bluuebunny/crossref_metadata_2025_split huggingface dataset:
Group-facilitated audit and feedback to improve bronchiolitis care in the emergency department
Authors: Dowling Shawn K. , Gjata Inelda , Solbak Nathan M. , Weaver Colin G.W. , Smart Katharine , Buna Robyn , Stang Antonia S. 
Published: June 2020

ABSTRACTObjectiveDespite strong evidence recommending supportive care as the mainstay of management for most infants with bronchiolitis, prior studies show that patients still receive low-value care (e.g., respiratory viral testing, salbutamol, chest radiography). Our objective was to decrease low-value care by delivering individual physician reports, in addition to group-facilitated feedback sessions to pediatric emergency physicians.MethodsOur cohort included 3,883 patients ≤ 12 months old who presented to pediatric emergency departments in Calgary, Alberta, with a diagnosis of bronchiolitis from April 1, 2013, to April 30, 2018. Using administrative data, we captured baseline characteristics and therapeutic interventions. Consenting pediatric emergency physicians received two audit and feedback reports, which included their individual data and peer comparators. A multidisciplinary group-facilitated feedback session presented data and identified barriers and enablers of reducing low-value care. The primary outcome was the proportion of patients who received any low-value intervention and was analysed using statistical process control charts.ResultsSeventy-eight percent of emergency physicians consented to receive their audit and feedback reports. Patient characteristics were similar in the baseline and intervention period. Following the baseline physician reports and the group feedback session, low-value care decreased from 42.6% to 27.1% (absolute difference: −15.5%; 95% CI: −19.8% to −11.2%) and 78.9% to 64.4% (absolute difference: −14.5%; 95% CI: −21.9% to −7.2%) in patients who were not admitted and admitted, respectively. Balancing measures, such as intensive care unit admission and emergency department revisit, were unchanged.ConclusionThe combination of audit and feedback and a group-facilitated feedback session reduced low-value care for patients with bronchiolitis.
Predictors of Emergency Preparedness Among Older Adults in the United States
Authors: Bell Sue Anne , Singer Dianne , Solway Erica , Kirch Mattias , Kullgren Jeffrey , Malani Preeti 
Published: June 2020

ABSTRACTObjectives:Emergency preparedness becomes more important with increased age, as older adults are at heightened risk for harm from disasters. In this study, predictors of preparedness actions and confidence in preparedness among older adults in the United States were assessed.Methods:This nationally representative survey polled community-dwelling older adults ages 50-80 y (n = 2256) about emergency preparedness and confidence in addressing different types of emergencies. Logistic regression was used to identify predictors of reported emergency preparedness actions and confidence in addressing emergencies.Results:Participants’ mean age was 62.4 y (SD = 8); 52% were female, and 71% were non-Hispanic white. Living alone was associated with lower odds of having a 7-d supply of food and water (adjusted odds ratio [aOR] = 0.74; 95% confidence interval [CI]: 0.56-0.96), a stocked emergency kit (aOR = 0.64; 95% CI: 0.47-0.86), and having had conversations with family or friends about evacuation plans (aOR = 0.59; 95% CI: 0.44-0.78). Use of equipment requiring electricity was associated with less confidence in addressing a power outage lasting more than 24 h (aOR = 0.66; 95% CI: 0.47-0.94), as was use of mobility aids (OR = 0.65; 95% CI: 0.45-0.93).Conclusions:These results point to the need for tailored interventions to support emergency preparedness for older adults, particularly among those who live alone and use medical equipment requiring electricity.
Divergence, undistortion and Hölder continuous cocycle superrigidity for full shifts
Authors: CHUNG NHAN-PHU , JIANG YONGLE 
Published: June 2020

AbstractIn this article, we will prove a full topological version of Popa’s measurable cocycle superrigidity theorem for full shifts [Popa, Cocycle and orbit equivalence superrigidity for malleable actions of $w$-rigid groups. Invent. Math. 170(2) (2007), 243–295]. Let $G$ be a finitely generated group that has one end, undistorted elements and sub-exponential divergence function. Let $H$ be a target group that is complete and admits a compatible bi-invariant metric. Then, every Hölder continuous cocycle for the full shifts of $G$ with value in $H$ is cohomologous to a group homomorphism via a Hölder continuous transfer map. Using the ideas of Behrstock, Druţu, Mosher, Mozes and Sapir [Divergence, thick groups, and short conjugators. Illinois J. Math. 58(4) (2014), 939–980; Thick metric spaces, relative hyperbolicity, and quasi-isometric rigidity. Math. Ann. 344(3) (2009), 543–595; Divergence in lattices in semisimple Lie groups and graphs of groups. Trans. Amer. Math. Soc. 362(5) (2010), 2451–2505; Tree-graded spaces and asymptotic cones of groups. Topology 44(5) (2005), 959–1058], we show that the class of our acting groups is large including wide groups having undistorted elements and one-ended groups with strong thick of finite orders. As a consequence, irreducible uniform lattices of most of higher rank connected semisimple Lie groups, mapping class groups of $g$-genus surfaces with $p$-punches, $g\geq 2,p\geq 0$; Richard Thompson groups $F,T,V$; $\text{Aut}(F_{n})$, $\text{Out}(F_{n})$, $n\geq 3$; certain (two-dimensional) Coxeter groups; and one-ended right-angled Artin groups are in our class. This partially extends the main result in Chung and Jiang [Continuous cocycle superrigidity for shifts and groups with one end. Math. Ann. 368(3–4) (2017), 1109–1132].
Strengthening parenting in conflict-affected communities: development of the Caregiver Support Intervention
Authors: Miller Kenneth E. , Ghalayini Heba , Arnous Maguy , Tossyeh Fadila , Chen Alexandra , van den Broek Myrthe , Koppenol-Gonzalez Gabriela V. , Saade Joy , Jordans Mark J.D. 
Published: June 2020

Abstract

Background
There is robust evidence that compromised parenting, stemming from persistently high stress, mediates the impact of war and displacement on children's mental health and psychosocial wellbeing. Parenting interventions generally prioritize the acquisition of parenting knowledge and skills, while under-attending to parental stress and distress. This paper describes the development of the Caregiver Support Intervention (CSI), a nine-session group intervention for conflict-affected parents of children aged 3–13, that aims to strengthen parenting both indirectly, by lowering stress and improving psychosocial wellbeing among parents, and directly, by increasing knowledge and skill related to positive parenting.

Methods
We describe the multi-phase, iterative process by which we developed the CSI, and illustrate the essential role of community input in shaping the intervention and strengthening its cultural fit and perceived usefulness. We used focus group data from participants in successive cycles of implementation, feedback, and revision, as well as quantitative data and expert consultation to develop a culturally and empirically grounded intervention.

Results
This mixed-method, iterative approach to intervention development enabled us to develop a psychosocial intervention for conflict-affected caregivers that is feasible, acceptable, and perceived by participants as useful in addressing their own wellbeing and their parenting. Focus group data support the underlying model in which caregiver wellbeing powerfully influences parenting.

Conclusions
Programs aimed at strengthening parenting in conflict-affected communities should substantively address caregiver wellbeing. An iterative approach incorporating community feedback can help ensure intervention acceptability and feasibility. We also illustrate the feasibility of involving men in parenting interventions.
Impact of the expansion of antimicrobial stewardship services during transitions of care at an academic hospital
Authors: Zampino Stephanie T. , Politis Paula A. , Fosnight Susan M. , File Thomas M. , Gothard M. David 
Published: June 2020

AbstractAntimicrobial stewardship of anti-infectives prescribed upon hospital discharge was implemented to improve the rate of appropriate prescribing at discharge. Appropriate prescribing significantly improved from 47.5% to 85.2% (P < .001), antimicrobial days of therapy decreased, and 30-day readmission rates decreased. Discharge antimicrobial stewardship was effective in improving anti-infective prescribing practices.
Accelerating geothermal development with a play-based portfolio approach
Authors: van Wees Jan Diederik , Veldkamp Hans , Brunner Logan , Vrijlandt Mark , de Jong Sander , Heijnen Nora , van Langen Corné , Peijster Joris 
Published: June 2020

Abstract
Over the past decade in the Netherlands, most operators have only developed a single doublet. The learning effect from these single events is suboptimal, and operators have only been capable of developing doublets in areas with relatively low exploration risk. This ‘stand-alone’ approach can be significantly improved by a collective approach to derisk regions with similar subsurface characteristics. Such a play-based portfolio approach, which is common in the oil and gas industry, can help to accelerate the development of the geothermal industry through unlocking resource potential in areas marked by high upfront geological risk, effectively helping reduce costs for the development. The basis of the methodology is to deploy new information to the play portfolio by trading off with the risk of the first wells, resulting in a strong geological risk reduction.
The added value of the portfolio approach is demonstrated for the Netherlands in this paper through a comparison with a ‘stand-alone’ development. In the stand-alone approach, each new project will be equally risky, and therefore relatively unprofitable. In the case of a portfolio approach, all experience about the play is used optimally for derisking. In case of success, subsequent projects will have a higher chance of being successful, due to the experience gained in previous projects. Even if a project fails, this may help in increasing the probability of success for subsequent projects. For plays that are initially considered too risky for the market to start developing, the value of information (VoI) of a play-based portfolio approach will help by derisking the play to such an extent that it becomes attractive for the market to develop, even at high initial risk. It can be demonstrated for several geothermal plays in the Netherlands that by adopting the portfolio approach, the probability of a play being developed becomes higher, the number of successfully developed projects increases and the average profitability of the project will also be higher. Five more advantages are: (1) continuous improvement by integrated project development, (2) cost reduction through synergy, efficiency and standardisation, (3) optimisation of the surface heat demand and infrastructure, (4) the possibility of structural research and development (R&D) and innovation, and (5) financing advantages. The advantages reinforce each other.
A preliminary estimate of the geothermal potential of the Netherlands adopting the portfolio approach is between 90 and 275 Petajoules (PJ). For about 350 doublets being developed, producing about 70 PJ, the value of the advantage of the play-based portfolio approach is €2 billion for the three main plays: Rotliegend, Triassic and Jurassic/Cretaceous. The learning effects of synergy, efficiency and standardisation are expected to be significant.
Development of 14C Dating of Mortars at ETH Zurich
Authors: Hajdas Irka , Maurer Mantana , Röttig Maria Belen 
Published: June 2020

ABSTRACTThe ages of mortars and plaster can help reveal the history of monuments, their construction, or restoration times. However, these anthropogenic carbonates pose a challenge when it comes to separation of the atmospheric radiocarbon (14C) signal of the CO2 fixed in the mortar at the time of consolidation, i.e., the time of binder formation. The variety and heterogeneity of mortars require individual assessments of each sample and 14C results. Here we present our current preparation method and summarize experience based on results collected during the last 20 years of mortar dating at the ETH laboratory.
New data on life cycles for three species of Fellodistomidae (Digenea) in the White Sea
Authors: Krupenko D. , Uryadova A. , Gonchar A. , Kremnev G. , Krapivin V. 
Published: June 2020

Abstract
Few digeneans of the family Fellodistomidae are known from the Russian Arctic seas. The taxonomic status of these species, their life cycles and host range raised recurrent questions, some of which remain unanswered. To revise the species composition and life cycles of fellodistomids in the White Sea, we searched for them in several known and suspected hosts: wolffish, flatfishes (definitive), gastropods of the family Buccinidae (second intermediate) and protobranch bivalves (first intermediate). Species identification was based both on morphology and 28S ribosomal RNA gene sequences. We found Fellodistomum agnotum in the White Sea for the first time. Buccinum undatum was proved to be intermediate host of both F. agnotum and Fellodistomum fellis, and metacercariae of F. fellis were registered from two more buccinid species: Buccinum scalariforme and Neptunea despecta. We also found metacercariae of F. agnotum and F. fellis producing eggs in the second intermediate host. Two fellodistomids were found in protobranch bivalves: sporocysts and cercariae of Steringophorus furciger in Nuculana pernula, and sporocysts with large furcocercous cercariae in Ennucula tenuis. The latter were identified as F. agnotum by molecular analysis; thus, the entire life cycle of this species was reconstructed.
Accuracy of real-time polymerase chain reaction to detect Schistosoma mansoni – infected individuals from an endemic area with low parasite loads
Authors: Magalhães Fernanda do Carmo , Resende Samira Diniz , Senra Carolina , Graeff-Teixeira Carlos , Enk Martin Johannes , Coelho Paulo Marcos Zech , Oliveira Edward , Negrão-Corrêa Deborah Aparecida , Geiger Stefan Michael , Carneiro Mariângela 
Published: June 2020

AbstractDue to the efforts to control schistosomiasis transmission in tropical countries, a large proportion of individuals from endemic areas present low parasite loads, which hinders diagnosis of intestinal schistosomiasis by the Kato-Katz (KK) method. Therefore, the development of more sensitive diagnostic methods is essential for efficient control measures. The aim was to evaluate the accuracy of a real-time polymerase chain reaction (RT-PCR) to detect Schistosoma mansoni DNA in fecal samples of individuals with low parasite loads. A cross-sectional population-based study was conducted in a rural community (n = 257) in Brazil. POC-CCA® was performed in urine and feces were used for RT-PCR. In addition, fecal exams were completed by 18 KK slides, saline gradient and Helmintex techniques. The combined results of the three parasitological tests detected schistosome eggs in 118 participants (45.9%) and composed the consolidated reference standard (CRS). By RT-PCR, 117 out of 215 tested samples were positive, showing 91.4% sensitivity, 80.2% specificity and good concordance with the CRS (kappa = 0.71). RT-PCR identified 86.9% of the individuals eliminating less than 12 eggs/g of feces, demonstrating much better performance than POC-CCA® (50.8%). Our results showed that RT-PCR is a valuable alternative for the diagnosis of intestinal schistosomiasis in individuals with very low parasite loads.
Ontologies for cloud robotics
Authors: Pignaton de Freitas Edison , Bermejo-Alonso Julita , Khamis Alaa , Li Howard , Olszewska Joanna Isabelle 
Published: June 2020

AbstractCloud robotics (CR) is currently a growing area in the robotic community. Indeed, the use of cloud computing to share data and resources of distributed robotic systems leads to the design and development of cloud robotic systems (CRS) which constitute useful technologies for a wide range of applications such as smart manufacturing, aid and rescue missions. However, in order to get coherent agent-to-cloud communications and efficient agent-to-agent collaboration within these CRS, there is a need to formalize the knowledge representation in CR. Hence, the use of ontologies provides a mean to define formal concepts and their relations in an interoperable way. This paper presents standard robotic ontologies and their extension in the CR domain as well as their possible implementations in the case of a real-world CR scenario.
Speed, law and the global economy: How economic acceleration contributes to inequality and precarity
Authors: Perrone Nicolás M. 
Published: June 2020

AbstractThe law is implicated in many of the relations that produce inequality and precarity in the global economy. It contributes in different ways to the unequal bargaining power between states, capital, and labour. One way that has attracted less attention so far relates to how the law accelerates economic relations. This article examines the role of law in the global economy not by focusing on the international economic institutions, such as the World Trade Organization (WTO), the European Union (EU) or the International Monetary Fund (IMF), but on the transactions that plug maquila workers and freelancers into the global economy. The argument is that the speed of these economic relations favours those who command international production, creating what Hartmut Rosa calls a ‘frenetic standstill’. Importantly, the law can also contribute to changing these bargaining dynamics by slowing down some of these transactions and facilitating their territorial re-embedding. This strategy, however, requires a better understanding of the role of law in transnational networks of contracts as well as more state and non-state international co-ordination: The opposite of nationalist attitudes, such as Brexit and Trump’s trade policy.
Air temperature lapse rates and cloud cover in a hyper-oceanic climate
Authors: Fitzgerald Nicholas B. , Kirkpatrick Jamie B. 
Published: June 2020

AbstractAir temperature lapse rates vary geographically and temporally. Sub-Antarctic Macquarie Island provides an opportunity to compare lapse rates between windward and leeward slopes in a hyper-oceanic climate. Lapse rates were steep by global standards, typically close to the dry adiabatic lapse rate despite the near-constant high humidity. Limited diurnal and seasonal variation occurs in lapse rates on Macquarie Island. High variability of lapse rates on the eastern (lee) slope in summer months and in the midday hours appears to be driven by solar radiation. No diurnal or seasonal pattern was evident on the western slope. Development of orographic cloud is expected to modify lapse rates, given the theoretical shift between dry and saturated adiabatic lapse rates that occurs with condensation of water vapour. Cloud cover was frequent, with higher elevations being under cloud 50% of the time, with no seasonal variation. However, cloud base level did not explain variation in lapse rates. Low cloud is likely to be of ecological importance because it influences fog precipitation, solar radiation and evapotranspiration. Year-round dominance of westerly airflows and limited seasonal variation in air temperature and humidity explain the limited seasonal variation in cloud cover and lapse rates on Macquarie Island.
How to Legalize Medically Assisted Death in a Free and Democratic Society
Authors: BROWNE ALISTER , RUSSELL J.S. 
Published: June 2020

AbstractIn 2015, the Supreme Court of Canada struck down the criminal law prohibiting physician assisted death in Canada. In 2016, Parliament passed legislation to allow what it called ‘medical assistance in dying (MAID).’ The authors first describe the arguments the Court used to strike down the law, and then argue that MAID as legalized in Bill C-14 is based on principles that are incompatible with a free and democratic society, prohibits assistance in dying that should be permitted, and makes access to medically-assisted death unnecessarily difficult. They then propose a version of MAID legislation (‘Ideal MAID’) that gives proponents and opponents of MAID everything they can legitimately want, contend that it is the only way to legalize MAID that is compatible with a free and democratic society, and conclude that it is the way to legalize MAID in Canada and other similarly free and democratic societies.
Counting Cases of Termination of Life without Request: New Dances with Data
Authors: DEN HARTOGH GOVERT 
Published: June 2020

AbstractThis paper explores the common argument proposed by opponents of the legalization of euthanasia that permitting ending a patient’s life at their request will lead to the eventual legalization of terminating life without request. The author’s examination of data does not support the conclusion that a causal connection exists between legalizing ending of life on request and an increase in the number of cases without request.
Incorporation of arginine, glutamine or leucine in culture medium accelerates in vitro activation of primordial follicles in 1-day-old mouse ovary
Authors: Alborzi Parimah , Jafari Atrabi Mohammad , Akbarinejad Vahid , Khanbabaei Ramezan , Fathi Rouhollah 
Published: June 2020

SummaryIn vitro activation of primordial follicles provides cancer patients subjected to oncotherapy with a safe therapeutic strategy for fertility preservation, however a successful protocol for activation of primordial follicles in prepubertal patients has not yet been defined comprehensively. There is evidence that amino acids such as leucine, arginine and glutamine could stimulate the mammalian target of rapamycin (mTOR) pathway, which plays a pivotal role in primordial follicle activation. Nevertheless, there has been no report that elucidates the effect of these amino acids on in vitro development of ovarian follicles. Therefore, the present study was conducted to evaluate the effects of these amino acids and their combination on the formation and activation of primordial follicles in 1-day-old murine ovaries during an 11-day culture period. The experimental groups consisted of base medium (BM), base medium + arginine (ARG), base medium + glutamine (GLU), base medium + leucine (LEU) and base medium + a combination of arginine, glutamine and leucine (AGL). The proportions of different stages of ovarian follicles and gene expression of regulatory factors were assessed using histology and quantitative real-time PCR on days 5 and 11 of culture. The proportion of transitional and primary follicles was greater in all amino acid-treated groups compared with the BM group (P < 0.05). Moreover, leucine resulted in elevated expression of Gdf9 and Bmp15, and glutamine augmented the expression of Pi3k on day 11 of culture. In conclusion, the present study showed that inclusion of leucine, glutamine, arginine or their combination in the culture medium for murine ovarian tissue could accelerate the activation of primordial follicles and alter the expression of the corresponding factors.