bluuebunny/crossref_metadata_2025_split huggingface dataset:
Economic Evaluation of Tailored Web versus Tailored Telephone-Based Interventions to Increase Colorectal Cancer Screening among Women
Authors: Lairson David R. , Chung Tong Han , Huang Danmeng , Stump Timothy E. , Monahan Patrick O. , Christy Shannon M. , Rawl Susan M. , Champion Victoria L. 
Published: January 2020

Abstract
Screening for colorectal cancer is cost-effective, but many U.S. women are nonadherent, and the cost-effectiveness of web-based tailored screening interventions is unknown. A randomized controlled trial, COBRA (Increasing Colorectal and Breast Cancer Screening), was the source of information for the economic evaluation. COBRA compared screening among a Usual Care group to: (i) tailored Phone Counseling intervention; (ii) tailored Web intervention; and (iii) tailored Web + Phone intervention groups. A sample of 1,196 women aged 50 to 75 who were nonadherent to colorectal cancer screening were recruited from Indiana primary care clinics during 2013 to 2015. Screening status was obtained through medical records at recruitment with verbal confirmation at consent, and at 6-month follow-up via medical record audit and participant self-report. A "best sample" analysis and microcosting from the patient and provider perspectives were applied to estimate the costs and effects of the interventions. Statistical uncertainty was analyzed with nonparametric bootstrapping and net benefit regression analysis. The per participant cost of implementing the Phone Counseling, Web-based, and Web + Phone Counseling interventions was $277, $314, and $336, respectively. The incremental cost per person screened for the Phone Counseling compared with no intervention was $995, while the additional cost of Web and the Web + Phone compared with Phone Counseling did not yield additonal persons screened. Tailored Phone Counseling significantly increased colorectal cancer screening rates compared with Usual Care. Tailored Web interventions did not improve the screening rate compared with the lower cost Phone Counseling intervention.
Ben Sira and the Moon
Authors: Calduch-Benages Nuria 
Published: January 2020

Abstract
This paper deals with the use of lunar imagery in the book of Ben Sira. The scribe of Jerusalem refers to the moon on four occasions: Sir 27,11; 39,12; 43,6-8 and 50,6. With the exception of Sir 43,6-8, in the other texts he refers to it metaphorically. While in Sir 39,12 and 50,6 he shows a positive image of the moon, in Sir 27,11 it serves a negative one. From the analysis of these texts the author draws the following conclusion: lunar imagery, which at first sight might seem a mere ornamental embellishment of the text, constitutes a powerful tool used by the sage to transmit his teaching convincingly and to enhance his authority as a teacher of wisdom.
Scholar and Mentor: Vladimir Stasov and the Promotion of Russian Needlecrafts
Authors: Andrea Rusnock K. 
Published: January 2020

Abstract
Vladimir Stasov, well-known as a champion of Russian art and music, proved equally forceful as an advocate for Russian needlework. Yet this key component of his scholarship has been relegated to secondary status; remedying this neglect is the aim of this article. Stasov’s well-known publication, Russkii narodnyi ornament (1872), has traditionally been discussed as a treatise on ornament, however its main emphasis was needlework and it needs to be analyzed as such. Further, Stasov influenced others to take up the cause of Russian national needle art, in particular Sofia Davydova whose tome on Russian lace, Russkoe kruzhevo i russkie kruzhevnitsy (1886), made a major contribution to Russian art and culture. Stasov’s scholarship and promotion of needlework needs to be thoroughly understood in order to have a more complete understanding of Russian material culture and this article is a starting point toward that goal.
Pavel Chistiakov and Jan Ciągliński: New Approaches to Art Pedagogy in Nineteenth- and Early Twentieth-Century Russia
Authors: Wünsche Isabel 
Published: January 2020

Abstract
This essay looks at art education in Russia in the nineteenth century, specifically at artist-training practices at institutions such as the Imperial Academy of Fine Arts and the Imperial Society for the Encouragements of the Arts in St. Petersburg. Particular emphasis is on the role and significance of Pavel Chistiakov and Jan Ciągliński, charismatic teachers who developed their distinct art-pedagogical systems as an alternative to the existing academic system and paved the way for the emergence of modern art and the avant-garde in Russia.
Assessing sitting and standing in college students using height-adjustable desks
Authors: Chrisman Matthew , Ye Sangbeak , Reddy Ashleigh , Purdy William 
Published: January 2020

Objective: To examine if Arduino microcontrollers and Fitbits can serve as proxy measures for the direct observation of sitting and standing time in college students using height-adjustable standing desks. The preferred type of standing desks and reasons to use the desks were also assessed. Design: Classroom-based intervention, plus cross-sectional survey. Setting: Mid-sized Midwestern US university classroom. Method: Students were randomised to either a tabletop or stand-alone height-adjustable standing desk. They followed an alternating sit/stand protocol, then completed an 11-item questionnaire on preferences and reasons for or against using the desks. Data were collected in October 2018. Results: Twenty-two students completed the protocol (16 women; 15 in third or fourth year of study). Arduinos provided accurate representation of sitting. Correlations between Fitbits and Arduinos were moderate (.23–.49). Sixteen of the 22 participants preferred tabletop (vs stand-alone) height-adjustable desks. Main reasons to use standing desks were to improve health and preferring to stand. Main reasons for not using them were being tired and preferring to sit. Conclusion: Arduinos served as an adequate stand-in for direct observation, which has implications for studying the sedentary behaviours of large numbers of students simultaneously. More research is needed on using Fitbits for assessing sitting and standing time. Student preferences and reasons for/against using standing desks provide foundational evidence for standing desk interventions in this population.
Greedy parabolics: Wind flow direction within the deflation basin of parabolic dunes is governed by deflation basin width and depth
Authors: Smyth Thomas AG , Delgado-Fernandez Irene , Jackson Derek WT , Yurk Brian , Rooney Paul 
Published: January 2020

Parabolic dunes are ‘U’ or ‘V’-shaped aeolian landforms that form on pre-existing sand deposits. Their morphology consists of an upwind deflation basin, bordered by often vegetated trailing arms and a downwind depositional lobe. The orientation of parabolic dunes is commonly attributed to the prevailing or resultant wind direction. Consequently, the orientation of parabolic dunes stabilised by vegetation growth has been used as a proxy for wind direction during past climates in several studies. However, the ability or extent of parabolic dune morphology to steer incident wind flow parallel to the orientation of the landform, and thus migrate in the direction of the current landform orientation rather than prevailing wind direction, is unknown. By numerically modelling wind flow within the deflation basin of eight parabolic dunes, we demonstrate for the first time that wind flow direction within the deflation basin of a parabolic dune is highly controlled by the depth and width of the deflation basin. The greater the depth–width ratio of the landform (i.e. the deeper and narrower the deflation basin), the greater the degree of flow steering relative to the axis orientation of the landform. These results demonstrate that future studies must exercise caution when using parabolic dune orientation as a direct proxy for prevailing wind direction, especially where parabolic dunes have a relatively high deflation basin depth–width ratio, as the deflation basin of these landforms may continue to migrate in an antecedent wind direction.
Dosimetric Feasibility of Cone-Beam CT in Pediatric Image-Guided Retrograde Gastrostomy Tube Insertions
Authors: Shkumat Nicholas A. , Brashdi Yahya Al , Volodina Sabina , Parra Dimitri , Connolly Bairbre L. 
Published: January 2020

Purpose: Cone-beam computed tomography (CBCT) in interventional radiology allows volumetric imaging with open patient access. This work aimed to assess radiation dose metrics of CBCT in simulated image-guided retrograde gastrostomy (IGRG) tube insertions in pediatric anthropomorphic phantoms and to compare them to measured radiation dose metrics obtained using fluoroscopy during clinical IGRG tube insertions in children. Methods: Radiation dose indices obtained from radiation dose structured reports of fluoroscopic IGRG tube insertions were retrospectively evaluated in a consecutive cohort of 30 children. Dose indices were fractionated into 3 clinical stages for each procedure ( planning, insertion, and confirmation). These 3 stages in 30 patients (3 × 30 = 90 patient stages) were compared to dose indices measured from 4 CBCT acquisition protocols acquired in pediatric phantoms. Results: The mean proportion of radiation dose during planning, insertion, and confirmation was 35%, 38% and 27%, with mean reference-point air kerma (range) measured to be 1.0 (0.02-6.0) mGy, 0.9 (0.03-4.1) mGy, and 0.7 (0.04-3.7) mGy, respectively. Cone-beam computed tomography dose varied greatly depending on technical parameters and protocol selection, ranging from 0.7 to 39.3 mGy. In 19% of patient stages, the most dose-sparing CBCT protocol evaluated on phantoms delivered less radiation than the radiation dose indices recorded from patient’s fluoroscopy. Conclusions: From a dosimetric perspective, radiation delivered in CBCT can vary widely, yet can be appreciably low. With appropriate CBCT protocol selection, the radiation dose delivered may be sufficiently low to warrant consideration for use, if clinically needed during difficult IGRG tube insertions, and satisfy the interventionalist’s benefit–risk assessment.
Canadian Radiology Medical Student Interest Groups: What They Are and How We Can Help Them Improve
Authors: Lang C. M. , McNicholas Danielle , Wilson Mitchell P. , Hartery Angus , Probyn L. J. , Ward Robert 
Published: January 2020

Background: Radiology interest groups (RIGs) can serve as a means of increasing exposure of the radiology specialty early in the medical curriculum while also increasing educational opportunities. However, the organizational structure and various functions of individual RIGs in Canada are not well-documented. We performed a survey of all active RIGs in Canada for the purpose of better understanding their structure, function, and opportunities for improvement. Methods: A 21-question survey was sent to current or recent former medical student leaders of all active RIGs in Canada during the 2016-2017 academic year. Results: Radiology interest groups were identified in 88% (15/17) of Canadian medical schools. We received a 100% (15/15) response rate. Events held by RIGs consist mostly of lunch and learns (67%, 10/15), career panels (53%, 8/15), networking events (40%, 6/15), and curriculum-related events (40%, 6/15). General mentorship (93%, 13/14), shadowing opportunities (86%, 12/14), and research mentorship (63%, 8/14) were most often cited in their top 3 choices for opportunities for improvement. Sixty-six percent indicated that if a radiology society were to host a page for their interest group, they would be interested in posting content and/or links. Conclusions: Canadian RIGs offer increased early awareness and education about radiology in the medical curriculum. Radiology departments can facilitate improvement in Canadian RIGs through targeted institutional mentorship, research opportunities, and shadowing programs for their members.
Does Palliative Care Utilization Facilitate Conversion to Hospice Care? A Qualitative Study of the “Soft No”
Authors: Spencer Karen Lutfey , Mrig Emily Hammad , Talaie Ariana Kobra 
Published: January 2020

Background: Facilitating patient conversion to hospice at end of life is a prominent clinical concern. Enrollment in outpatient palliative care services is often assumed to encourage seamless transition to hospice care, but this has not been demonstrated. Moreover, decisions to convert from palliative care to hospice are generally treated as dichotomous, thus hampering our ability to understand decision processes. Objective: To examine medical decision-making among patients who are prospectively evaluating whether to convert from palliative care to hospice. Design: Qualitative case study, using in-depth interviews and constant comparative method. Setting/Patients: Terminally ill patients currently enrolled in outpatient palliative care services (N = 26) and their caregivers (N = 16), selected purposely for maximum variation in condition and personal background. Measurements: Themes identified in qualitative in-depth interviews. Results: Patients rarely refused hospice outright but more often postponed using a “soft no,” in which they neither accepted nor overtly refused hospice. Justifications patients and caregivers offered for why hospice was not needed (yet) appeared in these themes: (1) not seeing the value added of hospice, (2) assuming the timing is premature, and (3) relying on extensive health-related support networks that justify or endorse continuation of active care. Conclusions: Despite assumptions to the contrary, benefits associated with utilization of outpatient palliative care services have the potential to incentivize the delay of hospice in some cases. Clinical interactions with outpatient palliative care patients should consider the influence of these broad social support systems when discussing hospice options.
Chemotherapy Near the End of Life in Onco–Hematological Adult Patients
Authors: Sánchez-Cuervo Marina , García-Basas Lorena , Gómez de Salazar-López de Silanes Esther , Pueyo-López Cristina , Bermejo-Vicedo Teresa 
Published: January 2020

Objective: The use of chemotherapy near the end of life is not advisable. There are scarce data in Europe but shows signs of aggressiveness. We designed this study to analyze the proportion of onco–hematological patients receiving chemotherapy within their last 2 weeks of life as well as starting a new chemotherapy regimen in the 30 days prior to death. Methods: A retrospective observational study was conducted in a tertiary hospital. Adults who died of an onco-hematological neoplasia while hospitalized between April 2017 and March 2018 were included. We assessed the use of chemotherapy over the course of the last 14 days of life, defined as the administration of at least one dose of chemotherapy. We also examined the proportion of patients starting a new chemotherapy regimen in the last 30 days of life. Results: A total of 298 inpatients died in the Hematology and Oncology units. During the last 14 days, 28.2% (n = 11) of hematological and 26.3% (n = 68) of oncological patients received chemotherapy; the overall rate was 26.5% (n = 79). Furthermore, the proportion of patients starting a new chemotherapy regimen in the last 30 days of life was high (20.5% and 20.8%, respectively). Female gender (odds ratio [OR] = 1.99, 95% confidence interval [CI] = 1.18-3.35) and age <45 (OR = 2.68, 95% CI = 1.05-6.88) were associated with higher rates of chemotherapy. Conclusion: The proportion of patients receiving chemotherapy in the last 14 days of life was high, as well as the proportion of patients starting a new regimen in their last 30 days. This was indicative of excessive aggressiveness at the end-of-life care.
Chiari pelvic osteotomy does affect hip survival: a long-term follow-up study
Authors: Jelicic Josko , Buterin Antea , Vrgoc Goran , Butorac Zeljko , Tudor Anton , Sestan Branko , Jotanovic Zdravko 
Published: January 2020

Background: The modern indications for Chiari pelvic osteotomy (CPO) have narrowed and the number of such operations performed has diminished markedly. So far published long-term experience with CPO indicate the fact that in selected patients satisfactory functional results can be achieved. The aim of this study was to investigate the parameters which influence CPO survival and its conversion into total hip arthroplasty (THA). Methods: This is a single-centre retrospective case-series study. In the period from 1976 to 2012, it included 172 CPO in 158 patients. Of those, in 43 patients (48 hips) the follow-up was discontinued, leaving 115 patients (124 hips) for final analyses. The median age at the time of the surgery was 34 years, and the mean duration of the follow-up was 19 years. Results: In 115 patients (124 CPO) included in the study, a total of 51 THA was performed in 49 patients. The median period between CPO and THA was 14 years. Conclusion: Supporting our results, we suggest that CPO should still be indicated in a selected group of younger patients even with advanced stage of hip osteoarthritis who prefer a joint-conserving procedure and consent to a predicted less optimal outcome.
Admission to a UK Major Trauma Centre following deliberate self-harm and attempted suicide: Prevalence and outcomes
Authors: Hardwick Karen , Bellew Maggie 
Published: January 2020

Background The incidence of suicide is increasing and for every suicide many more attempt it. Exploring such admissions to UK Major Trauma Centres improves our understanding. Methods Data on admissions to the Leeds Major Trauma Centre (2013–2016) following suicide attempts and acts of deliberate self-harm were obtained from the Trauma Audit and Research Network database. Retrospectively, quantitative and qualitative analyses were used to explore frequency of admissions, demographics, mechanism and severity of injury, outcomes, and input from the Clinical Psychology and Liaison Psychiatry services. Results A total of 192 admissions were identified; average age was 38.5 (SD: 16.1, range: 11–93), and 72% were male. The most frequent mechanism of injury was ‘fall/jump’ (41%, n = 78). A significant effect was found for gender and mechanism of injury (p = 0.025) with males using a wider range of methods, and females choosing ‘fall/jump’ most frequently. A total of 114 patients (59%) had an injury severity score >15. The suicide attempt was fatal for 34 patients (18%). A significant effect for mechanism of injury and mortality was found, with hanging most frequently, and stabbing least likely, to be fatal (p = 0.001). Twenty-six patients (13.5%) were seen by Clinical Psychology. In 2016, 82% of admissions (n = 37) were seen by Liaison Psychiatry with 33 referred onto other services. Eighteen (53%) had pre-existing mental health difficulties and/or evidence of substance misuse; 14 (38%) were recorded to have one or more previous suicide attempt. Average length of hospital stay was 15.2 days (SD: 26.8, range: 1–284) and the average cost £2958 (range: £195–£55,266). The average number of days in critical care was 2.9 (SD: 5.4, range: 0–29). Conclusions This study increased our understanding of deliberate self-harm/suicide attempts in the Leeds Major Trauma Centre. It indicated the high cost of deliberate self-harm/suicide attempts with the majority of patients having high injury severity score, and most surviving. Further research into follow-up and preventative support for this group of patients would be beneficial.
Significance of hemodynamic assessment by pressure wire for endovascular therapy of subclavian steal syndrome
Authors: Chen Da-Wei , Gao Yu-Hai , Shi Jin , Yin Yan-Wei , Zhang Wei-Qing 
Published: January 2020

Objective Subclavian steal syndrome results from hemodynamic impairment due to stenosis or occlusion of subclavian artery. Therefore, it is important for subclavian steal syndrome patients to assess hemodynamic status during endovascular therapy. Methods Eleven subclavian steal syndrome patients undergoing endovascular therapy attended this study. Pressure wire was used to measure trans-stenosis pressure difference (ΔP). Digital subtraction angiography, Transcranial Doppler and Electronic sphygmomanometer were introduced to assess stenotic rate, steal grade and inter-arm systolic pressure difference, respectively. Clinical symptoms and restenosis were followed up after endovascular therapy. The associations of ΔP with stenotic rate, inter-arm pressure difference, steal degree, clinic symptoms and restenosis were analyzed in this paper. Results Prior to the therapy, ΔP moderately correlated with stenotic rate (r = 0.757, p = 0.007) and inter-arm pressure difference (r = 0.701, p = 0.016). ΔP was ≥6 mmHg in all patients, and 6–9 mmHg for grade 1 steal and ≥10 mmHg for grade 2 and 3 steals. After the therapy, all patients had technique success, and 10 patients had clinic success, and 1 patient appeared restenosis. ΔP was ≤3 mmHg and steal disappeared in the patients with clinical success. ΔP was 18 mmHg and grade 3 steal still existed in one patient without clinical success. One patient with 1 mmHg of ΔP after therapy appeared restenosis in the follow-up. Conclusion The trans-stenosis pressure difference is closely related to steal degree and clinical symptoms. The measurement of hemodynamic status by pressure wire is very useful to guide endovascular therapy in subclavian steal syndrome patients. However, the restenosis may still occur, even though the hemodynamic impairment is improved.
Diabetes-related nutrition knowledge and dietary adherence in patients with Type 2 diabetes mellitus: A mixed-methods exploratory study
Authors: Han Chad Yixian , Chan Cherie Geok Boon , Lim Su Lin , Zheng Xiaomei , Woon Zhing Wen , Chan York Thong , Bhaskaran Kalpana , Tan Kim Fong , Mangaikarasu Kejendran , Chong Mary Foong-Fong 
Published: January 2020

Aim: The aim of the study is to gain insights into the relationship between diabetes-related nutrition knowledge (DRNK) and diet quality in Singapore. Methods: Forty-two participants were recruited from a tertiary hospital. DRNK and diet quality were ascertained with the DRNK questionnaire and Alternate Healthy Eating Index 2010, respectively. Twenty-one semi-structured interviews of perceived barriers and enablers to adherence to dietary guidelines were audio recorded, transcribed and analysed. Results: Participants had a poor mean percentage DRNK score of 39.7% (±17.7) and diet quality of 54.2% (±9.4). Pearson’s correlation tests revealed no correlation between DRNK and diet quality ( r –0.29; p=0.065) but suggest a moderate positive correlation between DRNK and psychosocial self-efficacy ( r 0.41; p=0.008). Thematic analysis revealed six barriers (obesogenic environment; lack of time; conflict between advice and personal values; stress from external sources; lack of personal motivation; gaps in DRNK) and four enablers (personal motivation to improve condition; fear of T2DM complications; sufficient DRNK; presence of social support) to adherence to dietary guidelines. Conclusion: DRNK may not correlate with adherence to dietary guidelines; multiple mediating factors are identified when translating DRNK to practice.