bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Randomized Controlled Trial of Cognitive Behavioral Therapy for Adherence and Depression (CBT-AD) in Patients With Uncontrolled Type 2 Diabetes
Authors: Safren Steven A. , Gonzalez Jeffrey S. , Wexler Deborah J. , Psaros Christina , Delahanty Linda M. , Blashill Aaron J. , Margolina Aleksandra I. , Cagliero Enrico 
Published: October 2013

OBJECTIVE
To test cognitive behavioral therapy for adherence and depression (CBT-AD) in type 2 diabetes. We hypothesized that CBT-AD would improve adherence; depression; and, secondarily, hemoglobin A1c (A1C).

RESEARCH DESIGN AND METHODS
Eighty-seven adults with unipolar depression and uncontrolled type 2 diabetes received enhanced treatment as usual (ETAU), including medication adherence, self-monitoring of blood glucose (SMBG), and lifestyle counseling; a provider letter documented psychiatric diagnoses. Those randomized to the intervention arm also received 9–11 sessions of CBT-AD.

RESULTS
Immediately after acute treatment (4 months), adjusting for baseline, CBT-AD had 20.7 percentage points greater oral medication adherence on electronic pill cap (95% CI −31.14 to −10.22, P = 0.000); 30.2 percentage points greater SMBG adherence through glucometer downloads (95% CI −42.95 to −17.37, P = 0.000); 6.44 points lower depression scores on the Montgomery-Asberg Depression Rating Scale (95% CI 2.33–10.56, P = 0.002); 0.74 points lower on the Clinical Global Impression (95% CI 0.16–1.32, P = 0.01); and 0.72 units lower A1C (95% CI 0.29–1.15, P = 0.001) relative to ETAU. Analyses of 4-, 8-, and 12-month follow-up time points indicated that CBT-AD maintained 16.3 percentage points higher medication adherence (95% CI −26.1 to −6.5, P = 0.001); 22.3 percentage points greater SMBG adherence (95% CI −36.1 to −8.6, P = 0.002); and 0.63 units lower A1C (95% CI 0.06–1.2, P = 0.03) after acute treatment ended. For depression, there was some evidence of continued improvement posttreatment, but no between-group differences.

CONCLUSIONS
CBT-AD is an effective intervention for adherence, depression, and glycemic control, with enduring and clinically meaningful benefits for diabetes self-management and glycemic control in adults with type 2 diabetes and depression.
Midregional Fragment of Proadrenomedullin, New-Onset Albuminuria, and Cardiovascular and All-Cause Mortality in Patients With Type 2 Diabetes (ZODIAC-30)
Authors: Landman Gijs W.D. , van Dijk Peter R. , Drion Iefke , van Hateren Kornelis J.J. , Struck Joachim , Groenier Klaas H. , Gans Rijk O.B. , Bilo Henk J.G. , Bakker Stephan J.L. , Kleefstra Nanne 
Published: October 2013

OBJECTIVEThe midregional fragment of proadrenomedullin (MR-proADM) is a marker of endothelial dysfunction and has been associated with a variety of diseases. Our aim was to investigate whether MR-proADM is associated with new-onset albuminuria and cardiovascular (CV) and all-cause mortality in patients with type 2 diabetes treated in primary care.RESEARCH DESIGN AND METHODSPatients with type 2 diabetes participating in the observational Zwolle Outpatient Diabetes Project Integrating Available Care (ZODIAC) study were included. Cox regression analyses were used to assess the relation of baseline MR-proADM with new-onset albuminuria and CV and all-cause mortality. Risk prediction capabilities of MR-proADM for new-onset albuminuria and CV and all-cause mortality were assessed with Harrell’s C and the integrated discrimination improvement.RESULTSIn 1,243 patients (mean age 67 [±12] years), the median follow-up was 5.6 years (interquartile range 3.1–10.1); 388 (31%) patients died, with 168 (12%) CV deaths. Log2 MR-proADM was associated with CV (hazard ratio 1.96 [95% CI 1.27–3.01]) and all-cause mortality (1.78 [1.34–2.36]) after adjusting for age, sex, BMI, smoking, systolic blood pressure, cholesterol-to-HDL ratio, duration of diabetes, HbA1c, ACE inhibitor/angiotensin receptor blocker, history of CV diseases, log serum creatinine, and log albumin-to-creatinine ratio. MR-proADM slightly improved mortality risk prediction. The age- and sex-adjusted, but not multivariate-adjusted, MR-proADM levels were associated with new-onset albuminuria.CONCLUSIONSMR-proADM was associated with CV and all-cause mortality in patients with type 2 diabetes after a median follow-up of 5.6 years. There was no independent relationship with new-onset albuminuria. In the availability of an extensive set of risk factors, there was little added effect of MR-proADM in risk prediction of CV and all-cause mortality.
Varied Response to Mirror Gait Retraining of Gluteus Medius Control, Hip Kinematics, Pain, and Function in 2 Female Runners With Patellofemoral Pain
Authors: Willy Richard W. , Davis Irene S. 
Published: October 2013

Study Design Case report. Background The underlying mechanism of the changes in running mechanics after gait retraining is presently unknown. This case report assesses changes in muscle coordination and kinematics during treadmill running and step ascent in 2 female runners with patellofemoral pain after mirror gait retraining. Case Description Two female runners with chronic patellofemoral pain underwent 8 sessions of mirror gait retraining during treadmill running. Subjective measures and hip abductor strength were recorded at baseline and after the retraining phase. Changes in hip mechanics and electromyography data of the gluteus medius during treadmill running and step ascent were also assessed. Outcomes Both runners reported improvements in pain and function that were maintained for at least 3 months. During running, peak contralateral pelvic drop (baseline-postretraining difference: runner 1, 2.6° less; runner 2, 1.7° less) and peak hip adduction (baseline-postretraining difference: runner 1, 5.2° less; runner 2, 6.3° less) were reduced after retraining. Kinematic reductions accompanied earlier activation of the gluteus medius relative to foot strike (baseline-postretraining difference: runner 1, 12.6 milliseconds earlier; runner 2, 37.3 milliseconds earlier) and longer duration of gluteus medius activity (runner 1, 55.8 milliseconds longer; runner 2, 44.4 milliseconds longer). Runner 1 transferred reduced contralateral pelvic drop to step ascent, whereas runner 2 did not (contralateral pelvic drop baseline-postretraining difference: runner 1, 3.6° less; runner 2, 1.5° more; hip adduction baseline-postretraining difference: runner 1, 3.0° less; runner 2, 0.5° more). Both runners demonstrated earlier onset of gluteus medius activity during step ascent (baseline-postretraining difference: runner 1, 48.0 milliseconds earlier; runner 2, 28.3 milliseconds earlier), but only runner 1 demonstrated longer activation duration (runner 1, 25.0 milliseconds longer; runner 2, 69.4 milliseconds shorter). Discussion While changes in hip mechanics and gluteus medius activity during running were consistent with those noted during step ascent for runner 1, runner 2 failed to demonstrate similar consistency between the tasks. Earlier onset and longer duration of gluteus medius activity may have been necessary to alter step mechanics for runner 2. Level of Evidence Therapy, level 4. J Orthop Sports Phys Ther 2013;43(12):864–874. Epub 30 October 2013. doi:10.2519/jospt.2013.4516
Anterior Talocrural Joint Laxity: Diagnostic Accuracy of the Anterior Drawer Test of the Ankle
Authors: Croy Theodore , Koppenhaver Shane , Saliba Susan , Hertel Jay 
Published: October 2013

Study Design Prospective, blinded, diagnostic-accuracy study. Objectives To investigate the diagnostic accuracy of the ankle anterior drawer test (ADT) to detect anterior talocrural joint laxity in adults with a history of lateral ankle sprain. Background The ADT is used to manually detect anterior talocrural joint laxity following lateral ankle sprain injury; however, the diagnostic accuracy of this test has not been established. Methods Sixty-six subjects with a history of lateral ankle sprain were examined with the ADT. Anterior talocrural joint laxity was measured digitally from ultrasound images of the talofibular interval during performance of the ADT. In addition, anterior talocrural joint laxity was measured digitally in 20 control subjects to establish a reference standard. ADT results were defined as “positive” or “negative,” based on this and a second reference standard established from the literature. Results The group with a history of lateral ankle sprain had a mean ± SD anterior talocrural joint laxity of 3.36 ± 3.25 mm, compared with 0.17 ± 1.87 mm in the control group. Thirty-five of 66 (53%) subjects demonstrated anterior talocrural joint laxity at a reference standard of 2.3 mm or greater, and 24 (36%) at a reference standard of 3.7 mm or greater. Sensitivity of the ADT was 0.74 (95% confidence interval [CI]: 0.58, 0.86) and 0.83 (95% CI: 0.64, 0.93) at the 2.3 mm or greater and 3.7 mm or greater reference standards, respectively. Specificity of the test was 0.38 (95% CI: 0.24, 0.56) and 0.40 (95% CI: 0.27, 0.56), respectively. Positive likelihood ratios were 1.2 and 1.4, whereas the negative likelihood ratios were 0.66 and 0.41, respectively. Conclusion The ADT provides limited ability to detect excessive anterior talocrural joint laxity; however, it may provide useful information when used in side-to-side ankle comparisons and in conjunction with other physical exam procedures, such as palpation. Level of Evidence Diagnosis, level 3b. J Orthop Sports Phys Ther 2013;43(12):911–919. Epub 30 October 2013. doi:10.2519/jospt.2013.4679
Hedda’s Silences: Beauty and Despair in Hedda Gabler
Authors: Moi Toril 
Published: October 2013

ABSTRACT: This essay asks what it means to read literature with philosophy and argues that we should discover the literary work’s own concepts before engaging it in a dialogue with philosophy. The essay also considers the vexed question of whether Hedda Gabler should be read as a “woman’s play” or, rather, as a critique of modernity. With reference to Simone de Beauvoir, it argues that this “choice” is itself an example of a sexist logic. By paying close attention to Hedda’s three significant silences, the essay shows that Hedda chooses to place herself in Judge Brack’s power, that the play’s key concerns are modernity, subjectivity, and meaning, and that its key concepts are silence, hiddenness, disgust, triviality, beauty, freedom, despair, and suicide. The essay ends by relating Hedda Gabler to Kierkegaard’s The Sickness unto Death, before returning to the question of the role of philosophy in literary readings.
Psicología Evolucionaria: un marco integrador para la disciplina Psicológica en el Bicentenario de Darwin
Authors: Fernández Ana María 
Published: October 2013

El objetivo del artículo es presentar los principios de la Psicología Evolucionaria y sus aportes a la comprensión de la condición humana. Se revisan brevemente los conceptos fundamentales de esta perspectiva, haciendo hincapié en la concepción de la mente como una adaptación, explicitando su articulación a través de la selección natural y sexual. Se ejemplifican las emociones como una adaptación destinada a la supervivencia, y algunas diferencias entre hombres y mujeres como producto de la selección sexual. La discusión se orienta al valor integrador de la perspectiva evolucionaria, dejando atrás el debate entre la naturaleza y la crianza, además de reconocer su alto potencial como un marco de convergencia interdisciplinaria, que fomenta la investigación y trasciende las barreras disciplinarias clásicas.
Transitando en los procesos de tutoría sociolaboral con jóvenes vulnerables: roles y tensiones desde el construccionismo social
Authors: Gálvez S. Felipe , Pérez T. Sonia , Bernales B. Pamela 
Published: October 2013

Las políticas de inserción laboral en Chile actualmente abogan por una aproximación integral a la problemática del desempleo juvenil que incorpore el desarrollo de competencias psicosociales y sociolaborales que operan a la base de la empleabilidad. Esta nueva perspectiva cobra especial relevancia en las políticas dirigidas a jóvenes en situación de vulnerabilidad; es por ello que el más reciente de estos programas -Jóvenes Bicentenario- incorpora entre sus componentes el Proyecto Tutorías Sociolaborales, destinado a ofrecer el acompañamiento de los jóvenes por un tutor profesional de las Ciencias Sociales. El presente artículo realiza una revisión, desde el socioconstruccionismo, en torno a los sustentos epistemológicos y de las tensiones en la praxis de este nuevo componente, a partir del análisis de su proceso de seguimiento.
Tratamiento Cognitivo-Conductual del Estrés Postraumático en un caso de violación infantil
Authors: Guerra V. Cristóbal , Plaza V. Hugo 
Published: October 2013

En este artículo se describe el tratamiento de una niña con estrés postraumático producto de una violación. Este tratamiento integra desensibilización sistemática, relajación, control del pensamiento, y psicoeducación. Se pretendió reducir los síntomas intrusivos, evitativos y de aumento de la activación fisiológica propios de este trastorno. Para medir los efectos de la intervención se registraron los niveles de ansiedad de la niña mediante la escala de unidades subjetivas de ansiedad (SUDS; Wolpe, 1958). Los resultados indican una disminución gradual de la sintomatología hasta llegar a niveles mínimos en nueve semanas. Estos resultados se mantienen en el seguimiento realizado semanas, meses y dos años después de terminado el tratamiento. Finalmente se discuten las implicancias teóricas y clínicas de estos resultados.
La pintura como forma de expresión en un dispositivo grupal infantil: Análisis de una experiencia en un contexto de salud pública
Authors: Cendoya Aburto Daniela , Yáñez Castillo Ignacio 
Published: October 2013

El presente artículo se propone como un análisis de caso, cuyo objetivo es mostrar un dispositivo de intervención grupal infantil, llevado a cabo en un Centro Comunitario de Salud Mental Familiar (COSAM) de la Región Metropolitana, Santiago, Chile. Este dispositivo busca rescatar de manera relevante lo que para nosotros resulta ser el centro de la clínica infantil: el sufrimiento del niño. Dicha propuesta surge como respuesta a las falencias detectadas dentro de la Institución y que tienen relación con la forma en que se plantea actualmente el trabajo grupal en la infancia. En este sentido, se instaló un dispositivo grupal, basado en los planteamientos de la Asociación Uruguaya de Psicología y Psicopatología de la Expresión (A.U.P.P.E.), que contempló veinticinco sesiones y usó como metodología la creación libre de pinturas como forma de expresión de los integrantes del grupo.Por medio del análisis de las creaciones pictóricas de uno de los miembros del grupo se busca dar cuenta tanto del proceso individual como del grupal, poniendo énfasis en el carácter comunicativo y terapéutico de la creación pictórica en un espacio seguro que brinde las posibilidades para la libre producción.
La estructuración de la subjetividad popular y el problema de la política
Authors: Angelcos Nicolás 
Published: October 2013

El artículo presenta una discusión en torno a la participación política vista desde la experiencia subjetiva que construyen los pobladores de la comuna de Cerro Navia, Chile. La hipótesis desarrollada se relaciona con la construcción de un registro político de la subjetividad popular, no considerado en la discusión respecto al tema, en torno a las dimensiones del reconocimiento y la pobreza. Este registro, expresado de forma individual en los jóvenes, puede ayudar a la comprensión de la distancia entre las orientaciones de la acción y su relación con la política institucional.
Identificación melancólica y constitución de la identidad de género masculina. Aportes del psicoanálisis a los estudios contemporáneos de género
Authors: Martínez Ariel 
Published: October 2013

Desde la confluencia entre el psicoanálisis y los estudios de género, este trabajo intenta delimitar algunos aspectos de la teoría intersubjetiva de Jessica Benjamin en relación con el proceso de constitución de la identidad de género masculina hegemónica. A partir de allí, se presentan parte de las consideraciones conceptuales que Judith Butler realiza en relación con la melancolía postulada por Freud, y su conexión con la conformación subjetiva del género para delimitar el modo en que se conceptualiza la constitución melancólica de la identidad de género. Se concluye que, a partir del entrecruzamiento de ambas autoras, se despliega una plataforma analítica que permite avanzar hacia nuevas articulaciones que delimitan, nunca de manera definitiva, una posible explicación psicodinámica de la constitución de la identidad de género a partir del mecanismo de identificación, de modo tal que se incluyen niveles de análisis que van más allá de mecanismos individuales de funcionamiento.
Nuevas subjetividades infantiles y medios audiovisuales de comunicación
Authors: Piracón Jaime Andrés , Palma Cristian Jesús 
Published: October 2013

El estudio explora las representaciones que se construyen sobre las nuevas subjetividades infantiles y sus relaciones con los medios audiovisuales de comunicación. En este marco se interrogan las representaciones sobre las nuevas infancias, centrándose en el cine como circuito de producción y circulación de estas representaciones. El estudio es cualitativo-interpretativo y las herramientas metodológicas son entrevistas y grupos focales. Los hallazgos presentan dos posiciones: por una parte, quienes sienten que la infancia está siendo amenazada y reaccionan defendiéndola y protegiéndola; y, por otra, quienes asumen estos cambios como un reto para conocer las nuevas posibilidades de sociabilidad y de construirse como sujeto. Igualmente, se plantean debates sobre la regulación de la oferta audiovisual y la alfabetización en medios audiovisuales.
Construcción de la propia paternidad en adolescentes varones pertenecientes a liceos municipales de la comuna de La Cisterna
Authors: Anabalón Armijo Cecilia , Cares Pozo Francisca , Cortés Belmar Ricardo , Zamora Contardo Macarena 
Published: October 2013

Esta investigación tuvo como objetivo conocer la articulación entre los elementos de los ámbitos social, familiar y escolar en la construcción de la propia paternidad, en adolescentes varones pertenecientes a liceos municipales de la comuna de La Cisterna (Santiago, Chile). El estudio es de carácter cualitativo centrado en la fenomenología, desde una perspectiva hermenéutica, siendo la técnica de recolección de datos la entrevista en profundidad. Se obtuvo como resultado principal que el área más significativa para la construcción de la paternidad es la familia y como figura antagónica identificaron al grupo de pares. A la vez todos los resultados de esta investigación dan cuenta del surgimiento de una nueva paternidad.
Patterns in Immunohistochemical Usage in Extended Core Prostate Biopsies: Comparisons Among Genitourinary Pathologists and Nongenitourinary Pathologists
Authors: Plourde Anna , Gross Alden , Jiang Zhong , Owens Christopher L. 
Published: October 2013

Context.—Immunohistochemical (IHC) stains have known utility in prostate biopsies and are widely used to augment routine staining in difficult cases. Patterns in IHC utilization and differences based on pathologist training and experience is understudied in the peer-reviewed literature.
Objectives.—To compare the rates of IHC usage between specialized (genitourinary; [GU]) and nonspecialized (non-GU) pathologists in extended core prostate biopsies (ECPBs) and the effects of diagnosis; and in cancer cases Gleason grade, disease extent, and perineural invasion on the rate.
Design.—Consecutive ECPBs from 2009–2011 were identified and billing data were used to determine the number of biopsies and IHC stains per case. Diagnoses were mapped and in cancer cases, Gleason grade, extent of disease, and perineural invasion were recorded. Pathologists were classified as GU or non-GU on the basis of training and experience.
Results.—A total of 618 ECPBs were included in the study. Genitourinary pathologists ordered significantly fewer IHC tests per case and per biopsy than non-GU pathologists. The rate of ordering was most disparate for biopsies of cancerous and benign lesions. For biopsies of cancerous lesions, high-grade cancer, bilateral disease, and perineural invasion decreased the rate of ordering in both groups. In cancer cases, GU pathologists ordered significantly fewer stain tests for highest Gleason grade of 3 + 3 = 6, for patients with focal disease and for patients with multiple positive bilateral cores. The effect of the various predictors on IHC ordering rates was similar in both groups.
Conclusions.—Genitourinary pathologists ordered significantly fewer IHC stain tests than non-GU pathologists in ECPBs. Guidelines to define when IHC workup is necessary and not necessary may be helpful to guide workups.
Plasma turbulence of nonspecular trail plasmas as measured by a high‐power large‐aperture radar
Authors: Yee Jonathan , Close Sigrid 
Published: October 2013

AbstractHigh‐power, large‐aperture radars have been used to characterize plasmas formed as meteoroids ablate in Earth's atmosphere. These plasmas are referred to as heads, the plasmas surrounding the meteoroids, and trails, the plasmas left behind by the meteoroids. A subset of trails is nonspecular trails, which are detected when the radar beam is quasi‐perpendicular to the magnetic field. Radar returns from trail plasma are thought to originate from field‐aligned irregularity reflections that form due to turbulence within the trail. In this paper, we present theory and analysis of plasma trail diffusion using nonspecular trails detected by the Advanced Research Project Agency Long‐range Tracking and Identification Radar. These data include dual frequency, dual polarized, and high‐range resolution in‐phase and quadrature returns with azimuth and elevation data. We present turbulence onset times for nonspecular trails and derive comparisons to models. We compare diffusion coefficients calculated from the decay in signal return with ambipolar diffusion coefficients derived for specular meteor trails. These results, in conjunction with an analysis of the diffusion perpendicular and parallel to the magnetic field, demonstrate that the ambipolar diffusion coefficient is not a sufficient description of the turbulent diffusion in nonspecular trails and that other influences, such as external electric fields and anomalous cross‐field diffusion, must be considered when calculating the diffusion coefficients of nonspecular trails. In addition, we examined these results with respect to the polarization of the returns and found similar trends between all polarizations with slight differences for the right circular return.