bluuebunny/crossref_metadata_2025_split huggingface dataset:
A different Mexican postcard: Fernando Eimbcke’s Lake Tahoe (2008)
Authors: Newman Kathleen 
Published: April 2015

Abstract
This article examines the ways in which the screen aesthetics of Fernando Eimbcke’s Lake Tahoe (2008) creates a sympathetic portrait of the contemporary middle class in Mexico. Considering first the deployment in Eimbcke’s work of the same critical closeness and distance underpinning the chronicles of distinguished Mexican writer Carlos Monsiváis, the article then analyses: Eimbcke’s formal style, which foregrounds a combination of static camerawork and narrative ellipsis to produce specific affective relations on-screen and an ironic address to the audience; his chronicle of the Mexican working and middle class in a beach town in the Yucatán; and the implications of the visual humour and nostalgia with which he approaches the protagonist’s process of mourning.
Report on Morelia International Film Festival, 17–26 October 2014
Authors: Smith Paul Julian 
Published: April 2015

Abstract
This article reports on the twelfth edition of the Morelia International Film Festival, which took place from 17 to 26 October 2014. It begins by recounting the debates held at the Encuentro de Realizadores Mexicanos, an industry forum that gave voice to directors, archivists and critics from Mexico and beyond and focused on such questions as the divide between art movies and commercial cinema. The report goes on to analyse the Mexican fiction features shown at the festival, all national premieres. It argues that there were three main themes: LGBT issues, ageing and the reaction against the slow or observational cinema that was previously dominant at this and other festivals.
Mistaken for Dead: The Affordable Care Act and the Continued Resilience of Medicare Advantage
Authors: Kelly Andrew S. 
Published: April 2015

AbstractIn 2009, Medicare Advantage became a prime target in the Obama Administration’s efforts to pay for the Affordable Care Act (ACA). After securing substantial cuts to a program the President described as a failure, the Obama administration was compelled to take unprecedented administrative steps to put billions of dollars back into Medicare Advantage. These developments demonstrate how Medicare Advantage’s support constituency, which has come to include Democrats, Republicans, beneficiaries, and the managed care industry, has maintained more political influence in the aftermath of the ACA than some initially believed. The continued and growing influence of the Medicare Advantage constituency does not, however, mean that Medicare is primed for a more conservative turn toward vouchers or premium support. With the provision of generous benefits and increasing evidence that Medicare Advantage produces higher quality health outcomes than traditional Medicare, Medicare Advantage appears to be secure in its current form.
Opting In, Opting Out: The Politics of State Medicaid Expansion
Authors: Rose Shanna 
Published: April 2015

Abstract
As the list of Republican-led states participating in the Medicaid expansion grows, it is becoming increasingly clear that partisanship and ideology alone cannot fully explain states’ choices. This paper examines the political and practical dynamics influencing state Medicaid expansion decisions. Whereas resources and history have served to reinforce the effects of partisanship and ideology, several countervailing forces – including public opinion, interest group pressure, budgetary considerations, and need – are pushing even the reddest states toward expansion. The relative force of these competing pressures within a state can help explain not only whether or not the state expands Medicaid, but also the manner in which it does so, such as through a waiver or executive action. I present five case studies – Nevada, Arizona, Ohio, Arkansas, and Tennessee – to illustrate how these various dynamics are shaping states’ decisions.
An Integrative Review: Instructional Strategies to Improve Nurses’ Retention of Cardiopulmonary Resuscitation Priorities
Authors: Sullivan Nancy 
Published: April 2015

AbstractRecognizing and responding to a cardiac arrest in the hospital setting is a high stress, high anxiety event for all healthcare providers. It requires the performance of several basic, but extremely important cardiopulmonary resuscitation (CPR) skills and response priorities. If not executed correctly and in a timely manner, a bad outcome may result. Poor retention of cardiopulmonary resuscitation skills and priorities is well documented in the literature. An integrative review of the evidence was conducted to answer the question, “Is there a more effective training method to improve nurses’ retention of CPR priorities during an in hospital cardiac arrest as compared to traditional American Heart Association training? “This review evaluated high fidelity and low fidelity simulation training, online or computer-based training and video instruction as potential teaching strategies focusing on CPR priorities. The role of deliberate practice is discussed. The strongest evidence suggests that a teaching plan employing brief, frequent, repetitive or deliberate practice used in collaboration with low fidelity or high fidelity simulation may be a potential strategy to improve nurses’ retention of CPR priorities over time.
The Road to Quality in the Theory and Practice of Early Learning: Identity of the Preschool Teacher Profession / Put prema kvaliteti u teoriji i praksi ranog odgoja: identitet profesije odgojitelja
Authors: Jurčević-Lozančić Anka 
Published: April 2015

AbstractThe profession of preschool teachers is extremely complex, requiring high professional awareness, continuous research of educational practice, responsibility, ethics, creativity, continuous reflective judgement, and it is almost impossible to achieve professional advancement without lifelong learning and professional development. The study, the results of which are presented in this paper, was conducted in order to determine the attitudes of preschool teachers towards the need and importance of their further professional development in relation to some socio-demographic factors (the current initial training of preschool teachers, age, years of work experience, the number and size of the preschool institutions located in a town or a village). This study included 573 preschool teachers from Zagreb, Karlovac, Međimurje, Bjelovar-Bilogora, and Virovitica-Podravina counties. The results of this study show that with respect to age, the existing level of initial education and years of work experience of preschool teachers, a statistically significant difference was obtained only regarding the first of the five items in total (Knowledge acquired during my study has significantly improved my theoretical expertise). The values of descriptive statistics indicate that the existing initial education has more or less met their theoretical and practical expectations in terms of the acquisition of overall knowledge.Key words: attitudes of preschool teachers; early childhood education; lifelong learning; quality of theory and practice. --- SažetakOdgojiteljska profesija iznimno je složena, zahtijeva visoku profesionalnu svijest, kontinuirano istraživanje odgojno-obrazovne prakse, odgovornost, etičnost, kreativnost, sposobnost stalne refleksivne prosudbe i gotovo je nemoguće zamisliti napredovanje unutar profesije bez cjeloživotnoga učenja i profesionalnoga usavršavanja. Istraživanje čiji rezultati slijede u ovom radu provedeno je s ciljem utvrđivanja stajališta odgojitelja o potrebi i važnosti njihova cjeloživotnog učenja i daljnjeg profesionalnog razvoja u odnosu na postojeće inicijalno obrazovanje odgojitelja, njihovu životnu dob i godine radnog iskustva. U ovom istraživanju sudjelovala su 573 odgojitelja Zagrebačke, Karlovačke, Međimurske, Bjelovarsko-bilogorske i Virovitičko-podravske županije.Rezultati istraživanja pokazuju da je s obzirom na životnu dob, postojeću razinu inicijalnog obrazovanja i godine radnog iskustva odgojitelja od ukupno pet čestica dobivena statistički značajna razlika samo na prvoj čestici (Znanja stečena tijekom mojega studiranja značajno su unaprijedila moju teorijsku stručnost). Iz vrijednosti deskriptivne statistike vidljivo je da postojeće inicijalno obrazovanje relativno zadovoljava njihova teorijska i praktična očekivanja u smislu stjecanja ukupnog znanja.Ključne riječi: cjeloživotno učenje; kvaliteta teorije i prakse; rani odgoj i obrazovanje; stajališta odgojitelja
Avaliação da Aprendizagem em Educação a Distância através do Fórum (Interface Educacional).
Authors: Machado Rodrigues Nice Vânia 
Published: April 2015

As novas tecnologias digitais e o desenvolvimento da globalização provocaram na sociedade moderna a quebra de velhos paradigmas, concepções e barreiras pedagógicas. Antes, só acessível à classe alta, hoje, a internet está cada vez mais se popularizando, tornando- se acessível a todas as camadas da população. Com isso, aprimora-se uma nova modalidade de educação conhecida como Educação a Distância - EAD. A Educação a Distância se mantém firme e forte em seu propósito, que é educar indivíduos distanciados geograficamente e com o seu desenvolvimento surge a preocupação com relação ao processo avaliativo da aprendizagem. Será que a avaliação está sendo feita de forma eficiente? E as interfaces educacionais são importantes e cumprem seu papel na avaliação? O fórum pode ser um poderoso instrumento de avaliação? Estas indagações serão objetos de estudo deste artigo. O objetivo principal desta pesquisa é analisar o fórum (interface educacional) utilizado no processo de avaliação da aprendizagem em EAD.
Clinical features and disease progression in moyamoya disease patients with Graves disease
Authors: Chen Jian-Bin , Lei Ding , He Min , Sun Hong , Liu Yi , Zhang Heng , You Chao , Zhou Liang-Xue 
Published: April 2015

OBJECT
The present study aimed to clarify the incidence and clinical features of disease progression in adult moyamoya disease (MMD) patients with Graves disease (GD) for better management of these patients.

METHODS
During the past 18 years, 320 adult Chinese patients at West China Hospital were diagnosed with MMD, and 29 were also diagnosed with GD. A total of 170 patients (25 with GD; 145 without GD) were included in this study and were followed up. The mean follow-up was 106.4 ± 48.6 months (range 6–216 months). The progression of the occlusive lesions in the major intracranial arteries was measured using cerebral angiography and was evaluated according to Suzuki's angiographic staging. Information about cerebrovascular strokes was obtained from the records of patients' recent clinical visits. Both angiographic progression and strokes were analyzed to estimate the incidences of angiographic progression and strokes using Kaplan-Meier analysis. A multivariate logistic regression model was used to test the effects of sex, age at MMD onset, disease type, strokes, and GD on the onset of MMD progression during follow-up.

RESULTS
During follow-up, the incidence of disease progression in MMD patients with GD was significantly higher than in patients without GD (40.0% vs 20.7%, respectively; p = 0.036). The interval between initial diagnosis and disease progression was significantly shorter in MMD patients with GD than in patients without GD (p = 0.041). Disease progression occurred in both unilateral MMD and bilateral MMD, but the interval before disease progression in patients with unilateral disease was significantly longer than in patients with bilateral disease (p = 0.021). The incidence of strokes in MMD patients with GD was significantly higher than in patients without GD (48% vs 26.2%, respectively; p = 0.027). The Kaplan-Meier survival curve showed significant differences in the incidence of disease progression (p = 0.038, log-rank test) and strokes (p = 0.031, log-rank test) between MMD patients with GD and those without GD. Multivariate analysis suggested that GD may contribute to disease progression in MMD (OR 5.97, 95% CI 1.24–33.76, p = 0.043).

CONCLUSIONS
The incidence of disease progression in MMD patients with GD was significantly higher than that in MMD patients without GD, and GD may contribute to disease progression in MMD patients. The incidence of strokes was significantly higher in MMD patients with GD than in patients without GD. Management guidelines for MMD patients with GD should be developed.
Management and outcomes of pituitary apoplexy
Authors: Singh Tarun D. , Valizadeh Navid , Meyer Fredric B. , Atkinson John L. D. , Erickson Dana , Rabinstein Alejandro A. 
Published: April 2015

OBJECT
This study was undertaken to analyze the predisposing factors, clinical presentation, therapeutic management, and clinical recovery in patients with pituitary apoplexy, with an emphasis on the long-term visual, endocrine, and functional outcomes.

METHODS
The authors performed a retrospective analysis of consecutive cases involving patients treated at Mayo Clinic between 1992 and 2013. Patients were included in the study only if they had 1) abrupt onset of severe headache or visual disturbance in the presence of a pituitary adenoma and 2) radiological or surgical confirmation of a pituitary mass. The primary endpoints of analysis were the visual (ocular motility, visual fields, and visual acuity), endocrine, and functional outcomes (using the modified Rankin Scale).

RESULTS
Eighty-seven patients were identified (57 males and 30 females, mean age 50.9 years, range 15–91 years). Twenty-two patients (25.3%) had a known pituitary adenoma. Hypertension was the most common associated factor (39%). Headache was the most frequent presenting symptom (89.7%), followed by visual abnormalities (47.1%). Cranial nerve palsies were present in 39% and visual field defects in 34.1%. MRI detected hemorrhage in 89% patients, as compared with 42% detected by CT scan. Sixty-one patients (70.1%) underwent surgery during acute hospitalization (median time from apoplexy 5 days, IQR 3–10 days), 8 (9.2%) had delayed surgery, and 18 (20.7%) were treated conservatively. Histopathological examination revealed adenoma with pure necrosis in 18 (30%), pure hemorrhage in 4 (6.7%), and both in 6 (10%) patients. Four patients died during hospitalization. The average duration of follow-up was 44.2 ± 43.8 months. All survivors were independent and had complete resolution or substantial improvement in eye movements and visual fields at the last follow-up. Many patients needed long-term hormonal replacement with levothyroxine (62.7%) and cortisol (60%). Daily desmopressin was needed in 23% of all surgical patients at 3 months (versus none of the medically treated) and this requirement decreased slightly over time. Regrowth of pituitary adenoma was seen in 7 patients (8.6%). There were no statistically significant differences in any of the outcome measures across the treatment groups.

CONCLUSIONS
The outcome of most patients with pituitary apoplexy is excellent. Selected patients can be managed conservatively, and patients with severe neuro-ophthalmological deficits treated with early surgery can achieve an excellent recovery.
Routine use of recombinant human bone morphogenetic protein–2 in posterior fusions of the pediatric spine and incidence of cancer
Authors: Sayama Christina , Willsey Matthew , Chintagumpala Murali , Brayton Alison , Briceño Valentina , Ryan Sheila L. , Luerssen Thomas G. , Hwang Steven W. , Jea Andrew 
Published: April 2015

OBJECT
The aim of this study was to determine the safety of recombinant human bone morphogenetic protein–2 (rhBMP-2) use in posterior instrumented fusions in the pediatric population, focusing on cancer risk. In a previous study, the authors reported the short-term (mean follow-up of 11 months) safety and efficacy of rhBMP-2 in the pediatric age group. The present study reports their results with a minimum of 24 months' follow-up.

METHODS
The authors retrospectively reviewed 57 consecutive cases involving pediatric patients who underwent posterior occiptocervical, cervical, thoracic, lumbar, or lumbosacral spine fusion from October 1, 2007, to June 30, 2011, at Texas Children's Hospital. Seven cases were excluded from further analysis because of loss to follow-up. Three patients died during the follow-up period and were placed in a separate cohort.

RESULTS
The patients' average age at the time of surgery was 11 years, 4 months (range 9 months to 20 years). The mean duration of follow-up was 48.4 months (range 24–70 months). Cancer status was determined at the most recent encounter with the patient and/or caretaker(s) in person, or in telephone follow-up. Twenty-four or more months after administration of rhBMP-2, there were no cases of new malignancy, degeneration, or metastasis of existing tumors. The cause of death of the patients who died during the study period was not related to BMP or to the development, degeneration, or metastasis of cancer.

CONCLUSIONS
Despite the large number of adult studies reporting increased cancer risk associated with BMP use, the authors' outcomes with rhBMP-2 in the pediatric population suggest that it is a safe adjunct to posterior spine fusions of the occipitocervical, cervical, thoracic, lumbar, and lumbosacral spine. There were no new cases of cancer, or degeneration or metastasis of existing malignancies in this series.
Superior parietal lobule approach for choroid plexus papillomas without preoperative embolization in very young children
Authors: Kennedy Benjamin C. , Cloney Michael B. , Anderson Richard C. E. , Feldstein Neil A. 
Published: April 2015

OBJECT
Choroid plexus papillomas (CPPs) are rare neoplasms, often found in the atrium of the lateral ventricle of infants, and cause overproduction hydrocephalus. The extensive vascularity and medially located blood supply of these tumors, coupled with the young age of the patients, can make prevention of blood loss challenging. Preoperative embolization has been advocated to reduce blood loss and prevent the need for transfusion, but this mandates radiation exposure and the additional risks of vessel injury and stroke. For these reasons, the authors present their experience using the superior parietal lobule approach to CPPs of the atrium without adjunct therapy.

METHODS
A retrospective review was conducted of all children who presented to Columbia University/Morgan Stanley Children's Hospital of New York with a CPP in the atrium of the lateral ventricle and who underwent surgery using a superior parietal lobule approach without preoperative embolization.

RESULTS
Nine children were included, with a median age of 7 months. There were no perioperative complications or new neurological deficits. All patients had intraoperative blood loss of less than 100 ml, with a mean minimum hematocrit of 26.9% (range 19.6%–36.2%). No patients required a blood transfusion. The median follow-up was 39 months, during which time no patient demonstrated residual or recurrent tumor on MRI, nor did any have an increase in ventricular size or require CSF diversion.

CONCLUSIONS
The superior parietal lobule approach is safe and effective for very young children with CPPs in the atrium of the lateral ventricle. The results suggest that preoperative embolization is not essential to avoid transfusion or achieve overall good outcomes in these patients. This management strategy avoids radiation exposure and the additional risks associated with embolization.
The efficacy of routine use of recombinant human bone morphogenetic protein–2 in occipitocervical and atlantoaxial fusions of the pediatric spine: a minimum of 12 months' follow-up with computed tomography
Authors: Sayama Christina , Hadley Caroline , Monaco Gina N. , Sen Anish , Brayton Alison , Briceño Valentina , Tran Brandon H. , Ryan Sheila L. , Luerssen Thomas G. , Fulkerson Daniel , Jea Andrew 
Published: April 2015

OBJECT
The purpose of this study focusing on fusion rate was to determine the efficacy of recombinant human bone morphogenetic protein–2 (rhBMP-2) use in posterior instrumented fusions of the craniocervical junction in the pediatric population. The authors previously reported the short-term (mean follow-up 11 months) safety and efficacy of rhBMP-2 use in the pediatric age group. The present study reports on their long-term results (minimum of 12 months' follow-up) and focuses on efficacy.

METHODS
The authors performed a retrospective review of 83 consecutive pediatric patients who had undergone posterior occipitocervical or atlantoaxial spine fusion at Texas Children's Hospital or Riley Children's Hospital during the period from October 2007 to October 2012. Forty-nine patients were excluded from further analysis because of death, loss to follow-up, or lack of CT evaluation of fusion at 12 or more months after surgery. Fusion was determined by postoperative CT scan at a minimum of 12 months after surgery. The fusion was graded and classified by a board-certified fellowship-trained pediatric neuroradiologist. Other factors, such as patient age, diagnosis, number of vertebral levels fused, use of allograft or autograft, dosage of bone morphogenetic protein (BMP), and use of postoperative orthosis, were recorded.

RESULTS
Thirty-four patients had a CT scan at least 12 months after surgery. The average age of the patients at surgery was 8 years, 1 month (range 10 months–17 years). The mean follow-up was 27.7 months (range 12–81 months). There were 37 fusion procedures in 34 patients. Solid fusion (CT Grade 4 or 4−) was achieved in 89.2% of attempts (33 of 37), while incomplete fusion or failure of fusion was seen in 10.8%. Based on logistic regression analysis, there was no significant association between solid fusion and age, sex, BMP dose, type of graft material, use of postoperative orthosis, or number of levels fused. Three of 34 patients (8.8%) required revision surgery.

CONCLUSIONS
Despite the large number of adult studies reporting positive effects of BMP on bone fusion, our long-term outcomes using rhBMP-2 in the pediatric population suggest that rates of fusion failure are higher than observed in contemporary adult and pediatric reports of occipitocervical and atlantoaxial spine fusions.
La prédication chez Augustin et Eckhart
Authors: Vannier Marie-Anne 
Published: April 2015

À quelque neuf siècles de distance, Augustin et Eckhart sont des prédicateurs exceptionnels qui ont bien des points en commun. Il est vrai qu’Eckhart est, au Moyen Âge, l’un des meilleurs lecteurs de saint Augustin. Tous deux sont partis d’une expérience centrale : une compréhension en profondeur de l’Incarnation, qui les a amenés, à partir d’une prédication fondée sur l’Écriture, à exhorter leurs auditeurs à l’avènement du Maître intérieur ou à la naissance de Dieu dans l’âme. S’ils l’ont pu, c’est aussi en raison de la solide théologie trinitaire qui sous-tend leur prédication.
La distinction entre éros et agapè dans Deus caritas est de Benoît XVI
Authors: Ide Pascal 
Published: April 2015

Cet article étudie la distinction entre éros et agapé dans l’encyclique du pape Benoît XVI, Deus caritas est , distinction qui occupe presque toute la première partie. La différence, de prime abord simple, s’avère complexe, puisqu’elle est conçue sous pas moins de cinq angles différents : 1. éthique : amour purifié ou à purifier / amour purifiant (n. 4-5) ; 2. le terme de l’amour : égoïste ou tourné vers l’autre (n. 6) ; 3. l’origine de l’amour : mondain-ascendant ou divin-descendant (n. 7, § 1) ; 4. la dynamique du don : amour reçu ou donné (n. 7, § 2) ; 5. la réciprocité : amour désirant la communion ou asymétrique (n. 9-15). Mais ces divers couples semblent conduire à une distinction fondamentale : éros est à agapè ce que l’amour créé est à l’amour surnaturalisé par la grâce.