bluuebunny/crossref_metadata_2025_split huggingface dataset:
“My Family Wants Something Different”: Discordance in Perceived Personal and Family Treatment Preference and Its Association With Do-Not-Resuscitate Order Placement
Authors: George Login S. , Breitbart William , Prigerson Holly G. 
Published: September 2019

PURPOSE: Patients make treatment decisions based not only on what they want, but what they think their families want. Discordance in such perceived preferences may therefore pose challenges for advance care planning. This study examines discordance in preference for life-extending care versus comfort-focused care and its association with do-not-resuscitate (DNR) order placement. METHODS: One hundred eighty-nine patients with advanced cancers refractory to at least one chemotherapy regimen were enrolled in a multisite observational study. In structured interviews, patients reported their preference for treatment maximizing either life extension or comfort; patients also indicated their perception of their families’ preference. DNR placement was reported by patients and verified using medical records. RESULTS: Approximately 23% of patients (n = 43) perceived discordance between their preference and their families’ preference. Patients who perceived discordance were less likely to have completed a DNR compared with those who perceived concordance, even after controlling for relevant confounds (odds ratio = .35; P = .02). Subgroups of discordance and concordance showed varying DNR placement rates (χ2, 19.95; P < .001). DNR placement rate was lowest among discordant subgroups, where there was either a personal (26.7%; four of 15) or family preference for comfort care (28.6%; eight of 28), followed by patients who perceived concordance for wanting life-extending care (34.5%; 29 of 84) and by patients who perceived concordance in wanting comfort-focused care (66.1%; 41 of 62). CONCLUSION: Many patients may perceive discordance between personal and family treatment preferences, posing impediments to advance care planning. Such patients may benefit from additional decision support.
The Content Analysis of Bisphenol A (BPA) on Water in Plastic Glass with Varying Temperatures and Contact Times using UV-VIS Spectrophotometer
Authors: Nugroho Bayu , Pramudya Yudhiakto , Widodo Widodo 
Published: September 2019

This study aims to analyze the content of Bisphenol A (BPA) on various temperatureandcontact timesbetween the plastic bag and water. For analysis of BPA, a sample made with variations of temperature (± 70°C, ± 80°C, ± 90°C) and contacttime(5 minutes, 10 minutes, 15 minutes) usingnine samples. To determine the concentration of BPA, Lambert-Beer law was employed.According to the analysis of data, the content of BPA on the temperature variation showed that the higher the temperature of the sample, the higher the content of Bisphenol A in the sample. The content of BPA with a variation of contact times stated that with the longer contact time, the higher the content of BPA.
Health economics for treatment of diabetic foot ulcers: a cost-effectiveness analysis of eight skin substitutes
Authors: Samsell Brian , McLean Julie , Cazzell Shawn , Dorsch Kimberly , Moyer Peter M. , Moore Mark 
Published: September 2019

Aim: Skin substitutes are frequently used to treat chronic diabetic foot ulcers (DFU), and many different options are available. While the clinical efficacy of many products has been evaluated, a comprehensive cost-effectiveness analysis comparing the most popular skin substitutes and using the most recent cost data has been lacking. Methods: This study compared eight skin substitutes using published efficacy rates combined with the Centers for Medicare and Medicaid Services (CMS) 2018 cost data. The study criteria resulted in the inclusion of seven studies that described efficacy rates for treatment of DFUs using the skin substitutes. Results: The results revealed wide discrepancies between these skin substitutes for the costs of treatments and healing rates in hospital outpatient departments and physician office settings. Healing rates for 12 and 16 weeks ranged from 28% to 68%, while the average cost for treating one DFU varied from $2001 to $14,507 and $1207 to $8791 in the hospital outpatient department and physician's office setting, respectively. The estimated patient share of costs for treating a single DFU ranged from $400 to $2901 and $241 to $1758 in the hospital outpatient department and physician's office setting, respectively. Most importantly, the estimated number of wounds healed out of 100 DFUs per $1000 expenditure with each patient ranged from 3.9–26.5 DFUs in the hospital outpatient department, and 4.3–36.4 DFUs in the physicians' office setting. Conclusions: This study revealed that the costs of a skin substitute itself did not necessarily correlate with its healing efficacy. These results provide a comprehensive cost-effectiveness analysis to enable integrated health-care systems, health professionals and reimbursement payers to make informed value decisions when treating DFUs.
Fluorescence imaging guided dressing change frequency during negative pressure wound therapy: a case series
Authors: Raizman Rose 
Published: September 2019

Objective: Knowledge of wound bioburden can guide selection of therapies, for example, the use of negative pressure wound therapy (NPWT) devices with instillation in a heavily contaminated wound. Wound and periwound bacteria can be visualised in real-time using a novel, non-contact, handheld fluorescence imaging device that emits a safe violet light. This device was used to monitor bacterial burden in patients undergoing NPWT. Methods: Diverse wounds undergoing NPWT were imaged for bacterial (red or cyan) fluorescence as part of routine wound assessments. Results: We assessed 11 wounds undergoing NPWT. Bacterial fluorescence was detected under sealed, optically-transparent (routine) adhesive before dressing changes, on foam dressings, within the wound bed, and on periwound tissues. Bacterial visualisation in real-time helped to guide: (1) bioburden-based, personalised treatment regimens, (2) clinician selection of NPWT, with or without instillation of wound cleansers, and (3) the extent and location of wound cleaning during dressing changes. The ability to visualise bacteria before removal of dressings led to expedited dressing changes when heavy bioburden was detected and postponement of dressing changes for 24 hours when red fluorescence was not observed, avoiding unnecessary disturbance of the wound bed. Conclusion: Fluorescence imaging of bacteria prompted and helped guide the timing of dressing changes, the extent of wound cleaning, and selection of the appropriate and most cost-effective NPWT (standard versus instillation). These results highlight the capability of bacterial fluorescence imaging to provide invaluable real-time information on a wound's bioburden, contributing to clinician treatment decisions in cases where bacterial contamination could impede wound healing.
Oxygen titration therapy and hypercapnia risk in COPD
Authors: Harding Cecily , Hart Lindsay 
Published: September 2019

Background: Estimated to be the third leading cause of death in the UK by 2030, chronic obstructive pulmonary disease (COPD) is a common presenting complaint requiring an emergency ambulance. It is recognised that patients with COPD are at high risk of developing hypercapnia with the main theory of causality being high-flow oxygen therapy. Therefore, current guidelines recommend titrating oxygen therapy to maintain oxygen saturation percentage (SpO2) of 88–92% to reduce this risk. Aim: The aim of this review is to analyse literature concerning oxygen therapy in patients with COPD and their potential risk of hypercapnia. Methods: Extensive literature searches with strict parameters were carried out in electronic databases. After filtration of results, eight core articles were selected for analysis, from which three themes were identified as particular topics of interest. Findings: Critical analysis of the core articles confirmed the increased risk of hypercapnia in patients with COPD, but it is unclear if the cause is high-flow oxygen therapy, rate of alveolar ventilation or a specific COPD phenotype. Conclusion: Methods of reducing hypercapnia are limited in the prehospital setting with the only method transferable to paramedic practice being air nebulisation. Clinical compliance with study protocols and current national guidelines is low, both in prehospital and in-hospital environments.
Opportunities and challenges in preserving and revitalizing the Tibetan oral literature Shépa in Chone
Authors: Tso Bendi 
Published: September 2019

This article explores the ongoing Shépa preservation and revitalization in Chone County of Kanlho Tibetan Autonomous Prefecture, China. Shépa is an expansive collection of Tibetan cultural wisdom composed as oral poetry and performed in antiphonal style in Chone. It captures the most salient aspects of Chone Tibetan cultural identity and linguistic practices. Yet, along with the erosion of the Chone Tibetan language, the inter-generational transmission of Shépa has been seriously interrupted. Given this picture, since 2016, various efforts have been made by the stakeholders (local community members, Shépa narrators, language and cultural activists, and Chone County Government) to preserve and revitalize Shépa. These efforts include but are not limited to the transcription and teaching of Shépa through Chinese, the establishment of Chone Shépa Cultural Association in 2017, the government-funded Shépa performance both within and outside Chone County and so forth.
Through using qualitative research methods, including participant observation and semi-structured interviews with all stakeholders, this article first documents the processes of how Chone Tibetans reclaim and revitalize their oral tradition, Shépa. It also examines the tensions derived from the processes and explores how local communities negotiate and manage these challenges. The research results will contribute to the conversation on the importance and complexities of oral tradition preservation in Indigenous communities in Tibet and beyond.
Book Reviews
Authors: Ue Tom , Naidu Vayu 
Published: September 2019

A Bond Undone: Legends of the Condor Heroes II, Jin Yong (trans. Gigi Chang) (2019) London: MacLehose Press-Quercus Publishing Ltd, 528 pp., ISBN 978-0-85705-461-6, p/bk, £14.99
Chinatown Days, Rita Chowdhury (2018) New Delhi: Pan Macmillan Publishing India, 396 pp., ISBN 978-9-38621-523-9, h/bk, INR:599
Signwriting: Ornament as visual language – communicative decoration
Authors: Goodwin Amy 
Published: September 2019

This article argues for the use of decorative signwriting as both ornamental and communicative. This examination will be twofold: first, a series of images of twentieth century signwriting in the fairground industry will be offered to this argument: all signwriting is purposefully applied, as decoration, in order to communicate, but unpicking the visual styles will unveil the hidden meanings, expanding the communicative intentions. Secondly, works of signwriting produced and installed as an archive as illustrated space will be dissected to expand on the argument being made. The archive as illustrated space is a framework being theoretically structured and then applied in practice within my Ph.D. enquiry. It advances the theories and workings of both the archive and artistic archive: the space facilitates the collation of dubious and disputed narratives, alongside archival fragments: told through communicative signwriting, it demands the participation of the viewer in its installation. Using the methodology of this practice-led research will contribute to confirming how the application of a visual language to signwriting enables the production of works that are both ornamental and communicative.
This argument has been formed, primarily, due to my informed fairground position: embedded within fairground heritage my upbringing has established an appreciation for its rich history, which is reflected in my practice, which blends traditional signwriting and illustrative storytelling. This informed fairground position, combined with my Ph.D. enquiry, enriches the analysis and understanding of the practice-led research within the realm of this article: offering a valuable opportunity to not only comment on the historical works presented, but also to showcase an exploration of how to apply this visual production to contemporary, installation situations.
Progressive Education – Didactic Challenges/Progresivno obrazovanje – izazovi didaktici
Authors: Kovačević Sonja 
Published: September 2019

AbstractEver since they were established, schools and the teaching they entail have always been burdened by their progressive role. Progressive reformers were preoccupied with a pedagogical interpretation of the Paedocentric concept of education and the teaching methodology and methodological operationalization of the so-called child-centred method. The premise of pedagogical Progressivism was that education is based on the fact that the best way for people, as social beings, to learn and acquire knowledge is by engaging in real life activities. Processes of acquiring new knowledge occur with increasing frequency outside the formerly known didactic organizational scheme. If schools do not adapt quickly, they are bound to lose this race. Does progress, in the sense of teaching improvement, presume innovations in the educational technology, the teaching organization, or would progress in pedagogy mean something completely different today? As soon as we pose the question of quality, we raise questions of not only organization of the educational process but also the meaning and manner of learning and teaching in the era in which everything is relative, when all values fluctuate and everything becomes mutable and impermanent because of the influence of technology, media and virtual reality.Key words: didactics; organisational models; progressive education; teaching.---Sažetak Od nastanka škole i postojanja nastave u njoj postoji svojevrsno opterećenje o njezinoj progresivnoj ulozi. Progresivistički su reformatori bili zaokupljeni pedagoškom interpretacijom pedocentrističke koncepcije obrazovanja i metodološke i metodičke operacionalizacije tzv. metode usmjerene na dijete. Pedagoški progresivizam polazio je od toga da se obrazovanje temelji na činjenici da ljudi kao društvena bića najbolje uče i usvajaju znanja stvarnim životnim aktivnostima. Procesi usvajanja novih znanja sve češće se događaju upravo izvan do sada poznate didaktičke organizacijske sheme i ako ne pristane na brzo prilagođavanje, škola će izgubiti tu utrku. Podrazumijeva li napreadk u smislu unapređenja nastave novine u nastavno-obrazovnoj tehnologiji ili u nastavnoj organizaciji, ili je progres u pedagogiji danas nešto potpuno drugo? U trenutku kada postavimo pitanje kvalitete, otvorili smo pitanja ne samo organizacije nastavnog procesa već i smisla i načina učenja i poučavanja u eri u kojoj sve vrijednosti variraju i zbog utjecaja tehnologije, medija i virtualnosti sve postaje promjenjivo i nestalno. Ključne riječi: didaktika; nastava; organizacijski modeli; progresivno obrazovanje.
Reducing compulsive Internet use and anxiety symptoms via two brief interventions: A comparison between mindfulness and gradual muscle relaxation
Authors: Quinones Cristina , Griffiths Mark D. 
Published: September 2019

Background
Compulsive Internet use (CIU) refers to those individuals who experience a loss of control regarding their online use. Although suffered by a minority, a much larger proportion of adults report to be experiencing early signs of CIU, which can become more problematic if sustained over time, especially when used as a coping mechanism for stress. Since compulsive behaviors are characterized by executing behaviors on “automatic pilot,” mindfulness techniques, which help individuals relate more consciously with their environment, could help develop a more adaptive relationship with technology. However, mindfulness interventions are often lengthy hence not ideal for busy individuals with early signs of CIU.

Aims
This study tested the effectiveness of a brief mindfulness intervention (10 min a day for 2 weeks) to reduce CIU and anxiety and depression symptoms, in relation to an equivalent length classic arousal descending technique (i.e., gradual-muscle-relaxation), and a wait-list control group.

Methods
A randomized controlled trial (RCT) was used with assessments at pre- and post-phases. Participants showing initial signs of CIU were allocated to a mindfulness-group (n = 343), gradual-relaxation (n = 301), or a wait-list control group (n = 350).

Results
The mindfulness and gradual-muscle-relaxation participants were equally effective in reducing anxiety and depression. The mindfulness intervention was more effective reducing CIU symptoms.

Discussion
Given the large sample sizes of this RCT, these results are promising, although follow-up studies are needed. Considering health hazards of the “always-on-culture” and the popularity of bite-sized learning, the effectiveness of easy-to fit-in daily life health practices is a positive development.
Comparative analysis of functional mobility among Hungarian community-living and institutionalized elderly individuals
Authors: Kovács É , Sztruhár I Jónásné , Mészáros L , Gyombolai ZS , Simon A , Farkas V 
Published: September 2019

Purpose
Reduced functional mobility is a risk factor for falls. The Timed Up and Go test is a complex measurement tool for functional mobility. Our aims were to assess the functional mobility of: (a) community-living elderly who were participating in an exercise programme (n = 40; mean age = 73.7 years), (b) community-living elderly who were physically inactive (n = 40; mean age = 74.1 years), and (c) institutionalized elderly (n = 40; mean age = 73.5 years) and to compare the results with cut-off values for risk of fall.

Materials and methods
After measuring functional mobility, one-way independent ANOVAs and sample t-tests were used for analysis.

Results
The functional mobility of the active participants was better than that of the inactive (p < .001) and institutionalized participants (p < .001). There was no significant difference between the inactive and institutionalized participants (p = .990). The functional mobility of the active participants was better, whereas the functional mobility of the inactive participants was worse than the cut-off value of 13.5 s for risk of fall for community-living elderly. The functional mobility of the institutionalized participants did not differ from the 15-s reference value for predicting risk of fall.

Conclusion
The results indicate that regular physical activity has a positive effect on maintaining functional mobility among both community-living and institutionalized elderly individuals.
La agricultura familiar y la economía solidaria: avance de investigación
Authors: Torrente-Castro Willian , Martínez Jarrison 
Published: September 2019

Este artículo presenta los resultados de la investigación enmarcada en la celebración del Año Internacional de la Agricultura Familiar 2014, para el caso específico de la Asociación de Mujeres Cafeteras del municipio de La Plata, Huila. Se visibilizan los múltiples aportes de la agricultura familiar en Colombia, así como se resaltan sus potencialidades para hacer frente a los retos de la agricultura y la alimentación en el país, que se potencializan cuando son tratados a través de una organización social y solidaria. La investigación permite evidenciar cómo en los sistemas de finca en los que se desarrolla la agricultura familiar se cumple con las siguientes características: tenencia lícita de la tierra; contratación de manode obra en épocas de cosecha (de resto se utiliza la mano de obra familiar); el sistema de producción mezcla el tradicional con el innovador o técnico; existe preocupación por la conservación de los suelos y del medio ambiente; tienen un producto comercial como eje económico, y desarrollan a la par otros sistemas productivos destinados al autoconsumo o al mercado; la multifuncionalidad los hace requerir de varias fuentes de recursos a la vez, entre otras. Asimismo, cuando se identifican necesidades comunes y existe compromiso por su satisfacción, se genera conciencia de que la agricultura familiar es una gran riqueza para los hogares. Sin embargo, se hace más visible el trabajo cuando se contribuye al desarrollo de cada una de las familias y comunidades a través de la asociatividad social y solidaria.
Estimation of the Orientations of the S‐net Cabled Ocean‐Bottom Sensors
Authors: Takagi Ryota , Uchida Naoki , Nakayama Takashi , Azuma Ryosuke , Ishigami Akira , Okada Tomomi , Nakamura Takeshi , Shiomi Katsuhiko 
Published: September 2019

ABSTRACT
The Seafloor Observation Network for Earthquakes and Tsunamis along the Japan Trench (S‐net) is a novel cabled ocean‐bottom station network covering a broad offshore region east of northeastern Japan. To best use the S‐net data, we estimated sensor orientations of all 150 S‐net stations, because without this information the orientations of measurements in geodetical coordinates cannot be specified. We determined three parameters of the sensor orientation at each station: the tilt angle of the long axis of the cable, the rotation angle around the long axis, and the azimuth of the long axis. We estimated the tilt and rotation angles by using the direct current components of accelerometers recording the gravitational acceleration. The tilt and rotation angles slightly varied within the range of 0.001°–0.1° for most stations during the period from 2016 to 2018 except for coseismic steps of rotation angles greater than 1° because of the 20 August 2016 Mw 6.0 off Sanriku and 20 November 2016 Mw 6.9 off Fukushima earthquakes. The long‐axis azimuths were estimated by the particle motions of long‐period Rayleigh waves. We used the accelerometer records in 0.01–0.03 Hz of 7–14 teleseismic earthquakes with Mw 7.0–8.2. The azimuths were constrained with 95% confidence intervals of ±3°–12°. After correcting original waveforms based on the estimated sensor orientation, we confirmed coherent waveforms within the whole S‐net stations and separation of Rayleigh and Love waves in radial and transverse components. The waveforms were also coherent with those of on‐land broadband stations. We provide the estimated sensor orientations and rotation matrix for conversion from the XYZ to east, north, and up components. The estimated orientation can be a fundamental resource for further seismic and geodetic explorations based on S‐net data.