1.41 to 1.90) and OR 1.59 (1.06 to 2.39) for platelet counts ≥50 k to 100 k/μL and <50 k/μL, respectively. Elevated INR was associated with an increased risk of reoperations, readmissions, and death (P < 0.001 for all), with largest effect sizes observed starting at INRs >1.5.

Discussion:
The results of this study suggest that preoperative platelet thresholds of <100,000/μL and INR thresholds of 1.5 serve as an important risk factor for complications after hip fracture surgery. Future work is warranted to determine whether preoperative platelet transfusions and/or INR reversal will improve outcomes for these patients.

Level of Evidence:
Prognostic Level III
Radiographic Risk Factors Associated With Adverse Local Tissue Reaction in Head-Neck Taper Corrosion of Primary Metal-on-Polyethylene Total Hip Arthroplasty
Authors: Kwon Young-Min , An Shuai , Yeo Ingwon , Tirumala Venkatsaiakhil , Chen Wenhao , Klemt Christian 
Published: August 2020

Background:
Adverse local tissue reactions (ALTRs) in metal-on-polyethylene (MoP) total hip arthroplasty (THA) with head-neck taper corrosion are multifactorial, involving implant and patient factors. This study aimed to identify any potential clinical risk factors associated with failed MoP THA due to head-neck taper corrosion.

Methods:
A series of 146 MoP THA patients was investigated: (1) ALTR (n = 42) on metal artifact sequence MRI and (2) non-ALTR (n = 104). Both cohorts were compared regarding femoral neck shaft angle, acetabular implant orientation, component size, femoral head offset, measurement of medial and vertical femoral offsets, and femoral stem alloy.

Results:
The occurrence of ALTR was associated with increased radiographic femoral stem offset (36.0 ± 7.7 mm versus 40.8 ± 7.3 mm, P = 0.008), increased femoral head offset (0.7 ± 3.4 versus 4.5 ± 3.7, P < 0.001), and the use of Ti-12Mo-6Zr-2Fe alloy stems (P = 0.041). The presence of ALTR was notably associated with higher chromium (2.0 versus 0.5 μg/L) and cobalt (7.4 versus 0.7 μg/L, P < 0.001).

Discussion:
This study identified increased femoral head and stem offset and the use of Ti-12Mo-6Zr-2Fe alloy stems as risk factors for clinically relevant ALTR due to head-neck taper corrosion in MoP THA patients. This provides evidenced-based practical information for surgeons in identifying “at-risk” symptomatic MoP THA patients with head-neck taper corrosion for systematic risk stratification.
Ruzie op de werkvloer, over een verstoorde horizontale arbeidsverhouding
Authors: Briejer Alexander 
Published: August 2020

Ruzie op de werkvloer, over een verstoorde horizontale arbeidsverhouding
Dit artikel gaat over een verstoorde horizontale arbeidsverhouding als g-grond. De auteur gaat aan de hand van wetgeving en rechtspraak dieper in op dit onderwerp. Diverse vraagstukken komen uitgebreid aan bod, zoals de vraag in hoeverre van een werkgever mag worden verwacht een dergelijke verstoring te herstellen. Het beoordelingskader van een rechter komt ook ter sprake. Slechts in bijzondere gevallen kan een verstoorde arbeidsrelatie tussen werknemers onderling een verstoorde arbeidsverhouding met de werkgever opleveren. Er dient ten minste sprake te zijn van een verstoorde horizontale arbeidsverhouding die doorwerkt in de verticale arbeidsrelatie. Uit de door de auteur in dit artikel besproken rechtspraak blijkt dat er meer aan de hand is dan een puur horizontale verstoorde arbeidsverhouding, zoals een situatie waarin de werknemer zich weigerachtig opstelt in een mediationtraject. Die verstoring werkt dan door in de verticale arbeidsverhouding waardoor een geslaagd beroep op de g-grond mogelijk is.
Conflicten bij pensioenontslag
Authors: Donner-Broersma Cornelien 
Published: August 2020

Conflicten bij pensioenontslag
De centrale vraag in dit artikel is tegen welke juridische discussies werkgevers kunnen aanlopen indien zij de leeftijd van de werknemer als reden hanteren voor het beëindigen van de arbeidsovereenkomst dan wel het aftoppen van de vergoeding in een sociaal plan. Voor het beantwoorden van deze vraag worden achtereenvolgens de volgende onderwerpen behandeld: het pensioenontslagbeding, een ouderenregeling in een sociaal plan en een vermeend recht op doorwerken. Vervolgens worden – mede aan de hand van de in dit artikel aangehaalde jurisprudentie – enkele aanbevelingen voor werkgevers geformuleerd.
De AVG en ontslag: twee jaar na inwerkingtreding AVG
Authors: Dorenbos Karolina 
Published: August 2020

De AVG en ontslag: twee jaar na inwerkingtreding AVG
Twee jaar na inwerkingtreding van de Algemene verordening gegevensbescherming zet de auteur in dit artikel een aantal recente ontwikkelingen op het gebied van gegevensverwerking en -bescherming op de werkvloer uiteen. In het eerste deel van het artikel gaat zij in op de meer institutionele aspecten waaronder de evaluatie van de (U)AVG. De auteur ziet ingrijpende ontwikkelingen op het gebied van wetgeving en toezicht zoals de voorgenomen wetgeving over het gebruik van alcohol- en drugstesten op de werkvloer en de ontwikkelingen op het gebied van biometrie waaronder een hoge boete van Autoriteit Persoonsgegevens voor het gebruik van de vingerscan bij toegangscontrole. In deel 2 van dit artikel zal de huidige stand van de rechtspraak worden afgezet tegen de strengere normen uit de AVG.
‘The Tale of the Cairene and the Countryman’
Authors: Connolly Magdalen 
Published: August 2020

This short article offers a revised transcription and English translation of Qiṣṣat al-maṣrī wa-l-rīfī ‘The Tale of the Cairene and the Countryman’ as found in AIU VII.C.16, with grammatical notes. This new edition of the text demonstrates that Goitein’s (1972) rendering of the manuscript concealed significant orthographic features, which indicate a later date of composition than Goitein proposed. Since its publication, Goitein’s (1972) edition of AIU VII.C.16 has been widely used among students and scholars of Judaeo-Arabic as a guideline for dating other Judaeo-Arabic texts of the Ottoman era. The fragment’s importance in contemporary scholarship continues, rendering a revised edition an indispensable resource for future generations of Judaeo-Arabic scholars.
Keywords: Judaeo-Arabic – Middle Arabic – orthography – folk tales – Qiṣṣat al-maṣrī wa-l-rīfī
Incidence and Causes of Infusion Alarms in a Neonatal and Pediatric Intensive Care Unit: A Prospective Pilot Study
Authors: Fonzo-Christe Caroline , Bochaton Nathalie , Kiener Amalys , Rimensberger Peter C. , Bonnabry Pascal 
Published: August 2020

OBJECTIVES
To evaluate the incidence and causes of infusion alarms in a NICU/PICU setting.

METHODS
We conducted a 90-day prospective analysis of event logs downloaded daily from infusion pumps (syringe and volumetric pumps). The details about conditions surrounding alarm events were described daily by bedside nurses on a standardized form. The occlusion pressure alarm was set at 300 mm Hg on each device.

RESULTS
Forty-one pediatric patients including 12 neonates, mean weight 11.0 ± 11.3 kg (minimum–maximum, 0.48–50), were included for a total infusion time of 2164 hours. Eight hundred forty-three infusion alarms were documented (220 [26.1%] occlusion; 273 [32.4%] infusion completed; 324 [38.4%] door open/syringe disengagement; 26 [3.1%] air-in-line) resulting in an incidence of 4.7 infusion (1.2 occlusion) alarms per patient per day.
Detailed conditions surrounding occlusion alarm events were documented in only 22.7% (50/220) of the cases. Of these, 36% (18/50) were related to closed or clamped lines, 4% (2/50) to syringe change, 16% (8/50) to drug injection, and 8% (4/50) to patient-related factors. The remaining 36% (18/50) occurred without any apparent external cause during ongoing infusion, among these drug incompatibilities were a potential cause for 12 events.

CONCLUSION
Alarms from infusion pumps were frequent in the NICU/PICU setting, a quarter of them resulting from line occlusion. Other than well-known triggers (mechanical and patient factors), drug incompatibilities were identified as a potential cause for occlusion alarms in this pilot study.
Effect of IV Acetaminophen Usage on Opioid Requirements, Outcomes and Costs of Care for Postoperative Children in a Pediatric Intensive Care Unit
Authors: Taylor Brock M. , Chakraborty Shawn R. , Harthan Aaron A. , Tripathi Sandeep , Wang Huaping , Swayampakula Anil Kumar 
Published: August 2020

OBJECTIVE
Children admitted to the ICU are commonly treated with opioids for postoperative pain. We hypothesized that administration of IV acetaminophen in the immediate postoperative period is effective in lowering cumulative opioid use leading to other benefits.

METHODS
This was a retrospective chart review of patients admitted to the PICU between December 2016 and April 2019. For each patient, data including demographics, cumulative opioid usage per kilogram, oral or rectal acetaminophen, x-ray findings, hospital costs, and surgical procedure were collected. Cumulative opioid usage was determined by converting all opioids to morphine equivalents (MEs) per kg. Standard descriptive and comparative analyses were conducted using SAS 9.4 (SAS Institute, Inc, Cary, NC).

RESULTS
A total of 200 patients met inclusion and exclusion criteria (N = 92 in IV acetaminophen group and N = 108 in no IV acetaminophen group). There was no significant difference in ME per kilogram between the groups (0.3 ME/kg in IV acetaminophen group, IQR 0.5 ME/kg versus 0.4 ME/kg in no IV acetaminophen group, IQR 0.5 ME/kg, adjusted p = 0.38). Rate of atelectasis was not significant between the groups (47.8% in IV acetaminophen versus 45.4% in no acetaminophen group, p = 0.28). There was a significant difference in median total hospital costs between the groups ($22,456 in IV acetaminophen group, IQR $18,650 versus $18,552 in no IV acetaminophen group, IQR $13,361, adjusted p = 0.04).

CONCLUSIONS
IV acetaminophen in the immediate postoperative period did not lead to a decrease in cumulative opioid usage or rate of atelectasis. IV acetaminophen usage was associated with increase in overall hospital costs per patient.
Incidence of Acute Kidney Injury Among Infants in the Neonatal Intensive Care Unit Receiving Vancomycin With Either Piperacillin/Tazobactam or Cefepime
Authors: Bartlett Jenna W. , Gillon Jessica , Hale Jennifer , Jimenez-Truque Natalia , Banerjee Ritu 
Published: August 2020

OBJECTIVES
To determine whether combination therapy with vancomycin and TZP is associated with a higher incidence of acute kidney injury (AKI) compared with vancomycin with cefepime in infants admitted to the NICU.

METHODS
This retrospective cohort study included infants in the NICU who received vancomycin/cefepime or vancomycin/TZP for at least 48 hours. The primary outcome was incidence of AKI, which was defined by the neonatal modified Kidney Disease Improving Global Outcomes AKI criteria.

RESULTS
Forty-two infants who received vancomycin with cefepime and 58 infants who received vancomycin with TZP were included in the analysis. The median gestational age at birth, birth weight, and dosing weight were lower in the TZP group, but other baseline characteristics were comparable, including corrected gestational age. Two patients (3%) receiving vancomycin/TZP versus 2 patients (5%) receiving vancomycin/cefepime met criteria for AKI during their antibiotic course (p = 1.00). There were no clinically significant changes in serum creatinine or urine output from baseline to the end of combination antibiotic treatment in either group.

CONCLUSIONS
Among infants admitted to our NICU, AKI incidence associated with vancomycin and either TZP or cefepime therapy was low and did not differ by antibiotic combination.
Teatro nas fronteiras: descentralizando o teatro no interior de Mato Grosso
Authors: Jesus Maria Edilene de 
Published: August 2020

Este relato propõe um olhar para o teatro que é feito nas bordas, nas fronteiras das comunidades. Abordo aqui experiências como professora-artista em um teatro realizado na e com a comunidade no interior do Estado de Mato Grosso. Esse olhar visa refletir quais foram os caminhos traçados pelo Teatro Faces para construir e potencializar o teatro na comunidade através da descentralização do acesso as ações da Escola de Teatro Faces em Primavera do Leste. Contextualizando a partir de suas poéticas e práticas teatrais para infância e juventude um diálogo com a comunidade, prezando pelos atravessamentos, pela história de vida e de como essas pessoas – aprendizes da escola de teatro – pensam o mundo.
Frontières de l’intimité conjugale et
familiale : de la théorie aux approches empiriques
Authors: Piazzesi Chiara , Blais Martin , Belleau Hélène 
Published: August 2020

Cadre de la recherche: Cet article
traite des frontières symboliques, discursives et pratiques des relations
intimes. Notre approche est inspirée par la théorie des systèmes de Niklas
Luhmann. La « frontière » est conçue comme une opération de la relation par
rapport à elle-même : la relation se définit elle-même par ses opérations
communicatives et elle définit ainsi les attentes légitimes de ses membres. La
relation existe alors en tant que frontière par ses opérations de communication,
qui statuent directement ou indirectement sur ce qu’elle est et sur ce qu’elle
n’est pas. Les symboles, les règles de sens et les références sémantiques sont
des outils mobilisés dans le travail de frontière. Cependant, ces symboles ne
définissent pas les façons de les utiliser dans ce travail.
Objectifs: L’article vise deux objectifs
principaux. Premièrement, en mobilisant en en définissant les concepts de
« frontières » et de « travail de frontière », l’article offre des outils
théoriques novateurs pour les recherches sur l’intimité. Deuxième, il montre
l’utilité empirique de ce concept par la discussion d’exemples de son
application à l’étude des formes et des processus de l’intimité en sciences
sociales.
Méthodologie: Ayant surtout une visée
théorique, l’article procède par clarification conceptuelle et définition des
notions de « frontières » et de « travail de frontière » en sciences sociales,
pour ensuite discuter des applications de ce concept aux relations intimes,
conjugales et familiales.
Résultats: Les frontières des relations
émergent de l’opérationnalisation de symboles, références sémantiques ou règles
de sens dans la communication entre partenaires ou membres des relations. Les
symboles mobilisés ne déterminent pas les modalités de leur opérationnalisation,
ce qui impose d’observer directement les opérations du travail de frontière afin
de les décrire et de les comprendre.
Conclusions : Avoir exploré les
fondements théoriques et empiriques du concept de frontières dans la sociologie
des relations intimes, cet article documente la place centrale de la sémantique
et du discours dans le travail de frontières qui définit les relations intimes.
Il montre également comment le concept permet de saisir les opérations
d’autodéfinition dont les relations mêmes ont besoin pour continuer à
exister.
Contribution : Cet article offre une
synthèse des connaissances sur le concept de frontières et en montre le
potentiel heuristique pour aborder les relations intimes, conjugales ou
familiales. Les articles rassemblés dans ce numéro y contribuent également en
montrant sa pertinence pour analyser une diversité de relations intimes, peu
importe leur composition, leur durée ou leurs degrés de stabilité ou
d’institutionnalisation.
Boundaries of Marital and Family Intimacy: From Theory to Empirical Approaches
Authors: Piazzesi Chiara , Blais Martin , Belleau Hélène , Baslyk Valentina 
Published: August 2020

Research Framework : This article discusses the
symbolic, discursive and practical boundaries of intimate relationships. Our
approach is inspired by Niklas Luhmann's systems theory. The "boundary" is conceived
as an operation of a relationship in relation to itself: the relationship defines
itself through its communicative operations and thus defines the legitimate
expectations of its members. The relation thus exists as a boundary through its
communicative operations, which directly or indirectly determine what it is and what
it is not. Symbols, rules of meaning and semantic references are tools used in
boundary work. However, the symbols do not define the ways in which these tools may
be employed in this work.
Objectives : The article has two main
objectives. First, by utilizing and defining the concepts of "boundaries" and
"boundary work," the paper offers innovative theoretical tools for intimacy
research. Second, it demonstrates the empirical utility of these concepts by
discussing examples of their application to the study of forms and processes of
intimacy in the social sciences.
Methodology : Primarily theoretical in focus,
the paper begins by conceptually clarifying and defining the concepts of
"boundaries" and "boundary work" in the social sciences, and then discusses their
applications to intimate, marital and family relationships.
Results : The boundaries of relationships
emerge from the operationalization of symbols, semantic references or rules of
meaning in communication between partners or members of relationships. The symbols
used do not determine the methods of their operationalization, which makes it
necessary to observe the operations of the boundary work directly in order to
describe and understand them.
Conclusions : Having explored the theoretical
and empirical foundations of the concept of boundaries in the sociology of intimate
relations, this paper documents the centrality of semantics and discourse in the
boundary work that defines intimate relations. It also shows how the concept
captures the operations of self-definition that the relationships themselves need in
order to continue to exist.
Contribution: This article summarizes what is
known about the concept of boundaries and shows its heuristic potential for
addressing intimate, marital or family relationships. The articles collected in this
issue also contribute by demonstrating its relevance in analyzing a diversity of
intimate relationships, regardless of their composition, duration, or degrees of
stability or institutionalization.
Acquérir un statut de patient : une
redéfinition nécessaire des frontières de l’intime au cours des parcours
d’assistance médicale à la procréation (AMP) en Italie (Lombardie).
Authors: Linconstant Léa 
Published: August 2020

Cadre de la recherche : La loi italienne
définit l’assistance médicale à la procréation (AMP) comme « un traitement
thérapeutique permettant de soigner une maladie, l’infertilité ». Les parcours
d’AMP donnent à voir une forme d’association particulière entre un environnement
médical et la constitution de familles alors même que la grossesse n’est pas
encore survenue.
Objectifs : Cet article souhaite
interroger la façon dont les relations nouées au long des procédures produisent
de nouvelles frontières de l’intimité conjugale et parentale, l’intimité étant
comprise ici comme la relation exclusive nouée entre les deux membres d’un
couple.
Méthodologie : Notre analyse s’appuie sur
une ethnographie menée auprès d’un centre public italien d’assistance médicale à
la procréation, dans le cadre de laquelle nous avons observé les pratiques de
professionnels (gynécologues, biologistes, infirmières). Un corpus d’entretiens,
dont une cinquantaine avec des professionnels de l’AMP et une trentaine avec des
couples ou des femmes infertiles ayant déjà effectué au moins un parcours de
fécondation in vitro, complète les observations.
Résultats : Les parcours d’AMP ne
peuvent être compris comme des processus uniformes au cours desquels les
relations et les statuts n’évolueraient pas et au sein desquels deux individus
pourraient être considérés en tant que soignant et patient dès le départ. Au
contraire, ils relèvent d’un processus au cours duquel chaque place ou statut
attribué se modifie et évolue par un travail sur les corps et les relations de
l’ensemble des protagonistes. La question de la temporalité est donc essentielle
afin de rendre compte de l’épaisseur des parcours et de la diversité des
intentions et des relations qui les jalonnent.
Conclusion : Le parcours d’infertilité
et les techniques d’AMP revêtent un caractère particulier : la définition
thérapeutique de ces dernières ainsi que l’utilisation du terme « patient » pour
qualifier les personnes y ayant recours n’a rien d’évident. L’acquisition du
statut de patient se fait de façon processuelle à travers notamment une désingularisation progressive du couple et de son
histoire.
Contribution : Cet article contribue à
la réflexion sur la place du tiers au sein des techniques de reproduction
assistée. Ainsi, si notre ethnographie ne fait état d’aucun recours à un tiersdonneur – les couples bénéficiaient d’une AMP
strictement intraconjugale –, le processus de procréation s’inscrit néanmoins
dans une « action collective à plusieurs partenaires » (Théry, 2010) au sein de
laquelle s’insère un tiers, entendu comme un élément
extérieur au couple : le corps médical. L’intrusion de ce dernier participe à
redessiner les frontières de l’intimité familiale et conjugale.