bluuebunny/crossref_metadata_2025_split huggingface dataset:
A systematic review of reviews to identify key research opportunities within the field of eHealth implementation
Authors: Ahmed Bakhtiyar , Dannhauser Thomas , Philip Nada 
Published: April 2018

Introduction This paper is a systematic review of the relevant literature surrounding the implementation and utilisation of eHealth to identify key challenges and opportunities to future eHealth applications. Methods NHS Evidence, PubMed, IEEE Explorer, Cochrane Library and JMIR Publications were all searched for reviews published between 1 January 2010 and 30 June 2017. Results A total of 47 papers met the final inclusion criterion. The published literature focused on a wide array of challenges categorised into five areas, facing the implementation and utilisation of eHealth; from this, four areas of opportunity to advance eHealth were identified. Discussion The five challenge areas are (C1) stakeholders and system users, (C2) technology and interoperability, (C3) cost-effectiveness and start-up costs, (C4) legal clarity and legal framework and (C5) local context and regional differences. The four opportunity areas are (O1) participation and contribution, (O2) foundation and sustainability, (O3) improvement and productivity and (O4) identification and application. Conclusion The literature analysed in this systematic review identifies design and implementation priorities that can guide the development and utilisation of future eHealth initiatives.
Integrating nurse-facilitated advance care planning for patients newly diagnosed with advanced lung cancer
Authors: Ólafsdóttir Kristin Lara , Jónsdóttir Helga , Fridriksdóttir Nanna , Sigurdardóttir Valgerdur , Haraldsdóttir Erna 
Published: April 2018

Background: Advance care planning (ACP) is well recognised as an important component of palliative care. However, there is still a need to explore ways in which it can become a part of routine practice, ensuring a timely and person-centred discussion. Objectives: To explore patients newly diagnosed with advanced lung cancer and their family members' experiences of engaging in a person-centred and structured ACP discussion facilitated by palliative care nurses in an outpatient oncology clinic at the University Hospital of Iceland. Methods: An exploratory qualitative design employing semi-structured interviews and thematic analysis. The intervention included a structured ACP discussion, aided by a booklet. Results: Key themes emerged describing families' and patients' experiences and highlighted that the timing and approach of the ACP discussion was appropriate and helpful, even though the discussion was sensitive and difficult. Using a routine approach with a flexible structure normalised the discussion and made it easier for the patients to take the lead in the discussion. Conclusions: ACP discussion can be part of an integrated palliative care and oncology service if implemented in a systematic way.
Undergraduate nursing students' transformational learning during clinical training
Authors: Melin-Johansson Christina , Österlind Jane , Hagelin Carina Lundh , Henoch Ingela , Ek Kristina , Bergh Ingrid , Browall Maria 
Published: April 2018

Background: Undergraduate nursing students encounter patients at the end of life during their clinical training. They need to confront dying and death under supportive circumstances in order to be prepared for similar situations in their future career. Aim: To explore undergraduate nursing students' descriptions of caring situations with patients at the end of life during supervised clinical training. Methods: A qualitative study using the critical incident technique was chosen. A total of 85 students wrote a short text about their experiences of caring for patients at the end of life during their clinical training. These critical incident reports were then analysed using deductive and inductive content analysis. Findings: The theme ‘students’ transformational learning towards becoming a professional nurse during clinical training’ summarises how students relate to patients and relatives, interpret the transition from life to death, feel when caring for a dead body and learn end-of-life caring actions from their supervisors. Implications: As a preparation for their future profession, students undergoing clinical training need to confront death and dying while supported by trained supervisors and must learn how to communicate about end-of-life issues and cope with emotional stress and grief.
Effect of Impact Energy in ESSO Test (Part 2: Proposal of Validity Criteria of Impact Condition in ESSO Test by FEM Crack Propagation Analysis
Authors: Kaneko Masahito , Kawabata Tomoya , Aihara Shuji 
Published: April 2018

Abstract
Based on the fundamental knowledge revealed in Part 1 of the present work, crack propagation analysis is carried out in Part 2 of the present work to the establish validity criteria for impact conditions. In cases where there is excessive impact energy in a brittle fracture test in the evaluation of crack arrest toughness, the impact energy gives conservative test results. In this research, numerical simulation was systematically conducted in order to clarify the effects of impact energy. Dynamic elastic finite element method Finite Element Method (FEM) analysis, which was validated by actual dynamic strain data in Part 1, was employed. The FEM analysis revealed that the impact effect reached its maximum immediately after impact and gradually decreased thereafter. However, the increase of the dynamic stress intensity factor Kd, with respect to the impact, remains significant in cases where applied stress is low and impact energy is high. The judgment of whether the impact had an effect on the results was made by calculating the ratio of the values of Kd both for cases where impact was considered and where it was not. The threshold condition from which the evaluated value should be corrected was set to 1.5. The specified range could be determined without considering the effect of impact by using the dimensionless ratio of the quantity impact energy Ei/(Es + Et).
Evaluating the Effect of High RAP Content on Asphalt Mixtures and Binders Fatigue Behavior
Authors: Mannan Umme Amina , Faisal Hasan M. , Hasan Md Mehedi , Tarefder Rafiqul A. 
Published: April 2018

Abstract
One of the main concerns with the application of reclaimed asphalt pavement (RAP) in the asphalt concrete pavement is fatigue cracking due to the stiffness increase with the addition of aged and stiff RAP binder. The purpose of this study is to evaluate fatigue performance of asphalt binder and mixtures with different RAP percentages (0, 15, 25, 35 and 40 %). Among these, 35 and 40 % RAP mixes are considered as high RAP content. This study describes the results of laboratory fatigue response of asphalt mixtures and extracted binders containing RAP to define the effect of RAP on the fatigue performance. To achieve this objective, mixes and binders were tested using the beam fatigue test and the time-sweep test, respectively. Test results were analyzed using two different fatigue approaches, reduction in stiffness and dissipated energy criteria. Results showed that a higher initial stiffness and initial dissipated energy initiate the fatigue failure faster. Since both binders and mixes show an increase in the stiffness and energy consumed per loading cycle with the addition of RAP, resulting mixes containing higher RAP have a very short fatigue life. Also, the fatigue endurance limit decreases drastically with the addition of RAP in the mix. The results comparing two different RAP sources showed that the RAP source has more prominent effect on the mix fatigue performance than the binder fatigue performance. Finally, the traditional fatigue life prediction model is modified to incorporate the effect of RAP in the fatigue equation. The modified regression model predicted reasonable fatigue life of the mixture with a coefficient of determination (R2) close to 1. The measured and predicted fatigue life results were found close to each other for both mix and binder containing RAP.
Low Temperature Photoluminescence in Some Common Polymers
Authors: Posavec T. , Nepal S. , Dordevic S. V. 
Published: April 2018

Abstract
We have studied the temperature dependence of photoluminescence (PL) in several common polymers, such as low-density polyethylene, polycarbonate, acrylic, polypropylene, polystyrene, and polyurethane. We found a pronounced temperature dependence of the photoluminescence peak in all polymers. Emission intensity was found to increase as temperature decreased but at different rates for different polymers. Acrylic was found to have the strongest increase, and its temperature range was extended down to 5 K. Below 77 K, its PL intensity was found to saturate to a constant value. The analysis of the data indicates that in all studied polymers the PL intensity at all measured temperatures can be described with the Arrhenius formula. From the best fits of the data, the activation energy was extracted for all studied polymers. Our results might have implications for the low temperature applications of these common polymers.
La noción de “esquema” en el pensamiento de Michel Foucault. Hacia una ontología de la imaginación
Authors: Prósperi Germán Osvaldo 
Published: April 2018

El término “esquema” aparece trece veces en el capítulo “Le panoptisme” de Surveiller et punir. Consideramos que se trata de un término técnico del pensamiento foucaultiano cuyo sentido remite a la filosofía kantiana. Gilles Deleuze es uno de los pocos pensadores que parece haber notado la relación entre la problemática del poder (en especial la noción de “diagrama”) y el esquematismo kantiano. Si el diagrama es análogo al esquema kantiano, y si el esquema, en la Kritik der reinen Vernunft, es producido por la imaginación, ¿cuál es el término que se corresponde, en Foucault, con la imaginación? Esta pregunta apunta ya a una ontología. El objetivo de este artículo consiste en mostrar que la arqueología y la genealogía de Foucault requieren una ontología política e histórica de la imaginación, en parte esbozada por Deleuze, aunque nunca pensada en relación a la imaginación.
DYNAMIC OF PHYSICAL CAPACITY AND QUALITY OF LIFE AFTER HEART TRANSPLANTATION
Authors: Simonenko M. A. , Berezina A. V. , Fedotov P. A. , Sazonova Y. V. , Pervunina T. M. , Lelyavina T. A. , Sitnikova M. Y. , Nikolaev G. V. , Gordeev M. L. , Karpenko M. A. 
Published: April 2018

Aim:to estimate physical capacity and quality of life (QoL) and defi ne factors which impact on their dynamic in recipients after heart transplantation (HTx).Materials and methods.From January 2010 to September 2016 we performed 76 HTx (mean age – 45,4 ± 1,6 yrs). Physical activity (PA) was evaluated by IPAQ questionnaire, QoL – by SF-36 (6 months and 1 yr after HTx). Patients underwent cardiopulmonary exercise test (Oxycon Pro, Germany) before, 6 months (n = 32) and 1 yr (n = 31) after HTx.Results.In 6 months after HTx PC improved (VO2peak – 12,6 ± 0,5 and 17,3 ± 0,6 ml/min/kg, p < 0,001). One yr after HTx physically active recipients (n = 21) showed better results (VO2peak – 18,7 ± 0,9 vs. 16,7 ± 0,4 ml/min/kg, p < 0,05). Moreover, 6 months 59,4% (n = 19) and 1 yr after HTx 77,4% (n = 24) of all patients reached normal values, 20 of them were physically active. We did not fi nd any difference in results depending on heart failure severity, duration of illness and of time spent in HT waiting list. In 6 months after HTx physical health (PH) increased (32,2 ± 1,1 vs. 48,2 ± 1,6, p < 0,001), on the other hand, results of mental health (MH) were the same and remained stable in 1 yr after HTx. In addition, QoL was higher in physically active patients than in sedentary lifestyle ones. There was correlations between PH and PA duration (r = 0,4; p < 0,05), VO2peak (r = 0,3; p < 0,05), VO2 at AT (r = 0,4; p < 0,05) and VE/VCO2 (r = –0,5; p < 0,05).Conclusion.After heart transplantation physical capacity and physical health improved but physically active recipients showed better results. Factors affecting the increase in physical capacity were improvement in the functional state of the cardiovascular system and physical activity.
Chanarin Dorfman Sendromu: Olgu Sunumu
Authors: Bolattürk Ömer Faruk , Göl Mehmet Fatih , Yetkin Mehmet Fatih 
Published: April 2018

Dorfman-Chanarin Sendromu, otozomal resesif geçişli
nadir bir nötral lipid depo bozukluğudur. Bu multisistemik hastalıkta nonbüllöz
iktiyozis, vakuollü lökositler, miyopati, nöropati, sağırlık, gelişme geriliği,
göz ve karaciğer patolojileri izlenebilir. Bu yazı; nöropati, miyopati, iktiozis, kardiyomiyopati, karaciğerde
steatoz, sensörinöral tip işitme kaybı , bilateral optik atrofi, periferik
yaymada lipit yüklü vakuoller saptanan, aile öyküsü olmayan Chanarin Dorfman
Sendromu tanısı konulan olguyu içermektedir. Nötral lipid depo hastalığının geç
dönemde de ayırıcı tanıda düşünülmesi gereken nadir görülen bir hastalık
olduğunu vurgulaması açısından bu vaka sunulmuştur.
Educare alla scelta della scuola secondaria di secondo grado e orientare per preparare al futuro
Authors: Fontana Margherita 
Published: April 2018

L’orientamento è un fattore strutturale di ogni processo formativo, realizzato lungo l’arco di tutta la vita; nella scuola si trovano gli spazi e le opportunità per formarsi e prepararsi alla scelta di una professione futura. Naturalmente la scuola deve acquisire la consapevolezza di ciò, tuttavia in questi anni, in cui le riforme scolastiche si sono succedute, è cresciuta la necessità di far acquisire all’orientamento il compito educativo che mette al centro l’interesse degli studenti e delle studentesse e la maturazione della loro personalità (Del Core, 2008). L’orientamento scolastico deve indirizzare gli alunni ad esplorare ed acquisire elementi fondamentali per iniziare la costruzione di una propria identità, partendo dalle competenze acquisite. Fondamentale diventa l’aiuto a riconoscere le competenze possedute, non solo per sostenere la motivazione ma anche per individuare e definire le scelte formative e di lavoro.È utile nel processo di orientamento, in particolare nella verifica della scelta fatta, riflettere sulle interconnessioni tra caratteristiche personali, specificità del percorso scolastico e caratteristiche delle figure professionali collegate. “Uno dei principali obiettivi della scuola è fornire agli studenti gli strumenti intellettivi, le convinzioni e le abilità auto-regolatorie che servono loro per autoistruirsi tutta la vita”. Imparare ad autogestirsi in situazioni diverse e anche dopo la scuola è il punto di forza che aiuterà gli adolescenti ad essere autonomi e ad “arrivare fino in fondo” (Bandura, 2012, p. 24).
Философия как самосознание свободы
Authors: Межуев Вадим Михайлович 
Published: April 2018

<p>В статье анализируется основная функция философии — самосознание человека.</p><p>Текст доклада автора на Всероссийской научной конференции «Культура между Логосом и Мифом: к проблеме бессознательного (к 80-летию А. Э. Воскобойникова)», которая прошла в Московском гуманитарном университете 26-27 октября 2017 года.</p>
Проблема Другого в современных социально-культурных практиках
Authors: Крючкова Светлана Евгеньевна 
Published: April 2018

<p>В статье исследуется эвристический потенциал феноменологии Э. Гуссерля для решения проблемы Другого (другого Я), которая имеет важное значение для построения общей теории аргументации.</p><p>Текст доклада автора на Всероссийской научной конференции «Культура между Логосом и Мифом: к проблеме бессознательного (к 80-летию А. Э. Воскобойникова)», которая прошла в Московском гуманитарном университете 26–27 октября 2017 года.</p>
Variability in size and shape of wings in longevity-selected strains of house fly (Musca Domestica L.): geometric morphometrics
Authors: Akhmetkireeva Tansulpan T. , Ben'kovskaya Galina V. , Vasil'ev Aleksei G. 
Published: April 2018

Background. The aim of the study is evaluate the long-term morphogenetic consequences of the housefly mass selection by the lifespan of two formed strains with different longevity.
Materials and methods. Two control groups were detached from the strains Sh gen (short-living adults) after 65th and L gen (long-living) after 45th generations of selection for early or late reproduction. Geometric morphometrics of the flys wing shape are made from the configurations of 17 homologous Landmarks positioned on the wings images. The direction and magnitude of the interstrain differences were estimated using the canonical analysis of Procrustes coordinates, which characterized the variability of the wing shape. The degree of intra-group morphological disparity from the values of the first two canonical variables was analyzed by the nearest neighbour point pattern analysis.
Results. Significant interstrain and sex differences in the shape and size of the wing were revealed. The size of the wing plate of males and females of the Sh gen strain and the level of intragroup disparity are significantly larger than in the L gen strain. The pattern of intragroup disparity of the wing shape of the Sh gen adults is characterized by a significant effect of ordinates overdispersion.
Conclusion. A hypothesis has been put forward that the revealed morphogenetic rearrangements in individuals of both strain formed on the base of historically existing potent ontogenetic trajectories of species. It is assumed that the basis for morphogenesis rearrangements are the primary epigenetic changes due to the transposition of the mobile elements of the genome.
Hekimlerin akılcı ilaç kullanımı ve farmakovijilansa yönelik bilgi ve tutumları
Authors: KUBAT Havva 
Published: April 2018

Amaç: Bu çalışmanın amacı; Adana ilinde faaliyet gösteren bir kamu hastanesinde görev yapan hekimlerin, akılcı ilaç kullanımına yönelik bilgi ve davranışlarını incelemektir. Gereç ve Yöntem: Tanımlayıcı nitelikte kesitsel olan bu çalışmada, hekimlerin akılcı ilaç kullanımı konusundaki bilgi ve davranışlarını sorgulayan 21 sorudan oluşan anket, 353 hekime uygulanmıştır. Böylece hedef populasyonun %64.2'sine ulaşılmıştır. Bulgular: Hekimlerin %96.3'ünün reçeteleme yaparken ilaç bilgi kaynaklarından faydalandığı, reçeteleme yaparken ilaç bilgi kaynağı olarak %60.3’ünün tanı ve tedavi rehberlerini, %59.4’ünün interneti kullandığı, %39.9'unun ilaç kısa ürün bilgilerini sık sık okuduğu, %60.1’inin ilaç endikasyonlarını, %52.4’ünün pozoloji ve uygulama şeklini, %48.7’sinin farmakolojik özelliklerini, %46.7’sinin kontrendikasyonlarını, %49’unun yan etkilerini, %48.1’inin uyarılar ve önlemleri, %47’sinin gebelik ve pediatride kullanımını, %41.9’unun biyoeşdeğerliğini iyi düzeyde bildiği, %47.6'sının muayene etmeden ilaç reçete etmediği, çoğunluğun ilaç reçete ederken hastanın anamnez bilgilerini sıklıkla sorguladığı, %51'inin ilaçlarla ilgili verdiği bilgiyi yeterli bulduğu, %60.6'sının advers etki bildirimi yapmadığı, %46.2'sinin advers etki bildirimini yoğun çalıştığından dolayı yapmadığı, %44’ünün farmakovijilansı bildiği, %73.4'ünün Türkiye Farmakovijilans Merkezi’ni bilmediği gösterilmiştir.Sonuç: Bu çalışmanın sonuçlarına göre; hastanelerde hekimlerin akılcı ilaç kullanımında, reçeteleme ve hastayı bilgilendirme konusunda duyarlı oldukları, ancak advers etki bildirimi ve farmakovijilans konusunda yeterli duyarlılığın oluşmadığı saptanmıştır.
Plasmid-mediated fluoroquinolone resistance in clinical isolates of Escherichia coli in Konya, Turkey
Authors: AZEEZ Dhay Ali , FINDIK Duygu , TÜRK DAĞI Hatice , ARSLAN Uğur 
Published: April 2018

Purpose: Resistance to quinolones usually results from mutations in the topoisomerase genes encoded chromosomally and also the expression of efflux pumps, loss of porines and the transfer of plasmid-mediated genes. The aim of this study was to investigate the presence of plasmid-mediated quinolones resistance genes (qnrA, qnrB, qnrC, qnrS, qepA, and aac(6’)-1b-cr) in clinical isolates of Esherichia coli from Selcuk University, Konya, Turkey.Materials and Methods: In this study 115 quinolone-resistant isolates were screened for qnrA, qnrB, qnrC, qnrS, qepA, and aac(6’)-1b-cr genes by polymerase chain reaction (PCR). All aac(6’)-1b positive amplicons were analyzed by digestion with BseGI restriction enzyme to identify aac(6’)-1b-cr variant.Results: Of the 115 quinolone-resistant E.coli strains, three (2.6%) carried qnrB, nine (7.8%) carried qnrS and 50 (43.5%) carried aac(6’)-1b-cr genes. None of them harboured qnrA, qnrC and qepA genes.Conclusion: We determined that aac(6')-1b-cr gene was responsible for most of the quinolone-resistant E. coli strains from Konya, Turkey. The prevalence of qnrB and qnrS genes was low and qnrA, qnrC and qepA genes were not detected. The surveillance of quinolone resistance genes is important, especially plasmid mediated ones are rapidly spreading all over the world.
Hematolojik hastalığı olan çocuklarda splenektominin endikasyonları ve etkinliği
Authors: Özden Önder , Kılıç Şeref Selçuk , Alkan Murat , İnce Banu 
Published: April 2018

Amaç: Bu çalışmada çocuklarda hematolojik hastalıklar nedeniyle yapılan splenektominin faydasını ve endikasyonlarının araştırılması amaçlanmıştır.Gereç ve Yöntem: Hastanemizde 2009-2015 yılları arasında, 0-17 yaş aralığında, herhangi bir sebepten dolayı splenektomi yapılmış hastalar araştırıldı. Hastalarının yaşı, cinsiyeti, tanıları, postsplenektomi enfeksiyon olup olmadığı, portal venoz tromboz (PVT) olup olmadığı, ameliyat tipi, preoperatif ve postoperatif beyaz küre sayısı, hemotokrit ve trombosit sayısı, eşzamanlı kolesistektomi, dalak boyutu ve ameliyattan fayda görüp görmediği retrospektif olarak incelendi.Bulgular: Hastaların (n=58) yaş ortancası 8’di. % 41’i kız, % 59 ‘u erkekti. Dört hastada splenektomi sonrası PVT gelişti. Hastaların 8’ine laparoskopik splenektomi yapıldı. 2 hasta ise ameliyata laparoskopik başlanmış ancak kanama sebebiyle açığa dönülmüştür. On dört hastaya eş zamanlı kolesistektomi yapıldı. En çok orak hücreli anemi (n=20 %34,5) ,daha sonra talasemi major ( n=17 %29,3) ve immün trombositopenik purpura (n=6 %10,3) tanılarıyla splenektomi yapıldı. Dokuz (%15) hasta splenektomi sonrası enfeksiyon nedeniyle hastanemize yatışı yapıldı. Hastaların 17 ‘sinde splenektomiden fayda görüp görmediği veri yetersizliğinden dolayı değerlendirilemedi. Değerlendirilen hastaların %85’i (n=35) splenektomiden fayda gördü. 4 hasta eksitus olmuştur. Talasemi major ve İTP olan birer hasta splenektomiden fayda görmedi. Orak hücreli anemi olan hastaların hepsi splenektomiden fayda gördü.Sonuç: Splenektomi, hala birçok hematolojik hastalığın tedavisi için kullanılan etkili cerrahi bir işlemdir. Trombosit sayısını yükseltmek için yapılan ameliyatlarda hastanın yaşı, azda olsa önemlidir.