bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pregnancy outcome of 149 pregnancies in women with epilepsy: Experience from a tertiary care hospital
Authors: Ozdemir Ozhan , Sari Mustafa Erkan , Kurt Aslihan , Sakar Vefa Selimova , Atalay Cemal Resat 
Published: September 2015

Introduction
Epilepsy has a prevalence of 1.65% in adults, and every 1 in 200 pregnancies encounters its complications. We aimed to present the existing condition of and our experience with epileptic pregnant women for whom the prepregnancy counseling is inadequate in Turkey.

Methods
We evaluated 149 epileptic pregnant women between March 2009 and January 2015. Demographic features of the patients, along with type and duration of epileptic seizure, time of diagnosis, date of last seizure prior to pregnancy, number and duration of seizures during pregnancy, type of AEDs, result and week of termination of pregnancy, and birth weight were registered, and also, we evaluated perinatal complications and fetal malformations.

Results
Mean age of the patients was 27.12 ± 5.4 years, and mean duration from the diagnosis of epilepsy to pregnancy was 9.68 ± 5.91 years. Twenty-seven (18.12%) and 101 (67.78%) patients had polytherapy and monotherapy, respectively. We observed epileptic seizures in 103 (69.12%) patients during pregnancy, and seizures mostly occurred in the first and third trimesters. Forty-one (39.80%) patients had seizures in all three trimesters. Forty-two (28.18%) patients among all patients who had seizures during pregnancy had 5 or more seizures. Major malformations, namely, cleft lip and palate, ventriculoseptal defect, and spina bifida were observed in the patients. Mean birth week was 38.43 ± 1.68 weeks, and mean birth weight was 2965.31 ± 453.94 grams. Twenty-two patients had normal spontaneous vaginal delivery whereas 118 patients had cesarean section.

Conclusions
Pregnant women with epilepsy have their own risks. These women should be followed by experienced obstetricians and neurologists during their pregnancies. Appropriate management and follow-up lead to good results almost the same as general population.
The independent relationship between trouble controlling Facebook use, time spent on the site and distress
Authors: Muench Fredrick , Hayes Marie , Kuerbis Alexis , Shao Sijing 
Published: September 2015

Background and Aims
There is an emerging literature base on the relationship between maladaptive traits and “addiction” to social networking sites. These studies have operationalized addiction as either spending excessive amounts of time on social networking sites (SNS) or trouble controlling SNS use, but have not assessed the unique contribution of each of these constructs on outcomes in the same models. Moreover, these studies have exclusively been conducted with younger people rather than a heterogeneous sample. This study examined the independent relationship of a brief Facebook addiction scale, time spent on Facebook, and Facebook checking on positive and negative social domains, while controlling for self-esteem and social desirability.

Methods
Participants were recruited using e-mail, SNS posts and through Amazon’s MTurk system. The sample included 489 respondents ages from 18 to approximately 70, who completed a 10–15 minute survey.

Results
Results indicate that neither time spent on Facebook nor Facebook checking was significantly associated with either self-esteem, fear of negative social evaluation or social comparison, while SNS addiction symptoms were each independently associated with Facebook usage. Neither time spent on Facebook nor SNS addiction symptoms were associated with positive social relationships.

Discussion
Overall results suggest that time on SNS and trouble controlling use should be considered independent constructs and that interventions should target underlying loss of control as the primary intervention target above ego syntonic time spent on the site.
Addictive use of social networking sites can be explained by the interaction of Internet use expectancies, Internet literacy, and psychopathological symptoms
Authors: Wegmann Elisa , Stodt Benjamin , Brand Matthias 
Published: September 2015

Background and Aims
Most people use the Internet in a functional way to achieve certain goals and needs. However, there is an increasing number of people who experience negative consequences like loss of control and distress based on an excessive use of the Internet and its specific online applications. Some approaches postulate similarities with behavioral addictions as well as substance dependencies. They differentiate between a generalized and a specific Internet addiction, such as the pathological use of social networking sites (SIA–SNS). Prior studies particularly identified the use of applications, personal characteristics, and psychopathological symptoms as significant predictors for the development and maintenance of this phenomenon. So far, it remains unclear how psychopathological symptoms like depression and social anxiety interact with individual expectancies of Internet use and capabilities of handling the Internet, summarized as Internet literacy.

Methods
The current study (N = 334) investigated the interaction of these components in a structural equation model.

Results
The results indicate that the effects of depression and social anxiety on SIA–SNS were mediated by Internet use expectancies and self-regulation.

Discussion
Thus, Internet use expectancies seem to be crucial for SIA–SNS, which is in line with prior models.

Conclusions
SNS use may be reinforced by experienced gratification and relief from negative feelings. Individual competences in handling the Internet may be preventive for the development of SIA–SNS.
The role of negative mood states and consequences of hypersexual behaviours in predicting hypersexuality among university students
Authors: Dhuffar Manpreet K. , Pontes Halley M. , Griffiths Mark D. 
Published: September 2015

Background and Aims
The issue of whether hypersexual behaviours exist among university students is controversial because many of these individuals engage in sexual exploration during their time at university. To date, little is known about the correlates of hypersexual behaviours among university students in the UK. Therefore, the aims of this exploratory study were two-fold. Firstly, to explore and establish the correlates of hypersexual behaviours, and secondly, to investigate whether hypersexuality among university students can be predicted by variables relating to negative mood states (i.e., emotional dysregulation, loneliness, shame, and life satisfaction) and consequences of hypersexual behaviour.

Methods
Survey data from 165 British university students was analysed using regression analyses.

Results
The full regression model significantly predicted hypersexual behaviours. However, only a small number of predictor variables (i.e., gender, consequences of hypersexual behaviours, life satisfaction and emotional dysregulation) accounted for the significant unique influence on hypersexual behaviours among the sample.

Conclusions
The study empirically supported the concept of hypersexual disorder. The implications of these findings are also discussed.
A Qualitative Study of Children's Perspectives on Their Peer Relationships in the Context of Living with a Craniofacial Anomaly
Authors: Pope Alice W. , Klein Tovah P. , Bergman Andrea J. 
Published: September 2015

Objective To gain understanding of perspectives on peer relationships from children with congenital craniofacial anomalies (CFA). Design This was qualitative research based in a phenomenological approach, using narratives that captured children's responses to open-ended and objective questions about peer relations and life with a CFA. Interviews were audio recorded and transcribed. Transcripts were coded according to thematic categories. Setting Children were patients at a reconstructive plastic surgery center in an urban hospital and medical school and were recruited from a regional support organization for families of children with CFA that was associated with the hospital. Patients, Participants Nine children with congenital CFA aged 9 to 14 years. Main Outcome Measures: Thematic coding categories were developed from the narratives using an open coding strategy; these categories focused on aspects of children's interactions with peers and their appraisals of the role of their CFA in their lives. Results Children reported satisfaction with most aspects of their peer relationships and expressed confidence in their ability to manage challenges. They acknowledged some difficulties with living with a CFA but tended to hold a balanced perspective on the impact of a CFA on their lives, and they expressed optimism about their future lives. Conclusions This sample of children with CFA exhibited much resilience. Although they may not be representative of all children with CFA, they provide examples that can be used to generate hypotheses for future research.
Age and Phonetic Influences on Velar Flutter as a Component of Nasal Turbulence in Children with Repaired Cleft Palate
Authors: Zajac David J. , Preisser John 
Published: September 2015

Objective The purpose of this study was to determine the influence of age and selected phonetic factors on velar flutter as a component of nasal turbulence in children with repaired cleft palate. Participants A total of 30 children with repaired cleft palate with or without cleft lip ranging in age from 4 to 13 years (mean, 8.6 years; standard deviation, 2.4 years) who exhibited nasal turbulence characterized by velar flutter participated in the study. Measures The headset of a nasometer was used to record the children producing multiple repetitions of consonant-vowel (CV) syllables that contrasted the stops /p/ and /t/ with the fricatives /f/ and /s/ and the high-front vowel /i/ with the low mid-central vowel /Λ/. All targeted consonants were coded relative to the presence of flutter using both perceptual and spectral criteria. Percentages of syllables coded for flutter were calculated as a function of consonant and vowel types. Intra-and interjudge reliability of coding was high. Results Percentages of syllables with velar flutter ranged from a high of 100% to a low of 4% among the participants. A Spearman rank-order correlation between age and percentage of syllables with flutter was nonsignificant. Mantel-Haenszel tests for repeated measures indicated that flutter occurred more often during production of syllables containing /i/ (62%) when compared with /Λ/ (50%) ( P = .029). Conclusions Velar flutter as a component of nasal turbulence varies widely among children with repaired cleft palate. CV syllables with high vowels appear to trigger velar flutter more often than syllables with low vowels.
Speech in 10-Year-Olds Born with Cleft Lip and Palate: What Do Peers Say?
Authors: Nyberg Jill , Havstam Christina 
Published: September 2015

Objective The aim of this study was to explore how 10-year-olds describe speech and communicative participation in children born with unilateral cleft lip and palate in their own words, whether they perceive signs of velopharyngeal insufficiency (VPI) and articulation errors of different degrees, and if so, which terminology they use. Methods/Participants Nineteen 10-year-olds participated in three focus group interviews where they listened to 10 to 12 speech samples with different types of cleft speech characteristics assessed by speech and language pathologists (SLPs) and described what they heard. The interviews were transcribed and analyzed with qualitative content analysis. Results The analysis resulted in three interlinked categories encompassing different aspects of speech, personality, and social implications: descriptions of speech, thoughts on causes and consequences, and emotional reactions and associations. Each category contains four subcategories exemplified with quotes from the children's statements. More pronounced signs of VPI were perceived but referred to in terms relevant to 10-year-olds. Articulatory difficulties, even minor ones, were noted. Peers reflected on the risk to teasing and bullying and on how children with impaired speech might experience their situation. The SLPs and peers did not agree on minor signs of VPI, but they were unanimous in their analysis of clinically normal and more severely impaired speech. Conclusions Articulatory impairments may be more important to treat than minor signs of VPI based on what peers say.
Attitudes and Beliefs Toward Supportive and Palliative Care Referral Among Hematologic and Solid Tumor Oncology Specialists
Authors: Hui David , Park Minjeong , Liu Diane , Reddy Akhila , Dalal Shalini , Bruera Eduardo 
Published: September 2015

Abstract

Background.
Palliative care (PC) referrals are often delayed for patients with hematologic malignancies. We examined the differences in attitudes and beliefs toward PC referral between hematologic and solid tumor specialists and how their perception changed with use of the service name “supportive care” (SC).

Materials and Methods.
We randomly surveyed 120 hematologic and 120 solid tumor oncology specialists at our tertiary care cancer center to examine their attitudes and beliefs toward PC and SC referral.

Results.
Of the 240 specialists, 182 (76%) responded. Compared with solid tumor specialists, hematologic specialists were less likely to report that they would refer symptomatic patients with newly diagnosed cancer to PC (solid tumor, 43% vs. hematology, 21%; p = .002). A significantly greater proportion of specialists expressed that they would refer a patient with newly diagnosed cancer to SC than PC (solid tumor specialists: SC, 81% vs. PC, 43%; p &lt; .001; hematology specialists: SC, 66% vs. PC, 21%; p &lt; .001). The specialists perceived that PC was more likely than SC to be a barrier for referral (PC, 36% vs. SC, 3%; p &lt; .001), to be synonymous with hospice (PC, 53% vs. SC, 6%; p &lt; .001), to decrease hope (PC, 58% vs. SC, 8%; p &lt; .001), and to be less appropriate for treatment of chemotherapy side effects (PC, 64% vs. SC, 19%; p &lt; .001). On multivariate analysis, female clinicians (odds ratio [OR], 4.5; 95% confidence interval [CI], 1.3-15.2; p = .02) and the perception that PC is a barrier for referral (OR, 3.0; 95% CI, 1.2-7.6; p = .02) were associated with PC referral if the service name “SC” was used.

Conclusion.
Hematologic specialists were less likely to refer patients early in the disease trajectory and were conducive to referral with the service name SC instead of PC.

Implications for Practice:
The present survey of oncology specialists found that hematologic specialists were less likely than solid tumor specialists to report that they would refer symptomatic patients with newly diagnosed cancer to palliative care. However, both groups were significantly more willing to refer patients early in the disease trajectory if the service name “supportive care” were used instead of “palliative care.” These findings suggest that rebranding might help to overcome the stigma associated with palliative care and improve patient access to palliative care services.
Drought tolerance as a driver of tropical forest assembly: resolving spatial signatures for multiple processes
Authors: Bartlett M. K. , Zhang Y. , Yang J. , Kreidler N. , Sun S.‐W. , Lin L. , Hu Y.‐H. , Cao K.‐F. , Sack L. 
Published: September 2015

AbstractSpatial patterns in trait variation reflect underlying community assembly processes, allowing us to test hypotheses about their trait and environmental drivers by identifying the strongest correlates of characteristic spatial patterns. For 43 evergreen tree species (>1 cm dbh) in a 20‐ha seasonal tropical rainforest plot in Xishuangbanna, China, we compared the ability of drought‐tolerance traits, other physiological traits, and commonly measured functional traits to predict the spatial patterns expected from the assembly processes of habitat associations, niche‐overlap‐based competition, and hierarchical competition. We distinguished the neighborhood‐scale (0–20 m) patterns expected from competition from larger‐scale habitat associations with a wavelet method. Species’ drought tolerance and habitat variables related to soil water supply were strong drivers of habitat associations, and drought tolerance showed a significant spatial signal for influencing competition. Overall, the traits most strongly associated with habitat, as quantified using multivariate models, were leaf density, leaf turgor loss point (πtlp; also known as the leaf wilting point), and stem hydraulic conductivity (r2 range for the best fit models = 0.27–0.36). At neighborhood scales, species spatial associations were positively correlated with similarity in πtlp, consistent with predictions for hierarchical competition. Although the correlation between πtlp and interspecific spatial associations was weak (r2 < 0.01), this showed a persistent influence of drought tolerance on neighborhood interactions and community assembly. Quantifying the full impact of traits on competitive interactions in forests may require incorporating plasticity among individuals within species, especially among specific life stages, and moving beyond individual traits to integrate the impact of multiple traits on whole‐plant performance and resource demand.
L'église Saint- Julien de Marolles-en-Brie et ses rapports avec l'architecture parisienne de la génération de Saint-Denis
Authors: Gardner Stephen 
Published: September 2015

Die Kirche Saint- Julien von Marolles-en-Brie und ihre Beziehungen zur Pariser Architektur der Generation von Saint-Denis.
Die Kirche Saint-Julien von Marolles-en-Brie, die etwa 20 km südöstlich von Paris liegt, wird hier im Zusammenhang mit der Generation von Saint-Denis untersucht. Es wird gezeigt, dass diese Kirche in vieler Hinsicht ein Schlüsselwerk ist für das Verständnis des Übergangs von der romanischen zur gotischen Architektur, die sich im zweiten Viertel des 12. Jahrhunderts in der Ile-de-France entwickelt hat. Die Kirche hat Beziehungen zu den ältesten Bauwerken der Oise-Tradition (Morienval, Bury usw.) und zu anderen Bauten der Pariser Umgebung. Ihre nächsten Verwandten in der Hauptstadt sind Saint-Denis (das Werk des zweiten Meisters) und Saint-Pierre-de-Montmartre, welches vielleicht von demselben Architekten geplant worden war wie jener, der Marolles erbaut hatte.
La fonction liturgique des piliers cantonnés dans la nef de la cathédrale de Laon
Authors: Fernie Éric 
Published: September 2015

La fonction liturgique des piliers cantonnés dans la nef de la cathédrale de Laon.
Les quatre piliers cantonnés dans la nef de la cathédrale de Laon ont été considérés comme les vestiges d'un plan formulé pour la nef tout entière, mais abandonné par la suite. Le propos du présent article est qu'au contraire, ces quatre piliers étaient destinés à se différencier des autres, dans l'intention de délimiter le sanctuaire de la Sainte-Croix dans la nef. Les preuves résident dans les textes et autres indications liturgiques qui expliquent l'utilisation de la partie orientale de la nef, et dans les comparaisons avec d'autres églises à piliers de types particuliers.
Saint-Philibert de Tournus. [Histoire - Critique d'authenticité - Étude archéologique du chevet (1009-1019)]
Authors: Henriet Jacques 
Published: September 2015

Saint- Philibert de Tournus. Histoire — Critique d'authenticité — Étude archéologique du chevet (1009-1019).
Bien qu'elle soit toujours citée dans les ouvrages consacrés à l'architecture romane ou préromane, l'abbatiale de Tournus n'a jamais fait l'objet d'une étude archéologique détaillée. Dans cette première publication, l'auteur retrace les grandes étapes de l'histoire de l'abbaye et les avatars de celle-ci, grâce au dépouillement des archives de l'époque classique et des dossiers de restauration des XIXe et XXe siècles. Après avoir soumis à un nouvel examen les sources narratives et documentaires du Moyen Âge et comblé les lacunes inhérentes à l'absence de critique d'authenticité, il analyse le parti de la crypte et du sanctuaire qui la surmonte, parti conçu aussitôt après l'incendie de 1007/1008 qui avait dévasté l'édifice antérieur. Au terme de cette recherche, le chevet de Saint-Philibert apparaît comme un témoignage insigne de l'architecture du début du XIe siècle et l'un des premiers exemples, conservé en élévation au moins partiellement, d'un type architectural destiné à une grande fortune dans les siècles ultérieurs : le déambulatoire à chapelles rayonnantes. L'avant-nef et la nef, entreprises vers les années 1035-1040, feront l'objet d'un autre article ; on trouvera toutefois ici une étude de leur décor sculpté, indissociable de celui des parties orientales.
Le chantier de Saint-Hippolyte de Poligny (1414-1457) d'après les comptes de construction
Authors: Jenzer Muriel 
Published: September 2015

The building-accounts of Saint- Hippolyte de Poligny, by Muriel Jenzer.
The church of Saint-Hippolyte de Poligny is remarkably well preserved and documented, and precisely dated (1414-1457). Its architecture, with its seemingly traditional taste for murality, expresses in reality certain hesitations due to the changing esthetics of its time. The introduction of penetrating mouldings and the evolution of the supports bespeak the beginning of flamboyant art in Franche-Comté. The city, closely allied to the duke-counts of Burgundy, benefitted for the foundation of its new church from important support bestowed by Jean sans Peur and Philippe le Bon. This contribution was enhanced by the generosity of many patrons, induding the « polinois »Jean Chousat, counsellor to the court of Burgundy. The inhabitants also participated actively from 1427 on ward by financing the construction of the western parts of the edifice. The study of the municipal accounts and those of the sait tax provide the proof. Despite important gaps, these documents constitute a very valuable source. They permit the establishment of a relatively close chronology of construction by clarifying key dates (benediction of the choir in 1427, dedication in 1431) and by outlining the most intense phases of activity. Above ail, they supply countless indications concerning the building site, its structure and operation. They are informative about the provenance and transport of materials, about techniques and materials employed (centering, scaffolding, hoisting devices), as well as about the origin, remuneration and organisation of labour (successive teams, distribution of tasks).
La gestion des déchets radioactifs et la nécessité d'une loi nucléaire en France
Authors: Colson Jean-Philippe , Schapira Jean-Paul 
Published: September 2015

La loi du 30 décembre 1991 relative aux recherches sur la gestion des déchets radioactifs pourrait constituer l'amorce de la législation nucléaire d'ensemble dont la France a besoin.
Si la gestion à court et moyen terme des déchets radioactifs ne pose plus actuellement de difficultés techniques insurmontables et peut faire l'objet d'un encadrement juridique adapté, il n'en va pas de même de la gestion à long terme des déchets à vie longue et/ou haute activité. Les aspects techniques de cette gestion sont encore mal maîtrisés et les incertitudes du long terme se doublent ici d'aspects sociaux-éthiques. L'approche juridique de cette gestion à long terme soulève de nombreuses questions (faut-il organiser l'irréversibilité ? quelle application du principe du pollueur/payeur, du principe de précaution ?) dont la solution, même imparfaite, implique nécessairement le recours à la loi.