bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond
Authors: Madhoun Lauren L. , Dempster Robert 
Published: December 2019

PurposeFeeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further.ConclusionSpeech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.
Preface
Authors: Degenkolb S. , Geltenbort P. , Jenke T. , Jentschel M. , Nesvizhevsky V.V. , Roccia S. , Soldner T. , Zimmer O. , Rebreyend D. , Stutz A. 
Published: December 2019

This volume contains the written proceedings of PPNS-2018, the international workshop on “Particle Physics at Neutron Sources” hosted by the LPSC in Grenoble, France from May 24th–26th, 2018.
Dark decay channel analysis (n → χ + e+ e−) with the PERKEO II experiment
Authors: Klopf Michael , Jericha Erwin , Märkisch Bastian , Saul Heiko , Soldner Torsten , Abele Hartmut 
Published: December 2019

Discrepancies from beam and bottle type experiments measuring the neutron lifetime are on the 4σ level. In recent publications Fornal and Grinstein proposed that the puzzle could be solved if the neutron would decay on the one percent level via a dark decay mode [1], one possible branch being n → χ + e+e−. With data from the Perkeo II experiment we set limits on the branching fraction and exclude a one percent contribution for 96% of the allowed mass range for the dark matter particle. With this publication, we give a detailed description of the experiment and some selected details of the analysis.
Übergewicht und Adipositas in der Praxis der Kinder- und Jugendärzte
Authors: Koch Gerhard 
Published: December 2019

Zusammenfassung▪ Übergewicht und Adipositas zählen weltweit zum wichtigsten, vermeidbaren Gesundheitsrisiko.▪ Sie verursachen eine hohe Zahl chronischer Erkrankungen mit Beeinträchtigung der Lebensqualität, Verkürzung der Lebensdauer und erheblichen Belastungen der Gesundheitsetats.▪ Es mangelt an effizienten konventionellen therapeutischen Angeboten.▪ Als Instrument und Träger dieser Interventionen eignen sich Netzwerke aus Fachleuten und Mitgliedern der Zivilgesellschaft vor Ort im Sinne eines qualifizierten Casemanagements.▪ Ein behördliches Controlling der Teilnahme an den Vorsorgeuntersuchungen jenseits der Einschulung ist zu fordern.
Netherton-Syndrom
Authors: Müller C. S. L. , Vogt T. 
Published: December 2019

ZusammenfassungWir präsentieren einen didaktisch sehr wertvollen Kasus des klinischen Vollbildes eines Netherton-Syndroms. Klinisch präsentierte sich ein 9-jähriges Mädchen mit therapierefraktären ekzematösen Hautveränderungen, Trichorrhexis invaginata und dem histologisch nachweisbaren Verlust der Expression von LEKTI in läsionaler Haut. Klinische Befunde werden präsentiert und ein Überblick über die Erkrankung wird gegeben.
Potenzial von Physiotherapie bei ausgeprägten Strukturbefunden
Authors: Kühnemund Josephine , Bocker Barbara , Smolenski Ulrich Christian , Best Norman 
Published: December 2019

ZusammenfassungDie Falldarstellung behandelt den Fall eines stark beeinträchtigten Patienten, der erst im Erwachsenenalter als Flüchtling nach Deutschland kam und bezüglich seiner kongenitalen Strukturerkrankungen behandelt wurde. Die Kasuistik verdeutlicht das Potenzial konservativer Therapieoptionen ergänzend zur chirurgischen Intervention und alleinig bei ausgeschöpften operativen Maßnahmen. Der Patient leidet unter einer ausgeprägten Kyphoskoliose, welche ausgedehnt operativ versorgt wurde. Weiterhin schränkt ihn eine massive Trichterbrust durch die verursachte restriktive Ventilationsstörung massiv in Leistungsfähigkeit und Mobilität ein. Eine operative Korrektur wurde seitens der Chirurgen erst dann als möglich angesehen, wenn eine ausreichende Hilfsmittel freie Gehstrecke erreicht wird. Des Weiteren leidet der Patient unter Hüftdysplasie bds. und infolge der ausgeprägten somatischen Befunde sowie psychischen Belastungsfaktoren unter einem chronischem Schmerzsyndrom. Durch die Kombination verschiedener physiotherapeutischer Maßnahmen, konnten Mobilität, Kraft, Atmung sowie Schmerz deutlich positiv beeinflusst werden, was das Potenzial einer konsequenten konservativen Therapie selbst bei ausgeprägten Strukturbefunden demonstriert..
Vernetzte Gesundheitsförderung
Authors: Tonk Lisa 
Published: December 2019

ZusammenfassungGesundheitsförderung auf kommunaler Ebene ist eine besondere Herausforderung, da hier viele verschiedene Organisationen, Ressorts und Professionen an der Gesundheit der Kommune beteiligt werden können. Die Plattform Ernährung und Bewegung e. V. hat 2013 / 14 mit Mitteln des Bundesministeriums für Ernährung und Landwirtschaft im Rahmen des Nationalen Aktionsplans IN FORM eine Weiterbildung entwickelt, in der Angestellte aus der Kommunalverwaltung lernen Netzwerke zu gründen, um diesen Herausforderungen innerhalb der Kommune zu begegnen und gemeinsam mit den relevanten Akteuren an Gesundheitsthemen zu arbeiten. In der Weiterbildung „Kommunale Gesundheitsmoderation“ erhalten die Teilnehmenden in fünf Modulen das nötige Handwerkszeug in den Bereichen der Kommunikation und Moderation sowie den theoretischen Input zu Themen der Gesundheitsförderung und qualitätsgesicherter Arbeit vor Ort.
Psychometrische Überprüfung der Kurzversion der Skala
„Transpersonales Vertrauen“ in einer deutschlandweiten repräsentativen
Bevölkerungsstichprobe
Authors: Hampel Nicola Daniela , Brähler Elmar , Zenger Markus , Albani Cornelia , Heuft Gereon 
Published: December 2019

Zusammenfassung
Einleitung In dieser Arbeit wird die Entwicklung der deutschen Version der Skala
„Transpersonales Vertrauen“ in der revidierten und gekürzten 6 Item
Version (TPV-6R; 2017) vorgestellt und psychometrisch überprüft.
Material und Methoden Im Rahmen einer deutschlandweiten Repräsentativbefragung
wurde der Fragebogen 2513 Probanden vorgelegt. Insgesamt konnten die Daten von 2464 Probanden
ausgewertet werden. Explorative sowie konfirmatorische Faktorenanalysen wurden
durchgeführt, um die Faktorenstruktur im Vergleich zum ursprünglichen
einfaktoriellen Modell von Belschner (2000) sowie der gefundenen 2-faktoriellen Struktur von
Albani et al. (2003) zu überprüfen. Messinvarianz wurde über
Multigruppenvergleiche, die konvergente und diskriminante Validität wurden
über Korrelationen mit anderen Items getestet.
Ergebnisse Nach der Entfernung von 2 Items aufgrund schlechter Skalenkennwerte ergeben
sich gute Item- und Skalenkennwerte sowie eine hervorragende Modellgüte. In der
4-Item-Version konnte die einfaktorielle Struktur der Ursprungsversion von Belschner et al.
(2000) repliziert werden. Die Variablen Geschlecht und Alter weisen metrische Invarianz auf,
nur für die Variable Geschlecht konnte partielle skalare Invarianz hergestellt werden.
Für Bundesland und Konfessionszugehörigkeit zeigte sich weder metrische noch
skalare Invarianz.
Diskussion Aufgrund der Güte der Kennwerte der TPV-4R erscheint es lohnend, die
TPV-4R in zukünftigen Untersuchungen mit anderen validierten vergleichbaren
Instrumenten zur religiösen bzw. spirituellen Einstellung weitergehend zu
untersuchen.
Fazit für die Praxis Mit dieser neuen deutschen Kurzversion TPV-4R liegt ein
ökonomisches, reliables und valides Instrument zur Erfassung spiritueller
Einstellungen vor.
Update Mammakarzinom 2019 Teil 4 – diagnostische und therapeutische Herausforderungen neuer personalisierter Therapien für Patientinnen mit frühem Mammakarzinom
Authors: Schütz Florian , Fasching Peter A. , Welslau Manfred , Hartkopf Andreas D. , Wöckel Achim , Lux Michael P. , Janni Wolfgang , Ettl Johannes , Lüftner Diana , Belleville Erik , Kolberg Hans-Christian , Overkamp Friedrich , Taran Florin-Andrei , Brucker Sara Y. , Wallwiener Markus , Tesch Hans , Fehm Tanja N. , Schneeweiss Andreas , Müller Volkmar 
Published: December 2019

ZusammenfassungDie Weiterentwicklung der Therapien für Frauen mit einem frühen Mammakarzinom schreitet deutlich langsamer voran als bei Patientinnen mit fortgeschrittenem Mammakarzinom und ist zudem zeitlich versetzt zu Entwicklungen beim metastasierten Mammakarzinom. Trotzdem konnten in letzter Zeit deutliche Fortschritte verzeichnet werden. Diese Übersichtsarbeit fasst die jüngsten Entwicklungen vor dem Hintergrund der neuesten Publikationen und Fachkongresse zusammen. Für hormonrezeptorpositive Patientinnen sind neue Aspekte für die Dauer der Antihormontherapie und in Bezug auf den Nutzen von Multigentests veröffentlicht worden. Bei HER2-positiven Patientinnen werden der Stellenwert einer post-neoadjuvanten Therapie und eine Deeskalation der Therapie diskutiert. Bei Patientinnen mit tripel-negativem Mammakarzinom stellt sich die Frage, ob das Wissen um den biologischen Hintergrund einer Defizienz der homologen Rekombination (HRD) dabei hilft, neue Therapien für diesen Subtyp zu entwickeln. Insbesondere die „Nutzung“ einer BRCA1/2-Mutation oder des biologischen Merkmals HRD als potenzielles Therapiemotiv spielen eine Rolle dabei, den Stellenwert der Platintherapie und einer Therapie mit PARP-Inhibitoren zu spezifizieren.
A Prospective Observational Study on the Therapeutic Effect of Plantago Major in Reducing Craving for Tobacco
Authors: Shukla Indu 
Published: December 2019

Abstract
Background and Objectives Tobacco Dependence is a well acknowledged social and health evil. In India, 8–9 lakh persons die every year due to Tobacco related diseases Numerous studies show that tobacco cessation leads to considerable decrease in health risks posed by tobacco use. Therefore there is a need that homoeopathic medicines should be incorporated in the treatment of tobacco cessation, as it is very palatable and will have no such side effect. Moreover, there is not much documented research evidence about the usefulness of homoeopathic system of therapeutics in tobacco cessation. Main objective of the study is to ascertain the effects of Plantago major in modifying craving for Tobacco.
Methods Prospective study was conducted in randomly selected 30 patients attending the outpatient, inpatient of Bakson Homeopathic Medical College and Hospital. Adults of age group 15–60 who showed tobacco dependence were included in the study. In this study cases were reviewed in every 2 weeks. Outcome of study were measured by fagerstrom test score changes.
Result It was noted that out of 30 cases, 27(90%) cases showed change in Tobacco dependence, 3(10%) cases didn’t show any change. To assess this change in tobacco dependence fagerstrom test score of patients before and after treatment were taken into consideration. The statistical analysis was done using the paired t test. Significance was accepted at p value < 0.05 to assess differences before and after taking medicine. Baseline Mean ± SD FTND was 6.93 ± 1.41 which improved to 5.33 ± 1.32 after treatment. A paired student t test showed that the above changes were statistically significant (p < 0.005) which shows a significant reduction in patient’s tobacco dependence. p-Value is < 0.001 which is significant this shows that Plantago major has effect in reducing craving for tobacco.
Conclusion These results confirm the age old observations of homoeopathic stalwarts regarding the use of Plantago Major in reducing craving for tobacco especially in the present scenario when large number of tobacco users were planning or thinking of quitting tobacco use.
Clinical Spectrum of Chronic Lower Gastrointestinal Bleeding in Sub-Himalayas: A Study at a Tertiary Care Hospital of North India
Authors: Lakhanpal Vikas , Sharma Rajesh , Bodh Vishal , Thakur Surinder , Sharma Neetu , Sharma Brij 
Published: December 2019

Abstract
Background Lower gastrointestinal bleeding (LGIB) is fairly a common presentation in gastroenterology and medicine departments, and presents major diagnostic and therapeutic challenges. This study aimed to explore the varied clinical spectrum of LGIB in our region.
Methods A total of 138 patients presented with chronic LGIB and were investigated using colonoscopy and relevant investigations.
Results The majority of patients were in the age group of 40 to 59 years, with a mean age of 49.5 years, slight male predominance, and male-to-female ratio of 1.19:1. The most common clinical presentation was hematochezia (97.8%). Overall, 15% patients had more than one comorbidity, and 39.13% patients were anemic, of which 7.24% received blood transfusions. Diagnostic yield of colonoscopy was 92.75%.Major causes of LGIB were anorectal causes (19.56%), inflammatory bowel disease (19.56%), colorectal carcinoma (17.39%), radiation proctitis (9.42%), infective causes (11.59%), nonspecific colitis (7.24%), and benign growths (5.07%). However, in the elderly (age > 60 years), carcinoma colon, radiation proctitis, and hemorrhoids predominated the clinical picture.
Conclusion Colonoscopy is very useful in the evaluation of patients with LGIB. The predominant causes of LGIB vary according to age as well as geographical location, and mortality of LGIB is negligible as compared with upper gastrointestinal bleeding.
“An Odyssey of Third Space Endoscopy”—from Entry into the Tunnel to Entry into the Peritoneal Cavity
Authors: Mandavdhare Harshal S. , Mishra Shubhra , Samanta Jayanta , Shah Jimil , Kochhar Rakesh 
Published: December 2019

AbstractThe last decade has seen the growth of a completely new and exciting entity called the third space endoscopy (TSE) that has brought about a paradigm shift in the way we manage various disorders of the gastrointestinal tract. The journey started with per oral endoscopic myotomy (POEM) for achalasia cardia and within a decade the concept has been exploited to its best potential for disorders including submucosal tumor resection, pyloromyotomy for gastroparesis, complete division of septum without the risk of perforation in diverticular diseases of esophagus, restoration of esophageal lumen in long strictures, restoration of bowel movement in Hirschsprung’s disease, and then taking the concept to the next level of pure NOTES (natural orifice transluminal endoscopic surgery) by entering the peritoneal cavity and performing fundoplication. This review will discuss the history of TSE with brief discussion about the various applications and what has been achieved till present.
Comparative morpho-anatomy and mitochondrial phylogeny of Semisulcospiridae in Yunnan, south-western China, with description of four new species (Gastropoda :  Cerithioidea)
Authors: Du Li-Na , Köhler Frank , Yu Guo-Hua , Chen Xiao-Yong , Yang Jun-Xing 
Published: December 2019

The taxonomic history of Chinese semisulcospirids is confusing. Originally placed in Melania by late 19th century authors, species have subsequently been dispersed into four different genera, i.e. Semisulcospira Böttger, 1886, Senckenbergia Yen, 1939, Hua Chen, 1943, and Namrutua Abbott, 1948; however, these placements were not conducted within a phylogenetic context. Based on examination of newly collected samples from the Chinese provinces Yunnan, Guizhou, Jiangxi, Anhui and Chongqing, we revised the systematics of the Chinese Semisulcospiridae based on comparative anatomy and mitochondrial phylogenetics. We have examined shell, radular, and reproductive features and employed Bayesian and Maximum Likelihood analyses of partial sequences of mitochondrial genes cytochrome c oxidase I and 16S rRNA to resolve the phylogenetic relationships. The results revealed that Semisulcospiridae is represented by three genera in China, which differ in their reproductive strategy, including Semisulcospira, which is viviparous and contains three species (S. ningpoensis, S. gredleri, and S. pleuroceroides); Hua, which is oviparous and contains 11 species; and Koreoleptoxis, which is oviparous and contains one species. Namrutua and Senckenbergia are identified here as junior subjective synonyms of Semisulcospira. All taxa recognised herein formed well differentiated clades in three mitochondrial phylogeny, and could be reliably distinguished by differences in shell shape and sculpture. Four new species of Hua are described from Yunnan Province. This is the first comprehensive study to review the taxonomy of semisulcospirids in China. These species are sensitive to water quality, and economic development and infrastructure expansion have negatively impacted many populations. We fear that some species may have disappeared before being investigated or described scientifically. Therefore, this research will hopefully inspire further studies and surveys to foster our understanding of freshwater gastropod diversity in China. http://zoobank.org/urn:lsid:zoobank.org:pub:EF2147FD-9EEE-4922-90DC-76651EF9E6AE
Nanoscale spectroscopic origins of photoinduced tip–sample force in the midinfrared
Authors: Jahng Junghoon , Potma Eric O. , Lee Eun Seong 
Published: December 2019

Significance
Photoinduced force at tip–sample junction provides nanoscale spectroscopic information with label-free and far-field background-free manner. This approach, spectronanoscopy through force detection, shows higher sensitivity and 1,000 times better spatial resolution than conventional ensemble averaged infrared microscopy, even under ambient and environmental conditions. Unfortunately, the origin of this promising photoinduced force effect is sometimes unclear because the force has 2 independent physical aspects: One is the electromagnetic effect related to induced dipoles in tip and sample, and the other one is the thermodynamic effect related to thermal heating of sample. Here, we reveal how the light illumination results in the 2 kinds of photoinduced forces at the tip–sample junction and provide quantitative interpretation of nanoscale spectroscopic measurements.
QUANTITATION OF ACUTE AND CHRONIC SERUM SICKNESS IN THE RABBIT
Authors: Wilson Curtis B. , Dixon Frank J. 
Published: December 2019

The amounts of BSA (immune complex) deposited in glomeruli of rabbits with acute and chronic serum sickness were determined using radio-labeled BSA and paired-label RSA. In animals with acute serum sickness and severe glomerulonephritis, about 18 µg of I*BSA were present in both kidneys after immune elimination (&gt;99% of the circulating I*BSA). Visible with an immunofluorescent sensitivity of 0.25 µg per g of kidney, the I*BSA became rapidly undetectable and was presumably covered by deposits of circulating host anti-BSA and complement which increased demonstrably.
In chronic serum sickness produced by daily injections of a quantity of BSA to balance antibody production, 0.04% of the daily dose of I*BSA was deposited in the glomeruli during the developmental stages of glomerulonephritis. Coincident with the onset of overt proteinuric glomerulonephritis, the daily I*BSA deposition, rate increased to about 0.5% of the daily dose. The half-disappearance rate of I*BSA from the kidney was about 5 days. Administration of huge excesses of BSA caused a fivefold increase in the half-disappearance rate. The accelerated I*BSA disappearance could be correlated with vanishing glomerular immunofluorescent deposits of BSA and immunoglobulin, as well as electron microscopic dense deposits; however, functional improvement of the disease was not observed.
The roles of immune complex size, precipitating and nonprecipitating (total ABC) antibodies, and RES function in the development of chronic serum sickness glomerulonephritis are discussed.
THE ETIOLOGY OF TRACHOMA
Authors: Noguchi Hideyo 
Published: December 2019

The experimental chronic granular conjunctivitis first induced in Macacus rhesus with pure cultures of Bacterium granulosis, has been transferred by direct tissue passage to the chimpanzee, baboon, and to other Macacus rhesus through at least 4 successive passages.
This experimental chronic granular conjunctivitis preserved the clinical and histological characters throughout the several passages, and the lesions have been shown to be infective as early as 17 and as late as 204 days after the original culture inoculation.
Bacterium granulosis can be recovered from the inoculated animals and has been found in microscopic specimens of human and monkey tissues. The great difficulty of its recovery in culture and its demonstration in sections of tissues and in films is not necessarily an indication of its absence from the lesions. The methods employed to recover or to find the organism may not be the most favorable to be discovered.
No other microorganism obtained from the human cases of trachoma produces in animals effects comparable to those induced by Bacterium granulosis. In the absence, therefore, of indications to the contrary, we may consider that in Bacterium granulosis we have the inciting microorganism of trachoma in man and its equivalent, granular conjunctivitis in monkeys.
THE ETIOLOGY OF TRACHOMA
Authors: Noguchi Hideyo 
Published: December 2019

In Supplement No. 2, issued with the August, 1928, number of The Journal of Experimental Medicine, in the caption at the top of page 1, for July read August; for Vol. xlviii, No. 1, read Vol. xlviii, No. 2.
The attached slip may be pasted over the present caption.
IS LIVING PROTOPLASM PERMEABLE TO IONS?
Authors: Osterhout W. J. V. 
Published: December 2019

On page 138, Vol. viii, No. 2, September 18, 1925, in line 4 from bottom, in place of (50) (5.4) = 2.7 read
See PDF for Equation.
In the next line, in place of 52.7 read 52.9.
On page 139, in line 3 from top, in place of 5.4 read
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In line 11 from top, in place of (97.2 x 5.4) = 102.5 read
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In line 13, in place of 100 + 5.4 = 105.4 read
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Unintuitive behaviour of fibre coupled collimating optics used for plasma emission observations
Authors: Hurlbatt A 
Published: December 2019

Abstract
The collection of light emitted from a plasma or other volumetric light source is often collected using an optical collimator coupled to an optical fibre. In this work the spatial dependence of transmission from a light source into a fibre via a variety of collimating lens systems is investigated using a table top optical setup and a full 3D ray tracing simulation. The solid angle emitted from a point source that is accepted into the fibre is found to depend in a complex and unintuitive manner on the spatial position of the source relative to the optical system. Back-illumination is often used to focus the optical system such that it produces a well defined beam, which is then assumed as a ‘line of sight’. However even in these cases there are non-monotonic behaviours within this ‘line of sight’ that mean the often-made assumption of a single acceptance angle or cone of observation is not valid in these systems. This has significant implications for the application of these optical systems to the observation of non-uniform volumetric light sources where variations of light intensity or spectrum occur within the defined line of sight.