bluuebunny/crossref_metadata_2025_split huggingface dataset:
Preserved Simple and Impaired Compound Movement After Infarction in the Territory of the Superior Cerebellar Artery
Authors: Goodkin H.P. , keating J.G. , Martin T.A. , Thach W.T. 
Published: February 2016

ABSTRACT:A patient with an infarct in the distribution of the right superior cerebellar artery was studied with regard to his ability to make simple movements (visually triggered, self-terminated ballistic wrist movements), and compound movements (reaching to a visual target and precision pinch of a seen object). Movements on the right side of the body alone were affected. Control movements were made by the normal left upper extremity. Wrist movement on the right side was normal in reaction time, direction, peak velocity, and end-point position control ascompared to the left. By contrast, both reaching and pinching movements on the right were impaired. Reaching movements showed marked decomposition of the compound elbow-shoulder movement into seriatim simple movements madealternately at elbow and shoulder. Pinching movements were not made, and instead winkling movements (a movement of index alone) were substituted. These results are compared to similar results of controlled inactivation of the cerebellar dentate nucleus in monkeys. We conclude that one function of the cerebellum may be to combine elements in the movement repertoires of downstream movement generators. When that ability is lost, a strategy may be voluntarily adopted of using the preserved simple movements in place of the impaired compound movements.
The Impact of Fatigue on Patients with Multiple Sclerosis
Authors: Fisk John D. , Pontefract Amanda , Ritvo Paul G. , Archibald Catherine J. , Murray T.J. 
Published: February 2016

ABSTRACT:Although fatigue is recognized as a symptom of MS, there have been insufficient methods for evaluating this symptom. We administered the Fatigue Impact Scale to 85 MS patients and 20 hypertensive patients. Neurologic impairment, mental health, and general health status were also assessed. MS patients reported significantly higher fatigue impact than hypertensive patients. Most MS patients reported fatigue as either their worst (14%), or one of their worst (55%) symptoms. Disease classification and neurologic impairment had little bearing on Fatigue Impact Scale scores in the MS sample. The best predictive models for mental health and general health status in the MS sample both included the Fatigue Impact Scale as a significant factor. This study demonstrates that: 1) fatigue is a very prevalent and severe problem in MS, 2) fatigue impact cannot be predicted by clinical measures of neurologic impairment, 3) fatigue has a significant effect on the mental health and general health status of MS patients.
Complications of Sural Nerve Biopsy in Diabetic versus Non-Diabetic Patients
Authors: Perry James R. , Bril Vera 
Published: February 2016

ABSTRACT:We compare complications from 66 sural nerve biopsies in 41 patients with diabetic peripheral neuropathy to 40 patients with neuropathy from other causes, using a retrospective telephone survey. Diabetic patients were followed for a mean of 6.8 years and non-diabetics for 5.6 years. Mild long-term pain was described by 18.9% of patients overall with no difference between groups. Mild persistent sensory symptoms, insufficient to interfere with daily activity or warrant medical therapy, were reported by 63.6% of diabetic and 27.5% of non-diabetic patients (p < 0.006). Wound infection and severe pain were uncommon in both groups and no different in diabetics. Significant complications of sural nerve biopsy occurred no more frequently in diabetic than in non-diabetic patients. While sural nerve biopsy plays no role in the routine evaluation of diabetic peripheral neuropathy, it may be performed without increased risk when indicated in these patients to exclude other causes of neuropathy and in the context of research trials.
Fatal Rebleeding from a Dural Arteriovenous Malformation of the Posterior Fossa: case report with pathological examination
Authors: Findlay J. Max , Mielke Bruce W. 
Published: February 2016

ABSTRACT:A seventy-year-old woman suffered a fatal cerebellar rehemorrhage from a large venous aneurysm associated with a dural arteriovenous malformation (AVM) of the posterior fossa. The malformation, fed by branches of the right vertebral, occipital and middle meningeal arteries, had a nidus in the transverse sinus wall with a pedunculated extension reaching the pial surface of the adjacent cerebellum, from where the malformation drained exclusively into an aneurysmal cerebellar vein. There was no associated venous sinus obstruction. Histopathological examination of the venous sinuses, arteriovenous malformation and venous drainage is described and these findings as they relate to the pathogenesis of dural AVMs are discussed. Vascular malformations of the dura mater do not appear to be a single clinical or pathological entity. The serious risk of hemorrhage from a parenchymal venous aneurysm is emphasized.
Doctors' Duty to Disclose Error: A Deontological or Kantian Ethical Analysis
Authors: Bernstein Mark , Brown Barry 
Published: February 2016

AbstractMedical (surgical) error is being talked about more openly and besides being the subject of retrospective reviews, is now the subject of prospective research. Disclosure of error has been a difficult issue because of fear of embarrassment for doctors in the eyes of their peers, and fear of punitive action by patients, consisting of medicolegal action and/or complaints to doctors'governing bodies. This paper examines physicians'and surgeons'duty to disclose error, from an ethical standpoint; specifically by applying the moral philosophical theory espoused by Immanuel Kant (ie. deontology). The purpose of this discourse is to apply moral philosophical analysis to a delicate but important issue which will be a matter all physicians and surgeons will have to confront, probably numerous times, in their professional careers.
Surveillance for Progressive Intellectual and Neurological Deterioration in the Canadian Paediatric Population
Authors: Keene Daniel L. , Sutcliffe Terry , Harman Pat , Grenier Danielle 
Published: February 2016

AbstractObjectives:To conduct active surveillance of the Canadian paediatric population for children who have a progressive intellectual and neurological deterioration to detect the occurrence of cases of Creutzfeldt-Jakob disease or variant Creutzfeldt-Jakob disease.Case Definition:Any child who is less than or equal to 18 years of age, who had a progressive loss of already attained intellectual/ developmental abilities and development of abnormal neurological signs of greater than three months duration was eligible for inclusion.Duration:July 1999 to July 2001.Method:Enhanced active surveillance system for progressive intellectual and neurological deterioration was implemented to detect, prospectively, among the Canadian paediatric population. Each month, all paediatricians and paediatric neurologists in Canada were mailed a reporting form. All reported cases were reviewed by the principal investigator who classified the cases into one of four predetermined categories. Cases where there was evidence of neurological and intellectual regression without known cause were reviewed by a panel. Reported cases were reviewed for the possibility of classic or variant Creutzfeldt-Jakob disease.Results:Over 2200 physicians took part in this program. There was more than an 80% monthly return rate of the initial report form. Ninety-nine possible cases of progressive neurological and intellectual deterioration were reported. Sixty cases were classified as having a progressive neurological syndrome associated with intellectual deterioration. Fourteen cases were duplicates. One case of Creutzfeldt-Jacob disorder was found but no cases of the variant form of Creutzfeldt-Jacob disorder. Fifteen cases were felt not to meet the above-mentioned entry criteria.
Axonal Damage in Multiple Sclerosis Patients with High versus Low Expanded Disability Status Scale Score
Authors: Brass Steven D. , Narayanan Sridar , Antel Jack P. , Lapierre Yves , Collins Louis , Arnold Douglas L. 
Published: February 2016

AbstractBackground:The pathophysiological basis for differences in disability in patients with multiple sclerosis is unclear.Methods:We used magnetic resonance imaging to examine whether differences in disability in cohorts of multiple sclerosis patients with similar T2-weighted lesion volume and disease duration were associated with a more destructive disease process in the more disabled patients.Results:The benign and severely disabled groups had similar brain atrophy metrics and similar decreases of the neuronal marker, N-acetylaspartate, in the normal appearing white matter of the cerebrum on magnetic resonance spectroscopy examination in vivo. The severely disabled cohort had more spinal cord atrophy.Conclusion:The dissociation of spinal cord atrophy and cerebral atrophy between these two groups suggests that the difference between the more benign and more disabled groups cannot be explained by a more aggressive pathological process that is affecting the entire neuroaxis in a homogeneous fashion.
Intramedullary Blastomycosis in a Child: Case Report
Authors: Parr A.M. , Fewer D. 
Published: February 2016

AbstractObjective:To report a case of spinal intramedullary blastomycosis causing myelopathy. This is the first published case of a pediatric patient with intramedullary blastomycosis and compromised function.Clinical presentation:An otherwise healthy 13-year-old patient was diagnosed with respiratory North American blastomycosis. She subsequently received a five-month course of itraconazole with presumed resolution of the infection. The patient presented again at 14 years of age with a lumbar myelopathy. Magnetic resonance imaging revealed an intramedullary lesion of 1 cm diameter at the level of T12-L1.Intervention:AT12-L1 laminectomy was performed with a gross total resection of the lesion. Pathological examination and microbiological culture of the specimen was consistent with blastomycosis. Postoperatively, the patient was placed on a five week course of amphotericin B. The patient showed substantial improvement in neurological function.Conclusion:Blastomycosis can present as an isolated intramedullary lesion causing compromised function. It should be considered in the differential diagnosis of a patient with a myelopathy and previously recognized blastomycosis. The prognosis is good with surgical resection.
“To whom honor is due”: Mediated crime-scenes and minority stigmatization in a border-crossing context
Authors: Kosnick Kira 
Published: February 2016

AbstractThis article focuses on a scandal surrounding the airing of an episode of Germany's most famous TV crime series, in which there occurred a murder in an Alevi immigrant family originally attributed to a Sunni Muslim who had just arrived from Turkey. The Alevi father and head of the family was then found out to have murdered his own daughter after she had threatened to reveal that he was sexually abusing her sister. The episode was met with an enormous outcry from Alevis based in Germany as well as in Turkey. This essay analyzes the protests for what they reveal about the trans-nationalization of stereotypes and immigrant demands for fair media representation in Germany. It is argued that it marks a new stage in the development of border-crossing public spheres in which the politics of cultural struggle in relation to ethnic and religious hierarchies lose some of their national moorings.
Sublime yet ridiculous: Turkishness and the cinematic image of Zeki Müren
Authors: Arslan Umut Tümay 
Published: February 2016

AbstractThis paper scrutinizes anxieties of national identity in Turkey through the image of Zeki Müren in three films,Beklenen Şarkı, Kırık Plak, andSon Beste. In these films the image of Zeki Müren is articulated as the ridiculous sublime. His image always tells two stories simultaneously: construction and collapse of national identity. Through an analysis of Müren's early films, the paper shows, how anxieties about the formation of Turkish citizenship and about modernity are substantiated in his image. This analysis is carried out in the following steps: I, first, explain how the films chosen here construct the feeling ofwe-nessand national imaginary by virtue of Classical Turkish music and the voice of Zeki Müren. I show that the image of Zeki Müren in these films tells the story of the national subject being interpellated or hailed by Turkishness and argue that Zeki Müren's image exposes the “speculary” structure of Turkishness. Examining the construction, completeness, and integrity of Turkish national identity the paper continues to explore its collapse, incompleteness, and disintegration–that is, the dimension of “beyond interpellation.” Put differently, I analyze how the feeling ofwe-nesscollapses and explore the pleasure and torment produced through the relationship between social power and the subject. With the help of these two axes of exploration, I show how the torment as well as the pleasure of subjection, the desire to be recognized as well as the fear of not being recognized is the text of Zeki Müren's image in these films.
AKP's neo-conservatism and politics of otherness in Europe-Turkey relations
Authors: Ertuğrul Kürşad 
Published: February 2016

AbstractThis study uncovers the neo-conservative “style of thought” informing the ideology of theAdalet ve Kalkinma Partisi(Justice and Development Party, AKP). The AKP's politico-cultural strategy in pursuing Turkey's goal of full membership to the EU is constituted on this ideological ground. Based on critical constructivism, this article argues that the AKP constitutes a domestic-foreign policy nexus of change characterized by a neo-conservative “style of thought” that aims to redefine the identity of Turkey. Along this line of politics, Europe appears as a politico-cultural space, as an ideational structure, enabling and limiting the AKP to act as a political and cultural agent. While the AKP adopts and sublimates the position of the “other” in the ideational structure of Europe, it reconstitutes the identity and interests of Turkey through neo-conservative ideas. Both are mutually reinforcing.
The Conflictual (Trans)formation of the Public Sphere in Urban Space: The Case of Diyarbakır
Authors: Gambetti Zeynep 
Published: February 2016

“In the East, understanding is a surreptitious shroud.”Kemal Varol“Men come into existence through their struggles”This study aims to contribute to efforts to understand how redress occurs in local contexts impaired by armed conflict. Its particular focus is on events, dynamics and forms of relationality that (re)create public spheres on a local level. It takes the city of Diyarbakır, the largest in Southeastern Turkey, as the vantage point from which to explore the transformation of a site of violent conflict into a space for the expression of differences that were either nonexistent or suppressed. Since the beginning of the armed uprising of the Kurdistan Workers' Party (PKK) in 1984, the majority of political actors in Diyarbakır have in effect been polarized into two antagonistic camps (the Turkish state vs. the PKK). With the end of armed conflict five years ago, Diyarbakır has been astoundingly transformed into a paradise for civil society activists. The dynamics through which new urban spaces of existence and of expression have been created have not ceased being conflictual. In exploring the formative function of micro and macro struggles on publicness, the theoretical intent of this study is to argue against the Habermasian conceptualization of the public sphere.
The Literary Portrayal of Mehmed II in Turkish Historical Fiction
Authors: Kara Halim 
Published: February 2016

AbstractThis article examines the portrayal of Mehmed II, the conqueror of Istanbul, in Turkish historical fiction, as well as the literary and ideological implications of his portrayal with regard to Turkish national identity. Since the early Turkish Republic, Mehmed II has been described as a major character in over thirty historical novels. The article argues that over time the literary characterization of Mehmed II in Turkish fiction has undergone substantial change. During the early republican period, historical fiction adopted an ambivalent attitude toward Mehmed II. While one historical novel under discussion focuses mostly on Mehmed II's despotism and aggressive tendencies, another novel contemplates his military bravery and his ability to govern. However, with the arrival of the multi-party system in 1950, these ambivalent approaches toward Mehmed II changed, and he began to be portrayed as the ideal Turkish statesman, gaining the status of a national hero. The latter attitude toward him dominated historical fiction writing as late as in the early 1990s. At that time, Turkish historical meta-fiction began to portray a more complex and ambiguous Mehmed II, thus both challenging as well as re-producing his previous representations.
Retrieving the Dignity of a Cosmopolitan City: Contested Perspectives on Rights, Culture and Ethnicity in Mardin
Authors: Biner Zerrin Özlem 
Published: February 2016

AbstractThis article aims to contribute to the understanding of post-conflict processes in Turkey by focusing on the discourses and practices following the city of Mardin's bid to become a World Heritage Site. It intends to show how cosmopolitanism becomes a contested and dominant discourse for the locals of the city (Kurds, Arabs, and Syriac Christians) to re-articulate the history of the inter-communal relationships and to create a negotiating ground with the state, in order to recover from the moral and economic injuries of the military conflict during the 1990s. In doing so, the article discusses the effects of the accumulated events of past and present on the production of different forms of power relations between the state and its subject-citizens in the post-conflict context of Mardin, Southeastern Turkey.
The Politics of Urban Regeneration: The Case of the Fener and Balat Initiative
Authors: Bezmez Dikmen 
Published: February 2016

AbstractSince the late 1990s, Fener and Balat, two adjacent historic neighborhoods on the shoreline of the Golden Horn (Haliç) in İstanbul, have been the stage of urban regeneration efforts. Following a process of de-industrialization in the mid-1980s, these efforts have aimed to revitalize the area through the promotion of tourism. Today, almost ten years after the initial attempts, regeneration remains incomplete. This essay explores the reasons underlying this “failure.” For this purpose, I focus on the key actors, their interests and power struggles within the context of the project. I argue that one needs to highlight the particularities of the institutional arrangements at the district, city and national levels in order to explain the situation in Fener and Balat. More specifically, due to the absence of relatively autonomous market mechanisms, the lack of the private sector's involvement, the gap between the public sector's interests and the demands of the market, and the effectiveness of electoral politics at the district level, the case of Fener and Balat has been shaped by district mayors and local communities reluctant to implement and participate in the project.
Health as a Social Agent in Ottoman Patronage and Authority
Authors: Mossensohn Miri Shefer 
Published: February 2016

AbstractOttoman society and its medical system of the early modern period and the nineteenth-century demonstrate the marriage of medicine and power. I present the view from the imperial center and focus on the aims and wishes of the Ottoman elite and imperial authorities in İstanbul as they were embodied in state activities, such as formal decrees and policies meant to be implemented all over the empire. For the Ottoman elite, medicine was always a significant imperial tool, but it was neither the only tool of control, nor the most important one. The extent to which the Ottoman elite used medicine in its social policies changed over time. A comparison between the Ottoman use and distribution of health and food from the early modern period until the nineteenth century illustrates this point. It was especially during the nineteenth century that medicine was intentionally-and successfully-implemented as a mechanism of control in the Ottoman Empire.
Social Work and Social Exclusion in Turkey: An Overview
Authors: Yazıcı Berna 
Published: February 2016

AbstractThis paper discusses state-sponsored social work and its relation to social exclusion in contemporary Turkey. Linking state-sponsored social work to the dynamics of social exclusion, this discussion points to two contrasting sets of practices within the Turkish social work system. First, I focus on the contemporary reform of the child protection system: I examine the current restructuring of institutional care for children, showing its link with the neoliberal agenda of reducing state social spending and shifting social care from state to familial resources. The current emphasis on and the specific implementation of the policy of transforming institutional care perpetuate the processes of exclusion as experienced by the women and children who are the major clients of the social work system. Yet, examples of the ways in which social work can address social exclusion do exist in the system, and I try to offer a glimpse into these limited benefits which at least some clients receive through the system. I conclude by suggesting that, in order to better address the negative results of social exclusion, both the redistributive and interpretive underpinnings of the Turkish state social work system should be subject to critical scrutiny.
Continuity and Change in Social Policy Approaches toward Women
Authors: Kılıç Azer 
Published: February 2016

AbstractThis article discusses the development of social policy in Turkey from a gender perspective. Focusing on continuities and changes in the formal social security system and the labor market regulation, it aims to describe the place of women in social policy until today. I argue that social policy measures from the late Ottoman era to the single-party period laid the foundation for later gendered policy approaches through specific assumptions on women's roles and position. With the introduction of a modern social security system in the post-World War II period women have increasingly become integrated into the system, either as workers or as dependents of workers; however, assumptions about women's place in the family and the labor market did not change much. Familial dependency and traditional gender norms were assumed and reinforced through certain gender-differentiated policies, and women workers have been encouraged to go back home. Over the last two decades, however, the conceptualization of women in social policy formulations has shifted towards a policy that encourages female labor and equal treatment of genders.