bluuebunny/crossref_metadata_2025_split huggingface dataset:
Tubulointerstitial Nephritis with Uveitis in Chinese Adults
Authors: Li Cui , Su Tao , Chu Rong , Li Xiaomei , Yang Li 
Published: November 2013

Summary

Background and objectives
Tubulointerstitial nephritis and uveitis (TINU) syndrome is considered a rare cause of acute tubulointerstitial nephritis (ATIN) that is usually associated with renal recovery. This study sought to investigate the diagnosis, prognosis, and contributing factors of TINU syndrome using a large cohort of patients with prospective follow-up.

Design, setting, participants, & measurements
This study included patients with TINU syndrome from a prospective cohort of patients with ATIN from 2007 to 2012. Clinical-pathologic data were collected at biopsy and autoantibodies against modified C-reactive protein (mCRP-Ab) were measured. Serum levels and renal tissue expression of Kreb von den Lunge-6 were also detected. Independent risk factors for poor renal outcome at 12 months and late-onset uveitis were analyzed.

Results
Thirty-one patients (28%) with biopsy-proven ATIN were classified as having TINU syndrome. Of these patients, 18 (58%) developed late-onset uveitis and were misdiagnosed as having drug-induced ATIN at the time of biopsy. An abnormal level of mCRP-Ab was an independent risk factor for late-onset uveitis (odds ratio, 14.7; 95% confidence interval, 3.4 to 64.0). Patients with TINU syndrome and drug-induced ATIN had comparable levels of Kreb von den Lunge-6 in both serum and renal tissues. Ninety-two percent of patients developed stage 3–4 CKD and/or tubular dysfunction by 12 months postbiopsy. Age, serum creatine level, erythrocyte sedimentation rate, and the presence of concomitant thyroid disease or leukocyturia were related to poor renal outcome. Relapse was seen in 36% (11 of 31) of patients and potentiated poor renal outcome.

Conclusions
The diagnosis of TINU syndrome can be missed in a large fraction of patients with ATIN because uveitis can present well after the onset of tubulointerstitial nephritis. Elevated mCRP-Ab levels may be useful in predicting late-onset uveitis TINU syndrome. Unfortunately, patients with TINU tended to have frequent relapses and most patients had incomplete renal recovery. Long-term follow-up is needed to prevent misdiagnosis and properly manage TINU syndrome.
Survival after Dialysis Discontinuation and Hospice Enrollment for ESRD
Authors: O’Connor Nina R. , Dougherty Meredith , Harris Pamela S. , Casarett David J. 
Published: November 2013

Summary

Background and objectives
Textbooks report that patients with ESRD survive for 7–10 days after discontinuation of dialysis. Studies describing actual survival are limited, however, and research has not defined patient characteristics that may be associated with longer or shorter survival times. The goals of this study were to determine the mean life expectancy of patients admitted to hospice after discontinuation of dialysis, and to identify independent predictors of survival time.

Design, setting, participants, & measurements
Data for demographics, clinical characteristics, and survival were obtained from 10 hospices for patients with ESRD who discontinued dialysis before hospice admission. Data were collected for patients admitted between January 1, 2008 and May 15, 2012. All hospices were members of the Coalition of Hospices Organized to Investigate Comparative Effectiveness network, which obtains de-identified data from an electronic medical record.

Results
Of 1947 patients who discontinued dialysis, the mean survival after hospice enrollment was 7.4 days (range, 0–40 days). Patients who discontinued dialysis had significantly shorter survival compared with other patients (n=124,673) with nonrenal hospice diagnoses (mean survival 54.4 days; hazard ratio, 2.96; 95% confidence interval, 2.82 to 3.09; P<0.001). A Cox proportional hazards model identified seven independent predictors of earlier mortality after dialysis discontinuation, including male sex, referral from a hospital, lower functional status (Palliative Performance Scale score), and the presence of peripheral edema.

Conclusions
Patients who discontinue dialysis have significantly shorter survival than other hospice patients. Individual survival time varies greatly, but several variables can be used to predict survival and tailor a patient’s care plan based on estimated prognosis.
Traumatic bilateral posterior dislocation of the shoulder: a case report
Authors: Garving C. , Dienstknecht T. , Horst K. , Pishnamaz M. , Kobbe P. , Pape H. 
Published: November 2013

Abstract
Introduction. Bilateral posterior dislocation of the shoulder is a rare injury, accounted for about 2–5% of all shoulder dislocations. Main courses are electrical shock, epilepsy or extreme trauma with uncontrolled muscle forces. We report about a case of bilateral posterior shoulder dislocation without additional fractures but with a concomitant acromioclavicular joint dislocation. Case presentation. A 46-year-old Caucasian motorcyclist presented to our facility after a fall on slippery ground. He claimed pain in both shoulders with limited range of motion. The initial X-rays were inconclusive, clinical examination showed typical findings of a Rockwood injury with an additional limited external rotation so that a posterior shoulder dislocation was suspected. The CT scan confirmed the clinical suspicion. A closed reduction was performed followed by immobilization in a shoulder abduction pillow for 4 weeks and continuous physiotherapy. Upon follow up normal function with full range of motion was observed. Conclusion. A bilateral posterior shoulder dislocation can be caused by trauma and results in a limited range of motion with often additional injuries. Due to the unusually presentation the risk of missing the injury is increased. Therefore it is most important to consider this rare diagnosis and in case of clinical suspicion perform a careful algorithm of diagnostic.
The Logic of/in Tragedy: Hanoch Levin’s DramaThe Torments of Job
Authors: Rokem Freddie 
Published: November 2013

ABSTRACT:Hanoch Levin’s 1981 The Torments of Job refigures the biblical story of Job as nihilistic and abject tragedy. This article examines tragedy, generally, and Levin’s play, specifically, in the context of classical logical syllogism. The first half examines the interrelation of the Book of Job, Greek tragedy, and classical logic, giving an overview of Aristotle’s construction of syllogisms. The second half looks at how tragedy can subvert logical structures, examining The Torments of Job’s inversion of the universal–particular structure in its deployment of the particular case of Job’s meaningless suffering, demonstrating how all humanity is susceptible to similar misery. The article concludes with the suggestion that tragedy’s breakdown of logic is indicative of the human condition.
One-step magnetic modification of non-magnetic solid materials
Authors: Safarik Ivo , Safarikova Mirka 
Published: November 2013

Abstract
A rapid and simple method has been developed for the magnetization of non-magnetic materials. The postmagnetization procedure employs magnetic iron oxide microparticles (prepared using a microwave assisted procedure from ferrous sulphate) which are thoroughly mixed with the powder material to be modified. After drying, stable magnetically responsive materials have been formed.
Dysphagia after pediatric functional hemispherectomy
Authors: Buckley Robert T. , Morgan Tiffany , Saneto Russell P. , Barber Jason , Ellenbogen Richard G. , Ojemann Jeffrey G. 
Published: November 2013

Object
Functional hemispherectomy is a well-recognized surgical option for the treatment of unihemispheric medically intractable epilepsy. While the resultant motor deficits are a well-known and expected consequence of the procedure, the impact on other cortical functions has been less well defined. As the cortical control of swallowing would appear to be threatened after hemispherectomy, the authors retrospectively studied a pediatric population that underwent functional hemispherectomy for medically intractable epilepsy to characterize the incidence and severity of dysphagia after surgery.

Methods
A retrospective cohort (n = 39) of pediatric patients who underwent hemispherectomy at a single institution was identified, and available clinical records were reviewed. Additionally, the authors examined available MR images for integrity of the thalamus and basal ganglia before and after hemispherectomy. Clinical and video fluoroscopic assessments of speech pathology were reviewed, and the presence, type, and duration of pre- and postoperative dysphagia were recorded.

Results
New-onset, transient dysphagia occurred in 26% of patients after hemispherectomy along with worsening of preexisting dysphagia noted in an additional 15%. Clinical symptoms lasted a median of 19 days. Increased duration of symptoms was seen with late (> 14 days postoperative) pharyngeal swallow dysfunction when compared with oral dysphagia alone. Neonatal stroke as a cause for seizures decreased the likelihood of postoperative dysphagia. There was no association with seizure freedom or postoperative hydrocephalus.

Conclusions
New-onset dysphagia is a frequent and clinically significant consequence of hemispherectomy for intractable epilepsy in pediatric patients. This dysphagia was always self-limited except in those patients in whom preexisting dysphagia was noted.
Effect of introduction of antibiotic-impregnated shunt catheters on cerebrospinal fluid shunt infection in children: a large single-center retrospective study
Authors: James Greg , Hartley John C. , Morgan Robert D. , Ternier Jessica 
Published: November 2013

Object
Infection after both primary and revision shunt surgeries remains a major problem in pediatric neurosurgical practice. Antibiotic-impregnated shunt (AIS) tubing has been proposed to reduce infection rates. The authors report their experience with AIS catheters in their large pediatric neurosurgery department.

Methods
The authors conducted a retrospective case review of consecutive shunt operations performed before (1993–2003) and after (2005–2009) introduction of AIS tubing, with analysis of shunt infection rates and causative organisms identified.

Results
The historical control group consisted of 1592 consecutive shunt operations (657 primary insertions), and the AIS study group consisted of 500 consecutive shunt operations (184 primary insertions). Patients ranged in age from 0–17 years. In the historical group, 135 infections were identified (8.4%). In the AIS study group, 25 infections were identified (5%), representing a significant reduction (p < 0.005). The latency to diagnosis of infection was 23 days in the historical group and 139 days in the AIS study group. The infection rates in infants 0–6 months of age were 12.2% (historical group) and 6.7% (AIS group, p < 0.005), and in infants 7–12 months of age the rates were 7.9% (historical group) and 2.7% (AIS group, p < 0.005). In the historical control group, the frequency rank order of causative organisms was coagulase-negative staphylococcus (51.9%), Staphylococcus aureus (31.6%), streptococcus or enterococcus spp. (8.8%), gram-negative organisms (4.4%), and Propionibacterium acnes (2.2%). Organisms responsible for infections in AIS were S. aureus (40%), followed by streptococcus or enterococcus spp. (20%), P. acnes and coagulase-negative staphylococcus (both 16%), and gram-negative organisms (4%). No unusually antibiotic-resistant bacteria were identified in either group. The authors further subdivided the AIS group into those undergoing primary AIS insertion (Subgroup 1), those undergoing revision of non-AIS systems using AIS components (Subgroup 2), and those undergoing revision of AIS systems using AIS components (Subgroup 3). Infection rates were 1.6% in Subgroup 1, 2.5% in Subgroup 2, and 11.7% in Subgroup 3. Staphylococcus aureus was the most common organism identified in infections of the Subgroups 2 and 3.

Conclusions
Use of AIS tubing significantly improves shunt infection rates in both general pediatric and infant populations with no evidence of increased antibiotic resistance, which is in agreement with previous studies. However, the increased infection rate in revision surgery in children with AIS catheters in situ raises questions about their long-term application.
Effect of sex on symptoms and return to baseline in sport-related concussion
Authors: Zuckerman Scott L. , Apple Rachel P. , Odom Mitchell J. , Lee Young M. , Solomon Gary S. , Sills Allen K. 
Published: November 2013

Object
Sport-related concussions (SRCs) among youth athletes represent a significant public health concern. Prior research suggests that females fare worse symptomatically after an SRC. The authors aimed to assess sex differences in number, severity, and resolution of postconcussive symptoms using reliable change index (RCI) methodology applied to days to return to symptom baseline.

Methods
Between 2009 and 2011, 740 youth athletes completed valid neurocognitive and symptom testing before and after an SRC using Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT). A total of 122 female and 122 male athletes were matched on number of prior concussions, age, and number of days to first postconcussion test. At baseline and postconcussion, the authors compared each of the individual 22 symptoms on ImPACT to calculate individual symptom severity and aggregate symptom severity, or the Total Symptom Score (TSS). When comparing individual symptoms, the significance level for the comparison of each symptom was set at 0.05/22 = 0.0023. When comparing aggregate symptom severity, or TSS, a single value was compared, requiring an alpha set to 0.05. The number of days to return to baseline TSS was compared using RCI methods set at the 80% confidence interval, equal to a raw score point value of 9.18 on the TSS.

Results
At baseline, females reported a greater severity for the symptom, “sleeping less than usual,” compared with males (0.88 ± 1.49 vs 0.31 ± 0.86, p < 0.001). However, no other individual symptom severity differences were noted before or after SRC. At baseline, females exhibited a statistically significant greater aggregate symptom severity than males (7.24 ± 10.22 vs 4.10 ± 6.52, p = 0.005). Greater aggregate symptom severity for females was also found postconcussion (21.38 ± 19.02 vs 16.80 ± 17.07, p = 0.049). Females took longer to return to baseline TSS (9.1 ± 7.1 days vs 7.0 ± 5.1 days, p = 0.013).

Conclusions
The results of this retrospective study indicate that females endorse a greater severity of symptoms at baseline and postconcussion than males without significantly different symptom profiles. Furthermore, after suffering an SRC, females take longer to return to their baseline symptom level.
Les entreprises et la conciliation de la vie professionnelle et de la vie familiale [Vers le modèle du «père au travail» ?]
Authors: Gregory Abigaïl , Milner Susan 
Published: November 2013

Companies and reconciling personal and family lives. Towards a «father at work » model ?
On the basis of a survey using questionnaires and interviews conducted in insurance companies and social work offices in France and the United Kingdom, the authors analyse the implementation of policies intended to reconcile family life and careers. In both countries, policy results in increased flexibility in employees’ working hours leading to a degree of convergence in some types of flexibility such as movable or variable working hours (especially in France). Differences do remain, however, such as compressed weeks and job-sharing (in the UK) and, to a lesser extent, teleworking. The authors point out a paradox : although flexibility is increasing in France as part of formal (legislative or negotiated) policies, the flexible labour market in the UK conceals major obstacles to «deliberate » flexibility, especially with regard to organisational attitudes and norms. More specifically, with regard to the way in which men use reconciliation measures, managers – especially British managers – are net losers from such measures as the victims of social pressure to «be present » at the place of work. Similarly, managers and team leaders are a vital component in implementing (or not) their companies’ reconciliation policies. Furthermore, when the reconciliation measures proposed are too clearly marked as «reconciliation » , they do not succeed.
Veuvage précoce et différences de genre
Authors: Delaunay-Berdaï Isabelle 
Published: November 2013

Early widowhood and gender differences.
In France each year some 24 000 women aged under 55 lose their partner, compared to 6 000 men. In general, early widowhood concerns 360 000 people of whom nearly 80 % are women. These figures reflect a major phenomenon in which there is a strong sexual component, and yet although the predominance of male fatality is a factor well known by demographers and epidemiologists, early widowhood remains fairly poorly understood or is even forgotten. Such forgetfulness raises questions. In overlooking early widowhood, the questioning of gender aspects disappears from the field of sociological analysis with which it is closely linked : the inequalities between women and men which appear during early widowhood. In this article, the author conducts a genderdifferentiated analysis of the phenomenon to understand how early widowhood can reveal and even create profound differences and even inequalities between women and men.
Le développement de l’administration électronique dans les services publics [L'exemple de la branche Famille]
Authors: Bossu Jean-Luc 
Published: November 2013

The growth of electronic administration in public service. The example of the Family section.
This paper covers the fifteen years of approaches and experimentation in electronic administration from the Minitel terminal to the internet in Caisses d’Allocations familiales (CAF) offices. It addresses the ‘revolution’ in technical terms, but also in terms of policy and organisation and analyses its consequences for both recipients and for the Family section itself. Far from being merely an additional service to recipients to contact their CAF office, electronic administration is intended for a more ambitious vocation offering a new relationship between the institution and the recipient who has become a ‘ client’. As part of a ‘ joint production’ with his or her local CAF office, the client recipient requires the office to revise its modus operandi, the position it gives the recipient in day-to-day operations and the basis of policy for terminating benefits and access to entitlements, information and verification. Underlying an undeniable technological advance, e-administration also means a revolution in policy, management and organisation. Is this a Copernican revolution ?
La qualité dans l’accueil ou l’exemple paradoxal d’une modernisation réussie [Le cas des agents d’accueil des caisses d’Allocations familiales]
Authors: Mazet Pierre 
Published: November 2013

Quality reception or the paradoxical example of successful modernisation. The case of reception staff in caisses d’Allocations familiales offices.
The local government counter has received considerable investment in terms of presentation since the early 1980’ s. As a location symbolising the relationship between the civil service and its users, the counter became the place where the phenomena of insecurity became visible in the 1990’ s, but also a special place for investing in service relationship themes. Receiving the public acquired a central position in the approach to reforming the State. It has become a priority target in the last five years for the «quality » revolution recommended in local government. As in other civil service departments, the Family section of social Security has made quality service one of its core concerns in its modernisation program and improving how the public is received one of its main progress goals. As part of its management and objectives agreements, the section committed to a number of quality targets for the physical reception of beneficiaries and in particular set quantified performance standards in terms of wait times experienced by beneficiaries at counters. A review in caisses d’Allocations familiales offices of how actions to improve beneficiary reception have been improved did, however, indicated that the objectives targeted at institutional level were sometimes less than fully compatible and resulted in different views on service quality.
« Entrepreneurs de la frontière » : le rôle des comptoirs privés dans les sites d'extraction artisanale de l'or au Burkina Faso
Authors: Arnaldi di Balme Luigi , Lanzano Cristiano 
Published: November 2013

Au Burkina Faso, le secteur aurifère est en plein essor et les sites d’extraction artisanale en sont une composante importante. Si l’exploitation artisanale échappe en large partie aux tentatives de contrôle par la législation formelle, des formes variées de gouvernance réelle se mettent en place pour assurer la régulation de la vie et du travail dans les sites d’orpaillage. Dans le cas présenté ici, un rôle central est assumé par les représentants locaux d’une société privée de commercialisation de l’or, « entrepreneurs de la frontière » qui se posent en médiateurs entre différents registres normatifs et niveaux d’autorité dans un environnement institutionnel en construction.
Tensions et protestations dans un régime semi-autoritaire : croissance des révoltes populaires et maintien du pouvoir au Burkina Faso
Authors: Hilgers Mathieu , Loada Augustin 
Published: November 2013

En 2011, peu après la quatrième élection consécutive de Blaise Compaoré, le Burkina Faso a connu une vague de contestation sans précédent. Comment expliquer l’ampleur de ces protestations et, malgré celle-ci, le maintien du pouvoir en place ? Afin de mieux appréhender les lignes de forces et les clivages qui structurent l’espace social et politique du pays, dans un contexte de protestations populaires croissantes et de faiblesse simultanée de l’opposition politique, cet article commence par analyser le rôle des principaux acteurs de la crise : l’armée, le principal parti, la chefferie, l’opposition politique et les associations de la société civile. Dans un second temps, le texte esquisse une sociologie du politique, d’abord en pointant une série de tensions liées au caractère semi-autoritaire du régime, ensuite en identifiant deux lignes de clivages qui expliquent les résultats relativement mitigés des protestations.
Enfant accepté - parent acceptant ? Les précurseurs du développement de l'identité parentale
Authors: Franco-Borges Graciete , Vaz-Rebelo Piedade , da Luz Vale-Dias Maria 
Published: November 2013

L’article présente une réflexion autour de données recueillies auprès de jeunes adultes à partir de quatre recherches différentes qui ont pour but d’étudier : le contenu des projets d’avenir, la motivation pour la parentalité, les attitudes face à la grossesse et l’investissement parental dans l’éducation de l’enfant. Nous proposons ainsi un cadre conceptuel hypothétique sur la transmission intergénérationnelle de la générativité selon Erikson qui expliquerait le développement de l’identité parentale à partir d’expériences précoces d’acceptation et de construction de projets de vie. Cette proposition a pour ambition de jouer un rôle heuristique dans la poursuite de la compréhension des processus de développement de la parentalité tout au long de la vie et dans l’optimisation de l’intervention dans le cadre de l’éducation familiale, de façon à favoriser l’effet génératif de la protection du bien-être de l’enfant sur le bien-être parental.