bluuebunny/crossref_metadata_2025 huggingface dataset:
Austroectobius invunche: new genus and species of Ectobiidae for Chile (Insecta, Blattaria)
Authors: VERA ALEJANDRO , SCHAPHEER CONSTANZA
Published: October 2018

We describe a new genus and species of Chilean Blattodea (Ectobiidae), collected on Isla Grande de Chiloé and associated with Fascicularia bicolor (Bromeliaceae). We study the morphology of both sexes with SEM. The new taxon is brachypterous, with tiny ellipsoid tegmina and hind wings absent. The female presents strongly sclerotized genital sclerites and spermathecal plate developed. The male without tergal specializationsand asymmetrical styles. Medium phallomere with modified sclerites, compose a sclerotized complex that includes a long ejaculatory duct.
A Localized Adaptive Particle Filter within an Operational NWP Framework
Authors: Potthast Roland , Walter Anne , Rhodin Andreas
Published: October 2018

Particle filters are well known in statistics. They have a long tradition in the framework of ensemble data assimilation (EDA) as well as Markov chain Monte Carlo (MCMC) methods. A key challenge today is to employ such methods in a high-dimensional environment, since the naïve application of the classical particle filter usually leads to filter divergence or filter collapse when applied within the very high dimension of many practical assimilation problems (known as the curse of dimensionality). The goal of this work is to develop a localized adaptive particle filter (LAPF), which follows closely the idea of the classical MCMC or bootstrap-type particle filter, but overcomes the problems of collapse and divergence based on localization in the spirit of the local ensemble transform Kalman filter (LETKF) and adaptivity with an adaptive Gaussian resampling or rejuvenation scheme in ensemble space. The particle filter has been implemented in the data assimilation system for the global forecast model ICON at Deutscher Wetterdienst (DWD). We carry out simulations over a period of 1 month with a global horizontal resolution of 52 km and 90 layers. With four variables analyzed per grid point, this leads to 6.6 × 106 degrees of freedom. The LAPF can be run stably and shows a reasonable performance. We compare its scores to the operational setup of the ICON LETKF.
Demonstration with Special TCI-15 Datasets of Potential Impacts of New-Generation Satellite Atmospheric Motion Vectors on Navy Regional and Global Models
Authors: Elsberry Russell L. , Hendricks Eric A. , Velden Christopher S. , Bell Michael M. , Peng Melinda , Casas Eleanor , Zhao Qingyun
Published: October 2018

A dynamic initialization assimilation scheme is demonstrated utilizing rapid-scan atmospheric motion vectors (AMVs) at 15-min intervals to simulate the real-time capability that now exists from the new generation of geostationary meteorological satellites. The impacts of these AMVs are validated with special Tropical Cyclone Intensity Experiment (TCI-15) datasets during 1200–1800 UTC 4 October leading up to a NASA WB-57 eyewall crossing of Hurricane Joaquin. Incorporating the AMV fields in the Spline Analysis at Mesoscale Utilizing Radar and Aircraft Instrumentation (SAMURAI) COAMPS Dynamic Initialization (SCDI) means there are 30 and 90 time steps on the 15- and 5-km grids, respectively, during which the mass fields are adjusted to these AMV-based wind increments during each 15-min assimilation period. The SCDI analysis of the three-dimensional vortex structure of Joaquin at 1800 UTC 4 October closely replicates the vortex tilt analyzed from the High-Definition Sounding System (HDSS) dropwindsondes. Vertical wind shears based on the AMVs at 15-min intervals are well correlated with the extreme rapid decay, an interruption of that rapid decay, and the subsequent period of constant intensity of Joaquin. Utilizing the SCDI analysis as the initial conditions for two versions of the COAMPS-TC model results in an accurate 72-h prediction of the interruption of the rapid decay and the period of constant intensity. Upscaling a similar SCDI analysis based on the 15-min interval AMVs provides a more realistic intensity and structure of Tropical Storm Joaquin for the initial conditions of the Navy Global Environmental Model (NAVGEM) than the synthetic TC vortex used operationally. This demonstration for a single 6-h period of AMVs indicates the potential for substantial impacts when an end-to-end cycling version is developed.
A Longitudinal Case Study of Exceptional Leadership Talent
Authors: Hébert Thomas P.
Published: October 2018

The development of leadership talent in a gifted individual was the focus of this 15-year longitudinal case study. Four major themes explained the development of his leadership talent. Crucial family factors and support served as a foundation for his psychosocial development and contributed significantly to his talents as a leader. Emotional intelligence evident in childhood, adolescence, and adulthood was an important asset as his leadership skills grew. In addition, strong practical intelligence applied to his everyday life enabled him to meet the goals and objectives he established for himself. Woven throughout his life story was evidence of a strong internal motivation that drove him personally and professionally. Implications of the findings are presented along with suggestions for designing effective leadership development experiences for talented students.
Associations of Diabetes-Related Distress and Depressive Symptoms With Glycemic Control in Korean Americans With Type 2 Diabetes
Authors: Jeong Mihyun , Reifsnider Elizabeth
Published: October 2018

Purpose

The purpose of this study was to investigate the associations of diabetes-related distress and depressive symptoms with glycemic control in Korean Americans (KAs) with type 2 diabetes mellitus (T2DM).

Methods

The cross-sectional, correlational descriptive study explored glycemic control in KA. A total of 119 KA adults with T2DM were recruited from Korean communities in Arizona between July and November 2016. Data were collected by a finger-stick glucose test for A1C, the Diabetes Distress Scale for diabetes-related distress, the Center for Epidemiological Studies Depression for depressive symptoms, and sociodemographics. Height and weight were measured to calculate body mass index. Descriptive statistics, bivariate correlation, and multiple linear regression analyses were performed.

Results

The total score for diabetes-related distress was positively associated with A1C in both unadjusted and adjusted models, while depressive symptoms were not associated with glycemic control regardless of analysis methods. In the further analysis of the 4 subscales of diabetes-related distress, only regimen-related distress was a significant predictor of poor glycemic control after adjusting for covariates. Emotional burden was not associated with glycemic control, even though there was a weak but significant correlation between emotional burden and glycemic control.

Conclusions

Diabetes-related distress and depressive symptoms should be recognized as different psychological aspects in T2DM, and individual-centered approaches should be used for diabetes self-management education and support. In addition, diabetes-focused psychological interventions and culturally tailored diabetes self-management programs should be included in comprehensive education and support for KAs with T2D to achieve good glycemic control.
Does Stress Explain the Effect of Sleep on Self-Control Difficulties? A Month-Long Daily Diary Study
Authors: Hisler Garrett C. , Krizan Zlatan , DeHart Tracy
Published: October 2018

Insufficient sleep is linked to increased stress and suboptimal self-control; however, no studies have examined stress as a reason for why sleep affects self-control. Moreover, it is unknown if there are individual differences that make people vulnerable to this dynamic. Daily diary entries from 212 university students across 30 days were used in a multilevel path model examining if stress explained how prior night sleep affected next-day self-control difficulties and exploring if individual differences in sleep duration, stress, or self-control qualified this effect. Increased stress partially mediated of the effect of reduced sleep duration on increased next-day self-control difficulty. Moreover, short sleep increased next-day stress more for individuals with higher typical stress. Daytime stress especially amplified self-control difficulty for individuals with shorter typical sleep duration. Findings implicate stress as a substantial factor in how sleep loss undermines self-control and identify individuals particularly susceptible to this effect.
Interactions between Driving Skills on Aggressive Driving: Study among Chinese Drivers
Authors: Wu Chaozhong , Chu Wenhui , Zhang Hui , Özkan Türker
Published: October 2018

Aggressive driving has attracted significant attention recently with the increase in related road traffic collisions occurring in China. This study aims to investigate the effect of driving skills on aggressive driving behaviors and traffic accidents to find implications for traffic safety improvement in China. A total of 735 Chinese drivers were recruited to complete a self-reported survey including demographic information, the translated Driver Skill Inventory (DSI), and Driver Aggression Indicator Scale (DAIS). Exploratory factor analysis was first conducted to investigate the factor structures of DSI and DAIS among Chinese drivers. Unlike the two-factor solution (i.e., perceptual-motor and safety skills) found in other studies, the current study result revealed a three-factor solution (i.e., perceptual-motor, safety, and emotional control skills) of DSI. Then, the interaction between DSI factors on DAIS factors, demographic variables, and the number of self-reported traffic accidents and offenses was tested by using moderated regression methods. The results revealed the interaction between perceptual-motor skills and safety skills on aggressive warnings committed by drivers themselves. The interactive effect between safety skills and emotional control skills on perceived aggressive warnings was also found. The results suggested that higher ratings of safety skills are essential for buffering the effect of high-level perceptual-motor skills and emotional control skills on aggressive driving in China. In conclusion, policy makers should be interested in understanding the effect of Chinese drivers’ skills on the aggression drivers committed and conceived in traffic. Successful intervention strategies should include all skill factors in the driver training contents.
Should I Stay or Should I Go? The Role of Impostorism in STEM Persistence
Authors: Tao Karen W. , Gloria Alberta M.
Published: October 2018

Impostor phenomenon or “impostorism” refers to the experience of high-achieving individuals (particularly women) who, despite being successful, attribute their accomplishments to luck, and fear being exposed as frauds. In the current study, we examined the association between impostorism and graduate student self-efficacy, perceptions of the research-training environment, and attitudes toward academic persistence of 224 women completing a science, technology, engineering, and mathematics (STEM)-related doctoral degree. As hypothesized, participants who identified more strongly with impostor characteristics reported a lower sense of self-efficacy, more negative views of their academic context, and more pessimistic outlooks toward attaining their doctorate. However, results from a multiple mediation analysis revealed that women’s levels of self-efficacy and perceptions of their doctoral environment accounted for the effects of impostorism on their attitudes about academic persistence. Also, the relation between impostorism and persistence attitudes strengthened as numerical representation of women in a STEM program increased. Results illuminate the potential role STEM departments can have on students’ persistence by developing early opportunities for research collaborations and fostering an early sense of accomplishment. Parents and teachers might also draw from our findings to develop strategies to inoculate younger students from the insidious effects of gender-based stereotypes. Online slides for instructors who want to use this article for teaching are available on PWQ's website at http://journals.sagepub.com/page/pwq/suppl/index
Looking beyond Average Earnings: Why Are Male and Female Part-Time Employees in the UK More Likely to Be Low Paid Than Their Full-Time Counterparts?
Authors: Nightingale Madeline
Published: October 2018

This article uses Labour Force Survey data to examine why male and female part-time employees in the UK are more likely to be low paid than their full-time counterparts. This ‘low pay penalty’ is found to be just as large, if not larger, for men compared to women. For both men and women, differences in worker characteristics account for a relatively small proportion of the part-time low pay gap. Of greater importance is the unequal distribution of part-time jobs across the labour market, in particular the close relationship between part-time employment and social class. Using a selection model to adjust for the individual’s estimated propensity to be in (full-time) employment adds a modest amount of explanatory power. Particularly for men, a large ‘unexplained’ component is identified, indicating that even with a similar human capital and labour market profile part-time workers are more likely than full-time workers to be low paid.
Estimation of the thickness of anthropogenic deposits in historical urban centres: An interdisciplinary methodology applied to Rome (Italy)
Authors: Luberti Gian Marco , Vergari Francesca , Pica Alessia , Del Monte Maurizio
Published: October 2018

In historical urban centres, the superimposition of excavation and deposition activities over time has resulted in an irregular spatial distribution of anthropogenic deposits, which may reach considerable thicknesses. The detection of those thicknesses requires extensive investigations. Broad borehole and geophysical campaigns cost time and money, consequently at the urban-planning level, it is usual to shift to an estimation of thicknesses, which may be performed through map-algebra operations, that is, by subtracting from the modelled ground surface the elevation of the anthropogenic-deposit basal surface. The latter is implemented through the interpolation of point elevation data, which are generally provided by borehole logs. Despite the development of advanced spatial interpolation methodologies, previous modelling results in the literature show that if the process is affected by insufficient input data, it produces imprecise interpolation outputs. This paper reports an interdisciplinary methodology aiming at enhancing elevation datasets, in order to obtain more accurate digital elevation models. The increase in number and spatial distribution of input points is achieved through past-landscape analyses mainly based on elevation data given by borehole logs, available archaeological reports and historical topographic maps, these being generally available for historical urban centres. The methodology was tested in an urban sector of Rome, where significant activities have been performed for millennia particularly during the Roman Age. A reliable model of the basal surface of the anthrostrata led to a better estimation of the spatial distribution of such deposits and, in addition, revealed the original topographic surface, as modified by human activities.
Integration of child–parent screening and cascade testing for familial hypercholesterolaemia
Authors: Wald David S , Wald Nicholas J
Published: October 2018

Objective

To integrate child–parent screening and cascade testing into a single pathway-child-parent cascade screening (CPCS), for the identification of familial hypercholesterolaemia in the population and to estimate the number of new familial hypercholesterolaemia cases identified per child screened and the associated costs.

Methods

We applied the results from the published MRC Child–Parent Screening Study to 10,000 children, together with cascade testing first degree relatives of parents with a familial hypercholesterolaemia mutation identified by child–parent screening. We estimated the number of familial hypercholesterolaemia cases identified per child screened, the median cost per familial hypercholesterolaemia case identified and the median cost per child screened to identify one case using a range of cholesterol and familial hypercholesterolaemia mutation testing costs. We present a case study to illustrate the application of CPCS in practice.

Results

CPCS identifies one new familial hypercholesterolaemia case per 70 children screened at a median estimated cost of £960 per new familial hypercholesterolaemia case or £4 per child screened. CPCS identifies an average of four new familial hypercholesterolaemia cases per family. In the case study, six new familial hypercholesterolaemia cases were identified, and preventive treatment started in five, with the index child expected to start when older.

Conclusion

CPCS for familial hypercholesterolaemia are complementary strategies. The sustainability of cascade testing relies on identifying new unrelated index cases. This is achieved with population-wide child–parent screening. Integrated CPCS is currently better than either method of familial hypercholesterolaemia detection alone. It has the potential to identify all, or nearly all, individuals with familial hypercholesterolaemia in the population at low cost.
Fistuloplasty using a radiation-and-time-saving sheathless balloon catheter
Authors: Crawford Joel , Kokkosis Angela , Kim Pamela , Gasparis Antonios , Labropoulos Nicos
Published: October 2018

Introduction:

Sheath placement in dialysis access interventions is traditionally necessary to obtain imaging, guide percutaneous angioplasty, and evaluate results. The aim of this study was to assess the feasibility of performing sheathless Arterio-venous (AV) access interventions using a novel percutaneous angioplasty balloon catheter.

Methods:

Between May and September 2017, data on all dialysis access interventions using a novel percutaneous angioplasty balloon with a dedicated injection port were collected. All procedures were performed without a sheath. Success was established as no conversion to sheath placement. Demographic data, location of lesion, time to perform procedure, amount of contrast used, radiation exposure, and access complications were recorded. Ultrasound was used to evaluate access site complications.

Results:

Sheathless interventions were successful in 24 patients with the mean age of 62 years (29–94). There were 5 PTFE grafts and 19 native fistulas. Lesions were located anywhere from the arterial anastomosis to the cephalic arch. The average balloon size was 6 mm (5–7 mm), and the procedure time was 15.8 min (8–45 min). No access site complications were observed.

Conclusion:

Sheathless intervention is feasible with several potential advantages, including short procedure time, minimal contrast volume, and reduced radiation exposure. Finally, the lower profile at the access site may result in fewer complications.
Too Early to Cut Transportation Benefits From Medicaid Enrollees
Authors: Chaiyachati Krisda H , Moore Kevin , Adelberg Michael
Published: October 2018

Some state governments are considering cuts to the non-emergency medical transportation (NEMT) benefit for Medicaid enrollees, and some Federal officials have proposed making this easier. Yet, there is clear demand. In 2015 alone, low-income patients used 59 million rides for medical appointments. NEMT’s future is under threat because evidence that NEMT improves health care access and downstream outcomes is incomplete. Second, it remains largely unknown whether scarce public resources for transportation are being driven to those who benefit from its availability. This knowledge gap is answerable but unknown because of variations in how states administer NEMT. As a result, tracking who uses the services is inconsistent, and states are unable to link NEMT data with health care outcomes. Instead of cutting NEMT benefits, we believe an alternative path involves improved tracking and evaluations of the benefit first. Better informed policy decisions are needed. Otherwise, if policymakers implement blanket reductions in NEMT spending, they run the risk of causing more harm than good.
Surgical removal of a foreign body in the pulmonary artery
Authors: Sakai Takashi , Uehara Hirofumi , Takahashi Shigekiyo , Yamamoto Masayoshi , Kawamura Masafumi , Kondo Hiroshi
Published: October 2018

Foreign bodies, such as a fragmented catheter or metallic objects from industrial accidents, that have accidentally entered a major cardiac vessel or pulmonary artery have been successfully removed non-surgically via intravenous catheterization. We report the rare case of a cracked iron hammer fragment that had entered the femoral vein and migrated to the pulmonary artery through major blood vessels without causing hemorrhage, which eventually required surgical removal. A 19-year-old man accidentally smashed an iron hammer that broke into small pieces, one of which entered his femoral vein and eventually lodged in the pulmonary artery. After non-surgical intravenous catheterization to remove this foreign body was unsuccessful, it was removed surgically under video-assisted thoracoscopy. Foreign body residue over the long term can cause hemorrhage, pulmonary infarction, infection, and/or abscess. Transvenous recovery is the primary non-surgical means of removing a foreign body from the pulmonary artery. It is less harmful than surgical removal and causes fewer complications. Nevertheless, it is essential to be ready to execute a surgical approach for foreign body removal when other interventions have failed.
Direct and indirect ways of managing epistemic asymmetries when eliciting memories
Authors: Williams Val , Webb Joe , Dowling Sandra , Gall Marina
Published: October 2018

This article aims to explore how epistemic status is negotiated during talk about the life memories of one speaker. Direct questions which foreground ‘remembering’ can lead to troubled sequences of talk. However, interlocutors sometimes frame their first parts as ‘co-rememberings’, and the sequential positioning of these can be crucial to the outcome of the talk. We draw on almost 10 hours of video data from dementia settings, where memory is a talked-about matter. Our focus is on 30 sequences which are initiated with a question or other first part taking a K-stance, selecting one person as next speaker, and topically relating to the recipient’s past life. We show how type 2 knowables can be used alongside markers of tentativeness, to jointly construct the recipient’s epistemic primacy.
The Body Position Spatial Task, a Test of Whole-Body Spatial Cognition: Comparison Between Adults With and Without Parkinson Disease
Authors: Battisto Jessica , Echt Katharina V. , Wolf Steven L. , Weiss Paul , Hackney Madeleine E.
Published: October 2018

Background. The Body Position Spatial Task (BPST) is a novel measure of whole-body spatial cognition involving multidirectional steps and turns. Individuals with Parkinson disease (PD) are affected by motor and cognitive impairments, particularly in spatial function, which is important for mental imagery and navigation. Performance on the BPST may inform understanding of motor-cognitive and spatial cognitive function of individuals with PD. Objectives. We conducted this study to determine feasibility and validity of the BPST with standard, validated, and reliable measures of spatial cognition and motor-cognitive integration and to compare BPST performance in adults with and without PD. Methods. A total of 91 individuals with mild-moderate PD and 112 neurotypical (NT) adults of similar age were recruited for the study to complete the BPST and other measures of mobility and cognition. Correlations were used to determine construct and concurrent validity of BPST with valid measures of spatial cognition and motor-cognitive integration. Performance was compared between PD and NT adults using independent t-tests. Results. BPST was feasible to administer. Analyses show evidence of construct validity for spatial cognition and for motor-cognitive integration. Concurrent validity was demonstrated with other tests of mobility and cognition. Relationships were stronger and more significant for individuals with PD than for NT individuals. BPST performance was not significantly different between groups. Conclusion. Tests that integrate cognitive challenge in mobility contexts are necessary to assess the health of spatial cognitive and motor-cognitive integration. The BPST is a feasible and valid test of whole-body spatial cognition and motor-cognitive integration in individuals with PD.
Which anthropometric and lower body power variables are predictive of professional and amateur playing status in male rugby union players?
Authors: Jones Thomas W , Keane Karen , Smith Andrew , Dent Jack , McShane Kevin , Payne Tim , Williams Lewis , Maguire Phillip , Marshall Steven J , Graham-Smith Philip
Published: October 2018

The purpose of this study was to compare anthropometric and lower body power measurements between current professional and amateur male rugby union players. The present study also sought to determine which anthropometric and physical performance variables were predictive of playing standard. Thirty professional and 30 amateur RU players performed Wattbike 6 s maximal effort (WB6S) and countermovement (CMJ) and squat jump (SJ) assessments, anthropometric measures were also taken. Dependant variables recorded and analysed including: body mass, stature, Σ8 site skinfolds, WB6S absolute and relative peak power, CMJ and SJ average concentric force, jump height, peak velocity, time to peak force, rate of force development (RFD) and absolute and relative peak force and power. Professional players were heavier, taller and leaner than their amateur counterparts ( p < 0.05). Professional players performed significantly better in all physical performance measures except CMJ and SJ time to peak force, CMJ RFD and SJ relative peak force. Variables which were predictive of playing standard were: Σ8 skinfolds, CMJ peak velocity and WB6S absolute and relative peak power ( p < 0.05). These findings indicate that the current body of male professional RU players is anthropometrically and physically superior to their amateur counterparts, although not all variables assessed here were predictive of playing standard. Data presented here indicate that Σ8 skinfolds, WB6S absolute and relative power and CMJ peak velocity are predictive of playing standard, whereas other anthropometric and strength and power variables are not.
The topographical model of MS: Empirical evaluation of the recapitulation hypothesis
Authors: Laitman Benjamin M , Cook Karin , Fletcher Madhuri , Krieger Stephen C
Published: October 2018

Objective

Using the topographical model of multiple sclerosis (MS) to evaluate a longitudinal cohort we (1) test the recapitulation hypothesis, positing that patients’ “disease topography” predicts the clinical pattern of disability accumulation; and (2) identify leading indicators of progression.

Methods

10 patients who transitioned from relapsing–remitting MS to secondary progressive MS (SPMS) were evaluated. Neurologic exams were analyzed from relapses, at time of SPMS diagnosis, and most recent visit. Functional systems (FS), location/laterality, and recovery were recorded. The pyramidal/motor system was the target FS assessing symptom laterality and severity at relapse and SPMS time-points. Each patient's clinical course was mapped using the topographical model software.

Results

Cohort was 80% female, age 31.6 ± 8.6 years at diagnosis, followed average 23.8 ± 8.8 years, mean 3.1 relapses before SPMS. 83.3 ± 0.2% of relapse symptoms were present at transition to SPMS, increasing to 91.0 ± 0.2% at most recent visit. This demonstrates concordance between the topographical distribution of relapse symptoms and deficits from subsequent progression. In the topographical model, progression became apparent 7.75 years earlier than SPMS was diagnosed in practice.

Conclusions

We demonstrate the model's utility in depicting patients' disease topography as the loci of clinical progression. This could allow for earlier recognition of progressive disease by identifying leading indicators of progression.
A Potential Role of the Widespread Use of Microwave Ovens in the Obesity Epidemic
Authors: Kanazawa Satoshi , von Buttlar Marie-Therese
Published: October 2018

Organisms acquire more calories from eating hot food than eating the identical food cold; thus, the widespread use of microwave ovens might have played a small role in the current obesity epidemic, just as the widespread use of refrigerators might have retarded the historic increase in obesity a century ago. Analysis of the British Cohort Study showed that, net of dietary habit, physical activities, genetic predisposition, and other demographic factors, the ownership of a microwave was associated with an increase of .781 in body mass index (BMI) and 2.1 kg in weight (when the ownership of other kitchen appliances was not associated with increased BMI or weight), and it more than doubled the odds of being overweight. In the United States from 1960 to 2015, the adult overweight, obesity, and extreme obesity rates were very highly correlated ( r = .94–.98) with the proportion of households with microwaves, and it was not because both were consequences of increasing wealth. Net of median household income, the proportion of households with microwaves was very strongly ( ds > 1.0) associated with adult overweight, obesity, and extreme obesity rates, while median household income was not at all associated with them. Individual data from the United Kingdom and historical data from the United States highlighted the possible role of the widespread use of microwave ovens in the obesity epidemic.
Concepts for the Development of Anesthesia-Related Patient Decision Aids
Authors: Urman Richard D. , Southerland Warren A. , Shapiro Fred E. , Joshi Girish P.
Published: October 2018

Patient decision aids are educational tools used by health care providers to assist patients in choosing their treatment and care. The use of anesthesia-related patient decision aids can help practitioners provide patient-centered care by facilitating shared decision-making. The benefits of these aids have been well documented, yet a structured approach for developing patient decision aids in anesthesia has not been well established. Educating patients on various anesthesia-related options is paramount in their decision-making, yet accessible and validated resources are limited. In addition, many limitations exist with current patient decision aids that must be addressed. We have reviewed multiple processes for developing decision aids and have suggested a structured approach to their creation. We address the common limitations of current patient decision aids and provide improvements to the developmental process. Improvements include increasing patient input during development, thoroughly evaluating data included in the aids, and integrating a cyclic review of the aids before and after their use. Using the provided developmental process and checklist, anesthesia providers can create evidence-based patient decision aids in a standardized manner. It is important to evaluate decision aids and measure their decision quality, or patient-centeredness, to further improve them and maximize their effectiveness. Moving forward, development of proper metrics for patient participation and decision quality are required.
Behavior of Multi-HBs in Acetic Acid Dimer and Related Species: QTAIM Dual Functional Analysis Employing Perturbed Structures Generated Using Coordinates from Compliance Force Constants
Authors: Hayashi Satoko , Nishide Taro , Nakanishi Waro
Published: October 2018

The dynamic and static nature of each hydrogen bond (HB) in acetic acid dimer (1), acetamide dimer (2a), thio- and seleno-derivatives of 2a (2b and 2c, respectively), and acetic acid–acetamide mixed dimer (3) was elucidated with QTAIM dual functional analysis (QTAIM-DFA). Such multi-HBs will form in 1–3, in close proximity in space, and interact mutually and strongly with each other. Perturbed structures generated using coordinates derived from the compliance force constants (Cij: the method being called CIV) are employed in QTAIM-DFA, for the establishment of the methodology to elucidate the nature of each HB in the multi-HBs. The dynamic nature of interactions with CIV is described as the “intrinsic dynamic nature of interactions”, since the coordinates corresponding to Cij are invariant to the choice of the coordinate system. Each HB in the multi-HBs of 1–3 are predicted to have the nature of CT-MC (molecular complex formation through charge transfer) appear at the regular closed shell region, which are stronger than each HB of the isomers of 1–3. The methodology to elucidate the nature of multi-HBs is well established, which employs the perturbed structures generated with CIV for QTAIM-DFA.
Accurate Ionization Potentials, Electron Affinities and Electronegativities of Single-Walled Carbon Nanotubes by State-of-the-Art Local Coupled-Cluster Theory
Authors: Saitow Masaaki , Dutta Achintya K , Neese Frank
Published: October 2018

Single-walled carbon nanotubes (SWCNTs) possess novel conducting properties and high potential as a building block for molecular electronic devices. In this paper, we report accurate ionization potentials, electron affinities and electronegativities for large SWCNTs using our state-of-the-art implementations of reduced-scaling coupled-cluster method (DLPNO-CCSD(T)) using triple zeta basis set.
Elective surveillance gastroscopy in Barrett's oesophagus: a case study and review of the clinical endoscopist's role
Authors: Boyle Ita
Published: October 2018

Barrett's oesophagus is characterised by the replacement of the stratified squamous epithelium that lines the distal oesophagus with red columnar epithelium. It is linked to gastro-oesophageal reflux disease (GORD) and increases the risk of oesophageal adenocarcinoma. Gold-standard surveillance is gastroscopy (oesophago-gastro-duodenoscopy), with measurement by mucosal observation according to the Prague Classification and histopathological biopsy to identify intestinal metaplasia. The American Society of Anesthesiologists (ASA) Classification helps assess a patient's risk of adverse events, including hypoxia, infection, bleeding or perforation. Patients are offered conscious sedation with intravenous midazolam under a patient group directive, which has its own risks. Preprocedural postal information and consultation ensures patients are sufficiently informed to give valid consent. A follow-up care plan is given to the patient on discharge. Clinical endoscopists can use the Calgary-Cambridge model and the SURETY communication models to deliver holistic patient-centred care. The clinical endoscopist's role in this pathway is examined in reference to British Society of Gastroenterology and international guidelines, research and a case study.
The importance of dental health
Authors: Noakes Amy
Published: October 2018

Tooth decay is primarily preventable and health visitors should encourage prevention strategies to reduce risk in children, says Amy Noakes
Weight management in pregnancy and after birth: Benefits for mother and baby
Authors: Avery Amanda
Published: October 2018

Around 50% of women of childbearing age are either overweight or obese. The life course approach to public health accepts that key stages can make individuals more vulnerable to negative health outcomes such as weight gain, but that they can also present opportunities for intervention. This article looks at the role of health visitors in supporting mothers to manage their weight during pregnancy, continuing into the post-partum period, with the ambition of ensuring more mothers start a subsequent pregnancy with a healthier body mass index.
The impact of military life on young children: A call for early intervention
Authors: Nolan Mary , Misca Gabriela
Published: October 2018

There is a paucity of studies relating to the impact of military life on children under the age of 5, yet these children are undergoing a period of rapid brain development, unparallelled at any other stage of the life course. The need to understand how they might be affected by military family life is urgent. This article discusses current understanding of the possible mechanisms by which military family life may adversely affect young children, considers antenatal education as an opportunity for early intervention and concludes with a call to action for new research into strategies to support military families with young children.
JHV Study Day: Development matters
Authors: Moffat Polly
Published: October 2018

The JHV study day in London on 8 October gave delegates the opportunity to hear expert speakers discuss issues related to child development and the health visitor role, including domestic violence, father involvement and video interactive guidance
Merci Marcé
Authors: Hanley Jane
Published: October 2018

The much anticipated International Marcé Society for Perinatal Mental Health Biennial Scientific Conference was held in Bengaluru in September, bringing perinatal mental health research and development to the fore
Analytical Review of Major Nocturnal Pests’ Detection Technique using Computer Vision
Authors: J. Patel Deven , Bhatt Nirav
Published: October 2018

Research in agriculture is increasing quality and quantity, but pest reduces it. To prevent the effect of these pests, insecticides are used. But excessive use of pesticides is very harmful to production and environment. So initially pest detection is necessary. We work on nocturnal pests because that can be easily attracting using night trapping tools. The purpose of this review article is to analyse the popular techniques and find the right technique for the initial diagnosis and early detection of major nocturnal flying pests like Pink Bollworm, White Grub, Helicoverpa and Spodoptera. The importance of early detection can be in identifying and classifying the pests in a digital view. We have concluded our results with the various methods and the prospects of future research.
Improvement of HER2I655V TARMS-PCR Performance by DNA Quality Analysis
Authors: Budiarto Bugi Ratno , Azamris Azamris , Desriani Desriani
Published: October 2018

Reliable TARMS-PCR is a prerequisite in constructing a solid conclusion in genetic diagnostics. The validity of data generated by this molecular technique is hampered by a false positive result. In attempt to develop a  TARMS-PCR for HER2I655V genotyping with no interfering of bias we used DNase I to eliminate DNA contaminant resided in PCR reagent. TARMS-PCR without enzyme treatment using recombinant plasmids that contained HER2I655V gene with represented its alleles was used to evaluate the presence of false positive  result while DNase I treated-PCR reagent was used in TARMS-PCR to evaluate the effective dose of the enzyme and further to adjust the TARMS-PCR conditions.  PCR master mix kit used in this study produced a false positive result on HER2I655V TARMS-PCR as proven by the presence of multiple PCR products in Non-Template Control (NTC) and 0.1 U of the enzyme could eliminate this DNA contaminant effectively, although this pretreatment altered the specificity of HER2I655V TARMS-PCR genotyping on certain genotype. Combination of touchdown TARMS-PCR with another allele-specific primer recovered specificity of detection on this model system. Interestingly, this optimized HER2I655V TARMS-PCR can only be used for genotyping the clinical samples if only further optimization was done using genomic DNA as template
TECNOLOGIAS DE PODER E A NARRATIVA DE SI NA CONSTITUIÇÃO DE UM “CORPO NEGRO, MULHER, TRANS”
Authors: Polizel Alexandre Luiz
Published: October 2018

Este trabalho tem por objetivo traçar considerações acerca da constituição de relatos formativos de um corpo negro, mulher trans e pedagogo em sua trajetória nos espaços educacionais. Faz-se isto sob a perspectiva heterautobiográfica, reconhecendo as narrativas de si como um modo de presentificação da memória no fazer-se corpo e na exposição de tecnologias de poder e de resistência em atuação na constituição do eu. A produção da narrativa deu-se com uma estudante de Pedagogia, mulher, trans, negra, da Universidade Estadual de Maringá, Paraná. Neste manuscrito discorre-se sobre a tecnologia de poder da expropriação de perspectiva, bem como das tecnologias de resistência da reatividade a expropriação, desenvolvimento de alianças e afirmação de si
Desenvolvimento de arranjo produtivo local de plantas medicinais e fitoterápicos em Volta Redonda/RJ
Authors: Passos Adriana , Martins Fabiola Angelita Cezarina Bastos
Published: October 2018

A Secretaria Municipal de Saúde de Volta Redonda (SMS/VR) desenvolveu ações para implementar a Política Nacional de Prática Integrativas e Complementares (PNPIC) e a Política Nacional de Plantas Medicinais e Fitoterápicos (PNPMF). Neste contexto, foi publicada a Lei Municipal nº 4.832 de 2011 que fortalece a Política Municipal de Práticas Integrativas e Complementares e possibilita a integração com a Política de Assistência Farmacêutica do Município. Para a ampliação do trabalho na área de fitoterápicos, fez-se a estruturação da cadeia produtiva e sua integração na busca do desenvolvimento local, caracterizando o Arranjo Produtivo Local (APL). O trabalho foi desenvolvido de maneira intersetorial e transversal envolvendo a SMS/VR e as instituições colaboradoras, de acordo com os respectivos eixos A, B, C, D e E. O eixo A abordou o cultivo das espécies medicinais, o eixo B consiste na preparação dos fitoterápicos no laboratório de manipulação da Farmácia Viva, o eixo C compreende a dispensação dos fitoterápicos, o eixo D envolveu a capacitação dos profissionais envolvidos e o eixo E engloba a manutenção das parcerias existentes através de articulação, da interação e da cooperação, promovendo esforços para o desenvolvimento de medidas voltadas à melhoria da atenção à saúde e a integralidade do cuidado, ao fortalecimento da agricultura familiar, à geração de emprego e renda, à inclusão social.Desta forma, o APL promoveu o resgate, a valorização, a ampliação e qualificou o uso de plantas medicinais e dos fitoterápicos como elementos estratégicos de saúde.
Associação de medicamentos homeopáticos promove diminuição da parasitemia e melhora clínica em camundongos infectados por Trypanosoma cruzi
Authors: Falkowski-Temporini Gislaine Janaina , Lopes Carina Ribeiro , Massini Paula Fernanda , Brustolin Camila Fernanda , Ferraz Fabiana Nabarro , Sandri Patrícia Flora , Aleixo Denise Lessa , De Araújo Silvana Marques
Published: October 2018

Medicamentos homeopáticos constitucionais são utilizados para desencadear reações no organismo, diminuindo a suscetibilidade mórbida, enquanto que medicamentos organoterápicos têm como princípio a identidade biológica, restabelecendo a função do órgão através do homólogo sadio. Objetivo: avaliar o efeito da associação do medicamento constitucional Lycopodium clavatum com organoterápicos de baço e coração de camundongos sadios, sobre aspectos parasitológicos e clínicos da infecção murina por Trypanosoma cruzi. Camundongos infectados (1400 tripomastigotas-cepa-Y T. cruzi) foram divididos conforme tratamento: GLB (L. clavatum e organoterápico de baço 13c) n=10; GLC (L. clavatum e organoterápico de coração 13c) n=10; GLBC (L. clavatum, organoterápicos de baço e coração 13c) n=11; GCI (solução hidroalcoólica 7%, veículo de preparação dos medicamentos, n=11. A parasitemia total foi significativamente menor em GLB e GLBC em relação ao GCI (p
Conhecimento, uso e aceitação de acadêmicos de medicina sobre as práticas integrativas e complementares
Authors: Couto Angélica Garcia , Binz Mara Cristina , De Moraes Alan De Jesus Pires , Caetano Bruno De Luca Serpa , Da Cunha Celso Castelan
Published: October 2018

No Brasil, a divulgação sobre as Práticas Integrativas e Complementares (PICs) em saúde ganhou impulso na sociedade, após a sua legitimação no Sistema Único de Saúde (SUS). Entretanto, muitas destas terapias têm encontrado resistência em sua aceitação e uso, tanto no meio acadêmico-científico, quanto por parte dos profissionais e gestores de saúde. Entre as razões, destaca-se a falta de capacitação, na fase de formação acadêmica do profissional. Desta forma, este trabalho tem como objetivo avaliar o conhecimento, o uso e a aceitação dos acadêmicos do curso de Medicina numa Universidade do Alto Vale do Itajaí sobre as PICs. Trata-se de um estudo transversal, utilizando-se de uma pesquisa estruturada na a forma de um questionário autoaplicável composto por 07 questões objetivas. O conhecimento dos alunos frente a oferta das PICs pelo SUS foi notoriamente baixo, apesar da maioria referir a sua aceitação tanto como usuário, como da sua possível indicação como futuro profissional médico. Apenas 24% dos acadêmicos sabiam que as práticas integrativas são oferecidas no SUS. Estes resultados apontam para a necessidade de fortalecer as bases de formação do profissional para atuação no SUS, com a visão ampliada contemplando todas as possibilidades terapêuticas, às quais o usuário tem direito.
Estruturação do espaço farmácia viva na Universidade Federal de Pernambuco como estratégia para formação em fitoterapia
Authors: Martins Rene Duarte , Pinto Rogelia Herculano , Senna Sueli Moreno , Lima Ana Wládia Silva , Mota Carlos Renato De Franca e Carvalho , Fontes Danilo Augusto Ferreira , Barros Francisco Amorim , Ximenes Rafael Matos
Published: October 2018

Um horto didático objetiva recuperar saberes populares e tradicionais, discuti-los cientificamente para contribuir com a construção do conhecimento, divulgação de informações e formação sobre fitoterapia. Este trabalho objetiva relatar as experiências didáticas vivenciadas no Espaço Farmácia Viva do CAV/UFPE. O marco teórico para estruturação deste espaço ocorreu no ano de 2009, através do edital de extensão PROEXT 2009 – MEC/SESu, cujo financiamento permitiu aquisição de materiais e desenvolvimento do programa Farmácia Viva: Cultivando Saúde, primeira ação de extensão em Práticas Integrativas e Complementares (PICS) desenvolvida no Município de Vitoria de Santo Antão, com a presença da Universidade Federal de Pernambuco. Desde então o referido programa gestou iniciativas que ampliaram a oferta acerca da discussão sobre PICS no âmbito acadêmico e municipal, com marcante presença de diálogo entre Universidade e Serviços de Atenção básica ofertados no município. Assim, ao longo da existência desta iniciativa, a implantação do horto ocorreu entre os anos de 2011/2013, através de mudas oriundas do Horto de Plantas Medicinais Francisco José de Abreu Matos da UFC e do Núcleo de Fitoterapia da Coordenadoria de Assistência Farmacêutica da Secretaria da Saúde do Estado do Ceará, onde a coordenação do projeto teve oportunidade de realizar treinamento no ano de 2010. O contato com as plantas medicinais e a relação com os sentidos humanos promovido por estas interações através de cursos, oficinas, projetos de pesquisa/extensão e disciplinas acadêmicas para graduandos e residentes, despertaram vivências fundamentais na formação de profissionais sensíveis e reflexivos acerca do uso racional de plantas medicinais e fitoterápicos.