bluuebunny/crossref_metadata_2025_split huggingface dataset:
Descriptive Data Analysis Examining How Standardized Assessments Are Used to Guide Post–Acute Discharge Recommendations for Rehabilitation Services After Stroke
Authors: Bland Marghuretta D. , Whitson Michelle , Harris Hilary , Edmiaston Jeff , Connor Lisa Tabor , Fucetola Robert , Carter Alexandre , Corbetta Maurizio , Lang Catherine E. 
Published: December 2014

BackgroundUse of standardized assessments in acute rehabilitation is continuing to grow, a key objective being to assist clinicians in determining services needed postdischarge.ObjectiveThe purpose of this study was to examine how standardized assessment scores from initial acute care physical therapist and occupational therapist evaluations contribute to discharge recommendations for poststroke rehabilitation services.Design&gt;A descriptive analysis was conducted.MethodsA total of 2,738 records of patients admitted to an acute care hospital with a diagnosis of stroke or transient ischemic attack were identified. Participants received an initial physical therapist and occupational therapist evaluation with standardized assessments and a discharge recommendation of home with no services, home with services, inpatient rehabilitation facility (IRF), or skilled nursing facility (SNF). A K-means clustering algorithm determined if it was feasible to categorize participants into the 4 groups based on their assessment scores. These results were compared with the physical therapist and occupational therapist discharge recommendations to determine if assessment scores guided postacute care recommendations.ResultsParticipants could be separated into 4 clusters (A, B, C, and D) based on assessment scores. Cluster A was the least impaired, followed by clusters B, C, and D. In cluster A, 50% of the participants were recommended for discharge to home without services, whereas 1% were recommended for discharge to an SNF. Clusters B, C, and D each had a large proportion of individuals recommended for discharge to an IRF (74%–80%). There was a difference in percentage of recommendations across the clusters that was largely driven by the differences between cluster A and clusters B, C, and D.LimitationsAdditional unknown factors may have influenced the discharge recommendations.ConclusionsParticipants poststroke can be classified into meaningful groups based on assessment scores from their initial physical therapist and occupational therapist evaluations. These assessment scores, in part, guide poststroke acute care discharge recommendations.
Toward a Politico-Theology of Relationality: Justice as Solidarity and the Poor in Aristide's Theological Imagination
Authors: Joseph Celucien L. 
Published: December 2014

Abstract: This article argues that Aristide's theology of the poor should be construed as a robust theology of relationality; it calls for an ethics of participation and collaboration in the plight of the poor. In this sense, we situate Aristide's theological discourse not only in the liberation theology framework but also in the politico-theological and democratic tradition, what Douglass Sturm has termed “a politics of relationality.” A theology of relationality focuses on the horizontal relations between the poor and the theologian-activist. The horizontal aspect defines and shapes the ethics of democratic participation and collaboration by cultivating a dynamic alliance with the poor and fostering a genuine bond between the poor and theologian-activist. Hence, a theology of relationality promotes democratic values, rights, freedom, and the welfare of the oppressed and poor. This participatory approach to theology of liberation might be the zone for active collaboration with the collective poor, oppressive communities, and Third World countries. This article examines the concept of “the poor” in Aristide's theological discourse and explores his theology of relationality.
Homo Ludens Revisited: A Theological Inquiry into Being Human from the Perspective of Javanese Children's Play
Authors: Sasongko Nindyo 
Published: December 2014

Abstract: This article revisits the meaning of being human as Homo ludens (the playing human), which was introduced by Johan Huizinga. Drawing on the wisdom of Javanese culture and Christian theology, especially that of Paul Tillich, and Hugo and Karl Rahner, I contribute to the Christian notion that to be human is to play. For Javanese people in Indonesia, play is not something that only children do; rather, it can be seen as the foundation of culture. According to Tillich, human beings experience a tremendous haecceitas (this-ness) when playing. From Karl Rahner's viewpoint, in play a human expresses the fullness of Vorgriff (pre-apprehension) or radical freedom. His brother, Hugo, is of the opinion that human play prepares for the final return of the whole cosmos to God. People who cannot play become estranged from their humanity, their culture, and their quest for the Absolute. Indeed, modern-day Homo ludens has become Homo economicus, having been drawn into what Tillich calls the “threat of nonbeing” by globalization. Revisiting the meaning of play in theological anthropology opens up the possibility of becoming a better people of God in the world.
Clinical factors associated with venous thromboembolism risk in patients undergoing craniotomy
Authors: Kimmell Kristopher T. , Jahromi Babak S. 
Published: December 2014

OBJECT
Patients undergoing craniotomy are at risk for developing venous thromboembolism (VTE). The safety of anticoagulation in these patients is not clear. The authors sought to identify risk factors predictive of VTE in patients undergoing craniotomy.

METHODS
The authors reviewed a national surgical quality database, the American College of Surgeons National Surgical Quality Improvement Program. Craniotomy patients were identified by current procedural terminology code. Clinical factors were analyzed to identify associations with VTE.

RESULTS
Four thousand eight hundred forty-four adult patients who underwent craniotomy were identified. The rate of VTE in the cohort was 3.5%, including pulmonary embolism in 1.4% and deep venous thrombosis in 2.6%. A number of factors were found to be statistically significant in multivariate binary logistic regression analysis, including craniotomy for tumor, transfer from acute care hospital, age ≥ 60 years, dependent functional status, tumor involving the CNS, sepsis, emergency surgery, surgery time ≥ 4 hours, postoperative urinary tract infection, postoperative pneumonia, on ventilator ≥ 48 hours postoperatively, and return to the operating room. Patients were assigned a score based on how many of these factors they had (minimum score 0, maximum score 12). Increasing score was predictive of increased VTE incidence, as well as risk of mortality, and time from surgery to discharge.

CONCLUSIONS
Patients undergoing craniotomy are at low risk of developing VTE, but this risk is increased by preoperative medical comorbidities and postoperative complications. The presence of more of these clinical factors is associated with progressively increased VTE risk; patients possessing a VTE Risk Score of ≥ 5 had a greater than 20-fold increased risk of VTE compared with patients with a VTE score of 0.
Symptomatic contralateral subdural hygromas after decompressive craniectomy: plausible causes and management protocols
Authors: Salunke Pravin , Garg Ravi , Kapoor Ankur , Chhabra Rajesh , Mukherjee Kanchan K. 
Published: December 2014

OBJECT
Contralateral subdural hygromas are occasionally observed after decompressive craniectomies (DCs). Some of these hygromas are symptomatic, and the etiology and management of these symptomatic contralateral subdural collections (CLDCs) present surgical challenges. The authors share their experience with managing symptomatic CLSDCs after a DC.

METHODS
During a 10-month period, 306 patients underwent a DC. Of these patients, 266 had a head injury, 25 a middle cerebral artery infarction (that is, a thrombotic stroke), and 15 an infarction due to a vasospasm (resulting from an aneurysmal subarachnoid hemorrhage [SAH]). Seventeen patients (15 with a head injury and 2 with an SAH) developed a CLSDC, and 7 of these patients showed overt symptoms of the fluid collection. These patients were treated with a trial intervention consisting of bur hole drainage followed by cranioplasty. If required, a ventriculo- or thecoperitoneal shunt was inserted at a later time.

RESULTS
Seven patients developed a symptomatic CLSDC after a DC, 6 of whom had a head injury and 1 had an SAH. The average length of time between the DC and CLSDC formation was 24 days. Fluid drainage via a bur hole was attempted in the first 5 patients. However, symptoms in these patients improved only temporarily. All 7 patients (including the 5 in whom the bur hole drainage had failed and 2 directly after the DC) underwent a cranioplasty, and the CLSDC resolved in all of these patients. The average time it took for the CLSDC to resolve after the cranioplasty was 34 days. Three patients developed hydrocephalus after the cranioplasty, requiring a diversion procedure, and 1 patient contracted meningitis and died.

CONCLUSIONS
Arachnoid tears and blockage of arachnoid villi appear to be the underlying causes of a CLSDC. The absence of sufficient fluid pressure required for CSF absorption after a DC further aggravates such fluid collections. Underlying hydrocephalus may appear as subdural collections in some patients after the DC. Bur hole drainage appears to be only a temporary measure and leads to recurrence of a CLSDC. Therefore, cranioplasty is the definitive treatment for such collections and, if performed early, may even avert CLSDC formation. A temporary ventriculostomy or an external lumbar drainage may be added to aid the cranioplasty and may be removed postoperatively. Ventriculoperitoneal or thecoperitoneal shunting may be required for patients in whom a hydrocephalus manifests after cranioplasty and underlies the CLSDC.
Creating the Authentic? Art Teaching in South Africa as Transcultural Phenomenon
Authors: Klein Melanie 
Published: December 2014

The question about what art and craft from Black individuals in South Africa should look like as well as how and for what purposes it could be created was of prominent importance within the contact zone of educational institutions from the 1930s onwards. Art teachers of mostly European origin established provisional art educational venues for African students first, within the curricula of mission schools and then as workshops and art schools in their own right. They transferred modernistic concepts from Europe into the South African context, yet were also confronted with divergent expectations of their students and the overarching policy of Bantu Education that was launched in 1953.
A closer look at selected case studies reveals complex and ambivalent theoretical approaches that were negotiated and discussed in the seemingly autonomous context of art schools and workshops. The teachers’ attitudes seemed to oscillate between the search for an ‘authentic’ African idiom and the claim to partake in global archives or in the making of an art history that was imagined as universally applicable. Art educational institutions perceived as transcultural contact zones exemplify a genesis of modern art from South Africa that was formed by mutually influencing perspectives apart from the restrictions for and the re-tribalisation of Black people imposed by the apartheid regime.
Du narcissisme ou le symptôme de la virtualité
Authors: Guiche Dorothée , Lecourt Édith 
Published: December 2014

À partir du postulat de l’existence de la foule virtuelle, nous cherchons à questionner l’émergence de l’utilisation massive des réseaux sociaux sur Internet. Le sujet y trouve de nombreux bénéfices narcissiques qui lui permettent de prendre le risque du dévoilement de son intime. La transparence, au même titre qu’elle s’infiltre dans les institutions sociales et médicosociales, semble présente dans ce virtuel et se justifier pour chacun tant le plaisir pris et l’hyper-investissement narcissique lui sont nécessaires. Dans ce contexte, comment maintenir le désir d’extimité à la faveur de la mobilisation de la créativité ? Le recours à certains processus de pensée et à des organisations groupales, tels que le clivage ou la tentative de maintien de l’illusion groupale, permet de maintenir une certaine contenance, mais dont la fragilité est à la mesure de l’excès de cet investissement du virtuel.
Le travail de décider
Authors: Lamrani Jamal 
Published: December 2014

Cet article vise à élucider ce qu’est le travail de décider au niveau des cadres dirigeants dans les organisations dites hypermodernes : centration sur les objectifs de performance à court terme, complexification de l’organisation, reporting permanent, rationalisation instrumentale, etc. Il met en débat deux questions. Dans ce type d’organisation, la mission de « management de la décision » des cadres dirigeants ( CD) est-elle encore possible, du fait de la raréfaction observée du temps managérial pour partager une vision, décider en équipe... ? Face au discours interne sur le management qui ne tient pas compte du réel et banalise les paradoxes, est-il possible pour eux de penser les décisions à prendre, d’accompagner le management intermédiaire pour porter ces décisions et gérer les contradictions liées à leur mise en œuvre, suivre les effets des décisions et les évaluer ? Cet article se base sur un récit d’intervention par l’analyse de pratique de décision auprès d’un groupe de CD d’une grande entreprise française de service public, dans un contexte économique d’entrée dans la concurrence européenne, de montée en complexité de l’organisation de l’entreprise et de mise place de la « culture de résultat dans tous les services ». Cette intervention a été conçue comme un dispositif d’accompagnement des postures et pratiques de décision des CD et comme un dispositif de recherche-action pour aider le groupe des CD , les acteurs du service Recherche et la Direction Générale, à repenser ensemble les limites du discours à l’œuvre dans l’entreprise sur la notion de responsabilité et de décision et les fondements du rôle du CD .
Pour une évaluation au service de l'intelligence collective
Authors: Lavoué Jean 
Published: December 2014

C’est aujourd’hui, pour les établissements et services du secteur social et médicosocial, l’heure du rendez-vous avec l’évaluation externe ! La plupart d’entre eux ont, d’ores et déjà, adressé aux administrations de contrôle leurs rapports d’évaluation interne. Ces dernières ont faiblement pris la mesure de l’engagement des associations, des dispositifs managériaux ou encore des équipes professionnelles dans ce processus : que ce soit en termes de coûts financiers ou bien de dynamique d’amélioration de la qualité. L’approche administrative reste largement celle d’une mise en conformité, relayée aujourd’hui par les cabinets d’évaluation externe. La culture de l’évaluation n’a pas véritablement touché les administrations commanditaires toujours référées aux logiques du contrôle, de l’inspection ou de l’audit : ainsi les appels d’offres et appels à projets, dans un contexte de gestion accrue, prennent-ils le pas pour elles sur une véritable appropriation globale de la culture de l’évaluation, de son éthique et de ses méthodes.
« Pour les écoles : tant mieux qu'elles sont là »
Authors: Lagae Johan , De Raedt Kim , Sabakinu Kivulu Jacob 
Published: December 2014

Entre 1945 et 1975, une vaste infrastructure scolaire a été édifiée en République démocratique du Congo (RDC), tout d’abord dans le cadre du Plan décennal à l’époque coloniale, puis par le biais de programmes d’aide au développement après 1960. Tandis que ce patrimoine témoignait autrefois d’une anticipation du progrès, aujourd’hui considérablement délabré, il est désormais souvent évoqué pour dénoncer la faillite de l’État. Cet article montre toutefois, en s’appuyant sur quelques écoles en particulier, certaines positions divergentes quant au sens politique de ces « ruines de la modernité », allant de l’indifférence à la fascination, en passant par des tentatives de réappropriation comme « lieux de mémoire » ou des initiatives de sauvegarde et de préservation.
Ruines d'utopies : l'École William Ponty et l'Université du Futur africain
Authors: De jong Ferdinand , Quinn Brian , Bach Jean-Nicolas 
Published: December 2014

Non loin de Dakar (Sénégal), le lieu aujourd’hui connu sous le nom de Sebi Ponty fut choisi à deux reprises pour héberger d’ambitieux projets d’éducation : l’École William Ponty et plus récemment l’Université du Futur africain. Ces projets, conçus pour stimuler le développement économique, ne remplirent pas leurs promesses, mais les lieux portent encore la marque de leurs infrastructures laissées en état de ruine. Nous exhumons ici les visions afro-utopistes du futur qui ont sous-tendu ces projets ainsi que les afro-nostalgies qu’ils ont suscitées, ce qui nous permettra de mettre au jour le palimpseste des temporalités à l’œuvre à Sebi Ponty.
Un mode de gouvernement mis en échec : dynamiques de conflit au Soudan du Sud, au-delà de la crise politique et humanitaire
Authors: de Vries Lotje , Hakim Justin Peter , Niaufre Camille 
Published: December 2014

Depuis fin 2013, le Soudan du Sud connaît une guerre civile qui implique les principaux acteurs politiques et militaires de ce jeune État. L’article analyse ces troubles en s’intéressant à une cause essentielle et souvent oubliée du conflit : la profonde crise qui affecte le mode de gouvernement au Soudan du Sud. Le recours à la violence est devenu un moyen privilégié de « négociation » politique, alors que les voix critiques qui cherchent à promouvoir le dialogue et l’inclusion de tous ont été systématiquement écartées durant les dernières années. Si l’on veut promouvoir la paix au Soudan du Sud, c’est ce mode de gouverner qu’il faudra transformer en premier lieu.
Créer des étrangers : lois de la citoyenneté de 2011 aux Soudans et désirs d'État pour une nationalité ethnique
Authors: Vezzadini Elena 
Published: December 2014

En 2011, la séparation du Sud de la République du Soudan a entrainé pour les deux États une redéfinition de la législation sur le droit de citoyenneté. Ainsi, une personne acquiert la nationalité sud-soudanaise si elle peut démontrer une affiliation avec une des « communautés ethniques » du sud ; dans la République du Soudan, toute personne pouvant, de jure ou de facto , acquérir la nationalité du Sud perd son droit à la citoyenneté. Cet article se propose d’évaluer l’impact de ces lois, en montrant d’abord qu’elles laissent de grandes latitudes aux interprétations discriminatoires, et ensuite en examinant la question des « réfugiés » habitant au Nord, qui soudainement ont été redéfinis comme des étrangers.
Le « cas Maimbourg ». La possibilité d'un gallicanisme jésuite au xvii e siècle
Authors: Gay Jean-Pascal 
Published: December 2014

Cet article propose de revenir sur la nature et la possibilité d’un gallicanisme jésuite au xvii e siècle en réexaminant un cas laissé de côté par les historiens jésuites contemporains, celui du P. Louis Maimbourg, expulsé de la Compagnie de Jésus sur ordre d’Innocent XI, à cause de ses publications historiques au service de la politique de Louis XIV dans le conflit de la régale. Le « cas Maimbourg » est caractérisé par une remarquable continuité dans son positionnement politico-religieux. Au cœur d’une double radicalité dans l’engagement au service du Roi et de l’Église, on retrouve en réalité une conception de l’obéissance dont les technologies et la culture sont proprement jésuites. Au moment du conflit autour du droit de régale, cependant, la double contrainte d’obéissance devient en réalité contradictoire et Maimbourg, avec d’autres, met sa compréhension de l’obéissance au service de son engagement dans le dispositif monarchique. Ce n’est cependant pas ce qui en fait véritablement une exception. Si, en effet, d’autres jésuites ne sont pas placés devant le même type de contradictions radicales, le problème posé par Maimbourg est interprété dans des cadres relativement similaires par la plupart des acteurs qui ont à gérer son cas. Il apparaît alors que ce n’est pas tant le contenu doctrinal, certes variable, du gallicanisme jésuite, qui permet de le caractériser, mais bien les mécanismes culturels partagés de la participation des jésuites français de la fin du xvii e siècle au sentiment religieux gallican.
Methodology For Providing National Information Exchange Model (NIEM) Model Understanding to XML and NIEM Novices
Authors: Harvey Betty 
Published: December 2014

NIEM is a U.S. government initiative to enable the sharing of data. NIEM consists of many domains. The NIEM model relies heavily on the use of references to create relationships between data. It also relies on different namespaces for each domain. Many large government projects have mandated that NIEM be used for exchange of data between the government agencies, states and other trading partners. NIEM data models are very complex. One of the challenges with using NIEM is how to provide a mechanism to present a complex data model in a way that will provide business analysts, SMEs, programmers and testers the ability to understand the complexity of elements, relationships and bi-directional linkages between pieces of information that can be understood by both technical and non-technical individuals.
Most of the projects have software development lifecycle (SDLC) artifacts, i.e., UML models, data dictionaries, business analysis documents etc. However, these artifacts do not provide the clarity of schema design needed from a NIEM and XML perspective. This paper will describe a 'crazy' mechanism (out of the norm) for providing an understandable artifact of the a very large NIEM schema that that was provided to possibly thousands of diverse trading partners for very large federal and state government program
Auto-Representação Indígena na Escrita Etnográfica: elementos teóricos para a consideração da intertextualidade etnográfica
Authors: Silva Cristhian Teófilo da 
Published: December 2014

Este trabalho visa problematizar teoricamente a auto-representação indígena na escrita etnográfica e como pode ser percebido o processo de apreensão/representação da diferença cultural alheia no texto etnográfico. Será indagado o quanto a antropologia, os antropólogos e suas técnicas são pensados e utilizados por interlocutores nativos para se expressarem em sua singularidade para platéias restritas ou mais amplas. O argumento enfatizado é que o antropólogo não registra na escrita etnográfica uma cultura nativa prévia que é verbalizada pelo interlocutor nativo, mas uma cultura dialógica dinâmica, atualizada no encontro etnográfico. Para a exposição do argumento serão debatidas as abordagens de Marcel Mauss, Maurice Leenhardt e Roberto Cardoso de Oliveira das noções de “pessoa” e do “eu”. O trabalho é concluído com a análise de um relato que ilustra o modo como etnografias podem ser apropriadas pelos interlocutores para a auto-representação.