bluuebunny/crossref_metadata_2025_split huggingface dataset:
S’approprier Twitter en artiste : une pratique littéraire en question
Authors: Deneuville Allan 
Published: April 2020

À travers l’étude de deux œuvres littéraires s’appropriant des tweets, I wish I could be exactly what you are looking for de Jean-Baptiste Michel et Working on my Novel de Cory Arcangel, le présent article questionne les enjeux des pratiques appropriationistes en art et en littérature à l’ère du numérique. Les œuvres sont également vues comme des portes d’entrée pour questionner les rapports de pouvoir présents dans la structuration de l’expression des utilisateurs des réseaux sociaux et que la décontextualisation des tweets nous donne la possibilité d’étudier. Elles permettent également de réfléchir sur ce que nous appelons « l’oligopole à franges attentionnel » des réseaux sociaux, structure désirant rendre compte de la distribution du capital attentionnel des internautes.
Using Modern Education Technique in Wasit University
Authors: Alaidi Abdul Hadi , Yahya Omar , Alrikabi Haider TH.Salim 
Published: April 2020

<p class="Abstract">This New learning educational methods, which depending on Learning Management System (LMS), have been used by universities in the top education universities in the world. However, most of the Iraqi universities use the traditional education methods in the classroom. The purpose of this study was to examine the benefit of using LMS in higher education. This study shows how to implement and use modern educational techniques in Engineering College of Wasit University. This paper shows that using modern education tools in the class lead to increase the productivity of student, save time with less effort for instructors with high accuracy of exam results. In addition, using LMS system allows students to obtain more information in a short time. Moreover, this system gives students an opportunity to interact with the instructor and among themselves. The findings show the benefits of integrating LMS in higher education and recommend other institutions to implement it.</p>
Design and Implementation of an E-learning Platform Using N-Tier Architecture
Authors: S. Alseelawi Nawar , K. Adnan Enas , T. Hazim Hussein , Alrikabi Haider TH. Salim , Nasser Khalid Waleed 
Published: April 2020

<p>Any educational institution aimed at developing towards e-learning and creating a more interactive environment and use in all fields of governmental institutions. The Ministry of Higher Education and Scientific Research (MOHESR) of Iraq and some of the countries in the Middle East suffer from weak use of information technology in general and weak use of e-learning in particular. Therefore, Iraqi MOHESR is in dire need of an electronic educational system that solves most of the problems experienced by most educational institutions.In this paper, we will develop a strategic plan to build an e-learning platform that provides an interactive environment between teachers and students in Iraqi universities and offers many advantages to overcome some problems in the use of traditional old education. This work is related to the use of multi-layered architecture to build the e-learning platform (Standard design of e-learning platform for IraqiMOHESR). The advantage of these layers is that each layer is created in the Asp.Net program using N-Tier architecture that has functions that are independent of the rest of the layers which are(user interface(UI), business Access Layer(BAL),Data AccessLayer(DAL), Database(DB)). A particular object will not affect the rest of the layers or the performance of these layers.</p><p> </p>
CALML6 Controls TAK1 Ubiquitination and Confers Protection against Acute Inflammation
Authors: Sheng Chunjie , Wang Ziyang , Yao Chen , Chen Hui-Ming , Kan Guangyan , Wang Dan , Chen Hongyuan , Chen Shuai 
Published: April 2020

Abstract
Proper regulation of innate immune response is important for individual health. The NF-κB signaling pathway plays crucial roles in innate immunity and inflammation, and its aberrant activation is implicated in diverse diseases and disorders. In this study, we report that calmodulin-like 6 (CALML6), a member of the EF-hand protein family, is a negative regulator of the NF-κB signaling pathway. CALML6 attenuated TNF-stimulated phosphorylation of proteins downstream of TGF-β–activated kinase 1 (TAK1) and inhibited TAK1-induced NF-κB activation. Further studies showed that CALML6 interacted with TAK1 and recruited the deubiquitylating enzyme cylindromatosis to repress the K63-linked polyubiquitination of TAK1. CALML6 transgenic mice had higher tolerances to lethal LPS treatment in vivo. These findings suggest that CALML6 is a negative regulator of the NF-κB signaling pathway, which is important for maintaining the balance of the innate immune response.
COMPETIZIONE E COOPERAZIONE NELLE STORIE VITALI DEGLI ORGANISMI MARINI
Authors: Bavestrello Giorgio 
Published: April 2020

Direct and indirect biotic interactions driving community structure, can be positive, increasing the fitness of both partners, or negative, increasing the fitness of only one of the participant to the interaction. Moreover, both partners may produce an integration among them, thus giving rise to an association defined as symbiosis, with parasitism and mutualism as the two extremes of a symbiotic continuum. In the past, negative interactions have been considered more widespread within communities and responsible for most of their structures. By contrast, cooperative interactions have mainly approached with a descriptive aspect. Both parasitism and mutualism can evolve from a commensal interaction depending from the ecological context and have a different role in promoting evolution. In turn commensalism can evolve from epibiosis, a widespread phenomenon in marine benthic environment where the high spatial competition promotes the overgrowth of organisms. Therefore, epibiosis is the starting point for further evolution of different kind of interactions leading to an increasing of biodiversity.
Adverse Childhood Experiences and the Structure of Personality in Patients with Takotsubo Syndrome Versus Myocardial Infarction
Authors: Goetzmann Lutz , Olliges Elisabeth , Ruettner Barbara , Meissner Karin , Ladwig Karl-Heinz , Möller Christian , Deftu-Kloes Daniela , Pohl Stefan , Richardt Gert , Burgdorf Christoph , Steger Alexander , Ronel Joram 
Published: April 2020

Context and Aims:
Psychosocial risk factors are known to result in either takotsubo syndrome (TTS) or myocardial infarction (MI). In this article, the results of a cross-sectional study are presented within the framework of “progressive somatization” by comparing the psychosocial traits of TTS and MI patients.

Design/Subjects and Methods:
136 patients were administered a battery of questionnaires comprising the Childhood Trauma Questionnaire (CTQ), the Toronto Alexithymia Scale (TAS-20), the Experiences in Close Relationships-Revised Questionnaire, and the Operationalised Psychodynamic Diagnosis Structural Questionnaire (OPD-SQ). Life events prior to the onset of cardiac disease were recorded.

Statistical Analysis:
Descriptive statistics data were expressed in absolute numbers, percent, and mean and standard deviation. To identify differences between groups, T-tests for independent samples, Chi-square-tests and Mann-Whitney-Tests were used. Pearson correlations were computed to assess the relationship between the patient samples as well as between the patient samples and norms.

Results:
Few differences were found between TTS and MI patients, with both groups reporting moderate-to-severe “emotional neglect” in their childhood (CTQ). Compared to the norm group, TTS and MI patients showed higher values of “alexithymia” (TAS-20), and MI patients reported higher “attachment avoidance”. There are more “structural limitations of the personality” in TTS and MI patients than in a psychosomatic sample (OPD-SQ).

Conclusions:
TTS as well as MI patients suffer from “adverse childhood experiences” and “structural limitations of personality.” The results sustain the psychosomatic theory of progressive somatization that leads to severe bodily diseases. Patients might benefit from a specific psychotherapeutical support.
The Dual of the Compressed Shift
Authors: Câmara M. C. , Ross W. T. 
Published: April 2020

AbstractFor an inner function u, we discuss the dual operator for the compressed shift $P_u S|_{{\mathcal {K}}_u}$, where ${\mathcal {K}}_u$ is the model space for u. We describe the unitary equivalence/similarity classes for these duals as well as their invariant subspaces.
A Study Protocol of a Prospective, Open-label, Single-arm, Clinical Trial to Evaluate the Efficacy of Classical Ayurveda Medicines in the Management of Vicharchika (Atopic Eczema)
Authors: Sharma Bhagwan Sahay , Mahajon Bidhan , Rao Bhogavalli Chandra Sekhara , Srikanth Narayanam 
Published: April 2020

Background:
In Ayurveda, Vicharchika (atopic eczema, AE) has been discussed under the heading of Kshudra kustha. It is a variety of inflammatory skin disorders diagnosed as a chronic, widespread, noninfective inflammatory condition that causes severe pruritus, erythema with variable degree of exudates and scaling, which can impact at any age. The etiology of AE is complex and not fully understood. Although the traditional Ayurveda medicine is used as an alternative therapy for AE, available evidence relating to its effectiveness and mechanism are not fully implicit. Hence, a protocol of a prospective, multicenter, single-arm, open-label clinical trial using traditional Ayurveda medicine to investigate the effectiveness, mechanism, and safety for patients with Vicharchika (eczema) is being reported.

Materials and methods:
This is a multicenter, single-arm, open-label clinical trial to evaluate the safety and efficacy of traditional Ayurveda formulations Panchatikta Ghrita and Nalpamaradi Taila in the management of Vicharchika (eczema). A total of 120 patients with Vicharchika (eczema) will be selected based on the inclusion and exclusion criteria. All the patients will be provided with classical Ayurvedic formulation, i.e., Panchatikta Ghrita 6 g orally twice daily before food and oil Nalpamaradi Taila 20 mL twice daily externally on the affected skin. Each participant will undergo a 12-week treatment period and a follow-up after 4 weeks. A total of seven visits will be scheduled for each participant: 1 visit each in week 0, week 2, week 4, week 6, week 8, week 10, and week 12. The primary outcome will be measured by the assessment of change in eczema area severity index (EASI) score before and after the recommended therapy. The secondary outcomes will be measured by—changes in clinical sign and symptoms per the Ayurvedic classics; changes in patient-oriented eczema measure (POEM) and changes in dermatology life quality index (DLQI) questionnaire. Therapeutic mechanism outcomes, safety outcomes, and end point outcomes will also be assessed.

Discussion:
Protocol was designed with projected outcome as better clinical deliverables and safety profile in Vicharchika patients and reduced relapse rate of disease during post treatment period. If found effective, the selected drug will be listed in the management protocol of Vicharchika at clinical practice level in terms of better efficacy, safety, and cost-effective treatment. The selected drug may lead to a step ahead of better understanding and management of additional skin disorders.

Trial registration:
Trial has been registered under clinical trials registry-India (CTRI); the registration number for this trial is CTRI/2019/12/022236.
Efficacy of Ayurvedic Interventions in Rheumatoid Arthritis
Authors: Goel Sumeet , Khanduri Shruti , Ahmad Azeem , Kumar Arvind , Singh Rajeshwari , Chandra Sekhara Rao Bhogavalli , Srikanth Narayanam 
Published: April 2020

Introduction:
Rheumatoid arthritis (RA) has been treated in Ayurveda, and substantial work has been done in studying the role of Ayurveda interventions in its management. A systematic review is planned to investigate the safety and efficacy of Ayurveda interventions for RA through analyzing published clinical research work.

Materials and methods:
This study is intended to systematically review the existing published clinical work including randomized controlled trials (RCTs), controlled clinical trials, parallel-group trials, and single-group clinical studies for Ayurveda interventions for RA. Electronic search of the following databases will be performed: PubMed, AYUSH research portal, digital helpline for Ayurveda research articles (DHARA), Google Scholar, the Cochrane Library (the Cochrane Database of systematic reviews, the Cochrane Central Register of Controlled Trials (CENTRAL), and the Cochrane Methodology Register), Ayurveda college/Universities websites, databases for dissertation works without any restriction of publication year. Hand search and snowballing of studies will also be performed to fetch complete available literature. The selection of the studies, data abstraction, and validations will be performed independently by two teams of researchers. Conclusion will be derived with consensus of complete review team. Study selection will follow the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines, and study quality will be assessed by CONSORT checklist for RCTs, Transparent Reporting of Evaluations with Nonrandomized Designs (TREND) checklist for nonrandomized controlled trial (NRCTs), and CONSORT extension for Pilot and feasibility studies for pilot studies. Risk of bias assessment will be performed with the help of Cochrane RoB2 tool for RCTs and Risk of Bias in Non-randomized Studies of Interventions (ROBINS-I) tool for NRCTs. If sufficient and appropriate data are available, a meta-analysis will be conducted. Subgroup and sensitivity analyses will be performed if found to be necessary and feasible.

Ethics and dissemination:
Formal ethical approval is not required as primary data will not be collected. The results will be disseminated through a peer-reviewed publication. The review will be updated to inform and guide healthcare practice and policy.

Trial Registration Number:
International Prospective Register for Systematic Reviews (PROSPERO) number 2019 CRD42019133722.
Validation of the Mandarin Version of the Activity Measure for Post-Acute Care (AM–PAC) “6-Clicks” Among Patients in Acute Rehabilitation
Authors: Hou Wen-Hsuan , Chiou Hung-Yi , Chang Feng-Hang 
Published: April 2020

Abstract
Importance: A standardized functional measure that can be used across rehabilitation care settings in Taiwan is urgently needed.
Objective: To generate a Mandarin version of the Activity Measure for Post-Acute Care (AM–PAC) “6-Clicks” for patients in acute care.
Design: Mixed-methods study with a cross-sectional design.
Setting: Acute care wards of three teaching hospitals in Taiwan.
Participants: A sample of 231 neurological patients in acute care (62.3% female; mean age = 63.2 yr, standard deviation = 14.6).
Outcomes and Measures: The 6-Clicks consist of three subscales: Basic Mobility, Daily Activity, and Applied Cognition. They were translated into Mandarin, and their internal consistency, test–retest reliability, interrater reliability, and convergent validity were tested.
Results: All subscales of the Mandarin version of the 6-Clicks showed good internal consistency (α = .97–.98). Test–retest and interrater reliabilities were excellent for all subscales (intraclass correlation coefficients &gt;.8). Convergent validity was supported by strong correlations of the Basic Mobility and Daily Activity subscales with the Barthel Index (r = .73 and .72, respectively) and between the Applied Cognition subscale and the Montreal Cognitive Assessment (r = .82).
Conclusion: Our results provide psychometric evidence supporting the use of the Mandarin version of the 6-Clicks in acute care settings in Taiwan.
What This Article Adds: This study confirms the appropriateness of the use of the Mandarin version of the AM–PAC “6-Clicks” with patients in acute rehabilitation, making it a valuable addition to validated measures available for use by occupational therapists in Taiwan.
Validity and Reliability of the Traffic Sign Naming Test (TSNT) and Written Exam for Driving Decisions (WEDD) as Measures of Fitness to Drive Among Older Adults
Authors: Barco Peggy P. , Wallendorf Michael , Rutkoski Kathleen , Dolan Kathleen , Rakus Danielle , Johnson Ann , Carr David B. 
Published: April 2020

Abstract
Importance: Occupational therapists need valid and reliable tools to help determine fitness to drive of older drivers with medical conditions such as dementia.
Objective: To establish the validity and reliability of the Traffic Sign Naming Test (TSNT) and Written Exam for Driving Decisions (WEDD) as measures of fitness to drive of adults with and without dementia.
Design: Cross-sectional.
Setting: Washington University Medical School in St. Louis in collaboration with the Rehabilitation Institute of St. Louis.
Participants: Older drivers diagnosed with dementia (n = 130) and without dementia (n = 34). Drivers with dementia required a physician referral indicating a medical need for a driving evaluation, a diagnosis of dementia, and an Alzheimer Detection 8 score of 2. Drivers without dementia were required to be age 55 yr or older and not meet criteria for dementia.
Outcomes and Measures: Participants completed a comprehensive driving evaluation (CDE) that included clinical measures of vision, motor, and cognition; TSNT; and WEDD. The outcome measure was performance on a standardized on-road assessment.
Results: The TSNT’s interrater reliability was determined to be strong (κ = .80). The TSNT and WEDD demonstrated convergent validity with cognitive measures (p &lt; .001) and discriminant validity with visual and motor measures in the CDE. The TSNT (area under the curve [AUC] = .74) and WEDD (AUC = .71) had fair ability to predict failure on a standardized on-road assessment.
Conclusion and Relevance: TSNT and WEDD are recommended for use by occupational therapists in combination with other performance measures when determining fitness to drive or need for a CDE.
What This Article Adds: The TSNT and WEDD can be included as screening tools (in addition to other performance measures) to assist clinicians in determining which clients need to be referred for a CDE. The TSNT and WEDD can also be included as part of a CDE to assist driving rehabilitation specialists in making final recommendations regarding fitness to drive. The scores generated from the TSNT and WEDD address driving knowledge in a way that may be more understandable to clients and more relatable to skills needed to actually drive.
Impact of Nontraditional Level I Fieldwork on Critical Thinking
Authors: Nielsen Sarah , Klug Marilyn , Fox LaVonne 
Published: April 2020

Abstract
Importance: Level I fieldwork is an integral part of occupational therapy education, yet limited research exists on how it affects the development of critical thinking skills.
Objective: To compare the influence of a nontraditional Level I fieldwork experience with that of a traditional Level I fieldwork experience on the development of critical thinking.
Design: Nonrandomized, pretest–posttest design.
Setting: Traditional and nontraditional Level I fieldwork.
Participants: Seventy-three fourth-semester Master of Occupational Therapy students enrolled in a physical disabilities or psychosocial Level I fieldwork course. Each group completed the Health Sciences Reasoning Test (HSRT) at the beginning and end of each semester.
Intervention: Sixteen-week nontraditional fieldwork or two 1-wk traditional fieldworks.
Outcomes and Measures: HSRT.
Results: All students showed a significant increase in scores on the Analysis subtest of the HSRT (p = .004). Both Analysis (p = .001) and overall HSRT (p = .025) scores improved significantly for 55 students who completed nontraditional fieldwork. Students who completed nontraditional fieldwork and had taken multiple previous science classes (p = .014) and had a higher grade point average (p = .033) had a greater likelihood of improving their HSRT score.
Conclusion and Relevance: Although in this pilot study both Level I traditional and nontraditional fieldwork improved critical thinking, further development and examination of pedagogical approaches that facilitate critical thinking are needed.
What This Article Adds: Both traditional and nontraditional Level I fieldwork can improve occupational therapy students’ critical thinking skills.
Women’s Experiences After Ovarian Cancer Surgery: Distress, Uncertainty, and the Need for Occupational Therapy
Authors: Pergolotti Mackenzi , Bailliard Antoine , McCarthy Lauren , Farley Erica , Covington Kelley R. , Doll Kemi M. 
Published: April 2020

Abstract
Importance: Despite the growing literature on the association of functional, physical, and quality-of-life (QOL) deficits with poor postoperative outcomes, there is a gap in the literature identifying women’s occupational performance needs after ovarian cancer surgery.
Objective: To describe the experiences of women hospitalized after ovarian cancer surgery to identify potential areas for intervention. Goals were to (1) identify functional needs and limitations at time of discharge as measured by the typical acute care occupational therapy evaluation and semistructured interview and (2) understand the women’s perspectives of their needs for occupational therapy and a safe return to home.
Design: Single-arm, cross-sectional descriptive study. Mixed-methods data collection and analysis.
Setting: Academic cancer center.
Participants: Women with ovarian cancer (N = 11) who had completed surgery.
Intervention: Semistructured interviews and patient-reported outcome measures (PROMs) completed postsurgery.
Outcomes and Measures: PROMs included the National Comprehensive Cancer Network (NCCN) Distress Thermometer and Problem List, the PROMIS® Global Physical Health (GPH) and Global Mental Health (GMH) scales, and the Possibilities for Activity Scale–Women (PActS–W).
Results: The mean NCCN Distress score was 6.0 (standard deviation [SD] = 3.1, with the top three concerns being pain (80%), worry (80%), and fatigue (78%). Mean GPH and GMH T scores were 38.0 (SD = 8.8) and 48.2 (SD = 8.4), respectively. Women scored a mean of 39.2 (SD = 11.2, range = 26–58) on the PActS–W. Thematic analyses found that the women were uncertain about potential functional limitations and significantly distressed.
Conclusion and Relevance: Women with ovarian cancer experienced high levels of uncertainty and distress after surgery. Integrating in-home or community-based occupational therapy into routine care could decrease functional distress and uncertainty and help women manage concerns related to pain, worry, and fatigue.
What This Article Adds: This study suggests that occupational therapy evaluation and intervention are needed to decrease distress and improve QOL of women upon discharge after ovarian cancer surgery.
The Neoliberal Tyrones in Jon Robin Baitz's Other Desert Cities
Authors: Ezell Brice 
Published: April 2020

Abstract
With his 2011 play Other Desert Cities, Jon Robin Baitz creates an afterlife of Eugene O'Neill's Tyrone family in a modern-day, mediatized performance context where film and television dominate. Baitz reimagines the Tyrones as the Wyeths, a famous Hollywood family with connections to Ronald Reagan's political circles, to illustrate how a family conditioned by performance can be exploited by political ideologies, in this case neoliberalism. Like the Tyrones, the Wyeths made their living in performance, a discipline that continues to structure their daily interactions with each other. This environment of constant performance collapses the boundary between their private lives and their sociopolitical worlds, thereby rendering their entire existence as a performance tool for furthering neoliberal goals. Baitz situates his play in the domestic dramatic tradition of Long Day's Journey Into Night to illustrate the value of theatre in exposing the artifice behind mediatized political performance.