bluuebunny/crossref_metadata_2025_split huggingface dataset:
Single‐center implementation of endoscopic submucosal dissection (ESD) in the colorectum: Low recurrence rate after intention‐to‐treat ESD
Authors: Wagner Andrej , Neureiter Daniel , Kiesslich Tobias , Wolkersdörfer Gernot W. , Pleininger Thomas , Mayr Christian , Dienhart Christiane , Yahagi Naohisa , Oyama Tsuneo , Berr Frieder 
Published: December 2017

Background and AimColorectal endoscopic submucosal dissection (ESD) shows higher R0 resection and lower local recurrence rates than endoscopic mucosal resection (EMR) in Japan. In Europe, independent learning of ESD in the colorectum is feasible, but yet to be analyzed for curative resection and recurrence rates.MethodsAfter experimental training under supervision by Japanese experts (T.O., N.Y.), three endoscopists independently carried out 83 ESD procedures intention‐to‐treat for lesions in the entire colorectum of 67 patients in a prospective registry (November 2009 to June 2016).ResultsESD was feasible in 80 (96%) colorectal neoplasias (mean diameter 33.6 [± 1.8] mm), and three more required conversion to piecemeal EMR. The lesions were adenomas in 66% with low‐grade intraepithelial neoplasia (LGIN), 29% with high‐grade intraepithelial neoplasia, and 5% with carcinomas (G2, pT1). ESD had to be facilitated by the final use of snaring (hybrid‐ESD, n = 45), especially in the initial learning period. En‐bloc resection rate was 85%. Complications were microperforations (7%, conducive to one hemicolectomy), and delayed bleeding (1%) without mortality or long‐term morbidity. Residual adenomas with LGIN (5%) after hybrid‐ESD did not recur after endoscopic ablation. All malignant neoplasias (34%) were curatively resected without recurrence after a mean follow up of 19.5 (± 3.2) months.ConclusionsDuring independent ESD learning in the colorectum, ESD intention‐to‐treat showed a low recurrence rate after appropriate training, and hybrid‐ESD showed acceptable complication and recurrence rates, justifying hybrid‐ESD as a strategy for self‐completion and rescue.
Ritual and Recovery: Traditions in Disaster Ritualizing
Authors: Danbolt Lars Johan , Stifoss‐Hanssen Hans 
Published: December 2017

AbstractThe aim of this article is partly to analyze and discuss the ritual traditions in the Norwegian context, called disaster services, which consists in ritualizing as a response to accidents and disasters. Furthermore, we find it relevant to understand these traditions in relation to two aspects of recovery: personal and social recovery. From a practical theological perspective, the new traditions are interesting for the understanding of how the churches work in situations where people have stressful experiences, and for developing an understanding of contemporary religion.
A Voice Crying out from the Wound—with or without Words: On Trauma, Speech, and Silence1
Authors: Welz Claudia 
Published: December 2017

AbstractDrawing on memory and trauma studies, psychotherapeutic research, and Holocaust testimonies (in particular those of Wiesel, Semprun, Kulka, and Appelfeld), this article explores the role of speech and silence in the process of working through severe trauma. That which seems “incommunicable” will be considered in regard to the limits of linguistic representation and the problems of communication caused by the interlocutors’ avoidance of the past. How can one ensure that recounting traumatic memories does not become an extra risk rather than a remedy?
Association between global functioning at first schizophrenia diagnosis and treatment resistance
Authors: Horsdal Henriette T. , Wimberley Theresa , Köhler‐Forsberg Ole , Baandrup Lone , Gasse Christiane 
Published: December 2017

AimSeveral factors such as age, gender, urbanicity and clinical treatment setting have been associated with treatment‐resistant schizophrenia (TRS). We examined the association between the Global Assessment of Functioning (social Functioning [GAF‐F]) score at first schizophrenia diagnosis and TRS and explored whether level of functioning could partially explain the known associations.MethodsA nationwide population‐based cohort study among individuals, who had a GAF‐F score at first schizophrenia diagnosis. We used adjusted Cox regression analysis to calculate hazard ratios (HRs).ResultsAmong 3252 individuals, severe functional impairment (GAF‐F ≤ 30) was associated with TRS within 2 years after diagnosis (adjusted HR = 1.38 [95% confidence interval: 1.03‐1.87). GAF‐F had virtually no impact on the associations between investigated known risk factors and TRS.ConclusionsGAF‐F was independently associated with TRS. Consideration of a global functioning score may help clinicians to detect treatment resistance earlier among individuals with schizophrenia.
The Graduating European Dentist—Domain I: Professionalism
Authors: McLoughlin J. , Zijlstra‐Shaw S. , Davies J. R. , Field J. C. 
Published: December 2017

AbstractThis position paper outlines the areas of competence and learning outcomes of “The Graduating European Dentist” that specifically relate to Professionalism. Professionalism is a commitment to a set of values, behaviours and relationships, which underpin the trust that the public hold in dental care professionals. Shortcomings within this domain are often responsible for patient dissatisfaction, concern and complaint—and emphasis is placed on the importance of embedding these values from an early stage within the curriculum.
The Graduating European Dentist: Contemporaneous Methods of Teaching, Learning and Assessment in Dental Undergraduate Education
Authors: Field J. C. , Walmsley A. D. , Paganelli C. , McLoughlin J. , Szep S. , Kavadella A. , Manzanares Cespedes M. C. , Davies J. R. , DeLap E. , Levy G. , Gallagher J. , Roger‐Leroi V. , Cowpe J. G. 
Published: December 2017

AbstractIt is often the case that good teachers just “intuitively” know how to teach. Whilst that may be true, there is now a greater need to understand the various processes that underpin both the ways in which a curriculum is delivered, and the way in which the students engage with learning; curricula need to be designed to meet the changing needs of our new graduates, providing new, and robust learning opportunities, and be communicated effectively to both staff and students. The aim of this document is to draw together robust and contemporaneous methods of teaching, learning and assessment that help to overcome some of the more traditional barriers within dental undergraduate programmes. The methods have been chosen to map specifically to The Graduating European Dentist, and should be considered in parallel with the benchmarking process that educators and institutions employ locally.
European Academy of Neurology and European Stroke Organization consensus statement and practical guidance for pre‐hospital management of stroke
Authors: Kobayashi A. , Czlonkowska A. , Ford G. A. , Fonseca A. C. , Luijckx G. J. , Korv J. , de la Ossa N. Pérez , Price C. , Russell D. , Tsiskaridze A. , Messmer‐Wullen M. , De Keyser J. 
Published: December 2017

Background and purposeThe reduction of delay between onset and hospital arrival and adequate pre‐hospital care of persons with acute stroke are important for improving the chances of a favourable outcome. The objective is to recommend evidence‐based practices for the management of patients with suspected stroke in the pre‐hospital setting.MethodsThe GRADE (Grading of Recommendations Assessment, Development and Evaluation) methodology was used to define the key clinical questions. An expert panel then reviewed the literature, established the quality of the evidence, and made recommendations.ResultsDespite very low quality of evidence educational campaigns to increase the awareness of immediately calling emergency medical services are strongly recommended. Moderate quality evidence was found to support strong recommendations for the training of emergency medical personnel in recognizing the symptoms of a stroke and in implementation of a pre‐hospital ‘code stroke’ including highest priority dispatch, pre‐hospital notification and rapid transfer to the closest ‘stroke‐ready’ centre. Insufficient evidence was found to recommend a pre‐hospital stroke scale to predict large vessel occlusion. Despite the very low quality of evidence, restoring normoxia in patients with hypoxia is recommended, and blood pressure lowering drugs and treating hyperglycaemia with insulin should be avoided. There is insufficient evidence to recommend the routine use of mobile stroke units delivering intravenous thrombolysis at the scene. Because only feasibility studies have been reported, no recommendations can be provided for pre‐hospital telemedicine during ambulance transport.ConclusionsThese guidelines inform on the contemporary approach to patients with suspected stroke in the pre‐hospital setting. Further studies, preferably randomized controlled trials, are required to examine the impact of particular interventions on quality parameters and outcome.
The Privatized Meaning of Wartime Deployments: Examining the Narratives of Norwegian Military Spouses
Authors: Gustavsen Elin 
Published: December 2017

AbstractThis study examines the narratives of eight female spouses of Norwegian veterans of the war in Afghanistan. The narratives are approached as rich cultural texts that arise in the interface between their individual experiences and the sociocultural milieu. The analysis focuses on the use of “normalization” and “agency” as narrative resources used by the women to organize experience and transform it into meaning. In their accounts, the deployment was not framed as a negative and interruptive event. Nor was it connected to a national narrative of collective meaning. Instead, the spouses conveyed a normalized interpretation in which the meaning of their husbands’ deployment was constructed in close reference to the personal realm of family life. This article argues that the experience of contemporary warfare has become a marginalized and unsettled experience in Norwegian society. In the absence of a settled repertoire of cultural scripts to portray the experience of having a spouse deployed abroad, the Norwegian military spouses used a privatized framework to interpret their wartime experience.
Texting Amor: Emerging Intimacies in Textually Mediated Romance Among Tzotzil Mayan Youth
Authors: de León Lourdes 
Published: December 2017

AbstractCell phones are vehicles for creating and transforming sociality in peer networks (Coleman 2010; Wallis 2010). In the last decade, increased access to cell phones has radically changed courtship practices among Mayan youth of Zinacantán, Chiapas, and México as young couples now text clandestine romantic relationships, unmediated by elders. Since there is essentially no vocabulary for romantic love in Mayan Tzotzil, couples now rely on Spanish expressions gleaned from the media and other sources and have created a genre of romantic texting. The current study analyzes the textual microprocesses of dialogical construction of romance from a database of ten thousand WhatsApp text messages. Both microlevel practices and macrolevel forces are considered in shaping new landscapes of love, showing how texting affords new technological, linguistic, and literacy skills that are significantly changing repertoires of identity (Kroskrity 1993, 2000) and new expressions of agency and affect among Mayan youth. [Youth, cell phones, romance, love, digital communication, literacy, Mayan]
Sold Below Value? Why Takeover Offers Can Have Negative Premiums
Authors: Weitzel Utz , Kling Gerhard 
Published: December 2017

AbstractMany studies have acknowledged the existence of negative offer premiums where the initial bid undercuts the target's preannouncement market price. However, this phenomenon has not been explained. Negative premiums occur frequently and are no measurement error. We demonstrate theoretically and empirically that “hidden earnouts,” where target shareholders participate in the bidder's share of joint synergies, and corrections of overvaluation explain negative premiums. We find that target shareholders profit from the consummation of a takeover even if the announced offer has a negative premium. Our theory generalizes to low positive premiums with predictive power for the bottom 25% of all premiums.
Frequency of going outdoors and health‐related quality of life among older adults: Examining the moderating role of living alone and employment status
Authors: Harada Kazuhiro , Masumoto Kouhei , Katagiri Keiko , Fukuzawa Ai , Chogahara Makoto , Kondo Narihiko , Okada Shuichi 
Published: December 2017

AimGoing outdoors more frequently is beneficial for maintaining and improving health‐related quality of life (HRQOL) among older adults. However, individual differences can alter the effects of going outdoors. The present study aimed to examine whether relationships between going outdoors and HRQOL were moderated by living alone and employment status.MethodsThe present study was a secondary analysis of 14‐month prospective data (n = 613). Variables used in this study were baseline data on the frequency of going outdoors, HRQOL (physical and mental component summary scores assessed using the Japanese version of the Medical Outcomes study Short Form 8‐Item Health Survey), living alone, employment status, potential confounders (sex, age, educational level and instrumental activities of daily living) and follow‐up data on HRQOL.ResultsMixed models showed that the interaction term of going outdoors and currently living alone on both the physical and mental component summary and that of going outdoors and current employment status on the mental component were significant. Stratified analyses showed that going outdoors more frequently predicted the physical and mental component summary among those who lived with others, and the mental component summary among those who were unemployed.ConclusionsThese results show that the influence of going outdoors on HRQOL was moderated by living alone and employment status. Going outdoors more frequently might be important for the maintenance of HRQOL, especially among unemployed older adults living with others. Geriatr Gerontol Int 2018; 18: 640–647.
Book history, print, and the Middle East
Authors: Schwartz Kathryn A. 
Published: December 2017

AbstractThis article describes how the study of Middle Eastern book history arose from scholarship on the history of the book, a multifaceted line of inquiry which developed around the early modern European experience of print. I argue that these origins influenced Middle Eastern book history insofar as it took the topic of printing as its main focus. However, an unevenness characterized this focus since European printing became commonplace from the early sixteenth century onwards, whereas printing in the Middle East took off during the nineteenth century. The 400 years that separated these phenomena marked the rise of modern Europe, which print was considered to have helped advance. These years were also interpreted as representing the decline of the Islamicate world until it modernized along a Western model, including its widespread adoption of print. Focusing largely on scholarship written in English, I summarize the effects that such thinking has had in shaping Middle Eastern book history, and then conclude with my sense of the state of current research.
Recent transitions in genetic diversity and structure in the endangered semi‐natural grassland butterfly, Melitaea protomedia, in Japan
Authors: Nakahama Naoyuki , Isagi Yuji 
Published: December 2017

Abstract

The monitoring of genetic characters and definition of effective conservation units are important for conservation of endangered semi‐natural grassland species.

Using molecular markers, we elucidated the recent transitions in genetic diversity for the endangered grassland butterfly Melitaea protomedia (Lepidoptera; Nymphalidae) in Japan. First, we examined changes in genetic diversity and structure from the 1980s to the 2010s from archival and contemporary DNA samples using eight microsatellite markers. Second, we estimated the genetic structure based on 1374 bp of mitochondrial COI gene from contemporary samples. We also defined the conservation units of M. protomedia based on the above analysis.

The genetic diversity of M. protomedia has significantly declined from the 1980s to the 2010s. Although genetic differentiation was very strong among populations in c. 2010, there was only weak genetic structure in c. 1990. In addition, the number of haplotypes based on mitochondrial DNA is now very low due to recent declines.

These findings suggest that effective conservation units for critically endangered species should be determined based on historic (i.e. prior to population declines) as well as contemporary genetic diversity and differentiation, because genetic structure may have changed over time. Genetic analysis of archival DNA is useful to obtain historic genetic information.
Community pharmacist-led clinical services: physician's understanding, perceptions and readiness to collaborate in a Midwestern state in the United States†
Authors: Gordon Cameron , Unni Elizabeth , Montuoro Jaime , Ogborn Diane B 
Published: December 2017

Abstract

Objectives
Many pharmacists are actively enhancing their role in the delivery of health care by offering a variety of pharmacist-led clinical services. The delivery of these services within community pharmacies can contribute to overcoming the cost and accessibility challenges currently facing U.S. health care, especially when pharmacist–physician collaborative efforts are utilized. The study purpose was to identify general and family practice physicians’ awareness of pharmacists’ delivery of clinical services, uncover their perceived barriers to collaboration with community pharmacists, and collect their input on how to overcome such barriers in order to better understand how pharmacist-led clinical services can be integrated, improved and more widely utilized as a healthcare delivery mechanism.

Methods
Semi-structured interviews were performed at the physicians’ place of practice to assess (1) family practice and internal medicine physicians’ knowledge of pharmacists’ education, clinical training, and role in the healthcare team; (2) their perceptions and barriers towards pharmacist-delivered clinical services and physician–pharmacist collaboration; and (3) their recommendations to improve physician–pharmacist collaboration. The data were analysed qualitatively to identify and categorize themes.

Key findings
Thirteen physicians were interviewed. While nearly all physicians were aware of pharmacists’ level of education, most were not aware of the level of clinical training pharmacists receive. Only half of the physicians were able to provide a definition or example of collaborative practice agreements, although most recognized value and benefit when the definition and examples were provided to them. The commonly perceived barriers for collaboration were concern over loss of communication, hesitancy to relinquish control and lack of confidence in pharmacists’ clinical judgement.

Conclusion
The study results emphasize the need to develop strategies to improve collaborative relationships between physicians and pharmacists. To encourage collaboration, pharmacists must take a proactive approach to increasing awareness of their clinical knowledge and training, the benefits and value of collaborative practice and the opportunities for it.
Moving in the Spirit: Called to Transforming Discipleship: Reflections from the Vantage Points of the Marginalized People
Authors: Manchala Deenabandhu 
Published: December 2017

Abstract“Mission from the margins” is neither a mere perspectival approach nor an option but an inevitable way of being church in God's mission. Likewise, the marginalized people are neither a broad category of people on the fringes of the society nor mere objects of charity and victims of circumstances. They are prophets and pathfinders indicting the world for its injustice through their lives of suffering and striving for its transformation through their struggles. As signs of hope testifying to the movement of the Spirit amidst despair and death, they help us to see God's mission not as a mere religious activity but as a spirituality of resistance and transformation for the sake of life and God's world. Reclaiming discipleship from the vantage of the marginalized, therefore, offers an opportunity for the churches to rediscover themselves afresh from being mere communities of believers and power structures to networks of partners for God's justice, participating in the larger struggles for the transformation of the world. As the gospels tell us, Jesus did not commission his disciples to call people to a belief system but to a covenantal relationship through a vocation of striving for the realization of God's reign. Such a sense of vocation is possible only when there is a radical change in Christian self‐understanding. It involves, first, interrogating and reimagining the ways in which churches affirm and practise their faith; second, leaving aside their captivity to certain belief systems and turning toward Jesus of Nazareth to teach the way – to be active partners with God rather than being passive believers; third, appropriating discipleship beyond the language and sphere of transformation of persons; and fourth, learning from and being enriched by the visions and resources of the marginalized in living out the call to be one in God's mission of transformation of the world.
“Theology of Presence” in African Christianity: A Transforming Missiological Factor for Women in Contemporary Pentecostal Churches in Africa
Authors: Lugazia Faith K. 
Published: December 2017

AbstractFollowing the independence of many African countries, Christianity has been gaining freedom through indigenizing the church. Christian churches in Africa are self‐indigenizing, self‐innovating, and self‐criticizing their practices and theologies. However, women in African churches remain in an uncomfortable zone. African, biblical, and missionary cultures have been named as sources of discrimination of women in the church. This paper deploys a “theology of presence” to claim that contemporary Pentecostal Christianity (CPC) in Africa, with some continuity in African worldview and biblical cultures, has touched upon and answered women's complex and challenging questions that for a long time have been denied by Christian missionaries. The paper shows how theology of presence, in the “witnessing” and “healing” practised by CPC, has been transforming the missiological factor for women. The paper suggests learning from other models for transformation than policies and gender mainstreaming tools, since these have had little impact. The paper recommends research on hermeneutical reading of the Bible and providing more innovative skills to help women break the silence of being violated.