bluuebunny/crossref_metadata_2025 huggingface dataset:
Forecasting Urban Expansion in the Seven Lakes Area in San Pablo City, Laguna, the Philippines Using the Land Transformation Model
Authors: Quintal Anna Laura , Gotangco Charlotte Kendra , Guzman Maria Aileen Leah
Published: January 2018

Managing urban growth is essential to the conservation of the Seven Lakes ecosystem in San Pablo City, Laguna province in the Philippines. This study simulates potential conversion of agricultural lands to built-up areas using the land transformation model (LTM), which integrates geographical information systems (GIS) and an artificial neural network (ANN). Historical drivers of the expansion of built-up areas are identified and validated through the application of LTM to land cover maps from 1988 to 2015. Identified drivers include distance to roads, distance to trails, distance to the Seven Lakes, distance to existing built-up areas, slopes and population density per barangay. Results from the percent correct matrix (PCM) were 79.88 per cent for the 1988–2003 runs and 66.42 per cent for the 2003–2015 runs, while the Kappa statistic for both time periods was higher than 0.60, which indicates high levels of agreement. Forecasted scenarios were business-as-usual (BAU) growth, doubled growth and strict law implementation protecting the vicinity around the Seven Lakes and other natural areas. In the BAU scenario, urban expansion spread out along the road networks. The doubled growth scenario showed that further expansion will likely extend around the proximity of the lakes, which may adversely affect the livelihoods of the local fishing communities. As such, it was recommended that preventive measures, such as strict implementation of buffer zones coupled with regular monitoring, be taken to manage land use in the surrounding lake areas.
A Psychosocial Cognitive Model of Employment Status Choice
Authors: Katz Jerome A.
Published: January 2018

A model of employment status (self-employed vs. wage-or-salary employed) choice based on psychological, sociological and cognitive variables resolves the traditional shortcomings of occupational tracking models (general applicability, black box treatment of individual processes, and tracking exceptions or “failures”) by using the cognitive heuristics of availability, representativeness and adjustment from an anchor. The model is presented, its components and processes are described, it is partially operationalized in a small example, and implications for future use are briefly considered.
Article Commentary: Theory from Field Research on Firm-Level Entrepreneurship: A Normal Science Overview
Authors: Guth William D.
Published: January 2018

From the perspective of normal science, this summary overview highlights the contribution to corporate entrepreneurship theory made by each article In this special issue. It then makes suggestions about further research to develop each contribution Into empirically refutable theory, with both explanatory and predictive power, or empirically to establish its credibility and range of applicability.
Dermatological Manifestations in Patients Undergoing In Vitro Fertilisation: A Prospective Study
Authors: Sood Aradhana , Sahu Suvash , Karunakaran Sandeep , Joshi Rajneesh K. , Raman Deep Kumar
Published: January 2018

Background:

Changing sociodemographic patterns with an increase in the age of childbirth have affected fertility rates worldwide. With advancing reproductive medicine, assisted reproductive techniques (ARTs) are becoming common. While dermatological manifestations in normal pregnancies have been well documented, there is a paucity of data regarding cutaneous manifestations in patients undergoing ART.

Objectives:

The objectives of our study were to estimate the incidence and types of dermatological manifestations in patients undergoing in vitro fertilisation (IVF) and to study their associations with age, type of infertility, and outcome of the procedure.

Methods:

A prospective cohort of 200 patients undergoing IVF in a tertiary care centre was observed for occurrence of any dermatological manifestations from initiation of the IVF protocol to the outcome of the procedure at 3 weeks after embryo transfer.

Results:

Dermatological manifestations were seen in 27% of the study group, with urticaria being the most common cutaneous finding seen in 13.5%, followed by acneform eruptions (3%). Twenty-six (96.3%) of patients who manifested with urticaria were on progesterone. No statistically significant association was found between the occurrence of dermatological manifestations and the outcome of IVF, type of infertility, history of ART, and ovum donation in our study. Association between the age of the patient and the outcome of IVF cycle was statistically significant.

Conclusion:

Dermatological manifestations are seen in almost one-quarter of patients undergoing IVF, with progesterone-induced urticaria being the most common. Occurrence of cutaneous manifestations has no significant association with the outcome of IVF.
Professionalizing corporate professions: Professionalization as identity project
Authors: Reed Cara
Published: January 2018

Professional bodies have traditionally played a core role in professionalization, setting the ideals for professional identity, knowledge and practice. However, the emergence of corporate professions has problematized the role of the professional body in contemporary professionalization. This article examines the role of the professional body and its ability to resonate with practitioners’ professional identity construction through empirical analysis of public relations. The article introduces the concept of professionalization as identity project as another means by which to understand attempts at social closure in emergent corporate professions. For professionalization as identity project to be fully realized, the research suggests the blending of traditional discourses of professionalism with emergent discourses of entrepreneurialism is required. Consequently, the study highlights that corporate professionalization as identity project reflects the contemporary tensions and contradictions between the lived reality and orthodox ideology of ‘being a professional’.
The Effect of Transformational Leadership and Job Autonomy on Promotive and Prohibitive Voice: A Two-Wave Study
Authors: Svendsen Mari , Unterrainer Christine , Jønsson Thomas Faurholt
Published: January 2018

Although there is a vast amount of research on leadership and improvement-oriented voice behavior, the amount of cross-lagged research on leadership that also incorporates more challenging forms of voice is sparse. This article reports on a two-wave study of white-collar workers in a Norwegian medical technology company, investigating the relationship among employees’ perceived transformational leadership behaviors, job autonomy, and promotive and prohibitive voice. Testing our results cross-lagged, we demonstrate that perceived transformational leadership is significantly related to prohibitive voice over time, whereas this effect worked in the opposite direction for promotive voice. We also explore the boundary conditions of transformational leadership, demonstrating that perceived job autonomy strengthens the effect of transformational leadership on prohibitive voice. Implications for theory and research are discussed.
The Status of Smallholder Farmers in Nepal’s Agricultural Development Strategy (2015–2035)
Authors: Roka Hari
Published: January 2018

The Government of Nepal (GoN) has put forward a new Agriculture Development Strategy (ADS). Strategy-makers are claiming that this will shape the country’s future for the next two decades and make Nepal at least a middle income country by 2035. This article focuses on the possible impact of the ADS on small-scale farmers and women. It analyses its impact on the agrarian structure, budget allocations, and insurance and support for technical inputs. It also considers the tendencies towards monoculture that ADS entails and the overall consequences for food security and development. The ADS represents an escalation of a neoliberal policy, which has been advancing since the 1990s and is at odds with the popular struggles that established a new democratic system.
A finite-element time-domain forward solver for electromagnetic methods with complex-shaped loop sources
Authors: Li Jianhui , Lu Xushan , Farquharson Colin G. , Hu Xiangyun
Published: January 2018

A finite-element time-domain (FETD) electromagnetic forward solver for a complex-shaped transmitting loop is presented. Any complex-shaped source can be viewed as a combination of electric dipoles (EDs), each of which can be further decomposed into two horizontal EDs along the [Formula: see text]- and [Formula: see text]-directions and one vertical ED along the [Formula: see text]-direction. Using this method, a complex-shaped loop can be easily handled when implementing an FE method based on the total-field algorithm and an unstructured tetrahedral mesh. The FETD solver that we developed used a vector FE method and the first-order backward Euler method to discretize in space and time, respectively. Unstructured tetrahedral girds combined with a local refinement technique was used to exactly delineate topography and a deformed loop. This FETD solver was tested by the five following scenarios: a rectangular loop on a flat-surface half-space, a circular loop on a stratified medium, a rectangular loop laid on a slope-surface half-space, a rectangular loop laid on a slope with a conductive cubic body, and a complex-shaped loop on a real-life topography. The results of this FETD solver agreed well with the ones evaluated by the analytic methods for the first three examples, and with a frequency-domain FE solver combined with a cosine transform for the last two examples.
True amplitude recovery in reverse time extrapolation of plane and spherical waves
Authors: Wu Yulang , McMechan George A.
Published: January 2018

A challenging outstanding problem in reverse time extrapolation is recovering accurate amplitudes at reflectors from the receiver wavefield. Various migrations have been developed to produce accurate image locations rather than correct amplitude information because of inadequate compensation of attenuation, dispersion, and transmission losses. We have evaluated the requirements, and determined the theoretical feasibility, of true amplitude recovery of 2D acoustic and elastic seismic data by using the analytic Zoeppritz equations for plane-wave reflection and transmission coefficients. Then, we used synthetic acoustic and elastic wavefield data generated by elastodynamic finite differences to verify the recovery, in the reverse time propagation, of spherical waves and illustrated the salient differences between the incident wavefields reconstructed from reflection data only and from the combination of reflection and transmission data. These examples quantitatively verify that recovering an incident plane or a spherical wave requires the reverse time propagation of all reflections and transmissions in a model with the correct velocity and density. Accurate reconstruction of an incident wave is not possible by backward propagation of only reflections. As an application, we removed downgoing internal multiple reflections generated by upgoing waves incident at reflectors shallower than a horizontal well, in which geophones are deployed. The subtraction of the downgoing reflection involves wavefield reconstruction at depths shallower than the horizontal well and separation of upgoing and downgoing wavefields. This approach assumes that the correct acoustic (or elastic) velocity and density models are available in, and shallower than, the layer where the horizontal well is located. Incident-wave reconstruction works equally well for smooth models, as for models with sharp boundaries. Uncertainties in the model used for reconstruction, and incompleteness of the data aperture are propagated into the equivalent uncertainties, and incompleteness of the reconstruction.
Dihydride Iron Complex Bearing a Silyl-Tethered Cyclopentadienyl Ligand
Authors: Kamitani Masahiro , Nishiguchi Yoshinori , Itazaki Masumi , Nakazawa Hiroshi
Published: January 2018

A silyl-tethered dihydride iron complex was synthesized by photolysis of a monohydride iron complex bearing a pendant hydrosilyl group. The coordination mode of the two hydrides and the tethered silyl ligand was investigated by 1H NMR spectroscopy and DFT calculations. Despite the Si–H interactions, the prepared complex readily eliminated molecular hydrogen upon heating or addition of L-type ligands, namely, pyridine or CO, to afford new silyl-tethered complexes. Notably, the pyridine complex exhibited alcohol dehydrogenation activity.
Hepatoblastoma: current understanding, recent advances, and controversies
Authors: Czauderna Piotr , Garnier Hanna
Published: January 2018

Introduction: Hepatoblastoma (HB) is the most common primary malignant liver neoplasm in children. Its increasing survival rate is related to the progress in modern imaging, surgical techniques, and new chemotherapy regimens.

Clinical approach: One of the past achievements was the development of the pretreatment extension of disease (PRETEXT) system. Gradually, the HB therapeutic approach has become more individualized with better stratification of patients.

Controversies: These include the need for preoperative chemotherapy and its optimal duration; intensity of preoperative chemotherapy required for locally advanced cases (PRETEXT 4); optimal surgical treatment for locally advanced tumors: aggressive hepatic resections versus liver transplantation; the role of postoperative chemotherapy in the post-transplant setting; the timing and role of metastasectomy in patients with disseminated disease who undergo partial liver resection; and the prognostic significance of several HB pathology variants.

Hepatoblastoma biology: Beta-catenin mutations and the beta-catenin/Wnt pathway play an important role in HB development. There have been at least two molecular signatures in HB published. Unluckily, all of these findings are based on relatively small clinical series and require confirmation.

Conclusion: The treatment of HB started from one and the same therapy for all patients and aimed at increased treatment individualization, but the future seems to lie in biology-driven patient-tailored therapies.
Mitte ainult õigusest ehk Kohtuasi kui haridus- ja kirjanduslooline allikas [Abstract: Not only about justice: the court case as a source for educational and literary history]
Authors: Kaju Katre
Published: January 2018

The aim of this article is to draw attention to numerous historical court files kept in the archives. In addition to the information related directly to the lawsuits, those documents may also contain different kind of evidence valuable for other disciplines than the history of law. This case study focuses on the materials of a singular court case at the higher regional court (Oberlandgericht) of the province of Estland: the noble family Romanowitz sued 1667 Christoph Otto Grewe for conceiving their relative Anna Catharina Romanowitz sub spe matrimonii and demanded that those two should marry. Grewe was found guilty, and had either to marry Anna Catharina Romanowitz or to pay damages. We have no information whether they eventually married or not.

Why does this particular seventeenth-century court fi le stand out? At first, it contains a handwritten poem dedicated to the name day of Anna Catharina Romanowitz – despite of its contemporary popularity there are only few seventeenth-century handwritten occasional poems left in the Estonian archives. Second, there are two letters of Grewe which may be interpreted as personal love letters or at least as highly flattering ones – again, there are not many of them preserved. Third, there is a letter from Anna Catharina Romanowitz, which is a rare case of a personal letter written by a noble woman. Fourth, letters written by the lawyers of both party and addressed to the court contain information about the reception of non-juridical literature, such as Roman authors Terence and Ovid, and highly popular novels, namely the medieval chivalric novel Amadis de Gaula and the pastoral novel The Countess of Pembroke’s Arcadia of Philip Sidney. Fifth, the letters of the lawyers may contain an early hint that the controversial work of René Descartes, Principia philosophiae, might have been known in province Estland in 1667. Sixth, these letters contain hints to several school disciplines, such as rhetoric and poetics, logic and philosophy. And seventh, most of the documents in this court file confirm and complement our knowledge about the general educational level of different social classes (noble women, common men, lawyers).
Tool path calculation at inner surface milling on NC machines
Authors: Козлов Александр , Kozlov Aleksandr , Малютин Геннадий , Malyutin Genadyi
Published: January 2018

Modern NC milling machines allow manufacturing complex parts. One of the urgent problems at concave surface milling is rib rounding in the corners connected with the radius of the tool used. The existed methods for rounded rib updating are inefficient. For this reason there is a necessity in the development of a new method for angle formation in concave surfaces with the aid of layer-by-layer milling based on the principle of square rolling by Reuleaux triangle. In the paper presented there is offered a procedure for the calculation of a tool path at the agreed motion of feed drives and a spindle for the finish milling of concave surfaces with small rib rounding in the corners.
Cancel the labour talk
Authors: Schott Judith
Published: January 2018

Despite the trend towards interactive antenatal classes, the labour talk is still a feature of some parent education programmes. This involves giving a mass of information in a single class to a largely passive audience. Although this may appear to be an efficient way of conveying information, it is probably the least effective method of helping people to prepare for labour and birth.
Drugs, the law and the midwife: 2
Authors: Simpson Doreen , Smith Ron
Published: January 2018

The legislation and regulations regarding drugs are complex and open to interpretation. Midwives need to be clear about their responsibilities, both professionally and legally, if they are to encompass the recommendations of Changing Childbirth (Department of Health, 1993). This article aims to give a practical interpretation.
Why mothers fought obstetricians
Authors: Robinson Jean
Published: January 2018

It's old history now, but maybe sometime in the distant future medical historians will want to record how all these uppity ‘consumers’ started poking their nose in. A fragment of one woman's story might be useful.
Letters
Authors: Chesney Margaret , Nuttall Janet , Brady Margaret , Benns Nicky , Smith Anthony , Schott Judith , Reading David
Published: January 2018

Reply to Pakistan article

Reply to Pakistan article—Reply

Author replies to criticism

Ventouse deliveries conducted?

ENB replies to criticism

Can knowledge be misleading?

Peanut products pose problems
Expectations nurtured in childbearing women
Authors: Szczepinska Iris
Published: January 2018

It is a fact of life that our expectations of an event constitute a major factor in our level of satisfaction, when that event takes place. Expect perfection, and events are bound to fall short and cause disappointment. Have a much humbler and more realistic expectation, and that same event can be a serendipitous delight.
Should midwives wear uniforms?
Authors: Pride Jillian
Published: January 2018

Midwives at University College Hospital have been given the choice between wearing their own clothes or a uniform for the last 2 years. The majority have opted for wearing their own clothes. This article debates the necessity of having a uniform for midwives.
Divided views among health professionals on place of birth
Authors: Bathgate Wendy , Ryan Mandy , Hall Marion
Published: January 2018

Deficiencies in professional experience of home birth and knowledge of the risks of delivery in different locations constitute a barrier to early implementation of the Health Committee's recommendations on maternity services. This research project assesses the experience of, attitudes to, and knowledge of home births among health professionals.
Cost-effectiveness of different approaches to perineal suturing
Authors: Howard Sarah , McKell Denise , Mugford Miranda , Grant Adrian
Published: January 2018

Perineal pain is an important postnatal problem for many hundreds of thousands of women each year. This article describes a cost-effectiveness analysis of alternative types of suture material and technique for repair of the perineal skin and for minimising postpartum pain.
Postnatal depression: a normal response to motherhood?
Authors: Paradice Katherine
Published: January 2018

Postnatal depression (PND) is regarded by many midwives and health professionals as an abnormal response to motherhood. This article discusses how PND could be an understandable reaction to the changes that most women have to confront when they become mothers.
Using interviews in qualitative research
Authors: Phillips Robyn , Davies Ruth
Published: January 2018

There are many areas in midwifery which lend themselves to study using qualitative methods. The interview is a common means of obtaining data in both qualitative and quantitative research, but when used in qualitative research, the interview requires a reflective approach.
Midwife teacher carrying a caseload: a personal account
Authors: Chesney Margaret
Published: January 2018

This is a personal account of how I, as a midwife teacher, was determined to link theory and practice by carrying a small caseload of women with student midwives.
How we lost home births
Authors: Robinson Jean
Published: January 2018

I was a lay member of the Oxford Regional Hospital Board when the Peel Committee came out (Domiciliary, 1970). This was the famous — or rather — infamous — report which recommended that provision should be made for all home births to take place in hospital. At the next Board meeting 1 asked ‘But will mothers who want to have their babies at home still be able to do so?’ Everyone ‘tuttutted’ at me in the patronising way token-housewife members were treated in those days. ‘Of course they will, Mrs Robinson’ said the Regional Medical Officer. I had a gut feeling he was wrong, but there was nothing I could do. Who would have predicted that the national home birth rate would fall to 1%, and that many of us would have to fight a long battle even to keep the concept of home birth alive?
Letters
Authors: Foster Eunice , Roch Sarah , Cullingford Martin , Conti Maria Jose , Leach Joanne , Coppen Regina , Grant Beatrice
Published: January 2018

In UKCC defence

Alternative views

Paternal triangle

In communicado

Put patient to bed

Debate goes on

Drug destruction
Why the British Journal of Therapy and Rehabilitation?
Authors: Allen Mark
Published: January 2018

I n these days of crowded market places, explanations as to why birth should be given to ‘yet another’ journal are often difficult to vindicate. N ot so with BJTR whose justification during the pre-launch days has been universally accepted. BJTR was conceived 15 m onths ago in a dark room at the U niversity of C entral E ngland in Birmingham. A group of health-care academics, representing many of the different professions, had gathered together to discuss the concept and had invited me along as a sympathetic publisher. Their message was this: ‘we need an interdisciplinary journal, which is peer-reviewed and refereed, which pulls together the different strands of our professions, by means of a clinical and educational approach.’
Counselling and counselling skills a discussion
Authors: Hammick Marilyn
Published: January 2018

The professional role of health-care practitioners is increasingly diverse. To fully meet the needs of those who seek clinical care, and the responsibilities of managerial and academic posts, practitioners need profession-specific knowledge and transferable knowledge and skills, including counselling skills. This article discusses these skills within the context of counselling as a helping relationship.
The issue of measurement validity in health-care research
Authors: Gould Alison
Published: January 2018

The use of valid clinical measurement is the basis of effective clinical practice. This article investigates the concept of measurement validity by exploring face, construct, content and criterion-related validity.
Team approach to multidisciplinary care
Authors: Worthington Jennifer
Published: January 2018

A multidisciplinary team approach to patient care is a concept that is widely used today, mainly in inpatient settings, although it is not always well understood. This is not a new concept as patient care is by definition multidisciplinary, with patients generally requiring evaluation and treatment from more than one professional during a stay in hospital. The key words here are ‘team approach’. This requires a group of professionals and the patient to work together with agreed aims. There needs to be active and equal participation by all team members, including the patient, in setting goals, applying treatments and evaluating responses. Success of treatment means different things to different people, and clinicians and patients often use different criteria in judging a treatment's efficacy. Therefore, each team member needs to develop good listening and communications skills. A multidisciplinary team approach is not about everyone just ‘doing their bit’, but also doing it at the appropriate time and not in isolation.
Action research for developing professional practice
Authors: Castle Alan
Published: January 2018

The concept of practitioner- researcher was developed by Kurt Lewin in the 1940s as a research approach aimed at encouraging individuals to promote change and improve procedures through their own enquiry. This process is referred to as action research and is particularly appropriate in clinical settings where small-scale, problem-solving and evaluation enquiry can be effective in enhancing practice and developing professional autonomy.
Achieving effective rehabilitation outcomes: does the nurse have a role?
Authors: Johnson Jane
Published: January 2018

The nurse's role in the multidisciplinary rehabilitation team is developing, but has received little analysis in therapy literature. Without it, effective interdisciplinary patient rehabilitation is difficult to achieve. This article explores some of nursing's unique contributions and also factors which have hindered its development. It proposes that nursing is an essential component of effective and efficient rehabilitation outcomes.
Efficacy of an imaging device at identifying the presence of bacteria in wounds at a plastic surgery outpatients clinic
Authors: Blackshaw Ellen L. , Jeffery Steven L.A.
Published: January 2018

Objective:

Current standard diagnostic practice of bacterial infections by visual inspection under white light is subjective, and microbiological sampling is suboptimal due to high false negative rates and the lengthy time needed for culture results to arrive. The MolecuLight i:X Imaging Device attempts to combat the issues faced in standard practice by providing a non-contact, real-time method of visualising bacteria within wounds. Our aim was to test this imaging device in a series of patients.

Method:

A single-centre prospective observational study was conducted in the Queen Elizabeth Hospital, Birmingham. During Plastic Surgery Outpatient dressings clinics, patients had their wounds photographed with the imaging device under white light and violet light illumination. Microbiological swabs were obtained of all the wounds. Any clinical signs and symptoms of infection were noted. White light and violet light photographs were compared with correlate visible clinical signs and symptoms with auto-fluorescence images. Auto-fluorescence images were then compared with the microbiological swab results to discern any differences.

Results:

There were 14 patients with seventeen separate wounds imaged. Of the 17, eight wounds were positive for bacterial growth on microbiological culture. All eight of these were detected positive for bacteria according to auto-fluorescence imaging. There was one wound was detected positive for bacteria by auto-fluorescence imaging with negative microbiological results.

Conclusion:

This study demonstrated the potential benefit of the imaging device due to the correlation between microbiological test results and auto-fluorescence imaging. The device greatly reduces the time taken waiting for results and it is simple, quick to use and non-contact. There is potential for the imaging device to guide swab sampling and aid health professionals in the diagnosis and management of wound infections.
Case report to demonstrate the need for selection criteria for optimal adjustable Velcro wrap prescription
Authors: Ehmann Suzie , Bock Karen
Published: January 2018

Compression, in the form of either a compression bandage or a compression stocking, has been touted as the gold standard for treatment of swelling and venous leg ulcers (VLUs). Adjustable Velcro wraps have been marketed as compression alternative. Although there is a growing body of evidence to support use of these products, there has not been a critical evaluation of the functionality of the devices to best matching product to patient presentation and ability to use the device effectively. Unlike compression garments, which are classified by compression category (class I/II or flat knit/circular), there is not an algorithm to direct health professionals to best match a specific adjustable Velcro wrap to an individual patient presentation. This small case series demonstrates that although each product performed as marketed in vitro, performance in clinical setting varied greatly dependent on patient presentation and functional skill level.
Efficacy of hyperbaric oxygen therapy in bacterial biofilm eradication
Authors: Sanford Nicholas E. , Wilkinson Jeremy E. , Nguyen Hao , Diaz Gabe , Wolcott Randall
Published: January 2018

Objective:

Chronic wounds typically require several concurrent therapies, such as debridement, pressure offloading, and systemic and/or topical antibiotics. The aim of this study was to examine the efficacy of hyperbaric oxygen therapy (HBOT) towards reducing or eliminating bacterial biofilms in vitro and in vivo.

Method:

Efficacy was determined using in vitro grown biofilms subjected directly to HBOT for 30, 60 and 90 minutes, followed by cell viability determination using propidium monoazide-polymerase chain reaction (PMA-PCR). The efficacy of HBOT in vivo was studied by searching our chronic patient wound database and comparing time-to-healing between patients who did and did not receive HBOT as part of their treatment.

Results:

In vitro data showed small but significant decreases in cell viability at the 30- and 90-minute time points in the HBOT group. The in vivo data showed reductions in bacterial load for patients who underwent HBOT, and ~1 week shorter treatment durations. Additionally, in patients' chronic wounds there was a considerable emergence of anaerobic bacteria and fungi between intermittent HBOT treatments.

Conclusion:

The data demonstrate that HBOT does possess a certain degree of biofilm killing capability. Moreover, as an adjuvant to standard treatment, more favourable patient outcomes are achieved through a quicker time-to-healing which reduces the chance of complications. Furthermore, the data provided insights into biofilm adaptations to challenges presented by this treatment strategy which should be kept in mind when treating chronic wounds. Further studies will be necessary to evaluate the benefits and mechanisms of HBOT, not only for patients with chronic wounds but other chronic infections caused by bacterial biofilms.
Documentation in health care: avoiding vague language
Authors: Smith Angela , Parkhouse Julie
Published: January 2018

Use of vague language in health-care documentation can have serious repercussions. In this article, Angela Smith and Julia Parkhouse discuss the ramifications of this practice, and consider how it may result in poor health care for older people
Updates on tax law and consultations in the UK
Authors: Piper Jason
Published: January 2018

HMRC is proposing a number of changes to tax compliance and administration law, with the consultation closing in March 2018. In this article, Jason Piper outlines both recent and proposed changes, and what they mean for care homes operating in the UK
CQC's state of hospice services in England 2014–2017 report
Authors: Frankova Helena
Published: January 2018

The Care Quality Commission's inspections of hospice services found performance outstripping providers in other sectors, with a remarkable 25% rated Outstanding. In this article, Helena Frankova investigates what other care providers can learn from these services
The importance of salt in the diet of older people
Authors: Ojo Omorogieva
Published: January 2018

While sodium is an important nutrient, a diet high in salt can lead to significant health problems, particularly in older people. Several strategies can be used to lower salt intake, including for older people with a weakened sense of taste
Sexual harassment revelations: DfE guidance finally published
Authors: Henshaw Pete
Published: January 2018

A year after revelations about child-to-child sexual harassment, DfE advice will help schools to respond appropriately to incidents
Leadership and staff retention
Authors: Bromley Matt
Published: January 2018

In a new five-part series, Matt Bromley looks at the links between school leadership and the retention and recruitment of school staff. In part one, he considers research into the different types of leadership approach – and the implications of these for school staff
Book Review
Authors: Hassall Graham
Published: January 2018

The Maxwells of Montreal, Vol 1. The Early Years 1870– 1922, Violette Nakhjavani with the assistance of Bahiyyih Nakhjavani (2011) Oxford: George Ronald, xx, 422, illus., 23.4 x 15.6 cm ISBN: 9780853985518 0853985518 (hbk) £25.95/$49.95 Kindle version: ASIN: B01C4R5CJK US$9.00.

The Maxwells of Montreal, Vol 2. Middle Years 1923–1937, Late Years 1937–1952, Violette Nakhjavani with the assistance of Bahiyyih Nakhjavani (2012) Oxford: George Ronald, 442, illus., 23.4 x 15.6 cm ISBN: 9780853985617 853985617 (hbk) £25.95/$49.95 http://www.grbooks.com
Published English-Language Letters of Shoghi Effendi During the 1920s
Authors: Smith Peter
Published: January 2018

During the course of his thirty-six year ministry (1922–57), Shoghi Effendi personally wrote an enormous number of letters, and in addition directed one or other of his secretaries to write numerous more on his behalf – to which he normally added a personal postscript. Most of these letters remain unpublished and there has as yet been no comprehensive study of even the published letters. What follows is a brief description of what is currently available of his English-language letters during the period 1922–30. Letters and extracts from letters appearing in periodicals such as Bahá’í News, or in compilations such as Lights of Guidance, are not included, although I do refer briefly to some unpublished letters. There is as yet no English-language study of his Persian letters.
Scholar Meets Prophet: Edward Granville Browne and Baha’u’llah (Acre, 1890)
Authors: Buck Christopher , Ioannesyan Youli
Published: January 2018

Rediscovery of contemporaneous handwritten notes by Cambridge orientalist, Edward Granville Browne, of his historic meetings with Baha’u’llah, prophetfounder of the Baha’i Faith in Akka (St Jean d’Acre), Palestine, during his stay there – which lasted from his arrival on Sunday, 13 April 1890, to Browne’s departure on Sunday, 20 April 1890 – significantly adds to our knowledge of those spiritual and momentous events. Given the fact that Baha’u’llah was to become widely regarded as the founder of a new world religion, Browne’s published account of his 16 April 1890 audience with Baha’u’llah takes on added significance as a rare first-hand description by a distinguished contemporary from the West. Although well-known to those acquainted with Baha’i history, relatively little is known regarding the sequence of events. This article will draw from Cambridge manuscripts to add some new details, and will draw a fuller picture of what transpired by use of Browne’s correspondence with Russian academics, along with known Baha’i sources judiciously compared with Azali sources. Together, a composite account of that historic encounter between scholar and prophet, Browne and Baha’u’llah, will be offered.
Larmor-en prezesioa kristaletan gertatzen diren aldaketen detektagailu
Authors: Urcelay-Olabarria Irene , Igartua Josu Mirena
Published: January 2018

Material batean gertatzen diren trantsizio magnetikoen eta haren egitura kristalinoaren arteko erlazioa aztertzea oso garrantzitsua da, batik bat multiferroikoak diren materialetan. Gehienetan, trantsizio magnetikoetan gertatzen diren egiturazko aldaketak gako dira trantsizioan agertzen edo desagertzen den polarizazio elektrikoaren jatorria zein den ulertzeko. Hala ere, hainbat materialetan aldaketa horiek oso txikiak dira eta horiek detektatzea oso zaila izan daiteke. Hori da aztergai dugun materialean (MnWO4) gertatzen dena. Hori dela eta, ondorio zuzenetara heltzekotan, ezinbestekoa da kristalaren egitura ikertzeko teknika oso sentikorrak erabiltzea. Egiturazko aldaketa oso txikiak aztertzeko neutroien prezesioaz baliatzen den teknika aurkeztuko dugu lan honetan, neutroien bidezko Larmor-en difrakzioa, hain zuzen ere. Nahiz eta lortutako emaitzak behin-behinekoak izan, oso argi ikusten dira zein diren teknika honen indarra eta potentzia, eta trantsizio magnetikoetan gertatzen diren egiturazko aldaketak.
La clave Cortesi. La política vaticana en la República Argentina (1926-1936)
Authors: Rodríguez Lago José Ramón
Published: January 2018

El gobierno de Filippo Cortesi como nuncio en Buenos Aires durante una década decisiva permite adentrarse en la visión que la curia pontificia tuvo del desarrollo de los acontecimientos en la Argentina de entreguerras y la aplicación de las diversas estrategias adoptadas en defensa de sus intereses. La documentación generada por la nunciatura y la Secretaría de Estado del Vaticano evidencia como las dinámicas internas de la república platense se vieron condicionadas por el complejo juego dialéctico atravesado por una corporación cada vez más centralizada y global.La política de Ralliement propiciada previamente por Benedicto XV y el obispo De Andrea, se vio reemplazada por la revolución conservadora de Pío XI, Pietro Gasparri y Vlodimir Ledochowsky, que apostaron por restaurar una alianza con las oligarquías en un contexto de crisis del liberalismo y emergencia de Estados autoritarios. El golpe del general Uriburu en septiembre de 1930 y el posterior gobierno del general Justo contaron con el apoyo del nuncio y su mayor aliado, Santiago Luis Copello, pronto designado arzobispo y encumbrado como cardenal. El Congreso Eucarístico Internacional celebrado en 1934 en Buenos Aires certificaría ante el cardenal Pacelli el éxito de aquella estrategia.
Política, acción estatal y bienestar en el agro. Buenos Aires (1958-1966)
Authors: Ivickas Magallán Maximiliano
Published: January 2018

En las elecciones de marzo de 1958 triunfó a nivel nacional Arturo Frondizi, representante de la Unión Cívica Radical Intransigente y Oscar Alende en la provincia de Buenos Aires, quienes gobernaron hasta el golpe de Estado de 1962. En las elecciones nacionales de 1963 la victoria fue para Arturo Illia y para Anselmo Marini en el territorio bonaerense. Durante este período -y desde las dos décadas anteriores- se produjeron transformaciones en las conductas de los sujetos sociales agrarios de la región pampeana. El retiro urbano en la vejez, viajes con mayor frecuencia a las ciudades, un paulatino abandono de las labores físicas por parte del productor y nuevas pautas de consumo que se asemejaban a los sectores medios urbanos, fueron los cambios más sobresalientes. Sin embargo, a fines de la década de 1950, las políticas estatales orientadas al bienestar de las familias rurales eran limitadas. La propuesta de este trabajo es indagar y comparar el rol que le asignaron los gobiernos radicales de Oscar Alende (1958-1962) y Anselmo Marini (1963-1966) al bienestar de los sujetos agrarios bonaerenses; a través del análisis de las políticas públicas implementadas durante sus gestiones. Su análisis histórico permitirá establecer continuidades y rupturas respecto de “lo rural”.
Profil Manifestasi Klinis dan Laboratoris Pasien Dengue Bayi yang Menjalani Rawat Inap di RSUP. DR. Hasan Sadikin Bandung
Authors: Handayani Indri , Indrati Agnes Rengga , Alam Anggraini
Published: January 2018

Latar belakang. Dibanding pada anak dan dewasa, kejadian infeksi virus dengue pada bayi meningkat tiap tahun dengan derajat keparahan yang cepat. Jumlah penelitian mengenai manifestasi klinis maupun laboratoris pada pasien infeksi dengue bayi masih kurang terpublikasi.Tujuan. Untuk menggambarkan manifestasi klinis dan laboratoris pasien infeksi dengue bayi di RSUP DR.Hasan Sadikin tahun 2011-2016.Metode. Penelitian dengan desain observasional deskriptif kuantitatif. Mengambil data manifestasi klinis dan laboratoris selama rawat inap. Hasil. Sampel 62 bayi, termuda berusia 2 bulan. Manifestasi terbanyak adalah ptekie, feses cair, hepatomegali, batuk pilek, muntah efusi pleura dan pendarahan intra abdomen. Dua pasien tidak mengalami demam. Saat nadir, trombositopenia terjadi pada 98,3% pasien. Rerata terendah hemoglobin 9,12 g/dL, hematokrit 26,7%, dan leukosit 8898 /mm3. Terjadi gangguan fungsi hati dari data peningkatan SGPT pada 62,9% pasien dan SGOT pada 88,8% pasien.Kesimpulan. Usia terbanyak adalah rentang umur 4-6 bulan dengan manifestasi paling sering adalah demam, beberapa pasien langsung mengalami manifestasi pendarahan tanpa mengalami demam. Pada EDS manifestasi paling sering yaitu kejang dan penurunan kesadaran. Mayoritas pasien memiliki kadar Hb rendah, trombositopenia dan abnormalitas fungsi hati.
Faktor Prediktor Dehisensi pada Neonatus dengan Pembedahan Abdominal
Authors: Pravitasari Lucy , Wandita Setya , Prawirohartono Endy P.
Published: January 2018

Latar belakang. Dehisensi luka operasi merupakan komplikasi operasi yang jarang, tetapi sering menyebabkan kematian. Faktor risiko yang dilaporkan adalah usia kurang dari 1 tahun, gizi buruk, hipoalbuminemia, infeksi berat, insisi median, dan operasi yang bersifat darurat. Tujuan. Untuk mengetahui sepsis, anemia, hipoalbuminemia, trombositopenia, jenis kelamin laki-laki, operasi darurat, kurang bulan dan berat lahir rendah dapat digunakan sebagai prediktor dehisensi pada neonatus dengan pembedahan abdominal.Metode. Dilakukan penelitian kohort retrospektif dari data rekam medis pada 159 neonatus dengan pembedahan abdominal. Analisis dilakukan dengan menghitung angka kejadian dehisensi. Analisis bivariat digunakan untuk menentukan risiko relatif dan analisis multivariat digunakan metode regresi Cox untuk mengetahui hazard rasio berdasarkan waktu terjadinya dehisensi. Hasil. Angka kejadian dehisensi pada neonatus dengan pembedahan abdominal adalah 39/159 (24,5%) kasus. Rerata waktu kejadian adalah hari ke-11 (kisaran 5-28 hari) pascaoperasi. Rerata lama hari rawat pasien dengan dehisensi lebih panjang, yaitu 36 (5-96) dibandingkan dengan yang tidak dehisensi 21 (2-155) hari (p=0,001). Terdapat 28,2% 11/39 (28,2%) kasus dengan infeksi luka operasi dan angka kematian (9/39 (25%) kasus. Tidak didapatkan faktor prediktor yang bermakna untuk terjadinya dehisensi pada neonatus dengan pembedahan abdominal.Kesimpulan. Tidak didapatkan faktor prediktor yang bermakna untuk terjadinya dehisensi pada neonatus dengan pembedahan abdominal. Diperlukan penelitian lanjutan dengan desain yang lebih baik, yaitu secara prospektif dan mempertimbangkan faktor prediktor lain, seperti status gizi, penyakit penyerta (penyakit sistem respirasi, instabilitas hemodinamik) serta faktor intraoperatif (lama, jenis insisi dan jenis penutupan luka).
Origin, historical and landscape evolution of the Expedicionários Square, São João Del Rei-MG
Authors: Mundim Aline Silva , Paiva Patrícia Duarte de Oliveira , Souza Rafael De Brito , Bonifácio Francilene De Lourdes , Cavalcante Alves Schirley Fátima Nogueira da Silva
Published: January 2018

The squares built in Brazil from the eighteenth and nineteenth centuries, especially those located along the Royal Road, have characteristic traces and species, and generally had their origin near or as part of a church. The city of São João Del Rei-MG emerged in this region, specifically in the Old Path of the Royal Road [Estrada Real], from gold exploration in the eighteenth century. Thus, this study aimed at the historical and landscape survey of the Expedicionários Square, one of the squares located in the historic center of the city of São João Del Rei-MG. The methodology used consisted of an inventive analysis, associated with a subjective analysis, which allowed the study of the evolution of the area, based on the analysis of morphological changes that occurred in the square by different interventions. The value and uses by the population were also considered, at the different evolution periods of the place. Based on the information collected, modifications both in the structure and in the toponymy of this square were observed. The layout of the square has characteristics of an eclectic style, with irregular stones in its interior and beds with geometric paths, typical of the urbanization of the late nineteenth and early twentieth century. The plants used consist mainly of ornamental trees and shrubs, without an apparent logical planning. The importance of the square is related to its use and frequency by the population, besides the cultural and historical value of the place, since it houses the Legalidade Fountain, a landmark in the city of São João Del Rei (MG).
Floristic survey of ornamental plants used in Dom Delgado University City at the Universidade Federal do Maranhão, São Luís, Maranhão State, Brazil
Authors: Costa Luann Brendo da Silva , Pires Camila Dos Santos , Anjos Jéssica Sousa dos , Correia Bruna Emanuele Freire , Almeida Jr. Eduardo Bezerra
Published: January 2018

The objective of this study is to list the flora used in ornamentation, afforestation and landscaping in the common areas of the Dom Delgado Campus (São Luís) at the Universidade Federal do Maranhão (2º32’20.7”S 44º16’58.4”W), where this study was carried out. The collection took place through exploratory walks, including individual specimens planted there and those that were kept during the architectonical development of the University. Identification was obtained using analytical keys, specialized literature and the comparison with material previously identified in the Herbarium of Maranhão (MAR) where the exsiccates produced in the present study were deposited. 70 species, 56 genres and 29 families were found. Fabaceae (with 10 species), Apocynaceae (with nine spp.); Malvaceae and Rubiaceae (six spp.); Arecaceae (four spp.); Araceae, Bignoniaceae and Heliconiaceae with three species each were the most representative families in terms of the number of species. Among the total number of species identified, it was noted that there was no great difference in the quantity of native Brazilian species (38%), when compared to exotic species (34%); the remaining species were classified as cultivated (17%) and naturalized (11%). In conclusion, it is clear that the afforestation/ landscaping of the Dom Delgado Campus, follows a method of randomization in relation to the planting of the species used.