bluuebunny/crossref_metadata_2025_split huggingface dataset:
Movement Behavior Patterns in People With First-Ever Stroke
Authors: Wondergem Roderick , Veenhof Cindy , Wouters Eveline M.J. , de Bie Rob A. , Visser-Meily Johanna M.A. , Pisters Martijn F. 
Published: October 2019

Background and Purpose—
Movement behaviors, that is, both physical activity and sedentary behavior, are independently associated with health risks. Although both behaviors have been investigated separately in people after stroke, little is known about the combined movement behavior patterns, differences in these patterns between individuals, or the factors associated with these patterns. Therefore, the objectives of this study are (1) to identify movement behavior patterns in people with first-ever stroke discharged to the home setting and (2) to explore factors associated with the identified patterns.

Methods—
Cross-sectional design using data from 190 people with first-ever stroke discharged to the home setting. Movement, behavior was measured over 2 weeks using an accelerometer. Ten movement behavior outcomes were calculated and compressed using principal component analysis. Movement behavior patterns were identified using a k-means clustering algorithm. Demographics, stroke, care, physical functioning, and psychological, cognitive and social factors were obtained. Differences between and factors associated with the patterns were investigated.

Results—
On average, the accelerometer was worn for 13.7 hours per day. The average movement behavior of the participants showed 9.3 sedentary hours, 3.8 hours of light physical activity, and 0.6 hours of moderate-vigorous physical activity. Three patterns and associated factors were identified: (1) sedentary exercisers (22.6%), with a relatively low age, few pack-years, light drinking, and high levels of physical functioning; (2) sedentary movers (45.8%), with less severe stroke symptoms, low physical functioning and high levels of self-efficacy; and (3) sedentary prolongers (31.6%), with more severe stroke symptoms, more pack-years, and low levels of self-efficacy.

Conclusions—
The majority of people with stroke are inactive and sedentary. Three different movement behavior patterns were identified: sedentary exercisers, sedentary movers, and sedentary prolongers. The identified movement behavior patterns confirm the hypothesis that an individually tailored approach might be warranted with movement behavior coaching by healthcare professionals.
Seeing the Intensity of a Sound-producing Event Modulates the Amplitude of the Initial Auditory Evoked Response
Authors: Libesman Sol , Mannion Damien J. , Whitford Thomas J. 
Published: October 2019

Abstract
An auditory event is often accompanied by characteristic visual information. For example, the sound level produced by a vigorous handclap may be related to the speed of hands as they move toward collision. Here, we tested the hypothesis that visual information about the intensity of auditory signals are capable of altering the subsequent neurophysiological response to auditory stimulation. To do this, we used EEG to measure the response of the human brain (n = 28) to the audiovisual delivery of handclaps. Depictions of a weak handclap were accompanied by auditory handclaps at low (65 dB) and intermediate (72.5 dB) sound levels, whereas depictions of a vigorous handclap were accompanied by auditory handclaps at intermediate (72.5 dB) and high (80 dB) sound levels. The dependent variable was the amplitude of the initial negative component (N1) of the auditory evoked potential. We find that identical clap sounds (intermediate level; 72.5 dB) elicited significantly lower N1 amplitudes when paired with a video of a weak clap, compared with when paired with a video of a vigorous clap. These results demonstrate that intensity predictions can affect the neural responses to auditory stimulation at very early stages (&lt;100 msec) in sensory processing. Furthermore, the established sound-level dependence of auditory N1 amplitude suggests that such effects may serve the functional role of altering auditory responses in accordance with visual inferences. Thus, this study provides evidence that the neurally evoked response to an auditory event results from a combination of a person's beliefs with incoming auditory input.
Hydrometeorological Monitoring Using Opportunistic Sensing Networks in the Amsterdam Metropolitan Area
Authors: de Vos L. W. , Droste A. M. , Zander M. J. , Overeem A. , Leijnse H. , Heusinkveld B. G. , Steeneveld G. J. , Uijlenhoet R. 
Published: October 2019

AbstractThe ongoing urbanization and climate change urges further understanding and monitoring of weather in cities. Two case studies during a 17-day period over the Amsterdam metropolitan area, the Netherlands, are used to illustrate the potential and limitations of hydrometeorological monitoring using nontraditional and opportunistic sensors. We employ three types of opportunistic sensing networks to monitor six important environmental variables: 1) air temperature estimates from smartphone batteries and personal weather stations, 2) rainfall from commercial microwave links and personal weather stations, 3) solar radiation from smartphones, 4) wind speed from personal weather stations, 5) air pressure from smartphones and personal weather stations, and 6) humidity from personal weather stations. These observations are compared to dedicated, traditional observations where possible, although such networks are typically sparse in urban areas. First, we show that the passage of a front can be successfully monitored using data from several types of nontraditional sensors in a complementary fashion. Also, we demonstrate the added value of opportunistic measurements in quantifying the urban heat island (UHI) effect during a hot episode. The UHI can be clearly determined from personal weather stations, though UHI values tend to be high compared to records from a traditional network. Overall, this study illustrates the enormous potential for hydrometeorological monitoring in urban areas using nontraditional and opportunistic sensing networks.
A Score for Probability Forecasts of Binary Events Based on the User’s Cost–Loss Relations
Authors: Ivarsson Karl-Ivar 
Published: October 2019

AbstractA score for verifying probabilistic forecasts is presented. It is called the continuous specific score (CSS) and is intended for binary events only. The score is based on the user’s cost–loss relations and their relative importance. The relative importance is determined by a continuous function of the user’s density of loss for various cost–loss relations. One may also consider CSS as the result of the expected mean value based on a probability function of the various loss values for all possible cost–loss relations for one single user. The CSS is a negatively oriented score and has the following properties: perfect forecasts yield the score zero, and 100% probability for adverse weather (AW) when AW does not occur leads to the score one. The result of a 0% forecast of AW when AW occurs is the inverted value of the ratio of the average cost to the average loss minus one. Different possible usages of the score are discussed. An effective cost–loss ratio (ECLR) is defined. It measures how important low cost–loss ratios are compared to higher ones.
Borders, Development, and Territory in Argentina: Indigenous Mobilization in the Central Chaco
Authors: Iñigo Carrera Valeria 
Published: October 2019

One of the bases for the mobilization of indigenous peoples in Argentina in recent years has been access to, use of, and ownership of the natural resources contained in the territory they occupy or claim. Political mobilization among the Qom of Potae Napocna Navogoh in the central Chaco is a response to the modalities of intervention for development and territory configurations involved in capital accumulation that have threatened the possibility of their reproduction, and it involves conflict with both private capital and the state for territory rather than for land. Una de las bases para la movilización de los pueblos indígenas en Argentina en los últimos años ha sido el acceso, uso y propiedad de los recursos naturales contenidos en el territorio que ocupan o reclaman. La movilización política entre los Qom de Potae Napocna Navogoh en el Chaco central es una respuesta a las modalidades de intervención para el desarrollo y las configuraciones territoriales involucradas en la acumulación de capital que han amenazado la posibilidad de su reproducción, e involucra conflictos con el capital privado y el estado por el territorio antes que por la tierra.
The Uses of Culture in the Last Argentine Dictatorship (1976–1983): From Studies of Repression to Analyses of the Construction of Consensus
Authors: Schenquer Laura 
Published: October 2019

Democratic governments are not the only ones that formulate political strategies to generate consensus. The last Argentine dictatorship (1976–1983) also developed cultural, educational, and communication policies to maintain and increase its support and to curb the opposition. However, these policies have not been studied in the postdictatorship, largely because of the prevalence of the image of the apagón cultural (cultural blackout)—the notion that the dictatorship’s project was simply repression and censorship. Examination of recently discovered official documents reveals the productive and creative character of the dictatorship’s cultural projects, which were used to increase social control and impose a certain “order.” Los gobiernos democráticos no son los únicos que formulan estrategias políticas para generar consenso. La última dictadura argentina (1976–1983) también desarrolló políticas culturales, educativas y de comunicación para mantener e incrementar su apoyo y frenar a la oposición. Sin embargo, estas políticas no se han estudiado en la postdictadura, en gran parte debido a la prevalencia de la imagen del apagón cultural—la noción de que el proyecto de la dictadura era simplemente represión y censura. El examen de documentos oficiales recientemente descubiertos revela el carácter productivo y creativo de los proyectos culturales de la dictadura, que se utilizaron para aumentar el control social e imponer un cierto “orden”.
Recognizing Persistent Disease in Well‐Differentiated Thyroid Cancer and Association with Lymph Node Yield and Ratio
Authors: Noel Julia E. , Orloff Lisa A. 
Published: October 2019

ObjectiveTo establish the association between lymph node yield and ratio in neck dissection for well‐differentiated thyroid cancer and risk for persistent postoperative disease.Study DesignRetrospective cohort study of patients undergoing lymphadenectomy for thyroid carcinoma.SettingTertiary referral center.Subjects and MethodsIncluded patients underwent central and/or lateral neck dissection for papillary thyroid carcinoma at our institution between 1994 and 2015. They were divided into a persistent disease group with biochemical and structural disease (49 patients) and a disease‐free group with no disease after a minimum 2 years of follow‐up (175 patients). Demographic characteristics, adjuvant therapy, tumor, and lymph node features were compared.ResultsThere were no significant differences in demographic characteristics between the groups. The mean nodal yield of patients with central and lateral neck persistence was significantly lower than that of patients remaining disease free (4.8 vs. 11.9: odds ratio [OR] 0.69; 95% CI, 0.59 to 0.8; P < .001; 14.8 vs. 31.0: OR, 0.89; 95% CI, 0.84‐0.94; P < .001, respectively). Nodal ratio was higher in patients with persistence in the central and lateral neck (74.2% vs 29.4%: OR, 1.06; 95% CI, 1.04‐1.08; P <. 001; 54.2% vs 19.8%: OR, 1.08; 95% CI, 1.04‐1.12; P <. 001, respectively).ConclusionsLower lymph node yield and higher node ratio from cervical lymph node dissections are associated with persistent disease and have potential applications in surgical adequacy.
A randomised controlled trial of perivenous tumescent anaesthesia in addition to general anaesthesia for surgical ligation and stripping of the great saphenous vein
Authors: Nandhra Sandip , Wallace Tom , El-Sheikha Joseph , Carradice Daniel , Chetter Ian 
Published: October 2019

Introduction Open surgical ligation and stripping of the great saphenous vein is a highly cost-effective treatment when compared with conservative management and foam sclerotherapy but has limitations including post-operative morbidity and pain. This study aims to identify if the addition of tumescent anaesthesia could improve patient outcomes following treatment. Methods Patients with primary superficial venous incompetence undergoing open surgical ligation and stripping of the great saphenous vein were randomised to either General Anaesthesia (GA) alone (GA) procedure or the addition of tumescent (G + T). The primary outcome was bodily pain (within SF-36) at one week. Additional outcomes included post-procedural pain score (100 mm visual analogue scale), complications and quality of life. Results A total of 90 patients were randomised for inclusion. There was no significant difference in primary outcome; bodily pain at one week. Secondary outcome of 4-h post-procedural scores were significantly lower in the G + T group (32 (20–54) mm vs. (GA alone) 56 (24–70) mm (P = 0.016)). Complications were minor and equivalent. Both groups saw a significant increase (worsening) in Aberdeen Varicose Vein Questionnaire scores at week 1 with the G + T group faring worse at six weeks (10.0 (Interquartile Range [IQR] 5.6–17.9) vs. 4.3 (IQR 2.7–7.9) P = 0.004). Conclusion The G + T group did not demonstrate a significant difference in the one-week bodily pain domain. The addition of tumescent anaesthesia does improve immediate post-operative pain but appears to negatively impact on six-week quality of life. EudraCT Number: 2011-005574-39
“I’m going to push this door open. You can close it”: A qualitative study of the brokering work of oncology clinic nurses in introducing early palliative care
Authors: Mohammed Shan , Savage Pamela , Kevork Nanor , Swami Nadia , Rodin Gary , Zimmermann Camilla 
Published: October 2019

Background: Early palliative care improves quality of life during life-prolonging treatment for patients with cancer, but the role of nurses in facilitating the early involvement of palliative care is unclear. Aim: To conceptualize the psychosocial processes involved in the introduction and provision of palliative care by oncology nurses. Design: A constructivist qualitative grounded theory study was conducted. Setting/participants: A total of 20 nurses (6 staff nurses, 10 nurse practitioners, and 4 advanced practice nurses) completed semi-structured interviews. Participants were from multiple ambulatory care oncology clinics (i.e. breast, pancreatic, hematology) in a comprehensive cancer center. Results: The core category, brokering palliative care, represented the overarching concept of the study that linked other subcategories. The other subcategories were as follows: opening the door—creating the possibility of discussing early palliative care at a time when patients show signs of being receptive to this discussion; building trust—establishing relationships with patients as a starting point for open discussions about palliative care; tackling misconceptions—addressing patients’ assumptions about palliative care as signifying death; and advocating with oncologists—seeding the process of referral by bringing patients’ concerns forward. Conclusion: Oncology nurses play a central role in “brokering” the introduction of early palliative care; this process is supported by their relational proximity to patients and their location “in between” the patient and the oncologist. Training all nurses in palliative care and empowering them to have proactive discussions in a collaborative practice context would allow greater access to early palliative care.
Racial/Ethnic Differences in Diet Quality and Eating Habits Among WIC Pregnant Women: Implications for Policy and Practice
Authors: Hill Alla M. , Nunnery Danielle L. , Ammerman Alice , Dharod Jigna M. 
Published: October 2019

Purpose: One of the major federal food assistance programs, the Special Supplemental Program for Women, Infants, and Children (WIC), serves approximately 1.5 million low-income pregnant women per year; however, limited information is available on their dietary habits. This is critical because low-income women are at higher risk of gaining excess weight during pregnancy. Thus, the study objectives were to (1) determine the overall diet quality of WIC pregnant women and (2) examine diet quality and eating behaviors by race/ethnicity and other sociodemographics. Design: This was a cross-sectional study. Setting: One of the 3 WIC offices in a north-central county in North Carolina, USA. Sample: Pregnant women (n = 198) in the second trimester. Measures: Interviews included sociodemographics, food security, diet, and eating behaviors. Diet quality was assessed by the Healthy Eating Index (HEI) 2010 scores. Analysis: Descriptives, bivariate analysis, and multivariate analysis. Results: Average participant age was 26 years, and the mean HEI-2010 score was 56 of maximum score of 100. Specifically, African American women consumed significantly lower servings of whole grains (β = −1.71; 95% CI: −3.10 to −0.32; P < .05) and dairy (β = −1.42; 95% CI: −2.51 to −0.33; P < .05) compared with non-Hispanic white women. Hispanic women scored higher in daily intake of fruits (β = 0.98; 95% CI: 0.17-1.79; P < .05) and for consuming empty calories in moderation (β = 1.57; 95% CI: 0.06-3.09; P < .05). Frequency of intake of fast foods/outside meals was higher among African American women (57%, P = .025). Conclusion: Efforts are warranted to promote optimal nutrition among WIC pregnant women. Specifically, African American women are highly vulnerable to poor dietary habits during pregnancy. Further investigation of barriers/facilitators for healthy eating is necessary to address nutrition disparities among WIC pregnant women.
Pilot study of side effects and serum and urine concentrations of amoxicillin–clavulanic acid in azotemic and non-azotemic cats
Authors: Benson Kellyi K , Quimby Jessica M , Dowers Kristy L , Sieberg Liberty G , Daniels Joshua B , Langston Catherine E , Lunghofer Paul J , Gustafson Daniel L 
Published: October 2019

Objectives The aims of this study were to determine the side effect frequency and serum and urine drug concentrations of amoxicillin–clavulanic acid in cats with and without azotemic chronic kidney disease (azCKD). Methods Owners whose cats had been prescribed amoxicillin–clavulanic acid completed a survey regarding the occurrence and type of side effects, and whether treatment was altered as a result. Cats were defined as azCKD (serum creatinine concentration >2.0 mg/dl, urine specific gravity [USG] <1.035 with a clinical diagnosis of chronic kidney disease) and without azCKD (serum creatinine concentration <2.0 mg/dl). Data were assessed with Fisher’s exact test. Serum and urine samples were obtained from client-owned cats with azCKD (n = 6) and without azCKD (n = 6, serum creatinine concentration <1.8 mg/dl, USG >1.035) that were receiving amoxicillin–clavulanic acid. Amoxicillin and clavulanic acid were measured with liquid chromatography coupled to tandem mass spectrometry and compared between groups with a Mann–Whitney test. Correlation between serum creatinine and drug concentrations in urine and serum was determined using Spearman’s rank test. Results Sixty-one surveys were returned (11 azCKD cats and 50 without azCKD cats). No significant difference in the presence of side effects or type of side effects was seen between groups; however, significantly more azCKD cats had more than one side effect ( P = 0.02). More owners of azCKD cats reported that an alteration in treatment plan was necessitated by side effects (55% vs 12%; P = 0.008). Urine amoxicillin was significantly lower in cats with azCKD ( P = 0.01) and serum amoxicillin trended toward significance ( P = 0.07). Serum amoxicillin concentration was positively correlated with serum creatinine ( P = 0.02; r = 0.62) and urine amoxicillin concentration was negatively correlated with serum creatinine ( P = 0.01; r = –0.65). Conclusions and relevance The data suggest that cats with azCKD have altered pharmacokinetics of amoxicillin, which may contribute to an increased incidence of multiple side effects.
A preliminary Study on the Effect of Head and Neck Chemoradiotherapy on Systematic Immunity
Authors: Huang Weiqiang , Fan Yao , Cheng Xiaoya , Liang Huazhen , Pan Hua , Xiao Ting , Chen Min , Guan Jian 
Published: October 2019

Background: This study was designed initially to explore the effect of chemoradiotherapy on patients diagnosed with head and neck cancer (HNC) with respect to the alteration of systematic immunity. Methods: We did a retrospective study enrolling patients received concurrent chemoradiotherapy (CCRT), with or without induction chemotherapy (IC). Blood tests were performed before IC, before and after CCRT. Flow cytometric analysis and turbidimetric inhibition immunoassay were used for detection. Results: A total number of 58 patients were included from April 1, 2018, to March 31, 2019. Levels of immunoglobulins (Ig), including IgA, IgG, and IgM, declined after 2 to 3 cycles of IC and CCRT, respectively. Serum level of total hemolytic complement (CH50) increased ( P < .001) after IC, but kept stably post-CCRT. Natural killer (NK) cells decreased ( P < .01) after IC and enhanced ( P < .001) post-CCRT. The number of CD3+CD4+ T cells got increased ( P < .01) after IC and decreased ( P < .001) post-CCRT. Consistently, both IC and CCRT induced the increase in CD3+CD8+ T cells significantly ( P < .001 vs P < .01). Conclusion: Both radiotherapy (RT) and chemotherapy (CT) induced dual effect of immune response. Concurrent chemoradiotherapy created an active immune response based on the effect induced by IC, suggesting that RT exerted a potential function on mobilizing immune system.
Clinical findings in congenital infection by Zika virus: a retrospective study in a reference hospital in Central-West Brazil
Authors: de Paula Guimarães Cláudia , Macedo Myrella Silveira , Barbosa Maria Alves , Marques Solomar Martins , Costa Paulo Sucasas , de Oliveira Ênio Chaves 
Published: October 2019

BackgroundAn increased number of congenital Zika virus infections with neurological and musculoskeletal malformations have been diagnosed worldwide, however, there are still several gaps in the knowledge about this infection, its associated mechanism, timing of transmission, and description of throughout findings of signs and symptoms, which is described in this paper. The purpose of this study is to describe aspects of congenital Zika syndrome (CZS) beyond the central nervous system comprising detailed delineation of all the other clinical findings.MethodsA retrospective research developed using electronic medical records. We analyzed the files of 69 children with an initial diagnosis of microcephaly by Zika vírus who were born in 2015, 2016 and 2017, treated during the period from 2016 to 2017.ResultsThe newborns presented several neurological and musculoskeletal malformations, eye damage, hearing impairment and other malformations.ConclusionsThe present study has significant impact for health care teams following lactents with Congenital Zika Syndrome.
Mixed Feelings: The Tragicomedy of Maren Ade’sToni Erdmann
Authors: Glasenapp Jörn 
Published: October 2019

AbstractMaren Ade is often included among the members of the Berlin School, yet her works are marked by a comedic tone, and frequently a tragicomic one. This tendency is already evident in her first two features, The Forest for the Trees (2003) and Everyone Else (2009), and it becomes even more so in her third, Toni Erdmann (2016), which generated a furor among audiences and critics. Taking Sigmund Freud’s reflections on ambivalence and overdetermination as its starting point, this article examines Ade’s film as a synthetic tragicomedy in which comedy and tragedy do not alternate and follow each other as distinct tendencies—as in the “additive” tragicomedy—but together produce contradiction and uncertainty.