bluuebunny/crossref_metadata_2025_split huggingface dataset:
Instruction Using Augmentative and Alternative Communication Supports: Description of Current Practices by Speech-Language Pathologists Who Work With Children With Autism Spectrum Disorder
Authors: Clarke Kaitlyn A. , Williams Diane L. 
Published: March 2020

Purpose
The aim of this research study was to examine common practices of speech-language pathologists (SLPs) who work with children with autism spectrum disorder (ASD) with respect to whether or not SLPs consider processing differences in ASD or the effects of input during their instruction.

Method
Following a qualitative research method, how SLPs instruct and present augmentative and alternative communication systems to individuals with ASD, their rationale for method selection, and their perception of the efficacy of selected interventions were probed. Semistructured interviews were conducted as part of an in-depth case report with content analysis.

Results

Based on completed interviews, 4 primary themes were identified: (a)
instructional method
, (b)
input provided
, (c)
decision-making process
, and (d)
perceived efficacy of treatment
. Additionally, one secondary theme,
training and education received
, was identified
.

Conclusions
Clinicians reported making decisions based on the needs of the child; however, they also reported making decisions based on the diagnostic category that characterized the child (i.e., ASD). The use of modeling when teaching augmentative and alternative communication to individuals with ASD emerged as a theme, but variations in the method of modeling were noted. SLPs did not report regularly considering processing differences in ASD, nor did they consider the effects of input during instruction.
Making Object Shape Explicit for Toddlers With Late Language Emergence
Authors: Capone Singleton Nina , Anderson Laura 
Published: March 2020

Purpose
Toddlers with late language emergence have difficulty acquiring an object vocabulary that is well defined by shape early in development. Without object words, subsequent language growth is delayed. The current study tested an intervention scaffold that highlights object shape during word teaching so that toddlers with late language emergence may establish themselves in the early stages of object word learning.

Method
Four toddlers with late language emergence participated in a brief dose of two interventions that differed only in semantic scaffold—a co-speech shape gesture or a co-speech indicator gesture. Co-speech refers to the word model and gesture occurring simultaneously. Shape gestures explicitly conveyed object form, whereas indicator gestures directed attention to the object. A single-subject experimental design tracked naming of taught objects and untaught exemplars. The study compared the mean number of phonemes produced in names between conditions.

Results
The four participants (a) extended more names to novel exemplars, (b) named more exemplar types, and (c) named more exemplar tokens when learned with shape gestures than with indicating gestures. The shape gesture advantage was confirmed with “percentage of nonoverlapping data” analysis. Not only did the shape gesture increase naming over the indicator gesture but more sounds were also mapped on average in the shape condition.

Conclusion
The current study used a semantic approach to the word learning problem in toddlers with late language emergence. We conclude that co-speech shape gestures led to semantic enrichment and facilitated phonological binding of the word representation. Future experiments should focus on a component analysis in parent-implemented interventions for greater carryover in the child's natural environment (i.e., external validity).
A Randomized Controlled Trial Investigating Online Training for Prelinguistic Communication
Authors: Feuerstein Julie L. , Olswang Lesley B. 
Published: March 2020

Purpose
This study explored the utility of online training as a platform for teaching early intervention speech-language pathologists to recognize potentially communicative, prelinguistic behaviors in young children with physical disabilities and complex communication needs.

Method
Using a randomized controlled trial, 45 early intervention speech-language pathologists were randomly assigned to one of three conditions within an online training: practice with implicit problem-solving (identification condition), practice with explicit problem-solving (reflection condition), or no practice (control condition). Knowledge about early communication, skill at recognizing prelinguistic behaviors, time taken to complete the training, and perceptions of the training experience were examined.

Results
Participants in the no-practice control condition took significantly less time to complete the training, achieved the same positive outcomes on the knowledge and skill assessments, and rated the training as appealing as compared with participants assigned to the more time-intensive identification and reflection practice conditions.

Conclusions
Results suggest the importance of considering efficiency and appeal when designing successful trainings for moving evidence into practice.
Organersatzverfahren: Update Nierenersatztherapie
Authors: Massoth Christina , Zarbock Alexander 
Published: March 2020

ZusammenfassungDie steigende Inzidenz der schweren akuten Nierenschädigung in Verbindung mit weiterhin hohen Mortalitätsraten stellt die intensivmedizinische Versorgung vor eine wachsende Herausforderung. Nierenersatzverfahren sind die wichtigste Therapiemaßnahme und kommen gleichermaßen zunehmend zum Einsatz – ungeachtet dessen werden wesentliche Aspekte ihrer Umsetzung infolge einer eingeschränkten Evidenzlage kontrovers diskutiert.
Progrediente pulmonale Beteiligung bei amyopathischer Dermatomyositis
Authors: Kiefer David , Andreica Ioana , Braun Jürgen 
Published: March 2020

ZusammenfassungIn dieser Fallserie werden 3 Patienten mit einer Dermatomyositis bzw. Polymyositis autoimmuner Genese vorgestellt, die nach Entwicklung einer rasch progredienten interstitiellen Lungenbeteiligung trotz Immunsuppressiva innerhalb von Monaten verstarben. Alle 3 Patienten hatten ein passendes Antikörperprofil – bei 2 wurden Myositis-spezifische anti-melanoma-differentiation-associated-gene (MDA5)-Antikörper und bei der dritten Myositis-assoziierte Anti-Ku-Antikörper nachgewiesen. Dermatomyositis und Polymyositis sind seltene Autoimmunerkrankungen mit unterschiedlichen klinischen Manifestationen und Antikörperkonstellationen. Insbesondere das Vorliegen von MDA5-Antikörpern ist mit einer rasch progredienten pulmonalen Beteiligung und einer schlechten Prognose assoziiert.
Individual-Level Linkage of Primary and Secondary Data from Three Sources for Comprehensive Analyses of Low Birthweight Effects
Authors: Druschke Diana , Arnold Katrin , Heinrich Luise , Reichert Jörg , Rüdiger Mario , Schmitt Jochen 
Published: March 2020

Abstract
Aim of the study The linkage of primary and secondary data is becoming an increasingly popular approach in healthcare research, but involves some challenges for all involved parties, for example due to data protection requirements. The aim of this article is to systematically outline the methods used and experiences made during a cohort study in the field of pediatric health care research (EcoCare-PIn) that involved access to and linkage of three different data sources. Particular focus is placed on the necessary regulatory measures with regard to data access and data linkage as well as on data validation to ensure a correct linkage.
Methods While complying with all relevant data protection requirements, the study realized an individual-level linkage of a) pseudonymized administrative health insurance data from a statutory health insurance on Saxon children born between 2007 and 2013, b) primary data collected via postal questionnaires from parents/caregivers and c) medical data from kindergarten- and school-entry-examinations of Saxon health authorities. The fundamental principle of the concept of data linkage was to strictly separate the sites of data collection and data analysis, which was realized through the involvement of a trust center.
Results Challenges especially pertained to the extensive regulatory pre-requirements for data access as well as to data protection requirements while performing the study. Technical aspects and data validation also required a considerable share of attention and resources. A number of validation routines were applied to avoid incorrect data linkage and to ensure the high quality of the final dataset. Data validation included both plausibility checks within the primary data and consistency checks of information given in primary and secondary data.
Conclusion The linkage of primary and secondary data on the individual level offers great opportunities for using the strengths of different data sources synergistically and overcoming some of their limitations. Statutory health insurance data and medical data from kindergarten- and school-entry-examinations of Saxon health authorities are examples of already existing data sources that can complement cost-consuming primary data collections by valuable data sets and open up opportunities for longitudinal analysis.
Ziel: 20 statt 50! Aktuelle Daten zum Zielwert der Testosteronsenkung und die Forschung hierüber seit erster „LH-RH“ (GnRH)-Analoga-Gabe an Patienten vor 40 Jahren
Authors: Hammerer Peter , Grohmann Walther , Merseburger Axel S. 
Published: March 2020

ZusammenfassungBeim ersten Einsatz eines LH-RH (heute: GnRH)-Analogon zur Therapie des Prostatakarzinoms war das Kastrationsniveau von unter 50 ng/dl willkürlich festgelegt. Seither zeigen zahlreiche Untersuchungen, dass mit einer dauerhaften Senkung des Testosteronspiegels, wie z. B. durch Buserelin, auf Werte von unter 20 ng/dl eine deutliche Verbesserung des Outcome einhergeht. Dies wird in aktuellen Studien belegt, sodass der Kastrationsspiegel mit Werten von unter 20 ng/dl zu fordern ist. Darüber hinaus stellt der Hormonentzug mit GnRH-Analoga weiterhin die Basistherapie für neue Therapieoptionen wie z. B. mit Abirateron, Enzalutamid bzw. Apalutamid dar.
Treatment of Cherubism with Salmon Calcitonin: A Case Report
Authors: Etoz Osman A , Dolanmaz Dogan , Gunhan Omer 
Published: March 2020

ABSTRACTCherubism is a familial disease of the jaws which is inherited via autosomal dominant manner. Typical features of cherubism include a painless bilateral, symmetrical enlargement of the jaws, misalignment of teeth, and intra-osseous central giant cell granuloma-like lesions, which are usually evident in early childhood. Treatment of cherubism consists of local curettage of the lesions, jaw contouring, intralesional steroid injections, and systemic calcitonin administration as well. Calcitonin therapy for central giant cell granuloma of the jaws is well documented, and favorable results have been achieved. However, fewer reports have been presented in regard to calcitonin administration for cherubism. In the present report, a 14-year-old boy with cherubism who had intra-osseous cherubic lesions in his mandible was treated with an administration of 200 IU systemic calcitonin every other day via his nasal passage for duration of more than two years. After 30 months of calcitonin therapy, the lesions in the mandible were significantly regressed, and calcitonin application was ceased. Despite some drawbacks, such as unpredictable efficient absorption and patient tolerability, nasal administration is the easiest way to use calcitonin therapy on children. In this report, every-other-day applications of calcitonin increased patient tolerability and might be considered as an effective treatment for mild cherubic lesions. (Eur J Dent 2011;5:486-491)
Concomitant Rhinoplasty and Septal Perforation Repair
Authors: Kridel Russell W.H. , Delaney Sean W. 
Published: March 2020

AbstractThe rhinoplasty surgeon may encounter nasal septal perforations (NSPs) during the examination of the prospective rhinoplasty candidate, many of whom have had prior septal surgery. While small NSPs may be asymptomatic, larger NSPs may cause nasal obstruction, crusting, bleeding, or external nasal deformities. Septal perforation repair and rhinoplasty can be safely and effectively performed simultaneously for the appropriate surgical candidate. In this article, we review the important considerations when determining the surgical candidacy for concomitant rhinoplasty and septal perforation repair.
Using Digital Profileplasty for Surgical Planning
Authors: Menapace Deanna C. , Oliver Jeremie D. , Courson Andrew , Hamilton Grant S. 
Published: March 2020

AbstractThis paper describes a method for setting up an automated and reliable digital profileplasty technique for use in Adobe Photoshop. Digital imaging software can be used to extrapolate more exact measurements during profileplasty. The digital profileplasty technique is helpful to provide intraoperative guidance during surgery.
Correction of the Saddle Nose Deformity
Authors: Hamilton Grant S. 
Published: March 2020

AbstractSaddle nose deformities are among the most challenging problems in rhinoplasty. These patients have often had previous surgery and may have complicated medical histories. Reconstructing the septum is a necessary prerequisite to correcting the contour of the nose. With proper planning and thoughtful execution, patients suffering from disfiguring saddle noses can be safely operated on—even those with vasculitic diseases.
Small protein folds at the root of an ancient metabolic network
Authors: Raanan Hagai , Poudel Saroj , Pike Douglas H. , Nanda Vikas , Falkowski Paul G. 
Published: March 2020

Significance
Life dissipates energy far from thermodynamic equilibrium via electron transport systems that are coupled to external sources of oxidants and reductants. Biological electron transport, in turn, is catalyzed by a suite of enzymes that comprise the superfamily of oxidoreductases. The origin of oxidoreductases is enigmatic. Comparing protein topology and the sequence of modern oxidoreductases, we deduce a putative common ancestor that may have existed at the earliest stages of metabolism. Through duplication, recruitment of other proteins, and diversification, this ancestral protein may have evolved to facilitate electron transfer and redox catalysis at a very early stage in the origin of metabolism.
Anatomy of Hungarian aspectual particles
Authors: Csirmaz Anikó , Slade Benjamin 
Published: March 2020

Abstract
The paper explores a common core of meaning that various aspectual adverbials in Hungarian (including megint,
ismét ‘again’, még ‘still’) share. It is proposed that there is a general definition for
various aspectual elements related to times and events. We suggest that some components of those elements, including the
scalar argument and the focus set, can vary – and this results in the different specific meanings. We assume that meaning is
compositional and also address the complex form mégis ‘(concessive) still’ and other elements that appear to
be synonymous with mégis.
Word order effects of givenness in Hungarian:
Authors: Szalontai Ádám , Surányi Balázs 
Published: March 2020

Abstract
This pioneering study presents results from a forced choice experiment designed to investigate the favoured linear placement of
given constituents within the post-verbal domain of Hungarian. Specifically, the experiment tested the preferred relative
position of textually given topical adjunct phrases. The results indicate that speakers prefer to place topical given
constituents in the immediately post-verbal position, preceding contextually new items in the clause final position. The paper
makes the argument that the results are best explained by an interface approach that sees word order variation as driven by
the prosodic marking associated with givenness.
Fixed stress as phonological redundancy
Authors: Vogel Irene 
Published: March 2020

Abstract
From the perspective of word prosody, fixed stress languages such as Hungarian may seem rather uninteresting: stress, by
definition, always falls on the same position in a word. This paper examines the acoustic properties of Hungarian stress based
on a large, systematically collected, corpus and considers them in relation to issues of redundancy in speech production and
in speech perception (stress deafness). The Hungarian findings also serve as the basis of comparison for languages with other
types of stress systems, analysed with the same methods: Turkish, Arabic and Spanish. It is demonstrated that stress
predictability affects both speech production and perception, and also that its effect may be mitigated by exceptions in
otherwise predictable stress languages.
Prosody perception meets language attitudes
Authors: Lang-Rigal Jennifer 
Published: March 2020

Abstract
A long pre-tonic vowel is associated with the regional variety of Cordoban Spanish in Argentina (Lang-Rigal, 2015a). This paper seeks to discover how, and if, prosodic production is correlated with perceived competence. Listeners judged the intelligence and occupation of anonymous speakers based on samples of their spontaneous speech. Results show that perceived speaker intelligence and occupation correlate with the degree of pre-tonic vowel lengthening (t = 4.577, p < .01). When a longer pre-tonic vowel was produced, the speaker’s competence was more negatively evaluated. However, Córdoba speakers were evaluated positively for attractiveness and integrity, supporting Labov et al. (1968), Giles (1971, 1973), and Preston (1999) who found regional varieties were viewed as non-standard and of lower social status relative to the perceived standard dialect.
Moral ortothanasia and the right to die
Authors: Lolas Stepke Fernando 
Published: March 2020

Abstract
Based upon a historical analysis of death and
dying in different contexts and reflecting on the interfaces between
religion, philosophy, and medicine, this paper elaborates on the
ethical quandaries associated with the process of dying from three
different narrative perspectives: first, second, and third person. A
sound pragmatics of care is developed when these three narrative
voices are integrated into a meaningful whole. The process becomes
then a true ortothanasia: dying is in harmony with personal
expectations and desires, the needs of relevant
others and the regulations implicit or
explicit in society. It is contended that beliefs and
practices designed to fit into one of the narratives may not
necessarily serve to explain phenomena in other discourses. A right
ortothanasia demands an hermeneutics of death and a dialectics of
dying.
In the wake of loss
Authors: Gil-Juliá Beatriz , Ballester-Arnal Rafael 
Published: March 2020

Abstract
The loss of a loved one may be considered as one
of the major life-event stressors not only by its near inevitability
but also by the high likelihood that we will go through it more than
once in the course of a normal life span. Most people experience the
loss as a natural response to a loved one’s death. Nevertheless, for
a significant minority this process can be complicated. In the wake
of loss, grief, mourning and bereavement appear to be synonymous
terms although they differ in their clinical manifestations.
Tackling the nuances linked to these concepts and the main issues
involved in an adaptive or non-adaptive course of adjustment to the
loss will be the aim of this chapter.
‘Letters to Lucilius’ and death
Authors: Pujante David 
Published: March 2020

Abstract

Moral Letters to Lucilius is a
highly modern work in terms of both its generic complexity and its
approach, which resembles a self-help treatise written in the
twenty-first century. Seneca bases his letters on stoic approaches
that may be very useful to today’s society, which lives facing
outwards, frightened and stressed. The objective is to attain a
moral freedom and an inner independence that removes the fear of
death, among other benefits.
The scenography of death in contemporary poetry
Authors: Salvador Vicent , Mira Irene 
Published: March 2020

Abstract
From the perspective of new studies on
spatiality, which favours the concept of
place (as opposed to the broader concept of
space), representations of death are linked to
specific places that are typical of each culture. In our current
culture, places such as the sanatorium, the hospital, the dying
house, the coffin and the cemetery are often related to the concept
of heterotopia designed years ago by Michel
Foucault. Some types of heterotopia that are related to death have a
high performance in the semiotics of contemporary poetry. In his
work, the Catalan poet Vicent Andrés Estellés (1924–1993) depicts
scenes of death that integrate many of these places, objects,
characters and sequences of actions. This scenography, which is
strongly shaped by metaphorical and metonymic mappings, is an
essential ingredient of his poetic semiosis as part of the treatment
of the subject matter of death and dying.
Beyond the limits of death
Authors: Molpeceres Sara 
Published: March 2020

Abstract
In this paper I will discuss two ways of
extending the human life-span that have been used in Science
Fiction. The first involves uploading the human mind onto a computer
after physical death. The second involves a sinister scenario in
which clones, doubles or virtual simulacra or simulations are
created to emulate living or dead human beings. My aim is to explore
these two options and examine their epistemological and ontological
implications: being human without a body; the nature of an uploaded
mind beyond the body’s physical death; and the role of experience,
memory and emotion in the construction of human identity.
The role of the definite article in the rise of the German
Framing Principle
Authors: Ronneberger-Sibold Elke 
Published: March 2020

Abstract
This paper develops ideas broached in Ronneberger-Sibold (2010)
on the origins of the divergent typological developments of English
towards a “classical” analytic S-V-O language, and German into a
“framing” language, in which the dominating typologically relevant
feature is the framing of different constituents by two elements
related to each other, such that the recipient can conclude from the
appearance of the first element that the constituent in question
will not be complete before the second element appears. This
principle was discovered and gradually implemented by German
language users in a self-fortifying process from OHG on. To isolate
specifically OHG prerequisites for this process, two comparable
alliterative poems, one in each language, were analysed with respect
to separable verbal complexes, verb position as a marker of sentence
type, and the structure of complex noun-phrases. The most radical
differences concerned the noun-phrase, and particularly the definite
article, whereas the differences in verb position were less
pronounced. Therefore, a scenario of the first steps of the
typological divergence is outlined in which the OHG definite article
plays a decisive role.
Cliticization of definite articles to prepositions in Middle High
German – early stages of grammaticalization?
Authors: Waldenberger Sandra 
Published: March 2020

Abstract
The subject of this contribution is clitic forms
of preposition and definite article in Middle High German (AD
1050–1350). Given the fact that some of these contractions (e.g.
am, im, ins,
zum, zur) have, in varying
degrees, undergone grammaticalization and have been integrated into
the system of definiteness markers in contemporary Standard German
(Er fliegt zum Mond vs. *Er fliegt zu
dem Mond), it seems likely that the documented
instances of such Preposition Definite Article Clitics (PDCs) in MHG
constitute an early stage of grammaticalization. This contribution
addresses this question by means of a qualitative empirical
approach, using the korpus der mittelhochdeutschen
grammatik. The results show that the MHG forms anticipate
the later stage of the development in modern German.