bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of Biochemical Parameters among Smokers and Tobacco Chewers to Ascertain Cardiovascular risk
Authors: Jha Dipendra Kumar , Pandeya Dipendra Raj , Gupta Satrudhan Prasad 
Published: November 2013

Introduction: Cigarette smoking is one of the major cause and established risk factor of premature death due to respiratory and cardiovascular illness worldwide. Risk of coronary heart disease is increased by two-to four folds in smoking and tobacco chewing. Smoking and tobacco chewing leads to change in the concentration of serum total cholesterol, triglycerides, LDL, VLDL and HDL. In our present study, the main objective was to assess the blood lipid profile among smokers and tobacco chewers to ascertain cardiovascular risk in Nepal. Methods: It was a hospital based case control study carried out using data retrieved from the register maintained in the Department of Biochemistry of Institute of Medicine Teaching Hospital, Kathmandu, Nepal between 1st January, 2008 and 31st December, 2009. Of the 150 subjects enrolled in this study, 50 were current smokers, 50 were tobacco chewers and 50 were normal healthy controls. The variables collected were age, gender, total cholesterol, triglycerides, HDL, LDL, VLDL. The One way ANOVA was used to examine the statistical significant difference between groups. Post Hoc test LSD used for the comparison of means of control versus case groups. A p-value of <0.05 (two-tailed) was used to establish statistical significance. Results: The mean values of serum total cholesterol (257.5±22.6 mg/dl), LDL (186.6±24.0 mg/dl), TG (139.4±39.8 mg/dl) were significantly higher in smokers when compared to controls. In contrast to that HDL (42.9±1.5 mg/dl) was lower when compared to controls (44.8±1.9mg/dl). The mean values for TG (141.5±34.9 mg/dl), total cholesterol (260.3 ±21.2 mg/dl), LDL (188.5±26.0 mg/dl) in tobacco chewers was significantly higher when compared to controls. Conclusions: The lipid profiles are raised in tobacco chewers and smokers which may lead to higher incidence of cardiovascular disease. Medical Journal of Shree Birendra Hospital; January-June 2013/vol.12/Issue1/29-31DOI: http://dx.doi.org/10.3126/mjsbh.v12i1.9089
Représentations parentales de l'épilepsie et des convulsions chez l'enfant
Authors: Claudet Isabelle 
Published: November 2013

Parce qu’elles surviennent brutalement, parce que les manifestations corporelles sont impressionnantes puis suivies d’une phase d’apaisement avant un retour à l’état antérieur, la survenue de convulsions est déroutante et inquiétante pour les témoins de la crise. L’impression parentale de mort imminente contraste souvent avec la banalisation par les équipes sanitaires et médicales préhospitalières ou hospitalières d’un évènement somme toute fréquent, renvoyant aux familles la culpabilité de s’être inquiétées à tort. Autrefois florides et générées par les limites de la médecine d’alors, certaines représentations sociales et parentales persistent (facteurs déclenchants extracorporels, origine extracérébrale, possession corporelle) ainsi que certaines réactions populaires (mise à l’écart, isolement social, attitude négative). Porter un diagnostic d’épilepsie retentit sur les parents dont le quotidien, et la vie en général, seront modifiés ; et sur l’enfant alors l’objet d’une stigmatisation, moins bruyante qu’au xviii e ou au xix e siècle, mais durable.
La vie en tête : Willy, une épilepsie grave (?) du neuvième mois
Authors: Simonin Marie-Luce 
Published: November 2013

Nous vous proposons de cheminer ensemble autour de la situation de Willy et de sa famille. Accueilli à 12 ans au centre de Toul Ar C’hoat, opéré et guéri d’une épilepsie précoce, Willy nous amène à questionner la notion de gravité d’une maladie, et de ses séquelles. Nous verrons qu’une approche globale de l’enfant, en lien avec ses parents, permettrait de revisiter l’infantile. Les possibles effets thérapeutiques de la relation éducative, et d’une pédagogie curative, articulés à un accompagnement psychothérapique, sont ici présentés autour des paradoxes qu’empreinte l’épilepsie. Nous avons tenté d’articuler les mouvements de la réalité intérieure et de la réalité extérieure, les effets de collision, démultipliés à l’adolescence : ruptures épileptiques versus séparation-individuation, effondrement et crainte de l’effondrement, gravité et sidération. Les concepts de réparation, de capacité de rêverie, s’inscrivent comme cadre et processus de travail. La gravité ouvrirait alors à la dignité, au plaisir de penser et d’être.
Mon expérience à l'imp-impro Léopold Bellan de Bry-sur-Marne
Authors: Buffet-Arinal Yannick 
Published: November 2013

Les structures comme l’ imp Léopold Bellan ont été dès les années 1970 le fer de lance de la lutte contre l’épilepsie en offrant aux familles, pour leurs enfants et adolescents malades, un lieu de vie thérapeutique et une prise en charge scolaire. L’admission a souvent été un drame de séparation entre parents et enfants. Parallèlement, les avancées de l’épileptologie parvenaient à mieux équilibrer l’épilepsie, mais sans que la problématique familiale nouée autour du symptôme de l’enfant ne se résolve comme par magie. Le travail institutionnel d’inspiration psychanalytique et la thérapie familiale nous ont aidés à répondre au jaillissement souvent violent des troubles sous-jacents qui soudain apparaissaient au grand jour à la place des crises. Aujourd’hui, où l’on guérit l’épilepsie, cette structure d’accueil spécialisée n’a plus lieu d’être. Mais se pose toujours la question de la réconciliation de l’épileptique « guéri » avec lui-même.
Art-Based Occupation Group Reduces Parent Anxiety in the Neonatal Intensive Care Unit: A Mixed-Methods Study
Authors: Mouradian Laurie E. , DeGrace Beth W. , Thompson David M. 
Published: November 2013

Abstract
OBJECTIVE. We examined whether an art-based occupation group using scrapbooking in the neonatal intensive care unit (NICU) would reduce parent stress, operationalized as anxiety. We also wanted to understand the parents’ lived experience of the group.
METHOD. Forty parents from a Level 3 NICU in a large metropolitan hospital participated. We administered the State–Trait Anxiety Inventory preactivity and postactivity along with a brief interview.
RESULTS. The decline in parents’ mean state anxiety (12.7 points, SD = 11.8; p &lt; .0001) was clinically significant. The decline in mean trait anxiety (2.6 points, SD = 5.2; p = .0036) was statistically significant but not clinically meaningful. Parents said that participation offered distraction and engagement, pleasure, relaxation, a sense of hope, and an opportunity to share.
CONCLUSION. An art-based occupation group using scrapbooking was an effective brief intervention to reduce parent anxiety in the neonatal intensive care unit; parent interviews suggested that participation has broad clinical implications for parent well-being.
Systematic Review of Occupational Therapy and Mental Health Promotion, Prevention, and Intervention for Children and Youth
Authors: Arbesman Marian , Bazyk Susan , Nochajski Susan M. 
Published: November 2013

Abstract
We describe the results of a systematic review of the literature on children’s mental health using a public health model consisting of three levels of mental health service: universal, targeted, and intensive. At the universal level, strong evidence exists for the effectiveness of occupation- and activity-based interventions in many areas, including programs that focus on social–emotional learning; schoolwide bullying prevention; and after-school, performing arts, and stress management activities. At the targeted level, strong evidence indicates that social and life skills programs are effective for children who are aggressive, have been rejected, and are teenage mothers. The evidence also is strong that children with intellectual impairments, developmental delays, and learning disabilities benefit from social skills programming and play, leisure, and recreational activities. Additionally, evidence of the effectiveness of social skills programs is strong for children requiring services at the intensive level (e.g., those with autism spectrum disorder, diagnosed mental illness, serious behavior disorders) to improve social behavior and self-management.
Effects of Cognitive Task Demands on Subsequent Symptoms and Activity in Adults With Symptomatic Osteoarthritis
Authors: Kratz Anna L. , Schepens Stacey L. , Murphy Susan L. 
Published: November 2013

Abstract
OBJECTIVE. Adults with osteoarthritis (OA) experience fatigue in daily life that is negatively related to physical activity; however, it is unclear how task demands affect fatigue and occupational performance. We examined effects of a cognitive task on subsequent symptoms and activity.
METHOD. Adults with knee or hip OA completed a standardized cognitive task during a lab visit. Objective physical activity and symptoms were tracked during two home-monitoring periods (i.e., 4-day period before and 5-day period after the lab visit). Multilevel modeling was used to compare pretask with posttask fatigue, pain, and activity levels.
RESULTS. Fatigue increased and pain decreased for 2 days after performing the lab task. The authors found no pretask to posttask changes in activity levels. At posttask, daily fatigue and activity patterns changed relative to baseline.
CONCLUSION. For adults with symptomatic OA, cognitive task demands may be an important contributor to fatigue and pain.
Broadening the Occupational Therapy Toolkit: An Executive Functioning Lens for Occupational Therapy With Children and Youth
Authors: Cramm Heidi , Krupa Terry , Missiuna Cheryl , Lysaght Rosemary M. , Parker Kevin C. H. 
Published: November 2013

AbstractOBJECTIVE. Attention to executive functioning (EF) and its effect on occupational performance is increasing in the occupational therapy literature. This study explored occupational therapists’ perceptions of how EF is recognized and addressed within occupational therapy for children and youth.METHOD. Inductive qualitative content analysis was used to analyze the in-depth interview data from 13 occupational therapists with a range of practice contexts and experience.RESULTS. EF should be explicitly considered during clinical reasoning. System and professional barriers create challenges to occupational therapists, constraining their ability to recognize, label, and address EF performance issues. Occupational therapists who have integrated EF into their practice perspective have acquired knowledge and skills through interprofessional collaborations, client interactions, and professional development opportunities.CONCLUSION. Occupational therapists working with children and youth need an occupational EF framework and practice resources if they are to integrate an EF lens to more broadly enable occupational performance.
Functional Test for the Hemiparetic Upper Extremity Normative Database
Authors: Rowe Veronica T. 
Published: November 2013

AbstractOBJECTIVE. The purpose of this study was to develop a normative database of results of the Functional Test for the Hemiparetic Upper Extremity (FTHUE) from able-bodied participants.METHOD. Ninety healthy adults, aged 20–80, were assessed on the timed tasks of the FTHUE with their nondominant upper extremity serving as the weaker side.RESULTS. A normative table with means and standard deviations for the timed tasks of the FTHUE was created to provide reference values for upper-extremity performance. Significant differences were found among participants by gender and age.CONCLUSION. The FTHUE is an easy-to-administer, inexpensive, quick evaluation. It yields standardized data that allow clinicians to observe their clients performing functional tasks. The table of normative data will further assist clinicians in their assessment of clients with hemiparesis.
Quality Improvement in Neurology: Dementia Management Quality Measures (Executive Summary)
Authors: Odenheimer Germaine , Borson Soo , Sanders Amy E. , Swain-Eng Rebecca J. , Kyomen Helen H. , Tierney Samantha , Gitlin Laura , Forciea Mary Ann , Absher John , Shega Joseph , Johnson Jerry 
Published: November 2013

Abstract
This article represents the efforts of an interdisciplinary work group, the Dementia Measures Work Group (DWG), composed of representatives of diverse national organizations who convened specifically to define optimal standards of dementia care for individual practitioners as well as multidisciplinary teams. The DWG measurement set includes all stages of dementia in a single measure set, calls for the use of functional staging in planning care, prompts the use of validated instruments in patient and caregiver assessment and intervention, highlights the relevance of using palliative care concepts to guide care prior to the advanced stages of illness, and provides evidence-based support for its recommendations and guidance on the selection of instruments for tracking patient-centered outcomes. In addition, it specifies annual reassessment and updating of interventions and care plans for dementia-related problems that affect families and other caregivers as well as patients.
Manga Drawing as Stereotyped Aesthetics
Authors: Lau Chung Yim 
Published: November 2013

Abstract
This essay is based on findings of my longitudinal phenomenological research study conducted from 2006 to 2009. The aim of my study was to understand the manga drawings produced by young adolescents in Hong Kong. Based on my findings, I present the argument that these adolescents have derived a conception of beauty from the manga images they have seen in popular visual culture, and that they have the ability to connect this concept with their life experiences. I also argue that their manga productions assist these students in making sense of the world around them.
Verbalization as a Threshold in Children’s Drawing Encounters
Authors: Schulte Christopher M. 
Published: November 2013

AbstractCentered on the drawing practice of a four-year old boy, the author of this essay considers the extent to which verbalization, as a threshold, enables the child-adult and researcher-participant relationship to be consumed and continually re-articulated as something other than. In doing so, the author of this essay forwards the idea that the relational space of verbalization-in addition to subtending, supplementing, and extending the images of others that one wields-induces one’s knowing and being into an encounter with difference.
The Becoming Art Teacher: A Reconciliation of Teacher Identity and the Dance of Teaching Art
Authors: Unrath Kathleen A. , Anderson Mark A. , Franco Mary J. 
Published: November 2013

Abstract
The purpose of this research was to investigate themes of personal and professional development in the becoming art teacher. Through interpretive biographical methodology and a series model of phenomenological interviews of one first-year professional, we sought to illuminate the identity challenges unique to teachers of art. Of particular interest to us were the emergent art teacher’s formation and reconciliation of an artistteacher identity and how she grew through reflective analysis. By means of sequenced narrative, she expressed her metacognitive awareness of multifaceted teaching practice within the metaphor of dance. We concluded that our informant’s insights could resonate with emergent teachers across all disciplines.
Teacher Leadership in Art Education Preparation
Authors: Cera Jane 
Published: November 2013

Abstract
In this essay, I set forth arguments for including teacher leadership in art education preparation in order to empower emerging professional art educators with the skills necessary for teaching content that engages contemporary visions of art education. An analysis of relevant literature suggests that art educators have begun to examine the importance of leadership in art education preparation. My essay discusses goals and pedagogical practices for inclusion of leadership as content for art teacher preparation. Discussion includes goals that will empower future art teachers with strategies I have found to be useful in varying educational contexts. As I argue here, these strategies must be informed by a vision that embraces contemporary socio-cultural theories that will require careful adaptation to current pre-K-12 school cultures.
Diffuse descending necrotizing mediastinitis: surgical treatment and outcomes in a single-centre series
Authors: Janilionis Ričardas , Jagelavičius Žymantas , Petrik Pavel , Kiškis Gintaras , Jovaišas Vytautas , Kybartas Algis , Žilinskas Arūnas , Liubertienė Irena , Navickas Giedrius , Valančius Ramūnas 
Published: November 2013

Objectives. Descending necrotizing mediastinitis is a severe infection spreading from the cervical region to the mediastinum. Since this pathology is uncom­mon, only a few reports of large series of patients with descending nec­rotizing mediastinitis have been published. The present aim was to eval­uate our treat­ment strategy and survival for this disease by a retrospective chart review.
Methods. Retrospective analysis of 45 cases with descending necrotizing mediastinitis was performed between 2002 and 2011. The mean age was 55.3 ± 15.4 years. The primary oropharyngeal infection was found in 16 (35.6%), an odontogenic abscess in 17 (37.7%) and other causes in 12 (26.7%) patients. Endo type I mediastinitis was assessed in 25 (56%) patients, Endo type IIA in 10 (22%) and Endo type IIB in 10 (22%) patients. Broad spectrum antibiotics were administered empirically and surgical treatment consisting of cervical drainage, thoracotomy with radical surgical debridement of the mediastinum and placement of permanent mediastinal irrigation were performed in all the cases.
Results. Collar incision and drainage only were performed in 16 (35.6%) patients, whereas only transthoracic approach was used in five cases (11%). In the remaining 24 (53.4%) patients cervical drainage and thoracic operation were performed. Fifteen patients had severe complications: septic shock, multiple organ failure and haemorrhage from mediastinal vessels. The median hospital stay was 21 days. The outcome was favourable in 35 patients. Ten patients died (overall mortality 22.2%).
There was a negative correlation between the time from the onset of symptoms till the first admittance to hospital and hospitalization time (Pearson correlation coefficient 0.357, p = 0.016). That allows us to suggest that time of illness spent at home without appropriate treatment plays a crucial role on the survival. It was found that younger age, Endo type I, negative bacterial culture and longer hospital stay are true precursors of favourable outcome.
Conclusions. For descending necrotizing mediastinitis limited to the upper part of the mediastinum a transcervical approach and drainage may be sufficient. However, in advanced cases an immediate and more aggressive surgical approach is required to combat a much higher morbidity and mortality in this subset of patients.
Partager le patrimoine numérique, construire le territoire en ligne
Authors: Fourcade Marie-Blanche 
Published: November 2013

Les expositions virtuelles fleurissent sur la toile. Les inventaires patrimoniaux et les collections muséales en ligne se structurent et s’enrichissent, tissant de denses réseaux de connaissances dans le cyberespace. Des projets de musées virtuels de plus en plus audacieux voient progressivement le jour. Le champ de la cybermuséologie se construit ainsi dans l’entrecroisement d’un héritage institutionnel fort et de pratiques en constant développement. Si l’on s’intéresse de prime abord à la frénésie technologique qui justifie le renouvellement des pratiques et l’intérêt des publics, il faut cependant, pour quelques instants, abandonner la forme pour tenter de comprendre les projets qui sous-tendent de tels déploiements. Les expériences de collaboration citoyenne et communautaire qui visent la conservation et la diffusion d’un petit patrimoine tantôt matériel, tantôt immatériel, offrent à cet égard un terrain remarquable pour saisir les dynamiques sociales, identitaires à l’oeuvre dans le virtuel. À travers l’étude de trois projets associés à la collecte de mémoires – Dane Wajich. Contes et chants : les rêveurs de leur terre (2007), le Musée de Toronto en ligne (2011) et Sacrée montagne (2011) –, nous tenterons de dégager quelques contributions possibles de la cybermuséologie à la mise en valeur d’un patrimoine parfois méconnu, voire invisible, et de saisir les effets sur la constitution de territoires alternatifs d’appartenance.
Towards a Technology Enhanced Interaction Framework
Authors: Angkananon K. , Wald M. , Gilbert L. 
Published: November 2013

AbstractThis paper focuses on the development and validation of a general interaction framework to help design technology to support communication between people and improve interactions between people, technology and objects, particularly in complex situations. A review of existing interaction frameworks shows that none of them help technology designers and developers to consider all of the possible interactions that occur at the same time and in the same place. The main and sub-components of the framework are described and explained and examples are given for each type of interaction. The framework was successfully validated by three designer experts and three accessibility experts. The designer experts focused on the main and subcomponents of the framework while accessibility experts focused on the accessibility aspects. As a result of the comments from the experts some changes to the framework components will be made. Work is now in progress to provide designers with a method to apply the framework to create technology solutions to complex communication and interaction problems and situations.
Operational Analysis Revisited: Error Measure Limits of Assumptions
Authors: Bengtson Neal M. 
Published: November 2013

AbstractThe assumptions used to develop operational analysis computer performance measures, such as number of jobs at a device or response times, are stated in terms of the data itself, rather than the underlying system which produces the data. In spite of claims of validity and as an aid in introducing queueing theory in teaching, little has been written about operational analysis in the past ten years. Accuracy of operational analysis performance measures depend on data behavior assumptions which can be validated with data based error measures. Increased soundness of the operational analysis approach may be obtained by determining the limits of assumption errors as the time period of observation increases. Part I of this paper is a review of operational analysis and addresses some of the previous concerns with its approach. Part II develops further understanding of operational analysis assumption errors by examining their limits. Limits are found for the assumption errors of job flow balance, homogeneous arrivals and homogenous services. While the job flow balance assumption error measure is shown to approach zero over time, the homogeneity assumption error measures, in general, do not.