bluuebunny/crossref_metadata_2025_split huggingface dataset:
End of life care in the community: the role of ambulance clinicians
Authors: Pettifer Annie , Bronnert Rosanna 
Published: June 2018

Overview Ambulance clinicians are frequently called to patients who are approaching the end of their life. This article presents an overview of some of the issues that impact on the delivery of care to patients at the end of life, including symptom and urgent care needs in the last few days of life; preferences for care/place of care; and coordination of care. Each of these areas pose different challenges for ambulance clinicians. As a way of addressing some of the issues, this article outlines an online education package in end-of-life care, which has been specifically designed for ambulance clinicians in response to an analysis of their training needs. The learning outcomes and educational approach is described. The education aims to help equip ambulance clinicians with the knowledge and confidence that they need to deliver high-quality urgent end-of-life care.
Is Ransom Enough?
Authors: Crisp Oliver D. 
Published: June 2018

In recent systematic theology versions of the Ransom account of the atonement have proliferated. Much of this work uses Gustav Aulén's Christus Victor as a point of departure. In this paper I first distinguish between models and theories of atonement. Then I discuss three recent theological perorations of the Ransom model as a prelude to setting out four interpretive strategies for understanding this view of atonement. I then offer some critical remarks on these strategies, concluding that the Ransom view as set forth here does not provide a complete model of atonement.
Digital media, youth practices and representations of recent activism in Portugal
Authors: Campos Ricardo , Simões José Alberto , Pereira Inês 
Published: June 2018

Abstract
In recent years we have witnessed in several countries the rise of new and unexpected forms of collective mobilization and activism. The main goal of this article is to discuss the role played by digital devices and online platforms in how activism is currently being represented and practiced by young people. Our reflection is empirically grounded on a recent exploratory research project carried out in Portugal. This project, using an array of qualitative methods (ethnographic observation, in-depth interviews, etc.), had as its main purpose to explore young people’s digital activism. In this article we will discuss this project’s findings, analyzing not only the uses of digital media within a set of activist practices, but also the social representations built around this issue by different social actors participating in several activist groups.
Improving the self-efficacy of teachers in schools: results of health promotion program
Authors: Farokhzadian Jamileh , Sabzi Amirreza , Mangolian Shahrbabaki Parvin 
Published: June 2018

AbstractBackground In order to effectively facilitate behavior change, it is essential to conduct health promotion programs on self-efficacy. Given the importance of the role of teachers in fostering the next generation, it appears that the promotion of self-efficacy in them can greatly contribute to the health of the community. The present study aimed to evaluate the impact of a health promotion training workshop on self-efficacy for health practices and also, on general self-efficacy of teachers in schools.Methods This study was a quasi-experimental study, in which 120 teachers were selected by random sampling and randomly divided into two equal intervention and control groups (60 in each group). A health promotion training workshop was conducted for the intervention group. Data were collected by a three-section questionnaire (demographic, self-rated ability for health practices scale and general self-efficacy) before and 1 month after the training intervention.Results The self-efficacy scores for health practices and general self-efficacy were not significantly different between the intervention and control groups before the intervention (p > 0.05). However, participants in the intervention group reported higher scores on both the self-efficacy for health practices (t = 4.05, p = 0.001) and general self-efficacy (t = 2.92, p = 0.004) compared to those in the control group one month after the intervention.Conclusion The health promotion training program had improving effects on the self-efficacy for health practices and general self-efficacy. This program was potentially a valid community health nursing intervention that can be presented and evaluated in various community settings.
Effect of psychotropic drugs on fetal behavior in the third trimester of pregnancy
Authors: Hata Toshiyuki , Kanenishi Kenji , AboEllail Mohamed Ahmed Mostafa , Mori Nobuhiro , Koyano Kosuke , Kato Ikuko , Kusaka Takashi 
Published: June 2018

Abstract

Aim:
To assess the effect of psychotropic drugs on fetal behavior using four-dimensional (4D) ultrasound in the third trimester of pregnancy.

Methods:
Fetal behavior was assessed using Kurjak’s antenatal neurodevelopmental test (KANET) using 4D ultrasound between 28 and 36 weeks of gestation. Thirty healthy (control group) and 10 psychotropic-drug-administered pregnant (case group) women were studied. The total value of the KANET score and values of each parameter (eight parameters) were compared between the two groups.

Results:
The total KANET score was normal (except for one fetus in the case group: total score of 9) in both groups, and there was no significant difference in the total KANET score. When individual KANET parameters were compared, no significant differences were noted in any of the eight parameters.

Conclusion:
Our results showed that there is no difference in fetal behavior between fetuses of normal pregnant women and those of psychotropic-drug-administered pregnant women in the third trimester of pregnancy. These results suggest that psychotropic drugs may not affect fetal behavioral development in utero. However, the data and their interpretation in the present study should be taken with some degree of caution because of the small number of subjects studied. Further studies involving a larger sample size are needed to assess the effect of psychotropic drugs on fetal neurobehavior during pregnancy.
Experimental Investigation of Unsteady Characteristics in a Single-Channel Pump
Authors: Tan Minggao , Feng Jinsheng , Liu Houlin , Ding Jian , Zhu Zhipeng 
Published: June 2018

Abstract
Single-channel pumps are a specific type of centrifugal pump that is widely used in the sewage treatment of raw wastewater and effluent pumping applications. In single-channel pumps, the rotor–stator interactions may generate unbalanced pressures that change during one impeller revolution. A specific experiment rig was constructed to investigate the unsteady characteristics synchronously, including energy performance, head pulsation, pressure pulsation, and radial force. It was found that the difference between the maximum and minimum head was greater than 5 m under all flow rates during a rotation period. With the increase of the flow rate, the head reached its minimum value slowly and achieved its maximum value more quickly. The static pressure distribution at the impeller outlet was the most uniform at 1.0Qd. The high-pressure region located initially downstream of the tongue gradually moved toward the upstream end of the tongue with an increase in the flow rate. When the blade outlet goes through the tongue, the pressure pulsation appears at its peak at the eighth cross section of the volute. The peak position moves toward the upstream with the rotation of the impeller. In the single-channel pumps, the absolute pressure pulsation achieved its peak at the blade passing frequency, and the pressure pulsation amplitude for fBPF varied gradually with an increase in the flow rate. The radial force reached a minimum value near the optimal efficiency point and its direction was mostly downstream of the tongue. To meet the hydraulic balance of the impeller, it was suggested that a balance piece be adapted to counteract the radial force.
New Design Method of Asphalt Mixtures Considering Uncertainty
Authors: Easa Said M. 
Published: June 2018

Abstract
The existing methods of asphalt mixture design are deterministic and rely only on the means of design parameters, such as unit weight and volumetric properties. This article presents a new design method of asphalt mixtures that considers the uncertainties of the measured properties and the calculated design parameters, represented by the coefficient of variation (CV). The uncertainties of the measured properties (typically CV &lt; 1 %) propagate through the calculations and could result in high uncertainties in the calculated design parameters (e.g., CV &gt; 40 %) that make them unreliable. The proposed method is developed in the context of the Marshall mix-design method and is applicable to the Superior Performing Asphalt Pavements method with minor modifications. The Taylor series expansion was used to develop the moments (mean and standard deviation) and CV of the calculated design parameters. The developed formulas were verified using Monte Carlo simulation. Criteria for sample acceptance are then presented based on the uncertainties of the design parameters. The uncertainty information is then used to establish confidence intervals for the design parameters, determine the optimum asphalt content, and compare the results with project specifications. Sensitivity analysis of the mix-design parameters is conducted, and practical implications are discussed. Numerical examples are presented to demonstrate the application of the proposed method. The proposed method takes the design of asphalt mixtures one step further toward a reliable performance-based design. As such, the method should be of interest to pavement engineers and practitioners.
Performance of the Variable Parameters X¯ Control Chart in Presence of Measurement Errors
Authors: Sabahno Hamed , Amiri Amirhossein , Castagliola Philippe 
Published: June 2018

Abstract
In this article, we investigate the effect of measurement errors on the performance of the VP (Variable Parameters) X¯ control chart. After introducing the VP scheme for the X¯ chart with measurement errors, we evaluate the chart performance by using the average time to signal criterion, and we investigate the effect of measurement errors on the chart’s performance through extensive numerical studies. In addition, we investigate the effect of multiple measurements and the value of the linearly covariate error model’s parameters on the performance of VP X¯ control chart. We also consider the overall performance of the VP X¯ control chart and the optimal design parameters. Finally, the application of the proposed scheme is shown through an illustrative example.
A male with multiple cardiac masses
Authors: Indrabhinduwat Manasawee , Arciniegas Calle Maria C. , Colgan Joseph P. , Villarraga Hector R. 
Published: June 2018

Summary
Thirty-seven-year-old male presented with cough, dyspnea, significant weight loss (20 kg) and subacute fever for the past 2 months. Physical examination revealed inspiratory and expiratory wheezing bilaterally. A normal S1, S2 and a 3/6 systolic ejection murmur at the left upper parasternal border with respiratory variation were found during cardiac auscultation. Kidney and bone marrow biopsy reported a high-grade B-cell lymphoma. Echocardiography and cardiac CT findings consisted of multiple intracardiac masses affecting the right ventricular (RV) outflow track, RV apex, medial portion of the right atrium and posterior left atrium, as well as mild impairment of the RV systolic function. The masses in the RV outflow track caused partial obstruction (pulmonary valve peak velocity 2.3 m/s) with a RV systolic pressure of 43 mmHg. The infiltrative mass in the interatrial septum extended into both the right and left atrial cavities. The right superior pulmonary vein was occluded. This patient was treated with aggressive chemotherapy and had a good clinical response that resulted in mass size reduction after the first course of chemotherapy. Multimodality imaging techniques such as echocardiography, cardiac CT and PET scan can provide complementary information to better evaluate, stage and manage these patients.
Reflexões sobre a territorialização da pobreza em cidades brasileiras.
Authors: Coimbra-Da Silva Elias 
Published: June 2018

El texto que presentamos es una tentativa de problematizar sobre la reproducción de ciertos lugares al margen de la producción capitalista del espacio, como territorialidades envueltas en ese proceso; espacios caracterizados por la pobreza, la exclusión y la vulnerabilidad. Para realizar este trabajo se utilizó un análisis de ciudades medias paulitas, apoyados en teorías reconocidas que tratan la cuestión de la pobreza. Se propone además, otro modo de entender el concepto de territorio, las relaciones de poder que permean las redes de reciprocidades, partiendo del análisis específico de la Favela da Avenida Río Pardo en la ciudad brasileira de Ribeirão Preto. Esperamos así contribuir en la comprensión de las desigualdades sociales, inclusive en el nivel espacial, así como para pensar los nuevos actores y los nuevos procesos de territorialización.
Aplicación de herramientas cartográficas y censales en un estudio historiográfico del distrito Central de Barva, 1945-2014.
Authors: Otárola Guevara Marcela 
Published: June 2018

El estudio de las ciudades, desde una perspectiva historiográfica, se beneficia del utillaje de otras disciplinas para comprender la magnitud de los cambios que en ellas ocurren. Por tal motivo, una investigación en Historia Urbana hecha en el Distrito Central de Barva, ciudad de Costa Rica, se apoyó en el uso de fotografías aéreas, mapas y registros de población para comprender su transformación de un lugar rural a uno urbano entre los años 1945 y 2014. Se presentará el uso dado a herramientas cartográficas y censales en el ámbito de una investigación de Historia Aplicada. Con ellas se definieron tres periodos, cada uno con una configuración diferenciada, y se expuso la variación demográfica de sus habitantes, observando así la modificación de la morfología urbana como una acción directa del ser humano.
Repeat Antenatal Betamethasone and Cardiometabolic Outcomes
Authors: Cartwright Robert D. , Harding Jane E. , Crowther Caroline A. , Cutfield Wayne S. , Battin Malcolm R. , Dalziel Stuart R. , McKinlay Christopher J.D. ,   on behalf of the ACTORDS Follow-up Group
Published: June 2018

BACKGROUND:
Repeat dose(s) of antenatal betamethasone are recommended for women at &lt;32 weeks with ongoing risk of preterm birth. However, there is concern that use of repeat dose(s) in fetal growth restriction (FGR) may increase the risk of later cardiometabolic disease.

METHODS:
We undertook secondary analysis of data from the Australasian Collaborative Trial of Repeat Doses of Corticosteroids Midchildhood Outcome Study to determine if FGR influences the effect of repeat betamethasone on growth and cardiometabolic function. At 6 to 8 years, children underwent anthropometry, dual energy x-ray absorptiometry, intravenous glucose tolerance testing, ambulatory blood pressure monitoring, and spirometry. FGR was defined as severe FGR at entry, cesarean delivery for FGR, or customized birth weight below the third centile.

RESULTS:
Of 266 children assessed, FGR occurred in 43 of 127 (34%) exposed to repeat betamethasone and 44 of 139 (32%) exposed to placebo. There was an interaction between FGR and repeat betamethasone treatment for the effect on height (z score mean difference [95% confidence interval]; FGR: 0.59 [0.01 to 1.17]; non-FGR: −0.29 [−0.69 to 0.10]; P = .01). However, FGR did not influence the effect of repeat betamethasone on cardiometabolic function, which was similar in treatment groups, both in FGR and non-FGR subgroups.

CONCLUSIONS:
Repeat antenatal betamethasone treatment had no adverse effects on cardiometabolic function, even in the presence of FGR. It may have a positive effect on height in FGR. Clinicians should use repeat doses of antenatal corticosteroids when indicated before preterm birth, regardless of FGR, in view of the associated neonatal benefits.
Doctoral Education for a Sustainable Future: What's a Comprehensive Portfolio Got to Do With It? / Doktorsko obrazovanje za održivu budućnost: Što sveobuhvatni portfelj ima s tim?
Authors: Ratković Snežana , Woloshyn Vera 
Published: June 2018

AbstractIn this paper, we introduce a Joint PhD Program in Educational Studies taught jointly by three universities in Ontario Canada, discuss the role of the comprehensive portfolio in research education, and share our vision for sustainable doctoral education and a sustainable future locally, nationally, and internationally. We debate the importance of the comprehensive portfolio for student retention, the development of the 21st century learning skills, mentoring, self-as-scholar competences, and holistic doctoral education. We explore foundational questions: What works? What does not work? What is missing? Finally, we conclude with critical reflections and recommendations for doctoral-level studies with reference to key stakeholders including graduate students, mentors, curriculum developers, doctoral program directors, and policy makers.Key words: Canada; holistic doctoral education; mentoring; PhD in education; 21st century learning---Sažetak U ovom radu predstavljamo Zajednički Ph.D. Program iz obrazovnih studija koji održavaju tri sveučilišta u Ontariu, Kanada, raspravljamo o ulozi sveobuhvatnog portfelja u obrazovanju istraživača i opisujemo našu viziju održivog doktorskog obrazovanja i održive budućnosti na lokalnoj, nacionalnoj i međunarodnoj razini. Raspravljamo o važnosti sveobuhvatnog portfelja za zadržavanje studenata u doktorskim programima, razvoj vještina učenja za 21. stoljeće, mentorstvo, kompetencije pojedinca kao znanstvenika i holističko doktorsko obrazovanje. Istražili smo temeljna pitanja: Što funkcionira? Što ne funkcionira? Što nedostaje? Na kraju, zaključujemo s kritičnim razmišljanjima i preporukama na razini doktorskih studija, kao i s obzirom na interese ključnih sudionika, uključujući studente, mentore, dizajnere nastavnog plana i programa, voditelje doktorskih programa i kreatore zakona i uredbi doktorskih studija.Ključne riječi: holističko doktorsko obrazovanje; Kanada, mentorstvo; doktorat u obrazovanju; učenje u 21. stoljeću.
Working Part-Time during Studies: The Role of Flow in Students’ Well-Being and Academic Achievement / Povremeni rad tijekom studija: Uloga zanesenosti u dobrobiti i akademskom uspjehu studenata
Authors: Rijavec Majda , Ljubin Golub Tajana , Jurčec Lana , Olčar Diana 
Published: June 2018

AbstractPrevious studies have suggested that only flow in the activity that one finds important contributes to well-being. This study was done in order to further investigate the role of flow in different activities and its impact on well-being in two types of students, i.e. nonworking students (NWS) and part-time working students (PWS).The sample comprised first and second year university students (85% female) at the University of Zagreb, 113 NWS and 110 PWS. Several questionnaires were administered in order to assess flow in different activities, well-being, and burnout. Also, students reported their grade point average (GPA).The results showed that in both groups flow in academic activities was the only stable positive predictor of well-being and academic achievement, and a negative predictor of burnout, in line with the finding that both groups of students assessed academic activities as the most important and most useful. Additionally, there were no differences between NWS and PWS in well-being, burnout, and GPA, suggesting that this PWS group was not yet experiencing any negative consequences of part-time working. The importance of introducing flow inducing activities in academic assignments is suggested as crucial for students’ well-being.Key words: burnout; flow; part-time working; university students; well-being.---SažetakPrethodna istraživanja sugeriraju da samo zanesenost u aktivnostima koje osoba smatra važnima doprinosi dobrobiti. Ovo je istraživanje provedeno kako bi se dodatno istražila uloga zanesenosti u različitim aktivnostima u dobrobiti studenata koji povremeno rade i studenata koji ne rade.Uzorak su činili studenti prve i druge godine sveučilišnih studija (85 % ženskih) na Sveučilištu u Zagrebu (110 povremeno zaposlenih i 113 koji ne rade). Nekoliko je upitnika primijenjeno kako bi se procijenila zanesenost u različitim aktivnostima, dobrobit i sagorijevanje. Također, studenti su naveli prosjek ocjena.Rezultati su pokazali da je zanesenost u akademskim aktivnostima u obje skupine bila jedini stabilan pozitivan prediktor dobrobiti i akademskog uspjeha te negativan prediktor sagorijevanja, u skladu s činjenicom da su obje skupine studenata procijenile akademske aktivnosti najvažnijima i najkorisnijima. Osim toga, nije bilo razlike između grupa studenata u dobrobiti, sagorijevanju i prosjeku ocjena, što sugerira da trenutno nema negativnih posljedica povremene zaposlenosti kod studenata. Preporučuje se uvođenje što više akademskih aktivnosti koje potiču zanesenost jer su se pokazale kao bitne za studentsku dobrobit.Ključne riječi: dobrobit; povremeni rad; sagorijevanje; studenti; zanesenost.
<i>L'Amérique latine et la Caraïbe des Lumières : Une franc-maçonnerie d'influence</i> de Alain de Keghel
Authors: Sala Céline 
Published: June 2018

Broché: 442 pagesEditeur : Dervy éditions (17 juillet 2017)Collection : L'univers maçonniqueLangue : FrançaisISBN-10: 1024202186ISBN-13: 979-1024202181Dimensions du produit: 22 x 2,4 x 14 cm
Взаимодействие систем теплоснабжения для устранения потерь через наружную поверхность многослойной ограждающей конструкции
Authors: Прусенков Н. А. 
Published: June 2018

При эксплуатации многослойной ограждающей конструкции (МОК) постоянно возникает превышение расчетной температуры наружной поверхности наружного слоя, сравнительно с температурой пространства, расположенного снаружи этой ограды. На наружной поверхности ограждения, соответственно, формируется выброс тепла, возникающий из-за разницы нормативного и фактического значений температур. Исключение эксплуатационных потерь тепла является целью публикации. Вариантом достижения цели представляется создание альтернативной системы теплоснабжения, следящей за изменениями температур в наружном пространстве МОК и компенсирующей или исключающей соответствующие выбросы подачей энергии. Перенос и компенсационные поступления ее выполнимы при устройстве дополнительного слоя МОК с подвижной средой и поверхностями, соприкасающимися с существующими. Теоретическая база расчета затрат энергии требует определения потерь в подвижном слое на перемещение подвижной среды, переносящей тепло. Включение в МОК подвижного слоя помимо реализации принципов тектологии требует пересмотра допустимости дистрибуции в подвижном слое, заменившем замкнутую вентиляционную прослойку, узаконенную существующими нормами и методиками определения потерь фасадными системами. Схема взаимодействия тепло-транспортных систем, в отличие от прототипа из замкнутых слоев, допускает изменение тепловосприятия и теплоотдачи в подвижном слое. Взаимодействие существующей и регулирующей систем в подвижной среде МОК прогнозирует модернизацию регулирования потерь энергии в период эксплуатации.