bluuebunny/crossref_metadata_2025 huggingface dataset:
Art as Therapy within Occupational Therapy in Mental Health Settings: A Review of the Literature
Authors: Lloyd Chris , Papas Vanessa
Published: April 2015

There is a lack of literature and research supporting the use of art as therapy in occupational therapy. In spite of this, art as a therapeutic modality is a frequently used tool. In an attempt to define the rationale for using art in therapy, this paper reviews selected literature to gain an understanding of the historical use of art and the current status of art used by occupational therapists in mental health settings.
Occupational Therapy and Physiotherapy: Similar, but Separate
Authors: Brown G Ted , Greenwood Jennifer
Published: April 2015

Three articles were published in the 1998 volume of the British Journal of Occupational Therapy which dealt with the issue of professional boundaries and role overlap between occupational therapy and physiotherapy. There has also been some recent debate on the same topic in the USA and Canada. This paper discusses issues related to the perceived professional role overlap between occupational therapy and physiotherapy. The implications for occupational therapy are discussed and recommendations are made.
Two Common Pitfalls in Clinical Audit: Failing to Complete the Audit Cycle and Confusing Audit with Research
Authors: Sealey Christine
Published: April 2015

This article explores two common pitfalls for occupational therapists in carrying out clinical audit: failing to complete the audit cycle to bring about actual improvements in practice and confusing audit with research. Given the demanding circumstances under which most clinicians work, these problems are neither surprising nor unique to occupational therapy.

This article defines clinical audit and summarises good practice in audit. The difficulties with completing the audit cycle are explored and some solutions are suggested. The difference between clinical audit and research is discussed, with strategies for avoiding confusion.
The Wharfedale Epicondylar Clasp: A Treatment for Lateral and Medial Epicondylitis
Authors: Cooke E Valerie
Published: April 2015

Pain in the elbow impinges on many activities of daily living, both at work and at home, and can severely limit the ability to cope. This article demonstrates the use of a small, practical orthosis, made to measure to relieve lateral and medial epicondylitis, better known as tennis or golfer's elbow. An audit showed that for 84% of the 52 patients who responded, the use of the clasp was considered a success in both the short-term and the long-term results.
The Casson Memorial Lecture 1999: Alice Constance Owens — Reflections upon a Remarkable Lady and a Pioneer of Occupational Therapy in England
Authors: Tyldesley Barbara
Published: April 2015

The Casson Memorial Lecture 1999, given on 23 July at the 23rd Annual Conference of the College of Occupational Therapists, held at the University of Liverpool.
Ethical Considerations in Therapy Research
Authors: Seale Jane K , Barnard Sue
Published: April 2015

Therapists are under increasing pressure to conduct research within their field of therapeutic practice in order to contribute to evidence-based practice. A perceived lack of therapy research has prompted a huge amount of literature on research methodologies. However, comparatively little has been written about how to ensure that these methodologies are ethically employed.

Ensuring that a research project is ethical is a huge responsibility that cannot be taken lightly. This article highlights the ethical issues that a therapy researcher may need to consider and outlines the process and practicalities of how these issues may be addressed.
Loss of Ability to Drive following a Stroke: The Early Experiences of Three Elderly People on Discharge from Hospital
Authors: Lister Robyn
Published: April 2015

A qualitative study employing a phenomenological approach was undertaken in South Australia to explore how three elderly people who had been hospitalised with stroke experienced the initial impact of the 1055 of their ability to drive following discharge. In-depth interviews were the primary form of data collection.

The main themes emerging from the data were expectation of the 1055, acceptance of the loss, lack of acceptable transport alternatives, lack of control over the loss, an altered lifestyle and loss of independence. Many of the reported assumptions in the literature that loss of ability to drive has negative psychological, social and functional implications were supported by the results of this study. However, the findings from this study that the expectation of the losswas variable and that the participants felt that they lacked control over the loss had not previously been reported.

The results have several implications for clinical practice, including consideration of the time at which the loss is discussed with older people and the need to prepare them for the loss. Whilst the study has produced data that shed light on the concept of loss of ability to drive, further research is needed using a larger population to check the constructs of the phenomenon.
Computers in Neurorehabilitation: What Role do they Play? Part 1
Authors: Stern Hilary , Jeaco Stephen , Millar Tracy
Published: April 2015

This article is in two parts. The first part introduces the concept of a structured approach in the assessment of patients in neurorehabilitation. The overall role of computers is broken down into seven potential areas where they may be of benefit: communication, motor skills, cognitive functions, social skills, mood, work and leisure. There are many different treatment approaches that are used with computers in neurorehabilitation, ranging from remediation of lost skills to adaptation of function. The second part uses a case study to demonstrate the methods of assessment and the practical techniques that are used to overcome everyday issues. The overall conclusion is that computers can become an integral part of neurorehabilitation and it is essential for occupational therapists to gain a greater insight into their use in order to enhance their patients' independence and quality of life.
A Systematic Review of the Evidence for the Value of Functional Assessment of Older People with Dementia
Authors: Tullis Alison , Nicol Margaret
Published: April 2015

There exists concern within the occupational therapy profession to demonstrate the efficacy of treatment through evidence-based practice (Bannigan 1997, Lloyd-Smith 1997, Taylor 1997). This is in keeping with other health care professionals who, equally, are addressing this issue (Muir Gray 1997). The clinical experience of the authors of this article suggests that occupational therapists are in a significant and powerful position when making decisions about the ability of someone with dementia to return to his or her own home. It is often the observations from a predischarge home assessment that are the determining factors for the discharge decision.

A systematic review of the current available evidence was carried out. This review highlighted that there was remarkably little evidence from the current occupational therapy literature in relation to people with dementia either to support or to refute the home assessment visit as the optimum method of assessing their ability to return home. The review demonstrated the need to undertake further evaluation and research into this key occupational therapy activity.
Total Nutrient Admixtures (3‐in‐1)
Authors: Gervasio Jane
Published: April 2015

Total nutrient admixture (TNA) is a complete parenteral nutrition (PN) formulation composed of all macronutrients, including dextrose, amino acids, and intravenous fat emulsions (IVFE), in one bag. The TNA may be safely administered to the patient, with all components aseptically compounded and minimal administration manipulation required, lending itself to decreases in risks of catheter contamination and patient infections. The TNA is compatible and stable at recommended concentrations, and since the IVFE is in the TNA, it is infused at slower rates, allowing for better fat clearance. The TNA offers convenience of administration and a potential cost savings to the healthcare institution both directly and indirectly. Unfortunately, the TNA is not without concerns. At low macronutrient concentrations (lower than recommended), the formulation is compromised. Greater divalent and monovalent cation amounts and increased concentrations of phosphate and calcium may destabilize the TNA or result in precipitation, respectively. With the addition of IVFE in the TNA, catheter occlusion is greater and larger pore size filters are necessary, resulting in less microbial elimination. Determining if the implementation of the TNA is appropriate for an institution requires a recognition of the advantages and disadvantages of the TNA as well as an understanding of the institution's patient population and their nutrition requirements.
Layer-by-layer assembly deposition of graphene oxide on poly(lactic acid) films to improve the barrier properties
Authors: He Xia , Wu Ling-ling , Wang Jia-jun , Zhang Tao , Sun Hui , Shuai Ning
Published: April 2015

Layer-by-layer (LBL) assembly is an innovative method for fabrication of barrier layer structures on flexible polymers. In this work, two kinds of graphene oxide (GO) multilayer membranes with high barrier properties were prepared by applying LBL on poly(lactic acid) (PLA) films. Nanometer-scale GO multilayer membranes were coated on PLA films and their barrier properties were studied via water vapor and oxygen permeabilities. It turns out that a multilayer (polyethyleneimine (PEI)/GO) n PLA film has excellent oxygen barrier properties, and the oxygen permeability of a four-layer PEI/GO deposition is only 0.98% of the pure PLA film, with unsatisfied water vapor barrier properties. Using PEI/hexadecyltrimethylammonium bromide (CTAB)-modified GO assembling layers on the PLA substrate increased the water contact angle of the multilayer PLA film, and water vapor permeability decreased to 59.25% of the pure PLA film. GO nanosheets with better hydrophobicity can be obtained after being modified by CTAB at the same time, at the expense of partial oxygen barrier properties and transparency. This approach provides a new way to develop multilayer membranes with enhanced barrier performance of PLA films and shows significant interest in packaging applications.
Did Shakespeare Write Double Falsehood? Identifying Individuals by Creating Psychological Signatures With Text Analysis
Authors: Boyd Ryan L. , Pennebaker James W.
Published: April 2015

More than 100 years after Shakespeare’s death, Lewis Theobald published Double Falsehood, a play supposedly sourced from a lost play by Shakespeare and John Fletcher. Since its release, scholars have attempted to determine its true authorship. Using new approaches to language and psychological analysis, we examined Double Falsehood and the works of Theobald, Shakespeare, and Fletcher. Specifically, we created a psychological signature from each author’s language and statistically compared the features of each signature with those of Double Falsehood’s signature. Multiple analytic approaches converged in suggesting that Double Falsehood’s psychological style and content architecture predominantly resemble those of Shakespeare, showing some similarity with Fletcher’s signature and only traces of Theobald’s. Closer inspection revealed that Shakespeare’s influence is most apparent early in the play, whereas Fletcher’s is most apparent in later acts. Double Falsehood has a psychological signature consistent with that expected to be present in the long-lost play The History of Cardenio, cowritten by Shakespeare and Fletcher.
We need to talk about silence: Re-examining silence in International Relations theory
Authors: Dingli Sophia
Published: April 2015

The critique of silence in International Relations theory has been long-standing and sustained. However, despite the lasting popularity of the term, little effort has been made to unpack the implications of existing definitions and their uses, and of attempts to rid the worlds of theory and practice of silences. This article seeks to fill this vacuum by conducting a twofold exercise: a review and revision of the conceptualisation of silence current in the literature; and a review of the implications of attempts to eliminate silence from the worlds of theory and practice. Through the discussion, the article suggests that we deepen and broaden our understanding of silence while simultaneously accepting that a degree of silence will be a permanent feature of theory and practice in international politics. Finally, the conclusion illustrates the possibilities for analysis and theory opened by these arguments through an exploration of how they may be used to interpret and address recent events in Yemen.
Addressing the Conundrum: the MCA or the MHA?
Authors: Sorinmade Oluwatoyin A , Ruck Keene Alex , Moylan Lisa
Published: April 2015

In the United Kingdom, individuals requiring inpatient care for mental health purposes can be admitted to hospital with their consent as informal patients, or formally through procedure(s) prescribed by law. There are, however, instances where individuals otherwise referred to as informal patients are on admission without their consent or in circumstances that amount to deprivation of their liberty as defined by the United Kingdom Supreme Court and without recourse to lawful procedures by their clinical team as stipulated by the European Convention on Human Rights. Such instances might be without the awareness of the individuals or their clinical teams or the clinical teams might be unclear as to which statute applies to patient care. This paper has been written to help clinicians define the legal status of patients at the point of admission, during their stay on the inpatient unit and the statute(s) that apply to different in-patient situations.
A comparison of the methods used to support risk identification for patient safety in one UK NHS foundation trust
Authors: Simsekler MC Emre , Card Alan J , Ruggeri Kai , Ward James R , Clarkson P John
Published: April 2015

In healthcare, various methods are available to support risk identification in risk management process. However, there is no clear evidence on their contribution to risk identification. In this study, different methods used to support risk identification were therefore analysed to compare their contribution to overall risk identification. The study was conducted at Cambridge University Hospitals Foundation Trust, UK. Three main methods were selected to compare their support in risk identification: incident reports through their Risk Management Information System, risk registers through their Risk Registers system, and safety walkabouts through their internal patient safety assessment process. Where possible, simple comparison tests were run between the different methods of identifying risks as well as by the type of risks identified. It was found that each method has contributed to the risk identification by adding different sets of risk sources despite some overlaps. However, they produced discrete assessments from different aspects and none of them, on its own, could produce adequate results for effective risk identification. In any healthcare setting, having a system to put all risk information in one picture would help maximise the contribution of each method within the scope risk management process. Future studies may benefit from broader use of multiple and system-based risk identification approaches, and coding methods for more powerful analytical test.
The essential role of scribbling in the imaginative and cognitive development of young children
Authors: Coates Elizabeth , Coates Andrew
Published: April 2015

This paper sets out to explore the thinking underpinning young children’s earliest drawings, often regarded as ‘scribbling.’ It questions whether the physical satisfaction of making marks is sufficient reward for this often repeated activity, or whether with each repetition children intend deeper meanings not apparent to the eyes of the adult beholder. The narrative, which frequently accompanies such drawings, indicates that far from being merely a mark-making activity, the scribbled work represents for children a means of communicating a story or an experience. Examination of the dual activity of drawing and talking forms the basis of a research study which highlights the contribution that observation can make towards our understanding of young children’s learning.
A novel protocol to characterize the thermal protective performance of fabrics in hot-water exposure
Authors: Mandal Sumit , Song Guowen , Gholamreza Farzan
Published: April 2015

This study aims to introduce a novel protocol to characterize the thermal protective performance of fabrics used in firefighters’ clothing under hot-water exposure. For this, new and improved test methods were developed to evaluate the performance of a set of fabrics under exposure to hot-water splash and hot-water immersion with compression. The thermal energy transmission through the fabrics tested was thoroughly investigated, and the physical properties that affect the performance of fabrics were statistically identified. It has been found that mainly mass (hot-water) transfer occurs through fabrics in a hot-water splash; whereas, both conductive heat and mass transfer predominate in a hot-water immersion with compression. The compression applied in the exposure of hot-water immersion changes the physical properties of fabrics, thereby reducing fabrics’ performance. The structural configuration and physical properties (e.g., air permeability, thickness) of fabrics are crucial to their heat and mass transfer and therefore to overall fabric performance. This study’s findings may contribute to developing new fabric testing standards, as well as improved thermal protective clothing to provide better occupational safety and health for firefighters.
Examining External Support Received in Prison and Concerns About Reentry Among Incarcerated Women
Authors: Mancini Christina , Baker Thomas , Sainju Karla Dhungana , Golden Kristin , Bedard Laura E. , Gertz Marc
Published: April 2015

Few studies have examined whether social ties influence concerns about reentry among women in prison. Given that a systematic understanding of reentry has the potential to inform research and policy efforts to assist women with transition, this gap is limiting. Our study addresses this void by testing whether social support affects reentry concerns (family, employment, financial, and stigma) among incarcerated women. Results indicate that visits reduced all concerns; receiving letters had a less consistent effect, but they too, were associated with reduced worry. In addition, experiencing multiple types of support influenced reentry concerns among women. Research and policy implications are discussed.
Effects of thermal mass, ventilation, and glazing orientation on indoor air temperature in buildings
Authors: Csáky Imre , Kalmár Ferenc
Published: April 2015

In the last years in European countries, important measures were taken in order to reduce the energy need of buildings. Nevertheless, the energy need for cooling of buildings is rising. In most cases, to assure the required operative temperature, air conditioning systems are installed. Consequently, in summer period, the power networks of different European countries are overloaded. In order to determine the effects of glazed area orientation, air change rate, and thermal mass on the indoor air temperature, at the University of Debrecen, the Passol Laboratory was built. Measurements were performed from 2009 to 2013. Using the methodology given by EN ISO 13790:2008, the variation of indoor temperature was calculated and the theoretical values were compared with values obtained from measurements. The indoor temperature variation and the energy need for cooling were analyzed for different building structures, different orientations of the glazed area, and air change rates. The calculations have proven that the energy need for cooling can be reduced even to 25% of the thermal mass and the air change rate is chosen properly.
Chronic kidney disease in pregnancy: Maternal and fetal outcomes and progression of kidney disease
Authors: Davidson Natalie L , Wolski Penny , Callaway Leonie K , Barrett Helen L , Fagermo Narelle , Lust Karin , Shakhovskoy Rebekah E
Published: April 2015

Background

There is a paucity of Australian data regarding renal disease in pregnancy. We undertook a retrospective cohort study at a tertiary institution to examine the impact of renal disease on pregnancy outcomes and the effect of pregnancy on disease progression.

Methods

A total of 55 pregnancies of patients with renal disease admitted from 2003 to 2010 to the Royal Brisbane and Women’s Hospital were analysed. Pre-conception variables, fetal/delivery and maternal outcomes were analysed in this group and in a control group of women with normal kidney function pre-pregnancy.

Results

Of the 55 pregnancies, 71% experienced pre-term delivery, 38% had intra-uterine growth restriction and 62% required caesarean section. Of all, 60% of neonates required neonatal intensive care unit (NICU) admission and six perinatal deaths occurred. Of all, 67% of women suffered preeclampsia, 47% anaemia and 3 patients required dialysis in pregnancy. Postpartum deterioration of renal function occurred in patients with pre-conception chronic kidney disease stage 3–5.

Conclusions

Chronic kidney disease of all stages is a risk factor for adverse pregnancy outcomes. In a tertiary institution however, there is a high rate of successful pregnancy (84%).
Nurturing a Self-Help Group
Authors: Schubert Marsha A.
Published: April 2015

In April 1987, the parent of a child who was both learning disabled and intellectually gifted and talented and a professional educator (the author) founded Parents of Gifted and Learning-Disabled Students of Northern Virginia, a self-help group for people who were dealing with the challenges posed by such children. The article begins with a background explaining the need for such a group followed by a history of the group and a description of how it functioned. It then details ways in which the author and the group interacted over the course of 5 years. A major component of this interaction was the members’ partnering in a research study with the author—a process now known as participatory action research (PAR)—and the outcomes of that partnership.
Accounting for Gender in the Sociology of Childhood
Authors: Bartholomaeus Clare , Senkevics Adriano Souza
Published: April 2015

The (new) sociology of childhood has contributed much to thinking about childhood as a social construction and recognizing the diversity of childhood(s). However, age and generation are often the primary focus of sources in the field. We argue that attention to gender is rare in the sociology of childhood and, when it is mentioned, is under-theorized. Although there is now a growing amount of feminist research with pre-teen children, there is a lack of discussion between the broad field of feminist studies and the sociology of childhood. In this article, we draw on our own research studies in Brazil and Australia, as well as previous key studies about gender and children, to consider the ways in which gender and age can be conceptualized together, and to demonstrate the significance of gender in children’s lives.
Assessment of vascular function in individuals with hyperglycemia: a cross-sectional study of glucose – induced changes in digital volume pulse
Authors: Alaei-Shahmiri Fariba , Zhao Yun , Sherriff Jill
Published: April 2015

Background

Arterial stiffness is an independent risk factor for cardiovascular disease and its progression may be accelerated in the presence of hyperglycemia, either fasting or postprandial. The current study assessed vascular function in subjects with pre-diabetes hyperglycemia, using digital volume pulse analysis technique.

Methods

We conducted a cross-sectional study examining vascular function in the fasting and postprandial (glucose-induced) state in 44 adults, consisting of 17 subjects with pre-diabetic hyperglycemia and 27 normoglycemic volunteers. Photoplethysmography of the digital volume pulse (DVP) was used to determine stiffness index (SI) and reflective index (RI), as main measures of larger artery stiffness and vascular tone, respectively.

Results

Our results showed a significantly higher (Ln) fasting SI in the hyperglycemic group compared with the control group (2.19 ± 0.32 vs. 1.96 ± 0.22, P = 0.005). However, this pattern reversed after adjustment for potential confounders. In multiple linear regression analysis, (Ln) SI was related to age (β = 0.01, 95% CI: 0.01-0.02, P < 0.001) and systolic blood pressure (SBP) (β = 0.01, 95% CI: 0.00-0.01, P < 0.05), but not with W/H, diastolic blood pressure (DBP), fasting plasma glucose (FPG) or serum lipids. Furthermore, age (β = 0.02, 95% CI: 0.01-0.03, P < 0.001) and mean arterial pressure (MAP) (β = 0.01, 95% CI: 0.00-0.02, P < 0.05) were found as the strong predictors of fasting SI in hyperglycemic group. Neither FPG nor 2-h plasma glucose was a significant predictor for SI in hyperglycemic group, after accounting for age and MAP. Subjects with hyperglycemia had a 15% blunted change in postprandial AUCs for RI, adjusted for the respective baseline measurements (−9.40 ± 3.59 vs. -11.00 ± 2.84%) but these did not attain statistical significance.

Conclusion

Increased arterial stiffness in pre-diabetic subjects is strongly associated with age and MAP. The increased DVP-derived SI reported in patients with pre-diabetic hyperglycemia may result from different frequently accompanied risk factors not just glycemic changes in this range.
The Literary Afterlife of the Korean War
Authors: Darda Joseph
Published: April 2015

Within the United States, the Korean War has never attracted the memory culture that other twentieth-century wars do. Korea is remembered only for not being remembered, as the “forgotten war.” And yet, as commentators continue to characterize the war on terror as an unparalleled era marked by permanent war, literary authors are returning to Korea to tell a different story. Many of these authors trace the rhetorical and material origin of the war on terror back to 1945, when the United States established a military government in Korea, and 1950, when the war began in earnest. It was Korea, they remind us, that provided the rationale for building a permanent standing military and a global network of more than seven hundred military installations around the world. Those mining this history include some of the most acclaimed American novelists writing today: Ha Jin in War Trash (2004), Philip Roth in Indignation (2008), Chang-rae Lee in The Surrendered (2010), and Toni Morrison in Home (2012). In considering the literary afterlife of the Korean War, I begin with an analysis of the biopolitical logic of defense that arose after World War II during a time of American global ascendancy and heightened anticommunism. Second, I discuss the understanding of the Korean War as “forgotten,” an idea first introduced in 1951 but more recently taken up by memory studies scholars, before advancing an alternative narrative theory of the Korean War. And finally, I consider the twenty-first-century literary return of the Korean War through readings of Jin’s War Trash and Morrison’s Home. These novels advance counternarratives of the Korean War. Refusing the bracketed, three-year history of the war, they instead reveal the basis of an enduring warfare state in Korea and locate the war on terror in this legacy.
Strangely Interested: The Work of Historical Fantasy
Authors: Elliott Michael A.
Published: April 2015

The proliferation of historical commemoration in the United States has led to the willful, overt manipulation of historical facts through imaginative fantasy. This essay argues that a strong literary tradition can help us understand this mode of historical fantasy. The essay surveys contemporary fictions of alternate history, particularly Philip Roth’s The Plot against America (2004). The essay contends that historical fantasy offers a particular mode of engagement with the past—one that steers a middle course between nationalist chauvinism and revisionist debunking.
Typification of the Indo–Pacific seagrass Thalassia hemprichii (Hydrocharitaceae)
Authors: Ferrer-Gallego P. Pablo , Boisset Fernando
Published: April 2015

The typification of the name Schizotheca hemprichii Ehrenb. (≡ Thalassia hemprichii (Ehrenb.) Asch.; Hydrocharitaceae) is discussed. Ehrenberg's original material at BM, K, L and P was consulted. A specimen at BM is designated as the lectotype.
Neo– and epitypification of Arundinarianitida (Poaceae: Bambusoideae)
Authors: Stapleton Chris , Zijlstra Gea
Published: April 2015

A neotype and an epitype from the widely cultivated Fountain Bamboo are proposed for Arundinaria nitida. Application and authorship of the name are discussed, in the light of confusion over the validity of this name in different publications, and the implications of selecting different types for the application of generic names.
STUDY OF PROPERTIES OF Mn ORE FINES AND POSSIBILITIES THEIR UTILIZATION IN THE PRODUCTION OF FeSiMn
Authors: Semanova Zuzana , Legemza Jaroslav
Published: April 2015

This article deals with the analysis of the physical and chemical properties of undersize samples of Mn ore from the mine Buzim in Bosnia and Herzegovina, comparing individual samples, followed by the production of Mn sinter and analysis of the Mn sinter. Mn ore fines are formed in different steps of Mn ores processing. These fines can not be directly put into the ferroalloy furnace. The most suitable way of Mn ore fines processing is sintering and the article deals with this method of processing. On each sample of Mn ore from Bosnia and Herzegovina marked Mn ore 1, Mn ore 2 and Mn ore 3 have been performed the analysis of physical and chemical properties. The results showed that the granulometry of the samples affects their chemical composition. On the sample of Mn ore 1 was performed an experimental laboratory sintering, in which succeeded to produce an Mn sinter. The Mn sinter is suitable for further use in the production of FeSiMn, in terms of low phosphorus content and suitable phase composition, but the Mn sinter had also a high content of SiO2, which adversely affect the granulometry and strenght of the sinter.
Uncertainty in Fleet Renewal: A Case from Maritime Transportation
Authors: Pantuso Giovanni , Fagerholt Kjetil , Wallace Stein W.
Published: April 2015

This paper addresses the fleet renewal problem and particularly the treatment of uncertainty in the maritime case. A stochastic programming model for the maritime fleet renewal problem is presented. The main contribution is that of assessing whether or not better decisions can be achieved by using stochastic programming rather than employing a deterministic model and using average data. Elements increasing the relevance of uncertainty are also investigated. Tests performed on the case of Wallenius Wilhelmsen Logistics, a major liner shipping company, show that solutions to the model we present perform noticeably better than solutions obtained using average values.
Safer lone working: assessing the risk to health professionals
Authors: Brennan Walter
Published: April 2015

Lone working is increasing in the UK, as care delivery aims to keep people at home. This means that the relative safety of a hospital or clinic with colleagues present is increasingly being replaced by isolated workers in unfamiliar and potentially dangerous situations. Lone workers should be as safe and protected as colleagues who work in a shared base and employers have a legal responsibility to protect lone workers and minimize the risks which may have traditionally been viewed as occupational hazards. This article sets out a rapid risk assessment tool that employees can use to assess the risk of a lone visit on a case-by-case basis, and take precautions accordingly.
Treatment of canine and feline hyperadrenocorticism: trilostane and the alternatives
Authors: Scudder Christopher , Kenny Patrick , Niessen Stijn
Published: April 2015

The common causes of hyperadrenocorticism (HAC) are pituitary ACTH-secreting corticotroph tumours, known as pituitary-dependent hyperadrenocorticism, and cortisol-secreting adrenal tumours. The only licensed medical treatment in the UK is trilostane. This treatment improves the clinical signs of HAC in the majority of cats and dogs. There are a number of alternative treatment options that are available for use in non-responders or as first-line treatment instead of trilostane. After a diagnosis of HAC is made, each option should be discussed with clients. This article discusses medical, surgical and radiotherapy options that should be considered to create an individualised treatment plan for each patient and owner.
Propylene Glycol Toxicity with Stoss Therapy; State Drug Racking Database Helps Prevent an Error; Where Did that Medication Come From?; Expiration Date Difficult to Read
Authors: Cohen Michael R. , Smetzer Judy L.
Published: April 2015

These medication errors have occurred in health care facilities at least once. They will happen again—perhaps where you work. Through education and alertness of personnel and procedural safeguards, they can be avoided. You should consider publishing accounts of errors in your newsletters and/or presenting them at your inservice training programs.

Your assistance is required to continue this feature. The reports described here were received through the Institute for Safe Medication Practices (ISMP) Medication Errors Reporting Program. Any reports published by ISMP will be anonymous. Comments are also invited; the writers' names will be published if desired. ISMP may be contacted at the address shown below.

Errors, close calls, or hazardous conditions may be reported directly to ISMP through the ISMP Web site ( www.ismp.org ), by calling 800-FAIL-SAFE, or via e-mail at ismpinfo@ismp.org . ISMP guarantees the confidentiality and security of the information received and respects reporters' wishes as to the level of detail included in publications.
Methemoglobinemia Caused by Topical Dapsone Gel; Renal Tubular Acidosis after Topiramate Administration; Diabetic Ketoacidosis following Epidural Steroid Injection in a Nondiabetic Patient; Galactorrhea Associated with Bupropion Therapy; Telaprevir-Induced Acquired Perforating Dermatosis; Manic Episodes Associated with Tramadol Use
Authors: Mancano Michael A.
Published: April 2015

The purpose of this feature is to heighten awareness of specific adverse drug reactions (ADRs), discuss methods of prevention, and promote reporting of ADRs to the US Food and Drug Administration's (FDA's) MEDWATCH program (800-FDA-1088). If you have reported an interesting, preventable ADR to MEDWATCH, please consider sharing the account with our readers.
Blinatumomab and Pembrolizumab
Authors: Tabor Emily E. , Waddell J. Aubrey , Solimando Dominic A.
Published: April 2015

The complexity of cancer chemotherapy requires pharmacists be familiar with the complicated regimens and highly toxic agents used. This column reviews various issues related to preparation, dispensing, and administration of antineoplastic therapy, and the agents, both commercially available and investigational, used to treat malignant diseases.
Ciprofloxacin: Tularemia (Adults)
Authors: Generali Joyce A. , Gada Dennis J.
Published: April 2015

This Hospital Pharmacy feature is extracted from Off-Label Drug Facts, a publication available from Wolters Kluwer Health. Off-Label Drug Facts is a practitioner-oriented resource for information about specific drug uses that are unapproved by the US Food and Drug Administration. This new guide to the literature enables the health care professional or clinician to quickly identify published studies on off-label uses and determine if a specific use is rational in a patient care scenario. References direct the reader to the full literature for more comprehensive information before patient care decisions are made. Direct questions or comments regarding Off-Label Drug Uses to jgeneral@ku.edu .
Glacial Acetic Acid Adverse Events: Case Reports and Review of the Literature
Authors: Doles William , Wilkerson Garrett , Morrison Samantha , Richmond Rodney G.
Published: April 2015

Glacial acetic acid is a dangerous chemical that has been associated with several adverse drug events involving patients over recent years. When diluted to the proper concentration, acetic acid solutions have a variety of medicinal uses. Unfortunately, despite warnings, the improper dilution of concentrated glacial acetic acid has resulted in severe burns and other related morbidities. We report on 2 additional case reports of adverse drug events involving glacial acetic acid as well as a review of the literature. A summary of published case reports is provided, including the intended and actual concentration of glacial acetic acid involved, the indication for use, degree of exposure, and resultant outcome. Strategies that have been recommended to improve patient safety are summarized within the context of the key elements of the medication use process.
Netupitant/Palonosetron
Authors: Cada Dennis J. , Leonard James , Baker Danial E.
Published: April 2015

Each month, subscribers to The Formulary Monograph Service receive 5 to 6 well-documented monographs on drugs that are newly released or are in late phase 3 trials. The monographs are targeted to Pharmacy & Therapeutics Committees. Subscribers also receive monthly 1-page summary monographs on agents that are useful for agendas and pharmacy/nursing in-services. A comprehensive target drug utilization evaluation/medication use evaluation (DUE/MUE) is also provided each month. With a subscription, the monographs are sent in print and are also available on-line. Monographs can be customized to meet the needs of a facility. A drug class review is now published monthly with The Formulary Monograph Service. Through the cooperation of The Formulary, Hospital Pharmacy publishes selected reviews in this column. For more information about The Formulary Monograph Service, call The Formulary at 800-322-4349. The April 2015 monograph topics are edoxaban, diclofenac sodium injectable, olaparib, antihemophilic factor porcine, and blinatumomab. The Safety MUE is on edoxaban.
Psychosocial factors in young patients with type 1 diabetes mellitus ? a practical approach
Authors: Patrakeeva Evgenia Michailovna , Novoselova Natalya Sergeevna , Zalevskaya Alsu Gafurovna , Rybkina Irina Georgievna
Published: April 2015

Psychosocial factors play a significant role in the management of young type 1 diabetes mellitus (T1DM) patients who may have difficulties in coping with their condition. DM can lead to discrimination and changes in social relationships. It may also have a negative impact on academic and professional performance. We aimed to highlight the influence of psychosocial factors on metabolic control and health of the patient as a whole, and to attract the attention of medical professionals to the variety of psychosocial problems existing in young patients with T1DM. This article reviews the results of recent clinical studies and discusses methods of psychological screening.
Identification of Elementary Teachers’ Risk for Stress and Vocational Concerns Using the National Schools and Staffing Survey
Authors: Lambert Richard G. , McCarthy Christopher J. , Fitchett Paul G. , Lineback Sally , Reiser Jenson
Published: April 2015

Transactional models of stress suggest that elementary teachers who appraise classroom demands as higher than classroom resources are more vulnerable to stress and likely to experience vocational concerns. Previous research using the Classroom Appraisal of Resources and Demands (CARD), a measure designed to assess teacher perceptions of classroom demands and resources, has supported transactional models with local samples. The current study replicated this previous research with two waves of large nationally representative data from the Schools and Staffing Survey (1999-2000 and 2007-2008). Theoretically-predicted differences were found, suggesting that an understanding of individual elementary teachers’ perceptions of demands and resources in the classroom could have important implications for policy and research aimed at addressing teachers’ vocational concerns.
The effect of salt stress on the germination of maize (Zea mays L.) seeds and photosynthetic pigments
Authors: ALIU Sali , RUSINOVCI Imer , FETAHU Shukri , GASHI Bekim , SIMEONOVSKA Emilija , ROZMAN Ludvik
Published: April 2015

The objective of this study was to investigate the effect of salinity stress on seed germination and chlorophyll content in maize. In the study, two maize hybrids were included (Bc 678 and Bc 408) originating from the Bc Institute at Rugvica near Zagreb (Croatia) and two maize populations (LMP-1 and LMP-2) originating from Kosovo. The experiment was conducted in four replicates of 100 seeds, which were germinated on top of double-layered papers, each with 10 ml of salt solution of NaCl and CaCl2 in Petri dishes. Germinated seeds were counted every 24 h for 15 days. The photosynthetic pigments, chlorophylls ‘a’ and ‘b’ as well as carotenoids were extracted with 80 % acetone. Chlorophyll and carotenoid contents were calculated using absorbance values at 662, 644 and 440 nm. The effects of the NaCl and CaCl2 concentrations accounted for a high proportion of the variance in all analyses. The results showed that both germination percentage and germination index decreased significantly in all cultivars at the highest salt concentrations. The significant differences between different concentrations of salinity were also found in all cultivars for the content of chlorophyll ‘a’ and ‘b’ and for the content of carotenoids.
Merely Being with you Increases My Attention to Luxury Products: Using EEG to Understand Consumers’ Emotional Experience with Luxury Branded Products
Authors: Pozharliev Rumen , Verbeke Willem J.M.I. , Van Strien Jan W. , Bagozzi Richard P.
Published: April 2015

Electrophysiological and hemodynamic studies provide substantial evidence of dissimilar brain responses when people view emotional compared with neutral pictures. This study investigates consumer brain responses underpinning passive viewing of luxury (high emotional value) versus basic (low emotional value) branded products when participants are alone or with another person. Conforming to social facilitation theory and using electroencephalogram methods, the authors recorded event-related potentials while female participants passively viewed pictures of luxury and basic branded products. They examined event-related-potential amplitudes in three time windows, corresponding to the P2 and P3 components and the late positive potential (LPP). Dissimilar brain responses occurred in the Together but not the Alone condition for the P2 and P3 components over visual cortex sites. The LPP amplitude was higher for luxury than for basic branded products, but only in the Together condition, suggesting that the presence of another person magnifies the emotional effect of brand type. Taken together, the results suggest that LPP amplitude during passive viewing of relevant marketing images reflects increased attention allocation and motivational significance, both enhanced by the presence of another person, to stimuli with higher emotional value.
Sorption of the anionic reactive red RB dye
in cellulose: Assessment of kinetic,
thermodynamic, and equilibrium data
Authors: Silva Lucinaldo S. , Lima Luciano C. B. , Ferreira Francisco J. L. , Silva Mateus S. , Osajima Josy A. , Bezerra Roosevelt D. S. , Filho Edson C. Silva
Published: April 2015

The cellulose matrix was characterized by FTIR,
13C NMR, XRD, TG, SEM and applied in the removal of the
reactive red RB dye in an aqueous medium, with a capacity
of adsorption at a pH of 2.0, and an adsorption equilibrium
time which was reached at around 200 mins. The kinetic
study for the system followed the Elovich model. The
adsorption isotherms for the system at temperatures
of 35°C, 45°C, and 55°C were adjusted to the Langmuir,
Freundlich, Sips, and Redlich-Peterson non-linear models,
with a capacity of adsorption for adsorbent of 5.97 mg g-1,
5.64 mg g-1, and 4.62 mg g-1, respectively. The adsorption
occurred by electrostatic interactions and it was favorable
and spontaneous, with the influence of temperature.
Intensive Quenching Systems: Engineering and Design
Authors: Kobasko N. I. , Aronov M. A. , Powell J. A. , Totten G. E.
Published: April 2015

Description

This comprehensive new manual focuses on highly-forced heat transfer—the Intensive Quenching (IQ) processes, with particular attention to the replacement of relatively expensive alloyed steels with less expensive carbon steels. 13 comprehensive chapters examine:

With this unique manual, you are can address the following problems:

This unique manual is intended for metallurgists and mechanical engineers to assist them in their work to design quenching systems and to implement those mechanical systems. It is also for student and post graduate students.
Molecular analysis of the cumulus matrix: insights from mice with O-glycan-deficient oocytes
Authors: Ploutarchou Panayiota , Melo Pedro , Day Anthony J , Milner Caroline M , Williams Suzannah A
Published: April 2015

During follicle development, oocytes secrete factors that influence the development of granulosa and cumulus cells (CCs). In response to oocyte and somatic cell signals, CCs produce extracellular matrix (ECM) molecules resulting in cumulus expansion, which is essential for ovulation, fertilisation, and is predictive of oocyte quality. The cumulus ECM is largely made up of hyaluronan (HA), TNF-stimulated gene-6 (TSG-6, also known as TNFAIP6), pentraxin-3 (PTX3), and the heavy chains (HCs) of serum-derived inter-α-inhibitor proteins. In contrast to otherin vivomodels where modified expansion impairs fertility, the cumulus mass ofC1galt1Mutants, which have oocyte-specific deletion of core 1-derivedO-glycans, is modified without impairing fertility. In this report, we usedC1galt1Mutant (C1galt1FF:ZP3Cre) and Control (C1galt1FF) mice to investigate how cumulus expansion is affected by oocyte-specific deletion of core 1-derivedO-glycans without adversely affecting oocyte quality. Mutant cumulus–oocyte complexes (COCs) are smaller than Controls, with fewer CCs. Interestingly, the CCs in Mutant mice are functionally normal as each cell produced normal levels of the ECM molecules HA, TSG-6, and PTX3. However, HC levels were elevated in Mutant COCs. These data reveal that oocyte glycoproteins carrying core 1-derivedO-glycans have a regulatory role in COC development. In addition, our study of Controls indicates that a functional COC can form provided all essential components are present above a minimum threshold level, and thus some variation in ECM composition does not adversely affect oocyte development, ovulation or fertilisation. These data have important implications for IVF and the use of cumulus expansion as a criterion for oocyte assessment.