bluuebunny/crossref_metadata_2025_split huggingface dataset:
Addressing teamwork problems in healthcare: lessons learned from aviation and sport
Authors: Cahill Joan , Hurley Olivia , Caughan Cora Mc 
Published: September 2018

Aim: This article has three objectives: to review and analyse teamwork problems in healthcare, to present an evaluation of existing teamwork interventions in healthcare, and to assess teamwork approaches in aviation and sport, for the purpose of identifying recommendations in relation to addressing teamwork challenges in healthcare. Background: Teamwork and communication issues have been cited as root causes in adverse events in healthcare. Methods: An analysis of existing teamwork frameworks and approaches/interventions in aviation and sport was undertaken. Results: Teamwork problems in healthcare can be classified in relation to: managing staff well-being and workplace stress, situation awareness/information, fostering teamwork, workplace culture and attitudes, socio-political dimensions of teamwork, and the design of safety management systems. Healthcare research is actively addressing teamwork problems. Arguably, existing interventions in healthcare focus on a subset of teamwork problems and do not go far enough in terms of addressing the complexity of teamwork problems in healthcare. Conclusions: Teamwork problems are complex and exist at different levels. Teamwork does not happen naturally; it needs to be fostered at different levels (individual, team and organisational system). Recent systemic crew resource management based interventions in aviation might be considered. In tackling teamwork problems, existing approaches in sport which focus on the individual and enhancing mental preparation and resilience, along with developing a growth mind set might be considered.
Media and protest: Technological change and cultural disturbance
Authors: Strate Lance 
Published: September 2018

Abstract
In this revised version of a keynote address delivered at the Media, Protest and Social Change Symposium, sponsored by the College of Management and Academic Studies, Rishon LeZion, Israel, on 14 March 2012, the phenomenon of protest is explored based on a media ecology approach, in light of the understanding that innovations in media and technology result in cultural disturbances. Following a review of the disturbances associated with writing and literacy, the print revolution and the electronic media revolution, it is argued that contemporary protest takes place in three arenas: in real places, on mass media venues, and online, resulting in new forms of protest and unprecedented forms of cultural disturbance.
Stabilisasi Tanah Lempung Ekspansif dengan Menggunakan Campuran Soda Api (NaOH) pada Tanah Dasar di Daerah Godong - Purwodadi Km 50 Kabupaten Grobogan
Authors: Pardoyo Bambang , Wardani Sri Prabandiyani Retno , Partono Windu 
Published: September 2018

Tinggi rendahnya tingkat kembang dan susut tanah lempung ekspansif ditentukan oleh kandungan montmorillonite yang sering menimbulkan masalah pada bangunan. Tujuan dari penelitian ini adalah menganalisa komposisi campuran soda api yang terbaik untuk memperbaiki sifat ekspansif tanah lempung. Penelitian ini menggunakan larutan soda api (NaOH) sebagai stabilisator dengan melalui proses pemadatan Modified Proctor. Hasil terbaik diperoleh pada 25 x tumbukan, nilai dari indeks properties menunjukkan peningkatan, Uji UCS menunjukkan penurunan, Uji CBR dengan perendaman 7 hari dengan campuran soda api 10% menunjukkan hasil yang terbaik, sedangkan nilai Tekanan Mengembang dan Potential Mengembang mengalami penurunan yang signifikan.
Application of optical and spectroscopic technologies for the characterization of carious lesions in vitro
Authors: Tetschke Florian , Kirsten Lars , Golde Jonas , Walther Julia , Galli Roberta , Koch Edmund , Hannig Christian 
Published: September 2018

Abstract
The detection of the beginning demineralization process of dental hard tissue remains a challenging task in dentistry. As an alternative to bitewing radiographs, optical and spectroscopic technologies showed promising results for caries diagnosis. The aim of the present work is to give an overview of optical and spectroscopic properties of healthy and carious human teeth in vitro by means of Raman spectroscopy (RS), optical coherence tomography (OCT) and hyperspectral imaging (HSI). OCT was able to represent microstructural changes below the enamel surface and revealed increased scattering for white spot lesions and a white scattering trail for deeper lesions. HSI showed similar absorbance characteristics for healthy and demineralized enamel over the entire spectrum and a characteristic absorbance peak at 550 nm for discolored lesions. Already at early carious stages (white spot), we found a distinct loss of hydroxylapatite-related intensity at 959 cm−1 in demineralized regions with RS. Healthy and demineralized tooth surfaces can be distinguished at different signal levels by means of RS, OCT and HSI. The presented modalities provide additional information to the current clinical diagnosis of caries such as microstructural changes, quantification of the demineralization and imaging of caries-related chemical changes.
Biomimetic multilayer coatings deliver gentamicin and reduce implant-related osteomyelitis in rats
Authors: Grohmann Steffi , Menne Manuela , Hesse Diana , Bischoff Sabine , Schiffner René , Diefenbeck Michael , Liefeith Klaus 
Published: September 2018

Abstract
Implant-related infections like periprosthetic joint infections (PJI) are still a challenging issue in orthopedic surgery. In this study, we present a prophylactic anti-infective approach based on a local delivery of the antibiotic gentamicin. The local delivery is achieved via a nanoscale polyelectrolyte multilayer (PEM) coating that leaves the bulk material properties of the implant unaffected while tuning the surface properties. The main components of the coating, i.e. polypeptides and sulfated glycosaminoglycans (sGAG) render this coating both biomimetic (matrix mimetic) and biodegradable. We show how adaptions in the conditions of the multilayer assembly process and the antibiotic loading process affect the amount of delivered gentamicin. The highest concentration of gentamicin could be loaded into films composed of polypeptide poly-glutamic acid when the pH of the loading solution was acidic. The concentration of gentamicin on the surface could be tailored with the number of deposited PEM layers. The resulting coatings reveal a bacteriotoxic effect on Staphylococcus cells but show no signs of cytotoxic effects on MC3T3-E1 osteoblasts. Moreover, when multilayer-coated titanium rods were implanted into contaminated medullae of rat tibiae, a reduction in the development of implant-related osteomyelitis was observed. This reduction was more pronounced for the multifunctional, matrix-mimetic heparin-based coatings that only deliver lower amounts of gentamicin.
Regeneration of spent mercury catalyst for the treatment of dye wastewater by the microwave and ultrasonic spray-assisted method
Authors: Jiang Xin , Shu Jianhua , Xia Hongying , Zhang Libo , Peng Jinhui 
Published: September 2018

Abstract
Large amounts of spent mercury catalyst (SMC) produced in producing polyvinyl chloride (PVC) has a great influence on the environment. In this work, microwave and ultrasonic spray were applied to regenerate the carrier of SMC. The optimal experimental conditions were the regeneration temperature of 900°C and regeneration time of 60 min. Subsequently, the textures of pores and mercury content, morphology structure and surface functional groups of SMC and the regenerated activated carbon (RAC) were characterized by N2 adsorption and desorption isotherms, ICP, SEM, EDS and FTIR. Additionally, the adsorption behaviors of RAC on methylene orange (MO) and congo red (CR) were explored to study the mechanisms. The results of kinetics and isotherm showed that experimental data were fitted well with the pseudo second-order and Langmuir isotherm model, respectively. The maximum adsorptions of MO and CR were 529 and 301 mg/g at 323 K. The thermodynamic results illustrated that the adsorption MO and CR onto RAC was spontaneous and endothermic. The results demonstrated that RAC prepared from SMC by microwave heating and ultrasonic spray could realize the comprehensive utilization of waste resources.
Das Baby auf dem Kompost – Now Moments im Spiel einer Kinderanalyse
Authors: Hamburger Andreas , Bleimling Jasmin 
Published: September 2018

Abstract
In the following paper, Scenic Narrative Microanalysis (Hamburger 2015) is applied to a 50-minutes session of a long-term child psychoanalytic play therapy. The aim of the study was to extract Now Moments respectively Moments of Meeting (Stern 2004) in the playful interaction between the psychotherapist and her four-year-old girl-patient. Results of the individual ratings of the transcript, as well as the group’s consensus discussion are critically discussed and related to the psychodynamic content of the session itself and in addition to the results of the other chapters in this section.
Estimation of Permeability Function for Bulyanhulu Tailings
Authors: Zhang Feixia , Wilson G. Ward , Fredlund D. G. 
Published: September 2018

Abstract
The coefficient of permeability function and water storage function are two hydraulic property functions required for the numerical modeling of transient seepage problems of saturated–unsaturated soil systems. It has become a generally accepted geotechnical engineering practice to estimate hydraulic property functions through the use of the soil-water characteristic curve (SWCC). Most methodologies available for the estimation of the unsaturated coefficient of permeability function are based on an assumption that the soil does not change volume as the soil suction is changed. This has resulted in the indiscriminate use of the SWCC in the estimation of hydraulic property functions. For soils that change volume during drying (e.g., Bulyanhulu tailings), it is important to independently consider the influence of the void ratio changes and degree of saturation changes. Experimental tests on Bulyanhulu tailings included shrinkage curve tests and SWCC tests. Laboratory results are presented, along with a revised interpretation methodology. The estimated hydraulic properties for Bulyanhulu tailings illustrate the influence of void ratio changes and degree of saturation changes.
Association between breakfast-eating habit and attention-concentration in primary school children: a cross-sectional study in Badung District
Authors: Sukmandari Ni Made Ari , Septarini Ni Wayan , Pinatih Gede Ngurah Indraguna 
Published: September 2018

AbstractBackground and purpose: One of the main benefits of breakfast-eating habit for schoolchildren is to maintain the attention-concentration. The current trend shows a steady decline in the breakfast-eating habit among primary school children. This present study aims to examine the association between breakfast-eating habit and attention-concentration in primary school children. Â Methods: A cross-sectional study was conducted involving 160 primary school students year 5 and 6. Samples were selected from six public primary schools within two villages. There were a total of 16 classes of year 5 and 6 in these six schools, and five classes were selected randomly. All students from the selected classes included in the study. Attention-concentration was measured using a digit symbol test, and breakfast-eating habit and total calories intake were measured using the recall 24 hours and a standardised questionnaire. Multivariate analysis with logistic regression was employed to examine the association between breakfast-eating habit and attention-concentration.Results: The majority of students were found to have good concentration (60.63%), with breakfast-eating habit (75.00%), and consumed sufficient amount of calories (53.13%). Our multivariate analysis found a significant association between breakfast-eating habit and attention-concentration among schoolchildren (AOR=14.0; 95%CI: 4,9â€“67,8).Conclusions: Students with breakfast-eating habit tend to have a good attention-concentration. The total calories intake during breakfast is not associated with attention-concentration among primary school students in Badung District. Â
The Transition from Comprehensive to Analytical Characteristics of English Language
Authors: Li Xiaqing 
Published: September 2018

English belongs to the Indo-European language family. It is a language that achieves meaning expression through its own form of inflection, focusing on form, and it is one kind of comprehensive language. Analytical language expresses grammatical meaning through function words, word order, and so on. With the development of language, English has a tendency to develop from comprehensive language to analytical language. In this study, it explains the transitional characteristics of English language from comprehensive characteristics to analytical characteristics from following aspects: reduces or even disappears of English morphological change; the ability of English vocabulary meaning expansion; the multi-use of function words; the powerful grammatical function of the article; the fusion of English and Chinese language; the Chinese loanword in English; the Syntactical phenomenon of English and Chinese language, the complexity of English word formation, the theme-highlight sentence pattern.
Thyroid Cancer: 20-Year Comparative Mortality and Survival Analysis of Six Thyroid Cancer Histologic Subtypes by Age, Sex, Race, Stage, Cohort Entry Time-Period and Disease Duration (SEER*Stat 8.3.2) A Systematic Review of 145,457 Cases for Diagnosis Years 1993–2013
Authors: Milano Anthony F. 
Published: September 2018

Background.—Incidence and prognosis of cancers of the endocrine glands vary greatly by stage and histologic type, and, thyroid cancer accounts for most (92%) of the cancers of the endocrine glands. It is the 8th most common of cancers and has been rising in incidence since 1975. It remains a formidable health threat in the United States in 2016 with estimated cases of 64,300 and 1980 deaths.
Objective.—Provide 20-year comparative mortality analysis of thyroid cancer in a recent group of 145,457 staged cases (97.5%) of a total of 149,202 patients during the 1993-2013 entry time-period in six histologic subtypes by age, sex, race, stage and disease duration.
Methods.—Population-based data from SEER registries,1 1973-2013, (SEER*Stat 8.3.2.) were analyzed.
Results.—Tables 1-8 provide basic SEER epidemiologic, demographic, case-statistics, and comparative mortality follow-up data of 4 principal and 2 supplementary thyroid cancer oncotypes by age, sex, race, stage and disease duration of patients in the 1993-2013 time-period.Table 1.Thyroid Cancer Overview: Epidemiologic & Demographic Characteristics: SEER 1993-2013Table 2.Thyroid Cancer: Six Histologic Subtypes; Epidemiologic & Demographic Case Statistics, SEER 1993-2013Table 3.Papillary Adenocarcinoma, NOS, (ICD-O-3, 8260), 1993-2013, Age, StageTable 4.Follicular Adenocarcinoma, NOS, (ICD-O-3, 8330), 1993-2013, Age, StageTable 5.Papillary Carcinoma, Follicular Variant (ICD-O-3, 8340) Compared With Pap. & FollTable 6.Medullary, Papillary & Follicular Carcinoma 1993-13 Compared; All Stages CombinedTable 7.Thyroid Carcinoma, 1973-2013, Histology, All Ages, Race, Sex, Stage, Durations 0-5 & 5-10 YrsTable 8.Thyroid Carcinoma, 1973-2013, Histology, All Ages, Race, Sex, Stage, Durations 0-5 & 5-10 Yrs
Conclusions.—Thyroid cancer when localized has a very good prognosis, with no significant excess mortality after diagnosis in papillary and papillary follicular variant cancers (PFV). Because nearly two thirds of thyroid cancers are localized, and excess death rate (EDR) is small in patients with regional cancer under age 50, overall excess mortality for all ages also virtually disappeared after 10 years in papillary and follicular cancer. Overall, the 5-year survival rate is greater than 90% for papillary and follicular carcinomas. Nevertheless, because of the marked predominance of papillary carcinoma, the continued increase in its relative frequency and annual projected deaths, thyroid carcinoma remains a significant health concern in the current era.
Anticoagulantes orales directos: monitorización y reversión, dos grandes dificultades
Authors: González Aguirre Irene , Carrillo Navarro María Claudia , Guerrero García Augusto 
Published: September 2018

La tromboembolia representa una importante causa de morbimortalidad, siendo la anticoagulación el pilar del tratamiento. Los anticoagulantes orales directos, constituyen una opción que supera algunos de los inconvenientes con warfarina, como la monitorización rutinaria. No obstante con su inclusión en la práctica clínica, surgieron otras limitaciones: la dificultad para su medición cuando se requiere, debido a la poca disponibilidad y estandarización de pruebas hemostáticas; y la falta de antídotos para reversión, frente a hemorrágicas severas. Sin embargo recientemente fue aprobado idarucizumab, un anticuerpo monoclonal que neutraliza al dabigatrán, no disponible en Colombia. Se concluye que estos fármacos, son una opción atractiva, que requieren el desarrollo de pruebas diagnósticas y agentes de reversión específicos accesibles.
Se realizó una búsqueda en bases de datos como Pubmed, Clinical Key, Embase, Evidence- Based MEDICINE, con las palabras clave dabigatrán, rivaroxabán, apixabán, monitorización, sangrado. Se incluyó literatura en idioma inglés y español entre 1998-2016.
Direccionamiento estratégico para la dinamización del sector salud en el departamento del Atlántico
Authors: Hernández Palma Hugo 
Published: September 2018

En la actualidad, el sector salud del departamento del Atlántico atraviesa un momento de renovación y cambios, derivados del movimiento globalizado que viene tocando todos los sectores productivos del país. Lograr el fortalecimiento de las entidades vinculadas al sector salud, es una necesidad imperiosa, dada las grandes exigencias normativas y de control que se manejan hoy día, tanto a nivel nacional como internacional. Por lo anterior, aspectos organizacionales y ligados directamente con la administración, planificación y diseño de estrategias se hacen indispensables en este tipo de organizaciones, a fin de lograr un nivel competitivo en la prestación de servicios. A continuación, y con la finalidad de contrastar el escenario esperado con el actual, se revisarán diversas teorías referentes al direccionamiento estratégico y cómo este puede contribuir con la reorganización de estas entidades, proyectándolas a un futuro más productivo y enmarcado por la mejora continua.
Criando intimidade, recebendo visibilidade: novas práticas de persuasão na economia da fama
Authors: Campanella Bruno , Nantes Joana d'Arc de , Fernandes Paula 
Published: September 2018

Este artigo analisa formas de negociação de intimidade e afeto entre ídolos e seus admiradores, dentro de ações que visam a promoção da celebridade. Nestas dinâmicas, a celebridade desenvolve um tipo de intimidade com seus fãs que os motiva a participar de verdadeiras cruzadas nas mídias sociais que objetivam a produção de maior atenção midiática para seu ídolo. As discussões apresentadas são baseadas no exame de estudos de caso envolvendo duas celebridades que adotam este tipo de estratégia de persuasão: a cantora Valesca Popozuda e a youtuber Kéfera Buchmann.
Morte no cartão postal: uma empresa, dois jornais e três vítimas
Authors: Amaral Márcia Franz , Nasi Lara 
Published: September 2018

Analisamos as configurações da violência urbana nas narrativas jornalísticas de dois jornais da Infoglobo (O Globo e Extra) a partir da análise de capas e matérias sobre um caso de latrocínio de grande repercussão midiática. Investigamos como os personagens de vítima e de agressor compõem cada narrativa, relacionando-os às noções de Política da Piedade e da Vítima Virtual. Concluímos que estão em jogo neste enredo vítimas de várias ordens: fatais, sociais e virtuais. O estudo evidencia como, para além do “fato em bruto”, as narrativas jornalísticas podem configurar um acontecimento de maneiras diferentes já que os jornais precisam se individualizar no mercado editorial e, portanto, dão inteligibilidades diversas para a experiência social da violência de acordo com projetos dramáticos diferentes.
GAMBARAN KLINIKOPATOLOGIK ASTROSITOMA HIGH GRADE
Authors: Kristiani Erna 
Published: September 2018

<p>Astrositoma merupakan glioma tersering. Tumor ini bisa mengenai dewasa dan anak-anak.<em>World Health Organization</em> (WHO) mengelompokkan astrositoma menjadi 4 <em>grade</em> berdasarkan karakteristik histologik. Astrositoma<em> high grade</em> terdiri atas astrositoma anaplastik (<em>grade</em> III) dan glioblastoma (<em>grade</em> IV).</p><p>Data Departemen Patologi Anatomik Rumah Sakit Cipto Mangunkusumo (RSCM) tahun 2001-2010 melaporkan kejadian astrositoma sebanyak 179 kasus atau sekitar 20% dari seluruh tumor intrakranial, astrositoma anaplastik ditemukan sebanyak 12 kasus, dan glioblastoma 42 kasus.</p><p>Seperti pada tumor otak lain, astrositoma <em>high grade</em> mengakibatkan gejala dan tanda gangguan neurologik fokal dan umum. Pemeriksaan radiologik pilihan adalah dengan <em>Magnetic Resonance Imaging</em> (MRI). Astrositoma anaplastik memberikan gambaran <em>hypointense</em> pada T1 dan <em>hyperintense</em> pada T2 dengan efek massa yang bervariasi. Karakteristik glioblastoma pada MRI berupa lesi iregular menyangat kontras di sekeliling nekrosis sentral (<em>ring enhancement</em>) dan edema vasogenik luas di sekitar tumor.</p><p>Astrositoma anaplastik secara histopatologik dicirikan dengan atipia inti, peningkatan selularitas, serta aktivitas proliferasi yang nyata. Glioblastoma secara histopatologik serupa dengan astrositoma anaplastik, disertai adanya proliferasi vaskular dan/atau nekrosis. Astrositoma anaplastik dan khususnya glioblastoma mempunyai variasi gambaran histologik yang beragam, antara lain varian <em>small cell, granular cell, giant cell</em>, dan gliosarcoma.</p>
Caring for Patients, Profession, and World The Social Activism of Lavinia Lloyd Dock
Authors: Ramos, Mary 
Published: September 2018

Caring as a concept is widely discussed and debated within nursing. It is typically understood conceptually as a quality of a human interaction, usually the nurse’s interaction with a patient, client, family, or group (Gaut & Boykin, 1994; Eriksson, 1992; Leininger, 1980, 1984; Watson, 1985). Caring is culturally bound, laden with positive value. But common understanding may limit the scope of this foundational concept, for nursing, nurses, patients, and health care exist in societal context. As roles in health care are expanding and changing in light of health care reform, our professional adaptation is ideally based on caring relationships with individuals and also with institutions, populations and health care delivery systems. As with caring on an individual level, individual nurses have left an example of caring for society on a larger scale, literally a global level. Lavinia Lloyd Dock is an obvious example of international caring. This diminutive woman had a voice and intellect that has survived.Nursing history is replete with stories of caring nurses, angels of mercy, somehow with a strength of character unreconciled to the ‘gentle spirit of Victorian womanhood.’ The political skill of nursing leaders a hundred years ago cannot be underestimated. The work of establishing nursing as a profession took untold tact, manipulation, pointed subservience, and an ability to withstand frustration at the hand of individuals, institutions, and a culture that held rather circumscribed roles and expectations for women. Certain women attacked the system in a direct fashion; Lavinia Dock was one of those.