bluuebunny/crossref_metadata_2025_split huggingface dataset:
Zarathustra’s dance: Nietzsche’s creative aesthetic
Authors: Lamár Erzsébet 
Published: December 2018

Nietzsche criticized the tradition of Western metaphysics (based on the principle of representation, the duality of subject and object of representation, the metaphysics of presence as Derrida puts it) and its language use. In place of this he presents a world view he calls Dionysian: it is a possibility of cognition in which the individual disappears and the tragic subject is merged with archaic substance in an experience that eliminates the dualism of appearance and reality. Nietzsche claims there is a basic tension between life and cognition in Western metaphysics, but this is a symptom of the ascetic ideal which manifests itself in illness and in wanting nothing. Instead the ascetic ideal a new kind of sensibility is necessary which affirms life and gives rise to a new view of the world and to new values.
Deleuze claims Nietzsche’s philosophy has three basic tenets: evaluation, affirmation, and the superman as a new way of life. He adds that “Nietzsche attributes such importance to art because art has already achieved the whole program.” The paper shows that Nietzsche’s aesthetics is a creative aesthetic, a selective ontology based on the principle of double affirmation. The paper argues that Dionysus is the one who returns to Nietzsche eternally, and together with him haunts the idea of creative aesthetics, a key element of the idea of eternal return.
Critical comments of Harold N. Noonan’s theory of contingent identity
Authors: Nemesi Nikoletta 
Published: December 2018

Alla Gibbard’s famous essay on the possibility of contingent identity (1975) questions the validity of Barcan and Kripke’s argument on the necessity of identity (1947, 1971). Gibbard’s theory has inspired several philosophers to rethink the problem of personal identity. The paper presents a critical analysis of Harold N. Noonan’s theory of contingent identity (1991, 1993, 2005, Curtis-Noonan 2014).
The Microstructure and Property of the Heat Affected zone in C-Mn Steel Treated by Rare Earth
Authors: Song Ming-ming , Xie Yu-min , Song Bo , Xue Zheng-liang , Nie Nan , Hu Chun-lin , Xu Run-sheng 
Published: December 2018

Abstract
The microstructures and impact properties of the heat affected zone (HAZ) in steel treated by rare earth (RE) under different welding processes were discussed. The effect of Al on the impact properties of the HAZ in RE treated steel was analyzed. It finds that when the welding t8/5
is smaller than 111 s, the main microstructure in steels is bainite/widmanstatten. The impact toughness of the HAZ is lower than that of the steel matrix. When t8/5
is more than 250 s, the microstructure is mainly acicular ferrite (AF) in the steel treated by RE, and the impact toughness of HAZ is obviously improved. Even under the welding processing with t8/5
about 600 s in RE treated steel can still obtain a lot of AF. While in the steel killed by Al and treated by RE, the main microstructure is parallel cluster of bainite/widmanstatten, and the impact toughness of HAZ is significantly lower than that of low-Al RE treated steel. Al can deteriorate the optimizing of RE treatment on HAZ.
Skin autofluorescence in children with and without obesity
Authors: Lentferink Yvette E. , van Teeseling Lisa , Knibbe Catherijne A.J. , van der Vorst Marja M.J. 
Published: December 2018

Abstract

Background
Obesity is associated with oxidative stress, which is related to increased advanced glycation end product (AGE) formation. AGEs accumulated in skin collagen can be measured with skin autofluorescence (sAF). There are conflicting reports on the influence of obesity on sAF in adults and no data in children. Therefore, this study evaluated sAF in pediatric patients with and without obesity.

Methods
In this cross-sectional study, participants aged 4–18 years were included: patients with obesity (body mass index standard deviation score [BMI-SDS] >2.3) and lean controls (BMI-SDS >–1.1 to <1.1). sAF was measured using the AGE Reader®. Participants were stratified according to age (<10, ≥10 to <13, ≥13 to <15, ≥15 to <17 and ≥17 years) and skin type (I–VI).

Results
In total, 143 patients and 428 controls were included. In patients, there was no influence of age on sAF (p=0.09). In controls, sAF was higher in children aged <10 years compared to ≥10 to <13 and ≥13 to <15 years (p=0.02; p=0.04). Stratified by age, sAF was higher in patients compared to controls in all age categories, except <10 years of age (p<0.01), while this was not observed when stratified by skin type (p>0.05). Skin type and BMI were significant covariates for sAF.

Conclusions
BMI was a covariate for sAF; however, no difference in sAF was observed between children with and without obesity, stratified by skin type. Duration of obesity as well as accuracy of the AGE Reader® might explain this difference. Further research is warranted, in which patients should be matched for age and skin type.
Using the PHQ-9 and GAD-7 to screen for acute distress in transgender youth: findings from a pediatric endocrinology clinic
Authors: Moyer Danielle N. , Connelly Kara J. , Holley Amy L. 
Published: December 2018

Abstract

Background
Transgender and gender nonconforming (TGNC) youth are at higher risk for anxiety and depression than their peers. The referral rate for those seeking specialty medical care has rapidly increased in recent years. This paper examines the use of brief screening tools with clear cutoffs to assist physicians in rapidly identifying TGNC youth in acute distress.

Methods
A retrospective chart review was conducted for patients aged 11–18 years being treated in a pediatric endocrinology clinic for gender dysphoria. Patient Health Questionnaires for depression (PHQ-9) and Generalized Anxiety Disorder 7-item (GAD-7) were collected for patients attending an initial consultation (n=79) or follow-up appointment (n=115).

Results
Screener data identified high rates of acute distress, including depression (47%), anxiety (61%), and suicidal ideation (30%). Distress was not associated with age or gender identity. More youth endorsed clinically significant anxiety at initial consultation appointments versus follow-up appointments.

Conclusions
The results support the use of the PHQ-9 and GAD-7 as brief, easy-to-use screening measures that can be administered by physicians to rapidly identify acute distress and inform treatment recommendations among TGNC youth seeking medical intervention.
Sampling from the 𝒢
I

0 distribution
Authors: Chan Debora , Rey Andrea , Gambini Juliana , Frery Alejandro C. 
Published: December 2018

Abstract
Synthetic Aperture Radar (SAR) images are widely used in several environmental applications because they provide information which cannot be obtained with other sensors.
The

𝒢
I
0

{\mathcal{G}_{I}^{0}}

distribution is an important model for these images because of its flexibility (it provides a suitable way for modeling areas with different degrees of texture, reflectivity and signal-to-noise ratio) and tractability (it is closely related to the Snedekor-F, Pareto Type II, and Gamma distributions).
Simulated data are important for devising tools for SAR image processing, analysis and interpretation, among other applications.
We compare four ways for sampling data that follow the

𝒢
I
0

{\mathcal{G}_{I}^{0}}

distribution, using several criteria for assessing the quality of the generated data and the consumed processing time.
The experiments are performed running codes in four different programming languages.
The experimental results indicate that although there is no overall best method in all the considered programming languages, it is possible to make specific recommendations for each one.
The crystal structure of 1,4-dinitroso-2,3,5,6-tetraacetoxy-piperazine, C12H16N4O10
Authors: Mei Xue , Yunlu Li , Jianlong Wang , Jun Chen , Jianghong Li 
Published: December 2018

Abstract
C12H16N4O10, monoclinic, C2/c (no. 15), a = 21.953(3) Å, b = 7.0292(9) Å, c = 13.5984(19) Å, β = 127.569(4)°, V = 1663.23(40) Å3, Z = 4, R
gt(F) = 0.0555, wR
ref(F
2) = 0.1224, T = 122(2) K.
Time dependent change of ethanol consumption biomarkers, ethyl glucuronide and ethyl sulphate, after single dose ethanol intake
Authors: Karacaoğlu Emre , Balseven Odabaşı Aysun , Akçan Ramazan , Tümer Ali Rıza , Lale Aykut , Kocadağlı Tolgahan , Gökmen Vural 
Published: December 2018

Abstract

Background and objective
Ethyl glucuronide (EtG) and ethyl sulfate (EtS), minor metabolites of ethanol, aid to forensic scientist and clinicians to determine recent ethanol uptake when ethanol elimination is occurred. Present study aimed to show (a) kinetics of EtG and EtS in blood and urine after 0.5 g/kg ethanol intake (b) peak concentrations and time of disappearance in Turkish people.

Material and methods
Seventeen (10 male, 7 female) healthy volunteers participated in the study. Blood and urine samples were obtained during 48 h after consumption and analyzed in LC-MS/MS.

Results and conclusion
Blood peak concentrations of EtG and EtS were 0.13–0.389 mg/L and 0.211–0.5 mg/L, urine peak concentrations were 6.89–30.42 mg/L and 10.5–58.17 mg/L, respectively. There was no EtG and EtS in all samples 24 h later in blood and 48 h later in urine. Correlation was found between EtG and EtS concentrations in blood. Most of obtained data are similar to literature, except EtS dominancy to EtG in urine and blood.
Wie steht es mit der Kompetenzorientierung in den Lehr- und Bildungsplänen für den Religionsunterricht?
Authors: Dieterich Veit-Jakobus 
Published: December 2018

Abstract
About one and a half decades after the beginning of the debate it is time to ask about the implementation of competence orientation in the curricula for religious education in Germany. The focus is on the characteristics of competence orientation as well as its being embedded in the basic religious orientation of the curricula. The official guidelines and basic statements of the two major denominations in Germany were examined as well as all the curricula on the Protestant side in an exemplary selection. Competence orientation has been implemented in very different forms and proportions but at the same time, the focus has been on internal religious issues. This should be consciously reflected and the curricula should be opened in relationship to the whole of reality and society and connected with a consequent competence orientation – in the framework of its limited possibilities.
Kompetenzen und Standards für den Deutschunterricht
Authors: Abraham Ulf 
Published: December 2018

Abstract
Didactics of German has been tackling the challenge of devising and implementing competence-based models of learning, as well as supporting ‚competence-oriented teaching‘, in a heterogeneous way. Whereas Didactics of Language experts approached this challenge unexcitedly, experts on Literary and Media Learning are still expressing reservation, although (or rather, because) they have long been discussing competences as basic anthropological abilities (according to Habermas). Moreover, disseminating an extended literature concept and integrating visual media made the discourse on competences more difficult. Individual critics go to such lenghts as to doubt the adequacy of the competence concept established by Weinert altogether.
Predictive Factors of Tumor Recurrence and Survival in Patients with Hepatocellular Carcinoma treated with Transarterial Chemoembolization
Authors: Cerban Razvan , Ester Carmen , Iacob Speranta , Grasu Mugur , Pâslaru Liliana , Dumitru Radu , Lupescu Ioana , Constantin Georgiana , Croitoru Adina , Gheorghe Liana 
Published: December 2018

Background & Aims: To evaluate the predictive factors for recurrence of the disease and overall survival(OS) after achieving complete response (CR) in patients with hepatocellular carcinoma (HCC) treated withtransarterial chemoembolization (TACE).Methods: From January 2013 to December 2017, 168 treatment-naïve patients diagnosed with HCCunderwent TACE as a first-line therapy and the gathered data was retrospectively reviewed. We determined the predictive factors for complete response (CR), for recurrence after CR and for survival using the Cox proportional hazard model.Results: Median follow-up was 27.4 months (range 4-65 months). The mean patient age was 62.2±7.9 years. Eighty-three patients had an α-fetoprotein (AFP) level > 20ng/mL. The median maximal diameter of the tumors was 3.5 cm. Sixty-three patients (37.5%) achieved CR after TACE, and recurrence after CR was detected in 37 patients (58.7%). In multivariate analysis, tumor size (≤4.5 cm) and a single tumor were found to be predictive factors for CR, with hazard ratios (HRs) of 2.352 (p=0.022) and 3.964 (p<0.0001), respectively. After achieving CR the median time to recurrence was 12 months (range 6-24 months). Elevated serum AFP > 25 ng/mL and multiple tumors were demonstrated to have a significant relationship with recurrence after CR, with HRs of 1.650 (p=0.05) and 3.932 (p=0.038), respectively. Increased initial serum AFP > 22 ng/mL, tumorsize > 4.5 cm, outside Milan criteria, not receiving a liver transplant and presence of portal vein thrombosis (PVT) were correlated with poor survival.Conclusions: In patients treated with TACE as an initial therapy, tumor size (≤4.5 cm) and single tumor were predictive factors for CR. Multiple nodules and an elevated serum AFP > 25 ng/mL were predictive factors for recurrence after CR. Outside Milan criteria tumors, elevated AFP levels and the presence of PVT were significantly correlated with decreased survival.
Spontán haemothorax – mellkassebész és intervenciós radiológus sikeres együttműködése
Authors: Vincze Balázs , Lázár István , Mezei Péter , Almássy Sándor , Tóth Imre 
Published: December 2018

Absztrakt:
A spontán haemothorax a vér felhalmozódását jelenti a mellüregben baleset vagy
iatrogén okok hiányában. Egy 17 éves férfi beteg esetét ismertetjük, akinél a
vérzés okaként többszörös kóros artériás összeköttetéseket találtunk a
szisztémás keringés és a tüdőkeringés között. Az eset kapcsán rövid irodalmi
áttekintést nyújtunk a kiváltó okról, valamint a haemothorax klinikumáról,
illetve az ennek megoldásában szóba jövő intervenciós radiológiai
módszerekről.
Aktuelle Kenntnisse zu Therapie und Prävention der kaninen Leishmaniose
Authors: Mitropoulou Athanasia , Thom Nina , Moritz Andreas , Apostolopoulos Neoklis 
Published: December 2018

ZusammenfassungDie kanine Leishmaniose ist eine Infektionskrankheit, die zunehmend an Bedeutung gewinnt, da auch in Deutschland der Hauptvektor der Leishmaniose vorkommt und Einzelfälle autochthoner Infektionen beschrieben sind. Der Artikel fasst aktuelle Informationen über Therapie und Prävention der Leishmaniose zusammen. Kürzlich wurden bei Hunden, die unter Allopurinoltherapie ein Rezidiv der Erkrankung erlitten, Allopurinol-resistente Leishmania-infantum-Stämme gefunden. Daher werden alternative Langzeittherapien erforderlich. Auch die Ergebnisse aus Langzeitstudien zur Effizienz von Miltefosin im Vergleich zu Megluminantimonat können die Wahl des leishmaniziden Therapeutikums beeinflussen. Eine Vielzahl verschiedener Repellenzien steht zur Übertragungsprophylaxe zur Verfügung. In Europa sind zwei Impfstoffe für Hunde zugelassen, um das Risiko einer aktiven Infektion und den Schweregrad der klinischen Erkrankung zu reduzieren.
Characteristic features of type B Haemophilus Influenzae-caused purulent meningitis in children
Authors: Grishkina L. Yu. , Lvova I. I. , Trefilov I. N. , Banko N. V. , Odintsova O. V. 
Published: December 2018

Aim. To study the clinical peculiar features of type b Haemophilus influenza-caused purulent meningites among children in Perm.
Materials and methods. Twenty children with purulent meningitis were examined. Clinical and bacteriological studies, latex-agglutination reaction, polymerase chain reaction (PCR) were used.
Results. Most patients with Hib-meningitis (70 %) were hospitalized in grave condition during the first three days of disease with fever, meningeal symptoms. Spastic syndrome was diagnosed in 5 patients, disseminated intravascular clotting syndrome – in 6 patients.
Conclusions. Hib-meningitis in 80 % of cases is developing in children aged under two, has an acute onset and severe course with general cerebral and meningeal symptoms, changes in blood and liquor, typical for bacterial infection, high neutrophilic pleocytosis and hyperproteinorrhea; it is frequently accompanied by complications. In etiological diagnosis of Hib-meningitis PCR is the most informative method.
Estratégias terapêuticas na função sexual de homens com lesão medular traumática
Authors: Ferro Josepha Karinne de Oliveira , Souza Dandara Pestana de , Oliveira Daniella Araújo de 
Published: December 2018

Introdução: Repercussões estruturais e fisiológicas são causadas após a lesão medular e, dependendo da extensão e localização da lesão, a resposta sexual será alterada. Movidos pelo conhecimento sociocultural e dificuldade de satisfação na relação sexual, muitos indivíduos recorrem a estratégias alternativas para tratamento das disfunções. Objetivos: Conhecer as principais estratégias terapêuticas utilizadas por homens com lesão medular traumática nas disfunções sexuais. Métodos: Trata-se de um estudo observacional descritivo, realizado com 24 homens com média de idade de 32,62 (IC 28,65 – 36,60), com lesão medular traumática, recrutados em serviços de referência em lesão medular na cidade do Recife (PE). Os indivíduos passaram por avaliação neurológica de acordo com as diretrizes da International Standards for Neurological Examination and Functional Classiﬁcation of Spinal Cord Injury (ISNCSCI), a American Spinal Injury Association (ASIA), avaliação da função sexual através do Índice Internacional de Função Erétil (IIFE) e responderam a um formulário semiestruturado para identificar as estratégias terapêuticas utilizadas na função sexual. Para a coleta de informações acerca das plantas medicinais, foi feita uma pesquisa nos entornos dos mercados públicos localizados na Região Metropolitana do Recife (PE). Resultados: As estratégias terapêuticas utilizadas foram: uso de plantas medicinais (25%) e uso drogas inibidoras da fosfodiesterase tipo 5 (33,3%). Das plantas medicinais, as mais utilizadas foram Catuaba - Trichilia catigua (33,3%), Guaraná- Paullinia cupana (33,3%), Maca Peruana Lepidium meyenii (33,3%) e Tríbulus Terrestris (33,3%). Considerações finais: As principais estratégias terapêuticas utilizadas pelos participantes foram plantas medicinais e uso drogas inibidoras da fosfodiesterase tipo 5.Palavras-chave: Traumatismo da Medula Espinhal. Sexualidade. Terapias Complementares. Plantas medicinais.ClinicalTrials.gov ID: NCT02908867
O uso de lancetas retráteis de teste rápido como uma alternativa confortável para sangria em auriculoterapia: um relato de experiência
Authors: Neves Tiago Veloso 
Published: December 2018

Auriculoterapia é um método terapêutico oriundo da Medicina Tradicional Chinesa que consiste no estímulo do pavilhão auricular, podendo esse estímulo ser realizado por meio da aplicação de agulhas, esferas, magnetos, calor, laser ou sangrias. A sangria tem a propriedade de, segundo a óptica da Medicina Tradicional Chinesa, remover o excesso de calor, estagnação de energia e tratar diversos sintomas e condições. Os métodos tradicionais de realizar sangria são usualmente doloridos e despertam apreensão de alguns pacientes. O objetivo deste trabalho é descrever a experiência de um profissional ao testar a possibilidade de utilizar lancetas retráteis para estimular acupontos da orelha e verificar se as mesmas poderiam ser utilizadas de maneira confortável e eficaz no seu objetivo, que é provocar sangria dos pontos pretendidos. Tanto na rotina do autor como em uma Formação em Auriculoterapia, na qual esse uso foi bastante disseminado, percebeu-se que houve conforto durante as aplicações e que este pode ser um meio viável de estimulação do pavilhão auricular.
Türkiye’de 2018 Yılında Uygulamaya Konulan Sosyal Bilgiler Öğretmen Yetiştirme Programının Önceki Program ile Karşılaştırılması
Authors: SAĞDIÇ Mustafa 
Published: December 2018

Bu çalışmanın amacı Türkiye’de 2018 yılında
uygulamaya konulan ve önceki programa göre önemli değişiklikler içeren yeni
sosyal bilgiler öğretmen yetiştirme programını alan bilgisi, meslek bilgisi,
genel kültür, alan eğitimi ve öğretmenlik uygulaması dersleri bağlamında değerlendirmektir.
Çalışmada nitel araştırma yöntemlerinden doküman incelemesi yöntemi kullanılmış. Elde
edilen bulgular betimsel analiz tekniği ile çözümlenmiştir. Yeni sosyal bilgiler programının eğitim
fakültelerinde bir standart oluşturma kaygısını taşıdığı görülmektedir. Alan
bilgisi ile alana ilişkin öğretimi içeren dersler Alan Eğitimi başlığında
toplanmıştır. Alan eğitimi derslerinin ders saatleri, kredileri ve AKTS
değerleri önemli ölçüde azaltılmıştır. Buna mukabil meslek bilgisi derslerinin ders
saatleri, kredileri ve AKTS değerleri önemli ölçüde arttırılmıştır. Genel
kültür derslerinin kapsamında önemli değişiklikler söz konusudur. Öğretmenlik
uygulaması ise Öğretmenlik Uygulaması I ve Öğretmenlik Uygulaması II dersi
olarak iki döneme çıkartılmıştır. Ancak öğretmenlik uygulamasına bir
basamak teşkil eden Okul Deneyimi dersi ise programdan kaldırılmıştır. Lisans programlarının toplam kredileri
156’dan 147’ye, toplam ders saati ise 170’den 154’e çekilmiştir. Ayrıca programda
seçmeli derslere %25 oranında yer verilmiş, seçmeli ders çeşitliliği
arttırılmış ve Bologna sürecine uyum sağlanmıştır.
Comparison of Intravenous Lidocaine and Dexmedetomidine Infusion for Prevention of Postoperative Catheter-Related Bladder Discomfort: A Randomized Controlled Trial
Authors: Li Shuying , Li Hui , Ni Juan , Ma Yushan 
Published: December 2018

Abstract
Background: Catheter-related bladder discomfort (CRBD) frequently occurs during recovery in patients who undergo intra-operative urinary catheterization distress. We conducted this study to compare the effect of intravenous lidocaine and dexmedetomidine infusion for preventing CRBD.
Methods: 120 patients undergoing elective open abdominal hysterectomy and hysteromyoma requiring urinary bladder catheterization were randomly allocated into three groups of 40 each. Group L received a 2 mg/kg lidocaine bolus followed by infusion of 1.5 mg/kg/h; Group D received a 0.5 mg/kg dexmedetomidine bolus followed by infusion of 0.4 mg/kg/h; Group C received a bolus and infusion of normal saline of equivalent volume. The incidence and different severity (mild, moderate, and severe) of CRBD were assessed on arrival in the postanaesthesia care unit at 0, 1, 2, and 6 h postoperatively.
Results: The incidence of CRBD was significantly lower in Group L and Group D compared with Group C at 0, 1, and 2 h. However, there was no significant difference among the three groups regarding the different severity of CRBD at all time points. The requirement of rescue tramadol for CRBD was lower in group L and group D than in group C. The incidence of sedation was significantly higher in Group D compared to Group L and Group C, though no difference in other adverse effects was observed.
Conclusions: Intravenous lidocaine and dexmedetomidine infusion reduced the incidence of CRBD as well as the additional tramadol requirement for CRBD, but had no effect on the different severity of CRBD.