bluuebunny/crossref_metadata_2025_split huggingface dataset:
“Swearing to Yahweh, but Swearing by Mōlek-Sacrifices”: Zephaniah 1:5b
Authors: Dewrell Heath D. 
Published: August 2019

AbstractZephaniah 1:5b, which refers to “swearing to Yahweh, and/but swearing by mlkm,” represents an interpretative crux. Scholars have offered a variety of suggestions concerning who or what this “mlkm” is. After surveying previous proposals, this essay suggests that “mlkm” should be understood as “mōlek-sacrifices.” This meaning fits the context well, as rites with the same name were bound up with vows in the Punic colonies of the central Mediterranean. In addition to clarifying the meaning of Zeph 1:5b, understanding “mlkm” as “mōlek-sacrifices” is also significant in that it would provide our first piece of native corroborating evidence that mōlek-sacrifices were bound up with vows in Israel, just as they were in the Punic colonies.
The Normalizing Power of the Therapeutic God
Authors: Ratinen Teemu 
Published: August 2019

Abstract
This article analyses autobiographical letters on (perceived) shameful sexuality and religiosity written by Finnish Lutheran women. It examines how the affect of shame constructs gendered, sexualized and religious subjectivity and agency as an effect of normalizing power within an individual’s relationship with God. The psychologization process of late 20th century Western culture works as a framework for the discussion. The article argues that the modern psychoreligious ethos, within which the Christian God is understood as an all-loving being, restructures subjectivity and agency in a manner in which a self is seen as something to be liberated to its authentic state. At the same time, however, the image of an all-loving God normalizes gender, sexuality and religiosity in accordance with heteronormative ideals. Moreover, the article argues that examining the normalizing aspect of different affectual practices reframes the subordination/subversion paradox central to the discussion on women’s religious agency.
Transition and Authority
Authors: Schrijvers Lieke L. 
Published: August 2019

Abstract
The article presents two case studies of two women who were confronted with a loss of religious authority as they were asked to resign from their lay leading positions after their coming-out as transwomen in the Roman Catholic Church and the Protestant Church in the Netherlands. By focusing on these stories, this article provides further insight into queer lives in Europe starting from the intersections of gender, sexuality and religion. The cases show how the position of transwomen is negotiated by both religious structures as well as by transwomen themselves. The analysis focuses particularly on the interactions between the women and their community and church authorities and examines the use of gender/sexuality terminology, the role of the body, and the individualization of faith. This article brings together insights from religious studies, gender, trans* and queer studies, which allows for a multi-layered understanding of trans* and religion in a European context.
Determinants of Individual Prosociality and of Collective Social Solidarity-Cohesion: A Literature Review
Authors: Horton Smith David 
Published: August 2019

AbstractThe foundations of volunteering, charitable giving, voluntary associations, voluntary agencies, and other aspects of the Voluntary Nonprofit Sector (VNPS) collectively and individual voluntary action lie in various aspects of human nature and human societies. These may be referred to variously as altruism, morality, ethics, virtue, kindness, generosity, cooperation, social solidarity, and prosociality. Such foundations of the VNPS, and specifically of social solidarity and prosociality, are the subjects of this literature review article/book. The central goal here is to provide a comprehensive and interdisciplinary theoretical framework for understanding, explaining, and predicting such phenomena, based on two versions of the author’s S-Theory.
The predictive value of individual and work-related resources for the health and work satisfaction of German school principals
Authors: Dadaczynski Kevin , Paulus Peter , Horstmann David 
Published: August 2019

Objective: This study aimed to investigate individual and work-related resources (decision latitude, self-efficacy and work-related sense of coherence) and their relationship to health and work outcomes (general health, cognitive and emotional irritation, and work satisfaction) among German school principals. Method: In 2016, all teachers and principals in Lower Saxony, Germany, were invited to participate in an online-based cross-sectional study. Data from a sub-set of 1,026 school principals and members of the school leadership team (i.e. vice principals) were analysed using univariate and bivariate analysis and stepwise linear regression. Results: Findings revealed fairly high levels of self-efficacy and decision latitude and low levels of sense of coherence for administrative tasks. With regards to health, more than one quarter of respondents reported a poor general health status, and more than one third reported being dissatisfied or very dissatisfied with their work. Primary school principals were more often affected by low levels of resources as well as lower health status and work satisfaction. Based on a series of regression analyses, decision latitude and self-efficacy proved to be the strongest predictors of all health and work outcomes. Conclusion: Given that school leaders are of critical importance for their entire school, this professional group should be placed more firmly in the focus of school health education and promotion. There is a particular need for health promotion measures for primary school principals, who have the least resources and the lowest health status.
Increase in the prevalence of health anxiety in medical clinics: Possible cyberchondria
Authors: Tyrer Peter , Cooper Sylvia , Tyrer Helen , Wang Duolao , Bassett Paul 
Published: August 2019

Background: Health anxiety may be an increasing problem because of the focus on monitoring health and increasing use of the Internet for self-diagnosis (cyberchondria). There is very little information about changes in the prevalence of health anxiety. Aim: We compared the prevalence of health anxiety in four medical clinics in one hospital over a 4-year period using the Health Anxiety Inventory (HAI) as a diagnostic marker. Method: Patients attending cardiology, endocrine, gastroenterology and respiratory medicine clinics at King’s Mill Hospital, North Nottinghamshire, completed the HAI while waiting for their appointments. There were eight research assistants involved in collecting data, two in the 2006–2008 period and six in the 2008–2010 period. As a consequence, more data were collected on the second occasion. Results: There was an increase in the prevalence of health anxiety from 14.9% in 2006–2008 (54 positive of 362 assessed) to 19.9% (1,132 positive out of 5,704 assessed) in 2008–2010. This increase was primarily noted in gastroenterology clinics (increase of 10%) and not shown in endocrine ones. Conclusion: The prevalence of health anxiety is increasing in those who attend medical out-patient clinics. Reasons are given that this may be a possible result of cyberchondria, as the excessive use of the Internet to interpret troubling symptoms is growing. Further studies are needed in other populations, but there is reason to be concerned at this trend as it is likely to increase the number of medical consultations unnecessarily.
Stigma and discrimination in individuals with severe and persistent mental illness in an assertive community treatment team: Perceptions of families and healthcare professionals
Authors: O’Reilly Claire L , Paul Diane , McCahon Rebecca , Shankar Sumitra , Rosen Alan , Ramzy Thomas 
Published: August 2019

Aim: To explore family member and staff perceptions of clients’ experiences of stigma and discrimination, in those living with severe and persistent mental illness in an Assertive Community Treatment Team. Method: This qualitative study used the Discrimination and Stigma Scale to conduct structured face-to-face and telephone interviews of family members and healthcare professionals, working with the Assertive Outreach Team (AOT) (an Assertive Community Treatment Team) of a northern inner suburban catchment of Sydney, New South Wales, Australia. Results: Forty-one people participated in the study (23 AOT clinical staff members and 18 family members). Family and clinical staff commonly reported stigma and discrimination amongst their relatives and clients, respectively. Four overarching themes emerged from the data: (1) appearance and behaviour, (2) avoidance and being shunned, (3) key areas of life affected by discrimination and (4) impacts of discrimination and skills to cope with discrimination. Conclusion: Reports of stigma and discrimination were common, yet varied between groups with clinical staff commonly witnessing experiences and impacts of discrimination in everyday life, with families’ reports being substantially less. Due to the strong advocacy and support provided by the AOT model, clinical staff often buffered experiences of stigma and discrimination. Further research is needed to explore effective interventions to reduce experiences of discrimination in this population group.
A Diabetes Education Model in Primary Care: Provider and Staff Perspectives
Authors: Siminerio Linda , Hamm Megan , Kanter Justin , Cameron Flor de Abril , Krall Jodi 
Published: August 2019

Purpose The purpose of this qualitative study was to explore the effectiveness of Glucose to Goal (G2G), a diabetes self-management education and support (DSMES) model for primary care (PC). Methods PC providers and staff were recruited from 5 PC practices participating in the 18-month intervention to participate in focus groups and interviews, which were used to gain insights about their perspectives on DSMES and how G2G was implemented across the intervention. Data were collected by qualitative researchers at baseline, midpoint, and study completion. Results At baseline, PC participants held a favorable view of DSMES and welcomed having a diabetes educator (DE) in their practice. Most participants suggested DEs would be helpful in meeting patients’ nutrition needs but should give therapeutic advice only with a doctor’s oversight. Participants anticipated that having a DE onsite would mitigate transportation, scheduling, communication, and cost barriers. Participant viewpoints about G2G remained unchanged from midpoint to study end, while barriers regarding location and transportation were perceived as being reduced by having a DE in the practice. Despite referral rates remaining low in some practices, many concerns stated at earlier timepoints appeared to have been attenuated by G2G components (eg, bringing the DE onsite, preidentifying patients, and DE ability to communicate and make diabetes management recommendations). Conclusions This study demonstrates that G2G, providing DSMES in PC, appeared to be a welcome service where acceptance of and enthusiasm for the model grew over the course of the intervention.
80-kVp hepatic CT to reduce contrast medium dose in azotemic patients: a feasibility study
Authors: Holmquist Fredrik , Söderberg Marcus , Nyman Ulf , Fält Tobias , Siemund Roger , Geijer Mats 
Published: August 2019

Background Low peak kilovoltage (kVp) computed tomography (CT) may be used to reduce contrast medium doses in patients at risk of contrast medium-induced acute kidney injury if image noise can be controlled by increasing X-ray tube loading (mAs). Purpose To evaluate objective and subjective image quality in 80-kVp CT with reduced contrast medium dose and compensated mAs for unchanged image noise in patients with estimated glomerular filtration rate <45 mL/min compared with the standard 120-kVp protocol. Material and Methods 80-kVp CT with 300 mg I/kg in 40 patients (body mass index 18–32 kg/m2, glomerular filtration rate <45 mL/min) and 120-kVp CT with 500 mg I/kg in 40 patients (body mass index = 17–30 kg/m2, glomerular filtration rate ≥45 mL/min) was compared on mean hepatic attenuation, image noise, contrast medium enhancement, signal-to-noise ratio, contrast-to-noise ratio, effective radiation dose, and subjective image quality. Results There were no significant differences regarding median hepatic post-contrast attenuation, image noise, contrast medium enhancement, signal-to-noise ratio, contrast-to-noise ratio, or effective dose between the 80-kVp and 120-kVp cohorts: 114/110 HU; 14/14 HU; 57/53 HU; 8.0/7.4; 3.8/3.5; and 5.3/5.9 mSv, respectively. However, subjective image visual grading showed statistically significantly inferior scores for 80 kVp for six of eight items. After exclusion of seven inferior examinations not caused by the chosen kVp technique, only three items showed inferior scores for 80 kVp. Only 5% of gradings regarding overall image quality were <3 of 5 points. Conclusion Despite lower subjective image quality, objective data indicate that 80-kVp CT with reduced contrast medium doses and compensated mAs may have the potential to provide satisfactory diagnostic quality in patients with body mass index <30 kg/m2, which could benefit patients at risk of contrast medium-induced acute kidney injury.
Precentral and cerebellar atrophic changes in moyamoya disease using 7-T magnetic resonance imaging
Authors: Moon Hyeong Cheol , Oh Byeong Ho , Cheong Chaejoon , Kim Won Seop , Min Kyung Soo , Kim Young Gyu , Park Young Seok 
Published: August 2019

Background Chronic repeated transient ischemic changes are one of the common symptoms of moyamoya disease that could affect cortical and subcortical atrophy. Purpose We aimed to assess the cortical gray matter volume and thickness, white matter subcortical volume, and clinical characteristics using 7-T magnetic resonance imaging (MRI) and MR angiography (MRA). Material and Methods In this case-control study, whole-brain parcellation of gray matter and subcortical volumes were manually assessed in nine patients with moyamoya disease (18 hemispheres; median age = 34 years; age range = 10–60 years) and nine healthy controls (18 hemispheres; median age = 29 years; age range = 20–62 years) matched for age and sex, who underwent both 7-T MRI and MRA. The volumes were measured using high-resolution image (<1 mm) processing based on the Desikan-Killiany-Tourville (DKT) atlas, via an automated segmentation method (FreeSurfer version 6.0). Results The gray matter volume of the left precentral cortex and the white matter volume of the subcortical cerebellum were lower in both hemispheres in the patients with moyamoya disease compared to the healthy controls. Conclusion Gray matter atrophy in the precentral cortex and cerebellar white matter were detected in this 7-T MRI volumetric analysis study of patients with moyamoya disease who experienced repeated transient ischemic changes. Cortical atrophy in precentral cortex and cerebellum could explain the transient motor weakness in patients with moyamoya disease, as one of the early findings was that patients with moyamoya disease do not have detectable infarction changes on conventional MRI images.
Feasibility and safety of combined cytokine adsorption and continuous veno-venous hemodialysis with regional citrate anticoagulation in patients with septic shock
Authors: Dimski Thomas , Brandenburger Timo , Slowinski Torsten , Kindgen-Milles Detlef 
Published: August 2019

Introduction: Septic shock is characterized by severe metabolic and hemodynamic alterations. It is often accompanied by acute kidney injury. A new adjunct treatment is hemoadsorption using a cytokine adsorber in line with continuous veno-venous renal replacement therapy. We studied the feasibility, efficacy, and safety of cytokine adsorption with citrate-anticoagulated continuous veno-venous hemodialysis (regional citrate anticoagulation–continuous veno-venous hemodialysis). Methods: In 11 patients with septic shock and acute kidney injury stage 3, we studied 12 cycles of cytokine adsorption and regional citrate anticoagulation–continuous veno-venous hemodialysis. We monitored parameters of citrate anticoagulation, circuit lifetime, laboratory parameters, hemodynamics, and vasopressor demand. Results: Ten out of 12 adsorber/continuous veno-venous hemodialysis circuits reached the target lifetime of 24 h for the adsorber. One system clotted and one was stopped for non-device-related reasons. Nine of the remaining continuous renal replacement therapy circuits reached 72 h lifetime. With default settings for regional citrate anticoagulation, serum ionized calcium and pH were in the normal range. Urea and creatinine were reduced significantly, and norepinephrine dose decreased from 0.47 (±0.09) to 0.16 (±0.04) µg/kg/min ( p = 0.016) after 24 h. Discussion: We show that combined cytokine adsorption/continuous veno-venous hemodialysis is effective to control pH, to reduce urea and creatinine, and to improve hemodynamics by reducing norepinephrine doses in patients with septic shock. It can be applied safely with standard settings of regional citrate anticoagulation rendering sufficiently long filter lifetimes for the adsorber and the continuous veno-venous hemodialysis circuit. Further studies are on the way to investigate whether these effects translate into improved outcomes in septic shock patients.
Long-term results of endovascular treatment for arteriovenous dialysis access thrombosis in 143 patients: A single center experience
Authors: Yilmazsoy Yunus , Ozyer Umut 
Published: August 2019

Objective: This study aimed to determine the long-term patency duration and rate of thrombosis of autologous arteriovenous fistulas and synthetic grafts treated with endovascular methods in a large patient population. Methods: A total of 144 arteriovenous accesses (37 radiocephalic, 51 brachiobasilic, 41 brachiocephalic, and 15 femorofemoral) from 143 patients were included in the study. A total of 304 endovascular thrombolytic treatment procedures were performed for 94 (65%) arteriovenous fistula and 50 (35%) arteriovenous graft accesses. Results: The procedural technical success rate was 98.7%. The mean follow-up duration was 32.5 (range, 3–132) months. The primary patency rates for arteriovenous fistulas and arteriovenous grafts were 78% and 78% at 6 months, 66% and 63% at 1 year, and 45% and 0% at 36 months, respectively. The assisted primary patency rates for arteriovenous fistulas and arteriovenous grafts were 82% and 84% at 6 months, 71% and 69% at 1 year, 51% and 29% at 36 months, and 30% and 1% at 60 months, respectively. The secondary patency rates for arteriovenous fistulas and arteriovenous grafts were 94% and 93% at 6 months, 85% and 85% at 1 year, 58% and 59% at 36 months, and 47% and 48% at 60 months, respectively. Conclusion: Although the primary patency durations for arteriovenous fistulas were better after endovascular thrombolytic treatment than those for arteriovenous grafts, the long-term outcomes of assisted primary and secondary patency durations after repeated procedures were similar for both types of arteriovenous accesses.
Enjeux de la planification publique participative d’un Plan régional de promotion de la santé dans le contexte institutionnel belge
Authors: Coppieters Yves , Scheen Bénédicte 
Published: August 2019

Définir un cadre de prévention et de promotion de la santé est un enjeu majeur par la Région wallonne qui a hérité depuis 2014 de ces compétences. Une première partie d’un Plan Prévention et Promotion de la Santé a été élaborée en 2017, permettant de définir les priorités régionales en santé. L’objectif de cet article est de présenter le processus de construction pour ses composantes opérationnelles et de discuter des enjeux de l’implémentation d’un tel cadre d’action sur un plan politique et de démarche participative. En prenant appui sur la première partie du Plan, l’administration régionale a identifié 11 groupes de travail thématiques qui ont rassemblé plus de 150 partenaires. Un guide méthodologique développe les chaines « objectifs de santé-objectifs spécifiques-actions » désirées, le cadre de priorisation des actions basé sur des critères de pertinence, de cohérence et de faisabilité ainsi que sur la prise en compte d’objectifs plus transversaux. Le Plan opérationnel repose sur des valeurs et des principes qui constituent les fondements des pratiques des acteurs. La proposition de programmation est structurée en 6 axes qui comportent un complément au diagnostic de situation, des principes d’intervention et une programmation opérationnelle. Il a aussi été élaboré un cadre d’implémentation, de gestion et de suivi, d’évaluation et de mise à jour du Plan. Le temps politique n’est pas le même que le temps nécessaire à une planification de qualité. Ce travail de programmation, basé sur des dimensions participatives, a été incomplet de par les limites du processus qui ont influencé les contenus. Bien que les propositions soient en majorité issues d’actions existantes, il faut souligner que les participants ont vu dans le Plan l’opportunité d’innover et de pallier certains manques ressentis actuellement en Wallonie en termes de prévention et de promotion de la santé.
Implications of Indian Philosophy and Mind Management for Agency Conflicts and Leadership: A Conceptual Framework
Authors: Pande Anadi S. , Kumar Ranjan 
Published: August 2019

The unceasing stream of corporate scams and financial misdemeanours establish that agency conflicts are a stark reality of the contractual relationship between principals and agents. Agency theory identifies four sources of agency conflicts at the leadership level: moral hazard, earnings retention, risk aversion and time horizon. The theory proposes an outcome- and/or behaviour oriented mitigating mechanism based on agency costs. However, as the real-world evidence shows, these mechanisms have been only partially effective. In this context, the present study conducts a diagnosis of agency conflicts at the leadership level, trying to understand its origin, sources, mitigating mechanism and its limitations. The paper then takes a novel approach for bridging the gap between the current state of conflicts and the desired state of absence from conflicts, by examining Indian philosophical systems. It identifies the characteristics of Indian philosophy rooted in the Vedic wisdom as integrative, holistic, stressing on a direct experience of vision of the truth, emphasising practicality, and promoting the goal of self-realization through mind management. The paper then leverages the pithy aphorisms ( sutras) from Indian philosophical texts to develop a mind management framework as a tool to mitigate agency conflicts.