bluuebunny/crossref_metadata_2025 huggingface dataset:
ENGINEERING GEOLOGICAL STUDY FOR THE LOCALIZATION OF SITES SUITABLE FOR URBAN DEVELOPMENT IN LAND SLIDING MOUNTAINOUS SETTLEMENTS OF AITOLOAKARNANIA PROVINCE
Authors: Κωνσταντοπούλου Γ.
Published: July 2018

The villages of Houni, Kampos, Busduneika, Rio and Skaideika, which belong to the township of Parakampilia of the Aitoloakarnania province, have been characterised as land sliding, according to earlier assessments and decisions. Nevertheless these locations continued to be inhabited. Additionally there is a great interest for construction currently. According to the findings of this study, even if the geotechnical properties of the region are generally poor, the land sliding phenomena in the populated regions are of limited range and thus the broad characterisation as land sliding region cannot be justified. There are designated zones in all of these villages, where sustainable constructional development can be assured, provided that all the proposed safety measures are to be taken.
QUANTITATIVE ANALYSIS OF DEFORMATION ALONG THE FAULT DAMAGE ZONE OF THE KLIMATIA THRUST (NW GREECE, IONIAN ZONE)
Authors: Kostakioti A. , Xypolias P. , Kokkalas S. , Doutsos T.
Published: July 2018

In this study, we present structural, fracture orientation and fracture density (FD) data in order to quantify the deformation pattern of a damage zone that form around the slip plane of a large scale thrust fault which is located on the Ionian zone (External Hellenides) in northwestern Greece. Structural analysis showed at least two major deformation stages as indicated by the presence of refolding, backthrusting and break-back faulting. The fracture orientation analysis revealed three main fracture systems, a dominant conjugate fracture system which is perpendicular to the transport direction (NW-to NNW trending sets), a conjugate fracture system trending parallel to the transport direction (ENE-trending conjugate sets) and a third diagonal conjugate fracture system (WNW and NNE trending sets). Resulting fracture density distance diagrams display a decrease of total fracture density away from the studied fault, which is largely heterogeneous and irregular on both footwall and hanging wall. The conjugate fracture system trending perpendicular to the transport direction has the dominant contribution to the accumulation of total fracture density. Based on these results we suggest that the observed heterogeneous and irregular distribution of fracture density fashioned during the second deformation stage and is attributed to the formation of backthrusts and break-back thrust faults.
Κριτικές προσεγγίσεις στον πολιτικό λόγο της κρίσης: Παραδείγματα από το πρωθυπουργικό διάγγελμα πριν το ελληνικό δημοψήφισμα
Authors: Σεραφής Δημήτρης
Published: July 2018

Αξιοποιώντας το πλαίσιο της Κριτικής Ανάλυσης Λόγου και ακολουθώντας την αρχή της αλληλεπίδρασης μεταξύ του μακρο-επιπέδου και του μικρο-επιπέδου, το παρόν άρθρο μελετά της γλωσσικές αναπαραστάσεις της ομάδας «εμείς» στο διάγγελμα του πρωθυπουργού, Αλέξη Τσίπρα, κατά την ανακοίνωση του δημοψηφίσματος του 2015. Στη θεωρητική συζήτηση, κεντρικό ρόλο λαμβάνει η έννοια του φαντασιακού. Το προς ανάλυση υλικό προέρχεται από την επίσημη ηλεκτρονική σελίδα του Πρωθυπουργού. Εστιάζοντας στο μικρο-επίπεδο, αξιοποιούμε το πλαίσιο της συστημικής-λειτουργικής γλωσσολογίας και εφαρμόζουμε μια ανάλυση δομών μεταβιβαστικότητας σε αποσπάσματα του διαγγέλματος.
Recent advances in understanding lymphangiogenesis and metabolism
Authors: Lee Heon-Woo , Yu Pengchun , Simons Michael
Published: July 2018

The blood and lymphatic vasculatures are vital to the maintenance of homeostasis. The interaction between two vascular networks throughout the body is precisely controlled to enable oxygen and nutrient delivery, removal of carbon dioxide and metabolic waste, drainage of interstitial fluid, transport of immune cells, and other key activities. Recent years have seen an explosion of information dealing with the development and function of the lymphatic system. The growth of lymphatic vessels, termed lymphangiogenesis, is a high-energy requirement process that involves sprouting, proliferation, migration, and remodeling of lymphatic endothelial cells and capillaries. Although there has been substantial progress in identifying growth factors and their downstream signaling pathways that control lymphangiogenesis, the role of metabolic processes during lymphangiogenesis and their links to growth factor signaling are poorly understood. In this review, we will discuss recent work that has provided new insights into lymphatic metabolism and its role in lymphangiogenesis.
When Discounts Hurt Sales: The Case of Daily-Deal Markets
Authors: Cao Zike , Hui Kai-Lung , Xu Hong
Published: July 2018

We investigate whether the discounts offered by online daily deals help attract consumer purchases. By tracking the sales of 19,978 deals on Groupon.com and conducting a battery of identification and falsification tests, we find that deep discounts reduce sales. A 1% increase in a deal’s discount decreases sales by 0.035%–0.256%. If a merchant offers an additional 10% discount from the sample mean of 55.6%, sales could decrease by 0.63%–4.60%, or 0.80–5.24 units and $42–$275 in revenue. This negative effect of discount is more prominent among credence goods and deals with low sales, and when the deals are offered in cities with higher income and better education. Our findings suggest that consumers are concerned about product quality, and excessive discounts may reduce sales immediately. A follow-up lab experiment provides further support to this quality-concern explanation. Furthermore, it suggests the existence of a “threshold” effect: the negative effect on sales is present only when the discount is sufficiently high. Additional empirical analysis shows that deals displaying favorable third-party support, such as Facebook fans and online reviews, are more susceptible to this adverse discount effect. We draw related managerial implications.

The online appendix is available at https://doi.org/10.1287/isre.2017.0772 .
Using Patient-Specific Quality Information to Unlock Hidden Healthcare Capabilities
Authors: Wang Guihua , Li Jun , Hopp Wallace J. , Fazzalari Franco L. , Bolling Steven F.
Published: July 2018

Problem definition: We address two key questions faced by patients, physicians, and policy makers: (1) How do different types of patients benefit differently from elite surgeons? and (2) How can outcome data be used to achieve better healthcare at both the individual and social levels? Academic/practical relevance: Existing healthcare provider quality information, which is almost exclusively based on population averages, cannot detect differences in the surgeon effect for patients with different characteristics or medical conditions. Consequently, such information may under-state or over-state the benefit to an individual patient of seeking out an elite physician. This paper develops methods to generate patient-specific quality information and analyzes the impact on enabling patients to receive better care. Methodology: Using mitral valve surgery as the clinical setting, we study the quality of 188 cardiac surgeons at 35 hospitals in New York State with respect to different quality metrics, including a new quality-adjusted life expectancy (QALE) metric that combines many of the short-term and long-term effects of traditional metrics. By combining a patient choice model that considers outcome quality, travel distance, and waiting time on the surgical schedule with a queueing model of patient waiting time, we translate our empirical results into estimates of the relative value of population-average and patient-specific quality information for improving overall patient outcomes. We formulate patients’ choice of surgeons as a queueing system to compare the value of using population-average and patient-specific quality information to help patients find better care. Results: We observe that patients of different demographics and levels of acuity benefit differently from elite surgeons. We estimate that the societal benefits (i.e., the total patient utility) from using patient-specific information are comparable to those achievable by enabling the best surgeons to treat 10%–20% more patients under population-average information. Managerial implications: Patient-specific quality information, which calibrates outcome statistics by patient demographics and acuity, allows patients to obtain better healthcare, physicians to make better referrals, administrators to better focus improvement initiatives, and payers to better align incentives.
Setting up a cat friendly clinic
Authors: Endersby Sarah
Published: July 2018

Despite the increase in popularity of cats as pets, there has not been a similar increase in the amount spent on feline veterinary healthcare. The stress experienced, both by the cat owner and cat, has an impact on the willingness of owners to bring their cat to a veterinary clinic. There are many ways veterinary clinics can minimise stressors, and even small changes can make a big difference for the cat and their owners, which strengthens the bond with the owner and increases the welfare of the cat.
An overview of debridement techniques
Authors: Bell Samantha
Published: July 2018

There are various techniques of debridement in veterinary practice. Knowledge of these techniques is essential to choose the ideal method or combination of methods required to successfully manage a wound. This article gives an overview of the main techniques available in veterinary practice that may aid wound management for veterinary nurses.
İşitme Engelli Üniversite Öğrencilerinin Yazma Sürecinde Uygulanan Etkinlik ve Stratejilerin İncelenmesi
Authors: Karasu Güzin , Uzuner Yıldız , Beral Ayşe
Published: July 2018

İşitme engelli
öğrenciler dillerindeki sınırlılıklar nedeniyle dil becerilerinin gelişiminde
sorunlar yaşamaktadırlar. Alan yazın incelendiğinde, yazma becerilerinin
gelişimi için etkili öğretimin nasıl yapılabileceğine yönelik araştırmalara
ihtiyaç duyulduğu belirlenmiştir. Araştırmanın amacı; işitme engelli gençlerin
yazılı anlatım becerilerinin etkili bir şekilde gelişimi için planlanan yazılı
anlatım derslerinde uygulanan etkinlik ve stratejilerin incelenmesidir. Araştırmanın
yöntemi eylem araştırmasıdır. Araştırma Anadolu Üniversitesi, Engelliler
Entegre Yüksekokulu’nda 2015-2016 öğretim yılı, güz döneminde Bilgisayar
Operatörlüğü ikinci sınıfa devam eden yedi işitme engelli öğrenci ile
gerçekleştirilmiştir. Veriler tüme varım analizi ile analiz edilmiştir. Araştırma
verileri; ders video kayıtları, ders planları ve değerlendirmeleri, izleme
toplantılarının tutanakları, ön test ve son test sonuçları, öğrenci dosyaları,
günlükleri ve defterleri, Facebook grup yazışmaları ve paylaşımları, sınıf
gözlemleri ve öğrenci görüşlerinden oluşmuştur. Derslerde gerçekleştirilen etkinlikler; gazete haberi yazma, gazete
içerik analizi yapma, günlük yazma, metin okuma inceleme, internette araştırma
yapma ve konuyla ilgili gerçekleştirilen gezidir. Uygulanan stratejiler ise;
soru/yanıt, model olma, poster ve şema kullanma, tanım yapma, karşılaştırma
yapma ve liste yapmadır. Soru/yanıt ile poster ve şema kullanma en yoğun kullanılan stratejiler olmuştur. Uygulanmış olan etkinlik ve
stratejilerin işitme engelli üniversite öğrencilerinin yazma becerisinin
gelişiminde etkili olduğu, ancak işitme
engelli öğrencilerin dillerindeki sınırlılıkları nedeni ile dil becerilerinin
gelişiminde daha uzun zamana ve yoğun tekrarlara ihtiyaç duyulduğu
belirlenmiştir.
Güdülenmiş Öğrenmeyi Destekleme Öz-Yeterlik Algısının Kollektif Yeterlik, Tükenmişlik ve Teknolojiyle Bütünleşmeyle İlişkisi
Authors: YILMAZ Miraç , USLU Öner
Published: July 2018

Öğrencilerin derse katılımını sağlamak ve güdüsel yönelimlerini
kendi ders alanlarına çekebilmek öğretmenlerin mesleki yeterlilik alanlarından
birisidir. Dolayısıyla öğretmenlerin bu yeterlilik alanlarının geçerli ve
güvenilir ölçme araçlarıyla sınanabilmesi gerekir. Öğretmen adaylarına yönelik Güdülenmiş
Öğrenmeyi Destekleme Öz Yeterlik
Ölçeği’nin (GÖDÖÖ) psikometrik özelliklerinin öğretmenler için de geçerli olup
olmadığının incelenmesi bu açıdan önem taşımaktadır. Bu yolla hem öğretmenlerin
öğrencileri güdüleme yeterlilik algıları belirlenebilecek hem de bu algıların
diğer değişkenlerle ilişkisi analiz edilebilecektir. Bu çalışmada ilk olarak öğretmen adayları için
Türkçeye uyarlanmış olan “Güdülenmiş Öğrenmeyi Destekleme Öz Yeterlik Ölçeği”nin (GÖDÖÖ)
psikometrik özelliklerinin öğretmenler için de geçerli olup olmadığı
incelenmiştir. Araştırmada ikinci olarak GÖDÖÖ ile kollektif yeterlilik,
tükenmişlik ve teknolojiyle bütünleşme arasındaki korelasyon, son olarak da bu
üç değişkenin birlikte GÖDÖÖ’yü yordamadaki etkisi çoklu regresyon analizi ile incelenmiştir.
Araştırmanın örneklemini farklı branşlardan 328 lise öğretmeni oluşturmaktadır.
Elde edilen sonuçlara göre GÖDÖÖ’nin doğrulayıcı faktör analizi sonuçları kabul
edilebilir sınırlar içinde bulunmuş, GÖDÖÖ’nün öğretmenler için de
kullanılabilir olduğu sonucuna ulaşılmıştır. GÖDÖÖ ile kollektif yeterlilik ve
teknolojiyle bütünleşme arasında pozitif, tükenmişlik arasında ise negatif bir korelasyon
olduğu görülmüştür. Analize dâhil edilen bu üç bağımsız değişken birlikte
GÖDÖÖ’nün yordanmasında orta düzeyde bir etkiye sahiptir.
The Stakes of History
Authors: Myers David N.
Published: July 2018

Why do we study history? What is the role of the historian in the contemporary world? These questions prompted David N. Myers’s illuminating and poignant call for the relevance of historical research and writing. His inquiry identifies a number of key themes around which modern Jewish historians have wrapped their labors: liberation, consolation, and witnessing. Through these portraits, Myers revisits the chasm between history and memory, revealing the middle space occupied by modern Jewish historians as they work between the poles of empathic storytelling and the critical sifting of sources. In this regard, the book engages in an extended dialogue with the seminal work by his teacher’s teacher Yosef Hayim Yerushalmi, Zakhor: Jewish History and Jewish Memory. History, properly applied, can both destroy ideologically rooted myths that breed group hatred and create new memories that are sustaining of life. Alive in these investigations is Myers’s belief that the historian today can and should attend to questions of political and moral urgency. Historical knowledge is not a luxury to society but an essential requirement for informed civic engagement, as well as a vital tool in policy making, conflict resolution, and restorative justice.
An Efficient Method to Reduce the Size of Consistent Decision Tables
Authors: Demetrovics János , Quang Hoang Minh , Thi Vu Duc , Anh Nguyen Viet
Published: July 2018

Finding reductions from decision tables is one of the main objectives in information processing. Many studies focus on attribute reduct that reduces the number of columns in the decision table. The problem of finding all attribute reducts of consistent decision table is exponential in the number of attributes. In this paper, we aim at finding solutions for the problem of decision table reduction in polynomial time. More specifically, we deal with both the object reduct problem and the attribute reduct problem in consistent decision tables. We proved theoretically that our proposed methods for the two problems run in polynomial time. The proposed methods can be combined to significantly reduce the size of a consistent decision table both horizontally and vertically.
WWI Exhibits
Authors: Goldberg Rachael
Published: July 2018

Rachael Goldberg's review of multiple WWI exhibits
Black Christian Women's Activism
Authors: Williams Hettie V.
Published: July 2018

Dr. Hettie V. Williams reviewing Black Christian Women's Activism by Betty Livingston Adams
Measurement of the Uniformity of Thermally Bonded Points in Polypropylene Spunbonded Non-Wovens Using Image Processing and its Relationship With Their Tensile Properties
Authors: Emadi Mina , Tavanaie Mohammad Ali , Payvandy Pedram
Published: July 2018

This article aims at the image processing of surface uniformity and thermally bonded points uniformity in polypropylene spunbonded non-wovens. The investigated samples were at two different weights and three levels of non-uniformity. An image processing method based on the k-means clustering algorithm was applied to produce clustered images. The best clustering procedure was selected by using the lowest Davies-Bouldin index. The peak signal-to-noise ratio (PSNR) image quality evaluation method was used to choose the best binary image. Then, the non-woven surface uniformity was calculated using the quadrant method. The uniformity of thermally bonded points was calculated through an image processing method based on morphological operators. The relationships between the numerical outcomes and the empirical results of tensile tests were investigated. The results of image processing and tensile behavior showed that the surface uniformity and the uniformity of thermally bonded points have great impacts on tensile properties at the selected weights and non-uniformity levels. Thus, a sample with a higher level of uniformity and, consequently, more regular bonding points with further bonding percentage depicts the best tensile properties.
Development of Novel Electronic Nose Applied for Strawberry Freshness Detection during Storage
Authors: Xing Mengke , Sun Ke , Liu Qiang , Pan Leiqing , Tu Kang
Published: July 2018

A newly self-developed electronic nose (E-nose) system for the detection of “Hongyan” strawberry freshness at different storage periods was studied. The system consisted of six metal oxide semiconductor sensors connected to a data acquisition system and a computer with pattern recognition software. The aroma emitted by “Hongyan” strawberry samples was detected during post-harvesting storage, and stable E-nose response values were used to develop cluster analysis and classification models. The successive projections algorithm was employed to optimize the sensors array, and the results obtained by gas chromatography–mass spectrometry analysis proved that the optimized sensor array was feasible to differentiate decayed strawberries from fresh ones. Partial least squares discriminant analysis and support vector machine (SVM) models were built. Accuracy of 94.9 % on the testing set was obtained based on the optimized sensor array, and this result was satisfactory compared to that of commercial PEN3 E-nose.
Crystal structure of poly[μ8-3-carboxyphthalat-κ8-O:O
1,O
1,O
1:O
2:O
3,O
3:O
4)silver(I)], C9H4Ag2O6
Authors: Liu Xue-Guo , Yan Wei-Hong , Xing Xiao-Jing , Fan Hui-Tao , Shi Zhen-Zhen
Published: July 2018

C9H4Ag2O6, monoclinic, P21/c (no. 14), a = 13.8224(6) Å, b = 9.5222(4) Å, c = 7.2104(3) Å, β = 101.991(4)°, V = 928.32(7) Å3, Z = 4, R
gt(F) = 0.0239, wR
ref(F
2) = 0.0411, T = 293(2) K.
Uncovered Interest Rate Parity: The Turkish Evidence
Authors: Öge Güney Pelin
Published: July 2018

This paper presents an empirical investigation of the uncovered interest parity (UIP) between the Turkish Lira (TRY)/US Dollar (USD) and Turkish Lira/Euro (EUR). Our results do not provide evidence supporting the UIP hypothesis for either case. Moreover, the estimates imply causality from the TRY/USD exchange rate return to the interest rate differential. Accordingly, the Turkish Central Bank (CBRT) may respond by increasing the domestic interest rate to a depreciation of the TRY against the USD . By taking this type of action, it can be concluded that the CBRT tried to control capital movements. This result supports (McCallum, Bennett T. 1994. “A Reconsideration of the Uncovered Interest Parity Relationship.”Journal of Monetary Economics33 (1): 105–132.)’s argument, which advances the behavior of the monetary policy as a reason for the failure of the UIP condition.
Investment on human capital in a dynamic contest model
Authors: Keskin Kerim , Sağlam Çağrı
Published: July 2018

Although most contest games are modeled in such a way that the outcome depends only on the efforts exerted by the contestants, what is arguably more important is the contestants’ effective efforts which may be influenced also by their ability, human capital, strength, etc. In this paper, we investigate an extensive model including such an effectiveness parameter and analyze the optimal investment behavior in a dynamic conflict framework. At each period, two contestants compete for a common prize by choosing contest efforts and investment levels. Each contestant’s investment accumulates as his/her human capital which depreciates through time. Who wins the component contest at a particular period is determined by the contestants’ effective efforts, defined as increasing functions of their efforts and human capitals. Following the analysis of subgame perfect Nash equilibrium in a two-period model and of open-loop equilibrium in an infinite-horizon model, we provide intuitive comparative static results.
Time Course of Recovery From Resistance Exercise With Different Set Configurations
Authors: Pareja-Blanco Fernando , Rodríguez-Rosell David , Aagaard Per , Sánchez-Medina Luis , Ribas-Serna Juan , Mora-Custodio Ricardo , Otero-Esquina Carlos , Yáñez-García Juan Manuel , González-Badillo Juan José
Published: July 2018

Pareja-Blanco, F, Rodríguez-Rosell, D, Aagaard, P, Sánchez-Medina, L, Ribas-Serna, J, Mora-Custodio, R, Otero-Esquina, C, Yáñez-García, JM, and González-Badillo, JJ. Time course of recovery from resistance exercise with different set configurations. J Strength Cond Res 34(10): 2867–2876, 2020—This study analyzed the response to 10 resistance exercise protocols differing in the number of repetitions performed in each set (R) with respect to the maximum predicted number (P). Ten males performed 10 protocols (R(P): 6(12), 12(12), 5(10), 10(10), 4(8), 8(8), 3(6), 6(6), 2(4), and 4(4)). Three sets with 5-minute interset rests were performed in each protocol in bench press and squat. Mechanical muscle function (countermovement jump height and velocity against a 1 m·s−1 load, V1-load) and biochemical plasma profile (testosterone, cortisol, growth hormone, prolactin, IGF-1, and creatine kinase) were assessed at several time points from 24-hour pre-exercise to 48-hour post-exercise. Protocols to failure, especially those in which the number of repetitions performed was high, resulted in larger reductions in mechanical muscle function, which remained reduced up to 48-hour post-exercise. Protocols to failure also showed greater increments in plasma growth hormone, IGF-1, prolactin, and creatine kinase concentrations. In conclusion, resistance exercise to failure resulted in greater fatigue accumulation and slower rates of neuromuscular recovery, as well as higher hormonal responses and greater muscle damage, especially when the maximal number of repetitions in the set was high.
A Novel Method to Determine Optimal Load in Elastic-Based Power Training
Authors: Buskard Andrew N. , Oh Jeonghoon , Eltoukhy Moataz , Brounstein Sylvie , Signorile Joseph F.
Published: July 2018

Buskard, AN, Oh, J, Eltoukhy, M, Brounstein, SR, and Signorile, JF. A novel method to determine optimal load in elastic-based power training. J Strength Cond Res 32(9): 2401–2408, 2018—The benefits of muscular power on sport performance and older adults' abilities to live independently and resist falls is well documented. Consequently, a substantial volume of research has focused on establishing the optimal loading patterns for improving muscular power using resistance exercise; however, to date, this research has only targeted optimal loading during training with free weights or selectorized exercise machines. Conversely, no approach has been developed to establish optimal loads for elastic modalities, such as tubes and bands, commonly used for sports rehabilitation, injury prevention, and training older adults. Therefore, the purpose of this study was to evaluate a new method for determining the optimal tubes to use in power training performed with elastic resistance. Thirty-eight recreationally active college students (age, 23.7 ± 4.5 years) were recruited to perform 3 single-arm bicep curls at a maximum intended velocity using 6 elastic tubes of varying resistance. Testing was performed in a 3-dimensional (3D) motion analysis laboratory using a specially constructed platform with an integrated strain gauge to which each tube was anchored. Force data from the strain gauge and velocity data from the 3D motion capture system were then used to compute power for each tube. An analysis based on individual’s cable arm curl 1-repetition maximum (1RM) was then used to generate general guidelines for the most appropriate tube to use for arm curl power training based on upper arm 1RM. Our results demonstrate the feasibility of using this methodology for other exercises, thereby establishing optimal tube use for power training based on each exercise's 1RM.
Tandem Duplicate Genes in Maize Are Abundant and Date to Two Distinct Periods of Time
Authors: Kono Thomas J Y , Brohammer Alex B , McGaugh Suzanne E , Hirsch Candice N
Published: July 2018

Tandem duplicate genes are proximally duplicated and as such occur in similar genomic neighborhoods. Using the maize B73 and PH207 de novo genome assemblies, we identified thousands of tandem gene duplicates that account for ∼10% of the annotated genes. These tandem duplicates have a bimodal distribution of ages, which coincide with ancient allopolyploidization and more recent domestication. Tandem duplicates are smaller on average and have a higher probability of containing LTR elements than other genes, suggesting origins in nonhomologous recombination. Within relatively recent tandem duplicate genes, ∼26% appear to be undergoing degeneration or divergence in function from the ancestral copy. Our results show that tandem duplicates are abundant in maize, arose in bursts throughout maize evolutionary history under multiple potential mechanisms, and may provide a substrate for novel phenotypic variation.
Frequency of Pediatric Emergencies in Ambulatory Practices
Authors: Yuknis Matthew L. , Weinstein Elizabeth , Maxey Hannah , Price Lori , Vaughn Sierra X. , Arkins Tom , Benneyworth Brian D.
Published: July 2018

BACKGROUND:

Management of pediatric emergencies is challenging for ambulatory providers because these rare events require preparation and planning tailored to the expected emergencies. The current recommendations for pediatric emergencies in ambulatory settings are based on 20-year-old survey data. We aimed to objectively identify the frequency and etiology of pediatric emergencies in ambulatory practices.

METHODS:

We examined pediatric emergency medical services (EMS) runs originating from ambulatory practices in the greater Indianapolis metropolitan area between January 1, 2012, and December 31, 2014. Probabilistic matching of pickup location addresses and practice location data from the Indiana Professional Licensing Agency were used to identify EMS runs from ambulatory settings. A manual review of EMS records was conducted to validate the matching, categorize illnesses types, and categorize interventions performed by EMS. Demographic data related to both patients who required treatment and practices where these events occurred were also described.

RESULTS:

Of the 38 841 pediatric EMS transports that occurred during the 3-year period, 332 (0.85%) originated from ambulatory practices at a rate of 42 per 100 000 children per year. The most common illness types were respiratory distress, psychiatric and/or behavioral emergencies, and seizures. Supplemental oxygen and albuterol were the most common intervention, with few critical care level interventions. Community measures of low socioeconomic status were associated with increased number of pediatric emergencies in ambulatory settings.

CONCLUSIONS:

Pediatric emergencies in ambulatory settings are most likely due to respiratory distress, psychiatric and/or behavioral emergencies, or seizures. They usually require only basic interventions. EMS data are a valuable tool for identifying emergencies in ambulatory settings when validated with external data.
Organisational views on health care access for hauā (disabled) Māori in Murihiku (Southland), Aotearoa New Zealand: A mixed methods approach
Authors: Hale Leigh , Pōtiki Bryant Katrina , Ward Aimee L. , Falloon Amy , Montgomery Aroha , Mirfin-Veitch Brigit , Tikao Kelly , Milosavljevic Stephan
Published: July 2018

We report and discuss the findings of a survey of a range of health care providers serving hauā (disabled) Māori in the Murihiku (Southland) region of Aotearoa New Zealand. To explore hauā Māori access to health services, we used a mixed methods approach beginning with a quantitative survey and followed by qualitative interviews. Twenty-nine (58%) completed surveys were returned and we interviewed representatives from 15 organisations. We found all organisations were disability accessible in the physical sense, but were less accessible from a cultural perspective. There appeared a misunderstanding between what could be deemed a non-racial, human rights approach of respect for all people, no matter the ethnicity (“We treat everyone who walks through the door the same”) and the importance of tikaka (customary Māori practice), for services provided for Māori. The most significant proposal resulting from this research was for organisations to have a local, trusted, cultural advisor to regularly discuss and review Māori clients. Individually, health facilities that provide services to Māori should evaluate their cultural awareness, service access and promotion, health information, and service effectiveness. This paper provides insights and suggestions to health organisations, such as physiotherapy services, on how they can improve their service accessibility to hauā Māori.
Contemporary Catholic Studies in a Secular University: Friend or Foe?
Authors: Briliute Birute
Published: July 2018

Through the introduction of a new hermeneutical model of communication in RE, this article intends to explore an innovative approach to developing Christian identity in a secular university. The author holds a joint lectureship in religious education, catechesis and pastoral theological education. Religious education and catechesis are concerned with all aspects of the teaching of religion in schools, within the parish and any other pastoral setting. pastoral theological education is concerned with the place of learning within religious communities and the larger society. This distinction has resulted in this research proceeding along two parallel routes: the institutional educational environment, religious communities and society as a background influencing our value change as well as the way we do RE in schools. The main concern of the author is to develop practical ways of enhancing the Catholic religious identity and theological literacy of students in the state secondary schools and universities in the UK, on the basis of contemporary theological anthropology and educational theoretical foundations. This article is an investigation into a new understanding of the development of Catholic identity and new models of RE used in a contemporary secular university.
Il pensiero pedagogico italiano nei manuali polacchi di storia dell’educazione
Authors: Wnęk Jan
Published: July 2018

This paper describes the popularization of the Italian pedagogical thought in Polish textbooks about the history of education in general. It has shown that the authors of the textbooks gave a lot of information about the Italian school system and education and presented profiles of outstanding Italian educationalists, e.g. St John Bosco or Maria Montessori. This paper indicates that in the past centuries Poles were open to Italian intellectual currents, academic trips to the Italian Peninsula, and education at local universities. Polish textbooks about the history of education were popular (in the 20th c.) and still are an important source of knowledge about the history of Italian education. For the purposes of this paper, the contents of the most representative and popular textbooks have been analysed.
Mary is a Model of Faith and Moral Life for the Contemporary Disciples of Christ
Authors: Kluz Marek
Published: July 2018

Observing the transformations taking place in the world, it is important to note the need for continuous reference in various areas of human life to Mary, whose example is always relevant. Therefore, the purpose of this article is to present Mary as a model of faith and moral life for the contemporary disciples of Christ. Mary – with her example – teaches one how to be a disciple of Christ in an authentic way, not superficial one. She is an example of understanding the Christian life as a commitment. Looking to Mary as an example, the individual learns to obey God in the path of faith and finds the values that lead him or her through the paths of the Christian moral life. Life permeated with the Marian spirit becomes an inspiration for the contemporary disciples of Christ to grow in faith, to do good and radically reject everything which is in contrary to the Christian ideal.
MATERNAL NUTRITION AND THE PROBLEM OF INTRAUTERINE DISEASE PROGRAMMING IN CHILDREN
Authors: Kovtun O. P. , Tsyvian P. B.
Published: July 2018

Environmental conditions during perinatal development such as maternal undernutrition or overnutrition can program changes in the integration among physiological systems leading to cardio-metabolic diseases. This phenomenon can be understood in the context of the phenotypic plasticity and refers to the adjustment of a phenotype in response to environmental input without genetic change. Experimental studies indicate that fetal exposure to an adverse maternal environment may alter the morphology and physiology that contribute to the development of cardio-metabolic diseases. The significance and role of genetic polymorphism, markers of chronic inflammation, oxidative stress, endothelial dysfunction, leptin synthesis disruption, rennin-angiotensin system in intrauterine cardio-metabolic disease programming are discussed. The study demonstrated that both maternal protein restriction and overnutrition alter the central and peripheral control of arterial pressure and metabolism. Breastfeeding may have beneficial effect on obesity risk later in life in genetically predisposed groups. Understanding the mechanisms which affect health outcomes in the offspring influenced by the macronutrient composition of the maternal diet during pregnancy or lactation may lead to new maternal nutrition recommendations, disease prevention strategies, and therapies that reduce the increasing incidence of cardio-metabolic diseases in children and adults.
IMPACT OF CYP3A5, CYP2C9, CYP2C19, AND CYP2D6 POLYMORPHISMS ON PHENAZEPAM SAFETY IN PATIENTS WITH ALCOHOL WITHDRAWAL SYNDROME
Authors: Ivashchenko D. V. , Ryzhikova K. A. , Sozaeva Zh. A. , Pimenova Y. A. , Grishina E. A. , Zastrozhin M. S. , Aguzarov A. D. , Savchenko L. M. , Bryun E. A. , Sychev D. A.
Published: July 2018

Introduction: Phenazepam is the Russian original benzodiazepine tranquilizer. We conducted first pharmacogenetic study on Phenazepam’s safety in patients with alcohol withdrawal syndrome. Isoenzymes CYP3A4, CYP3A5, CYP2C9, and CYP2C19 are involved into benzodiazepine tranquilizers’ metabolism.Aim: To determine predictive value of CYP3A5, CYP2C9, CYP2C19, and CYP2D6 genetic polymorphisms and their haplotypes for adverse reaction risk associated with the treatment with phenazepam.Materials and methods: The study enrolled 102 male patients with non-comlicated alcohol withdrawal syndrome (F10.3 by ICD-10) who entered the study group in 24 hours after the admission to hospital and was administered Phenazepam for 6 days. Therapy safety was evaluated with UKU Side Effects Rating Scale on the 6th day of treatment. 5 ml of venous blood was collected from each participant for genotyping to detect CYP3A5*3, CYP2С9*2, CYP2C9*3, CYP2C19*2, CYP2C19*3, CYP2C19*17, and CYP2D6*4 polymorphisms by real-time polymerase chain reaction. Haplotype analysis was performed by SNPStats online-tool. Statistical analysis was made in SPSS Statistics 21.0.Results: In overall sample (n=102) CYP2C9*3 increased risk of «Increased duration of sleep» (OR 1.46; 95% CI 1.11−1.9; p=0.037) and «Constipation» (OR 13.1; 95% CI 1.44−119.2; p=0.02). The following results in subgroup «Phenazepam’s monotherapy» (n=64) were observed: CYP3A5*3 increased global severity of adverse drug reactions according to patient’s opinion (OR 2.79; 95% CI 1.26−6.22; p=0.031); CYP2C9*3 led to «Increased duration of sleep» (OR 1.57; 95% CI 1.14−2.17; p=0.034). Haplotype CYP3A5*3-CYP2C19*2-CYP2C19*17 (G-G-T) was associated with increased risk of «Concentration difficulties (OR 2.86; 95% CI 0.96−8.50; p=0.061).Conclusion: The study findings confirmed that CYP2C9*3, CYP3A5*3, and CYP2C19*2 polymorphisms can decrease the phenazepam safety rate in patients with alcohol withdrawal syndrome. The result of haplotype analysis revealed that only CYP3A5*3-CYP2C19*2-CYP2C19*17 (G-G-T) can be used as a significant predictor of adverse reaction to phenazepam.
Discrete element method analysis of small-strain stiffness under anisotropic stress states
Authors: Nguyen H. C. , O'Sullivan C. , Otsubo M.
Published: July 2018

This contribution assesses the influence of stress anisotropy on stiffness using discrete element method (DEM) simulations of true-triaxial tests supplemented with analytical studies. The samples considered comprised of normally consolidated random monodisperse samples. The simulations were carried out at four different mean stress levels; at each stress level, various combinations of the three principal stresses were considered. Stiffness was measured using planar wave propagation simulations. Using regression analysis it is shown that density effects can be considered using void ratio correction factors derived for isotropically compressed samples. However, a void ratio correction factor that considers coordination number is seen to be more marginally appropriate than the conventional form used in geotechnical experimental work. Material exponents that quantify the influence of each stress component on the stiffness were then determined. Analytical expressions derived from effective medium theory are less effective than the correction functions following the form used in the current experimental practice.
Pile groups under axial loading: an appraisal of simplified non-linear prediction models
Authors: Sheil Brian B. , McCabe Bryan A. , Comodromos Emilios M. , Lehane Barry M.
Published: July 2018

The settlement behaviour of vertically loaded pile groups has been the subject of an extensive body of research over the past two decades. In particular, this work has identified the over-conservatism associated with predictions of pile interaction derived from elastic theory and the corresponding amplification of group settlement relative to single pile values. Researchers have since redoubled efforts to refine settlement predictions for pile groups towards more economical design, largely through more rigorous treatment of soil stiffness non-linearity. Although foundation design engineers are increasingly employing three-dimensional continuum analyses to quantify pile interaction on a site-specific basis, simplified design approaches remain an integral part of preliminary foundation design. The purpose of this paper is to undertake a critical examination of these methods with a view to increasing their potential for take-up by foundation engineering practitioners. A database of simplified models has been collated for the prediction of non-linear pile interaction that exists within vertically loaded pile groups. These models are categorised as either analytical or empirical. The development, limitations and range of applicability of these models are explored in detail in the context of some published case histories.
Collapse episodes and remediation of subsidiary dam under construction of cut-off walls
Authors: Zheng Lingwei , Xie Xinyu
Published: July 2018

The main problems faced with earth dams relate to leakage, landslides and cracking, which are in turn related to seepage under and through dams. The construction of the Huangbizhuang reservoir began in 1958, and impounding started in 1960. The main purpose of the Huangbizhuang reservoir is flood control, while secondary uses are irrigation, fish farming, electricity generation and water supply. Many problems have occurred for more than 40 years of its operation. The construction of a seepage cut-off wall for the subsidiary dam began in March 1999. Seven dam collapses occurred during the construction of the cut-off walls. In this research study, the geological conditions of the site are considered, especially during the construction of the joint section of the cut-off wall (∼120 m long) where most of the collapses occurred. The methods for remediating the subsidiary dam of this reservoir are analysed and compared. Details of the collapses are described, and causes and improvement projects are proposed. Finally, suggestions regarding the construction of cut-off walls under such complex conditions are presented.
Application of spinal cord stimulation in the treatment of persistent pain in failed back surgery syndrome
Authors: Dmitriev A. В. , Rzaev D. A. , Denisova N. P.
Published: July 2018

The study objectiveis to demonstrate our experience of the spinal cord stimulation in the treatment of drug-resistant pain in patients with the failed back surgery syndrome (FBSS) and to evaluate its effectiveness and complications.

Materials and methods.Systems for chronic spinal cord stimulation were implanted in 78 patients suffering from FBSS in Federal Neurosurgical Center (Novosibirsk) during 2013–2015. All patients had a drug-resistant neurogenic pain syndrome character and were undergone surgical intervention on the spine. Evaluating of the treatment effectiveness was carried out by visual analogue scale (VAS) and a scale Douleur Neuropathique en 4 Questions (DN4). Catamnesis ranged from 6 to 18 months.

Results.The median preoperative VAS score evaluation was 6.7, at hospital discharge – 3.1, after 6 months – 3.2, after 12 months – 3.5, after 18 months – 3.4. Evaluation on a scale DN4 before surgery was 5.3, at hospital discharge – 2.1, after 6 months – 2.4, after 12 months – 2.5, after 18 months – 2.4. Complications in the form of migration, fracture of the electrodes and development of hemorrhage or inflammation at the site of implantation of the system were observed in 12 (15.3 %) cases and required revision surgery.

Conclusion.Spinal stimulation is an effective and safe method of treatment of pain in FBSS, but it has specific complications associated with implantable systems.
Full-endoscopic surgery for gunshot penetrating wound of the lumbar spine (literature review and clinical case)
Authors: Kravtsov M. N. , Landik S. A. , Dubinin A. А. , Azatyan K. S. , Gaidar В. V. , Svistov D. V.
Published: July 2018

The study objectiveis to determine the feasibility and effectiveness evaluation of full-endoscopic surgery in gunshot wound of the lumbar spine.

Materials and methods.A clinical case of a 24-year-old male who received a gunshot wound to the lumbar spine is described. The patient underwent a full-endoscopic intervention aimed at extracting a bullet from the spinal canal.

Results.Minimal-invasive approach to spinal canal with the possibility to extract a bullet, decompression of nerve roots, defect closure of the dura mater is demonstrated.

Conclusion.Good clinical outcome allows to recommend the full-endoscopic surgery with similar gunshot wounds of the lumbar spine at the stage of specialized care.
PSİKODRAMA GRUBUNUN PSİKOLOJİK DANIŞMA VE REHBERLİK ÖĞRENCİLERİNİN ÖZ-DUYARLIK DÜZEYLERİNE ETKİSİ
Authors: Bakalım Orkide , Yörük Canan , Şensoy Gözde
Published: July 2018

Bu araştırmanın
amacı psikodrama grup yaşantısının Rehberlik ve Psikolojik Danışmanlık lisans
4. Sınıf öğrencilerinin öz-duyarlık düzeylerine etkisini ve bu yaşantıya
ilişkin öğrenci kazanımlarını belirlemektir. Araştırma, 2016-2017 öğretim yılı
bahar döneminde bir devlet üniversitesinde, 
Rehberlik ve Psikolojik Danışma lisans programında seçmeli ders olarak
yer alan “Psikodrama” dersi kapsamında yürütülmüştür. Psikodrama grup yaşantısı
her hafta üç ders saati olarak toplam 8 hafta sürmüştür. Kontrol grubuna ise
herhangi bir işlem uygulanmamıştır. Bu araştırma, nitel ve nicel yöntemlerin
birlikte kullanıldığı karma desen ile gerçekleştirilmiştir. Araştırmaya ait
nicel ve nitel veriler ayrı ayrı değerlendirmeye alınmıştır. Deney ve kontrol
grubundan öz-duyarlık ölçeği ile toplanan nicel veriler non-parametrik
testlerden Mann-Whitney-U Testi ile Wilcoxon İşaretli Sıralar Testi ile
değerlendirilmiştir. Araştırmanın nitel verileri ise, deney grubundaki
öğrencilerin teslim ettiği değerlendirme raporlarından elde edilmiş ve içerik
analizi ile incelenmiştir. Nicel bulgular incelendiğinde, psikodrama grup
yaşantısının öğrencilerin toplam öz-duyarlık düzeylerini ve özduyarlığın
pozitif alt boyutları olan özsevecenlik, paylaşımların bilincinde olma,
bilinçlilik düzeylerini anlamlı olarak arttırdığı ve öz-duyarlığın negatif alt
boyutları olan özyargılama, izolasyon ve aşırı özdeşleşme düzeylerini anlamlı
olarak azalttığı görülmektedir. Nitel bulgular incelendiğinde ise, öğrencilerin
psikodrama sürecinden hem kişisel hem de mesleki kazanımlar edindikleri
görülmektedir.
LİSE ÖĞRENCİLERİNDE PROBLEM ÇÖZME BECERİLERİNİN AKILCI OLMAYAN İNANÇ DÜZEYİ VE KARAR VERME STİLLERİNE GÖRE YORDANMASI
Authors: Uygur Sevgi
Published: July 2018

Bu
çalışmanın amacı, lise öğrencilerinin problem çözme becerilerinin akılcı
olmayan inançlar ve karar verme becerilerine göre yordanmasıdır. Araştırmanın
örneklem grubunu İstanbul’da resmi liselerde öğrenimine devam eden seçkisiz
olarak belirlenen 223 lise öğrencisi oluşturmaktadır. Çalışmada veri toplama
araçları olarak Problem Çözme Envanteri, Melbourne Karar Verme Ölçeği, Akılcı
Olmayan İnançlar Ölçeği Ergen Formu ve araştırmacı tarafından geliştirilen
Kişisel Bilgi Formu kullanılmıştır. Çalışmada çoklu doğrusal regresyon analizi
uygulanmıştır. Analiz bulgularına göre, problem çözme akılcı olmayan inançlar, panik
karar verme stili, erteleyici karar verme stili ve kaçıngan karar verme stili
ile negatif yönde; dikkatli karar verme stili ile pozitif yönde ilişkilidir. Akılcı
olmayan inançlar ve karar verme stilleri birlikte problem çözmenin %85’ini
açıklamaktadır. Fakat erteleyici karar verme stili ve kaçıngan karar verme
stili tek başına problem çözmenin anlamlı yordayıcıları değildir. Bulgular,
ilgili literatür ışığında tartışılmış ve öneriler sunulmuştur.