bluuebunny/crossref_metadata_2025_split huggingface dataset:
Lean Production Management im Mittelstand: Ressourceneffiziente Walzenproduktion
Authors: Maassen Kathrin , Zacharias Miriam , Gökpinar Nejat , Hepner Dominic , Hart Frank 
Published: May 2018

Kurzfassung
Eine ressourceneffiziente und schlanke Produktion gewinnt immer mehr an Bedeutung. Häufig können Änderungen in der Produktionssteuerung, die nahezu ohne Investitionskosten einhergehen, zu einer deutlichen Verbesserung der Betriebskennzahlen und damit einer ressourceneffizienteren Produktion beitragen. In diesem Beitrag wird gezeigt, wie die Produktionsteuerung auf eine Engpassmaschine abgestimmt werden kann. Dies reduziert die Bestände im Produktionsprozess und kann damit einhergehend zur Reduktion der Durchlaufzeit und einer Erhöhung des Kundenservicelevels beitragen.
Ganzheitliche Businessmodelltransformation über den Organisation 4.0-Gestaltungsansatz
Authors: Binner Hartmut F. 
Published: May 2018

Kurzfassung
Eine ganzheitliche Businessmodell-Transformation kann nur in der Kombination mit einer Organisationstransformation, einer kulturellen Transformation und einer digitalen Transformation gelingen. Bezugspunkt für alle genannten vier Transformationsfelder ist eine prozessorientierte Ordnungsstruktur nach dem BPM 2.0-Standard, bei dem die Prozessbeteiligten in der Swimlane-Darstellung in der sachlich logischen zeitlichen Reihenfolge der Aufgabenerledigung mit dem dazugehörenden Informations- und Kommunikationsfluss grafisch abgebildet sind.
Confounding Factors in ECG-based Detection of Sleep-disordered Breathing
Authors: Dickhaus Hartmut , Maier Christoph 
Published: May 2018

Summary
Objectives: To assess the relevance of various potential confounding factors (comorbidities, obesity, body position, ECG lead, respiratory event type and sleep stage) on the detectability of sleep-related breathing disorders from the ECG.
Methods: A set of 140 simultaneous recordings of polysomnograms and 8-channel Holter ECGs taken from 121 patients with suspected sleep related breathing disorders is stratified with respect to the named factors. Minute-by-minute apnea detection performance is assessed using separate receiver operating characteristics curves for each of the subgroups. The detection is based on parameters of heart rate, ECG amplitude and respiratory myogram interference in the ECG. We consider spectral and correlation-based features.
Results: The results show that typical comorbidities and supine body position impede apnea detection from the heart rate. Availability of multiple ECG-leads improves the robustness of ECG amplitude based detection with respect to posture influence. But quite robust apnea detection is achievable with even a single ECG channel – preferably lead I. Sleep stages and respiratory event type have a significant and quite consistent effect on apnea detection sensitivity with better results for light sleep stages, and worse results for REM sleep. Mixed and obstructive events are better detected than central apneas and hypopneas.
Conclusions: Various factors confound the detection of sleep apnea based on the ECG. These findings should be taken into account when comparing results obtained from different data sets and may help to understand limitations of current and to improve robustness of new detection algorithms.
Viagens, encontros e despedidas: vestígios do moderno e do pós-moderno em Réquiem de Antonio Tabucchi
Authors: Willrich Glauber Rezende Jacob , Sgobaro Zanette Lucia 
Published: May 2018

António Tabucchi é considerado um importante escritor italiano no contexto da pós-modernidade. É sabido que o tema da viagem e da catábase é uma constante na literatura ocidental, e, por vezes, temáticas consideradas antigas na literatura reaparecem em obras na pós-modernidade com uma nova roupagem, trazendo novos significados. O objetivo deste trabalho, então, é ensejar compreender algumas questões que tangem à pós-modernidade, como alteridade e identidade na obra "Réquiem" do escritor italiano Antonio Tabucchi, considerando também um olhar sobre a temática da viagem e do encontro aos mortos, na medida em que ela pode servir, na tessitura narrativa da obra em questão, como elemento concateador da mesma e trazer significações outras à exegese da obra. Mais ainda, verificamos compreender como o processo de viagem ao interior, e de autoconhecimento – numa perspectiva psicanalítica – contribui na narrativa em questão para a busca de identidade da personagem protagonista.
Responsiveness of Single versus Composite Measures of Pain in Knee Osteoarthritis
Authors: Parkes Matthew J. , Callaghan Michael J. , Tive Leslie , Lunt Mark , Felson David T. 
Published: May 2018

Objective.In rheumatoid arthritis, composite outcomes constructed from a combination of outcome measures are widely used to enhance responsiveness (sensitivity to change) and comprehensively summarize response. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain is the primary outcome measure in many osteoarthritis (OA) trials. Information from other outcomes, such as rescue medication use and other WOMAC subscales, could be added to create composite outcomes, but the sensitivity of such a composite has not been tested.Methods.We used data from a completed trial of tanezumab for knee OA (NCT00733902). The WOMAC questionnaire and rescue medication use were measured at several timepoints, up to 16 weeks. Pain and rescue medication outcomes were standardized and combined into 3 composite outcomes through principal components analysis to produce 1 score (composite outcome) and their responsiveness was compared to WOMAC pain, the standard. We pooled all treatment doses of tanezumab into 1 treatment group, for simplicity, and compared this to the control group (placebo).Results.The composite outcomes showed modestly, but not statistically significantly greater responsiveness when compared to WOMAC pain alone. Adding information on rescue medication to the composite improved responsiveness. While improvements in sensitivity were modest, the required sample sizes for trials using composites was 20–40% less than trials using WOMAC pain alone.Conclusion.Combining information from related but distinct outcomes considered relevant to a particular treatment improved responsiveness, could reduce sample size requirements in OA trials, and might offer a way to better detect treatment efficacy in OA trials.
Chirurgie bariatrique : solution de facilité ou solution facilitatrice ?
Authors: Mallet Roxane 
Published: May 2018

La chirurgie bariatrique est l‘une des méthodes utilisées pour traiter les personnes souffrant d’obésité. L’objet de l’article est de montrer comment cette chirurgie peut être facilitatrice d’un travail de subjectivation pour le sujet en obésité par le biais de la rencontre « obligée » avec un psychologue, et comment le passage par le corps, par un agir corporel, peut aider à ce travail de subjectivation.
L’animal, le psychanalyste et l’analysant
Authors: Kamieniak Jean-Pierre 
Published: May 2018

Si l’animal traverse l’œuvre entière du savant, ce n’est qu’à l’automne de sa vie que l’homme Freud s’intéressera concrètement à l’un de ses spécimens — le chien — se prenant d’affection pour ce dernier jusqu’à le faire « participer » aux séances analytiques. Comment comprendre cette mise en acte inattendue ? L’approche de cette pratique singulière montre à l’évidence que, loin de constituer la transgression d’un cadre encore à construire, il s’agit bien d’un « inanalysé » du spécialiste de la psyché dont les effets persistent encore aujourd’hui.
Associate Degree in Nursing-to-Bachelor of Science in Nursing Graduates' Education and Their Perceived Ability to Keep Patients Safe
Authors: Anbari Allison Brandt , Vogelsmeier Amy 
Published: May 2018

Background:
Associate Degree in Nursing (ADN)-to-Bachelor of Science in Nursing (BSN) programs are designed to advance the ADN-prepared RNs' clinical reasoning and analytical skills. However, little is known about exactly how their BSN education may improve their clinical practice, specifically in the area of patient safety.

Method:
During semi-structured one-to-one interviews, ADN-to-BSN graduates were asked about their educational process and the perceived affect their education made on their ability to keep patients safe. Content analysis were used to identify emerging themes and categories.

Results:
Three themes emerged from the data: (a) an unaltered approach to keeping patients safe, (b) experience as an ADN matters, and (c) BSN degree as a stepping stone.

Conclusion:

The call to increase the number of BSN-prepared nurses at the bedside is supported in the evidence and noteworthy of pursuit. However, as ADN-to-BSN programs increase in numbers to meet this demand, the outcomes of graduates need to be considered. [
J Nurs Educ.
2018;57(5):300–303.]
Creating a BYOD Tour Around Poznan, Poland – A Location-based Project for Teenage Students
Authors: Brzezinska Magdalena Agnieszka 
Published: May 2018

This paper focuses on a project that encompasses place-based learning, location-based learning and problem-based learning in teaching of English as a foreign language. It shows how a project of this type can increase student motivation and help teenagers embrace local culture.
It originated when the author of this paper was introduced to the Wandering platform and the Experiencity platform by one of the co-creators of the former, Ms. Talila Yehiel, a museum expert and a designer of tailor-made sites for museum visits. After examining the various options of the Experiencity platform on her own, and upon developing two walks: The Past and the Present: Jewish Heritage Walk in Bielsko-Biala and Karl Korn Walk, the author undertook to test it with her teenage students, designing a completely new location-based activity: Be Active and Explore Poznan.
As recommended by Piaget, the author challenged her students and was a guide and facilitator rather than a lecturer. She made the students work together and find answers and solutions to the problems posed. She also trusted Vygotsky and Dewey in assuming that learners are social individuals and place-based education helps “students connect with their particular corners of the world” (Woodhouse and Knapp, [9]).
The walk demonstrates interaction of teenagers with and in space: it inspects the particular characteristics of a place, it is cross-curricular and intrinsically empirical, and it forms a relation between place, self and community (Woodhouse and Knapp, [9]). It also uses local environment to make students active citizens, contributing to the society (compare [7], p.7).
APPROPRIATE DURATION OF INTRAVENOUS TREATMENT OF CANDIDEMIA AND TIMING OF STEP DOWN TO ORAL THERAPY IN NON-NEUTROPENIC PATIENTS
Authors: Wilson Dib Rita , Hachem Ray , Chaftari Anne-Marie P , Raad Issam I 
Published: May 2018

In this review we have analyzed the available literature pertaining to the total duration of intravenous (IV) therapy and the appropriate timing of step down to oral therapy in the management of candidemia. Overview of the guidelines and literature seem to indicate that a minimum of 14 days of antifungal therapy is required in the treatment of candidemia without deep seated infection. However, this was never based on evidence. Furthermore, step down to oral therapy seems to be dependent on the clinical stability criteria of the patient with candidemia after 4 to 7 days of IV therapy. Further studies are required to evaluate the appropriate total duration of IV therapy, appropriate timing of step down to oral therapy and to validate the clinical criteria that would allow the switch to happen.
Aprendiendo con Mies. El espacio universal de Louis Rocah
Authors: Garcia-Requejo Zaida 
Published: May 2018

<p>La labor educativa ejercida por Mies van der Rohe como Director del Departamento de Arquitectura del Illinois Institute of Technology hizo posible que las aulas de la escuela se convirtiesen en un laboratorio de ideas en el que se experimentaron soluciones que tuvieron gran influencia en su obra construida posterior. Muchos de los alumnos que se formaron bajo su doctrina contribuyeron con sus proyectos fin de máster a un proceso continuo de búsqueda de nuevas propuestas estructurales. El artículo presenta el trabajo desarrollado por Louis Israel Rocah como proyecto de tesis fin de máster para la obtención del título de posgrado en el Illinois Institute of Technology. Su propuesta para una iglesia aconfesional, defendida en junio de 1953, se identifica como una evolución del proyecto no construido de Mies para la Casa 50x50’, en el que se plantea ya un espacio universal de planta cuadrada de mayores dimensiones que el proyecto de vivienda, resuelto con un emparrillado metálico apoyado en dos apoyos en cada uno de los lados. </p>
Effectiveness of Health Promotion, Management, and Maintenance Interventions Within the Scope of Occupational Therapy for Community-Dwelling Older Adults: A Systematic Review
Authors: Berger Sue , Escher Anne , Mengle Emily , Sullivan Nicole 
Published: May 2018

Abstract
OBJECTIVE. This systematic review examined the effectiveness of health promotion, management, and maintenance interventions within the scope of occupational therapy to improve occupational performance and quality of life (QOL) and decrease health care utilization for community-dwelling older adults.
METHOD. Thirty-eight articles representing 36 studies were included in the review. Articles were published 2008–2015 and described studies of participants with a mean age of 65 or older who were living in the community.
RESULTS. Strong evidence supports the use of group, individual, or a combination of group and individual interventions to improve occupational performance. Group interventions were also effective at improving QOL. The evidence was insufficient that any of these interventions decreased health care utilization.
CONCLUSION. Addressing health promotion, management, and maintenance is within the scope of occupational therapy practice and has been shown to improve occupational performance and QOL for older adults. Implications for practice and future research are discussed.
Evaluación del aporte de las cooperativas agrícolas a la construcción de seis sistemas nacionales de riego durante el periodo 1926-1936
Authors: Rojas Herrera Juan José , Rojas Herrera Inés 
Published: May 2018

En este artículo se describe una buena parte de los procesos científicos, tecnológicos y sociales que demandó la construcción de la infraestructura arquitectónica y social de los Sistemas Nacionales de Riego durante la década que transcurre entre 1926 y 1936. Se trata de un enorme esfuerzo de innovación tecnológica y social que requirió de la participación tanto de la ingeniería norteamericana como de la nacional. En el caso de ésta última representó un reto colosal y, al mismo tiempo, una gran oportunidad para el avance en la especialización técnica.
Así mismo, en este trabajo se pone de manifiesto como al lado de la imponente obra hidráulica de los Sistemas Nacionales de Riego, el gobierno federal promovió el cooperativismo agrícola como forma idónea de organización social al interior de estos sistemas con el propósito de llevar a cabo el reparto agrario y la modernización de la agricultura a nivel regional y nacional.
La propuesta cooperativista que el Estado buscó aplicar en los Sistemas Nacionales de Riego, fue sustentada por un trabajo previo de legislación en la materia, que otorgó personalidad jurídica a las asociaciones cooperativas. De igual modo, fue alentada por el reconocimiento de los logros de las sociedades cooperativas en diversas regiones del país y por el acceso a información proveniente de otros países. Lamentablemente el estímulo gubernamental no tuvo continuidad en el tiempo y, a pesar de los resultados positivos obtenidos, no fue posible alcanzar la plena consolidación de estas experiencias autogestivas.
The Abbreviated Psychopathy Measure (APM): Two Pilot Studies of a Brief Measure of Psychopathy Traits
Authors: Semel Robert 
Published: May 2018

Two studies were undertaken to examine preliminary construct validity of a newly developed, abbreviated measure of psychopathy. The Abbreviated Psychopathy Measure (APM) is a 33-item inventory that is closely modeled on the Triarchic Psychopathy Measure (TriPM; Patrick, 2010), with a new and more parsimonious set of items. Analyses in Study 1 ( = 126) found that the Boldness, Meanness, and Disinhibition scales of the APM had high internal consistency reliabilities and were highly correlated with their counterpart scales on the TriPM. The APM Total score was very highly correlated with the TriPM Total score (r = .90). Each of the APM scales was also significantly correlated with a measure of Antisocial Intent. In Study 2 (N = 140), the APM was very highly correlated with the Total score of a 36-item version of the Levenson Self-Report Psychopathy Scales (LSRP; Levenson, Kiehl, &amp; Fitzpatrick, 1995). Additionally, the APM scales were associated differentially with normal range personality variables associated with psychopathy (e.g., Boldness was robustly associated with Extraversion, Meanness was highly and inversely associated with Agreeableness, Disinhibition was robustly and negatively associated with Conscientiousness). The APM appeared to differ most significantly from the TriPM in that APM Boldness was moderately correlated with Meanness and Disinhibition. APM Boldness may capture a more maladaptive quality of boldness relative to TriPM Boldness through a greater emphasis on low harm avoidance or fearlessness in comparison to TriPM Boldness. The APM is potentially a promising brief measure of psychopathy; however, further study is needed to determine whether the moderately inter-correlated APM scales can distinguish among conceptually relevant constructs. Directions for future research are discussed.
In de zorg voelt de winst van de een nu als het verlies van de ander
Authors: de Bekker Piet , van der Hijden Eric 
Published: May 2018

In health care one man’s profit feels like another man’s loss; Towards a better understanding of societal responses to profits in health care.
In this feature authors discuss recent research findings that are of interest to readers of Beleid en Maatschappij.Systematic research on societal responses to profit in healthcare is scarce. It is a highly complex topic, with many tensions in the public and political debate. In a recent Dutch publication on profit, authors use a ‘lifeworld’ perspective to assess profit in their research, while their assessment could have been different using a ‘system’ perspective. Both perspectives have their merit, and debate on the role of profit in health care should separate the two perspectives. We describe both perspectives and use them to clarify whether making a profit is different from paying that profit to shareholders. We conclude that in healthcare, the general tension between the perspectives can be summarized as ‘profit for one actor may feel – but isn’t always – someone else’s loss’. Recognizing these tensions and searching for a strategy to align interests in which everyone gains may help the current stagnated debate on this issue in the Netherlands.
De blinde vlek van de witte onschuld
Authors: Esajas Mitchell 
Published: May 2018

The most relevant part of a discussion is not what is discussed but what cannot be spoken of. The real taboos are those for which it is taboo to call them taboos. The status quo defines itself as non-ideological while denouncing any challenge to itself as radical.Therefore the column ‘De Blinde Vlek’ (The Blind Spot) frames the framers, politicizes the status quo and articulates what is not heard of.
Vitruvius revisited: Palldio's canonical orders in the first book of "I quattro libri dell'architettura"
Authors: Cellauro Louis 
Published: May 2018

This contribution examines Palladio's relation to Vitruvius with regard to the canonical orders: the Tuscan, Doric, Ionic, and Corinthian. Palladio became acquainted with Vitruvius Through his first mentor, Gian Giorgio Trissino, who had founded an academy. in the first book of I quattro libri dell'architettura Palladio repeatedly refers to Vitruvius. However, like most Renaissance architects, Palladio also studied the existing remains of Roman architecture. For him, archaeological evidence had more weight than the written words of Vitruvius. Though Palladio regarded Vitruvius as his "master and guide", he would deviate from Vitruvius' rules when he found the remains of Roman architecture more satisfactory. For Palladio, Vitruvius' rules were not unalterable, they were guidelines which the architect could modify.
The scarcity of worker cooperatives in the USA: enquiring into possible causes
Authors: Arana Landin Sofia 
Published: May 2018

Even though the access of workers to capital has been promoted in some countries for over centuries, Governments and public bodies have started to promote it worldwide, as in previous occasions, more particularly as an aftermath of the Great Recession, usually in the form of worker cooperatives.However, workers’ access to capital in the USA in the form of worker cooperatives is still surprisingly rare. We cannot find any recent public policies at a federal level in order to promote them and the old ones that exist remain mostly obsolete and unknown. Only at a state and local level, we find in the latest years a series of actions directed to achieve this goal, as in the case of New York City, where there is an important budget to promote the access of workers to capital more particularly after 2012 and, among others, worker cooperatives are being formed.The purpose of this paper is to enquire about the possible causes of the scarce number of worker cooperatives in the USA as the only way of offering solutions comes from understanding the causes.
Los ingresos tributarios de las haciendas locales y la crisis económica
Authors: Portillo Navarro María José 
Published: May 2018

La crisis económica ha afectado a la actividad económica en España y, por tanto, a los municipios españoles, existiendo una serie de variables que han podido incidir en la gestión de la situación presupuestaria local y, entre ellas, se encuentra la evolución de los tributos locales. Por ello, en este trabajo, nos planteamos como objetivo analizar las diferencias entre los municipios, agrupados según tamaño, durante los años posteriores al inicio de la crisis, en términos de recaudación por habitante, eficacia de la gestión recaudatoria y esfuerzo fiscal. Los resultados muestran las diferencias en la evolución de los ingresos fiscales por tamaño de población y sugieren que los municipios tienen margen para aumentar sus recursos tributarios mediante la mejora de la eficacia de la gestión recaudatoria, teniendo todavía recorrido para incrementar su esfuerzo fiscal.
Kidney manifestations of diabetes mellitus – A Review
Authors: S. Swaminathan , S. Rajeswari , Mohideen Wasim 
Published: May 2018

The prevalence of diabetes mellitus, especially T2DM is on the increase worldwide and in a developing country like india, as of date approximately 30 – 40% of population are identified as having DM. Sedentary life style, obesity, increased BMI, insulin resistance, hyperlipidemia, delayed diagnosis and metabolic syndrome are some of the factors that lead to the development of DM. Extensive research have been conducted in this field and still more studies are being undertaken. The first organ affected in all uncontrolled DM patients is the kidney, followed by liver and cardiac. Kidney disease predominantly account for increased mortality among T2DM and is the main cause of CKD as well as DN. Treatment of CKD due to uncontrolled T2DM is still controversial because of the scarcity of evidence available. MA plays a significant role in screening pre and established DM. Increased levels of urate is identified as one of the metabolic disturbances in T2DM. This review article summaries the research findings during the last two decades on the manifestations of kidney disease in T2DM.