bluuebunny/crossref_metadata_2025_split huggingface dataset:
Differentiating good from bad
Authors: Chen Lu 
Published: January 2017

Purpose
The paper aims to reveal how the Chinese government has tried to regulate transnational cultural flows by applying cultural policies.

Design/methodology/approach
The paper compares the dissemination of different foreign television programmes in China since the 1980s. The documents of cultural policy released since 1990s, news reports and the statistics of imported dramas since 2000s will be analyzed.

Findings
The research finds that the Chinese government has treated cultural products from different countries in unequal ways. Political-diplomatic relationships and the need for ideological control, influence the making of cultural policy. Restricting the quota of imported dramas, censorship and propaganda are measures taken by the Chinese government to regulate transnational cultural flows.

Research limitations/implications
The paper mainly focuses on platforms such as state-owned television stations and internet. The role of pay-cable channel in disseminating imported dramas should be taken into consideration in the future research.

Practical implications
The paper provides a systematic understanding on the development of Chinese cultural policy.

Originality/value
The paper offers an alternative approach to explore the policy-oriented dissemination of transnational cultural flows other than market-oriented dissemination.
Tension of interaction order: infringement and mobilization of the umbrella movement
Authors: Ng Cham Hung 
Published: January 2017

Purpose
This study aims at exploring the mobilization of the Umbrella Movement and examining how the interplay of emotion and meaning contribute to a mass occupation via the mass media and social media. It proposes a model of emotional mobilization and explains how and why the perception of eviction is capable of triggering the subsequent collective political action through moral shock on bystanders.

Design/methodology/approach
The paper is an exploratory study and adopts the method of semi-structured interview. It interviewed 31 participants of the Umbrella Movement in Hong Kong. The data were complemented by discourse analysis of video clips and participation observation of conflict scenes between protestors and police.

Findings
This study provides insights on how a potential participant can be motivated to participate in a social movement, after perceiving violent behaviors of police on other people. It suggests that moral outrage can be generated when people realizes a dramatic difference between expected behaviors and perceived behaviors of police officers through watching live broadcast or video clips. It also suggests that the shared social identity between protestors, police and perceivers provides the ground for the perceivers to feel angry and believe they are obliged to response to the situation.

Research limitations/implications
Because of the method and approach, the study may lack generalizability. However, researchers can test the proposed propositions by applying the model to other unexpected mobilization of social movement in history, or expand the model by studying the mobilizing power of direct and indirect perception of eviction, and the examine responses of the same physical conflict from people with different social identities.

Originality/value
This study explains how the mobilization of a social movement is possible despite the failure of mobilization by activists. It also complements the idea of moral shock by grounding such process on interaction order.
Children with learning disabilities and their participation in judicial procedures – what can disability advocacy offer?
Authors: Petri Gábor 
Published: January 2017

Purpose
The purpose of this paper is to provide a commentary on the paper titled “The Zone of Parental Control, The ‘Gilded Cage’ and The Deprivation of a Child’s Liberty: Getting Around Article 5”.

Design/methodology/approach
This paper uses the original article as a jumping off point to assess what aids advocacy organisations and human rights instruments can give to children with learning disabilities who enter legal procedures.

Findings
Existing human rights laws such as the UN Convention on the Rights of the Child and the UN Convention on the Rights of Persons with Disabilities provide innovative principles to reviewing existing policies, but little practical guidance is given to real implementation. Disability advocacy is ambiguous towards the question of representation of children with learning disabilities.

Originality/value
Literature on self-advocacy and especially on the self-advocacy and self-representation of children with learning disabilities is very limited. Access to justice for children with learning disabilities is similarly under-researched and is rarely addressed in disability advocacy.
Intimate relationships and persons with learning disability
Authors: Azzopardi-Lane Claire 
Published: January 2017

Purpose
The purpose of this paper is to provide a commentary on the paper “Supporting people with learning disabilities to make and maintain intimate relationships”.

Design/methodology/approach
Comparison of the sexual rights of persons with disability, as outlined in the 2006 Convention on the Rights of Persons with Disability, with research on actual policy and practice.

Findings
The sexual expression of persons with learning disability remains suppressed by those in positions of power, such as parents and service providers.

Originality/value
While there remains a long way to go, the commentary points towards examples of empowering policies and good practice that may shift the discourse towards sexual rights and emancipation of persons with learning disability.
Comparison of short‐term outcomes and three yearsurvival between total minimally invasiveMcKeown and dual‐incision esophagectomy
Authors: Mu Ju‐Wei , Gao Shu‐Geng , Xue Qi , Mao You‐Sheng , Wang Da‐Li , Zhao Jun , Gao Yu‐Shun , Huang Jin‐Feng , He Jie 
Published: January 2017

BackgroundThe aim of this study was to compare the short‐term outcomes and three‐year survival between dual‐incision esophagectomy (DIE) and total minimally invasiveMcKeown esophagectomy (MIME) for esophageal cancer patients with negative upper mediastinal lymph nodes requiring esophagectomy and neck anastomosis.MethodsOne hundred and fifty patients underwentDIE, while 361 patients received totalMIME. Perioperative outcomes and three‐year survival were compared in unmatched and propensity score matched data between two groups.ResultsBoth unmatched and matched analysis demonstrated that there were no significant differences in the number of lymph nodes harvested, or major or minor complication rates between theDIEandMIMEgroups. Compared with patients who underwentDIE, patients who underwent totalMIMEhad longer operation duration (310 minutes vs. 345 minutes;P = 0.002). However, there was significantly less intraoperative blood loss in the totalMIMEcompared with theDIEgroup (191 mLvs. 287 mL, respectively;P < 0.001).Kaplan‐Meier analysis demonstrated a trend that patients who underwentMIMEhad longer overall (79.5% vs. 64.1%;P = 0.063) and disease‐free three‐year survival (65.3% vs. 82.8%;P = 0.058) compared with patients who underwentDIE.ConclusionsBoth totalMIMEandDIEare feasible for the surgical treatment of esophageal cancer patients with negative upper mediastinal lymph nodes requiring esophagectomy and neck anastomosis. However,MIMEwas associated with better overall and disease‐free three‐year survival compared withDIE.
Reliability in cardiotocography interpretation – impact of extended on‐site education in addition to web‐based learning: an observational study
Authors: Gyllencreutz Erika , Hulthén Varli Ingela , Lindqvist Pelle G. , Holzmann Malin 
Published: January 2017

AbstractIntroductionPrevious studies have shown poor reproducibility in cardiotocography (CTG) interpretation. Studies evaluating the Swedish web‐based CTG‐education program have not proven to increase accurate CTG assessments. The aim of this study was to evaluate whether an extended education can improve inter‐ and intra‐observer reliability in CTG interpretation.Material and methodsSix obstetricians from two different departments interpreted 106 CTG tracings on two occasions. Both departments used a Swedish national web‐based CTG education and test for training. One department had, in addition, an extended education program consisting of on‐site lectures and oral examinations. Inter‐ and intra‐observer agreements were calculated by simple or weighted kappa (κ) values for the five parameters assessed on CTG.ResultsIn both departments inter‐observer and intra‐observer κ showed moderate to excellent agreement (ranges for κ 0.41–0.76 and 0.65–0.93, respectively). Obstetricians at the department with extended CTG education had better inter‐observer reliability for variability and accelerations. This was also the case for intra‐observer reliability with the addition of baseline frequency. Both inter‐ and intra‐observer agreement increased from moderate to substantial in both departments when decelerations were dichotomized into harmless (including early and simple variable decelerations) or hypoxic (including late, severe variable, prolonged and combined decelerations) (κ 0.63–0.78) compared with the current sub‐classification of decelerations (κ 0.42–0.65).ConclusionsAgreement in CTG interpretation was better than expected in both departments, especially when divided into harmless/hypoxic changes. Combination of different learning methods (web‐based, on‐site lectures and case discussion) might result in a better CTG interpretation agreement compared with web‐based learning solely.
Somatic symptom disorder was common in children and adolescents attending an emergency department complaining of pain
Authors: Cozzi Giorgio , Minute Marta , Skabar Aldo , Pirrone Angela , Jaber Mohamad , Neri Elena , Montico Marcella , Ventura Alessandro , Barbi Egidio 
Published: January 2017

AbstractAimThe aim of this study was to quantify the prevalence of somatic pain in a paediatric emergency department (ED).MethodsWe conducted a prospective observational study using patients admitted to the ED of an Italian children's hospital between December 2014 and February 2015. We enrolled children aged 7–17 who turned up at the ED complaining of pain. Patients and parents were asked to fill in a questionnaire to allow the analysis of the patients’ medical history and provide contact details for follow‐up. We divided the enrolled patients into four groups: post‐traumatic pain, organic pain, functional pain and somatic pain. The questionnaire was used to define pain characteristics and to generate an impairment score.ResultsOf the 713 patients who met inclusion criteria, 306 (42.9%) were enrolled in the study. Of these, 135 (44.0%) suffered from post‐traumatic pain, 104 (34.0%) from organic pain, 41 (13.4%) from functional pain and 26 (8.6%) from somatic pain. Somatic pain patients had endured pain longer, had missed more school days and had suffered severe functional impairment.ConclusionThis study highlighted that somatic pain was a significant contributor to paediatric emergency room visits and should be suspected and diagnosed in children reporting pain.
Estimated ventricle size using Evans index: reference values from a population‐based sample
Authors: Jaraj D. , Rabiei K. , Marlow T. , Jensen C. , Skoog I. , Wikkelsø C. 
Published: January 2017

Background and purposeEvans index is an estimate of ventricular size used in the diagnosis of idiopathic normal‐pressure hydrocephalus (iNPH). Values >0.3 are considered pathological and are required by guidelines for the diagnosis of iNPH. However, there are no previous epidemiological studies on Evans index, and normal values in adults are thus not precisely known. We examined a representative sample to obtain reference values and descriptive data on Evans index.MethodsA population‐based sample (n = 1235) of men and women aged ≥70 years was examined. The sample comprised people living in private households and residential care, systematically selected from the Swedish population register. Neuropsychiatric examinations, including head computed tomography, were performed between 1986 and 2000.ResultsEvans index ranged from 0.11 to 0.46. The mean value in the total sample was 0.28 (SD, 0.04) and 20.6% (n = 255) had values >0.3. Among men aged ≥80 years, the mean value of Evans index was 0.3 (SD, 0.03). Individuals with dementia had a mean value of Evans index of 0.31 (SD, 0.05) and those with radiological signs of iNPH had a mean value of 0.36 (SD, 0.04).ConclusionsA substantial number of subjects had ventricular enlargement according to current criteria. Clinicians and researchers need to be aware of the range of values among older individuals.
Comparison of limb kinematics between collected and lengthened (medium/extended) trot in two groups of dressage horses on two different surfaces
Authors: Walker V. A. , Tranquille C. A. , Newton J. R. , Dyson S. J. , Brandham J. , Northrop A. J. , Murray R. C. 
Published: January 2017

SummaryBackgroundDressage horses are often asked to work in lengthened paces during training and competition, but to date there is limited information about the biomechanics of dressage‐specific paces. Preliminary work has shown increased fetlock extension in extended compared with collected paces, but further investigation of the kinematic differences between collected, medium and extended trot in dressage horses is warranted.ObjectivesInvestigation of the effect of collected vs. medium/extended trot on limb kinematics of dressage horses.Study designProspective kinematic evaluation.MethodsTwenty clinically sound horses in active dressage training were used. Group 1: Ten young horses (≤6 years) were assessed at collected and medium trot and Group 2: Ten mature horses (≥9 years) were assessed at collected and extended trot. All horses were evaluated on two different surfaces. High speed motion capture (240 Hz) was used to determine kinematic variables. Fore‐ and hindlimb angles were measured at mid‐stance. Descriptive statistics and mixed effect multilevel regression analyses were performed.ResultsSpeed and stride length were reduced and stride duration increased at collected compared with medium/extended trot. Lengthened trot (medium/extended trot) was associated with increased fetlock extension in both the fore‐ and hindlimbs in both groups of horses. Changes were greater in mature horses compared with young horses. Shoulder and carpus angles were associated with forelimb fetlock angle. Hock angle was not significantly influenced by pace. Surface had no effect on fetlock or hock angles.Main limitationsOnly 2D motion analysis was carried out. Results may have differed in horses with more extreme gait characteristics.ConclusionsMedium/extended trot increases extension of the fore‐ and hindlimb fetlock joints compared with collected trot in both young and mature dressage horses, respectively.
Creating academic structures to promote nursing's role in global health policy
Authors: Gimbel S. , Kohler P. , Mitchell P. , Emami A. 
Published: January 2017

AimWe highlight key components of emerging academic structures in global health nursing and explain how this investment can expand nursing's broader engagement in global health policy development.BackgroundEngaging nursing in global health policy development is vital to ensure the scale‐up of effective health programmes. Globally, nurses promote development of interprofessional healthcare teams who are responsible for translating sound global health policy and evidence‐based programming into practice. However, the role of nurses within policy forums and on influential decision‐making bodies within the global health space remains limited, which reinforces suboptimal global health policy implementation.IntroductionInvestment in globally engaged academic structures is an important way to expand participation of nursing in global health policy development.Sources of evidenceA review of the current knowledge and substantive findings related to academic structures promoting global health nursing was conducted, and included a directed search of institutional websites, related grey and peer‐reviewed literature, and communication with top‐tier schools of nursing in the United States, to identify specific developments in global health nursing academic structures.Discussion/ConclusionEffective academic structures promoting global health nursing include a framework of four critical components – Research, Education, Policy and Partnership. Academic structure type and core activities vary depending on institutional priorities.Implications for nursing, health and social policyIncreasingly, global health research, driven by individual nursing investigators, is expanding; however, in order to translate these advances into expanded involvement in global health policy development, academic structures within schools of nursing need to systematically expand educational opportunities, bolster research capacity and promote partnership with policymakers.
Retrospective analysis of benign orofacial tumors at a tertiary referral center in Saudi Arabia
Authors: Vani Nandimandalam Venkata , Idris Ali M. , Saleh Sanaa M. , Tubaigy Faisal M. , Alharbi Fahd A. , Sharwani Abubakr A. , Tadrus Nabil , Warnakulasuriya Saman 
Published: January 2017

AbstractAimThe aim of the present study was to analyze the prevalence of benign tumors of the orofacial region at a tertiary referral center in the south‐western region of Saudi Arabia.MethodsCases from 2009 to 2014 were retrieved from October 2014 to June 2015 from the archives of the histopathology department of the center. Demographic and clinical details of the patients were recorded.ResultsOf the 714 oral and maxillofacial biopsy specimens, 78 (10.9%) were benign tumors. The mean age and range were 34.6±19.8 and 3‐85 year, respectively. Sex distribution was equal. Most tumors were mesenchymal (34.6%), followed by epithelial (26.9%), odontogenic (20.5%), and salivary gland tumors (17.9%). Squamous cell papilloma (20.5%) was the most common, followed by pleomorphic adenoma (15.4%) and fibrous tumors (15.4%).ConclusionsThe low prevalence of benign orofacial tumors found in this study indicates a lack of awareness of the importance of taking biopsy for such lesions. The information reported here emphasizes the need for biopsy investigation for all oral lesions to ascertain appropriate diagnosis.
Remineralization of natural early caries lesions in vitro by P11‐4 monitored with photothermal radiometry and luminescence
Authors: Silvertown Joshua D. , Wong Bonny P. Y. , Sivagurunathan Koneswaran S. , Abrams Stephen H. , Kirkham Jennifer , Amaechi Bennett T. 
Published: January 2017

AbstractAimThe efficacy of self‐assembling peptide P11‐4 to regenerate enamel in natural early caries lesions was evaluated over 50 days by photothermal radiometry and luminescence using The Canary System (CS) and The Canary Lab (CL).MethodsBaseline readings for sound and carious sites on smooth surfaces of extracted teeth were obtained by scanning with CS and CL. Teeth were then randomly assigned to a treatment group (TG, treated with P11‐4), a placebo group (PG, same vehicle as treatment group without P11‐4), or a control group (CG, no treatment). All the teeth were then placed in artificial saliva to facilitate natural remineralization, and the sites were rescanned with CS and CL at 7, 14, 30, and 50 days.ResultsFor carious sites in TG, mean canary numbers (CN) derived from CS decreased significantly (P<.01) from 44±3.8 at baseline to 24±4.9 at day 50; the mean CN for the TG derived from CL also decreased significantly (P<.05), from 65 at baseline to 45 at day 50. In contrast, no significant changes in CN were observed for carious sites in the CG or PG using either CS or CL.ConclusionsP11‐4 promoted the regeneration of early caries.
Effects of the Youth Fit 4 Life physical activity/nutrition protocol on body mass index, fitness and targeted social cognitive theory variables in 9‐ to 12‐year‐olds during after‐school care
Authors: Annesi James J , Walsh Stephanie M , Greenwood Brittney L , Mareno Nicole , Unruh‐Rewkowski Jennifer L 
Published: January 2017

AimChildhood overweight and obesity is unacceptably high in industrialised nations. School‐based interventions have largely been atheoretical and ineffective. This study aimed to test a new theory‐based protocol for its effects on measures of fitness and body mass index (BMI), and its proposed psychosocial mediators, during elementary after‐school (out‐of‐school hours) care.MethodsNine‐ to 12‐year‐old participants of YMCA‐based after‐school care in the southeastern Unites States were randomised into either the experimental Youth Fit 4 Life (YF4L) treatment group (n = 86) or a typical care group (n = 55) for 45 min/day. YF4L is based on social cognitive theory, emphasising mastery over physical activities and the development of self‐management/self‐regulatory skills to support healthy behaviours. Physiological and psychosocial variables were assessed over a 9‐month elementary school year.ResultsOf the overall sample, 28% were overweight or obese at baseline. YF4L was associated with significantly greater improvements in BMI, and measures of self‐regulation, mood, self‐efficacy, cardiovascular endurance and strength over both 3 and 9 months. Changes in self‐regulation, mood and self‐efficacy significantly mediated the treatment type–BMI relationship over both 3 months (R
2 = 0.12, P = 0.002) and 9 months (R
2 = 0.13, P = 0.001), with change in self‐regulation being a significant independent mediator. Changes in BMI and self‐regulation reciprocally reinforced one another. Gender was not a significant moderator of those relationships.ConclusionsThe YF4L treatment mitigated rise in BMI in 9‐ to 12‐year‐old enrollees of after‐school care. The treatment's basis in social cognitive theory was supported. Because of its positive effects and ability to utilise existing staff, large‐scale application is warranted after sufficient replication.
Daily variability in serum levels of calciprotein particles and their association with mineral metabolism parameters: A cross‐sectional pilot study
Authors: Yamada Hodaka , Kuro‐o Makoto , Ishikawa San‐e , Funazaki Shunsuke , Kusaka Ikuyo , Kakei Masafumi , Hara Kazuo 
Published: January 2017

AbstractAimCalciprotein particles (CPPs), colloidal protein‐mineral nanoparticles composed of solid‐phase calcium phosphate and serum protein fetuin‐A found in blood, are emerging as a novel component of chronic kidney disease‐mineral and bone disorder (CKD‐MBD). The relationship of CPPs with factors known to underlie the CKD‐MBD pathophysiology is not well known.The aim of this study is to examine daily variations in CPPs as well as their association with mineral metabolism parameters in normal individuals and early‐stage CKD patients.MethodsTwenty subjects (10 healthy adults, 10 diabetic patients) were enrolled. Serum CPP Fetuin‐A was measured and analyzed in relation to clinical parameters.ResultsEstimated glomerular filtration rates (eGFR) were 103 ± 11 and 75 ± 24 mL/min per 1.73 m2 in healthy adults and diabetic patients, respectively. Serum CPP Fetuin‐A (g/L) were elevated at postprandial 2 h in diabetic patients. Furthermore, serum CPP Fetuin‐A were inversely correlated with eGFR and serum 1,25‐dihydroxyvitamin D3 and magnesium levels and were positively correlated with serum fibroblast growth factor‐23.ConclusionsThese findings indicated that serum CPP Fetuin‐A were affected by food intake and may contribute to the pathophysiology of mineral metabolism in subjects with normal and moderately impaired renal function.