bluuebunny/crossref_metadata_2025 huggingface dataset:
Expressing Dwelling: Dewey and Hegel on Art as Cultural Self-Articulation
Authors: Russon John
Published: June 2015

John Dewey shows the essential role of artistic expression in experience. Expression, as emotional articulation, is essential to establishing our intimate engagement with the world. G.W.F. Hegel shows that just this process of expressing our mode of “dwelling” in the world has been operative historically at the cultural level. It is characteristic of contemporary art that, in attempting to establish a new form of dwelling within the context of our technological world, it articulates just this vision of our experience as essentially expressive.
Revision of Chinese Dilaridae (Insecta: Neuroptera) (Part III): Species of the genus Dilar Rambur from the southern part of mainland China
Authors: ZHANG WEI , LIU XINGYUE , ASPöCK HORST , ASPÖCK ULRIKE
Published: June 2015

A revision of species of the genus Dilar Rambur, 1838, from the southern part of mainland China is presented. Twenty species are recorded in this region, with 12 species described as new to science. Dilar spectabilis Zhang, Liu, H. Aspöck & U. Aspöck, 2014, is recorded in this region for the first time. The other seven valid species previously recorded in this region are re-described. Dilar wangi Yang, 1992, is herein treated as a junior synonym of Dilar montanus Yang, 1992. A key to all species of the genus Dilar so far recorded from China is provided.
Evaluation of the FlowCapt Acoustic Sensor for the Aeolian Transport of Snow
Authors: Trouvilliez Alexandre , Naaim-Bouvet Florence , Bellot Hervé , Genthon Christophe , Gallée Hubert
Published: June 2015

FlowCapt acoustic sensors, designed for measuring the aeolian transport of snow fluxes, are compared to the snow particle counter S7optical sensor, considered herein as the reference. They were compared in the French Alps at the Lac Blanc Pass, where a bench test for the aeolian transport of snow was set up. The two existing generations of FlowCapt are compared. Both seem to be good detectors for the aeolian transport of snow, especially for transport events with a flux above 1 g m−2 s−1. The second-generation FlowCapt is also compared in terms of quantification. The aeolian snow mass fluxes and snow quantity transported recorded by the second-generation FlowCapt are close to the integrative snow particle counter S7 fluxes for an event without precipitation, but they are underestimated when an event with precipitation is considered. When the winter season is considered, for integrative snow particle counter S7 fluxes above 20 g m−2 s−1, the second-generation FlowCapt fluxes are underestimated, regardless of precipitation. In conclusion, both generations of FlowCapt can be used as a drifting snow detector and the second generation can record an underestimation of the quantity of snow transported at one location: over the winter season, the quantity of snow transported recorded by the SPC is between 4 and 6 times greater than the quantity recorded by the second-generation FlowCapt.
The origin and purpose of Khirbat al-Mudaybi’
Authors: Pace James H.
Published: June 2015

Khirbat al-Mudaybi‘ is the site of an ancient fort on the eastern desert fringe of the Karak plateau in Jordan – an area known as Moab in biblical times. Little was known about the site until the Karak Resources Project between 1997 and 2014 excavated it. The most intriguing find at the site was a massive four-chambered gate decorated with ornate volute column capitals. Ceramic, architectural, and radiocarbon analysis indicate that the fort dates to the late Iron Age, very likely to the seventh century BCE. Who built it, why it was built and why such ornamental architecture was employed, and why it was abandoned remain questions to be answered. This article speculates that the fort was built by a Moabite ruler who, as a client-ruler of the powerful Neo-Assyrian Empire, was required to pay tribute to his overlords. This tribute came from levies on caravan traffic that passed by the site on the desert highway that connected Arabia with Damascus in the north. The impressive architecture was a symbol of royal authority. The fort was abandoned during the Neo-Babylonian period when the caravan route shifted and no longer passed the site.
Three faces of hope: Amos 9:11–12 and Acts 15:12–19
Authors: Nogalski James D.
Published: June 2015

This sermon explores the expansive role of hope found in three stages of the life and afterlife of Amos 9:11–12. The passage begins as editorial expansion of the book of Amos which offers a message of hope beyond judgment to a new audience during the exilic period. It expresses hope for a restored kingdom—a reconquest of territory lost. In a second stage, the Septuagint attests to a bigger promise—one in which all humanity seeks the LORD. Finally, in one of the pivotal scenes of the mission of the early church, James in Acts 15 draws upon the Septuagint promise, but expands it further still so that Amos 9:11–12 becomes the scriptural foundation for his support of Paul’s vision of the universal mission of the church extended to the Gentiles. These three faces of hope, each delivered in a new context, demonstrates how tradition open to the spirit of God adapts the word of God in new settings.
Faithful in small matters: Jeremiah 35
Authors: Biddle Mark E.
Published: June 2015

In some respects, the dynamics of Jeremiah’s sixth century bce encounter with the Rechabites recorded in Jer 35:1–19 parallels those of the twenty-first century ce interaction between the Amish of Hanover County and popular culture in the wake of the October 2006 atrocity committed by gunman Charles Carl Roberts IV. God’s message for the Judeans first points out the stark contrast between the Rechabites’ zealous adherence to their ancestor’s instructions and the Judeans’ long history of continual disobedience to God. Not since Constantine has the Christian church in the West found itself at the margins of society. Taking the Rechabite example, the church should focus less on new ways of doing and more on old ways of being. Jeremiah’s message for today is, after all, the same as it was in the sixth century BCE: a call to return—to fidelity, to authenticity.
A king without respect: Insubordination as a theme in 1 Samuel
Authors: Cartledge Tony W.
Published: June 2015

Saul, Israel’s first king, has long been seen as a tragic figure who was put in an untenable situation and lived down to expectations. Whether personally flawed or divinely fated to fail, Saul became a king who got little respect, either from the prophet Samuel, who appointed him in God’s behalf, or from the people he ruled. Saul was neither the oppressive king that Samuel had predicted nor the willful rebel that Samuel accused him of being. Rather, the author(s) behind the received form of 1 Samuel intentionally framed Israel’s inaugural monarch, not simply as disobedient to God, but also as one so willing to follow his subjects’ will that he failed to win their respect, contributing to his fall.
New directions in teaching Scripture to those training for ministry
Authors: Briggs Richard S.
Published: June 2015

Biblical studies as taught in formational/seminary contexts is often shaped by standard modern agendas of the academic discipline of ‘biblical studies’. The oddity is that particular topics highly pertinent to formation for ministry, especially ordained ministry, end up marginalized. From within my own Anglican context this includes study of priesthood in the Old Testament, and New Testament texts concerned with church order and leadership (notably the Pastoral Epistles). I argue that the formational agenda requires some revision of accepted academic approaches in the context of ministerial formation.
Mourners’ memories
Authors: Hardy John
Published: June 2015

An Anglican cleric’s funeral tributes are commonly based on the recollections of mourners. I illustrate some of ‘my’ mourners’ memories, and their conversational idiom – the prevalence of everyday vocabulary. Following W. S. F. Pickering’s pioneering investigation of religious life and ordinary theology in 1950s Yorkshire and Lincolnshire, UK, I propose that such reminiscences provide a source for popular attitudes; they reflect a persistent ‘family Britain’ view of life, shared by churchgoers and non-churchgoers alike.
Death on the mountains
Authors: Nixon David
Published: June 2015

This article seeks to explore theological meaning in a particular and unexpected event in the author’s life. It begins by telling the story, and then explains why all narrative is open to the possibility of theology. By means of the tropes of mountain and wilderness, it begins to expand theological horizons, albeit with a level of physical and spiritual discomfort.
Capital Investment by Independent and System-Affiliated Hospitals
Authors: Carroll Nathan W. , Smith Dean G. , Wheeler John R. C.
Published: June 2015

Capital expenditures are a critical part of hospitals’ efforts to maintain quality of patient care and financial stability. Over the past 20 years, finding capital to fund these expenditures has become increasingly challenging for hospitals, particularly independent hospitals. Independent hospitals struggling to find ways to fund necessary capital investment are often advised that their best strategy is to join a multi-hospital system. There is scant empirical evidence to support the idea that system membership improves independent hospitals’ ability to make capital expenditures. Using data from the American Hospital Association and Medicare Cost Reports, we use difference-in-difference methods to examine changes in capital expenditures for independent hospitals that joined multi-hospital systems between 1997 and 2008. We find that in the first 5 years after acquisition, capital expenditures increase by an average of almost $16 000 per bed annually, as compared with non-acquired hospitals. In later years, the difference in capital expenditure is smaller and not statistically significant. Our results do not suggest that increases in capital expenditures vary by asset age or the size of the acquiring system.
Controlling for Response Order Effects in Ranking Items Using Latent Choice Factor Modeling
Authors: Vriens Ingrid , Moors Guy , Gelissen John , Vermunt Jeroen K.
Published: June 2015

Measuring values in sociological research sometimes involves the use of ranking data. A disadvantage of a ranking assignment is that the order in which the items are presented might influence the choice preferences of respondents regardless of the content being measured. The standard procedure to rule out such effects is to randomize the order of items across respondents. However, implementing this design may be impractical and the biasing impact of a response order effect cannot be evaluated. We use a latent choice factor (LCF) model that allows statistically controlling for response order effects. Furthermore, the model adequately deals with the known issue of ipsativity of ranking data. Applying this model to a Dutch survey on work values, we show that a primacy effect accounts for response order bias in item preferences. Our findings demonstrate the usefulness of the LCF model in modeling ranking data while taking into account particular response biases.
Negative modulation of α5 GABAA receptors in rats may partially prevent memory impairment induced by MK-801, but not amphetamine- or MK-801-elicited hyperlocomotion
Authors: Timić Stamenić Tamara , Joksimović Srdjan , Biawat Poonam , Stanković Tamara , Marković Bojan , Cook James M , Savić Miroslav M
Published: June 2015

Reportedly, negative modulation of α5 GABAA receptors may improve cognition in normal and pharmacologically-impaired animals, and such modulation has been proposed as an avenue for treatment of cognitive symptoms in schizophrenia. This study assessed the actions of PWZ-029, administered at doses (2, 5, and 10 mg/kg) at which it reached micromolar concentrations in brain tissue with estimated free concentrations adequate for selective modulation of α5 GABAA receptors, in three cognitive tasks in male Wistar rats acutely treated with the noncompetitive N-methyl-d-aspartate receptor antagonist, MK-801 (0.1 mg/kg), as well in tests of locomotor activity potentiated by MK-801 (0.2 mg/kg) or amphetamine (0.5 mg/kg). In a hormetic-like manner, only 5 mg/kg PWZ-029 reversed MK-801-induced deficits in novel object recognition test (visual recognition memory), whereas in the Morris water maze, the 2 mg/kg dose of PWZ-029 exerted partial beneficial effects on spatial learning impairment. PWZ-029 did not affect recognition memory deﬁcits in social novelty discrimination procedure. Motor hyperactivity induced with MK-801 or amphetamine was not preventable by PWZ-029. Our results show that certain MK-801-induced memory deficits can be ameliorated by negative modulation of α5 GABAA receptors, and point to the need for further elucidation of their translational relevance to cognitive deterioration in schizophrenia.
Using Teacher Impression Journals to Improve Intervention Effectiveness
Authors: Yu SeonYeong , Ostrosky Michaelene M. , Meyer Lori E. , Favazza Paddy C. , Mouzourou Chryso , van Luling Lisa
Published: June 2015

This article describes the use of Teacher Impression Journals during a larger study that examined the efficacy of an intervention program designed to promote kindergarteners’ positive attitudes toward peers with disabilities (i.e., the Special Friends program). The journals were designed to gather information about intervention implementation and social validity. Weekly Teacher Impression Journals were collected from 32 teachers over a 6-week period. Each week teachers responded to questions related to the implementation of two interventions: children’s behaviors related to the study’s primary focus (i.e., acceptance of individuals with disabilities) and comments from key stakeholders (i.e., parents, other school professionals). Teachers’ responses were analyzed using content analysis. Results revealed that teachers observed play interactions as evidence of children’s acceptance of peers with disabilities. Teachers also reported hearing positive comments from other stakeholders about children’s acceptance as well as about the interventions. Suggestions for research and implications for practice are discussed.
Gamification in engineering education and professional training
Authors: Markopoulos Angelos P , Fragkou Anastasios , Kasidiaris Petros D , Davim J Paulo
Published: June 2015

The incorporation of game mechanics and dynamics in non-gaming applications is a subject of interest in various sectors such as education, marketing, medicine and military, in the last few years. It is believed that engineering education in a pre-graduate level and in professional practice will bring high pay-offs. The role of the academia is to develop new methodologies and tools to produce, apply and use digital games and gamification techniques in contemporary industry and present scientific evidence on the value and the benefits derived from this technology. In this paper, the relative literature is evaluated and a discussion on the gamification status today is given, by examining various aspects of this novel term. Furthermore, game techniques, gamification practices in education and e-learning are considered. Special discussion on engineering games, gamification platforms and empirical surveys is presented with focus on manufacturing.
Neuman Systems Model as a Conceptual Framework for Nurse Resilience
Authors: Turner Stephanie B. , Kaylor Sara D.
Published: June 2015

Due to the stressors involved in the field of nursing, resilience has been identified as an essential trait for those working in the profession. Nurses must deal with many issues that can lead to exhaustion and burnout. The Neuman Systems Model focuses on types of stressors that may cause harm to a person’s health and well-being. The purposes of this article are to offer the Neuman Systems Model as a conceptual framework for exploring nurse resilience, and to describe strategies that promote resilience-building in nurses.
Being One with the Universe
Authors: Caratao-Mojica Rhea
Published: June 2015

Woody Allen once quoted, “I don’t mind dying so much, I just don’t want to be there when it happens” (as cited in Ingram, 2002, p. 1). Oftentimes, death is not a happy subject, a reality that most of us fear, yet something we all must face. In this paper, three articles were reviewed that explored the living-dying (Phillips, 1992) process of the terminally ill and the material was conceptualized in light of Rogers (1994) science of unitary human beings. To further understand and explore the living–dying process, creative examples (movie screenplay, novel, song and others) were cited. During the living-dying process exploration, three common themes were expressed by the subjects (dying persons), namely: valuing own perspective of quality of life; choosing personal meanings with ways of moving beyond with the possibles (Lee & Pilkington, 1999), while focusing on life’s meaning rather than life’s details (Dobratz, 2002); and connecting to the world-as-unknown while self-separating to the world-as-known in actively seeking the union with death (Kubler-Ross, 1981; Callanan & Kelly, 1992; Dobratz, 2002). It is important for healthcare providers to recognize and acknowledge all three themes to be able to understand dying persons, to focus on their wholeness rather than their disease, and to help families discern symbolic messages conveyed by them. Moreover, knowing these themes also enables healthcare providers to help all parties to transition and be able to accept and embrace the most difficult process—the living-dying (Phillips, 1992) process.
Economic Soundness and Interdisciplinary Teamwork in the UK
Authors: Gunson John , Hart Jane
Published: June 2015

This article is chiefly concerned with the question is nursing, particularly oncology nursing, both improved and more affordable when persons are honored in the manner suggested by Rosemarie Rizzo Parse’s humanbecoming school of thought and when nurses are respected members of multidisciplinary teams? The authors offer a theoretical article on the evolution of cancer multidisciplinary teams and examine current thinking on teamwork in the hospital setting.
The Financial Case for Patient-Centered Interdisciplinary Teams in the United Kingdom
Authors: Baumann Steven L.
Published: June 2015

This column is about the financial and human benefits of effective interdisciplinary healthcare teams approach and the use of the humanbecoming school of thought in head and neck oncology in the United Kingdom. Included is a brief comparison with oncology treatment in the United States.
The Art of Service Learning
Authors: Condon Barbara Backer , Grimsley Catherine , Knaack Lora , Pitz Jill , Stehr Heather J.
Published: June 2015

Service learning has become a buzz term in higher academic settings. However, it may be difficult to identify activities that have both a service component and a learning component that logically flows from course objectives. The authors introduce four service learning options that may be utilized by colleges and universities nationwide. They offer support for Parse’s theory of humanbecoming as a natural underpinning to service learning and they discuss where specific aspects of Parse’s teaching-learning model may surface within service learning activities.
Awakening to Becoming
Authors: Bunkers Sandra Schmidt
Published: June 2015

This column explores the question: How do you want to be known? Three awakening stories are presented to provide a framework for discussing the humanbecoming processes of creative imagining, affirming personal becoming, and glimpsing the paradoxical. These processes are important in changing living quality and developing personal pattern preferences by which to be known.
The Ethics of Human Freedom and Healthcare Policy
Authors: Milton Constance L.
Published: June 2015

Global healthcare and healthcare policies are evolving with change at a swift pace. Inherent in the discussions of a person’s right to choose health is the notion of freedom. The author in this column compares and contrasts bioethical views of freedom and autonomy with alternative views and possibilities by examining an ethic of freedom grounded from a different paradigm, the humanbecoming nursing theoretical perspective.
The importance of least restrictive care: the clinical implications of a recent High Court decision on negligence
Authors: Ryan Christopher James , Callaghan Sascha , Large Matthew
Published: June 2015

Objective:

This paper aims to explain the meaning and implications for practice of the High Court of Australia’s finding in the negligence case, Hunter and New England Local Health District v McKenna [2014] HCA 44.

Method:

The facts of the case and the law of negligence are reviewed before reporting the Court’s decision.

Results:

The High Court found that the obligation upon doctors to provide the least restrictive option for care that was imposed by the, then applicable, Mental Health Act 1990 (NSW) was inconsistent with an obligation that might otherwise be imposed by a common law duty to have regard to the interests of those with whom a psychiatric patient may come into contact if not detained.

Conclusions:

The Court’s finding underlines the importance of clinicians documenting their clinical reasoning around why their negotiated management plan was the option least restrictive of the patient’s freedom and most protective of his or her human rights.
Treating OCD: what to do when first-line therapies fail
Authors: Castle David , Bosanac Peter , Rossell Susan
Published: June 2015

Objective:

To provide a clinically-focused review of the biological treatment of treatment-resistant obsessive compulsive disorder (OCD).

Conclusions:

There is a paucity of research on how to manage OCD patients who fail to respond adequately to first line therapies. High-dose selective serotonin reuptake inhibitors (SSRIs) and clomipramine have good evidence-based data. Combinations of SSRIs have little support in clinical trials, but the combination of SSRIs and clomipramine can be helpful: careful clinical and cardiac monitoring is required. Certain adjunctive antipsychotics have a reasonable evidence base in OCD, but their use also needs to be weighed against the potential side effect burden. In patients with substantial generalised anxiety symptoms, clonazepam is worth considering. Of the other augmenting strategies, memantine and ondansetron appear useful in some cases, and are well tolerated. Topiramate might ameliorate compulsions to some degree, but it is less well tolerated. If all these strategies, along with expert psychological therapy, fail, careful consideration should be given to deep brain stimulation (DBS), which has an emerging evidence base and which can result in dramatic benefits for some individuals. For some patients, gamma radiosurgery might also still have a place.
Psychological treatment of obsessive compulsive disorder: an update
Authors: Crino Rocco D
Published: June 2015

Objective:

The objective of this article is to provide an update on current psychological treatment for obsessive compulsive disorder (OCD).

Conclusions:

Cognitive behaviour therapy (CBT), incorporating exposure and response prevention, remains the non-pharmacological treatment of choice for OCD. Recent developments highlight the importance of family involvement in adult OCD treatment, and the use of alternative ‘third-wave’ interventions. Internet-delivered CBT may provide an opportunity to overcome barriers to effective treatment, such as distance and lack of trained clinicians.
Using Star Wars’ supporting characters to teach about psychopathology
Authors: Friedman Susan Hatters , Hall Ryan CW
Published: June 2015

Objectives:

The pop culture phenomenon of Star Wars has been underutilised as a vehicle to teach about psychiatry. It is well known to students, registrars, and consultants alike. New Star Wars films are expected out in 2015, which will likely lead to further popularity. The purpose of this article is to illustrate psychopathology and psychiatric themes demonstrated by supporting characters, and ways they can be used to teach concepts in a hypothetical yet memorable way.

Conclusions:

Using the minor characters as a springboard for teaching has the benefit of students not having preconceived notions about them. Characters can be used to approach teaching about ADHD, anxiety, kleptomania and paedophilia.
Reactions to driving cessation: a qualitative study of people with dementia and their families
Authors: Chacko Emme Elizabeth , Wright Wendy Margaret , Worrall Richard Charles , Adamson Carole , Cheung Gary
Published: June 2015

Objectives:

A proportion of older people with mild dementia are safe to drive. However, driving cessation is recommended at some point as the disease progresses. Driving cessation can have significant psychological and social consequences on people with dementia and their carers. This paper aims to explore the psychosocial and adjustment issues following driving cessation for people with dementia and their supporters.

Method:

Participants and their supporters were interviewed within 1 month of driving-cessation advice, and again 6 months later. Issues associated with driving cessation were explored in semi-structured interviews.

Results:

Seven participants and their supporters were recruited. This has generated a total of 22 transcripts for qualitative analysis including follow-up interviews. For those who could remember the details of driving cessation, most were unhappy with the decision. Carers who were supportive of driving cessation questioned the legality of it. Most participants minimised the impact of their driving cessation on their supporters. Most supporters were negatively affected by the decision.

Conclusions:

The preliminary findings highlight the need for a more comprehensive process for driving cessation in those with dementia, with closer links to regulatory bodies, and increased support for their families/carers.
ECT and lithium in old age depression – cause or treatment of rapid cycling?
Authors: Huber Jacqueline P , Burke David
Published: June 2015

Objective:

This article presents the case of an elderly woman experiencing a depressive phase of Bipolar Affective Disorder 1 (BPAD1), who required electroconvulsive therapy (ECT), prior to which her lithium was ceased, and who developed ultra-ultra-rapid cycling (UURC) and ultra-rapid cycling (URC). This resolved with the recommencement of lithium and continuation of ECT.

Method:

Case report and review of the relevant literature.

Results:

The patient’s mood stabilized with recommencement of lithium and continuation of ECT.

Conclusions:

Ceasing lithium prior to ECT may carry a risk of URC or UURC in BPAD1.
Changes in Warfarin Sensitivity During Decompensated Heart Failure and Chronic Obstructive Pulmonary Disease
Authors: del Campo Michaela , Roberts Greg
Published: June 2015

Background: Heart failure (HF) has been associated with an elevated international normalized ratio (INR) in patients on warfarin. Objectives: Compare warfarin sensitivity during hospital admission for HF exacerbation and chronic obstructive pulmonary disease (COPD) exacerbation with admissions unrelated to HF or COPD (controls) as well as during disease stability. Methods: We conducted a case-controlled observational study. Patients admitted to a tertiary teaching hospital for HF exacerbation (n = 37), COPD exacerbation (n = 26), and admissions unrelated to HF or COPD (controls, n = 60) were included. Warfarin sensitivity (INR per daily mg dose of warfarin) at admission was compared to periods of disease stability and also compared between the 3 groups. Results: The increase in warfarin sensitivity at admission was 94% for HF patients ( P < 0.0001), 59% for COPD ( P = 0.003) patients, and 24% for controls ( P = 0.002). HF patients with New York Heart Association (NYHA) class 3 and 4 and NYHA class 1 and 2 experienced changes in warfarin sensitivity of 125% ( P = 0.006) and 50% ( P = 0.13) at admission. HF patients had higher warfarin sensitivity at admission (mean = 1.62 [SD = 1.27]) compared to the control group (0.91 [0.52], P < 0.0001) and COPD group (1.03 [0.79], P = 0.04). and required greater intervention with vitamin K than controls (14% vs 0%, P = 0.007). Conclusion: HF and COPD patients were more sensitive to warfarin during disease exacerbation, with HF exacerbation having the largest impact, resulting in clinically significant management implications.
Is Fluconazole or an Echinocandin the Agent of Choice for Candidemia
Authors: Eschenauer Gregory A. , Nguyen Minh-Hong , Clancy Cornelius J.
Published: June 2015

Objective: Candidemia is among the most common nosocomial bloodstream infections and is associated with high mortality, increased length of hospital stay, and significant economic burden. The introduction of the echinocandins in the 2000s has expanded the armamentarium against Candida spp and provides therapeutic options that are effective, safe, and tolerable. Although the Infectious Diseases Society of America favors echinocandins as treatment for candidemia in selected settings (at least as initial therapy), there remain divergent opinions about whether an echinocandin or fluconazole is the preferred agent for candidemia, and clinical practice guidelines are in flux. In this review, the currently available laboratory and clinical data are summarized and critically evaluated. Data Sources: A MEDLINE search of the English language literature was performed using the search terms echinocandin, fluconazole, and candidemia. References of review articles and guidelines were also screened for inclusion. Study Selection and Data Extraction: Studies whose primary goal was to compare echinocandins with fluconazole were evaluated as well as studies that differentiated pharmacological and pharmacokinetic properties between agents. Data Synthesis: It is clear that echinocandins and fluconazole each have roles in the management of candidemia. Specific recommendations are provided that will hopefully optimize outcomes in candidemia while incorporating stewardship concepts of cost-effectiveness and limiting the emergence of resistance. Conclusions: Despite the advantages brought by the echinocandins and fluconazole, outcomes among patients with candidemia remain suboptimal. Improved treatment of candidemia may ultimately be achieved by optimizing the use of antifungal agents rather than the development of new drugs.
The relationship between cognitive function and high-resolution diffusion tensor MRI of the cingulum bundle in multiple sclerosis
Authors: Koenig Katherine A , Sakaie Ken E. , Lowe Mark J , Lin Jian , Stone Lael , Bermel Robert A , Beall Erik B , Rao Stephen M. , Trapp Bruce D , Phillips Micheal D
Published: June 2015

Background:

Imaging can provide noninvasive neural markers of disease progression in multiple sclerosis (MS) that are related to behavioral and cognitive symptoms. Past work suggests that diffusion tensor imaging (DTI) provides a measure of white matter pathology, including demyelination and axonal counts.

Objectives:

In the current study, the authors investigate the relationship of DTI measures in the cingulum bundle to common deficits in MS, including episodic memory, working memory, and information processing speed.

Methods:

Fifty-seven patients with MS and 17 age- and education-matched controls underwent high-spatial resolution diffusion scans and cognitive testing. Probabilistic tracking was used to generate tracks from the posterior cingulate cortex to the entorhinal cortex.

Results:

Radial and axial diffusivity values were significantly different between patients and controls ( p < 0.031), and in patients bilateral diffusion measures were significantly related to measures of episodic memory and speed of processing ( p < 0.033).

Conclusions:

The tractography-based measures of posterior cingulum integrity reported here support further development of DTI as a viable measure of axonal integrity and cognitive function in patients with MS.
The relationship between child- and parent-reported shared decision making and child-, parent-, and clinician-reported treatment outcome in routinely collected child mental health services data
Authors: Edbrooke-Childs Julian , Jacob Jenna , Argent Rachel , Patalay Praveetha , Deighton Jessica , Wolpert Miranda
Published: June 2015

Objective:

Shared decision making (SDM) between service users and providers is increasingly being suggested as a key component of good healthcare. The aim of this research was to explore whether child- and parent-reported experience of SDM was associated with child- and parent-reported improvement in psychosocial difficulties and clinician-reported functioning at the end of treatment in child and adolescent mental health services (CAMHS).

Method:

The sample comprised N = 177 children (62% female; 31% aged 6–12 and 69% aged 13–18) with a variety of mental health problems from 17 services where routinely collected data consisted of presenting problems at outset, child- and parent-reported change in symptoms between Time 1 and Time 2 (Strengths and Difficulties Questionnaire; SDQ), clinician-reported change in functioning between Time 1 and Time 2 (Children’s Global Assessment Scale; CGAS), and experience of SDM at Time 2 (as measured by responses to the Experience of Service Questionnaire; ESQ).

Results:

Analysis revealed that both child- and parent-reported experience of SDM were associated with higher levels of child- and parent-reported improvement in psychosocial difficulties. However, child-reported experience of SDM was only associated with higher levels of child-reported improvement when their parents also reported higher levels of SDM.

Conclusion:

In CAMHS, involving both children and parents in decision making may contribute to enhanced treatment outcomes.
Uncertainty
Authors: Mulcahy Helen , Savage Eileen
Published: June 2015

Delays in child growth or development are significant problems for children, their families and population health. Eliciting parental concerns as early as possible to promote child growth and development requires close collaborative working with parents. There is evidence that parents delay expressing concern and that health-care professionals are not always effective at eliciting and attending to parental concerns. The aim of this study was to understand the experiences of parents of preschool children who had expressed a child growth or development concern. An Interpretative Phenomenological Analysis (IPA) study design was used with a purposive sample of parents of 15 preschool children in Ireland. Data were collected by semi-structured interviews and analysed using IPA. One key superordinate theme – Uncertainty – ‘a little bit not sure’ captured how parents made sense of their concerns about their child’s growth and development. In addition to watching, comparing and wondering, parents assessed whether their child could ‘do other things’ or if something in particular could have caused the growth or development problem. Parents, particularly mothers, grapple with uncertainty associated with unfamiliar cues in the complex and multifaceted nature of child growth and development in their efforts to make sense of what is happening with their child.
Usability, learnability and performance evaluation of Intelligent Research and Intervention Software: A delivery platform for eHealth interventions
Authors: Wozney Lori , McGrath Patrick J , Newton Amanda , Huguet Anna , Franklin Marcia , Perri Kaitlin , Leuschen K , Toombs Elaine , Lingley-Pottie Patricia
Published: June 2015

Evaluation of an eHealth platform, Intelligent Research and Intervention Software was undertaken via cross-sectional survey of staff users and application performance monitoring. The platform is used to deliver psychosocial interventions across a range of clinical contexts, project scopes, and delivery modalities (e.g. hybrid telehealth, fully online self-managed, randomized control trials, and clinical service delivery). Intelligent Research and Intervention Software supports persuasive technology elements (e.g. tailoring, reminders, and personalization) as well as staff management tools. Results from the System Usability Scale involving 30 Staff and Administrative users across multiple projects were positive with overall mean score of 70 (“Acceptable”). The mean score for “Usability” sub-scale was 82 and for “Learnability” sub-scale 61. There were no significant differences in perceptions of usability across user groups or levels of experience. Application performance management analytics (e.g. Application Performance Index scores) across two test sites indicate the software platform is robust and reliable when compared to industry standards. Intelligent Research and Intervention Software is successfully operating as a flexible platform for creating, delivering, and evaluating eHealth interventions.
UK policy on social networking sites and online health: From informed patient to informed consumer?
Authors: Hunt Daniel , Koteyko Nelya , Gunter Barrie
Published: June 2015

Background

Social networking sites offer new opportunities for communication between and amongst health care professionals, patients and members of the public. In doing so, they have the potential to facilitate public access to health care information, peer-support networks, health policy fora and online consultations. Government policies and guidance from professional organisations have begun to address the potential of these technologies in the domain of health care and the responsibilities they entail for their users.

Objective

Adapting a discourse analytic framework for the analysis of policy documents, this review paper critically examines discussions of social networking sites in recent government and professional policy documents. It focuses particularly on who these organisations claim should use social media, for what purposes, and what the anticipated outcomes of use will be for patients and the organisations themselves.

Conclusion

Recent policy documents have configured social media as a new means with which to harvest patient feedback on health care encounters and communicate health care service information with which patients and the general public can be ‘empowered’ to make responsible decisions. In orienting to social media as a vehicle for enabling consumer choice, these policies encourage the marketization of health information through a greater role for non-profit and commercial organisations in the eHealth domain. At the same time, current policy largely overlooks the role of social media in mediating ongoing support and self-management for patients with long-term conditions.
What About Learning in Practical Theological Studies? Toward More Conceptual Clarity
Authors: de Kock A. (Jos)
Published: June 2015

Because learning is an important concept in the reflection on young people in faith practices, practical theological studies on the theme of learning profit from a clarification of the concept of learning. Therefore, current (empirical) research projects conducted by the Dutch Research Centre for Youth, Church, and Culture and educational and religious education literature on learning have been analyzed. The results provide an overview of utilized descriptions of learning, (theological) interpretations of learning, normative positions regarding learning, and strategic considerations toward (the promotion of) learning. Implications for future practical theological research into (faith) learning in the context of faith practices of young people are discussed.
Risk-adapted therapy for early-stage extranodal nasal-type NK/T-cell lymphoma: analysis from a multicenter study
Authors: Yang Yong , Zhu Yuan , Cao Jian-Zhong , Zhang Yu-Jing , Xu Li-Ming , Yuan Zhi-Yong , Wu Jun-Xin , Wang Wei , Wu Tao , Lu Bing , Zhu Su-Yu , Qian Li-Ting , Zhang Fu-Quan , Hou Xiao-Rong , Li Ye-Xiong
Published: June 2015

Key Points

Patients with early-stage extranodal nasal-type NKTCL were classified as low risk or high risk using 5 independent prognostic factors. Risk-adapted therapy of RT alone for the low-risk group and RT consolidated by CT for the high-risk group proved the most effective treatment.
Kinematic and Aerodynamic Response of Locusts in Sideslip
Authors: Kumar Rajeev , Shkarayev Sergey
Published: June 2015

Effects of the sideslip angle on the wing kinematics and the aerodynamic forces and moments generated by the locusts were investigated in a low-speed wind tunnel. Three live locusts ( Schistocerca americana) were tested at tunnel speeds of 0, 2, and 4 m/s at three body angles of attack (0°, 3°, and 7°) and three sideslip angles (0°, −10°, and −20°). A sensitive custom-built microbalance was used to measure the forces and moments. The balance was synchronized with high-speed video system recording the wing kinematics. It was observed that the nose down pitching moment increases with the angle of attack increase. This is an indication of active and/or passive mechanisms restoring the body orientation in the vertical plane and providing pitch stability of locusts. The side airflow generates a large side force and positive rolling moment. In response to the oncoming side wind, the locust executes larger-amplitude flapping motion on the windward wings. Changes in kinematic parameters of locust wings are similar to those observed in dragonfly during the right-turn maneuver. However, the yawing moment increases with the sideslip angle increase indicating yaw stability. This could be due to the weathercock stability, since about two thirds of locust's body length and legs lie behind its center of mass.
Practical Flapping Mechanisms for 20 cm-span Micro Air Vehicles
Authors: Yang Lung-Jieh , Esakki Balasubramanian , Chandrasekhar Udayagiri , Hung Kuan-Cheng , Cheng Chieh-Ming
Published: June 2015

In the body of research relevant to high-performance flapping micro air vehicles (MAV), development of light-weight, compact and energy-efficient flapping mechanisms occupies a position of primacy due to its direct impact on the flight performance and mission capability. Realization of such versatile flapping mechanism with additional ability of producing thrust levels that fulfill requirements of cruising forward flight and vertical take-off and landing (VTOL) conditions demand extensive design validation and performance evaluation. This paper presents a concerted approach for mechanism development of a 20 cm span flapping MAV through an iterative design process and synergistic fabrication options involving electrical-discharge-wire-cutting (EDWC) and injection molding. Dynamic characterization of each mechanism is done through high speed photography, power take-off measurement, wind tunnel testing and proof-of-concept test flights. The research outcome represents best-in-class mechanism for a 20 cm span flapping MAV with desirable performance features of extra-large flapping stroke up to 100°, minimal transverse vibrations and almost no phase lag between the wings.
Enhanced Longitudinal Motion Control of UAV Simulation by Using P-LQR Method
Authors: Yit Kok Kai , Rajendran Parvathy
Published: June 2015

This paper describes studies the longitudinal motion control of unmanned aerial vehicles (UAVs) by using a proportional-integral-derivative (PID) controller, linear-quadratic-regulator (LQR) controller, and P-LQR controller. The non-linear model of the motion is changed into a linear model and is implemented in the controllers to elucidate the longitudinal motion of UAVs. The control performance of the aircraft improves when the UAV reaches the desired response instantaneously and precisely. However, the performance of currently available controllers is not ideal, and a 10% improvement in controller performance can lead to a significant effect. Thus, the P-LQR controller is developed. This controller significantly improves the response times of the control system by at least 38.55% compared with other existing controllers. Hence, an alternative longitudinal motion control for UAVs has been proposed.
The Pedagogical Functions of Arts and Cultural-Heritage Education with in Online Art Galleries and Musuems
Authors: Zhao Pei , Sintonen Sara , Kynäslahti Heikki
Published: June 2015

Digital museums and arts galleries have become popular in museum education and management. Museum and arts galleries website is one of the most effective and efficient ways. Google, a corporation specializing in Internet-related services and projects, not only puts high-resolution arts images online, but also uses augmented-reality in digital art gallery. The Google Art Project, Google's production, provides users a platform in appreciating and learning arts. With the virtual reality, recently after Google Art Project, more and more countries released their own museum and arts gallery websites, like British Paining in BBC, and FINNA in Finland. Pedagogical function in these websites is one of the most important functions. In this paper, we use Google Art Project and FINNA as the case studies to investigate what kinds of pedagogical functions exist in these websites. Finally, this paper will give the recommendation to digital museums and websites development, especially the pedagogical functions development, in the future.
Transmitting Al Ardha: Traditional Arab Sword Dance
Authors: Khan Muqeem
Published: June 2015

There is a knowledge deficit about Al Ardha dance movements in Gulf Arab culture, and the dance form is not yet analytically documented. This paper is the first attempt to explain and isolate some of the thought processes related to this indigenous festive activity in the Arabian Peninsula. The study conceptualizes the dance in a manner conducive to its transfer to a digital learning environment designed for user interaction. Aimed at developing a motion detection-based kinesthetic learning system, this study also tries to identify the motor and cognitive skills related to the Al Ardha dance. The anticipated system can provide tremendous opportunities for users to learn the dance-related harmonious movements without the help of a live instructor. The study can also help identify and isolate some of the predominant movements of this dance to investigate its analytical paradigm.