bluuebunny/crossref_metadata_2025_split huggingface dataset:
Identification of extended spectrum beta lactamases, AmpC and carbapenemase production among isolates of Escherichia coli in North Indian tertiary care centre
Authors: Chaudhary Uma , Agarwal Shipra , Raghuraman Kausalya 
Published: April 2018

Abstract
Introduction: Identification of Extended spectrum beta lactamases (ESBL), AmpC production and carbapenemase production among isolates of Escherichia coli, helps clinician to rationalize the choice of antibiotics. However, there is a lack of simple and effective method for simultaneous identification of these beta lactamases.Aim: To determine the concurrent production of beta lactamases using twelve disc method on E. coli isolates.Materials and Methods: A total of 200 multidrug resistant E. coli were screened using twelve disc method. The isolates of ESBL were confirmed by ceftazidime/clavulanic acid and cefotaxime/clavulanic acid method. Metallo-beta-lactamases (MBL) were confirmed by imipenem EDTA combined disc method.Results: Among the 200 isolates, 42.5% were ESBL producers, 9% were MBL and 6.5% were Klebsiella pneumoniae carbapenemase (KPC) and AmpC each respectively. Coproduction was seen in 54 (27%). A significant difference in sensitivity was seen in cefuroxime, aztreonam, cefoxitin and ceftriaxone among inpatient and outpatients.Conclusion: The present study highlights burden of ESBL, AmpC, KPC and MBL along with their coproduction in a tertiary care hospital. In-house antibiotic policy, infection control and epidemiological surveys will help us in controlling these resistant bugs. We believe, the twelve disc method is a simple, inexpensive screening method for beta lactamase production.
Visual versus fully automated assessment of left ventricular ejection fraction
Authors: Abazid Rami Mahmood , Abohamr Samah I , Smettei Osama A , Qasem Mohammed S , Suresh Annie R , Al Harb Mohammad F , Aljaber Abdulrahman N , Al Motairy Athary A , Albiela Diana E , Almutairi Bashayer Muhil , Sakr Haitham 
Published: April 2018

Abstract
Introduction: The aim of this study is to compare three different echocardiographic methods commonly used in the assessment of left ventricle (LV) ejection fraction (EF). Methods: All patients underwent full echocardiography including LVEF assessed using M-mode, automated EF (Auto-EF), and visual estimation by two readers. Results: We enrolled 268 patients. Auto-EF measurement was feasible in 240 (89.5%) patients. The averaged LVEF was (52% ± 12) with the visual assessment, (51% ± 11) with Auto-EF and (57% ± 13) with M-mode. Using Bland-Altman analysis, we found that the difference between the mean visual and the Auto-EF was not significant (−0.3% [−0.5803–0.0053], P = 0.054). However, the mean EF was significantly different when comparing visual versus M-mode and Auto-EF versus M-mode with the mean differences: (−2.4365 [−2.9946–−1.8783], P < 0.0001) and (−2.1490 [−2.7348–−1.5631], P < 0.0001) respectively. Inter-observer variability analysis of the visual EF assessment between the two readers showed that intraclass correlation coefficient was 0.953, (95% confidence interval: 0.939–0.965, P < 0.0001), with excellent correlation between the two readers: R = 0.911, P < 0.0001). Conclusion: The two-dimensional echocardiographic methods using Biplane Auto-EF or visual assessment were significantly comparable, whereas M-mode results in an overestimation of the LVEF.
Occupational Therapy and Primary Care: Updates and Trends
Authors: Halle Ashley D. , Mroz Tracy M. , Fogelberg Donald J. , Leland Natalie E. 
Published: April 2018

Abstract
As our health care system continues to change, so do the opportunities for occupational therapy. This article provides an update to a 2012 Health Policy Perspectives on this topic. We identify new initiatives and opportunities in primary care, explore common challenges to integrating occupational therapy in primary care environments, and highlight international works that can support our efforts. We conclude by discussing next steps for occupational therapy practitioners in order to continue to progress our efforts in primary care.
Estudo numérico da flambagem local na mesa em perfis de alma senoidal submetidos à compressão axial [Numerical study of the flange local buckling in sinusoidal web profiles under compressive strength]
Authors: Guimarães Alves Melina Guimarães , Carlos Rodrigues Francisco , Hallal Fakury Ricardo , Lydia Reis de Castro e Silva Ana 
Published: April 2018

Este trabalho avaliou o desempenho relativo de perfis de alma senoidal quando comparados aos perfis de alma plana através do estudo numérico da flambagem local em mesas (FLM) de barras submetidas à compressão axial. Para a realização deste estudo foram discretizados dois modelos via Método dos Elementos Finitos (MEF) com o emprego do programa ABAQUS®. A metodologia numérica baseou-se em realizar análise de carga crítica de flambagem local, mantendo-se fixo os valores de largura de mesas, espessura e altura de alma para cada perfil e alterar gradativamente a espessura das mesas, sendo possível atingir vários resultados de tensão crítica para cada esbeltez, definindo-se a curva tensão versus esbeltez da fase elástica. A partir dos resultados numéricos obtidos foi possível realizar a parametrização analítica com as prescrições da norma ABNT NBR 8800:2008 e fazer uma proposição de metodologia de cálculo para os parâmetros de esbeltez das mesas. Posteriormente, realizaram-se comparativos entre o desempenho dos perfis de alma senoidal e o dos perfis de alma plana. Os resultados numéricos mostraram que o desempenho de um perfil de alma senoidal pode ser até 8% mais eficiente que o dos perfis de alma plana, no que tange a possibilidade de colapso do perfil sem a ocorrência de FLM quando submetidos à compressão axial.
Abstract
This work evaluated the relative performance of sinusoidal web profiles through the numerical study of flange local buckling (FLB) for simple bars under compressive strength, when compared to flat web profiles. For this study, two models were discretized using the Finite Element Method (FEM) through the ABAQUS® program. The numerical methodology was based on Buckle analysis, maintaining the values of table width, web thickness and web height for each profile and gradually changing the thickness of the flanges, this way was possible to reach several results of critical tension for each slenderness, being defined the curve of the elastic phase. From the numerical results obtained it was possible to perform the analytical parameterization with the norm ABNT NBR8800:2008 and to make a proposition of calculation for the parameters of slenderness that limit each buckling modes of the flanges. Considering these results, comparisons were made between the performance of the sinusoidal web profiles and those from the flat web profiles. The numerical results showed that the performance of a sinusoidal web profile can be up to 8% more efficient than flat soul profiles, regarding the possibility of collapse of the structure without the occurrence of FLB when subjected under compressive strength.
Análise matemática para diagnóstico do grau de implementação da construção enxuta [Mathematical analysis for the diagnosis of the Lean Construction implementation stage]
Authors: Gondim do Amaral Tatiana , Guimarães Oka Letícia , Augusto Bouhid de Camargo Filho Carlos 
Published: April 2018

A Lean Construction é uma filosofia que vem crescendo nos diversos meios de construção do Brasil e do mundo. Apesar de a maioria das empresas construtoras ainda estarem em processo inicial de implementação dessas práticas e ferramentas, é fundamental que sejam elaborados mecanismos eficazes na avaliação desse processo, como é o caso do Lean Construction Assessment Tool (LCAT). Esse método de avaliação é utilizado nesse trabalho para avaliar o grau de implementação enxuta em seis empresas construtoras em Goiânia. A partir dos dados obtidos, foi realizado o cálculo do grau de implementação Lean utilizando médias aritméticas, médias ponderadas por especialistas e médias baseadas no Sistema de Inferência Fuzzy. O trabalho tem como objetivo principal analisar os resultados advindos do diagnóstico Lean da aplicação da ferramenta, avaliando as potencialidades de cada média utilizada. Busca-se ainda avaliar o processo de gestão da produção das empresas pesquisadas, destacando falhas no sistema e como esse poderia ser melhorado. As médias obtidas apresentaram pequenas variações, como rapidez de obtenção, interferência de outras variáveis no processo e análise de especialistas, sendo possível concluir sobre as diferentes potencialidades no emprego de cada uma. A partir desse estudo foi possível estabelecer um diagnóstico a partir da interação entre meio acadêmica e ambiente profissional.
Abstract
The Lean Construction is a filosofy which is growing in the diverse communication’s means in Brazil and around the world. Although most of the construction companies are in the initial stage of these practices and tools implementation, the development of efficient mechanisms to evaluate this process is vital, such as the Lean Construction Assessment Tool (LCAT). This evaluation method is utilized in this research to evaluate the lean implementation stage in six construction companies in Goiânia. From the obtained data, the lean implementation stage was calculated using arithmetic averages, weighted averages and averages based in the Fuzzy Inference System. This work has as main goal to analyze the results from the Lean Diagnosis obtained using the tool and evaluate the potentialities that each average owns. It’s also a goal to evaluate the management process in the studied companies, highlighting failures in the system and how they can be improved. The averages obtained present small variations, such as speed of procurement, other variables interferences and the specialists’ analysis, being possible to conclude about different potentialities in each’s use. From this study, it was possible to establish a diagnosis based in the interaction between the academic and professional environment.
Nuestro Teatro Clásico Sin Fronteras:PostmodernComediaPerformance and the Globalization of Cultural Patrimony
Authors: Bayliss Robert 
Published: April 2018

AbstractAlthough comedia performance in Spain is inherently tied to notions of cultural patrimony (and thus implicitly tied to notions of an authentic Spanish classical culture), this article highlights the many ways in which such claims to cultural autochthony rub against the realities of today’s globalized theatrical landscape. This tension involves the long history of nationalistic uses of the comedia dating back to the tradition’s early modern origins as well as the mid-twentieth-century ontological shift generally associated with postmodernism, especially in terms of the privilege given to recycling and simulacra. As globalization accelerated and Spain transitioned to democracy, the use of comedia performance to rearticulate Spanish identity (as practiced by the Compañía Nacional de Teatro Clásico and the Festival de Almagro) demonstrates, through its ever-increasing linkages to foreign cultures, just how elusive any fixed notion of “Hispanidad” is. This article argues for the mutually illuminating dialogue occurring in current comedia performance studies between studies dedicated to the intercultural exchanges inherent in productions outside of Spain and studies dedicated to the nationalistic implications of performing the comedia in Spain as a form of cultural patrimony.
The Sensuality of Possession: Cañizares’sMarta la Romarantina
Authors: De García Susan Paun 
Published: April 2018

AbstractMarta la Romarantina, a comedia de magia (magic play) by the eighteenth century playwright José de Cañizares, engages popular beliefs in demonic possession. The play centers on the internal conflicts of the protagonist, based on a historical figure. However, the playwright goes beyond a historical depiction, taking advantage of the comedia de magia’s innate emphasis on visual and aural elements to suggest the sensual possibilities of possession, real or imagined. This discussion of the play focuses on the manifestation of possession, its performance in theatrical and psychological contexts, and its relation and similarity to hysteria.
Pericles and the Sultan’s Queen:Performing the Mediterranean World of Shakespeare and Cervantes
Authors: Ortiz Lottman Maryrica , Reynolds James 
Published: April 2018

AbstractJames Reynolds (Kingston University, UK) and Maryrica Ortiz Lottman (UNC Charlotte, USA) collaborated on an innovative theatrical production and summer study abroad program. They developed and staged a student production that paired a new, hour-long abridgment of Shakespeare’s Pericles with an original, hour-long adaptation of Cervantes’s La gran sultana (which they called The Sultan’s Queen). The authors juxtaposed the plays to highlight Shakespeare’s and Cervantes’s shared roots and interests, especially in their depictions of the early modern Mediterranean world. Both plays depict not only the conflicts and perils of cross-cultural travels but also the fertile promise of those experiences, and both demonstrate the transnational character of early modern theater. The project required international and cross-disciplinary collaboration at every level and appealed to a variety of academic and performance disciplines.
Approaches to Adaptation in Performance: Merging Characters in Tirso de Molina’sJealous of Herself
Authors: Grunnah Sarah 
Published: April 2018

AbstractGiven their distance from modern audiences, comedias sometimes demand—to varying degrees—adaptation. This is especially true when the plays are moved not only from page to stage, but from Spanish to English. In recent scholarship, there have been many studies that justify adaptive approaches to both translating and staging the comedia, yet the debate has remained largely centered on issues of language and the individual expression of characters. Meaning-making and the reception of plays on the stage, though, are not limited to characters’ dialogue, because performance is made up of more than just text. Through an exploration of the potential role of the translator in the constructive (rather than interpretive) nature of theater, this article articulates a theoretical justification for not only linguistic but also dramaturgical and structural adaptive strategies when translating comedias. It furthermore explores this theory in practice, documenting the discoveries made when two characters are merged into one in the English-language world premiere of Tirso de Molina’s La celosa de sí misma (Jealous of Herself) in performance at the University of Oxford in November 2016.
Citoyen·ne·s, mais pas encore adultes ? Les injonctions à la responsabilité et à la citoyenneté dans les rituels d’accession à la majorité en Suisse
Authors: Felder Maxime , Ossipow Laurence , Csupor Isabelle 
Published: April 2018

Les communes suisses organisent un rituel pour célébrer l’accession à la majorité civile et civique de leurs résident·e·s qui atteignent l’âge de dix-huit ans. Dans les six communes que nous avons étudiées, les autorités invitent les jeunes à participer à une séance du conseil communal, les convient à un repas ou un apéritif, ou leur organisent une soirée de témoignages, de spectacle ou encore de jeux en plein air. Ces événements font place à des discours dans lesquels des représentant·e·s des autorités enjoignent les jeunes à être de « bonnes » et « bons » citoyens. Si l’appel au vote est toujours le leitmotiv, les discours se centrent aussi sur des définitions plus larges de la citoyenneté, insistant tantôt sur l’engagement associatif et local, tantôt sur la nécessité d’agir pour l’écologie ou contre les inégalités. Le croisement de ces analyses avec celles des entretiens menés avec de jeunes participant·e·s fait émerger des tensions. En effet, les autorités s’adressent à des jeunes qu’elles ne considèrent pas tout à fait comme des adultes (et qui ne se considèrent pas non plus comme tel·le·s), qui sont pour certain·e·s déjà engagé·e·s dans ces formes de citoyenneté vernaculaire, et qui s’apprêtent à quitter leur commune pour étudier ou voyager. Ces promotions citoyennes permettent ainsi de mettre en scène l’intérêt des élu·e·s pour les jeunes, considéré·e·s comme des citoyen·ne·s en apprentissage dont dépend le renouvellement de la démocratie.
Increased Winter‐Mean Wave Height, Variability, and Periodicity in the Northeast Atlantic Over 1949–2017
Authors: Castelle Bruno , Dodet Guillaume , Masselink Gerhard , Scott Tim 
Published: April 2018

AbstractA 69‐year (1948–2017) numerical weather and wave hindcast is used to investigate the interannual variability and trend of winter wave height along the west coast of Europe. Results show that the winter‐mean wave height, variability, and periodicity all increased significantly in the northeast Atlantic over the last seven decades which primarily correlate with changes in the climate indices North Atlantic Oscillation (NAO) and West Europe Pressure Anomaly (WEPA) affecting atmospheric circulation in the North Atlantic. NAO and WEPA primarily explain the increase in winter‐mean wave height and periodicity, respectively, while both WEPA and NAO explain the increase in interannual variability. This increase in trend, variability, and periodicity resulted in more frequent high‐energy winters with high NAO and/or WEPA over the last decades. The ability of climate models to predict the winter NAO and WEPA indices a few months ahead will be crucial to anticipate coastal hazards in this region.
The Detached Auroras Induced by the Solar Wind Pressure Enhancement in Both Hemispheres From Imaging and In Situ Particle Observations
Authors: Zhou Su , Luan Xiaoli , Søraas Finn , Østgaard Nikolai , Raita Tero 
Published: April 2018

AbstractThis paper presents simultaneous detached proton auroras that appeared in both hemispheres at 11:06 UT, 08 March 2012, just 2 min after a sudden solar wind pressure enhancement (~11:04 UT) hit the Earth. They were observed under northward interplanetary magnetic field Bz condition and during the recovery phase of a moderate geomagnetic storm. In the Northern Hemisphere, Defense Meteorological Satellite Program/Special Sensor Ultraviolet Spectrographic Imager observed that the detached arc occurred within 60°–65° magnetic latitude and covered a few magnetic local time (MLT) hours ranging from 0530 to 0830 MLT with a possible extension toward noon. At the same time (11:06 UT), Polar Orbiting Environment Satellites 19 detected a detached proton aurora around 1300 MLT in the Southern Hemisphere, centering ~62° magnetic latitude, which was at the same latitudes as the northern detached arc. This southern aurora was most probably a part of a dayside detached arc that was conjugate to the northern one. In situ particle observations indicated that the detached auroras were dominated by protons/ions with energies ranging from around 20 keV to several hundreds of keV, without obvious electron precipitations. These detached arcs persisted for less than 6 min, consistent with the impact from pressure enhancement and the observed electromagnetic ion cyclotron (EMIC) waves. It is suggested that the increasing solar wind pressure pushed the hot ions in the ring current closer to Earth where the steep gradient of cold plasma favored EMIC wave growth. By losing energy to EMIC waves the energetic protons (>20 keV) were scattered into the loss cone and produced the observed detached proton auroras.
Interplanetary Magnetic Field Bx Component Influence on Horizontal and Field‐Aligned Currents in the Ionosphere
Authors: Laundal K. M. , Reistad J. P. , Finlay C. C. , Østgaard N. , Tenfjord P. , Snekvik K. , Ohma A. 
Published: April 2018

AbstractStatistical analyses have shown that the sunward component of the interplanetary magnetic field, Bx (Geocentric Solar Magnetospheric), moderately but significantly affects the auroral intensity. These observations have been interpreted as signatures of a similar interplanetary magnetic field Bx control on Birkeland currents yet to be observed directly. Such a control, attributed to differences in magnetic tension on newly opened magnetic field lines, would lead to stronger region 1 (R1) Birkeland currents for Bx negative (positive) conditions in the Northern (Southern) Hemispheres than when Bx is positive (negative). In this paper we perform a detailed investigation of three different sets of magnetic field measurements, from the Challenging Minisatellite Payload and Swarm low Earth orbit satellites, from the Active Magnetosphere and Planetary Electrodynamics Response Experiment products derived from the Iridium satellite constellation, and from the SuperMAG ground magnetometer network, each analyzed using different techniques, to test these predictions. The results show that a change in sign of Bx changes the Birkeland currents by no more than ≈10%. The current patterns show little support for an interhemispheric asymmetry of the kind proposed to explain auroral observations. Instead, we propose an alternative interpretation, which is consistent with most of the auroral observations and with the current observations in the present paper, except for those based on Active Magnetosphere and Planetary Electrodynamics Response Experiment: The solar wind‐magnetosphere coupling is more efficient when the dipole tilt angle and Bx have the same sign than when they are different. We suggest that the higher coupling is because the dayside reconnection region is closer to the subsolar point when the dipole tilt angle and Bx have the same sign.
Spatially Varying Stress State in the Central U.S. From Bayesian Inversion of Focal Mechanism and In Situ Maximum Horizontal Stress Orientation Data
Authors: Carlson Grace , Johnson Kaj , Chuang Ray , Rupp John 
Published: April 2018

AbstractThe crustal stress state in the Midcontinent of the United States has been a focus of research for many years due to anomalously high rates of seismicity in the region. This interest is recently renewed because of ongoing wastewater injection and CO2 sequestration in the Illinois Basin and its potential to induce seismicity. When fluid is injected, pore pressure increases, decreasing effective normal stress and increasing the potential for faults optimally oriented with respect to the direction of maximum compressive stress to slip. In order to better manage this risk, we present a study on the spatial distribution of principal stress orientations in the Illinois Basin and surrounding region using focal mechanism solutions and in situ measured maximum horizontal stress orientation indicators from borehole breakout, core fracture, overcoring, hydraulic fracture, and strain gauge measurements. To invert these data for the deviatoric stress tensor, we extend the damped‐least stress inversion of Hardebeck and Michael (2006, https://doi:10.1029/2005JB004144) with the mixed linear/nonlinear Bayesian inversion scheme of Fukuda and Johnson (2010, https://doi:10.1111/j.1365‐246X.2010.04564.x). The stress inversion provides an objective means to estimate nonlinear parameters including the spatial smoothing parameter, unknown data uncertainties, and selection of focal mechanism nodal planes. Results indicate a systematic rotation of the maximum horizontal stress orientation (SHmax) across a 1,000‐km width of the Midcontinent. SHmax rotates from ~N60°E to ~E/W orientation across the southern Illinois Basin. The principal stress orientations are largely consistent with the observed pattern of strike‐slip faulting and reverse faulting near the New Madrid and Wabash Valley Seismic Zones.