bluuebunny/crossref_metadata_2025_split huggingface dataset:
Refining the Notion of Maturing Out: Results From the National Epidemiologic Survey on Alcohol and Related Conditions
Authors: Vergés Alvaro , Haeny Angela M. , Jackson Kristina M. , Bucholz Kathleen K. , Grant Julia D. , Trull Timothy J. , Wood Phillip K. , Sher Kenneth J. 
Published: October 2013

Objectives. Our aim was to determine if the decrease in drug use disorders with age is attributable to changes in persistence, as implied by the notion of maturing out. Also, we examined the association between role transitions and persistence, recurrence, and new onset of drug use disorders. Methods. We performed secondary analysis of the 2 waves of the National Epidemiologic Survey on Alcohol and Related Conditions data (baseline assessment 2001–2002, follow-up conducted 2004–2005). We conducted logistic regressions and multinomial logistic regression to determine the effect of age on wave 2 diagnosis status, as well as the interaction between age and role transitions. Results. Rates of persistence were stable over the life span, whereas rates of new onset and recurrence decreased with age. Changes in parenthood, marital, and employment status were associated with persistence, new onset, and recurrence. We found an interaction between marital status and age. Conclusions. Our findings challenge commonly held notions that the age-related decrease in drug use disorders is attributable to an increase in persistence, and that the effects of role transitions are stronger during young, compared with middle and older, adulthood.
Expanded HIV Testing in the US Department of Veterans Affairs, 2009–2011
Authors: Czarnogorski Maggie , Halloran, CNS James , Pedati Caitlin , Dursa Erin K. , Durfee Janet , Martinello Richard , Davey Victoria , Ross David 
Published: October 2013

Objectives. We measured HIV testing and seropositivity among veterans in Veterans Affairs (VA) care for calendar years 2009 through 2011 and analyzed 2011 results by patient demographics. Methods. We performed a repeated-measures cross-sectional study using standardized electronic data extraction from the VA electronic health records for all veterans with at least 1 outpatient visit during 2009 through 2011. We analyzed testing rates and seropositivity by demographic characteristics for 2011. Results. Of veterans with an outpatient visit, 20.0% had an HIV test in 2011, compared with 9.2% in 2009. Documented HIV testing rates were highest in women and Blacks. Of confirmed positive test results, 67.0% were in outpatients older than 50 years. Seropositivity was highest among men aged 30 to 49 years, women aged 50 to 69 years, and Black outpatients of both genders. Implementation of an electronic clinical reminder was associated with higher testing rates. Conclusions. The significant effect of an electronic clinical reminder suggests that such decision support tools can substantially increase testing rates. The frequency of positive test results in older individuals suggests the need for additional work to define optimum approaches to HIV testing in this population.
Promoting Physical Activity Through the Shared Use of School Recreational Spaces: A Policy Statement From the American Heart Association
Authors: Young Deborah R. , Spengler John O. , Frost Natasha , Evenson Kelly R. , Vincent Jeffrey M. , Whitsel Laurie 
Published: October 2013

Most Americans are not sufficiently physically active, even though regular physical activity improves health and reduces the risk of many chronic diseases. Those living in rural, non-White, and lower-income communities often have insufficient access to places to be active, which can contribute to their lower level of physical activity. The shared use of school recreational facilities can provide safe and affordable places for communities. Studies suggest that challenges to shared use include additional cost, liability protection, communication among constituencies interested in sharing space, and decision-making about scheduling and space allocation. This American Heart Association policy statement has provided recommendations for federal, state, and local decision-makers to support and expand opportunities for physical activity in communities through the shared use of school spaces.
Moving Forward: Breaking the Cycle of Mistrust Between American Indians and Researchers
Authors: Pacheco Christina M. , Daley Sean M. , Brown Travis , Filippi Melissa , Greiner K. Allen , Daley Christine M. 
Published: October 2013

American Indians (AIs) have some of the poorest documented health outcomes of any racial/ethnic group. Research plays a vital role in addressing these health disparities. Historical and recent instances of unethical research, specifically the Havasupai diabetes project, have generated mistrust in AI communities. To address the concerns about unethical research held by some AIs in the Heartland (Midwest), the Center for American Indian Community Health (CAICH) has launched a series of efforts to inform AIs about research participants’ rights. CAICH educates health researchers about the importance of learning and respecting a community’s history, culture, values, and wishes when engaging in research with that community. Through community-based participatory research, CAICH is also empowering AIs to assert their rights as research participants.
Ethical Considerations for Conducting Health Disparities Research in Community Health Centers: A Social-Ecological Perspective
Authors: Boutin-Foster Carla , Scott Ebony , Melendez Jennifer , Rodriguez Anna , Ramos Rosio , Kanna Balavenkatesh , Michelen Walid 
Published: October 2013

Community health centers (CHCs) provide optimal research settings. They serve a high-risk, medically underserved population in the greatest need of intervention. Low socioeconomic status renders this population particularly vulnerable to research misconduct. Traditional principles of research ethics are often applied to participants only. The social-ecological model offers a comprehensive framework for applying these principles across multiple levels (participants, providers, organizations, communities, and policy). Our experience with the Trial Using Motivational Interviewing, Positive Affect and Self-Affirmation in African-Americans with Hypertension, a randomized trial conducted in CHCs, led us to propose a new platform for discussing research ethics; examine the social, community, and political factors surrounding research conducted in CHCs; and recommend how future research should be conducted in such settings.
Ethical Community-Engaged Research: A Literature Review
Authors: Mikesell Lisa , Bromley Elizabeth , Khodyakov Dmitry 
Published: October 2013

Health research has relied on ethical principles, such as those of the Belmont Report, to protect the rights and well-being of research participants. Community-based participatory research (CBPR), however, must also consider the rights and well-being of communities. This requires additional ethical considerations that have been extensively discussed but not synthesized in the CBPR literature. We conducted a comprehensive thematic literature review and summarized empirically grounded discussions of ethics in CBPR, with a focus on the value of the Belmont principles in CBPR, additional essential components of ethical CBPR, the ethical challenges CBPR practitioners face, and strategies to ensure that CBPR meets ethical standards. Our study provides a foundation for developing a working definition and a conceptual model of ethical CBPR.
Migrant Home Attendants: Regulation and Practice in 7 Countries
Authors: Cohen-Mansfield Jiska , Garms-Homolová Vjenka , Bentwich Miriam 
Published: October 2013

We compared regulation and working and living conditions of foreign home attendants in 7 countries (Canada, Germany, Israel, Singapore, Spain, United Kingdom, United States). We conducted a literature search in the PSYCinfo, MEDLINE, and Google Scholar databases for 2002 to 2012.We found substantial between-country differences in the legal status of migrant caregivers and regulations regarding working and living conditions and drew 3 conclusions.Improving regulations will likely improve not only the well-being of foreign home attendants but also the care they provide. Countries in which many foreign home attendants work without specific legal entry programs should rethink their policies. Finally, requiring an employer’s recommendation to obtain permanent residency may constrain foreign workers from registering complaints or leaving suboptimal employment situations.
Shared Decision-Making for Cancer Care Among Racial and Ethnic Minorities: A Systematic Review
Authors: Mead Erin L. , Doorenbos Ardith Z. , Javid Sara H. , Haozous Emily A. , Alvord Lori Arviso , Flum David R. , Morris Arden M. 
Published: October 2013

To assess decision-making for cancer treatment among racial/ethnic minority patients, we systematically reviewed and synthesized evidence from studies of “shared decision-making,” “cancer,” and “minority groups,” using PubMed, PsycInfo, CINAHL, and EMBASE. We identified significant themes that we compared across studies, refined, and organized into a conceptual model. Five major themes emerged: treatment decision-making, patient factors, family and important others, community, and provider factors. Thematic data overlapped categories, indicating that individuals’ preferences for medical decision-making cannot be authentically examined outside the context of family and community. The shared decision-making model should be expanded beyond the traditional patient–physician dyad to include other important stakeholders in the cancer treatment decision process, such as family or community leaders.
Elevated HbA1c and Fasting Plasma Glucose in Predicting Diabetes Incidence Among Older Adults
Authors: Lipska Kasia J. , Inzucchi Silvio E. , Van Ness Peter H. , Gill Thomas M. , Kanaya Alka , Strotmeyer Elsa S. , Koster Annemarie , Johnson Karen C. , Goodpaster Bret H. , Harris Tamara , De Rekeneire Nathalie ,   for the Health ABC Study
Published: October 2013

OBJECTIVE
To determine which measures—impaired fasting glucose (IFG), elevated HbA1c, or both—best predict incident diabetes in older adults.

RESEARCH DESIGN AND METHODS
From the Health, Aging, and Body Composition study, we selected individuals without diabetes, and we defined IFG (100–125 mg/dL) and elevated HbA1c (5.7–6.4%) per American Diabetes Association guidelines. Incident diabetes was based on self-report, use of antihyperglycemic medicines, or HbA1c ≥6.5% during 7 years of follow-up. Logistic regression analyses were adjusted for age, sex, race, site, BMI, smoking, blood pressure, and physical activity. Discrimination and calibration were assessed for models with IFG and with both IFG and elevated HbA1c.

RESULTS
Among 1,690 adults (mean age 76.5, 46% men, 32% black), 183 (10.8%) developed diabetes over 7 years. Adjusted odds ratios of diabetes were 6.2 (95% CI 4.4–8.8) in those with IFG (versus those with fasting plasma glucose [FPG] &lt;100 mg/dL) and 11.3 (7.8–16.4) in those with elevated HbA1c (versus those with HbA1c &lt;5.7%). When FPG and HbA1c were considered together, odds ratios were 3.5 (1.9–6.3) in those with IFG only, 8.0 (4.8–13.2) in those with elevated HbA1c only, and 26.2 (16.3–42.1) in those with both IFG and elevated HbA1c (versus those with normal FPG and HbA1c). Addition of elevated HbA1c to the model with IFG resulted in improved discrimination and calibration.

CONCLUSIONS
Older adults with both IFG and elevated HbA1c have a substantially increased odds of developing diabetes over 7 years. Combined screening with FPG and HbA1c may identify older adults at very high risk for diabetes.
A randomized controlled trial of the efficacy of autologous platelet therapy for the treatment of osteoarthritis in dogs
Authors: Fahie Maria A. , Ortolano Girolamo A. , Guercio Vincent , Schaffer Jeffrey A. , Johnston Gary , Au Jennifer , Hettlich Bianca A. , Phillips Tom , Allen Matthew J. , Bertone Alicia L. 
Published: October 2013

Abstract
Objective—To determine efficacy of a single intra-articular injection of an autologous platelet concentrate for treatment of osteoarthritis in dogs.
Design—Randomized, controlled, 2-center clinical trial.
Animals—20 client-owned dogs with osteoarthritis involving a single joint.
Procedures—Dogs were randomly assigned to a treatment or control group. In all dogs, severity of lameness and pain was scored by owners with the Hudson visual analog scale and the University of Pennsylvania Canine Brief Pain Inventory, respectively, and peak vertical force (PVF) was determined with a force platform. Dogs in the treatment group were then sedated, and a blood sample (55 mL) was obtained. Platelets were recovered by means of a point-of-use filter and injected intra-articularly within 30 minutes. Control dogs were sedated and given an intra-articular injection of saline (0.9% NaCl) solution. Assessments were repeated 12 weeks after injection of platelets or saline solution.
Results—Dogs weighed between 18.3 and 63.9 kg (40.3 and 140.6 lb) and ranged from 1.5 to 8 years old. For control dogs, lameness scores, pain scores, and PVF at week 12 were not significantly different from pretreatment values. In contrast, for dogs that received platelet injections, lameness scores (55% decrease in median score), pain scores (53% decrease in median score), and PVF (12% increase in mean PVF) were significantly improved after 12 weeks, compared with pretreatment values.
Conclusions and Clinical Relevance—Results suggested that a single intra-articular injection of autologous platelets resulted in significant improvements at 12 weeks in dogs with osteoarthritis involving a single joint.
Prevalence of uveal cysts and pigmentary uveitis in Golden Retrievers in three Midwestern states
Authors: Townsend Wendy M. , Gornik Kara R. 
Published: October 2013

Abstract
Objective—To determine the prevalence of uveal cysts and pigmentary uveitis (PU) in Golden Retrievers in 3 Midwestern states.
Design—Prospective cross-sectional study.
Animals—164 American Kennel Club-registered Golden Retrievers in the states of Illinois, Indiana, and Michigan.
Procedures—For all dogs, biomicroscopic and binocular indirect ophthalmoscopic examinations of both eyes were performed after pupillary dilation. A finding of pigment deposition in a radial pattern or in zones on the anterior aspect of the lens capsule of 1 or both eyes was required for a diagnosis of PU.
Results—Eighty of the 328 (24.4%) eyes and 57 of the 164 (34.8%) dogs had visible uveal cysts. Of those 80 eyes with cysts, 41 (51.3%) had a single cyst located nasally and posterior to the iris, 33 (41.3%) had multiple uveal cysts, and 6 (75%) had a single, free-floating cyst. A diagnosis of PU was made for 9 (5.5%) dogs.
Conclusions and Clinical Relevance—Prevalences of uveal cysts (34.3%) and PU (5.5%) in the examined Golden Retrievers were both higher than prevalences reported previously (5.4% for uveal cysts and 1.5% for PU) in the Canine Eye Registry Foundation's 2009 All-Breeds Report. Study findings have indicated that PU is not a rare condition and should be considered as a differential diagnosis for Golden Retrievers with ocular disease.
Perianesthetic complications in dogs undergoing magnetic resonance imaging of the brain for suspected intracranial disease
Authors: Hicks Jill A. , Kennedy Martin J. , Patterson Edward E. 
Published: October 2013

Abstract
Objective—To evaluate the occurrence of perianesthetic complications in dogs undergoing MRI for suspected intracranial disease and identify risk factors associated with observed complications.
Design—Retrospective case-control study.
Animals—238 client-owned dogs undergoing MRI of the brain.
Procedures—Signalment, clinical signs, neurologic examination findings, presumptive diagnosis, anesthesia-related variables, whether CSF was collected and CSF analysis results, severe perianesthetic complications (need for a ventilator following anesthesia or perianesthetic death), and anesthetic recovery time were recorded. Selected factors were compared between dogs with and without intracranial lesions and dogs with and without perianesthetic complications (including severe complications and prolonged anesthetic recovery [> 20 minutes from the end of anesthesia to extubation]).
Results—3 of 149 (2%) dogs with and 0 of 89 dogs without intracranial lesions required ventilation following anesthesia; the difference was nonsignificant. Recovery time was significantly longer in dogs with (median, 15 minutes) than in dogs without (10 minutes) intracranial lesions. Abnormal mentation prior to anesthesia was the only clinical sign that differed significantly between dogs with (15/26 [58%]) and without (70/212 [33%]) perianesthetic complications. A significantly larger proportion of dogs with perianesthetic complications had intracranial masses (13/26 [50%]), compared with dogs without these complications (56/212 [26%]).
Conclusions and Clinical Relevance—Dogs with complications were more likely to have had intracranial lesions than were dogs without complications, but few dogs had severe complications. Abnormal mentation was more common in dogs with than in dogs without complications. Prospective studies to further evaluate perianesthetic risk factors and procedures for improving outcomes in these patients are warranted.
Laparoscopic removal of a bladder urolith in a standing horse
Authors: Lund Caleb M. , Ragle Claude A. , Lutter J. Dylan 
Published: October 2013

Abstract
Case Description—An 11-year-old Arabian gelding was evaluated for hematuria, stranguria, and pollakiuria that had been observed for 1 week.
Clinical Findings—Transrectal palpation revealed a 5-cm firm round mass in the urinary bladder. Cystoscopy and transrectal ultrasonography confirmed the diagnosis of urinary bladder urolithiasis.
Treatment and Outcome—A multiportal transparalumbar fossa laparoscopic approach was selected for cystotomy and urolith removal. Cystotomy and urolith removal was performed with sedation and local anesthesia with the horse standing. No perioperative complications were observed. Urination returned to normal 5 days after surgery. The horse returned to its previous level of activity at 3 weeks after surgery.
Clinical Relevance—Findings suggested that minimally invasive transparalumbar fossa laparoscopic approach can be successfully used for cystotomy and urolith extraction in standing horses; this avoids the disadvantages of conventional laparocystotomy for removal of large uroliths in male equids and the potential complications of general anesthesia and recovery. The technique provided excellent viewing and access to the bladder, permitting extraction of the urolith and secure closure of the cystotomy with minimal tension and tissue trauma to the bladder.
Philosophy as Drama: Deleuze and Dramatization in the Context of Performance Philosophy
Authors: Cull Laura 
Published: October 2013

ABSTRACT:This article draws from Gilles Deleuze’s concept of “the method of dramatization” as well as his wider engagement both with dramatic plays, to explore the idea of philosophy as drama, and indeed, with drama or dramatization as a vital new form of philosophy. Here, we see how Deleuze’s concept of dramatization invites us to think of philosophical texts as stage directions and philosophical concepts as characters waiting to be played anew in specific contexts. In turn, we see how dramatization allows Deleuze to construe both concepts and characters, not as fixed essences, but as individuals arising from a drama of relations. The discussion is placed in the context of recent debates in the emerging field of performance philosophy as to what extent philosophy and performance should be considered separate endeavours.
Method and Madness in Contemporary Analytic Philosophy of Religion
Authors: Kraay Klaas J. 
Published: October 2013

Abstract: After briefly outlining the history of contemporary analytic philosophy of religion and saying something about its practitioners' beliefs, I describe and evaluate four recent meta-philosophical analyses of this subdiscipline. (These four analyses each identify problems with this subfield and propose solutions.) Then I introduce a framework for a research program in the philosophy of religion that I think these authors should all welcome.
Analytic Philosophy, Theism, and Contemporary Philosophy of Religion
Authors: Penner Myron A. 
Published: October 2013

Abstract: Klaas J. Kraay's 2013 Newman Lecture, “Method and Madness in Contemporary Analytic Philosophy of Religion” is a valuable survey of and interaction with four recent works by philosophers of religion, each of which advances arguments concerning how philosophy of religion ought to be pursued, given the relatively high percentage of theists in the field. My response to Kraay's stimulating lecture will focus on the phenomenon of “insider” vs “outsider” perspectives in the study of religion, as well as some comments on and supplements to Kraay's survey.
Territoires et subjectivités : les nouveaux défis de l’action sociale
Authors: Autès Michel 
Published: October 2013

Territories and subjectivities : the new challenges of social action.
Social action has always been part of a local dynamic. The local focus is not the same, however, when central State policy is outlined locally or, as is the case today, when contributions must be made to the social cohesion of local political territories. The author therefore specifies the meaning of the concepts of « social action » and « territory » . Several themes are examined to analyse contemporary social action policies and their relations with local territories. Firstly, the theme of « intangible » territory which is developed around a policy action project. The issue of democratic pluralism raises the challenge for democracies of building a joint world shared by individuals who are increasingly urged to stand out from each other. The author then proposes a critical approach to the usual notions of « proximity » and «social bond » which accompany local social development. The new modes of « governmentality » arising from decentralisation are then considered. These analyses lead to a consideration of social action and its ultimate aims because from this side of political changes, social action is faced with a radical transformation of modes of subjectivation.
Sur l'objet et le conflit esthétique
Authors: Meltzer Donald 
Published: October 2013

Dans ce texte l’auteur s’interroge sur la structure du monde psychique et sa complexité qui suppose que les objets internes ne soient pas seulement de bons objets, mais des objets pensant soumis à un processus de développement. Frappé par la continuité entre des conduites observables in utero et des conduites post-natales, il fait l’hypothèse selon laquelle l’expérience de la naissance est essentiellement une expérience émotionnelle pour le bébé, ébloui par la « beauté du monde » et incertain quant l’intérieur des objets. Le conflit esthétique est cet écart entre l’impact sur le psychisme du bébé de la beauté de l’extérieur de l’objet et l’inconnu de ce qu’il recèle à l’intérieur.