bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pflege erwachsener Patient(inn)en mit Lern- und Körperbehinderungen im Akutkrankenhaus – ein systematisches Review
Authors: Dörscheln Iris , Lachetta Raphael , Schulz Michael , Tacke Doris 
Published: February 2013

Lern- und köperbehinderte Menschen erfordern besondere Aufmerksamkeit und pflegerische Kompetenz während der stationären Behandlung. Es konnten 17 Publikationen für ein systematisches Review in den Datenbanken PUBMED, CINAHL und Cochrane Library (1990 – 2011) identifiziert werden. Dabei zeigten sich folgende Problemfelder: Die Situation lernbehinderter Menschen im Klinikalltag ist geprägt durch Kommunikationsbarrieren zwischen Patient(inn)en und professionellen Akteur(inn)en. Zudem dominiert die emotionale Situation lernbehinderter Menschen, die in der fremden Umgebung unter Angst und Unsicherheit leiden. Beide Phänomene stehen untereinander in Wechselwirkung und werden beeinflusst durch Bedingungen wie Zeit, Versorgungskontinuität, Fachkompetenz sowie die Einstellung behinderten Menschen gegenüber. Angehörige wirken beruhigend auf die Patient(inn)en ein und übernehmen die Aufgabe des Übersetzens im Klinikalltag. Clinical Nurse Specialists sind mit den Problemfeldern vertraut und tragen zu einer Verbesserung der Situation lern- und körperbehinderter Menschen im Krankenhaus bei. Die Studien weisen überwiegend eine kleine Stichprobe auf, die Ergebnisse bedürfen weiterer Überprüfungen. Empirische Erkenntnisse aus Deutschland, Österreich sowie der Schweiz liegen nicht vor. Aufgrund der auch hier zu erwartenden Problemlage sind empirische Forschungsarbeiten zu dieser Thematik somit dringend zu empfehlen. Der besondere prästationäre Informationsbedarf und das Einbeziehen Angehöriger in die stationäre Pflege sollten zukünftig berücksichtigt werden.
"Wittener Werkzeuge"
Authors: Kocks  , Segmüller  
Published: February 2013

Beraten ist für Pflegende nichts Neues und nichts Exklusives. Es gilt jedoch, das Spezifische und Besondere eines Beratungssettings in der Pflege herauszuarbeiteten, um es im Sinne einer gelungenen Begegnung zur Wirkung zu bringen. Die "Wittener Werkzeuge" haben zum Ziel, die interaktive Seite der pflegerischen Beratung näher zu beleuchten und durch einen pragmatischen, handlungsorientierten Ansatz gezielt zu stärken.
Begleiter mit Führungskompetenz
Authors: Dummert  
Published: February 2013

Wissen und fachliche Fähigkeiten weiter zu entwickeln, reicht für eine nachhaltige Verbesserung der Patientenversorgung nicht aus. Leadership ist gefragt, damit Praxisanleitung effektiv wirkt. Das Leadership-Challenge Konzept von Kouzes und Posner kann hierbei als Vorbild dienen.
EDV in der Pflege: Lernen für die Zukunft
Authors: Behrendt  
Published: February 2013

Welche Chancen bietet Informationstechnologie in der Pflegepraxis? Die Antwort auf diese Frage, hängt davon ab, ob Pflegende selbst aktiv am Entwicklungsprozess von IT-Systemen mitwirken. Die notwendigen Kompetenzen sollten sie bereits in der Berufsausausbildung aufbauen können.
Expertenschmiede Primäre Pflege
Authors: Reichart  
Published: February 2013

Welche Kompetenzen braucht eine "Primary Nurse", um ihrer Rolle in der Praxis optimal gerecht zu werden? Wie sollte ein Curriculum aussehen, das diese Kompetenzen effektiv vermitteln kann? Der Artikel beschreibt, wie eine Berufsfachschule für Krankenpflege die Ausbildung gezielt auf das Organisationssystem der Primären Pflege ("Primary Nursing") ausgerichtet hat.
Tri‐band filter using combined E‐type resonators
Authors: Fan W.X. , Li Z.P. , Gong S.X. 
Published: February 2013

A compact microstrip tri‐band bandpass filter using novel combined E‐type resonators (CETRs) is presented. The CETR consists of a quarter‐wavelength (λ/4) stepped‐impedance resonator (SIR) and a quarter‐wavelength (λ/4) unit impedance resonator through a via‐hole. These two components are relatively independent. The first and the third passband centre frequencies can be flexibly controlled by tuning the impedance ratio RZ of the SIR, whereas the second passband frequency is fixed. The centre frequency of the second passband can be independently controlled by tuning the lengths of L2. The filter is designed to operate at 1.95, 5.2, and 3.5 GHz. The simulated and measured results show good agreement.
Wideband dual‐polarised electromagnetic‐fed patch antenna with high isolation and low cross‐polarisation
Authors: Xie J.‐J. , Yin Y.‐Z. , Wang J.‐H. , Liu X.‐L. 
Published: February 2013

A wideband dual‐polarised patch antenna with high isolation and a low cross‐polarisation level is presented. Two orthogonal linearly‐polarised modes are excited by the electromagnetic‐fed structure. One of the two modes is excited by a pair of hook‐shaped probes with a 180o phase difference; while the other is excited by a magnetic‐coupled loop, which is comprised of a metal loop and an open‐ended transmission line. By introducing two shorting pins, the isolation between two feeding ports can be enhanced to more than 40 dB. Moreover, the radiation patterns in the ± 45° planes have a cross‐polarisation level of less than − 30 dB within the 3 dB beam widths. The measured − 10 dB reflection coefficients bandwidth of the two modes are 40.7% (2.45–3.7 GHz) and 38.7% (2.6–3.85 GHz). The gains of the proposed antenna are about 8.7 and 9.1 dBi over the operating band. Thus, this antenna is highly suitable for the base station antenna that is required to cover the operating bandwidth of 3.5 GHz WiMAX systems.
Design of thin circuit‐analogue multilayer absorber and application to leading edge of wing structure
Authors: Choi W.H. , Shin J.H. , Song T.H. , Kim J.B. , Lee W.J. , Joo Y.S. , Kim C.‐G. 
Published: February 2013

A new thin multilayer circuit‐analogue (CA) absorber design consisting of a patterned resistive sheet, glass/epoxy, and glass/MWCNT‐epoxy for X‐band radar is presented. The proposed thin multilayer CA‐absorber (a total thickness of 2.23 mm) has smaller thickness by 0.71 mm than a single‐layer CA‐absorber (a total thickness of 2.93 mm). Although the absorption bandwidth of the multilayer CA‐absorber in the X‐band was slightly narrower than the single‐layer CA‐absorber, the absorption performance of the multilayer CA‐absorber was comparable to that of the single layer. Also, when the CA‐absorber was applied to the leading edge of a wing‐shaped structure, the radar cross‐section level was comparable with the single‐layer CA‐absorber even though the thickness of the multilayer CA‐absorber was less than that of the single‐layer CA‐absorber.
Dual role for mammalian DNA polymerase ζ in maintaining genome stability and proliferative responses
Authors: Lange Sabine S. , Bedford Ella , Reh Shelley , Wittschieben John P. , Carbajal Steve , Kusewitt Donna F. , DiGiovanni John , Wood Richard D. 
Published: February 2013

Significance
In mammalian cells DNA polymerase ζ (polζ) appears critical for bypass of DNA damage and was expected to be important for UV-induced skin carcinogenesis. To investigate the response to UV radiation, we engineered mice lacking polζ in the epidermis, circumventing a requirement for embryonic development. These mice were much more sensitive to UVB radiation than predicted, failed to mount skin-regenerative responses, and did not develop UV-induced skin tumors. Even unirradiated polζ-deficient keratinocytes had a marked proliferation defect and increased chromosomal breaks. Thus in rapidly proliferating cells, polζ maintains levels of DNA breaks below a lethal threshold.
Taking Agency, Constituting Community: The Activist Rhetoric of Richard Allen
Authors: McClish Glen , Bacon Jacqueline 
Published: February 2013

Abstract
This study features the activist rhetoric of early African American clergyman Richard Allen. Through chronological analyses of four late eighteenth- and early nineteenth-century texts, we explore how Allen establishes individual and corporate agency and furthers an African American community consciousness. Allen's rhetoric, we argue, demonstrates the ways material and rhetorical opportunities affect textual production that, in turn, enables freedom and community to emerge. Paying particular attention to the strategy of the narrative account, we demonstrate how Allen's advocacy, which both works within and challenges the limitations imposed by white society, reflects and develops his identity as a black community leader.
Identification and Property: Burke's and Lincoln's Ratio of Act and Purpose
Authors: Kraemer Don J. 
Published: February 2013

AbstractMust acts of identification via an inclusive “we” mystify the inequalities they are meant to transcend? One answer lies in this essay's reading of Abraham Lincoln's and Kenneth Burke's rhetoric, a reading that tracks (especially through Lincoln's rhetoric) the “ways of identification,” ways which Burke claimed “are in accordance with the nature of property.” Identification in Lincoln's Second Inaugural Address confirms much of Burke's theory, yet Lincoln's career of appeals to the connections between property and propriety—and in particular the specific identifications made by such appeals in the Second Inaugural—suggests that Burke's presentation of identification is itself a kind of mystification that can lead to under-reading the ways of identification.
Citizenship as Salvation: The 1963 Mississippi Freedom Vote
Authors: Lawson William H. 
Published: February 2013

Abstract
This essay is an attempt at primary resource recovery to inform an under-studied moment from the Civil Rights Movement—the 1963 Mississippi Freedom Vote. Analysis of these primary texts reveals how the campaign used religious narratives and discourse to create political efficacy and agency among disenfranchised voters in Mississippi. It is this rhetorical transformation that holds the key to understanding how and why over 80,000 blacks who had never before participated in any sustained and organized political campaign chose to do so in the fall of 1963. Exploring these texts and events with a nuanced eye for religious and political discourse reveals how a rhetorical transformation from religious believers to political agents came about, and why it was successful in an overshadowed moment from the Civil Rights Movement.
On certain elements in the Bernstein center of 𝐆𝐋₂
Authors: Varma Sandeep 
Published: February 2013

Let

F
F

be a nonarchimedean local field of residue characteristic

p
p

, and let

r
r

be an odd natural number less than

p
p

. Using the work of Moy and Tadić, we find an element

z
z

of the Bernstein center of

G
=

G
L

2

(
F
)

G = \mathbf {GL}_2(F)

that acts on any representation

π
\pi

of

G
G

by the scalar

z
(
π
)
=
tr
⁡

(
Frob
;

(

Sym
r

∘

φ

π

)

I
F

)

z(\pi ) = \operatorname {tr} \left (\operatorname {Frob} ; \left ( \operatorname {Sym}^r \circ \varphi _{\pi }\right )^{I_F} \right )

, the trace of any geometric Frobenius element

Frob
\operatorname {Frob}

of the absolute Weil group

W
F

W_F

of

F
F

, acting on the inertia-fixed points of the representation

Sym
r

∘

φ

π

\operatorname {Sym}^r \circ \varphi _{\pi }

of

W
F

W_F

, where

φ

π

:

W
F

→

G
^

\varphi _{\pi } : W_F \rightarrow \hat {G}

is the restriction to

W
F

W_F

of the Langlands parameter of

π
\pi

. This element

z
z

is specified by giving the functions obtained by convolving it with the characteristic functions of a large class of compact open subgroups of

G
G

, that includes all the groups of both the congruence and the Iwahori filtrations of

G
G

having depth at least one.
Constraining self-interacting dark matter with the Milky Way’s dwarf spheroidals
Authors: Zavala Jesús , Vogelsberger Mark , Walker Matthew G. 
Published: February 2013

Abstract
Self-interacting dark matter is an attractive alternative to the cold dark matter paradigm only if it is able to substantially reduce the central densities of dwarf-size haloes while keeping the densities and shapes of cluster-size haloes within current constraints. Given the seemingly stringent nature of the latter, it was thought for nearly a decade that self-interacting dark matter would be viable only if the cross-section for self-scattering was strongly velocity dependent. However, it has recently been suggested that a constant cross-section per unit mass of σT/m ∼ 0.1 cm2 g−1 is sufficient to accomplish the desired effect. We explicitly investigate this claim using high-resolution cosmological simulations of a Milky Way-size halo and find that, similarly to the cold dark matter case, such cross-section produces a population of massive subhaloes that is inconsistent with the kinematics of the classical dwarf spheroidals, in particular with the inferred slopes of the mass profiles of Fornax and Sculptor. This problem is resolved if σT/m ∼ 1 cm2 g−1 at the dwarf spheroidal scales. Since this value is likely inconsistent with the halo shapes of several clusters, our results leave only a small window open for a velocity-independent self-interacting dark matter model to work as a distinct alternative to cold dark matter.
X-ray emission from the ultramassive black hole candidate NGC 1277: implications and speculations on its origin
Authors: Fabian A. C. , Sanders J. S. , Haehnelt M. , Rees M. J. , Miller J. M. 
Published: February 2013

Abstract
We study the X-ray emission from NGC 1277, a galaxy in the core of the Perseus cluster, for which van den Bosch et al. have recently claimed the presence of an ultramassive black hole (UMBH) of mass $1.7\times 10^{10}{\,\mathrm{M}_{{\odot }}}$, unless the initial mass function of the stars in the stellar bulge is extremely bottom heavy. The X-rays originate in a power-law component of luminosity $1.3\times 10^{40}{\,{\rm erg}\,{\rm s}^{-1}\,}$ embedded in a 1 keV thermal minicorona which has a half-light radius of about 1.3 kpc, typical of many early-type galaxies in rich clusters of galaxies. If Bondi accretion operated on to the UMBH from the minicorona with a radiative efficiency of 10 per cent, then the object would appear as a quasar with luminosity $10^{46}{\,{\rm erg}\,{\rm s}^{-1}\,}$, a factor of almost 106 times higher than observed. The accretion flow must be highly radiatively inefficient, similar to past results on M87 and NGC 3115. The UMBH in NGC 1277 is definitely not undergoing any significant growth at the present epoch. We note that there are three UMBH candidates in the Perseus cluster and that the inferred present mean mass density in UMBHs could be $10^5{\,\mathrm{M}_{{\odot }}}\,{\rm Mpc^{-3}}$, which is 20–30 per cent of the estimated mean mass density of all BHs. We speculate on the implied growth of UMBHs and their hosts, and discuss the possibility that extreme active galactic nucleus feedback could make all UMBH host galaxies have low stellar masses at redshifts around 3. Only those which end up at the centres of groups and clusters later accrete large stellar envelopes and become brightest cluster galaxies. NGC 1277 and the other Perseus core UMBH, NGC 1270, have not, however, been able to gather more stars or gas owing to their rapid orbital motion in the cluster core.
Coleosporium tussilaginis Found on Senecio nemorensis ssp. fuchsia in Norway
Authors: Talgø Venche , Gjærum Halvor B. , Hansen Ole B. 
Published: February 2013

The rust fungus Coleosporium tussilaginis occurs on several genera of Asteraceae. It is host alternating with many species of pine (Pinus spp.). In 2010, the rust was confirmed on alpine ragwort (Senecio nemorensis) in Norway. Accepted for publication 18 December 2012. Published 17 January 2013.
Identification of a Cucumber mosaic virus Subgroup II Strain Associated with Virus-like Symptoms on Hosta in Ohio
Authors: Fisher John R. 
Published: February 2013

In this brief, the authors report the identification of a Cucumber mosaic virus subgroup II strain associated with mottle and spotting symptoms on Hosta spp. 'Cynthia.’ These results represent the first confirmed report of CMV infecting Hosta in Ohio. Accepted for publication 18 December 2012. Published 23 January 2013.
A Comparative Biomechanical Analysis of Stand Alone Versus Facet Screw and Pedicle Screw Augmented Lateral Interbody Arthrodesis
Authors: Kretzer Ryan M. , Molina Camilo , Hu Nianbin , Umekoji Hidemasa , Baaj Ali A. , Serhan Hassan , Cunningham Bryan W. 
Published: February 2013

Study Design:
Cadaveric biomechanical study.

Objective:
To investigate the kinematic response of a stand-alone lateral lumbar interbody cage compared with supplemental posterior fixation with either facet or pedicle screws after lateral discectomy.

Summary of Background Data:
Lateral interbody fusion is a promising minimally invasive fixation technique for lumbar interbody arthrodesis. The biomechanical stability of stand-alone cage placement compared with supplemental posterior fixation with either facet or bilateral pedicle screws remains unclear.

Methods:
A 6-degree of freedom spine simulator was used to test flexibility in 7 human cadaveric specimens. Flexion-extension, lateral-bending, and axial-rotation were tested in the intact condition, followed by destabilization through a lateral discectomy at L2–L3 and L4–L5. Specimens were then reconstructed at both operative segments in the following sequence: (1) lateral interbody cage placement; (2) either Discovery facet screws or the Viper F2 system using a transfacet-pedicular trajectory randomized to L2–L3 or L4–L5; and (3) removal of facet screw fixation followed by placement of bilateral pedicle screw instrumentation. Acute range of motion (ROM) was quantified and analyzed.

Results:
All 4 reconstruction groups, including stand-alone interbody cage placement, bilateral Discovery facet screws, the Viper F2 system, and bilateral pedicle screw-rod stabilization, resulted in a significant decrease in acute ROM in all loading modes tested (P<0.05). There were no significant differences observed between the 4 instrumentation groups (P>0.05). Although not statistically significant, the Viper F2 system resulted in greatest reduction of acute ROM in both flexion-extension and axial rotation versus all other treatments (P>0.05).

Conclusions:
Stand-alone interbody cage placement results in a significant reduction in acute ROM at the operative segment in the absence of posterior supplemental fixation. If added fixation is desired, facet screw placement, including the Viper F2 facet screw system using an integrated compression washer and transfacet-pedicular trajectory, provides similar acute stability to the spinal segment compared with traditional bilateral pedicle screw fixation in the setting of lateral interbody cage deployment.
Activity and damage in granulomatosis with polyangiitis
Authors: G. Yegin Ender , Can Meryem , Yilmaz Neslihan , Aydin Sibel Z. , Yavuz Sule , Tuglular Serhan , Direskeneli Haner 
Published: February 2013

AbstractAimTo retrospectively analyze disease activity and damage‐associated factors in granulomatosis with polyangiitis (GPA) in Turkey.MethodA retrospective analysis was carried out in 21 GPA patients. Assessments for activity were performed with the Birmingham Vasculitis Activity Score for GPA (BVAS/GPA) and for permanent organ damage by the Vasculitis Damage Index (VDI).ResultsLower BVAS/GPA (P = 0.002), absence of renal involvement (P = 0.003) and higher creatinine clearence (P = 0.000) at diagnosis increased the likelihood of achieving remission at 6 weeks. Relapses were associated with high creatinine clearence (P = 0.021), low BVAS/GPA (P = 0.014), absence of renal involvement (P = 0.036) and proteinuria (< 0.5/24 h) (P = 0.013) at diagnosis, whereas achieving remission at 6 weeks (P = 0.012) was associated with absence of co‐trimoxazole usage (P = 0.038) and less severe clinical subgroup (P = 0.034). Lower cumulative first 6 months of cyclophosphamide and methylprednisolone were associated with earlier (≤ 12 months) relapses (P = 0.048 and P = 0.083, respectively). Baseline damage (VDI ≥ 1) was associated with a delay in diagnosis (P = 0.032), presentation with milder clinical subgroups (P = 0.052) and low serum creatinine (P = 0.013). The increase in VDI in the first 12 months (early damage) constituted most (91%) of the total damage measured at the end of follow‐up.ConclusionsDespite high early remission rates, relapse represents a major problem in localized GPA in our study. Baseline damage was associated with longer diagnostic delay and lower baseline serum creatinine. The initial phase of the disease seems to be the most crucial period for mortality and accumulated damage.
Utilisation of multidisciplinary services for diabetes care in the rural setting
Authors: Madden Jessica , Barnard Amanda , Owen Cathy 
Published: February 2013

AbstractObjectiveTo quantify utilisation of allied health care services by diabetics in rural NSW and explore reasons for any underutilisation.DesignSelf‐administered mail survey of 268 patients with diagnosed diabetes identified from practice registers.SettingTwo rural general practices.ParticipantsOne hundred seventeen respondents with diabetes.Main outcome measureAnnual frequency of visits to allied health practitioners.ResultsIn the last year, 40.2% of patients had seen a diabetes educator (DE), 21.4% a dietitian and 47% a podiatrist. However, 25–40% of patients had never used each of the services. Reasons for nonutilisation were non‐referral (35.9–68.0%) and lack of perceived need (40.6–59.0%). One third of patients who had not seen a DE in the last year thought their ‘general practitioner (GP) provides a similar service’. However, mean annual GP visits (5.6) were significantly lower than urban and rural comparisons. Patients with formal management plans were, in the last year, twice as likely to have seen a DE and podiatrist, and reported two extra visits to their GP compared to those without.ConclusionsRates of allied health service utilisation were not significantly lower than urban rates; however, there is room for increased uptake of multidisciplinary services. Patients who do not access these services may expect their GP to fulfil multiple roles within a limited number of visits and may not understand the role of other practitioners. Where allied health services are available locally, utilisation may be improved by increasing use of management plans and fostering awareness of the role of allied health practitioners in diabetes management.
Commentary: Keywords as a literacy practice in the history of anthropological theory
Authors: AHEARN LAURA M. 
Published: February 2013

ABSTRACTWord clouds generated from the keywords and titles of articles published in American Ethnologist in the years 1982, 1992, 2002, and 2012 offer a fascinating, though partial, history of anthropological theory over the past several decades. Keyword selection also, I argue, constitutes a type of literacy practice that has been underanalyzed. In this commentary, I explore some of the ways in which the article keyword selection process is imbued with social, intellectual, political, and economic dimensions. I compare the most frequently appearing words in titles versus keywords for each of the above four years and trace the progression of two clusters of keywords: one related to language, the other related to the triumvirate of race, class, and gender.
A pilgrimage to Arawān: Religious legitimacy, status, and ownership in Timbuktu
Authors: SCHEELE JUDITH 
Published: February 2013

ABSTRACTNorthern Mali has been shaken by drought and conflict since the 1960s, leading to gradual redefinitions of notions of status, social hierarchy, and rights in land and people. These changes indicate a fundamental shift from genealogical to territorial visions of the world: from notions of infinite encompassment and concomitant hierarchy to conceptions of rights as derived from “indigeneity” and exclusive categories of ownership and belonging. The recent discovery of oil in the area lends further urgency to these issues, as shown here through an analysis of a pilgrimage to Arawān, north of Timbuktu, undertaken by the all‐too‐cosmopolitan descendants of a regional saint.