bluuebunny/crossref_metadata_2025 huggingface dataset:
Patient prioritization of comorbid chronic conditions in the Veteran population: Implications for patient-centered care
Authors: Richardson Lorilei M , Hill Jennifer N , Smith Bridget M , Bauer Erica , Weaver Frances M , Gordon Howard S , Stroupe Kevin T , Hogan Timothy P
Published: November 2016

Objective:

Patients with comorbid chronic conditions may prioritize some conditions over others; however, our understanding of factors influencing those prioritizations is limited. In this study, we sought to identify and elaborate a range of factors that influence how and why patients with comorbid chronic conditions prioritize their conditions.

Methods:

We conducted semi-structured, one-on-one interviews with 33 patients with comorbidities recruited from a single Veterans Health Administration Medical Center.

Findings:

The diverse factors influencing condition prioritization reflected three overarching themes: (1) the perceived role of a condition in the body, (2) self-management tasks, and (3) pain. In addition to these themes, participants described the rankings that they believed their healthcare providers would assign to their conditions as an influencing factor, although few reported having shared their priorities or explicitly talking with providers about the importance of their conditions.

Conclusion:

Studies that advance understanding of how and why patients prioritize their various conditions are essential to providing care that is patient-centered, reflecting what matters most to the individual while improving their health. This analysis informs guideline development efforts for the care of patients with comorbid chronic conditions as well as the creation of tools to promote patient–provider communication regarding the importance placed on different conditions.
Pauladamsite, Cu4(SeO3)(SO4)(OH)4·2H2O, a new mineral from the Santa Rosa mine, Darwin district, California, USA
Authors: Kampf A. R. , Mills S. J. , Nash B. P.
Published: November 2016

Pauladamsite (IMA2015-005), Cu4(SeO3)(SO4)(OH)4·2H2O, is a new mineral from the Santa Rosa mine, Darwin district, Inyo County, California, USA, where it occurs as a secondary oxidation-zone mineral in association with brochantite, chalcanthite, gypsum, ktenasite, mimetite, schulenbergite and smithsonite on limonitic gossan. Pauladamsite forms green, multiply twinned blades up to 0.5 mm long grouped in radial sprays. The streak is pale green. Crystals are transparent and have vitreous to silky lustre. The Mohs hardness is ∼2, the tenacity is brittle, the fracture is irregular and crystals exhibit one perfect cleavage on [001]. The calculated density is 3.535 g/cm3. Electron microprobe analyses provided: CuO 48.96, ZnO 3.56, SeO2 18.82, SO3 13.90, H2O 13.29 (calc.), total 98.53 wt.%. The empirical formula (based on 13 O apfu) is: (Cu3.55Zn0.25)∑3.80Se0.98SO13H8.50. Pauladamsite is triclinic, P1, a = 6.0742(7), b = 8.4147(11), c = 10.7798 (15) Å, α = 103.665(7), β = 95.224(7), γ = 90.004(6)°, V = 533.03(12) Å3 and Z = 2. The eight strongest lines in the powder X-ray diffraction pattern are [dobs in Å(I)(hkl)]: 10.5(46)(011); 3.245(100)(001); 5.81(50)(011); 2.743(49)(112); 3.994(67)(012); 3.431(23)(1̄12,1̄2̄1,1̄20); 2.692(57)(03̄2,1̄22,2̄1̄2); and 2.485(39)(21̄2,1̄3̄2,02̄4). The structure of pauladamsite (R1 = 10.6% for 2086 Fo > 4σF) contains Cu2+O6 octahedra, SO4 tetrahedra and Se4+O3 pyramids. There are four different CuO6 octahedra, each of which exhibits typical Jahn-Teller distortion, with four short equatorial Cu–O bonds and two much longer apical Cu–O bonds. The CuO6 octahedra share edges to form five-octahedra-wide bands extending along [100]. Adjacent bands are connected in the [011̄] direction by bridging SO4 tetrahedra and in the [011] direction by bridging Se4+O3 pyramids, thereby forming a framework.
Hakite from Příbram, Czech Republic: compositional variability, crystal structure and the role in Se mineralization
Authors: Škácha P. , Sejkora J. , Palatinus L. , Makovicky E. , Plášil J. , Macek I. , Goliáš V.
Published: November 2016

Hakite, ideally Cu10Hg2Sb4Se13, is a Se-dominant member of the tetrahedrite group occurring at only a few localities in the World. A new occurrence of this mineral in the Příbram uranium and base-metal ore district, Central Bohemia, Czech Republic, is reported in this paper. Hakite was found to be locally abundant and was identified in several samples with Se mineralization. Three chemically distinct types of hakite were distinguished based on electron microprobe study, Hg-rich hakite (hakitesensu stricto), Zn-rich hakite and Cd-rich hakite. Hg-hakite dominates among the samples studied. Its average empirical formula based on 29 apfu (n= 54) is (Cu5.61Ag0.39)∑6.00Cu4.00(Hg1.61Zn0.20Cu0.19Cd0.15Fe0.04)∑2.19(Sb3.85As0.28)∑4.13(Se11.55S1.14)∑12.69. Less common is the Zn-hakite, (Cu5.80Ag0.20)∑6.00Cu4.00(Zn1.33Hg0.42Cd0.22Cu0.18Fe0.01)∑2.16(Sb3.85As0.26)∑4.11(Se10.92S1.81)∑12.73(n= 22), and rare Cd-hakite has an empirical formula (n= 7) of (Cu5.84Ag0.16)∑6.00Cu4.00(Cd1.27Zn0.60Cu0.10Hg0.07Fe0.02)∑2.06(Sb4.00As0.19)∑4.19(Se12.14S0.61)∑12.75. The refined unit cell of Hg-hakite from Příbram, obtained from powder X-ray diffraction data, isa= 10.8783(3) Å withV= 1287.3(1) Å3(Z= 4, for the cubic space groupI4̄3m). Structure refinement from the precession electron diffraction data collected on the transmission electron microscope (R= 24.4% for 424 observed reflections), confirmed that hakite is isostructural with tetrahedrite. The evolution of hydrothermal fluids, from which Se mineralization formed, suggests a distinct enrichment in sulfur and depletion in selenium over the time span of crystallization.
Lead-tellurium oxysalts from Otto Mountain near Baker, California, USA: XII. Andychristyite, PbCu2+Te6+O5(H2O), a new mineral withhcpstair-step layers
Authors: Kampf Anthony R. , Cooper Mark A. , Mills Stuart J. , Housley Robert M. , Rossman George R.
Published: November 2016

Andychristyite, PbCu2+Te6+O5(H2O), is a new tellurate mineral from Otto Mountain near Baker, California, USA. It occurs in vugs in quartz in association with timroseite. It is interpreted as having formed from the partial oxidation of primary sulfides and tellurides during or following brecciation of quartz veins. Andychristyite is triclinic, space group P1̄, with unit-cell dimensionsa= 5.322(3),b= 7.098(4),c= 7.511 (4) Å, α = 83.486(7), β = 76.279(5), γ = 70.742(5)°,V= 260.0(2) Å3 andZ= 2. It forms as small tabular crystals up to ∼50 μm across, in sub-parallel aggregates. The colour is bluish green and the streak is very pale bluish green. Crystals are transparent with adamantine lustre. The Mohs hardness is estimated at between 2 and 3. Andychristyite is brittle with an irregular fracture and one perfect cleavage on {001}. The calculated density based on the empirical formula is 6.304 g/cm3. The mineral is optically biaxial, with large 2V, strong dispersion, and moderate very pale blue-green to medium blue-green pleochroism. The electron microprobe analyses (average of five) provided: PbO 43.21, CuO 15.38, TeO335.29, H2O 3.49 (structure), total 97.37 wt.%. The empirical formula (based on 6 O apfu) is: Pb0.98Cu2+0.98Te6+1.02O6H1.96. The Raman spectrum exhibits prominent features consistent with the mineral being a tellurate, as well as an OH stretching feature confirming a hydrous component. The eight strongest powder X-ray diffraction lines are [dobsin Å(I)(hkl)]: 6.71(16)(010), 4.76(17)(110), 3.274(100)(120,102,012), 2.641(27)(102, 211, 112), 2.434(23)(multiple), 1.6736(17)(multiple), 1.5882(21)(multiple) and 1.5133(15)(multiple). The crystal structure of andychristyite (R1= 0.0165 for 1511 reflections withFo> 4σF) consists of stair-step-likehcppolyhedral layers of Te6+O6and Cu2+O6octahedra parallel to {001}, which are linked in the [001] direction by bonds to interlayer Pb atoms. The structures of eckhardite, bairdite, timroseite and paratimroseite also contain stair-step-likehcppolyhedral layers.
Angiocrine Bmp2 signaling in murine liver controls normal iron homeostasis
Authors: Koch Philipp-Sebastian , Olsavszky Victor , Ulbrich Friederike , Sticht Carsten , Demory Alexandra , Leibing Thomas , Henzler Thomas , Meyer Mathias , Zierow Johanna , Schneider Sven , Breitkopf-Heinlein Katja , Gaitantzi Haristi , Spencer-Dene Bradley , Arnold Bernd , Klapproth Kay , Schledzewski Kai , Goerdt Sergij , Géraud Cyrill
Published: November 2016

Key Points

Angiocrine Bmp2 signaling in the liver controls tissue and serum iron concentrations via regulation of hepcidin expression in hepatocytes. Liver-specific angiocrine signaling is essential for the metabolic homeostasis of the whole organism.
How I treat atypical chronic myeloid leukemia
Authors: Gotlib Jason
Published: November 2016

Atypical chronic myeloid leukemia, BCR-ABL1 negative (aCML) is a rare myelodysplastic syndrome (MDS)/myeloproliferative neoplasm (MPN) for which no current standard of care exists. The challenges of aCML relate to its heterogeneous clinical and genetic features, high rate of transformation to acute myeloid leukemia, and historically poor survival. Therefore, allogeneic hematopoietic stem cell transplantation should always be an initial consideration for eligible patients with a suitable donor. Nontransplant approaches for treating aCML have otherwise largely relied on adopting treatment strategies used for MDS and MPN. However, such therapies, including hypomethylating agents, are based on a paucity of data. With an eye toward making a more meaningful impact on response rates and modification of the natural history of the disease, progress will rely on enrollment of patients into clinical trials and molecular profiling of individuals so that opportunities for targeted therapy can be exploited.
Zoster prophylaxis after allogeneic hematopoietic cell transplantation using acyclovir/valacyclovir followed by vaccination
Authors: Jamani Kareem , MacDonald Judy , Lavoie Martin , Williamson Tyler S. , Brown Christopher B. , Chaudhry Ahsan , Jimenez-Zepeda Victor H. , Duggan Peter , Tay Jason , Stewart Douglas , Daly Andrew , Storek Jan
Published: November 2016

Key Points

Two years of antiviral prophylaxis and VZV vaccination reduce the incidence of VZV disease and nearly eliminate post–herpetic neuralgia.
Polyphosphate/platelet factor 4 complexes can mediate heparin-independent platelet activation in heparin-induced thrombocytopenia
Authors: Cines Douglas B. , Yarovoi Serge V. , Zaitsev Sergei V. , Lebedeva Tatiana , Rauova Lubica , Poncz Mortimer , Arepally Gowthami M. , Khandelwal Sanjay , Stepanova Victoria , Rux Ann H. , Cuker Adam , Guo Cecilia , Ocariza Linnette Mae , Travers Richard J. , Smith Stephanie A. , Kim Hugh , Morrissey James H. , Conway Edward M.
Published: November 2016

Key Points

Polyphosphates form antigenic complexes with PF4 that are recognized by HIT antibodies. Polyphosphate/PF4 complexes released by activated platelets can mediate platelet aggregation by HIT antibodies in the absence of heparin or cell-surface chondroitin sulfate.
Combinations of idelalisib with rituximab and/or bendamustine in patients with recurrent indolent non-Hodgkin lymphoma
Authors: de Vos Sven , Wagner-Johnston Nina D. , Coutre Steven E. , Flinn Ian W. , Schreeder Marshall T. , Fowler Nathan H. , Sharman Jeff P. , Boccia Ralph V. , Barrientos Jacqueline C. , Rai Kanti R. , Boyd Thomas E. , Furman Richard R. , Kim Yeonhee , Godfrey Wayne R. , Leonard John P.
Published: November 2016

Key Points

Combining phosphatidylinositol-3-kinase δ inhibition with rituximab, bendamustine, or both is feasible and active in relapsed iNHL. The safety of novel combinations should be proven in phase 3 trials before adoption in clinical practice.
TGF-β1 along with other platelet contents augments Treg cells to suppress anti-FVIII immune responses in hemophilia A mice
Authors: Haribhai Dipica , Luo Xiaofeng , Chen Juan , Jia Shuang , Shi Linzheng , Schroeder Jocelyn A. , Weiler Hartmut , Aster Richard H. , Hessner Martin J. , Hu Jianda , Williams Calvin B. , Shi Qizhen
Published: November 2016

Key Points

TGF-β1 from unfractionated pltLys can efficiently induce Treg cells. The properties of Treg cells induced by TGF-β1 are altered by platelet contents.
Desire for predictive testing for Alzheimer’s disease and impact on advance care planning: a cross-sectional study
Authors: Sheffrin Meera , Stijacic Cenzer Irena , Steinman Michael A.
Published: November 2016

Background

It is unknown whether older adults in the United States would be willing to take a test predictive of future Alzheimer’s disease, or whether testing would change behavior. Using a nationally representative sample, we explored who would take a free and definitive test predictive of Alzheimer’s disease, and examined how using such a test may impact advance care planning.

Methods

A cross-sectional study within the 2012 Health and Retirement Study of adults aged 65 years or older asked questions about a test predictive of Alzheimer’s disease (N = 874). Subjects were asked whether they would want to take a hypothetical free and definitive test predictive of future Alzheimer’s disease. Then, imagining they knew they would develop Alzheimer’s disease, subjects rated the chance of completing advance care planning activities from 0 to 100. We classified a score > 50 as being likely to complete that activity. We evaluated characteristics associated with willingness to take a test for Alzheimer’s disease, and how such a test would impact completing an advance directive and discussing health plans with loved ones.

Results

Overall, 75% (N = 648) of the sample would take a free and definitive test predictive of Alzheimer’s disease. Older adults willing to take the test had similar race and educational levels to those who would not, but were more likely to be ≤75 years old (odds ratio 0.71 (95% CI 0.53–0.94)). Imagining they knew they would develop Alzheimer’s, 81% would be likely to complete an advance directive, although only 15% had done so already.

Conclusions

In this nationally representative sample, 75% of older adults would take a free and definitive test predictive of Alzheimer’s disease. Many participants expressed intent to increase activities of advance care planning with this knowledge. This confirms high public interest in predictive testing for Alzheimer’s disease and suggests this may be an opportunity to engage patients in advance care planning discussions.
Using paper pulp poultices in the field and laboratory to analyse salt distribution in building limestones
Authors: Egartner Isabel , Sass Oliver
Published: November 2016

We investigated the behaviour of salt solutions during the drying process in porous stone and the extraction of salts by paper pulp poultices (PPP). The investigations were carried out at a 300 year old boundary wall of the Worcester College in Oxford, UK, as well as under laboratory conditions. The laboratory blocks of porous, bioclastic limestone (Aflenzer stone, Austria) were cut into stone cubes and prisms (5 × 5 × 5 and 5 × 5 × 20 cm) and soaked first with ultrapure H2O and second with different concentrations (0.1, 0.5 and 1 mol l−1) of a saline solution of NaCl and Na2SO4 to determine their behaviour during the dehydration process under different conditions. After determining the capillary absorption coefficient and the capillary rise behaviour of the stone cubes, we sampled material by PPP and by drilling. The samples were immersed in ultrapure water and the salt ion content was measured via conductivity and ion chromatography (IC). The main aim of the laboratory analysis was to investigate the effectivity of the PPP in extracting salts from the stone and to derive a semi-quantitative calibration (PPP results vs. original salt content). The field work at the college boundary wall comprised sampling (PPP and stone surface material) at surfaces of different weathering features. Finally, the field work results were compared to the laboratory work. The lab experiment results show that approximately 24% of the salts within a 100% saturated stone cube moved into the poultice within the 1 h of application. At 75% and lower saturation degrees, only 14–11% of the salts moved into the respective poultices. For the field setting, the amount of anions extracted by PPP is 6–63% (mean 20.7%) of the amount found in the stone samples. The spatial distribution of salt ion concentrations, collected by poultices, corresponds with the ‘hot spots’ of weathering.
Macrodynamics of Economics: A Bibliometric History
Authors: Claveau François , Gingras Yves
Published: November 2016

A history of specialties in economics since the late 1950s is constructed on the basis of a large corpus of documents from economics journals. The production of this history relies on a combination of algorithmic methods that avoid subjective assessments of the boundaries of specialties: bibliographic coupling, automated community detection in dynamic networks, and text mining. These methods uncover a structuring of economics around recognizable specialties with some significant changes over the period covered (1956–2014). Among our results, especially noteworthy are (1) the clear-cut existence of ten families of specialties, (2) the disappearance in the late 1970s of a specialty focused on general economic theory, (3) the dispersal of the econometrics-centered specialty in the early 1990s and the ensuing importance of specific econometric methods for the identity of many specialties since the 1990s, and (4) the low level of specialization of individual economists throughout the period in contrast to physicists as early as the late 1960s.
The Victorian Crisis of Laissez-Faire: George Eliot, Political Economy, and the Common Good
Authors: Kohlmann Benjamin
Published: November 2016

This article argues that in the 1870s philosophical, economic, and literary ideas converged on a shared problematic: the perceived crisis of laissez-faire and the emergence of new arguments in favor of state intervention in the economy. George Eliot's last novel, Daniel Deronda (1876), offers a sophisticated intervention in these debates, and it is in dialogue with the thought of the Victorian political economist and moral philosopher Henry Sidgwick and his group. Eliot engages with the perceived break—diagnosed by Sidgwick and other political economists of the period—between self-interest and public interest and attempts to find a formal resolution for this problem. Her work constitutes a particularly significant response to the widely perceived late Victorian legitimation crisis of laissez-faire, and it can help us understand the broader discursive affinities between economic thinking and literary production in this period.
A unified perspective on ankle push-off in human walking
Authors: Zelik Karl E. , Adamczyk Peter G.
Published: November 2016

Muscle–tendon units about the ankle joint generate a burst of positive power during the step-to-step transition in human walking, termed ankle push-off, but there is no scientific consensus on its functional role. A central question embodied in the biomechanics literature is: does ankle push-off primarily contribute to leg swing, or to center of mass (COM) acceleration? This question has been debated in various forms for decades. However, it actually presents a false dichotomy, as these two possibilities are not mutually exclusive. If we ask either question independently, the answer is the same: yes! (1) Does ankle push-off primarily contribute to leg swing acceleration? Yes. (2) Does ankle push-off primarily contribute to COM acceleration? Yes. Here, we summarize the historical debate, then synthesize the seemingly polarized perspectives and demonstrate that both descriptions are valid. The principal means by which ankle push-off affects COM mechanics is by a localized action that increases the speed and kinetic energy of the trailing push-off limb. Because the limb is included in body COM computations, this localized segmental acceleration also accelerates the COM, and most of the segmental energy change also appears as COM energy change. Interpretation of ankle mechanics should abandon an either/or contrast of leg swing versus COM acceleration. Instead, ankle push-off should be interpreted in light of both mutually consistent effects. This unified perspective informs our fundamental understanding of the role of ankle push-off, and has important implications for the design of clinical interventions (e.g. prostheses, orthoses) intended to restore locomotor function to individuals with disabilities.
Atmospheric Pressure Thermal Ionization Ion Source for Peptide Analysis
Authors: Kukaev Eugenii N. , Kononikhin Alexey S. , Starodubtseva Natalia L. , Kostyukevich Yury I. , Popov Igor A. , Chagovets Vitaliy , Nagornov Konstantin O. , Popov Yury V. , Nikolaev Eugene N.
Published: November 2016

A novel atmospheric pressure thermal ionization (APTI) ion source was developed for the analysis of liquid samples. The feasibility of the ion source was demonstrated on peptides using two configurations—assisted by hot wire or hot surface. Microalloyed molybdenum, used as a thermal ion-emitter, notably facilitated the formation of multiply-charged ions, but fragmentation products were still observed. Peptide fragmentation accompanying thermal ionization can be used for peptide identification. The described method is promising for studies of biological samples with minimal pre-treatment.
Understanding the Gains from Wage Flexibility: The Exchange Rate Connection
Authors: Galí Jordi , Monacelli Tommaso
Published: November 2016

We study the gains from increased wage flexibility using a small open economy model with staggered price and wage setting. Two results stand out: (i) the effectiveness of labor cost reductions as a means to stimulate employment is much smaller in a currency union, and (ii) an increase in wage flexibility often reduces welfare, more likely so in an economy that is part of a currency union or with an exchange-rate-focused monetary policy. Our findings call into question the common view that wage flexibility is particularly desirable in a currency union. (JEL E12, E24, E52, E63, F31, F33, F41)
Choice Inconsistencies among the Elderly: Evidence from Plan Choice in the Medicare Part D Program: Reply
Authors: Abaluck Jason , Gruber Jonathan
Published: November 2016

We explore the in- and out-of-sample robustness of tests for choice inconsistencies based on parameter restrictions in parametric models, focusing on tests proposed by Ketcham, Kuminoff, and Powers (2016). We argue that their nonparametric alternatives are inherently conservative with respect to detecting mistakes. We then show that our parametric model is robust to KKP’s suggested specification checks, and that comprehensive goodness of fit measures perform better with our model than the expected utility model. Finally, we explore the robustness of our 2011 results to alternative normative assumptions highlighting the role of brand fixed effects and unobservable characteristics. (JEL D12, H51, I13, I18, J14)
Παρουσίαση Βιβλίου: Palaiologou, I (Ed) (2016). The Early Years Foundation Stage: Theory and Practice. London: Sage ISBN: 9781446256985
Authors: Νικηφορίδου Ζωή
Published: November 2016

δεν παρατίθεται περίληψη
Recent advances in understanding Streptomyces
Authors: Chater Keith F.
Published: November 2016

About 2,500 papers dated 2014–2016 were recovered by searching the PubMed database for Streptomyces, which are the richest known source of antibiotics. This review integrates around 100 of these papers in sections dealing with evolution, ecology, pathogenicity, growth and development, stress responses and secondary metabolism, gene expression, and technical advances. Genomic approaches have greatly accelerated progress. For example, it has been definitively shown that interspecies recombination of conserved genes has occurred during evolution, in addition to exchanges of some of the tens of thousands of non-conserved accessory genes. The closeness of the association of Streptomyces with plants, fungi, and insects has become clear and is reflected in the importance of regulators of cellulose and chitin utilisation in overall Streptomyces biology. Interestingly, endogenous cellulose-like glycans are also proving important in hyphal growth and in the clumping that affects industrial fermentations. Nucleotide secondary messengers, including cyclic di-GMP, have been shown to provide key input into developmental processes such as germination and reproductive growth, while late morphological changes during sporulation involve control by phosphorylation. The discovery that nitric oxide is produced endogenously puts a new face on speculative models in which regulatory Wbl proteins (peculiar to actinobacteria) respond to nitric oxide produced in stressful physiological transitions. Some dramatic insights have come from a new model system for Streptomyces developmental biology, Streptomyces venezuelae, including molecular evidence of very close interplay in each of two pairs of regulatory proteins. An extra dimension has been added to the many complexities of the regulation of secondary metabolism by findings of regulatory crosstalk within and between pathways, and even between species, mediated by end products. Among many outcomes from the application of chromosome immunoprecipitation sequencing (ChIP-seq) analysis and other methods based on “next-generation sequencing” has been the finding that 21% of Streptomyces mRNA species lack leader sequences and conventional ribosome binding sites. Further technical advances now emerging should lead to continued acceleration of knowledge, and more effective exploitation, of these astonishing and critically important organisms.
Checklist of liverworts of the Pasvik State Nature Reserve (Murmansk Region, Russia)
Authors: Borovichev Eugene A. , Boychuk Margarita A.
Published: November 2016

Liverworts flora of the Pasvik State Nature Reserve (Pasvik Reserve) consists of 103 species, 5 subspecies and 2 varieties. We have summarized all available data on the diversity of liverworts of the Pasvik Reserve, including approximately 650 specimens collected by the authors. Calycularia laxa and Oleolophozia perssonii are reported for the second time from Murmansk Region. The territory is quite representative for protection and sustainable development of rare liverworts species – we found new localities for four red-listed European species (Barbilophozia rubescens, Haplomitrium hookeri, Lophozia ascendens and Nardia japonica), three liverworts included in the Red Data Book of the Russian Federation (Haplomitrium hookeri, Nardia breidleri and Oleolophozia perssonii) and 12 red-listed in the Murmansk Region.
Lichenicolous fungi from Kodar Range, Trans-Baikal Territory of Russia
Authors: Zhurbenko Mikhail P. , Chesnokov Sergei V. , Konoreva Ludmila A.
Published: November 2016

Sixty three species of lichenicolous and allied fungi are reported, 47 of which are new to Trans-Baikal Territory of Russia. A presumably undescribed Llimoniella-like discomycete on Protoblastenia terricola is illustrated and discussed. Plectocarpon melanohaleae is first recorded in the northern hemisphere. Diplolaeviopsis ranula, Endococcus alectoriae, E. verrucisporus, Epigloea filifera, Sagediopsis fissurisedens and Talpapellis peltigerae var. peltigerae are new to Russia and Asia. Endococcus macrosporus is new to Russia. Lichenostigma rupicolae, Opegrapha geographicola and Unguiculariopsis lettaui are new to Siberia. Arthonia molendoi, Dactylospora glaucomarioides, Didymocyrtis consimilis, Epibryon conductrix, Muellerella lichenicola, Phaeospora cf. rimosicola, Sagediopsis aspiciliae, S. pertusariicola, Sphaerellothecium contextum, Stigmidium conspurcans, S. mitchellii, S. solorinarium and Talpapellis peltigerae are new to South Siberia. Cercidospora thamnoliae and Sagediopsis pertusariicola are first reported outside the Arctic. Athallia is a new host genus for Didymocyrtis consimilis and Bryoria for Endococcus alectoriae. The following new host species are registered: Pertusaria geminipara for Dactylospora deminuta, Calvitimela talayana for Endococcus propinquus s. l., Bryoria simplicior for Lichenostigma maureri and Melanohalea olivacea for Plectocarpon melanohaleae.
Jamesiella scotica new to North America from USA, Alaska
Authors: Tønsberg Tor
Published: November 2016

Jamesiella scotica is reported new to North America from Kenai Fjords National Park in Alaska. It was found on live and moribund leaves of the bryophyte Paraleucobryum longifolium on sea-shore rocks just above high tide line.
New species of lichenicolous fungi for Ukraine
Authors: Khodosovtsev Alexander Ye. , Darmostuk Valeriy V.
Published: November 2016

The lichenicolous fungi Abrothallus teloschistis, Ceratobasidium bulbillifaciens, Cladosporium licheniphilum, Cornutispora ciliata, Epicladonia sandstedei, Lichenohendersonia varians, Lichenothelia renobalesiana, Stigmidium clauzadei, Vouauxiella verrucosa, Zwackhiomyces berengerianus are reported for the first time for Ukraine. Descriptions, localities, ecology and distribution of the recorded species are provided.
Foliicolous lichens from Suriname and Guyana: new records and three new species
Authors: Van den Boom Pieter P. G. , Sipman Harrie J. M.
Published: November 2016

Sampling of foliicolous lichens by the first author in Suriname in 2014 resulted in 103 records of lichenized and lichenicolous fungi for Suriname, including 89 first records for the country and one undescribed species. Fieldwork in Guyana by the second author in 1992 and 1997 brought 29 new records, including a new chemical strain for Loflammea epiphylla and two undescribed species. A full list for Suriname is presented (130 taxa), the additions for Guyana are listed, and the new species Calenia surinamensis, Enterographa paruimae and Strigula transversoundulata are described.
Blood transfusion in the context of maternity care
Authors: Hindley Carol
Published: November 2016

This article highlights principles for the safe administration of blood transfusion in maternity care. The aim is to increase awareness of the context for blood transfusion in midwifery, the components most frequently used and the process for safe blood transfusion, including clinical observations. There are serious hazards associated with this procedure so there should be a clear indication for transfusion. Midwives must not engage in the administration of blood unless they have received appropriate training, have been assessed as clinically competent and meet the requirements for periodic review or assessment in administering blood transfusion.
The importance of technology
Authors: Windsor Sophie
Published: November 2016

Servers crashing and email failures highlight the negative aspects of our reliance on technology, but Sophie Windsor points out that there are also many potential benefits.
Is there a place for barter within nurse education?
Authors: Damant Margaret
Published: November 2016

It is not uncommon in the UK for teaching by clinical specialists to be imported into the classroom: expert practitioners also facilitate learning in the practice setting. In turn, practitioners often look to the educational establishment for continuing education and research supervision. With such reciprocity, there may be a place for barter within the educational system?
Continence care: a forgotten specialty
Authors: Wells Mandy
Published: November 2016

In May 1993 the UKCC published its Proposed Standards for Postregistration Education. This document proposes a new postregistration education based on three distinct areas of nursing practice: primary, enhanced and advanced. It states that: ‘Modern health care calls for nurses, midwives and health visitors to be prepared in a way which is relevant and responsive to the needs of patients and clients and the health services. For meaningful standards to be achieved a framework is needed that matches practice and education and which brings order, consistency and logic to the existing range of postregistration education provision.’
Working with schizophrenic clients and their families
Authors: Gamble Catherine
Published: November 2016

This article presents a history of schizophrenia family work. It describes research carried out into the subject and how and why the knowledge gained is now being disseminated to mental health nurses.
Role of the nurse teacher as researcher
Authors: Bassett Christopher
Published: November 2016

Nurse teachers have an important role to play in nursing research. This article examines this role and considers some of the factors that prevent nurse teachers from increasing their research activity. It also highlights methods by which nurse teachers and nursing practitioners can work together to reduce the theory/practice gap and improve patient care.
Correspondence
Authors: Grayson April , White Ann , Cordon Stephen
Published: November 2016

Should nurses walk away?

Nurses and pharmacology

Parental stress in paediatric ITU
Accreditation and nursing practice
Authors: Conway Jane
Published: November 2016

As part of a larger study (Conway, 1993) the literature relating to accreditation of prior learning (APL), accreditation of prior experiential learning (APEL), and the credit accumulation and transfer scheme (CATS) was examined. Significant influencing factors are identified and a general overview of the background to APEL is presented.
Understanding paracetamol
Authors: Younger Jackie
Published: November 2016

It is easier than we may think to overdose inadvertently on paracetamol. With another winter upon us, many cold remedy products now carry a manufacturer's warning; however, do nurses themselves fully understand why paracetamol can be so fatal?
Euthanasia: fact, fear and fantasy
Authors: Dunphy Kilian
Published: November 2016

In moments of candour, many nurses and doctors will tell you that they believe they have shortened patients' lives by administering or prescribing large doses of morphine in an attempt to control the pain of advanced disease. Professionals may become sympathetic to the possibility of legalization of euthanasia in such situations, fearing that they walk a tightrope between inadequate symptom control on the one hand and euthanasia on the other. Yet we, as health professionals, have a curious facility for blurring cause and effect when it comes to caring for dying patients.
Ethical dilemmas in caring for a patient refusing amputation
Authors: Murphy Jane
Published: November 2016

Mr A was a 79-year-old retired man living with his wife, to whom he was very close. They were non-practising Jews. Their married daughter and her husband lived outside London and, while being very supportive to Mr and Mrs A, worked full time and were raising their family. Mrs A was wheelchair-bound following previous non-specific cardiac problems; she was also asthmatic, and was able to do very little for herself and her husband.

Mr A, who was mildly diabetic, had undergone several types of surgery over a long period. Some years after prosthetic knee surgery his left knee became infected and was discharging. He was admitted to the surgical orthopaedic ward, which was the second placement in my first student year. His knee was drained, a plaster cast was put on from knee to foot and physiotherapy was begun with the aim of restoring full mobility to enable him to return home. Mr A appeared to be coping well with his situation and was cooperative with staff. However, very soon after the plaster cast was applied Mr A complained of pain above and around the ankle. Cutting a window in the plaster revealed four small pressure sores (Fig. 1); the plaster was removed and the sores were dressed.
When and how to seek professional advice from the UKCC
Authors: Morris Siân , Knape John
Published: November 2016

You are a staff nurse beginning a new position on a busy medical ward with a high dependency unit attached and are about to start your first set of night shifts. You are aware that it is common practice for nursing staff on the ward to call a junior doctor and to receive verbal messages to administer certain drugs. You feel unsure and unhappy about this procedure. What should you do?
Role of the health services in the aftermath of the Bulger case
Authors: Notter Joy
Published: November 2016

The last few weeks have contained news of worldwide disaster and violence; however, the event that has caused most comment is the trial of the murderers of James Bulger which ended a week ago amid what can only be described as a blaze of publicity. The public has been bombarded with descriptions and extracts from witnesses and defendants, causing this appalling trial to raise questions in all walks of life.
Design of primary nursing jobs in a paediatric unit
Authors: Eaton Nicola , Thomas Paul
Published: November 2016

Nursing jobs in the four wards of a paediatric unit were evaluated in a job diagnostic survey before the introduction of a primary nursing regimen. The approach used was a combination of task and patient allocation on a shift basis.
Views of two consumer representatives of the UKCC
Authors: Lewis Rita , Jacobs Eva
Published: November 2016

My consumer experience includes 12 years as a member of the Community Health Council at local, regional and national levels. I was a Mental Health Act commissioner for 6 years, I am a health policy consultant, and 1 have academic health policy knowledge. I currently remain very active with health consumers in my locality. I also run a self-advocacy group with people who have a learning disability
Poverty and ill health: time to review the link
Authors: Fox Jane
Published: November 2016

The British Medical Journal of 29 April (1994) made grim reading for it highlighted, both in its editorial by Wilkinson and in five accompanying reports (Bissett et al; Morris et al; Phillimore et al; Power; Williams et al), the impact of current poverty upon mortality. Life expectancy for some groups is reported to be at its worst for 50 years, rising in absolute terms for men under 45 years and women aged 65-75 years.
Euthanasia: a contemporary nursing issue
Authors: Garrett Bernard Mark
Published: November 2016

Euthanasia is once again attracting the media's attention. In September 1992, the case of Dr Cox, the Hampshire rheumatologist accused of murdering his patient, featured consistently in the national daily papers and on television news. In February 1993, both the outcome of the Tony Bland appeal and the Dutch parliamentary vote on euthanasia found their way into the national television news headlines. Now, in 1994, the special parliamentary committee set up to investigate the law regarding euthanasia has published its report, advising that it remain an illegal practice (House of Lords, 1994).
Effectiveness of documented assessment of postoperative pain
Authors: Scott Irene E
Published: November 2016

This article presents the results of a pilot study on the use of a numerical pain assessment chart for improving the care of patients with acute postoperative pain and increasing the effectiveness of nursing time and intervention. The study showed that the chart was effective and highlighted several areas that warrant further investigation.
Discharging patients receiving enteral nutrition
Authors: Arrowsmith Helen L
Published: November 2016

When a patient is receiving enteral nutrition in hospital and is otherwise medically fit (or soon to become fit) for discharge back to the home and into community institutions such as nursing homes and hospices, home enteral nutrition (HEN) is usually considered. This article describes the process used at Birmingham Heartlands Hospital for the discharge into the community of patients receiving enteral tube feeding.
Continence nurse specialists: time for recognition
Authors: Castlcdine George
Published: November 2016

At long last the UKCC has recognised and designated what specialist nursing practice and practitioners should be (UKCC, 1994): ‘Specialist nursing practice is defined by the Council as practice for which the nurse is required to possess additional knowledge and skill in order to exercise a higher level of clinical judgment and discretion in clinical care and to provide expert clinical care and leadership, teaching and support to others.’
Transcultural nursing and nurse education
Authors: Papadopoulos Irena , Tilki Mary , Alleyne Jo
Published: November 2016

This is the first of a series of articles that will discuss some of the concepts associated with transcultural nursing. It suggests that nurse education fails in any significant way to deliver culturally sensitive care.
Deregulation of nursing homes: a disaster waiting to happen?
Authors: Nolan Mike
Published: November 2016

Much has been written about the abuse and mistreatment of older people, particularly in the context of family care. As a consequence, there has been a tendency to overlook what is probably a more prevalent and pervasive concern: the mistreatment of older people who live in some form of institutional care.
Nursing intervention in the treatment of cataracts
Authors: Kelly John
Published: November 2016

Cataract remains the leading cause of blindness in the world, affecting around half of the world's 27-35 million blind people (WHO, 1991). The only effective treatment currently available is the surgical extraction of the opacified lens. This article re-examines the condition and looks at the nursing action that is taken before and after cataract surgery.
NHS league tables: does a 5-star rating indicate 5-star care?
Authors: MacAlister Lanette
Published: November 2016

According to Virginia Bottomley, the release on 29 June 1994 of NHS performance (league) tables in the shape of the Hospital and Ambulance Services: Comparative Performance Guide 1993-1994 (Department of Health, 1994) signalled ‘a milestone in the information revolution sweeping the NHS’.
Living alone with dementia
Authors: Keady John
Published: November 2016

Over the last few years, the two Home Alone motion pictures have made both a star and a millionaire of its main character actor Macauley Culkin. The success of the first film was constructed around a storyline of parental failing, abandonment and child vulnerability. As adults, we could identify and empathise with the home alone child as he struggled, often in adversity, to save himself and his family against exploitation and the bad guys.
Parents' attitudes to self-medication by their asthmatic children
Authors: Robinson Elizabeth A
Published: November 2016

This article presents research exploring parents' beliefs and attitudes to self-medication by their asthmatic children in primary schools. It acknowledges the value of parents' experience and views and recommends that these should be taken into consideration in the production of school medications policies.
Circadian rhythms 1: physiology
Authors: Clancy John , McVicar Andrew
Published: November 2016

Circadian rhythmicity of many psychophysiological parameters is increasingly recognised as having implications for the health of nursing staff and for the delivery of care during shift working. In this, the first of two articles, the nature of circadian rhythms and their subjectivity is discussed.
Feeding the wound: nutrition and wound care
Authors: Wallace Edward
Published: November 2016

As nurses strive to increase the quality and cost-effectiveness of their care, wound management must include consideration of the nutritional health of the individual and the implications of the wound for nutritional requirements. Time and money spent on expensive dressings may otherwise be wasted and the recovery time of the individual may be prolonged.
Primary nursing: a new philosophy
Authors: Furlong Sarah L
Published: November 2016

Primary nursing is dynamic and its inception acts as a springboard for the advancement of practice. The philosophy of primary nursing is also dynamic and thus needs to be modified regularly in order that it may retain its usefulness as a true reflection of beliefs and working practice. The research described in this article relates to an attempt to formulate an updated philosophy of primary nursing in the Glenfield Nursing Development Unit, Leicester, a unit with 19 cardiology and three high dependency beds.
The Integrated Care in Shropshire project: lessons from experience
Authors: Waddington Paul
Published: November 2016

A project was launched in Shropshire to seek ways of improving the integration of primary care services. The experience offers important lessons about the management of change and innovation.
Community nurses are not GPs' attendants
Authors: Squire Anne
Published: November 2016

Headlines such as ‘Approval for night duty plan’, ‘Night visits breakthrough’, ‘Out of hours campaign’, ‘24-hour care must be removed from average net’, ‘Help us help you campaign’, ‘Nurses and taxis cut GP night calls’ and ‘One third of night visits unnecessary’ have all starred in the medical and nursing press recently. They have all been news since the Government announced in May 1994 that it had agreed changes to GPs’ terms of service (cited in UKCC, 1994). Flexibility was agreed in the way that GPs met their ‘out of hours’ responsibilities.
The value of convalescent care
Authors: Castledinc George
Published: November 2016

The subject of convalescence has disappeared from many modern nursing and medical textbooks. It also seems to have been forgotten by recent NHS reformers and a Government obsessed with ‘high-speed surgery to cut hospital stays’ (The Times, 1994).
Funding for continuing professional education: time to stop moaning
Authors: Nolan Mike
Published: November 2016

This year has been important for the future of continuing professional education (CPE) for nursing, midwifery and health visiting. The post-registration education and practice (PREP) proposals have been agreed by the UKCC (1994) and endorsed in principle by the Government. However, despite these positive developments, one topic seems to have hijacked the agenda and overshadowed all others — funding.
Methicillin-resistant Staphylococcus aureus: do we just have to live with it?
Authors: Siu Allan CK
Published: November 2016

Infection with methicillin-resistant Staphylococcus aureus is a familiar problem in hospital patients and has been a global issue since the 1960s. Control of this organism is expensive both financially and in terms of human resources. This article is an attempt to review the epidemiological evolution and our understanding of the organism and bring together possible solutions.
Paediatric cardiopulmonary resuscitation
Authors: Williams Carol
Published: November 2016

A good knowledge of paediatric resuscitation procedures can instil confidence in the nurse faced with a critically ill child and can improve the outcome for that child. This article reviews both basic and advanced resuscitation procedures that are recommended for use in the paediatric age group.
Culturally sensitive and culturally comprehensive care
Authors: McGee Paula
Published: November 2016

Nursing is essentially about caring for others (Leininger, 1988) and it is this emphasis on care that distinguishes nursing from other professions, most notably medicine, which are oriented towards cure. To achieve culturally sensitive care nurses need to develop a knowledge base which incorporates an awareness of their own culture, preferences and prejudices alongside specific information about ethnic groups.
Clinical supervision: a real aspiration?
Authors: Fox Jane
Published: November 2016

The release earlier this year of a position paper on clinical supervision, commissioned by the Department of Health (DoH), is both timely and significant (Faugier and Butterworth, 1994). The report highlights the fact that clinical supervision is often confused with concepts of preceptorship and mentorship.
Use of pulmonary artery flotation catheters in the coronary care unit
Authors: Bloe Charles G
Published: November 2016

As critical care nurses strive towards holistic patient care they must now interpret parameters previously regarded as the domain of the physician. The interpretation and understanding of results derived from pulmonary artery flotation catheters are important skills that are outlined in this article.