bluuebunny/crossref_metadata_2025_split huggingface dataset:
Internal Medicine Resident Experiences With a 5-Month Ambulatory Panel Management Curriculum
Authors: Strout Emily K. Hadley , Landrey Alison R. , MacLean Charles D. , Sobel Halle G. 
Published: August 2018

ABSTRACT

Background
Panel management is emphasized as a subcompetency in internal medicine graduate medical education. Despite its importance, there are few published curricula on population medicine in internal medicine residency programs.

Objective
We explored resident experiences and clinical outcomes of a 5-month diabetes and obesity ambulatory panel management curriculum.

Methods
From August through December 2016, internal medicine residents at the University of Vermont Medical Center reviewed registries of their patients with diabetes, prediabetes, and obesity; completed learning modules; coordinated patient outreach; and updated gaps in care. Resident worksheets, surveys, and reflections were analyzed using descriptive and thematic analyses. Before and after mean hemoglobin A1c results were obtained for patients in the diabetic group.

Results
Most residents completed the worksheet, survey, and reflection (93%–98%, N = 42). The worksheets showed 70% of participants in the diabetic group had appointments scheduled after outreach, 42% were offered referrals to the Community Health Team, and 69% had overdue laboratory tests ordered. Residents reported they worked well with staff (95%), were successful in coordinating outreach (67%), and increased their sense of patient care ownership (66%). In reflections, identified successes were improved patient care, teamwork, and relationship with patients, while barriers included difficulty ensuring follow-up, competing patient priorities, and difficulty with patient engagement. Precurricular mean hemoglobin A1c was 7.7%, and postcurricular was 7.6% (P = .41).

Conclusions
The curriculum offered a feasible, longitudinal model to introduce residents to population health skills and interdisciplinary care coordination. Although mean hemoglobin A1c did not change, residents reported improved patient care. Identified barriers present opportunities for resident education in patient engagement.
Occupational Performance Issues of Adults Seeking Bariatric Surgery for Obesity
Authors: Barclay Karen S. , Forwell Susan J. 
Published: August 2018

AbstractOBJECTIVE. We sought to describe the occupational performance issues of a sample of bariatric surgery candidates and to explore the relationships among occupational performance, satisfaction with performance, demographic characteristics, and mental health factors.METHOD. We reviewed the health records of 241 bariatric surgery candidates and analyzed their scores on the Canadian Occupational Performance Measure (COPM) and standardized mental health questionnaires.RESULTS. Exercise and eating behavior were the most common occupational performance issues. Cognitive and affective issues were reported more frequently than physical issues. Occupational performance and satisfaction correlated negatively with anxiety and depression and positively with self-esteem. Self-esteem contributed 27% of the variance in occupational performance.CONCLUSION. COPM scores revealed a wide range of occupational performance issues and significant associations with mental health factors, supporting a psychosocial approach to occupational therapy with this population. Routine mental health screening can help ensure that mental health factors are adequately addressed.
Mental fatigue as a conditioner of the tactical and physical response in soccer players: a pilot study
Authors: Kunrath Caito Andre , Cardoso Felippe , Nakamura Fabio Yuzo , Teoldo Israel 
Published: August 2018

PurposeThe aim of the study was to verify the effect of mental fatigue on tactical actions quality and the intensity of covered distance in soccer players.MethodsSix U-15 male soccer players participated in this study (14.7 ± 0.59 years of age). For data collection, the FUTSAT and GPSports® (SPI-HPU) systems were applied. To induce mental fatigue, the Stroop task was used for 20 minutes. The individuals were evaluated in 2 conditions: mental fatigue and control (with and without the Stroop task). Statistical analysis was performed with the Kolmogorov-Smirnov test, t-test, and Wilcoxon test.ResultsThe results displayed significant differences in actions related to principles of balance (<i>p</i> = 0.02), defensive unity (<i>p</i> < 0.01), and total defensive actions (<i>p</i> = 0.02), as well as in the covered distance in intensity related to zones 3 (<i>p</i> = 0.03) and 6 (<i>p</i> < 0.01). In mental fatigue, the players revealed a decrease in tactical action quality referring to movements that
aimed at numerical stability in relations of opposition and at defending in unity and in block, and covered greater distances in zones 3 and 6.ConclusionsMental fatigue modified the players’ movement dynamics on the pitch with reference to the quality of tactical actions and covered distance intensity.
Relaxation techniques interventions during physical exercise classes and coping with stress
Authors: Urbanska Anna , Kulmatycki Leslaw , Boron-Krupinska Krystyna , Torzynska Katarzyna 
Published: August 2018

PurposeThe fundamental purpose of the study was to answer the questions if and to what degree the application of relaxation techniques during physical education (PE) classes influenced the capacity to cope with stress in comparison with traditional PE classes in a group of senior high school female students.MethodsA pedagogical experiment was carried out by the technique of parallel groups in real-life environment. It involved 182 female students from a senior high school in Wrocław, Poland, aged 16–18 years. The students were divided into 2 groups: the study group (122 students) and the control group (60 students). A standardized research tool – the Personal Competence Scale (KompOs) was used in pre-tests and post-tests to evaluate the capacity to cope with stress.ResultsThe PE classes including relaxation techniques in comparison with traditional PE classes had a positive impact on coping with stress in the group of female students of senior high school age. During the period between the tests, an increase of the sense of power and perseverance factors was observed. The difference between the average values of the general sense of self-efficacy was not statistically significant when comparing the study group and the control group (at the beginning and at the end of the study).ConclusionsIn Polish schools, it is necessary to continue the research in the field of implementing various strategies and innovations in teaching PE classes with a focus on coping with stress.
Effect of self-management education versus quadriceps strengthening exercises on pain and function in patients with knee osteoarthritis
Authors: Egwu Olufunmilayo R. , Ayanniyi Olusola O. , Adegoke Babatun De O.A. , Olagbegi Oladapo M. , Ogwumike Omoyemi O. , Odole Adesola C. 
Published: August 2018

PurposeTo investigate and compare the effects of 6-week self-management education (SME) and quadriceps strengthening exercises (QSE) on pain and disability in individuals with knee osteoarthritis (OA).MethodsA total of 79 (13 males, 66 females) consecutive patients with knee OA were randomised into SME and QSE groups. The SME group were taught modules of self-management once a week for 6 weeks, while the QSE group had supervised QSE thrice a week for 6 weeks. Pain intensity and physical function were assessed with the Visual Analogue Scale and Ibadan Knee/Hip Osteoarthritis Outcome Measure (IKHOAM) at baseline, week 6, and at the follow-up time points of the 1<sup>st</sup>, 2<sup>nd</sup> and 3<sup>rd</sup> months.ResultsThe effects of both interventions were comparable (<i>p</i> > 0.005) during intervention and follow-up. During intervention, in both groups, pain intensity significantly decreased (<i>p</i> < 0.001, effect size = 0.603) and IKHOAM scores improved (<i>p</i> < 0.001, effect size = 0.540). There were significant time by group interaction effects during follow-up as pain intensity (<i>p</i> < 0.001, effect size = 0.085) did not change in the QSE group but further decreased in the SME group, IKHOAM scores (<i>p</i> = 0.005, effect size = 0.053) remained the same in the SME group while it decreased in the QSE group with respect to the end of intervention (6th week).ConclusionsSupervised QSE and SME are both effective in reducing pain and disability in knee OA but improvements in the outcomes are better sustained with SME.
ORACLE 2-D (v2.0): an efficient module to compute the volatility and oxygen content of organic aerosol with a global chemistry–climate model
Authors: Tsimpidi Alexandra P. , Karydis Vlassis A. , Pozzer Andrea , Pandis Spyros N. , Lelieveld Jos 
Published: August 2018

Abstract. A new module, ORACLE 2-D,
simulating organic aerosol formation and evolution in the atmosphere has been
developed and evaluated. The module calculates the concentrations of
surrogate organic species in two-dimensional space defined by volatility and
oxygen-to-carbon ratio. It is implemented into the EMAC global
chemistry–climate model, and a comprehensive evaluation of its performance
is conducted using an aerosol mass spectrometer (AMS) factor analysis dataset
derived from almost all major field campaigns that took place globally during
the period 2001–2010. ORACLE 2-D uses a simple photochemical aging scheme
that efficiently simulates the net effects of fragmentation and
functionalization of the organic compounds. The module predicts not only the
mass concentration of organic aerosol (OA) components, but also their
oxidation state (in terms of O : C), which allows for their classification
into primary OA (POA, chemically unprocessed), fresh secondary OA (SOA, low
oxygen content), and aged SOA (highly oxygenated). The explicit simulation of
chemical OA conversion from freshly emitted compounds to a highly oxygenated
state during photochemical aging enables the tracking of hygroscopicity
changes in OA that result from these reactions. ORACLE 2-D can thus compute
the ability of OA particles to act as cloud condensation nuclei and serves as
a tool to quantify the climatic impact of OA.
Predicting Adverse Outcomes After Total Hip Arthroplasty: A Comparison of Demographics, the American Society of Anesthesiologists class, the Modified Charlson Comorbidity Index, and the Modified Frailty Index
Authors: Ondeck Nathaniel T. , Bohl Daniel D. , Bovonratwet Patawut , Anandasivam Nidharshan S. , Cui Jonathan J. , McLynn Ryan P. , Grauer Jonathan N. 
Published: August 2018

Introduction:
No known study has compared the predictive power of the American Society of Anesthesiologists (ASA) class, modified Charlson Comorbidity Index, modified Frailty Index, and demographic characteristics for general health complications after total hip arthroplasty (THA).

Methods:
Comorbidity indices and demographics from National Surgical Quality Improvement Program THA patients were evaluated for discriminative ability in predicting adverse outcomes using the area under the curve analysis from the receiver operating characteristic curves. Perioperative outcomes included any adverse event, severe adverse events, minor adverse events, extended hospital stay, and discharge to higher-level care.

Results:
In total, 64,792 THA patients were identified. The most predictive comorbidity index was ASA, and demographic factor was age. Of these, age had the greatest discriminative ability for four of the five adverse outcomes.

Conclusion:
For THA, easily obtained patient ASA and age are more predictive of perioperative adverse outcomes than the more complex and numerically tabulated modified Charlson Comorbidity Index and modified Frailty Index.
Cassatie in het nieuwe Wetboek van Strafvordering
Authors: van Dorst A.J.A. 
Published: August 2018

Cassatie in het nieuwe Wetboek van Strafvordering
Deze bijdrage gaat over voorgestelde wijzigingen ten aanzien van de cassatieprocedure en over enkele wenselijke wijzigingen die niet zijn voorgesteld. Eerst komt aan de orde (de onwenselijkheid van) het rechtstreeks cassatieberoep: de Hoge Raad niet als derde maar als tweede instantie, dus zonder tussenkomst van een appelrechter. In dat verband zal aandacht worden besteed aan de ingewikkelde cassatiedrempel in zaken betreffende overtredingen alsook aan het cassatieberoep in beklagzaken. Vervolgens wordt aandacht besteed aan het karakter van de cassatieprocedure; stilgestaan wordt bij (voorstellen die lijken te schuren met) het schriftelijke karakter van het cassatiegeding alsook bij de mogelijkheid tot tegenspraak. Daarna komt de regeling van de herstelbeslissing en de aanvulling langs. Dan komt de nieuwe regeling van de cassatiegronden aan bod, waarna tot slot aandacht wordt besteed aan wat in het verschiet ligt. Dat betreft de invoering van een cassatiebalie, de prejudiciële vragen en de facultatieve conclusie van het parket. Dat alles natuurlijk voor zover van belang met het oog op de behandeling van strafzaken.
La competencia estatal en materia de becas y ayudas al estudio: fundamento y alcance
Authors: Canal Muñoz José 
Published: August 2018

Resumen:Las becas y ayudas al estudio vienen siendo calificadas en el ordenamiento español como subvenciones públicas. Este trabajo sostiene que sería más adecuado con nuestro marco constitucional otorgarles la consideración de prestaciones públicas, financiadas con cargo a los Presupuestos Generalesdel Estado. La revisión de la naturaleza jurídica de las becas y ayudas al estudio tendría relevantes consecuencias: por un lado, recomendaría que el Legislador definiese el contenido del derecho a obtener estas prestaciones públicas, de forma similar a otros ámbitos de la actuación administrativa. Por otra parte, permitiría fundamentar la revisión de la doctrina del Tribunal Constitucional sobre el reparto de las competencias entre el Estado y las Comunidades Autónomas en esta materia, a partir de la invocación de la regla 1.ª del artículo 149.1 CE.Summary:1. Public funding of education. 2. The right to obtain grants. 2.1. Constitutional or legal nature of the right. 2.2. Content and constitutional limits of the right. 3. The student grants system. 3.1. Concept, characteristics of student grants. 3.2. Nature of student grants. 4. The territorial distribution of competences related to grants. 4.1. Regulatory power. 4.2. Executive powers. 5. A possible revision of basis and scope of competence. 5.1. Grants as public service. 5.2. The rule 1 of article 149.1 of the Constitution. 6. Conclusions.Abstract:Scholarships are classified in the Spanish legal system as public subsidies. This paper argues that it would be more appropriate with our constitutional framework to confer them the consideration of public benefits, financed by Publics Budgets. The review of the legal nature of student grants would have important consequences: on the one hand, Law should rule the content of the right to obtain these public benefits, in a similar way to other areas of Administration. On the other hand, the Constitutional Court may review its position on the distribution of the competences between the State and the Autonomous Regions, by calling the rule 1 of article 149.1 of the Constitution.
Funciones secundarias de la Corte Constitucional colombiana: una aproximación a la decisión sobre excusas a los emplazamientos cursados por el Congreso
Authors: González Quintero Rodrigo , Moreno Ortiz Luis Javier 
Published: August 2018

Resumen:Este artículo se centra en la poco explorada cuestión las competencias secundarias de la Corte Constitucional colombiana, en especial sobre la competencia de decidir sobre las excusas a los emplazamientos que hace el Congreso en ejercicio de su control político y público. Para este propósito se estudia el origen de esta competencia en la Asamblea Nacional Constituyente, se la analiza en el contexto de otras experiencias constitucionales y se considera,a partir de fuentes teóricas (normativas y doctrinales) y evidencia empírica(estudio de casos), dos hipótesis sobre su naturaleza y alcance, para concluirque se trata de una competencia jurisdiccional, que se concreta en una providencia judicial que hace tránsito a cosa juzgada, y que puede tenerse comouna modalidad especial del control de constitucionalidad.Abstract:This article is focused on the ill studied topic of the Colombian Constitutional Court’s ancillary powers, and especially on its decisions regarding a person’s refusal to attend hearings related to Congress’ control functions. Thus, the text begins with the origins of this power discussed at the constituent assembly, then analyzing it in Comparative Constitutional Law. Also taking into account both theoretical and practical elements — such as doctrine, norms and case law—, it does propose two hypotheses concerning its character and effects, concluding that entails an exercise of judicial power with res iudicata force and that it comprises a especial type of judicial review.Summary:Introduction. I. An Approach to the Colombian Judicial Review System. II. Ancillary Powers to Judicial Review: Debates and Adoption at the Constitutional Assembly. III. Ancillary Powers to Judicial Review in the Constitutional Court’s Case Law. IV. Ancillary Powers to Judicial Review in Comparative Law. V. Constitutional Court’s Decisions regarding Excuses for Subpoenas. Nature. Holdings. VI. Conclusions. Bibliography
Glatte pornokroppe og alternative åbninger
Authors: Grimstrup Mette 
Published: August 2018

The article examines whether pornographic movies for women are able to address questions of gender and sexuality in a more reflexive and less phallocentric way than that of traditional pornography. Analyzing the movie All About Anna (2005) I discuss why the producers seem to avoid one of the most distinctive features of pornography - the feeling of authenticity, of ";real lust"; visible on screen. This ";real lust"; has so far mostly been symbolized via the visible male come shot, and the film producers struggle to find a female equivalent. I argue that the film producers' inability to visualize female lust in an ";authentic"; setting is caused by their still being constrained by the traditional porn genre's phallocentric gender patterns. Using the French lesbian, queer and transgender pornographic movie One Night Stand(2006) as an example, I argue that by changing the gendered expectations and by consciously deploying the genre's quest for authenticity, this movie solves some of the problems that appear in All About Anna.
Gender Equality and the Intersectional Turn
Authors: Einarsdóttir Thorgerdur , Thorvaldsdóttir Thorgerdur 
Published: August 2018

The article explores recent theoretical debates on intersectionality and gender equality. It addresses problems and potentialities of the emerging ‘equality for all’ policies, drawing upon empirical examples from equality work in Iceland (equal opportunities workers, minority groups, the City of Reykjavik and the University of Iceland). Practical equality work will be viewed through the lenses of feminist theories on ntersectionality and related to wider political context and gender discourse in Iceland. These empirical examples are analyzed in light of the theoretical background, in particular, the different models, discussed by Verloo (2006) and Squires (2005) regarding how practical equality work can be dealt with. By bringing together theory and praxis, light will be shed on some of the problems and possibilities that are bound up with the different approaches.
Interrogating intersectionality: Productive ways of theorising multiple positioning
Authors: Phoenix Ann 
Published: August 2018

Intersectionality is an increasingly popular feminist approach to theorising and analysing the fact that everybody is simultaneously positioned in multiple social categories. It is, however, a much debated concept. This paper considers recent literature on intersectionality to discuss current debates on the concept. In particular, it considers whether, on the one hand, intersectionality fails to address structural inequalities because it focuses on agency and, on the other, if it produces fixed conceptualisations of structure. The paper argues that the most productive versions of intersectionality are those that draw on postmodern ideas. In these versions social categories and their associated positions and identities are treated as fluid and multiple while recognising that structure and culture are mutually constitutive. The paper also considers whether intersectional theory produces so many intersections that it be comes impossible to know which should be analysed at any particular time. In addition it discusses the methodologies employed by intersectional researchers. It suggests that those analysing intersections have to take strategic and creative decisions about which are the most relevant intersections for specific groups or individuals at particular times and on particular issues. Intersectional methodologies are in the process of development. However, the paper highlights a variety of methodologies used by feminist researchers and argues that the study of intersectionality will continue to be characterised by multiple methods.
Klassernes fortsatte forsvinden
Authors: Faber Stine Thidemann 
Published: August 2018

The notion of intersectionality has become important in order to understand the condition of the subject in a society that among other factors are characterized by changing gender relations. The notion relates itself to a society in which categories such as gender, class, ethnicity, age, sexual preferences, etc. interact with each other in novel and a more fluid and fluctuant way than earlier. Even though, internationally, feminist research has begun to focus on the intersection between different categories, it seems that the attention directed towards class is still minimized; class somehow seems to continue to live in obscurity, which is why a reflection of a distant past comes to mind as the class category by various means has a history of marginalisation within the feminist agenda. The article thus emphasizes the need to develop new feminist ways of thinking and writing about class.
Divine Interventions. (Re)birth and Creation Narratives in "Fra Mand til kvinde - Lili Elbes Bekendelser"
Authors: Meyer Sabine 
Published: August 2018

Divine interventions. (Re)birth and creation narratives in Fra mand til kvinde - Lili Elbes bekendelserWith (re)birth and creation narratives being a prominent strand in biographically aligned writing especially of and about male to female transsexuals, looking at an early account like Fra Mand til Kvinde (1931) elucidates how the hierarchy between medicine and transsexual subject is inscribed into such texts. The article examines how (re)birth narratives serve as indicators for the various stages of Lili Elbe's transition while leaving her in a subordinate state and dependent on the moulding of her surroundings, especially her surgeon who is staged as a god-like persona and hence appears as the creating force behind Elbe's transformation. Engaging with those allegedly ‘divine interventions', not only highlights the reception of a trans-medical relationship but also exposes the reproduction of power structures on a larger scale.