bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Proposal for an Out-of-Range Glycemic Population Health Safety Measure for Older Adults With Diabetes
Authors: Pogach Leonard , Tseng Chin-Lin , Soroka Orysya , Maney Miriam , Aron David 
Published: November 2016

OBJECTIVE
To evaluate patient-level glycemic control and facility variation of a proposed out-of-range (OOR) measure (overtreatment [OT] [HbA1c &lt;7% (53 mmol/mol)] or undertreatment [UT] [&gt;9% (75 mmol/mol)]) compared with the standard measure (SM) (HbA1c &lt;8% [64 mmol/mol]) in high-risk older adults.

RESEARCH DESIGN AND METHODS
Veterans Health Administration patients ≥65 years of age in 2012 who were taking antihyperglycemic agents in 2013 were identified. Patient-level rates and facility-level rates/rankings were calculated by age and comorbid illness burden.

RESULTS
We identified 303,097 patients who were taking antiglycemic agents other than metformin only. The study population comprised 193,689 patients with at least one significant medical, neurological, or mental health condition; 98.2% were taking a sulfonylurea and/or insulin; 55.2% were aged 65–75 years; and 44.8% were aged &gt;75 years. The 47.4% of patients 65–75 years met the OOR measure (33.4% OT, 14% UT), and 65.7% met the SM. For patients aged &gt;75 years, rates were 48.1% for OOR (39.2% OT; 8.9% UT) and 73.2% for SM. Facility-level rates for OOR for patients aged 65–75 years ranged from 33.7 to 60.4% (median 47.4%), with a strong inverse correlation (ρ = −0.41) between SM and OOR performance rankings. Among the best-performing 20% facilities on the SM, 14 of 28 ranked in the worst-performing 20% on the OOR measure; 12 of 27 of the worst-performing 20% facilities on the SM ranked in the best-performing 20% on the OOR measure.

CONCLUSIONS
Facility rankings that are based on an SM (potential benefits) and OOR measure (potential risks) differ substantially. An OOR for high-risk populations can focus quality improvement on individual patient evaluation to reduce the risk for short-term harms.
Computed tomography and radio-graphic assessment of congruity between the ulnar trochlear notch and humeral trochlea in large breed dogs
Authors: Ginja Mário , Fernandes Armando , Ferreira António , Melo-Pinto Pedro , Colaço Bruno , Alves-Pimenta Sofia 
Published: November 2016

SummaryObjective: Assess the fit between the ulnar trochlear notch (UTN) and humeral trochlea (HT) in elbow radiographs and computed tomography (CT) images by measuring the curvature radii in normal joints.Methods: Mediolateral extended view (MLE) and CT were performed on 16 elbows from cadaveric dogs weighing over 20 kg. Curves were traced at the subchondral level from the UTN central ridge and the HT sagittal groove related to the UTN on ~132° joint extension. Curvature radii were achieved using appropriate computer software.Results: Intraclass correlation coefficient between MLE/CT measurements were statistically significant, with lower limits of a 95% confidence interval (CI) >0.75. The mean differences between MLE/CT measurements were -0.71 mm (95% CI: -0.97 to -0.45) for UTN and -1.04 mm (95% CI: -1.21 to -0.87) for HT. The UTN and HT curvature radii typology were similar, with maximum radius values at the starting point and two intermediate peaks. The UTN curvature radii were bigger than the HT radii, with the largest differences in the most proximal aspect of the joint and in the second intermediate peak.Clinical significance: To the authors’ knowledge, this is the first report on humeroulnar congruity through curvature radii evaluation. The software and methodology proposed enabled an adequate UTN and HT radii curvature assessment in MLE and CT images. Comparative studies in normal and dysplastic dogs of various breeds could better clarify the role of UTN and HT curvature radii in elbow incongruity and dysplasia.
Revision of a BFX total hip replacement stem using a Kyon stem and a head adaptor in two dogs
Authors: Bazzo Sara , Vezzoni Aldo , Vezzoni Luca 
Published: November 2016

SummaryObjective: To report revision of BFX cementless press-fit stem loosening with a Kyon cementless stem and a head adaptor in two dogs.Methods: Total hip arthroplasty stem revision was performed in two dogs with loosening of a previously implanted Biomedtrix press-fit BFX stem. Both dogs had a well-integrated BFX cup and single stage revision was performed using a standard Kyon stem and a head adaptor in order to couple with a 17 mm head and maintain the BFX cup.Results: Revisions resulted in a stable functional prosthesis with successful bone integration at the one-year postoperative reevaluation.Conclusions: Use of a Kyon stem with a head adaptor may be a successful option to provide immediate stem stability for revision of a loosened BFX stem with a properly osseo integrated cup.
Kirschner wire fixation of Salter-Harris type IV fracture of the lateral aspect of the humeral condyle in growing dogs
Authors: Cinti Filippo , Pisani Guido , Vezzoni Luca , Peirone Bruno , Vezzoni Aldo 
Published: November 2016

SummaryObjectives: To evaluate the use of Kirschner wires for treatment of fractures of the lateral aspect of the humeral condyle in growing dogs.Methods: Retrospective analysis of 35 elbow fractures (33 dogs) of the lateral aspect of the humeral condyle treated by insertion of multiple transcondylar and one anti-rotational Kirschner wires. Radiographic and clinical re-evaluations were carried out immediately after surgery, at four weeks and, when required, at eight weeks postoperatively. Long-term follow-up was planned after a minimum of six months. The relationship between different implant configurations and clinical outcome was analysed statistically.Results: Complete functional recovery was seen in 31 elbows (30 dogs), three elbows (2 dogs) had reduction in the range of motion, and one elbow (1 dog) had persistent grade 1 lameness two months postoperatively. Major complications occurred in eight elbows (8 dogs) and all were resolved by implant removal. Implant configuration did not affect outcome. Long-term evaluation in 12 cases with a mean follow-up of four years showed absence of lameness, normal function and no or mild radiographic evidence of osteoarthritis in 11 cases.Clinical significance: Fracture of the lateral aspect of the humeral condyle in growing dogs can be successfully treated by multiple transcondylar convergent or parallel Kirschner wires, resulting in adequate fracture healing.
Biomechanical comparison of two ostectomy configurations for partial mandibulectomy
Authors: Matz Brad , Farag Ramsis , Boothe Harry , Tillson D. , Henderson Ralph , Linden Daniel 
Published: November 2016

SummaryObjective: To determine the stiffness and load to failure of two different ostectomy configurations using canine mandibles.Study design: Cadaveric biomechanical assessment.Animals: Paired mandibles (n = 30).Methods: Standardized partial ostectomies were created on the alveolar surface of 30 mandibles. Samples were randomly assigned to right-angled (n = 15) or crescentic ostectomy (n = 15). Excision spanned the mesial aspect of the fourth premolar tooth to the distal aspect of first molar tooth. Mandibles were loaded to failure in three-point ben-ding. The stiffness, displacement at maximum load, and load to failure were measured.Results: There was no significant difference in stiffness (p = 0.59), displacement at maximum load (p = 0.16) and load to failure (p = 0.76) between right-angled or crescentic ostectomy. Right-angled and crescentic ostectomy failed mostly by fracture through an empty alveolus (11/15 and 13/15, respectively).Clinical relevance: No significant differences in load to failure or stiffness between ostectomy techniques were observed. Crescentic ostectomy did not improve the acute load to failure for partial mandibulectomy. The empty alveolus served as a focal stress concentration point eliminating the potential mechanical advantage of a crescentic ostectomy.
Improvement in Herpes Zoster Vaccination in Patients with Rheumatoid Arthritis: A Quality Improvement Project
Authors: Sheth Heena , Moreland Larry , Peterson Hilary , Aggarwal Rohit 
Published: November 2016

Objective.To improve herpes zoster (HZ) vaccination rates in high-risk patients with rheumatoid arthritis (RA) being treated with immunosuppressive therapy.Methods.This quality improvement project was based on the pre- and post-intervention design. The project targeted all patients with RA over the age of 60 years while being treated with immunosuppressive therapy (not with biologics) seen in 13 rheumatology outpatient clinics. The study period was from July 2012 to June 2013 for the pre-intervention and February 2014 to January 2015 for the post-intervention phase. The electronic best practice alert (BPA) for HZ vaccination was developed; it appeared on electronic medical records during registration and medication reconciliation of the eligible patient by the medical assistant. The BPA was designed to electronically identify patient eligibility and to enable the physician to order the vaccine or to document refusal or deferral reason. Education regarding vaccine guidelines, BPA, vaccination process, and feedback were crucial components of the project interventions. The vaccination rates were compared using the chi-square test.Results.We evaluated 1823 and 1554 eligible patients with RA during the pre-intervention and post-intervention phases, respectively. The HZ vaccination rates, reported as patients vaccinated among all eligible patients, improved significantly from the pre-intervention period of 10.1% (184/1823) to 51.7% (804/1554) during the intervention phase (p < 0.0001). The documentation rates (vaccine received, vaccine ordered, patient refusal, and deferral reasons) increased from 28% (510/1823) to 72.9% (1133/1554; p < 0.0001). The HZ infection rates decreased significantly from 2% to 0.3% (p = 0.002).Conclusion.Electronic identification of vaccine eligibility and BPA significantly improved HZ vaccination rates. The process required minimal modification of clinic work flow and did not burden the physician’s time, and has the potential for self-sustainability and generalizability.
L’empathie dans le processus psychothérapique : agent, moyen ou condition ?
Authors: Georgieff Nicolas 
Published: November 2016

Le terme empathie semble être compris par tous. Or ce concept est au carrefour de la recherche en neurosciences cognitives, de la psychologie du développement, de la clinique psychopathologique et de la pratique psychothérapique. Il a fait l’objet d’une renaissance dans les neurosciences et en psychopathologie, les deux intérêts se croisant avec des perspectives distinctes. Mécanisme de communication ou de partage interindividuel (de représentations, d’intentions, de pensées, d’émotions), il est une capacité de se mettre à la place de l’autre, dans sa subjectivité mais aussi dans son corps. Contrainte biologique, l’empathie est aussi inconsciente, obligatoire et mécanique, et ce sont ses effets qui nous sont accessibles. Après une reconstitution heuristique du concept, je propose un prolongement des réflexions psychanalytiques en définissant l’empathie comme un mécanisme actif au sein de deux interlocuteurs » ; elle permet par l’auto-empathie la connaissance de soi comme de l’autre ; elle est modulée jusqu’à la désempathie ; elle est le moteur de la transformation réciproque et donc de l’intersubjectivité. Ainsi, la psychopathologie serait un échec de cette transformation intersubjective de l’individu psychique avec l’autre, et la psychothérapie une relance de cette fonction.
Malencontreux : soigner le mal en clinique transculturelle
Authors: Zoldan Yann 
Published: November 2016

Cet article relate une rencontre thérapeutique avec un patient qui se présente dans un premier temps comme victime pour ensuite se dévoiler bourreau. Dès lors c’est le début du malencontreux, de la mauvaise rencontre. Le mal prend alors place dans la rencontre thérapeutique. Nous aborderons cette question d’après l’Histoire des traumatismes historiques pour ensuite l’illustrer avec la clinique. Nous questionnerons, que fait-on du mal en psychothérapie, quelle réponse apporter ? De nombreuses questions pour soutenir une clinique transculturelle d’individus responsables.
Du contre-transfert aux contours de l’empathie : nécessité d’une éthique clinique
Authors: Huqueleux Véronique 
Published: November 2016

Rebecca, jeune nigériane est accompagnée dans le cadre d’un dispositif d’accueil sécurisant pour les victimes de réseaux de prostitution, nous suivons son cheminement autour des questions du féminin et de la maternité, jusqu’à sa mise en accusation criminelle. A travers la biographie de son parcours psychothérapique de 2009 à 2015, nous explorons l’articulation des réactions contre-transférentielles et de l’empathie de la thérapeute pour elle. L’irruption fantasmatique face au réel induit des mouvements défensifs ainsi qu’un contre-transfert négatif qui viennent limiter les capacités empathiques. Ces mouvements renvoient au fonctionnement psychique de la patiente mais aussi à l’intime de la thérapeute et à des implicites culturels en elle où la morale vient parler du contre-transfert culturel. L’analyse de ces mouvements permettra un retour à une éthique clinique pour se départir d’un « romantisme de l’empathie » par la reconnaissance de son caractère ambivalent.
Do Perceptions About Local Environmental Quality Influence Self-Rated Health? Evidence from Ghana
Authors: Sulemana Iddisah 
Published: November 2016

<p>Although climate change and other global environmental problems are of top priority among world leaders (especially for those of developed countries), local environmental problems continue to bedevil people in developing countries like Ghana. In these countries, people continue to battle with poor air quality, poor water quality and poor sewage and sanitation. In this paper, I examine the association between perceived local environmental quality and self-rated health among Ghanaians. Empirical results from ordered probit regressions, based on data from the Wave 5 of the World Values Survey, reveal a negative association between environmental quality measure and self-rated health.</p>
Chromatographic Study of Azintamide in Bulk Powder and in Pharmaceutical Formulation in the Presence of Its Degradation Form
Authors: Hegazy Maha A , Hassanain Waleed A , Abdel Fattah Laila E , El-Fatatry Hamed M 
Published: November 2016

Abstract
Two specific, sensitive, and precise stability-indicating chromatographic methods were developed, optimized, and validated for the determination of Azintamide (AZ) in the presence of its degradation product. The first method was TLC combined with the densitometric determination of the separated bands. Separation was achieved using silica gel 60 F254 TLC plates and chloroform–acetone–glacial acetic acid (7.5 + 2.1 + 0.4, v/v/v) as the developing system. Good correlations were obtained between the integrated peak area of the studied drug and its corresponding concentrations in the linearity range. The second method used HPLC with UV diode-array detection, in which the proposed method was applied for the quantitative determination of AZ in the presence of its acidic degradation product and the quantitative determination of the acid-induced degradation product of AZ (AZ Deg) using pentoxifylline as the internal standard. The proposed components were separated on a reversed-phase C18 analytical column using acetonitrile–water (50 + 50, v/v). The flow rate was maintained at 0.55 mL/min and the detection wavelength was 260 nm. Linear regressions were obtained in the range of 1–30 and 0.3–16 μg/mL for AZ and AZ Deg, respectively. Different parameters affecting the suggested methods were optimized for maximum separation of the cited components. The suggested methods were validated in compliance with the International Conference on Harmonization guidelines and successfully applied for the determination of AZ in its pure powder form and in its pharmaceutical formulation. Both methods were also statistically compared with the reported method with no significant difference in performance observed.
Capital social e relações públicas no enoturismo: Estudo de caso de um roteiro enoturístico da Serra Gaúcha
Authors: Bassanesi Ediane , Silva Eduardo Robini da , D'Arrigo Fernanda Pauletto , Fachinelli Ana Cristina 
Published: November 2016

O trabalho busca explorar o papel das atividades de Relações Públicas na formação de capital social em associações enoturísticas. A pesquisa trata-se de um estudo de caso, ambientado no roteiro enoturístico Compassos Mérica–Mérica, na Serra Gaúcha. A pesquisa qualitativa exploratória mostrou que a comunicação é fundamental para o desenvolvimento do Capital Social no campo do enoturismo.Palavras chaves: Enoturismo; Capital Social; Relações Públicas; Comunicação. Social capital and public relations in enotourism: A case study of a wine tourism route of the Serra Gaúcha – BrazilAbstract: The study aims to explore the role of public relations activities in the formation of social capital in enoturísticas associations. The research it is a case study, carried out in the Mérica-Mérica - Serra Gaúcha, Brazil. The exploratory qualitative research showed that communication is key to the development of Social Capital in the wine tourism field.Keywords: Wine Tourism. Share capital. Public relations. Communication.Capital social y las relaciones públicas en el enoturismo: Un estudio de caso de una ruta enoturística de la Serra Gaúcha - BrazilResumen: El trabajo tiene como objetivo explorar el papel de las actividades de relaciones públicas en la formación de capital social en las asociaciones enoturísticas. La investigación es un estudio de caso, conducido en la ruta del enoturismo Mérica-Mérica - Serra Gaúcha, Brazil. La investigación cualitativa exploratoria mostró que la comunicación es clave para el desarrollo del capital social en el campo del turismo del vino.Palabras clave: Enoturismo; Capital social; Relaciones públicas; Comunicación.
Construção e comunicação de uma marca territorial: o caso do município de Viana do Castelo
Authors: Marques Gorete , Sobreira Rosa 
Published: November 2016

Este trabalho está centrado no conceito de marca, de um modo geral, e no de place brand, em particular. Pretende-se, com este artigo, compreender de que modo a administração usa um conceito nascido em contexto empresarial para construir e posicionar uma marca municipal, local ou regional, e quais as implicações desta opção, na acção comunicativa, de natureza pública, dessa administração local. Para tal, analisaremos o caso especifico do município da cidade de Viana do Castelo, no Norte de Portugal.Palavras-chave: marca; posicionamento; comunicação pública Construction and communication of a territorial brand: the case of Viana do Castelo cityAbstract: This paper focuses on the concept of brand, place brand specifically. The intention with this article is to understand how a local administration uses a born concept in business environment, as brand, to build and positioning a local brand and what are the implications of this option in the communicative action of this administration. To this end, we analyse the specific case of the city of Viana do Castelo, in north of Portugal.Keywords: brand; positioning; public communication La construcción y la comunicación de la marca territorial: el caso del ayuntamiento de Viana do CasteloResumen: Este trabajo tiene como enfoque el concepto de marca en general y no de place brand en particular. El objetivo es entender cómo el poder municipal, através de un ayuntamiento, utiliza un concepto nacido en contexto empresarial para construir y posicionar una marca local y cuáles son las implicaciones de esta opción, en la acción comunicativa, de carácter público, de este ayuntamiento. Con esta finalidad, se analizará el caso específico de la ciudad de Viana do Castelo, Norte de Portugal.Palabras-clave: marca; posicionamento; e comunicacion pública
L’enjeu de la subjectivité des adolescents face aux mesures de prévention de l’alcool et du tabac
Authors: Kindelberger Cécile , Acier Didier , Chevalier Camille , Guibert Élise 
Published: November 2016

En France, malgré une réglementation récente sur la vente d’alcool et de tabac aux mineurs (l’âge étant récemment passé à 18 ans au lieu de 16 ans), et un investissement conséquent dans différentes formes de prévention, la consommation de ces substances par les adolescents reste stable. Afin de comprendre ce phénomène, la présente étude a cherché à appréhender le vécu subjectif de cette réglementation et des diverses formes de prévention chez des adolescents consommateurs et non consommateurs. Dans une des régions françaises identifiées comme l’une des plus consommatrices, 57 adolescents âgés de 12 à 17 ans ont participé à des entretiens, individuels ou collectifs. L’analyse de contenu s’est appuyée sur l’approche phénoménologique. Elle a permis de mettre en évidence que les « connaissances » transmises par les différentes activités de prévention, si elles sont bien présentes, sont aussi articulées à d’autres représentations. Ces dernières, issues des expériences directes et du vécu émotionnel des adolescents, apparaissent comme étant importantes dans le discours des adolescents. Ainsi, la configuration d’ensemble produit des effets négatifs non attendus des messages de prévention. Aussi, un paradoxe réside dans la bonne connaissance des lois et le sentiment qu’elles sont faites pour être enfreintes. Ces résultats nous amènent donc à nous interroger quant aux mécanismes psychologiques sollicités par les activités de prévention primaire et leurs effets.
La cocaïne, une marchandise mondialisée
Authors: Gandilhon Michel 
Published: November 2016

Si le cannabis et les drogues de synthèse sont consommés aujourd’hui sur tous les continents, nulle substance n’incarne mieux la mondialisation de l’usage de drogues, et la mondialisation tout court, que la cocaïne. Elle symbolise en effet, du fait de son statut de drogue de la performance et de l’insertion, un certain esprit du temps marqué par le culte de la compétition. Le développement de sa consommation à l’échelle de la planète à partir des États-Unis est d’ailleurs contemporain de la fantastique accélération des échanges commerciaux provoquée notamment par l’émergence de la Chine et l’intégration de l’ex-Empire soviétique au marché capitaliste mondial. Dès lors, les flux de son trafic épousent les grandes voies commerciales maritimes par l’entremise notamment des porte-conteneurs, tandis que l’usage, autrefois apanage des « élites » occidentales, se démocratise et touche de plus en plus les consommateurs des pays de l’ex-Tiers-Monde. Comme le téléphone portable, la cocaïne est aujourd’hui un des marqueurs de l’entrée dans le monde de la consommation de masse.
The Diaries of Waslaw Nijinsky and the Absence of the Work
Authors: Orte Peter 
Published: November 2016

This article attempts to think through the possibility of a purely affective text in relation to the book as it reads The Diary of Vaslav Nijinsky. The Diary’s autobiographical status is problematized, the first edition having been heavily edited to produce a more conventional literary work; the unexpurgated edition, while restoring the text’s integrity, heightens the sense of the book as the absence of its author. I argue that the interest of Nijinsky’s text lies not in the record of his daily thoughts and activities, as in a diary—an apparently straightforward autobiographical genre—nor in the memoires of a famous individual, i.e. the famous dancer Nijinsky’s recollections of his life and times to be preserved for the future. The interest is rather expressed by Nijinsky’s “de-facement” and his singular writing of «чувство», or “feeling.” Through comparisons with Tolstoy, as well as the texts of philosophers Maurice Blanchot and Brian Masumi, Nijinsky’s writing is shown to involve an experience that is ruinous to both the subject as a form of expression and the form of the work as a unified whole, an experience inscribed in Nijinsky’s trace of “feeling,” which is comparable to Blanchot’s notion of “the absence of the work”.