bluuebunny/crossref_metadata_2025_split huggingface dataset:
Psychometric assessment and validation of the dysphagia severity rating scale in stroke patients
Authors: Everton Lisa F. , Benfield Jacqueline K. , Hedstrom Amanda , Wilkinson Gwenllian , Michou Emilia , England Timothy J. , Dziewas Rainer , Bath Philip M. , Hamdy Shaheen 
Published: April 2020

AbstractPost stroke dysphagia (PSD) is common and associated with poor outcome. The Dysphagia Severity Rating Scale (DSRS), which grades how severe dysphagia is based on fluid and diet modification and supervision requirements for feeding, is used for clinical research but has limited published validation information. Multiple approaches were taken to validate the DSRS, including concurrent- and predictive criterion validity, internal consistency, inter- and intra-rater reliability and sensitivity to change. This was done using data from four studies involving pharyngeal electrical stimulation in acute stroke patients with dysphagia, an individual patient data meta-analysis and unpublished studies (NCT03499574, NCT03700853). In addition, consensual- and content validity and the Minimal Clinically Important Difference (MCID) were assessed using anonymous surveys sent to UK-based Speech and Language Therapists (SLTs). Scores for consensual validity were mostly moderate (62.5–78%) to high or excellent (89–100%) for most scenarios. All but two assessments of content validity were excellent. In concurrent criterion validity assessments, DSRS was most closely associated with measures of radiological aspiration (penetration aspiration scale, Spearman rank rs = 0.49, p < 0.001) and swallowing (functional oral intake scale, FOIS, rs = −0.96, p < 0.001); weaker but statistically significant associations were seen with impairment, disability and dependency. A similar pattern of relationships was seen for predictive criterion validity. Internal consistency (Cronbach’s alpha) was either “good” or “excellent”. Intra and inter-rater reliability were largely “excellent” (intraclass correlation >0.90). DSRS was sensitive to positive change during recovery (medians: 7, 4 and 1 at baseline and 2 and 13 weeks respectively) and in response to an intervention, pharyngeal electrical stimulation, in a published meta-analysis. The MCID was 1.0 and DSRS and FOIS scores may be estimated from each other. The DSRS appears to be a valid tool for grading the severity of swallowing impairment in patients with post stroke dysphagia and is appropriate for use in clinical research and clinical service delivery.
How climate change and wildlife management affect population structure in wild boars
Authors: Vetter Sebastian G. , Puskas Zsófia , Bieber Claudia , Ruf Thomas 
Published: April 2020

AbstractGlobal climate change affects many species and contributes to the exceptional population growth of wild boar populations and thus to increasing human-wildlife conflicts. To investigate the impact of climate change on wild boar populations we extended existing models on population dynamics. We included for the first time different juvenile conditions to account for long-lasting effects of juvenile body mass on adult body mass and reproductive success. Our analysis shows that incorporating phenotypes, like body mass differences within age classes, has strong effects on projected population growth rates, population structures and the relative importance of certain vital rates. Our models indicated that an increase in winter temperatures and food availability will cause a decrease in mean body mass and litter size within Central European wild boar populations. We further analysed different hunting regimes to identify their effects on the population structure as well as their efficiency in limiting population growth. While targeting juveniles had the lowest effect on population structure, such strategies are, however, rather ineffective. In contrast, culling predominantly yearlings seems very effective. Despite being equally effective, only focusing on adults will not result in a reduction of population size due to their low proportion within populations.
A quantitative method to assess muscle edema using short TI inversion recovery MRI
Authors: Dahlqvist Julia R. , Salim Ruth , Thomsen Carsten , Vissing John 
Published: April 2020

AbstractMuscle inflammation is an important component of disease pathophysiology in several muscular dystrophies. Hyperintensities on MRI sequences with short TI inversion recovery (STIR) reflect edema, or inflammation (STIR+). Conventionally, STIR evaluation has been done by visual inspection. In this study, we developed a quantitative STIR method, and tested its ability to identify STIR+ lesions in healthy controls and patients with Facioscapulohumeral muscular dystrophy and compared the results with visual STIR evaluation and quantitative T2 relaxation time mapping. The method was based on pixel-by-pixel histograms of the distribution of signal intensities from muscles. Signal intensities from healthy control muscles were averaged and used to define an upper reference limit. Muscles with >2.5% pixels above the limit were defined as being STIR+. The new method showed agreement with T2 relaxation time mapping in 95% of muscles. The visual STIR method only showed agreement with the quantitative STIR method and T2 relaxation time mapping in 88 and 84%, respectively. STIR sequences are available on most MR scanners and the post-processing used in the new quantitative method can be performed using free software. We therefore believe that the new method can play an important role in identifying STIR+ lesions in patients with neuromuscular diseases.
Knowledge and Practice of Hearing Screening and Hearing Loss Management among Ear, Nose, and Throat Physicians in Jordan
Authors: Zaitoun Maha , Rawashdeh Mohammad , AlQudah Safa , ALMohammad Hana' , Nuseir Amjad , Al-tamimi Feda 
Published: April 2020

Abstract
Introduction One of the main factors that affect the early diagnosis and intervention of hearing loss is inadequate knowledge by the health care workers. Ear, nose, and throat (ENT) specialists are the main source of information about hearing loss and its management in most developing countries, such as Jordan.
Objective The purpose of the present study is to explore the level of knowledge and the practice of hearing screening and hearing loss management for children among ENT physicians in Jordan as an example of health care providers in developing countries of the Middle East.
Methods This was a cross-sectional study, adapting a questionnaire of knowledge and the practice of hearing screening and hearing loss management for children. The questionnaire consisted of 2 sections with 20 questions. A total of 40 ENT physicians completed the questionnaire.
Results The majority of the respondents acknowledged the importance of hearing screening for children; however, there was limited knowledge regarding hearing loss management and testing. Only 10 of the ENT physicians believed that a referral to an audiologist is warranted, and the majority of the respondents were not aware that a child with a confirmed permanent hearing loss should be referred to a speech pathologist or to a rehabilitation center. Managing unilateral and mild sensorineural hearing loss (SNHL) was another area about which ENT physicians have limited knowledge.
Conclusion There is a strong need for professional intervention programs, providing the latest updates and standardizations in the field of audiology and pediatric rehabilitation for ENT physicians.
Noninterruptive Clinical Decision Support Decreases Ordering of Respiratory Viral Panels during Influenza Season
Authors: Escovedo Cameron , Bell Douglas , Cheng Eric , Garner Omai , Ziman Alyssa , Vangala Sitaram , Gounder Prabhu , Lerner Carlos 
Published: April 2020

Abstract
Objective A growing body of evidence suggests that testing for influenza virus alone is more appropriate than multiplex respiratory viral panel (RVP) testing for general populations of patients with respiratory tract infections. We aimed to decrease the proportion of RVPs out of total respiratory viral testing ordered during influenza season.
Methods We implemented two consecutive interventions: reflex testing for RVPs only after a negative influenza test, and noninterruptive clinical decision support (CDS) including modifications of the computerized physician order entry search behavior and cost display. We conducted an interrupted time series of RVPs and influenza polymerase chain reaction tests pre- and postintervention, and performed a mixed-effects logistic regression analysis with a primary outcome of proportion of RVPs out of total respiratory viral tests. The primary predictor was the intervention period, and covariates included the provider, clinical setting, associated diagnoses, and influenza incidence.
Results From March 2013 to April 2019, there were 24,294 RVPs and 26,012 influenza tests (n = 50,306). Odds of ordering an RVP decreased during the reflex testing period (odds ratio: 0.432, 95% confidence interval: 0.397–0.469), and decreased more dramatically during the noninterruptive CDS period (odds ratio: 0.291, 95% confidence interval: 0.259–0.327).
Discussion The odds of ordering an RVP were 71% less with the noninterruptive CDS intervention, which projected 4,773 fewer RVPs compared with baseline. Assuming a cost equal to Medicare reimbursement rates for RVPs and influenza tests, this would generate an estimated averted cost of $1,259,474 per year.
Conclusion Noninterruptive CDS interventions are effective in reducing unnecessary and expensive testing, and avoid typical pitfalls such as alert fatigue.
A Novel Frameshift Mutation in KAT6A Is Associated with Pancraniosynostosis
Authors: Marji Fady P. , Hall Jennifer A. , Anstadt Erin , Madan-Khetarpal Suneeta , Goldstein Jesse A. , Losee Joseph E. 
Published: April 2020

AbstractDe novo heterozygous mutations in the KAT6A gene give rise to a distinct intellectual disability syndrome, with features including speech delay, cardiac anomalies, craniofacial dysmorphisms, and craniosynostosis. Here, we reported a 16-year-old girl with a novel pathogenic variant of the KAT6A gene. She is the first case to possess pancraniosynostosis, a rare suture fusion pattern, affecting all her major cranial sutures. The diagnosis of KAT6A syndrome is established via recognition of its inherent phenotypic features and the utilization of whole exome sequencing. Thorough craniofacial evaluation is imperative, craniosynostosis may require operative intervention, the delay of which may be detrimental.
Management of Coronavirus 2019
Authors: Mehta Chitra , Kataria Sushila , Mehta Yatin 
Published: April 2020

AbstractCoronavirus 2019 (COVID-19) disease is the most recent global public health problem. It is caused by SARS-CoV-2 (severe acute respiratory syndrome related coronavirus 2), which is a RNA virus with a high mutation rate, belonging to the genus Coronavirus. The objective of this communication is to provide an initial understanding regarding pathophysiology, clinical manifestations, management, and prevention of this devastating disease.
Facial Pressure Ulcers in a COVID-19 50-year-old Female Intubated Patient
Authors: Zingarelli Enrico M. , Ghiglione Marco , Pesce Marianna , Orejuela Ileana , Scarrone Silvia , Panizza Renzo 
Published: April 2020

AbstractIn case of severe acute respiratory distress syndrome (ARDS), as in coronavirus disease 2019 (COVID-19) affected patients, the invasive ventilation in prone position can improve the prognosis, albeit with an increased risk of facial pressure ulcers. In this report, we will relate a case of facial pressure ulcers in a SARS-CoV-2 positive 50 year-old woman with the aim to describe the high-complexity management of COVID 19 in which healthcare professionals across the world are still involved.
Catalysis and regioselectivity in hydrofunctionalization reactions of unsaturated carbon bonds. Part II. Hydroamination
Authors: Beletskaya Irina P. , Naájera Carmen , Yus Miguel 
Published: April 2020

This review continues consideration of the regioselectivity problem in the catalyzed hydrofunctionalization of unsaturated organic compounds and addresses hydroamination of unsaturated hydrocarbons. Particular parts of the review deal with reactions of alkenes, alkynes, allenes and dienes. It is shown that the selectivity of hydroamination depends on the natures of the reactants and the catalyst. Conditions of the reactions are described; in some cases, reaction mechanisms are discussed. Reactions for which divergent regioselectivity is possible are noted.
The bibliography includes 249 references.
Dedicated to the memory of V.V.Markovnikov.
K6-linked SUMOylation of BAF regulates nuclear integrity and DNA replication in mammalian cells
Authors: Lin Qiaoyu , Yu Bin , Wang Xiangyang , Zhu Shicong , Zhao Gan , Jia Mingkang , Huang Fan , Xu Nan , Ren He , Jiang Qing , Zhang Chuanmao 
Published: April 2020

Significance
Barrier-to-autointegration factor (BAF), a highly conserved small protein in metazoans, plays multiple functions during the cell cycle; however, the regulation of BAF function is largely unclear. Here we find that the SUMOylation and de-SUMOylation cycle of BAF regulates these functions. We reveal that BAF is SUMOylated at K6, and that de-SUMOylation at this site is catalyzed by SENP1 and SENP2. SUMOylation of BAF regulates binding to lamin A/C, which is essential for nuclear retention of BAF. SUMOylation of BAF also regulates the interaction of BAF with nuclear DNA. De-SUMOylation facilitates cytoplasmic retention of BAF and loss of nuclear function. Non-SUMOylatable BAF is not efficiently retained in the nucleus, leading to structurally abnormal nuclear formation and DNA replication failure.
Opera and intercultural musicology as modes of translation
Authors: Minors Helen Julia 
Published: April 2020

Abstract
This chapter proposes that both opera and intercultural musicology can be understood as modes of
translation, in which these modes are ways of delivering meaning within a multimodal multilayered context, using the
media (the art form) within a genre (a style, a way of doing things). With reference to an operatic production of
Shakespeare’s A Midsummer Night’s Dream for the Sferisterio Macerata Opera Festival (2013), evidence of an intercultural artistic agenda is explored through
reference to primary source interviews with the artistic director, the festival director and the surtitle translator.
Translation is a necessary act for the spectator and production team in ensuring diversity and accessibility of opera
across cultural borders. This translation process is multimodal. Intercultural musicology seeks to assess the
interplay between the different cultural components of artistic works to explore this multimodal artistic
translation.
Tradition and transgression
Authors: Desblache Lucile 
Published: April 2020

Abstract
This chapter interrogates W. H. Auden’s ambiguous relationships with translation and examines his
opera translations. A virtuoso writer who reveled in language complexities, Auden transgressed both translational
rules and public expectations: audiences, music and theatre professionals of his time were all dismayed by his
libretti. Yet he was also guided by established traditions and, in particular, by pre-20th-century English literary
canons. For educated people of his generation in Britain, references to the values of colonial England were shaken,
but not dissolved. Hence, the tendency for Auden to use pastiche and satire as instruments for both criticism and
preservation of tradition. Auden also pioneered collaborative translation, writing with his partner Chester Kallman.
He thus preempted trends in translation which are key to 21st-century productions.
When Mei Lanfang encountered Fei Mu
Authors: Ng Kenny K.K. 
Published: April 2020

Abstract
This chapter examines the intersemiotic translation of Chinese opera for cinema, between stage and
screen. It examines the collaboration of Fei Mu and Mei Lanfang in producing China’s first color movie, an opera film,
A Wedding in the Dream (1948). The two artists attempted to expand the expressive borders of
stage and screen to forge a cultural identity of Chinese cinema. But the intermedia venture presented issues in
adaptation, cinematization, and translation. How does opera film reconcile the realistic tradition of cinema with the
figurative nature of Chinese theater? The study looks at the intermediality of adaptation as a practice of
intersemiotic translation, focusing on how the symbolism of Chinese theater can be translated into cinematic form.
Aesthetics of translation
Authors: Takebe Yoshiko 
Published: April 2020

Abstract
This chapter discusses the question of how Western European drama such as plays written by William
Shakespeare and Samuel Beckett can be translated into the Japanese operatic forms of Kabuki and Noh theater, which are
traditional, composite arts of music, dance and drama, corresponding to Western opera and ballet. The study reveals
that the translated plays enable 21st-century Japanese audiences to depart from the established assumptions about the
Western source texts, and that translations are able to capture the essence of the plays written by Shakespeare or
Beckett in a way which is familiar to those audiences. At the same time, by transposing Western drama into the world
of Japanese opera, the traditional Japanese theater also becomes more accessible to contemporary Western audiences
through a synthesis of music, dance and drama, beyond the barrier of language.
The voice of the translator
Authors: Ngai Cindy S.B. 
Published: April 2020

Abstract
There have been discussions about the concept of the translator’s voice, and the visibility of the
translator in the practice of translation. However, questions relating to what actually makes the translator visible
and visibility as a strategic act remain under-explored. This chapter examines the impact of the translator’s
assumptions about visibility, and the translation strategies adopted. Special attention will be paid to opera
translation from Chinese into English, using The Peony Pavilion as a case in point. Through
text-based comparison and analysis of paratexts, it is revealed that the translator’s voice emerges as a result of the
translation strategy used, and is underpinned by the translator’s assumptions.
The migration of Madama Butterfly
Authors: Thien Danielle 
Published: April 2020

Abstract
This paper looks at the role that translation has played in depicting Butterfly as Other. The
first part examines the translation processes that intervened in the transposition of Butterfly’s tale from short
story and play to opera. The second part provides an analysis of the earliest French and English translations of the
libretto using Lance Hewson’s approach to literary translation criticism. By taking a text-based approach, this study
puts into question the notion that modifying the meaning of a libretto is acceptable as long as the words conform to
the music. It also seeks to challenge the way in which Butterfly has sometimes been regarded as the archetype of the
Asian woman in Western imaginations.
The intertwined nature of music, language and culture in Bartók’s Duke Bluebeard’s Castle
Authors: Bozsik Gyöngyvér 
Published: April 2020

Abstract
Bartók’s Duke Bluebeard’s Castle is characterized by a unique approach to the
relationship between language and music: the latter endeavours to follow the natural flow of the Hungarian language,
making the interpretation of its multi-layered meaning easier for the Hungarian audience but nearly incomprehensible
for speakers of other languages. The nature of storytelling also follows ancient Hungarian traditions, rendering the
translator’s task even more challenging.
The paper investigates a number of contextual and musical aspects of opera translation through a
case study of five English translations of Bartók’s classic. It discusses the multiple layers where music, language
and culture are intertwined in this specific genre, and calls attention to often neglected musical and linguistic
aspects of opera translation.
Translating Wagner’s Versmelodie
Authors: Wilson-deRoze Karen 
Published: April 2020

Abstract
Opera is ‘other’ than the sum of its individual verbal, musical and mimic-scenic parts, and a
singable translation of its libretto requires that the translator go beyond copying the original prosody, so that the
new words fit the notes, to considering the relationship between musical and poetic meaning, as well as the resulting
dramatic action on stage. This study considers how three performed translations of Wagner’s Die
Walküre and Götterdämmerung, two of the operas in the tetralogy Der Ring des
Nibelungen, and my own translation, respond to Wagner’s synthesis of verse and music. It reveals how far
the translator must consider the way in which musical and verbal meanings converge, and how each contributes to the
singer’s interpretation.
Operetta in Turkey
Authors: Soy Özlem Şahin , Şenol Merve 
Published: April 2020

Abstract
The genre operetta has long found itself a place in the musical polysystem of Turkey and become
one of the borrowed forms of art symbolizing modernity through Turkey’s Westernization process. It was the main goal
of the Republic to carry the young republican nation to the level of civilized societies like those of the West.
Western ideological, cultural, scientific and literary works were examined and translated, paving the way to emergence
of national ideologies, literary works, and cultural legacies. In this context, our study aims to examine Aydın Gün’s
translation into Turkish of Johann Strauss II’s Die Fledermaus, under the title
Yarasa. In order to do this, we draw on Peter Low’s Pentathlon Principle.
Intertextuality in nineteenth-century Italian librettos: To translate or not to translate?
Authors: Edo Miquel 
Published: April 2020

Abstract
This study looks at whether it is feasible or desirable to translate stylistic intertextuality in
opera librettos, particularly wording and utterances from late medieval and Renaissance Italian poetry which are put
into the mouths of dramatic characters in 19th- and early 20th-century Italian operas. The paper describes the various
techniques available to deal with such situations and notes that they are incompatible with a modernising-naturalising
strategy. Rather, they can be used only as part of an archaising modality of translation that audiences and critics
only accept in a diluted form. The discussion that follows is essentially based on two scenes from Francesco Cilea’s
Adriana Lecouvreur.
Multilingual libretti across linguistic borders and translation modes
Authors: Mateo Marta 
Published: April 2020

Abstract
Following up my research on multilingualism in opera production, reception and translation, this
paper goes further into the relationship between translation and linguistically heterogeneous libretti, now focusing
on the texts themselves. Plurilingual operas encourage reflection on how important it is to understand the semantic
content of the various languages in order to grasp the comunicative value and / or enjoy these works; the advisability
of neutralising the verbal diversity – integral to their meaning – in the translation process must be questioned too.
The paper also analyses the translation strategies used in subtitling and CD inserts for some multilingual libretti,
which show varying functions and degrees of heteroglossia, in order to observe whether those textual features
determine translation choices as much as the translation mode.