bluuebunny/crossref_metadata_2025_split huggingface dataset:
The ‘Inextricabilis Syndrome’: a case with no solution
Authors: Khachatryan Tigran , Beigel Roy , Arsanjani Reza , Siegel Robert J 
Published: November 2014

Summary
We describe a case of a 58-year-old man with cardiogenic shock who underwent triple vessel coronary artery bypass and a left ventricular assist device (LVAD) implantation. His course was complicated by stroke, worsening mitral regurgitation, aortic regurgitation, and multiple cardiac thrombi while on the device. We provide the details of the patient's hospital course, management, and echocardiographic findings. We also discuss the utility of echocardiography before LVAD insertion and its role for continued monitoring after insertion.
Learning points

Ventricular assist devices (VADs) are used as bridge to decision, transplant, recovery, or destination therapy in patients with advanced heart failure and cardiogenic shock.

VADs improve survival and the quality of life but have significant associated complications.

Echocardiography plays an essential role before VAD insertion and for postoperative cardiac monitoring. Information provided by echocardiography is used in device selection, consideration for corrective surgical interventions, and device explantation.
Changing anatomies of Information Literacy at the postgraduate level: refinements of models and shifts in assessment
Authors: Spiranec Sonja , Banek Zorica Mihaela 
Published: November 2014

In this paper fundamental principles that might inform an approach to Information Literacy (IL) on the postgraduate level will be identified. Those are based on following premises:the aims of postgraduate/doctoral studies are different in comparison to earlier educational levels and face specific challenges due to the heterogeneity of student populationsIL frameworks have to acknowledge and address this challenge by adjusting to specific needs of postgraduate students who operate in new information realmsnew modes of assessment are needed as a result of revolutionary changes in information landscapes and patterns of generation and use of scientific informationTeaching students in the scientific method and culture has long been recognized as the major focus of postgraduate education, an important precondition for research practices is the adequate performance in the realm of information handling and information management, i.e., information literacy. IL on postgraduate levels has a strong focus on the universe of scientific information, which itself went through tremendous changes in the last decade, particularly as a result of the appearance of the Web 2.0 (e.g. Science 2.0, Research 2.0). Such profound changes suggest renewed conceptions and focal points of IL at the postgraduate level which will take into account the fluid nature of current information environments. After discussing changes in information landscapes brought about the Web 2.0 and examining transformed premises of scientific work within such environments, the authors will plea for re-conceptualizations of IL on the postgraduate level and propose new principles of IL frameworks and modes of assessment that will recognize this transformation.
Predicted and actual end-of-treatment occlusion produced with aligner therapy
Authors: Buschang Peter H. , Ross Mike , Shaw Steven G. , Crosby Doug , Campbell Phillip M. 
Published: November 2014

ABSTRACT

Objective:
To compare three-dimensional (3D) ClinCheck™ models with the subjects' actual 3D posttreatment models using the American Board of Orthodontics Objective Grading System (OGS).

Materials and Methods:
This prospective, within-subject study included 27 consecutive cases treated with aligner therapy. The posttreatment plaster models taken immediately after treatment were scanned and converted to stereolithography (STL) files; the ClinCheck models were also converted to STL format. MeshLab software was used to measure the seven components of the OGS, including alignment, marginal ridges, buccolingual inclinations, occlusal contacts, occlusal relationships, overjet and interproximal contacts. An overall OGS deduction score was also calculated.

Results:
Compared with the posttreatment models, the ClinCheck models showed significantly (P  =  .016) fewer overall OGS point deductions (24 vs 15). These overall differences were due to significantly (P &lt; .05) more deductions among the posttreatment models than the ClinCheck models for alignment (4.0 vs 1.0 deductions), buccolingual inclinations (4.0 vs 3.0 deductions), occlusal contacts (3.0 vs 2.0 deductions), and occlusal relations (4.0 vs 2.0 deductions).

Conclusion:
The ClinCheck models do not accurately reflect the patients' final occlusion, as measured by the OGS, at the end of active treatment.
Clinical Investigations: Correlations Between Human Somatotype Components And Some Anthropometric Parameters In Male Patients With Type 2 Diabetes Mellitus
Authors: Baltadjiev Atanas G. , Vladeva Stefka V. 
Published: November 2014

ABSTRACT
The AIM of the present study was to find and compare the correlations between somatotype and some anthropological parameters in Bulgarian male patients with type 2 diabetes mellitus.
PATIENTS AND METHODS: Anthropometric measurements were taken from 165 male patients with type 2 diabetes mellitus. All patients were ethnic Bulgarians. They were divided into two age groups: a 40-60-year group (58 patients, mean age 52.05 ± 0.73 yrs), and a 61-80-year group (111 patients, mean age 68.02 ± 0.53 yrs). The controls were allocated into similar agematched groups. Direct anthropometric measurements were body height and weight, biepicondylar breadth of the humerus and biepicondylar breadth of the femur. Circumferential measurements were taken from the relaxed and contracted upper arm, the forearm, the waist, the hip, the thigh and the medial calf. Skin folds were measured below the inferior angle of the scapula, above the X rib, above the crista iliaca, at the abdomen, triceps brachii, forearm, thigh and the medial calf. The components of human somatotype according to the criteria of Heath-Carter, body mass index (ВМІ) and waist-to-hip ratio (WHR) were calculated. RESULTS: We found very strong positive correlations (РС > 0.70) between ВМI and the endomorphic and mesomorphic components of somatotype in 40-60-year-old male diabetic patients. The correlation between the endomorphic and mesomorphic components of somatotype and the anthropometric measurements characterizing the central accumulation of adipose tissue (waist circumference, hip circumference, WHR) was very strong positive (РС = 0.5-0.7). Male diabetic patients aged 61-80 years: we found a very strong positive correlation between endomorphic and mesomorphic components and ВМІ, a strong correlation between these components and the waist circumference, and a good correlation between the components and the circumferences of the waist and hip and WHR.
CONCLUSIONS: In male patients with type 2 diabetes aged 40-60 years, the endomorphic and mesomorphic components of somatotype are strongly positively correlated with the parameters which characterize the total adipose tissue accumulation in the human body (ВМІ). There is a good positive correlation between the two components of somatotype and the parameters showing visceral adipose tissue accumulation (circumferences of waist, hip, thigh and WHR). In male patients with type 2 diabetes aged 61-80 years we found a strong positive correlation of the endomorphic and mesomorphic components of somatotype with BMI and a good positive correlation with the circumferences of the waist, hip, thigh and WHR.
Glioblastoma Multiforme Classified As Mesenchymal Subtype
Authors: Koev Ilian G. , Feodorova Yana N. , Kazakova Maria H. , Staykov Dmitrii G. , Kitov Borislav D. , Sarafian Victoria S. 
Published: November 2014

ABSTRACT
INTRODUCTION: Recently, researchers have been considering as adverse prognostic factors in primary glioblastomas not only clinical indicators but also various cellular, genetic and immunological markers. The aim of the present article was to report a case of primary glioblastoma multiforme with poor survival in a patient after surgical intervention, and to determine the unfavorable prognostic markers. CASE REPORT: We present a 71-year-old man with histologically verified glioblastoma multiforme and a postoperative survival of 48 days. The patient did not receive any radiotherapy and adjuvant therapy with temozolomide because of the short survival. Serum and transcription levels of TNF-α, CD44, YKL-40 and IL-6 were determined by molecular-biological and immunological analyses. We found very high transcription levels of the genes CD44, YKL-40 and IL-6, increased gene expression of TNF-α, and elevated serum concentrations of TNF-α, YKL-40 and IL-6 and reduced serum concentration of CD44. CONCLUSION: Molecular-biological and immunological analyses support the hypothesis that glioblastoma multiforme is presented by a heterogeneous group of glial tumors with different clinical course and prognosis. The high expression levels of TNF-α, CD44, YKL-40, and IL-6 indicate that the tumor can be categorized as mesenchymal subtype of glioblastoma multiforme, which accounts for the rapid clinical course and lethal outcome of the condition.
The Poetic Axis of Ethics
Authors: Oliver Kelly 
Published: November 2014

In The Poetic Axis of Ethics, Kelly Oliver argues that in Derrida's The Beast and the Sovereign Volume II, a line of poetry from Celan becomes the axis around which Derrida's analysis of world, death, and ethics revolves: ‘Die Welt ist fort, ich muß dich tragen’ [The world is far away, I must carry you]. Oliver maintains that the Celan fragment, which is repeated in nearly every session, is not only the axis around which Derrida binds the unlikely duo Robinson-Heidegger, but also it is a performance of a certain poetic world making that Derrida proposes as a counterbalance to sovereign world building.
Variations psychanalytiques sur les aventures de Harry Potter
Authors: Durieux Marie-Paule , Matot Jean-Paul 
Published: November 2014

Dans cet article, les auteurs analysent la saga de Harry Potter au fil des sept tomes du roman de J.K. Rowling sous deux angles principaux : -Les relations et aventures des différents personnages, dans un monde magique parallèle au monde réel, peuvent être lues comme une description métaphorique des processus développementaux et défensifs au cours de la période adolescente de 11 à 18 ans. A travers les destins enchevêtrés de Harry et Lord Voldemort, les auteurs envisagent la clinique du processus adolescentaire lorsqu’il y a eu un passé traumatique marqué par des deuils précoces et des carences affectives, une transmission transgénérationnelle aliénante et des secrets familiaux. L’impact de leurs histoires infantiles, familiales et trangénérationnelles aura pour l’un et pour l’autre des issues différentes, affrontement d’un noyau mélancolique pour Harry, et développement d’une psychose paranoïaque pour Voldemort.
Gérer l'histoire de sa naissance
Authors: Lannoy Pierre 
Published: November 2014

Cet article étudie la composition des récits de la naissance de Volkswagen par les services autorisés de l’entreprise. Le fabricant allemand a pour particularité de devoir sa fondation et son produit industriel à un régime politique unanimement considéré comme condamnable, le nazisme. Comment, chez Volkswagen, parle-t-on alors de sa propre naissance ? L’article décrit les évolutions du lexique, de l’iconographie et de la composition de ces récits, et montre qu’ils rejouent à chaque période la mise en scène du pouvoir dans l’entreprise, en vue de répondre aux enjeux internes et externes du moment.
Les usages institués et stratégiques du passé d'une organisation bancaire
Authors: Moulévrier Pascale , Suaud Charles 
Published: November 2014

Les usages que le Crédit Mutuel fait de ses origines relèvent d’une pédagogie à double face : objectivée, sous la forme de connaissances transmises, et incorporée. Tout au long de l’histoire de l’entreprise, les responsables sont, pour leur part, tenus d’incarner les valeurs mutualistes afin de maintenir une position originale dans l’espace bancaire. Du côté des salariés, cet esprit des origines est efficace au prix d’une sélection qui retient des agents disposés à se mettre au service d’une clientèle de « petites gens ». Enfin, le rapport au passé est un moyen de gérer les évolutions d’une banque qui demande, non sans tensions, d’accepter les injonctions financières sans déroger à ses principes fondateurs.
An Explicit Second-Order Numerical Scheme to Solve Decoupled Forward Backward Stochastic Equations
Authors: Fu Yu , Zhao Weidong 
Published: November 2014

AbstractAn explicit numerical scheme is proposed for solving decoupled forward backward stochastic differential equations (FBSDE) represented in integral equation form. A general error inequality is derived for this numerical scheme, which also implies its stability. Error estimates are given based on this inequality, showing that the explicit scheme can be second-order. Some numerical experiments are carried out to illustrate the high accuracy of the proposed scheme.
Correlation Between Mesh Geometry and Stiffness Matrix Conditioning for Nonlocal Diffusion Models
Authors: Kim Jibum 
Published: November 2014

AbstractNonlocal diffusion models involve integral equations that account for nonlocal interactions and do not explicitly employ differential operators in the space variables. Due to the nonlocality they might look different from classical partial differential equation (PDE) models, but their local limit reduces to partial differential equations. The effect of mesh element anisotropy mesh refinement and kernel functions on the conditioning of the stiffness matrix for a nonlocal diffusion model on 2D geometric domains is considered, and the results compared with those obtained from typical local PDE models. Numerical experiments show that the condition number is bounded by(wherecis a constant) for an integrable kernel function, and is not affected by the choice of the basis function. In contrast to local PDE models, mesh anisotropy and refinement affect the condition number very little.
Capitalizing Religion
Authors: Martin Craig 
Published: November 2014

Talk of 'spirituality' and 'individual religion' is proliferating both in popular discourse and scholarly works. Increasingly people claim to be 'spiritual but not religious,' or to prefer 'individual religion' to 'organized religion.' Scholars have for decades noted the phenomenon - primarily within the middle class - of individuals picking and choosing elements from among various religious traditions, forming their own religion or spirituality for themselves.
While the topics of 'spirituality' and 'individual religion' are regularly treated as self-evident by the media and even some scholars of religion, Capitalizing Religion provides one of the first critical analyses of the phenomenon, arguing that these recent forms of spirituality are in many cases linked to capitalist ideology and consumer practices. Examining cases such as Eckhart Tolle's The Power of Now, and Karen Berg's God Wears Lipstick, Craig Martin ultimately argues that so-called 'individual religion' is a religion of the status quo or, more critically, 'an opiate of the bourgeoisie.'
Capitalizing Religion: Ideology and Opiate of the Bourgeoisie is a landmark publication in critical religious studies.
Prophylaktische Faktorsubstitution bei schwerer Hämophilie A
Authors: Eheberg D. , Oldenburg J. , Tiede A. , Schramm W. , Berger K. , Schopohl D. 
Published: November 2014

ZusammenfassungProphylaxe kann bei Erwachsenen mit schwerer Hämophilie A klinisch notwendig sein. Ziel war es, die prophylaktische Faktor-VIII-Substitution bei erwachsenen Patienten mit Hämophilie in Deutschland ökonomisch zu bewerten. Patienten, Methoden: Für die Analysen wurde ein Entscheidungsmodell erstellt: Zeithorizont ein Jahr; Perspektive gesetzliche Krankenkassen; Referenzpatient (RP) und zwei Patientenprofile. Die Berech-nungen basieren auf Daten aus einer struktu-rierten Literatursuche, -analyse und einer Pharmakovigilanzstudie mit Patienten zu Therapiewechsel On-demand/Prophylaxe (OD/Proph). Ergebnisse: RP: 45 Jahre, 20 Blutungen p.a. OD, 16 vermiedene Blutungen mit 8,5 I.U./kg/d Proph, Zusatzkosten 141 113 Euro p.a.; Profil 1: 50 Jahre, 55 Blutungen p.a. OD, Faktorverbrauch pro Blutung 20 I.U./kg höher als bei R P, 39 vermiedene Blutungen mit 8,5 I.U./kg/d Proph, Zusatzkosten 19 134 Euro p.a.; Profil 2: 60 Jahre, 35 Blutungen p.a. OD, Faktorverbrauch pro Blutung 40–80 I.U./kg höher als bei R P, 34 vermiedene Blutungen mit 11 I.U./kg/d Proph, Einsparung 660 Euro p.a. Schlussfolgerung: In der indivi-duellen Situation kann eine prophylaktische Faktorsubstitution bei erwachsenen Patienten auch ökonomisch sinnvoll sein. Um künftig diesen Effekt umfassend zu bewerten, werden longitudinale Daten aus dem Versorgungsalltag inklusive klinischer Outcomes, Lebensqua-lität und Adhärenz benötigt.
Therapie hereditärer Thrombozytopathien
Authors: Streif W. , Eberl W. , Andres O. , Bakchoul T. , Bergmann F. , Beutel K. , Dittmer R. , Gehrisch S. , Gottstein S. , Halimeh S. , Haselböck J. , Hassenpflug W.-A. , Heine S. , Holzhauer S. , King S. , Kirchmaier C. M. , Krause M. , Kreuz W. , Lösche W. , Mahnel R. , Maurer M. , Nimtz-Talaska A. , Olivieri M. , Rott H. , Schambeck Ch. M. , Schedel A. , Schilling F. H. , Schmugge M. , Schneppenheim R. , Scholz U. , Scholz T. , Schulze H. , Siegemund A. , Strauß G. , Sykora K.-W. , Wermes C. , Wiegering V. , Wieland I. , Zieger B. , Zotz R. B. , Knöfler R. 
Published: November 2014

ZusammenfassungAngeborene Thrombozytopathien sind komplexe Erkrankungen. Zur optimalen Blutungsprophylaxe und -behandlung empfehlen wir eine Abklärung und Diagnose der zugrunde liegenden Funktionsstörung. Dazu steht eine interdisziplinäre Leitlinie zur Verfügung (AWMF # 86–003 S2K; Hämostaseologie 2014; 34: 201–212).Die Behandlung ist auf den Defekt, die Thrombozytenzahl, das Lebensalter und die klinischen Umstände abzustimmen. Die Transfusion von Thrombozyten allein kann wegen der damit verbundenen Risiken unangemessen sein. Empfohlen wird ein stufenweiser und individualisierter Behandlungsplan. Antifibrinolytika sind generell anwendbar, besonders bei der Quebec-Erkrankung. Desmopressin ist älteren Kindern vor behalten und vor allem zur Behandlung der Storage- Pool-Erkrankungen und nicht klassifizierter Defekte geeignet. Rekombinanter FVIIa ist zwar nur für die Behandlung der Thrombasthenie Glanzmann mit Alloantikörpern zugelassen, wird jedoch in der klinischen Praxis auch bei Thrombozytendefekten mit schwerer Blutungsneigung eingesetzt. Das Ziel dieser Leitlinie ist die Behandlung von Patienten mit angeborenen Thrombozytenfunktionsstörungen bestmöglich zu unterstützen.
Proactieve verkeersveiligheid in veranderende bestuurlijke verhoudingen
Authors: van der Knaap Peter 
Published: November 2014

The philosophy behind road safety policy in the Netherlands
The Netherlands enjoys a long-standing reputation in the field of road safety. Following the ‘Sustainable Road Safety’ program of the 1990s, the infrastructural layout considerably reduces the risk of accidents while at the same time many measures are in place to improve road user behavior. In recent years, however, there have been several developments that may affect the success of the approach. In addition to an ageing population, urbanization, and the rise of new technologies, there is a combination of decentralization, policy integration, and budgetary restraints. This contribution presents the philosophy behind the sustainable road safety program and describes its key elements. It discusses policy and societal developments, and the continuing need to improve road safety, especially at a decentralized level. The article argues in favor of a continued systematic approach towards safer road traffic, also in periods of decentralization and limited budgets. It presents a concrete perspective of the role of policy analysis and policy evaluation to develop a proactive approach to road safety under the new conditions. In this, evidence-based interventions, an active use of safety performance indicators, and a focus on success are key elements.
Recorregut de recerca geològica i mineralògica per la subcomarca del Lluçanès (comarca d´Osona): des de Lluçà a Santa Eulàlia de Puig-Oriol, Alpens, Sant Agustí de Lluçanès i al santuari de la Mare de Déu dels Munts
Authors: Mata Perelló Josep Maria , Sanz Balagué Joaquim 
Published: November 2014

Aquest itinerari es va realitzar el 14 d’abril del 2013. El recorregut és una variant del Recorregut de recerca geològica i mineralògica per la subcomarca del Lluçanès (comarca d´Osona): des de Lluçà a Santa Eulàlia de Puig-Oriol, Sant Agustí de Lluçanès i Alpens, publicat al núm. 4 (abril 214) de la revista Xaragall. En aquesta ocasió el recorregut de l’itinerari discorre en la seva totalitat per la Depressió Geològica de l´Ebre (i més concretament, ho farà pel seu sector corresponent a la seva Depressió Central). Tot i així, l’itinerari passarà per les proximitats d’alguns indrets més o menys replegats de l´esmentada depressió. Així, entre altres, creurem el Sinclinal de Gironella i l´Anticlinal de Puig-reig, entre altres elements. Per d’altra banda, i com ja s’entreveu al títol, el recorregut de d’itinerari discorrerà per íntegrament per la subcomarca del Lluçanès i més concretament pels seus sectors osonencs, des del principi a Lluçà a fi del recorregut .
Skin Thickness of the Anterior, Anteromedial, and Anterolateral Thigh: A Cadaveric Study for Split-Skin Graft Donor Sites
Authors: Chan Jeffrey CY , Ward John , Quondamatteo Fabio , Dockery Peter , Kelly John L 
Published: November 2014

Background The depth of graft harvest and the residual dermis available for reepithelization primarily influence the healing of split-skin graft donor sites. When the thigh region is chosen, the authors hypothesize based on thickness measurements that the anterolateral region is the optimal donor site.
Methods Full-thickness skin specimens were sampled from the anteromedial, anterior, and anterolateral regions of human cadavers. Skin specimens were cut perpendicularly with a custom-made precision apparatus to avoid the overestimation of thickness measurements. The combined epidermal and dermal thicknesses (overall skin thickness) were measured using a digital calliper. The specimens were histologically stained to visualize their basement membrane, and microscopy images were captured. Since the epidermal thickness varies across the specimen, a stereological method was used to eliminate observer bias.
Results Epidermal thickness represented 2.5% to 9.9% of the overall skin thickness. There was a significant difference in epidermal thickness from one region to another (P<0.05). The anterolateral thigh region had the most consistent and highest mean epidermal thickness (60±3.2 µm). We observed that overall skin thickness increased laterally from the anteromedial region to the anterior and anterolateral regions of the thigh. The overall skin thickness measured 1,032±435 µm in the anteromedial region compared to 1,220±257 µm in the anterolateral region.
Conclusions Based on skin thickness measurements, the anterolateral thigh had the thickest epidermal and dermal layers. We suggest that the anterolateral thigh region is the optimal donor site for split-skin graft harvests from the thigh.