bluuebunny/crossref_metadata_2025_split huggingface dataset:
Contraception following pregnancy: FAQs
Authors: Robinson Carol Marilyn Ann 
Published: July 2018

Practice nurses may be at the frontline of delivering contraception to women following pregnancy. Carol Marilyn Ann Robinson provides the answers to some frequently asked questions in clinical practice The aim of this paper is to address questions frequently asked by practice nurses, midwives and health visitors during contraception training programmes in relation to the provision of contraception to women following childbirth, abortion, miscarriage or ectopic pregnancy. In order to formulate evidence-based answers to the questions electronic sources were routinely searched including clinical guidance from the Faculty of Sexual and Reproductive Healthcare; the World Health Organization publications; UK Medical Eligibility Recommendations for Contraceptive Use; the Cochrane library; and Medline, as well as manufacturers' Summaries of Product Characteristics.
Polypharmacy in older people: The need for deprescribing
Authors: Kaufman Gerri 
Published: July 2018

As Gerri Kaufman explains, practice nurses play a key role in supporting older people with long-term conditions who may benefit from deprescribing Multimorbidity, the existence of two or more long-term conditions, and polypharmacy, the use of multiple medicines, are common in older people. Polypharmacy is classed as either appropriate or problematic. Altered pharmacokinetics (how the body handles a drug), and pharmacodynamics (how drugs work in the body), coupled with polypharmacy have the potential to increase the risk of adverse drug events in older people. Adverse drug events include drug-to-drug interactions and adverse drug reactions. It remains unclear whether interventions such as medication reviews, the use of risk screening tools and computerised decision support, implemented to improve appropriate polypharmacy, result in clinically significant improvements. There is growing evidence of the benefits and safety of deprescribing in polypharmacy, which strengthens the case for greater integration of the process into clinical practice. Nurses in general practice play a key role in supporting older patients with long-term conditions and multimorbidity, and therefore have a role to play in deprescribing decisions, and in supporting patients to make such decisions.
The role of technology-enabled care in high-quality patient care
Authors: Johnson Kellie , Johnstone Heather , McGougan Teresa 
Published: July 2018

It is essential that the NHS drives improvement in technology to improve patient care. This article discusses how practice nurses can play their part Using technology-enabled care to deliver high-quality patient care aligns to the triple aim of Leading Change, Adding Value: better outcomes, better experiences for people and better use of resources. This article focuses on the need to support practice nurses in becoming digitally proficient and explores shared learning from an innovative project that enables nurses to become digital champions.
Missed Monteggia fracture dislocations treated by open reduction of the radial head
Authors: Eamsobhana P. , Chalayon O. , Kaewpornsawan K. , Ariyawatkul T. 
Published: July 2018

Aims Delayed diagnosis is a well-known complication of a Monteggia fracture-dislocation. If left untreated, the dislocated radial head later becomes symptomatic. The purposes of this study were firstly, to evaluate the clinical and radiological results of open reduction of the radial head and secondly, to identify the factors that may affect the outcome of this procedure. Materials and Methods This retrospective study evaluated 30 children with a chronic Monteggia lesion. There were 18 boys and 12 girls with a mean age of 7.4 years (4 to 13) at the time of open reduction. The mean interval to surgery, after the initial fracture, was 23.4 months (6 to 120). Clinical grading used a Kim modified elbow score: radiological outcome was recorded. The effect of the patient’s age, gender, duration from initial injury, Bado classification, and annular ligament reconstruction were analyzed. The mean follow-up was 42.2 months (15 to 20). Results The Kim elbow scores evaluated at the last clinic visit were excellent in 23 patients, good in three, fair in two, and poor in two. A majority of the patients were found to have significant improvement of elbow flexion (p < 0.001). Six met the criteria of a fair radiological outcome; four of these were operated on more than 24 months after the initial injury, and three had surgery after the age of 11. Univariate analysis failed to find any factor that was significantly associated with a fair or poor outcome. Conclusion Good clinical and radiological outcomes can be expected in most patients. Osteoarthritic changes were associated with age > 11 years and/or a delay of treatment of > 24 months. However, no statistically significant factor could be identified which correlated with an unfavourable outcome. Cite this article: Bone Joint J 2018;100-B:1117–24.
Increased postoperative glucose variability is associated with adverse outcomes following orthopaedic surgery
Authors: Shohat N. , Foltz C. , Restrepo C. , Goswami K. , Tan T. , Parvizi J. 
Published: July 2018

Aims The aim of this study was to examine the association between postoperative glycaemic variability and adverse outcomes following orthopaedic surgery. Patients and Methods This retrospective study analyzed data on 12 978 patients (1361 with two operations) who underwent orthopaedic surgery at a single institution between 2001 and 2017. Patients with a minimum of either two postoperative measurements of blood glucose levels per day, or more than three measurements overall, were included in the study. Glycaemic variability was assessed using a coefficient of variation (CV). The length of stay (LOS), in-hospital complications, and 90-day readmission and mortality rates were examined. Data were analyzed with linear and generalized linear mixed models for linear and binary outcomes, adjusting for various covariates. Results The cohort included 14 339 admissions, of which 3302 (23.0%) involved diabetic patients. Patients with CV values in the upper tertile were twice as likely to have an in-hospital complication compared with patients in the lowest tertile (19.4% versus 9.0%, p < 0.001), and almost five times more likely to die compared with those in the lowest tertile (2.8% versus 0.6%, p < 0.001). Results of the adjusted analyses indicated that the mean LOS was 1.28 days longer in the highest versus the lowest CV tertile (p < 0.001), and the odds of an in-hospital complication and 90-day mortality in the highest CV tertile were respectively 1.91 (p < 0.001) and 2.10 (p = 0.001) times larger than the odds of these events in the lowest CV tertile. These associations were significant even for non-diabetic patients. After adjusting for hypoglycaemia, the relationships remained significant, except that the CV tertile no longer predicted mortality in diabetics. Conclusion These results indicate that higher glycaemic variability is associated with longer LOS and in-hospital complications. Glycaemic variability also predicted death, although that primarily held for non-diabetic patients in the highest CV tertile following orthopaedic surgery. Prospective studies should examine whether ensuring low postoperative glycaemic variability may reduce complication rates and mortality. Cite this article: Bone Joint J 2018;100-B:1125–32.
Ideology and the virtual city: Social critique and conformity in video game power fantasies
Authors: Bailes Jon 
Published: July 2018

Abstract
This article analyses three video games based in modern urban settings, Saints Row IV, Grand Theft Auto V and No More Heroes, to consider how they convey different ideological responses to modern consumer societies in their structural and narrative elements. Using Marxist and psychoanalytic concepts, I consider how expectations surrounding work, leisure, property and relationships create antagonisms that individuals must reconcile with life experience. I then show how the three games exemplify different forms of ideology, in the shape of ‘power fantasies’ that manifest these antagonisms and attempt to resolve them. Throughout the article, I reference social theorists such as Fredric Jameson, Slavoj Žižek and Herbert Marcuse to define the ‘neo-liberal’ cultural background from which these ideologies emerge, and outline their features. Such perspectives help evaluate the games as cultural products of today’s neo-liberalized social order, which, I argue, struggle to interrogate systemic issues, but nonetheless contain hints of deeper social critique.
‘What is my Call of Duty?’: Exploring the importance of player experience in a first-person shooter video game
Authors: Krcmar Marina , McGloin Rory , Scott Li Shu 
Published: July 2018

Abstract
The purpose of this study was to examine the relationship between previous gameplay experience and game responses and perceptions, such as guilt and stress, as well as in-game behaviour. Based on a dual-processing approach, we expected more experienced players to process games using a more effortful, system 2 type processing; whereas, less experienced players would process the game using the more automatic system 1 type processing. Further, we expected these differences in processing to be related to differences in guilt, stress and in-game outcomes. Consistent with these predictions we found that more experienced game players perceived game characters as less anthropomorphic and experienced less stress from shooting at in-game characters. In addition, perceiving game characters as more anthropomorphic was related to increased feelings of guilt after gameplay as well as an increase in stress resulting from shooting at in-game characters. Stress was negatively related to lower overall bullet counts and increased feelings of guilt. Results are discussed in terms of a dual-processing approach to video gameplay.
Book Review
Authors: Falkenberg Saffyre 
Published: July 2018

Abstract
(En)coding identity: The politics of representation in video games

Gaming Representation: Race, Gender, and Sexuality in Video Games, Jennifer Malkowski and TreaAndrea M. Russworm (eds) (2017)
Bloomington, IN: Indiana University Press, 260 pp.,
ISBN: 9780253025739, p/bk, $38.00 (USD)
The poster session as fusing theory and practice in art and design education: Exhibiting an occluded genre
Authors: Thomas Peter , Lees-Maffei Grace 
Published: July 2018

Abstract
While the academic poster has been used extensively in the sciences, its particular pertinence in art and design education remains unrecognized. Posters (outputs) and the poster sessions that accompany them (processes) form an ‘occluded genre’ in design education. The secondary literature about academic posters is typically ‘how-to’ rather than pedagogical analysis. We identify the benefits of using posters in design education, whether as formats for ‘regenring’ the conventional contextual studies essay or as iterations towards essay work that draw on the skills students are developing in their design briefs, thereby bridging theory and practice, and accommodating diversity. Based on our pedagogical research in the United Kingdom and the Netherlands, this article reflects on how students respond to the benefits of the poster, and the poster session, and provides teachers with a clear rationale for their increased use in design education.
Time to ditch the traditional essay!
Authors: Walker James 
Published: July 2018

Abstract
The traditional essay has long established itself as a stable and reliable assessment within higher education. However, it reinforces an uneven power balance whereby the tutor passes judgement on a student’s written work according to a set of criteria. Drawing on the work of Fiona English, I have experimented with a ‘visual essay’ assessment as this affords students more opportunities to express their knowledge. They write this from the perspective of a literary figure, so that they are able to have a more emotional relationship with the text they are studying. To demonstrate this process I put forward my argument from the perspective of Arthur Seaton, the anti-hero of Alan Sillitoe’s Saturday Night and Sunday Morning.
Outing RTP: Writing to be read
Authors: Francis Pat 
Published: July 2018

Abstract
Research: Theory and Practice (RTP) is a new unit, offered as an alternative to the dissertation in the final year of the Fashion Media & Promotion honours degree at the University for the Creative Arts at Rochester. It is a 30-credit unit, introduced in the latter part of year 2, taught through workshops and tutorials in the autumn term of year 3 and submitted in January. The final submission consists of an article (as if for a specific publication) or an essay with a specified readership, plus a research book that documents all areas of primary and secondary research, the journey and reflections on the whole experience, in the context of final-year studies. This article is a reflective report on the first outing of this unit, giving details of its intention by focusing particularly on readership; development of appropriate, and therefore different, writing voices; and the processes of construction of an article, as well as referring to the strands of research that were undertaken. The emphasis is on the students’ journeys made through research and reflection and some of the unforeseen outcomes that were created.
Visual Soundbites Postcards: Getting students to regenre essay-writing advice
Authors: Head Emma , Gröppel-Wegener Alke 
Published: July 2018

Abstract
A tale of two parts, this ‘article’ presents a series of artefacts, the Visual Soundbites Postcards created by Alke Gröppel-Wegener in 2015, as well as a reflection on how these artefacts have been used as teaching resources/inspirations by Emma Head.
ETNOGRAFIA E TURISMO: Um Estudo das Percepções e Sentimentos de Crianças Residentes na Ilha Do Mel – PR
Authors: Piola Felipe Ganancin , Andrade Daniele de Castro Gonçalves de , Kushano Elizabete Sayuri 
Published: July 2018

A etnografia é uma metodologia associada às investigações antropológicas, utilizada como estratégia de registro de informações coletadas no trabalho de campo. A etnografia vem sendo descoberta como uma abordagem teórica que amplia a compreensão da dinâmica da atividade nos estudos do turismo. Para os estudos com crianças e suas infâncias a abordagem etnográfica implica na aceitação, por parte das crianças em participar do estudo e do pesquisador em compreender as singularidades do universo infantil. Nesse sentido, o presente trabalho teve como objetivo principal analisar a percepção de crianças sobre o turismo. Para tanto, utilizou-se de pesquisa qualitativa, na qual foi adotada aplicação de questionários como instrumento de coleta de dados. Os resultados apontaram que as crianças possuem opiniões importantes em relação ao fenômeno turístico.
TURISMO DE NEGÓCIOS E EVENTOS: Caracterização da 41ª FIMEC e a Expectativa de Consumo e Percepção de Qualidade dos visitantes
Authors: Júnior Sinval Pereira , Beltrão Leila Maria Vasquez , Stoll Carolina Braghirolli 
Published: July 2018

Novo Hamburgo/RS é o principal cluster do setor coureiro-calçadista do Brasil e sedia a segunda maior feira de calçados do mundo: a FIMEC (Feira Internacional de Couros, Produtos Químicos, Componentes, Máquinas e Equipamentos para Calçados e Curtumes). O evento atrai milhares de visitantes, com forte movimento na cadeia de serviços e infraestrutura turística. O presente artigo tem como objetivo principal caracterizar a importância da 41ª FIMEC/2017 como evento de negócios, em suas conexões com os ramos econômicos de apoio ao turismo e a percepção dos visitantes sobre a qualidade da organização, estrutura e serviços oferecidos pelo evento. Para tal realizou-se uma pesquisa de abordagem quali-quantitativa, que resultou na aplicação de 106 questionários, visando obter dados acerca do perfil do visitante, sua capacidade real e potencial de consumo turístico e sua avaliação no que se refere à qualidade das instalações e serviços da feira a partir de uma escala de cinco níveis. Na avaliação geral, o grau de satisfação dos visitantes foi elevado, já que 91,4% dos entrevistados consideraram o evento excelente ou muito bom. Contudo, alguns itens demandam melhorias, como os serviços de comunicação/telefonia e sanitários. Com os resultados, busca-se fornecer subsídios para o aperfeiçoamento das edições subsequentes do evento.
The thickness of the epicardial fat is the "visit card" of metabolic syndrome
Authors: Drapkina Oxana M. , Shepel Ruslan N. , Deeva Tatiana A. 
Published: July 2018

Aims. On the basis of echocardiography to evaluate the thickness of epicardial fat (TEF) in patients with metabolic syndrome (MS) and to establish a connection with the main indicators of laboratory and instrumental methods of research.
Materials and methods. The study included 76 patients, 43 patients with MS and 33 without MS. The average age of patients in the MS group at the time of inclusion in the study was 62.710.3 years in the control group (without MS) 6014.7 years. All patients underwent a comprehensive examination that included the collection of complaints, study of history, physical examination, anthropometric measurements, laboratory (including the study of the levels of caspase 8, leptin in blood plasma enzyme-linked immunosorbent assay using kits Platinum ELISA) and instrumental examination (echocardiography, ultrasound examination of organs of small pelvis). TEF was determined using transthoracic echocardiography on the machine Acuson Sequoia 512.
Results. According transthoracic echocardiography was significantly higher in the group of patients with MS and was 4.671.7 mm, as compared to 2.661.15 mm in the control group (p0.001). Identified moderate and strong correlation between TEF and weight of the patients, waist circumference, ratio of waist circumference to hip circumference, body mass index, glucose levels in the blood plasma, the presence of diabetes mellitus type 2, ultrasonic signs of steatosis of the liver and pancreas, increased aminotransferases, the level of caspase-8 concentration in plasma leptin. Patients the MS group with increased TEF increases the risk of developing hypertension, ischemic heart disease, left ventricular hypertrophy, diastolic dysfunction of the left ventricle type 2, level of caspase-8 and concentration in plasma leptin.
Conclusion. Based on the obtained data, the measurement of TEF is justified in patients with MS in everyday clinical practice. The correlations between the TEF and the clinical and metabolic parameters of the CVD and MS make it possible to consider the TEF as a new marker of the risk of developing MS and cardiovascular diseases.
A review of thermoelectric ZnO nanostructured ceramics for energy recovery
Authors: M A Mohammed , Sudin Izman , Mohd Noor Alias , Rajoo Srithar , M B Uday , H. Obayes Noor , Firdaus Omar Muhammad 
Published: July 2018

The thermoelectric devices have the ability to convert heat energy into electrical energy without required moving components, having good reliability however their performance depends on material selections. The advances in the development of thermoelectric materials have highlighted to increase the technology’s energy efficiency and waste heat recovery potential at elevated temperatures. The fabrication of these thermoelectric materials depends on the type of these materials and the properties using to evaluate these kind of materials such as thermopower (Seebeck effect), electrical and thermal conductivities. Ceramic thermoelectric materials have attracted increased attention as an alternative approach to traditional thermoelectric materials. From these important thermoelectric ceramic materials that can be a candidate for n-type is ZnO doping, which have excellent thermal and chemical stability, as they are promising for high temperature power generator. This review is an effort to study the thermoelectric properties and elements doping related with zinc oxide nano-ceramic materials. Effective ZnO dopants and doping strategies to achieve high electrical and thermal conductivities and high carrier concentration are highlighted in this review to enable the advanced zinc oxide applications in thermoelectric power generation.
A brief review of grey fuzzy logic technique research progression from 2010 to 2016
Authors: Yacob Suhaila , Amran Md Ali Mohd , Ahsan Qumrul , Arifin Nurulhuda , Ali Rafidah 
Published: July 2018

Grey fuzzy logic method is a new artificial intelligent method that can make significant improvement in the performance characteristics of the process. In the present study an attempt has been made to provide a brief understanding of the advancement of the Grey Fuzzy Logic from 2010 to 2016. The first half of this paper presents the publication trend of Grey Fuzzy Logic. The remaining of this paper briefly explains the contribution of the individual publication related to Grey Fuzzy Logic. It is believed that this paper will greatly benefit the reader who needs a bird-eyes view of the Grey Fuzzy Logic ’s publications trend.
Improving Quality Control Process Through Value Stream Mapping
Authors: Fitri Ikatrinasari Zulfa , Kosasih Dan 
Published: July 2018

PT. AEMI is one of the growing electronic component manufacturing company. By this time, Kaizen project has been run and managed to become a culture in PT AEMI. However, the project has not integrated, comprehensive and not yet has a long-term goals. Implementation of value stream mapping (VSM) in PT AEMI is expected to make Kaizen projects more focused and to produce increasing of the maximum efficiency. In addition, VSM Kaizen is believed to make the those programs more integrated, effective and comprehensive. This study aims to: (1) create a current state mapping in the Department of Quality Control PT. AEMI, (2) identify wastes in the Department of Quality Control PT.AEMI, (3) create a future state mapping at the Department of Quality Control PT. AEMI, (4) make a plan of improvement and analyzing the application. Stages of the study were as follows: (1) identification of work processes, (2) collect and analysis of work process time, (3) analysis of the current state mapping, (4) calculate of lead time and process time, (5) analysis of value added and non value-added activities, (6) analysis of wastes, (7) make a plan of future state mapping, (8) improvement design (improvement planning), (9) implementation of improvement, (10) analysis of the implementation of improvements. The results of this study are: 1) current state mapping at QC Department shows that the total lead time of 848 minutes where there is non-value added activity of 778 minutes. 2) identify waste on the handling process where the product movement from assembly to QC for 2 minutes, movement transactions from assembly to QC for 479 minutes and the waiting time at inspection area for 727 minutes. 3) future state mapping at QC Department shows that the total lead time of 516.5 minutes where there is non-value added activity of 446.5 minutes. 4) the improvement to do is to change the lay out where final inspection is moved from QC to manufacturing so as to result in reduce of non-value added activity by 46%.