bluuebunny/crossref_metadata_2025 huggingface dataset:
A Multi-way Multi-task Learning Approach for Multinomial Logistic Regression
Authors: Hong Seung Hee , Alaeddini Adel
Published: June 2017

Objectives: Whether they have been engineered for it or not, most healthcare systems experience a variety of unexpected events such as appointment miss-opportunities that can have significant impact on their revenue, cost and resource utilization. In this paper, a multi-way multi-task learning model based on multinomial logistic regression is proposed to jointly predict the occurrence of different types of miss-opportunities at multiple clinics.

Methods: An extension of L 1/L 2 regulariza- tion is proposed to enable transfer of information among various types of miss-opportunities as well as different clinics. A proximal algorithm is developed to transform the convex but non-smooth likelihood function of the multi-way multi-task learning model into a convex and smooth optimization problem solvable using gradient descent algorithm.

Results: A dataset of real attendance records of patients at four different clinics of a VA medical center is used to verify the performance of the proposed multi-task learning approach. Additionally, a simulation study, investigating more general data situations is provided to highlight the specific aspects of the proposed approach. Various individual and integrated multinomial logistic regression models with/without LASSO penalty along with a number of other common classification algorithms are fitted and compared against the proposed multi-way multi-task learning approach. Fivefold cross validation is used to estimate comparing models parameters and their predictive accuracy. The multi-way multi-task learning framework enables the proposed approach to achieve a considerable rate of parameter shrinkage and superior prediction accuracy across various types of miss-opportunities and clinics.

Conclusions: The proposed approach provides an integrated structure to effectively transfer knowledge among different miss-opportunities and clinics to reduce model size, increase estimation efficacy, and more importantly improve predictions results. The proposed framework can be effectively applied to medical centers with multiple clinics, especially those suffering from information scarcity on some type of disruptions and/or clinics.
Nano-engineered skin mesenchymal stem cells: potential vehicles for tumour-targeted quantum-dot delivery
Authors: Saulite Liga , Dapkute Dominyka , Pleiko Karlis , Popena Ineta , Steponkiene Simona , Rotomskis Ricardas , Riekstina Una
Published: June 2017

Nanotechnology-based drug design offers new possibilities for the use of nanoparticles in imaging and targeted therapy of tumours. Due to their tumour-homing ability, nano-engineered mesenchymal stem cells (MSCs) could be utilized as vectors to deliver diagnostic and therapeutic nanoparticles into a tumour. In the present study, uptake and functional effects of carboxyl-coated quantum dots QD655 were studied in human skin MSCs. The effect of QD on MSCs was examined using a cell viability assay, Ki67 expression analysis, and tri-lineage differentiation assay. The optimal conditions for QD uptake in MSCs were determined using flow cytometry. The QD uptake route in MSCs was examined via fluorescence imaging using endocytosis inhibitors for the micropinocytosis, phagocytosis, lipid-raft, clathrin- and caveolin-dependent endocytosis pathways. These data showed that QDs were efficiently accumulated in the cytoplasm of MSCs after incubation for 6 h. The main uptake route of QDs in skin MSCs was clathrin-mediated endocytosis. QDs were mainly localized in early endosomes after 6 h as well as in late endosomes and lysosomes after 24 h. QDs in concentrations ranging from 0.5 to 64 nM had no effect on cell viability and proliferation. The expression of MSC markers, CD73 and CD90, and hematopoietic markers, CD34 and CD45, as well as the ability to differentiate into adipocytes, chondrocytes, and osteocytes, were not altered in the presence of QDs. We observed a decrease in the QD signal from labelled MSCs over time that could partly reflect QD excretion. Altogether, these data suggest that QD-labelled MSCs could be used for targeted drug delivery studies.
The State-of-the-art HST Astro-photometric Analysis of the Core of ω Centauri. I. The Catalog∗
Authors: Bellini A. , Anderson J. , Bedin L. R. , King I. R. , van der Marel R. P. , Piotto G. , Cool A.
Published: June 2017

We have constructed the most comprehensive catalog of photometry and proper motions ever assembled for a globular cluster (GC). The core of ωCen has been imaged over 650 times through WFC3's UVIS and IR channels for the purpose of detector calibration. There exist from 4 to over 60 exposures through each of 26 filters stretching continuously from F225W in the UV to F160W in the infrared. Furthermore, the 11 yr baseline between these data and a 2002 ACS survey has allowed us to more than double the proper-motion accuracy and triple the number of well-measured stars compared to our previous groundbreaking effort. This totally unprecedented complete spectral coverage of over 470,000 stars within the cluster’s core, from the tip of the red giant branch down to the white dwarfs, provides the best astro-photometric observational database yet to understand the multiple-population phenomenon in any GC. In this first paper of the series, we describe in detail the data-reduction processes and deliver the astro-photometric catalog to the astronomical community.
Detection of Exocometary CO within the 440 Myr Old Fomalhaut Belt: A Similar CO+CO2 Ice Abundance in Exocomets and Solar System Comets
Authors: Matrà L. , MacGregor M. A. , Kalas P. , Wyatt M. C. , Kennedy G. M. , Wilner D. J. , Duchene G. , Hughes A. M. , Pan M. , Shannon A. , Clampin M. , Fitzgerald M. P. , Graham J. R. , Holland W. S. , Panić O. , Su K. Y. L.
Published: June 2017

Recent Atacama Large Millimeter/submillimeter Array observations present mounting evidence for the presence of exocometary gas released within Kuiper Belt analogs around nearby main-sequence stars. This represents a unique opportunity to study their ice reservoir at the younger ages when volatile delivery to planets is most likely to occur. We here present the detection of CO J = 2-1 emission colocated with dust emission from the cometary belt in the 440 Myr old Fomalhaut system. Through spectrospatial filtering, we achieve a 5.4σ detection and determine that the ring’s sky-projected rotation axis matches that of the star. The CO mass derived (

) is the lowest of any circumstellar disk detected to date and must be of exocometary origin. Using a steady-state model, we estimate the CO+CO2 mass fraction of exocomets around Fomalhaut to be between 4.6% and 76%, consistent with solar system comets and the two other belts known to host exocometary gas. This is the first indication of a similarity in cometary compositions across planetary systems that may be linked to their formation scenario and is consistent with direct interstellar medium inheritance. In addition, we find tentative evidence that

% of the detected flux originates from a region near the eccentric belt’s pericenter. If confirmed, the latter may be explained through a recent impact event or CO pericenter glow due to exocometary release within a steady-state collisional cascade. In the latter scenario, we show how the azimuthal dependence of the CO release rate leads to asymmetries in gas observations of eccentric exocometary belts.
Production and Distribution of 44Ti and 56Ni in a Three-dimensional Supernova Model Resembling Cassiopeia A
Authors: Wongwathanarat Annop , Janka Hans-Thomas , Müller Ewald , Pllumbi Else , Wanajo Shinya
Published: June 2017

The spatial and velocity distributions of nuclear species synthesized in the innermost regions of core-collapse supernovae can yield important clues about explosion asymmetries and the operation of the still disputed explosion mechanism. Recent observations of radioactive 44Ti with high-energy satellite telescopes (Nuclear Spectroscopic Telescope Array [NuSTAR], INTEGRAL) have measured gamma-ray line details, which provide direct evidence of large-scale explosion asymmetries in SN 1987A and in Cassiopeia A (Cas A) even by mapping of the spatial brightness distribution (NuSTAR). Here we discuss a 3D simulation of a neutrino-driven explosion, using a parameterized neutrino engine, whose 44Ti distribution is mostly concentrated in one hemisphere pointing opposite to the neutron star (NS) kick velocity. Both exhibit intriguing resemblance to the observed morphology of the Cas A remnant, although neither the progenitor nor the explosion was fine-tuned for a perfect match. Our results demonstrate that the asymmetries observed in this remnant can, in principle, be accounted for by a neutrino-driven explosion, and that the high 44Ti abundance in Cas A may be explained without invoking rapid rotation or a jet-driven explosion, because neutrino-driven explosions generically eject large amounts of high-entropy matter. The recoil acceleration of the NS is connected to mass ejection asymmetries and is opposite to the direction of the stronger explosion, fully compatible with the gravitational tugboat mechanism. Our results also imply that Cas A and SN 1987A could possess similarly “one-sided” Ti and Fe asymmetries, with the difference that Cas A is viewed from a direction with large inclination angle to the NS motion, whereas the NS in SN 1987A should have a dominant velocity component pointing toward us.
Neon-like Iron Ion Lines Measured in NIFS/Large Helical Device (LHD) and Hinode/EUV Imaging Spectrometer (EIS)
Authors: Watanabe Tetsuya , Hara Hirohisa , Murakami Izumi , Kato Daiji , Sakaue Hiroyuki A. , Morita Shigeru , Suzuki Chihiro , Tamura Naoki , Yamamoto Norimasa , Nakamura Nobuyuki
Published: June 2017

Line intensities emerging from the Ne-sequence iron ion (Fe xvii) are measured in the laboratory, by the Large Helical Device at the National Institute for Fusion Science, and in the solar corona by the EUV Imaging Spectrometer (EIS) on board the Hinode mission. The intensity ratios of Fe xvii
λ 204.6/λ 254.8 are derived in the laboratory by unblending the contributions of the Fe xiii and xii line intensities. They are consistent with theoretical predictions and solar observations, the latter of which endorses the in-flight radiometric calibrations of the EIS instrument. The still remaining temperature-dependent behavior of the line ratio suggests the contamination of lower-temperature iron lines that are blended with the λ 204.6 line.
Mars, Vénus, et Vulcain : l’image de la Chine dans les médias français sous l’ère Trump
Authors: Heurtebise Jean-Yves
Published: June 2017

Dans une métaphore restée célèbre, Kagan opposait les États-Unis dédiés au culte de Mars, viril dieu des batailles, et l’Europe, vouée au culte de Vénus, déesse féminine des plaisirs. Nous proposerons ici d’étendre la symbolique stratégique binaire de Kagan en incluant la Chine comme figure vulcanienne : Mars, Vénus et Vulcain (Vulcain, dieu des forges ; la Chine, « usine du monde »). Comment se comprend le rapport entre Europe, États-Unis et Chine du point de vue des représentations ? Dans la relation triadique spéculaire de l’Europe aux États-Unis et à la Chine, la première a souvent servi de lentille grossissante (image magnifiée) et la seconde de lentille déformante (image inversée). Plus encore, on peut noter une « constante » que l’élection de Donald Trump à la présidence des États-Unis semble avoir réactivé, à savoir l’atavisme représentationnel consistant pour l’Européen à maximiser la différence avec l’Amérique et à minimiser la différence avec la Chine en période de trouble dans sa reconnaissance de « l’européanité » des États-Unis.
Pursuing continued dependency on the U.S. : Abe’s Transitory Security Strategy
Authors: Matsumura Masahiro
Published: June 2017

Cet essai d’économie politique analysera le contexte et la dynamique de la présidence de Donald Trump, en mettant l’accent sur l’interaction des facteurs de sécurité politico-économiques et des facteurs de sécurité nationale dans lesquels les premiers sont considérés comme déterminants. Il rejette l’approche dominante « politiquement correcte » qui est critique, presque a priori, de la présidence de Trump, et de son prétendu amateurisme dans l’élaboration et la mise en œuvre de sa politiqu, en particulier dans les domaines de la politique de sécurité étrangère et nationale. On soulignera l’importance du Japon en tant que plus grand pays créancier dans le maintien de l’hégémonie économique des États-Unis, une condition préalable à son hégémonie militaire.
Chine – Thaïlande : jeu de dupes ou convergences durables ?
Authors: Boisseau du Rocher Sophie
Published: June 2017

La Thaïlande est un allié précieux pour la Chine dans sa quête d’influence en Asie du Sud-Est. Bien que le rapprochement soit antérieur au régime militaire actuel et date des turbulences traversées par la Thaïlande après la crise de 1997, il s’est accéléré depuis l’arrivée au pouvoir de la junte suite au coup d’État de mai 2014, et la réaction mitigée des partenaires occidentaux. Les relations économiques, sociales, de sécurité sont toutes en croissance. Dans quelle mesure un lien d’inféodation se met-il en place ? En serait-il de même avec les rapprochements politiques et la diffusion d’un modèle autoritaire ? La Thaïlande pourrait-elle mettre à risque son indépendance traditionnelle tant vantée ?
Effets d’un usage d’ERP sur les pratiques comptables normées dans le contexte de l’OHADA
Authors: Bampoky Boniface , Wade Mouhamed El Bachir
Published: June 2017

Des réponses éprouvées à l’aide d’une démarche exploratoire (auprès des experts informaticiens en ERP et des utilisateurs comptables) sont apportées à la question de l’impact d’un usage d’ERP sur les pratiques comptables normées. L’espace OHADA (Organisation pour l’Harmonisation en Afrique du Droit des Affaires) a servi d’appoint pour mener l’étude. Le métier classique de comptable est en train de changer, de même que le paradigme de l’enseignement de la comptabilité. Certaines normes comptables tombent de plus en plus en décadence
Maux et mots du droit. Quel avenir pour la responsabilité sociétale face à la gouvernance de la firme ?
Authors: Tchotourian Ivan
Published: June 2017

Alors que le risque est de plus en plus présent dans la littérature en matière de gouvernance d’entreprise, c’est sous un angle original que ce papier se propose de l’aborder : un angle juridique. L’objet de la présente étude se concentre sur le risque de sémantique attaché à la traduction par équivalent du mot « corporate » de l’expression corporate governance. Contrairement à ce que pourrait laisser penser l’avènement du mot « entreprise » dans la littérature de gouvernance, les juristes ont traduit le mot « corporate » par « firm » dans les normes qu’ils ont consacrées. Or, cette traduction entraîne des conséquences juridiques importantes en raison du problème de valeur dont cette traduction est la source. Parmi ces conséquences, figure le fait que la responsabilité sociétale est privée d’un précieux allié pour donner corps à ses préconisations : l’entreprise en tant qu’institution. Le risque de cette traduction par équivalent entraîne un problème de valeur attachée au cadre de réflexion théorique de la gouvernance d’entreprise. L’assimilation de « corporate » en « firm » doit être remise en cause non seulement pour que la responsabilité sociétale ne soit pas un vœu pieux, mais encore parce qu’il existe des arguments solides sur le terrain juridique qui demeurent malheureusement trop en marge de la dogma dominante.
Managing Adult Attention-Deficit/Hyperactivity Disorder: To Treat or Not To Treat?
Authors: Deshpande Swapna , Ostermeyer Britta , Lokhande Akshay , Abid Humaira , Shah Asim A.
Published: June 2017

Attention-deficit/hyperactivity disorder (ADHD) is a highly prevalent and chronic neurodevelopmental disorder often with residual symptoms throughout the patient's lifespan. Patients with ADHD have a significant disease burden that adversely affects interpersonal, psychosocial, and occupational domains of their life. Stimulants are usually the first-line treatment for all patient age groups. Familiarity with varying aspects of this disorder is important for clinicians, given the significant challenges in treating this chronic condition. Although risks of medication abuse and diversion pose significant challenges, not treating ADHD can gravely affect patients' lives, potentially leading to school dropout, unemployment, legal problems, and more. This article reviews reasons to treat adult ADHD, versus reasons that support refraining from treating, and provides general treatment guidelines for practicing clinicians.

[
Psychiatr Ann
. 2017;47(6):315–321.]
Redes de colaboración y producción de patentes en universidades de la Comunidad Andina de Naciones (UCANS) 2005-2015
Authors: Agüero Aguilar Carlos Enrique
Published: June 2017

La competitividad y desarrollo tecnológico de una región se miden por el grado de innovación en el que se soportan, siendo un elemento valorativo la cantidad y calidad de patentes que generan y aplican en su dinámica productiva. En tal sentido, las universidades cumplen un rol generador y transmisor del conocimiento. Por lo que es importante identificar sus niveles de colaboración y tendencias en líneas de aplicación tecnológica, a fin de establecer futuras políticas de desarrollo en este sector. En el presente artículo se identifica el grado de colaboración, los tipos de patentes, los actores (principales y secundarios) y la dinámica de producción de patentes de las universidades de la CAN en el periodo 2005-2015, publicadas en la base de datos de la Oficina Europea de Patentes. Se concluye que existe una gran disparidad, por lo que es necesario fortalecer el nivel colaborativo entre las universidades de esta comunidad. A pesar de ello, se aprecia un incremento en la producción de patentes.
Actitudes y percepciones de los evaluadores de la carrera científica en Argentina sobre la publicación en acceso abierto
Authors: Bongiovani Paola , Miguel Sandra , Hernández-Pérez Tony
Published: June 2017

Este estudio analiza las actitudes y percepciones sobre revistas de acceso abierto de los evaluadores de la carrera científica en Argentina, focalizándose en diferencias por rango de edad, áreas temáticas e instituciones de pertenencia. Los resultados muestran que los evaluadores mantienen opiniones y actitudes tradicionales tanto en la elección de la revista donde publican, como en la evaluación de la producción de sus pares. Se valoran: la revisión por pares, el prestigio de la editorial o editor responsable de la revista, el factor de impacto y la indización en índices internacionales y regionales. El modelo de acceso abierto de la revista no aparece como factor clave ni en la publicación ni en la evaluación de los investigadores. La valoración positiva de publicar en AA aumenta con la edad de los evaluadores. Resulta prometedor que un 61% de los evaluadores haya publicado al menos un artículo en estas revistas en los últimos cinco años y éstos le otorgan mayor importancia a ese factor cuando evalúan a sus pares.
Estudio bibliométrico sobre la investigación en publicidad en España: temáticas, investigadores, redes y centros de producción (1980-2015)
Authors: Baladrón-Pazos Antonio J. , Manchado-Pérez Benjamín , Correyero-Ruiz Beatriz
Published: June 2017

Este artículo aborda la producción científica sobre publicidad en España a partir del análisis bibliométrico de los artículos publicados en las revistas científicas de comunicación españolas entre 1980 y 2015; a partir de una muestra de 1.050 artículos de 80 revistas. Se caracterizó formal y temáticamente esa producción científica, se identificaron y caracterizaron los autores y centros de producción, se analizaron las coautorías y se identificaron las redes de investigación. Los resultados muestran una evolución muy positiva de la investigación sobre publicidad desde el punto de vista cuantitativo, si bien también confirman algunos problemas que cuestionan su madurez: la escasa internacionalización, el bajo nivel de colaboración científica y la ausencia de una red de investigación cohesionada. Aunque no es un estudio sobre el conjunto de la investigación publicitaria, este trabajo sobre los patrones de publicación en las revistas científicas -principal canal de difusión de la ciencia en la actualidad- contribuye a un mejor conocimiento del mapa de la investigación sobre publicidad en España durante las cuatro últimas décadas.
Biolixiviación de mineral cuarzo por Acidithiobacillus ferrooxidans en reactor de columna por gravedad
Authors: Huarachi-Olivera Ronald , Dueñas-Gonza Alex , Yapo Ursulo , Almanza Moisés , Manuel Dennys , Lazarte-Rivera Antonio , Mogrovejo-Medina Gelbert , Taco-Cervantes Homar , Esparza Mario
Published: June 2017

La biolixiviación es el proceso mediante el cual se extrae cobre de minerales sulfuros de baja ley usando microorganismos. La lixiviación química se aplica preferentemente para extraer cobre de minerales oxidados o mixtos, pero no existe información de aplicación de microorganismos en esta operación. En tal sentido, en la presente investigación se trabajó con reactores en columna por gravedad para procesos de lixiviación química, con cultivos bacterianos de Acidithiobacillus ferrooxidans en medio 9K y mineral de cuarzo que contenía cuprita y pirita, con diferentes tamaños de partícula. Se encontró que después de 24 días de lixiviación química se recuperó el 86% de cobre cuando se incluyeron bacterias, mientras que sin ellas sólo se recuperó el 54%. La mayor recuperación de cobre en ambos procesos se obtuvo en el siguiente orden de acuerdo al tamaño de partícula: 9,5 mm > 12,5 mm > 19,05 mm. Así, la aplicación de células bacterianas a procesos lixiviación química con minerales oxidados de cobre que incluyen cuarzo y células de A. ferrooxidans, aumenta la recuperación de cobre cuanto menor sea el tamaño de partícula del mineral. Esta tecnología puede ser utilizada por empresas mineras que aún siguen realizando lixiviación química convencional y se puede incluir en la operación la adición de microorganismos para aumentar la recuperación de cobre de minerales sulfurados incluyendo cuarzo.
Promoting Patient- and Family-Centered Care in the Intensive Care Unit: A Dissemination Project
Authors: Kleinpell Ruth , Buchman Timothy G. , Harmon Lori , Nielsen Melissa
Published: June 2017

Awareness of patient-centered and family-centered care research can assist clinicians to promote patient and family engagement in the intensive care unit. Project Dispatch (Disseminating Patient-Centered Outcomes Research to Healthcare Professionals) was developed to disseminate patient- and family-centered care research and encourage its application in clinical practice. The 3-year project involved the development of an interactive website platform, online educational programming, social media channels, a podcast and webcast series, and electronic and print media. The project’s webpages received more than 5200 page views with over 4000 unique visitors from 36 countries. The podcast series has download numbers ranging from 35 596 for “Family Presence in the ICU” to 25 843 for “Improving Patient and Family satisfaction in the ICU” and 22 148 for “Family Satisfaction in the ICU.” The project therefore successfully developed resources for critical care health care professionals to promote the patient- and family-centric perspective.
Case of Acute ST Segment Elevation Myocardial Infarction in Infective Endocarditismanagement with Intra Coronary Stenting
Authors: Murtaza Ghulam , Rahman Zia ur , Sitwala Puja , Ladia Vatsal , Barad Bhavesh , Albalbissi Kais , Paul Timir K. , Ramu Vijay
Published: June 2017

Embolic events from infective endocarditis can cause acute coronary syndrome. Mortality rate is high and optimal management might be different from those chosen in setting of classic atherosclerotic coronary artery disease. We present a case of 56-yearold male who had received 5 weeks of antibiotics for aortic valve endocarditis and developed acute ST segment elevation myocardial infarction in hospital settings. Interestingly, patient had recent left heart catheterization that was normal. This was recognized as embolic event from sterile vegetation. Patient was managed with balloon angioplasty and placement of intracoronary stent. Following re-vascularization, patient chest pain and electrocardiogram normalized and he improved in short term. However due to multiple comorbidities he had to be intubated and placed on dialysis.
Neonatal mortality in East Africa and West Africa: a geographic analysis of district-level demographic and health survey data
Authors: Grady Sue C. , Frake April N. , Zhang Qiong , Bene Matlhogonolo , Jordan Demetrice R. , Vertalka Joshua , Dossantos Thania C. , Kadhim Ameen , Namanya Judith , Pierre Lisa-Marie , Fan Yi , Zhou Peiling , Barry Fatoumata B. , Kutch Libbey
Published: June 2017

Under-five child mortality declined 47% since 2000 following the implementation of the United Nation’s (UN) Millennium Development Goals. To further reduce under-five child mortality, the UN’s Sustainable Development Goals (SDGs) will focus on interventions to address neonatal mortality, a major contributor of under-five mortality. The African region has the highest neonatal mortality rate (28.0 per 1000 live births), followed by that of the Eastern Mediterranean (26.6) and South-East Asia (24.3). This study used the Demographic and Health Survey Birth Recode data (http://dhsprogram.com/data/File-Types-and-Names.cfm) to identify high-risk districts and countries for neonatal mortality in two sub-regions of Africa – East Africa and West Africa. Geographically weighted Poisson regression models were estimated to capture the spatially varying relationships between neonatal mortality and dimensions of potential need i) care around the time of delivery, ii) maternal education, and iii) women’s empowerment. In East Africa, neonatal mortality was significantly associated with home births, mothers without an education and mothers whose husbands decided on contraceptive practices, controlling for rural residency. In West Africa, neonatal mortality was also significantly associated with home births, mothers with a primary education and mothers who did not want or plan their last child. Importantly, neonatal mortality associated with home deliveries were explained by maternal exposure to unprotected water sources in East Africa and older maternal age and female sex of infants in West Africa. Future SDG-interventions may target these dimensions of need in priority high-risk districts and countries, to further reduce the burden of neonatal mortality in Africa.
The dynamics of theologies: A transdisciplinary description
Authors: Loubser Gys M.
Published: June 2017

In this article, the author asks why the South African public, especially Afrikaans communities, is largely unaware of the knowledge generated in the field of science and religion. The author describes theologies as complex systems that interact with their environment. To illuminate the environment, the author turns to the theatre system and illustrates how the theatre system can illuminate the modelling choices of theologians.
An Analysis of Patient Safety Incident Reports Associated with Electronic Health Record Interoperability
Authors: Adams Katharine , Howe Jessica , Fong Allan , Puthumana Joseph , Kellogg Kathryn , Gaunt Michael , Ratwani Raj
Published: June 2017

Background: With the widespread use of electronic health records (EHRs) for many clinical tasks, interoperability with other health information technology (health IT) is critical for the effective delivery of care. While it is generally recognized that poor interoperability negatively impacts patient care, little is known about the specific patient safety implications. Understanding the patient safety implications will help prioritize interoperability efforts around architectures and standards.

Objectives: Our objectives were to (1) identify patient safety incident reports that reflect EHR interoperability challenges with other health IT, and (2) perform a detailed analysis of these reports to understand the health IT systems involved, the clinical care processes impacted, whether the incident occurred within or between provider organizations, and the reported severity of the patient safety events.

Methods: From a database of 1.735 million patient safety event (PSE) reports spanning multiple provider organizations, 2625 reports that were indicated as being health IT related by the event reporter were reviewed to identify EHR interoperability related reports. Through a rigorous coding process 209 EHR interoperability related events were identified and coded.

Results: The majority of EHR interoperability PSE reports involved interfacing with pharmacy systems (i.e. medication related), followed by laboratory, and radiology. Most of the interoperability challenges in these clinical areas were associated with the EHR receiving information from other health IT systems as opposed to the EHR sending information to other systems. The majority of EHR interoperability challenges were within a provider organization and while many of the safety events reached the patient, only a few resulted in patient harm.

Conclusions: Interoperability efforts should prioritize systems in pharmacy, laboratory, and radiology. Providers should recognize the need to improve EHRs interfacing with other health IT systems within their own organization.

Citation: Adams KT, Howe JL, Fong A, Puthumana JS, Kellogg KM, Gaunt M, Ratwani RM. An analysis of patient safety incident reports associated with electronic health record interoperability. Appl Clin Inform 2017; 8: 593–602 https://doi.org/10.4338/ACI-2017-01-RA-0014
A House in History, Heritage and Tourism: Shifting Times at Blundell's Cottage, Canberra
Authors: Young Linda
Published: June 2017

The history of history's institutions can offer a gritty context in which to understand historical production. A wide spectrum of influences, from the personal to the intellectual to the political, can be seen at work in shaping the history made and communicated at Blundell's Cottage over the years. Even though it has always been a humble participant in the project of history, its products probably reach some of history's larger audiences. Hence it is worthwhile to review fifty years of historio-museography.
A Very Human Survey: The Cross-Cultural Inquiries of R. H. Mathews
Authors: Thomas Martin
Published: June 2017

In addressing the life and legacy of R. H. Mathews (1841-1918), this article queries the emphasis on 'otherness' that is common in much post-colonial commentary. The focus here is on the sharing of knowledge and other experiences of familiarity across cultures. Mathews was an Australian-born surveyor who turned to anthropology in the 1890s, publishing prolifically in Australia and overseas. Well known in Aboriginal communities through much of eastern Australia, he took advantage of contacts he had developed during his career as a surveyor. Such experience gave him a personal understanding of the land which greatly influenced his anthropological writing. In addition to direct interview, he also acquired information through correspondence with graziers and officials with Aboriginal employees or other connections with indigenous people. The article draws from some of these letters, many of which survive in the extensive R. H. Mathews Papers at the National Library of Australia. To date, the main source of information on Mathews has been a three-part article by A. P. Elkin published in the 1970s. Much information has since become available, including the testimony of Aboriginal informants who were recorded by Janet Mathews, a grand daughter-in-law of R. H. who worked for the Australian Institute of Aboriginal Studies as it was originally known (now AIATSIS). Mathews close connections in the Aboriginal world did nothing to protect him from the internecine feuding that characterised Australian anthropology in the Federation era. The article argues that Mathews' standing was damaged by a conspiracy involving the Melbourne-based Professor W. Baldwin Spencer who persuaded J. G. Frazer and other scholars in Britain never to acknowledge him or cite his work.
The Meaning of the Past: The Perception and Appreciation of History Among Dutch Genealogists
Authors: Ribbens Kees , Westerhof Gerben J , Van Halen Cor
Published: June 2017

Genealogy is a popular hobby in the Netherlands nowadays. This article presents findings from a survey of 192 members of the Dutch Genealogical Society. This research focuses on the meanings genealogists attach to the past and on the emotions and activities connected to this. Dutch genealogists associate past and history with positive matters. They perceive the past as a source of knowledge and as a beneficial contrast to the present. They show a specific interest in the period between 1500 and 1900, the respondent's place of residence and region, his or her family life and the life cycle. Most of the genealogists are looking for those sources of information that reinforce an emotional connectedness to the past. Their appreciation of historical knowledge shows the continuity that they experience between the present and the past. Nevertheless many genealogists clearly consider the past as different, as a contrast to the present. Judging by their own definitions of terms, genealogists have more interest for 'past' in the sense of what is close by and small-scale, and therefore almost directly accessible, than for 'history' in the sense of the authorized knowledge from the dominant historical canon. Genealogists are a diverse group. Particularly the level of education and the connectedness with the region and place of residence influence the way in which history is perceived. Gender seems to play only a limited role here. Genealogists with higher levels of education have a broader interest, particularly with respect to larger geographical areas and to topics concerning society at large. Education and a geographical separation with the family past seem to stimulate a stronger development of the traditional notion of historical consciousness in addition to an interest in family history.
Customary Rights: Holding the Line
Authors: Ellison Edward
Published: June 2017

This article explores the nature, history and significance of Maori customary rights in the New Zealand context, and argues there is a need for a New Zealand constitution which embodies human rights which recognise and uphold the customary rights of the indigenous peoples of this land and protects those rights from oppressive and discriminatory political acts of expediency by government.
Conflict in the Landscape: A Case Study of the Cultural Values Model
Authors: Stephenson Janet
Published: June 2017

In some senses, landscapes are our heritage. They are touchstones of identity, defining who we are as a nation, as iwi and hapu and as communities. However, landscapes have become a battlefield as they are subjected to rapid and widespread change. Reaction to these changes is being vocalised in the streets, the media, in courtrooms and at a variety of recent conferences in New Zealand. A fundamental cause of the conflict is that formal methods of attributing significance to landscape, particularly as codified in legislation, have not kept abreast of emerging recognition of its rich and complex meanings. Additionally, decision-making processes relating to new developments tend to rely on expert assessments, largely overlooking the distinctive cultural heritage that arises from the close interactions between people and their landscapes. To achieve better management of the multiple interests in landscape, it is necessary to move beyond 'silo' thinking and to be inclusive of values that currently fall outside of standardised assessment methods. Using the Cultural Values Model, this article suggests that conflict arises because of the lack of recognition of the range of values that may be implicit in any particular landscape. The model suggests that landscapes can be understood in an integrated way through consideration of forms, relationships and practices; the dynamic interactions between these; and the dimension of time. Aspects of landscape that are considered to be 'valuable' by experts or communities may arise from all or any of these components. Conflict in the landscape arises where certain components are ignored or given primacy over others. While conflict cannot be entirely avoided, the model offers a more integrated understanding of landscape values as a whole and thus the ability to anticipate where and why conflicts may arise.
Sense or Nonsense?: New Zealand Heritage Leglislation in Perspective
Authors: Vossler Greg
Published: June 2017

This article provides an overview of the current legislative ‘landscape’ that shapes the nature of historic heritage protection and management in New Zealand. It identifies some of the principal laws that impinge on historic heritage and outlines the purpose and principles, administrative processes, protective measures and offences and enforcement provisions associated with each of these statutes.
Decolonizing the Archives: The Work of New Zealand's Waitangi Tribunal
Authors: Buchanan Rachel
Published: June 2017

If history is to be decolonized, then the archives it is made from must be too. This article uses the work of the Waitangi Tribunal in Aotearoa New Zealand to explore how this might be possible. The tribunal is a permanent commission of inquiry that investigates contemporary and historical breaches of the 1840 Treaty of Waitangi. Tribunal hearings are rich sites of public history-making. A hearing involves the research and production of ‘traditional’ and ‘historical’ tribal narratives as well as the performance of dozens of individual testimonies from Maori. By collecting and archiving the family and tribal histories that Maori claimants have chosen to speak, write or sing before it, the tribunal has made the private public. In the process, the colonial archive has been expanded, democratised and decolonised. This article argues that while the work of the tribunal is necessarily constrained by its brief to investigate post-contact grievances, the voluminous and precious archive generated by inquiries and by the settlement process that sometimes follows, provide the seeds for other more satisfying and challenging stories about New Zealand’s past and present. It reads the archives generated by the Taranaki inquiry to demonstrate how a significant feature of claimant testimony is the challenge it poses to conceptions of time that are central to academic history-making. The subaltern histories shared at tribunal hearings collapse the distinctions between past and present, placing ‘historical actors’ and ‘historical events’ on the same stage as present ones. Tribunal archives, then, are a new and overlooked collection of documentary evidence that refuses to locate colonisation in the past. The tribunal archives challenge historians to rethink ‘history’ and ‘the colonial archive’. If colonisation is something that is not over yet then the colonial archive is still being created (by bodies like the tribunal). It is a collection of documents that can be viewed as both historical and contemporary.
Public Histories of Australian and British Women's Suffrage: Some Comparative Issues
Authors: Kean Hilda
Published: June 2017

In this article I consider the ways in which activists in the British suffrage movement became the public historians of their own pasts. I analyse the different forms in which the history of suffrage feminism was created and the ways in which it both drew upon former traditions of the labour movement and conventions of public memorialisation. I consider the ways in which the Australian suffrage campaign has been memorialised and differences between this and the British position. I raise a number of questions about ways in which public historians might explore the creation of collective histories and the role of individuals within that process arising from this initial comparative analysis.
Memorialising the Past: Is there an 'Aboriginal' Way?
Authors: Batten Bronwyn , Batten Paul
Published: June 2017

There is debate about how the Aboriginal past can and should be memorialised. This paper utilises a series of example memorials to discuss the ways in which Indigenous and non-Indigenous people in Australia are choosing to depict – in a physical, public form – Aboriginal perspectives of the past. The paper focuses on the issues of cultural evolution and the adoption of so-called ‘European’ ways of memorialising. It also looks at the role of landscapes and natural materials in memorials to the Aboriginal past and the evolving role of counter- and anti-memorials to commemorate the past. The examples of memorials from around Australia suggest that, above all, we must be open-minded about what constitutes an ‘Aboriginal’ memorial. Ways of memorialising the Aboriginal past can range, for example, from natural to constructed, from created by Indigenous people exclusively to otherwise, and from targeting an exclusively Indigenous audience, a non-Indigenous audience, or both. There is more than one way of memorialising the Aboriginal past.
'Joy': Memorialisation and the Limits of Tolerance
Authors: Frances Rae , Kimber Julie
Published: June 2017

While there are a growing number of ‘counter-hegemonic’ monuments in Australia, the numerous workers’ memorials commemorating heroic male figures ¬– coalminers, truck drivers, timber workers and wharf labourers – retain the exclusionary characteristic of traditional or ‘institutional’ memorialising. Many such memorials nourish a masculinist, albeit working class, vision of Australia’s nation building efforts, while commemoration of the lives of women – beyond ‘the exceptional’ – is rare in the public sphere. This article examines one such rarity: the statue of ‘Joy’ commemorating the lives of women who worked as prostitutes in the ‘red light’ district of East Sydney, an urban environment then in the later stages of gentrification. ‘Joy’ is a memorial resembling the more recent tradition of ‘new genre’ public art; art that ‘seeks to disrupt prevailing conceptions of the city’. When the larger-than-life cement, marble dust and steel statue took up her position on the street in East Sydney, New South Wales, it elicited widespread controversy. It is these different responses that are the subject of this article. They provide a snapshot of late-twentieth century Sydney views on prostitution and history.
Places of the Heart: Memorials, Public History and the State in Australia Since 1960
Authors: Ashton Paul , Hamilton Paula
Published: June 2017

Memorials as a form of public history allow us to chart the complex interactions and negotiations between officially endorsed historical narratives, public memorials, privately sponsored memorials in public spaces and new histories. As Ludmilla Jordanova reminds us, ‘the state… lies at the heart of public history’. And this is evident in the public process of memorialisation. At one level, the state endorses certain narratives within which communities and organisations need to operate if they are to be officially part of the national story and its regional and local variants. Ultimate endorsement for memorials includes listings on heritage registers. Controls over the erection of memorials vary from official policies to process for the issue of permits for their construction in public places or their removal. The state, however, is not monolithic. Permissible pasts evolve over time given shifts in power and social and cultural change. This involves both ‘retrospective commemoration’ and ‘participatory memorialisation’. The presence and power of the past in peoples’ lives, too, means in practice that memorial landscapes will reflect, in truly democratic societies, the values, experiences and dominant concerns of its citizens.
Stand Up for the Burrup: Saving the Largest Aboriginal Rock Art Precinct in Australia
Authors: Gregory Jenny
Published: June 2017

The Dampier Rock Art Precinct contains the largest and most ancient collection of Aboriginal rock art in Australia. The cultural landscape created by generations of Aboriginal people includes images of long-extinct fauna and demonstrates the response of peoples to a changing climate over thousands of years as well as the continuity of lived experience.

Despite Australian national heritage listing in 2007, this cultural landscape continues to be threatened by industrial development. Rock art on the eastern side of the archipelago, on the Burrup Peninsula, was relocated following the discovery of adjacent off-shore gas reserves so that a major gas plant could be constructed. Work has now begun on the construction of a second major gas plant nearby.

This article describes the rock art of the Dampier Archipelago and the troubled history of European-Aboriginal contact history, before examining the impact of industry on the region and its environment. The destruction of Aboriginal rock art to meet the needs of industry is an example of continuing indifference to Aboriginal culture. While the complex struggle to protect the cultural landscape of the Burrup, in particular, involving Indigenous people, archaeologists, historians, state and federal politicians, government bureaucrats and multi-national companies, eventually led to national heritage listing, it is not clear that the battle to save the Burrup has been won.
Negotiating the Nation: Knowledge and Meaning at Vaucluse House in its First Curatorial Period
Authors: McClean Susan
Published: June 2017

Inaugurated during World War I, Vaucluse House museum aimed to educate visitors of the work of nineteenth century parliamentarian William Charles Wentworth, in particular his role in the installation of responsible government in New South Wales, indeed his writing of the first Constitution, for this and other Wentworth projects were among those which underpinned twentieth century democracy. This article uses museum theory concerning the character of the modern disciplinary museum, and also the tendency of that institution to shape knowledge, to investigate the experience offered to audiences at Vaucluse House over the museum’s first curatorial period. It argues that, in the context of war and an official need to press empire nationalist identity, particular curatorial practices and museological assumptions shaped the themes available and assumed certain audience responses. In the absence of any contemporary methods for assessing museum work in detail, the decision to install a major thematic display of constitutional history intermingled with a house museum interpretation produced mixed messages. Unexpected new evidence and ingenuous curatorial expansion of the rooms available for inspection soon produced unintended consequences. In a changing historical and cultural context, the major theme and rationale of the museum began to be undermined and the house museum interpretation began to dominate. It was this focus which was finally and belatedly endorsed by the museum Trustees in the mid 1950s.
Talking About History: A Case for Oral Historiography
Authors: Clark Anna
Published: June 2017

The history wars are far from over—the question is, do they resonate beyond the limited public sphere in which they play out? What do Australians think of their history in light of these politicised historical debates? By way of answer, this paper examines the enduring public contest over the past and then investigates more elusive, but no less significant, everyday conversations about Australian history around the country. By proposing a method of ‘oral historiography’ to gauge contemporary historical understandings in Australia, it brings a critical new perspective to these ongoing debates. It offers ordinary people a chance to contribute to national discussions about Australian history and it challenges some of the more simplistic and troubling assumptions of the history wars.