bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Dialogic Approach to Teaching Person-Centered Care in Graduate Medical Education
Authors: Kuper Ayelet , Boyd Victoria A. , Veinot Paula , Abdelhalim Tarek , Bell Mary Jane , Feilchenfeld Zac , Najeeb Umberin , Piquette Dominique , Rawal Shail , Wong Rene , Wright Sarah R. , Whitehead Cynthia R. , Kumagai Arno K. , Richardson Lisa 
Published: June 2019

ABSTRACT

Background
Training future physicians to provide compassionate, equitable, person-centered care remains a challenge for medical educators. Dialogues offer an opportunity to extend person-centered education into clinical care. In contrast to discussions, dialogues encourage the sharing of authority, expertise, and perspectives to promote new ways of understanding oneself and the world. The best methods for implementing dialogic teaching in graduate medical education have not been identified.

Objective
We developed and implemented a co-constructed faculty development program to promote dialogic teaching and learning in graduate medical education.

Methods
Beginning in April 2017, we co-constructed, with a pilot working group (PWG) of physician teachers, ways to prepare for and implement dialogic teaching in clinical settings. We kept detailed implementation notes and interviewed PWG members. Data were iteratively co-analyzed using a qualitative description approach within a constructivist paradigm. Ongoing analysis informed iterative changes to the faculty development program and dialogic education model. Patient and learner advisers provided practical guidance.

Results
The concepts and practice of dialogic teaching resonated with PWG members. However, they indicated that dialogic teaching was easier to learn about than to implement, citing insufficient time, lack of space, and other structural issues as barriers. Patient and learner advisers provided insights that deepened design, implementation, and eventual evaluation of the education model by sharing experiences related to person-centered care.

Conclusions
While PWG members found that the faculty development program supported the implementation of dialogic teaching, successfully enabling this approach requires expertise, willingness, and support to teach knowledge and skills not traditionally included in medical curricula.
Warming temperatures are impacting the hydrometeorological regime of Russian rivers in the zone of continuous permafrost
Authors: Makarieva Olga , Nesterova Nataliia , Post David Andrew , Sherstyukov Artem , Lebedeva Lyudmila 
Published: June 2019

Abstract. Large Arctic river basins experience substantial variability in climatic,
landscape, and permafrost conditions. However, the processes behind the
observed changes at the scale of these basins are relatively poorly
understood. While most studies have been focused on the “Big 6” Arctic
rivers – the Ob', Yenisey, Lena, Mackenzie, Yukon, and Kolyma – few or no
assessments exist for small and medium-sized river basins, such as the
Yana and Indigirka River basins. Here, we provide a detailed analysis of
streamflow data from 22 hydrological gauges in the Yana and Indigirka River
basins with a period of observation ranging from 35 to 79 years up to 2015.
These river basins are fully located in the zone of continuous permafrost.
Our analysis reveals statistically significant (p<0.05) positive trends in
the monthly streamflow time series during the autumn–winter period for most
of the gauges. The streamflow increases in a stepwise pattern (post-1981) for
17 out of 22 gauges in September (average trend value for the period of
record is 58 % or 9.8 mm) and 15 out of 22 gauges in October (61 %
or 2.0 mm). The positive trends are seen in 9 out of 19 rivers that do not
freeze in November (54 %, 0.4 mm) and 6 out of 17 rivers that do not
freeze in December (95 %, 0.15 mm). Precipitation is shown to decrease
in late winter by up to 15 mm over the observational period. Additionally,
about 10 mm of precipitation that used to fall as snow at the beginning of
winter now falls as rain. Despite the decrease in winter precipitation, no
decrease in streamflow has been observed during the spring freshet in May and June
in the last 50 years (from 1966); moreover, five gauges show an increase of
86 % or 12.2 mm in spring floods via an abrupt change in 1987–1993. The
changes in spring freshet start date are identified for 10 gauges; the
earlier onset in May varies from 4 to 10 d over the observational period. We
conclude that warmer temperatures due to climate change are impacting the
hydrological regime of these rivers via changes in precipitation type (rain
replacing snow). Other factors, such as the melting of permafrost, glaciers, and
aufeis or changes in groundwater conditions, are likely to contribute as
well; however, no direct observations of these changes are available. The
changes in streamflow can have a significant impact on the ecology of the
zone of continuous permafrost, while the increasing freshwater fluxes to the
Arctic Ocean can impact the Arctic thermohaline circulation.
La "aventura heroica" en el "Kitāb al-anwār" de los moriscos del siglo XVI: Mahoma como arquetipo del “héroe-niño”
Authors: Cruz Fernández Emil Leonardo 
Published: June 2019

En este trabajo exploro cómo se despliega el modelo nuclear de la aventura heroica en la versión aljamiada del Kitāb al-anwār (Libro de las luces), relato pseudo- biográfico sobre el Profeta Mahoma. Analizo cómo en esta narración morisca del siglo XVI se exhiben las tres fases que competen a la aventura heroica —“salida”, “iniciación” y “retorno”—; asimismo examino la imagen del Mensajero de Alá como arquetipo del héroe-niño, cuyas vivencias incluyen temas o circunstancias que competen a este perfil heroico: “concepción milagrosa”, “exilio” y“regreso”. Mi estudio concluye que la imagen del profeta Mahoma como un héroe-niño, así como el modelo nuclear de la aventura del héroe en el Kitāb al-anwār, podría haber despertado en los lectores y oyentes moriscos del siglo XVI, el deseo de adherirse con vehemencia (pero clandestinamente) a sus prácticas religiosas, así como enfrentar las adversidades con coraje y tenacidad, teniendo en cuenta que, al igual que el Profeta Mahoma y sus antepasados, su fe, ejercicios espirituales y constancia los conducirían hacia elAlŷanna(Paraíso), dimensión metafísica prometida en el Corán a los musulmanes que permanezcan firmes a los preceptos islámicos.
Reviewer Acknowledgements for Business and Economic Research, Vol. 9, No. 2
Authors: Young Daisy 
Published: June 2019

Business and Economic Research (BER) would like to thank the following reviewers for reviewing manuscripts from March 1, 2019, to June 1, 2019. Their comments and suggestions were of great help to the authors in improving the quality of their papers. Many authors, regardless of whether BER publishes their work, appreciate the helpful feedback provided by the reviewers. Macrothink Publishing appreciates the following reviewers’ rigorous and conscientious efforts for this journal. Each of the reviewers listed below returned at least one review during this period. Abeer M. Ali Abd ElkhalekAlina IaniogloAlmir A. AlihodžićAntonio Ruiz-PorrasAriel Soto CaroBilal Khalaf SakarnehBratu (Simionescu) MihaelaDorjana NanoEddie John FisherEissa Hasan AbohulaikaGee Nee LimGerasimos T. SoldatosHengky Sumisto HalimHui Shan LeeLaura Baselga-PascualMamta SinghRoderikus A. TrihatmokoRomeo Victor IonescuSaid JaouadiSamuel Asumadu-SarkodieSantosh B. ManjegowdaSerhii KozlovskyiZakayo Samson KisavaZi-Yi GuoZoran Wittine
Steinbeck and America's Liberal Political Tradition
Authors: Zirakzadeh Cyrus Ernesto 
Published: June 2019

Abstract
This article examines John Steinbeck's statements about U.S. politics in light of America's constantly evolving liberal discourse. The article first looks at similarities between Steinbeck's commitment to creativity and six major tenets of liberal thought. The piece then discusses how Steinbeck's views on poverty and racism diverged from the policy agenda of the Great Society liberals. The article closes with thoughts about the relevance of Steinbeck's ideas after the election of President Donald Trump.
Teaching The Grapes of Wrath in the Digital Humanities Age
Authors: Wrobel David 
Published: June 2019

Abstract
My spring 2017 course “John Steinbeck's America” offered a chance to explore the intersection of history and literature during the period from the New Deal to the Great Society, through the work of one of its greatest authors, as well as an opportunity to use Digital Humanities (DH) tools to stimulate interest in Steinbeck and aid analysis of the “five layers” he said he wrote into his greatest novel. This articles explores the challenges and opportunities that accompanied the course's DH features.
Steinbeck's Plays
Authors: Hays Peter 
Published: June 2019

AbstractSteinbeck wanted more people to read plays unencumbered by lengthy set descriptions or stage directions, so he set about writing novellas that could be staged, wherein the set descriptions were minimal, and everything else was conferred by dialogue between characters. The first of three such novella/plays was Of Mice and Men, based to some extent on Steinbeck's own experience and set in a recognizable California landscape. The next, The Moon Is Down, written for the propaganda wing of WWII's OSS, is set in an unnamed country invaded and occupied by unnamed forces. The third, Burning Bright, initially set in a circus, then on a farm, originally titled Everyman by Steinbeck, indicated his purpose: to preach a moral lesson. The three plays move from realism to abstraction, and in so doing, had shorter Broadway runs and much less audience involvement.
Privacy, Security, and Patient Engagement: The Changing Health Data Governance
Landscape
Authors: Holmes John H. 
Published: June 2019

Context: The rapid emergence of new technologies support collection and use of a
wide variety of data from clinical, genomic, social and behavioral, environmental, and
financial sources, and have a great impact on the governance of personal health
information.Papers in the special issue: The papers in this special issue on governance
touch on the topic from a variety of focuses, including leadership perspectives, local
and federal case studies, and the future importance of patient engagement.Themes: This
special issue focuses on three major themes—that data governance is growing in
importance and presenting new challenges that must be addressed, that health care
organizations must prioritize governance design, implementation, and functions as a
priority, and that governance seems to be naturally converging on an archetype as
described by this set of papers.Future State of Governance: In order to deal with issues
such as data de- and re-identification, data governance must be studied as its own
field.
Radiation exposure in prone vs. modified supine position during percutaneous nephrolithotomy: Results with an anthropomorphic model
Authors: St-Laurent Marie-Pier , Doizi Steve , Rosec Maéva , Terrasa Jean-Baptiste , Villa Luca , Traxer Olivier , Cloutier Jonathan 
Published: June 2019

Introduction: Radiation exposure during urologic procedures is still of concern in the urologist’s community. It has been reported that percutaneous nephrolithotomy (PCNL) in supine position will have less irradiation as the puncture is mostly done under ultrasound guidance. However, it can also be done under fluoroscopy guidance. Unfortunately, data on radiation exposure during PCNL is more lacking since they are often drawn form generalization and extrapolation, or not evaluating new procedures or different positions. The aim of our study was to compare the radiation dose depending on the position of the surgeon.
Methods: A portable C-arm was used in standard mode (32 impulsions/second; 98kV, 3.8mA). Specific dosimeters were placed for lens, extremity and torso. Anthropomorphic models and hand phantom models were used to reproduce the position of surgeon and patient (with same bone density than human) during PCNL in prone and modified supine position. Fluoroscopy time (FT) was 6 minutes to obtain higher exploitable signal, and the results are given for a FT of 3 minutes (more realistic). Ten percent of the FT is done with an angulation of 15 degrees and the rest in anteroposterior position.
Results: The equivalent doses (ED) are given in uSV (uncertainty k=2). During the modified supine position: neck, lens, right index finger, left thumb and index finger received ED of 99 (20%), 62 (18%), 437 (10%), 112 (12%), 204 (10%), respectively. In a prone position, the phantom received ED on the neck, lens, right thumb and index finger, left thumb and index finger of 85 (20%), 92 (12%), 401 (10%), 585 (10%), 295 (10%), 567 (10%), respectively. In both position, the right hand seems more exposed than the left hand.
Conclusion: The effective dose is 1.5 and 1.3 fold higher for lens and extremities, respectively, in a prone position PCNL compared to a modified supine position. Both positioning are still well below the recommended limit for professional exposition.
De voorgestelde wettelijke bedenktijd: een (on)gerechtvaardigde belemmering?
Authors: Traas R. 
Published: June 2019

De voorgestelde wettelijke bedenktijd: een (on)gerechtvaardigde belemmering?
Deze bijdrage beschouwt de mogelijke strijdigheid van de voorgestelde wettelijke bedenktijd met het vrij verkeer van kapitaal en de vrijheid van vestiging. Meer specifiek wordt de door de minister aangedragen rechtvaardiging voor een eventuele belemmerende werking van wettelijke bedenktijd op deze beginselen aan Europees recht getoetst.
Could do better! A high school market survey of fish labelling in Sydney, Australia, using DNA barcodes
Authors: Mitchell Andrew , Rothbart Anna , Frankham Greta , Johnson Rebecca N. , Neaves Linda E. 
Published: June 2019

Background
Processed seafood products are not readily identifiable based on physical characteristics, which leaves the industry vulnerable to high levels of product mislabelling (globally estimated at 5–30% mislabelled). This is both a food safety issue and a consumer protection issue as cheaper species could be substituted for more expensive species. DNA barcoding is proving to be a valuable tool for authentication of fish products. We worked with high school students to perform a market survey and subsequent species assessment via DNA barcoding to investigate the accuracy of fish product names used by retailers in Sydney, Australia.

Methods
Sixty-eight fish samples, sold under 50 different common names, were purchased anonymously from two retailers in Sydney. Each product name was recorded and reconciled with the Australian Fish Names Standard (AFNS). Samples were DNA barcoded and resulting sequences were deposited in the online Barcode of Life Data system using the simplified Student Data Portal interface.

Results
Forty percent of the fish names did not comply with the AFNS, however, half of these were either spelling errors or vendors supplied more information than the standard requires. The other half of the non-compliant samples were given common names not listed on the AFNS. Despite this lack of standardization, DNA barcode data confirmed the retailers’ identifications for 93% of samples and 90% of species sampled.

Discussion
The level of mislabelling we report for Sydney retailers (7% of samples or 10% of species) compares favorably with the global rates of 5–30%, but unfavorably with the only previous DNA barcode fish authentication study for Australia, which found no confirmed mislabelling in Hobart. Our study sampled mostly Australian produce, only two retailers and no restaurants. Results of our limited sample suggest that although many Sydney fish retailers attempt to implement the voluntary fish name standards, the standards are inadequate. As Australia imports 75% of its seafood, and in other countries restaurants generally show lower levels of compliance than retailers, broader surveys are needed before generalizing these results. DNA barcoding is a powerful yet simple method supported by accessible online analytical tools. Incorporation of fish barcoding into high school science classes provided students with valuable firsthand experience in scientific research and drew together different strands of the NSW curriculum relating to genetics and sustainability. Given the techniques, equipment, and reagents are now readily accessible, we expect to see greater uptake of DNA barcoding technology by high schools, citizen scientists and consumer groups in Australia in future. However, there remains much scope for further development of DNA barcode diagnostics (both data and analytical methods) for commercial fish species.
Browning Prevention and Sensory Evaluation of Frozen Yam Slices (Dioscorea cayenensis-rotundata Cv Kponan) of Côte D’Ivoire
Authors: Coulibaly Aïssatou , Degbeu Kouadio Claver , Bekoin Abo Paul Marcelin , Kouakoua Yapi Elisée , Asare Pereko Kingsley Kwadwo , Dabonné Soumaïla , Amani N’Guessan Georges 
Published: June 2019

Aim: To prevent enzymatic browning during the freezing of yam slices of the Kponan variety (Dioscorea cayenensis-rotundata).
Study Design: The experimental set-up was of a completely randomized design.
Place and Duration of Study: Department of Food Science and Technology, Food Biochemistry and Tropical Products Technology Laboratory (BATPTL), University of Nangui Abrogoua, Abidjan, Côte d’Ivoire, between August and December 2018.
Methodology: For this purpose, yam slices were either pretreated with a natural agent (lemon juice solution at different pH) or pretreated and blanched (85 °C for 2 min) and then packed in plastic bags and kept in the freezer at -18°C over a period of 4 weeks. Polyphenoloxidase and Peroxidase activities, Dry matter, rate of browning and sensory attributes of yam slices were determined.
Results: The results showed a decrease in polyphenoloxidase and peroxidase activities regardless of the treatment. The largest decreases in activity were observed in yam slices that were both pretreated and blanched compared to the control (about 53.49% decrease in the specific activity of the PPOs and 51.46% of POD). The combination of pretreatment and blanching also resulted in lower dry matter yam slices compared to pretreated slices only. After 1 month of storage in the freezer, the lower rates of loss (browning) were recorded for the slices of yams that were both pretreated and blanched compared to the other methods which had very high losses. The pretreated and blanched slices had high dry matter content. The sensory profile of slices processed by the combined technique after one month of freezing had a good appreciation for all sensory characteristics of yam.
Conclusion: In order to have a good product, the combined method is recommended for better freezer storage of yam slices.
Perceptions of Ex-convicts on Rehabilitation Programmes in Preparation for Reintegration in Botswana
Authors: Raboloko Boipelo Milly , Maripe Kgosietsile 
Published: June 2019

The re-integration of ex-convicts is a concern globally and nationally yet a forgotten phenomenon. It is assumed that families are prepared for the release from custody of their incarcerated member. While the family may be longing to see ex-convict, it may be truamatised by his or her release from prison. The thinking about the known and anticipated behaviour of the ex-convict may affect the acceptance and supported needed by the ex-convict. This may complicate relationship problems and may perpetuate the negative labelling which affects positive integration. The unpreparedness of families and community may be hostile than being in prison leaving the ex-convict with no choice but to re-offend and be reconvicted and at most, a recidivist. As a result of this background, it was necessary to explore the process of re-integration of ex-convicts in Botswana and identify the challenges it poses for the ex-convicts. The researcher adopted a qualitative approach and interviewed 26 participants which comprised of ex-convicts, community leaders, professionals, and community members. The study was informed by the differential Association theory, the labelling theory, and within the ecological perspective. The findings revealed that the ex-convicts after release face an enormous mountain which is difficult to climb without adequate assistance. It was further established that preparation for release and integration process are inadequate. Furthermore, communities do not have interventions to receive, integrate, and support ex-convicts. Therefore, this paper argues that families and communities must be involved in the rehabilitation processes of prisons and in their release.
Structure‐based control of the rate limitation of photosynthetic electron transport
Authors: Ness Jillian , Naurin Sejuti , Effinger Katherine , Stadnytskyi Valentyn , Ibrahim Iskander M. , Puthiyaveetil Sujith , Cramer William A. 
Published: June 2019

The 2.5 Å structure of the cytochrome (cyt) b6f complex provides a basis for control of the rate‐limiting electron transfer step of oxygenic photosynthesis associated with the plastoquinol/quinone exchange pathway. Here, a structural change was made at a site containing two proline residues which border the intra‐cyt pathway for plastoquinol/quinone exchange. The proline side chains confer a larger aperture for passage of plastoquinol/quinone. Change of these prolines to alanine in the cyanobacterium Synechococcus sp. PCC 7002 results in attenuation of this rate‐limiting step, observed by a two‐fold reduction in the rate of cell growth, O2 evolution, and plastoquinol‐mediated reduction of cyt f. This study demonstrates modification by site‐directed mutagenesis of photosynthetic energy transduction based on rational application of information in the atomic structure.
Evaluation of Elekta Agility multi‐leaf collimator performance using statistical process control tools
Authors: Meyers Sandra M. , Balderson Michael J. , Létourneau Daniel 
Published: June 2019

AbstractPurposeTo evaluate the performance and stability of Elekta Agility multi‐leaf collimator (MLC) leaf positioning using a daily, automated quality control (QC) test based on megavoltage (MV) images in combination with statistical process control tools, and identify special causes of variations in performance.MethodsLeaf positions were collected daily for 13 Elekta linear accelerators over 11‐37 months using the automated QC test, which analyzes 23 MV images to determine the location of MLC leaves relative to radiation isocenter. Leaf positioning stability was assessed using individual and moving range control charts. Specification levels of ±0.5, ±1, and ±1.5 mm were tested to determine positional accuracy. The durations between out‐of‐control and out‐of‐specification events were determined. Peaks in out‐of‐control leaf positions were identified and correlated to servicing events recorded for the whole duration of data collection.ResultsMean leaf position error was −0.01 mm (range −1.3–1.6). Data stayed within ±1 mm specification for 457 days on average (range 3–838) and within ±1.5 mm for the entire date range. Measurements stayed within ±0.5 mm for 1 day on average (range 0–17); however, our MLC leaves were not calibrated to this level of accuracy. Leaf position varied little over time, as confirmed by tight individual (mean ±0.19 mm, range 0.09–0.43) and moving range (mean 0.23 mm, range 0.10–0.53) control limits. Due to sporadic out‐of‐control events, the mean in‐control duration was 2.8 days (range 1–28.5). A number of factors were found to contribute to leaf position errors and out‐of‐control behavior, including servicing events, beam spot motion, and image artifacts.ConclusionsThe Elekta Agility MLC model was found to perform with high stability, as evidenced by the tight control limits. The in‐specification durations support the current recommendation of monthly MLC QC tests with a ±1 mm tolerance. Future work is on‐going to determine if performance can be optimized further using high‐frequency QC test results to drive recalibration frequency.