bluuebunny/crossref_metadata_2025_split huggingface dataset:
Characteristics of 2000 patients who visited a halitosis clinic
Authors: Quirynen Marc , Dadamio Jesica , Van den Velde Sandra , De Smit Menke , Dekeyser Christel , Van Tornout Marie , Vandekerckhove Betty 
Published: October 2009

AbstractAims: The aim of this paper was to analyse the aetiology and characteristics of 2000 patients who visited a multidisciplinary bad breath clinic in Leuven, Belgium and to correlate organoleptic ratings with portable device measurements.Materials and Methods: The characteristics and aetiology of breath malodour of two thousand consecutive patients who visited a halitosis consultation were explored by means of a standard questionnaire and a clinical examination, including organoleptic scores provided by a trained and calibrated judge, and a portable bad breath detector (Halimeter®).Results: Most patients came without referral and had complaints for several years (mean: 7 years, SD: 8 years). For 76% of the patients, an oral cause was found [tongue coating (43%), gingivitis/periodontitis (11%) or a combination of the two (18%)]. Pseudo‐halitosis/halitophobia was diagnosed in 16% of the cases; and ear, nose and throat/extra‐oral causes were found in 4% of the patients. Most patients had an organoleptic score <3 and a Halimeter® value <240 p.p.b.Conclusions: Even though it was observed that halitosis has a predominantly oral origin, a multidisciplinary approach remains necessary to identify ear, nose and throat or extra‐oral pathologies and/or pseudo‐halitosis/halitophobia.
ORIGINAL ARTICLE: A High Dose of Intravenous Immunoglobulin Increases CD94 Expression on Natural Killer Cells in Women with Recurrent Spontaneous Abortion
Authors: Shimada Shigeki , Takeda Masamitsu , Nishihira Jun , Kaneuchi Masanori , Sakuragi Noriaki , Minakami Hisanori , Yamada Hideto 
Published: October 2009

Problem  A high dose of intravenous immunoglobulin (HIVIg) therapy is effective in various diseases such as autoimmune diseases, and also is expected to have efficacy in recurrent spontaneous abortion (RSA). The aim of this study was to understand immunological mechanisms of this therapy.Method of study  By flowcytometric analyses, we examined phenotypic changes of a variety of immunological cells including natural killer (NK) cells, cytotoxic T cells, regulatory T cells and macrophages in peripheral blood of RSA women with HIVIg therapy (n = 8).Results  Expression percentages of inhibitory CD94 on NK cells significantly (P = 0.01) increased after the therapy (58.8 ± 21.4% versus 71.0 ± 17.6%).Conclusion  Mechanisms of possible efficacy of HIVIg therapy for RSA may include enhancement of CD94 expression and subsequent suppression of NK cell cytotoxicity.
Impact of the surgeon's experience on the postoperative outcome – a retrospective analysis of non‐melanoma skin cancers of the head and neck region
Authors: Felcht Moritz , Faulhaber Jörg , Linder Anna Sophie Maria , Goerdt Sergij , Koenen Wolfgang 
Published: October 2009

Summary Background: Treatment of choice for non‐melanoma skin cancers is surgical excision. No study has analyzed the impact of the dermatologic surgeon's experience on the postoperative outcome. Patients and Methods: In a single center, retrospective study, 196 cases of non‐melanoma skin cancer of the head and neck treated with micrographically‐controlled surgery were categorized with regard to type of tumor, location, size of defect, number of stages, complications, recurrence rate and cosmetic result. These data were analyzed in respect of the surgeon's experience (dermatology attendings [AT], senior residents with experience in dermatosurgery [SR], junior residents with less experience in dermatosurgery [JR]). Results: AT and SR excised tumors in toto at roughly the same rate (AT: 42/75; SR: 59/104), JR less frequently (3/6). The patients graded 97 % of the scars as very good to satisfactory. The grading of smaller defects (< 4 cm2) was not influenced by the surgeon's experience. Larger defects were graded equally in the two groups AT and SR. The complication rate was similar in all three groups, even though larger defects were treated by the attendings (AT). Conclusions: Micrographically‐controlled surgery followed by plastic reconstruction is the treatment of choice for non‐melanoma skin tumors of the head and neck area. Cosmetic results are excellent. Minor procedures can be performed by residents during their training; larger defects require more experience in dermatosurgery.
Transcutaneous bilirubinometry reduces the need for blood sampling in neonates with visible jaundice
Authors: Mishra S , Chawla D , Agarwal R , Deorari AK , Paul VK , Bhutani VK 
Published: October 2009

AbstractObjectives:  We determined usefulness of transcutaneous bilirubinometry to decrease the need for blood sampling to assay serum total bilirubin (STB) in the management of jaundiced healthy Indian neonates.Methods:  Newborns, ≥35 weeks’ gestation, with clinical evidence of jaundice were enrolled in an institutional approved randomized clinical trial. The severity of hyperbilirubinaemia was determined by two non‐invasive methods: i) protocol‐based visual assessment of bilirubin (VaB) and ii) transcutaneous bilirubin (TcB) determination (BiliCheck®). By a random allocation, either method was used to decide the need for blood sampling, which was defined to be present if assessed STB by allocated method exceeded 80% of hour‐specific threshold values for phototherapy (2004 AAP Guidelines).Results:  A total of 617 neonates were randomized to either TcB (n = 314) or VaB (n = 303) groups with comparable gestation, birth weight and postnatal age. Need for blood sampling to assay STB was 34% lower (95% CI: 10% to 51%) in the TcB group compared with VaB group (17.5% vs 26.4% assessments; risk difference: −8.9%, 95% CI: −2.4% to −15.4%; p = 0.008).Conclusion:  Routine use of transcutaneous bilirubinometry compared with systematic visual assessment of bilirubin significantly reduced the need for blood sampling to assay STB in jaundiced term and late‐preterm neonates. (ClinicalTrials.gov number, NCT00653874)
Enuresis in hyperthyroidism: a temporary lack of central control mechanism leads to nocturnal enuresis
Authors: Meir J , Roessner D , Eggert P 
Published: October 2009

AbstractWe report on a 9‐year‐old boy who suffered from hyperthyroidism and a new appearance of enuresis. Bedwetting ceased and prepulse inhibition (PPI) – measured as a parameter of central control – increased during the course of therapy.Conclusion:  The increase in PPI is an indication that enuresis in hyperthyroidism could be as a result of a temporary loss of central control on brainstem reflexes. The case conveys new insights into the correlation between thyroid hormones and micturition patterns and the aetiology of enuresis.
Helmet‐delivered continuous positive airway pressure with heliox in respiratory syncytial virus bronchiolitis
Authors: Mayordomo‐Colunga J , Medina A , Rey C , Concha A , Los Arcos M , Menéndez S 
Published: October 2009

AbstractAim:  The objective of this study was to check the feasibility and efficacy of helmet‐delivered heliox‐continuous positive airway pressure (CPAP) in infants with bronchiolitis.Methods:  Children <3 months of age diagnosed with respiratory syncytial virus bronchiolitis and recurrent apnoeas or a venous PCO2 >55 mmHg or a transcutaneous oxygen saturation <92% in room air were eligible for inclusion in the study. CPAP was delivered by a noninvasive ventilator connected to a heliox port. The interface was a helmet.Results:  Eight consecutive infants fulfilled the inclusion criteria. Apnoeas were present in six children before respiratory support was started; they disappeared in five of them. Two infants had to be changed to pressure support noninvasive ventilation, and one of them required intubation. No side effects were recorded.Conclusion:  We propose a relatively new device to deliver heliox‐CPAP in small infants with bronchiolitis. Although this is just a descriptive study with a short sample, this system seems to be feasible and effective.
New Approaches to the Work of Robert Herrick
Authors: Connolly Ruth 
Published: October 2009

AbstractThe new edition of Robert Herrick’s works Hesperides and His Noble Numbers will enable readers to study the poems he circulated in manuscript alongside printed versions of the same poems. As scholarly work continues on the intersection of print and scribal culture in the 17th century in general and in relation to Stuart lyric poetry in particular, there is increasing interest in examining how the technologies of manuscript and print affect the composition of poetry. Herrick is one of first poets personally to gather and rework his verses for print but does so having spent three decades circulating his poems exclusively in manuscript. An analysis both of individual poems and of his entire printed collection reveal that Herrick’s revisions and the order and structure of his book are heavily influenced by the scribal method of serial composition and by 17th‐century readers’ habits of compiling poetry into verse miscellanies. Both discoveries challenge the tendency to consider Herrick’s printed versions as invariably representing his final intention for his poetry and suggest that Hesperides as a whole work should be read as participating in the trend for compiling verse miscellanies in both manuscript and print between the 1620s and 1650s.
DERRIDA'S RIGHT TO PHILOSOPHY, THEN AND NOW
Authors: Willinsky John 
Published: October 2009

AbstractIn this essay, a tribute to Jacques Derrida's educational efforts at expanding access to current work in philosophy, John Willinsky examines his efforts as both a public right and an element of academic freedom that bear on the open access movement today. Willinsky covers Derrida's extension and outreach work with the Groupe de Recherches pour l’Enseignement de la Philosophie in the 1970s and a decade later with Collège International de Philosophie that provided public access to ongoing and leading‐edge philosophical work, as well as supporting the teaching of philosophy in the schools. Willinsky also relates Derrida's dedicated, practical educational work, his historical analysis of Descartes's decision to write in French, and more recent initiatives that are using Internet technologies to increase public and educational access to published scholarly work in the humanities in a very similar spirit.
ON THE POVERTY OF PHILOSOPHY: THE METAPHYSICS OF MCLAREN'S “REVOLUTIONARY CRITICAL PEDAGOGY”
Authors: Ellison Scott 
Published: October 2009

AbstractIn this essay, Scott Ellison examines a line of critical thought in educational theory that has unapologetically sought transcendence in the face contemporary social and political conditions. Under the banner of critical pedagogy, Peter McLaren sees this current period of globalization as representing a worldwide historical crisis requiring a revolutionary struggle that, in turn, is dependent upon a revitalization of critical pedagogy as the necessary tool for overcoming global relations of domination. Armed with Marxist theory and politics, McLaren seeks to use classrooms as social locations for fostering class struggle and global revolution. However, seeking to transcend today's globalized social processes and structures presents unique challenges that McLaren fails to overcome. He is a victim of the utopic turn. In this essay, Ellison offers a sympathetic reading and critique of McLaren's most recent theoretical work; undertakes a modest and preliminary recovery of Marxian theory and method; and concludes by briefly exploring the applicability and utility of this recovery for educational practices in this historical moment.
RECONSTRUCTING DEWEYAN PRAGMATISM: A REVIEW ESSAY
Authors: Neubert Stefan 
Published: October 2009

AbstractIn this essay Stefan Neubert argues that John Dewey was a philosopher of reconstruction and that the best use we can make of him today is to reconstruct his work in and for our own contexts. Neubert distinguishes three necessary and equally important components of the overall project of reconstructing Deweyan pragmatism: first, to make strong and productive use of the tradition; second, to establish new theoretical links in order to develop new conceptual tools; and third, to reconsider implications of Deweyan pragmatism with a view toward new articulations of human life experience. Neubert then discusses three recent publications in the field of Dewey scholarship—Larry Hickman's Pragmatism as Post‐Postmodernism, Inna Semetsky's Deleuze, Education and Becoming, and David Granger's John Dewey, Robert Pirsig, and the Art of Living—as examples illustrating the importance of each component. During the course of this discussion, Neubert develops some conclusions about the complexity inherent in the comprehensive task of reconstructing Dewey's philosophy today.
A Developmental Model for Teen‐age Parent Education
Authors: Catrone Constance , Sadler Lois Siebert 
Published: October 2009

ABSTRACTThis paper presents the experience of the authors in designing and teaching a parenting class for adolescent parents who have returned to the high school setting after having had a child. In the case of many teen‐age parents the developmental tasks of adolescence may conflict with parental demands and responsibilities. These potential conflicts form the framework for important curriculum design issues. A detailed discussion relates the salient developmental characteristics of adolescence and early parenthood to the use of specific classroom strategies such as role play, biographical scripts, family diagrams, developmental charts and classroom debates.
How Much Stimulant Medication is Appropriate For Hyperactive School Children?
Authors: Brown Ronald T. , Slimmer Lynda W. , Wynne Martha Ellen 
Published: October 2009

ABSTRACTThis research tested the hypothesis that a relatively modest dose of stimulant medication would produce optimal effects on cognitive and impulse control performance when compared to three other dosage levels in hyperactive school children. The efficacy of the medication was measured using a school‐like visual search and matching task tapping concentration and impulse control that previously has been shown to be sensitive to stimulant drug effects. Task performance was found to be optimal at the predicted dose level, supporting the original hypothesis. The importance of school health personnel involvement in the adjusting of dosage levels of stimulant medication was stressed. A role for school health personnel in facilitating communication between physicians and teachers was suggested.
Changes in Children's School Performance as a Result of Education for Family Management of Asthma
Authors: Clark Noreen M. , Feldman Charles H. , Evans David , Wasilewski Yvonne , Levison Moshe J. 
Published: October 2009

ABSTRACTThis paper describes the impact of an asthma self‐management program for parents and children on the school performance and adjustment of children with asthma. Program participants were predominantly low income, minority families enrolled in four pediatric outpatient clinics. The educational content of the program was based on a needs assessment of the participants and recommendations of medical consultants. Parents and children participated separately in group sessions that focused on the development of self‐management skills and problem solving. The program was organized into six themes including “how to help your child (yourself) do well in school.” The program was evaluated with an experimental research design and yielded significant school related benefits. Children participating in the program maintained better grades. Math, reading and science grades were higher relative to control group children in the year following the program. Within a subgroup of children who received care from private practitioners, program children exhibited better social adjustment to school than did control group children.
Alcohol and Other Drug Use and Automobile Safety: A Survey of Boston‐Area Teen‐agers
Authors: Wechsler Henry , Rohman Mary , Kotch Jamie B. , Idelson Roberta K. 
Published: October 2009

ABSTRACTTo provide educators with information regarding students' behaviors and beliefs about drinking, drug use and driving, the authors surveyed a stratified random sample of approximately 2,000 seventh and 10th graders in the Boston area in the spring of 1982. The focus of the present paper is on those students who might be most at risk for operating a motor vehicle under the influence of alcohol or marijuana. Therefore, the analysis presented here is limited to 623 students who were 16 years of age or older at the time of the survey.About half of the students in this age group used alcohol (63%) or marijuana (44%) and as many as 18% had used other illicit drugs during the 1982 school year. While most current drinkers (72%) drank not more than three times a month, nearly half (46%) of the current marijuana users smoked at least once a week.A substantial proportion of students combined drug and/or alcohol use with driving. Between 43% and 50% had been a passenger with a driver who was under the influence of alcohol or marijuana at least once since the beginning of the school year. Many students did not appear to be aware of the dangers involved in driving under the influence of alcohol or marijuana and about one out of four believed they could use alcohol and other drugs responsibly.Both students' behaviors and beliefs regarding drinking, drug use and driving were significantly related to the extent of their involvement with alcohol and other drugs. Frequent marijuana users, heavier drinkers and students who used drugs other than alcohol or marijuana were more likely than other students to combine drug use and driving and believe that these activities could be combined safely. The data suggest that the entire constellation of risk‐taking and drug‐using behaviors should be addressed in educational programs and that information on the effects of other drugs (both alone and in combination with alcohol) on driving ability should be emphasized.
Student Accidents in Hawaii's Public Schools
Authors: Taketa Sachiko 
Published: October 2009

ABSTRACTA survey of the student accident report forms was conducted in Hawaii public schools. Review of the data gathered during one school year revealed that the intermediate grade level had the highest number of school accidents with males, in a 2.1:1 ratio, more involved in accidents than females. Although no deaths occurred, there were a significant number of school accidents and school days lost to warrant the need for safety education. The accident report forms were reviewed and data summarized by the school nurses working within the schools. Because the information provided in the accident report forms was so varied, it was not possible to make a recommendation as to any specific restriction of activities. However, the survey revealed a need to strengthen the criteria for reporting accidents.
A Survey of Elementary School Health Education in West Virginia
Authors: Folio Sam B. , Elliott G. Douglas , Baker Sheldon , Hott Sharon 
Published: October 2009

ABSTRACTThe Elementary School Health Education Survey was conducted to determine the health knowledge, health practices, and awareness of the consequences of health behavior of selected elementary school students in West Virginia. An 80‐item, multiple‐choice inventory was developed to collect student data, and a questionnaire‐checklist was employed for each classroom teacher whose students participated in the survey. The survey involved 1,441 students from 85 classrooms in 35 schools. The results indicated a need for mandated health instruction as part of the elementary school curriculum and a need for graduate course work in Health Education for elementary school teachers.
Factors Related to the Health Knowledge and Health Behavior of Disadvantaged Black Youth
Authors: Riggs Richard S. , Noland Melody Powers 
Published: October 2009

ABSTRACTThe purpose of this study was to investigate the relationship between various factors and the health knowledge and health behavior of disadvantaged black youth. Disadvantaged black male and female youths, age 12 to 17, were surveyed regarding their health knowledge, health locus of control, and health practices. Results of the data analyses using an ANOVA revealed significant differences for scores on the health knowledge test due to sex, age, and health locus of control. Females had higher test means than males, older students had higher knowledge scores than did younger students, and internally‐oriented students had higher knowledge scores than did externally‐oriented students. No significant interaction was found. An ANOVA on behavior scores revealed a sex by locus of control interaction. Male externals had much lower behavior scores than female externals. A significant interaction also was found between age and health locus of control. Older externals had significantly higher behavior scores than younger externals. Implications for health educators and nurse educators are discussed.
Utilization of General Case Programming for Teaching Health Education Behaviors to Students with Severe Handicaps
Authors: Pancsofar Ernest L. , Schafer Sharon , Blackwell Robert , Gavron Susan 
Published: October 2009

ABSTRACTStudents with severe handicaps are acquiring safety behaviors through the implementation of systematic instruction. Absent from this instruction is the inclusion of generalization strategies. Included in this article is a procedure for selecting representative teaching examples to promote optimal generalization. This procedure is referred to as general case programming. The steps of this strategy are delineated using an example of applying an adhesive bandage to a cut.
Counseling Approaches Used With Emotionally Handicapped Children
Authors: Evans Susan S. , Evans William H. , Mercer Cecil D. 
Published: October 2009

ABSTRACTChildren identified with emotional handicaps manifest a variety of educational and behavioral problems. This paper presents the major counseling techniques that may be used with these children. Basic goals and methods of each approach, applicability for emotionally handicapped students, and training necessary for the practitioner also are discussed.
Evaluation of the School Nurse Achievement Program: A Follow‐up Survey of School Nurses
Authors: Goodwin Laura D. , Igoe Judith B. , Smith Ann N. 
Published: October 2009

ABSTRACTThe University of Colorado School Nurse Achievement Program (SNAP) is a national continuing education program for school nurses who want to increase and improve the services they provide to disabled students. In this article, the results of one of the evaluation studies conducted on SNAP — a six‐month follow‐up survey of graduates — are reported. Generally, the results indicated high perceived effectiveness of SNAP in terms of increasing school nurses' knowledge and skills related to working with disabled students. These findings should be of value to readers interested in SNAP, in particular, as well as to those interested in the role of the school nurse with disabled students.