bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of motivational tools on employee satisfaction in small and medium enterprises
Authors: Vlacsekova Dominika , Mura Ladislav
Published: May 2017

Research background: This paper begins by defining the small and medium-sized enterprises and their background in Slovakia. It explores the roles of SMEs in the economic development. Furthermore, the background of the paper analyzes motivational tools in practice.Purpose of the article: The purpose of the paper is to provide a better understanding of the employee motivation issues in small and medium-sized Slovak enterprises; an examination of the motivational tools that influences the levels of satisfaction of employees of SMEs.Methods: This research was conducted with members of small and medium enterprises in Slovakia. A personal information form and the motivation factors questionnaire form were used as data collection tools. The ending contains the results of the research and conclusions. The Pearson-correlation and the Asymptotic Significance (2-sided) were used as statistical methods.Findings and Value added: The findings show that motivation is very individual and managers have a hard task by motivating their employees. Employees are more motivated by intrinsic factors rather than extrinsic, but none of the two can be overlooked by the managers.
Coal mining in Central-East Europe in perspective of industrial risk
Authors: Jonek-Kowalska Izabela
Published: May 2017

Research background: Due to increasing economic and sector risk coal mining in Europe is treated as a declining industry. In post-transition economies such approach is a threat for energy security and local and regional economic development. Nowadays, coal mining survival in Central-East Europe is additionally threatened by accumulative global risk factors, especially by price differentiation and shale gas revolution in United States of America. Revealed circumstances require deepen research and diagnosis in the area of risk and corporate management in mining enterprises in Central-East Europe.Purpose of the article: The main aim of the article is to assess industrial risk in coal mining in Central-East Europe. The research is divided into three parts. In the first one the situation of coal mining in Central-East Europe is characterized. It is the basis for selection of the countries for the detailed analysis. In the second part the industrial risk factors are assessed and described. Finally, in the third part their influence on financial results in the examined mining enterprises is evaluated. In the summary the international comparison is made and general assumptions for risk and corporate management are formulated.Methods: In the article a risk checklist is used to identify the economic and industrial risk factors. To determine their influence on financial results on the first stage of research Pear-son?s coefficients are used. Than regression functions are developed. The data are collected on the basis of public statistics and financial statements of the examined mining enterprises.Findings and Value added: On the basis of research results it may be stated that there are only a few countries in Europe in which mining enterprises still operate as separate economic units and all of them have experienced serious financial troubles in the last years. Risk intensification contributed mostly to revenues reduction and negative financial results.
Multicultural Education Practices at Religiously-Based Schools in Malang
Authors: Mujib Ibnu
Published: May 2017

This study began with an assumption that multicultural education model is practiced in schools in a very limited scope. Therefore, through the subject of PPKN (Civics Education) in schools, multicultural education can be developed. In addition, the school as a laboratory of diversity at the scope of educational institutions is an important medium in the discourse of multicultural education. As a conceptual formulation that was built through the 2013curriculum, the instructional model of Civics education-based on multiculturalism was found to be able to stimulate students’ character building in a more effective, quick and strategic manner. The school, in addition to being an important laboratory of diversity, should also provide multicultural instruction in Civics education with the materials that aid the vision of Civics education instruction with a content of multicultural education in a productive, creative, innovative, and affective way as well as having an effect on the students so as to contribute to the social, civic life and more importantly to the process of building the character and attitude of tolerance among students in schools. Through multicultural education in schools, students learn to accept and understand the cultural differences that affect the differences in usage (how people behave); folkways (habits in the community), mores (code of conduct in the community), and customs (tradition of a community). With multicultural education, learners will be able to accept differences, criticism, and have a sense of empathy, tolerance for others regardless of class, status, gender, ehnic, religion and academic skills.
The Effectiveness of Standardized Patient Experience (SPE) Model in Teaching Critical Thinking Capability of Bachelor Nursing Students Compared to Case Study
Authors: Permana Ryan Hara
Published: May 2017

Critical thinking is a main ability for nurses. However, the learning methods that are usually used by nursing education institutions cannot facilitate the development of critical thinking of nursing students optimally. This research investigated the effectiveness of Standardized Patient Experience (SPE) model in practicing the critical thinking capability of nursing students compared to case study. This quasi-experiment study used 77 nursing students as the samples that were divided into control and experiment group. Although there are no significant different between the total critical thinking scores of the students who participated in SPE compared to case study (p= 0.146), but there are differences in analysis and problem solving aspect (p==0.019 and 0.00). the satisfaction and confidence level of the students toward the SPE are also significantly increased compared to case study (p=0.01 dan p=0.00). To conclude, both the SPE and case study method are effective in developing the critical thinking of the nursing students.
EFFECT OF SWISS BALL EXERCISE TOWARD THE BODY BALANCE TO LESS THE RISK FALL OF OLDER AT UPT SOCIAL
Authors: Syapitri Henny
Published: May 2017

Abstract The balance of body is one of the main factor in doing fungsional activity. In every activity, the body always need control of the body balance, because basically every phisic activity right static or dinamic will take someone on unstable position with big risk to having fell. Swiss Ball exercise as support is believed on labile surface will make spine have big chance to stabling the muscle between vebra and increase the dinamic balance to restrain the repeats stability. The research object to know The Effect of Swiss Ball Exercise toward The Body Balance to Less The Risk Fall of Older at UPT Social Service of Older and Children Under Five district Binjai and Medan in Year 2016. The research type is Quasi Experiment with pre test-post test one group only design method. Population in this research all of older at UPT Social Service district Binjai as much as 172 older with number of man is 81 and woman is 91, with Purposive sampling Technique that is 15 respondences. Data collecting using observation sheet with analysis that used is univariat: respondence characteristics, the body balance of older before and after doing Swiss Ball practice, and bivariat with Paired t-Test. The research result showing the average of body balance before doing Swiss Ball as much (Mean 38,07) and after (Mean 46,33). Conclusion: there is the effect of Swiss Ball toward body balance to less the risk fall of older (p=0,000 ; p=< 0,05). Sugessted for older to practice the balance himself more steady so that not easy to have risk fall further. Influenced, and for the next researcher can research about another factor that foregrounded the risk fall of older.Keywords    : Swiss Ball, Balance Exercise, Risk Fall
INCREASING OF KNOWLEDGE AND ATTITUDE OF WOMEN IN MEETING THE NUTRITION DURING PREGNANCY THROUGH HEALTH PROMOTION
Authors: Wahyudi Andri Setiya , Suarilah Ira Suarilah , Mumpuningtias Elyk Dwi , Astutik Mery Fuji
Published: May 2017

Introduction: Pregnancy lead to changes in anatomical, physiological, and biochemical. Changes of it affect the nutritional needs of pregnancy. Knowledge and a bad attitude will affect the nutritional needs of pregnancy.  This research aims to know the affect of health promotion of the knowledge and attitude of mother in fulfillment of nutrition during pregnancy in Paberasan village. Method: The quasy experiment with pretest posttest control group design. The amount of pregnant in Paberasan village were 32 people. Analysis using the Wilcoxon Signed Rank test and Mann-Whitney. Result: The result showed that, the treatment group before given health promotion the majority have enough knowledge (81,25%). After given health promotion all of respondent have good knowledge (100%). The attitude of pregnant before given health promotion the majority have enough attitude (68,75%). After given health promotion the majority have good attitude (68,75%). In the control group before given health promotion the majority have knowledge enough (75%). The control group obtained the results of the knowledge tends to remain. The attitude of pregnant before given health promotion majority has enough attitude (62,50%). The control group obtained the result of the attitude tends to remain. Mann-Whitney test results obtained significant value p=0,000 less than 0.05. Attitude test results before and after treatment in the treatment group and the control group obtained significant value p = 0.001 less than 0.05. The results showed that there is effect of health promotion of the knowledge and attitudes of mothers in fulfillment of nutrition during pregnancy. Discussion: Health workers in Paberasan village to give health promotion about the fulfillment of nutrition during pregnancy to the community to help improve the knowledge of society and help realize the achievement of fulfillment of good nutrition during pregnancy. Keyword: Promotion, health, nutrition, pregnant, knowledge, attitudes, Paberasan, Sumenep
Association of pericardial adipose tissue volume with presence and severity of coronary atherosclerosis
Authors: Wang Jing , Wang Li-jun , Peng Yong-ping , Zhang Long-jiang , Jiang Shi-sen , Gong Jian-bin
Published: May 2017

Purpose: This study was to investigate whether high pericardial adipose tissue (PAT) volume is related to the presence and severity of coronary artery disease (CAD).

Methods: Consecutive patients (310 patients) who underwent both dual-source 64-slice CT and percutaneous coronary angiography were recruited into this study. Waist circumference (WC), body mass index (BMI), blood biochemical variables, coronary artery calcium (CAC) score and Gensini score were measured. Pericardial adipose tissue (PAT) volume was determined by dual-source CT.

Results: PAT volume was positively correlated with BMI, WC, gender (male), hypertension, diabetes, age, total cholesterol and low-density lipoprotein-cholesterol. PAT volume in CAD patients was significantly higher than that in patients without CAD (238.36 ± 81.21 cm3 vs. 200.13±72.34 cm3). PAT volumes in patients with multi-vessel lesions were significantly higher than those with one-vessel lesions (P < 0.001). A significant correlation between PAT volume and CAC score (r=0.305, P < 0.001) was found. PAT volume was an independent factor affecting Gensini score.

Conclusion: PAT volume was significantly correlated with traditional cardiovascular risk factors, the severity of coronary atherosclerosis and the number of stenotic coronary vessels. Thus, PAT volume may be a reliable marker to evaluate the presence and severity of CAD.
The influence of Mediterranean modernist movement of architecture in Lefkosa: The first and early second half of 20th century
Authors: Muhy Al-Din Salar Salah
Published: May 2017

The twentieth-century modern architectures in Lefkosia in North Cyprus are changing especially in residential building. This change is occurs based on the client’s orders or because of the dilapidated condition of the buildings. Identify the characteristics of modernist architectural movement will help in identifying these buildings and recognize the changes applied to them. The paper aims to reach the rationale understanding of the norms of modern architecture in Lefkosa in the twentieth century. The methodology is based on analyzing the residential buildings designed by local architects and “Ahmet Vural Bahaeddin” selected as one of the famous modernist architects in the twentieth century in North Cyprus. Residential buildings from Milan and Rome in Italy, as well as Barcelona in Spain, selected for analysis. The paper tries to demonstrate the presence of vernacular elements in modern architecture in Lefkosa. Two vernacular elements were studied, i) the patio (outside and inside interrelation), and ii) the façade materials (exposed stone) as vernacular elements in “Mediterranean modernist architecture”. The paper delineated the influence of the “Mediterranean modernist movement” on modern architecture in Lefkosa in the 20th century. The findings show that there is influence by the Modernist movement of architecture in other Mediterranean cities in Italy and Spain on the modern architecture in Lefkosa. The results contribute evidence to promote our understanding regarding the modernist architecture in Lefkosa.
Adaptive Reuse of the Industrial Building: A case of Energy Museum in Sanatistanbul, Turkey
Authors: Hussein Najmaldin
Published: May 2017

Industrial buildings as an example of cultural heritage transform our cultural identity from the past to the present and even for the future. Unfortunately, there are lots of industrial building which lost its function by converting the place to live and identifiable place. This research will clarify the reasons for conserving of the industrial heritage and by classification of international charters which are dealing with industrial heritage will introduce conservation methods for adaptive reuse of industrial buildings. As a case study, the research will focus on Energy Museum in Istanbul. To assess the building based on reusing principals. The study concludes that the Energy Museum is one of the successful examples of reuse of the building. It also concludes that less intervention in reusing a building can save the identity of the building.
In Pursuit of Sustainable Strategic Long-term Planning Throughout Meta-postmodernism as New Perspective of Stylistic Design
Authors: Nikoofam Mojdeh , Mobaraki Abdollah
Published: May 2017

During the different period of architectural design, designers attempt to achieve a high level of life quality for all users. Architecture and urban planner want to provide a style of design which not only achieves different function for different users with respect to their ethnicity, ability, age, sex, capability, position, and lifestyle but also improve the friendly environment throughout responsive legislation based on long-term planning. Although the styles are considered some indicators, it is ignored the other important characteristics. Therefore, the existing styles never achieve the standard level of satisfaction of different people. The goal of the research is to introduce meta-postmodern style as supplement stylistic approach. The style tries to consider all important indicators that create strategic long-term planning for different generations. Various characteristics of a new style can be applied to improve the quality of human life and provide healthy, livable and sustainable planning for all users.
Urban Cages and Domesticated Humans
Authors: Sadri Hossein
Published: May 2017

In this article, the study assessed the domestication process of humankind within the frame of urbanization and power accumulation. Within this framework, by giving various examples from chicken farms. The study expresses the author’s opinions on the analogy of the “liberated human beings” in cities and the “free-range” chickens in farms. It has also been tried to explain how a city acts as a human farm. Cities are governed by the ones holding power similar to the farms are ruled by farmers and humans during their history of civilization have lost their right of deciding on their lives and fates against this power as the domesticated animals in farms. It is necessary to give up these cities which are models of life organizations from the Old and the Middle Ages. Models of settlements which became even more inhumane as results of modernization and neo-liberalization strategies. The study revealed that With the scientific and technologic improvements and the developments of in science and humanities, it is possible to easily replace the city model of communal life with a better one -The one in which people can be more free and happy and will give more life to the earth and contribute to the aliveness within it.
Placebo Mechanisms of Manual Therapy: A Sheep in Wolf's Clothing?
Authors: Bialosky Joel E. , Bishop Mark D. , Penza Charles W.
Published: May 2017

When a physical therapist provides a manual therapy (MT) intervention for a patient presenting with pain and the patient experiences a positive clinical outcome, we cannot answer as to why this occurs. Would we continue to devote valuable time and financial resources to learning and improving our skills in providing MT interventions if the related clinical outcomes were placebo responses? In this Viewpoint, the authors conceptualize placebo as an active and important mechanism of MT and argue that placebo mechanisms deserve consideration as an important component of the treatment effect.

J Orthop Sports Phys Ther 2017;47(5):301–304. doi:10.2519/jospt.2017.0604
L1 Epithelioid Hemangioma
Authors: Davis Joel D. , Koppenhaver Shane
Published: May 2017

A 24-year-old male soldier on limited-duty status was referred to physical therapy by his primary care physician for a 2-year history of insidious-onset and slowly progressive low back pain. Lumbar radiographs were noncontributory. Shortly after initiating rehabilitation, the patient underwent magnetic resonance imaging that was previously ordered by his primary care physician. Radiology identified a complex mass and cortical fracturing within the L1 vertebral body, and subsequent computed tomography imaging demonstrated mixed sclerotic and lytic foci at L1. Biopsy later confirmed an epithelioid hemangioma.

J Orthop Sports Phys Ther 2017;47(5):367. doi:10.2519/jospt.2017.6689
Changing Trends in oral cancer – a global scenario
Authors: Gupta Neha , Gupta Ritu , Acharya Arun Kumar , Patthi Basavaraj , Goud Venkatesh , Reddy Somanath , Garg Anshul , Singla Ashish
Published: May 2017

Oral cancer is one of the highly prevalent cancers worldwide and a leading cause of mortality in certain regions like South-Central Asia. It is a major public health problem. Late diagnosis, high mortality rates and morbidity are characteristics of the disease worldwide. For control of oral cancer an idea of the coverage of the same in the various regions is necessary. The estimated incidence, mortality and 5-year survival due to lip, oral cavity cancer in world is 3, 00, 373(2.1%), 1, 45, 328(1.8%) and 7, 02, 149(2.2%) respectively according to data of GLOBOCAN 2012. A changing trend in incidence and prevalence of oral cancer has been observed with more women and youngsters being affected by oral cancer.
Guide to the design and application of online questionnaire surveys
Authors: Regmi Pramod R. , Waithaka Elizabeth , Paudyal Anjana , Simkhada Padam , Van Teijlingen Edwin
Published: May 2017

Collecting research data through traditional approaches (face-to-face, postal or telephone survey) can be costly and time consuming. The emerging data collection approach based on internet/e-based technologies (e.g. online platforms and email), is a relatively cost effective survey alternative. These novel data collection strategies can collect large amounts of data from participants in a short time frame. Similarly, they also seem to be feasible and effective in collecting data on sensitive issues or with samples they are generally hard to reach, for example, men who have sex with men (MSM) or migrants. As a significant proportion of the population currently in the world are digitally connected, the shift from postal (paper-pencil) or telephone towards online survey use in research is in the interests of researchers in academia as well as in the commercial world. However, compared to designing and executing paper version of the questionnaire, there is limited literature to help a starting researcher with the design and a use of online questionnaires. This short paper highlights issues around: a) methodological aspect of online questionnaire survey; b) online survey planning and management; and c) ethical concerns that may arise while using this option. We believe that this paper will be useful for researchers who want to gain knowledge or apply this approach in their research.
Données LiDAR aériennes: pertinence de l'interprétation visuelle pour la foresterie
Authors: Parkan Matthew
Published: May 2017

Airborne LiDAR data: relevance of visual interpretation for forestry

Airborne LiDAR surveys are particularly well adapted to map, study and manage large forest extents. Products derived from this technology are increasingly used by managers to establish a general diagnosis of the condition of forests. Less common is the use of these products to conduct detailed analyses on small areas; for example creating detailed reference maps like inventories or timber marking to support field operations. In this context, the use of direct visual interpretation is interesting, because it is much easier to implement than automatic algorithms and allows a quick and reliable identification of zonal (e.g. forest edge, deciduous/persistent ratio), structural (stratification) and point (e.g. tree/stem position and height) features. This article examines three important points which determine the relevance of visual interpretation: acquisition parameters, interactive representation and identification of forest characteristics. It is shown that the use of thematic color maps within interactive 3D point cloud and/or cross-sections makes it possible to establish (for all strata) detailed and accurate maps of a parcel at the individual tree scale.
Multitemporales, flugzeuggetragenes Laserscanning für die Forstwirtschaft
Authors: Hollaus Markus , Pfeifer Norbert
Published: May 2017

Multi-temporal airborne laserscanning data for forestry applications

During the last decade airborne laserscanning (ALS) data has been established as a suitable data source for three-dimensional description of forests and for deriving forest parameters. For the study area Vorarlberg, Austria, the potential of multi-temporal ALS data (data from 2004 and 2011) was analyzed for deriving the amount of harvests in terms of area and stem volume. The data were used as well to assess the site index with the aid of the changes in top heights. The analyses have shown that harvested areas could be detected with a minimum mapping unit of 20 m2, which corresponds to harvested single trees from the dominant canopy layer. The average amount of harvested stem volume could be estimated with an overall accuracy of 96.4%. The derived changes in top heights clearly reflect the local growth conditions. For the study area Liechtenstein two ALS data sets (leaf-on and leaf-off) were used for the differentiation between coniferous and deciduous forests. Here, an overall accuracy of 92% could be achieved.
Evaluation automatischer Einzelbaumerkennung aus luftgestützten Laserscanning-Daten
Authors: Menk Julia , Dorren Luuk , Heinzel Johannes , Marty Mauro , Huber Markus
Published: May 2017

Evaluation of automated single-tree recognition from airborne laser scanning data

In the present study, we investigated whether the detection tool FINT (Find Individual Trees) can identify single trees out of canopy height models (CHM) precisely enough to assess the protective effect of forests, even on steep slopes. For this purpose, reference trees were measured and described in twelve randomly selected sample plots in the Bündner Herrschaft and Schanfigg regions (Canton Graubünden, Switzerland). CHMs of different resolution and smoothing were generated from airborne laser scanning data for each sample plot and subsequently processed with FINT. In addition, we tested whether the use of a model that defines the minimum distance between a tree and its neighbours based on its height (MBA model) improved the quality of the results. The study showed that a finer-resolution CHM combined with stronger smoothing produced results comparable to those obtained with an unsmoothed and lower-resolution CHM. The smallest difference between the numbers of trees measured and detected was achieved with the 1-m resolution CHM, with no smoothing and no MBA model. In conclusion, FINT can provide a basis for assessing the protective effect of a forest with its existing structures, and its results – after evaluation in the field – can be directly integrated into natural hazard simulation models.
Elizabeth Melville, Lady Culross: new light from Fife
Authors: Baxter Jamie Reid
Published: May 2017

The largest single manuscript collection of the spiritual poetry of Elizabeth Melville, Lady Culross (fl. 1599–1631) is anonymous and undated. Its contents give every sign of being carefully ordered, and open with a sonnet incorporating the name Issobell Cor as the anagram SOB SILLE COR, followed by a dixain on the acrostic ISABELL COR. This article overturns earlier interpretations of these technical devices by identifying the addressee of the poems as the hitherto unnoticed Isobell Cor, wife of Robert Lumsden, laird of Airdrie in the East Neuk of Fife. Isobell Cor's background and her personal circumstances in the period 1605–1609 provide a raison d’être for the existence of the anonymous verse collection and further reinforce the existing case for Elizabeth Melville's authorship of the 3000 lines concerned. Significant new light is also thrown on the poet's early adult years, on the richness of the spirituality practised by the ‘Melvillian’ presbyterians of the East Neuk of Fife and on the struggles in which the steely resolve of seventeenth-century presbyterian resistance to Crown ‘tyranny’ was forged.
Anatomical, Histological And Metabolic Differences Between Hypodermis And Subcutaneous Adipose Tissue
Authors: Gonzaga da Cunha Marisa , Cury Rezende Flávia , Gonzaga da Cunha Ana Lucia , Machado Carlos A. , Fonseca Fernando Luiz Affonso
Published: May 2017

The development of treatments using stem cells has drawn the attention of researchers to fat deposits given the fact they represent an almost unlimited reservoir of such cells, which can be accessed through minimally invasive techniques. However, the standardization of these studies has been made difficult because of the controversies of nomenclature regarding the many components of adipose tissue. Despite their distinct and independent structures with different metabolic responses, the terms hypodermis and subcutaneous adipose tissue are many times used as synonyms. However, the correct distinction between these two layers, the knowledge of their behavior and an uniformity of these terminologies are of utmost importance.

            Thus, the purpose of this study was to make a bibliographic review on the theme, aiming to show the anatomical, histological and metabolic differences between these two tissues and standardize their nomenclature.
Factors Associated With Subjective Well-Being In Adults With Hemophilia
Authors: Holsbach Denise Rodrigues , Ivo Maria Lúcia , Pereira Leonardo Costa , Carvalho Alexandra Maria Almeida , Sá Evandro Claudino de , Albuquerque Viviane Tobias , Azevedo Isabelle Campos de , Ferreira Júnior Marcos Antonio
Published: May 2017

Objectives: To evaluate the positively and negatively factors associated with the subjective well-being of adults with hemophilia from two associations of patients.

Methods: This study is a cross-sectional survey, carried out with convenience sampling in two patient associations. Data collection took place in November and December of 2015. The evaluation protocol consisted of the application of two instruments: Hemophilia Well-Being Index and a collection form of sociodemographic and clinical data.

Results: Fifty-three adults with hemophilia, and male, participated in the study. Their age ranged from 21 to 54 years old. It was observed a higher prevalence of participants with single marital status and third education level. The age and marital status of the participants did not influence their well-being.

Conclusion: The high level of education was positively associated with the well-being of the participants, related to the item “economic situation.” 

Keywords: Hemophilia A; Hemophilia B; Adult; Subjective Well-Being Scale.
Health Education to Strengthen Breastfeeding Actions
Authors: Sousa Raul Rodrigues Cipriano , Cirino Ingred Pereira , Vera Paula Valentina de Sousa , Sousa Artemízia Francisca , Lima Luisa Helena De Oliveira , Oliveira Edina Araújo Rodrigues
Published: May 2017

Introduction: Breast milk is, without a doubt, the food that provides all the nutrients essential for the healthy growth and development of children. Through effective breastfeeding practices, it is possible to prevent several chronic noncommunicable diseases in childhood, adolescence, and adulthood.

Objective: To investigate the relevance of using an educational strategy in breastfeeding promotion.

Methods: It was a descriptive study with uncontrolled analytical approach conducted with 36 mothers of children under 2 years of age about breastfeeding, through an educational intervention using the booklet “Breastfeeding: an act of love”. Data collection took place in two moments (pre-test and post-test). Ethics Committee approved the project under protocol No. 058657.

Results: Data analysis revealed that 41.6% of the interviewees stated that they did not receive guidance about breast problems from any professional during prenatal care, and 22% reported having presented nipple fissures. Regarding the initiation of breastfeeding, 11.1% of the women interviewed did not knowthe importance of colostrum, and 30.6% did not know its benefits. Assessment of the mothers’ knowledge before and after the intervention obtained a percentage of correctness of 50.7% and 70%, respectively.

Conclusion: The educational activity to encourage breastfeeding was able to increase the mothers’ knowledge about breastfeeding and its health benefits for women and children. It is imperative to carry out activities such as the one proposed in this study, which enables the prevention of several problems that directly affect the health of families, acting effectively to promote a solid knowledge for the population.

Keywords: Breast Feeding. Child Health. Health Education. Infant Nutrition. Food and Nutrition Education.
Proceedings of the GRAPPA 2016 Retreat
Authors: Jadon Deepak R. , Gladman Dafna D. , Mease Philip J. , FitzGerald Oliver , Chandran Vinod , Goel Niti , Rosen Cheryl F. , Maksymowych Walter P. , Ritchlin Christopher T. , Ogdie Alexis , Coates Laura C. , Cauli Alberto , Soriano Enrique R. , Husni M. Elaine , Campbell Willemina , Azevedo Valderilio F. , Callis Duffin Kristina , Armstrong April W. , Gottlieb Alice B. , Kavanaugh Arthur , Garg Amit , Helliwell Philip S.
Published: May 2017

In advance of its 2016 annual meeting, members of the steering committee of the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) convened for a strategic planning meeting. The purpose of this advance meeting was to review the work of GRAPPA since its inception in 2003, ascertain and review the current priorities of the group, and devise a strategy for proceeding. The key accomplishments of GRAPPA to date, priorities and objectives for the next 5 years, and goals and opportunities for the GRAPPA committees were discussed. GRAPPA has a responsibility and commitment to patients, its members, and partners to innovate, inspire, and improve knowledge and the ability to care for people with psoriasis and psoriatic arthritis.
Benchmarking Care in Psoriatic Arthritis — The QUANTUM Report: A Report from the GRAPPA 2016 Annual Meeting
Authors: Favier Guillaume , Gladman Dafna D. , Merola Joseph F. , Armstrong April W. , Boehncke Wolf Henning , Helliwell Philip S.
Published: May 2017

Members of the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA), in partnership with KPMG LLP (UK), conducted interviews at selected research centers around the globe to analyze the process of care in psoriasis and psoriatic arthritis (PsA): pre-diagnosis, referral and diagnosis, treatment, and followup. Ten major challenges emerged, many of which were universally recognized across centers; the top 4 included limited awareness of PsA among non–rheumatologists, a disparate approach to care, late referral and diagnosis, and an inadequate management of comorbidities.
Treatments for Psoriatic Arthritis, a Guide for Patients Written by Fellow Patients: A Report from the GRAPPA 2016 Annual Meeting
Authors: O’Sullivan Denis , Steinkoenig Ingrid , Brooke Mel
Published: May 2017

In 2016, members of the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) published their updated Treatment Recommendations for Psoriatic Arthritis. This paper describes how a patient-oriented guide to those treatment recommendations was developed by GRAPPA’s patient research partners (PRP). We describe how the PRP developed a process for creating and implementing the guide. We also describe how we evaluated the diversity of the guide’s potential patient audience, i.e., where each individual was in their diagnosis and treatment needs, and how we made the patient guide attractive, readable, and available to as broad a patient audience as possible.
Nail Enthesis Ultrasound in Psoriasis and Psoriatic Arthritis: A Report from the 2016 GRAPPA Annual Meeting
Authors: Cunha Joanne Szczygiel , Qureshi Abrar A. , Reginato Anthony M.
Published: May 2017

Musculoskeletal ultrasonography is gaining favor in the evaluation of enthesitis in patients with psoriasis and psoriatic arthritis (PsA). Imaging modalities have shown that the enthesis of the distal interphalangeal joint has a close relationship to the nail itself. Studies have focused on the structure and morphology of nails to determine an association between psoriasis nail changes and the presence or severity of PsA. With the use of higher frequency probes, power Doppler (PD) can determine subclinical inflammation of the area under ultrasound examination. At the 2016 meeting of the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA), we proposed an ultrasonographic index for the assessment of the nail enthesis to identify the morphologic and PD findings of the nail, with the potential that both rheumatologists and dermatologists can use it to evaluate their patients.
Practical Assessment of Psoriasis Clinical Severity in both Clinical Trials and Clinical Practice Settings: A Report from the GRAPPA 2016 Annual Meeting
Authors: Merola Joseph F. , Gottlieb Alice B.
Published: May 2017

At the 2016 annual meeting of the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA), we presented the case for quantitatively assessing the extent of both psoriasis and psoriatic arthritis in the clinical setting, with a particular focus on the validation and expanded novel use of the PGAxBSA (static physician’s global assessment × body surface area of involvement) in the era of targeted metrics. Herein, we summarize our presentation.
Creating a Path: How Mentoring Can Help
Authors: Dickerson Pamela S. , Shinners Jean
Published: May 2017

Mentoring exists in formal and informal processes in many areas of nursing practice. This article explores the mentoring relationship between the two editors of this column.

J Contin Educ Nurs.
2017;48(5):201–202.
Leadership Roles in Standards and Policy Development
Authors: Bleich Michael R.
Published: May 2017

Leaders are defined by traits, behaviors, roles, and functions, yet little is described about their responsibilities linked to standards and policy development. Presented in this article is a four-point organizational framework (primary, procedural, population-specific, and public) that is useful for establishing patient, institutional, and public policies central to leadership. Leader responsibility for communicating minimum standards is contrasted with setting optimal practice expectations.

J Contin Educ Nurs.
2017;48(5):203–205.
Growth Trajectories and Detrended Intraindividual Variability to Assess Case Managers' Competency in Continuing Education
Authors: Park Claire Su-Yeon , Kang Kyong-Hwa , Yun Soon-Nyoung
Published: May 2017

Tracking the effectiveness of CE over time beyond simply confirming its efficacy in continuing education (CE) in nursing is crucial. However, research evidence on the analysis of change of the effectiveness of CE over time is limited, particularly in the context of case management. This methodological study aimed to introduce both a growth curve modeling and an intra-individual variability index and demonstrate step-by-step procedures and interpretations of those analyses to assess case manager competency over time, using secondary data analysis. Data were collected from 22 case managers affiliated with the Korean National Health Insurance Corporation who attended three series of CE to improve their competency between May 2008 and August 2009. Unexpected results revealed a negative fixed effect of education level in the overall estimation of case managers' competency trajectory and a negative correlation between education level and case managers' intra-individual competency inconsistency over time.

J Contin Nurs Educ.
2017;48(5):230–238.
From Immediate Release to Long Acting Drug Delivery Systems: What Do They Mean and Why Do They Matter?
Authors: Leahy Laura G.
Published: May 2017

Understanding the varied delivery systems of today's medications can not only simplify dosing schedules but also improve medication adherence, reduce adverse events and polypharmacy, and increase patients' overall quality of life. Whether a medication is noted as immediate, controlled, delayed, or extended release can influence patient adherence as well as tolerability of the drug. New and novel delivery systems, such as long-acting weekly formulations or biweekly and monthly injectable agents, can offer steady blood levels of the drug, avoiding the daily fluctuations that may lead to side effects. Other delivery systems, such as transdermal patches and extended-release orally disintegrating tablets, may offer convenience for those with gastrointestinal concerns or the inability to swallow tablets or capsules. The current article serves as a primer on drug delivery systems and why they are important to consider when introducing medications to a patient's treatment regimen. [
Journal of Psychosocial Nursing and Mental Health Services, 55
(5), 19–23.]
Integrating Anxiety Reduction into an Existing Self-Management of Auditory Hallucinations Course
Authors: Buccheri Robin K. , Trygstad Louise Nigh , Buffum Martha D. , Ju Dau-shen , Dowling Glenna A.
Published: May 2017

High levels of anxiety were found to interfere with voice hearers' ability to benefit from a 10-Session Behavioral Management of Auditory Hallucinations Course. The 10-session course was revised, adding anxiety reduction strategies to the first four classes and reinforcing those strategies in the remaining eight classes. A multi-site study (
N
= 27) used repeated measures to determine whether the new 12-session course would significantly reduce anxiety. Ten course leaders were trained and taught the course six times at three different outpatient mental health sites. Three measures of anxiety were used. The 12-session course was found to significantly reduce anxiety after the first four classes with further reduction at the end of the course. Eighty-eight percent of course participants reported the course was moderately to extremely helpful. They also reported that being in a group with others with similar symptoms was valuable. Course leaders reported learning about the prevalence and importance of treating voice hearers' anxiety. [
Journal of Psychosocial Nursing and Mental Health Services, 55
(5), 29–39.]
The PARENTED Outline for Observing Hospitalized Pediatric Patients and Their Families
Authors: Tremain Amy L.
Published: May 2017

The PARENTED outline (a mnemonic device) and the companion Parenting Landscape handout are proposed tools for clinical use that were developed as an outgrowth of clinical experience with hospitalized pediatric mental health patients and their families in combination with family systems theories of Minuchin and Bowen, Ainsworth and Bowlby's attachment theory, and Erikson's stages of development. The tools contain eight categories of observable, typical family interactions that a nurse on an inpatient mental health unit may encounter. In mnemonic format, the categories are easy to remember so nursing staff can spontaneously interact with pediatric patients and their families while formulating purposeful, organized observations and watching for important family dynamics. Other treatment team members can benefit from this theory-based observation approach because the tools help generate descriptive details for documentation that are available to the entire team. The tools can be shared with veteran staff and new nurses during orientation. [
Journal of Psychosocial Nursing and Mental Health Services, 55
(5), 51–56.]
Morphologic confounders and CD19 negativity in a case of hairy cell leukemia.
Authors: Rastogi Pulkit , Sreedharanunni Sreejesh , Yanamandra Uday , Sachdeva Man Updesh Singh , Varma Neelam
Published: May 2017

Objectives:We report a case of hairy cell leukemia (HCL) initially misdiagnosed as plasma cell dyscrasia due to various clinical, morphological and immunophenotypic confounders.Methods and results:In a patient diagnosed of marrow plasmacytosis and serum monoclonal protein elsewhere and referred to our hospital, morphological evaluation of bone marrow aspirate smears and trephine biopsy, immunophenotyping, and molecular testing (BRAFV600E mutation) were done. Clinically, the patient was asymptomatic, bone marrow revealed plasmacytosis, mastocytosis and lymphocytosis with a few “hairy” cells. Immunophenotyping revealed features of HCL with aberrant CD10 expression and a subclone of CD19neg cells. A diagnosis of HCL with reactive plasmacytosis and mast cell hyperplasia was made and confirmed by immunophenotyping and molecular studies.Conclusion:Hematopathologists must be aware of various confounding factors and should judiciously use flow cytometric and molecular studies for attaining a proper diagnosis of HCL. We also report a very rare immunophenotypic aberrancy (CD 19 negativity) in HCL
INFECTIONS AND FOLLICULAR LYMPHOMA: IS THERE A LINK?
Authors: Zallio Francesco , Limberti Giulia , Ladetto Marco
Published: May 2017

Several infectious agents appear to provide a proliferative signal -- “antigen-drive” – that  could be implicated in the pathogenesis of various type of Non-Hodgkin Lymphoma (NHL). A classical model of infection-driven lymphoprolipherative disorder is Helicobacter pylori-induced gastric MALT lymphoma, where antibiotic therapy allows eradication of both the infectious agent and the clonal B-cell expansion;  following the footsteps of these example, several retrospective studies have found a correlation with other pathogens and B-cell Lymphomas, adding new important informations about pathogenesis and laying the groundwork for chemotherapy-free treatments.Although no clear association with infectious agents has yet been identified for Follicular Lymphoma (FL), a growing number of biological and clinical observations suggests that interaction with physiological and pathological microbial populations might play a role also in this subtype of lymphoma: in the last years epidemiological studies investigating the association of known risk factors and FL found a potential correlation with viral or bacterial infections; moreover recent findings about the stimulation of FL clones support the importance of microbial exposure to lymphomagenesis and disease progression.In the following review we make an attempt to find tangible evidences in favor of a role of either physiological and pathological exogenous microbial species in the pathogenesis of FL, and try to integrate the findings coming from epidemiological, biological and interventional studies to define future  novel treatment and prevention strategies for FL.
Self-Managed Exercises, Fitness and Strength Training, and Multifidus Muscle Size in Elite Footballers
Authors: Hides Julie A. , Walsh Jazmin C. , Smith Melinda M. Franettovich , Mendis M. Dilani
Published: May 2017

Context: 

Low back pain (LBP) and lower limb injuries are common among Australian Football League (AFL) players. Smaller size of 1 key trunk muscle, the lumbar multifidus (MF), has been associated with LBP and injuries in footballers. The size of the MF muscle has been shown to be modifiable with supervised motor-control training programs. Among AFL players, supervised motor-control training has also been shown to reduce the incidence of lower limb injuries and was associated with increased player availability for games. However, the effectiveness of a self-managed MF exercise program is unknown.

Objective: 

To investigate the effect of self-managed exercises and fitness and strength training on MF muscle size in AFL players with or without current LBP.

Design: 

Cross-sectional study.

Setting: 

Professional AFL context.

Patients or Other Participants: 

Complete data were available for 242 players from 6 elite AFL clubs.

Intervention(s): 

Information related to the presence of LBP and history of injury was collected at the start of the preseason. At the end of the preseason, data were collected regarding performance of MF exercises as well as fitness and strength training. Ultrasound imaging of the MF muscle was conducted at the start and end of the preseason.

Main Outcome Measure(s): 

Size of the MF muscles.

Results: 

An interaction effect was found between performance of MF exercises and time (F = 13.89, P ≤ .001). Retention of MF muscle size was greatest in players who practiced the MF exercises during the preseason (F = 4.77, P = .03). Increased adherence to fitness and strength training was associated with retained MF muscle size over the preseason (F = 5.35, P = .02).

Conclusions: 

Increased adherence to a self-administered MF exercise program and to fitness and strength training was effective in maintaining the size of the MF muscle in the preseason.