bluuebunny/crossref_metadata_2025_split huggingface dataset:
Registered nurses' perceptions of factors influencing nursing care quality: A structural equation modeling study
Authors: Koy Virya , Yunibhand Jintana , Angsuroch Yupin , Turale Sue , Rojnawee Suwimon 
Published: October 2019

AbstractCambodia, like many other countries, is working to raise nursing care standards, including improving nurse work environments and nurse education. This descriptive, cross‐sectional study examined the factors influencing nursing care quality among 375 registered nurses from 12 government hospitals in Cambodia. The conceptual framework was modified from the Nurse Work Environment, Nurse Staffing, and Outcome Model, and five questionnaires were used. The hypothesized model fitted the empirical data and explained 12% of the variance in nursing care quality. Structural equation modeling revealed that nurse work satisfaction negatively affected nursing care quality, while the nurse practice environment and burnout had no effect. Nurse staffing had a positive direct effect on nurse work satisfaction, while nurse work satisfaction did not directly affect burnout. The results indicate that the highest impacting factors influencing nursing care quality were nurse work satisfaction and the indirect effect of nurse staffing on nursing care quality. Therefore, leaders and policymakers in government, health systems, and nursing across the country need to consider these results to enhance nursing care quality.
The use of photography in perceiving a sense in life: A phenomenological and existential approach in Mental Health Care
Authors: Sitvast Jan E. , Springer William 
Published: October 2019

AbstractThis article is about the therapeutic use of photography in mental health care. We will first describe the intelligent nature of perception as we understand on the basis of neurobiological research findings. We will link our interpretation of visual perception with the phenomenology of perception from the theory of Merleau‐Ponty.. Then we will discuss how patients in mental health care with mental health problems may profit by an experiential approach that is concomitant with the existential reality described by Merleau‐Ponty. The experiential approach we go into more detail is Focusing. We will demonstrate the limitations and feasibility of Focusing in the procedures of working with photography as a therapeutic medium.
Electrogram recording and analyzing techniques to optimize selection of target sites for ablation of cardiac arrhythmias
Authors: de Bakker Jacques MT 
Published: October 2019

AbstractThe extracellular electrogram is caused by transmembrane currents that flow into extracellular space during propagation of the electrical impulse. Electrograms are usually recorded in unipolar or bipolar mode that have different characteristics, but provide complementary information. Both recording modes have specific advantages, but also suffer from disadvantages. Techniques to circumvent some of the weaknesses are reviewed. The origin of remote and fractionated deflections and their relation with electrode characteristics are discussed. Epicardial and endocardial sites of origin and breakthrough sites as well as the effect of fatty tissue on extracellular electrograms are presented. Induction of tachycardia to assess the arrhythmogenic area is not always possible because of hemodynamic instability of the patient. Techniques to assess sites with high reentry vulnerability without induction of arrhythmias are outlined such as activation‐repolarization mapping and decremental stimulation. Pitfalls of substrate mapping and techniques to avoid them as omnipolar mapping and characterization of complex electrograms by entropy are presented. Technical aspects that influence electrogram morphology as electrode size, filtering, contact force, and catheter position are delineated. Data from the various publications suggest that a combination of unipolar and bipolar electrogram analysis techniques is helpful to optimize determination of target sites for ablation.
Cadherin‐related family member 3 gene impacts childhood asthma in Chinese children
Authors: Leung Ting Fan , Tang Man Fung , Leung Agnes Sze Yin , Kong Alice Pik Shan , Liu Tak Chi , Chan Renee Wan Yi , Ma Ronald Ching Wan , Sy Hing Yee , Chan Juliana Chung Ngor , Wong Gary Wing Kin 
Published: October 2019

AbstractBackgroundA missense variant (rs6967330) of the gene encoding cadherin‐related family member 3 (CDHR3) was associated with recurrent severe exacerbations in pre‐schoolers. However, there were limited data on its relationship with pre‐school lung function and school‐age asthma. This study replicated the association between polymorphic markers at the region of CDHR3 around rs6967330 and wheezing phenotypes in two independent cohorts of Chinese children.MethodsTen tagging SNPs located 10 kb around rs6967330 were selected by HaploView 5.0 based on 1000 Genomes database for Southern Han Chinese. Their associations with wheezing and lung function were examined in 1341 Chinese pre‐school children, while those for asthma phenotypes were examined in an independent group of 2079 school‐age children. Genotypic and haplotypic associations were analyzed by multivariate regression, and generalized multifactor dimensionality reduction was used to examine epistatic interactions for wheezing traits.ResultsThe mean (SD) age of pre‐school cohort was 4.7 (1.0) years. Rs6967330 was associated with current wheeze (odds ratio [OR] 1.63, 95% confidence interval [CI] 1.09‐2.43) and its severity (OR 1.64, 95% CI 1.10‐2.44) among pre‐school children. This SNP was also associated with school‐age asthma (OR 1.32, 95% CI 1.04‐1.69). The minor allele of rs408223 was associated with lower FEV0.5 (β = −2.411, P = .004) and FEV0.5/FVC (β = −1.292, P = .015). Lower spirometric indices were also associated with minor allele of rs140154310. GAC haplotype from rs4730125, rs6967330, and rs408223 was associated with pre‐school current wheeze and school‐age asthma. Epistatic interaction was found between unrelated CDHR3 SNPs for FEV0.5 among pre‐schoolers.ConclusionCDHR3 is a candidate gene for early‐life wheezing, school‐age asthma, and lung function in Chinese children.
Possibilities of using raster data in client‐side web maps
Authors: Farkas Gábor 
Published: October 2019

AbstractCompanies and individual developers have recently put serious effort into improving web mapping libraries. A significant front in this development is hardware‐accelerated vector graphics. Owing to those efforts, and the continuously evolving World Wide Web, users can visualize large vector layers, and even animate them. On the other hand, this rapid development cannot be observed with raster data. There are some data abstraction libraries for reading raster files, although web mapping libraries do not use them to offer raster capabilities. Since there are no mature raster management pipelines on the web, this study explores two inherently different techniques for handling raster data. One of them uses the traditional, texture‐based method. The other is a hybrid technique rendering raster layers as vectors, overcoming some limitations of the raster model. While the traditional technique gives a smooth user experience, the hybrid method shows promising results for rendering hexagonal coverages.
Iliectomy with limb preservation for a dog with ilial osteosarcoma: Surgical description and case report
Authors: Oramas Alberto , Boston Sarah E. , Skinner Owen T. 
Published: October 2019

AbstractObjectiveTo report the surgical technique for iliectomy and outcome in a single clinical case.Study designCase report.AnimalA 10‐year‐old female spayed Rottweiler.MethodsA dog presented with left pelvic limb lameness due to a mass involving the left ilium. Fine needle aspirates were indicative of a sarcoma and suspicious for osteosarcoma. Computed tomography of thorax, abdomen, and pelvis was performed as well as skeletal scintigraphy, with no evidence of metastasis seen. The dog underwent iliectomy with preservation of the ipsilateral limb and was ambulatory 24 hours after surgery. Results of histopathology confirmed the diagnosis of an osteosarcoma.ResultsA right ischial fracture was noted 8 days postoperatively and was conservatively managed. Local recurrence was reported 385 days postoperatively, with no overt metastatic disease revealed by computed tomography of the thorax and abdomen. The dog was euthanized because of local recurrence 430 days after surgery.ConclusionIliectomy was well tolerated in this dog and afforded good function of the pelvic limbs. Local recurrence developed with no evidence of metastasis at the last follow‐up. Iliectomy can be considered for a mass confined to the ilium when preservation of the limb is desired. Additional studies are required to determine the local recurrence and complication rates associated with this procedure in dogs with axial skeletal osteosarcoma.Clinical significanceTo the authors' knowledge, this case report represents the fist surgical description and clinical outcome for an iliectomy in dogs.
Prevalence and correlates of long-term e-cigarette and nicotine replacement therapy use: a prospective study in England
Authors: Jackson Sarah E , Hill Emily , Shahab Lion , Beard Emma , Michie Susan , Brown Jamie 
Published: October 2019

ObjectivesTo examine the prevalence of, and sociodemographic and smoking-related characteristics associated with, long-term e-cigarette use compared with long-term nicotine replacement therapy (NRT) use.DesignCross-sectional and prospective survey, the Smoking Toolkit Study, with baseline data collected between September 2014 and September 2016 and follow-ups at 6 and 12 months.SettingEngland.ParticipantsPopulation representative sample of 40 933 adults aged 16+ years.Main outcome measuresPrevalence of long-term (≥12 months) use of e-cigarettes and NRT by retrospective self-report among baseline respondents (all adults, n=40 933; smokers, n=8406) and current use at baseline, 6 months and 12 months in a subsample of smokers who responded to follow-up (n=733).ResultsOf baseline respondents, 1.5% (95% CI 1.4% to 1.6%, n=604) of adults and 3.9% (95% CI 3.5% to 4.3%, n=327) of smokers were long-term e-cigarette users and 0.5% (95% CI 0.4% to 0.6%, n=205) of adults and 1.3% (95% CI 1.1% to 1.5%, n=112) of smokers were long-term NRT users. Assessed prospectively, 13.4% (95% CI 10.9% to 15.9%, n=100) of smokers were long-term e-cigarette users and 1.9% (95% CI 0.9% to 2.9%, n=14) were long-term NRT users. Among all adults, long-term use by never smokers of either e-cigarettes (0.1%, n=27) or NRT (0.0%, n=7) was rare. Among past-year smokers, long-term e-cigarette and NRT use was higher among older smokers compared with those who were 16–34 years old (OR range=1.55–5.21). Long-term e-cigarette use only was lower in smokers who were less educated (OR=0.63, 95% CI 0.49 to 0.81), from social grades C2DE (OR=0.66, 95% CI 0.52 to 0.84) and with children in the household (OR=0.66, 95% CI 0.51 to 0.85). Long-term e-cigarette use and long-term NRT use were higher among smokers more motivated to quit (OR=2.05, 95% CI 1.63 to 2.60 and OR=2.33, 95% CI 1.57 to 3.46).ConclusionsIn the adult population in England, long-term use of e-cigarettes and long-term use of NRT are almost exclusively by current or ex-smokers. Only a minority of past-year smokers retrospectively report long-term e-cigarette or NRT use, but this figure may be an underestimate, especially for e-cigarette use, which is more than threefold higher when assessed prospectively.
Calculations for deep inelastic scattering using fast interpolation grid techniques at NNLO in QCD and the extraction of $$\alpha _{\mathrm {s}}$$ from HERA data
Authors: Britzger D. , Currie J. , Ridder A. Gehrmann-De , Gehrmann T. , Glover E. W. N. , Gwenlan C. , Huss A. , Morgan T. , Niehues J. , Pires J. , Rabbertz K. , Sutton M. R. 
Published: October 2019

AbstractThe extension of interpolation-grid frameworks for perturbative QCD calculations at next-to-next-to-leading order (NNLO) is presented for deep inelastic scattering (DIS) processes. A fast and flexible evaluation of higher-order predictions for any a posteriori choice of parton distribution functions (PDFs) or value of the strong coupling constant is essential in iterative fitting procedures to extract PDFs and Standard Model parameters as well as for a detailed study of the scale dependence. The APPLfast project, described here, provides a generic interface between the parton-level Monte Carlo program NNLOjet and both the APPLgrid and fastNLO libraries for the production of interpolation grids at NNLO accuracy. Details of the interface for DIS processes are presented together with the required interpolation grids at NNLO, which are made available. They cover numerous inclusive jet measurements by the H1 and ZEUS experiments at HERA. An extraction of the strong coupling constant is performed as an application of the use of such grids and a best-fit value of $$\alpha _{\mathrm {s}} (M_{{\mathrm {Z}}}) = 0.1170\,(15)_\text {exp}\,(25)_\text {th}$$

α
s

(

M
Z

)

=
0.1170

(
15
)

exp

(
25
)

th

is obtained using the HERA inclusive jet cross section data.
Low-Overpotential Electrochemical Reduction of CO2 to Formic Acid on Surface-Modified Doped Tin Oxide Pellets
Authors: Abdul Emmanuel , Pitts Jason , Rajput Deepak , Rananavare Shankar 
Published: October 2019

Gas sensors fabricated with antimony doped tin oxide (ATO) nanomaterials exhibit remarkable sensitivity for detecting oxidizing and reducing gases. This study highlights the enhanced selectivity and stability of the porous ATO nanomaterial electrode made for electrochemical reduction of CO2 in aqueous media. During electrochemical reduction, these electrodes prepared from compressed powders tend to crumble within a few hours in aqueous media. To overcome this electrode disintegration effect, we modified the surface of the doped tin-Oxide nanoparticles with Nafion and a dipodal silane (1,2-Bis(triethoxysilyl)ethane). The electrode characterization studies include Cyclic Voltammetry (CV), and Electrochemical Impedance Spectroscopy (EIS). Scanning electron microscopic investigation of electrode surface morphology and roughness before and after electrochemical CO2 reduction for derivatized and underivatized electrode revealed lower surface roughness for former than the latter.The derivatized electrodes allowed CO2 electrochemical reduction at low overpotentials and high current density without any electrode crumbling over more than 24 hours of continuous operation. Formate/formic acid and methanol were the major products of reduction at electrode potentials ranging from -0.4 to -1.0V vs. RHE in the CO2 saturated 0.1M KHCO3 electrolyte. Higher current density and Faradaic Efficiency of formic acid was observed when compared to planar tin electrode materials and tin oxide nanoparticles deposited on FTO glass.
Comparison of Outcomes at Time of Superior Cavopulmonary Connection Between Single Ventricle Patients With Ductal-Dependent Pulmonary Blood Flow Initially Palliated With Either Blalock-Taussig Shunt or Ductus Arteriosus Stent
Authors: Meadows Jeffery J. , Qureshi Athar M. , Goldstein Bryan H. , Petit Christopher J. , McCracken Courtney E. , Kelleman Michael S. , Aggarwal Varun , Bauser-Heaton Holly , Combs Christine S. , Gartenberg Ari J. , Ligon R. Allen , Nicholson George T. , Glatz Andrew C. 
Published: October 2019

Background:
Patients with single ventricle anatomy and ductal-dependent pulmonary blood flow may be initially palliated with either modified Blalock-Taussig shunt (BTS) or ductus arteriosus stent (DAS). Comparisons of outcomes during the interstage period and at the time of superior cavopulmonary connection (SCPC) are lacking and may differ between palliation strategies.

Methods:
Infants with single ventricle anatomy and ductal-dependent pulmonary blood flow palliated with either DAS or BTS from 2008 to 2015 were reviewed across 4 centers. Interstage outcomes, and for those who had SCPC, anatomy, hemodynamics, and perioperative clinical outcomes were compared. Thirty-five patients with DAS and 136 patients with BTS were included.

Results:

At initial palliation, demographic, clinical variables, and pulmonary artery size were similar. Interstage death, transplant, or unplanned reintervention to treat cyanosis occurred in 25.7% of DAS and 35.8% of BTS,
P
=0.27. Reintervention was more common with DAS (48.6% versus 2.2%;
P
<0.001). Twenty-three DAS patients and 111 BTS patients underwent SCPC. Preoperative hemodynamics and overall pulmonary artery growth were similar, although right pulmonary artery growth was better with DAS (change in
z
-score: 1.57 versus 0.65,
P
=0.026). SCPC intraoperative and postoperative courses were similar.

Conclusions:
In patients with single-ventricle anatomy and ductal-dependent pulmonary blood flow, interstage outcomes, hemodynamics before SCPC, and acute postoperative outcomes were similar. Overall reintervention was more common in the DAS group, driven by more frequent planned reintervention. Unplanned reintervention, death, and transplant were similar. Both groups demonstrated good pulmonary artery growth. DAS is a reasonable initial palliative alternative to BTS in select patients.
Discovery of a new species of Anolis lizards from Brazil and its implications for the historical biogeography of montane Atlantic Forest endemics
Authors: Prates Ivan , Melo-Sampaio Paulo Roberto , de Queiroz Kevin , Carnaval Ana Carolina , Rodrigues Miguel Trefaut , de Oliveira Drummond Leandro 
Published: October 2019

Abstract
Recent biological discoveries have changed our understanding of the distribution and evolution of neotropical biotas. In the Brazilian Atlantic Forest, the discovery of closely related species isolated on distant mountains has led to the hypothesis that the ancestors of montane species occupied and dispersed through lowland regions during colder periods. This process may explain the distribution of an undescribed Anolis lizard species that we recently discovered at a montane site in the Serra dos Órgãos National Park, a popular tourist destination close to the city of Rio de Janeiro. To investigate whether this species is closely related to other Atlantic Forest montane anoles, we implement phylogenetic analyses and divergence time estimation based on molecular data. We infer the new species nested within the Dactyloa clade of Anolis, forming a clade with A. nasofrontalis and A. pseudotigrinus, two species restricted to montane sites about 400 km northeast of Serra dos Órgãos. The new species diverged from its sister A. nasofrontalis around 5.24 mya, suggesting a cold-adapted lowland ancestor during the early Pliocene. Based on the phylogenetic results, we emend the definitions of the series taxa within Dactyloa, recognizing a clade containing the new species and several of its relatives as the nasofrontalis series. Lastly, we provide morphological data supporting the recognition of the new species and give it a formal scientific name. Future studies are necessary to assess how park visitors, pollutants, and shrinking montane habitats due to climate change will affect this previously overlooked anole species.
Does formal strategic planning matter? An analysis of strategic management and perceived usefulness in Norwegian municipalities
Authors: Johnsen Åge 
Published: October 2019

This article assesses whether municipal managers perceive strategic planning as most useful when integrated into mandatory area or financial-planning processes or conducted in processes with separate strategic planning documents. Despite being widely adopted in practice and being extensively debated in scholarly discourse for decades, current research has little empirical grounding for providing advice for policymakers and public managers on such common design choices. Multiple regression analysis of 128 Norwegian municipalities shows that using a voluntary separate strategic planning document was related to top management’s perceived usefulness of strategic planning. Integrating strategic planning into other management processes was also related to the perceived usefulness of strategic planning. Unexpectedly, using mandatory planning documents (such as four-year financial plans and long-term area plans) as the main strategic planning documents, formality and stakeholder involvement in the planning processes were not related to the perceived usefulness of strategic planning. Points for practitioners Planning, and in particular formal strategic planning, is often criticized both by scholars and practitioners as being useless when the environments are uncertain and turbulent, and for draining the organizations’ resources from other important management tasks. This article shows that many municipalities voluntarily produced separate strategic planning documents and that municipal top management found these plans more useful than using mandatory financial plans or area plans as their main strategic planning documents.
Changes in Pharyngeal Airway After Mandibular Setback Surgery: A Retrospective Cephalometric Study
Authors: Daryanani Jayshree D. , Vijay N. , Shetty K. Sadashiva , Chawla Riddhi 
Published: October 2019

Aim: To cephalometrically evaluate the alterations taking place in the pharyngeal airway space, hyoid bone, soft palate, and head posture after mandibular setback surgery (bilateral sagittal split osteotomy) for correction of mandibular prognathism, as well as to evaluate the immediate postsurgical and more than 6 months postsurgical adaptations of these structures. Setting and Design: A retrospective cephalometric study. Materials and Method: The study group consisted of 40 nongrowing patients (20 females and 20 males) with mandibular prognathism and ANB less than or equal to –2 degree for which mandibular setback surgery by bilateral sagittal split ramus osteotomy was performed along with fixed appliance therapy. There presurgical (T1), immediate postsurgical (T2), and more than 6 months postsurgical (T3) lateral cephalograms were analyzed. Statistical Analysis Used: Intragroup comparison was done by paired t-test. Results: Skeletal measurements after orthognathic surgery remained stable in the long term. It was evident that mandibular setback surgery narrowed the pharyngeal airway; however, these changes were not significant except at the base of the tongue. During the follow-up airway measurements at the base of the tongue, the intersection of tongue at the inferior border of mandible and the vallecula increased but they did not reach the presurgical values. Soft palate length increased significantly after surgery. Angulation of soft palate to nasal line also increased significantly following surgery but decreased during follow-up. Extension of the head occurred after surgery which was maintained even at long term. Conclusion: Careful analysis of airway should be performed, particularly in connection with large anteroposterior discrepancies and in those who have risk factors for development of obstructive sleep apnea. Such cases should be corrected by combined maxillary and mandibular osteotomies.