bluuebunny/crossref_metadata_2025 huggingface dataset:
Incorporating Adlerian and Feminist Theory to Address Self-Objectification in Couples Therapy
Authors: McLean Lauren L. , Guardia Amanda C. La , Nelson Judith A. , Watts Richard E.
Published: August 2016

Objectification and sexualization of women starts at a young age and carries with it negative consequences for a woman’s self-worth. A person’s self-worth is one component on the Wheel of Wellness, but it can affect many other aspects of an individual. The lack of self-worth that a woman may experience can affect her ability to enjoy her sexual experiences with her partner and inhibit her from reaching a state of connecting with her spirituality, especially during sexual encounters. The lack of enjoyment for a woman can then affect the partner’s enjoyment and, in turn, can affect the enjoyment of the relationship. This article discusses incorporating Adlerian and feminist theoretical perspectives into the practice of couples counseling in order to address relational issues related to a process of self-objectification.
Do we still need an army like in the First World War? An argumentative analysis of a television debate on abolishing compulsory military service in Switzerland
Authors: Jacquin Jérôme , Zampa Marta
Published: August 2016

In Swiss semi-direct democracy, citizens are often summoned to the polls. To vote reasonably, they need to be properly informed. The media therefore have the responsibility to provide them with arguments for and against each issue of voting. Here, we focus on argumentation in a television ‘civic debate’ about abolishing compulsory military service. To provide a unified and integrated overview of the debate dynamics, we combine the Dialogical Model of Argumentation and the Argumentum Model of Topics, which share a similar emphasis on the discursive dimension of argumentation. This analysis underlines the importance of linguistic and communicative resources and procedures, without neglecting the macro socio-political environment of the debate.
Melatonin decreases brain apoptosis, oxidative stress, and CD200 expression and increased survival rate in mice infected by Venezuelan equine encephalitis virus
Authors: Montiel Milagros , Bonilla Ernesto , Valero Nereida , Mosquera Jesús , Espina Luz M , Quiroz Yasmir , Álvarez-Mon Melchor
Published: August 2016

Background

Pro-inflammatory and oxidative events during brain Venezuelan equine encephalitis virus infection could lead to apoptosis and induce anti-inflammatory responses (increased expression of CD200). The aim of this study was to determine the effect of melatonin on brain apoptosis, oxidative stress, and CD200 molecule in mice and neuroblastoma cultures infected by Venezuelan equine encephalitis virus.

Methods

Mice were infected with 10 median lethal doses (LD50) of Venezuelan equine encephalitis virus, treated with melatonin (500 µg/kg bw; three days before infection and during all experimental time) and sacrificed on days 1, 3, and 5 postinfection. Brain samples were obtained at those periods of time. In addition, infected neuroblastoma cell cultures (multiplicity of infection [MOI]: 1) were treated with 0, 0.1, 0.5, and 1 mM of melatonin and analyzed at 2, 4, and 6 h. CD200 and apoptosis expressions were analyzed by immunohistochemistry and TUNEL assay, respectively. Nitrites and malondialdehyde were determined by appropriate biochemical methods.

Results

Increased brain expression of apoptosis, nitrite, and malondialdehyde productions and CD200 of infected mice were found. Melatonin diminished those expressions. Similarly, high apoptosis expression and nitrite and malondialdehyde productions on infected neuroblastoma cultures were diminished by melatonin. Melatonin increased the survival rate (25%) in Venezuelan equine encephalitis virus-infected animals compared with untreated infected mice (0%).

Conclusions

Neurological damage during brain Venezuelan equine encephalitis virus infection could be mediated by apoptosis and oxidative stress and CD200 molecule could be an important anti-inflammatory response. Melatonin could be beneficial reducing apoptosis and oxidative stress.
Imaging of Intracranial Pressure Disorders
Authors: Holbrook John , Saindane Amit M.
Published: August 2016

Intracranial pressure (ICP) is the pressure inside the bony calvarium and can be affected by a variety of processes, such as intracranial masses and edema, obstruction or leakage of cerebrospinal fluid, and obstruction of venous outflow. This review focuses on the imaging of 2 important but less well understood ICP disorders: idiopathic intracranial hypertension and spontaneous intracranial hypotension. Both of these ICP disorders have salient imaging findings that are important to recognize to help prevent their misdiagnosis from other common neurological disorders.
Optimal Mechanism Design for a Sequencing Problem with Two-Dimensional Types
Authors: Hoeksma Ruben , Uetz Marc
Published: August 2016

We study the design of mechanisms for a sequencing problem where the types of job-agents consist of processing times and waiting costs that are private to the jobs. In the Bayes-Nash setting, we seek to find a sequencing rule and incentive compatible payments that minimize the total expected payments that have to be made to the agents. It is known that the problem can be efficiently solved when jobs have single-dimensional types. Here, we address the problem with two-dimensional types. We show that the problem can be solved in polynomial time by linear programming techniques, answering an open problem formulated by Heydenreich et al. Our implementation is randomized and truthful in expectation. Remarkably, it also works when types are correlated across jobs. The main steps are a compactification of an exponential size linear programming formulation, and a convex decomposition algorithm that allows us to implement the optimal linear programming solution. In addition, by means of computational experiments, we generate some new insights into the implementability in different equilibria.
What are equality and diversity?
Authors: Talati Shilla
Published: August 2016

Shilla Talati on treating fairly and no less favourably and ways in which we can promote both in a dental arena
Are you ambitious?
Authors: Fowler John
Published: August 2016

This series continues to explore the leadership skills of the dental nurse. With John Fowler
Any time, any place, anywhere…
Authors: Dyas Robert
Published: August 2016

…there's a wonderful eLearning world you can share. The benefits of online training for you and your practice, with Robert Dyas
‘Spiderman for the afternoon’
Authors: Nutting Kirsty
Published: August 2016

Dental nurse Kirsty Nutting reveals why first impressions count
Community dentistry – it does more than fill in the gaps
Authors: Howe Sharon
Published: August 2016

Sharon Howe details her role as a dental nurse at the community dental services (CDS-CIC) in Suffolk. She gained her certificate in Special Care Dental Nursing in 2012
Radiography – evolving a career
Authors: Bednarz Edyta
Published: August 2016

There are plenty of opportunities for nurses to get involved in extended dental nurse duties. Dental radiography is one of them. Edyta Bednarz explains
Is your practice well led?
Authors: Rowland Nicki
Published: August 2016

Nicki Rowland explores how the new Care Quality Commission (CQC) inspection regime has changed the way in which we are required to work
Running late
Authors: Collier Andrew
Published: August 2016

How to turn a negative into a positive situation, with dento-legal expert Andrew Collier
Supra-aural gossypiboma: case report of a retained textile surgical sponge in an unusual location
Authors: Chawla N , Gupta N , Dhawan N
Published: August 2016

Gossypiboma or retained surgical sponge is an infrequently encountered surgical complication, more so in the head and neck region. A literature search did not reveal a previously reported case of retained or concealed surgical sponge after microscopic ear surgery. We present a unique and previously unreported case of a 25-year-old male who presented with a cystic swelling in the right supra-aural region 5 months post-modified radical mastoidectomy of the right ear. Surgical excision of the swelling revealed a retained surgical sponge. We emphasise the importance of counting surgical sponges after every surgical step to minimise the incidence of such retained surgical items.
Pre-NELA vs NELA – has anything changed, or is it just an audit exercise?
Authors: Mak M , Hakeem AR , Chitre V
Published: August 2016

BACKGROUND

Following evidence suggestive of high mortality following emergency laparotomies, the National Emergency Laparotomy Audit (NELA) was set up, highlighting key standards in emergency service provision. Our aim was to compare our NHS trust’s adherence to these recommendations immediately prior to, and following, the launch of NELA, and to compare patient outcome.

METHODS

This was a retrospective study of patients who underwent an emergency laparotomy over the course of 6 months – 3 months either side of the initiation of NELA.

RESULTS

There were 44 patients before the initiation of NELA (pre-NELA, PN group) and 55 in the first 3 months of NELA (N group). We saw a significant increase in the proportion of patients whose decision to operate was made by the consultant: 75.0% in the PN group vs 100% in N group (subsequent data presented in this order) (P < 0.001). The presence of a consultant surgeon (75.0% vs 83.6%, P = 0.321) and anaesthetist (100.0% vs 90.9%, P = 0.064) in theatres were comparable in both groups. Risk stratification based on Portsmouth Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity (P-POSSUM) score showed no difference in high-risk patients in both groups (47.7% vs 36.4%, P = 0.306). With the NELA initiative, however, significantly more patients were admitted directly from theatres to the critical care unit, when compared with the pre-NELA period (9.1% vs 27.3%, P = 0.038). This also reflected a significant reduction in unexpected escalation to a higher level of care during this period (10.0% vs 0%, P = 0.036). Significantly more patients had uneventful recovery in the NELA period (52.3 vs 76.4%, P = 0.018), although there was no difference in 30-day mortality between the groups (2.3% vs 7.3%, P = 0.378).

CONCLUSIONS

This study demonstrated a greater degree of consultant involvement in the decision to operate during NELA. More high-risk patients have been identified preoperatively with diligent risk assessment and, hence, have been proactively admitted to critical care units following laparotomy, which may account for the significant reduction in unexpected escalation to level 2 or level 3 care and thus in overall better patient outcomes.
The right colic artery: An anatomical demonstration and its relevance in the laparoscopic era
Authors: Haywood M , Molyneux C , Mahadevan V , Lloyd J , Srinivasaiah N
Published: August 2016

INTRODUCTION

Hemicolectomies are not tailored in right-sided colon cancer resections, despite significant variation in the incidence and origin of the right colic artery (RCA). Early evidence suggests that removal of the relevant lymphovascular package and associated cancer as part of complete mesocolic excision (CME), rather than the entire right colon, may produce better outcomes. Advancing laparoscopic techniques are making this possible, and so it is increasingly important to more precisely define the anatomy of the RCA.

METHODS

To demonstrate the incidence and variation of the RCA, 25 formalin embalmed cadavers were dissected. Consent to dissection and photography was obtained under Human Tissue Act regulations.

RESULTS

Eleven female and 14 male cadavers (mean age 79.7 years, range 41–95 years) were included. The RCA originated from the right branch of the middle colic artery in nine cadavers (36%), while it arose from the superior mesenteric artery in eight cases (32%) and from the ileocolic or root of the middle colic artery in a smaller number of specimens. The RCA was absent in two individuals.

CONCLUSIONS

The RCA arises from the right branch of the middle colic artery in a considerable number of cases. The literature to date does not reflect the precision of anatomical understanding required for CME; hence, a new definition for the right colic vessel is proposed.
Still ‘Desperately seeking the audience’? Audience making in the age of media convergence (the Lilyhammer experience)
Authors: Sundet Vilde Schanke
Published: August 2016

The present article addresses ‘audience making’ in the age of media convergence, when television drama is increasingly produced for both a national and an international audience to be consumed in either linear ‘flow’ or on-demand user modes. It asks about the ways in which key industry executives producing and commissioning television drama envision its audience, as well as the degree to which new production and distribution models impact industry notions of ‘the audience’. In order to address these questions, the article analyses the production and distribution of Lilyhammer, a successful television drama produced by the production company Rubicon TV for the Norwegian public service broadcaster NRK, in collaboration with the American streaming service Netflix. The article argues that how the television industry wants to see its audience influences how it actually sees it, which, again, impacts both the production of television drama as well as the industry’s evaluation of ‘success’ for this genre.
Invisibilidad y desobediencia civil
Authors: Torres de Huertas Germán
Published: August 2016

La instalación "Invisibilidad y Desobediencia Civil" investiga el concepto de invisibilidad, en relación con el pensamiento francés antiocularcentrista. Se trata de un sistema de lentes ópticas alienadas en paraxial, que practica la invisibilidad física sobre video proyecciones. El trabajo es una representación material, del efecto que la presencia o ausencia de la imagen puede ejercer en la construcción de nuestros imaginarios. Cuestión que ha ocupado la preocupación epistemológica sobre la supremacía de la visión en la tradición científica, y en los métodos históricamente usados para acceder al conocimiento experimental. La importancia que implica la invisibilización de determinadas imágenes, por el medio que sea, estriba en que define nuestras posiciones tanto en esa búsqueda del conocimiento, como en la configuración política de la sociedad, en el más amplio sentido. Palabras-clave: INVISIBILIDAD; ÓPTICA; PARAXIAL; ANTIOCULARCENTRISMO; PROYECCIÓN Invisibility and civil desobedience AbstractThe installation "Invisibility and Civil Desobedience" explores invisibility concept, in reference to the antiocularcentrism philosophical thoght currents. over video proyection, using optical lenses aligned in paraxial. It's a system of optical lenses aligned in paraxial, which practices fisical invisibility on video projections. The work is a symbolic materialization of the effect that can exert the image and its possible invisibility over construction of our imaginaries and over the way of forming experiences and knowledge. A question that has occupied the epistemological concerns about the supremacy of vision on the scientific tradition and methods of access to experiental knowledge. The importance that imply to make invisibility some images, by whatever means, it's that defines our particular way in the pursuit of knowledge, as well as in the political configuration of the society, in the broadest sense of that word. Keywords: INVISIBILITY; OPTIC; PARAXIAL; ANTIOCULARCENTRISMO; PROJECTION
Conectando energía sonora y visualidad
Authors: Aymerich Goyanes Guillermo
Published: August 2016

Conexión pintura y música construyendo una serie de cuadros sonoros, implicando literatura, performance, danza y robótica en clave transdisciplinar e inmersa en un contexto pseudo-metropolitano. Partiendo del poema Bā yīn “Ocho sonidos” contenido en la joya literaria Sanzijing, “El Libro de los Tres Caracteres” (Dinastía Song del Sur), que encarna el ideal neo-Confucionismo aunando educación, moral y filosofía. Cualquier aspecto en la cultura china no es un fenómeno aislado, sino parte contextual referida a aspectos vitales: emergen peculiares sistemas cosmogónicos. Experiencias visuales y sonoras en un resultado mixto usando conceptos chinos presentados con soluciones Occidentales en mutua simbiosis. Se crea un sistema bā yīn careando música y pintura mientras surgen, desarrollan, desenvuelven y muestran al unísono. Vinculantes pero siguiendo una maniobra de recíproca anulación que alude a la energía del eterno ciclo vital. Tecnología y cultura presentadas bajo 4 formatos audiovisuales y 8 formatos meramente visuales.Palabras-clave: PINTURA/MÚSICA; PINTURAS SONORAS; TRANSDISCIPLINIDAD; BALLET ROBOTS; ARDUINO; CHINA VS OCCIDENTE Connecting sound energy and visualityAbstractConnecting painting and music building a series of sonorous-paintings. Involving literature, performance, dance and robotics, also, in a transdisciplinary way and within a pseudo-metropolitan environment. Based on the poem Bā yīn “Eight sounds”, part of the literary gem The Sanzijing, The Three-Character Classic (Southern Song Dynasty), which embodies the neo-Confucian ideal of uniting education, moral and philosophy. Any aspect in Chinese culture isn´t an isolated phenomenon but rather a contextual part related to diverse aspects of life: emerging special kind of cosmogonist systems. Visual and sound experiences as a mixed result by using different Chinese concepts, but presented alongside Western solutions in symbiosis. The project makes a system just taking those approaches to face music and painting, each other, while both of them emerge, develop, demonstrate and perform in unison, in a parallel and mutually binding manner. Linked but following a mutual destruction which summon the energy of an eternal vital circle. Technology and culture are showed under 4 audiovisual formats and 8 strictly visual formats, as well.Keywords: PAINTING/MUSIC; SONOROUS PAINTINGS; SOUND ART; ROBOTICS BALLET; ARDUINO; CHINA VS OCCIDENTE
DataScape: Cartógrafos aficionados y comunidades digitales
Authors: Montalvo Gallego Blanca
Published: August 2016

Los mapas nos fascinan porque cuentan historias. Las corrientes bottom up facilitan la multiplicidad de narradores, y la creación de comunidades que fomentan el intercambio y reafirman la autoridad de los esfuerzos individuales al margen de la institución y las grandes compañías. Frente a los mapas que han definido el mundo durante décadas, ahora cada uno somos el centro de nuestros paisajes cartográficos: todas las distancias se miden desde el punto en el que nos encontramos, y a partir de ahí el todo se reorganiza y cambia de escala. Esta situación promueve un nuevo paisaje tecnológico, en ocasiones mediante la reivindicación de territorios o la visualización de datos, que hablan más del que mira que del objeto contemplado.Palabras clave: PAISAJE; LUGAR; MAPAS; ARTE; CARTOGRAFÍA Datascape: Amateur cartographers and digital communitiesAbstractThe maps tells us stories that fascinate us. The bottom up currents facilitate the existance of multiple narrators, and the creation of communities that foster exchanges and reaffirm the authority of individual efforts outside the institution and large companies. The maps have defined the world for decades, but now each of us are the center of our cartographic landscape: the distances are measured from the point where we are, and from there the whole reorganizes and changes of scale. This situation promotes a new technological landscap, sometimes by reclaiming territories or data visualization, speaking more of the beholder that the object contemplated.Keywords: LANDSCAPE; PLACE; MAPS; ART; CARTOGRAPHY
Simulación de la protesta sociopolítica
Authors: Gil Zapirain Oier
Published: August 2016

Este artículo plantea un análisis de Protest-$1 como proyecto artístico-tecnológico multiusuario, interactivo y relacional que permite al usuario un acercamiento cognitivo a la protesta sociopolítica, siendo parte de una manifestación simulada en contra de los bombardeos de Israel sobre Palestina. La instalación se compone de una proyección frontal, dos altavoces y tres dispositivos compuestos de un megáfono y un smartphone, cada uno. El interactor elige las acciones que desea hacer acontecer en el evento de protesta pulsando los botones de la pantalla táctil del teléfono móvil y posteriormente, agita el megáfono con el fin de materializar en la manifestación, mediante el esfuerzo, la acción escogida. A su vez, Protesta-$1 permite a los usuarios luchar para evitar que otro usuario consiga sacar adelante la acción de protesta elegida creando un marco en el que el querer de la mayoría somete siempre a la minoría. Los altavoces emiten la voz de los medios de comunicación que relatan la protesta en forma de noticiario y a tiempo real, permitiendo a los interactores articular la protesta siendo conscientes de la imagen global que se está emitiendo.Palabras clave: INTERACCIÓN MULTIUSUARIO; ARTICULACIÓN; PROTESTA SOCIOPOLÍTICA; MEDIOS DE COMUNICACIÓN; CONECTIVIDAD Simulating socio-political protestAbstractThis paper presents an analysis of Protest-$1: an artistic-technological, multi-user, interactive, relational project that provides the user with a cognitive approach to the socio-political protest by being part of a simulated demonstration against the Israeli bombing of Palestine. The installation comprises a front projection screen, two loudspeakers and three devices each consisting of a megaphone and a smartphone. The person who is interacting selects the actions that he/she wants to make happen during the protest event by pressing the buttons on the touch screen of a mobile phone and then shaking a megaphone so that, through this effort, the chosen action can be implemented in the demonstration. Likewise, by creating a framework in which the wishes of the majority always prevail over those of the minority, Protest-$1 allows the users to fight and thus prevent another user from managing to implement their own chosen protest action. The loudspeakers broadcast the voice of the mass media reporting on the protest in the form of a news bulletin and in real time, thus allowing those interacting to articulate the protest while remaining aware of the global image that is being broadcast.Keywords: INTERACTION; MULTI-USER; ARTICULATION; SOCIO-POLITICAL PROTEST; MASS MEDIA; CONNECTIVITY
Influência da renovação e inclusão de naúplio de tanques em laboratório de camarões marinhos (Litopnaeus vannamei)
Authors: Jatobá Adolfo , Vieira Felipe do Nascimento , Silva Bruno Corrêa , Mouriño José Luis Pedreira , Seiffert Walter Quadros
Published: August 2016

O objetivo deste trabalho foi avaliar a influência da renovação estática nos parâmetros químicos e microbiológicos da água no setor de maturação e larvicultura, assim como a carga bacteriana das larvas nos estádios de missis e pós-larva, e da artêmia utilizada como alimento vivo. Foram monitorados os tanques de larvicultura e maturação do LCM/UFSC, amostras de água foram coletadas antes e após a renovação estática para realização de análise dos parâmetros químicos de qualidade de água e bacteriológicas. A renovação estática reduziu a concentração de nutrientes da água nos tanques de maturação e larvicultura, assim como a população de Vibrio spp. para a água e larva dos tanques com pós-larvas. A inclusão dos náuplios de artêmia como alimento vivo aumentou na população de Vibrios ssp. dos tanques de larvicultura .
Efficient manufacturing of automobile spark plugs : A six-sigma materials re-engineering case
Authors: Berrúm Rafael , Castano Victor
Published: August 2016

The processing defects of an World-class spark plugs-producing company are described, in terms of the Technology Management challenges involved. The full analysis of this complex situation, which involved 3 plants within the same factory, in terms of a Six Sigma approach, is explained, as well as the simple rengineering proposal, which led to an improvement from 2.47 Sigma to 5.32 Sigma in some specific cases, along with significant savings due to less product rejection and waste material.
Eine Normalform für eine spezielle Klasse flacher nichtlinearer zeitdiskreter Mehrgrößensysteme
Authors: Kolar Bernd , Schöberl Markus , Schlacher Kurt
Published: August 2016

In diesem Beitrag stellen wir ein konstruktives Verfahren zur Berechnung flacher Ausgänge nichtlinearer zeitdiskreter
Mehrgrößensysteme vor. Dieses Verfahren basiert auf einer koordinatenunabhängigen geometrischen
Systemdarstellung und einer strukturell flachen Normalform, die sich durch eine dreiecksförmige Abhängigkeit der
Systemgleichungen von den Systemvariablen auszeichnet und die es gestattet, einen flachen Ausgang direkt abzulesen. Wir
zeigen ein konstruktives Verfahren, mit dem das System schrittweise auf diese strukturell flache Dreiecksform
transformiert wird. Gelingt die Transformation auf Dreiecksform, dann ist damit die Flachheit des Systems nachgewiesen, im
Falle eines Scheiterns des Verfahrens ist hingegen im Allgemeinen keine Aussage über die Nicht-Flachheit des Systems
möglich. Das Verfahren wird anhand von Beispielen veranschaulicht.
Verkopplungsbasierte Synchronisierung agentenbasierter dynamischer Systeme
Authors: Strubel Jan , Konigorski Ulrich
Published: August 2016

Dieser Beitrag beschreibt einen neuen, verkopplungsbasierten Zugang zur Synchronisierung heterogener agentenbasierter
Systeme. Der Ansatz basiert auf der Idee, durch eine unterlagerte Rückführung die Agenten asymptotisch bezüglich des
Netzwerks zu homogenisieren. Dies ermöglicht es, die Synchronisierung des Gesamtsystems auf bekannte Methoden zur
Synchronisierung homogener Agenten zurückzuführen. Als Vorteil des Ansatzes ergibt sich zudem, dass zur Synchronisierung
lediglich Ausgangsinformation über das Netzwerk kommuniziert werden muss und damit ein minimaler Kommunikationsaufwand
entsteht. Das Vorgehen wird anhand eines numerischen Simulationsbeispiels veranschaulicht.
Simulation von Welleneffekten in Pumpspeicherkraftwerken mit Hilfe der Spektral-Element-Methode
Authors: Mennemann Jan-Frederik , Schmidt Jakob , Kemmetmüller Wolfgang , Kugi Andreas
Published: August 2016

Der Entwurf neuer Regelungsstrategien zum optimalen dynamischen Betrieb von Pumpspeicherkraftwerken erfordert ein
möglichst echtzeitfähiges Modell zur Beschreibung von Druck- und Volumenstromschwankungen in den
Druckrohrleitungen. Klassische Ansätze, wie die Methode der Charakteristiken führen auf hochdimensionale Systeme finiter
Differenzengleichungen. In diesem Beitrag werden die partiellen Differentialgleichungen mit Hilfe der
Spektral-Element-Methode diskretisiert. Dabei wird ein besonderes Augenmerk auf die Implementierung von Randbedingungen im
Sinne einer numerisch stabilen Upwind-Diskretisierung gelegt. Im Rahmen mehrerer Simulationen wird gezeigt, dass
unter realistischen Bedingungen die Systemordnung durch den Einsatz der Spektral-Element-Methode um mindestens eine
Größenordnung reduziert werden kann.
Hematological changes in severe early onset growth-restricted fetuses with absent and reversed end-diastolic flow in the umbilical artery
Authors: Bahlmann Franz , Al Naimi Ammar , Ossendorf Manfred , Schmidt-Fittschen Monica , Willruth Arne
Published: August 2016

Background:

Erythropoietin seems to play an important role in the regulation of fetal hypoxemia. The present prospective study was designed to determine if changes in erythropoietin levels can be found in fetuses with severe early-onset growth restriction and hemodynamic compromise.

Methods and results:

Erythropoietin, hemoglobin, hematocrit, platelet counts, normoblasts, lacate, arterial and venous blood gasses in the umbilical cord were determined in 42 fetuses with fetal growth restriction (IUGR) with absent (zero-flow) and 26 IUGR fetuses with retrograde end-diastolic flow (reverse-flow) in the umbilical artery. Color Doppler measurements were performed on the middle cerebral artery (PI) and ductus venosus [(S-a)/D and (S-a)/V

Conclusions:

Fetuses with severe IUGR due to chronic placental insufficiency and absent or reversed flow in the umbilical artery show increased erythropoietin levels.
A socio-pragmatic analysis of wúlítóu ‘nonsense’ in Taiwanese verbal interactions
Authors: Chen Li-Chi Lee
Published: August 2016

Humor has long attracted scholarly interest in many academic disciplines, such as linguistics, psychology, anthropology, cultural studies, etc. Among the various types of humor,
New record of feeding behavior by the porcupine Coendou spinosus (F. Cuvier, 1823) in high-altitude grassland of the Brazilian Atlantic Forest
Authors: de Abreu Thamíris Christina Karlovic , Rosa Clarissa Alves da , Aximoff Izar , Passamani Marcelo
Published: August 2016

is a rodent from the Brazilian Atlantic Forest with a cryptic behavior that hinders collection of information regarding its ecology. On October 2014, we observed an individual of
Geringer sozioökonomischer Status und Ernährungsverhalten am Beispiel von Tafelkunden in Deutschland
Authors: Ströbele-Benschop Nanette , Depa Julia
Published: August 2016

Die Befragung von sozial benachteiligten Personen stellt häufig eine Herausforderung dar. In dieser Studie wurde die Möglichkeit einer Befragung von Tafelkunden vor Ort genutzt. Tafeln sammeln Lebensmittel und geben sie an Bedürftige weiter. Die Ergebnisse zeigen, dass Tafelkunden einen ähnlichen Obst- und Gemüsekonsum wie der Bundesdurchschnitt aufweisen. Im direkten Vergleich mit Daten von sozial benachteiligten Personen, die keine Tafeln in Anspruch nehmen, hat sich ein höherer Verzehr von Obst und Gemüse bei Tafelkunden gezeigt. Übergewicht und Adipositas scheint unter Tafelkunden dennoch stark verbreitet zu sein.
FREO2: An electricity free oxygen concentrator
Authors: Sobott Bryn A , Peake David J , Black James FP , Rassool Roger P
Published: August 2016

The World Health Organization recommends oxygen therapy for children with severe pneumonia, but this essential medicine is unavailable in many health centres in limited-resource settings. To address this need, an appropriate means of oxygen provision will need to be low-cost and robust, require little maintenance and not compete for fuel with other vital functions, and be environmentally sustainable. This report presents the preliminary results of the Fully Renewable Energy Oxygen (FREO2) system, confirming the viability of a novel means of producing medical grade oxygen without any electricity. The approach relies on exploiting the reduction in pressure of water flowing through a raised siphon to create a source of vacuum. This is used to power a customised vacuum-pressure-swing-adsorption system and produce medical grade oxygen. The FREO2 system has been designed to meet the criteria for successful oxygen delivery in small health facilities. It is ideally suited for deployment in tropical or mountainous regions with proximity to flowing water. Importantly, the oxygen generating capacity of FREO2 rises with the increased demand commonly observed during the rainy season in such climates.
Barriers to Care Coordination and Medical Home Implementation
Authors: Tschudy Megan M. , Raphael Jean L. , Nehal Umbereen S. , O’Connor Karen G. , Kowalkowski Marc , Stille Christopher J.
Published: August 2016

BACKGROUND:

Pediatricians are central in leading the family-centered medical home (FCMH), yet little is known about how provider-perceived barriers to and attitudes toward the FCMH affect implementation. This study aims to assess the relationship between pediatrician-perceived barriers to and attitudes toward FCMH and reported care coordination.

METHODS:

Pediatricians working in ambulatory care responded to the American Academy of Pediatrics Periodic Survey of Fellows #79 (N = 572, response rate, 59%). Our primary care coordination outcomes were whether pediatricians were: (1) leading a multidisciplinary team; (2) developing care plans; and (3) connecting with support services. Independent variables included barriers to FCMH implementation (lack of communication skills, support services, and time). Associations between outcomes and barriers were assessed by multivariate logistic regression, controlling for pediatrician and practice characteristics.

RESULTS:

Lack of sufficient personnel was significantly associated with fewer care coordination activities: leading a multidisciplinary team (odds ratio [OR], 0.53), developing care plans (OR, 0.51), and connecting with support services (OR, 0.42). Lacking communication skills was significantly associated with lower odds of development of care plans (OR, 0.56) and assistance with support services (OR, 0.64). Lack of time was significantly associated with lower odds of leading a multidisciplinary team (OR, 0.53). A pediatrician’s belief that the FCMH encourages the use of preventive services was significantly associated with increased support services (OR, 2.06).

CONCLUSIONS:

Pediatricians report a need for sufficient personnel and communication skills to provide care coordination, a core component of the FCMH. Interventions to boost FCMH implementation should focus on providing resources to develop these characteristics.
Advances in Cardiovascular MRI using Quantitative Tissue Characterisation Techniques: Focus on Myocarditis
Authors: Hinojar Rocio , Nagel Eike , Puntmann Valentina O ,   Institute for experimental and translational cardiovascular Imaging, Goethe University Hospital Frankfurt, Frankfurt, Germany,   Department of Cardiology, University Hospital Ramón y Cajal, Alcala University, Madrid, Spain,   Institute for experimental and translational cardiovascular Imaging, Goethe University Hospital Frankfurt, Frankfurt, Germany,   Institute for experimental and translational cardiovascular Imaging, Goethe University Hospital Frankfurt, Frankfurt, Germany,   Department of Cardiology, Division of Internal Medicine III, Goethe University Hospital Frankfurt, Frankfurt, Germany
Published: August 2016

Tissue characterisation capabilities are continuing to evolve and proving to be valuable in the non-invasive diagnosis of clinicallyheterogeneous manifestations of myocarditis. The authors investigate how cardiovascular magnetic resonance imaging offers an increasingly reliable alternative to invasive biopsy for clinically-stable patients, and how this tool – with further longitudinal study – will improve the overall understanding of the natural course of myocarditis.
Preventing Contrast-induced Renal Failure: A Guide
Authors: Faggioni Michela ,   Interventional Cardiovascular Research and Clinical Trials, The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York City, NY, USA, Mehran Roxana ,   Cardiac Thoracic and Vascular Department, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy
Published: August 2016

Contrast-induced acute kidney injury (CI-AKI) is characterised by a rapid deterioration of renal function within a few days of parenteral administration of contrast media (CM) in the absence of alternative causes. CI-AKI is the most common form of iatrogenic kidney dysfunction with an estimated prevalence of 12 % in patients undergoing percutaneous coronary intervention. Although usually selfresolving, in patients with pre-existing chronic kidney disease (CKD) or concomitant risk factors for renal damage, CI-AKI is associated with increased short- and long-term morbidity and mortality. Therefore, risk stratification based on clinical and peri-procedural characteristics is crucial in selecting patients at risk of CI-AKI who would benefit the most from implementation of preventive measures.
Phase transitions of self-polarized PZT thin films
Authors: Suchaneck Gunnar , Gerlach Gerald , Deyneka Alexander , Jastrabik Lubomir , Davitadze Sulkhan T. , Strukov Boris A.
Published: August 2016

Optical properties and thermal properties of self-polarized thin PZT films were determined by variable angle spectral ellipsometry and by the AC hot strip method, respectively. Analyzing the temperature dependencies of the optical gap and the specific heat, evidence of two not as yet observed phase transitions in the ferroelectric was provided. The origin of these phase transitions was attributed to film stress caused by substrate/PZT thin film lattice mismatch and to the presence of a negative space charge layer in the PZT film at the bottom electrode/PZT interface.
An Advocacy and Leadership Curriculum to Train Socially Responsible Medical Learners
Authors: Benrimoh David , Warsi Nebras , Hodgson Emily , Demko Nadia , Yu Chen Bing , Habte Ruth , Dandurand-Bolduc Claudie , Silverberg Sarah , Xia Sean , Chu Laura , Ruel-Laliberté Jessica , Harris Jessica , Pon Kristin , Singh Manni , Agarwal Arnav , Kim Laura , Whalen-Browne Molly , Ali Emma , Sahar Nicola , Wellmeier Leandra , Smith Lucy , Arora Nikita , Houde Roxanne , Devlin Gabriel , Zigby Jean-Ahmed , Andermann Anne , Rousseau Cécile , Ruiz-Casares Mónica
Published: August 2016

This article was migrated. The article was marked as recommended. Physician advocacy and leadership is increasingly recognized as an important part of our social responsibility. Frameworks, such as CanMEDS, have set out definitions of health advocacy and leadership for medical education. Despite calls for mandatory advocacy and leadership teaching and potential wellness benefits, presently medical curricula do not usually teach practical advocacy and leadership skills to learners. There is also a demonstrated disconnect between staff and resident perceptions of advocacy. Our group set out to create an innovative Advocacy and Leadership Curriculum (ALC) to fill this gap. A collaboration of over twenty medical students and professors from across Canada and the U.S worked over the past year to survey students, conduct curriculum mapping, examine current literature and practices in order to inform the creation of an ALC. A competency- and milestone-based ALC was created based on this data and reviewed by experts in medical education and/or physician advocacy. This ALC addresses three spheres of advocacy: the Patient level, the Institutional level, and the Population level (which includes the Community). A guiding principle of the ALC is to form positive working partnerships with communities and patients and to collaborate with other health professionals to advocate with, and on behalf of, patients. CanMEDS-based Learning Objectives, divided into theoretical, skills-based, and application-based categories, form the core of the program. The curriculum prepares learners for real-world advocacy through longitudinal projects, interdisciplinary work, and community-based service learning. Novel engagement of other professionals and physician advocates to act as advocacy preceptors is central to the curriculum. Innovative assessment techniques- such as advocacy simulations, longitudinal study of physician advocacy activity, and focus on attitudes and behaviour as well as knowledge and practical advocacy skills- are introduced. The ALC serves as an adaptable model for the training of socially responsible medical learners who are conversant in advocacy techniques and able to advocate with patients, within institutions, and with populations. Projects resulting from the ALC will improve medical school social accountability.
Briefing: Super tall timber – Oakwood Tower
Authors: Foster Robert M. , Ramage Michael H.
Published: August 2016

This briefing presents some of the early findings of the super tall timber project, an innovative research and design project exploring the potential of engineered timber as a structural material in the construction of tall buildings. The project brings researchers together with practising engineers and architects in a process that combines design-led research with research-led design in a constructive feedback loop, providing a new model for addressing the fundamental challenges of designing with a new structural material. The first result of this project is a concept design for a 300 m tall timber building sited in London.
Új orchideafaj a magyar flórában: Epipactis pseudopurpurata Mered’a
Authors: Csábi Miklós , Halász Antal
Published: August 2016

A Budai-hegységben, Telki határában a magyar flórára új fajként megtaláltuk az Epipactis pseudopurpurata kis állományát. Ismertetjük a faj főbb jellemzőit és összehasonlítjuk a rokon E. purpurata-val.
Adatok Budapest környéke flórájának ismeretéhez II.
Authors: Somlyay Lajos , Makádi Sándor , Csábi Miklós
Published: August 2016

Cikkünk 52 ritka taxon (köztük 26 orchidea) új vagy megerősített florisztikai adatait tartalmazza Budapest környékéről. Közülük egy faj (Epipactis peitzii) új Magyarország flórájára, a Budai-hegységből és a Pilisből került elő. Röviden jellemezzük, összehasonlítva a legközelebbi rokon fajokkal (E. leptochila csoport). További három faj (Corydalis intermedia, Epipactis leptochila, Epipactis muelleri) a Budai-hegység flórájára, négy (Anacamptis coriophora, Epipactis neglecta, E. tallosii, Valerianella pumila) a Pilis flórájára, hat (Epipactis futakii, E. leptochila, E. muelleri, E. neglecta, Ophrys apifera, O. holubyana) pedig a Visegrádi-hegység flórájára új.
Use of shelters by bats in the central forest-steppe of Ukraine
Authors: Bilushenko A.
Published: August 2016

In this paper we analyzed published and original dates about 182 shelters of 12 species of bats in the Central Forest-Steppe of Ukraine, of which the original date 77 shelters for seven species. Analysis of its own data showed that all bats species of studied region in creation extent are prone to sinanthropus, but most of the species are attracted shelters of natural origin. For two species P. kuhlii and E. serotinus there is no connection with shelters of natural origin.
Unexpected fragmentation of bis(triarylstannanethiocarbonyl)disulfides, formation and X-ray structure of triarylstannyl triarylstannanecarbodithioates
Authors: Kulai Ihor , Brusylovets Oleksii , Saffon Nathalie , Voitenko Zoia , Mazières Stéphane , Destarac Mathias
Published: August 2016

The synthesis of bis(triarylstannanethiocarbonyl)disulfides was attempted by oxidation of lithium triaryl stannane carbodithioates with molecular iodine. Unexpectedly, the desired compounds are highly unstable and undergo subsequent fragmentation giving triarylstannyl triarylstannanecarbodithioates. The proposed mechanism for this transformation assumes intramolecular nucleophilic substitution with formation of six-membered ring transition complex, stabilized by interaction between tin and thiocarbonyl sulfur atom. Obtained compounds were identified by mass-spectrometry and NMR spectroscopies, and their structures were analyzed by X-ray diffraction. These molecules show the existence of intramolecular non-bonding interactions between the sulfur atoms of the thiocarbonyl moieties and tin atoms. These interactions reflect the tin - sulfur affinity and are the main driving force in the fragmen tation of bis(triphenylstannanethiocarbonyl)disulfides.
Synthesis and evaluation of β-hydroxytriazoles and related compounds as antitubercular agents
Authors: Menendez Christophe , Mori Giorgia , Maillot Mathilde , Fabing Isabelle , Carayon Chantal , Orena Béatrice Silvia , Pasca Maria Rosalia , Voitenko Zoia , Lherbet Christian , Baltas Michel
Published: August 2016

A new series of β-hydroxytriazoles were synthesized and evaluated as Mycobacterium tuberculosis inhibitors. Our strategy implied the synthesis of alkyne precursors through a Barbier reaction between benzaldehydes and propargyl bromide followed by click chemistry to afford substituted β-hydroxyl benzyltriazoles. These compounds are also key intermediates either for oxidation reactions leading to α,β-diketotriazoles or for elimination reactions affording styryl triazoles. Evaluation of all new compounds for in vitro antitubercular activity against Mycobacterium tuberculosis H37Rv resulted in compounds with MIC up to 7 μM.
Polymer-Analogous Transformations in Triblock Copolymers Containing Polyacrylamide and Poly(ethylene oxide)
Authors: Kunitskaya Larisa , Zheltonozhskaya Tatyata , Rechun Tatyana
Published: August 2016

The polymer-analogous conversion of triblock copolymers (TBC) PAAm-b-PEO-b-PAAm by the aminomethylation reaction in PAAm blocks under the effect of dimethylamine and formaldehyde (Mannich’s reaction) was studied. Kinetic investigations of the Mannich’s reaction in TBC as compared to that in pure PAAm were performed by potentiometric titration. The existence of two competitive polymer-analogous transformations in PAAm chains of all the (co)polymers such as aminomethylation and alkaline hydrolysis of amide groups was established and discussed.
Geomagnetic Observatories
Authors: Matzka Jürgen
Published: August 2016

In this article we briefly describe the geomagnetic observatories operated or supported by the Helmholtz Centre Potsdam GFZ German Research Centre for Geosciences (GFZ), their scientific and societal use in the light of a global approach, their main data products and their dissemination process, as well as their instrumentation. The geomagnetic observatories of GFZ are part of the 'Modular Earth Science Infrastructure' (MESI).
Neuroendocrine Cell Hyperplasia of Infancy
Authors: Kuznetsova Alla A , Pakhomova Anastasiia A , Petrova Svetlana I , Peshekhonova Yuliya V
Published: August 2016

Neuroendocrine cell hyperplasia of infancy (NEHI) is a disease of the unknown etiology which is one of the rare, insufficiently explored interstitial lung diseases. It might be encountered among children up to two years old and it is characterized by persistent tachypnea, crackles, hypoxemia without being oxygen-dependent and hyperplasia of bombesin-positive neuroendocrin cells of peripheral respiratory tracts in lung biopsy. The lung CT shows that there are mosaic attenuation air trapping involving more than four lung segments and ground glass opacity mostly marked in the middle lobe of the right lung and lingular segments of the left lung. А precise diagnosis establishment based on a combination of clinical signs and HRCT data is possible without implementation of invasive research methods, lung biopsy in particular. At present there is no specific treatment for this disease; infants diagnosed with NEHI require special monitoring since it is not known whether this disease has a connection with idiopathic diffusive hyperplasia of PNE-cells of adults (IDYPNC) and how this pathology might affect lung development and their function in adults. The most part of patients with NEHI have satisfactory clinical results and there have been no fatal cases. Despite such positive data on this understudied disease, infants with NEHI require special monitoring and comprehensive research since long-term effects of this disease in an older age are still undiscovered. In this article case of NEHI in 1,5 years old child with a complaint for tachypnea and cough is submitted.
Signs of MRI affection of brain in сlassical Amyotrophic Lateral Sclerosis patients
Authors: Stuchevskaya Tima R , Rudenko Dmitriy I , Kazakov Valery M , Pozdnyakova Olga F , Pozdnyakov Alexandr V , Skoromets Alexandr A , Tyutin Leonid A
Published: August 2016

T2 hyperintensive focal lesions were found on brain MRI only in 41 patients (9.7 %) from the ALS group (n = 423). Female were 20 (48,8 %) and male - 21 (51,2 %), aged 31 to 78 years (middle age is 56 ± 4). Focal MRI lesions were found exclusively in projection of the intracranial section of the corticospinal tract. They were always bilateral and symmetrical and were located at one or two levels, most often in the posterior limb of internal capsule and in cerebral peduncle (85 % and 60 % correspondingly). They were less frequent in the radiate crown, semioval center or medulla. There was no reliable correlation between MRI changes and clinical type of ALS, age of disease onset, duration of symptoms and region of onset of muscle weakness and atrophy. Foci of hyperintensive MRI signal in the ALS did not change in terms of time and space, and did not accumulate contrast media with disease progression. This prevents from using routine T1 and T2 mode MRI for monitoring the course of the disease, its prognosis and treatment efficiency. We can recommend cerebral MRI for early diagnostics of ALS and also to rule out other diseases which may resemble ALS. However diagnostic value of 1.5 Tesla MRI is quite limited for diagnostics of classic ALS and its subtypes (PLS and PBP).