bluuebunny/crossref_metadata_2025_split huggingface dataset:
Elevated Psychosocial Stress at Work in Patients with Systemic Lupus Erythematosus and Rheumatoid Arthritis
Authors: Richter Jutta G. , Muth Thomas , Li Jian , Brinks Ralph , Chehab Gamal , Koch Tobias , Siegrist Johannes , Angerer Peter , Huscher Dörte , Schneider Matthias 
Published: November 2017

Objective.Psychosocial stress at work not only affects the healthy working population, but also workers with chronic diseases. We aimed to investigate the psychosocial work stress levels in patients with systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA).Methods.A cross-sectional study applied the Effort-Reward Imbalance (ERI) questionnaire — an internationally established instrument that measures work stress — to patients with SLE and RA who were capable of work and to a group of controls without these diseases. Participants were recruited through rheumatologists in private practices, hospitals, and from self-help groups by personal communication, paper-based flyers, and online advertisements. Because very few studies tested the ERI’s applicability in patient groups, with a lack of evidence in patients with inflammatory rheumatic diseases, internal consistency and construct validity of the ERI measure were evaluated.Results.Data came from 270 patients with RA and 247 with SLE, and 178 controls. Patients showed elevated psychosocial stress at work compared to controls. Across the total sample and all groups, satisfactory internal consistencies of the scales effort, reward, and overcommitment were obtained (Cronbach’s alpha coefficients > 0.70), and confirmatory factor analysis replicated the theoretical structure of the ERI model (goodness-of-fit index > 0.80).Conclusion.We found elevated psychosocial stress at work in patients with SLE and RA compared to controls by applying the ERI model. Despite some heterogeneity in the sample, we achieved satisfactory psychometric properties of the ERI questionnaire. Our results suggest that the ERI questionnaire is a psychometrically useful tool to be implemented in epidemiological studies of employed patients with SLE and RA.
Les significations sociales de la palatalisation/affrication à Marseille : processus ségrégatifs et changement linguistique
Authors: Spini Mathilde , Trimaille Cyril 
Published: November 2017

De précédents travaux ont permis de dégager différentes façons de parler le français à Marseille, caractérisées par plusieurs traits. Parmi ceux-ci, l’affrication/palatalisation des dentales /t/ et /d/ semble être un trait largement partagé, et n’être donc pas limitée au seul « accent des quartiers nord », qui serait l’apanage de jeunes des quartiers populaires de la ville. L’observation de la production et de la perception de ce trait auprès de locuteurs de milieux sociaux différenciés semble montrer que sa distribution est plus complexe que prévu – ce qui témoigne sans doute d’importants changements en cours – et que sa signification sociale, loin d’être univoque, dépend beaucoup de la légitimité des locuteurs. Grâce à une enquête de terrain, à l’analyse de productions et de discours épilinguistiques, cet article essaie de montrer en quoi ce trait phonétique a priori stigmatisé est en fait révélateur de processus de changements sociaux et linguistiques, liés aux changements de la ville elle-même.
Le territoire : de nouvelles opportunités pour la fonction RH ?
Authors: Colin Thierry , Mercier Estelle 
Published: November 2017

La prise en compte de la dimension territoriale offre à la fonction RH de nouvelles opportunités d’action. Une alternative semble se dessiner entre une gestion « territorialisée » des RH qui ne ferait qu’élargir le périmètre d’action du DRH sans en modifier le contenu et une gestion des RH « territoriale » correspondant à un nouveau modèle de GRH. Cette alternative est questionnée au regard d’une enquête prospective menée auprès de DRH de la région Grand Est. Les résultats montrent une vision contrastée des professionnels sur les opportunités offertes par le territoire. Ils sont analysés et mis en perspective au regard de la littérature existante et de la méthodologie prospective utilisée.
Expliquer le génocide perpétré contre les Tutsi
Authors: Humbert Sylvie 
Published: November 2017

Le génocide perpétré contre les Tutsi en 1994 était perceptible et a cependant surpris tout le monde, notamment les planificateurs qui ne pensaient pas pouvoir être jugés : ils pensaient avoir gagné l’impunité en utilisant la masse. La justice des gacaca , juridiction populaire, a contribué à favoriser la vérité judiciaire nécessaire à la réconciliation nationale. Pour cela, il fallait faire se rencontrer les victimes et les bourreaux autour d’une demande de pardon. Il a fallu aussi développer une politique de mémoire. Mais, vingt ans plus tard, les craintes d’un retour de la vengeance semblent ne pas avoir disparues et on s’interroge à nouveau sur la place de l’oubli et du pardon.
Les oreilles du cœur et l’œil de la raison : penser la justice à partir de l’approche phénoménologique de la miséricorde
Authors: Leblanc Cathy 
Published: November 2017

Le terme de « miséricorde » apparaît dès le xii e siècle dans les textes, c’est-à-dire vers le dernier tiers du Moyen Âge, la pensée médiévale étant essentiellement teintée de religion, à une époque où philosophie et théologie ne sont pas véritablement distinctes. Réfléchir sur le lien entre miséricorde et justice invite soit à penser la justice divine et son paradigme, soit à explorer la manière dont la sphère religieuse se présente au programme de la justice civile. La difficulté consiste alors à se demander à quel type de justice la miséricorde peut véritablement participer. Dans cet article, nous proposons une approche phénoménologique de la miséricorde afin d’en explorer l’espace sémantique pour descendre petit à petit au niveau du repentir comme capacité de se retourner soi-même sur soi-même pour dire la rature et la correction que l’on souhaite apporter au texte de son existence.
D’une forge imposante à une écurie de la Renaissance au château de Caen
Authors: Guillot Bénédicte , Béguier Irène 
Published: November 2017

Cet article permet de suivre l’évolution d’un grand édifice, mis au jour au château de Caen en 2005. Construit d'abord pour servir de forge au début de la guerre de Cent Ans, le bâtiment a suivi les péripéties politiques de la Normandie, jusqu’à être converti en écurie de la Renaissance par un des gouverneurs du château au tout début du xvie siècle.
Armes sonores et musiques d’ambiance
Authors: Volcler Juliette , Stoichita Victor A. 
Published: November 2017

Depuis la seconde guerre mondiale, les recherches se succèdent en Europe et en Amérique du Nord pour exploiter les ondes acoustiques à des fins offensives. Dans cet arsenal « non-létal », la musique est convoquée comme un moyen efficace d’atteindre l’intimité psychique des personnes ciblées. Cet imaginaire menaçant est en lien étroit avec la psychologie comportementale, et avec le champ d’étude plus large de la manipulation sonore qui émerge à partir des années 1930 autour du théâtre, du cinéma et de la musique d’ambiance.
Diaboli in mûsîqî
Authors: During Jean 
Published: November 2017

Du croisement des données de terrain (enquêtes réalisées au Baloutchistan) et des références aux sources littéraires classiques de l’islam (soufisme et théologie), se dégage une problématique articulée en trois volets : l’évaluation et les réserves, exprimées par les acteurs eux-mêmes, quant aux pratiques de transe curative (
le’b
) et au rôle qu’y tient la musique ; l’évaluation, la valorisation ou les objections des soufis et des théologiens concernant les transports extatiques durant les rites de
samâ’
et de
dhikr
;

l’intrication des champs curatif et dévotionnel où l’usage de la musique présente des dangers, car d’un point de vue substantialiste, certains sons possèderaient un pouvoir intrinsèque.
Mental Healthcare Delivery in Rural Greece: A 10-year Account of a Mobile Mental Health Unit
Authors: Peritogiannis Vaios , Manthopoulou Thiresia , Gogou Afroditi , Mavreas Venetsanos 
Published: November 2017

ABSTRACTIntroduction: Patients living in rural and remote areas may have limited access to mental healthcare due to lack of facilities and socioeconomic reasons, and this is the case of rural areas in Eastern Europe countries. In Greece, community mental health service delivery in rural areas has been implemented through the development of the Mobile Mental Health Units (MMHUs). Methods: We present a 10-year account of the operation of the MMHU of the prefectures of Ioannina and Thesprotia (MMHU I-T) and report on the impact of the service on mental health delivery in the catchment area. The MMHU I-T is a multidisciplinary community mental health team which delivers services in rural and mountainous areas of Northwest Greece. Results: The MMHU I-T has become an integral part of the local primary care system and is well known to the population of the catchment area. By the end of 2016, the majority of patients (60%) were self-referred or family-referred, compared to 24% in the first 2 years. Currently, the number of active patients is 293 (mean age 63 years, 49.5% are older adults), and the mean caseload for each member of the team is 36.6. A significant proportion of patients (28%) receive care with regular domiciliary visits, and the provision of home-based care was correlated with the age of the patients. Within the first 2 years of operation of the MMHU I-T hospitalizations of treatment, engaged patients were reduced significantly by 30.4%, whereas the treatment engagement rates of patients with psychotic disorders were 67.2% in 5 years. Conclusions: The MMHU I-T and other similar units in Greece are a successful paradigm of a low-cost service which promotes mental health in rural, remote, and deprived areas. This model of care may be informative for clinical practice and health policy given the ongoing recession and health budget cuts. It suggests that rural mental healthcare may be effectively delivered by integrating generic community mental health mobile teams into the primary care system.
Histologically Confirmed Intracranial Tumors Managed at Enugu, Nigeria
Authors: Ndubuisi Chika Anele , Ohaegbulam Samuel C. , Iroegbu Linda U. , Ekuma Mike Ezeali , Mezue Wilfred C. , Erechukwu Uwadiegwu Alphonsus 
Published: November 2017

ABSTRACT
Background: There is controversy about the global distribution of intracranial tumors (ICTs). The previous reports from Africa suggested low frequency and different pattern of distribution of brain tumors from what obtains in other continents. The limitations at that time, including paucity of diagnostic facilities and personnel, have improved. Objective: The objective of this study is to analyze the current trend and distribution of histology confirmed brain tumors managed in Enugu, in a decade. Methods: A retrospective analysis of ICTs managed between 2006 and 2015 at Memfys Hospital, Enugu. Only cases with conclusive histology report were analyzed. The World Health Organization ICT classification was used. Results: This study reviewed 252 patients out of 612 neuroimaging diagnosed brain tumors. Mean age was 42.8 years and male-to-female ratio was 1.2:1.0. Annual frequency increased from 11 in 2006 to 55 in 2015. Metastatic brain tumors accounted for 5.6%, and infratentorial tumors represented 16.3%. Frequency of the common primary tumors were meningioma (32.9%), glioma (23.8%), pituitary adenomas (13.5%), and craniopharyngioma (7.5%) (P =0.001). Vestibular schwannoma accounted for 1.2%. Meningioma did not have gender difference (P =0.714). Medulloblastoma, glioma, and craniopharyngioma were the most common pediatric tumors. About 8.7% presented unconscious (P < 0.001). There was no significant difference between radiology and histology diagnosis (P =0.932). Conclusion: Meningioma is the most frequent tumor with increasing male incidence, but the frequency of glioma is increasing. Metastasis, acoustic schwannoma, lymphoma, and germ cell tumors seem to be uncommon. Late presentation is the rule.
Predictors of In-hospital Mortality of Acute Ischemic Stroke in Adult Population
Authors: Shah Bhupendra , Bartaula Bijay , Adhikari Janak , Neupane Hari Shankar , Shah Birendra Prasad , Poudel Gunaraj 
Published: November 2017

ABSTRACT
Introduction: Stroke is the second most common cause of mortality worldwide. Data regarding the predictors of mortality of acute ischemic stroke are widely discordant. Identifying the predictors and providing the utmost care to a high-risk patient is still an unmet need in middle- to low-income countries. We did this study to identify the predictor of in-hospital mortality of acute ischemic stroke. Materials and Methods: We conducted a retrospective study of patients with acute ischemic stroke presented to the tertiary care center in eastern Nepal from January 2012 to December 2016. We enrolled patients of age 18 years and older with acute ischemic stroke in this study. The primary outcome of the study was in-hospital mortality of enrolled patients. Predictors of mortality were analyzed by comparing the patients with acute ischemic stroke who had mortality with those who survived. Results: The mean age of enrolled patients was 66 years. Among 257, the in-hospital mortality rate was 20.5%. The patients with in-hospital mortality had lower Glasgow coma scale (GCS) score (9 vs. 12, P < 0.001) compared to those who survived. During admission, a patient with in-hospital mortality had significantly lower arterial oxygen saturation (92 vs. 95, P < 0.001), higher pulse rate (91 vs. 83, P =0.009), and higher respiratory rate (24 vs. 21, P < 0.001) than those patients with acute ischemic stroke who survived. Conclusion: Lower GCS score, baseline higher pulse rate, higher respiratory rate, and lower arterial oxygen saturation are the predictors of in-hospital mortality of adult with acute ischemic stroke.
White Matter Changes in Corpus Callosum in a Patient with Idiopathic Normal Pressure Hydrocephalus
Authors: Mullaguri Naresh , Battineni Anusha , Newey Christopher R. , Nattanmai Premkumar 
Published: November 2017

ABSTRACTIdiopathic normal pressure hydrocephalus (INPH) is characterized by the clinical triad of gait and cognitive dysfunction and urinary incontinence. Ventriculoperitoneal (VP) shunting is often required for treatment. Review of literature shows few case reports discussing benign magnetic resonance imaging (MRI) T2 hyperintense changes in the corpus callosum of NPH patients after shunting due to mechanical compression of the middle and posterior regions of the body against falx cerebri leading to ischemic demyelination. These changes can be a delayed phenomenon and may interfere with clinical evaluation and may lead to unnecessary procedures and investigations. We present a patient with NPH who was admitted to the neurocritical care unit in coma with quetiapine and trazodone overdose. Diffuse changes in the body of the corpus callosum were seen on MRI suspicious for acute vasogenic edema due to drug overdose. However, it was later determined to be due to the VP shunting for the NPH. We report this case to raise the awareness of neuroimaging changes in patients with NPH who have VP shunting.
Effect of Scapular Stabilization Exercise during Standing on Upper Limb Function and Gait Ability of Stroke Patients
Authors: JO Kim , BH Lee ,   Lee J
Published: November 2017

ABSTRACT
Background: The purpose of this study was to determine the effect of scapular stabilization exercise during standing on a paretic side on upper limb function and gait ability of stroke patients. Methods: This study was a hospital-based, randomized controlled trial with a blinded assessor. A total of 17 patients with hemiplegic diagnosis after stroke were divided into two groups (9 patients in a study group and 8 patients in a control group). The study group received physical therapy and scapular stabilization exercise on a paretic side. Participants were subjected to initial evaluation before the treatment. Subjects were subsequently re-evaluated 4 and 8 weeks later to compare the changes. Measurements of hand function and gait ability were performed. Results: Based on multivariate analysis of variance for repeated-measures, there was a significant time effect for Timed Up and Go test (TUG) (F =13.816, P =0.000), Functional Gait Assessment (FGA) (F =18.613, P =0.000), and manual function test (MFT) (F =16.777, P =0.000). The group × time interaction effect was also significant for FGA (F =4.966, P =0.024) and MFT (F =6.946, P =0.003), but not for TUG test (F =3.343, P =0.069). Conclusion: Results of the present study indicated that scapular stabilization exercise during standing on a paretic side for 8 weeks had an effect on hand function and gait ability of hemiplegic patients after stroke. Further studies are needed to find the most proper exercise for stroke patients who have gait disability and upper limb dysfunction.
Coping and Suicidal Ideations in Women with Symptoms of Postpartum Depression
Authors: Doucet S. , Letourneau N. 
Published: November 2017

Objective To explore the relationship between coping mechanisms and suicidal ideations among women who experience symptoms of postpartum depression. Design This exploratory descriptive study used secondary data from a study of women who experienced symptoms of postpartum depression. Participants Convenience and purposive sampling were used to obtain the community sample of 40 women who experienced symptoms of postpartum depression. Methods Binary logistic regression was employed to explore emotion-focused coping, avoidance-focused coping, problem-focused coping, and religious coping as predictors of suicidal ideations. Results Approximately 27% of the sample reported suicidal ideations within the past seven days. The results showed that lower levels of emotion-focused coping and higher levels of avoidance-focused and religious coping predicted suicidal ideations in participants. Problem-focused coping did not predict suicidal ideations. Conclusion Overall, our findings provide support for the importance of coping mechanisms as predictors of suicidal ideations among women who experience symptoms of postpartum depression. The results illustrate the need for health professionals to conduct routine assessments on coping strategies and thoughts of suicide when caring for postpartum women, as well as the need to integrate coping approaches in the prevention and treatment of suicidal ideations.
Combined Hepatocellular Cholangiocarcinomas; Analysis of a Large Database
Authors: Wachtel Mitchell S. , Zhang Yan , Xu Tom , Chiriva-Internati Maurizio , Frezza Eldo E 
Published: November 2017

Aim Combined hepatocellular cholangiocarcinoma (combined tumor) has been described as either a variant of hepatoma or a variant of cholangiocarcinoma. Prior studies evaluated fewer than 50 patients with combined tumors, precluding multivariate analyses. Posited was the notion that analysis of a large database would yield more definite answers. Methods This study used SEER (Surveillance, Epidemiology, and End Results Program of the National Cancer Institute) to analyze 282 combined tumors, 2,035 intrahepatic cholangiocarcinomas, and 19,336 hepatomas between the years 1973-2003. Multinomial logit regression calculated point estimates and 95% confidence intervals (c.i.) for relative risk (rr). Cox regression calculated point estimates and 95% confidence intervals (c.i.) for hazard ratios (ĥ). Results Men less often had cholangiocarcinomas than they had combined tumors (rr = 0.63, c.i. = 0.49-0.81). Hepatomas less often than combined tumors presented with distant spread (rr = 0.56, c.i. = 0.43-0.72). Men (rr = 1.50, c.i. = 1.17-1.93) and patients with a known Asian or Pacific birthplace (rr = 2.36, c.i. = 1.56-3.56) more often had hepatomas than they had combined tumors. Among patients not known to have an Asian/Pacific birthplace, a diagnosis of cholangiocarcinoma (ĥ = 0.72, c.i. = 0.63-0.82) or hepatoma (ĥ = 0.75, c.i. = 0.66-0.86) provided a better prognosis than did a diagnosis of combined tumor. Conclusion Combined tumors differ from hepatomas and cholangiocarcinomas in terms of distribution and survival patterns in the population; they should be considered neither cholangiocarcinomas nor hepatomas.
There's no Place like Home: Oklahoman's Preferences for Site of Death
Authors: Matzo Marianne , Hijjazi Kamal 
Published: November 2017

Objective This study sought to document Oklahomans knowledge, attitudes, and behaviors regarding palliative care; this paper focuses on subjects stated preferences for where they would choose to die. Design Quantitative study used a random state-wide telephone sample of Oklahoma residents. Subjects Data from 804 residents in the State of Oklahoma between November and December (2005). Results An overwhelming majority of the respondents (80%) reported preference to die at home in the event that they suffer a terminal illness. The proportion of respondents under the age of 65 who preferred to die at home (80.9%) was slightly higher than those aged 65 and over (74.8%). Also, while 81.4% of the female respondents reported preference for dying at home, 75.8% of the male respondents shared such preference (P < 0.05). More married respondents (82.7%) than non-married respondents (74.7%) reported preference for dying at home (P < 0.01). A significant association (P < 0.05) between income level and preference for dying at home was noted. While 84.3% of those with income level at $21,000 or more reported reference for dying at home, 76.4% of those with income below $21,000 reported the same preference. Conclusions This paper offers insight into factors that influence Oklahoman's stated preferences for site of death that can assist the statewide agenda in the planning and provision of palliative care. This information can be adapted in other states or countries to determine palliative care needs.
Survey of Palliative Care Concepts among Medical Students and Interns in Austria: A Comparison of the Old and the New curriculum of the Medical University of Vienna
Authors: Pohl G. , Marosi C. , Dieckmann K. , Goldner G. , Elandt K. , Hassler M. , Ludwig H. , Watzke H. 
Published: November 2017

Background To improve the level of awareness in palliative care concepts, the new curriculum at the University of Vienna includes sixteen hours of palliative care education. The old curriculum did not include palliative care education. Aim To compare the level of awareness in palliative care concepts among 4th year students of the new curriculum of the Medical University of Vienna with interns who finished their studies in the old curriculum. Materials and methods: 440 medical students in their 4th year and 149 interns participated in a survey study. Data were collected after the survey and the responses were analyzed. Results Data analysis consists of completed survey obtained from 83% and 67% of the students and interns. We observed that students reported higher theoretical knowledge of palliative care concepts as compared to interns, whereas interns were better in performing practical aspects of palliative care. A significant percentage of students and interns would like to learn more about palliative care in their curriculum, although this was more present among interns (72.7% students and 92.6% interns, p < 0.0001, respectively). Conclusion Although palliative care education is already included in a compulsory manner in the new curriculum of the Medical University of Vienna, almost two third of all students would support more implementation of palliative care issues throughout the curriculum. To further improve attitudes and skills towards patients at end of life, palliative care education should be augmented in the new curriculum.