bluuebunny/crossref_metadata_2025 huggingface dataset:
Simulation-Based Palliative Care Communication for Pediatric Critical Care Fellows
Authors: Brock Katharine E. , Tracewski Meghan , Allen Kristen E. , Klick Jeffrey , Petrillo Toni , Hebbar Kiran B.
Published: April 2019

Background:

Pediatric palliative care (PPC) education is lacking in pediatric critical care medicine (PCCM) fellowships, despite the desire of many program directors and fellows to expand difficult conversation training. Simulation-based training is an experiential method for practicing challenging communication skills such as breaking bad news, disclosing medical errors, navigating goals of care, and supporting medical decision-making.

Methods:

We describe a simulation-based PPC communication series for PCCM fellows, including presimulation session, simulation session, debriefing, and evaluation methods. From 2011 to 2017, 28 PCCM fellows participated in a biannual half-day simulation session. Each session included 3 scenarios (allowing for participation in up to 18 scenarios over 3 years). Standardized patients portrayed the child’s mother. PCCM and interprofessional PPC faculty cofacilitated, evaluated, and debriefed the fellows after each scenario. Fellows were evaluated in 4 communication categories (general skills, breaking bad news, goals of care, and resuscitation) using a 3-point scale. A retrospective descriptive analysis was conducted.

Results:

One hundred sixteen evaluations were completed for 18 PCCM fellows. Median scores for general communication items, breaking bad news, and goals of care ranged from 2.0 to 3.0 (interquartile range [IQR]: 0-1) with scores for resuscitation lower at 1.0 (IQR: 1.5-2).

Discussion:

This experiential simulation-based PPC communication curriculum taught PCCM fellows valuable palliative communication techniques although revealed growth opportunities within more complex communication tasks. The preparation, methods, and lessons learned for an effective palliative simulation curriculum can be expanded upon by other pediatric training programs, and a more rigorous research program should be added to educational series.
Pulmonary Langerhans cell histiocytosis in cats and a literature review of feline histiocytic diseases
Authors: Argenta Fernando Froner , de Britto Fernanda Cristina , Pereira Paula Reis , Rissi Daniel Ricardo , Gomes Cristiano , da Costa Fernanda Vieira Amorim , Pavarini Saulo Petinatti
Published: April 2019

Objectives

The aim of this study was to report the clinical, radiographic and pathological features of pulmonary Langerhans cell histiocytosis in four cats, and carry out a literature review of feline histiocytic diseases.

Methods

Necropsy reports archived at the Department of Veterinary Pathology of the Federal University of Rio Grande do Sul were reviewed. The clinical information was then obtained from the clinical records at the Veterinary Hospital. Routine samples had been collected during necropsy, fixed in 10% formalin, routinely processed for histology, and stained with hematoxylin and eosin. Samples of lung were submitted for bacterial and fungal culture. Tissue sections of lung underwent immunohistochemical testing for vimentin, pancytokeratin, CD18, CD3, CD79αcy, E-cadherin and Iba1.

Results

This disease affected mixed breed cats aged 7–14 years. Clinical signs consisted of severe mixed inspiratory and expiratory restrictive dyspnea, lethargy and anorexia. Thoracic radiographs revealed different lesion profiles, predominantly of an interstitial and alveolar pattern. Grossly, the lungs were diffusely firm and did not collapse. The pleural surface was bright and irregular due to multifocal-to-coalescent, well-demarcated, white, firm nodules that also extended into and obliterated the pulmonary parenchyma. Histological changes were characterized by poorly demarcated infiltration with histiocytic cells arranged in cohesive groups within the alveolar, bronchiolar and bronchial spaces. Histiocytic cells had intense cytoplasmic immunolabeling for vimentin and Iba1, and robust membrane immunolabeling with CD18 and E-cadherin; these cells were negative for CD3, CD79αcy and pancytokeratin in all cases.

Conclusions and relevance

This article confirms that pulmonary Langerhans cell histiocytosis is a rare disease that occurs in middle-aged to older cats and causes widespread involvement of the pulmonary parenchyma, inducing acute or chronic, progressive respiratory disease characterized by mixed restrictive dyspnea that eventually leads to death. While a definitive clinical diagnosis is challenging, the nodular appearance of the pulmonary changes, together with the histological and immunohistochemistry findings, suffice for diagnostic confirmation of pulmonary Langerhans cell histiocytosis.
Myo-granules Connect Physiology and Pathophysiology
Authors: Cutler Alicia A , Ewachiw Theodore Eugene , Corbet Giulia A , Parker Roy , Olwin Brad B
Published: April 2019

A hallmark of many neuromuscular diseases including Alzheimer disease, inclusion body myositis, amyotrophic lateral sclerosis, frontotemporal lobar dementia, and ocular pharyngeal muscular dystrophy is large cytoplasmic aggregates containing the RNA-binding protein, TDP-43. Despite acceptance that cytoplasmic TDP-43 aggregation is pathological, cytoplasmic TDP-43 assemblies form in healthy regenerating muscle. These recently discovered ribonucleoprotein assemblies, termed myo-granules, form in healthy muscle following injury and are readily cleared as the myofibers mature. The formation and dissolution of myo-granules during normal muscle regeneration suggests that these amyloid-like oligomers may be functional and that perturbations in myo-granule kinetics or composition may promote pathological aggregation.
The effect of external inspections on safety in acute hospitals in the National Health Service in England: A controlled interrupted time-series analysis
Authors: Castro-Avila Ana , Bloor Karen , Thompson Carl
Published: April 2019

Objectives

To evaluate the effect of Care Quality Commission external inspections of acute trusts on adverse event rates in the English National Health Service.

Methods

Interrupted time-series analysis including all acute NHS trusts in England ( n = 155) using two control groups (new versus historical inspection regime and trusts not inspected). Multilevel random-coefficient modelling of (1) rates of falls with harm and (2) pressure ulcers, from April 2012 to June 2016, was undertaken using the new, resource-intensive regime of Care Quality Commission inspections as an intervention. Data used in the model included dates and type of inspection, patient safety indicators, demographic characteristics and financial risk of hospitals.

Results

In one year, Care Quality Commission inspected 66 acute trusts (42% of all English trusts) using their new regime and 46 (30%) using their previous one. Prior to inspections being announced, rates of falls with harm and pressure ulcers were improving in both intervention and control hospitals. The announcement of an inspection did not affect either indicator. After inspections, rates of falls with harm improved more slowly, and pressure ulcer rates no longer improved for trusts inspected using both regimes.

Conclusions

Neither form of external inspection was associated with positive, clinically significant effects on adverse event rates. Any improvement happening before the announced Care Quality Commission inspections slowed after the inspection.
Social inclusion of clients treated for substance abuse in Sweden in the 1980s: A 27-year follow-up
Authors: von Greiff Ninive , Skogens Lisa , Berlin Marie
Published: April 2019

Aim:

To investigate social inclusion/exclusion in terms of criminality, substance abuse and participation in the labour market in clients treated for substance abuse in Sweden in the 1980s during a follow-up period of 27 years.

Method:

SWEDATE data are used for background information on the clients. The data were collected through interviews with clients registered for treatment in 31 in-patient treatment units in 1982 and 1983. Data on labour market status, education and medication related to drugs were collected from public registers. The study population consisted of 1132 individuals, who were followed from the year after exiting from treatment (Year 1) until the end of the follow-up (December 2013).

Results:

Among those who survived, the women seem to have succeeded better in terms of social inclusion both at an aggregated level and when the individual pathways were followed during the follow-up period. When comparing pathways between adverse and non-adverse groups during the follow-up period the results show movements from being adverse to non-adverse but also the opposite. In the last follow-up in 2013, the majority of the clients defined as non-adverse for the last nine years were in some way established in the labour market (including studies). In total, about two fifths of the group were in some way established in the labour market.

Conclusions:

The fairly high proportion of clients moving between being adverse and non-adverse during the follow-up might support the perspective suggesting that dependence should not be considered as chronic.
Pen-and-paper versus digital sketching in architectural design education
Authors: Heidari Parvin , Polatoğlu Çiğdem
Published: April 2019

This study aimed to compare and evaluate the digital-based sketching versus conventional pen-and-paper sketching through conducting an experiment via protocol study in educational field. To this aim, the linkography analysis technique was used to obatin the related data from the protocol study. Linkography technique allows analyzing design as a system and is capable of tracing the design ideas and their connections; therefore, it facilitated the purposes of the current study. The results demonstrated that designers had a richer design process and more opportunities for generating ideas in the pen-and-paper sketching versus digital sketching. Furthermore, the designers’ performance in the digital media with two-dimensional sketching software was more satisfactory than the digital session with three-dimensional sketching software. However, digital media encouraged designers to make more integration among the ideas.
The Effects of LMX Differentiation on Team Performance: Investigating the Mediating Properties of Cohesion
Authors: Manata Brian
Published: April 2019

Although conceptualized initially as a dyadic-level theory, scholars have since broadened the theoretical underpinnings of leader–member exchange (LMX) to account for its effects on group-level phenomena. LMX differentiation, for example, captures the extent to which variance in LMX quality within teams affects numerous outcomes (e.g., performance). However, the specific mechanisms by which LMX differentiation affects team-level outcomes remains virtually unknown. In an attempt to address this limitation, this study investigates the extent to which task and social cohesion mediate the effects of LMX differentiation on team performance. Results indicate that the negative effect of LMX differentiation on team performance is mediated by task cohesion but not by social cohesion. In addition, LMX differentiation was found to have a negative effect of social cohesion, which was also mediated by task cohesion. A discussion is offered in which the implications of these results are entertained.
Prognostic markers affecting the early recurrence of hepatocellular carcinoma with liver cirrhosis after curative resection
Authors: Kim Wan-Joon , Lim Tae-Wan , Park Pyoung-Jae , Choi Sae-Byeol , Kim Wan-Bae
Published: April 2019

Background:

Early recurrence is associated with poor prognosis after curative resection for hepatocellular carcinoma. Thus, we studied which factors, including this inflammation-based scoring system, affect disease recurrence in single hepatocellular carcinoma patients with liver cirrhosis.

Methods:

A total of 430 consecutive hepatocellular carcinoma patients were enrolled in our institution between January 2002 and December 2015. Survival rate, univariate, and multivariate analyses were performed to identify the variables associated with recurrence and early recurrence especially.

Results:

The overall survival rate was significantly lower in the early recurrence group than in the non-early recurrence group ( P<0.001). According to the multivariate analysis, protein induced by vitamin K absence or antagonist (PIVKA) greater than 200 ( P=0.035), neutrophil-to-lymphocyte ratio greater than 2.0 ( P<0.001), elevated Glasgow prognostic score ( P=0.003), tumor size greater than 5 cm ( P=0.002), and the presence of lymphovascular invasion ( P=0.002) were significantly different among the groups and affected the early recurrence of hepatocellular carcinoma. The patients were categorized into five levels of risk for early recurrence according to the number of independent risk factors, and patients with no risk factors were set as the reference group.

Conclusion:

Neutrophil-to-lymphocyte ratio, Glasgow prognostic score, and serum level of PIVKA offer significant prognostic information associated with early recurrence following single lesion hepatocellular carcinoma patients with liver cirrhosis after curative resection.
Workplace favouritism, psychological contract violation and turnover intention: Moderating roles of authentic leadership and job insecurity climate
Authors: Arasli Huseyin , Arici Hasan Evrim , Çakmakoğlu Arici Nagihan
Published: April 2019

The multilevel investigation examines the impacts of favouritism on non-beneficiaries’ turnover intention by focusing on the mediating role of psychological contract violation and the moderating roles of job insecurity climate and authentic leadership in family firms. Congruent with the theories of relative deprivation, belongingness, and social identity, this paper is among the first to propose and empirically examine how and when favouritism leads to higher or lower turnover intention in family firms. Having utilized time-lagged data from 576 non-beneficiaries who came from 101 work groups in 48 family firms in Turkey, our findings support the following: the significance of favouritism by demonstrating that non-beneficiaries’ turnover intentions are higher in family firms when they perceive favouritism to be high; favouritism in family firms positively influences psychological contract violation; psychological contract violation acts as a mediator of the association between favouritism and non-beneficiaries’ turnover intention; and both job insecurity climate and AL act as moderators of the relationship between favouritism and turnover intention. The theoretical and practical contributions of these findings are discussed.
The Role of 68Ga-DOTA-Octreotate PET/CT in Follow-Up of SDH-Associated Pheochromocytoma and Paraganglioma
Authors: Kong Grace , Schenberg Tess , Yates Christopher J , Trainer Alison , Sachithanandan Nirupa , Iravani Amir , Ravi Kumar Aravind , Hofman Michael S , Akhurst Tim , Michael Michael , Hicks Rodney J
Published: April 2019

Purpose

Germline succinate dehydrogenase (SDHx) mutation carriers, especially SDHB, are at increased risk for malignancy and require life-long surveillance. Current guidelines recommend periodic whole-body MRI imaging. We assessed the incremental value of 68Ga-DOTA-octreotate (GaTate) positron emission tomography (PET)/CT compared with conventional imaging in such patients.

Methods

SDHx mutation carriers who had GaTate PET/CT were retrospectively reviewed. Detection of lesions were compared with MRI or CT on a per-patient and per-lesion basis. Proof of lesions were based on histopathology or clinical/imaging follow-up.

Results

Twenty consecutive patients (median age, 46 years; 10 males) were reviewed. Fourteen patients had SDHB, four, SDHD, one SDHC, and one SDHA mutation. Fifteen had prior surgery and/or radiotherapy. Indications for PET/CT were as follows: 7 patients for surveillance for previously treated disease, 9 residual disease, 2 asymptomatic mutation carriers, and 2 for elevated catecholamines. Median time between modalities was 1.5 months.

GaTate PET/CT had higher sensitivity and specificity than conventional imaging. On a per-patient basis: PET/CT sensitivity 100%, specificity 100%; MRI/CT 85% and 50%. Per-lesion basis: PET/CT sensitivity 100%, specificity 75%; MRI/CT 80% and 25%. PET/CT correctly identified additional small nodal and osseous lesions. MRI/CT had more false-positive findings. Change of management resulted in 40% (8/20 patients): 3 received localized treatment instead of observation, 1 changed to observation given extra disease detected, 4 with metastases had radionuclide therapy.

Conclusions

GaTate PET/CT provided incremental diagnostic information with consequent management impact in SDHx-pheochromocytoma and paraganglioma. Incorporating this modality as part of a surveillance program seems prudent. Further research is needed to define the optimal surveillance strategy including use of MRI.
DEAD-box RNA helicase Belle posttranscriptionally promotes gene expression in an ATPase activity-dependent manner
Authors: Liao Susan E. , Kandasamy Suresh K. , Zhu Li , Fukunaga Ryuya
Published: April 2019

Drosophila Belle (human ortholog DDX3) is a conserved DEAD-box RNA helicase implicated in regulating gene expression. However, the molecular mechanisms by which Belle/DDX3 regulates gene expression are poorly understood. Here we performed systematic mutational analysis to determine the contributions of conserved motifs within Belle to its in vivo function. We found that Belle RNA-binding and RNA-unwinding activities and intrinsically disordered regions (IDRs) are required for Belle in vivo function. Expression of Belle ATPase mutants that cannot bind, hydrolyze, or release ATP resulted in dominant toxic phenotypes. Mechanistically, we discovered that Belle up-regulates reporter protein level when tethered to reporter mRNA, without corresponding changes at the mRNA level, indicating that Belle promotes translation of mRNA that it binds. Belle ATPase activity and amino-terminal IDR were required for this translational promotion activity. We also found that ectopic ovary expression of dominant Belle ATPase mutants decreases levels of cyclin proteins, including Cyclin B, without corresponding changes in their mRNA levels. Finally, we found that Belle binds endogenous cyclin B mRNA. We propose that Belle promotes translation of specific target mRNAs, including cyclin B mRNA, in an ATPase activity-dependent manner.
Economic analysis: workshop
Authors: Куприянова Людмила , Kupriyanova Lyudmila , Никифорова Елена , Nikiforova Elena
Published: April 2019

The workshop on economic analysis introduces readers to the methodology of economic analysis, which is essential in the development of effective management decisions aimed at improving the financial and economic activities of economic entities.
Reveals methods of analysis of financial and economic activities, assessment of inventories, depreciation, debt, analysis of profit formation, forecasting of costs, break-even analysis, cost, balance, cash flow, etc.
The authors take into account the latest changes in the field of accounting and preparation of financial statements.
Socially Beneficial Rationality: The Value of Strategic Farmers, Social Entrepreneurs, and For-Profit Firms in Crop Planting Decisions
Authors: Hu Ming , Liu Yan , Wang Wenbin
Published: April 2019

The price fluctuation in agricultural markets is an obstacle to poverty reduction for small-scale farmers in developing countries. We build a microfoundation to study how farmers with heterogeneous production costs, under price fluctuations, make crop-planting decisions over time to maximize their individual welfare. We consider both strategic farmers, who rationally anticipate the near-future price as a basis for making planting decisions, and naïve farmers, who shortsightedly react to the most recent crop price. The latter behavior may cause recurring overproduction or underproduction, which leads to price fluctuations. We find it important to cultivate a sufficient number of strategic farmers because their self-interested behavior alone, made possible by sufficient market information, can reduce price volatility and improve total social welfare. In the absence of strategic farmers, a well-designed preseason buyout contract, offered by a social entrepreneur or a for-profit firm to a fraction of contract farmers, brings benefit to farmers as well as to the firm itself. More strikingly, the contract not only equalizes the individual welfare in the long run among farmers of the same production cost, but it also reduces individual welfare disparity over time among farmers with heterogeneous costs regardless of whether they are contract farmers or not. On the other hand, a nonsocially optimal buyout contract may reflect a social entrepreneur’s over-subsidy tendency or a for-profit firm’s speculative incentive to mitigate but not eliminate the market price fluctuation, both preventing farmers from achieving the most welfare.

This paper was accepted by Vishal Gaur, operations management.
Animar Sem Quedas: como um projeto de extensão pode atuar na prevenção de quedas de adultos e idosos
Authors: Sampaio Hoislane Fernandes , De Azevedo Maria Lúcia Gonzaga , Brêtas Angela
Published: April 2019

À medida que o número de idosos cresce em todo o mundo, aumentam também as preocupações com as inúmeras alterações fisiológicas do organismo destes indivíduos. Algumas doenças se tornam mais prevalentes nesta fase da vida e há a elevação do risco de quedas. O exercício físico pode ser considerado como um meio para propiciar um envelhecimento saudável e a prevenção de quedas. Por esses motivos, foi criado o projeto de extensão “Animar Sem Quedas” (ASQ), da Escola de Educação Física e Desportos (EEFD), da Universidade Federal do Rio de Janeiro (UFRJ), cujo objetivo é prevenir quedas em adultos e idosos, e atuar como um local de informação, descontração, lazer e animação cultural. O método do projeto consiste em exercícios físicos específicos para a prevenção de quedas. As aulas são divididas em quatro partes principais: marcha, equilíbrio, força e alongamento, ocorrem duas vezes por semana e duram 50 minutos. A intensidade é leve/moderada; os exercícios são prescritos por tempo de execução e utilizamos a percepção subjetiva de esforço. Além das aulas, o grupo realiza, anualmente, dois eventos: o “Ciclo de Cinema e Envelhecimento” e o “Encontrão Sem Quedas”, que têm por objetivo promover o encontro entre os participantes de todos os núcleos do ASQ e a comunidade acadêmica da UFRJ. O Animar Sem Quedas pretende ampliar as possibilidades de opções de lazer para seus alunos e continuará buscando alternativas para contribuir na melhoria de sua qualidade de vida e do seu bem-estar, fatores indispensáveis para um bom envelhecimento.
UNIDOBEM –UM PROJETO DE EXTENSÃO MULTIDISCIPLINAR NA COMUNIDADE GRÃO DE MOSTARDA
Authors: CARNEIRO STANIA NAGILA VASCONCELOS , Mesquita Lucimara Araújo de , CARNEIRO SOFIA VASCONCELOS , Oliveira Carla Patrícia de Almeida , COUTINHO ELANE MARIA DE CASTRO
Published: April 2019

O presente trabalho relata a experiência de um projeto de extensão universitária envolvendo cursos, docentes e discentes da área de saúde, exatas e humanas do Centro Universitário Católica de Quixadá por meio de um convênio firmado com Organização Não governamental Grão de Mostarda, com a finalidade apresentar as principais ações realizadas por acadêmicos extensionistas, abordando o histórico do projeto de extensão e a importância da interação ensino-serviço-comunidade para formação acadêmica através de projetos multidisciplinar. O projeto segue uma linha descritiva e exploratória, onde se busca, através de um relato, analisar as atividades multidisciplinares desenvolvidas no Projeto UnidoBem visando conhecer as características, as relações, as causas e natureza de fatos não explorados na comunidade carente. Observou-se no acadêmico extensionistas o desenvolvimento de uma atitude humanística em relação aos problemas de saúde e sociais na população possibilitando os conhecimentos essenciais sobre a realidade da sociedade em que vivem, na qual e para a qual irão trabalhar.
Cidadania financeira no Vale do Itajaí: Finanças nas escolas públicas
Authors: Tomio Bruno Thiago , Rodrigues Georges Cherry , Rahn Ricardo Rafael
Published: April 2019

A cidadania financeira é um tema de importante relevância na sociedade atualmente. Todos os cidadãos, não importa a idade, devem compreender a importância das boas práticas financeiras para alcançarmos um maior bem-estar de todos. A partir desse contexto, o projeto de extensão Cidadania Financeira no Vale do Itajaí da Universidade de Blumenau (FURB) objetiva difundir a cidadania financeira para a população das cidades de Blumenau, Brusque, Gaspar, Indaial, Pomerode e Timbó, no estado de Santa Catarina. Os docentes do projeto atuam em duas frentes: (1) relatórios de cesta básica e inadimplência, com o intuito de alcançar a população adulta da região, e (2) novas metodologias e estratégias de ensino/aprendizagem em escolas públicas, em parceria com os docentes dessas escolas, a fim de desenvolver a cidadania financeira e matemática nos estudantes das séries finais do ensino fundamental. Os resultados são positivos, demonstrados através de grande interesse da mídia local e das escolas públicas, com os relatos dos seus docentes. Além disso, o projeto teve sua continuidade confirmada para o ano de 2018.
INPLANTA
Authors: Bandini Bárbara
Published: April 2019

Resumo: O artigo apresenta a obra visual INPLANTA (2018)  a partir de uma abordagem crítica ao crime de feminicídio em nossa sociedade, utilizando relatos e arcabouço teórico sobre o tema.  Apoiando-se em concepções de Engels ,no livro A Origem Da Família, Da Propriedade Privada E Do Estado (1975) sobre a mudança do direito materno para o paterno, ou seja, do início do acúmulo de riquezas onde a mulher passa a ser considerada propriedade privada do homem, o artigo faz uma breve crítica à sociedade patriarcal e trata das proposições sobre o feminismo, finalizando com um manifesto pela vida.
Telemonitoramento em enfermagem para clientes em situação de estomaterapia: experiência inovadora para o processo ensino-aprendizagem
Authors: Nascimento Beatriz Oliveira , Souza Norma Valéria Dantas de Oliveira , Santos Deborah Machado dos , Silva Patricia Alves Dos Santos
Published: April 2019

Trata-se de relato de experiência sobre a participação em um projeto de extensão da Faculdade de Enfermagem intitulado “Telemonitoramento em Enfermagem para Clientes em Situação de Estomaterapia: feridas, estomias e incontinência”. Os objetivos deste relato são: descrever a vivência no referido projeto, no recorte temporal de abril a outubro de 2018; e discutir as contribuições das atividades extensionistas para o ensino e para a assistência de enfermagem. O projeto é desenvolvido na Policlínica Piquet Carneiro, especificamente na Clínica de Enfermagem em Estomaterapia Benedita Deusdará Rodrigues, cujo público alvo são pessoas com feridas, estomas e incontinências, anal e urinário. Utiliza-se contato telefônico para fornecer e reforçar as orientações de enfermagem aos usuários do serviço com o fito dos mesmos desenvolver o autocuidado no domicilio. Estas orientações são norteadas por protocolos e registrado em formulário, os quais foram elaborados pela bolsista e pela orientadora do projeto, bem como pela coordenadora e equipe da referida clínica. Os resultados decorrentes das atividades extensionistas têm sido profícuos para a assistência, pois contribui para prevenir complicações e melhorar a qualidade de vida dos usuários, revelando-se também como um campo diferenciado para o processo ensino-aprendizagem da bolsista.
Cost-effectiveness of a bacterial-binding dressing to prevent surgical site infection following caesarean section
Authors: Stanirowski Paweł Jan , Davies Heather , McMaster Jessica , Mealing Stuart , Sawicki Włodzimierz , Cendrowski Krzysztof , Posnett John
Published: April 2019

Objective:

A randomised controlled trial (RCT) recruited women undergoing caesarean section (CS) in Poland. The aim of the trial was to assess the efficacy of a dialkylcarbamoyl chloride (DACC)-impregnated surgical dressing (bacterial-binding dressings) compared with standard of care (SoC) in preventing surgical site infection (SSI). The aim of the present analysis was to evaluate the cost-effectiveness of the bacterial-binding dressings in the context of the UK National Health Service (NHS).

Method:

The clinical trial randomised patients to a bacterial-binding dressing (n=272) or a standard surgical dressing (n=271). The study recorded the presence of SSI and associated resource use up to 14 days postoperatively. To generalise results to the NHS, UK unit costs were applied to resource use recorded in the trial. An alternative approach applied a single UK-specific episode cost per SSI.

Results:

There were 543 women recruited to the trial. SSI rates were 5/272 (1.8%) and 14/271 (5.2%) for bacterial-binding dressings and SoC, respectively (p=0.04). Patients in the bacterial-binding dressing group had six fewer outpatient visits and 33 fewer hospital bed-days. The mean length of SSI-attributable hospitalisation was 2.36 days. Applying UK unit costs at 2017 prices to resource use recorded in the trial, costs of SSI prophylaxis and treatment were £48.97 and £24.69 per patient in the SoC and bacterial-binding dressing groups respectively, a difference of £24.27 (49.6%) per patient. The alternative costing approach produced a cost saving of £119 (57.6%) per patient with the bacterial-binding dressing.

Conclusion:

Use of bacterial-binding dressings following CS has the potential to reduce the incidence of SSI and costs to the NHS.
Use of abdominal negative pressure wound therapy in different indications: a case series
Authors: Kocaaslan Fatma Nihal Durmus , Ozkan Melekber Cavus , Akdeniz Zeynep , Sacak Bulent , Erol Bulent , Yuksel Mustafa , Celebiler Ozhan
Published: April 2019

Negative pressure wound therapy (NPWT) is a widely used wound management system. Several articles have been published on the advantages and complications of this system. Abdominal dressing negative pressure system (abdominal NPWT) is a newer technology, developed and used in open abdomen cases. The adherence of the sponge to the intra-abdominal organs is prevented by a polyurethane foam. This study presents a number of case series where an abdominal NPWT (ABThera, KCI, US) has been used to treat other vital organs, helping to prevent complications such as organ rupture and fatal bleeding.
Use of autologous platelet rich fibrin-based bioactive membrane in pressure ulcer healing in rats
Authors: Yu Yajuan , Shen Jian , Fang Guizhen , Wang Lingcong , Lei Shu , Cai Danli , Shi Ying , Jin Shuifang , Lu Qiaoli , Wang Sisi , Sun Yunlei , Yao Jinmei , Hu Peiya , Wu Xiaofei , He Xujun
Published: April 2019

Objective:

To verify the feasibility of treating pressure ulcers (PUs) with autologous platelet-rich fibrin-based (PRF) bioactive membrane, both in vitro and in vivo.

Method:

An animal model using adult male Sprague-Dawley rats was used. Pressure was periodically exerted on the skin to induce localised ischaemia by using an external magnet and transplanted metal disc. After a PU developed, the rats were divided into two groups: a treatment group and a control group. Rats in the treatment group were then treated with PRF bioactive membrane every three days.

Results:

A total of 20 rats were used in this study. At days three and seven, the PU area in the PRF bioactive membrane-treated group was significantly smaller than that in the control group, and after 14 days of treatment, the PUs in the PRF bioactive membrane treatment group had healed. Haemotoxylin and eosin staining, immunohistochemistry and Western blot results indicated that PRF bioactive membrane induced wound healing by increasing the thickness of the regenerated epidermis and by upregulating vascular endothelial growth factor expression. Further, we found that different concentrations of rat autologous PRF soluble factors extraction components could significantly promote rat aortic endothelial cell proliferation, wound healing and migration ability in vitro.

Conclusion:

Overall, results indicate that PRF bioactive membrane promotes PU healing in rats. Thus, it may represent a natural and effective wound-healing tool for use in the treatment of clinical skin PUs in humans in the future.
Letter to the editor
Authors: Carey Nicola
Published: April 2019

Commentary on Paterson R. Emerging evidence of the scope and safety of physiotherapy prescribing in the UK. Journal of Prescribing Practice. 2019;1(1):14-15
A vision of public participation in healthcare planning
Authors: Bennett David
Published: April 2019

This article summarises important considerations surrounding patient participation groups, based on interviews conducted with a range of stakeholders
The leadership question
Authors: Moffat Polly
Published: April 2019

The NHS needs leaders, to motivate staff, boost morale and ensure effective care is provided for patients – but what does leadership look like and what more needs to be done?
Obrim noves portes amb les claus del Tio Canya: la creació de la identitat. L’exemple d’una cançó i algunes possibles aplicacions
Authors: Cano Server Francesca
Published: April 2019

La família, l’escola i els mitjans són factors decisius en l’educació i la formació de les persones durant la infantesa. Fa molts anys que ha quedat demostrat el benefici de l’ús de la música en aquesta etapa tan important, com a eina fonamental per al desenvolupament del cervell. La música col·labora, alhora, en la creació de la identitat col·lectiva d’un grup social. Per això, prenent com a paradigma la coneguda cançó del tio Canya d’Al Tall, l’article pretén mostrar algunes de les seues possibilitats amb aplicacions didàctiques i exemples d’altres músiques en què hi ha estat inspirada o basada. D’una banda, la generació anomenada besnets del tio Canya, que ret homenatge a una cançó convertida en símbol. De l’altra, a partir de la tradició de la música culta i la utilització del préstec en la composició, el III moviment del Concert valencià per a clarinet d’Andrés Valero-Castells, que hi empra la cançó com un dels motius melòdics de l’obra.
Ritus i costums del cicle de Pasqua
Authors: Reus Bas M. del Mar
Published: April 2019

Amb aquest article pretenem donar a conéixer dos dels ritus que es duien a terme al municipi de Xàbia durant la Pasqua. D’una banda, la salpassa anunciava l’inici de la Setmana Santa (ja que es feia Dilluns, Dimarts i Dimecres Sant), i de l’altra, els gloriosos proclamaven la joia de la resurrecció mitjançant els seus versos el mateix Dissabte de Glòria. En ambdós casos es posa de manifest l’esperit crític i satíric del moment, amb la finalitat de gaudir i fer burla tant d’algunes persones de la localitat com d’aquells aspectes que creien que calia millorar, novetats o fins i tot els problemes de la societat.
Literatura popular en Educació Primària: de la tradició folklòrica a les noves tendències de música actual
Authors: Millà Castelló Carles
Published: April 2019

Des de ben menuts estem en contacte amb la música i les cançons. Ens ajuden a créixer i a desenvolupar-nos físicament i mentalment. En els primers nivells de l’educació infantil i primària, les cançons populars ens han acompanyat amb el pas del temps. No obstant això, en l’actualitat aquest tipus de cançons han caigut en l’oblit social. Moltes altres cançons populars han desaparegut perquè no s’hi han conservat. És aleshores quan els docents, com també la resta de la comunitat educativa, han de treballar des de la base (els alumnes) per conservar, fomentar i difondre aquesta música que forma part del folklore valencià. Paral·lelament, la música en valencià evoluciona en altres gèneres i aspectes. Nous grups musicals i cantautors alcen la veu per donar a conéixer els seus treballs. Uns treballs que, des del punt de vista d’aquest article, poden resultar ben útils a l’hora de tractar els continguts de les diverses àrees.
La cançó tradicional infantil: el fenomen Dani Miquel, alguns precedents i coetanis
Authors: Cano Server Francesca
Published: April 2019

La música infantil ha estat considerada sovint com un gènere de segona categoria. Tanmateix, diversos exemples basats en la nostra tradició musical ens demostren els beneficis de les cançons en la formació dels infants. Aquest article fa balanç de la música en valencià com a eina educadora des dels anys de la Transició fins a l’actualitat. Fenòmens musicals com Dani Miquel i altres grups arrepleguen el testimoni d’aquesta tasca iniciada dècades arrere per referents com Paco Muñoz, Al Tall o Carraixet. Així mateix, el treball a l’escola a través de la música col·labora amb aquesta funció didàctica i educadora, tal com demostren alguns projectes. I tot, amb el ritme i l’alegria necessaris per a la transmissió d’uns valors que contribueixen a la formació de persones responsables i tolerants: créixer amb igualtat i respecte siga quina siga la nostra condició.
Obrint Pas: de la Nova Cançó al fenomen actual de la música en valencià
Authors: Durà Ronda Roser
Published: April 2019

Aquest treball és una aproximació al grup de música valencià Obrint Pas. S’hi analitza i s’hi interpreta la poesia de les seues lletres i tot seguit es compara amb el moviment musical i artístic de la Nova Cançó; l’article hi sintetitza la bibliografia existent i proporciona un punt de vista personal.
Youtubers en llengua catalana: estudi quantitatiu i qualitatiu
Authors: Iglesias Nieto Maria Lluïsa
Published: April 2019

Amb l’arribada d’Internet hem vist nàixer una nova tipologia de creadors de continguts a les xarxes socials. Aquest article posa el focus en els youtubers que es comuniquen en llengua catalana a través de la plataforma de vídeos de YouTube. A continuació, es presenta un estudi quantitatiu d’aquests nous creadors de continguts audiovisuals. Al llarg del treball s’hi descriu quants en són, què fan, amb quin nombre de seguidors compten i a quines temàtiques dediquen els seus canals. De més a més, els hi classifica en termes d’influència a la xarxa. Per últim, s’hi para atenció a aquells canals de youtubers amb més seguidors i visualitzacions de vídeos: els canals de Miquel Montoro, Recomanacions de Llibres, Pot de Plom, o Miss Tagless.
Som paraules. Aproximació al que som i projectem quan parlem. Reflexió i aplicació pràctica per a Educació Infantil
Authors: Sellés i Ahuir Bea
Published: April 2019

El llenguatge és una eina essencial perquè l’individu puga desenvolupar-se socialment i culturalment i, alhora, li servirà per bastir la construcció de la seua personalitat. La capacitat lingüística de l’ésser humà està estretament relacionada amb el seus pensaments. Per això, segons el vocabulari assolit ―conformat d’intencions i significats diferents―, les emocions que provoquen conductes en la relació amb els altres seran ben diferents. Durant els primers anys, les persones establim les basses d’allò que serà la nostra personalitat i el llenguatge tindrà un paper decisiu en aquesta construcció. Aprendre a gestionar els nostres pensaments fets de paraules i ser conscients de quines intencions hi ha al darrere, serà una tasca a treballar des de la primera etapa educativa a l’escola, amb la finalitat d’anar desenvolupant competències que ens ajuden a tindre una vida social plena i completa.
La paratextualitat: caracterització i funcions interpretatives aplicades a l’estudi de la col·lecció «Micalet Teatre» de l’editorial Bromera
Authors: Aleixandre Lluch Vicent
Published: April 2019

L’embolcall amb el qual se’ns presenta un producte sempre influeix a l’hora de fer-ne la tria. Així doncs, és important la imatge oferida ja que contribueix a la creació d’un seguit d’expectatives en el receptor. En aquest sentit, l’anàlisi dels elements paratextuals juga, al nostre parer, un paper clau, perquè suposa una primera aproximació al text i, a més a més, en genera uns trets identificadors que funcionen com a element cohesionador dels productes d’una mateixa línia editorial. Amb el present treball, ens marquem com a objectiu elaborar una caracterització bàsica de la col·lecció «Micalet Teatre» de l’editorial Bromera. Partint del model d’anàlisi epistemològic proposat per l’especialista Gemma Lluch, tractarem d’esbossar les línies mestres d’un dels segells capdavanters en la difusió del teatre per a infants i adolescents.
La mort a Altea. Ritus, costums i relats
Authors: Cabrera Uris Antoni
Published: April 2019

En la nostra cultura, la mort ha estat considerada sempre com un tema tabú del qual escau evitar parlar-ne. Però encara que no ens agrade, per aquest trànsit hi passarem tots; moltes vegades indirectament, i una de ben directament. Per això, en aquest article hem mirat d’analitzar com s’ha tractat o es tracta el procés de la mort, concretament al poble d’Altea (Marina Baixa), on, mitjançant entrevistes i recerca bibliogràfica, hem classificat tots els passos que se segueixen des dels moments abans de morir fins a l’acomiadament i el culte posterior al difunt. Així mateix, hem fet un estudi d’alguns fraseologismes locals vinculats al tema.
Diccionari muixeranguer
Authors: Cervetto Montesinos Adrián
Published: April 2019

Arreu del món són moltes les cultures que fan torres humanes com a tret del seu folklore. Al País Valencià existeix una tradició anomenada muixeranga que consisteix en una dansa popular que acaba amb una torre humana. Es tracta d’un costum molt antic però que només es conservava en algunes poblacions valencianes com Titaigües, Algemesí, l’Alcúdia o Peníscola. No obstant això, des de la dècada de 1980 molts pobles començaren a recuperar aquest espectacle i buscaren expandir l’anomenat «fenomen muixeranguer» pertot arreu del país. En els darrers anys han sorgit moltes muixerangues des de Vinaròs fins a Monòver: més de 25 en total, 15 de les quals aparegudes en l’últim lustre. Aquest creixement ha provocat la necessitat d’un diccionari d’especialitat que recopile les paraules i les expressions bàsiques més comunes de l’àmbit, a fi de cohesionar tots els pobles i estandarditzar-ne l’activitat. A més, molta gent mostra interés per les muixerangues encara que no en formen part directament, raó per la qual aquest treball pot fer-los-les més accessibles. No hi hem d’oblidar, tampoc, que tornar a tenir un espai de comunicació pública en valencià crea unes noves necessitats que s’han d’intentar cobrir. Aquest diccionari té, per tant, una intenció divulgativa dissenyada per a un públic no especialitzat, però també és útil per als muixeranguers (la gent que realitza torres humanes al País Valencià), ja que pot resoldre’ls possibles dubtes i servir com a proposta d’estandardització.
‘Introduction’ to Kingdoms of Elfin (Handheld Press, 2018)
Authors: Hotz-Davies Ingrid
Published: April 2019

Originally conceived of as an introduction to a new edition of Sylvia Townsend Warner’sKingdoms of Elfin(Handheld Press, 2018), this article provides an overview of the place ofKingdoms of Elfin(1977) in Sylvia Townsend Warner’s oeuvre and life, placing it in the final phases of her life as an astonishing new departure. InKingdoms, Warner experiments with the excision of affect from the narrative process, producing stories which construct the narrative voice uncompromisingly as a voice of observation rather than identification. The playing field on which this is carried through is nothing less than a whole new fictional universe in the form of meticulously worked-out ‘Elfin’ worlds. The narratives’ observational stance unfolds itself as a disinterested ethnography of the strangeness of behaviours both human and non-human, radically decentring human perceptions and moral convictions in the process.
Mut'ah (Kawin Kontrak) (Resensi Buku)
Authors: Mawla Bani S.
Published: April 2019

Judul asli : Mut'ah (Temporary Marriage)Penulis : Dr. Muhammad Muslehuddin, Ph.D.Penerjemeh : Drs. H.M. Asy'ari, M.A. & Drs. H. Syarifuddin Syukur, M.A.Penerbit : PT. Bina Ilmu, Surabaya, 1989.Tebel : v + 65 halaman.
Adakah Ruang Ijtihad Untuk Isu Homoseks?
Authors: Maftuhin Arif
Published: April 2019

Thus far the views of experts of Islamic jurisprudence regarding homosexuality have been very clear in forbidding it. The Alqur'an, Hadith and Ijma' are the bases of the prohibition on marriages of this kind, although jurists differ in their views on the punishment for homosexual behaviour. Malik, ash-Shafi'i and Ahmad equate the punishment for homosexual acts with that for adultery, whereas Abu Hanifah views it as a ta'zir punishment (one determined by the government). Meanwhile, the· view of some that homosexuality is a natural and predetermined phenomenon presents its own challenges: how will Islamic law respond to the claim that homosexuality is a part of our basic human rights that must be protected?
Aborsi: Antara Norma dan Fakta Dalam Kehidupan Sosial
Authors: Adekusuma Juliadi
Published: April 2019

In this article, Juliadi Adekusuma puts forward data on abortion from around the world and from Indonesia. This data shows us that not all abortions are done by women without partners, and in fact the majority of abortions in Indonesia involve married women. This article also points out that the number of unsafe abortions is very high, and 13% of these result in the death of the mother.
Ada Apa Dengan Aborsi? (Resensi Buku)
Authors: Baidowi Ah.
Published: April 2019

Judul Buku: Aborsi: Pro dan Kontra di Kalangan Petugas KesehatanPenulis: Made Heny Urmila DewiPenerbit: Pusat Penelitian Kependudukan UGM dan Ford Foundation, 1997Tebal: x + 50 halaman
Dalam Sistem Matrilineal Pun, Perempuan Tidak Memimpin (Book Review)
Authors: Rumawi Rumawi
Published: April 2019

Judul : Partisipasi Politik Perempuan.Penulis : L.Verayanti, L. Herlina, Dwi Hertha dan Zaiyardam Zubir.Pengantar : Mansour  Fakih.Penerbit : LP2M Padang, kerja sama dengan Asia Foundation.Cetakan : Pertama, November 2003.Tebal : xvii + 107 halaman
Belenggu Kepemimpinan Perempuan Dalam Ranah Politik
Authors: Zulfa Kholid
Published: April 2019

The willingnessto rest women and men in a parallel position within various aspects of life is gaining its prominence, especially in terms of women's participation in politics. Withinthe discourse ofleadership, none of the theory claims that certain sex -male or female- has more authority or privilege over another. Both sexes have the same rights to be leaders depending on who has better quality to hold that position. This article is an attempt to explain the discourse on the leadership of women within the political realm. The stigma given to women that a good woman is the ones who could perform their duties as a wife and a mother, coupled with the assumptionthat politics is dirty and full of intrigues, have weaken the opportunity of women to be actively involved in politics. For that reason, even though the number of women in Indonesia outweighs those of men, the representative of women in the parliament in every general election is only between 8 to 12 percent.
Peran Publik Perempuan di Indonesia (Perspektif Politik dan HAM)
Authors: Hisyam M Ali
Published: April 2019

The role of Indonesian women within the public sphere is heatedly discussed. The issuance of the Constitution No. 12/2003 is perceived by some people as a "warranty" for a wider opportunity for women in the political realm. Even though the 30 per cent quota for women in the parliament is only a suggestion and not a regulation, this has to be seen as a gateway for women's active role in the public sphere. After a long period of time, especially during the New Order era when women were only allowed to be active in the domestic sphere, this momentum brings a new hope for more freedom for women. This article is an attempt to examine the extent to which women are aware of this opportunity. This includes the examinations of women's readiness in dealing with the cultural barriers and gender bias perspectives on various issueswhich had confined them for quite some times.