bluuebunny/crossref_metadata_2025_split huggingface dataset:
A different entity: A population based study of characteristics and recurrence patterns in oropharyngeal squamous cell carcinomas
Authors: Murray Scott , Ha Michael N. , Thompson Kara , Hart Robert D. , Rajaraman Murali , Snow Stephanie L. 
Published: August 2015

Background Cases of squamous cell carcinoma (SCC) of the oropharynx were compared with other head and neck cancer (HNC) anatomic subsites in patients treated at the provincial referral centre for HNC, the Nova Scotia Cancer Centre (NSCC). Methods A retrospective chart review was performed on HNC patients assessed at the NSCC between 2010 and 2011. Patient demographics, disease characteristics, treatment details and outcomes, including recurrence rates and survival were collected. Data was collected on new and recurrent cases of HNC. This data was compared between the two types of HNC using chi-square tests for dichotomous categorical variables or Fishers exact test where appropriate. Wald test was used to compare categorical variables with 3 categories. Continuous variables were compared using the non-parametric Wilcoxon test. Results 318 charts were included in the analysis. 122 (38 %) were oropharyngeal squamous cell carcinomas (OPSCCs). In terms of disease characteristics, OPSCCs were more likely to be poorly differentiated/undifferentiated ( n = 267, 49(40 %) vs 42(21 %), p < 0.001), non-keratinizing ( n = 169, 25(20 %) vs 17(9 %), p < 0.001), greater than 2 cm ( n = 253, 72(59 %) vs 78(40 %), p = 0.0061), stage 4 ( n = 313, 55(45 %) vs 64(33 %), p = 0.0315) and have had locoregional nodal spread ( n = 315, 103(84 %) vs 55(28 %), p < 0.001). In the subset of 57 patients that had p16 testing, OPSCCs were more likely to be p16(+) (37(30 %) vs 1(1 %), p < .001). There were no significant differences in terms of Charlson probability of 10 year survival, smoking or alcohol consumption although OPSCC patients were significantly less likely to have COPD as a co-morbidity ( n = 318, 19(16 %) vs 53(27 %), p = 0.0175). Finally, OPSCCs had less chance for relapse than non-OPSCCs in both univariate (2.119 times less, p=0.0034) and multivariate (1.899 times less, p=0.0505) analyses along with a 1.822 times less overall mortality in a multivariae analysis (p=0.0408). Conclusions This analysis suggests that Nova Scotian OPSCCs should be considered distinct from other HNC lesions, most notably in terms of disease characteristics and prognosis. Specifically, despite a higher association with disease factors traditionally considered to be linked to poor prognosis, outcomes were actually superior in terms of relapse and overall mortality.
Fertility and pregnancy in rheumatoid arthritis and systemic lupus erythematosus
Authors: Bermas Bonnie L. , Sammaritano Lisa R. 
Published: August 2015

Abstract
Background
Rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE) are disorders that commonly impact reproductive aged women.

Findings
Both women with RA and SLE have smaller sized families than do controls. In the case of RA factors other than fertility contribute, while in women with SLE there may be diminished ovarian reserve due to cyclophosphamide therapy and advanced maternal age. RA pregnancies can be complicated by preterm birth and small-for-gestational aged infants. SLE pregnancies have higher rates of fetal loss, in particular in those patients with co-existing antiphospholipid syndrome. SLE pregnancies are also more likely to be complicated by pre-eclampsia and hypertension and to result in preterm birth and small-for-gestational aged infants.

Conclusion
Appropriate fertility evaluation and careful pregnancy planning with coordinated obstetrical care help ensure better outcomes in these patient populations.
Use of Antibiotics and Risk of Type 2 Diabetes: A Population-Based Case-Control Study
Authors: Mikkelsen Kristian Hallundbæk , Knop Filip Krag , Frost Morten , Hallas Jesper , Pottegård Anton 
Published: August 2015

Context and objective:
Evidence that bacteria in the human gut may influence nutrient metabolism is accumulating. We investigated whether use of antibiotics influences the risk of developing type 2 diabetes and whether the effect can be attributed to specific types of antibiotics.

Methods:
We conducted a population-based case-control study of incident type 2 diabetes cases in Denmark (population 5.6 million) between January 1, 2000, and December 31, 2012. Data from the Danish National Registry of Patients, the Danish National Prescription Registry, and the Danish Person Registry were combined.

Results:
The odds ratio (OR) associating type 2 diabetes with exposure to antibiotics of any type was 1.53 (95% confidence interval 1.50–1.55) with redemption of more than or equal to 5 versus 0–1 prescriptions. Although no individual group of antibiotics was specifically associated with type 2 diabetes risk, slightly higher ORs for type 2 diabetes were seen with narrow-spectrum and bactericidal antibiotics (OR 1.55 and 1.48) compared to broad-spectrum and bacteriostatic types of antibiotics (OR 1.31 and 1.39), respectively. A clear dose-response effect was seen with increasing cumulative load of antibiotics. The increased use of antibiotics in patients with type 2 diabetes was found up to 15 years before diagnosis of type 2 diabetes as well as after the diagnosis.

Conclusions:
Our results could support the possibility that antibiotics exposure increases type 2 diabetes risk. However, the findings may also represent an increased demand for antibiotics from increased risk of infections in patients with yet-undiagnosed diabetes.
Patient experience of non-malignant ascites and its treatment: a qualitative study
Authors: Day Rebecca , Hollywood Coral , Durrant Deborah , Perkins Paul 
Published: August 2015

Background Ascites is an accumulation of serous fluid in the abdominal cavity. It can be caused by both malignant and non-malignant conditions and produces distressing symptoms. There have been no qualitative studies looking at the experiences of patients with non-malignant ascites. Aims To explore the experiences of patients living with non-malignant ascites and its management. Also, to explore the views of these patients about services available to them. Method Phenomenological qualitative research study using digitally recorded semi-structured interviews. Setting and participants: Six adult patients with non-malignant ascites who were receiving paracentesis to manage their symptoms in an acute hospital day unit. Results Participants experienced a wide variety of physical symptoms. They discussed how the ascites impacted on their social lives. They had views on diuretics, low sodium diet and paracentesis as methods of symptom management. Participants' confidence in staff performing paracentesis was a common finding, particularly as ultrasound was rarely used. While only some were suitable for liver transplant, all discussed their future care needs. Conclusion Participants' experiences of non-malignant ascites are that it has a considerable effect on their quality of life. Patients like the system of day case admission for drainage, but question whether this is sustainable. Advanced practitioners can successfully provide a paracentesis service for these patients in hospitals and potentially this is transferable to hospices. Patients seemed happy to consider the option of semi-permanent drains and pumps as methods of managing ascites.
The effect of a care bundle on nursing staff when caring for the dying
Authors: Clark Katherine , Curry Therese , Byfieldt Naomi 
Published: August 2015

Background Most Australians die in acute hospital settings. Despite this, hospitals remain ill-equipped to care for dying patients with hospital deaths not uncommonly perceived as distressing by both patients and their families. As a quality improvement project, a care bundle for the dying was developed and piloted on two medical wards. The aim of this study was to examine whether or not the quality initiative had any effect on the ward nurse's attitudes and self-assessed competency to care for dying patients. Methods A pre- and post-survey using self-administered questionnaires were given to nursing staff who voluntarily completed these before and after implementation of the caring for the dying bundle. Results Over the 6 months the bundle was piloted, 74.5% of people who died did so with the bundle in place. While this was seen as clinically useful by nearly half the nurses who responded, there was not a significant change in the staff's attitudes or self-assessed competency to care for dying patients. There was a minor change in the Thanatophobia Scale (pre 18.2: SD±9.0 versus post 16.8: SD 7.8; P=0.53), the Self-efficacy in Palliative Care Scale for communication (pre 47.4: SD ±17.4 versus post 54.7:SD±17.9; P=0.11) and patient management respectively (pre 54.3: SD ±12.9 versus 59.1: SD ±12.6; P=0.15). Discussion This work highlighted that at least in the short term, that a quality initiative had only a modest impact on nursing attitudes to caring for dying patients. However, as a collection of clinical tools grouped as a care bundle, a proportion of nursing staff acknowledged this initiative as useful. Conclusion Further research is required to understand if such an initiative approach may, in the long term, positively impacts attitude. This is highly relevant given the increasing numbers of people likely to die in acute care.
Being borderless bodies: On the use of Beckett in a multicultural Italian public school
Authors: Borelli Maia Giacobbe 
Published: August 2015

Abstract
Scenes from Samuel Beckett’s Waiting for Godot were employed to teach Italian to migrant children in a public primary school. The drama workshop helped to develop a collaborative group of students by encouraging friendship and cooperative learning. Drama education in multilingual schools can offer solutions to many educational challenges, improving communicative and relational competences. Drama is a tool for building functional vocabulary and creating the imaginary, but quite real, common space needed to establish a solid mutual understanding among students from many different cultures, where they are free to share their cultural similarities and differences. Drama can become the place for peacefully enacting the internal conflicts that arise in the building of a new, multicultural identity. From my students, I learned that a new common language could become a way of weaving intelligent relations between different cultures.
Vladimir: How’s the carrot?
Estragon: It’s a carrot.
Vladimir: So much the better, so much the better.
– Samuel Beckett
On the verge of change: New directions in secondary theatre education
Authors: Lazarus Joan 
Published: August 2015

Abstract
This article sheds light on changes in the nature and quality of secondary school theatre teachers’ embodied practices. Drawing from ten years of ethnographic research with over 200 secondary school theatre teachers, the article affords the reader an opportunity to eavesdrop on conversations and learn about holistic theatre education practices that place students at the centre of drama/theatre learning and teaching while considering the impact of diversity in language, ethnicity and culture, ability/disability, socio-economic status, spirituality, race and religion on these practices. Teachers’ authentic work in their classrooms and production spaces is rarely documented. Capturing teachers’ stories, insights, philosophies, practices and inspiration in their own voices and through observations in their classrooms and production spaces proved central to authentically identifying and representing teachers’ best practices. The teacher narratives and researcher notes included here reveal ways in which theatre education in the United States is transforming learning processes for the twenty-first century.
Between acting and hypocrisy: Students’ change regarding future perception and social acting
Authors: Pasareanu Eugen 
Published: August 2015

Abstract
This article is part of a larger study that consists of testing the relevance of drama for 202 Romanian teenagers. The study explores differences in the ways high school students would like to be perceived in the future, their opinion about the importance of drama, and the concept of social acting as an extension of theatricality. The research takes into account three samples: students who practise drama in a dedicated art high school; students from a regular high school with optional drama classes; and students who never engage in drama activities. The study considers theatricality as a concept that belongs at the same time to theatre (at a semantic level) and to everyday life, since human behaviour in different social settings resembles the stage and its instruments (Goffman 1959). The results show a higher level of daily awareness of theatricality for Romanian students who practise drama either in a dedicated acting class or in a regular high school with optional drama classes. Students who do not have any connection with drama activities report that those who behave differently according to their situation are hypocritical, and these students consider acting (as interpreting a role) to be an exclusive characteristic of theatre, not real life. Another key finding in the study was that the interest in engaging in future cultural activities was higher among the students from the regular high school than among those who study at the art high school, who labelled stardom and financial aspects as more important than engaging in arts-related activities for their cultural enrichment. The article offers possible explanations for the diverse responses provided by students.
Screening culture, tweeting politics1: Media citizenship and the politics of representation on SABC2
Authors: Milton Viola Candice 
Published: August 2015

Abstract
This article considers the concept of media and citizenship in relation to the politics of representation on the South African Broadcasting Corporation’s channel 2 (SABC2). It examines the ways in which a group of audience members negotiate and reflect upon issues of representation on SABC2’s flagship soap opera 7de Laan, which professes to be a multicultural soap opera, paying reverence to the diverse cultural, ethnic and linguistic make-up of South Africa. In previous work, I have argued that the soap opera presents a utopian view of community and citizenship in contemporary South Africa. Building on this observation, this article explores audience engagement with 7de Laan’s utopian construction of South African citizenship through a social networking site, Twitter. It examines the ways in which a group of audience members negotiate and reflect upon issues of representation on 7de Laan through the Twitter hashtag #7delaan, arguing that Twitter provides a platform for viewer fans engaged in a love/hate relationship with television to ‘bamboozle back’. My primary interest in the #7delaan community is therefore centred not only on what the community members tweet but more so on how their tweets frame the soap opera and their perceptions thereof, and to try to understand what these discourses might reveal about their perceptions of place, race and citizenship in contemporary South Africa.
Griots, satirical columns, and the micro-public sphere
Authors: Tomaselli Keyan , Sakarombe Phebbie 
Published: August 2015

Abstract
This reflexive study examines the idea of African storytelling. It sheds light on a specific university newspaper column, The UKZN Griot. A critique of neoliberal managerialism backgrounds the discussion of the satirical column that examines the local in relation to global issues of academic governance. The Habermasian theory of the public sphere frames the discussion. Responses to the column are analysed in terms of power relations, resistance and democracy.
A constructivist approach for opening minds to sound-based music
Authors: Holland David 
Published: August 2015

Abstract
Students often find sound-based music (sbm, an umbrella term created by Leigh Landy to describe music where sound is the basic unit rather than the musical note) difficult to understand when they first encounter it, and this article explores a practice-based method for increasing engagement through learning heightened listening skills. Accepting sound rather than notes as the basic unit of music can unlock access to a whole range of works and creative possibilities, but often this seems problematic for students. It therefore represents a ‘threshold concept’ in terms of the creative practice and appreciation of sbm. The approach outlined in this article utilizes a constructivist view of education, and it is suggested that overcoming ingrained preconceptions of what ‘music’ should be might be better achieved by allowing students to discover the potential of sbm through their own compositional work rather than through traditional methods of learning.
Critical listening assessment in undergraduate music technology programmes
Authors: Walzer Daniel A. 
Published: August 2015

Abstract
This article explores the general lack of specific course sequencing that measures critical listening skills designed for undergraduate students in music technology, commercial production and vocationally focused degree programmes. Although traditional music performance and education curricula prescribe a sequential examination of history, theory, keyboarding and aural skills, a comprehensive set of standardized listening competencies focused on preparing students for the realities of working in the commercial music, audio and media fields do not exist. This article envisions a balanced collaboration between industry expertise and peer institutional review to conceive a new rubric for evaluating critical listening in undergraduate music technology programmes that meets accreditation standards while preparing graduates for entry-level employment in media-centred fields. This article explores the potential collaboration of audio industry professionals and organizations with educational institutions to create a set of competencies that are workforce-specific, but suitable for academic purposes. This article explores such collaborations through cognitive apprenticeship and multisensory learning.
The idea(l) of research
Authors: Georgelou Konstantina 
Published: August 2015

Abstract
This article discusses institutionalized research in the context of the Performing Arts and the Humanities today. It argues that the term “research” is used frequently for profiling institutions but is rarely reflected upon for providing an understanding of what it is, which contributes to homogenizing and canonizing what (artistic) research means and how it can function in the neoliberal context. As a result, the expression of force and desire of research to search and invent are compromised. Against this background, the article claims that the gap between research as an idea(l), a process and force, and research as an institutional undertaking or as product, should be persevered, in order for research to invent, interrogate and play a role within the political and public sphere it is part of.
Notes for a text, or from a (failed) practice of writing
Authors: Rapti Eleftheria 
Published: August 2015

Abstract
This article reflects on, revisits and re-composes the writing practice that I pursued as part of the project "Syros". Fragmented in form, it consists of three different layers of writing that also refer to three temporal stages of the practice: the time before the practice, the time of the practice, and the time after the practice. The practice itself, based on the idea of diary-keeping, was an attempt to explore the temporal aspect of writing, and to share writing as a practice. Other issues that emerge through the text are problems of frameworks and localization, and the question of the relationship of the artist and the work to its context.
Images of paradise
Authors: Stefanova Kalina 
Published: August 2015

Abstract
This article is an attempt at outlining a para-theatrical phenomenon taking place in Eastern Europe, where two of the leading directors and companies – Eimuntas Nekrošius (in Divine Comedy and Paradise at the Lithuanian Meno Fortas Theatre, turning his vintage style upside down) and Grzegorz Bral (in Songs of Lear at the Polish Song of the Goat Theatre) – dare to make theatre reside in a territory that could be called transcendental, or esoteric, or Divine, depending on the point of view.
Between the performative and the political
Authors: Brezavšček Pia 
Published: August 2015

Abstract
The article reviews the publication Performative Gestures Political Moves that was issued as a result of the symposium that took place in 2010 and organised by the City of Women. This contribution points to the difficulty of naming art “Western” or “Eastern” as well as to the broad meaning of the words “performative” and “political” used for the impetus giving rise to this edition. The author notes that the articles in the publication are very heterogeneous, ranging from presentations, re-historicisations, pieces addressing more obscure topics and analytical texts to artistic works. This polyphony in content, form and ways of presentation, and not only its content, is being read as a political and feminist gesture.
The public inwards, the private outwards
Authors: Hvala Tea 
Published: August 2015

Abstract
Tea Hvala reviews the latest e-publications by the London-based publishing house KT Press, whose publications include e-books on contemporary feminist art as well as the journal n.paradoxa. She considers Katy Deepwell’s editorial guidelines and discusses in detail the e-book House: From Display to Back to Front (2012) on the British artist Fran Cottell and the e-book Wall Works: Selected Writings and Performances (2013) on Cottell’s contemporary, Silvia Ziranek. After introducing both artists, the reviewer focuses on the content, scope and some formal shortcomings of both publications.
Waiting rooms (first day), Waiting rooms (second day), Waiting rooms (third day), Waiting rooms (fourth day)
Authors: Joe Kelleher 
Published: August 2015

Abstract
The article is made up of a series of letters addressed to the other members of the Syros project and composed during a week of co-operation in Greece. These letters, written in concentrated circumstances over a short period of time, aimed to reflect upon another scale of writing – and performing – where the performing is “for life”; where the action is the sort from which there is no turning back. Within this scope, the focus is on moments of decision, and the sorts of spaces and situations – “waiting rooms”, they are referred to here – where a decision is prepared for, or rehearsed. But also rooms that wait for something to happen, for something to “take” place. Writing, here, engages a range of functions: reflecting on and analysing what was done, what did happen, but also acting as a mode of linking, or attending, or waiting upon more contingent possibilities, of what might happen next.