bluuebunny/crossref_metadata_2025_split huggingface dataset:
Representaciones sociales sobre la vejez en políticas públicas de salud que involucran prácticas corporales con adultos mayores. Un estudio del programa Nacional Hadob y del programa Salud Activa
Authors: Di Domizio Débora Paola 
Published: September 2017

<p>El envejecimiento y la vejez consisten en procesos graduales en la vida de los sujetos. A su vez, estos sujetos conforman un universo demográfico cada vez más amplio y heterogéneo.<br />En los estudios al respecto abunda la confusión entre datos científicos y representaciones de la vejez presentes en el imaginario popular. Entre estas se observan dos posiciones contrapuestas: las representaciones sociales positivas y las representaciones sociales negativas.<br />En esta ponencia se analizan los discursos a partir de los cuales se han venido diseñando políticas públicas en el área de la salud. Estas han involucrado en su implementación prácticas corporales con adultos mayores; sus argumentos y pautas de orientación reflejan una representación particular de la vejez. Al estudiarlas se identificaron dimensiones sociales, a través de las cuales se organizaron categorías de análisis, para reconocer algunos aspectos para la interpretación y análisis de las mismas.<br />Mediante un abordaje cualitativo de investigación se han obtenido avances preliminares, los cuales no pretenden universalizar el conocimiento adquirido como si se tratara de una verdad absoluta, sino que intentan ofrecer un marco de comprensión para ciertas características de la realidad estudiada.</p>
Caracterización de la fuerza de presión palmar y dorso lumbar en los trabajadores administrativos de la universidad de los llanos
Authors: Santamaría Oscar Mauricio , Herrera Galán Andrei Yevgueni , Silva Chancy Ivonne Johanna 
Published: September 2017

<p>Este trabajo fue realizado a la comunidad administrativa de la Universidad de los Llanos, en donde se llevó a cabo una intervención enfocada en las pausas activas para promover la salud y seguridad física de los trabajadores administrativos; esta intervención dio comienzo en el mes de abril del presente año y termino en el mes de julio, las intervenciones realizadas fueron enfocadas a la prevención y promoción de enfermedades crónicas no trasmisibles, dentro de las cuales las cuales el síndrome del túnel carpiano y lumbalgia son las más comunes en estos trabajadores administrativos.</p>
Malignant collision tumors in two dogs
Authors: Scott Jacqueline E. , Liptak Julius M. , Powers Barbara E. 
Published: September 2017

Abstract
CASE DESCRIPTION A 13-year-old Labrador Retriever with a 4-cm-diameter ulcerated perianal mass and a 12-year-old Golden Retriever with a 5-cm-diameter ulcerated caudolateral abdominal mass were brought to a referral oncology practice for evaluation of the dermal masses. Both masses were resected with wide margins without reported postoperative complications. For both dogs, a diagnosis of collision tumor was made. The database of the Veterinary Diagnostic Laboratories at Colorado State University was searched for other examples of collision tumors in dogs.
CLINICAL FINDINGS Histologic assessment of the masses revealed collision tumors in both patients. The perianal mass was diagnosed as a perianal gland carcinoma with adjacent hemangiosarcoma. The flank mass was diagnosed as a fibrosarcoma with an adjacent mast cell tumor. The university database search of sample submissions in 2008 through 2014 for the keywords collision, admixed, or adjacent yielded 37 additional cases of dogs with malignant nontesticular collision tumors.
TREATMENT AND OUTCOME Both dogs were treated with surgery alone and received no adjunctive treatments. Both tumors were completely excised. There was no evidence of either local tumor recurrence or metastasis in the Labrador Retriever and the Golden Retriever at 1,009 and 433 days after surgery, respectively.
CLINICAL RELEVANCE Collision tumors are rare, and there is minimal information regarding treatment recommendations and outcome for animals with collision tumors. On the basis of the 2 cases described in this report, the outcome associated with treatment of collision tumors may be similar to the expected outcome for treatment of any of the individual tumor types in dogs.
Pure arterial malformations
Authors: Brinjikji Waleed , Cloft Harry J. , Flemming Kelly D. , Comelli Simone , Lanzino Giuseppe 
Published: September 2017

OBJECTIVEOver the last half century, there have been isolated case reports of purely arterial malformations. In this study, the authors report a consecutive series of patients with pure arterial malformations, emphasizing the clinical and radiological features of these lesions.METHODSPure arterial malformations were defined as dilated, overlapping, and tortuous arteries with a coil-like appearance and/or a mass of arterial loops without any associated venous component. Demographic characteristics of the patients, cardiovascular risk factors, presentation, radiological characteristics, and follow-up data were collected. Primary outcomes were new neurological symptoms including disability, stroke, and hemorrhage.RESULTSTwelve patients meeting the criteria were identified. Ten patients were female (83.3%) and 2 were male (16.6%). Their mean age at diagnosis was 26.2 ± 11.6 years. The most common imaging indication was headache (7 patients [58.3%]). In 3 cases the pure arterial malformation involved the anterior cerebral arteries (25.0%); in 4 cases the posterior communicating artery/posterior cerebral artery (33.3%); in 2 cases the middle cerebral artery (16.6%); and in 1 case each, the superior cerebellar artery, basilar artery/anterior inferior cerebellar artery, and posterior inferior cerebellar artery. The mean maximum diameter of the malformations was 7.2 ± 5.0 mm (range 3–16 mm). Four lesions had focal aneurysms associated with the pure arterial malformation, and 5 were partially calcified. In no cases was there associated intracranial hemorrhage or infarction. One patient underwent treatment for the pure arterial malformation. All 12 patients had follow-up (mean 29 months, median 19 months), and there were no cases of disability, stroke, or hemorrhage.CONCLUSIONSPure arterial malformations are rare lesions that are often detected incidentally and probably have a benign natural history. These lesions can affect any of the intracranial arteries and are likely best managed conservatively.
Geriatric comanagement reduces perioperative complications and shortens duration of hospital stay after lumbar spine surgery: a prospective single-institution experience
Authors: Adogwa Owoicho , Elsamadicy Aladine A. , Vuong Victoria D. , Moreno Jessica , Cheng Joseph , Karikari Isaac O. , Bagley Carlos A. 
Published: September 2017

OBJECTIVEGeriatric patients undergoing lumbar spine surgery have unique needs due to the physiological changes of aging. They are at risk for adverse outcomes such as delirium, infection, and iatrogenic complications, and these complications, in turn, contribute to the risk of functional decline, nursing home admission, and death. Whether preoperative and perioperative comanagement by a geriatrician reduces the incidence of in-hospital complications and length of in-hospital stay after elective lumbar spine surgery remains unknown.METHODSA unique model of comanagement for elderly patients undergoing lumbar fusion surgery was implemented at a major academic medical center. The Perioperative Optimization of Senior Health (POSH) program was launched with the aim of improving outcomes in elderly patients (> 65 years old) undergoing complex lumbar spine surgery. In this model, a geriatrician evaluates elderly patients preoperatively, in addition to performing routine preoperative anesthesia surgical screening, and comanages them daily throughout the course of their hospital stay to manage medical comorbid conditions and coordinate multidisciplinary rehabilitation along with the neurosurgical team. The first 100 cases were retrospectively reviewed after initiation of the POSH protocol and compared with the immediately preceding 25 cases to assess the incidence of perioperative complications and clinical outcomes.RESULTSOne hundred twenty-five patients undergoing lumbar decompression and fusion were enrolled in this pilot program. Baseline characteristics were similar between both cohorts. The mean length of in-hospital stay was 30% shorter in the POSH cohort (6.13 vs 8.72 days; p = 0.06). The mean duration of time between surgery and patient mobilization was significantly shorter in the POSH cohort compared with the non-POSH cohort (1.57 days vs 2.77 days; p = 0.02), and the number of steps ambulated on day of discharge was 2-fold higher in the POSH cohort (p = 0.04). Compared with the non-POSH cohort, the majority of patients in the POSH cohort were discharged to home (24% vs 54%; p = 0.01).CONCLUSIONSGeriatric comanagement reduces the incidence of postoperative complications, shortens the duration of in-hospital stay, and contributes to improved perioperative functional status in elderly patients undergoing elective spinal surgery for the correction of adult degenerative scoliosis.
Systemic juvenile xanthogranuloma: a case of spontaneous regression of intramedullary spinal cord, cerebral, and cutaneous lesions
Authors: Morice Anne , Fraitag Sylvie , Miquel Catherine , Rose Christian Sainte , Puget Stéphanie 
Published: September 2017

Juvenile xanthogranuloma (JXG) is a rare disease that belongs to the non-Langerhans cell histiocytoses. It presents a wide clinical spectrum, usually occurs before 5 years of age, and is commonly confined to the skin; however, it can affect multiple sites, including the nervous system, and can lead to severe disorders. Although JXG is a benign disease that usually regresses spontaneously, several curative treatments have been proposed in cases of organ involvement. Treatment options include corticosteroids, chemotherapy, and radiotherapy; however, these can have severe, long-term adverse effects in children.The authors here describe the first case of spontaneous resolution of an intramedullary spinal cord lesion of JXG associated with cerebral and cutaneous lesions in a young boy with 9 years of follow-up. The initial neurological symptoms resolved without any surgical or medical treatment. This case shows that extracutaneous lesions of JXG, including those with intramedullary spinal cord involvement, can regress without curative treatment—like cutaneous lesions—although both multidisciplinary care and close follow-up should be implemented.
Effects of the Cardio First AngelTM on chest compression performance
Authors: Guenther S.P.W. , Schirren M. , Boulesteix A.L. , Busen H. , Poettinger T. , Pichlmaier A.M. , Khaladj N. , Hagl C. 
Published: September 2017

BACKGROUND: Survival rates of out-of-hospital cardiac arrest remain poor. Bystander cardiopulmonary resuscitation (CPR) is crucial for survival and feedback devices could improve its quality. OBJECTIVE: We investigated the quality of chest compression when using the Cardio First Angel[Formula: see text] (CFA) feedback device compared to standard basic life support (BLS). The analysis focused on laymen. METHODS: Laymen without ([Formula: see text] 43) and with ([Formula: see text] 96) explanation of the device, medical students ([Formula: see text] 128) and medical staff ([Formula: see text] 27) performed 60 seconds of standard versus assisted chest compression using the CFA on a resuscitation manikin. Compression frequency, depth and position were analyzed according to current guidelines. RESULTS: Laymen showed significantly better success rates regarding correct compression depth when using the CFA (23.3% vs. 55.8%, [Formula: see text] 0.004 and 25.0% vs. 52.1%, [Formula: see text] 0.001, laymen without and with explanation of the device, respectively). Medical students likewise improved (22.7% vs. 42.2%, [Formula: see text] 0.004). Hand positioning was 100% correct in all groups with the device. Improvement in frequency yielded by the CFA was more pronounced for probands with fears of contact ([Formula: see text] 0.02). The benefit of using the device did not differ significantly in laymen with or without explanation. CONCLUSIONS: Chest compression as performed by laymen was significantly improved with regard to compression depth when using the CFA for guidance and feedback. With the device, no cases of incorrect hand positioning occurred in any group.
Treatment of renal cell carcinoma: Current status and future directions
Authors: Barata Pedro C. , Rini Brian I. 
Published: September 2017

AbstractAnswer questions and earn CME/CNEOver the past 12 years, medical treatment for renal cell carcinoma (RCC) has transitioned from a nonspecific immune approach (in the cytokine era), to targeted therapy against vascular endothelial growth factor (VEGF), and now to novel immunotherapy agents. Multiple agents—including molecules against vascular endothelial growth factor, platelet‐derived growth factor, and related receptors; inhibitors of other targets, such as the mammalian target of rapamycin and the MET and AXL tyrosine‐protein kinase receptors; and an immune‐checkpoint inhibitor—have been approved based on significant activity in patients with advanced RCC. Despite these advances, important questions remain regarding biomarkers of efficacy, patient selection, and the optimal combination and sequencing of agents. The purpose of this review is to summarize present management and future directions in the treatment of metastatic RCC. CA Cancer J Clin 2017;67:507‐524. © 2017 American Cancer Society.
Iron Isotopic Compositions of Troilite (FeS) Inclusions from Iron Meteorites
Authors: Cook David L. , Schönbächler Maria 
Published: September 2017

Abstract
We report non-mass-dependent Fe isotopic data for troilite (FeS) inclusions from 10 iron meteorites, representing both non-magmatic (IAB) and magmatic groups (IIAB, IIIAB, IVA). No resolvable variations are present in the most neutron-rich isotope (58Fe), but small deficits (≈−0.1 ε) in 56Fe were observed in several inclusions. With the exception of several Ca–Al-rich inclusions in primitive meteorites, these are the first reported non-mass-dependent variations in Fe isotopes for material formed in the early solar system. Nucleosynthetic variations in Ni isotopes were previously reported in these same samples. The effects in Fe isotopes are not correlated with those in Ni, which suggests that the origins of the isotopic variations are decoupled from one another. The 56Fe deficits may represent incomplete mixing of the precursor dust in the protoplanetary disk. Alternatively, a parent body process (e.g., irradiation by galactic cosmic rays) may have modified the Fe isotopic compositions of some inclusions, which initially had homogeneous Fe isotopic compositions.
An XMM-Newton Study of the Mixed-morphology Supernova Remnant G346.6-0.2
Authors: Auchettl Katie , Ng C-Y. , Wong B. T. T. , Lopez Laura , Slane Patrick 
Published: September 2017

Abstract
We present an X-ray imaging and spectroscopic study of the molecular cloud interacting mixed-morphology supernova remnant G346.6–0.2 using XMM-Newton. The X-ray spectrum of the remnant is well described by a recombining plasma that most likely arises from adiabatic cooling and has subsolar abundances of Mg, Si, and S. Our fits also suggest the presence of either an additional power-law component with a photon index of ∼2 or an additional thermal component with a temperature of ∼2.0 keV. We investigate the possible origin of this component and suggest that it could arise from either the Galactic ridge X-ray emission, an unidentified pulsar wind nebula, or X-ray synchrotron emission from high-energy particles accelerated at the shock. However, deeper, high-resolution observations of this object are needed to shed light on the presence and origin of this feature. Based on its morphology, its Galactic latitude, the density of the surrounding environment, and its association with a dense molecular cloud, G346.6–0.2 most likely arises from a massive progenitor that underwent core collapse.
A Map of the Local Velocity Substructure in the Milky Way Disk
Authors: Pearl Alan N. , Newberg Heidi Jo , Carlin Jeffrey L. , Smith R. Fiona 
Published: September 2017

Abstract
We confirm, quantify, and provide a table of the coherent velocity substructure of the Milky Way disk within 2 kpc of the Sun toward the Galactic anticenter, with a 0.2 kpc resolution. We use the radial velocities of ∼340,000 F-type stars obtained with the Guoshoujing Telescope (also known as the Large Sky Area Multi-Object Fiber Spectroscopic Telescope, LAMOST), and proper motions derived from the PPMXL catalog. The PPMXL proper motions have been corrected to remove systematic errors by subtracting the average proper motions of galaxies and QSOs that have been confirmed in the LAMOST spectroscopic survey, and that are within 2.°5 of the star’s position. We provide the resulting table of systematic offsets derived from the PPMXL proper motion measurements of extragalactic objects identified in the LAMOST spectroscopic survey. Using the corrected phase-space stellar sample, we find statistically significant deviations in the bulk disk velocity of 20 km s−1 or more in the three-dimensional velocities of Galactic disk stars. The bulk velocity varies significantly over length scales of half a kiloparsec or less. The rotation velocity of the disk increases by 20 km s−1 from the Sun’s position to 1.5 kpc outside the solar circle. Disk stars in the second quadrant, within 1 kpc of the Sun, are moving radially toward the Galactic center and vertically toward a point a few tenths of a kiloparsec above the Galactic plane; looking down on the disk, the stars appear to move in a circular streaming motion with a radius of the order of 1 kpc.
Lyα Absorption at Transits of HD 209458b: A Comparative Study of Various Mechanisms Under Different Conditions
Authors: Khodachenko M. L. , Shaikhislamov I. F. , Lammer H. , Kislyakova K. G. , Fossati L. , Johnstone C. P. , Arkhypov O. V. , Berezutsky A. G. , Miroshnichenko I. B. , Posukh V. G. 
Published: September 2017

Abstract
To shed more light on the nature of the observed Lyα absorption during transits of HD 209458b and to quantify the major mechanisms responsible for the production of fast hydrogen atoms (the so-called energetic neutral atoms, ENAs) around the planet, 2D hydrodynamic multifluid modeling of the expanding planetary upper atmosphere, which is driven by stellar XUV, and its interaction with the stellar wind has been performed. The model self-consistently describes the escaping planetary wind, taking into account the generation of ENAs due to particle acceleration by the radiation pressure and by the charge exchange between the stellar wind protons and planetary atoms. The calculations in a wide range of stellar wind parameters and XUV flux values showed that under typical Sun-like star conditions, the amount of generated ENAs is too small, and the observed absorption at the level of 6%–8% can be attributed only to the non-resonant natural line broadening. For lower XUV fluxes, e.g., during the activity minima, the number of planetary atoms that survive photoionization and give rise to ENAs increases, resulting in up to 10%–15% absorption at the blue wing of the Lyα line, caused by resonant thermal line broadening. A similar asymmetric absorption can be seen under the conditions realized during coronal mass ejections, when sufficiently high stellar wind pressure confines the escaping planetary material within a kind of bowshock around the planet. It was found that the radiation pressure in all considered cases has a negligible contribution to the production of ENAs and the corresponding absorption.
L’« art » de la fugue
Authors: Lemercier Élise 
Published: September 2017

Cet article étudie la diversité des expériences de « fugues » des jeunes filles prises en charge par la Protection judiciaire de la jeunesse à partir d’entretiens de type biographique auprès d’un trentaine de jeunes filles. Il s’agira d’analyser ce que les jeunes filles en disent. Que nomment-elles une « fugue » ? Que disent-elles de ces expériences ? Quelle place occupent ces « fugues » dans leur parcours biographique ? L’article s’intéresse ainsi aux dimensions genrées de l’expérience de la fugue en portant attention à la diversité de leurs expériences juvéniles par une approche multidimensionnelle et dynamique des rapports sociaux.
L’approche intégrative en psychothérapie
Authors: Bachelart Maximilien 
Published: September 2017

L’intégration est pertinente comme réflexion à propos des psychothérapies notamment parce qu’elle semble être une clef permettant d’interroger l’écart entre théories et pratiques. Elle permettrait de différencier le praticien-technicien en psychothérapie et le psychothérapeute à proprement parler en interrogeant la place du symptôme et ce que peut faire le clinicien face au sujet en souffrance. En effet, intégrer ne signifie pas se former et déployer tous les outils à disposition face à une « résistance » du symptôme, bien que les formations aux différentes thérapeutiques viennent souvent combler cette angoisse fondamentale du psychothérapeute. Les thérapeutes peuvent être observés sur un continuum partant de la radicalisation quasi identitaire sur des modèles théoriques à une hypertechnicité sans positionnement théorique ou réflexif. L’approche intégrative nous invite à reconsidérer certains présupposés de l’acte psychothérapeutique et nous pensons qu’elle est liée à la question de la rencontre entre un thérapeute et les modélisations thérapeutiques qu’il intègre ainsi que sa manière de les mobiliser en situation clinique.
Regional Inequalities in Brazil: Divergent Readings on Their Origin and Public Policy Design
Authors: da Silva Simone Affonso 
Published: September 2017

Cet article porte sur la divergence des lectures sur l'origine des inégalités régionales au Brésil, sous l'interprétation de quatre intellectuels: Celso Furtado, Wilson Cano, Francisco de Oliveira et Ruy Moreira. En outre, l'article traite de l'essence des principales politiques créées par le gouvernement fédéral brésilien depuis le milieu du XXe siècle afin d'intervenir sur le plan politique, économique et social dans les dynamiques socio-spatiales au cœur des questions régionales. Dans ce cas, nous mettons en évidence les Pôles de développement, les Axes nationaux d'intégration et de développement et la Politique nationale pour le développement régional. Les lectures et propositions d'intervention dans les questions régionales portent des idéologies et des projets politiques sous-jacents qui sont plus ou moins cohérents avec les objectifs des acteurs hégémoniques au pouvoir ou qui sont appropriés par ceux-ci. Par conséquent, il est essentiel d'élucider l'essence et les implications de ces lectures et propositions d'action concernant la problématique régionale afin de comprendre le rôle des inégalités régionales dans le panorama du développement socio-économique au Brésil.