bluuebunny/crossref_metadata_2025_split huggingface dataset:
The adaptation and implementation of the Health Improvement Profile to Australian standards in public mental health settings
Authors: Brown Trudy , May Alexis , Beverley‐Stone Matthew 
Published: February 2020

Accessible SummaryWhat is known on the subject?

The Health Improvement Profile (HIP) is a one‐page form developed in the United Kingdom as a tool for mental health nurses to assess service user's physical health needs.

The HIP screens service users’ physical health and provides recommendations that clinicians can provide service users with in order to improve their physical health.

There was evidence supporting the effectiveness of the HIP; however, the majority of HIP studies to date involve the screening tool being completed by nurses. In Australia, a large proportion of mental health clinicians providing case management to service users in community settings are not nurses.

What the paper adds to existing knowledge?

This paper shows that the HIP can be adjusted to suit the needs of Australian service users and can be utilized by clinicians from a variety of disciplines.

It also shows that both clinicians and Australian service users find the HIP helpful and argues for it being made available for all service users.

It has clearly shown a need to target flu vaccine programmes at service users.

What are the implications for practice?

The HIP has been shown to be a suitable and acceptable screening tool for different clinicians to assess multiple lifestyle risk factors at once, which can be used across different diagnoses and settings. This study, for example, demonstrated a need to focus on promoting the flu vaccine and smoking cessation, as well as encouraging service users to visit eye and dental health services.

AbstractIntroductionHealth Improvement Profile (HIP) studies to date primarily focused on the screening tool being completed by nurses. This paper explores the HIP in two different settings, with an emphasis on expanding physical health roles for all mental health clinicians.AimThe aim of the present study was to adapt the HIP to Australian standards and implement it at a large mental health service.MethodThis is an evaluation of the implementation of the HIP over a two‐month pilot period. Clinicians and service users were surveyed on their experience of the HIP.ResultsThe community team completed the HIP with 34 (15%) service users. The inpatient unit completed the HIP with 137 (54%) service users. Results from the HIP clearly show priority areas for health interventions. Feedback from clinicians and service users was predominately positive.DiscussionWe found the HIP to be an acceptable screening tool that encompasses multiple lifestyle risk factors.Implications for practiceThis study clearly demonstrates the utility of the HIP as a workable and acceptable screening tool with real world applicability. In our pilot, for example, we identified the need for the promotion of influenza vaccinations amongst service users, as well as the ongoing need to target smoking cessation and substance use.
McCune–Albright syndrome and type 1 diabetes mellitus: a novel presentation
Authors: Chatty Prerana , Khattab Ahmed , Marshall Ian 
Published: February 2020

AbstractMcCune–Albright syndrome (MAS) is caused by postzygotic somatic activating mutations of GNAS and is classically characterized by the clinical triad of peripheral precocious puberty, café‐au‐lait pigmentation, and polyostotic fibrous dysplasia. It can also present with other hyperfunctioning endocrinopathies, including growth hormone excess, hyperprolactinemia, hypercortisolemia, hyperthyroidism, and renal phosphate wasting due to excess fibroblast growth factor 23. We review the clinical, biochemical, radiological, and genetic findings in a 7‐year‐old girl diagnosed with MAS at age 4 and then with autoimmune type 1 diabetes mellitus at age 7. While MAS is associated with hyperglycemia secondary to growth hormone excess and hypercortisolemia, an association with diabetes mellitus has not been demonstrated. We review the unique presentation of a patient with these two rare conditions.
Can the 12‐lead ECG distinguish RVOT from aortic cusp PVCs in pediatric patients?
Authors: Clark Bradley C. , Ceresnak Scott R. , Pass Robert H. , Nappo Lynn , Sumihara Kohei , Dubin Anne M. , Motonaga Kara , Moak Jeffrey P. 
Published: February 2020

AbstractBackgroundThe ability to differentiate right ventricular outflow tract (RVOT) from coronary cusp (CC) site of origin (SOO) by 12‐lead ECG in pediatric patients may impact efficacy and procedural time. The objective of this study was to predict RVOT versus CC SOO by ECG in pediatric patients.MethodsPediatric patients (<21 years) without structural heart disease with RVOT or CC premature ventricular contraction (PVC) ablations performed (2014‐2018) were evaluated through multi‐institution retrospective review. Demographics, ECG PVC parameters, ablation site, recurrence, and repeat procedures were collected.ResultsThirty‐seven patients were evaluated (mean age 14.6 years, weight 60.6 kg): 11 CC and 26 RVOT PVC SOO. CC PVCs were less likely to exhibit left bundle branch block (64% vs 100%, P = .005), had larger R‐wave amplitude in V1 (0.27 vs 0.11 mV, P = .03), larger R/S ratio in V1 (0.37 vs 0.09, P = .003), and had precordial transition in V3 or earlier (73% vs 15%, P = .002). A composite score was created with the following variables: isodiphasic or positive QRS in V1, R/S ratio in V1 > 0.05, S wave in V1 < 0.9 mV, and precordial transition at or before V3. Composite score ≥ 2 was associated with a CC SOO (OR 42.0, P = .001, and AUC 0.86).Conclusions12‐lead ECG of PVCs from the CC was associated with larger V1 R‐wave amplitude, larger R/S ratio in V1, and precordial transition at or before V3. A composite score may help predict PVC/VT arising from the CC.
Anesthetic management of catheter‐based patent ductus arteriosus closure in neonates weighing <3 kg: A Retrospective Observational Study
Authors: Hubbard Richard , Edmonds Kayla , Rydalch Eric , Pawelek Olga , Griffin Evelyn , Gautam Nischal 
Published: February 2020

AbstractBackgroundThe patent ductus arteriosus is a cardiac lesion commonly found in premature neonates. Though surgical closure via thoracotomy is the most definitive treatment option, it is associated with significant morbidity. New catheter‐based closure options offer a potentially safer alternative treatment, even in premature neonates. However, no literature reports the anesthetic techniques, challenges, and risks associated with this procedure in this population.AimThis study documents the anesthetic challenges and potential complications associated with the management of catheter‐based closure of the ductus arteriosus in neonates under 3 kg.MethodsThis single‐center, retrospective study examined patients who underwent catheter‐based ductus arteriosus closure between August 2015 and February 2019. A clinical protocol for anesthetic management of these patients was utilized throughout the study period. Clinical outcomes considered were new hemodynamic instability or vasoactive medication requirements, hypothermia, prolonged intubation (>3 days postoperatively), postprocedure acute kidney injury, perioperative red blood cell transfusion, and accidental extubation.ResultsSeventy‐six neonates underwent 78 procedures. No patient developed perioperative hemodynamic instability, vasoactive medication requirements, or acute kidney injury. Four patients (5%) required red blood cell transfusion, two (3%) became hypothermic, and one (1%) was accidentally extubated. Closure was achieved in 73 patients (96%) on the first attempt. However, 17 patients (40%) required prolonged periods of mechanical ventilation following the procedure.ConclusionDespite multiple clinical and logistical challenges, anesthetic risk associated with catheter‐based PDA closure in small neonates can be effectively managed through standardized and multidisciplinary care.
Direct Versus Indirect: Control, Moral Responsibility, and Free Action
Authors: Mele Alfred R. 
Published: February 2020

AbstractThis article has two primary aims. The first is to identify relationships among direct control, direct moral responsibility for an action, and directly free action. The second is to provide a partial map depicting the bearing of some familiar competing views about moral responsibility and free action – traditional compatibilism, semicompatibilism, and event‐causal libertarianism – on differences in conceptions of direct and indirect species of moral responsibility and free action.
Peripheral venous access devices for apheresis: 16‐gauge is not always needed
Authors: Mustieles María‐Jesús , Acosta Maria , Cid Joan , Jiménez María , Mateo Dolors , Andreu Bienvenida , Alba Cristina , Perea Dolores , Lozano Miquel 
Published: February 2020

BACKGROUNDPeripheral venous access (PVA) devices for apheresis should be selected to provide enough flow with the least vein damage, but little information is available about PVA devices blood flow rates. The aim of this study was to know the blood flow rates provided by the most frequent PVA devices used in apheresis procedures.STUDY DESIGN AND METHODSAn experimental study was designed to simulate a plasma exchange procedure using citrated whole blood (WB). Two steel needles (16‐ and 17‐gauge [G]) and six plastic cannulas (16G, 17G, two 18G, 20G, and 22G) were analyzed. The hematocrit of the WB was adjusted to 45%, 40%, 35%, 30%, and 25%. The separated plasma from the WB was used as replacement fluid.RESULTSBlood flow rate (inlet/return, mL/min) for 16G and 17G devices with a hematocrit of 45% was 142/142 (maximum admitted by separator); one of the 18G cannulas reached 142/142 and the other one reached 117/140; the 20G cannula reached 78/94; and the 22G reached 45/55. A hematocrit reduction from 45% to 25% increased the flow rate (when possible) over 22% (range: 14%‐30%).CONCLUSIONSPVA devices with a size of 16‐18G provided the maximum flow admitted by the apheresis system. The 20G provided flow rates for a significant number of procedures, and 22G could be used in some procedures. The hematocrit should be taken into account when selecting the PVA device since, at hematocrit of 25%, the flow can be from 14% to 30% higher than flow rates reached with blood at hematocrit of 45%.
Application of the Naturally Optimised Revenue Demand in Communities NORDIC Model to Improve the Workforce in Sweden
Authors: Stenis Jan 
Published: February 2020

The Naturally Optimised Revenue Demand in Communities (NORDIC) model was employed to improve the workforce. The proposed model produced constructed shadow costs to be inserted into the public accounts to induce economic incentives to increase the employment-to-population ratio. The resulting shadow cost, and its impact on the PSBR, constitutes a single key factor that by one digit only, expresses how successful the labour policy is over time. The launched model considered and promoted the health of the workforce and reduced the costs of non-employment. This case study showed how the workforce in the Swedish society could be improved by application of the NORDIC model, that is the system of cooperation between workers and employers. The results point at a promising methodology for improving the health of the workforce and increasing the employment-to-population ratio by using economic instruments. The study concludes that the versatile NORDIC model could be used to improve the Swedish workforce and its quality of life, particularly for seniors. Possible end users include labour authorities and politicians that want a comprehensive tool to redesign the labour policy. The NORDIC model is recommended to apply to labour issues, and employ to improve the health of the workforce. Further research should focus on developing algorithms for certain sections of the workforce.
Characteristics and Kinetic Analysis of Ignition for Different Gasoline Surrogate Fuel Models
Authors: Zeng Qinghua , Zeng Detang , Zheng Dong 
Published: February 2020

AbstractBased on the experimental and the calculated results, the differences and similarities of ignition characteristics for different gasoline surrogate fuels have been investigated in this paper. The results show that the low-temperature ignition characteristics of different surrogate models present difference, while the high-temperature ignition characteristics show similarity. Kinetic analysis found that for different surrogate models, the low-T ignition processes are all dominated by the primary dehydrogenation and oxidation reactions of paraffins. Therefore, the initial concentration of the paraffin in surrogate model is critical to the ignition process and is the root cause of the low-T ignition differences. While at high-T, the ignition processes are all controlled by the small molecular reactions related to OH radical, and OH radical features are basically the same, so ignitions generally show similarity. Meanwhile, ethanol and 2,4,4-trimethyl-1-pentene (DIB) can promote the high-T ignition processes, and its content determines the slight difference of high-T ignition. The work of this paper deepens the understanding of the chemical reaction mechanism and also provides the improvement scheme for the optimization and creation of the mechanism of the surrogate fuels.
Numerical Investigation of Deepwater S-Lay Pipeline Under Freak Waves
Authors: Xu Pu , Gong Shunfeng 
Published: February 2020

Abstract
Freak wave is an extreme sea state with unexpected and huge wave height, which becomes a potential risk for lay barge and offshore pipeline during deepwater installation. In order to investigate the dynamic responses of deepwater S-lay pipeline induced by freak waves, this study developed a comprehensive numerical model with the particular consideration of the freak wave effect. An enhanced superposition method of combined transient wave trains and random wave trains was presented, and a series of freak wave trains were generated. The induced pipelay vessel motions were simulated by the use of displacement response amplitude operators (RAOs). The pipe–stinger roller interactions in the overbend and the cyclic contacts between the pipeline and seabed soil in the touchdown zone (TDZ) were fully taken into consideration. The developed S-lay model was subsequently utilized to calculate the dynamic responses of the pipelay vessel and offshore pipeline under random waves and freak waves for a comparison. The results illustrated the remarkable influence of freak waves on the systematic behaviors of deepwater S-laying pipeline, which offer a significant theoretical basis for the pipe structure design and pipelay operation safety.
Clinical guideline for retained button batteries
Authors: Houston Rory , Powell Steven , Jaffray Bruce , Ball Stephen 
Published: February 2020

ObjectiveTo design a clinical guideline for the emergency management of retained button batteries (RBBs) through analysis of UK National Health Service hospital guidelines and published literature.Method49 acute hospitals were contacted, and their guidelines were analysed. A consensus guideline was then created with multidisciplinary input. The final guideline was independently peer reviewed by the British Association of Otorhinolaryngology and Head and Neck Surgery (ENT UK) clinical guidelines committee.Results40 (82%) trusts responded. 28 had a guideline for the management of a RBB in the aerodigestive tract. Significant variation between guidelines assessment, investigation and management of a RBB was identified.ConclusionA single-page guideline was designed to improve frontline healthcare professional’s immediate investigation and management of a RBB on presentation to emergency care. This has been published by ENT UK as a clinical guideline.
Who is at risk of occupational Q fever: new insights from a multi-profession cross-sectional study
Authors: Groten Tanja , Kuenzer Karola , Moog Udo , Hermann Beate , Maier Katrin , Boden Katharina 
Published: February 2020

ObjectivesQ fever is a zoonosis caused by the bacteriumCoxiella burnetii. It is recognised as an occupational hazard for individuals who are in regular contact with animal birth products. Data from the literature are not comparable because different serological assays perform very differently in detecting past infections. It is therefore essential to choose the right assay for obtaining reliable data of seroprevalence. Obstetricians are another profession potentially at risk of Q fever. They can be infected from birth products of women with Q fever during pregnancy. There is little data, however, for Q fever in this occupational group. Our study therefore had two purposes. The first was to obtain reliable seroprevalence data for occupational groups in regular contact with animal birth products by using an assay with proven excellent sensitivity and specificity for detecting past infections. The second purpose was to obtain primary data for obstetricians.DesignWe carried out a cross-sectional study.SettingThe study included shepherds, cattle farmers, veterinarians and obstetricians from Thuringia.Participants77 shepherds, 74 veterinarians, 14 cattle farmers, 17 office employees and 68 obstetricians participated. The control group consisted of 92 blood donors.Primary outcome measureThe primary outcome measure wasC. burnetiiphase II specific IgG. The assay used was evaluated for this purpose in a previous study.ResultsOf the 250 blood samples we analysed, the very highest seroprevalences (64%–77%) occurred in individuals with frequent animal contact. There were no significant differences between shepherds, cattle farmers and veterinarians. The seroprevalence in people working in administration was lower but still significantly greater than the control. No obstetricians or midwives tested positive.ConclusionsShepherds, cattle farmers and veterinarians have a high risk ofC. burnetiiinfection. However, our study clearly proves that there was no increased risk for people working in an obstetric department.
Do patients with chronic low-back pain experience a loss of health-related quality of life? A protocol for a systematic review and meta-analysis
Authors: Coluccia Anna , Pozza Andrea , Gusinu Roberto , Gualtieri Giacomo , Muzii Vitaliano Francesco , Ferretti Fabio 
Published: February 2020

IntroductionHealth-related quality of life in chronic low back pain (LBP) is an important issue since various individual factors such as perceived loss of autonomy, inability to continue daily life and anxiety can contribute to maintenance or deterioration of this condition. Health-related quality of life is also important because it can predict the probability of recovery or recrudescence over time. In the literature, there is no systematic review on this topic. The present paper describes a protocol of the first systematic review and meta-analysis aimed at summarising the data on health-related quality of life in patients with chronic LBP compared with healthy controls. Gender, age and comorbidity of psychiatric disorders (mood or anxiety disorders) will be explored as moderators. Studies will be included if they used a case–control design comparing adults with chronic LBP to healthy controls on health-related quality of life through validated interviews/questionnaires.Methods and analysisAccording to Preferred Reporting Items for Systematic Reviews and Meta-Analyses, a systematic review and meta-analysis will be conducted from 10th to 17th January 2020. Independent reviewers will search published/unpublished studies through electronic databases (Scopus, PubMed, EMBASE and the Cochrane Library) and additional sources, will extract the data and assess the methodological quality through the Newcastle-Ottawa Scale. Random-effect meta-analysis will be carried out by calculating effect sizes as Cohen’s d indices. Publication bias will be assessed and moderators of the effect sizes will be investigated through weighted least squares meta-regression.The knowledge whether health-related quality of life is better or worse as a function of some individual characteristics may suggest personalised care pathways according to a precision medicine approach.Ethics and disseminationThe current review does not require ethics approval. The results will be disseminated through publications in peer-reviewed journals.PROSPERO registration numberCRD42019131749
Evaluating phone camera and cloud service-based 3D imaging and printing of human bones for anatomical education
Authors: Li Qing-Yun , Zhang Qi , Yan Chun , He Ye , Phillip Mukuze , Li Fang , Pan Ai-Hua 
Published: February 2020

ObjectiveTo evaluate the feasibility of a phone camera and cloud service-based workflow to image bone specimens and print their three-dimensional (3D) models for anatomical education.DesignThe images of four typical human bone specimens, photographed by a phone camera, were aligned and converted into digital images for incorporation into a digital model through the Get3D website and submitted to an online 3D printing platform to obtain the 3D printed models. The fidelity of the 3D digital, printed models relative to the original specimens, was evaluated through anatomical annotations and 3D scanning.SettingThe Morphologic Science Experimental Center, Central South University, China.ParticipantsSpecimens of four typical bones—the femur, rib, cervical vertebra and skull—were used to evaluate the feasibility of the workflow.Outcome measuresThe gross fidelity of anatomical features within the digital models and 3D printed models was evaluated first using anatomical annotations in reference to Netter’s Atlas of Human Anatomy. The measurements of the deviation were quantised and visualised for analysis in Geomagic Control 2015.ResultsAll the specimens were reconstructed in 3D and printed using this workflow. The overall morphology of the digital and 3D printed models displayed a large extent of similarity to the corresponding specimens from a gross anatomical perspective. A high degree of similarity was also noticed in the quantitative analysis, with distance deviations ≤2 mm present among 99% of the random sampling points that were tested.ConclusionThe photogrammetric digitisation workflow adapted in the present study demonstrates fairly high precision with relatively low cost and fewer equipment requirements. This workflow is expected to be used in morphological/anatomical science education, particularly in institutions and schools with limited funds or in certain field research projects involving the fast acquisition of 3D digital data on human/animal bone specimens or on other remains.