bluuebunny/crossref_metadata_2025_split huggingface dataset:
Successful endoscopic management of a persistent bronchobiliary fistula with Histoacryl®/Lipiodol® mixture
Authors: Pinsker N , Papoulas M , Sodergren M , Harrison P , Heaton N , Menon K 
Published: March 2018

Introduction A bronchobiliary fistula (BBF) following liver directed therapy (resection/ablation) is a rare complication in which an abnormal communication between the biliary tract and bronchial tree is formed. This case report describes the successful management of a persistent BBF following multiple liver wedge resections and microwave ablation in a patient with a metastatic neuroendocrine tumour of the terminal ileum. Case history A 69-year-old man presented with unexplained weight loss and was subsequently diagnosed with a neuroendocrine tumour of the terminal ileum and liver metastasis. Following elective right hemicolectomy and multiple bilobar liver wedge resections combined with liver microwave ablation, he developed an early bile leak. A month later, a right subphrenic collection was identified and four months following surgery, biloptysis was noted. Numerous attempts with endoscopic retrograde biliary drainage (ERBD) failed to achieve sufficient drainage. The patient was treated successfully with endoscopic injection of a mixture of Histoacryl® glue (B Braun, Sheffield, UK) and Lipiodol® (Guerbet, Solihull, UK). There was no evidence of the BBF one year following intervention. Conclusions This novel approach for persistent BBF management using endoscopic Histoacryl® glue embolisation of the fistula tract should be considered either as an adjunct to ERBD or when biliary tract decompression by drainage and/or sphincterotomy fails, prior to proceeding with surgical interventions.
The changing practice of transurethral resection of the prostate
Authors: Young MJ , Elmussareh M , Morrison T , Wilson JR 
Published: March 2018

Introduction Transurethral resection of the prostate (TURP) is considered the gold standard surgical treatment for lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia. The number of TURPs performed has declined significantly over the last three decades owing to pharmaceutical therapy. TURP data from a single institution for the years 1990, 2000 and 2010 were compared to assess the difference in performance. Methods A retrospective analysis was undertaken of all patients who underwent TURP between January and December 2010. These findings were compared with historical data for the years 1990 and 2000: 100 sets of case notes were selected randomly from each of these years. Results The number of TURPs performed fell from 326 in 1990 to 113 in 2010. The mean age of patients increased from 70.6 years to 74.0 years. There was also a significant increase in the mean ASA grade from 1.9 to 2.3. The most common indication for TURP shifted from LUTS to acute urinary retention. No significant change in operating time was observed. The mean resection weight remained constant (22.95g in 1990, 22.55g in 2000, 20.76g in 2010). A reduction in transfusion rates was observed but there were higher rates of secondary haematuria and bladder neck stenosis. There was an increase from 2% to 11.5% of patients with long-term failure to void following TURP. Conclusions The number of TURPs performed continues to decline, which could lead to potential training issues. Urinary retention is still by far the most common indication. However, there has been a significant rise in the percentage of men presenting for TURP with high pressure chronic retention. The number of patients with bladder dysfunction who either have persistent storage LUTS or eventually require long-term catheterisation or intermittent self-catheterisation has increased markedly, which raises the question of what the long-term real life impact of medical therapy is on men with LUTS secondary to benign prostatic hyperplasia who eventually require surgery.
Benefits of pre-emptive analgesia by local infiltration at day-case general anaesthetic open inguinal hernioplasty
Authors: Radwan RW , Gardner A , Jayamanne H , Stephenson BM 
Published: March 2018

Introduction The open prosthetic repair of inguinal hernias under local anaesthesia (LA) is well established, with the concept of intraoperative ‘pre-emptive analgesia’ evolving so that patients are as comfortable as possible. We used a peri-incisional LA solution in patients undergoing day-case inguinal hernioplasty under general anaesthesia (GA) and recorded use of analgesia in the immediate postoperative period. Methods In this observational cohort study, 100 consecutive unselected men underwent open inguinal hernia repair as a day case. Of these, 75 underwent repair under GA and 25 with peri-incisional LA solution (equal mixture of 0.5% bupivacaine and 1% lignocaine with 1:200,000 adrenaline). Analgesia prescribed at induction, for maintenance and after cessation of anaesthesia was scored in accordance with the World Health Organization (WHO) analgesic ladder. Results The median age in the GA group was 59 years (range: 25–89 years) and in the GA+LA group, it was 62 years (range: 27–88 years). Of the 100 patients, 82 underwent a mesh plug repair by seven surgeons whereas 18 underwent a flat (Lichtenstein) mesh repair by two surgeons. WHO analgesic induction and postoperative scores were significantly lower in the GA+LA group (p=0.034 and p<0.001 respectively). There was also a significant difference in use of postoperative antiemetics (23% vs 0% in the GA only and GA+LA cohorts respectively, p=0.020). Six patients (8%) in the GA group failed day-case discharge criteria. Conclusions Patients undergoing contemporary day-case GA inguinal hernioplasty with pre-emptive LA solution infiltration require lower levels of postoperative opioid analgesia and antiemetics. These cases are less likely to fail discharge criteria for planned day surgery.
Anatomical Study of Male Reproductive Organs of the Indonesian Short-Nosed Fruit Bat (Cynopterus titthaecheilus Temminck, 1825)
Authors: Anisatuzzahro Anisatuzzahro , Luthfi Muhammad Jafar 
Published: March 2018

Bats are one of the mammals of Chiroptera order. Chiroptera Order has two sub-orders, Megachiroptera and Microchiroptera. One of the species of Megachiroptera is <em>Cynopterus titthaecheilus</em> (<em>C. titthaecheilus</em>). Local name for <em>C. titthaecheilus</em> is the Indonesian short-nosed fruit <em>bat</em>. Characteristics of <em>C. titthaecheilus</em> are dark brown body hair and no tragus in the ear. Population of <em>C. titthaecheilus</em> in Indonesia are relatively abundant, but research about anatomy of male reproduction organs of this species is still rare. The purpose of this study was to determine the anatomical features of male <em>C. tittahecheilus</em> reproductive organs. Observations of macroscopic anatomy include observation of morphology, size, weight and volume of penis, testiscle, epididymis, vas defferens, prostate and seminal vesicles. Observation on microscopical anatomy of male reproduction organ is using histological slide preparations stained by <em>Hematoxylin-Eosin</em>.
« Pourquoi ça marche ? »
Authors: Bats Raphaëlle , Peyrelong Marie-France , Vila-Raimondi Martine 
Published: March 2018

La communication propose un retour critique sur des dispositifs de formation liés aux métiers de communication. Elle s’attache à questionner les référentiels qui servent à cadrer ces professions et la mise en objectifs pédagogiques des compétences identifiées. Les dispositifs au cœur des formations évoquées ici font largement appel à des modalités permettant de faire « entrer le réel ». Nous interrogeant sur le « pourquoi ça marche », nous mettons en évidence combien il s’agit de repenser l’articulation théorie/pratique sans les opposer. Au-delà de cette articulation, nous considérons que la création d’espaces collectifs de dialogue contribue à favoriser une réflexivité et une meilleure appropriation des compétences professionnelles.
This paper presents a critical review of vocational training systems and arrangements in the field of communication. Competencies frameworks used in order to guide trainings and to define educational objectives are therefore examined. The training practices mentioned in this article aim to bring “professional reality” in the educative process whether through case studies or through real projects (i.e. orders from professional partners from enterprises or external institutions). Questioning our practices (how does it work?) this leads us to examine the articulation between theory and practice considering that these two aspects are not contradictory. Beyond this articulation lies the assumption that dialogue and exchanges between learners – and therefore creating spaces of discussion as an important part of the training design and setting – enhance a reflexive comportment and thus a better appropriation of professional skills.
Renouveler les modèles de la communication et de la coopération par l'improvisation : Org’impro, une recherche-action innovante
Authors: Lépine Valérie , Martin-Juchat Fabienne , Ménissier Thierry 
Published: March 2018

Cette contribution s’inscrit dans la continuité des recherches qui questionnent la formation en compétences communicationnelles des futurs cadres (professionnels de la communication et managers). Elle met en évidence la place du non verbal dans l’élaboration du faire ensemble et interroge les modèles enseignés sur le rôle de ce type de communication dans la construction d’un projet collectif. Par le compte-rendu et l’analyse d’une proposition pédagogique originale intitulée « Org’impro », recherche-action dans le domaine de la formation ayant impliqué des chorégraphes spécialistes de l’improvisation et portée par l’Université Grenoble Alpes, notre propos est de nourrir la pédagogie par la recherche et de développer des dispositifs de formation transférables dans les organisations.
This contribution takes place into the field of researches that question the communication skills training for future managers (communication professionals and managers). It highlights importance of nonverbal communication in cooperative work and questions the models taught about the role of this type of communication for building a collective project. By the report and analysis of an original educational proposal entitled « Org’impro « , an action research in the field of training that involved specialists choreographers of improvisation and managed by the University of Grenoble Alpes, our purpose is to increase the pedagogy research and develop training devices transferable in organizations.
Un modèle multi-niveau de prise de décision éthique pour les relations publiques
Authors: Farmer Yanick 
Published: March 2018

Afin de soutenir leurs membres qui sont aux prises fréquemment avec des problèmes de nature éthique, plusieurs associations professionnelles en relations publiques se sont dotées de modèles de prise de décision éthique qu’elles mettent à la disposition de leurs membres à des fins de référence et de formation continue. Cependant, comme nous le démontrons dans cet article, les modèles proposés sont nettement insuffisants lorsqu’il s’agit d’aborder des questions éthiques plus complexes. Ainsi, l’objectif de cet article est de fournir aux théoriciens et aux praticiens des outils conceptuels permettant de mieux penser cette complexité dans la prise de décision éthique. Pour répondre à cet objectif, nous présenterons, dans un premier temps, un cadre conceptuel qui comprend le champ d’application du modèle, ses bases théoriques, de même que des techniques avancées de pondération, de mise en équilibre des intérêts et de gestion de la réputation. Parallèlement à cet effort de théorisation, nous allons voir quelques applications de ce cadre conceptuel à travers l’analyse de cas pratiques. En guise de conclusion, nous allons faire une synthèse des points saillants et évoquer d’autres avenues pour la recherche sur ces questions.
Mots-clés: éthique, prise de décision, relations publiques, réputation, gestion du risque.

To support their members who frequently face ethical issues, several professional associations in public relations have developed models of ethical decision-making that they make available to their members for reference and training. However, as we demonstrate in this paper, these models are clearly insufficient to address more complex ethical issues. Thus, the aim of this article is to provide theoreticians and practitioners with conceptual tools to better reflect this complexity in ethical decision-making. To meet this objective, we will first present a conceptual framework that includes the scope of the model, its theoretical foundations, as well as advanced techniques for weighting interests and reputation management. In addition to this theoretical effort, we will see some applications of this conceptual framework through case analysis. In conclusion, we will summarize the highlights and discuss other avenues for research on these issues.
Keywords: ethics, decision-making, public relations, reputation, risk management.
Povezava med neprespanostjo in delazmožnostjo zaposlenih v zdravstveni negi
Authors: Peršolja Melita , Mišmaš Anamarija , Jurdana Mihaela 
Published: March 2018

Uvod: Spanje je aktivni proces, ki pomembno vpliva na kakovost delovnega življenja. V ta namen je bila izvedena raziskava o odnosu med neprespanostjo in delazmožnostjo zaposlenih v zdravstveni negi.Metode: V kvantitativni opisni raziskavi so bili v letih 2014 in 2015 obravnavani zaposleni iz ene splošne bolnišnice in dveh domov upokojencev v Sloveniji. Z enostavnim slučajnostnim izborom je bilo v stratificiran vzorec vključenih 21,26 % (n = 81) v zdravstveni negi zaposlenih žensk iz teh treh zavodov. Podatki, pridobljeni z anketo (Cronbach α = 0,624), so bili analizirani z deskriptivno statistiko in s korelacijsko analizo.Rezultati: Večina anketirank opravlja od tri do sedem nočnih izmen mesečno (x = 3,76, s = 2,51). Vse anketiranke imajo težave z nespečnostjo (n = 81, 100 %), večina jih s težavo ostaja budnih na delovnem mestu (n = 52, 64,2 %). Težave z budnostjo na delovnem mestu se povezujejo s slabšim splošnim počutjem (r = 0,236, p = 0,034) in so pogostejše ob večjem številu nočnih izmen v mesecu (r = −0,322, p = 0,003). Anketiranke so mnenja, da neprespanost povečuje verjetnost napak pri delu (n = 60, 74,1 %), upočasnjuje hitrost odzivanja na nepričakovane urgentne situacije na delovnem mestu (n = 58, 71,6 %) ter slabo vpliva na njihovo komunikacijo s pacienti (n = 48, 59,2 %).Diskusija in zaključek: Podobno kot druge tuje raziskave o zaposlenih v zdravstveni negi tudi ta potrjuje, da se neprespanost zaradi nočnega dela povezuje s slabšim počutjem, utrujenostjo in zmanjšano delazmožnostjo.
Utilization of active and passive constructions in English academic writing
Authors: Bada Erdoğan , Ulum Ömer Gökhan 
Published: March 2018

By its nature, AW represents adversity compared to other types of writing. It owns the characteristics of more notable patterns and language usage compared to other writing styles such as literary works, news, etc. Without discriminating the language used, this kind of writing generally bears similarities across languages due to the description and representation of scientific concepts. Therefore, there stands a must that objectivity is observed in AW as much as possible. In terms of language usage, diverse structures may be seen to be used in varied frequencies. Within this study, articles written in English and published in scientific journals covered by high ranking field indices such as Social Sciences Citation Index, Science Citation Index/Health Sciences Library, and American-Eurasian Network for Scientific Information were perused depending on their related fields classified as the Social Sciences, Natural and Applied Sciences, and Health Sciences, and then active/passive dispersion of these articles was identified through descriptive content analysis. The results suggest that active structure usage (61%) in overall analysis outnumbered that of passive (39%); the decline in its utilization depending on fields is rather significant, in that while the gap between active (74%) and passive (26%) usage in Social Sciences is rather wide in favor of active construction, we can observe a significant narrowing of the divide in Natural and Applied Sciences (60% active, 40% passive), and Health Sciences (51% active, 49% passive). The findings of this descriptive study may contribute to prospective research carried out in the specified fields in AW.
Characterization of Dense-Graded Asphalt Containing Virgin, Postconsumer, or Blended Polymer Systems
Authors: Baumgardner Gaylon L. , Hemsley James Michael , Jordan Walter S. , D’Angelo John A. , Howard Isaac L. 
Published: March 2018

Abstract
This paper contains data related to ground tire rubber (GTR), and binder and mixture performance information is presented that validates some aspects of current practice yet shows that other areas could be improved. While GTR has been utilized in asphalt paving since the 1960s and use in dense-graded mixes began in the late 1980s to early 1990s, proper formulations (including understanding GTR’s functional polymer content) have been lacking a considerable portion of the time. This paper’s primary objective was to review, evaluate, and suggest enhancements to GTR modified binder characterization. One finding was that parallel plate (PP) testing at a 2-mm gap is adequate for binders with 30 mesh (0.595 mm) and finer GTR particles, while cup and bob testing is more suitable for binders with coarser GTR particles. Enhancements were suggested for GTR’s use in modified binder systems related to incorporating hybrid binders containing styrene-butadiene-styrene (SBS) and GTR. Discussion is provided regarding specifying GTR based on virgin polymer replacement.
Effect of Closely Spaced Twin Tunnel Construction beneath an Existing Subway Station: A Case Study
Authors: Zhang Xu , Zhang Chengping , Wang Jianchen 
Published: March 2018

Abstract
Closely spaced twin tunnels were excavated vertically beneath an adjacent subway station in service in Beijing, China. Because of restrictions on the settlements of the existing subway station in the area, a special protection methodology was adopted, and an analysis was performed using real-time monitoring data to investigate the response of the overlying subway station to twin tunnelling and surface settlement characteristics. The results indicated that advanced grouting realizes regional integral uplifts within the range of a reinforced area. The lifting work with jacks is critical to restraining the trend of settlements. The final settlement trough of the columns displays a double-trough “W” shape that is induced by nonuniform lifting loads, and the total ground surface settlement profile displays an asymmetric single-trough “U” shape. The moment when temporary inverts and middle diaphragms are demolished is important, as it causes potential excessive settlements. With monitoring, this tunnel engineering was completed without interrupting the subway traffic, and the safety of the operating subway station and ground surfaces was successfully guaranteed. This is a valuable project case for establishing criteria to guide the construction of closely spaced twin tunnels in similar conditions.
Nonrecoverable Compliance and Recovery Behavior of Polymer-Modified and Reclaimed Asphalt Pavement–Modified Binders in Arkansas
Authors: Rahaman Mohammed Ziaur , Hossain Zahid , Zaman Musharraf 
Published: March 2018

Abstract
For quality assurance and quality control purposes, suppliers and users of asphalt binders follow the widely used dynamic shear rheometer (DSR) test method (AASHTO T 315, Standard Method of Test for Determining the Rheological Properties of Asphalt Binder Using a Dynamic Shear Rheometer (DSR)) to capture viscoelastic properties of polymer-modified binders (PMBs) and reclaimed asphalt pavement (RAP)–modified binders even though it is designed for unmodified asphalt binders. AASHTO T 315 is inadequate to characterize modified binders because of the relatively small impact of the phase angle and strain levels on the rutting and fatigue factors, respectively. The recently approved multiple stress creep recovery (MSCR) test (AASHTO T 350, Standard Method of Test for Multiple Stress Creep Recovery (MSCR) Test of Asphalt Binder Using a Dynamic Shear Rheometer (DSR)) results can better relate the laboratory-based and field rutting of PMBs and additive-modified binders. In the current study, Superpave and MSCR tests were performed to evaluate viscoelastic properties of selected asphalt binders certified in Arkansas. A total of 32 binders were tested in the laboratory. Among these, 8 were unmodified binders, 18 were PMBs, and 6 were RAP-modified binders. The nonrecoverable compliance and MSCR percent recovery data of tested binders were analyzed for the grading purpose and establishing the MSCR percent recovery criteria for local service temperature and traffic conditions. The developed guidelines are expected to be helpful for transportation agencies in Arkansas to adopt the MSCR test method in their quality control processes.
Response Surface Methodology for the Remaining Creep Life Estimation by the Small Punch Creep Test
Authors: Moradi Ali , Soltani Nasser 
Published: March 2018

AbstractIn this article, a method for the estimation of the remaining creep life of steel alloy was studied using the response surface methodology (RSM) based on the central composite design (CCD). Small punch creep tests (SPCT) were performed on the specimens from the aged materials of SA-304L alloy, with different consumed creep life ratios at elevated temperatures. Then, two equations were developed to predict the fracture time and the minimum displacement rate with respect to the consumed creep life ratio of samples, the temperature, and the load of SPCT. The contour plots of responses show that there is a linear relationship between the fracture time and the minimum displacement rate in the logarithmic scale, in accordance with the Monkman-Grant relation.
Rapid Multiplex Small DNA Sequencing on the MinION Nanopore Sequencing Platform
Authors: Wei Shan , Weiss Zachary R , Williams Zev 
Published: March 2018

Abstract
Real-time sequencing of short DNA reads has a wide variety of clinical and research applications including screening for mutations, target sequences and aneuploidy. We recently demonstrated that MinION, a nanopore-based DNA sequencing device the size of a USB drive, could be used for short-read DNA sequencing. In this study, an ultra-rapid multiplex library preparation and sequencing method for the MinION is presented and applied to accurately test normal diploid and aneuploidy samples’ genomic DNA in under three hours, including library preparation and sequencing. This novel method shows great promise as a clinical diagnostic test for applications requiring rapid short-read DNA sequencing.