bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Multicenter Qualitative Investigation of the Experiences and Perspectives of Substitute Decision Makers Who Underwent Organ Donation Decisions
Authors: Sarti Aimee J. , Sutherland Stephanie , Healey Andrew , Dhanani Sonny , Landriault Angele , Fothergill-Bourbonnais Frances , Hartwick Michael , Beitel Janice , Oczkowski Simon , Cardinal Pierre 
Published: September 2018

Background: Organ donation research has centered on improving donation rates rather than focusing on the experience and impact on substitute decision makers. The purpose of this study was to document donor and nondonor family experiences, as well as lasting impacts of donation. Methods: We used a qualitative exploratory design. Semistructured interviews of 27 next-of-kin decision makers were conducted, transcribed verbatim, and entered into qualitative software. We analyzed the process-based reflections using inductive coding and thematic analysis techniques. Results: Four broad and interrelated themes emerged from the data: empathetic care, information needs, donation decision, and impact and follow-up. The donation experience left lasting impacts on family members due to lingering, unanswered questions. Suggested solutions to improve the donor experience for families included providers employing multimodal communication, ensuring a proper setting for family meetings, and the presence of a support person. Discussion: We now have improved our understanding of the donation process from the perspective of and final impression from the next of kin. To our knowledge, this is the largest cohort interviewed in Canada. We have explored families’ experiences, which included but did not end with donation. We learned that despite being appreciative of nurses, physicians, and organ and tissue donation coordinators, family members were often troubled by unanswered questions. Conclusion: This study described donor and nondonor family experiences with donation as well as lasting impacts. Addressing unanswered questions should be done in a place sufficiently remote from the donation event to enhance the family members’ understanding and well-being.
Starting a Business as a Nurse Consultant
Authors: Childre Frances , Papp Elaine M. 
Published: September 2018

This is the first of two continuing education (CE) articles for occupational health nurses interested in starting their own business. Both articles build on the January 1997 focused issue with four CE articles dedicated to consulting in occupational health nursing practice. In this issue, Papp explores practical issues and poses questions beginning occupational health nurse consultants must confront prior to starting a business. Rainer's article, scheduled for the April 2000 issue of the AAOHN Journal, focuses on managing financial resources effectively to sustain a profitable business. Businesses are changing continually in response to a highly competitive marketplace. As a result, occupational health nurses continue to be challenged both clinically and managerially to demonstrate value whether they work within the organization or external to it. This two part series encourages occupational health nurses to examine options for adding value from an entrepreneurial perspective.
Roles and Value Added Contributions of the Occupational Health Nurse
Authors: Nelson Yvonne 
Published: September 2018

This study replicated a study by Martin (1993) to examine the corporate perceptions of the current and future roles and activities of the occupational health nurse and the nurse's value added contributions in the local operating units of a large Fortune 100 company. A descriptive design was used for this study. The sample consisted of 44 corporate officials. The study findings are consistent with Martin (1993) and suggested that management is aware of the traditional roles and activities of the nurse, including direct care, education and counseling, and case management. The desired future activities identified were trend analysis, conducting plant rounds, and developing health programs specific to the needs of the corporation. The activities identified as adding value to the corporation included: planning and developing educational programs specific to the needs of the corporation, supervising the provision of nursing care, assisting in rehabilitation of injured workers, and providing follow up on workers' compensation claims. Corporate officials are aware of the traditional roles of the nurse. However, they may not be aware of the newer nursing roles, such as trend analysis, research, and budget development.
A Worksite Influenza Immunization Program
Authors: Dille JoAnne Hein 
Published: September 2018

Using a randomized, retrospective case control survey approach, this study compared emplyees immunized (cases) to a group of non immunized employees (controls) between the months of October and December 1994. In May 1995, a self administered questionnaire was distributed to employees working at the Hanford nuclear reservation located in eastern Washington State. Bivariate analysis included chi-square tests to study the association between influenza vaccine and rates of influenza like illness and related complications, rates of employee absenteeism, rates of physician visits, use of prescribed medication, and rates of hospitalization. To assess the economic benefits associated with vaccination, analysis included estimating the direct and indirect costs associated with immunization and influenza like illnesses, and complications related to influenza like illnesses. Responses to the survey resulted in 789 employees in the vaccinated group and 931 employees in the nonvaccinated group. As compared to vaccinated employees, nonvaccinated employees reported significantly higher rates of episodes of influenza like illness (78 per 100 compared to 59 per 100, p < 0), influenza related complications (8.0 compared to 5.0, p < .01), lost work days (63 per 100 compared to 35 per 100, p < 0), use of prescription medication (18.6 per 100 compared to 8.7 per 100, p < 0), physician visits (18.6 per 100 compared to 8.7 per 100, p < 0), and inpatient hospital. Cost savings were estimated to be $83.84 per person vaccinated. The results of this study suggest this worksite influenza vaccination program produced significant health related and economic benefit to employee participants and their employers.
Laparoscopic-guided transversus abdominis plane block versus trocar site local anesthetic infiltration in gynecologic laparoscopy
Authors: El sharkwy Ibrahim A. , Noureldin Elsayed H. , Mohamed Ekramy A. , Mohamed Ali A. 
Published: September 2018

Abstract
Background
Relieving postoperative pain and prompt resumption of physical activity are of the utmost importance for the patients and surgeons. Infiltration of local anesthetic is frequently used methods of pain control postoperatively. Laparoscopically delivered transversus abdominis plane block is a new modification of ultrasound-guided transversus abdominis plane block.
This study was conducted to compare the efficacy of laparoscopic-guided transversus abdominis plane block with trocar site local anesthetic infiltration for pain control after gynecologic laparoscopy.

Results
No statistically significant difference between the two groups in mean visual analogue scale at 1, 18, and 24 h (P = 0.34, P = 0.41, and P = 0.61, respectively), while the mean visual analogue scale was significantly lower in the laparoscopic-guided transversus abdominis plane block group than in the trocar site local anesthetic infiltration group at 3, 6, and 12 h (P = 0.049, P = 0.011, and P = 0.042, respectively). No statistically significant difference was observed in the cumulative narcotics consumed at 3 h (P = 0.52); however, women with transversus abdominis plane block have consumed significantly less amount of narcotics than women with trocar site infiltration at 6, 12, and 24 h (P = 0.04, P = 0.038, and P = 0.031 respectively). Patient satisfaction was significantly higher in the laparoscopic-guided transversus abdominis plane block group (P = 0.035).

Conclusion
Laparoscopic-guided transversus abdominis plane block is more effective in reduction of both pain scores in the early postoperative period and the cumulative narcotics consumption than trocar site local anesthetic infiltration in gynecologic laparoscopy.

Trial registration
Clinical Trials.gov NCT02973451
The Health Threat Posed by the Hidden Epidemic of Anabolic Steroid Use and Body Image Disorders Among Young Men
Authors: Goldman Anna L , Pope Harrison G , Bhasin Shalender 
Published: September 2018

Abstract

Context
The prevalence of body image disorders and anabolic-androgenic steroid (AAS) use is increasing, despite the evidence of their serious adverse health effects and despite the passage of laws regulating their sales. Here we review the evolution of the dual emerging epidemics of body image disorders and AAS use, adverse health effects of AASs, and the need for an integrated health policy and regulatory response.

Evidence Acquisition
We searched for studies published prior to June 2018. Quality of evidence was low to moderate because of its observational nature; heterogeneity of eligibility criteria; variable doses; reliance on retrospective self-reported data in many studies; and variable quality of outcome ascertainment.

Evidence Synthesis
Most AAS users are nonathlete young men, who use these substances to look lean and more muscular. Some of these men suffer from “muscle dysmorphia,” a form of body dysmorphic disorder. AASs has been associated with cardiovascular disorders, psychiatric disorders, AAS-withdrawal hypogonadism, infertility, neurotoxic effects, musculoskeletal injuries, liver toxicity, and needle-borne infections. Potential adverse effects may be compounded by the use of other substances (e.g., opioids) and high-risk behaviors. Unregulated Internet sales of AASs and selective androgen receptor modulators, which are easily purchased without a prescription, are of concern because of their potential to fuel the epidemic among adolescents and the military.

Conclusions
Integrated nationwide efforts are necessary to raise public awareness of this epidemic, to study long-term health effects of AASs and treatment strategies, and to reform regulations to stem the epidemics of AAS use and body image disorders.
Active touch in sea otters: in-air and underwater texture discrimination thresholds and behavioral strategies for paws and vibrissae
Authors: Strobel Sarah McKay , Sills Jillian M. , Tinker M. Tim , Reichmuth Colleen J. 
Published: September 2018

ABSTRACT
Sea otters (Enhydra lutris) are marine predators that forage on a wide array of cryptic, benthic invertebrates. Observational studies and anatomical investigations of the sea otter somatosensory cortex suggest that touch is an important sense for detecting and capturing prey. Sea otters have two well-developed tactile structures: front paws and facial vibrissae. In this study, we use a two-alternative forced choice paradigm to investigate tactile sensitivity of a sea otter subject's paws and vibrissae, both in air and under water. We corroborate these measurements by testing human subjects with the same experimental paradigm. The sea otter showed good sensitivity with both tactile structures, but better paw sensitivity (Weber fraction, c=0.14) than vibrissal sensitivity (c=0.24). The sea otter's sensitivity was similar in air and under water for paw (cair=0.12, cwater=0.15) and for vibrissae (cair=0.24, cwater=0.25). Relative to the human subjects we tested, the sea otter achieved similar sensitivity when using her paw and responded approximately 30-fold faster regardless of difficulty level. Relative to non-human mammalian tactile specialists, the sea otter achieved similar or better sensitivity when using either her paw or vibrissae and responded 1.5- to 15-fold faster near threshold. Our findings suggest that sea otters have sensitive, rapid tactile processing capabilities. This functional test of anatomy-based hypotheses provides a mechanistic framework to interpret adaptations and behavioral strategies used by predators to detect and capture cryptic prey in aquatic habitats.
Special Issue on Infrastructures and Algorithms for Scalable Computing
Authors: Ristov Sasko 
Published: September 2018

We are happy to present this special issue of the scientific journal Scalable Computing: Practice and Experience. In this special issue on Infrastructures and Algorithms for Scalable Computing (Volume 19, No 3 June 2018), we have selected four papers out of submitted nine, which gone through a peer review according to the journal policy. All papers represent novel results in the fields of distributed algorithms and infrastructures for scalable computing.
The first paper presents present a novel approach for efficient data placement, which improves the performance of workflow execution in distributed datacenters. The greedy heuristic algorithm, which is based on a network flow optimization framework, minimizes the total storage cost, including efforts to move and store the data from different source locations and dependencies. The second paper evaluated the significance of different clustering techniques viz. k-means, Hierarchical Agglomerative Clustering and Markov Clustering in groupingawaredata placement for data-intensive applications with interest locality. The evaluation in Azure reported that Markov Clustering-based data placement strategy improves the local map execution and reduces the execution time compared to Hadoops Default Data Placement Strategy and other evaluated clustering techniques. This is more emphasized for data-intensive applications that have interest locality. The third paper presents an experimental evaluation of the openMP thread-mapping strategies in different hardware environments (IntelXeon Phi coprocessor and hybrid CPU-MIC platforms). The paper shows the optimal choice of thread affinity, the number of threads and the execution mode that can provide optimal performance of the LU factorization. In the fourth paper, the authors study the amount of memory occupied by sparse matrices split up into same-size blocks. The paper considers and statistically evaluates four popular storage formats and combinations among them. The conclusion is that block-based storage formats may significantly reduce memory footprints of sparse matrices arising from a wide range of application domains.
We use this opportunity to thank all contributors to this Special Issue: all authors who submitted the results of their latest research and all reviewers for their valuable comments and suggestions for improvement. We would like to express our special gratitude for the Editor-in-Chief, Professor Dana Petcu, for her constant support during the whole process of this Special Issue.
Cumplidos de mujeres universitarias en Quito y Sevilla: un estudio de variación pragmática regional
Authors: Placencia María Elena , Fuentes Catalina 
Published: September 2018

Resumen
Si bien los cumplidos han sido examinados extensamente en diferentes idiomas, incluido el español, se ha prestado escasa atención al estudio de variación interdialectal en la realización de cumplidos. Es esto lo que nos interesa analizar en este trabajo al examinar cumplidos en dos variedades del español: español andino (Quito) y español de Andalucía (Sevilla). Así, el estudio se enmarca en el área de pragmática variacionista (Schneider y Barron, 2008). Más específicamente, con base en una muestra de 410 cumplidos que se obtuvieron empleando un cuestionario de construcción de diálogos (Schneider, 2005), analizamos similitudes y diferencias en la percepción de comportamiento apropiado al formular un cumplido entre mujeres universitarias en Quito y Sevilla. Como
veremos, en cuanto a estrategias globales, en los dos contextos hay una preferencia clara por formulaciones directas, corroborando los resultados de estudios anteriores. Sin embargo, encontramos algunas diferencias tanto situacionales como socioculturales con respecto a las sub-estrategias empleadas en la realización del acto central. Identificamos también algunas diferencias en el empleo de mecanismos de modificación interna y actos de apoyo encaminados a realzar el cumplido.
Disentangling face, facework and im/ politeness
Authors: Haugh Michael 
Published: September 2018

Abstract
It is generally assumed in pragmatics that face is essentially a “socially attributed aspect of self”, and that politeness is one kind of facework, alongside other forms of facework such as impoliteness, mock impoliteness, mock politeness, self politeness and so on. In this paper, the assumed necessary link between face and im/politeness is questioned. Drawing from emic studies of face and im/politeness, it is argued that face and im/politeness should be studied, in the first instance, as distinct objects of study in their own right. It is also suggested that drawing from a wider range of emic conceptualisations of face and im/politeness opens up aspects of interpersonal phenomena that have been relatively neglected in pragmatics to date, namely, the importance
of relationships as well as the sets of expectancies that underpin evaluations of im/politeness, as distinct areas for theorisation and analysis. It is concluded that while the Goffmanian face(work) paradigm has proven very productive in pragmatics, drawing from various other emic understandings affords further hitherto relatively under-explored analytical opportunities in the study of interpersonal phenomena.
Science and human religiosity from the perspective of the cognitive science of religion
Authors: Grygiel Wojciech 
Published: September 2018

The cognitive science of religion is a developing subdiscipline of the cognitive sciences which aim at providing the natural explanation of religion by indicating mental tools responsible for the acceptance of religious beliefs. The main goal of this study is to assess the impact of the rapid development of sciences on human religiosity with the use of the conceptual means offered by the cognitive science of religion. Also, a discussion of the role of the models of supernaturality is carried out with the indication that their introduction may be of great assistance in substantiating the outcomes of the cognitive treatment of religiosity. Possible responses to the impact of sciences on religiosity are surveyed.
Rozwód w prawie Polskiego Autokefalicznego Kościoła Prawosławnego: ewolucja instytucji w XX wieku
Authors: Miernik Urszula 
Published: September 2018

Religie chrześcijańskie zasadniczo różnią się w swych poglądach dotyczących rozwiązania małżeństwa poprzez rozwód. Kościół prawosławny, uznając sakramentalność małżeństwa, dopuszcza rozwód oraz wyraża zgodę na zawarcie powtórnego małżeństwa. Istotną rolę w procesie kształtowania się przepisów kościelnych pełni autokefaliczny ustrój Kościoła. Zgodnie z nim kanony kościelne oparte na dogmatach Kościoła prawosławnego muszą być interpretowane w odniesieniu do sytuacji lokalnej Kościoła oraz czasu historycznego. Tak wyznaczona perspektywa prawa wskazuje wrażliwość Kościoła na zmiany społeczne, które także wpływają na sposób interpretacji sytuacji rozpadu małżeństwa. W artykule omówiono statuty wewnętrzne Polskiego Autokefalicznego Kościoła Prawosławnego regulujące zasady rozwiązania małżeństwa od momentu usamodzielnia się Kościoła na ziemiach polskich do czasów współczesnych.
Efektivitas Model Pembelajaran Numbered Head Together (NHT) terhadap Peningkatan Hasil Belajar Siswa dalam Pembelajaran PKn ( Penelitian Tindakan Kelas) pada Siswa Kelas VI SDN Randuagung 05
Authors: Lukiyah Luedi 
Published: September 2018

Tujuan Pendidikan Kewarganegaraan adalah untuk menumbuhkan wawasan dan kesadaran bernegara, serta membentuk sikap dan perilaku cinta tanah air. Pendidikan Kewarganegaraan adalah salah satu mata pelajaran yang pengusaannya menuntut siswa menghafal materi yang telah disampaikan, sehingga terkadang siswa merasa kesulitan dalam mengikuti proses pembelajaran. Metode penelitian ini adalah penelitian tindakan kelas (PTK) yang menerapkan tindakan didalam kelas dengan menggunakan aturan sesuai dengan metodologi penelitian yang dilakukan dalam beberapa periode atau siklus. Materi yang dipilih adalah materi yang menuntun siswa menjadi aktif serta menyadari posisinya sebagai makhluk social sekaligus menjadi penerus bangsa ini adalah dengan memahami terlebih dahulu tentang system demokrasi di Indonesia, yang salah satu salurannya adalah pemilihan umum serta pilkada. Penelitian ini memperlihatkan kemajuan yang dilakukan peserta didik dalam bentuk hasil tes yang meningkat. Hasil pada siklus I siswa yang belum tuntas sejumlah 18 mengalami penurunan menjadi 4 siswa pada siklus II. Dapat disimpulkan bahwa penerapan model numbered head together dapat meningkatakan hasil belajar siswa.
PERSEPSI PEROKOK SURABAYA TERHADAP PESAN IKLAN LAYANAN MASYARAKAT MENGENAI BAHAYA MEROKOK
Authors: Putri Novia Puspita 
Published: September 2018

The age of active smokers in Indonesia is getting younger. Riskesdas (2013) states that the age of the first smoking population of Indonesia is the most aged 15-19 years, which amounted to 55.4%. WHO (2011) states that this time in every year there are 6 million of people dying from smoking habit. WHO predicts on 2030 there will be an increase in cases to 8 million deaths due to smoking. To eliminating this problem, the Ministry of Health of the Republic of Indonesia has launched a public service advertisement about the dangers of smoking. Therefore, this study aims to analyze the perception of teenage smokers in Surabaya against to public service advertisement based on the theory of Extended Parallel Process Model. This research uses descriptive qualitative method. Data collection was done by in-depth interviews, with the help of interview guidelines. This research was conducted in Surabaya city, with 8 informants. The results of the study indicate that all informants have felt the fear and the severity element presented by the public service advertisement. But not all informants have sensed the vulnerability, confidence, and beliefs of the responses presented in the content of public service advertisement. In the element of belief response, based on the results of research, it was found that not all informants feel motivated to quit smoking after seeing the public service advertisement. Therefore, to increase the belief of active adolescent smokers to quit smoking, the need for visualization development of public service advertisements that has been made.Keyword: smoking, adolescence, public service advertisement, Extended Parallel Process Model (EPPM)