bluuebunny/crossref_metadata_2025_split huggingface dataset:
An Experimental Investigation of Rhythmic Irrationality
Authors: Psaroudakēs Stelios , Moschos Fotis 
Published: June 2019

Abstract
The present paper investigates ‘rhythmic irrationality’ in the medium of recited ‘word’, as this is defined by Aristoxenos and Dionysios Halikarnasseus in three rhythmic contexts: that of the anapaest, of the dactyl, and of the trochee (choreios). For this purpose, computer experiments have been devised, one for each of the aforementioned irrationalities: against the background of a monitored metronome, a line in each rhythm is initially recited in the rational mode. The line is subsequently recited another seven times, with the podic duration which is to suffer diminution or augmentation, in steps of eighths of the time unit. The eight vocal renderings of each line are then assessed psychoacoustically, in order to locate: (a) the point at which our hearing detects the onset of irrationality, and (b) the point at which a shift from the original rhythm to another is sensed.
Christian Reception of the ‘New-Music’ Debate in the Church Fathers and Clement of Alexandria
Authors: Kramarz Andreas 
Published: June 2019

Abstract
Evaluative judgments about musical innovations occur from the late fifth century BC in Greece and Rome and are reflected in similar discussions of Christian authors in the first centuries of the Empire. This article explores how pedagogical, theological, moral, and spiritual considerations motivate judgments on contemporary pagan musical culture and conclusions about the Christian attitude towards music. Biblical references to music inspire both allegorical interpretations and the defense of actual musical practice. The perhaps most intriguing Christian transformation of the ancient musical worldview is presented in Clement of Alexandria’s Protrepticus. Well-known classical music-myths serve here to introduce a superior ‘New Song’. Harmony, represented in the person of Christ who unites a human and a divine nature, becomes the ultimate principle of both cosmos and human nature. This conception allows music to become a prominent expression of the Christian faith and even inform the moral life of believers.
New Music and Early Peripatetic Scholarship
Authors: Tocco Ambra 
Published: June 2019

Abstract
This paper aims at presenting a preliminary survey of Peripatetic statements about the so-called ‘New Music’ as a significant turning point in musical history, addressed by most of the main exponents of the Peripatos as part of a wider engagement in the study of µουσική. The establishment of a ‘history of music’, whose main phases are represented by its origins, its development through Archaic and Classical times and, eventually, its corruption into a ‘degenerated’ musical style, is crucial in the Peripatetic foundation of µουσική as a scholarly field of enquiry and is inherited by later sources that rely largely on Peripatetic materials, namely the pseudo-Plutarchaean De musica.
New Music
Authors: Ercoles Marco 
Published: June 2019

Abstract
The examination of ancient historical accounts of the development of rhythmopoiia in ancient Greek music and the analysis of the main rhythmical features associated with modernist composers of the late fifth-early fourth century BC show that the actual ‘novelty’ of New Music style in this field lies in a more consistent and elaborate use of existing resources rather than in the invention of new practices (perhaps, with the only exception of warbles). Among other passages, Ar. Th. 120-2 and Tim. PMG 791.229-33 are taken into deeper consideration.
The Hymn of Mesomedes on Antinous (Inscription of Courion, Mitford No. 104)
Authors: Pöhlmann Egert 
Published: June 2019

Abstract
The citharode Mesomedes of Crete was one of the poets at the court of Hadrian. In late antiquity a selection of his poetry was assembled, and this corpus survived in transmission until medieval times, partly with musical notation. But of course the oeuvre of Mesomedes was much greater, as we see from two poems transmitted by the Greek Anthology and a lost encomium on Antinous, Hadrian’s paidika, as the Suda informs us. In his publication of the inscriptions of Courion (10 km west of Limassol) Mitford recognized clearly that the Antinous in Courion no. 104 must be the paidika of the Emperor Hadrian, and that the hymn in the inscription must be an encomium to Antinous, who drowned in the waters of the Nile in 130 AD. By comparing the metrics and the style of the encomium with the preserved poetry of Mesomedes, I shall argue that the hymn on Antinous is the encomium attested by the Suda for Mesomedes.
A new species of Lerista Bell, 1833 (Reptilia: Scincidae) from Cape York Peninsula, Queensland, belonging to the Lerista allanae clade but strongly disjunct from other members of the clade
Authors: AMEY ANDREW P. , COUPER PATRICK J. , WILMER JESSICA WORTHINGTON 
Published: June 2019

A species of the skink genus Lerista is described from Cape York Peninsula in Queensland. The species is biogeographically interesting as it appears to be separated by at least 500 km from its nearest relatives, members of the Lerista allanae clade. The role of Pleistocene sea level changes altering availability of suitable habitat for these sand specialists is discussed as a possible driver of isolation and speciation.
The effects of educational interventions on suicide: A systematic review and meta-analysis
Authors: Pistone Isabella , Beckman Ulrika , Eriksson Erik , Lagerlöf Helena , Sager Morten 
Published: June 2019

Background: Suicide is a major public health problem. Educational interventions for preventing suicidal behaviour are widely used, although little is known regarding the collective effectiveness of these interventions. Aim: We evaluated the existing evidence for the effectiveness of education interventions in the prevention of suicidal behaviour. Methods: In this systematic review and meta-analysis, we searched multiple databases using terms related to suicide prevention. The articles were reviewed by two independent reviewers, and the quality of evidence was rated according to Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria. Data from individual studies were combined in meta-analyses. Results: We identified 41 studies evaluating two different types of interventions: school-based education interventions and gatekeeper training. Education interventions showed significant gains in terms of knowledge and attitudes, though the effects seem to vary depending on subjects’ personal characteristics. School-based education interventions significantly reduced suicidal ideation and suicide attempts in youths. Gatekeeper training showed no significant effect on suicide attempts or gatekeeper skills, though the quality of evidence for the estimate, according to GRADE criteria, was rated as very low. Conclusion: The results of this study indicate that school-based education interventions are effective in preventing suicidal ideation and suicide attempts. In clinical practice, as well as in research, the development and implementation of educational interventions should focus on participants’ individual characteristics.
Positive Surgical Margins in Submandibular Malignancies: Facility and Practice Variation
Authors: Benchetrit Liliya , Morse Elliot , Judson Benjamin L. , Mehra Saral 
Published: June 2019

ObjectivesIdentify positive margin rate in a national cohort of patients with submandibular carcinoma, identify predictors of positive margins, and associate margins with overall survival.Study DesignRetrospective cohort.SettingCommission on Cancer–accredited hospitals.Subjects and MethodsWe included patients in the National Cancer Database from 2004 to 2014 who were diagnosed with submandibular carcinoma and underwent primary surgical resection. We determined the rate of positive surgical margins and associated patient, tumor, and treatment factors with positive margins via univariable and multivariable logistic regression analysis. We associated margin status with overall survival by Kaplan‐Meier curve and Cox proportional hazards regression.ResultsWe identified 1150 patients with submandibular malignancy undergoing surgical resection. Positive margin rate was 41.0%. Increased odds of positive margins were seen in patients with advanced T stage (vs T1, T3: odds ratio [OR] = 3.04, P <. 001; T4a: OR = 2.89, P <. 001), adenoid cystic carcinoma histology (OR = 1.54, P =. 020), and those treated at nonacademic facilities (OR = 1.41, P =. 008). Patients who underwent a preoperative diagnostic biopsy had decreased odds of positive margins (OR = 0.72, P =. 014). Positive margins were associated with reduced overall survival (58% vs 69% 5‐year overall survival, P <. 001; hazard ratio = 1.49, P =. 001) when controlling for patient, tumor, and management factors.ConclusionsThe national positive margin rate of submandibular carcinoma is 41.0%. Preoperative biopsy and treatment at academic institutions independently decreased the risk of positive margins, and positive margins were independently associated with diminished overall survival. Positive margin rate for submandibular carcinoma may be considered a benchmark for quality of care.
The persistence versus interchangeability of migraine and tension-type headaches in a 5-year population-based validated survey
Authors: Oguz Akarsu Emel , Baykan Betul , Ertas Mustafa , Zarifoglu Mehmet , Orhan Elif Kocasoy , Saip Sabahattin , Siva Aksel , Karli Necdet ,   on behalf of the Turkish Headache Study Group
Published: June 2019

Objective The aim of this population-based validated study was to determine the course of tension-type headache and migraine and to evaluate the predictors of persistence. Methods We evaluated the course of headache in a large population from the first assessment in 2008 through a second assessment in 2013. Then we examined the factors associated with persistent migraine and persistent tension-type headache. Results Our study in 2013 revealed that only 42.9% of definite migraineurs in 2008 received the same diagnosis again, and of the remaining migraineurs 23.3% were newly diagnosed as definite tension-type headache; 11.6% evolved into probable tension-type headache, 6.4% changed to probable migraine, and 15.8% were headache free. The 17.7% of patients with definite tension-type headache in 2008 were newly diagnosed as having probable tension-type headache, 14.7% as having definite migraine, 6.4% as having probable migraine, and 28.9% as headache free in 2013, and only 32.3% received the definite tension-type headache diagnosis again. Binary logistic regression analysis showed nausea, throbbing and severe headache were the significant parameters for persistent migraine. A multiple regression analysis model with stepwise variable selection revealed that nausea, throbbing and severe headache and osmophobia remained in the final model as predictors of migraine persistence. We found no predictive factor for persistent tension-type headache. Conclusion Migraine and tension-type headache did not seem to show a simple bidirectional linear worsening from headache-free state to definite migraine or vice versa, hence the transitions between them are more chaotic, reflecting that there are still unknown modifiers and modulators. Certain headache characteristics of migraine might predict persistent migraine.
Metachronous bilateral testicular cancer: Case reports and review of literature
Authors: Low Zhi-Yang , Yan Angela , Arul Dhili , Chitale Sudhanshu 
Published: June 2019

Background: It is well recognised that men with unilateral testicular cancer may go on to develop metachronous cancer in the contralateral testis. Here, we present two cases of metachronous bilateral testicular cancer and a literature review. Clinical cases: In both cases, the second testicular cancer occurred several years after the initial cancer, and both cases were not screened for presence of contralateral germ cell neoplasia in situ upon the first diagnosis. Discussion: We also present a literature review on the need for screening biopsies of contralateral testis for germ cell neoplasia in situ and the risk factors which should encourage screening. Furthermore, we also explore the effect of chemotherapy on the incidence of contralateral testicular cancer and the effectiveness of radiotherapy in the treatment of germ cell neoplasia in situ. Conclusion: We believe that screening biopsies of the contralateral testis upon diagnosis of unilateral testicular cancer should be encouraged as it can lead to better management of the condition and a relatively favourable outcome on functional fronts.
Predictors of Supplemental Nutrition Assistance Program Use at Farmers’ Markets With Monetary Incentive Programming
Authors: Freedman Darcy A. , Ngendahimana David , Shon En-Jung , Merritt Kathryn , Pon Julia 
Published: June 2019

Purpose: Healthy food incentive program implementation targeting people receiving Supplemental Nutrition Assistance Program (SNAP) benefits is supported by the federal Food Insecurity Nutrition Incentive (FINI) grant program. This study examined factors contributing to increased SNAP use at farmers’ markets with an FINI-funded incentive program. Design: Implementation evaluation. Setting: Sixteen states and District of Columbia. Participants: Two hundred eighty-two FINI-funded farmers’ markets open in 2016. Measures: Weekly SNAP sales and transactions per 1000 SNAP households in the Zip Code Tabulation Areas around markets. Analysis: Two-level hierarchical regression modeling. Results: Most farmers’ markets (53%) had less than 100 SNAP transactions in 2016. Weekly SNAP sales and transactions per 1000 SNAP households were 69.9% and 47.7% higher, respectively, if more than 1 incentive was available versus 1. Not having paid market staff resulted in declines in these sales (−34.3%) and transactions (−38.1%) compared to markets with paid staff. There was a 6.2% and 5.1% increase in SNAP sales and transactions for each additional produce vendor. Weekly SNAP sales and transactions were about 2 to 3 times higher in rural areas compared to metropolitan. Clustering of markets within states explained 10% of the variation in weekly SNAP sales and transactions. Conclusion: Four implementation factors were identified that may facilitate the reach of SNAP-based monetary incentive programs at farmers’ markets to maximize reach and impact among SNAP shoppers.
Understanding retrospection: Blended joint attention and the multimodal construction of film flashbacks
Authors: Gordejuela Adriana 
Published: June 2019

The analysis of film discourse from a multimodal and cognitive perspective has shown in recent years that such an approach to the study of cinema is a very fruitful one. Among the various cinematic techniques that may be analysed as pieces of multimodal discourse, the flashback seems to be particularly appealing because, while being very rich and versatile, it is also a fixed device and common enough in film as to be studied in a systematic way. Given those characteristics – formal variety alongside stability – a relevant question would be: how do spectators make sense of film retrospections? To address this question, this paper suggests an examination of the multimodal cues offered by flashbacks in three different films – Ordinary People (1980), Big Fish (2003) and The Help (2011) – and analyses the cognitive processes that those cues activate and which make the comprehension of the flashback possible. What lies at the basis of the flashback scenes proposed is a joint-attention triangle formed by the viewer and the camera, who look together, first at the character in the present and then at the events taking place in the past. Ultimately, such scenes can only be understood in terms of blended joint attention, and they also reveal the importance of other cognitive processes at work, namely time compression, viewpoint integration, and identity and analogy connections.
The Gamification of Meditation: A Randomized-Controlled Study of a Prescribed Mobile Mindfulness Meditation Application in Reducing College Students’ Depression
Authors: Fish Matthew T. , Saul Amelia D. 
Published: June 2019

Objective. Roughly 35% of college students report depression as a significant concern, which unaddressed, can lead to an increased likelihood to quit school and develop comorbid conditions. Traditional depression interventions are useful; however, they are often expensive, stigmatizing, tedious, and time-intensive. We examined a prescribed mindfulness meditation regimen, which incorporates gamification principles, in reducing symptoms of depression compared to a control group. Materials and methods. We recruited and randomly assigned 72 college students to an experimental group (n = 33) or a control group (n = 39). The prescription for experimfiental group participants was ten 10-minute mobile mindfulness meditation sessions over a 14-day period; control group participants continued with business as usual. The Patient Health Questionnaire (PHQ-9) was used to test our hypothesis. Results. Repeated-measures ANOVA demonstrated a significant interaction of group by time for depression scores, supporting the hypothesis that experimental group participants would significantly decrease their depression symptom severity compared to control group participants post-intervention. Within-subjects contrasts and between-group analyses showed a significant decrease in depression symptom severity scores. Conclusion. Prescribed use of a gamified mindfulness meditation application significantly decreased depression symptom severity as measured by the PHQ-9. College students and mental health providers should consider these fun, inexpensive, and non-stigmatizing applications as a feasible intervention for college students to improve symptoms associated with depression.
The use of methoxyflurane (Penthrox®) for procedural analgesia in the emergency department and pre-hospital environment
Authors: Williams Owen D , Pluck Graham 
Published: June 2019

Background Methoxyflurane is an inhaled analgesic agent licensed in the United Kingdom for the relief of moderate to severe pain in conscious patients with trauma. Methoxyflurane has been widely used by Australian ambulance services since the 1970s. Aims Primary aim: To assess the efficacy of methoxyflurane for procedural analgesia in the emergency department and pre-hospital environment. Secondary aims: to assess the efficacy of methoxyflurane for analgesia in the emergency department and pre-hospital environment; to assess the safety of methoxyflurane as an analgesic. Method A literature search of Medline, EMBASE, CINAHL and Cochrane databases was performed. A total of 59 articles were reviewed. Results One study using methoxyflurane for procedural analgesia in the emergency department was found. Multiple studies demonstrate the use of methoxyflurane for procedural analgesia for painful procedures outside the emergency department. Compared to other analgesics, methoxyflurane provides adequate analgesia. Overall, methoxyflurane is inferior to fentanyl or morphine, but it provides quicker onset analgesia compared to fentanyl and tramadol. It provides similar analgesia to nitrous oxide. Nephrotoxicity is dose dependent. Used in the analgesic doses, the risk of clinically significant kidney injury is negligible. Rare cases of unpredictable, severe hepatitis are reported. Discussion The efficacy of methoxyflurane and its acceptability to patients and clinicians has been shown in a number of studies. As would be expected in any procedural analgesic choice, patient and clinician factors and the procedure planned are all important considerations. Compared to other analgesic agents, methoxyflurane performs favourably with a low chance of adverse events. Conclusion Methoxyflurane is an efficacious analgesic agent in the emergency department and pre-hospital environment. It is easily portable and has a rapid onset. Methoxyflurane is suitable for use in procedural analgesia and as a bridging analgesic agent. Risks to the patient from renal or hepatic injury, cardiorespiratory depression or malignant hyperthermia are low.
Outcomes of Lung Transplantation for Cystic Fibrosis in the Setting of Extensively Drug-Resistant Organisms
Authors: Winstead Ryan J. , Waldman Georgina , Autry Elizabeth B. , Evans Rickey A. , Schadler Aric , Kays Lindsey , Baz Maher , Anstead Michael I. , Shafii Alexis , Goetz Megan E. 
Published: June 2019

Introduction: Since the largest study on extensively drug-resistant organisms and lung transplantation in patients with cystic fibrosis, there have been innovations and advancements in the treatment of Pseudomonas aeruginosa. Research Question: What differences exist for patients with cystic fibrosis with a history of extensively drug-resistant infections who undergo lung transplantation despite treatment advances with antimicrobial therapy? Study Design: Two-center, retrospective, cohort study conducted in 44 patients with cystic fibrosis chronically infected with extensively drug-resistant organisms who received a lung transplant from January 2008 through August 2016. Patients in the resistant cohort were chronically infected with pan-resistant P aeruginosa, polymyxin-sensitive only, or sensitive to 2 antibiotic classes (polymyxin plus one other); remaining patients with more susceptible P aeruginosa or no P aeruginosa remained in the control cohort. The primary outcome is a composite of patient survival, retransplantation, chronic lung allograft dysfunction, and acute rejection 12 months posttransplant. Categorical variables were analyzed using χ2 testing. The independent samples t test was utilized for continuous variables. Results: There was no difference in the primary outcome (40% vs 37%, P = .831). Differences between patient survival (84% vs 95%, P = .487), the incidence of acute rejection (20% vs 33%, P = .323), and the incidence of chronic lung allograft rejection (12% vs 5%, P = .441) were not different between groups. Discussion: Recipients chronically infected with an extensively resistant P aeruginosa had similar outcomes compared to those infected with more sensitive organisms.
Mid-term follow-up of staged bilateral internal carotid artery aneurysm treatment with Pipeline embolization
Authors: Tejada Juan G , Lopez Gloria VV , Koovor Jerry ME , Riley Kalen , Martinez Mesha 
Published: June 2019

Background Endovascular treatment of large complex morphology aneurysms is challenging. High recanalization rates have been reported with techniques such as stent-assisted coiling and balloon-assisted coiling. Flow diverter devices have been introduced to improve efficacy outcomes and recanalization rates. Thromboembolic complications and in-device stenosis are certainly more worrisome when treatment of bilateral internal carotid arteries has been performed. This study aimed to report our experience with mid-term imaging follow-up of staged bilateral Pipeline embolization device placement for the treatment of bilateral internal carotid artery aneurysms. Methods We reviewed the clinical, angiographic, and follow-up imaging data in all consecutive patients treated with bilateral internal carotid artery aneurysms who underwent elective Pipeline embolization. Results Six female patients were treated, harboring a total of 13 aneurysms. Of these, 60% were asymptomatic. Diplopia and headache were the most common symptoms. The most common location was the paraclinoid segment (6/13), including by cavernous segment (4/13) and ophthalmic segment (2/13). Successful delivery of the device was achieved in 12 cases. Difficult distal access precluded the deployment of the device in one case. The treatment was always staged with at least eight weeks' difference between the two procedures. All aneurysm necks were covered completely. There were no periprocedural complications. Angiographic follow-up ranged between 3 and 12 months, and computed tomography angiogram follow-up ranged between 2 and 24 months. Complete aneurysm occlusion was achieved in all cases. Conclusion In our series, Pipeline deployment for the treatment of bilateral internal carotid artery aneurysms in a staged fashion is safe and feasible. Mid-term imaging follow-up showed permanent occlusion of all the treated aneurysms.