bluuebunny/crossref_metadata_2025_split huggingface dataset:
Reducing Unwarranted Oncology Care Variation Across a Clinically Integrated Network: A Collaborative Physician Engagement Strategy
Authors: Richards Jon M. , Burgon Trever B. , Tamondong-Lachica Diana , Bitran Jacob D. , Liangco Wilfredo L. , Paculdo David R. , Peabody John W. 
Published: October 2019

PURPOSE: Addressing unwarranted clinical variation in oncology is a high priority for health systems that aspire to ensure consistent levels of high-quality and cost-effective care. Efforts to improve clinical practice and standardize care have proven challenging. Advocate Physician Partners undertook a patient simulation-based practice measurement and feedback project that was focused on breast and lung cancer to engage oncologists in the care standardization process. METHODS: One hundred three medical oncologists cared for online simulated patients using the Clinical Performance and Value platform, receiving feedback on how their care decisions compared with evidence-based guidelines and their peers. We repeated this process every 4 months over six rounds, measuring changes in quality-of-care scores. We then compared simulated patient results with available patient-level claims data. RESULTS: Over the course of the project, overall quality-of-care scores improved 11.9% ( P < .001). Diagnostic accuracy increased 6.7% ( P < .001) and correlated with improved treatment scores, including a nearly 10-percentage point increase in evidence-based chemotherapy regimens ( P = .009) and a 56% increase in addressing palliative needs for patients with late-stage disease ( P < .001). Unnecessary test ordering declined 25% ( P < .001). We compared these results with available patient data and observed concordance with the metastatic imaging workup order rate for early-stage breast cancer. As unnecessary workups declined in the simulations and became more closely aligned with evidence-based guidelines, we saw similar rates of decline in the patient-level data. CONCLUSION: This study demonstrates that an oncology care standardization system that combines simulated patients with serial feedback increases evidence-based and cost-effective clinical decisions in patient simulations and patient-level data.
Concentração de propriedade e qualidade da governança da empresa brasileira
Authors: Brandão Isac de Freitas , Crisóstomo Vicente Lima 
Published: October 2019

A relação entre concentração de propriedade e qualidade da governança corporativa é analisada no Brasil. Modelos são estimados pelo método generalizado de momentos sistêmico (GMM) para um painel balanceado de 85 empresas no período 2010-2013. Os resultados indicam que a concentração de propriedade tem um efeito adverso sobre qualidade da governança corporativa, mensurada através de um índice baseado em 28 boas práticas voluntárias de governança. Esta relação linear negativa indica que grandes acionistas são desfavoráveis à adoção de práticas diferenciadas de governança.
Adicionalmente, a relação quadrática negativa reforça este resultado para altos níveis de concentração destacando a possibilidade de expropriação de acionistas minoritários. Menos concentração de propriedade favorece a qualidade da governança corporativa sugerindo que a necessidade de coalizão para controle
diminui o poder do acionista principal, podendo contribuir para atenuar o conflito entre acionistas controladores e minoritários, conflito abordado sob o marco teórico do modelo de agência principal-principal.
The information content of risk reversals in emerging market currencies
Authors: Costa Filho Adonias Evaristo da 
Published: October 2019

This paper analyzes the information content of risk reversals for ten emerging
market currencies. In contrast to the findings for major developed currencies,
it is found that in some cases risk reversals (RR) are helpful in predicting
currency returns, but in general RR are predicted by but do not predict carry
trade returns. Evidence based on country vector autoregressions (VARs) and a
panel VAR (PVAR) indicate that RR react in a procyclicalway to carry returns, i.e.,
it is cheaper (more expensive) to buy protection against currency weakness after
positive (negative) total returns. All in all, it is found that crash risk accounts
for a small share of carry trade returns variance, which seems to be more related
to global risk aversion shocks. A sentiment indicator of crash risk in emerging
market currencies is highly correlated with the VIX.
Re-examining Husserl’s Non-Conceptualism in the Logical Investigations
Authors: Kidd Chad 
Published: October 2019

Abstract
A recent trend in Husserl scholarship takes the Logische Untersuchungen (LU) as advancing an inconsistent and confused view of the non-conceptual content of perceptual experience. Against this, I argue that there is no inconsistency about non-conceptualism in LU. Rather, LU presents a hybrid view of the conceptual nature of perceptual experience, which can easily be misread as inconsistent, since it combines a conceptualist view of perceptual content (or matter) with a non-conceptualist view of perceptual acts. I show how this hybrid view is operative in Husserl’s analyses of essentially occasional expressions and categorial intuition. And I argue that is also deployed in relation to Husserl’s analysis of the constitution of perceptual fullness, which allows it to avoid an objection raised by Walter Hopp – that the combination of Husserl’s analysis of perceptual fullness with conceptualism about perceptual content generates a vicious regress.
Odd-quadratic Leibniz superalgebras
Authors: Benayadi Saïd , Mhamdi Fahmi 
Published: October 2019

AbstractAn odd-quadratic Leibniz superalgebra is a (left or right) Leibniz superalgebra with an odd, supersymmetric, non-degenerate and invariant bilinear form. In this paper, we prove that a left (resp. right) Leibniz superalgebra that carries this structure is symmetric (meaning that it is simultaneously a left and a right Leibniz superalgebra). Moreover, we show that any non-abelian (left or right) Leibniz superalgebra
does not possess simultaneously a quadratic and an odd-quadratic structure. Further, we obtain an inductive description of odd-quadratic Leibniz superalgebras using the procedure of generalized odd double extension and we reduce the study of this class of Leibniz superalgebras to that of odd-quadratic Lie superalgebras. Finally, several non-trivial examples of odd-quadratic Leibniz superalgebras are included.
Microstructural analysis and multi response optimization of WEDM of Inconel 825 using RSM based desirability approach
Authors: Kumar Pawan , Gupta Meenu , Kumar Vineet 
Published: October 2019

AbstractIncreasing demand of aerospace industry for more heat resistant and tough material have open up the possibility of the use of Inconel 825 for making of combustor casing and turbine blades. Because of its robust nature, Inconel 825 is a difficult-to-cut material with conventional methods. Wire-cut electrical discharge machining (WEDM), a non traditional method uses thermoelectric erosion principle to produce intricate shape and profiles of such difficult-to-cut material. In this study, various operating parameters of WEDM are optimized using desirability approach and microstructural behavior at optimum combinations was studied. Input parameters viz. pulse-on time, pulse-off time, peak current, spark gap voltage, wire tension, wire feed and performance has been measured in term of material removal rate, surface roughness and wire wear ratio. It has been observed that at 110 machine unit pulse-on time (Ton), 35 machine unit pulse-off time (Toff), 46 volt gap voltage (SV), 120 ampere peak current (IP), 11 machine unit wire tension (WT) and 5 m/min wire feed (WF), the values obtained for material removal rate (MRR), surface roughness (SR) and wire wear ratio (WWR) were 27.691mm2/min, 2.721 μmand 0.117 respectively. Scanning electron microscopy, energy dispersive spectrograph and X-ray diffraction analysis has also been carried out to study the surface characterization. Comparatively less numbers of cracks, pockmarks, craters, and pulled out material were found on work specimen surface and wire electrode surface under standardized conditions, thus maintaining the surface integrity of the machined surface.
Designing of concrete pavement expansion joints based on climate conditions of Vietnam
Authors: Nguyen Hoang Long , Pham Cao Thang , Pham Duy Linh , Pham Tuan Anh , Pham Duc Phong , Pham Binh Thai 
Published: October 2019

AbstractMain objective of this paper is to present ananalysis of necessity of providing expansion joints in the plain cement concrete pavement considering the climate and weather conditions of Vietnam. This study would help in the proper designing of expansion joints of highways and airport roads and thus can improve life span of cement concrete pavements to be constructed in Vietnam.
Effects of Waste Eggshells addition on Microstructures, Mechanical and Tribological Properties of Green Metal Matrix Composite
Authors: Hayajneh Mohammed T. , Almomani Mohammed A. , Al-Shrida Mu’ayyad M. 
Published: October 2019

Abstract
Chicken eggshell (Es) waste is an industrial byproduct, and its disposal constitutes a severe environmental risk. Eggshell is a new engineering reinforcement retaining excellent properties such as low density, renewable, eco-friendly, and high thermal stability. The current research aims to study the effects of eggshell particles addition on microstructures, mechanical and tribological properties of aluminium/eggshell green metal matrix composites (MMCs). In the present work Al–Es metal matrix composite is produced by powder metallurgy processes. SEM with EDX and XRD were used to examine the microstructures and the compounds that arise during the sintering process of the produced composites. Six tests were conducted on the produced samples including; dry wear test, micro Vickers hardness, and ultimate compressive strength. The results showed that the addition of 3 wt. % of eggshell improved wear resistance (65%), compressive strength (40%) and hardness (15%). At 6 and 9 wt. % of eggshell, negative results appeared.
Bagvalal place names as adverbs
Authors: Daniel Michael 
Published: October 2019

Abstract
In Bagvalal (East Caucasian), native place names show strongly reduced morphological inflection. They combine with spatial suffixes identical to those used on nouns and spatial adverbs and with attributive and plural suffixes identical to those of nominal genitive and plural and thus have mixed adverbial nominal morphology. Place names are unmarked in spatial function but marked in argument position. To occur in the latter, they require a nominal head with an abstract meaning such as ‘village’ or ‘place’. Bagvalal place names are syntactically adverbs rather than nouns. Considering syntax and morphology together, they constitute a morphosyntactic class intermediate between nouns and adverbs. Mixed properties of Bagvalal place names are functionally motivated. Place names are, first of all, locations (hence spatial inflection), but also territories associated with specific ethnic and sub-ethnic groups (hence attributive and plural inflection). I conclude by briefly reviewing evidence from some other East Caucasian languages, to show that Bagvalal is not an exception.
On the heterogeneity of deaccusative reflexives
Authors: Holvoet Axel 
Published: October 2019

Abstract
The article deals with the notions of deaccusative and antipassive reflexives. The term ‘deaccusative’ is used in the literature to refer to what appears to be a derivation reflexivizing a transitive verb and replacing its direct object with an oblique object. The term suggests a unitary operation, and its function has been identified, in recent work, as antipassive. The aim of this paper is to show that, though some ‘deaccusatives’ are antipassive, the group of verbs sometimes referred to as deaccusatives is, in fact, a heterogeneous conglomerate comprising a few minor constructions but also pairings of reflexive and non-reflexive verbs that are due to alternations in argument marking with specific lexical classes or simply to diachronic accident.
Zur Formylierung von Hydroxy- und Alkoxyaromaten mit Ameisensäure
Authors: Kantlehner Willi , Ziegler Georg , Mezger Jochen , Sommer Jean , Louis Benoit , Sievers Björn , Ivanov Ivo C. , Samain Xavier , Leonhardt Silvia , Frey Wolfgang 
Published: October 2019

Abstract
By treatment of ethers of phenol, resorcinol, 2-napththol, alkylanisoles 10, 13, 15, 17, 20, 22, 24, 28 with formic acid/borontrichloride the aromatic aldehydes 11, 14, 16, 18, 21, 23, 25, 26, 29 can generally be prepared in low yields. The formylation reactions proceed between −20 and −10°C within 20 min in 1,2-dichloroethane, chlorobenzene, or methylene chloride as solvents when formic acid and borontrichloride are used in excess [molar ratio of aromatic compound to HCOOH to BCl3 = 1:1.2–1.7:1.6–1.8]. The more strongly activated 3,5-dimethoxyphenol (33) is formylated by formic acid/borontrichloride to give the aldehyde 34 with an acceptable yield. The reactions of resorcinol dimethylether with formic acid in the presence of super acids (mainly trifluormethansulfonic acid) in chlorobenzene or nitromethane deliver the aldehyde 21 only in small amounts.
„Denken wie ein Exeget“ – Bibeldidaktik und Hochschuldidaktik
Authors: Köhlmoos Melanie 
Published: October 2019

Zusammenfassung
Der Beitrag schildert die Bedingungen und Probleme einer zeitgemäßen evangelisch-theologischen Hochschuldidaktik mit Schwerpunkt auf den exegetischen Fächern. Das Hauptproblem ist, wie sich der allgemeine Wandel zur Kompetenzorientierung und zum „Shift from teaching to learning“ auch hochschuldidaktisch verwirklichen lässt. Dabei zeigt sich, dass Hochschuldidaktik in den exegetischen Fächern darauf hinarbeiten muss, die Studierenden zum „Denken wie ein Exeget“ zu ermutigen, um auch praktische Anwendungen der Bibelstudien erfolgreich durchzuführen. Die Darstellung stützt sich auf die Arbeit und Ergebnisse der Gruppe „Forum Exegese und Hochschuldidaktik. Verstehen von Anfang an“.
Bibeltexte in leichter Sprache zwischen Unterkomplexität und Exklusivität
Authors: Fuchs Monika E. , Neumann Nils 
Published: October 2019

Zusammenfassung
Wie wünschenswert es sein kann, biblische Stoffe in Leichter Sprache zu formulieren, ist umstritten. Mit der Forderung der Vereinten Nationen nach Inklusion gehen didaktischerseits das Engagement und die Suche nach einer sog. „Leichten Sprache“ einher, die Menschen mit Beeinträchtigung oder geringerer sprachlicher Kompetenz einen besseren Zugang zu den biblischen Inhalten ermöglichen soll. Den Befürwortern stehen aber auch Skeptiker gegenüber. Vor diesem Hintergrund stellt unser Beitrag Grundzüge Leichter Sprache vor, diskutiert die Umsetzung anhand des Gleichnisses vom Barmherzigen Samariter und leitet daraus Leitlinien für eine gelingende Praxis ab.
Religionspädagoginnen und Religionspädagogen in Schule und Gemeinde – empirische Befunde zu religionspädagogischer Professionalität bei gleichzeitiger Tätigkeit an formalen und non-formalen Bildungsorten Religionspädagogen in Schule und Gemeinde
Authors: Endres Magdalena 
Published: October 2019

Zusammenfassung
Religionspädagoginnen und Religionspädagogen der Evangelisch-Lutherischen Kirche in Bayern arbeiten sowohl am formalen Bildungsort Schule als auch an non-formalen Bildungsorten der Kirchlichen Bildungsarbeit. In einer qualitativ-rekonstruktiven Studie wurde der Frage nachgegangen, welche handlungsleitenden Orientierungen sich bei diesen pädagogischen Professionellen zeigen, die gleichzeitig in unterschiedlichen Bildungssettings tätig sind. Die Ergebnisse der Studie zeigen vier kontrastive Typen hinsichtlich eines Umgangs mit der Kommunikation des Evangeliums sowie eines Umgangs mit der Bildungsmodalität. Vor dem Hintergrund ausgewählter empirischer Befunde werden in diesem Artikel an zwei professionstheoretische Diskurslinien angeknüpft und Eckpunkte einer Theorie religionspädagogischer Professionalität beschrieben.
Exercise for Nonagenarians: A Systematic Review
Authors: Miller Kyle J. , Suárez-Iglesias David , Varela Silvia , Rodríguez David , Ayán Carlos 
Published: October 2019

Background:
Physical exercise has been identified as a health promotion strategy for the oldest old. However, scientific evidence regarding the benefits of exercise on nonagenarians is scarce. This systematic review aimed to evaluate the characteristics and methodological quality of investigations that have examined the effects of physical exercise on nonagenarians.

Methods:
A systematic review and evidence synthesis were conducted. The MEDLINE/PubMed, CINAHL, Scopus, SPORTDiscus, and Cochrane Library were systematically searched up to November 2018. Investigations were included if they tested the effects of an exercise intervention on people 90 years or older. The methodological quality of the randomized controlled trials was evaluated using the PEDro scale. Quality appraisal tools developed by the National Heart, Lung and Blood Institute were used to evaluate the uncontrolled and observational investigations.

Results:
Three randomized controlled trials, 1 retrospective study, 2 case reports, and 1 single-subject A-B design met the eligibility criteria. The methodological quality scores obtained from the scales ranged from poor to good. Most interventions were based on muscular strengthening, balance exercises, or a combination of both. No adverse effects were registered. In general, exercise showed a significant impact on muscular strength, while mixed effects were found regarding gait and balance. Pooled analyses indicated that interventions had significant improvements in global lower body functioning (standardized mean difference, SMD = 0.47; 95% confidence interval = 0.04, 0.90; P < .01).

Conclusions:
Exercise is a feasible therapy for nonagenarians, which can lead to improvements in physical functioning. Future research should focus on the effects of aerobic interventions, as well as the impact that exercise has on the cognitive functioning of nonagenarians.
Factors Associated With Asthma Diagnosis Within Five Years of a Bronchiolitis Hospitalization: A Retrospective Cohort Study in a High Asthma Prevalence Population
Authors: Clark Amanda J. , Dong Nancy , Roth Talia , Douglas Lindsey C. 
Published: October 2019

OBJECTIVES:
Bronchiolitis, the leading cause of infant hospitalizations in the United States, is associated with increased risk of childhood asthma. We hypothesized that factors during a bronchiolitis hospitalization were associated with subsequent asthma.

METHODS:
This is a retrospective cohort study at an urban, tertiary-care children’s hospital of infants &lt;12 months old, hospitalized for bronchiolitis. The primary outcome measure was an asthma diagnosis, defined as a billing code for an asthma visit or a prescription for controller medication, within 5 years of discharge from the bronchiolitis hospitalization.

RESULTS:
There were 534 infants hospitalized for bronchiolitis, of which 294 (55.1%) were diagnosed with asthma, and 102 (19.1%) were hospitalized for asthma within 5 years of discharge. There was significant interaction between age and family history. In both models, female sex was protective (odds ratio [OR] 0.46). Age and race were only associated with asthma in infants without a family history of asthma: age (OR 1.19; 95% confidence interval 1.08–1.32) and race (OR 4.06; 95% confidence interval 1.56–10.58). Hospitalization length, ICU stay, albuterol treatments received, supplemental oxygen, respiratory support, highest respiratory rate, and respiratory syncytial virus infection were not associated with asthma diagnosis.

CONCLUSIONS:
More than 55% of infants hospitalized for bronchiolitis developed asthma within 5 years of discharge. Demographic and family history variables were independently associated with asthma. However, hospital-based variables during the bronchiolitis hospitalization were not independently associated with asthma. These results can direct further research and differentiate anticipatory guidance for infants with bronchiolitis at risk for asthma.
Recent Trends in Infant Car Seat Tolerance Screening Failure Within a Large Health Care System, 2014–2018
Authors: McLaurin-Jiang Skyler , Hannon Emily A. , Seashore Carl , Orr Colin J. , Ritter Victor , Flower Kori B. 
Published: October 2019

OBJECTIVES:To describe temporal trends in car seat tolerance screening (CSTS) failure within a large hospital system (2014–2018).METHODS:We conducted a retrospective cohort study using electronic medical record data for infants who underwent a CSTS. Our primary outcome measure was the CSTS failure rate. Covariates included year, CSTS location (well nursery or NICU), gestational age (GA), race, sex, birth weight, CSTS date, and age at CSTS. Associations of covariates with CSTS failure were examined by using χ2 tests, t tests, analysis of variance, and Wilcoxon rank tests. Multivariable logistic regression was used to determine the adjusted odds of CSTS failure.RESULTS:Of 4849 infants tested, the failure rate was 8.1% (n = 394). Most CSTS occurred in the well nursery (79.5%) and involved late preterm (55.2%) or term infants (23.7%). In bivariate analyses, year, unit location, higher birth weight, younger chronological age at testing, and higher GA were positively associated with CSTS failure (P &lt; .05). After stratification by CSTS location, the CSTS failure rate rose in the well nursery but remained stable in the NICU, and use of screening rose among term infants. In the adjusted model, year, GA, and corrected gestational age at CSTS were associated with failure. Each subsequent year was associated with a 19% increase in odds of CSTS failure (P &lt; .001).CONCLUSIONS:We found a higher rate of CSTS failure in the well nursery compared with the NICU, and the difference in failure rates increased over time. Improved understanding of infants at the highest risk of CSTS failure could impact routine screening guidelines.
O Marketing Cria Necessidades?: Análise da Percepção de Docentes e Discentes de uma Instituição de Ensino Superior
Authors: Moreira Roseilda Nunes , Silva Aline Pereira da , Bizarria Fabiana Pinto de Almeida , Barbosa Flávia Lorenne Sampaio 
Published: October 2019

Objetivou-se com esta pesquisa analisar se o marketing cria necessidades nas pessoas, considerando a percepção de discentes e docentes dos cursos de Administração e Publicidade e Propaganda de uma Instituição de Ensino Superior da cidade de Fortaleza, Ceará. Foram realizadas pesquisas bibliográfica, documental e de campo, com abordagem exploratória e descritiva, de natureza qualitativa e quantitativa. Os dados foram levantados por meio de entrevista semiestruturada com sete docentes e aplicação de 150 questionários semiestruturados com discentes. Para a análise dos resultados utilizou-se análise de conteúdo, identificando categorias sobre marketing. Os resultados apontam que acredita-se que o marketing cria necessidades e que docentes e discentes confundem-se quanto ao entendimento sobre a diferença entre desejos e necessidades. Observou-se que as palavras “satisfação”, “atendimento” e “identificar” são as mais presentes, antecedendo o termo necessidade. Infere-se, que as necessidades são intrínsecas ao ser humano e que o de marketing pode atuar no desenvolvimento de desejos. Algumas disciplinas que contribuem para a conceituação, especialmente Marketing,Economia e Psicologia, podem auxiliar no desenvolvimento conceitual do tema, aprofundando a compreensão e a interpretação dos termos correlatos ao tema da pesquisa.