bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perspectives of nurses’ role in interprofessional pharmaceutical care across 14 European countries: A qualitative study in pharmacists, physicians and nurses
Authors: De Baetselier Elyne , Dilles Tinne , Batalha Luis M. , Dijkstra Nienke E. , Fernandes Maria I. , Filov Izabela , Friedrichs Juliane , Grondahl Vigdis A. , Heczkova Jana , Helgesen Ann Karin , Jordan Sue , Keeley Sarah , Klatt Thomas , Kolovos Petros , Kulirova Veronika , Ličen Sabina , Lillo-Crespo Manuel , Malara Alba , Padysakova Hana , Prosen Mirko , Pusztai Dorina , Riquelme-Galindo Jorge , Rottkova Jana , Sino Carolien G. , Talarico Francesco , Tziaferi Styliani , Van Rompaey Bart 
Published: May 2021

Objectives
To understand healthcare professionals’ experiences and perceptions of nurses’ potential or ideal roles in pharmaceutical care (PC).

Design
Qualitative study conducted through semi-structured in-depth interviews.

Setting
Between December 2018 and October 2019, interviews were conducted with healthcare professionals of 14 European countries in four healthcare settings: hospitals, community care, mental health and long-term residential care.

Participants
In each country, pharmacists, physicians and nurses in each of the four settings were interviewed. Participants were selected on the basis that they were key informants with broad knowledge and experience of PC.

Data collection and analysis
All interviews were conducted face to face. Each country conducted an initial thematic analysis. Consensus was reached through a face-to-face discussion of all 14 national leads.

Results
340 interviews were completed. Several tasks were described within four potential nursing responsibilities, that came up as the analysis themes, being: 1) monitoring therapeutic/adverse effects of medicines, 2) monitoring medicines adherence, 3) decision making on medicines, including prescribing 4) providing patient education/information. Nurses’ autonomy varied across Europe, from none to limited to a few tasks and emergencies to a broad range of tasks and responsibilities. Intended level of autonomy depended on medicine types and level of education. Some changes are needed before nursing roles can be optimised and implemented in practice. Lack of time, shortage of nurses, absence of legal frameworks and limited education and knowledge are main threats to European nurses actualising their ideal role in PC.

Conclusions
European nurses have an active role in PC. Respondents reported positive impacts on care quality and patient outcomes when nurses assumed PC responsibilities. Healthcare professionals expect nurses to report observations and assessments. This key patient information should be shared and addressed by the interprofessional team. The study evidences the need of a unique and consensus-based PC framework across Europe.
Efficacy and cost of high-frequency IGRT in elderly stage III non-small-cell lung cancer patients
Authors: Heilbroner Samuel P. , Xanthopoulos Eric P. , Buono Donna , Carrier Daniel , Durkee Ben Y. , Corradetti Michael , Wang Tony J. C. , Neugut Alfred I. , Hershman Dawn L. , Cheng Simon K. 
Published: May 2021

Background
High-frequency image-guided radiotherapy (hfIGRT) is ubiquitous but its benefits are unproven. We examined the cost effectiveness of hfIGRT in stage III non-small-cell lung cancer (NSCLC).

Methods
We selected stage III NSCLC patients ≥66 years old who received definitive radiation therapy from the Surveillance, Epidemiology, and End-Results-Medicare database. Patients were stratified by use of hfIGRT using Medicare claims. Predictors for hfIGRT were calculated using a logistic model. The impact of hfIGRT on lung toxicity free survival (LTFS), esophageal toxicity free survival (ETFS), cancer-specific survival (CSS), overall survival (OS), and cost of treatment was calculated using Cox regressions, propensity score matching, and bootstrap methods.

Results
Of the 4,430 patients in our cohort, 963 (22%) received hfIGRT and 3,468 (78%) did not. By 2011, 49% of patients were receiving hfIGRT. Predictors of hfIGRT use included treatment with intensity-modulated radiotherapy (IMRT) (OR = 7.5, p < 0.01), recent diagnosis (OR = 51 in 2011 versus 2006, p < 0.01), and residence in regions where the Medicare intermediary allowed IMRT (OR = 1.50, p < 0.01). hfIGRT had no impact on LTFS (HR 0.97; 95% CI 0.86–1.09), ETFS (HR 1.05; 95% CI 0.93–1.18), CSS (HR 0.94; 95% CI 0.84–1.04), or OS (HR 0.95; 95% CI 0.87–1.04). Mean radiotherapy and total medical costs six months after diagnosis were $17,330 versus $15,024 (p < 0.01) and $71,569 versus $69,693 (p = 0.49), respectively.

Conclusion
hfIGRT did not affect clinical outcomes in elderly patients with stage III NSCLC but did increase radiation cost. hfIGRT deserves further scrutiny through a randomized controlled trial.
The materiality of the representation of the owl in the Mari ways of speaking
Authors: Yuzieva Kristina 
Published: May 2021

Abstract
This article shows how language materiality is conceptualized through an ethnolinguistic analysis of the representation of the owl as an indication of human-bird relationships. This approach enables addressing the multiple relations between birds and speakers and their perception of the environment as these are reflected in language, folklore and rituals. This research is related to such discourses as “language”, “materiality” and “environment” and is based on a case study of the Mari, a Finno-Ugric people who live in central Russia and still adhere to their folk religion. First, it sets out the Mari names which are used for birds of the owl family, then it shows how the terminology has changed due to the emotional side of humanity, and how terms express things in metaphorical way. Next, the article focuses on how the bird (owl) can be a source of positive or negative information with regard to auguring the future and how the symbolic use of birds in rituals and magical actions contributes to co-creating landscapes between human and non-human agencies. This study is based on extensive linguistic, folklore and ethnographic material, including my own field material.
Zwischen Seelgerät und Standesrepräsentation – das Hôtel-Dieu Beaune
Authors: Zeilhofer Susanne 
Published: May 2021

Zusammenfassung
Das Hôtel-Dieu in Beaune ist ein Musterbeispiel für eine Synthese aus spätmittelalterlicher Krankenfürsorge, Glaube und Spiritualität und weltlichen Stifterinteressen. Der Krankensaal, die berühmte salle des pauvres, ist per se spiritueller Raum, bildet in Architektur und Bildwerken den religiös philosophischen Kosmos der Patienten ab und gibt Anleitungen zur Selbstreflexion. Bemerkenswert ist wie Krankenzimmer und Raum der Spiritualität zur Deckung gebracht werden.
Актер и педагог Юрий Владимирович Назаров. Штрихи к творческому портрету
Authors: Юркин Вячеслав Александрович 
Published: May 2021

<p>Педагогическое мастерство народного артиста России и профессора кафедры искусства Московского гуманитарного университета Юрия Владимировича Назарова вытекает из высокого профессионального уровня актера, его жизненного опыта и взглядов на события текущего времени. В жизни и в профессии мастер прошел большую и интересную школу, которая сформировала его как человека, актера и педагога. Многое в человеке закладывается с детства. Интересен момент выбора профессии и движения к цели.</p><p>Изучая биографические материалы и источники, мы видим, что у него было много сомнений в делах и поступках. Особенно это заметно по выбору профессии актера и учебе в театральном училище. Можно сделать вывод, что жизнь закалила и научила Ю. В. Назарова любить свою родину, ценить людей и быть верным призванию.</p>
Perinatal outcome of stage-based management of fetal growth restriction in a government tertiary care hospital in Kerala, India
Authors: Rangarajan Bhargavi , Karunakaran Lalithambica 
Published: May 2021

BACKGROUND: Fetal Growth Restriction (FGR) is the largest contributing factor to perinatal morbidity, mortality and impaired neurodevelopment. This research strives to elucidate the perinatal outcomes of stage based management of fetal growth restriction using Obstetric Doppler and its association with maternal sociodemographic profile.METHODS: The research was conducted among 320 antenatal women whose Estimated Fetal weight was <10th centile. Periodic follow up with Doppler was done and managed as per the stage of FGR. Perinatal outcomes were compiled.RESULTS: The incidence of FGR in T.D Medical College, Alappuzha was 15.23%. SGA accounted for 47 %. The proportion of early and late onset FGR was 10.3% & 89.7% respectively. 57.18% of the newborns were admitted to NICU. The common complications were: Low birth weight – 47.8% ARDS – 21% , Sepsis – 9.6%, Necrotizing enterocolitis – 4%, Hyperbilirubinemia – 4.9%. The incidence of Neonatal death and stillbirth were 1.56% and 0.3% respectively. Mothers who were underweight, inadequate weight gain during pregnancy and short inter pregnancy interval had increased risks. Hypertensive disorders of pregnancy was the commonly associated medical condition. CONCLUSION: Prolongation of pregnancy even by one day results in 2% increased chances of survival of the newborn. Hence, it becomes imperative to identify the benign forms of FGR to prevent iatrogenic prematurity. Antenatal women should be screened for risk factors and undergo vigilant antepartum surveillance to bring about favourable perinatal outcome.
Role of pre-operative air-bone gap in outcome in tinnitus after undergoing type-1 tympanoplasty in patients with chronic suppurative otitis media
Authors: Mandal Manit M. , Panchal Ajay K. , Kumar Rakesh , Kapadia Parth B. 
Published: May 2021

<p><strong>Background:</strong> Researches suggest middle ear surgery might improve tinnitus after tympanoplasty. Purpose of this study was to investigate association between pre-operative air-bone gap (ABG) and tinnitus-outcome after tympanoplasty type I.</p><p><strong>Methods:</strong> 100 patients with tinnitus having more than 6 months of symptoms of chronic suppurative otitis media (CSOM) that were refractory to medical treatment were included in study. All patients were evaluated through otoendoscopy, pure-tone audiometry, questionnaire-based survey using the visual analogue scale (VAS) and tinnitus handicap inventory (THI) for tinnitus symptoms before and 4 months after tympanoplasty. Inﬂuence of preoperative bone conduction (BC), preoperative air-bone-gap and postoperative air-bone-gap on tinnitus outcome post-operatively was calculated.</p><p><strong>Results: </strong>Patients were divided into two groups based on preoperative BC of &lt;25 dB or &gt;25 dB. Postoperative improvement of tinnitus in both groups showed statistical signiﬁcance. Patients whose preoperative air-bone-gap was &lt;15 dB showed no improvement in postoperative tinnitus using VAS (p=0.887) and THI (p=0.801). Patients whose preoperative air-bone-gap was &gt;15 dB showed signiﬁcant improvement in postoperative tinnitus using VAS (p&lt;0.01) and THI (p=0.015). Postoperative change in tinnitus showed signiﬁcance compared with preoperative tinnitus using VAS (p=0.006). Correlation between reduction in VAS score and air-bone-gap (p=0.201) or between reduction in THI score and air-bone-gap (p=0.270) was not signiﬁcant.</p><p><strong>Conclusions:</strong> Preoperative ABG can be a predictor of tinnitus outcome after tympanoplasty in CSOM with tinnitus.</p><p> </p>
Cystic lesion of the sella turcica: interesting case report and review of literature
Authors: Prabha Blessy B. , Rangachari Vijay , Kovai Priyamvadha , Verma Abha 
Published: May 2021

<p class="western"><span><span><strong>ABSTRACT</strong></span></span></p><p class="western"><span><span>Intrasellar arachnoid cysts are rare entities. High index of suspicion and precise radiological evaluation are the cornerstone for appropriate diagnosis and treatment. We present a symptomatic case of a sellar cystic lesion in a 52-year-old lady, who had complaints of decreased vision associated with diplopia of three months duration. Clinical evaluation showed bitemporal hemianopia. Magnetic Resonance Imaging (MRI) of brain revealed features of sellar arachnoid cyst with the intracystic component similar to cerebrospinal fluid (CSF). She underwent endoscopic transnasal transsphenoidal excision of lesion. Her visual symptoms improved well on subsequent follow up.However infrequent, sellar arachnoid cyst should be borne in mind as differential diagnosis for any cystic sellar lesions, as they can mimic pituitary adenomas, either by impairment of pituitary hormonal function or by exerting pressure effects on optic chiasma. Evaluation modalities, therapeutic challenges and literature review are presented in this case report.</span></span></p><p class="western"> </p>
Surgical management for inferior turbinate hypertrophy: a narrative review
Authors: Divya Mano Leoni , Rajasekaran Valli , Prakash D. Y. Raj 
Published: May 2021

<p class="abstract">Inferior turbinate hypertrophy can lead to bothersome symptoms of the nose. Inferior turbinate reduction has to be treated surgically for cases, which are refractory to medical treatment. Plethora of surgical techniques have evolved over the recent years to surgically treat inferior turbinate hypertrophy. Yet, there remains a lack of consensus on optimal surgical technique or a cumulative study on the merits and demerits of the surgical procedures performed. The aim of the study was to review 26 articles from time period of January 2000 to January 2021 studied on surgical techniques of turbinate reduction. On reviewing the studies, it was noted that conventional turbinectomy techniques were not preferred by surgeons to avoid chances of severe complications and hence more studies on newer advanced techniques were noted. Among the newer techniques to find an adequate balance between nasal physiology and tissue preservation RFTVR is preferred and is the optimal technique owing to its minimal invasion, performance ease and reduced complications. Most recent studies represent the benefits of RFTVR. </p>
A Feminist Future for the Pacific
Authors: Cliffe Emma 
Published: May 2021

The COVID–19 pandemic continues to devastate the lives and wellbeing of millions of people around the world; women and girls, people with disabilities, youth, older people, and sexual and gender minorities are most at risk of ‘being left behind’. While confirmed cases of COVID–19 are low in the Pacific compared with other regions, the threat of the virus remains and the wider social and economic impacts are already evident. Pacific Island countries grappling with pervasive inequality, sustainable development challenges and climate change now must consider their response to the COVID–19 pandemic.
This paper envisions an inclusive and transformative feminist response focused on four key outcomes: preserving access to healthcare and essential services; promoting women’s economic empowerment; protecting women and girls from gender–based violence; and supporting vulnerable and marginalised groups to express their voice and claim their rights amid the pandemic.
Technology Focus: Natural Gas Processing and Handling (April 2021)
Authors: Ekwunife Ifunanya C. 
Published: May 2021

In 2020, the spot prices of natural gas hit a record low in the US, reaching the lowest annual average price in more than a decade. Based on US Energy Information Administration (EIA) data, the average annual spot price reported in 2020 was $2.05 per million British thermal units (MMBtu). In the first few months of the year, reports from the EIA showed that natural gas prices started declining amid mild winter temperatures that resulted in a decline in the demand for natural gas for space heating.
In March 2020, following the onset of the COVID-19 pandemic, the already declining natural gas prices plummeted further. This decline continued through the first half of the year. The EIA reported the average monthly Henry Hub spot price in the first 6 months at $1.81/MMBtu. June saw the lowest monthly natural gas price in decades (Henry Hub price aver-aged $1.66/MMBtu). Natural gas prices recovered in the second half of the year as natural gas production decreased and global exports of liquefied natural gas increased.
Natural gas consumption in the residential, commercial, and industrial sectors declined in 2020, according to the EIA. Milder winter temperatures were a major contributor in the first quarter of the year, but overall declining consumption was attributed to reduced economic activities as a result of the COVID-19 pandemic. On the other hand, the consumption of natural gas for electric power generation registered an overall increase of 2% more than the 2019 average. According to the EIA, citing S&P Global Platts, this increase was attributed to power producers switching to cheaper natural gas from coal to meet the increased demand for electric power for cooling as summer temperatures increased.
The EIA in its Annual Energy Outlook 2021 projects that the industrial and electric power sectors and net exports will drive the growth in US energy consumption between 2020 and 2050. Natural gas consumption in other sectors is expected to increase steadily or remain flat. The EIA forecasts that natural gas production will increase as consumption increases and prices will stay low relative to past prices. The EIA expects continued growth in natural gas exports as natural gas production surpasses natural gas consumption. Globally, the International Energy Agency forecasts a recovery in global demand for natural gas in 2021 led by growth in the Asia Pacific region as emerging markets recover. The US will continue to play a significant role as one of the largest producers and contributors to natural gas supply growth.
Recommended additional reading at OnePetro: www.onepetro.org.
SPE 200300 - Overcoming Challenges in the Development of Underground Gas Storage by Ammar Alali, Saudi Aramco, et al.
OTC 30602 - Offshore LNG and Gas Monetization by Femi Adeoye Alabi, Total
SPE 200147 - Development of the Underground Gas Storage and Construction of the Salt Cavern Storage in China by Peng Chen, CNPC, et al.
JIP Drives New Ways of Managing Integrity of Floating Oil and Gas Assets
Authors: Feder Judy 
Published: May 2021

This article, written by JPT Technology Editor Judy Feder, contains highlights of paper OTC 30425, “Innovative Asset-Integrity Management To Drive Operational Effectiveness,” by Danny Constantinis and Peter Davies, EM&I, prepared for the 2020 Offshore Technology Conference Asia, originally scheduled to be held in Kuala Lumpur, Malaysia, 17–19 August. The paper has not been peer reviewed. Copyright 2020 Offshore Technology Conference. Reproduced by permission.
While the focus on the growing floating gas industry is firmly on output, the industry needs to ensure safety, compliance, and profitability of high-value, complex, floating gas assets, some of which operate close to high population densities. Effective asset-integrity programs are a key part of such an effort, and it is widely agreed that better use of data and robotics will help reduce unnecessary work and human risk. The complete paper describes a joint industry approach for addressing asset-integrity management challenges that has proved successful for floating production, storage, and offloading vessels (FPSOs).

Introduction
Managing the integrity of offshore, near-shore, and berthed floating oil and gas assets faces numerous challenges, including the following:
- Long service lives
- The need to cut operating costs
- Varying asset-integrity requirements of marine and process equipment
- Growing global demand for gas
- Increasing requirement to drive down carbon emissions
- The need for enhanced sustainability
Traditional cost-reduction strategies of prior lean market periods are no longer accepted by the industry, which the authors say needs to implement permanent cost reductions, increased sustainability and efficiency, and improved safety. These can be achieved only by new ways of managing asset integrity, targeted at consistent low price and efficiencies and developed, supported, and accepted by all sectors of the industry.

Role of the Joint Industry Project (JIP)
The Hull Inspection Techniques and Strategy (HITS) JIP has encouraged such innovations. The complete paper describes new methods facilitated by HITS that include diverless inspections of hulls and mooring systems and remote, unmanned methods of inspecting confined spaces such as cargo and water ballast tanks.
Organizations such as the HITS JIP, whose membership includes oil majors, service providers, classification societies, and regulators, and the FPSO Research Forum, of which HITS is a part, have helped define the direction for improvements in inspecting, maintaining, and repairing floating production assets. These organizations have encouraged the development of new technologies that have improved safety and reduced operational costs. According to the paper’s authors, this direction has also shaped the drilling sector, can do the same for floating liquified natural gas (FLNG) and floating storage and regasification units (FSRU), and could potentially expand into floating renewable-energy-production assets. These and similar concepts are now being taken forward in a floating gas (FloGas) JIP.
Ultrasonic-Assisted Removal of Undesirable Submicron-Sized Particulates To Realize Sustainable and Eco-Friendly Circulation of Drilling Fluid
Authors: Wang Chengwen , Chen Zehua , Chen Erding , Liu Junyi , Xiao Fengfeng , Zhao Hongxiang 
Published: May 2021

SummaryRemoval of useless and submicrometer-sized solids from drilling fluid, which exert significant effects on drilling performance, is a crucial part of sustainable and eco-friendly circulation in drilling operations. However, current solid-control methods for drilling-fluid reuse and recirculation, such as electronic-adsorption and chemical-flocculation methods, are associated with high cost and low efficiency and/or pollution of drilling fluid. In this study, a novel method using ultrasonic waves has been proposed to remove unwanted submicrometer-sized solids from polysulfonate drilling fluids. The results show that the suspension stability, viscosity, and particle size can all be significantly reduced, while the solid-separation ratio of the drilling fluid can be greatly enhanced by ultrasonic-wave treatment. The parameters of ultrasonic waves are optimized to be power of 3 kW, treating time of 30 minutes, treating frequency of 20 kHz, and ventilation (i.e., air) for 5 minutes in a laboratory scale. The scanning electron microscope (SEM) analysis shows that solid particles exhibit more obvious crystal morphology after ultrasonic-wave treatment, indicating that the breaking of gel-structure of drilling fluid due to the cavitation, mechanical, and heat effects of ultrasonic waves is the main mechanism for decreasing the suspension stability. Thus, the proposed ultrasonic-assisted technique has a high potential for removing undesirable solids from drilling fluid and fulfilling its recirculation in a cost-effective and environmentally friendly manner. This new technology has been successively applied to 12 wells, and good results were obtained.