bluuebunny/crossref_metadata_2025_split huggingface dataset:
Feasibility and impact of data-driven learning within the suicide prevention action network of thirteen specialist mental healthcare institutions (SUPRANET Care) in the Netherlands: a study protocol
Authors: Setkowski Kim , Mokkenstorm Jan , van Balkom Anton JLM , Franx Gerdien , Verbeek- van Noord Inge , Dongelmans Dave A , Eikelenboom Merijn , Gilissen Renske 
Published: August 2018

IntroductionImprovement of the quality and safety of care is associated with lower suicide rates among mental healthcare patients. In The Netherlands, about 40% of all people that die by suicide is in specialist mental healthcare. Unfortunately, the degree of implementation of suicide prevention policies and best practices within Dutch mental healthcare services is variable. Sharing and comparing outcome and performance data in confidential networks of professionals working in different organisations can be effective in reducing practice variability within and across organisations and improving quality of care.Methods and analysisUsing formats of professional networks to improve surgical care (Dutch Initiative for Clinical Auditing) and somatic intensive care (National Intensive Care Evaluation), 113 Suicide Prevention has taken the lead in the formation of a Suicide Prevention Action Network (SUPRANET Care), with at present 13 large Dutch specialist mental health institutions. Data on suicide, suicide attempts and their determinants as well as consumer care policies and practices are collected biannually, after consensus rounds in which key professionals define what data are relevant to collect, how it is operationalised, retrieved and will be analysed. To evaluate the impact of SUPRANET Care, standardised suicide rates will be calculated adjusted for confounding factors. Second, the extent to which suicide attempts are being registered will be analysed with the suicide attempt data. Finally, professionals’ knowledge, attitude and adherence to suicide prevention guidelines will be measured with an extended version of the Professionals In Training to STOP suicide survey.Ethics and disseminationThis study has been approved by the Central Committee on Research Involving Human Subjects, The Netherlands. This study does not fall under the scope of the Medical Research Involving Human Subjects Act (WMO) or the General Data Protection Regulation as stated by the Dutch Data Protection Authority because data are collected on an aggregated level.
Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study
Authors: Schnipper Jeffrey L , Mixon Amanda , Stein Jason , Wetterneck Tosha B , Kaboli Peter J , Mueller Stephanie , Labonville Stephanie , Minahan Jacquelyn A , Burdick Elisabeth , Orav Endel John , Goldstein Jenna , Nolido Nyryan V , Kripalani Sunil 
Published: August 2018

BackgroundUnintentional discrepancies across care settings are a common form of medication error and can contribute to patient harm. Medication reconciliation can reduce discrepancies; however, effective implementation in real-world settings is challenging.MethodsWe conducted a pragmatic quality improvement (QI) study at five US hospitals, two of which included concurrent controls. The intervention consisted of local implementation of medication reconciliation best practices, utilising an evidence-based toolkit with 11 intervention components. Trained QI mentors conducted monthly site phone calls and two site visits during the intervention, which lasted from December 2011 through June 2014. The primary outcome was number of potentially harmful unintentional medication discrepancies per patient; secondary outcome was total discrepancies regardless of potential for harm. Time series analysis used multivariable Poisson regression.ResultsAcross five sites, 1648 patients were sampled: 613 during baseline and 1035 during the implementation period. Overall, potentially harmful discrepancies did not decrease over time beyond baseline temporal trends, adjusted incidence rate ratio (IRR) 0.97 per month (95% CI 0.86 to 1.08), p=0.53. The intervention was associated with a reduction in total medication discrepancies, IRR 0.92 per month (95% CI 0.87 to 0.97), p=0.002. Of the four sites that implemented interventions, three had reductions in potentially harmful discrepancies. The fourth site, which implemented interventions and installed a new electronic health record (EHR), saw an increase in discrepancies, as did the fifth site, which did not implement any interventions but also installed a new EHR.ConclusionsMentored implementation of a multifaceted medication reconciliation QI initiative was associated with a reduction in total, but not potentially harmful, medication discrepancies. The effect of EHR implementation on medication discrepancies warrants further study.Trial registration numberNCT01337063.
Club drug users had higher odds of reporting a bacterial STI compared with non-club drug users: results from a cross-sectional analysis of gay and bisexual men on HIV pre-exposure prophylaxis
Authors: John Steven A , Parsons Jeffrey T , Rendina H Jonathon , Grov Christian 
Published: August 2018

ObjectivesPre-exposure prophylaxis (PrEP) can reduce HIV transmission risk for many gay, bisexual and other men who have sex with men. However, bacterial STI (BSTI) associated with decreasing condom use among HIV PrEP users is a growing concern. Determining the characteristics of current PrEP users at highest BSTI risk fills a critical gap in the literature.MethodsGay and bisexual men (GBM) in New York City on HIV PrEP for 6 or more months (n=65) were asked about chlamydia, gonorrhoea and syphilis diagnoses in the past 6 months. By design, half (51%) of the sample were club drug users. We examined the associations of length of time on PrEP, type of PrEP care provider, PrEP adherence, number of sexual partners, number of condomless anal sex acts and club drug use on self-reported BSTI using multivariable, binary logistic regressions, adjusting for age, race/ethnicity, education and income.ResultsTwenty-six per cent of GBM on HIV PrEP reported a diagnosis of BSTI in the past 6 months. Men who reported club drug use (adjusted OR (AOR)=6.60, p<0.05) and more frequent condomless anal sex in the past 30 days (AOR=1.13, p<0.05) had higher odds of reporting a BSTI. No other variables were significantly associated with self-reported BSTI in the multivariable models.ConclusionsClub drug users could be at a unique BSTI risk, perhaps because of higher risk sexual networks. Findings should be considered preliminary, but suggest the importance of ongoing BSTI screening and risk-reduction counselling for GBM on HIV PrEP.
The State as a Vehicle of Technological Change: Economic Openness, Technological Catching-up, and Indigenous Innovation in Chinese Firms
Authors: Wang Junmin 
Published: August 2018

AbstractThe global integration of capital and technology generates a pressing debate on how technologically backward countries can benefit fromFDI, and catch up technologically. This study identifies the mechanisms in the triangle of globalization-state-firm accounting for firms’ indigenous innovations. Specifically, I test three types of the state’s roles—the state’s infrastructure-building, partnership with the firm, and direct intervention into firm governance, combined withFDIspillovers and local firms’ absorptive capacity, in shaping local firms’ innovativeness in a national dataset of Chinese firms. I find that during Chinese firms’ initial technological take-off, the state helped enhance local firms’ indigenous innovativeness through its infrastructure-building and various partnerships with the firms. All three types of the state’s roles are found to positively modulate the firms’ absorptive capacities in affecting their innovativeness. The state’s infrastructure-building and the firm’s state ownership helped weaken the negative role of someFDI-related effects in influencing firm innovativeness.
the evolution of the TIROS meteorological satellite operational system1
Authors: Rados Robert M. 
Published: August 2018

TIROS I demonstrated the feasibility of obtaining and utilizing cloud cover pictures from satellites; however, the system had limitations as an operational meteorological tool. Subsequent TIROS satellites and associated launch vehicle and ground systems improved the coverage both in area and frequency, the picture content, data acquisition and processing procedures. Infrared observations and local readout were introduced. The application and dissemination of data were expanded. Research with the data has produced significant results. The developments culminated in the initiation of an operational system using the design of TIROS IX.
The evolution of the operational system is summarized in terms of coverage, orbit, launch vehicle, spacecraft control, solar illumination, camera systems, acquisition facilities, data processing, application of data and research contributions.
importance of thermistor mount configuration to meteorological rocket temperature measurements
Authors: Morrissey James F. , Carten Andrew S. 
Published: August 2018

A description is given of the original rocketsonde thermistor mount, consisting of a 10-mil bead suspended between two metal posts. The difficulties encountered with this mount and the subsequent development of the superior “thin-film” mount are also described. The uncertainties associated with the use of the latter mount are outlined along with their effect on data acceptance.
A different approach to the original problem is described, which employs longer leads for dissipation of heat conducted to the bead. The uncertainty associated with the long lead is shown to be minimal. Preliminary results of a series of 10 rocket flights are presented. These results tend to confirm the advantages of the long lead mount.
Physics–Dynamics Coupling in Weather, Climate, and Earth System Models: Challenges and Recent Progress
Authors: Gross Markus , Wan Hui , Rasch Philip J. , Caldwell Peter M. , Williamson David L. , Klocke Daniel , Jablonowski Christiane , Thatcher Diana R. , Wood Nigel , Cullen Mike , Beare Bob , Willett Martin , Lemarié Florian , Blayo Eric , Malardel Sylvie , Termonia Piet , Gassmann Almut , Lauritzen Peter H. , Johansen Hans , Zarzycki Colin M. , Sakaguchi Koichi , Leung Ruby 
Published: August 2018

AbstractNumerical weather, climate, or Earth system models involve the coupling of components. At a broad level, these components can be classified as the resolved fluid dynamics, unresolved fluid dynamical aspects (i.e., those represented by physical parameterizations such as subgrid-scale mixing), and nonfluid dynamical aspects such as radiation and microphysical processes. Typically, each component is developed, at least initially, independently. Once development is mature, the components are coupled to deliver a model of the required complexity. The implementation of the coupling can have a significant impact on the model. As the error associated with each component decreases, the errors introduced by the coupling will eventually dominate. Hence, any improvement in one of the components is unlikely to improve the performance of the overall system. The challenges associated with combining the components to create a coherent model are here termed physics–dynamics coupling. The issue goes beyond the coupling between the parameterizations and the resolved fluid dynamics. This paper highlights recent progress and some of the current challenges. It focuses on three objectives: to illustrate the phenomenology of the coupling problem with references to examples in the literature, to show how the problem can be analyzed, and to create awareness of the issue across the disciplines and specializations. The topics addressed are different ways of advancing full models in time, approaches to understanding the role of the coupling and evaluation of approaches, coupling ocean and atmosphere models, thermodynamic compatibility between model components, and emerging issues such as those that arise as model resolutions increase and/or models use variable resolutions.
Evaluation of cellulose pads as a method to detect cytomegalovirus DNA in neonatal urine
Authors: Kipfmueller Florian , Jungbluth Kira , Eis-Hübinger Anna M , Reber Ulrike , Holdenrieder Stefan , Gembruch Ulrich , Bartmann Peter , Mueller Andreas 
Published: August 2018

Background Several approaches exist to screen neonates for congenital cytomegalovirus infection. We here describe a new method using cellulose pads for urine collection and its evaluation in an experimental and a clinical setting. Methods We systematically tested the effect of storage duration of the pads after exposure to cytomegalovirus-positive urine, meconium contamination and specimen handling on the cytomegalovirus load and the detection rate. Further, the method was tested in clinical practice in a cohort of 500 neonates. Results Following exposure of urine pads with cytomegalovirus-positive urine, the viral load decreased after 15 min, 12 h, 24 h, and 7 days to 63.2%, 42.1%, 31.6%, and 9.3% of the baseline value. Cytomegalovirus detection rate after seven days was 100%. Contamination with meconium resulted in a comparable reduction of the viral load. The detection rate for dried urine pads after seven days was 93.3%. In clinical practice, urine collection from pads was successful in 73.6% by the first attempt and in 26.4% by the second attempt. Conclusions Urine collection using cellulose pads seems feasible regardless of a reduction of the cytomegalovirus load due to exposure to the pad itself or to meconium. Drying of the exposed urine pad should be avoided.
A practical microwatt-meter for electrical energy measurement in programmable devices
Authors: Al-Shorman Mohammad Y , Al-Kofahi Majd M , Al-Kofahi Osameh M 
Published: August 2018

Background: In this work, an accurate low-cost power microwatt-meter is designed, built, and tested. This microwatt-meter is found to be capable of measuring power consumption in a wide range of devices and sensors, such as nodes in wireless sensor networks, microcontrollers in Internet of Things devices, and Field Programmable Gate Arrays. Methods: The paper examines the usage of the microwatt-meter for the measurement of power consumption in digital devices as they execute program instructions, ranging from a low-level single step (instruction) in an assembly program to a high-level sophisticated program or system. Results: The results obtained showed that the microwatt-meter is highly accurate. It can measure the energy consumed by any of the devices/programs/instructions in a digital system with accuracy levels ranging between 0.5% and 2.5% (depending on the application). Conclusion: The accuracy of the microwatt-meter is validated using the fundamental conservation of energy law and a comparison with multimeter current measurements is presented.
Changing of Chinese psychiatrists’ attitudes toward consent process to treatment and its association with the China’s National Mental Health Law
Authors: Huang Jingjing , Shao Yang , Ma Huajian , Yang Weimin , Li Huafang 
Published: August 2018

Objective Few studies have addressed informed consent in Chinese psychiatric practice. We wished to explore psychiatrists’ attitudes toward informed consent in Shanghai after promulgation of the first national law for mental health care in China: the National Mental Health Law. Method A total of 398 psychiatrists were recruited from seven psychiatric hospitals in Shanghai. Their anthropometric data were collected. A confidential, self-report questionnaire addressing attitudes toward the informed consent process was completed by all participants. Results Most respondents would like to inform patients/guardians of the diagnosis (95.2%), treatment plan (93.5%), treatment goals and potential adverse effects of prescribed medications (94.7%), and alternative treatment plans (71.9%). In addition, 58.4% of psychiatrists thought that the informed consent process for physical restraint was difficult to follow. According to logistic regression, psychiatrists not trained to use the National Mental Health Law were more likely to have a negative attitude toward the informed consent process compared with those trained (adjusted odds ratio = 0.21; 95% confidence interval: 0.07–0.59; p = 0.003). Conclusions Psychiatrists trained to use the National Mental Health Law had more positive attitudes toward the informed consent process. Lack of such training could affect the attitudes of psychiatrists toward the informed consent process in China.
Interest Rate Sensitivity of Non-banking Financial Sector in India
Authors: Ghosh Renu , Latha K. , Gupta Sunita 
Published: August 2018

Executive Summary Before financial liberalization, interest rates were administered and exhibited near-zero volatility. The easing of financial repression in the 1990s generated experiences with interest rate volatility in India. Administrative restrictions on interest rates in India have been steadily eased since 1993. This has led to increased interest rate risk for financial firms. Most research studies have almost exclusively focused on the developed countries especially the banking sector of the United States. The present study attempts to examine the interest rate risk of non-banking financial institutions in India by using the methodology of panel regression and generalized autoregressive conditional heteroscedasticity (GARCH) (1, 1) model for the period from 1 April 1996 to 30 August 2014. The sample used in the study consists of all non-banking financial companies (NBFCs) listed in the S&P CNX 500 index which has continuous availability of share prices over the study period. The study also examines the impact of unanticipated changes in interest rate on stock returns of NBFCs. The Box–Jenkins methodology is applied to calculate unanticipated changes in interest rate variable, autoregressive integrated moving average (ARIMA) (24, 1, 0) model. The time series used in the present study is found to be stationary at the first logarithmic difference. Stock returns exhibit significant exposure with both market returns and interest rate changes. The interest rate sensitivity of large, medium, and small financial institutions is also found to be different. Estimation results for the variance equation in GARCH (1, 1) model suggest that the volatility for individual firm stock returns is time-variant. The ARCH and GARCH coefficients are found to be significant, providing evidence against using traditional model (ordinary least square (OLS)) that assumes time-invariant volatility. This implies that the market has a memory longer than one period and volatility is more sensitive to its own lagged values than it is to new surprises in the market. This study also investigates the possible determinants that account for cross-sectional variation in the interest rate sensitivity of NBFCs. It is found that the size of the firm is the preferred determinant that accounts for cross-sectional variation in the interest rate sensitivity of finance companies. When unanticipated changes in interest rate are used in lieu of actual interest rate changes, not much difference is observed in the significance coefficients. The only significant difference observed is in the magnitude. The impact of actual interest rate changes is more than the impact of unanticipated interest rate changes in absolute terms. This difference in the magnitude of impact arises because actual data incorporate movement in both anticipated and unanticipated components of interest rate. Hence, NBFCs managers and regulators should adopt policies and strategies to avoid the transmission of interest rate risk in their stock returns.
A Mechanical Approach to Quantify Blending of Aged Binder from Recycled Materials in New Hot Mix Asphalt Mixtures
Authors: Ashtiani Milad Zokaei , Mogawer Walaa S. , Austerman Alexander J. 
Published: August 2018

In the paving industry, there is increased interest in using recycled materials like recycled asphalt shingles (RAS) and reclaimed asphalt pavements (RAP) due to the valuable asphalt binder contained within them. The major concern with using these materials is that the binder they contain is highly aged, which could lead to reduced mixture durability. Therefore, a method is needed to quantify the extent to which the aged binders from these materials blend with virgin binder when producing mixtures in order to understand better their effects on mixture performance. In this study, a new approach to quantify the amount of blending that occurs between aged RAS and RAP binders and a virgin binder was developed. Asphalt binders were extracted and recovered from RAS and RAP stockpiles and blended with a PG64-28 virgin binder in varying proportions. The master curves of these mixtures were constructed at 20°C. Asphalt mixtures containing different proportions of the same RAS and RAP stockpiles were then designed and the dynamic moduli of the mixtures were measured to construct mixture master curves at 20°C. The binder master curves for each blending proportion were then substituted into a locally calibrated Hirsch model to predict the mixture master curves. Comparison of the measured and predicted mixture master curves suggested that the aged binder from RAS and RAP blends with the virgin binder less than 40% and 60%, respectively. Cracking tests were also conducted to validate the proposed degrees of blending from a mixture mechanical performance point of view.