bluuebunny/crossref_metadata_2025_split huggingface dataset:
Akteure der Bewegungsförderung in Deutschland: eine Fragebogenstudie
Authors: Peters Stefan , Wäsche Hagen , Huber Gerhard 
Published: November 2018

Zusammenfassung
Hintergrund Um dem Bewegungsmangel in Deutschland entgegenzuwirken, sind Maßnahmen der Bewegungsförderung notwendig. Mit der zurückliegenden Erstellung der Nationalen Empfehlungen für Bewegung und Bewegungsförderung wurde hierzu eine potenzielle Voraussetzung für gemeinsame Ziele von Akteuren der Bewegungsförderung geschaffen. Zukünftig besteht die Aufgabe, diese Empfehlungen sektorenübergreifend in Deutschland zu disseminieren. Eine verstärkte Kenntnis über Akteure der Bewegungsförderung ist hierfür wichtig. Im Projekt SAMBA wurde eine explorative Fragebogenuntersuchung durchgeführt um zusätzliche Informationen zu den Akteuren zu gewinnen. Ziel der Befragung war die Ermittlung bestimmter Charakteristika von Akteuren, wie z. B. des Stellenwerts von Bewegungsförderung bzw. von Barrieren und Förderfaktoren.
Methode Es erfolgte eine onlinebasierte Fragebogenstudie. Aktuelle und potenzielle Akteure wurden über verschiedene relevante Quellen identifiziert und erhielten einen offenen Link zur Teilnahme an der Befragung. In die Auswertung wurden die Daten von 92 Befragungsteilnehmern einbezogen. Die Auswertung erfolgte mittels deskriptiver Analyse.
Ergebnisse Die meisten Befragten beschreiben einen sehr hohen bzw. hohen Stellenwert von Bewegungsförderung in ihrer Organisation aktuell wie zukünftig. Als Zielgruppen ihrer Maßnahmen zur Bewegungsförderung geben die Befragten das gesamte Spektrum von Kindern und Jugendlichen über Erwachsene, ältere Menschen, Menschen mit chronischer Erkrankung und die Gesamtbevölkerung an. Barrieren gegenüber Maßnahmen zur Bewegungsförderung liegen vornehmlich auf der Ebene von Ressourcen, während bei Förderfaktoren mehrere Aspekte gleichberechtigt nebeneinanderstehen, wobei die hohe Relevanz von Bewegungsförderung heraussticht.
Diskussion Dem hohen Stellenwert von Bewegungsförderung steht auch eine Vielzahl an Barrieren gegenüber, allerdings leiten sich aus den Förderfaktoren auch Möglichkeiten zur Einflussnahme ab. Als Zukunftsaufgaben sind mit Blick auf die Befragungsergebnisse Kommunikation, Kooperation und Wissenstausch angezeigt. Als erster Kanal für einen umfangreichen Wissensaustausch könnte eine entsprechende Webseite erstellt werden.
Axillary Surgery in Breast Cancer Patients Treated with Breast-Conserving Surgery at German Breast Cancer Centers Within the Last 14 Years – Comparison of a University Center and a Community Hospital
Authors: de Gregorio Amelie , Widschwendter Peter , Albrecht Susanne , de Gregorio Nikolaus , Friedl Thomas , Huober Jens , Janni Wolfgang , Ebner Florian 
Published: November 2018

Abstract
Background Guideline recommendations for axillary surgical approach in breast cancer (BC) treatment changed over the last decade.
Methods Data from all invasive BC patients (n = 5344) treated with breast conserving surgery (BCS) at the breast cancer centers of the University Hospital Ulm (U-BCC) and the community hospital Dachau (D-BCC) were included into a retrospective analysis for assessing information on axillary surgery between 2003 and 2016 based on the documented cancer registry data.
Results The average annual rate of sentinel node biopsy (SNB) was 85.5% and 87.2% in Ulm and Dachau, respectively. SNB was performed more precisely at the U-BCC with a median of 2.4 resected lymph nodes (LN) compared to a median of 3.2 resected LN in Dachau. Median number of resected LN for axillary lymph node dissection (ALNE) showed a statistically significant reduction over time in Ulm (rs = − 0.82; p < 0.001) and Dachau (rs = − 0.76; p = 0.002). The rate of secondary ALNE (after SNB; 2° ALNE) decreased significantly in U-BCC (rs = − 0.76; p = 0.002) while it remained stable in D-BCC. The influential publication of the Z0011 study in 2010 resulted in a significant reduction of secondary ALNE (24.1% preZ0011 and 14.4% postZ0011; p < 0.001) in Ulm.
Conclusion Changes in axillary surgery over time can be seen in the annual statistics of the reviewed BCCs. With BCS, mostly SNB was performed and numbers of removed LN in ALNE have decreased. In the U-BCC, the rate of 2° ALNE dropped after the publication of the Z0011 data. The fact that no such decrease for 2° ALNE was found in D-BCC suggests that university hospitals implement new data and research results into clinical routine earlier than peripheral community hospitals.
Development of the Metabolic Syndrome: Study Design and Baseline Data of the Lufthansa Prevention Study (LUPS), A Prospective Observational Cohort Survey
Authors: Müller-Wieland Dirk , Altenburg Christiane , Becher Heiko , Burchard Janine , Frisch Anett , Gebhard Jan , Haas Jutta , Harth Volker , Heeren Jörg , Hengelbrock Johannes , von Karais Maximilian , Knebel Birgit , Kotzka Jörg , Löwe Bernd , Marx Nikolaus , Pinnschmidt Hans , Preisser Alexandra , Rose Matthias , Sawitzky-Rose Barbara , Scheja Ludger , Terschüren Claudia , Töller Monika , Vettorazzi Eik , Wegscheider Karl 
Published: November 2018

AbstractThe Lufthansa Prevention Study (LUPS) study is a prospective observation of a healthy worker cohort to identify early changes in metabolism leading to the Metabolic Syndrome (MetS) and to analyze their relation to behavioral factors like nutrition, physical activity, psychological status, and to underlying genetic conditions. The LUPS study recruited a sample of 1.962 non-diabetic healthy adults between 25–60 years, employed at a flight base of Lufthansa Technik GmbH in Hamburg, Germany. Baseline assessments included anthropometric measures, blood and urine samples and medical history. Psychosocial variables, dietary habits and life-style risk factors were assessed via self-reported questionnaires.In this report we describe the study design and present baseline parameters including the prevalence of the MetS using different classification criteria. The MetS was present in 20% of male and 12% of female subjects according to the ‘Harmonizing the metabolic syndrome’ definition. The prevalence varies between 2.6% in male and 2.3% in female subjects up to 48% in male and 41% in female subjects according to different classification criteria of MetS.In conclusion, this first cross-sectional view on the LUPS data confirms the expectation that this cohort is rather healthy and thus provides the opportunity to analyze early changes associated with the development of the MetS. The LUPS study is registered as a clinical trial NCT01313156.
Retrosigmoid Approach for Vestibular Schwannoma
Authors: Aref Mohammed , Kunigelis Katherine , Cass Stephen P. , Youssef A. Samy 
Published: November 2018

Vestibular schwannoma is a benign tumor that affects 3% of the population, but accounts for 85% of tumors occurring at the cerebellopontine angle (CPA). In this case, we present a 48-year-old female with history of cholesteatoma on the right and chronic suppurative otitis media on the left who presented with an 18 month history of bilateral hearing loss, worse on the right. Investigations revealed a right sided vestibular schwannoma measuring 1.6 cm in diameter. Audiogram revealed an AAO–HNS (American Academy of Otolaryngology–Head and Neck Surgery) class C hearing on the right and class B on the left. There are several management options for this size of vestibular schwannoma including observation and radiosurgery. However, preserving cochlear nerve function remains a challenging enterprise. Furthermore, the ideal management that confers the highest chance of hearing preservation remains heavily debated. Given the patient's young age, the goal of hearing preservation and the tumor size/extension into the CPA, surgery was decided through a right retrosigmoid transmeatal approach for tumor resection with intraoperative brain auditory evoked responses monitoring. For hearing preservation, we emphasize few important dissection techniques: tumor debulking from the top first to avoid early manipulation of the cochlear nerve at the bottom of the tumor, sharp dissection from medial to lateral off the vestibular nerve which is kept intact as a tension band to minimize cochlear nerve manipulations, and limit the drilling of the posterolateral wall of the internal auditory canal (IAC) medial to the labyrinth and endolymphatic apparatus. Postoperatively, the patient was discharged home within 2 days, with imaging showing a gross total resection. Follow-up audiogram shows unchanged pure tone thresholds.The link to the Video can be found at: https://youtu.be/Z5ftkpJN5k8.
A Case of Mitral Valve Endocarditis Complicated by Multiple Embolic Phenomena: Leaping from Adult Guidelines to Pediatric Critical Care Decisions
Authors: Choudhury Tarif A. , Flyer Jonathan N. , Ushay Henry M. , Ofori-Amanfo George 
Published: November 2018

AbstractEarly surgical intervention for children with infective endocarditis (IE) and cerebrovascular sequelae has significant risks, resulting in practice variation amongst pediatric cardiologists, intensivists, and cardiothoracic surgeons. The limited pediatric consensus recommendations make decision making for practitioners challenging. The added risk of multiorgan dysfunction syndrome can make these decisions even more difficult. We present the case of a 14-year-old with IE and resultant multiorgan dysfunction syndrome including cerebrovascular complication, successfully treated by primary valve repair within the 1st week of diagnosis.
Predictors and Management of Hepatic Encephalopathy after Transjugular Intrahepatic Portosystemic Shunt: The Current State of Literature
Authors: Fortune Brett , Karuppasamy Karunakaravel , Kapoor Baljendra , Ju Connie 
Published: November 2018

AbstractHepatic encephalopathy is a well-known sequela of transjugular intrahepatic portosystemic shunt (TIPS) insertion, but objective clinical and laboratory predictors remain poorly elucidated. Numerous medical and interventional strategies have also been described, though little consensus has been reached on the optimal treatment technique to improve morbidity and mortality in patients who develop refractory encephalopathy. To improve TIPS candidate selection and prognostication, this review consolidates predictive factors for post-TIPS encephalopathy and offers an updated description of historical and contemporary interventional techniques for management. Despite the abundant literature on treatment strategies, large studies directly comparing outcomes between the various techniques are nonexistent.
Maternal Hypothyroidism during Pregnancy and the Risk of Pediatric Endocrine Morbidity in the Offspring
Authors: Eshkoli Tamar , Wainstock Tamar , Sheiner Eyal , Beharier Ofer , Fraenkel Merav , Walfisch Asnat 
Published: November 2018

Objective Previous studies suggested maternal hypothyroidism during pregnancy to be associated with cognitive impairment of the offspring. Scarce data exist regarding long-term endocrine health of the offspring. This study was aimed to assess whether children born to mothers with hypothyroidism during pregnancy are at an increased risk for long-term endocrine morbidity.
Study Design A retrospective population-based cohort study compared long-term endocrine morbidity of children born between the years 1991 and 2014 to mothers with and without hypothyroidism. Multiple gestations, fetuses with congenital malformations, and women lacking prenatal care were excluded. Hospitalizations of the offspring up to the age of 18 years involving endocrine morbidity were evaluated according to a predefined set of ICD-9 codes. Kaplan–Meier's survival curves were used to compare the cumulative risk and a Cox multivariable model was used to adjust for confounders.
Results During the study period, 217,910 deliveries met the inclusion criteria; 1.1% of which were with maternal hypothyroidism (n = 2,403). During the follow-up period, the cumulative incidence of endocrine morbidity among children born to mothers with hypothyroidism was 27 per 1,000 person-years and 0.47 per 1,000 person-years in the comparison group (relative risk: 2.14; 95% confidence interval [CI]: 1.21–3.79). The Kaplan–Meier's survival curve demonstrated a significantly higher cumulative endocrine morbidity in children born to mothers with hypothyroidism (log-rank test, p = 0.007). In the Cox regression model controlled for maternal age, birth weight, preterm birth, maternal diabetes, hypertensive disorders of pregnancy, induction of labor, and mode of delivery, maternal hypothyroidism was found to be independently associated with pediatric endocrine morbidity in the offspring (adjusted hazard ratio = 1.92, 95% CI: 1.08–3.4, p = 0.025).
Conclusion Maternal hypothyroidism appears to be independently associated with long-term pediatric endocrine morbidity of the offspring.
Le sous-titrage et le commentaire au service d’unmythe
Authors: Kourdis Evangelos 
Published: November 2018

RésuméDans cette étude nous mettrons en valeur la dimension sémiotique du sous-titrage en grec et du commentaire de spots publicitaires français qui traitent des soins corporels. Il s’agit de spots publicitaires qui lancent sur le marché grec des produits de soins corporels de la marqueLe petit Marseillais.L’étude se fait tant au niveau interlingual qu’au niveau intersémiotique. Nous allons voir que le choix sémiotique du sous-titrage est lié aux connotations positives de la société grecque concernant la langue française lorsqu’ elle est utilisée dans la publicité de produits cosmétiques et de soins corporels. Par ailleurs les sous-titres traduisent parfois intersémiotiquement les dialogues du spot et le contenu de l’image ce qui facilite le transfert culturel de la valeur de laméditerranéitéavec laquelle les Grecs sont familiarisés. Les constatations principales tirées sont que le sous-titrage ne s’éloigne pas de la langue source, préservant ainsi les mêmes isotopies sémantiques, et que la traduction intersémiotique est une caractéristique commune des spots publicitaire qui se fait entre les énoncés verbaux français ou les sous-titres grecs et le contenu de l’image. Enfin, les commentaires grecs reproduisent les informations essentielles du texte français effacé, ce qui dote les spots d’une valeur supplémentaire grâce à leur caractère médiatique et narratif.
Bickering
Authors: Boxer Diana , Radice Joseph 
Published: November 2018

Abstract
This paper studies a speech behavior commonly referred to as “bickering,” which occurs primarily among interlocutors of close
social distance (e.g. partners, spouses, siblings, roommates). Using ethnographic methodology, the study analyzes 100 naturally
occurring sequences of familial conflict conversation supplemented by ten open-ended interviews. These data enable the
disambiguation of “bickering” from other speech behaviors such as “complaining” and “nagging.” The analysis offers conclusions on
the typical topics, interlocutor relationships and speech behaviors inherent in the bickering event.
The role of verbal irony in conflict talk among relatives and friends in an Argentinian community
Authors: Kalbermatten María Isabel 
Published: November 2018

AbstractThis article shows the role of verbal irony in conflict talk among relatives and friends. Excerpts from ten naturally occurring multiparty conversations among relatives and friends were analyzed. The analysis shows that the introduction of verbal irony in the conversation by one of the participants can: (1) end the conflict between two other participants by switching the topic of the interaction; (2) extend the conflict; (3) fail to alter the trajectory of the conflict sequence because one of the participants does not acknowledge the irony; (4) defuse a dispute about an unpleasant topic for one or two of the participants; or (5) initiate a dispute among relatives and/or friends whose relationship is not a friendly one. The analysis in this article is qualitative rather than quantitative; the tendencies presented are not based on frequency.
Linguistic landscapes as pornoheterotopias
Authors: Vasconcelos Barboza Rafael de , Borba Rodrigo 
Published: November 2018

Abstract
Drawing on multimodal analysis of graffiti in male public restrooms at the Faculdade de Letras of the Universidade Federal do Rio
de Janeiro, this paper investigates how notions of place and gendered/sexualized subjects are discursively (re)constructed in
interactions with the materiality and historicity of the public realm. The analysis focuses on the indexicalities of public
signage and the ways they (in)form understandings of and access to certain spaces. By investigating the fragmented history of
entextualizations of these toilet graffiti as well as the indexicalities of their lexical, graphic, and co(n)textual aspects, we
argue that places can be queered since they are semiotically constructed and discursively
performed. The paper illustrates how static assumptions about place, gender, and sexuality can be disrupted and
ressignified which highlights the pornoheterotopic character of these public restrooms in which semiotic processes that
(de)regulate gender and sexual dissidence are emplaced.
Mothering Brooklyn
Authors: Trinch Shonna , Snajdr Edward 
Published: November 2018

AbstractThis paper examines how Brooklyn retail signage represents how gentrifying women struggle for claiming space in public and the way in which different intersectional identity formations are used and implicated in transforming urban space. In exploring different ethnographic dimensions to retail storefronts, we show how women, many of whom are college-educated, married, and new mothers, play a significant role in redefining Brooklyn and cultural norms of motherhood more broadly. Yet, as newly arriving women emerge as key players in the gentrification project, they experience backlash against their public roles. We explore how women also employ race, inequality, and patriarchal notions of heteronormative sexuality as a cover for their public challenges to patriarchal power. Drawing on visual ethnography, interviews, and digital archival material we argue that the ambiguity of word play accomplishes both the pushing of normative boundaries as well as the protective cover of public meanings.
The intention to adopt a green product (a study on a green fuel product (pertalite))
Authors: Haryanto H , Purnomo H , Wiyono W 
Published: November 2018

Abstract
Indonesia Government through Pertamina Co. Ltd has launched a new fuel product, namely Pertalite that is more environmentally friendly than the previous one (premium). Premium is 88 octanes gasoline that is less environmentally friendly than Pertalite (90-octanes). Low-octane gasoline causes the inefficiency in usage so that more carbon will be released into the environment which contributes to global warming. Unfortunately, the premium consumption is still relatively high, which became the background of this research. The purpose of this study is to examine the influence of variables affecting the intention of adoption of environmentally friendly fuel product. This study is a survey that was conducted in Surakarta City, Indonesia by purposive sampling method. The criteria of respondents are the people who know the difference between premium and pertalite gasoline. Testing instruments and testing data used Structural Equation Modelling-Partial Least Square (SEM-PLS) method. The result showed the t-score of SEM-PLS analysis for the price fairness, relative advantage and product knowledge were 3.057, 9.134, and 4.668, respectively, hence influenced the attitude toward adoption. That scores are more than cut off 1.96 in T table with significance level 5%. Furthermore, attitude toward adoption influenced the intention of adoption with t-value 17.903.
Unique Effects of Perceived Neighborhood Physical Disorder and Social Cohesion on Episodic Memory and Semantic Fluency
Authors: Zaheed Afsara B , Sharifian Neika , Kraal A Zarina , Sol Ketlyne , Hence Alyssia , Zahodne Laura B 
Published: November 2018

Abstract

Objective
Objective measures of neighborhood quality are associated with physical and mental health outcomes for older adults, but the relationship between perceived neighborhood quality and cognitive health has not been fully explored. Furthermore, positive and negative neighborhood characteristics may influence cognition through different mechanisms. The present study aimed to determine whether perceptions of neighborhood quality predict cognitive functioning in two domains, above and beyond individual-level risk factors, in a nationally representative sample of older adults.

Method
Using cross-sectional weighted data from 13,919 participants aged 51 and older from the Health and Retirement Study, linear regression models tested independent associations between perceived neighborhood quality (physical disorder and social cohesion) and cognition (episodic memory and semantic verbal fluency), controlling for sociodemographic characteristics, chronic disease burden, and depressive symptoms. Interaction terms tested whether neighborhood social cohesion moderated the relationship between neighborhood physical disorder and each cognitive outcome.

Results
Perception of greater neighborhood physical disorder was significantly associated with worse episodic memory, while perception of lower neighborhood social cohesion was significantly associated with worse semantic fluency. There were no significant interactions between physical disorder and social cohesion.

Conclusions
Results provide preliminary evidence for different mechanisms underlying associations between aspects of neighborhood quality and cognition (e.g., stress vs. social interaction). Additional intervention work is needed to determine whether improving neighborhood physical conditions and promoting social cohesion at the neighborhood level could reduce cognitive morbidity among older adults.
“The Place is Gone!”: Policing Black Women to Redevelop Downtown Boston
Authors: Fischer Anne Gray 
Published: November 2018

Abstract
In the late 1960s and early 1970s, Boston politicians and urban managers sought to reverse the city’s postwar capital drain by luring white consumer dollars and private investment. Their recovery plan featured the Adult Entertainment District (AED), which was established to contain burgeoning sexual commerce while demonstrating the vibrancy and economic viability of the city’s downtown core. At the same time, the changing spatial dynamics of interracial sexual commerce, Black economic isolation, and discriminatory practices citywide drew increasing numbers of Black women onto downtown streets. The presence of Black women in formerly white downtown spaces ignited a powerful law-and-order narrative linking race, sex, and violence. Black women became oversignified with sexual deviance and violent criminality amid the urban crisis. The development of the AED experiment and the raced and gendered crime panic posed unique challenges and opportunities for the Boston Police Department (BPD). Like urban police departments nationwide in the early 1970s, the BPD was embroiled in a battle for its authority. But the deeper motivations of economic turnaround guiding the AED ultimately served to strengthen the BPD’s legitimacy. As the separate goals of political officials and law enforcement authorities converged—to redevelop downtown Boston, and to secure urban authority, respectively—the intensifying policing and spatial banishment of Black women in downtown Boston became central to urban recovery strategies. This history demonstrates that aggressive, racially charged morals policing was deployed to prepare the city for an influx of white capital.