bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Narrative Phenomenological Approach to Transformative Learning: Lessons From Occupational Therapy Reasoning in Educational Practice
Authors: Zafran Hiba 
Published: January 2020

Abstract
Transformative learning involves the questioning of worldviews and underpins shifts in values and identity that are integral to critical occupational therapy practices. Cognitive theories of transformative learning name, but do not address, the experiential dimensions of transformation. The aim of this article is to conceptualize transformative learning from the perspective of narrative phenomenology in occupational therapy. An argument is presented that draws on research in occupational therapy professional reasoning and that makes visible the dimensions of transformation that are inherently experiential and meaning oriented. Three key concepts for a transformative pedagogy are defined and illustrated: scenes, emplotment, and embodied metaphors. The article concludes with the types of learning objectives for which this approach is suited and the pedagogical values that underpin these teaching practices. This article adds to the domain of health care education by defining and illustrating experiential and meaning-based practices as signature pedagogies for transformative learning.
Measuring the Efficacy of Occupational Therapy in End-of-Life Care: A Scoping Review
Authors: Chow Janice Kishi , Pickens Noralyn Davel 
Published: January 2020

AbstractImportance: Underutilization of hospice occupational therapy may be attributable to a lack of evidence on efficacy.Objective: To conduct a scoping review of occupational therapy outcome studies to ascertain how efficacy is captured in the literature.Data Sources: PubMed, CINAHL, MEDLINE, Scopus, Directory of Open Access Journals, Web of Science, OT Search, and Google Scholar.Study Selection and Data Collection: Search terms: hospice, palliative care, occupational therapy, rehabilitation, outcome measure, and assessment. Inclusion criteria: research studies in English, centered on adult hospice care, published between January 1997 and September 2017, and investigated occupational therapy efficacy with an outcome measure. Exclusion criteria: systematic reviews, participants not at terminal disease end stages, or intervention program reviews lacking differentiated occupational therapy outcomes.Findings: Seven articles met the inclusion criteria. Findings include frequent use of noncontrolled, quasi-experimental, prospective research designs; a focus on occupational performance; and no generally accepted hospice occupational therapy outcome measure.Conclusion and Relevance: Outcome measures of participation in end-of-life occupations and environmental influences on occupational engagement are needed to effectively support occupational therapy practice and research with people who are terminally ill.What This Article Adds: Occupational therapy in end-of-life care is growing in complexity yet remains low in utilization. This review adds insights into current practice and future research foci for the profession.
Play in Children With Life-Threatening and Life-Limiting Conditions: A Scoping Review
Authors: Jasem Zainab A. , Darlington Anne-Sophie , Lambrick Danielle , Grisbrooke Jani , Randall Duncan C. 
Published: January 2020

AbstractImportance: Play is essential to children and provides opportunities to promote their health and well-being. Children living with life-threatening and life-limiting conditions experience deprivation in play.Objective: To conduct a scoping review of studies that examined play of children with a life-threatening or life-limiting condition to explore their play characteristics and possible factors influencing their participation in play.Data Sources: A search of literature published between 1990 and 2017 was conducted in the health, social care, and built-environment fields. The scoping review included multiple searches in electronic databases, a gray literature search, and manual searches of relevant journals and reference lists of included articles.Study Selection and Data Collection: Defined criteria were used to select articles describing studies that examined the daily play of children ages 5–11 yr with life-threatening and life-limiting conditions; articles that focused on play as therapy or that used parents’ accounts of a service were excluded. The identified articles were critically appraised with the Critical Appraisal Skills Programme and the Joanna Briggs Institute Critical Appraisal Tools.Findings: Thirteen articles were reviewed. The findings indicate that children’s play is influenced by their health conditions and play opportunities and by the limited availability of appropriate play equipment and spaces allowing play and social interaction.Conclusions and Relevance: Available appropriate play opportunities need to be maximized for children living with life-threatening and life-limiting conditions. This goal can be achieved by understanding and considering the needs of these children and by facilitating environmental enablers and limiting barriers.What This Article Adds: Promoting the participation in play of children who live with life-threatening and life-limiting conditions is important to their health and well-being and can be achieved by targeting the cultural, social, and physical environmental factors that shape the children’s play.
Evidence-Based Practice Implementation in Stroke Rehabilitation: A Scoping Review of Barriers and Facilitators
Authors: Juckett Lisa A. , Wengerd Lauren R. , Faieta Julie , Griffin Christine E. 
Published: January 2020

Abstract
Importance: Despite advancements in stroke rehabilitation research, occupational therapy practitioners still face challenges with implementing research into routine practice. Although the development of evidence-based practices (EBPs) is one critical step along the knowledge translation continuum for the population of people with stroke, research is also needed to identify the most effective strategies for implementing EBPs with stroke survivors who are receiving occupational therapy services.
Objective: To synthesize research related to occupational therapy practitioners’ implementation of EBPs in adult stroke rehabilitation.
Data Sources: We searched four electronic databases—CINAHL, MEDLINE, PubMed, and Academic Search Complete—and the peer-reviewed journal Implementation Science to identify relevant research studies.
Study Selection and Data Collection: Studies that met the following inclusion criteria were included in the scoping review: published between January 2003 and January 2018, addressed the adult stroke population, and examined the implementation of occupational therapy interventions. Data were abstracted on the basis of recommendations from the seminal review framework established by Arksey and O’Malley (2005). Thematic analysis identified themes that emerged from the included studies.
Findings: Twenty-five articles satisfied our inclusion parameters. Our analyses yielded three overarching themes: barriers to implementation, facilitators of implementation, and implementation strategies. Implementation strategies often consisted of multimodal knowledge translation training programs.
Conclusion and Relevance: Although the stroke rehabilitation literature appears to have established the barriers to and facilitators of EBP implementation, greater attention to the identification of effective implementation strategies that promote the uptake of EBPs by occupational therapy practitioners is needed.
What This Article Adds: This article summarizes the contextual factors and effective strategies that may influence practitioners’ implementation of stroke research findings in real-world practice.
Cortical Plasticity in Rehabilitation for Upper Extremity Peripheral Nerve Injury: A Scoping Review
Authors: Zink Patrick J. , Philip Benjamin A. 
Published: January 2020

Abstract
Importance: Poor outcomes after upper extremity peripheral nerve injury (PNI) may arise, in part, from the challenges and complexities of cortical plasticity. Occupational therapy practitioners need to understand how the brain changes after peripheral injury and how principles of cortical plasticity can be applied to improve rehabilitation for clients with PNI.
Objective: To identify the mechanisms of cortical plasticity after PNI and describe how cortical plasticity can contribute to rehabilitation.
Data Sources: PubMed and Embase (1900–2017) were searched for articles that addressed either (1) the relationship between PNI and cortical plasticity or (2) rehabilitative interventions based on cortical plastic changes after PNI.
Study Selection and Data Collection: PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed. Articles were selected if they addressed all of the following concepts: human PNI, cortical plasticity, and rehabilitation. Phantom limb pain and sensation were excluded.
Findings: Sixty-three articles met the study criteria. The most common evidence level was Level V (46%). We identified four commonly studied mechanisms of cortical plasticity after PNI and the functional implications for each. We found seven rehabilitative interventions based on cortical plasticity: traditional sensory reeducation, activity-based sensory reeducation, selective deafferentation, cross-modal sensory substitution, mirror therapy, mental motor imagery, and action observation with simultaneous peripheral nerve stimulation.
Conclusion and Relevance: The seven interventions ranged from theoretically well justified (traditional and activity-based sensory reeducation) to unjustified (selective deafferentation). Overall, articles were heterogeneous and of low quality, and future research should prioritize randomized controlled trials for specific neuropathies, interventions, or cortical plasticity mechanisms.
What This Article Adds: This article reviews current knowledge about how the brain changes after PNI and how occupational therapy practitioners can take advantage of those changes for rehabilitation.
Planetary boundary layer evolution over the Amazon rainforest in episodes of deep moist convection at the Amazon Tall Tower Observatory
Authors: Oliveira Maurício I. , Acevedo Otávio C. , Sörgel Matthias , Nascimento Ernani L. , Manzi Antonio O. , Oliveira Pablo E. S. , Brondani Daiane V. , Tsokankunku Anywhere , Andreae Meinrat O. 
Published: January 2020

Abstract. In this study, high-frequency, multilevel measurements, performed from late October to mid-November of 2015 at a 80 m tall tower of the Amazon Tall Tower Observatory (ATTO) project in the central state of Amazonas, Brazil, were used to diagnose the evolution of thermodynamic and kinematic variables as well as scalar fluxes during the passage of outflows generated by deep moist convection (DMC). Outflow associated with DMC activity over or near the tall tower was identified through the analysis of storm echoes in base reflectivity data from an S-band weather radar at Manaus, combined with the detection of gust fronts and cold pools utilizing tower data. Four outflow events were selected, three of which took place during the early evening transition or nighttime hours and one during the early afternoon. Results show that the magnitude of the drop in virtual potential temperature and changes in wind velocity during outflow passages vary according to the type, organization, and life cycle of the convective storm. The nocturnal events had well-defined gust fronts with moderate decreases in virtual potential temperature and increases in wind speed. The early afternoon event lacked a sharp gust front and only a gradual drop in virtual potential temperature was observed, probably because of weak or undeveloped outflow. Sensible heat flux (H) increased at the time of the gust front arrival, which was possibly due to the sinking of colder air. This was followed by a prolonged period of negative H, associated with enhanced nocturnal negative H in the wake of the storms. In turn, increased latent heat flux (LE) was observed following the gust front, owing to drier air coming from the outflow; however, malfunctioning of the moisture sensors during rain precluded a better assessment of this variable. Substantial enhancements of turbulent kinetic energy (TKE) were observed during and after the gust front passage, with values comparable to those measured in grass fire experiments, evidencing the highly turbulent character of convective outflows. The early afternoon event displayed slight decreases in the aforementioned quantities in the passage of the outflow. Finally, a conceptual model of the time evolution of H in nocturnal convective outflows observed at the tower site is presented.
Comparison of the cloud top heights retrieved from MODIS and AHI satellite data with ground-based Ka-band radar
Authors: Huo Juan , Lu Daren , Duan Shu , Bi Yongheng , Liu Bo 
Published: January 2020

Abstract. To better understand the accuracy of cloud top heights
(CTHs) derived from passive satellite data, ground-based Ka-band radar
measurements from 2016 and 2017 in Beijing are compared with CTH data
inferred from the Moderate Resolution Imaging Spectroradiometer (MODIS) and
the Advanced Himawari Imager (AHI). Relative to the radar CTHs, the MODIS
CTHs are found to be underestimated by−1.10 ± 2.53 km on average and 49 % of CTH differences are within 1.0 km. The AHI CTHs are
underestimated by −1.10 ± 2.27 km and 42 % are within 1.0 km. Both
the MODIS and AHI CTH retrieval accuracy depends strongly on the cloud depth
(CD). Large differences are mainly due to the retrieval of thin clouds of CD
<1 km, especially when the cloud base height is higher than 4 km.
For clouds with CD >1 km, the mean CTH difference decreases to
-0.48±1.70 km for MODIS and to -0.76±1.63 km for AHI. It
is found that MODIS CTHs with higher values (i.e. >6 km) show
smaller discrepancy with radar CTH than those MODIS CTHs with lower values
(i.e. <4 km). Statistical analysis illustrate that the CTH
difference between the two satellite instruments is lower than the
difference between the satellite instrument and the ground-based Ka-band
radar. The monthly accuracy of both CTH retrieval algorithms is investigated
and it is found that summer has the smallest retrieval difference.
Implementation of the blade element momentum model on a polar grid and its aeroelastic load impact
Authors: Madsen Helge Aagaard , Larsen Torben Juul , Pirrung Georg Raimund , Li Ang , Zahle Frederik 
Published: January 2020

Abstract. We show that the upscaling of wind turbines from rotor diameters of 15–20 m to presently large rotors of 150–200 m has changed the requirements for the aerodynamic blade element momentum (BEM) models in the aeroelastic codes. This is because the typical scales in the inflow turbulence are now comparable with the rotor diameter of the large turbines. Therefore, the spectrum of the incoming turbulence relative to the rotating blade has increased energy content on 1P, 2P, …, nP, and the annular mean induction approach in a classical BEM implementation might no longer be a good approximation for large rotors. We present a complete BEM implementation on a polar grid that models the induction response to the considerable 1P, 2P, …, nP inflow variations, including models for yawed inflow, dynamic inflow and radial induction. At each time step, in an aeroelastic simulation, the induction derived from a local BEM approach is updated at all the stationary grid points covering the swept area so the model can be characterized as an engineering actuator disk (AD) solution. The induction at each grid point varies slowly in time due to the dynamic inflow filter but the rotating blade now samples the induction field; as a result, the induction seen from the blade is highly unsteady and has a spectrum with distinct 1P, 2P, …, nP peaks. The load impact mechanism from this unsteady induction is analyzed and it is found that the load impact strongly depends on the turbine design and operating conditions. For operation at low to medium thrust coefficients (conventional turbines at above rated wind speed or low induction turbines in the whole operating range), it is found that the grid BEM gives typically 8 %–10 % lower 1 Hz blade root flapwise fatigue loads than the classical annular mean BEM approach. At high thrust coefficients that can occur at low wind speeds, the grid BEM can give slightly increased fatigue loads. In the paper, the implementation of the grid-based BEM is described in detail, and finally several validation cases are presented. Comparisons with blade loads from full rotor CFD, wind tunnel experiments and a field experiment show that the model can predict the aerodynamic forces in half-wake, yawed flow, dynamic inflow and turbulent inflow conditions.
Publishing habits and perceptions of open access publishing and public access amongst clinical and research fellows
Authors: O’Hanlon Robin , McSweeney Jeanine , Stabler Samuel 
Published: January 2020

Introduction: Open access (OA) publishing rates have risen dramatically in the biomedical sciences in the past decade. However, few studies have focused on the publishing activities and attitudes of early career researchers. The aim of this study was to examine current publishing activities of clinical and research fellows and their perceptions of OA publishing and public access.Methods: This study employed a mixed methods approach. Data on publications authored by Memorial Sloan Kettering Cancer Center fellows between 2013 and 2018 were collected via an in-house author profile system and citation indexes. Journals were categorized according to SHERPA/RoMEO classifications. In-person and telephone interviews were conducted with fifteen fellows to discern their perceptions of OA publishing.Results: The total percentage of fellows’ publications that were freely available OA was 28.6%, with a relatively flat rate between 2013 and 2018. Publications with fellows as first authors were significantly more likely to be OA. Fellows cited high article processing charges (APCs) and perceived lack of journal quality or prestige as barriers to OA publishing. Fellows generally expressed support for the National Institutes of Health (NIH) public access policy.Conclusions: While the fellows in this study acknowledged the potential of OA to aid in research dissemination, they also expressed hesitation to publish OA related to confusion surrounding legitimate OA and predatory publications and frustration with APCs. Fellows supported the NIH public access policy and accepted it as part of their research process. Health sciences information professional could potentially leverage this acceptance of public access to advocate for OA publishing. This article has been approved for the Medical Library Association’s Independent Reading Program.
PROCESOS DE EVALUACIÓN INSTITUCIONAL EN SERVICIOS DE EDUCACIÓN SUPERIOR. APRENDIZAJES EN UNA FACULTAD DE ENFERMERÍA
Authors: Cabrera Puente Alicia 
Published: January 2020

En este artículo se pretende describir una visión panorámica de la evolución teórica de la administración empresarial, enfocando el tema en algunos ejes conceptuales considerados de interés en las instituciones de educación superior. Se presentan algunos modelos de evaluación en instituciones educativas de nivel universitario, así como estudios realizados en centros formadores de licenciados en enfermería, con el propósito de aportar a la superación de los niveles de calidad alcanzados.
Finalmente, se analizan algunas de las conclusiones, derivadas de la prueba piloto de aplicación de la guía de autoevaluación institucional, diseñada por la investigadora para la Facultad de Enfermería de la Universidad de la República (UDELAR).
Памятники ранненеолитической среднедонкой культуры у села Доброе на верхнем Дону
Authors: Smolyaninov Roman V. , Kulichkov Aleksey A. , Yurkina Yelizaveta S. , Yanish Yevgeniya Yu. 
Published: January 2020

Nowadays there are 72 sites of the Neolithic Middle-Don Culture. Ceramic vessels are ornamented mostly using triangular pricks. These settlements are located on the banks of the rivers Voronezh and Don in their lower reaches. Not far from the town of Dobroe, a concentration of Neolithic settlements was found. Three of them contained Early Neolithic pottery of the Middle-Don Culture (6th millennium BC). For the first time on the settlement Dobroe 9 a cultural layer was found in situ. Due to the discovery of the assemblage of pottery and stone and bone tools, new excavations allowed us to characterise the material culture of the ancient population of the Upper Don in a new way.
Order in chaos. Spatial analysis of cremated human remains in urn urials from Podlesie, site 5, Oleśnica Commune, Świętokrzyskie voivodeship
Authors: Jaskulska Elżbieta 
Published: January 2020

A sample of six cremated graves from the Lusatian Culture cemetery from Podlesie, site 5, has been subjected to a spatial analysis aimed at recognising anatomical provenance of bone fragments within the layers of the urn burial. Even though individual features have shown damage ranging from slight to severe, most of the burials have shown an indication of a repeated pattern, with skull fragments predominantly present in the upper layers (Chi2 = 43.968, df = 16, p < 0.001) and lower limb fragments accumulated in the lower parts of the urn (Chi2 = 28.635, df = 16, p = 0.027). In the case of the torso (the term used to describe postcranial axial skeletal fragments together with pectoral and pelvic girdles’ elements) and upper limb, the analysis has not shown statistically significant distribution between the layers. The analysis confirmed the advantage of the proposed method in determining the presence of the so-called ‘anatomical order’ within cremation burials.
Alleged burial mounds from the late Roman Period at leśnictwo Sacharewo site 3, Białowieża Primeval Forest
Authors: Krasnodębski Dariusz , Olczak Hanna , Mizerka Jagoda , Niedziółka Kamil 
Published: January 2020

The article presents results of excavations carried out at an alleged barrow cemetery located in the western part of the Białowieża Primeval Forest, Poland. The site, discovered in 1996 and verified in 2016, consists of
10 mounds. In 2017, the first excavations were carried out when the mound no. 3, with a diameter of c. 9 m and a relative height of c. 0.7 m, located on the northern edge of the site, was chosen for research. In the mound 39 potsherds were found. The scarcity of ceramic material and the high degree of its fragmentation make the stylistic analysis difficult. The technological and stylistic features of the discussed pottery are typical for ceramics from a wide timespan, ranging from the Pre-Roman Period to the Late Roman Period. Their precise dating and cultural affiliation are difficult to determine due not only to the small size of the collection but also to the lack of well-dated comparative materials from the Białowieża Forest and its surroundings. A 14C analysis of charcoal obtained from the embankment of the mound yielded an approximation which fits between the second half of the 3rd century and the early 6th century. The cul- tural situation of north-eastern Poland in the Pre-Roman and Roman periods remains insufficiently recognised. Excavations carried out over the past dozen years have revealed many settlements related to the local culture group of the Hatched Pottery Culture and the Wielbark Culture, with some influences flowing from the postZarubintsy circle. In the course of the excavations,
no human bones were found which would unambiguously confirm the sepulchral function of the mound.
The Sacharewo mound is a part of a wider category of objects known from throughout the Białowieża Forest in which no bones were discovered but only fragments of clay vessels or charcoal layers.