bluuebunny/crossref_metadata_2025_split huggingface dataset:
Integrated care: learning from East London
Authors: Bussu Sonia 
Published: June 2018

BackgroundDespite a growing body of literature on integrated, there remains a relatively small evidence base to suggest which elements of integrated care are most effective and how to implement them successfully. This might also be due to the fact that policy thinking around integrated care is struggling to translate into organisation change at the point of delivery. Better understanding of patterns of collaborations and integrated pathways is crucial to understand frontline staff’s OD needs and provide adequate support.AimThis paper focuses on the frontline level to assess progress towards integrated care in East London.MethodWe use admission avoidance (Rapid Response service) and discharge services (Discharge to Assess) as a lens to examine how frontline staff from secondary care, community health services and social service work together to deliver more integrated care. The study uses the Researcher in Residence (RiR), where the researcher is embedded in the in the organisations she is evaluating, as a key member of the delivery team.ResultsInitial findings suggest that while work on integrated care has enabled some level of collaborative working at strategic levels in partner organisations, on the frontline professionals are grappling with issues such as professional identity, professional boundaries, mutual trust and accountability, as new services and roles struggle to be fully embedded within the local health system.ConclusionThe paper sheds light on to the complexity on integrated care at the point of delivery. Better understanding of integrated care pathways is crucial to evidence patterns of collaboration across organisations; assess how these new roles and teams are embedding themselves within the local health economy; identify organisation development needs; and provide adequate support to frontline staff.
Changing attitudes to childhood immunisation in English parents
Authors: Yarwood Joanne , Letley Louise 
Published: June 2018

BackgroundSustained vaccine coverage is essential to protect the population against vaccine-preventable diseases. It requires high level of confidence in the national vaccine programme.AimWe surveyed parental attitudes to childhood vaccinations in 2015 and compared them to attitudes in the previous 10 years.MethodWe randomly selected 275 locations in England. Interviewers identified eligible carers of children aged <5 years and interviewed them. The questionnaire covered all aspects of the immunisation process, vaccines administered in pregnancy and from infancy to pre-school with a maximum of 86 mixed questions.Results1792 parents were interviewed. Confidence in the vaccination programme was high. Only 2% of parents reported refusing vaccination whilst 90% reported vaccinating their children automatically when due. 97% of parents consulted web-based resources for information on vaccination. Parents who used chat rooms or discussion forums for this purpose were significantly more likely to say they had seen something that would make them doubt having their child(ren) immunized (31% compared to 8% amongst all parents). Health professionals and the NHS were seen as the most trusted source of advice on immunisation (90% agreed/strongly agreed with each). Very few parents did not trust these sources (4% and 3% disagreed, respectively).ConclusionHealth professionals remain extremely important in communicating information about vaccination and are highly trusted by parents; a trust that has increased in recent years. Despite most parents seeking information on the Internet, trust in and advice from health care professionals appeared to be key factors influencing parental decisions.
Sharing a methodology to develop a satisfaction questionnaire in mental health care
Authors: Ma Eva , Johnson Rachael , Hagan Teresa , Young Alex , Dhanjal Rajinder , Claridge Dannielle , Davies Shon , Boyce Christopher , Glennon Marcus , Backhouse Catherine , Fletcher Harriet , Kay Catharine , Woods Sarah 
Published: June 2018

BackgroundThis paper outlines a multi-method’ process for developing a satisfaction questionnaire (SQ) for completion by service users. Satisfaction is a mark of service quality. Both health and social care services are required to evidence this. Working collaboratively with those who use our services is essential for achieving transformation in healthcare.AimIn developing a SQ, the aim was to collaboratively identify key quality criteria of most importance to service users and carers.MethodIn the absence of a gold standard methodology for developing a SQ, we developed an iterative multimethod’ phased process. Phase 1 involved a focus group, attended by service users and carers (n = 20). Participants at the focus group developed a preliminary list of quality criteria. Phase 2 involved a review of existing feedback questionnaires to supplement our quality criteria, including the Friends & Family Test. Phase 3 aimed to build consensus to refine the criteria, using a process informed by the Delphi technique with participants from a service user forum. The final phase of refinement is now underway.ResultsPreliminary findings highlight the key quality indicators of a high-quality service, as defined by service users and carers.ConclusionIt is useful to adopt and develop an iterative multi-method’ approach involving co-production and consensus building in developing a valid and meaningful SQ.
Signatures of Young Planets in the Continuum Emission from Protostellar Disks
Authors: Isella Andrea , Turner Neal J. 
Published: June 2018

Abstract
Many protostellar disks show central cavities, rings, or spiral arms likely caused by low-mass stellar or planetary companions, yet few such features are conclusively tied to bodies embedded in the disks. We note that even small features on the disk surface cast shadows, because the starlight grazes the surface. We therefore focus on accurately computing the disk thickness, which depends on its temperature. We present models with temperatures set by the balance between starlight heating and radiative cooling, which are also in vertical hydrostatic equilibrium. The planet has 20, 100, or 1000 M
⊕, ranging from barely enough to perturb the disk significantly, to clearing a deep tidal gap. The hydrostatic balance strikingly alters the appearance of the model disk. The outer walls of the planet-carved gap puff up under starlight heating, throwing a shadow across the disk beyond. The shadow appears in scattered light as a dark ring that could be mistaken for a gap opened by another more distant planet. The surface brightness contrast between outer wall and shadow for the 1000 M
⊕ planet is an order of magnitude greater than a model neglecting the temperature disturbances. The shadow is so deep that it largely hides the planet-launched outer arm of the spiral wave. Temperature gradients are such that outer low-mass planets undergoing orbital migration will converge within the shadow. Furthermore, the temperature perturbations affect the shape, size, and contrast of features at millimeter and centimeter wavelengths. Thus radiative heating and cooling are key to the appearance of protostellar disks with embedded planets.
Preferential Accretion in the Supermassive Black Holes of Milky Way-size Galaxies Due to Direct Feeding by Satellites
Authors: Sanchez N. Nicole , Bellovary Jillian M. , Holley-Bockelmann Kelly , Tremmel Michael , Brooks Alyson , Governato Fabio , Quinn Tom , Volonteri Marta , Wadsley James 
Published: June 2018

Abstract
Using a new, high-resolution cosmological hydrodynamic simulation of a Milky Way-type (MW-type) galaxy, we explore how a merger-rich assembly history affects the mass budget of the central supermassive black hole (SMBH). We examine a MW-mass halo at the present epoch whose evolution is characterized by several major mergers to isolate the importance of merger history on black hole (BH) accretion. This study is an extension of Bellovary et al. (2013), which analyzed the accretion of high mass, high-redshift galaxies and their central BHs, and found that the gas content of the central BH reflects what is accreted by the host galaxy halo. In this study, we find that a merger-rich galaxy will have a central SMBH preferentially fed by gas accreted through mergers. Moreover, we find that the gas composition of the inner ∼10 kpc of the galaxy can account for the increase of merger-accreted gas fueling the SMBH. Through an investigation of the angular momentum of the gas entering the host and its SMBH, we determine that gas accreted through mergers enters the galaxy halo with lower angular momentum compared to smooth accretion, partially accounting for the preferential fueling witnessed in the SMBH. In addition, the presence of mergers, particularly major mergers, also helps funnel low angular momentum gas more readily to the center of the galaxy. Our results imply that galaxy mergers play an important role in feeding the SMBH in MW-type galaxies with merger-rich histories.
CLUMP-3D: Testing ΛCDM with Galaxy Cluster Shapes
Authors: Sereno Mauro , Umetsu Keiichi , Ettori Stefano , Sayers Jack , Chiu I-Non , Meneghetti Massimo , Vega-Ferrero Jesús , Zitrin Adi 
Published: June 2018

Abstract
The ΛCDM model of structure formation makes strong predictions on the concentration and shape of dark matter (DM) halos, which are determined by mass accretion processes. Comparison between predicted shapes and observations provides a geometric test of the ΛCDM model. Accurate and precise measurements needs a full three-dimensional (3D) analysis of the cluster mass distribution. We accomplish this with a multi-probe 3D analysis of the X-ray regular Cluster Lensing and Supernova survey with Hubble (CLASH) clusters combining strong and weak lensing, X-ray photometry and spectroscopy, and the Sunyaev–Zel’dovich effect (SZe). The cluster shapes and concentrations are consistent with ΛCDM predictions. The CLASH clusters are randomly oriented, as expected given the sample selection criteria. Shapes agree with numerical results for DM-only halos, which hints at baryonic physics being less effective in making halos rounder.
First Observations of the Magnetic Field inside the Pillars of Creation: Results from the BISTRO Survey
Authors: Pattle Kate , Ward-Thompson Derek , Hasegawa Tetsuo , Bastien Pierre , Kwon Woojin , Lai Shih-Ping , Qiu Keping , Furuya Ray , Berry David ,   The JCMT BISTRO Survey Team
Published: June 2018

Abstract
We present the first high-resolution, submillimeter-wavelength polarimetric observations of—and thus direct observations of the magnetic field morphology within—the dense gas of the Pillars of Creation in M16. These 850 μm observations, taken as part of the B-Fields in Star-forming Region Observations Survey (BISTRO) using the POL-2 polarimeter on the Submillimeter Common-User Bolometer Array 2 (SCUBA-2) camera on the James Clerk Maxwell Telescope (JCMT), show that the magnetic field runs along the length of the Pillars, perpendicular to and decoupled from the field in the surrounding photoionized cloud. Using the Chandrasekhar–Fermi method we estimate a plane-of-sky magnetic field strength of 170–320 μG in the Pillars, consistent with their having been formed through the compression of gas with initially weak magnetization. The observed magnetic field strength and morphology suggests that the magnetic field may be slowing the Pillars’ evolution into cometary globules. We thus hypothesize that the evolution and lifetime of the Pillars may be strongly influenced by the strength of the coupling of their magnetic field to that of their parent photoionized cloud—i.e., that the Pillars’ longevity results from magnetic support.
Accueil des familles chinoises en consultation transculturelle
Authors: Philippe Fong Emeline , Simon-Radinez Amalini , Delanoë Daniel 
Published: June 2018

L’évolution des migrations chinoises en France depuis les années 1990-2000 amène de plus en plus de familles chinoises très modestes à consulter dans les dispositifs de psychiatrie transculturelle. Dans quelle mesure ces consultations développées dans les années 1980 pour accueillir des migrants venus surtout du Maghreb et d’Afrique subsaharienne sont-elles adaptées aux familles chinoises ? Dans notre expérience avec ces familles, le recours aux étiologies de type animiste faisant intervenir le monde invisible s’est avéré très limité, nous privant d’un levier thérapeutique efficace. L’expression des affects est également très limitée. En revanche, la construction d’une alliance thérapeutique permet le travail sur les récits migratoires, les éléments linguistiques et les processus de nomination et permet aussi à l’enveloppe groupale d’exercer ses effets positifs. Sans verser dans un culturalisme réducteur, ces éléments suggèrent toutefois de moduler l’accueil des familles chinoises en fonction de certains traits de la culture chinoise.
Nouveau référentiel de compétences dans les Écoles de la deuxième chance : vers de nouvelles transactions
Authors: Houot Isabelle , Lavielle-Gutnik Nathalie 
Published: June 2018

La présente contribution propose une réflexion sur la conduite d’une recherche-action accompagnant la mise en œuvre d’une approche par compétences au sein du réseau français des Écoles de la 2 e Chance. Il s’agit en particulier ici de s’intéresser aux modes de conception et de diffusion d’un nouveau référentiel de compétences. Elle s’attachera à caractériser les processus de référencement à l’œuvre sur un mode coopératif au sein de ce réseau d’acteurs et à en analyser les formes transactionnelles.
Efficacy and safety of oral anticoagulant therapy in frail patients with atrial fibrillation
Authors: Patti Giuseppe , Mantione Ludmilla , Bressi Edoardo , Bisignani Antonio 
Published: June 2018

Antithrombotic treatment of frail patients with AF presents various challenges. The fear of bleeding often leds to a large underuse of anticoagulant agents in these patients, although more recent data indicate that oral anticoagulation Â (especially with the newer, direct anticoagulants) is increasingly used. While there is a need for more real world data, available evidence suggests that non-vitamin K antagonist oral anticoagulants (NOACs) are an effective alternative to warfarin in frail patients with AF for preventing thromboembolic events, with a better safety profile. Logical considerations and evidence-base data related to the reduced bleeding risk (also including major bleeding and intracranial bleeding) of NOACs make these drugs the anticoagulant agents of choice in frail patients; however, in this setting an individualised approach should be taken, taking into consideration the risk of thromboembolic and bleeding events, other comorbidities and patient-related factors, rather than a generalised â€œone drug fits allâ€ approach.
Effect of sodium metabisulfite gel on the bond strength of dentin of bleached teeth
Authors: Vieira Henrique Heringer , Toledo Josè Carlos , Catelan Anderson , Gouveia Thayla Hellen Nunes , Aguiar Flávio Henrique Baggio , Lovadino Josè Roberto , Lima Dèbora Alves Nunes Leite 
Published: June 2018

ABSTRACT
Objective: This study aimed to evaluate the effect of the application of sodium metabisulfite (SMB) on the bond strength of bleached teeth. Materials and Methods: The study was divided into two parts. The first part evaluated the application of various concentrations of SMB for 1 h prior to the completion of bonding procedures. Fifty blocks were divided into five groups (n = 10): control; bleaching with 35% hydrogen peroxide (HP); HP + 5% SMB; HP + 12.5% SMB; and HP + 25% SMB. The second part evaluated the application of 25% gel SMB to either enamel or dentin, including the application time. Sixty blocks were divided into six groups (n = 10): control; bleaching with 35% HP; HP + 25% SMB for 1 h in enamel; HP + 25% SMB for 1 h in dentin; HP + 25% SMB for 10 min in enamel; and HP + 25% SMB for 10 min in dentin. Statistical Analysis: Following the completion of microshear bond testing, data were analyzed using one-way analysis of variance as well as Tukey's and Dunnett's tests. Results: In part 1, data analysis revealed statistical differences (P < 0.0001) between HP and HP + 5% SMB. No statistical differences were found between the control and both HP + 12.5% SMB and HP + 25% SMB. Part 2 revealed a statistical difference (P = 0.001359) only between the bleached group and others. Conclusions: The use of 25% SMB gel immediately after bleaching was able to reverse the deleterious effect of bleaching on the bond strength of dental composites to dentin.
Comparative evaluation of apical constriction position in incisor and molar teeth: An in vitro study
Authors: Mousavi Seyed Amir , Farhad Alireza , Shahnaseri Shirin , Basiri Abbas , Kolahdouzan Erfan 
Published: June 2018

ABSTRACT
Objective: The apical constriction (AC) and the apical foramen (AF) are the principal reference points used to determine the apical limit for instrumentation and root canal filling. AC varies in different races, and the aim of the current study was to measure and compare the distances from AC to AF and the anatomical apex (AA) in incisor and molar teeth in the Iranian population. Materials and Methods: Forty-five roots of incisor teeth and 45 roots of molar teeth were selected randomly in Isfahan Province, Iran. If the foramen was located toward the mesial or distal side of the apex, the cut was made mesiodistally, and if it was toward the buccal or lingual side, the section was made accordingly. Roots were examined under a microscope at ×25 magnification. The distances from AC to AF and AA were then estimated using a Motic camera. Descriptive statistics were used. The independent t-test was also used to compare distances in incisors and molars, and P = 0.05 was deemed to indicate statistical significance. Results: The mean distances between AC and AF were 0.847 ± 0.33 mm in incisors and 0.709 ± 0.27 mm in molars. The mean distances between AC and AA were 1.23 ± 0.39 mm in incisors and 1.01 ± 0.38 mm in molars. In an independent t-test, the distances between AC and AF differed significantly in incisors and molars (P = 0.035), but the distances between AC and AA did not (P = 0.172). Conclusion: The end points for root canal therapy should be 0.85 mm in incisors and 0.70 mm in molars.
A national survey of tooth wear on facial and oral surfaces and risk factors in young Nigerian adults
Authors: Olaide Savage Kofoworola , Oderinu Olabisi Hajarat , Adegbulugbe Ilemobade Cyril , Uti Omolara Gbonjubola , Dosumu Oluwole Oyekunle , Olusile Adeyemi Oluniyi 
Published: June 2018

ABSTRACT
Objective: The objective of this study is to assess the prevalence of tooth wear and to identify risk factors in a sample of young Nigerian adults. Materials and Methods: Participants were individuals aged 18–35 years, attending dental clinics located in eight centers representing the six geopolitical zones of the country. Calibrated examiners measured tooth wear using basic erosive wear examination (BEWE) index. Individuals were characterized by the highest BEWE score recorded for any facial/oral tooth surface. Previously validated questionnaire was used to gather information on demographics and risk factors. Results: A total of 1349 participants were examined. The prevalence of tooth wear was 60.2%. Bivariate analysis showed significant differences in the prevalence of tooth wear with age, educational level, and occupation (P ≤ 0.05). There were significant differences in tooth wear among the participants from the different states. Tooth wear was found to increase with smoking. Tooth wear was associated with brushing frequency, use of chewing stick, and other local cleaning agents. Multiple regression analysis showed that age, brushing frequency, brushing after breakfast added statistically significantly to the prediction of tooth wear (P < 0.05). Conclusion: Tooth wear was common in the population. The frequency of tooth brushing, use of chewing sticks and other local tooth cleaning agents may be contributory.
Solute transport with periodic input point source in one-dimensional heterogeneous porous media
Authors: Yadav R.R. , Roy J. 
Published: June 2018

In the present study, we presented analytical solutions for solute transport in a semi-infinite heterogeneous adsorbing porous media with time-varying boundary condition. Initially, solute concentration in the domain is function of the space variable. Continuous periodic point source is injected in the domain through left boundary, i.e. x = 0. Due to heterogeneity of the medium, dispersion parameter is considered proportional to (z +1) th power of linear function of space variable. The groundwater flow velocity is considered proportional to multiple of temporal function and z th power of linear function of space. First-order decay and zero-order production are also considered space as well as time dependent while retardation factor is a space dependent function. Laplace Transformation Technique is employed to get the solution of the proposed problem. Certain new transformations are introduced to convert the variable coefficient into constant coefficient. Comparison with analytical and pdepe MATLAB solution of the transport equation are illustrated graphically and found to be in excellent agreement.Keywords: Advection; Dispersion; Aquifer; Porous Medium ; Retardation; Laplace Transformation.
Phasmomantella gen. nov., a spectacular new genus of praying mantis from southern Central Vietnam (Mantodea, Mantidae, Deroplatyinae, Euchomenellini)
Authors: Vermeersch Xavier H.C. 
Published: June 2018

The new genus Phasmomantella gen. nov. is created to accommodate the new species P. nuichuana gen. et sp. nov. described from five adult females from Núi Chúa National Park in southern Central Vietnam. A second species, Phasmomantella pallida (Roy, 2001) gen. et comb. nov., is transferred from Euchomenella where it was originally described based on a single male specimen from the Nha Trang region in the Khánh Hòa Province. Phasmomantella gen. nov. is placed in the tribe Euchomenellini of the subfamily Deroplatyinae. A comprehensive diagnosis and detailed descriptions are presented along with high-resolution photographs, measurements and a distribution map. The standardised measurements are illustrated and a new key is proposed for the tribe Euchomenellini. The unique biogeography and habitats of the collection site within Núi Chúa National Park are discussed in the light of possible endemism and importance for nature conservation.