bluuebunny/crossref_metadata_2025_split huggingface dataset:
An intervention programme for caregivers of dementia patients with frontal behavioural changes: an explorative study with controlled effect on sense of competence
Authors: Gossink Flora , Pijnenburg Yolande , Scheltens Philip , Pera Aafke , Kleverwal Rikie , Korten Nicole , Stek Max , Dröes Rose‐Marie , Dols Annemiek 
Published: August 2018

AimCaregivers of dementia patients experience high levels of burden; this is especially true of caregivers of dementia patients with behavioural problems. As intervention studies for these caregivers are still lacking, we conducted an explorative pilot study into the efficacy of a support programme.MethodsParticipants were caregivers of dementia patients affected by apathy, disinhibition, and/or stereotypical behaviour. All patients had a Frontal Behavioural Inventory score of 11 or higher. Caregivers were randomized to the intervention group or control group (both n = 15). The intervention was a 6‐month programme that consisted of psychoeducation, social support, and behavioural cognitive therapy. Quantitative and qualitative data were collected at baseline and after the intervention.ResultsAn increased sense of competence was found in the intervention group. Burden, perceived stress, and depressive symptoms decreased, although the difference between the intervention and control groups was not significant.ConclusionsCaregivers' sense of competence improved as a result of the support programme, and caregivers revealed its comprehensive supportive effects. Further research into the efficacy of the programme on a larger scale is recommended.
Changes in caregiving appraisal among family caregivers of persons with dementia: A longitudinal study over 12 months
Authors: Kajiwara Kohei , Noto Hiroko , Yamanaka Makoto 
Published: August 2018

AimThe main purpose of this study was to identify changes in both caregiver burden and positive caregiving appraisal over time, as well as factors affecting these variables.MethodsThis analysis included 41 in‐home family caregivers who had completed questionnaires at baseline, 6 months, and 12 months. We assessed various caregiver and care recipient characteristics, caregivers’ positive appraisal of caregiving, caregiver burden, desire to continue caregiving, severity of care recipients’ cognitive impairment, and behavioural and psychological symptoms of dementia.ResultsWe observed no significant differences in caregiver burden, positive caregiving appraisal, or behavioural and psychological symptoms of dementia across the three measurement times. However, we did find differences in the desire to continue caregiving and in the personal strain and role strain dimensions of caregiver burden.ConclusionOverall, our study suggests that caregiving service providers should consider support that focuses on improving the subjective caregiving appraisals of caregivers.
Meropenem synovial fluid concentrations after intravenous regional limb perfusion in standing horses
Authors: Fontenot Robin L. , Langston Vernon C. , Zimmerman Jamie A. , Wills Robert W. , Sloan Pearce B. , Mochal‐King Cathleen A. 
Published: August 2018

AbstractObjectiveTo determine meropenem concentrations in radiocarpal (RC) joint fluid and plasma after intravenous regional limb perfusion (IVRLP).Study designIn vivo experimental study.AnimalsNine healthy adult mares.MethodsMeropenem (500 mg) was injected in the forelimb of standing sedated horses via IVRLP with a pneumatic tourniquet inflated to 400 mmHg. Synovial fluid was collected from RC joints at 0, 0.5, 1, 2, 4, 6, 8, 12, and 18 hours after meropenem injection. Blood samples were collected from the jugular vein at the same time points and at 5 and 15 minutes following injection. Meropenem concentrations were determined by using a microbiological bioassay.ResultsMedian synovial fluid concentrations reached a time of maximum synovial fluid concentration 0.5 hours after IVRLP. Synovial fluid concentrations varied greatly, with a mean maximum synovial fluid concentration of 25.6 µg/mL (range, below limit of quantitation to 75.5). Concentrations remained above the breakpoint for susceptibility (1 µg/mL) for 3 hours (last nonzero concentration measured, median) and 4.1 hours (predicted, mean). Concentrations >6 µg/mL were measured for 2 hours (observed, median) and 1.7 hours (predicted, mean). Six horses had mild swelling at the injection site.ConclusionAdministration of 500 mg meropenem resulted in highly variable concentrations between horses and achieved levels above clinically relevant minimum inhibitory concentration for a minor portion of a once‐daily dosing interval.Clinical significanceIf time‐dependent pharmacodynamics apply, IVRLP with 500 mg of meropenem may be ineffective and would likely promote resistance.
Transmisión de conocimiento sobre patrimonio cultural en dos festivales musicales
Authors: Sevilla Manuel 
Published: August 2018

El artículo pregunta acerca de los procesos de transmisión de conocimiento sobre patrimonio cultural que se dan en dos festivales de música en Estados Unidos y Colombia (Jazz Fest y Petronio Álvarez). Con asiento teórico en la antropología del conocimiento, se plantea que ambos festivales generan instancias para la transmisión del conocimiento a través de la combinación de dos procesos cognitivos: aquellos centrados en las disposiciones corporales y la presencia física (con el cuerpo como eje) y aquellos centrados en la enseñanza directa y proposicional (con la palabra hablada como eje). Se concluye que, dadas las particularidades del patrimonio cultural que se exalta en estos festivales, las instancias de transmisión de conocimiento que privilegian la experiencia corporal son tanto o más importantes que las logocéntricas, y que existen dimensiones de este tipo de patrimonio que solo pueden ser aprehendidas en toda su complejidad desde la corporalidad. El texto invita a investigar los micromecanismos del proceso de conocimiento que se dan en torno al patrimonio cultural intangible y tangible, y a explorar los aportes de la antropología a las discusiones sobre patrimonio. El artículo resulta de una investigación cualitativa realizada entre 2015 y 2016 en ambos festivales.
Estudio empírico en plantas de beneficio de carbón mineral localizadas en San Javier, Sonora, México, para diseñar un sistema sostenible de producción más limpia
Authors: Duarte-Verdugo Luis Enrique , Robles-Ibarra Juan Carlos , Pico-González Beatriz , Rosano-Ortega Genoveva 
Published: August 2018

En esta investigación se realizó un estudio empírico en plantas de beneficio de carbón mineral ubicadas en el municipio de San Javier, en el estado de Sonora, en México, con el objetivo de diseñar un modelo sostenible de producción más limpia que les dé solución a los problemas que generan estas plantas de beneficio de carbón mineral, cuando están en operación. Se identificó como problema principal que las plantas de beneficio de carbón no contribuyen al desarrollo sostenible, pues generan una gran cantidad de emisiones, que afectan el recurso humano que labora en estas plantas e impactan negativamente en el medio ambiente que las rodea. Para obtener la información requerida en el diseño del modelo y el logro de los objetivos, se utilizaron dos instrumentos: una encuesta y la Matriz de Leopold. Con ambos instrumentos se obtuvieron resultados que sustentaron el modelo propuesto. El modelo obtenido en esta investigación es de aplicación general, ya que se puede utilizar en cualquier sistema de producción.
Elementos ontológicos, epistemológicos y metodológicos para la construcción de un marco teórico de estudio de los activos intangibles
Authors: Hincapié M. Juan Pablo 
Published: August 2018

Hablar en contabilidad de revelación de información implica, inexpugnablemente, referirnos al menos a la concatenación de los procesos de representación (semióticos), medición, valoración y representación (contable). El objetivo de este documento es exponer en clave crítica una serie de reflexiones que subyacen en los discursos contables respecto de la representación y de la crisis de la representación de lo intangible. Se espera que las reflexiones aquí esbozadas abonen elementos ontológicos, epistemológicos y metodológicos idóneos para la construcción de un marco teórico para los activos intangibles que sugerentemente apuntan a elaborarKaufmann y Schneider (2004).
Geometría del fraude
Authors: Galvis-Castañeda Iván Eduardo , Santos-Mera Jaime Eduardo 
Published: August 2018

Comprender el fenómeno del fraude desde la perspectiva del defraudador ha ocupado el interés de diversas disciplinas como la criminología, la contaduría, la auditoría y la psicología, entre otras. Aunque muchas de estas disciplinas parten de la teoría del triángulo del fraude para explicarlo con las tres variables fundamentales —presión, oportunidad y racionalización—, nosotros consideramos, en el presente documento, que es necesario incorporar tres variables, para la comprensión holística del problema del fraude: el conocimiento, la motivación y la innovación; al tiempo se desarrolla una reflexión sobre el fenómeno del fraude corporativo desde una perspectiva psicológica, que incluye la percepción, la emoción y la acción como elementos constitutivos de la motivación y el pensamiento creativo en la innovación.
Identificación de factores esenciales para la creación de empresas desde la perspectiva del emprendedor: el caso del Parque del Emprendimiento
Authors: Arango Benjumea Jhon Jaime 
Published: August 2018

El emprendimiento es un modelo social y económico que tiene como propósito impulsar la creación de empresas. Montar un negocio no es emprendimiento. Se requiere de un producto, un servicio o un proceso innovador para que una iniciativa empresarial pueda ser catalogada como un verdadero emprendimiento. Por medio de la identificación de factores relevantes, se puede definir el emprendimiento como la iniciativa personal de idear, montar y poner en marcha una nueva empresa. Para lograr este propósito, se requiere de educación, persistencia, motivación, contactos, habilidades en mercadeo y recursos de capital, así como de apoyo del Estado, de la familia y de la universidad, en un contexto en el que se afrontan riesgos y dificultades tales como el desánimo y la soledad. El espíritu empresarial es la fuerza interior del emprendedor que lo impulsa a lograr el objetivo de materializar su sueño de ser independiente económicamente, mediante la creación y puesta en marcha de su propia nueva empresa.
Prácticas de earning management en el sector retail de Chile. El caso La Polar
Authors: Cornejo-Saavedra Edinson , Arias-Muñoz Paz , Améstica-Rivas Luis , Guiñez-Cabrera Nataly 
Published: August 2018

Las prácticas de earnings management ocurren cuando una firma usa la discrecionalidad en la elaboración de sus estados financieros y en la estructuración de sus transacciones, para alterar los beneficios reportados e inducir a error a los agentes interesados en el desempeño de la compañía; el fraude contable es la forma extrema de este tipo de prácticas. Este estudio analizó los efectos de una práctica extrema de earnings management —la repactación unilateral de créditos morosos— en los estados financieros e indicadores de desempeño de La Polar; y evaluó el efecto de la revelación de tales prácticas en los retornos accionarios de la firma y del sector retail de Chile. Se concluyó que la contabilidad de repactaciones mejoró la apariencia de los estados financieros y los indicadores de la firma; y que, una vez revelada esta situación, el mercado castigó el precio de las acciones de La Polar y también de las otras compañías de retail, ante las sospechas de que estas también realizaran repactaciones no reveladas en sus estados financieros.
Relationship between hospital performance measures and outcomes in patients with acute ischaemic stroke: a prospective cohort study
Authors: Zhang Xinmiao , Li Zixiao , Zhao Xingquan , Xian Ying , Liu Liping , Wang Chunxue , Wang Chunjuan , Li Hao , Prvu Bettger Janet , Yang Qing , Wang David , Jiang Yong , Bao Xiaolei , Yang Xiaomeng , Wang Yilong , Wang Yongjun 
Published: August 2018

ObjectiveEvidence-based performance measures have been increasingly used to evaluate hospital quality of stroke care, but their impact on stroke outcomes has not been verified. We aimed to evaluate the correlations between hospital performance measures and outcomes among patients with acute ischaemic stroke in a Chinese population.MethodsData were derived from a prospective cohort, which included 120 hospitals participating in the China National Stroke Registry between September 2007 and August 2008. Adherence to nine evidence-based performance measures was examined, and the composite score of hospital performance measures was calculated. The primary stroke outcomes were hospital-level, 30-day and 1-year risk-standardised mortality (RSM). Associations of individual performance measures and composite score with stroke outcomes were assessed using Spearman correlation coefficients.ResultsOne hundred and twenty hospitals that recruited 12 027 patients with ischaemic stroke were included in our analysis. Among 12 027 patients, 61.59% were men, and the median age was 67 years. The overall composite score of performance measures was 63.3%. The correlation coefficients between individual performance measures ranged widely from 0.01 to 0.66. No association was observed between the composite score and 30-day RSM. The composite score was modestly associated with 1-year RSM (Spearman correlation coefficient, 0.34; p<0.05). The composite score explained only 2.53% and 10.18% of hospital-level variation in 30-day and 1-year RSM for patients with acute stroke.ConclusionsAdherence to evidence-based performance measures for acute ischaemic stroke was suboptimal in China. There were various correlations among hospital individual performance measures. The hospital performance measures had no correlations with 30-day RSM rate and modest correlations with 1-year RSM rate.
Insurance status and 1-year outcomes of stroke and transient ischaemic attack: a registry-based cohort study in China
Authors: Gu Hong-Qiu , Li Zi-Xiao , Zhao Xing-Quan , Liu Li-Ping , Li Hao , Wang Chun-Juan , Yang Xin , Rao Zhen-Zhen , Wang Chun-Xue , Pan Yue-Song , Wang Yi-Long , Wang Yong-Jun 
Published: August 2018

ObjectiveAlthough more than 95% of the population is insured by urban or rural insurance programmes in China, little research has been done on insurance-related outcome disparities for patients with acute stroke and transient ischaemic attack (TIA). This study aimed to examine the relationship between insurance status and 1-year outcomes for patients with stroke and TIA.MethodsWe abstracted 24 941 patients with acute stroke and TIA from the China National Stroke Registry II. Insurance status was categorised as Urban Basic Medical Insurance Scheme (UBMIS), New Rural Cooperative Medical Scheme (NRCMS) and self-payment. The relationship between insurance status and 1-year outcomes, including all-cause death, stroke recurrence and disability, was analysed using the shared frailty model in the Cox model or generalised estimating equation with consideration of the hospital’s cluster effect.ResultsAbout 50% of patients were covered by UBMIS, 41.2% by NRCMS and 8.9% by self-payment. Compared with patients covered by UBMIS, patients covered by NRCMS had a significantly higher risk of all-cause death (9.7% vs 8.6%, adjusted HR: 1.32 (95% CI 1.17 to 1.48), p<0.001), stroke recurrence (7.2% vs 6.5%, adjusted HR: 1.12 (95% CI 1.11 to 1.37), p<0.001) and disability (32.0% vs 26.3%, adjusted OR: 1.29 (95% CI 1.21 to 1.39), p<0.001). Compared with patients covered by UBMIS, self-payment patients had a similar risk of death and stroke recurrence but a higher risk of disability.ConclusionsPatients with stroke and TIA demonstrated differences in 1-year mortality, stroke recurrence and disability between urban and rural insurance groups in China.
Effect of skin-to-skin contact on parents’ sleep quality, mood, parent-infant interaction and cortisol concentrations in neonatal care units: study protocol of a randomised controlled trial
Authors: Angelhoff Charlotte , Blomqvist Ylva Thernström , Sahlén Helmer Charlotte , Olsson Emma , Shorey Shefaly , Frostell Anneli , Mörelius Evalotte 
Published: August 2018

IntroductionSeparation after preterm birth is a major stressor for infants and parents. Skin-to-skin contact (SSC) is a method of care suitable to use in the neonatal intensive care unit (NICU) to minimise separation between parents and infants. Less separation leads to increased possibilities for parent-infant interaction, provided that the parents’ sleep quality is satisfactory. We aimed to evaluate the effect of continuous SSC on sleep quality and mood in parents of preterm infants born <33 weeks of gestation as well as the quality of parent-infant interaction and salivary cortisol concentrations at the time of discharge.Methods and analysisA randomised intervention study with two arms—intervention versus standard care. Data will be collected from 50 families. Eligible families will be randomly allocated to intervention or standard care when transferred from the intensive care room to the family-room in the NICU. The intervention consists of continuous SSC for four consecutive days and nights in the family-room. Data will be collected every day during the intervention and again at the time of discharge from the hospital. Outcome measures comprise activity tracker (Actigraph); validated self-rated questionnaires concerning sleep, mood and bonding; observed scorings of parental sensitivity and emotional availability and salivary cortisol. Data will be analysed with pairwise, repeated measures, Mann Whitney U-test will be used to compare groups and analysis of variance will be used to adjust for different hospitals and parents’ gender.Ethics and disseminationThe study is approved by the Regional Research Ethics Board at an appropriate university (2016/89–31). The results will be published in scientific journals. We will also use conferences and social media to disseminate our findings.Trial registration numberNCT03004677.
Trends in avoidable mortality over the life course in Mexico, 1990–2015: a cross-sectional demographic analysis
Authors: Aburto José Manuel , Riffe Tim , Canudas-Romo Vladimir 
Published: August 2018

ObjectiveTo analyse average lifespan and quantify the effect of avoidable/amenable mortality on the difference between state-specific mortality and a low-mortality benchmark in Mexico during 1990–2015.DesignRetrospective cross-sectional demographic analysis using aggregated data.SettingVital statistics from the Mexican civil registration system.ParticipantsAggregated national data (from 91.2 million people in 1995 to 119.9 in 2015) grouped in 64 populations (32 Mexican states (including Mexico City) by sex) with cause-of-death data.Main outcome measuresCause-specific contributions to the gap in life expectancy with a low-mortality benchmark in three age groups (0–14, 15–49 and 50–84 years).ResultsInfants and children under the age of 15 years show improvements towards maximal survival in all states. However, adult males aged 15 to 49 years show deterioration after 2006 in almost every state due to increasing homicides, and a slow recovery thereafter. Out of 35 potential years, females and males live on average 34.57 (34.48 to 34.67) and 33.80 (33.34 to 34.27), respectively. Adults aged 50 to 84 years show an unexpected decrease in the low mortality benchmark, indicating nationwide deterioration among older adults. Females and males in this age group show an average survival of 28.59 (27.43 to 29.75) and 26.52 (25.33 to 27.73) out of 35 potential years, respectively. State gaps from the benchmark were mainly caused by ischaemic heart diseases, diabetes, cirrhosis and homicides. We find large health disparities between states, particularly for the adult population after 2005.ConclusionsMexico has succeeded in reducing mortality and between-state inequalities in children. However, adults are becoming vulnerable as they have not been able to reduce the burden of violence and conditions amenable to health services and behaviours, such as diabetes, ischaemic heart diseases and cirrhosis. These trends have led to large health disparities between Mexican states in the last 25 years.
Third-wave cognitive behaviour therapies for weight management: systematic review and network meta-analysis protocol
Authors: Lawlor Emma R , Islam Nazrul , Griffin Simon J , Hill Andrew J , Hughes Carly A , Ahern Amy L 
Published: August 2018

IntroductionBehavioural and cognitive behavioural programmes are commonly used to assist with weight management, but there is considerable scope to improve their effectiveness, particularly in the longer term. Third-wave cognitive behaviour therapies (CBTs) have this potential and are increasingly used. This systematic review will assess the effect of third-wave CBTs for weight management on weight, psychological and physical health outcomes in adults with overweight or obesity.Methods and analysisThe systematic review will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidance. We will include studies of any third-wave CBTs focusing on weight loss or weight maintenance for adults with a body mass index (BMI) ≥25kg/m2. Eligible study designs will be randomised control trials, non-randomised trials, prospective cohort and case series. Outcomes of interest will be body weight/BMI, psychological and physical health, and adherence. We will search the following databases from inception to 16 January 2018: MEDLINE, CINAHL, Embase, Cochrane database (CENTRAL), PsycINFO, AMED, ASSIA and Web of Science. The search strategy will be based on the concepts: (1) third-wave CBTs and (2) overweight, obesity or weight management. No restrictions will be applied. We will search reference lists of relevant reviews and included articles. Two independent reviewers will screen articles for eligibility using a two-stage process. Two independent reviewers will extract data, assess risk of bias using Risk of Bias 2.0, Risk of Bias in Non-randomised studies of Interventions or Risk of Bias in Non-randomised Studies of Exposures checklist and assess quality using the Grading of Recommendations Assessment, Development and Evaluation tool. A random-effects network meta-analysis of outcomes, and sub-group analyses and meta-regression will be conducted, where data permit. If not appropriate, a narrative synthesis will be undertaken.Ethics and disseminationEthical approval is not required as no primary data will be collected. The completed systematic review will be disseminated in a peer-reviewed journal, presented at conferences and used to inform the development of a weight management programme.PROSPERO registration numberCRD42018088255.