bluuebunny/crossref_metadata_2025 huggingface dataset:
Analysis of North Sea Offshore Wind Power Variability
Authors: Buatois Aymeric , Gibescu Madeleine , Rawn Barry , Van der Meijden Mart
Published: May 2014

This paper evaluates, for a 2030 scenario, the impact on onshore power systems in terms of the variability of the power generated by 81 GW of offshore wind farms installed in the North Sea. Meso-scale reanalysis data are used as input for computing the hourly power production for offshore wind farms, and this total production is analyzed to identify the largest aggregated hourly power variations. Based on publicly available information, a simplified representation of the coastal power grid is built for the countries bordering the North Sea. Wind farms less than 60 km from shore are connected radially to the mainland, while the rest are connected to a hypothetical offshore HVDC (High-Voltage Direct Current) power grid, designed such that wind curtailment does not exceed 1% of production. Loads and conventional power plants by technology and associated cost curves are computed for the various national power systems, based on 2030 projections. Using the MATLAB-based MATPOWER toolbox, the hourly optimal power flow for this regional hybrid AC/DC grid is computed for high, low and medium years from the meso-scale database. The largest net load variations are evaluated per market area and related to the extra load-following reserves that may be needed from conventional generators.
GPR Raw-Data Order Statistic Filtering and Split-Spectrum Processing to Detect Moisture
Authors: Kilic Gokhan
Published: May 2014

Considerable research into the area of bridge health monitoring has been undertaken; however, information is still lacking on the effects of certain defects, such as moisture ingress, on the results of ground penetrating radar (GPR) surveying. In this paper, this issue will be addressed by examining the results of a GPR bridge survey, specifically the effect of moisture in the predicted position of the rebars. It was found that moisture ingress alters the radargram to indicate distortion or skewing of the steel reinforcements, when in fact destructive testing was able to confirm that no such distortion or skewing had occurred. Additionally, split-spectrum processing with order statistic filters was utilized to detect moisture ingress from the GPR raw data.
Object Tracking Using Adaptive Covariance Descriptor and Clustering-Based Model Updating for Visual Surveillance
Authors: Qin Lei , Snoussi Hichem , Abdallah Fahed
Published: May 2014

We propose a novel approach for tracking an arbitrary object in video sequences for visual surveillance. The first contribution of this work is an automatic feature extraction method that is able to extract compact discriminative features from a feature pool before computing the region covariance descriptor. As the feature extraction method is adaptive to a specific object of interest, we refer to the region covariance descriptor computed using the extracted features as the adaptive covariance descriptor. The second contribution is to propose a weakly supervised method for updating the object appearance model during tracking. The method performs a mean-shift clustering procedure among the tracking result samples accumulated during a period of time and selects a group of reliable samples for updating the object appearance model. As such, the object appearance model is kept up-to-date and is prevented from contamination even in case of tracking mistakes. We conducted comparing experiments on real-world video sequences, which confirmed the effectiveness of the proposed approaches. The tracking system that integrates the adaptive covariance descriptor and the clustering-based model updating method accomplished stable object tracking on challenging video sequences.
Assessing the Financial Sustainability of China’s Rural Pension System
Authors: Wang Lijian , Béland Daniel
Published: May 2014

Considering the rapid growth of China’s elderly rural population, establishing both an adequate and a financially sustainable rural pension system is a major challenge. Focusing on financial sustainability, this article defines this concept of financial sustainability before constructing sound actuarial models for China’s rural pension system. Based on these models and statistical data, the analysis finds that the rural pension funding gap should rise from 97.80 billion Yuan in 2014 to 3062.31 billion Yuan in 2049, which represents an annual growth rate of 10.34%. This implies that, as it stands, the rural pension system in China is not financially sustainable. Finally, the article explains how this problem could be fixed through policy recommendations based on recent international experiences.
Overview of the Current State-of-the-Art for Bioaccumulation Models in Marine Mammals
Authors: Weijs Liesbeth , Hickie Brendan , Blust Ronny , Covaci Adrian
Published: May 2014

Information regarding the (toxico)kinetics of a chemical in organisms can be integrated in mathematical equations thereby creating bioaccumulation models. Such models can reconstruct previous exposure scenarios, provide a framework for current exposures and predict future situations. As such, they are gaining in popularity for risk assessment purposes. Since marine mammals are protected, the modeling process is different and more difficult to complete than for typical model organisms, such as rodents. This review will therefore discuss the currently available models for marine mammals, address statistical issues and knowledge gaps, highlight future perspectives and provide general do’s and don’ts.
L’enchevêtrement des questions épistémologiques, morales et religieuses chez Pierre Bayle
Authors: McKenna Antony
Published: May 2014

L’oeuvre de Bayle est appréhendée ici comme la mise en évidence d’une problématique qui ne naît pas de l’importation d’idées anglaises mais surgit du coeur même de la philosophie classique – cartésienne, malebranchiste – dans les efforts qu’elle fait pour constituer une nouvelle «philosophie chrétienne » , «servante de la foi » , se substituant ainsi au thomisme. C’est dire que Bayle explore les apories du rationalisme théologique proposé par ses contemporains dans le sillage de Malebranche : il tient le malebranchisme pour la philosophie chrétienne la plus accomplie, mais souligne néanmoins qu’elle est vulnérable à des objections insolubles. Ayant d’abord, dans le Commentaire philosophique, érigé en loi absolue le rationalisme moral – indépendant de la foi – comme le fondement de sa doctrine de la tolérance, il sera conduit par les attaques de Jurieu à souligner le caractère irrationnel de la foi chrétienne, qui se définit par des propositions logiques et morales absolument contraires à la raison. Ensuite, déclare-t-il dans les

Éclaircissements, il soumet sa raison à cette «folie de la croix » . Cette soumission est contraire au rationalisme moral du Commentaire : comment expliquer ces déclarations contradictoires ? Nous proposons une contextualisation historique – politique et religieuse – qui peut fournir la clef de ces incohérences apparentes.
Visible-light photoredox catalyzed synthesis of pyrroloisoquinolines via organocatalytic oxidation/[3 + 2] cycloaddition/oxidative aromatization reaction cascade with Rose Bengal
Authors: Vila Carlos , Lau Jonathan , Rueping Magnus
Published: May 2014

Pyrrolo[2,1-a]isoquinoline alkaloids have been prepared via a visible light photoredox catalyzed oxidation/[3 + 2] cycloaddition/oxidative aromatization cascade using Rose Bengal as an organo-photocatalyst. A variety of pyrroloisoquinolines have been obtained in good yields under mild and metal-free reaction conditions.
Temps, espace et soins à l'adolescence
Authors: Jeammet Philippe
Published: May 2014

Cet article développe l’idée que la psychopathologie est la manifestation d’un besoin de maîtrise qui fige le temps. Les nouvelles formes de souffrance narcissique en appellent à un aménagement d’espaces qui offrent à la fois sécurité et jeu sur les différences.
Dans l'intervalle : médiations symboliques et construction du temps
Authors: Zittoun Tania
Published: May 2014

Cet article propose une perspective socioculturelle du développement psychologique pour examiner la manière dont des personnes construisent une expérience de la temporalité, et la restaurent lorsque celle-ci est compromise. L’argument central est que ce travail temporel se fait par la médiation de moyens sémiotiques que la culture met à notre disposition. Il est illustré par l’analyse d’une étude de cas, offert par le journal de guerre d’une jeune fille anglaise. L’article montre comment des repères sociaux offrent des balises permettant de ponctuer le temps qui passe, comment une personne peut faire appel à des romans ou des films pour restaurer cette temporalité, et enfin comment elle peut jouer avec l’expérience même du temps.
Faire advenir l'effet : le moment opportun en psychothérapie dans le miroir de la Chine
Authors: Lê Quang Duc
Published: May 2014

En suivant les thèses du sinologue François Jullien, nous confrontons deux visions du monde sur les interventions de crise. Celle de la Grèce antique qui glorifie le sujet, l’action et la volonté pour affronter le monde suivant un plan qu’elle a pensé et projeté sur la situation : elle bâtit le monde. Et celle de la Chine qui s’efface au point de se fondre dans le cours des choses pour mieux faire advenir leurs effets en anticipant sur le pas encore visible : elle transforme le monde.
Le concept de forme dans la philosophie de Spinoza
Authors: Ofrath Yehouda
Published: May 2014

Le concept de forme, qui, avec ses dérivés (« former », « formel », etc.), apparaît à cent vingt-sept occurrences dans les écrits de Spinoza, fait-il pour lui partie d’une terminologie philosophique traditionnelle, ou bien lui confère-t-il un sens original, différent de celui que connaît la tradition ? Une réponse affirmative à la première question expliquerait le manque d’intérêt des commentateurs. Une réponse affirmative à la seconde question constitue le but de cet article, qui entend montrer que ce concept, dans ses multiples occurrences, désigne chez Spinoza univoquement ce qui constitue l’être réel de la chose singulière par l’actualisation de la substance dans des formes qui constituent sa nature.
Ce que la liberté doit à la vérité dans la dernière philosophie de Schelling
Authors: Roux Alexandra
Published: May 2014

Dans ses derniers écrits, Schelling s’attache à penser non seulement ce qu’a d’irréductible la liberté comme telle, mais aussi ce que la liberté doit à la vérité. Pour démêler les rapports entre ces deux notions centrales, il faut tenir compte de deux lois, qualifiées de « suprêmes » et auxquelles rien ne saurait échapper, la règle de Justice et la loi de l’unité de l’être et de la pensée. Trois questions s’imposent alors : 1) Tout d’abord, celle de leur possible concurrence : comment deux lois peuvent-elles être également suprêmes ? 2) Celle de leur conciliation avec la liberté : comment peuvent-elles avoir force de lois à l’égard du Dieu libre sans que sa liberté soit par là même brimée ? 3) Celle de leur origine : si ces deux lois s’imposent à l’égard de Dieu même, d’où proviennent-elles ?
Personnalité et impersonnalité dans la religion
Authors: Nishitani Keiji , Takada Tadanori , Stevens Bernard
Published: May 2014

Traduction (par Tadanori Takada et Bernard Stevens) des sections 3 à 5 du deuxième chapitre de Qu’est-ce que la religion ? (Tôkyo, Éditions Sôbunsha, 1961), le maître ouvrage du philosophe japonais Keiji Nishitani (1900-1990). Ce chapitre porte sur l’essence de la personne divine et constitue une méditation autour de la pensée de Maître Eckhart ainsi que sur la notion néotestamentaire de kénose .
Un cours d'Auguste Comte d'après des notes inédites
Authors: Leboyer Olivia
Published: May 2014

Récemment découvert dans le fonds Parodi de la Fondation Nationale des Sciences politiques (Paris), un manuscrit d’une centaine de pages de notes prises à un cours donné par Auguste Comte au Palais-Cardinal en 1850 promet de nous éclairer sur l’importance de l’enseignement pour Comte et sur la place, dans le développement de sa pensée, des cours de 1849 à 1851.
L'acquisition de la causalité est-elle comparable chez tous les enfants ?
Authors: Martinot Claire
Published: May 2014

Les relations causales (cause et conséquence) sont considérées comme un phénomène linguistique complexe du fait de la très grande diversité des moyens d’expression qui leur sont dévolus. Elles sont, normalement, acquises au cours de la longue période des acquisitions tardives (4-12 ans). Cet article a pour objectif de montrer qu’au même âge, les enfants (28 enfants de 6 ans et 22 enfants de 10 ans) maîtrisent de façon extrêmement contrastée les relations causales selon qu’ils sont ou non stimulés linguistiquement dans leur milieu familial, et par conséquent « favorisés » (F) ou « défavorisés » (D) linguistiquement. Chaque enfant doit effectuer la même tâche, individuellement : raconter à l’expérimentateur l’histoire qui vient de lui être lue. Cette histoire renferme dix relations causales non marquées par un connecteur, ce qui rend leur repérage plus difficile. L’analyse des reformulations de ces relations causales montre que : 1. les enfants de 10 ans (F) reformulent plus souvent les relations causales, et avec des moyens linguistiques plus complexes, que les enfants de 6 ans (F) et (D) ; 2. Les enfants (D) de 6 et 10 ans reformulent en moyenne beaucoup moins ces relations causales que leurs pairs (F) de même âge ; 3. Chez les enfants (D), il n’y a pas de corrélation entre le nombre d’enfants qui reformulent une relation causale et le nombre d’enfants qui reformulent la ou les séquences narratives dans lesquelles se trouvent ces relations : certaines séquences narratives sont en effet reformulées par tous les enfants (D) sans qu’aucune relation causale, contenue pourtant dans les séquences en question, ne soit reformulée. 4. Le processus acquisitionnel est très net entre les enfants de 6 ans (F) et de 10 ans (F) ; il n’est pas visible entre les enfants de 6 ans (D) et de 10 ans (D).
A Pediatrician's View
Authors: Altemeier William A
Published: May 2014

Contrasts
A Pediatrician's View
Authors: Altemeier William A , Hodge Robert
Published: May 2014

"What's the Big Deal? My Practice Has Always Been Evidence Based."
Why Do We Have Paranasal Sinuses?
Authors: Altemeier William A , Ward Carol
Published: May 2014

A Pediatrician's View
High-Risk Adolescence
Authors: Shulman Stanford T
Published: May 2014

A Pediatrician's View
Reflections on September 11
Authors: Hassoun Abeer
Published: May 2014

I came to the United States with my husband eight years earlier, leaving the Middle East, looking for peace and a safe future for our daughter.
Lessons Learned Following the Anthrax Experience
Authors: Waasdorp Christine E
Published: May 2014

It was rapidly recognized we were unprepared to address this new problem fully.
from the guest editors
Authors: Blaschke Gregory S , Lynch Julia
Published: May 2014

THIS ISSUE

Terrorism: Its Impact on Primary Pediatrics, Part III
A 3-Year-Old Girl With Vomiting and a Sixth Nerve Palsy
Authors: Listernick Robert
Published: May 2014

On physical examination she was a healthy appearing girl who was very cranky when approached, diagnosed as having left otitis media.
Reflections on the Baby-Friendly Hospital Initiative
Authors: Yawman Daniel
Published: May 2014

Provide an optimal environment for the promotion, protection, and support of breastfeeding among nurses, residents, lactation consultants, and pediatricians.
A 13-year-old Boy Who Desires Gender Reassignment
Authors: Listernick Robert
Published: May 2014

Patient requested puberty blocking and hormone therapies. His medical history is significant for reported physical abuse.
A 30-month-old Boy with Developmental Regression and Hepatosplenomegaly
Authors: Listernick Robert
Published: May 2014

Asking the right questions of parents is extremely important, especially when dealing with alternative medical beliefs.
Neonatology, Then and Now
Authors: Shulman Stanford T
Published: May 2014

Substantial nutritional and technological improvements have been made in the field, creating a greater need for 'evidencebased ethics.'
The Tragedy of Young-Athlete Death
Authors: Shulman Stanford T
Published: May 2014

Cardiac and heat-related conditions are among the most catastrophic to young athletes.
A 9-year-old With Persistent Fever and Rash
Authors: Listernick Robert
Published: May 2014

Repeated histories, including travel, pets, and unusual additions to diet, should be taken for a child with a fever of unknown origin.
What's a Hospitalist?
Authors: Shulman Stanford T
Published: May 2014

Benefits and obstacles should be weighed when trying to develop an individual model.
Risk Evaluation in Pediatric Practice
Authors: Dennison Barbara A , Bayer Penny S
Published: May 2014

Aids in Prevention of Childhood Overweight
A 13-year-old Girl With Severe Heart Failure but No Chronic Symptoms
Authors: Listernick Robert
Published: May 2014

The left anterior descending coronary artery is markedly dilated in a tubular fashion, involving large segments of the artery, rather than focal.
Short Stuff
Authors: Shulman Stanford T
Published: May 2014

Modern research has led to increased knowledge surrounding the causes and treatments of short stature.
Idiopathic Short Stature in Children
Authors: Miller Bradley S , Zimmerman Donald
Published: May 2014

Despite a lack of clear etiology or diagnostic tests, treatment for this condition should not be withheld
Questions About Complementary and Alternative Medicine Need Answers
Authors: Jones-Jobst Sian
Published: May 2014

Traditional training may leave residents with little first-hand knowledge of nontraditional therapies.
Environmental Risks in Childhood
Authors: Etzel Ruth A
Published: May 2014

Assessing danger requires consideration of differences in exposure, absorption, metabolism, and organ development.
Does Anything Beat DEET?
Authors: Roberts James R , Reigart J Routt
Published: May 2014

Studies show wide variations in efficacy among common insectrepellent methods.
from the guest editor
Authors: Frenkel Lawrence D
Published: May 2014

THIS ISSUE

Immunization Issues of the 21st Century, Part I
A 17-year-old Boy Previously Diagnosed With Chronic Lyme Disease
Authors: Listernick Robert
Published: May 2014

Patient complained of low-grade fevers, headaches, pharyngitis, and suspected his mother was trying to poison him.
A 6-week-old Girl With Group B Streptococcal Meningitis
Authors: Listernick Robert
Published: May 2014

The infant had a low birth weight and appeared hypotonic with poor head control at physical examination.
Rates of Neisseria Meningitidis: Increasing in Young Adults
Authors: Gaur Sunanda , Malhotra Amisha , Whitley-Williams Patricia
Published: May 2014

Routine use of meningococcal vaccine may prevent significant morbidity.
Tracking Immunization
Authors: Hinman Alan R
Published: May 2014

Registries become more crucial as vaccination schedules become more complex.
Ethical Pediatrics
Authors: Shulman Stanford T
Published: May 2014

Clinicians can find themselves facing many different ethical considerations in their everyday practices.
Observations on Otitic Observation
Authors: Shulman Stanford T
Published: May 2014

Advances in treatment options for otitis media mean a 'less-is-more' approach for pediatricians.
Evaluating Child Sexual Abuse
Authors: Giardino Angelo P , Finkel Martin A
Published: May 2014

A complete medical history and careful physical examination are critical to both identification and investigation.
Vaccines for Sexually Transmitted Infections
Authors: Rupp Richard E , Stanberry Lawrence R , Rosenthal Susan L
Published: May 2014

Development efforts focusing on prevention of disease transmission.
The Power of Words
Authors: Woods Jennifer Leigh
Published: May 2014

Taking the time to talk to adolescent patients can be crucial in helping with both treatment and prevention.
Using a Registry to Improve Immunization Delivery
Authors: Kairys Steven W , Gubernick Ruth S , Millican Adrienne , Adams William G
Published: May 2014

Efficiency and ease of use make registries ideal tools for managing primary care immunization services
Linking Practices With Community Programs to Improve Immunization Rates
Authors: Rizzo Christopher
Published: May 2014

Case management techniques can help increase patient recall rates through specialized outreach
guest editorial
Authors: Rosenberg Maris D
Published: May 2014

THIS ISSUE:

Therapeutic Approaches to Developmental Disabilities in Young Children
guest editorial
Authors: Arnold L Eugene
Published: May 2014

THIS ISSUE: Child and Adolescent Psychopharmacology: Then, Now, and the Future
guest editorial
Authors: Sheehan Karen
Published: May 2014

THIS ISSUE: Pediatric Advocacy
Family Group Meetings-Strengthening A Partnership
Authors: Strow Celia , Mackreth Robert
Published: May 2014

The family and gerontological nursing
Separation of Generations-Who Benefits?
Authors: Rauseo Louise
Published: May 2014

The family and gerontological nursing
KNOW YOUR COMMUNITY RESOURCES
Authors: Frady Lois
Published: May 2014

A Nursing Liaison Program Between a Center for the Aged and an Acute Hospital
Network Support for the Aged: The Viable Alternative to Institutionalization
Authors: Moulthrop Holly E , Roxborough Janet
Published: May 2014

Know \bur Community Resources
Issues and Ethics in Gerontic Nursing
Authors: Gunter Laurie M , Heckman Lois H , Moser Dorothy H , Fasano Marie A
Published: May 2014

This article is based on a symposium presented at the Gerontological Society's 31st Annual Scientific Meeting, Dallas, Texas, November 19, 1978. It was organized by Laurie M. Gunter. Remarks are summarized from each of the discussions presented.
GOVERNANCE and GERONTOLOGICAL NURSING in SCHOOLS of NURSING
Authors: Gress Lucille D
Published: May 2014

GERONTOLOGICAL NURSING: AN INDEPENDENT STUDY APPROACH
OLD AGE STEREOTYPING: A Comparison of Nursing Staff Attitudes Toward the Elderly
Authors: Devine Barbara A
Published: May 2014

This descriptive study compares the opinions of nursing staff from two geriatric settings in an effort to explore the degree of stereotyping of the elderly.

Many progressive geriatric institutions have attempted to manipulate the total milieu of the residents in an effort to lessen the pernicious effects of institutionalization. It is hoped that new rehabilitative programs will develop networks of formative relationships for the resident. Moreover, in many circumstances "milieu therapy" should instill in the residents feelings of worth and independence that will result in an increase in functional abilities. Nursing staff attitudes must be positive and constructive in an effort to form a therapeutic environment.

The two settings differed in that one institution, a geriatric hospital had initiated milieu therapy, whereas the other, a private nursing home, had not yet set into motion the program, although they were in the planning stages.

Data was collected by using a questionnaire developed by Ontario Welfare Council that measured opinions toward the elderly. A sample size of 97 nursing staff, (registered nurses, certified nursing assistants, and nursing orderlies) were used, most specifically to measure the degree of stereotyping of the elderly.

The results from a three-factor analysis of variance with age as a covariate did not indicate any statistically significant differences in attitudes toward the elderly between the nursing staff in both institutions.
Role of the Gerontological Clinical Nurse Specialist at Whittier Hospital
Authors: Mummah Hazel
Published: May 2014

Abstract

Whittier Hospital, an acute care facility with some 200 beds, serves a community in which 19% of its people are older than 65 years of age. One of the ways in which Whittier Hospital is attempting to improve care for elderly patients is in establishing an Intensive Gerontology Unit (IGU) for the creation of a more effective model for the delivery of acute care to the aged. The author is responsible for the implementation and evaluation of this new concept. As the Clinical Nurse Specialist in Gerontology (CNSG), the author's role includes: (1) clinician, devising strategies to meet the unique needs of the aged and their families; (2) administrator, collaborating with administrative personnel in formulating the ICU's policies and procedures; (3) educator, teaching content to modify attitudes and enhance attributes; (4) researcher, designing techniques to evaluate the efficacy of the unit; and (5) community liaison, interfacing with the community to publicize the unit. As the IGU became stabilized, the role of the CNSG expanded to provide assistance to nurses and other interdisciplinary team members involved in delivery of care to the aged on the other units of the hospital and in the special services for the aged, including Hospice, Adult Day Care, Home Health, and long-term care facilities.
A Symposium on Long Term Care
Authors: Brower H Terri , Solomon Jeffrey , Tappen Ruth M
Published: May 2014

As experts and specialists in the field of gerontological care, Drs. Brower, Solomon, and Tappen are especially concerned about the ramifications and problems of serving the elderly. The three specialists agreed to share their concerns with the readers of the JOURNAL OF GERONTOLOGICAL NURSING. The following discussion, recorded by Eric Baloff in Miami, raises many provocative and relevant issues. Readers are urged to respond to the many points raised in this far-ranging discussion.
Prevalence of Confusion in Elderly Hospitalized Patients
Authors: Chisholm Sheron E , Deniston O Lynn , Igrisan Rochelle M , Barbus Amelia J
Published: May 2014

Abstract

Incidence and prevalence of confusion in a sample of hospitalized patients over age 60 was studied in a general hospital in northern Michigan. Fifty-five out of 99 patients studied during two study periods of 22 and 24 days respectively were found to have acute confusion. Data were gathered by the use of interviews, chart review, and observation. The daily prevalence rate was 5.5% and similar prevalence and severity was found on all three shifts. Only five of the 55 patients were labeled confused on admission and average onset was si ? and one-half days after admission. A high nurse-patient ratio and "no nursing station" concept of care was credited for the low incidence of acute confusion.
The Importance of Personal Possessions in the Lives of the Institutionalized Elderly
Authors: Holzapfel Sally Kennedy
Published: May 2014

Abstract

Much has been written about the institutionalization of the elderly with recommendations for improvement of care. This paper will explore if and to what extent personal possessions can help provide a more meaningful existence for the institutionalized elderly.
Blood Pressure Readings and Selected Parameter Relationships on an Elderly Ambulatory Population
Authors: Bahr Rose Therese , Gress Lucille
Published: May 2014

Abstract

A descriptive study of blood pressure readings and selected parameter relationships was conducted on an elderly ambulatory population in an urban midwestern community. From a total population of 3,000 elderly citizens who frequented the blood pressure screening clinics sponsored by a local health department, a convenience sample of 526 male and female subjects was stuthed. Variables in the study included blood pressure readings, weight, age, sex, activity level, smoking habits, patterns, medication and exercise regimen, and self-knowledge of hypertension and related factors.

Findings of this study reflect the need for further research on the norms of blood pressure readings of elderly persons, their ability to adapt to their own environment, and the importance of health education for self-care.
Socio-Economic Factors and Their Effects on the Nutrition and Dietary Habits of the Black Aged
Authors: Bailey Ferelene E , Walker Marcus L
Published: May 2014

Abstract

A review of selected literature was conducted to examine the socio-economic and nutritional status of the black elderly. Strong evidence that links adverse dietary habits to socio-economic factors is presented. The authors relate these to the group that is most affected by this - the elderly black poor. They discuss what needs to be done to develop processes and programs that promote and protect the nutritional health of the nation's black elderly.
The Effect of an Exercise Program on Self-Care Activities for the Institutionalized Elderly
Authors: Karl Cherry A
Published: May 2014

Abstract

A range-of-motion exercise program was carried out experimentally using ten elderly residents of an intermediate care facility in the State of Virginia. The effects on independence in self-care activities were measured against a control group. The treatment program consisted of eight exercise classes ranging over a four-week period. The control group did not perform any of the exercises assigned in the treatment program.

Both groups were pre- and post-tested using The Performance Test of Activities of Daily Living, an observational instrument designed to test 16 separate tasks of daily living. The exercise group showed no significant differences, however, in post-testing of their independent self-care abilities. Only two residents showed improvement when tested individually.

It is suggested that the limitations of the study be taken into account when the results are considered.
Nursing Innovation for Dry Skin Care of the Feet in the Elderly: A Demonstration Project
Authors: Brown Martha M , Boosniger Jeannene , Black Joyce , Gaspar Timothy , Sather Linda
Published: May 2014

Abstract

Dry skin of the feet, a complaint of the elderly, can be effectively combated with a simple nursing procedure using foot soaks and topical mineral oil application. Thirty-one residents in Nebraska nursing homes were evaluated before and after a two-week program of foot soaks and mineral oil applications. All participants had significant improvement of dry skin of the feet with secondary softening of nails and callouses.
Movement, Music, and Remotivation with the Regressed Elderly
Authors: Needler Willa , Baer Mary Ann
Published: May 2014

ABSTRACT: This paper presents the techniques of music, movement, and remotivation as they are used with the regressed elderly in a longterm care facility. These modalities are offered on a daily basis, with the intent to maintain, stimulate, and reinvolve residents in activities of daily living. The specifics of including music and movement within a remotivation structure are delineated and the beneficial results of this work are noted.
The Problem of Financing the Social Security System
Authors: Chow Rita K
Published: May 2014

Is the Social Security system financially sound in its present form and is the funding of the system rationally based?
AUNT EDNA AND THE NURSING HOME
Authors: DePaul Alice V
Published: May 2014

Gain new insights into better holistic care of the elderly-talk to an older person.
Group Leader-Are you a controller?
Authors: Tappen Ruth M , Touhy Theris A
Published: May 2014

Controlling and condescending behavior may interfere with group progress. Learn instead how to enhance autonomy and self-esteem in the elderly.
Resource Materials
Authors: Burnside Irene M
Published: May 2014

Aids for Teaching, Learning, and Caring for Individuals Affected by Cognitive Losses
IMPROVING BALANCE: Therapy of Movement
Authors: Roberts Beverly L , Fitzpatrick Joyce J
Published: May 2014

You can help aged clients to rock their balance problems away.
PATIENT FALLS ARE NOT PATIENT ACCIDENTS
Authors: Barbieri Ellen B
Published: May 2014

You can't prevent all falls - but you can learn to identify the characteristics of high- risk patients.
VISION IN THE ELDERLY
Authors: Sullivan Nancy
Published: May 2014

Although visual function usually declines with age, the older adult can be taught to cope with the physiologic change. Make enhancement of vision in the elderly your nursing focus.
QUALITY ASSURANCE
Authors: Kraft Margaret Ross
Published: May 2014

A Veterans Administration nurse tells how to recognize and overcome conceptual and practical problems of QA in long-term care by using an interdisciplinary approach.
THE CHALLENGE OF RESEARCH
Authors: Robb Susanne S
Published: May 2014

Learn how research-based solutions can provide a more valid basis for your practice from this case study.
HYPER GLYCEMIA IN THE AGED
Authors: Smokvina Gloria J , Givens Rhoda M
Published: May 2014

The hyperosmolar syndrome and its management depends on early recognition and prompt correction of the symptoms.
HELPING THE RESOURCE POOR
Authors: Kelly Gerald , Ruano Beth
Published: May 2014

The patient with few family resources relies on facility staff to fill the gap.
SLEEP-WAKE PATTERNS
Authors: Bahr Rose Therese
Published: May 2014

IN THE AGED
Unify for Professional Practice
Authors: Hegyvary Sue Thomas
Published: May 2014

Decades of the existence of nursing as a task oriented occupation make ours an uphill struggle.
Russia: The Soviet Health Care System for the Aged
Authors: Gioiella Evelynn C
Published: May 2014

First person accounts of people meeting people show the level of communication possible between two diversely structured nations.
A Continence Clinic For The Aged
Authors: Brink Carol , Wells Thelma , Diokno Anamias
Published: May 2014

The loss of selfesteem resulting from loss of urine control can be devasting. Preventive nursing care provides solutions.
THE TOUCH OF LOVE
Authors: Frank Sandra J
Published: May 2014

Contact with the animal world via the pet can be crucial to bridging the communication barriers.
DOES REALITY ORIENTATION WORK?
Authors: Campos Rosemary Gates
Published: May 2014

What components of reality orientation are necessary to produce desired changes in patient status?
Who Cares About MR. D?
Authors: Ewing Elizabeth Ann
Published: May 2014

In order for the single elderly to adapt successfully, nurses need to assess the social interaction and support structures available for these clients.
EXTENDED-WEAR CONTACT LENSES: What Nurses Should Know
Authors: Hall Susan Strinden
Published: May 2014

When the aged use extended-wear lenses, nurses must be alert to problem detection.
Three Strikes! Against Her Female, Old, and. . .Drunk
Authors: King Kathleen Stroman
Published: May 2014

Isolation and loneliness can lead to alcoholism for some elderly.

Nursing care is needed to identify and solve the problems.
HELEN, Can You Hear Me ?
Authors: Zachow Kathleen M
Published: May 2014

Establishing rapport with non-communicative disoriented elders requires extensive patience and application of combined stimuli.
What Do Nurses Know About CONFUSION in the Aged?
Authors: Lincoln Ruth
Published: May 2014

Nurses and nursing home personnel need to learn to differentiate between reversible and irreversible confusion in the aged.
Sleep Appnea
Authors: Hayter Jean
Published: May 2014

Cause for Concern
Establishing A Resource for Care of the Aged
Authors: Martinson Ida
Published: May 2014

Nursing must take a more vigorous role in the research for care of the aged, as principal investigators, peer reviewers, and as council members.
Debating Euthanasia: An International Perspective
Authors: Helm Ann
Published: May 2014

Death has become a high-tech issue with the locus not in the home but in an institution. The value and quality of life is viewed from several vantage points.
INCONTINENCE: Defining the Nursing Role
Authors: Long Mary Lou
Published: May 2014

The way you react to your clients' incontinence influences their attitudes about the problem.
OSTEOPOROSIS IS IT INEVITABLE?
Authors: Miller Grace
Published: May 2014

Studies currently underway focus on determining methods for prevention and treatment of this debilitating condition.
PRAISE ELDERS TO HELP THEM LEARN
Authors: Pease Ruth A
Published: May 2014

Will the use of praise in conjunction with programmed learning affect all elderly learners equally?
THE DESPAIR OF THE HOMELESS AGED
Authors: Boondas Jennifer
Published: May 2014

Millions of homeless people walking our city streets has provoked a public outcry. Where does the responsibility lie?
A New Idea? Not Really
Authors: Butrin JoAnn
Published: May 2014

But, will a time-tested British plan work here...
WHICH CLIENT is a HIGH RISK?
Authors: Venglarik Judith M , Adams Mary
Published: May 2014

Gerontological nursing interventions for patient safety to prevent falls are based on research, observation, and knowledge of the capabilities of clients. In some cases when the literature shows conflict in research results, gerontological nurses must compile aspects of the data that are pertinent. They must then combine that information with common sense to affect a change. The resulting information may suggest using methods such as environmental manipula' tion to reduce hazards facing elderly patients.
GERONTOLOGICAL NURSING GETS EXPERT HELP ON USING THE NEWS
Authors: Kalisch Philip A , Kalisch Beatrice J
Published: May 2014

Gaining public support for gerontologital nursing polities requires educating consumers about contributions made and the benefits derived. To do this nurses ton use mass media.
Make a Safe Environment By DESIGN
Authors: Andreasen Mary Eileen K
Published: May 2014

Too often the design and decor of long term care facilities are arranged for purposes of upkeep and to please corporate owners, rather than to motivate the residents . . . the aged.
How Well Do Your Clients COPE WITH HEARING LOSS?
Authors: Calvani Dorothy
Published: May 2014

Some aged clients cope well with hearing loss and just need encouragement and support from you. Others require total gerontological nursing intervention to expedite resources they need.
An Unchanging Culture
Authors: Lewis Susan , Messner Roberta , McDowell William A
Published: May 2014

APPALACHIAN CULTURE DATES BACK HUNDREDS OF YEARS. GERONTOLOGICAL NURSES MUST FIND WAYS TO COMMUNICATE WITH THESE MOUNTAIN ELDERLY
Attitudes Affect QUALITY CARE
Authors: Knowles Lois N , Sarver Vernon T
Published: May 2014

Tomorrow's gerontological nurses are being groomed in today's baccalaureate nursing programs. What can be done to encourage interest in the growing specialty of gerontology?
TARDIVE DYSKINESIA: ARE YOUR OLDER CLIENTS AT RISK?
Authors: Engle Veronica F , Whall Ann , Dimond Cindy , Bobel Lynn
Published: May 2014

The syndrome of tardive dyskinesia is a side effect of neuroleptic medication given to mentally disturbed older adults. Learn what to look for in clients having trouble with daily activities.
NURSING DIAGNOSIS: An Essential Step to Quality Care
Authors: Hallal Janice C
Published: May 2014

Assessing patient concerns and symptoms leads to valuable information necessary for valid treatment.
TEMPORARY RELOCATION: IS IT STRESSFUL TO YOUR PATIENTS?
Authors: Engle Veronica
Published: May 2014

The advent of prospective payment systems has prompted acute-care facilities to discharge older adult patients earlier in their postoperative periods. As a result, these patients are arriving at long-term care centers for short-term stays. What affect does this "institutionalization" have on previously well, and otherwise healthy, individuals?
Convey Respect During Bathing Procedures (Patient Well-Being Depends On It!)
Authors: Wagnild Gail , Manning Roger W
Published: May 2014

Some areas must be improved when nurses' aides supervise this routine procedure. Patients' needs include maintenance of dignity.
Recognition of Psychiatric Symptoms in DEMENTIA
Authors: Lucas Mary Jane , Steele Cynthia , Bognanni Arlene
Published: May 2014

Psychiatric conditions accompanying dementia may go untreated unless nurses learn to recognize and document the syndromes seen.
NURSING CARE NEEDS ARE CHANGING IN FACILITIES WITH RISING PATIENT ACUITY
Authors: Stull Mary K , Vernon JoEtta A
Published: May 2014

Patients coming to nursing homes from acute care institutions are sicker than ever before. The acuity index for residents of long-term care centers is expected to stay high as long as the current prospective payment system is in place.
LEARNING NEEDS OF CAREGIVERS
Authors: Hirst Sandra P , Metcalf Barbara J
Published: May 2014

Meeting the information needs of the family enables them to continue to support their relative within the confines of the institutional setting. Maintaining family involvement in the care of the older patient is a goal of the nursing care plan.
Late Life Depression: A Guide for Assessment
Authors: St Pierre Jeanne , Craven Ruth F , Bruno Pauline
Published: May 2014

Despite being the most prevalent psychiatric disorder in the elderly, depression has been the most underdiagnosed and undertreated.
Investigating Tools to Aid in Restorative Care for Alzheimer's Patients
Authors: Doyle Glen C , Dunn Susan I , Thadani Indra , Lenihan Patricia
Published: May 2014

In this pilot project, the CADET and FROMAJE were used to assess patients on a special care Alzheimer's unit in a skilled nursing facility.
Effects of Biofeedback and Urinary Stress Incontinence in Older Women
Authors: Taylor Kathleen , Henderson Jane
Published: May 2014

The rising cost of health care is promoting a swing back to prevention and self-care programs.
THE REALITIES OF BODY IMAGE
Authors: Janelli Linda M
Published: May 2014

The older individual may have to make more adaptations to altered body image, especially in light of the American culture's emphasis on youth, beauty, and wholeness.
Measuring Blood Pressure via Sensory Detection
Authors: Downey Kathy King , Davis Bonnie K
Published: May 2014

A Good Technique for Elderly People
ON LONELINESS AND THE ELDERLY
Authors: de la Cruz Lourdes A D
Published: May 2014

Loneliness in the elderly is a problem commonly encountered in nursing situations. This article addresses what loneliness is and the concepts underlying the problem; the relationship of loneliness to social isolation, powerlessness, and decreased self-esteem; and nursing interventions to resolve the problem. Examples are given and an exploration of loneliness as an iatrogenic emotional problem is undertaken.
NURSING HOME WITHOUT WALLS
Authors: Goto Lavinia , Braun Kathryn
Published: May 2014

The common goal of the Hawaii-based Nursing Home Without Walls program is to prevent or delay institutionalization of the patient. NHWW provides health and social services to Medicaid recipients of any age who are certifiably in need of nursing home care, but who wish to receive long-term care services m their homes.
ADDING TO THE EDUCATIONAL AGENDA
Authors: Bahr Rose Therese
Published: May 2014

The ethicolegal dilemmas of today, if not resolved, will become our ethicolegal dilemmas of the future. Human dignity and respect of older adults must become our immediate agenda for action within schools.
LEGAL IMPLICATIONS OF INCREASED AUTONOMY
Authors: Marks David T
Published: May 2014

The emerging awareness by lawyers of the professional yardstick (standards of care) by which the conduct of a professional nurse can be measured, along with a new-found realization on the part of consumers, heralds the arrival of a new legal frontier.
GUIDELINES FOR DECISION MAKING
Authors: Smith Danniece , Weaver Beth
Published: May 2014

These case studies could represent the dozens of different stories which serve to illustrate how health policy affects the day to day living of the elderly.
THE Respite Care Alternative
Authors: Looney Kathleen M
Published: May 2014

Respite programs offer the care giver chance to take care of personal business just relax and rejuvenate and then return with brighter outlook and renewed energy.
TAPPING A WEALTH OF DATA
Authors: Travis Shirley S
Published: May 2014

Agencies and organizations have a bounty of information for basic and applied research.
NURSING PROCESS IN INJURY PREVENTION
Authors: Parsons Mary Tracy , Levy Jeannette
Published: May 2014

Using an organized home-safety assessment tool can assist in identifying personal and environmental risk factors for elderly clients.
Nursing Model & Research Compatibility: Concerns and Possibilities
Authors: Wells Thelma J
Published: May 2014

Questions regarding improvement of nursing quality drive research, which produces new knowledge, disseminated through education and utilized in practice. The cycle spirals toward better questions, better research, better knowledge, better care.
Dress and Self-Esteem
Authors: Pensiero Marcine , Adams Mary
Published: May 2014

Longevity of life has more value when there is quality to living, a sense of well-being, and some normalcy. Dress can be an important link to the outside world.
Quality Monitoring in Nursing Homes
Authors: Roberts Kathryn L , LeSage Joan , Ellor Janet Radtke
Published: May 2014

Nursing home nurses have a great need for quality monitoring instruments that incorporate professional nursing standards.
TRAUMA IN THE ELDERLY
Authors: Bobb Judith K
Published: May 2014

The elderly often die as a result of injuries of relatively low severity.
AGITATION BEHAVIORS IN CONFUSED ELDERLY PATIENTS
Authors: Struble Laura M , Sivertsen Lynn
Published: May 2014

To alleviate the agitated elder's sense of distress as well as that of the healthcare providers when dealing with the behavioral crisis of agitation, it is vital to appropriately assess and effectively intervene.
BOWEL MANAGEMENT PLAN FOR THE HOMEBOUND ELDERLY
Authors: Ellickson Ellen B
Published: May 2014

By implementing a program of mild regular exercise, highfiber foods, and adequate fluid intake, a person's total lifestyle becomes healthier.
Validation of an ELISA for the concurrent detection of total antibodies (IgM and IgG) to Rift Valley fever virus
Authors: Ellis Charlotte E. , Mareledwane Vuyokazi E. , Williams Roy , Wallace David B. , Majiwa Phelix A.O.
Published: May 2014

Rift Valley fever virus (RVFV) infects humans and livestock, causing haemorrhaging andabortions in animals. Three major RVF epizootics have occurred in South Africa since the1950s and the outbreak in 2010 had a mortality rate of 10.7% in humans. Accurate and earlydetection is therefore essential for management of this zoonotic disease. Enzyme-linkedimmunosorbent assays (ELISAs) have been developed for the detection of either IgM or IgGantibodies to RVFV in animal sera. In this study, data are presented on the validation of adouble-antigen ELISA for the simultaneous detection of both classes of antibodies to RVFV ina single test. ELISA plates were coated with a recombinant nucleoprotein. The nucleoprotein,conjugated to horseradish peroxidase, was used as the detecting reagent. A total of 534 serafrom sheep and cattle were used in the validation. The sheep sera were collected during a RVFpathogenesis study at the Agricultural Research Council (ARC) – Onderstepoort VeterinaryInstitute and the cattle sera were collected during an outbreak of RVF in 2008 at the ARC –Animal Production Institute in Irene, Pretoria. The ELISA had a diagnostic sensitivity of 98.4%and a specificity of 100% when compared to a commercial cELISA. This convenient and fastassay is suitable for use in serological surveys or monitoring immune responses in vaccinatedanimals.
Efficacy of Mometasone Nasal Spray in Children with Snoring due to Adenoids
Authors: Gupta Vipan , Singh Sunder , Matreja Prithpal S
Published: May 2014

Background

Snoring and OSA is very commonly seen among the pediatric population, most commonly due to adenoid and tonsil hypertrophy which requires adenotonsillectomy. The effect of this surgery on the immunity is controversial. This study was planned to see any alternative therapy which can delay or avoid the surgery by providing symptomatic relief to the patient.

Objective

To see the effect of intranasal mometasone on nasal obstruction due to adenoids, hence relieving the OSA and snoring.

Design

Prospective and observational study.

Materials and methods

Fifty-five children having snoring and or OSA due to adenoids were given intranasal mometasone. The symptoms before and after treatment were compared using OSA 18 questionnaire.

Results

There was significant improvement in all the domains of OSA 18. The average total score showed improvement from 56.33 to 51.51 which is significant (p < 0.001).

Conclusion

The use of intranasal steroids is easy and effective method to improve nasal obstruction, snoring and OSA among children having adenoid hypertrophy.

How to cite this article

Gupta V, Gupta M, Matreja PS, Singh S. Efficacy of Mometasone Nasal Spray in Children with Snoring due to Adenoids. Clin Rhinol An Int J 2014;7(1):1-4.