bluuebunny/crossref_metadata_2025 huggingface dataset:
Implementation of an Advanced Pharmacy Practice Model in the Emergency Department
Authors: Sin Billy , Ciaramella Christine , Stein Greg , Butel Shalom , Thompson Holly , de Souza Sylvie , DiGregorio Robert
Published: January 2019

Study Objective

The objective of this retrospective descriptive study was to quantify clinical activities performed by pharmacists in an advanced pharmacy practice model in the emergency department (ED).

Methods

Data from January 2015 to August 2017 extracted from the department of pharmacy’s electronic documentation system and the hospital’s electronic medical record were collected and reviewed. Cost savings was derived from the system with adaptation from the previous literature and had been validated by our institution’s administration as an acceptable reflection of the impact for activity.

Results

The ED pharmacy team participated in a total of 4106 clinical activities that resulted in a cumulative cost avoidance of $5 387 679. Overall, the most common clinical activities that the pharmacy team provided included pharmacotherapy consult (63.3%) and response to medical emergencies (20.7%). A total of 16 219 medication orders placed by ED clinicians were prospectively reviewed and 379 interventions were accepted by ED clinicians. Turnaround times for medication verification in median (interquartile range [IQR]) for 2015, 2016, and 2017 were 2 minutes (1-6 minutes), 3 minutes (1-6 minutes), and 2 minutes (1-5 minutes), respectively. A total of 14 peer-reviewed publications, primarily based on pharmacy practice or use of pharmacotherapy for acute pain, were published by a research program led by the ED pharmacotherapist.

Conclusion

We created and implemented an advanced practice model tailored to our institution’s needs. The model maximized opportunities for pharmacists to provide direct patient care, practice at the top of their license, and encouraged the safe and effective use of medications.
Nurses’ Knowledge and Treatment Beliefs: Use of Complementary and Alternative Medicine for Pain Management
Authors: Brewer Nicole J. , Turrise Stephanie L. , Kim-Godwin Yeoun Soo , Pond Richard S.
Published: January 2019

Purpose: To examine the relationship between nurses’ knowledge, attitudes, and beliefs about medicines, in general, and complementary and alternative medicine (CAM) and identify the predictors of referrals for pain management. Method: This descriptive, correlational study utilized an online survey to collect data from direct care nurses at a large medical center in southeastern United States. The online survey consisted of the Complementary and Alternative Medicines and Beliefs Inventory (CAMBI), the Beliefs about Medicine Questionnaire, and four open-ended questions. Referral data were obtained from the Information Management Department at this medical center. Results: Among the 218 nurses who completed the survey (15.12%), majority (85%) supported CAM use, but only 32% reported utilizing CAM therapies with patients. Medical surgical, emergency department, and perioperative nurses scored higher on their CAMBI total score and were more likely to refer for CAM therapies when compared with intensive care unit nurses. Conclusions: Beliefs about CAM specifically were not related to referrals for CAM therapies. This study suggests the need for further education on the nurse’s role in CAM usage. Understanding the link between nurses’ knowledge, attitudes, and treatment beliefs and their relationship to CAM usage provides direction for future educational interventions.
Crosswise stream of methanol–iron oxide (CH3OH–Fe3O4) with temperature-dependent viscosity and suction/injection effects
Authors: Tabassum Rabil , Mehmood R
Published: January 2019

Manufacturing of modern coating materials doped with magnetic nanoparticles has arisen as an exciting new area of materials processing fluid dynamics. Methanol is primarily used in chemical manufacturing, specialized vehicles fuel, energy carrier, as an antifreeze in pipelines, in wastewater treatment plant, and many more. In this article, a mathematical model is therefore developed to study crosswise flow of methanol-based ferromagnetic fluid through a permeable medium with suction/injection effects. Temperature-dependent viscosity is taken with Reynolds exponential model. The Tiwari–Das and Maxwell–Garnett nanofluid models are used, which alters the electrical conductivity, density, and thermal conductivity properties with nanoparticle volume fraction. The two-dimensional mass, momentum, and energy equations are normalized into nonlinear system comprising ordinary differential equations via appropriate similarity transformations. The solution of the emerging physical problem is attained by shooting scheme in MATLAB symbolic software. Validation of the results is presented through comparison with previously reported literature in the limiting sense. The influence of pertinent parameters on the flow and heat transfer characteristics is revealed through graphs. It is found that velocity profiles are suppressed with greater magnetic parameter and porosity parameters but temperature profile is enhanced. Velocity and temperature profiles for injection case are higher when compared with the suction phenomenon. Shear stress at the wall is decreased with volume fraction. Heat transfer gradient at the wall is significantly enhanced with volume fraction.
eMaintenance in railways: Issues and challenges in cybersecurity
Authors: Kour Ravdeep , Aljumaili Mustafa , Karim Ramin , Tretten Phillip
Published: January 2019

The convergence of information technology and operation technology and the associated paradigm shift toward Industry 4.0 in complex systems, such as railways has brought significant benefits in reliability, maintainability, operational efficiency, capacity, as well as improvements in passenger experience. However, with the adoption of information and communications technologies in railway maintenance, vulnerability to cyber threats has increased. It is essential that organizations move toward security analytics and automation to improve and prevent security breaches and to quickly identify and respond to security events. This paper provides a statistical review of cybersecurity incidents in the transportation sector with a focus on railways. It uses a web-based search for data collection in popular databases. The overall objective is to identify cybersecurity challenges in the railway sector.
A spatial dynamics model for heavy-haul electric locomotives considering the dynamic coupling effect of gear transmissions
Authors: He Chunyan , Chen Zaigang , Zhai Wanming , Jiang Jianzheng , Wang Kaiyun
Published: January 2019

A locomotive is usually powered by the electromagnetic torque which is transmitted from the traction motor to the wheelset by gear transmission. In order to investigate the dynamic coupling effects from the gear transmission subsystems on the entire locomotive dynamics system, a comprehensive spatial locomotive dynamics model that considers the dynamic coupling effect of the gear transmissions is developed based on the multibody dynamics theory. In this model, the moved Marker technique is employed to calculate the dynamic mesh force of the gear pairs through which more accurate time-varying gear mesh stiffness excitations could be imported, which is the core of this dynamic model. Then, the established locomotive dynamics model is validated by comparing with the experimental test results. Finally, the dynamic effects of the gear transmissions are revealed by comparing with the results from the traditional locomotive dynamics model without considering the dynamic excitations from the gear transmissions. The results indicate that the gear transmissions have negligible effects on the vibrations of the carbody and the bogie frame, and on the lateral vibrations of the motor and the wheelset. However, the gear transmissions have significant effects on the vertical and, in particular, the longitudinal vibrations of the motor and the wheelset. Thus, it is suggested that the dynamic effects of the gear transmissions are considered in the locomotive dynamics modeling, especially when the vibrations of the motors and the wheelsets are taken into account.
Women in healthcare in Imperial Russia: The contribution of the surgeon Nikolay I Pirogov
Authors: Hendriks Inge , Zhuravloyv Dmitry , Bovill James , Boer Fredrik , Hogendoorn Pancras
Published: January 2019

Nikolay Ivanovich Pirogov, one of the greatest Russian surgeons of the 19th Century, was convinced of the importance of deploying nurses to care for the casualties of war. With the support of Grand Duchess Elena Pavlovna, sister-in-law of Tsar Nikolas I, Pirogov realised the idea during the Crimean war when Russia became the first country to send female nurses to the battle front. Later in the 19th century, large numbers of Russian women trained as nurses under the auspices of the Russian Red Cross, founded in 1867. In peacetime, their expertise was extremely valuable.
Perception of Foreign Drone Strikes by Citizens: The Context of US Drone Strikes in Pakistan
Authors: Ahmed Zahid Shahab , Jenkins Bert , Iftikhar Waseem
Published: January 2019

Since the start of US drone strikes in 2004–2005, these remotely piloted drone aircraft have been a subject of discussions internationally, especially at the UN. Previous studies have reported the effectiveness of US drone strikes in countering terrorism, and large public support in Pakistan for such measures. Contrasting with previous work on the subject, this research found that sentiments of reprisal were aimed against the Pakistan government, its armed forces including anti-US and anti-NATO feelings. This is in addition to the existence of some negative attitudes against local extremists and terrorists as well.
Book Review: Femke Brandt and Grasian Mkodzongi (Eds.), Land Reform Revisited: Democracy, State Making and Agrarian Transformation in Post-Apartheid South Africa
Authors: Mseba Admire
Published: January 2019

Femke Brandt and Grasian Mkodzongi (Eds.), Land Reform Revisited: Democracy, State Making and Agrarian Transformation in Post-Apartheid South Africa. Leiden: Brill, 2018, pp. Iii + 288, ₹49.90/USD 59.00, Paperback, ISBN 978-90-04-36210-9.
Imaging and genetic investigations of neural tube defect in a calf: case report and review of the literature
Authors: Cagnotti Giulia , Sammartano Federica , Bertone Iride , Capucchio Maria Teresa , Nicola Isabella , Sacchi Paola , Bellino Claudio , D’Angelo Antonio
Published: January 2019

A 15-d-old female crossbreed calf was referred because of paraplegia since birth. Clinical examination revealed a skin defect covered by hair on the dorsal midline in the thoracic area of the spine. Thoracolumbar spinal cord neuroanatomic localization was determined based on neurologic examination. Computed tomography of the thoracolumbar spine revealed incomplete fusion of the vertebral arches from T6 to T10 and duplication of the vertebral arch of T7. At the level of T6-T7, duplication of the spinal cord with 2 segments completely separated by a septum of hyperattenuating, probably cartilaginous, tissue was noted. Histologically, the spinal segments had different degrees of duplication. Three central canals were detected in one region. Genetic investigation for the presence of methylenetetrahydrofolate reductase (MTHFR) polymorphism, which has been investigated in both human and veterinary medicine as a possible cause of neural tube defects and abortion, was carried out and was negative in both the calf and her dam.
Fowl cholera and acute heart rupture in a backyard turkey
Authors: Blakey Julia , Crispo Manuela , Bickford Arthur , Stoute Simone
Published: January 2019

Pasteurella multocida is the causative agent of fowl cholera, an economically important disease of commercial and backyard poultry. Turkeys are particularly susceptible to fowl cholera; both backyard and commercial turkeys can succumb to disease. On April 10, 2018, a dead 9-mo-old male Bronze turkey was submitted to the California Animal Health and Food Safety Laboratory System (CAHFS)–Turlock branch for postmortem examination. History included previous housing and fighting with another male turkey, after which separation by a fence was instituted. Fighting continued, and depression and anorexia of 2 d duration was followed by acute collapse and death. At autopsy, blood clots markedly expanded the pericardium, and a tear was visible in the left ventricular free wall. Vegetative aortic valvular lesions were observed. Microscopically, infarcts were observed in kidney, liver, heart, spleen, and pancreas, with large numbers of gram-negative bacterial colonies present in most organs. P. multocida was isolated from multiple organs, and identified as serotype 2,5 and fingerprint 1604. Septic embolization from the vegetative valvular aortic lesions likely led to infarcts in multiple organs, including the left ventricular free wall, which ultimately caused weakening of the ventricular wall, ventricular rupture, and exsanguination into the pericardial space. Rupture of the left ventricular free wall has not been previously documented in turkeys with P. multocida infection, to our knowledge, and demonstrates an atypical presentation of fowl cholera in this backyard turkey.
Distribution and expression of esat-6 and cfp-10 in non-tuberculous mycobacteria isolated from lymph nodes of slaughtered cattle in Switzerland
Authors: Scherrer Simone , Landolt Patricia , Friedel Ute , Stephan Roger
Published: January 2019

The most commonly used tools for tuberculosis testing in cattle, the tuberculin skin test and the interferon-γ release assay, detect immune reactivity to various antigens of Mycobacterium bovis, including ESAT-6 and CFP-10. However, some non-tuberculous mycobacteria (NTM) can also harbor the cfp-10 and/or esat-6 genes, which can lead to false-positive results. We tested 77 NTM isolates belonging to 22 different species from lymph nodes of healthy slaughtered cattle for the occurrence of cfp-10 and esat-6. Most isolates did not harbor cfp-10 and esat-6. However, M. gordonae, ‘M. lymphaticum’, M. kansasii, and M. persicum were cfp-10 positive. The esat-6 gene was found in M. kansasii and M. persicum. Protein expression of cfp-10 and esat-6 could be detected for M. kansasii and M. persicum. An effective tuberculosis control program based on interferon-γ release assays and tuberculin skin testing is dependent on further monitoring and characterization of NTM in a cattle population.
Center for Health Administration Studies (CHAS) at the University of Chicago School of Social Service Administration
Authors: Marsh Jeanne C. , Brown Keith E.
Published: January 2019

The Center For Health Administration Studies (CHAS) is an interdisciplinary health policy and services research center located at the University of Chicago School of Social Service Administration. Since its inception, CHAS has pursued the mission of conducting and promoting research and knowledge development to reduce health inequities and improve access. The move of CHAS to the School of Social Service Administration from the Graduate School of Business in 1991 resulted in innovative programming reflecting the changing landscape of health care, passage of the Affordable Care Act (ACA), Medicaid expansion, and the growing interest of social work researchers in social determinants of health, behavioral health and integrated health and social services. The success and distinction of CHAS over its eighty year history offers lessons to social work regarding the sustainability of a research center in a graduate school of social work.
A Capstone for the Capstone: An Experiential Exercise in Strategic Management
Authors: Carter William R. , Stickney Lisa T.
Published: January 2019

The content of most MBA capstone strategic management courses emphasizes general management theory and analytical skill development. Additionally, the design of the capstone is often tasked with providing practical application, integrative thinking, and experiential learning. A common critique of the capstone, however, is its insufficient delivery of these important, noncontent objectives. This article describes a “capstone to the capstone” exercise which helps address this challenge. In this exercise, students work in functional and cross-functional groups to experience the realities of applying what they have learned to address strategic issues of a company. The exercise increases awareness of the value of functional integration, exposes students to realistic pressures and common process errors, and encourages student growth through reflective thinking. Empirical analysis suggests the exercise enhances practical understanding of course concepts, improves abilities to apply course concepts in realistic contexts, and opens new perspectives on cross-functional and group decision–process thinking.
Evaluation of Vision Referral Program With School-Aged Children and Their Parents/Guardians
Authors: McClendon Susan , Zeni Mary Beth
Published: January 2019

Vision plays a key role in a child’s development. Early detection and treatment of vision abnormalities decreases future complications. Follow-up vision care is a common problem. Barriers to vision care include financial cost, lack of insurance knowledge to cover costs, and disbelief of vision results. The purpose of this evidence-based pilot project was to improve the rate of follow-up vision care obtained by school-aged children. The target population was school-aged children from kindergarten to fifth grade at an elementary school within Lake County, Ohio. The vision referral program included phone calls to families to identify and overcome barriers to obtaining vision care. Barriers identified with the target population include disbelief of vision results, lack of knowledge about vision health, and financial cost. Results indicated an increase of vision care rates during the 2017–2018 academic year by 60% above baseline rates from the previous academic year.
Health Care Federalism and Next Steps in Health Reform
Authors: Gluck Abbe R. , Huberfeld Nicole
Published: January 2019

The next steps in health reform, like all such efforts before it, will have to engage the issue of American health care federalism – the relationship between the federal and state governments in the realm of health law and policy. Since its enactment in 2010, the Patient Protection and Affordable Care Act (ACA) has offered a robust example of modern federalism and revealed new complexities. This article recounts the findings of our five-year study of the federalist and nationalist features of ACA implementation. Contrary to the claims of ACA opponents that the law marked a federal “takeover,” the ACA's governance structures have advanced rather than suppressed state power. But we also found that the advances in state power occurred seemingly independently of the statute's structural arrangements; that is, the ACA's nationalist and federalist features both enhanced state power over health policy. These findings raise questions about whether cherished American federalism values are unique to federalist structures; they also raise the question of what exactly health care federalism is for, and why we continue to design health policy with federalism front and center. It is not clear that enhanced state power has brought better health policy. If it has not, is federalism for its own sake worth the trade-off?
Medicaid, Work, and the Courts: Reigning in HHS Overreach
Authors: Watson Sidney D.
Published: January 2019

Work requirements are the centerpiece of HHS's Trump Administration strategy to undo the ACA expansion for low income working age adults. This article examines the June 29, 2018 trial court opinion in Stewart v. Azar which held that HHS's approval of Kentucky's Section 1115 work demonstration was “arbitrary and capricious.” The purpose of Medicaid is to provide health coverage and HHS may not ignore the loss of coverage that will result from a work requirement.
The New Health Care Merger Wave: Does the “Vertical, Good” Maxim Apply?
Authors: Greaney Thomas L.
Published: January 2019

This essay questions the wisdom of adherence to an indulgent approach to vertical integration in health care. It first critiques the bases for antitrust law's traditional tolerance of vertical integration and describes contemporary economic learning that supports more robust antitrust enforcement. It goes on to dispute arguments urging extra caution in dealing with the health care sector and concludes with several justifications for close scrutiny of vertical health sector mergers.
Implementation of the Brøset Violence Checklist on an Acute Psychiatric Unit
Authors: Sarver Wendy L. , Radziewicz Rosanne , Coyne Georgean , Colon Kelly , Mantz Lisa
Published: January 2019

BACKGROUND: Violence on inpatient psychiatric settings has significant consequences for patients and staff. Research is needed to determine if Brøset Violence Checklist (BVC) is an accurate predictor of violence. AIMS: The study aims were to determine the relationship between BVC scores and incidence of violent behavior within 24 hours, to compare scores among those requiring high-level nursing interventions for violence, and to investigate the impact of scores on length of stay (LOS) and 30 day-readmission rates. METHOD: Retrospective cohort study. RESULTS: Logistic regression indicates 3.4 times greater risk of violence for every additional point on admission BVC (odds ratio = 3.4, 95% confidence interval = [2.29, 5.08], p < .0001). Patients requiring high-level interventions for violence had higher mean BVC scores on both Day 1 and 2 of admission. Pearson correlation was significant for positive association between BVC on admission and LOS ( p < .001). Findings did not establish a link between BVC scores and violence with 30-day readmission rates. CONCLUSIONS: Efforts toward early identification and management of agitation and disruptive behavior is encouraged. Results showed increased risk of violence with every additional point on BVC on admission; further attention should be paid to these patients on admission when using violence screening tools.
Tadeusz Krwawicz, MD: The inventor of cryosurgery in ophthalmology
Authors: Grzybowski Andrzej , Kanclerz Piotr
Published: January 2019

Tadeusz Krwawicz (1910–1988) pioneered the use of cryosurgery in, as ophthalmology. The idea arose in 1959 while experimenting because on lyophilization to store corneas and lenses for transplantation it was difficult to remove the lens without damage the capsule was usually torn. Subsequent experiments on rabbits revealed that touching the lens with a wire cooled to 203°K (–70°C) resulted in firm attachment of the lens capsule and subcapsular masses. A cryoextractor was developed and employed for clinical use in cataract extraction, likewise in intumescent cataracts and lens subluxation. Cataract surgery utilizing cryoextraction led to substantial progress to ophthalmology by reducing the number of complications, particularly capsule rupture, and resulted in achieving better outcome compared to other methods. This surgery soon and for almost 20 years became a routine method used all around the world in cataract removal. Simultaneously, Krwawicz developed techniques for corneal refractive surgery—partial lamellar removal of the corneal stroma and temporary interlaminar introduction of a plastic disk in order to change the corneal curvature. Krwawicz presented other ophthalmic interests—his research concerned immunology, histology, histochemistry, biochemistry of ocular tissue, and mainly corneal and experimental surgery with a particular focus on the pathology of the cornea.
Learning to become manager: The identity work of first-time managers
Authors: Bolander Pernilla , Holmberg Ingalill , Fellbom Elisabeth
Published: January 2019

Taking a managerial position involves not only taking on managerial tasks and responsibilities but also developing an identity as manager. Recent work on manager learning thus proposes that identity work is a significant part of learning to become manager. This work has, however, rarely focused on first-time managers and, despite the emphasis on process, has rarely examined identity work over time. Against this background, we present a longitudinal study of six newly appointed managers. Adopting a Ricoeurian perspective, we construct “small stories” to explore how they made sense of themselves and how to relate to others in light of new experiences in their everyday lives as nascent managers. The study provides insight into the process through which they were learning to become managers. Specifically, it highlights how the manager’s identity work oscillated over time by pointing to the ongoing dialectic between continuity and change, progress and stand-still, knowing and not-knowing, and excitement and despair.
The role of infections in multiple sclerosis
Authors: Marrodan Mariano , Alessandro Lucas , Farez Mauricio F , Correale Jorge
Published: January 2019

Several lines of evidence suggest that multiple sclerosis (MS), like other autoimmune diseases, may be triggered by microbial infections. Pathogens associated with development or exacerbation of MS include bacteria, such as Chlamydia pneumoniae, Staphylococcus aureus-produced enterotoxins that function as superantigens, and viruses of the Herpesviridae (Epstein–Barr virus and human herpes virus 6) and human endogenous retrovirus families. However, to date, no single pathogen has been accepted as causal agent. In addition, common upper respiratory, gastrointestinal, and urogenital tract infections have also been associated with MS exacerbations. Although evidence of an infectious etiology as cause of MS in humans remains inconclusive, microbial agents may modulate the neuroimmunological system of genetically susceptible individuals. Decoding the epidemiological contribution of different microorganisms to MS, along with their pathogenic mechanisms, may help develop new treatment strategies and prevent relapses.
Qualitative Analysis of Cultural Formulation Interview: Findings and Implications for Revising the Outline for Cultural Formulation
Authors: Paralikar Vasudeo P. , Deshmukh Ankita , Weiss Mitchell G.
Published: January 2019

The DSM-IV Outline for Cultural Formulation (OCF) was a framework for assessment based on principles of cultural psychiatry. The Cultural Formulation Interview (CFI) for DSM-5 provided a tool enabling wider use of cultural formulation in clinical cultural assessment. Validation to justify the inclusion of the CFI in DSM-5 involved quantitative analysis of debriefing interviews of patients and clinicians for feasibility, acceptability and clinical utility. We now further examine qualitative field trial data from the CFI interviews and the debriefing interviews in Pune, India. Administration of the CFI was followed by routine diagnostic assessment of 36 psychiatric outpatients—11 found to have severe mental disorders (SMD) and 25 with common mental disorders (CMD). Domain-wise thematic analyses of the CFI and debriefing interviews identified recurrent themes based on cultural identity, illness explanatory models, stressful and supportive social relationships, and the impact of political, economic, and cultural contexts. A tendency to elaborate accounts, rather than simply name their problem, and more diverse past help-seeking distinguished CMD from SMD groups. Patients valued the CFI more than clinicians did, and most patients did not consider cultural background differences of clinician-patient relationships to be relevant. Qualitative analysis of CFI data and critical analysis of domain mapping of CFI content to the structure of OCF domains indicated the value of revising the dimensional structure of the OCF. A proposed revision (OCF-R) is expected to better facilitate clinical use and research on cultural formulation and use of the CFI.
Developing a drama pedagogy for toddler education
Authors: Quinones Gloria , Ridgway Avis , Li Liang
Published: January 2019

This article examines how an educator develops a drama pedagogy through the course of her dramatic interactions with three toddlers. A cultural-historical approach was used to explore the concepts of dramatic interactions and dimensions of drama pedagogy. Visual research methodology involved video observations and a reflective interview with the educator. A case example uses an everyday moment that took place in an Australian childcare centre. This is discussed to show how drama pedagogy unfolds to support toddlers’ learning and development. The case example occurs in a special space known as the neighbourhood space. A drama pedagogy has been conceptualised through three dimensions: a space that has dramatic qualities, interactions and narratives. These foster an inquiry stance in toddlers. It is argued that drama pedagogy is an intentional pedagogical approach to engage toddlers in the neighbourhood space. This article gives focus to an educator who embraces a dramatic conversation style we call dialogue commentary.
Engaging the Dog Owner Community in the Design of an Effective Koala Aversion Program
Authors: David Patricia , Rundle-Thiele Sharyn , Pang Bo , Knox Kathy , Parkinson Joy , Hussenoeder Felix
Published: January 2019

Introduction:

This article outlines a dog owner–focused social marketing pilot program implemented in 2017, which aimed to reduce koala and domestic dog interactions in one local city council in Australia.

Literature:

Dog attacks and predation are the third most common cause of death in koalas after habitat loss and vehicle strikes. Programs aiming to reduce wildlife and domestic pet interactions frequently neglect human dimensions, and social sciences have been called upon to complement conservation efforts.

Methods:

Developed in consultation with dog training experts and the local regional council Leave It was based on input from 41 dog owners. Leave It was a 4-week training program priced at AUD$150 that was delivered by local dog trainers who had previously received specialized koala aversion training.

Findings:

Co-design results indicated that the social marketing pilot program needed to emphasize training, be positive, and be dog and not koala-focused. A fun, positive dog-focused event, supported by dog retailers, entertainers, and food service providers, was held in June 2017 to launch the Leave It program. Outcome evaluations for Leave It indicated a statistically significant increase in wildlife aversion–related behaviors (stay, come back every time/some of the time, and stay quiet on command). Process evaluation indicated that people enjoyed the dog-focused event and the opportunity to seek training and obedience advice.

Conclusions:

Co-designing the program with dog owners in the local council area engaged community members, making them contributors rather than program participants. The program had a dog focus rather than wildlife focus as recommended by dog owners.
Deep learning–assisted real-time container corner casting recognition
Authors: Lee Jaecheul
Published: January 2019

Intelligent automated crane systems are now an integral part of container port automation. Accurate corner casting detection boosts the performance of an automated crane system which ultimately automates ships loading and unloading. Existing techniques use various traditional laser-based and vision-based methods for corner casting detection. Challenging weather conditions, varying lighting conditions, light reflections from ground, and container rusting conditions are the main problems that affect the performance of automated cranes. From this line of research, we propose an end-to-end method that takes a low-quality video input and produces bounding boxes around corner castings by applying a recurrent neural network along with long short-term memory units. The expressive image features from GoogLeNet are used to produce intermediate image representations that are further tuned for our system. The proposed system uses back-propagation to allow joint tuning of all components. At least, four cameras are mounted on each crane and input stream is combined into a single image to reduce the computational cost. The proposed system outperforms all existing methods in terms of precision, recall, and F-measure. The proposed method is implemented in a real-time port and produces more than 98% accuracy in all conditions.
Sport Management Curriculums: A Descriptive Study of the Current Status
Authors: Ross Craig M. , Young Sarah J.
Published: January 2019

This paper examines the findings of a national study on professional preparation in sport management. A review of literature revealed a lack of research and a need for more studies that clearly define the current status and future direction for sport management curriculums. Through a content analysis approach, this study investigated 147 academic institutions offering sport management curriculums. Specifically, the examined philosophical and primary emphasis of each curriculum, internship requirements, employment opportunities, sport management courses and curriculum resources. Implications of the results are discussed along with recommendations for further study involving professional preparation in sport management.
The Multidimensional Benefits of an Employee Recreation Program
Authors: Gaskins David A.
Published: January 2019

Employee Recreation represents a unique departmentally sponsored program designed to improve recruitment, retention, enjoyment, enthusiasm and commitment among student employees. It is popular and fun for employees but also has personal management advantages, strong marketing implications, and administrative benefits. The rationale for the program centers upon its effectiveness as a medium to positively impact programs and personnel. The opportunity to separately assemble employees in a setting which combines sports/ recreation with social ingredients has the potential to stimulate some exceptional staff dynamics. When blended properly, these components can increase excitement, motivation, and personal investment in the department as an employee while also improving camaraderie, teamwork, and morale. Positive word-of-mouth through one-on-one interaction between student staff and peers is extremely pertinent to recruitment and retention of staff but has even greater worth for promoting the program to participants. It also affords a strategic opportunity to expose, educate, and energize this group concerning activities which may be chosen. Administratively, employee recreation establishes a forum for empowering student personnel to exercise organizational and planning skills while also supplying a laboratory environment to field test various activities and gather evaluative feedback to assist in their refinement.

The format and structuring of the program should contain a number of fundamental components and address several important issues. After goals, objectives, and outcomes have been determined, a committee of student employees should be assembled to advise, recommend, select, plan, organize, promote, and administer the events. Commitment is another major factor necessary for success and includes allocating staff time, providing marketing support, and establishing a scheduling system which is convenient and does not adversely conflict with normal staffing times for activities and lor facilities. Financing options include departmental sponsorship and subsidy, support by the employees themselves, or by generating money through the formation of a campus organization.

Ultimately it is the actual selection and composition of the activity calendar which will make or break the program. Events should be chosen because their appeal, affordability, appropriateness, potential for return benefit, contribution to diversification, and ease of administration. Employee recreation is an exceptional innovation which captures many of the values and principles integral to the essence of recreational sports, represents a wise investment in the most important resource of the program-the student staff, and establishes a win-win environment for everyone involved.
Research on motion characteristics of space truss-crawling robot
Authors: Tang Tianfeng , Hou Xuyan , Xiao Yanni , Su Yilin , Shi Yuetian , Rao Xiaoshan
Published: January 2019

For the future demands of unmanned assembly of orbital space truss structures, a new space truss-crawling robot based on biomimetic principles is proposed. The robot system mainly consists of multi-joint legs and an adhesive microstructure imitating a gecko. The kinematics analysis of a single leg and the system design are accomplished based on functional requirements and adaptivity analysis. The motion simulation model of the robot and the discrete element simulation model of the adhesion microstructure are established based upon this analysis. The simulation of the holding motion of a single leg is implemented based on the EDEM-ADAMS platform, and the feasibility of the scheme is demonstrated by analyzing the influence of adhesive microstructures comparatively. The related motion characteristics of the robot while crawling are obtained by co-simulation, and the influence law analysis is carried out by analyzing the interaction between not only the crawling infrastructure but also the crawling gait and motion characteristics. A crawling experiment in a simulated low-gravity environment is conducted to further verify the robot’s movement function, which will provide beneficial reference for practical applications of the robot in the future.
Generational succession, culture, and politics: The shaping of Euro-Atlantic sites of memory
Authors: Gryta Janek
Published: January 2019

Memory studies have often looked to the Cold War and the fall of the Iron Curtain as the principal mediators of collective memory for the late twentieth and early twenty-first centuries. Scholars have often assumed the primacy of political factors in memory work with Cold War politics understood as shaping collective memory both West and East of the Iron Curtain. The present article proposes to problematize these assumptions. While not negating the role of politics, it suggests that the changing cultural priorities of each successive generation were of greater importance than current memory analyses permit. Using the former KL Plaszow (Kraków, Poland) as a case study, this essay draws attention to the common features of memory work shared across the Euro-Atlantic world. Establishing how each of the postwar generations engaged with memory work to suit their particular needs this article analyses the impact that generational sensibilities had on memory sites.
What Are Diabetes Patients Versus Health Care Personnel Discussing on Social Media?
Authors: Årsand Eirik , Bradway Meghan , Gabarron Elia
Published: January 2019

Background:

Use of social media is increasing rapidly, also in health care and diabetes. However, patients, health care personnel, and patient organizations discuss diabetes on social media very differently. This has led to a lack of common ground when these stakeholders communicate about diabetes and a gap in understanding one another’s point of view. Social media have a potential for improved communication if each stakeholder group knows about, acknowledges, and accepts one another’s perspective.

Method:

We extracted and analyzed posts from three Norwegian Facebook groups representing patients, patients’ organization, and health care personnel. Qualitative content analysis was done to find the distribution of main categories, followed by a thematic analysis of subcategories that were posted and discussed.

Results:

The patient organization’s posts are the most equally distributed over the four main identified categories: scientific content, health care services, self-management, and diabetes awareness. The closed patient group’s posts were dominated by self-management; the open diabetes nurses’ group was dominated by diabetes awareness. The three social media groups differed substantially in what and how they posted and discussed within the main topics. The nurses’ open group had percentage-wise both the most liked and commented post, and the posts on self-management had the highest average number of comments.

Conclusions:

There is a big discrepancy in posted information and discussions on social media, between patient closed group, patient organization open group, and health care personnel open group. To reach the aim of using social media for better health, there is a need for more information of what is posted and discussed in the other groups, to harmonize and ensure safe and accurate dissemination of information.
Return to Sport Activity After Meniscal Allograft Transplantation: At What Level and at What Cost? A Systematic Review and Meta-analysis
Authors: Grassi Alberto , Bailey James R. , Filardo Giuseppe , Samuelsson Kristian , Zaffagnini Stefano , Amendola Annunziato
Published: January 2019

Context:

Meniscal injuries are common among both sport- and non–sport-related injuries, with over 1.7 million meniscal surgeries performed worldwide every year. As meniscal surgeries become more common, so does meniscal allograft transplantation (MAT). However, little is known about the outcomes of MAT in active patients who desire to go back to preinjury activities.

Objective:

The purpose of this systematic review and meta-analysis was to evaluate return to sport, clinical outcome, and complications after MAT in sport-active patients.

Data Sources:

A systematic search of MEDLINE, EMBASE, and CINAHL electronic databases was performed on February 25, 2018.

Study Selection:

Studies of level 1 through 4 evidence looking at MAT in physically active patients with reported return to activity outcomes and at least 2-year follow-up were included.

Study Design:

Systematic review and meta-analysis.

Level of Evidence:

Level 4.

Data Extraction:

Details of sport-related outcomes and reoperations were extracted and pooled in a meta-analysis.

Results:

Nine studies were included in this systematic review. A majority (77%) of athletes and physically active patients were able to return to sport after MAT; two-thirds were able to perform at preinjury levels. Graft-related reoperations were reported in 13% of patients, while the joint replacement rate with partial or total knee prosthesis was 1.2%.

Conclusion:

Physical activity after MAT appears possible, especially for low-impact sports. However, because of the limited number of studies, their low quality, and the short-term follow-up, the participation recommendation for high-impact and strenuous activities should be considered with caution until high-quality evidence of long-term safety becomes available.
Preserving right ventricular function in patients with pulmonary arterial hypertension: Single centre experience with a cardiac magnetic resonance imaging‐guided treatment strategy
Authors: Huis in ’t Veld Anna E. , Van de Veerdonk Mariëlle C. , Spruijt Onno A. , Groeneveldt Joanne A. , Marcus J. Tim , Westerhof Nico , Jan Bogaard Harm , Noordegraaf Anton Vonk
Published: January 2019

The feasibility and usefulness of routine cardiac magnetic resonance imaging (CMR) in the management of idiopathic pulmonary arterial hypertension (IPAH) is unknown. The aims of the study were: 1) to study whether a decrease in CMR‐derived right ventricular ejection fraction (RVEF) coincides with clinical deterioration; 2) to determine whether RVEF is responsive to early escalation of pulmonary arterial hypertension (PAH)‐specific therapy. This was a prospective study including 30 incident IPAH patients. Patients underwent right heart catheterization and CMR at regular follow‐up visits (baseline, four, eight, 12, 24 months; no right heart catheterization at eight months). New York Heart Association (NYHA) functional class II patients started with monotherapy (endothelin receptor antagonist or phosphodiesterase‐5‐inhibitor) and NYHA III patients with combination therapy (endothelin receptor antagonist plus phosphodiesterase‐5‐inhibitor). In the case of a deterioration in RVEF of more than 3% compared with the previous measurement, PAH‐specific therapy was added (i.e. treatment escalation). In 11 patients without signs of clinical deterioration, a greater than 3% decrease in RVEF occurred. After treatment escalation, RVEF significantly improved (average improvement of 7%, p = 0.009) whereas right ventricle volumes, N‐terminal pro‐brain natriuretic peptide and six‐minute walking distance remained stable. Clinical worsening did not occur after escalating therapy. Throughout the study, four patients presented with clinical worsening, despite a stable RVEF. Three of these four patients had a baseline RVEF <35%. In IPAH patients presenting with an early decrease in RVEF but otherwise stable disease, progressive right ventricle failure and subsequent clinical worsening did not occur when therapy was escalated. Nevertheless, clinical worsening did occur in patients with a low baseline RVEF.
Survival of patients with and without diabetes following out-of-hospital cardiac arrest: A nationwide Danish study
Authors: Mohr Grímur Høgnason , Søndergaard Kathrine B , Pallisgaard Jannik L , Møller Sidsel Gamborg , Wissenberg Mads , Karlsson Lena , Hansen Steen Møller , Kragholm Kristian , Køber Lars , Lippert Freddy , Folke Fredrik , Vilsbøll Tina , Torp-Pedersen Christian , Gislason Gunnar , Rajan Shahzleen
Published: January 2019

Background:

Research regarding out-of-hospital cardiac arrest (OHCA) survival of diabetes patients is sparse and it remains unknown whether initiatives to increase OHCA survival benefit diabetes and non-diabetes patients equally. We therefore examined overall and temporal survival in diabetes and non-diabetes patients following OHCA.

Methods:

Adult presumed cardiac-caused OHCAs were identified from the Danish Cardiac Arrest Registry (2001–2014). Associations between diabetes and return of spontaneous circulation upon hospital arrival and 30-day survival were estimated with logistic regression adjusted for patient- and OHCA-related characteristics.

Results:

In total, 28,955 OHCAs were included of which 4276 (14.8%) had diabetes. Compared with non-diabetes patients, diabetes patients had more comorbidities, same prevalence of bystander-witnessed arrests (51.7% vs. 52.7%) and bystander cardiopulmonary resuscitation (43.2% vs. 42.0%), more arrests in residential locations (77.3% vs. 73.0%) and were less likely to have shockable heart rhythm (23.5% vs. 27.9%). Temporal increases in return of spontaneous circulation and 30-day survival were seen for both groups (return of spontaneous circulation: 8.8% in 2001 to 22.3% in 2014 (diabetes patients) vs. 7.8% in 2001 to 25.7% in 2014 (non-diabetes patients); and 30-day survival: 2.8% in 2001 to 9.7% in 2014 vs. 3.5% to 14.8% in 2014, respectively). In adjusted models, diabetes was associated with decreased odds of return of spontaneous circulation (odds ratio 0.74 (95% confidence interval 0.66–0.82)) and 30-day survival (odds ratio 0.56 (95% confidence interval 0.48–0.65)) (interaction with calendar year p=0.434 and p=0.243, respectively).

Conclusion:

No significant difference in temporal survival was found between the two groups. However, diabetes was associated with lower odds of return of spontaneous circulation and 30-day survival.