bluuebunny/crossref_metadata_2025_split huggingface dataset:
Qualitative study exploring the key determinants of information gathering to inform the management of over-the-counter (OTC) consultations in community pharmacies
Authors: Cassie Heather , Duncan Eilidh M , Gibb Elizabeth A , Power Ailsa , Young Linda , Newlands Rumana , Watson Mags C 
Published: August 2019

ObjectivesGathering relevant patient information during over-the-counter (OTC) consultations increases the likelihood of safe, effective and person-centred outcomes. The aim of this study was to explore the key determinants to information gathering during consultations for non-prescription medicine requests in community pharmacies in Scotland.DesignSemi-structured interviews using the Theoretical Domains Framework (TDF), with community pharmacy teams across Scotland. Interviews explored participants’ knowledge of current guidance, skills required to elicit information and barriers and facilitators associated with this behaviour. Theory-based content analysis was undertaken using the TDF as an initial coding framework to identify key determinants and map them to salient domains. Salience was determined by prominence or variation in views. Comparative analysis was undertaken by professional role.ResultsThirty interviews were conducted with pharmacists (n=19) and medicine counter assistants (MCAs) (n=11). Eight salient domains were identified: environmental context and resources (privacy), beliefs about consequences (patient safety), skills (communication, decision-making), social influences (patient awareness of pharmacist role), knowledge (awareness and use of standard operating procedures), social professional role and identity (perception of own role), behavioural regulation (training) and intention (to gather information). Similar domains were salient for pharmacists and MCAs; however, different beliefs were associated with different roles. Overarching themes were identified: best practice, health literacy, decision-making and professionalism.ConclusionsMultiple influences and complexities affect the effective management of OTC consultations. While similar factors impact on both pharmacists and MCAs at a patient, professional and environmental level, subtle differences exist in how these influence their management of OTC consultations. This study highlights the importance of tailoring interventions to reflect different roles, functions and responsibilities of community pharmacy personnel.
Mindfulness-based intervention for tennis players: a quasi-experimental pilot study
Authors: Hoja Sabine , Jansen Petra 
Published: August 2019

ObjectivesMindfulness-based interventions in the context of sports have been shown to result in higher mindfulness scores and improved physiological and psychological parameters. The goal of this pilot study was to investigate the effects of a newly developed seven-session mindfulness-based intervention,mindfulemotions, on German tennis players.MethodsThe study was conducted in a pre–post test design with an intervention and a control group. Before and after the mindfulness-based stress reduction training the following dependent measurements were assessed: athletic performance (serve accuracy) and psychological performance indicators (mindfulness, stress and competition anxiety).ResultsThe results indicate a better performance of the intervention group for the difference scores between post-test and pre-test in one of the sport-related anxiety factors, the concentration disturbances index.ConclusionIn order to further investigate the effects of this mindfulness-based intervention in competitive sports, additional studies with a larger number of participants have to follow.
HMM-based phonetic engine for continuous speech of a regional language
Authors: Kaur Rupinderdeep , Sharma R. K. , Kumar Parteek 
Published: August 2019

A Phonetic Engine (PE), phonetic-level speech recognition system for continuous speech of a regional language named Punjabi, has been proposed in this paper. Punjabi is a highly prosodic language and a very small amount of work has been done in this direction on this language. As a first step towards the development of PE, 25 hrs of data is collected in three different modes, namely, Read Speech, Conversational Speech and Lecture Speech. The 10 hrs of collected data is then manually transcribed using International Phonetic Alphabet (IPA) chart. The architecture of the PE includes three different phases: data preparation, system training and system testing. Initially, the vocabulary of 49 phones is chosen by carefully analyzing the symbol frequency in IPA transcription and data files are prepared to train the system accordingly. The prepared data files and speech files are then used for modeling and feature extraction. In the development of PE, Mel Frequency Cepstral Coefficient (MFCC) is used as a feature extraction technique and Hidden Markov Model (HMM) as a classifier. The PE is developed using HTK Toolkit. The performance of PE is evaluated using three different approaches: (i) by increasing the amount of data from 3 hrs to 5 hrs, (ii) by decreasing the number of symbols from 49 to 29 and (iii) by increasing MFCC dimensions from 12 to 36. An accuracy of 72.3% has been achieved in this work when 5 hrs data with 29 symbols and 12 MFCCs was employed.
A entrada da rede ferroviária no campo da preservação do patrimônio público nacional
Authors: Matos Lucina Ferreira 
Published: August 2019

Este trabalho trata da preservação dos bens culturais das ferrovias brasileiras, tendo como objeto de reflexão iniciativas do governo federal implantadas no ano de 1980 e que perduraram até metade dos anos 1990. Trata-se do Programa de Preservação do Patrimônio Histórico dos Transportes (Preserve), que em 1986 foi assumido pela Rede Ferroviária Federal S. A. (RFFSA) com a criação do Setor de Preservação do Patrimônio Histórico Ferroviário (Preserfe), se estendendo e se reconfigurando até o ano de 1996. Por meio da estrutura e funcionamento de ambos os programas foi possível observar o percurso de valorização dos bens ferroviários de monumentos históricos a patrimônio cultural. A pesquisa contou com a leitura de trabalhos acadêmicos dedicados à análise da questão. Também contou com o estudo dos documentos oficiais dos dois programas, além da análise de processos de tombamento realizados pelo Instituto do Patrimônio Histórico e Artístico Nacional (Iphan) de modo a apresentar a dimensão, as contribuições e o impacto no campo da proteção dos bens nacionais. Observamos que os programas representaram a primeira ação sistêmica voltada para esta tipologia patrimonial, contribuindo para o avanço em termos conceituais e para as práticas existentes no país até aquele momento. Ademais, proporcionaram ao corpo técnico do Iphan, em paralelo a outras demandas da sociedade para com a preservação de bens públicos, um olhar diferenciado e a necessidade de revisões do atual modus operandi.
Site Variation and Outcomes for Antithrombotic Therapy in Atrial Fibrillation Patients After Percutaneous Coronary Intervention
Authors: Olivier Christoph B. , Fan Jun , Askari Mariam , Mahaffey Kenneth W. , Heidenreich Paul A. , Perino Alexander C. , Leef George C. , Ho P. Michael , Harrington Robert A. , Turakhia Mintu P. 
Published: August 2019

Background:
Patients with atrial fibrillation (AF) treated with percutaneous coronary intervention (PCI) require multiple antithrombotic therapies. The optimal strategy is debated suggesting increased treatment variation. This study sought to characterize site-level variation in antithrombotic therapies in AF patients after PCI and determine the association with outcomes.

Methods:

Using the retrospective TREAT-AF study (The Retrospective Evaluation and Assessment of Therapies in AF) from the Veterans Health Administration, patients with newly diagnosed, nonvalvular AF between 2004 and 2015 followed by a PCI with a P2Y
12
-antagonist prescription were identified. Patients were grouped according to the therapy dispensed 7 days before until 30 days after the PCI: oral anticoagulation plus platelet inhibition (OAC+PI) or platelet inhibition only. A combined outcome of death, myocardial infarction, stroke, or major bleeding was assessed 1 year after PCI and Cox regression was performed to estimate hazard ratios.

Results:

Of 230 762 patients with newly diagnosed AF, 4042 (1.8%) underwent PCI and received a P2Y
12
-antagonist during the observation period (age, 67±9 years; CHA
2
DS
2
-VASc, 2.7±1.7; HAS-BLED, 2.6±1.2). Among these, 47% were prescribed OAC+PI, and 53% platelet inhibition only 7 days before until 30 days after the PCI. Across 63 sites, the use of OAC+PI ranged from 19% to 66%. Prescription of OAC+PI was independently associated with a reduction in the combined outcome of death, myocardial infarction, stroke, or major bleeding compared with platelet inhibition only (adjusted hazard ratio, 0.85; 95% CI, 0.73–0.99;
P
=0.033).

Conclusions:
In patients with established AF undergoing PCI, the use of OAC+PI varied substantially across sites in the 30 days post-PCI. Anticoagulation appeared to be underutilized but was associated with improved outcomes. Strategies to promote OAC+PI and minimize site variation may be useful, particularly in light of recent randomized trials.
The Sofia Ministerial Declaration on Black Sea Fisheries and Aquaculture
Authors: Ferri Nicola , Oral Nilüfer 
Published: August 2019

Abstract
The General Fisheries Commission for the Mediterranean (GFCM), established in 1949 has always included Black Sea fisheries and in 1976 its constitutive agreement was amended to expressly include the Black Sea. A working group on the Black Sea (WGBS) established in 2011 was instrumental in adopting the first GFCM management measures for Black Sea fisheries. On 7 June 2018, the GFCM organized a High-Level Conference on Black Sea Fisheries and Aquaculture in Sofia which culminated with the signature of a ministerial declaration on Black Sea fisheries and aquaculture. This marked a milestone in the history of cooperation for fisheries among the Black Sea riparian countries.
Marcus Braun and “White Slavery”
Authors: Allerfeldt Kristofer 
Published: August 2019

Abstract
When the history of American abolitionist legislation is assessed—if it gets any consideration at all—the 1910 White Slave Act is often regarded as a flawed overreaction to a largely imagined, or at least exaggerated, problem. However, the law, usually known as the Mann Act, has arguably influenced US trafficking policy more than any other single law since the 13th Amendment. This article examines the career, ambitions and misfortunes of one of the leading figures behind the Act, the immigration investigator Marcus Braun, to show how the concept of slavery was manipulated. It also shows how the problem of trafficking evolved over the opening years of the twentieth century and how the legacy of the Mann Act has continued to affect American attitudes toward sex and morality and their ties to slavery ever since.
New species of Duplominona Karling, 1966 and Pseudominona Karling, 1978 (Platyhelminthes: Proseriata) from the Caribbean
Authors: CURINI-GALLETTI MARCO , STOCCHINO GIACINTA A. , NORENBURG JON L. 
Published: August 2019

Nine new species of Duplominona and one new Pseudominona (Platyhelminthes, Proseriata, Monocelididae) are described from the Caribbean coast of Panama and from Puerto Rico. Duplominona aduncospina n. sp.; D. terdigitata n. sp.; D. pusilla n. sp.; D. bocasana n. sp. (from Panama) and D. dissimilispina n. sp.; D. chicomendesi n. sp.; D. macrocirrus n. sp.; D. diademata n. sp.; D. puertoricana n. sp. (from Puerto Rico) can be distinguished from the numerous congeneric species based on fine details of the sclerotized structures of the copulatory organ. Duplominona aduncospina n. sp. is characterised by a cirrus provided with 3–4 rows of recurve spines, 2–3 μm long. D. terdigitata n. sp. shows a tripartite tail, and needle-shaped cirrus spines, 1.5–9 μm long. Cirrus spines of D. pusilla n. sp. are scale-like, 1.5–3 μm long. D. bocasana n. sp. has triangular spines, 1.5–6 μm long. D. dissimilispina n. sp. has needle-shaped spines, 3.5–15 μm long. D. chicomendesi n. sp. has a small cirrus, with few, strongly curved spines, 2–7.5 μm long. D. macrocirrus n. sp. has a large cirrus, provided with spines 3–9 μm long, with the longest spines placed medially. D. diademata n. sp. has a cirrus with two separate spiny areas, with spines 7–13 μm long. D. puertoricana n. sp. has a very long cirrus, with poorly sclerotised proximal spines, and distal spines to 6 μm long. A taxonomic key of the genus Duplominona is provided. Pseudominona cancan n. sp. from Panama differs from P. dactylifera from Bermuda, the only species known in the genus so far, for its shorter cirrus and fewer, triangular spines 3–5 μm long, and for the position of the vagina, close to mouth. A specimen attributed to P. dactylifera collected in Puerto Rico is described. Distribution of the new species suggests a complete separation of Panamanian and Puerto Rican proseriate fauna, confirming previous reports of restricted ranges and high endemicity of mesopsammic Platyhelminthes.
Hypophosphataemia in confused half‐marathon runners: A report of two cases
Authors: Lo Yat Hei , Mok Ka Leung 
Published: August 2019

Introduction:Severe hypophosphataemia may occur in long distance runners presenting to Accident & Emergency (A&E) department with exertional heat illness.Case presentation:A 46‐year‐old man who collapsed in half marathon race was found to have raised body temperature (38.8°C) and confused with memory loss in the Accident & Emergency department. His amnesia was persistent even after his body temperature was normalized. He was found to have severe hypophosphataemia (0.21 mmol/L; reference range: 0.74 ‐ 1.4 mmol/L). He had a neurological recovery after phosphate replacement. Another 45‐year‐old female half marathon runner was found to have moderate hypophosphataemia (0.5 mmol/L) co‐presenting with exertional heat illness.Discussion:Moderate to severe hypophosphataemia complicated the clinical picture of the two cases presented with exertional heat illness. Causes of hypophosphataemia in runners are multifactorial.Conclusion:Emergency physician should be alert of profound hypophosphataemia as a complication in heat exertional illness.
The 10 commandments of exsanguinating pelvic fracture management
Authors: Kam Chak Wah , Law Ping Keung Joe , Lau Hon Wai Jacky , Ahmad Rashidi , Tse Chiu Lun Joseph , Cheng Mina , Lee Kin Bong , Lee Kin Yan 
Published: August 2019

Background:Unstable pelvic fractures are highly lethal injuries.Objective:The review aims to summarize the landmark management changes in the past two decades.Methods:Structured review based on pertinent published literatures on severe pelvic fracture was performed.Results:Ten key management points were identified.Conclusion:These 10 recommendations help diminish and prevent the mortality. (1) Before the ABCDE management, preparedness, protection, and decision are essential to optimize patient outcome and to conserve resources. (2) Do not rock the pelvis to check stability, avoid logrolling but prophylactic pelvic binder can be life-saving. (3) Computed tomography scanner can be the tunnel to death for hemodynamically unstable patients. (4) Correct application of pelvic binder at the greater trochanter level to achieve the most effective compression. (5) Choose the suitable binder (BEST does not exist, always look for BETTER) to facilitate body examination and therapeutic intervention. (6) Massive transfusion protocol is only a temporizing measure to sustain the circulation for life maintenance. (7) Damage control operation aims to promptly stop the bleeding to restore the physiology by combating the trauma lethal triad to be followed by definitive anatomical repair. (8) Protocol-driven teamwork management expedites the completion of the multi-phase therapy including external pelvic fixation, pre-peritoneal pelvic packing, and angio-embolization, preceded by laparotomy when indicated. (9) Resuscitation endovascular balloon occlusion of aorta can reduce the pelvic bleeding while awaiting hospital transfer or operation theater access. (10) Operation is the definitive therapy for trauma but prevention is the best treatment, comprising primary, secondary, and tertiary levels.
The stigmatisation of source isolation: a literature review
Authors: Gammon John , Hunt Julian , Musselwhite Charles 
Published: August 2019

Background Isolation precautions in patients with multi-drug-resistant bacteria and other communicable infectious agents can be associated with adverse effects. Patients’ perspectives of isolation suggest that the imposed environment and procedures create barriers to their physical, social and emotional needs. Aims The purpose of this paper is to review the literature to uncover any reliable evidence supporting the assertion that stigma is a significant characteristic of the experience of source isolation in healthcare settings. Methods The methodological framework of Arksey and O’Malley was applied to this review. A total of 14 papers identified from 189 abstracts screened were included in the review. Results The research reviewed suggests a clear association between stigmatisation and isolation in which stigma does have a direct negative effect on patients placed in hospital isolation. None of the studies found evidence to the contrary. Conclusions The implications of this literature review for policy-makers and healthcare professionals suggest that when isolation or other forms of constraint are implemented and in use, patients must be provided with strengthened forms of support, including social and emotional support, and given access to healthcare of optimal quality to prevent the associated adverse effects of isolation as much as possible.
Fluoroscopy-guided balloon dilation of a proximal urethral stricture caused by a urethral membrane in a female cat
Authors: Rincon Alvarez Javier , Smith Victoria , Broome Cameron 
Published: August 2019

Case summary A proximal urethral stricture was diagnosed by retrograde urethrogram in a 2-year-old female neutered cat, which was referred following a 2-month history of stranguria, pollakiuria and urinary incontinence. Cystoscopic examination confirmed the presence of a severe narrowing of the proximal urethra near to the bladder neck, consisting of a membrane arising from the urethral mucosa. Fluoroscopy-guided balloon dilation was performed. Twelve months after the procedure, the cat did not show any recurrence of clinical signs. Relevance and novel information To our knowledge, this is the first report of a proximal urethral stricture in a cat. Management by fluoroscopy-guided balloon dilation proved to be a successful and minimally invasive option with an excellent outcome.
Endogenous Circadian Regulation of Female Reproductive Hormones
Authors: Rahman Shadab A , Grant Leilah K , Gooley Joshua J , Rajaratnam Shantha M W , Czeisler Charles A , Lockley Steven W 
Published: August 2019

Abstract

Context
Studies suggest that female reproductive hormones are under circadian regulation, although methodological differences have led to inconsistent findings.

Objective
To determine whether circulating levels of reproductive hormones exhibit circadian rhythms.

Design
Blood samples were collected across ∼90 consecutive hours, including 2 baseline days under a standard sleep-wake schedule and ∼50 hours of extended wake under constant routine (CR) conditions.

Setting
Intensive Physiological Monitoring Unit, Brigham and Women’s Hospital.

Participants
Seventeen healthy premenopausal women (22.8 ± 2.6 years; nine follicular; eight luteal).

Interventions
Fifty-hour CR.

Main Outcome Measures
Plasma estradiol (E2), progesterone (P4), LH, FSH, SHBG, melatonin, and core body temperature.

Results
All hormones exhibited significant 24-hour rhythms under both standard sleep-wake and CR conditions during the follicular phase (P < 0.05). In contrast, only FSH and SHBG were significantly rhythmic during the luteal phase. Rhythm acrophases and amplitudes were similar between standard sleep-wake and CR conditions. The acrophase occurred in the morning for P4; in the afternoon for FSH, LH, and SHBG; and during the night for E2.

Conclusions
Our results confirm previous reports of ∼24-hour rhythms in many female reproductive hormones in humans under ambulatory conditions but demonstrate that these hormones are under endogenous circadian regulation, defined as persisting in the absence of external time cues. These results may have important implications for the effects of circadian disruption on reproductive function.
Fourth and Long
Authors: Frank Morgan Day 
Published: August 2019

AbstractLiterary scholars in recent years have endowed institutions with tremendous explanatory power, insisting that these social formations exercise a determining influence on cultural production. The fiction that institutions can impose themselves as coherent subjects on cultural activity has its origins in the Progressive Era and persists today across a variety of social contexts beyond literary studies, surfacing even (and especially) in moments of institutional precarity. This essay examines three such moments: the losing football games in Owen Johnson’s early campus novel Stover at Yale (1912) and Don DeLillo’s postwar experimental novel End Zone (1972) and Jay M. Smith and Mary Willingham’s exposé of the athletics scandals at the University of North Carolina at Chapel Hill, Cheated (2015). The fact that the institutional analysis of End Zone and the institutional critique of Cheated so closely resemble the celebration of institutions in Stover at Yale—the fact that the progressive fiction of institutional subjecthood has reasserted itself even when writers like DeLillo, Smith, and Willingham set out to denaturalize it—reflects the fundamental inadequacy of recent critical attempts to fathom literary history at the scale of the institution.
Influência das estratégias de promoções de vendas no comportamento de compra das consumidoras Plus Size no segmento varejista de vestuário
Authors: Pires Vanessa Aparecida David , Vicente Victor Manuel Barbosa 
Published: August 2019

O presente estudo tem por objetivo investigar a influência das promoções de vendas ofertadas pelo segmento varejista de vestuário no comportamento de compra das mulheres plus size. A pesquisa é de cunho quantitativo e utilizou dados coletados a partir de questionários estruturados individuais, aplicados em uma amostra de 117 mulheres plus size, escolhidas aleatoriamente. As informações coletadas foram submetidas a técnicas de análise descritivas, ao cruzamento de variáveis (crosstabs) e ao teste de associação Qui-quadrado. Os principais achados indicam que as estratégias de promoção de vendas que mais influenciam o comportamento de compra de mulheres plus size no segmento varejista de vestuário são as que envolvem desconto no preço e a exposição das peças em vitrines. Outras variáveis de promoção de vendas também influenciam, positivamente, o comportamento de compra das consumidoras plus size e devem ser consideradas nas estratégias de marketing para esse público específico.