bluuebunny/crossref_metadata_2025_split huggingface dataset:
Identifying the contribution of occupational therapy in meeting the needs of women survivors of breast cancer
Authors: Keesing Sharon , Rosenwax Lorna , McNamara Beverley 
Published: March 2018

Introduction Little is known about how occupational therapy could assist women survivors of breast cancer and their partners who experience activity and role limitations during survivorship. This study sought to obtain views and consensus among occupational therapists regarding their potential role and the barriers and enablers to this potential service. Method We used a three-round classical Delphi process to determine the views of occupational therapists ( n = 40), and sought consensus (70%) for 49 statements concerning barriers and enablers affecting occupational therapy service provision during survivorship. Thematic analysis was used to determine themes and descriptive statistics to determine consensus level and median for statements. Findings Forty-six statements showed consensus. Themes identified were: (a) women and partners experience unmet needs; (b) gaps exist regarding supportive care; (c) access to comprehensive survivorship support is required; (d) barriers to occupational therapy exist; and (e) occupational therapists offer many supports to improve activity and role engagement for women and partners. Conclusion Occupational therapy is well-positioned to affect improvements in occupational engagement and role participation for women survivors of breast cancer and their partners. However, many barriers are identified. Occupational therapists must advocate the value of occupational therapy during survivorship to facilitate women’s engagement in meaningful activities and roles.
Survival of ethnic and racial minority patients with multiple myeloma treated with newer medications
Authors: Pulte E. Dianne , Nie Lei , Gormley Nicole , Goldberg Kirsten B. , McKee Amy , Farrell Ann , Pazdur Richard 
Published: March 2018

Key Points
Patients of minority race with myeloma have had less increase in population-level survival in the early 21st century than white patients. Data from clinical trials show that mortality is similar for minorities, suggesting the population-level difference is due to utilization.
Immune rebound associates with a favorable clinical response to autologous HSCT in systemic sclerosis patients
Authors: Arruda Lucas C. M. , Malmegrim Kelen C. R. , Lima-Júnior João R. , Clave Emmanuel , Dias Juliana B. E. , Moraes Daniela A. , Douay Corinne , Fournier Isabelle , Moins-Teisserenc Hélène , Alberdi Antônio José , Covas Dimas T. , Simões Belinda P. , Lansiaux Pauline , Toubert Antoine , Oliveira Maria Carolina 
Published: March 2018

Key Points
Clinical response of SSc patients after AHSCT is associated with thymic and bone marrow rebounds. Responder patients showed higher Treg and Breg counts and lower pre-/post-AHSCT TCR repertoire overlap than nonresponder patients.
On the nature and function of organizers
Authors: Martinez Arias Alfonso , Steventon Ben 
Published: March 2018

ABSTRACT
Organizers, which comprise groups of cells with the ability to instruct adjacent cells into specific states, represent a key principle in developmental biology. The concept was first introduced by Spemann and Mangold, who showed that there is a cellular population in the newt embryo that elicits the development of a secondary axis from adjacent cells. Similar experiments in chicken and rabbit embryos subsequently revealed groups of cells with similar instructive potential. In birds and mammals, organizer activity is often associated with a structure known as the node, which has thus been considered a functional homologue of Spemann's organizer. Here, we take an in-depth look at the structure and function of organizers across species and note that, whereas the amphibian organizer is a contingent collection of elements, each performing a specific function, the elements of organizers in other species are dispersed in time and space. This observation urges us to reconsider the universality and meaning of the organizer concept.
Outcomes After Distal Pancreatectomy with Celiac Axis Resection for Pancreatic Cancer: A Pan-European Retrospective Cohort Study
Authors:   the E-AHPBA DP-CAR study group, Klompmaker Sjors , van Hilst Jony , Gerritsen Sarah L. , Adham Mustapha , Teresa Albiol Quer M. , Bassi Claudio , Berrevoet Frederik , Boggi Ugo , Busch Olivier R. , Cesaretti Manuela , Dalla Valle Raffaele , Darnis Benjamin , De Pastena Matteo , Del Chiaro Marco , Grützmann Robert , Diener Markus K. , Dumitrascu Traian , Friess Helmut , Ivanecz Arpad , Karayiannakis Anastasios , Fusai Giuseppe K. , Labori Knut J. , Lombardo Carlo , López-Ben Santiago , Mabrut Jean-Yves , Niesen Willem , Pardo Fernando , Perinel Julie , Popescu Irinel , Roeyen Geert , Sauvanet Alain , Prasad Raj , Sturesson Christian , Lesurtel Mickael , Kleeff Jorg , Salvia Roberto , Besselink Marc G. 
Published: March 2018

Abstract

Background
Western multicenter studies on distal pancreatectomy with celiac axis resection (DP-CAR), also known as the Appleby procedure, for locally advanced pancreatic cancer are lacking. We aimed to study overall survival, morbidity, mortality and the impact of preoperative hepatic artery embolization (PHAE).

Methods
Retrospective cohort study within the European-African Hepato-Pancreato-Biliary-Association, on DP-CAR between 1-1-2000 and 6-1-2016. Primary endpoint was overall survival. Secondary endpoints were radicality (R0-resection), 90-day mortality, major morbidity, and pancreatic fistulae (grade B/C).

Results
We included 68 patients from 20 hospitals in 12 countries. Postoperatively, 53% of patients had R0-resection, 25% major morbidity, 21% an ISGPS grade B/C pancreatic fistula, and 16% mortality. In total, 82% received (neo-)adjuvant chemotherapy and median overall survival in 62 patients with pancreatic ductal adenocarcinoma patients was 18 months (CI 10–37). We observed no impact of PHAE on ischemic complications.

Conclusions
DP-CAR combined with chemotherapy for locally advanced pancreatic cancer is associated with acceptable overall survival. The 90-day mortality is too high and should be reduced. Future studies should investigate to what extent increasing surgical volume or better patient selection can improve outcomes.
The intensity of anxiety, neurotic symptoms and perceived control among patients with neurotic and personality disorders
Authors: Mostowik Joanna , Cyranka Katarzyna , Mielimąka Michał , Ostrowski Tadeusz , Rutkowski Krzysztof 
Published: March 2018

Aim of the studyThe study aimed to determine the relationship between the intensity of anxiety, neurotic symptoms and perceived control using Bryant’s model - A Four-Factor Model of Perceived Control. The goal of the study was also to describe the structure of perceived control among patients with neurotic and personality disorders.Subject or material and methodsThe study included 49 patients with neurotic disorders, personality disorders or coexistence of neurotic and personality disorders from the Department of Psychotherapy University Hospital in Krakow. Used the following tools: the Symptom Checklist KO “O”, the Neurotic Personality Questionnaire KON-2006, the Polish adaptation of the State-Trait Anxiety Inventory STAI, the Bryant’s Questionnaire of Perceived Control.ResultsThe intensity of neurotic personality and anxiety-trait are significantly negatively associated with most indicators of perceived control.DiscussionIn the literature there are some findings showing association of perceived control with anxiety disorders, depressive disorders and even psychotic states. To date, Rotter’s one-dimensional Scale has been used in most studies (internal versus external Locus of Control). The conducted research enables researchers to broaden the perspective of the perceived control, adding cognitive control and emotional control over positive events as well as aversive one.ConclusionsMost of the various factors of perceived control are related to some extent to the personality structure, which is responsible for occurrence of neurotic disorders, and to some extent to anxiety-trait – an important predictor for neurotic disorders. The results presented are relevant to patients suffer from neurotic symptoms and diagnosed with neurotic disorders and personality disorders according to ICD-10 criteria.
Therapeutic alliance and early change in depression: benefits of enhancing working alliance at the initial sessions of short-term supportive–expressive psychodynamic psychotherapy
Authors: Edalati Shateri zohreh , fathali lavasani fahimeh 
Published: March 2018

Aim of the studyThe present study attempted to see whether the use of supportive techniques and improving working alliance in the initial sessions of short-term supportive-expressive (SE) psychodynamic psychotherapy results in a change in the symptoms of patients with depressive disorder.Subject or material and methodsThe research design was an experiential single case. Subjects included six women with major depression disorder who were selected by the purposive sampling method. Measures included working alliance inventory-12, quality of life scale, and Beck Depression Inventory II. Visual analysis with graphs, mean, standard deviation, and the Friedman test were used for data analysis.ResultsThe results indicated no significant increase or decrease in the severity of depression on the baseline (χ2 = 3.54, p = 0.14) and during evaluation sessions (χ2 = 0.85, p = 0.65), but participants showed significant improvement in quality of life after the sessions started (χ2 = 8.95, p = 0.01). The mean scores of all three working alliance components showed a slight increase over three sessions and the scores of the bond subscale showed a significant increase (χ2 = 11.56, p = 0.003).DiscussionIt was clearly observed in this study that despite a slight increase in the severity of depression in at least four participants, the patients’ quality of life and working alliance, especially the bond component, improved during the initial sessions of psychotherapy.ConclusionsThese findings may reflect the importance of the working alliance in the initial sessions, which can lead to a change in the patient’s mental experience of quality of life.
A study of emotional intelligence and the effect of educational intervention in emergency medicine residents
Authors: Abbasi Saeed , Rakhshani Tayebeh , Rezaie Mahdi , ebrahimi Mohammad reza , Taravatmanesh Samira 
Published: March 2018

Aim of the studythis study aimed at examining emotional intelligence components and the impact of education based on it on residents of emergency medicine.Subject or material and methodsThis study consists of two descriptive and interventional parts and was conducted to determine the effectiveness of educational intervention of emotional intelligence on emergency medicine residents. The first part of the study aimed to determine the state of emotional intelligence in emergency department residents, and in the second part the effect of education on emotional intelligence of the residents was investigated. To collect the required information, Sheering Emotional Intelligence Inventory was used. The SPSS version 16 was used for data analysis as well.ResultsAmong the components of emotional intelligence in 120 Residents of Emergency Medicine, the highest mean score was that of self-awareness (mean and standard deviation of 24.8 ± 3.7), and the lowest one was social skill (mean ± SD: 16.2 ± 3.4). Results of educational intervention showed that there was no significant difference between the components of emotional intelligence in the intervention group and the control group before the educational intervention (P-value ≥ 0.05). After the educational intervention, the difference between the intervention and control groups became significant (P-value≤0.05).DiscussionThe descriptive findings of this study showed that among the emotional intelligence components, self-awareness and social skills of the residents had the highest and the lowest mean scores, respectively.ConclusionsFindings of this study showed that educating emotional intelligence to emergency medicine residents had a significant role in increasing their emotional intelligence.
The Evolution of Influence Through Endogenous Link Formation
Authors: Phan Tuan Q. , Godes David 
Published: March 2018

Marketing researchers and practitioners are interested in targeting individuals in social networks who may have disproportionately higher levels of influence over others in their network. While the extant literature suggests individual characteristics or network position as proxies for relative influence, our study bridges these two streams by investigating the endogenous acquisition of network position as a function of exogenous individual characteristics. Specifically, do those with higher expertise achieve higher influence when people endogenously choose those to whom they listen? Using an agent-based modeling simulation framework, we model the dynamics of two types of individuals, i.e., independents with exogenous information and imitators. Over the course of multiple diffusions, agents choose whom to “listen to” for information; dropping less useful ties and adding new ones. We find that independents can have less influence (out-degree) than imitators who collect information from multiple sources. Furthermore, this effect is exacerbated by homophily. Noise in communication channels, on the other hand, moderates these effects, yet can increase penetration rates. We show that our results are robust to alternative dynamic network structures. Our research suggests that marketers should consider the environment, community characteristics, communication medium, and product domains when assessing the relative influence of individuals. Data and the online appendix are available at https://doi.org/10.1287/mksc.2017.1077 .
Regimes de interação em práticas de inclusão de deficientes visuais
Authors: Peixoto Elza Rodrigues Barbosa , Silva Luiza Helena Oliveira da 
Published: March 2018

Neste estudo, nos propomos analisar o trabalho pedagógico de perspectiva inclusiva, fundamentada nos estudos da semiótica discursiva greimasiana, centrada mais especificamente na sociossemiótica de Eric Landowski. Mobilizamos os regimes de interação e sentido, tendo como corpus de análise o relatório de adaptação de alunos com necessidades especiais, produzido pelo setor de psicologia da escola pesquisada tendo com base nos relatos de impressões, preocupações e nas considerações gerais apontadas por cada parte envolvida no processo: professores, coordenação e aluna deficiente visual total e sua mãe. Esta análise levou-nos à observação da maneira como se efetivam os processos de significação resultantes da interação entre os sujeitos para compreender os mecanismos de produção de sentido nessas práticas e em que medida os ajustamentos sensíveis se vinculam ao processo de inclusão.
Afganistán pos-2014: las implicaciones para la estabilidad de la periferia meridional de Rusia
Authors: German Tracey 
Published: March 2018

Afganistán y la amplia región de Asia central constituyen parte del «punto sensible meridional» de Rusia, un término que subraya el sentido de vulnerabilidad que siente a lo largo de la frontera del Sur. Las preocupaciones rusas en seguridad en la región se centran en la inestabilidad transfronteriza, incluyendo la proliferación del extremismo religioso y el tráfico de drogas. Moscú está inquieta por la posibilidad de un mayor deterioro en la situación interna de Afganistán tras la retirada de las fuerzas internacionales en 2014, y por lo tanto ha tomado medidas para reforzar de diversos modos la seguridad tanto de Afganistán como de sus vecinos de Asia central. Este artículo analiza los conductores de la política rusa y valora sus percepciones sobre la amenaza y seguridad en la región, centrándose en particular en las implicaciones para Rusia del retiro de la operación internacional de estabilidad (ISAF) en Afganistán.
Heidegger y la biología: Mecanismo y vitalismo en los conceptos fundamentales de la metafísica. Mundo, finitud y soledad (1929/30) de Martin Heidegger
Authors: Muñoz Pérez Enrique V. 
Published: March 2018

El presente artículo busca reconstruir la discusión entre mecanicismo y vitalismo en la que se inserta Heidegger, a partir de algunas de las referencias explícitas que él hace sobre Wilhelm Roux y Hans Driesch en la lección Los conceptos fundamentales de la metafísica. Mundo, finitud, soledad 1929/30. Más específicamente, mi objetivo es reconocer y analizar las principales tesis de W. Roux y H. Driesch. Ellas son utilizadas por Heidegger para esclarecer la esencia del animal a partir del tratamiento de la noción de «organismo».
La Teoría Evolutiva del Conocimiento y el Misterio Divino
Authors: Pérez Asseff Juan Manuel 
Published: March 2018

Aquí pretendemos sugerir un punto de contacto entre ciencia y religión desde la perspectiva de La teoría evolutiva del conocimiento en relación con la categoría religiosa de Misterio. La teoría evolutiva del conocimiento es una propuesta epistemológica que integra los campos de la teoría evolutiva, las neurociencias y la filosofía. Con su ayuda es posible situar la reflexión sobre la naturaleza del conocimiento humano bajo la luz de la conciencia histórico-evolutiva. Esto podría generar un puente entre ciencia y fe porque nos permite vislumbrar cómo es posible la apertura humana a la dimensión mistérica una vez hayamos adquirido una conciencia evolutiva y contingente de nuestra propia existencia.
¿Convergen las diferentes disciplinas de conocimiento? evidencia cuantitativa
Authors: Lumbreras Sara , Mealy Penny , Verzijl Christopher , F. Way Samuel 
Published: March 2018

Los modelos epistemológicos tradicionales clasifican el conocimiento en disciplinas separadas con objetos de estudio distintos y técnicas específicas, incluso proponiendo esquemas jerárquicos (por ejemplo, Comte). Según pensadores como John Holland o Teilhard de Chardin, el avance de la ciencia implica una convergencia entre sus disciplinas. Esta convergencia puede estudiarse de maneras distintas, como el impacto de diferentes autores fuera de su equipo (redes de citación) o la manera en la que colaboran (redes de coautoría). Aunque estos estudios están generando ideas interesantes, no son capaces de mostrar la convergencia de los distintos temas que se tratan en un cuerpo de trabajos. Este artículo intenta estudiar esta pregunta desde un punto de vista cuantitativo, buscando evidencias que apoyen la idea de convergencia en el contenido de las ciencias en sí mismas (es decir, si las ciencias se ocupan de temas cada vez más cercanos entre ellos). Empleamos Latent Dirichlet Analysis (LDA), una técnica que analiza textos y estima las contribuciones relativas de los temas que los generan (estos temas se definen como distribuciones de palabras). Aplicamos esta técnica al corpus de artículos publicados por el Instituto de Santa Fe (Santa Fe Institute, SFI), que describe trabajos relacionados con las Ciencias de la Complejidad entre 1989 y 2015. Analizamos la cercanía entre las diferentes áreas, la aparición y desaparición de temas de investigación y, en general, la posible convergencia entre disciplinas. Combinando la estructura obtenida de la historia de las publicaciones de SFI con técnicas de inferencia de jerarquía y clustering, reconstruimos la perspectiva de una comunidad científica dinámica que experimenta tendencias, temas recurrentes y cambios en la cercanía de las diferentes disciplinas. Nuestros resultados muestran que hay evidencias de convergencia y que la aplicación de métodos cuantitativos puede proporcionar nuevos elementos de comprensión que ayuden a los investigadores a estructurar una literatura científica cada vez más amplia y compleja, así como a identificar áreas potenciales para nuevas colaboraciones.
Princípios ecológico-éticos da Sustentabilidade Socioambiental: o caso da Economia e da Agricultura
Authors: Roque Junges José 
Published: March 2018

La Bioética ambiental, entendida como hermenéutica crítica, puede ofrecer una contribución importante en la discusión sobre las causas de la crisis ecológica y los parámetros necesarios para una sostenibilidad socio ambiental. Dos ámbitos de la sociedad actual son centrales para este problema: el modo como funciona la economía y la agricultura. La ecuación que rige el modelo de la economíapor el consumo y que determina la agricultura por la química constituyen procesos productivos que son ambientalmente suicidas, porque no respetan los principios básicos del funcionamiento de la naturaleza: ecocentrismo, entropía, trophobiosis/homeostasis. Por eso, estos principios necesitan tornarse parámetros para definir y llegar a sostenibilidad socio ambiental.
The determination of the level of knowledge of nurses on enteral tube feeding<p>Hemşirelerin tüple enteral beslenme konusunda bilgi düzeylerinin belirlenmesi
Authors: Özbaş Nilgün , Göçmen Baykara Zehra 
Published: March 2018

Aim: This descriptive investigation was planned to define the level of knowledge of nurses on the care of enterally fed patients.Method: This research study was performed with 170 nurses who were working at a training and education hospital in the borders of the city of Ankara and who accepted to participate in the study. Data were collected by a data collection form which was produced by the investigators and was composed of 26 questions. The Mann-Whitney U-test, Kruskal-Wallis H-test and chi-square test were used in the analysis of the data.Findings:The mean total knowledge points of nurses on enteral tube feeding was 10,44 (Max: 18, min: 0). Nurses had more knowledge on peristomal skin problems (83,53%), feeding position (80,59%) and interventions directed on at the prevention of nausea and vomiting (73,53%). Nurses were weakest on residual volume (88,82%), pulmonary aspiration (61,76%) and tube care (56,47%). Nurses working in the intensive care unit had more knowledge on enteral tube feeding compared to nurses working at other clinics.Result: As a result of this study, nurses were found to not to have the desired level of knowledge on enteral feeding. In this context, the organization of education programs, creation of care standards by institutions and repeating the study in different groups are recommended.Extended English summary is in the end of Full Text PDF (TURKISH) file.Özet Amaç: Araştırma, hemşirelerin enteral beslenen hastaların bakımına ilişkin bilgi düzeylerinin belirlenmesi amacıyla tanımlayıcı olarak yapılmıştır.Yöntem: Araştırma, Ankara ili sınırları içinde bulunan bir eğitim ve araştırma hastanesi’nde çalışan ve çalışmaya katılmayı kabul eden 170 hemşire ile gerçekleştirilmiştir. Veriler, araştırmacılar tarafından oluşturulan 26 sorudan oluşan veri toplama formu aracılığı ile elde edilmiştir. Verilerin analizinde; Mann Whitney U Testi, Kruskal Wallis H Testi, Ki-Kare Testi kullanılmıştır.Bulgular: Araştırmada, hemşirelerin tüple enteral beslenmeye yönelik toplam bilgi puan ortalamalarının 10, 44 (Max: 18, min: 0) olduğu belirlenmiştir. Hemşirelerin stoma çevresindeki cilt problemleri (%83,53) beslenme pozisyonu (% 80,59) ve bulantı kusmayı önlemeye yönelik girişimler (%73,53) ile ilgili soruları daha fazla oranda bildikleri saptanmıştır. Hemşirelerin en çok rezidüel volüm (%88,82), pulmoner aspirasyon (%61,76) ve tüp bakımı (%56,47) ile ilgili soruları bilemedikleri saptanmıştır. Yoğun bakım ünitesinde çalışan hemşirelerin diğer klinikte çalışan hemşirelere göre tüple enteral beslenmeye ilişkin soruları daha fazla bildikleri belirlenmiştir.Sonuç: Araştırmanın sonucunda hemşirelerin enteral beslenme konusunda istendik düzeyde bilgiye sahip olmadıkları belirlenmiştir. Bu bağlamda konuya ilişkin eğitim programlarının düzenlenmesi, kurumların bakım standartlarını oluşturması ve bu çalışmanın farklı gruplarda tekrarlanması önerilmektedir.