bluuebunny/crossref_metadata_2025_split huggingface dataset:
Implementation of a whole of hospital sepsis clinical pathway in a cancer hospital: impact on sepsis management, outcomes and costs
Authors: Thursky Karin , Lingaratnam Senthil , Jayarajan Jasveer , Haeusler Gabrielle M , Teh Benjamin , Tew Michelle , Venn Georgina , Hiong Alison , Brown Christine , Leung Vivian , Worth Leon J , Dalziel Kim , Slavin Monica A 
Published: July 2018

Infection and sepsis are common problems in cancer management affecting up to 45% of patients and are associated with significant morbidity, mortality and healthcare utilisation.ObjectiveTo develop and implement a whole of hospital clinical pathway for the management of sepsis (SP) in a specialised cancer hospital and to measure the impact on patient outcomes and healthcare utilisation.MethodsA multidisciplinary sepsis working party was established. Process mapping of practices for recognition and management of sepsis was undertaken across all clinical areas. A clinical pathway document that supported nurse-initiated sepsis care, prompt antibiotic and fluid resuscitation was implemented. Process and outcome measures for patients with sepsis were collected preimplementation (April–December 2012), postimplementation cohorts (April–December 2013), and from January to December 2014.Results323 patients were evaluated (111 preimplementation, 212 postimplementation). More patients with sepsis had lactate measured (75.0% vs 17.2%) and appropriate first dose antibiotic (90.1% vs 76.1%) (all p<0.05). Time to antibiotics was halved (55 vs 110 min, p<0.05). Patients with sepsis had lower rates of intensive care unit admission (17.1% vs 35.5%), postsepsis length of stay (7.5 vs 9.9 days), and sepsis-related mortality (5.0% vs 16.2%) (all p<0.05). Mean total hospital admission costs were lower in the SP cohort, with a significant difference in admission costs between historical and SP non-surgical groups of $A8363 (95% CI 81.02 to 16645.32, p=0.048) per patient on the pathway. A second cohort of 449 patients with sepsis from January to December 2014 demonstrated sustained improvement.ConclusionsThe SP was associated with significant improvement in patient outcomes and reduced costs. The SP has been sustained since 2013, and has been successfully implemented in another hospital with further implementations underway in Victoria.
Fluoroscopy-guided removal of a bitten endotracheal tube in an adult sheep
Authors: Lipiski Miriam , Fleischmann Thea , Sauer Mareike , Cesarovic Nikola 
Published: July 2018

SummaryA 60 kg female white alpine sheep accidentally bit its endotracheal tube during the recovery phase after an experimental surgical intervention. The distal tube portion had slipped down the trachea and was no longer visible in the laryngeal opening. The distal tube part could be recovered rapidly under fluoroscopic guidance using endoscopic forceps. The remaining recovery time was uneventful and the animal was able to complete the study with no complications.
International Validation of the Thrombolysis in Myocardial Infarction (TIMI) Risk Score for Secondary Prevention in Post‐MI Patients: A Collaborative Analysis of the Chronic Kidney Disease Prognosis Consortium and the Risk Validation Scientific Committee
Authors: Mok Yejin , Ballew Shoshana H. , Bash Lori D. , Bhatt Deepak L. , Boden William E. , Bonaca Marc P. , Carrero Juan Jesus , Coresh Josef , D'Agostino Ralph B. , Elley C. Raina , Fowkes F. Gerry R. , Jee Sun Ha , Kovesdy Csaba P. , Mahaffey Kenneth W. , Nadkarni Girish , Peterson Eric D. , Sang Yingying , Matsushita Kunihiro 
Published: July 2018

Background

The Thrombolysis in Myocardial Infarction (TIMI) Risk Score for Secondary Prevention (TRS2°P), a 0‐to‐9‐point system based on the presence/absence of 9 clinical factors, was developed to classify the risk of major adverse cardiovascular events (
MACE
) (a composite of cardiovascular death, recurrent myocardial infarction, or ischemic stroke) among patients with a recent myocardial infarction. Its performance has not been examined internationally outside of a clinical trial setting.

Methods and Results

We evaluated the performance of TRS2°P for predicting
MACE
in 53 599 patients with recent myocardial infarction in 5 international cohorts from New Zealand, South Korea, Sweden, and the United States participating in the Chronic Kidney Disease Prognosis Consortium. Overall, there were 19 444 cases of
MACE
across 5 cohorts over a mean follow‐up of 5 years, and the overall
MACE
rate ranged from 5.0 to 18.4 (per 100 person‐years). The TRS2°P showed modest calibration (Brier score ranged from 0.144 to 0.173) and discrimination (C‐statistics >0.61 in all studies except 1 from Korea with 0.55) across cohorts relative to its original Brier score of 0.098 and C‐statistic of 0.67 in the derived data set. Although there was some heterogeneity across cohorts, the 9 predictors in the TRS2°P were generally associated with higher
MACE
risk, with strongest associations observed (meta‐analyzed adjusted hazard ratio 1.6–1.7) for history of heart failure, age ≥75 years, and prior stroke, followed by peripheral artery disease, kidney dysfunction, diabetes mellitus, and hypertension (hazard ratio 1.3–1.4). Prior coronary bypass graft surgery and smoking did not reach statistical significance (hazard ratio ≈1.1).

Conclusions
TRS2°P, a simple scoring system with 9 routine clinical factors, was modestly predictive of secondary events when applied in patients with recent myocardial infarction from diverse clinical and geographic settings.
Unintentional Cooperation
Authors: Kita Terry 
Published: July 2018

Abstract
This study of the Friendship Doll Mission of 1926-1927 shows how, in the United States, the Japanese doll was part of the inescapable image of a kimono-clad little Japanese girl, and functioned to further existing anti-Japanese implications of that image. It further shows how an American popular-culture mission to improve relations with Japan by having American children exchange dolls with Japanese children, created an official, Japanese government response that presented the United States with Japanese dolls that were objects of Fine Art. Despite the different views of the Doll Mission in Japan and the US, an interchange resulted that, now nearly a century later, continues. The article uses Japanese dolls to demonstrate how genuine cultural exchange can occur even when the methods, approaches, and the very intent of those involved in it differ, in order to highlight the importance of considering both perspectives to understand phenomena such as Japonisme.
Omega-3 polyunsaturated fatty acids favourably modulate cardiometabolic biomarkers in type 2 diabetes: a meta-analysis and meta-regression of randomized controlled trials
Authors: O’Mahoney Lauren L. , Matu Jamie , Price Oliver J. , Birch Karen M. , Ajjan Ramzi A. , Farrar Diane , Tapp Robyn , West Daniel J. , Deighton Kevin , Campbell Matthew D. 
Published: July 2018

Abstract
Background
Randomized controlled trials (RCTs) suggest that supplementation with omega-3 polyunsaturated fatty acids (n-3PUFAs) may favourably modify cardiometabolic biomarkers in type 2 diabetes (T2DM). Previous meta-analyses are limited by insufficient sample sizes and omission of meta-regression techniques, and a large number of RCTs have subsequently been published since the last comprehensive meta-analysis. Updated information regarding the impact of dosage, duration or an interaction between these two factors is therefore warranted. The objective was to comprehensively assess the effect of n-3PUFAs supplementation on cardiometabolic biomarkers including lipid profiles, inflammatory parameters, blood pressure, and indices of glycaemic control, in people with T2DM, and identify whether treatment dosage, duration or an interaction thereof modify these effects.

Methods
Databases including PubMed and MEDLINE were searched until 13th July 2017 for RCTs investigating the effect of n-3PUFAs supplementation on lipid profiles, inflammatory parameters, blood pressure, and indices of glycaemic control. Data were pooled using random-effects meta-analysis and presented as standardised mean difference (Hedges g) with 95% confidence intervals (95% CI). Meta-regression analysis was performed to investigate the effects of duration of supplementation and total dosage of n-3PUFAs as moderator variables where appropriate.

Results
A total of 45 RCTs were identified, involving 2674 people with T2DM. n-3PUFAs supplementation was associated with significant reductions in LDL [ES: − 0.10, (95% CI − 0.17, − 0.03); p = 0.007], VLDL (ES: − 0.26 (− 0.51, − 0.01); p = 0.044], triglycerides (ES: − 0.39 (− 0.55, − 0.24; p ≤ 0.001] and HbA1c (ES: − 0.27 (− 0.48, − 0.06); p = 0.010]. Moreover, n-3PUFAs supplementation was associated with reduction in plasma levels of TNF-α [ES: − 0.59 (− 1.17, − 0.01); p = 0.045] and IL-6 (ES: − 1.67 (− 3.14, − 0.20); p = 0.026]. All other lipid markers, indices of glycaemic control, inflammatory parameters, and blood pressure remained unchanged (p > 0.05).

Conclusions
n-3PUFAs supplementation produces favourable hypolipidemic effects, a reduction in pro-inflammatory cytokine levels and improvement in glycaemia. Neither duration nor dosage appear to explain the observed heterogeneity in response to n-3PUFAs.
Trial registration This trial was registered at http://www.crd.york.ac.uk as CRD42016050802
Mysticism and the Politics of Theory
Authors: Craig Eleanor , Hollywood Amy 
Published: July 2018

Abstract
In this interview Amy Hollywood talks about her collection of essays Acute Melancholia and how medieval mystical texts might speak to persistent dilemmas in critical theory and philosophy of religion. The relationship between theory and practice is traced back to monastic discourses on the life of contemplation and the life of action. While critique is widely understood to indicate that something is undone or swept away, there is recurring difficulty determining what constitutes a truly new or transformative turn. This is a political as well as theoretical matter, and the interview engages head-on ways that power and inequality shape perceptions of rationality, possibility, truth, and value.
Book Reviews
Authors: Buchbinder David , Campbell Baird 
Published: July 2018

Abstract
Gay Men at the Movies: Cinema, Memory and the History of a Gay Male Community, Scott McKinnon (2016) Bristol, UK: Intellect and Chicago: University of Chicago Press, 250 pp., ISBN: 9781783205967, p/bk, £42.00/$60.00
Reprojecting the City: Urban Space and Dissident Sexualities in Recent Latin American Cinema, Benedict Hoff (2016) Cambridge: Legenda, 188 pp., ISBN: 9781909662469, h/bk, £75, $99, €85
Modification of Surface of Basalt Fabric on Protecting Against High Temperatures by the Method of Magnetron Sputtering
Authors: Miśkiewicz Pamela , Frydrych Iwona , Pawlak Wojciech , Cichocka Agnieszka 
Published: July 2018

Abstract
Basalt fibers and fabrics made of these are characterized by excellent thermal and mechanical properties. Therefore, basalt fabrics, due to a good resistance to high temperatures, are frequently applied in the personal protection equipment (PPE). In order to improve their thermal properties and, above all, the contact heat resistance, the process of physical vapor deposition was proposed. The process of Physical Vapor Deposition (PVD) involves producing a coating on a specific substrate as a result of physical deposition of molecules, ions or atoms of the selected chemical compounds. The method selected for the test is the magnetron sputtering. It involves depositing a uniform film of chromium on the surface of the basalt fabric. In order to improve the thermal properties – especially the contact heat resistance, two values of thickness of the chromium layer deposited on the basalt fabric surface were adopted for the test. Covering 1 μm and 5 μm with the chromium layer did not fulfil the expectations and the research will be continued.
Pilates Method Training: Functional and Blood Glucose Responses of Older Women With Type 2 Diabetes
Authors: Melo Karla Cinara Bezerra , Araújo Flávio de Souza , Cordeiro Júnior Claudionor Cícero Mascêna , de Andrade Karoline Teixeira Passos , Moreira Sérgio Rodrigues 
Published: July 2018

Abstract
Melo, KCB, Araújo, FdS, Cordeiro Júnior, CCM, de Andrade, KTP, and Moreira, SR. Pilates method training: Functional and blood glucose responses of older women with type 2 diabetes. J Strength Cond Res 34(4): 1001–1007, 2020—The objective of this study was to investigate the effect of 12 weeks of the Pilates method on the functional capacity (FC) and glycemic control of older women with type 2 diabetes (T2D). Twenty-two women with T2D were randomized into control (CONTROL: 67.5 ± 6.3 years; 154.7 ± 6.1 cm; 73.5 ± 6.1 kg) and Pilates (PILATES: 65.5 ± 5.5 years; 155.0 ± 4.5 cm; 66.2 ± 5.4 kg) groups, which held sessions of 60 minutes at a frequency of 3 times per week during 12 weeks. Blood glucose was measured before and after sessions in PILATES, as well as in moments of pre, rest, 4, 8, and 12 weeks of the PILATES and CONTROL interventions. The glycated hemoglobin (HbA1c) level before and after 12 weeks of the intervention was evaluated. The general index of the FC (GIFC) was obtained through a battery of tests for older patients with T2D. Analysis of variance detected differences in the GIFC for PILATES vs. CONTROL, respectively, in 4 weeks (30.3 ± 4.6 vs. 34.8 ± 4.9 seconds; p < 0.05), 8 weeks (29.2 ± 4.5 vs. 34.6 ± 4.9 seconds; p < 0.05), and 12 weeks (27.2 ± 4.0 vs. 35.3 ± 4.6 seconds; p < 0.05). PILATES presented a difference in postprandial glycemia pre- vs. 4 and 12 weeks (246.1 ± 58.5 vs. 219.9 ± 59.9 and 207.6 ± 49.1 mg·dl−1, respectively; p < 0.05), as well as in HbA1c pre- vs. 12 weeks (7.8 ± 1.0 vs. 6.7 ± 0.6%, respectively; p < 0.05). Differences in postprandial glycemia (p < 0.05) were found in PILATES before vs. after sessions, respectively, of 1st–12th (217.1 ± 49.1 vs. 157.9 ± 55.7 mg·dl−1), 13th–24th (204.5 ± 44.7 vs. 146.3 ± 44.5 mg·dl−1), and 25th–36th (214.3 ± 40.4 vs. 152.7 ± 52.0 mg·dl−1). A correlation between postprandial glycemia and GIFC after 12 weeks was detected (r = 0.37; p = 0.04). It is concluded that 12 weeks of the Pilates method induces improvement and relationship in the FC and glycemic control in older women with T2D.
Reliability and Usefulness of Time-Motion and Physiological Responses in Simulated Judo Matches
Authors: Franchini Emerson , Dunn Emily , Takito Monica Y. 
Published: July 2018

Abstract
Franchini, E, Dunn, E, and Takito, MY. Reliability and usefulness of time-motion and physiological responses in simulated judo matches. J Strength Cond Res 34(9): 2557–2564, 2020—Match simulations have been used to investigate different interventions in judo. However, no study has assessed the reliability of actions performed and the physiological responses to the match and its usefulness. Thus, 2 studies were conducted to verify the reliability of time-motion and physiological responses to judo matches. In the first study, 25 judo athletes performed one 5-minute judo match simulation twice, 1 week apart, and had their heart rate and blood lactate measured. In the second, 12 judo athletes performed one 5-minute judo simulation 4 times, 72 hours apart, and had their primary actions and match temporal structure analyzed. Comparisons between conditions, reliability (using intraclass correlation coefficient, ICC), typical error (TE), smallest worthwhile change (SWC), and minimal detectable change were determined. The main findings indicated that: (a) there were no differences between matches for any variable; (b) ICCs were significant (except for blood lactate before matches in both studies) with 6 variables presenting large (number of attacks plus defensive actions, number of scoring actions, efficiency, number of sutemi-waza, time per combat sequence, and time per interval phase time), and the remaining 15 variables presenting very large reliability; (c) TE was higher than SWC for all variables when small differences were considered. Moderate changes in peak blood lactate and the change in blood lactate (in both studies), and time in tachi-waza could be properly detected; however, only large changes could be detected for all other variables, suggesting that investigations using match simulation as an outcome variable may only detect large changes.
Using Sport Psychology Research to Address Commonly Overlooked Strength and Conditioning Coaching Problems
Authors: Gillham Andy , Doscher Michael 
Published: July 2018

ABSTRACT
IMPROVING COACHING EFFECTIVENESS FOR STRENGTH AND CONDITIONING COACHES GOES BEYOND THE COACH KNOWLEDGE AREA OF PROGRAM DESIGN. MANY FACTORS GO INTO DETERMINING WHAT EFFECTIVE COACHING LOOKS LIKE AND SOME OF THOSE FACTORS ARE NOT TYPICALLY INCLUDED WITHIN A STRENGTH AND CONDITIONING COACH'S FORMAL ACADEMIC COURSEWORK. THE PURPOSE OF THIS ARTICLE IS TO CONSIDER PSYCHOSOCIAL RESEARCH-GUIDED SOLUTIONS TO COMMON CHALLENGES FACED BY THE CONTEMPORARY STRENGTH AND CONDITIONING COACH.
Una introducción al derecho de comunicación y contenidos por Internet
Authors: Lodder Arno , Murray Andrew 
Published: July 2018

La comunicación en internet no tiene precedentes en cuanto a su escala, diseño, velocidad y anonimato. Las palabras puestas online alcanzan inmediatamente el globo entero pudiendo tener tremendo impacto y el autor no siempre es conocido. Nuestro sistema legal no es naturalmente apropiado para tratar con las características de internet. En este artículo, abordamos las cuestiones de comunicación y contenidos de internet desde un punto de vista jurídico. Nuestra discusión revela la batalla del derecho para conseguir control sobre lo que sucede en internet. No se trata de favorecer el derecho o el Internet, los dos deben actuar en conjunto para lograr una sociedad justa y segura. La última palabra sobre cómo debiera ser un control legal estricto o libre, no ha sido dicha aún. Aquí contribuimos a esa discusión presentando casos jurídicos tanto de Holanda como del Reino Unido sobre amenazas, difamación, engaño a menores y bloqueo de ISP (Internet Service Providers).
Percepciones de los docentes de lenguas sobre la implementación del Plan Nacional de Bilingüismo: un estudio de caso
Authors: FAJARDO CASTAÑEDA ALBERTO , MIRANDA M. IVÁN RICARDO 
Published: July 2018

El presente artículo ilustra las conclusiones de un estudio de caso realizado en el municipio de Sogamoso, departamento de Boyacá, Colombia, con el fin de determinar las percepciones de los docentes de idiomas a propósito de la implementación del modelo estatal de bilingüismo en el sistema educativo de la región. El estudio busca, además, contrastar la política adoptada por el Ministerio de Educación Nacional de Colombia (MEN) frente a las expectativas de los docentes de idiomas en relación con la implementación del
Programa Nacional de Bilingüismo. Mediante una encuesta y una entrevista grupal y bajo
los principios de la investigación cualitativa, las apreciaciones de los docentes revelan una
fuerte tensión entre lo propuesto desde el MEN y la realidad que ellos perciben frente a la
cuestión. Igualmente, las percepciones de los docentes ayudan a delinear un modelo de
bilingüismo que no considera únicamente las restricciones de la política actual sino sus
posibles desafíos, para proponer un modelo más participativo desde su concepción hasta
su implementación
Impacto de los materiales del programa de inglés en una universidad pública de Colombia
Authors: JAIME OSORIO MARÍA FERNANDA , CORONADO RODRÍGUEZ CLAUDIA CAMILA 
Published: July 2018

Este documento es el reporte de una propuesta investigativa cuyo propósito fue diagnosticar el impacto de los materiales utilizados para la enseñanza del inglés en un curso del programa de inglés institucional de una universidad colombiana. Se acudió a los parámetros de la investigación descriptiva para analizar los materiales que se estaban implementando y a una investigación preexperimental, para determinar el impacto de nuevos y diversos tipos de materiales en el desarrollo de la habilidad oral de los estudiantes en dos grupos de cuarto nivel de inglés. Se recolectó información a través de observación de clases, diarios de campo, encuestas y entrevistas semiestructuradas a estudiantes y docentes, respectivamente. Se encontró que prevalece el uso del libro guía y materiales no-auténticos en las clases, y que a través de los nuevos materiales diseñados se benefició de manera importante la competencia oral de los estudiantes.
Retratos vivos de mamá: un proyecto de literatura web y escritura de duelo
Authors: López Jiménez Carolina 
Published: July 2018

www.retratosvivosdemama.co es un proyecto de literatura web inspirado en el duelo: un duelo ocasionado por la muerte de la madre, así como la posibilidad de superarlo a partir de la creación.El proyecto ha ido creciendo con el tiempo desde que se publicó online en 2015 y espera continuar haciéndolo. Se trata de una obra con potencial transmedia que desde su gestación se ha propuesto explorar el entrecruce de géneros literarios y la inclusión de diversos medios artísticos como el dibujo, el video, el audio y la fotografía en un proyecto cuyo nervio es eminentemente literario. La versión hoy disponible en Internet es un piloto, pero un piloto que ofrece una experiencia de lectura completa desde ya.Dada su estructura no lineal, Retratos vivos de mamá se deja leer por fragmentos o en su totalidad: así que ningún lector llega tarde y cualquiera puede irse cuando lo desee. desde cualquier computador o dispositivo móvil para que puedan contenidos multimedia.
Monitoreo de variables meteorológicas a través de un sistema inalámbrico de adquisición de datos
Authors: Ruiz-Ayala Daniel Camilo , Vides-Herrera Carlos Arturo , Pardo-García Aldo 
Published: July 2018

En este artículo se presenta el desarrollo de un sistema para el monitoreo inalámbrico de variables climáticas. El diseño se realizó a partir de microcontroladores de Microchip, los cuales realizan la adquisición, almacenamiento y transmisión inalámbrica de las señales digitales. Igualmente, el microcontrolador emplea un reloj en tiempo real para saber la fecha y hora de adquisición de las muestras. El hardware también cuenta con cinco canales para la conexión de sensores y una memoria Micro SD para almacenamiento de información, junto con un módulo Wi-Fi para la supervisión inalámbrica de las variables. La información se sube a un servidor que aloja la página web, diseñada para visualizar los datos desde cualquier ordenador con conexión a internet. Adicionalmente, se desarrolló una aplicación Android que permite visualizar los datos desde dispositivos móviles con ese sistema operativo. El rendimiento del sistema fue satisfactorio, luego de comparar los datos adquiridos con los de una estación meteorológica comercial, que sirvió de patrón. Se concluye que los microcontroladores continúan siendo dispositivos adecuados para implementar sistemas de adquisición de datos, que al ser combinados con aplicativos desarrollados a la medida, brindan soluciones competitivas y a un costo razonable.