bluuebunny/crossref_metadata_2025_split huggingface dataset:
Neoliberal Redistributive Policy: The US Net Social Wage in the Early Twenty-First Century
Authors: Moos Katherine A. 
Published: August 2019

This paper estimates the net social wage—the difference between labor benefits and labor taxation—from 1959 to 2012 in the United States using two different methodologies. During this period the average NSW1/GDP and NSW2/GDP ratio are 1.3 and −3.8 percent, respectively. This paper finds a deviation in the net social wage data starting in 2002, suggesting greater redistribution to US workers in the early twenty-first century than in the twentieth century. This paper argues that the increase in the US net social wage in the early twenty-first century is being caused by a combination of cyclical, structural, and secular factors. US redistributive policy should be understood as stabilizing and subsidizing the social reproduction of labor. JEL Classification: H5, E62, B5
Variation in Utilization of Intensive Care for Pediatric Diabetic Ketoacidosis
Authors: Vyas Arpita K. , Chan Yiu Ming , Oud Lavi 
Published: August 2019

Objective: To examine the hospital-level variation in intensive care unit (ICU) utilization and quantify the relative contribution of patient and hospital characteristics versus individual hospital factors to the variation in ICU admission rates among pediatric hospitalizations with diabetic ketoacidosis (DKA). Methods: The Texas Inpatient Public Use Data File was used to identify hospitalizations of state residents aged 1 month to 19 years with a primary diagnosis of DKA between 2005 and 2014. Multilevel, mixed-effects logistic regression modeling was performed to examine the association of patient- and hospital-level factors with ICU admission. Risk and reliability adjustment was then performed to assess hospital-level variation in ICU utilization. Intraclass correlation coefficient was used to quantify variation in use of ICU attributable to individual hospitals. The association between adjusted rates of ICU admission and total hospital charges and length of stay was examined using linear regression. Results: Of the 23 585 DKA hospitalizations, 14 638 (62.1%) were admitted to ICU. On multilevel analysis, the odds of ICU admission progressively decreased with rising volume of DKA hospitalizations (adjusted odds ratio: 0.08 [highest vs lowest quartile]; 95% confidence interval [CI]: 0.03-0.24). The crude median (interquartile range [IQR]; range) of ICU admissions across hospitals was 82.6% (73%-90%; 11.1%-100%). The median (IQR) risk- and reliability-adjusted ICU admission rate was 81.0% (73.0%-86.9%), ranging from 11.2% to 94%. Following risk and reliability adjustment, the intraclass correlation coefficient was 0.005 (95% CI: 0.004-0.006). For each 10% increase in adjusted ICU admission rate, total hospital charges rose by 7% (95% CI: 3%-11%). There was no association between ICU admission rates and hospital length of stay. Conclusion: Although high variation in ICU utilization was noted across hospitals among pediatric DKA hospitalizations, the proportion of variation attributable to individual hospitals was negligible, once adjusted for patient mix and hospital characteristics.
Daily Adolescent Sugar-Sweetened Beverage Intake Is Associated With Select Adolescent, Not Parent, Attitudes About Limiting Sugary Drink and Junk Food Intake
Authors: Imoisili Omoye E. , Park Sohyun , Lundeen Elizabeth A. , Yaroch Amy L. , Blanck Heidi M. 
Published: August 2019

Purpose: To examine associations of adolescent sugar-sweetened beverage (SSB) intake with parent SSB intake and parent and adolescent attitudes about limiting SSB and junk food (SSB/JF) intake. Design: Quantitative, cross-sectional study. Setting: The 2014 Family Life, Activity, Sun, Health, and Eating study. Sample: Parent–adolescent dyads (N = 1555). Measures: The outcome was adolescent SSB intake. Exposure variables were parent SSB intake, sociodemographics, and parent and adolescent attitudes about SSB/JF intake (responses: agree, neither, or disagree). Analysis: Multinomial logistic regressions estimated adjusted odds ratios (aOR) and 95% confidence intervals (CIs). Results: Half (49.5%) of adolescents and 33.7% of parents consumed SSB ≥1 time/day. Parent daily SSB intake was associated with adolescent daily SSB intake (aOR = 8.9; CI = 4.6-17.3) [referent: no consumption]. Adolescents who disagreed on having confidence to limit SSB/JF intake had higher odds of daily SSB intake (aOR = 3.5; CI = 1.8-6.8), as did those who disagreed they felt bad about themselves if they did not limit SSB/JF intake (aOR = 1.9; CI=1.1-3.3), compared to adolescents who agreed with these attitudes. No parental attitudes were significant. Conclusion: Higher odds of daily SSB intake among adolescents was associated with parent SSB intake and adolescent attitudes about confidence in, and feeling bad about, limiting SSB/JF intake. Parent attitudes were not associated with daily adolescent SSB intake. Efforts to reduce adolescent SSB intake could consider strategies geared toward improving adolescent attitudes and dietary behaviors and parental SSB intake.
Smoke-Free Outdoor Seating Policy: 1-Year Changes in Compliance of Bars and Restaurants in Philadelphia
Authors: Ocampo Pilar , Coffman Ryan , Lawman Hannah 
Published: August 2019

Purpose: To evaluate changes in compliance with a smoke-free outdoor seating policy before and after passage of a local regulation in 2015, which reinterpreted Philadelphia’s Clean Indoor Air Worker Protection Law to include outdoor seating areas of food or beverage establishments. Design: Natural experiment. Setting: Philadelphia, Pennsylvania. Sample: Food or beverage establishments (N = 108). Establishments were comprised of sit-down restaurants, cafes, quick-service restaurants, and bars. Measures: Presence of outdoor smoking and smoking-related litter on a given day were measured as binary variables. A geographic information system–based survey developed for this study was used to collect observational data. Analysis: Logistic regressions were used to determine the change in odds of observing outdoor smoking and smoking-related litter on a given day from baseline (preregulation) to follow-up (postregulation). Results: Compliance with smoke-free outdoor seating increased from 84.5% to 95.4% after passage and implementation of the regulation. Results showed a significant 75% decrease (odds ratio [OR]: = 0.25, 95% confidence interval [CI]: 0.08-0.67) in odds of outdoor smoking and a slight decrease in smoking-related litter (OR: 0.81, 95% CI: 0.39-1.65) at follow-up in establishments overall. However, at baseline, bars had higher odds of outdoor smoking (OR: 2.68, 95% CI: 0.57-12.72) and smoking-related litter (OR: 4.09, 95% CI:, 1.87-9.49) compared to sit-down restaurants. Conclusion: Results suggest there is high compliance with low-cost, low-burden, smoke-free outdoor seating policy and that enforcement is best targeted toward bars.
Subjective Memory Complaints in White and African American Participants
Authors: John Samantha E. , Evans Sarah A. , Hanfelt John , Loring David W. , Goldstein Felicia C. 
Published: August 2019

Objective: Subjective memory complaints (SMCs) are associated with mild cognitive impairment and dementia but are understudied in African Americans (AAs). We compared SMC endorsement in white and AA participants and evaluated predictors of diagnostic progression. Methods: Initial visit variables, including SMC and memory performance, were compared within a cognitively normal race-matched sample of white and AA participants ( N total = 912; 456each race) to assess the presence and predictors of SMC, the predictors of future diagnostic progression, and the change in memory performance over time. Results: More white (32.9%) than AA (24.3%) participants reported SMC ( P < .01, ϕ = −.10). Subjective memory complaint was predicted by memory performance ( B = −0.03, standard error [SE] = 0.013, odds ratio [OR] = .968, P < .05) and race ( B = −0.99, SE = 0.080, OR = .373, P < .001). Subjective memory complaints and memory performance were associated with progression, χ2 (3, n = 912) = 102.37, P < .001. African American race (−2.05 ± 0.24 SE) and SMC (−0.45 ± 0.21 SE) were associated with worse memory performance at baseline and over time, χ 2(3) = 13.54, P < .01. Conclusions: In contrast to previous research, our study found that SMC is associated with diagnostic progression and objective memory declines in both white and AA participants.
Outcomes Associated With the Adjunctive Use of Dipeptidyl Peptidase-4 Inhibitors With Insulin Versus Other Antihyperglycemic Medications in Patients With Prediabetes or Diabetes After Cardiac Surgery
Authors: Clark Lisa , Weeda Erin , Griffin Mary Lewis , Jones Lee Ann , Haney Jason 
Published: August 2019

Background: Dipeptidyl peptidase-4 inhibitors (DPP-4i) plus basal insulin is noninferior to insulin monotherapy for glycemic control in medical–surgical patients, but data in postoperative cardiac surgery patients are sparse. Objective: To compare glucose control in postoperative cardiac surgery patients with prediabetes or diabetes receiving a DPP-4i plus insulin versus other antihyperglycemic regimens. Methods: We retrospectively identified patients with prediabetes or diabetes who underwent cardiac surgery at our hospital between May 2016 and June 2017. Included patients were stratified into cohorts: (1) DPP-4i plus insulin and (2) other antihyperglycemic regimens. Blood glucose levels were collected on postoperative days 2 to 7. Uncontrolled glucose (≥2 measurements <80 or >180 mg/dL in 1 day), hyperglycemia (>2 measurements ≥180 mg/dL in 1 day), and hypoglycemia (any measurement <70 mg/dL) were compared between cohorts using logistic regression adjusted for home antihyperglycemics. Results: We included 135 cardiac surgery patients, of which 65 received DPP-4i plus insulin. Eighty-two patients received antihyperglycemics at home. Uncontrolled glucose occurred in 61 (45.2%) patients; while hyperglycemia and hypoglycemia occurred in 50 (37.0%) and 24 (17.8%) patients, respectively. There was no difference in the adjusted odds of uncontrolled glucose (odds ratio [OR] = 1.43; 95% confidence interval [CI] = 0.65-3.11), hyperglycemia (OR = 1.20; 95% CI = 0.52-2.78), or hypoglycemia (OR = 0.69; 95% CI = 0.27-1.75) for those receiving DPP-4i plus insulin versus other regimens. Conclusion: Glucose control was no different among postoperative cardiac surgery patients receiving a DPP-4i plus insulin versus other regimens. DPP-4i use was not associated with hypoglycemia.
Lateral rectus advancement versus medial rectus recession for consecutive esotropia
Authors: Fard Masoud Aghsaei , Ghahvehchian Hossein 
Published: August 2019

Purpose: To compare lateral rectus advancement with medial rectus recession for patients with consecutive esotropia without abduction limitation. Methods: Forty-three patients who developed consecutive esotropia following bilateral lateral rectus recession for intermittent exotropia were reviewed retrospectively. Twenty-two patients underwent lateral rectus advancement (lateral rectus advancement group) and medial rectus recession was performed in 21 patients (medial rectus recession group). Success rate of the surgery was based on the percentage of postoperative esophoria or exophoria of less than 8 PD, which did not require a third surgery. Mean follow-up after second surgery was 23.5 ± 8.7 months. Results: Mean consecutive esotropia in the lateral rectus advancement group was 24.8 ± 9.0 PD. Eight patients were orthophoric after second surgery; mean postoperative esophoria and exophoria/tropia was 5.4 ± 3.4 PD and 6.5 ± 5 PD, respectively. Postoperative success rate in this group was 90.9%. Mean consecutive esotropia in the medial rectus recession group was 21 ± 98.4 PD. Three patients were orthophoric after second surgery; mean postoperative esotropia/phoria and exophoria was 9.5 ± 5.0 PD and 5.2 ± 1.3 PD, respectively. Postoperative success rate in this group was 71.4%. Postoperative undercorrection rate of 4.5% in lateral rectus advancement group was significantly less than the similar measure of 28.6% in medial rectus recession group (chi-square, P = 0.03). Conclusion: Advancement of the previously recessed lateral rectus has improved consecutive esotropia better than medial rectus recession.
Differentiation in the International Baccalaureate Diploma Programme
Authors: Dulfer Nicky 
Published: August 2019

There is now widespread acceptance of the importance of differentiated instruction in today’s classrooms. However, much of the research regarding differentiated instruction takes place in primary and middle years environments, with very little focussed on the senior secondary years. This article explores differentiated instruction practices in senior secondary high stakes environments. Specifically focussed on the experiences of teachers in the International Baccalaureate Diploma Programme (IBDP) in Hong Kong and Australia, where the IB is predominately taught in high-fee-paying institutions, the article explores some of the current practices and concerns of teachers involved in the programme. In exploring differentiated instruction in the IBDP it asks the questions 1) How do teachers employ differentiation in their approaches to teaching in IBDP environments?, and 2) What factors inhibit or enable differentiation in their classrooms? Results from the study indicate that teachers of the IBDP provide several differentiation opportunities within the content and product areas. However, the areas of process and environment were more problematic, with the amount of content that needed to be covered impacting on the approach to teaching and learning adopted by both the teachers and the students. The IB prides itself on its Learner Profile attributes which support the students to become “inquiring, knowledgeable and caring young people who help to create a better and more peaceful world through intercultural understanding and respect.” (IB, 2019a). However, in this study questions were raised regarding the amount of time students are given to think, reflect, or inquire. This is something that all senior secondary years programmes will need to consider as we move through the twenty-first century.
Are adolescent sports fans more physically active than the sports indifferent? A self-reported questionnaire study
Authors: Yargic MP , Kurklu GB 
Published: August 2019

Aims: Physical inactivity in adolescents is a global health problem. Eighty percent of adolescents worldwide do not meet the minimum recommended physical activity. Although many adolescents define themselves as a ‘sports fan’, the relationships between sports spectatorship and sport participation in adolescents have not yet been investigated. Here, we determine whether there is a relationship between the levels of sports spectatorship and physical activity among adolescents. Methods: The Physical Activity Questionnaire for Adolescents (PAQ-A), Sport Spectator Identification Scale (SSIS) and three questions regarding total screen time spent watching a sports game and other sports-related screen time on weekdays and weekends were given to high school students in two cities in Turkey (Konya and Ankara). Results: After excluding 21 invalid questionnaires, a total of 1100 full and valid questionnaires were returned from the participants (578 females, 522 males). Participants were aged between 13 and 19 (median = 15) years. Female students had lower PAQ-A (median = 2.38, interquartile range (IQR) = 0.99) and SSIS scores (median = 19, IQR = 24) and less total screen time on weekends compared to male students (median PAQ-A = 2.64, IQR = 1.05; median SSIS = 29, IQR = 30) ( p < .05). The physical activity level of the students was significantly lower among those at higher grades. A weak positive correlation was found between SSIS scores and PAQ-A scores ( r = .28, p < .01). Multiple linear regression analysis revealed that sex, age and SSIS scores were all significant predictors of PAQ-A scores ( p < .001). Conclusions: When comparing female and male adolescents, we found that females scored significantly less in mean physical activity levels, screen time on weekends and sports spectator identification. A positive correlation was observed between sports spectator identification and physical activity levels, both in males and in females. Higher sports spectator identification, being younger and being male were all significant predictors of higher levels of physical activity.
Physical activity is associated with a large number of cardiovascular-specific proteins: Cross-sectional analyses in two independent cohorts
Authors: Stattin Karl , Lind Lars , Elmståhl Sölve , Wolk Alicja , Lemming Eva Warensjö , Melhus Håkan , Michaëlsson Karl , Byberg Liisa 
Published: August 2019

AimsWe aimed to discover and replicate associations between leisure-time physical activity and cardiovascular candidate plasma protein biomarkers and to examine whether the associations were independent of body fat.MethodsWe used cross-sectional data from two population-based cohorts, the EpiHealth (discovery cohort; n = 2239) and the Swedish Mammography Cohort – Clinical (SMCC; replication cohort; n = 4320). Physical activity during leisure time was assessed using questionnaires, and plasma concentrations of 184 proteins were assayed using the Olink Proseek Multiplex Cardiovascular 2 and 3 kits. We applied adjusted linear regression models using the False Discovery Rate to control for multiple testing in discovery.ResultsIn EpiHealth, physical activity was associated with 75 cardiovascular plasma biomarkers, of which 28 associations were verified (replicated) in SMCC. Findings include seven novel associations in human: paraoxonase 3, cystatin B, cathepsin Z, alpha-L-iduronidase, prostasin, growth differentiation factor 2 and tumour necrosis factor alpha receptor superfamily member 11A. Estimates for associations were similar across tertiles of body fat and physical activity was associated with four biomarkers independent of body fat percentage: paraoxonase 3, cystatin B, fatty acid-binding protein 4 and interleukin-1 receptor antagonist.ConclusionLeisure-time physical activity was associated with 28 cardiovascular-specific proteins; four associations were independent of body fat. Biomarkers in novel associations are involved in several atherosclerotic processes including regulation of low-density lipoprotein oxidation, protein degradation and immune cell adhesion and migration. Further research into these pathways may yield new insights into how physical activity affects cardiovascular health.
Synergistic effects of ADAMTS13 deficiency and complement activation in pathogenesis of thrombotic microangiopathy
Authors: Zheng Liang , Zhang Di , Cao Wenjing , Song Wen-Chao , Zheng X. Long 
Published: August 2019

AbstractThis study in mice suggests a synergistic role of ADAMTS13 deficiency and complement “hyperactivatability” in the pathogenesis of thrombotic microangiopathy.
Effects of the SGLT2 inhibitor dapagliflozin on cardiac function evaluated by impedance cardiography in patients with type 2 diabetes. Secondary analysis of a randomized placebo-controlled trial
Authors: Bonora Benedetta Maria , Vigili de Kreutzenberg Saula , Avogaro Angelo , Fadini Gian Paolo 
Published: August 2019

Abstract
Background and aims
Cardiovascular outcome trials have documented a strong benefit of sodium glucose cotransporter-2 inhibitors (SGLT2i) on the risk of hospitalization for heart failure (HF) in patients with type 2 diabetes (T2D) with or without established cardiovascular disease or prior history of HF. The mechanisms, however, are not entirely clear. We aimed to evaluate whether treatment with SGLT2i affected cardiac function using impedance cardiography (ICG) in a randomized placebo-controlled trial.

Materials and methods
Thirty-three patients with T2D were randomized to receive blind dapagliflozin 10 mg or matching placebo for 12-week on top of their ongoing glucose lowering medication regimen. Cardiac function was evaluated by resting ICG at baseline and at the end of the 12-week treatment period. ICG is a non-invasive technology based on the continuous measurement of thoracic electrical conductivity to process a cardiodynamic parameters related to fluid content, blood flow, cardiac function, and circulatory function. We also evaluated changes in glycaemic control, blood pressure, and body weight.

Results
Thirty-one patients completed the study, 1 was excluded because ICG data was missing. Patients included in the final analysis were on average 63.4-year-old, with a known diabetes duration of 14.1 years and a baseline HbA1c of 8.2% (66 mmol/mol). 63.3% of patients had established cardiovascular disease (symptomatic or asymptomatic) and 36.7% had microangiopathy, but none had a prior history of HF. After 12 weeks, patients randomized to dapagliflozin, as compared to those randomized to placebo, showed improvements in HbA1c (− 1.2%; 13 mmol/mol), systolic blood pressure (− 3.7 mmHg), and body weight (− 3.3 kg). Based on ICG, in both groups, we detected no significant change in parameters of blood flow (stroke volume, cardiac output, cardiac index), systolic function (ejection fraction, acceleration and velocity indexes, systolic time ratio), circulatory function (systemic vascular resistance index), and fluid status (thoracic fluid content) after treatment.

Conclusion
This is the first study exploring cardiac effects of SGLT2i using ICG in T2D. We observed no change in cardiac function parameters estimated by ICG in T2D patients who received dapagliflozin versus placebo for 12 weeks.
Trial registration ClinicalTrial.gov NCT02327039. Registered 30 December 2014