bluuebunny/crossref_metadata_2025_split huggingface dataset:
‘More constricting than inspiring’ — GPs find chronic care programmes of limited clinical utility. A qualitative study
Authors: Kristensen Mads Aage Toft , Due Tina Drud , Hølge-Hazelton Bibi , Guassora Ann Dorrit , Waldorff Frans Boch 
Published: May 2018

BackgroundAs in other countries, Danish health authorities have introduced disease management programmes (DMPs) to improve care quality. These contain clinical practice guidelines (CPGs) and guidelines for patient stratification based on doctors’ assessments of disease severity and self-care. However, these programmes are challenged when patients have complex chronic conditions.AimTo explore how GPs experience the clinical applicability of disease management programmes for patients with multiple chronic conditions and lowered self-care ability.Design & settingA qualitative study from general practice, conducted in rural areas of Denmark with economically disadvantaged populations.MethodData were collected through case-based, semi-structured interviews with 12 GPs. The principles of systematic text condensation were used in the analysis.ResultsGPs found DMPs inadequate, particularly for patients with multiple conditions and lowered self-care ability. Their experience was that adhering to multiple programmes’ CPGs resulted in too much medication, conflicting treatments, an overload of appointments, and fragmented health care. They disregarded stratifying according to guidelines because they deemed stratification criteria to reflect neither patients’ need for self-care support, nor flexible referral options to hospitals and municipalities. Therefore, GPs were often solely responsible for treatment of patients with very complex chronic conditions.ConclusionGPs found DMPs to be of limited clinical applicability due to challenges related to CPGs, patient stratification, and lack of adequate health services to support patients with complex healthcare needs. To increase the benefits of these programmes, they should be more flexible, and adjusted to the needs of patients with multiple chronic conditions and lowered self-care ability.
Visual Development During the Second Decade of Life in Albinism
Authors: McCafferty Brandon K. , Holleschau Ann M. , Connett John E. , Summers C. Gail 
Published: May 2018

Purpose:
To evaluate change in best corrected visual acuity (BCVA) during the second decade of life and the effects of albinism type and extraocular muscle surgery on BCVA in children with albinism.

Methods:
In this retrospective longitudinal study, 41 patients with albinism with clinic visits recording binocular BCVA at least once between the ages of 10 and 13 years (visit A) and again between the ages of 17 and 20 years (visit B) were included. Type of albinism, age at each visit, and interval eye muscle surgeries were recorded for each patient.

Results:
Forty (98%) patients showed BCVA improvement or stability between visits A and B. There was no significant effect of interval extraocular muscle surgery on BCVA. Those carrying either a clinically presumed or moleculary confirmed diagnosis of oculocutaneous albinism types 1B and 2 had the best visual outcomes, consistent with previous studies.

Conclusions:
In the majority of patients with albinism, significant improvement in BCVA occurs during the second decade of life. Extraocular muscle surgery was not a significant factor in BCVA improvement in albinism. Overall, the assessments support the finding of improvement of visual acuity in children with albinism at earlier ages and provide new information beneficial in predicting visual outcomes in the second decade of life.

[
J Pediatr Ophthalmol Strabismus
. 2018;55(4):254–259.]
« J’étais pas vraiment moi »
Authors: Lancelevée Camille , Protais Caroline 
Published: May 2018

Le principe pénal « d’irresponsabilité pour cause de trouble mental » est l’objet d’une controverse importante dans le milieu psychiatrique français depuis les années 1980. Cet article vise à appréhender l’irresponsabilité pénale du point de vue des personnes qui en font l’objet. Les entretiens réalisés avec quinze patients hospitalisés mettent au jour au moins deux façons différentes de vivre l’irresponsabilité pénale et l’hospitalisation psychiatrique qui en résulte. Certains patients trouvent dans le diagnostic psychiatrique des éléments permettant de redonner un fil directeur à leur récit biographique et investissent l’hospitalisation comme un moment de conversion. D’autres personnes refusent ce diagnostic, infondé à leurs yeux. Pour ceux-ci, l’irresponsabilité pénale est vécue comme une mesure injuste et l’hospitalisation comme un enfermement arbitraire. En mettant en évidence ces expériences contrastées de l’irresponsabilité pénale, l’article éclaire sous un autre angle la controverse qui entoure ce principe de justice et apporte une réflexion sur la subjectivité des patients en psychiatrie.
La ópera como actividad de ocio a lo largo de la historia
Authors: Cuenca Amigo Macarena 
Published: May 2018

Este artículo se sitúa en el punto de vista del público de la ópera y realiza un pequeño recorrido acerca de cómo se ha vivido la ópera como actividad de ocio a lo largo de su historia. En concreto, nuestro objetivo es reflexionar sobre las dimensiones predominantes del ocio en el público de la ópera para cada una de las épocas seleccionadas: los siglos XVII y XVIII; el siglo XIX y el siglo XX. En la actualidad, el estudio del público desde el horizonte de los Estudios de Ocio resulta innovador. Para poder, en un futuro, diseñar propuestas de
desarrollo de audiencias desde el punto de vista del ocio, resulta necesario partir primero de una reflexión histórica, que es lo que en este artículo nos proponemos. Precisamente, al tratarse de una reflexión, la metodología utilizada es la propia de la investigación en el marco del discurso teórico, que consiste en una revisión de la literatura científica. La estructura del artículo es clara y sencilla, ya que se establece un apartado diferenciado para cada una de las
épocas analizadas. Finalmente, las conclusiones relacionan todo lo estudiado con conceptos procedentes de la Teoría del Ocio.
Overview of the Meso-NH model version 5.4 and its applications
Authors: Lac Christine , Chaboureau Jean-Pierre , Masson Valéry , Pinty Jean-Pierre , Tulet Pierre , Escobar Juan , Leriche Maud , Barthe Christelle , Aouizerats Benjamin , Augros Clotilde , Aumond Pierre , Auguste Franck , Bechtold Peter , Berthet Sarah , Bielli Soline , Bosseur Frédéric , Caumont Olivier , Cohard Jean-Martial , Colin Jeanne , Couvreux Fleur , Cuxart Joan , Delautier Gaëlle , Dauhut Thibaut , Ducrocq Véronique , Filippi Jean-Baptiste , Gazen Didier , Geoffroy Olivier , Gheusi François , Honnert Rachel , Lafore Jean-Philippe , Lebeaupin Brossier Cindy , Libois Quentin , Lunet Thibaut , Mari Céline , Maric Tomislav , Mascart Patrick , Mogé Maxime , Molinié Gilles , Nuissier Olivier , Pantillon Florian , Peyrillé Philippe , Pergaud Julien , Perraud Emilie , Pianezze Joris , Redelsperger Jean-Luc , Ricard Didier , Richard Evelyne , Riette Sébastien , Rodier Quentin , Schoetter Robert , Seyfried Léo , Stein Joël , Suhre Karsten , Taufour Marie , Thouron Odile , Turner Sandra , Verrelle Antoine , Vié Benoît , Visentin Florian , Vionnet Vincent , Wautelet Philippe 
Published: May 2018

Abstract. This paper presents the Meso-NH model version 5.4. Meso-NH is an atmospheric non hydrostatic research model that is applied to a broad range of resolutions, from synoptic to turbulent scales, and is designed for studies of physics and chemistry. It is a limited-area model employing advanced numerical techniques, including monotonic advection schemes for scalar transport and fourth-order centered or odd-order WENO advection schemes for momentum. The model includes state-of-the-art physics parameterization schemes that are important to represent convective-scale phenomena and turbulent eddies, as well as flows at larger scales. In addition, Meso-NH has been expanded to provide capabilities for a range of Earth system prediction applications such as chemistry and aerosols, electricity and lightning, hydrology, wildland fires, volcanic eruptions, and cyclones with ocean coupling. Here, we present the main innovations to the dynamics and physics of the code since the pioneer paper of Lafore et al. (1998) and provide an overview of recent applications and couplings.
Mapping groundwater availability and adequacy in the Lower Zambezi River basin
Authors: Pérez-Lapeña Blanca , Saimone Francisco , Juizo Dinis 
Published: May 2018

Abstract. Groundwater plays an important role as a source of water for various socio-economic uses and environmental requirements in the lower Zambezi basin in Mozambique. Hence it is important to know its availability and adequacy in space to inform decision making for sustainable water management practices. For a derivation of a Groundwater Availability map and a Groundwater Adequacy map we adapted the DRASTIC methodology in a GIS environment to determine how different parameters, such as precipitation, topography, soil drainage, land use and vegetation cover, aquifer characteristics and groundwater quality affect (i) groundwater recharge on a long-term sustainable basis, (ii) the short-term abstraction potential and (iii) the long-term adequacy of groundwater utilization for domestic use. Results showed that groundwater availability in the Zambezi basin varies mostly from medium to low, with highest potential along the perennial rivers and in the delta where it plays a crucial role in environmental preservation. The southern margin of the Zambezi River shows low groundwater availability and also presents low adequacy for domestic use due to poor groundwater quality. The results from this study will be used in determining the most promising future development pathways and select the most attractive strategic development plans of the Mozambican government for the Lower Zambezi basin.
De beschermingsstichting als borger van de continuïteit?
Authors: Meulensteen D.A.G. 
Published: May 2018

De beschermingsstichting als borger van de continuïteit?
In deze bijdrage onderzoekt de auteur of de beschermingsstichting kan ingrijpen indien de continuïteit van een beursgenoteerde NV in het geding is. Hierbij komen zowel de grondslag voor een dergelijk optreden als de te verwachten obstakels aan bod.
Trois poètes de l’Atlantique français : Jules Laforgue, Isidore Ducasse, Jules Supervielle
Authors: Marshall Bill , Bonenfant Luc 
Published: May 2018

Cet article, qui est la traduction d’une section d’un chapitre de The French Atlantic. Travels in Culture and History, propose une lecture « franco-atlantique » des oeuvres de Jules Laforgue, Isidore Ducasse et Jules Supervielle, trois poètes d’origine française nés à Montevideo, ville où ils ont chacun passé leur enfance avant de la quitter de manière définitive pour la France. Bill Marshall part de l’hypothèse selon laquelle la latinité découlant de l’imaginaire uruguayen (et sud-américain) agit comme principe architectonique dans ces oeuvres poétiques par ailleurs monumentales de l’histoire littéraire française.
Laforgue, Hamlet et Bonnefoy : déporter, reporter Montevideo
Authors: Charest Nelson 
Published: May 2018

Cette étude porte sur la réécriture de « Hamlet » par Laforgue, dans ses Moralités légendaires. À partir d’une indication sur un « pavillon de Montevideo », aperçu par Laforgue à Hambourg, au retour du Danemark, nous situons sa fable dans le sillage de la critique d’Yves Bonnefoy, et notamment la notion de « readiness ». Nous proposons ensuite une relecture de la Moralité, où le personnage principal, avec les modifications que lui apporte Laforgue, représente au mieux une injonction à partir qui est vécue comme un retour aux origines, filiales notamment. Ainsi peut-on mieux comprendre le rôle de Montevideo dans l’oeuvre laforguienne : un lieu où on pourrait partir, maintenu à distance, comme horizon.
Impact of sensitization workshop on knowledge regarding tuberculosis among graduate students of rural area of Bareilly District
Authors: Agarwal Medhavi , Joshi Hari Shanker , Singh Ajeet Pal , Upadhyay Deepak 
Published: May 2018

Background: Tuberculosis (TB) is a major public health concern worldwide. It has been seen that TB control efforts worldwide are although impressive, but not sufficient. Information, Education, and Communication (IEC) are an integral and important strategy of the program to create awareness among general public. Objective: The study was conducted to assess the impact of sensitization workshop regarding tuberculosis among graduate students of rural area of Bareilly district.Material & Methods: A cross-sectional study was conducted from March 2017 to July 2017 by interviewing 146 students in a college in rural area of Bareilly district, U.P after multistage sampling. A pre-designed and pre-tested questionnaire was used to collect the pre-workshop and post-workshop data. The data obtained was compiled and statistical analysis was done using SPSS version 23.Results: A paired-samples t-test was conducted to analyse the impact of sensitization workshop among the students. The mean scores for knowledge regarding TB symptoms pre-workshop was 3.20 ± 1.90 and post-workshop was 5.68 ± 1.58.Conclusion: Knowledge about various aspects of TB was significantly improved after students attended a training workshop. Efforts should be geared towards education in terms of training and retraining regarding TB, as it is known that IEC activities can create awareness among students, thus eradicating the stigma and fear associated with it.
ВЗГЛЯД В БУДУЩЕЕ И ПРОШЛОЕ ЧЕРЕЗ ПРИЗМУ СОВРЕМЕННЫХ ОБЩЕСТВЕННЫХ ПРОТИВОРЕЧИЙ*, "Общественные науки и современность"
Authors: Бызов Леонтий Георгиевич 
Published: May 2018

Статья подготовлена на основе результатов массового опроса, проведенного Институтом социологии РАН в 2017 г. ежегодного мониторинга. Автор обращает внимание на существенный рост сторонников перемен за последний год, что формирует новый общественный запрос на перемены. Однако вектор этих перемен различные социальные группы видят по-своему. Анализируются ­сознание и ценности таких ключевых групп, как средний класс, молодежь, консервативное большинство, либеральное меньшинство, а внутри двух последних групп выделяются более и менее радикальные фракции. Через призму особенностей массового сознания этих групп исследуется оценка исторического прошлого. Показывается, как современные общественные противоречия способствуют формированию групповой исторической идентичности, различного отношения к важнейшим вехам исторического прошлого.
НАУЧНЫЕ ПУБЛИКАЦИИ 2017 ГОДА К СТОЛЕТИЮ ОКТЯБРЬСКОЙ РЕВОЛЮЦИИ И РОССИЙСКОЕ ОБЩЕСТВО, "Общественные науки и современность"
Authors: Фельдман Михаил Аркадьевич 
Published: May 2018

В статье дан анализ наиболее примечательных статей в научных журналах 2017 г., посвященных столетию Октябрьской революции, что позволяет проследить эволюцию подходов исследователей в контексте эволюции современного российского общества. Сделан вывод о том, что расхождение взглядов исследователей на характер и причины Октябрьской революции - вполне нормальное явление до тех пор, пока не деформируется воздействием со стороны властных структур. Указаны позитивные изменения в историографии Октября 1917 г.: большинство историков ­рассматривают эти события как вариант буржуазно-демократической революции, затрудненный для понимания ультралевой, уравнительской формой революции, с первых же дней советской власти окутанной мифологическими конструкциями.
ФЕНОМЕН “НАЦИОНАЛЬНОЙ ДИСПРОПОРЦИОНАЛЬНОСТИ” В РАЗВИТИИ ИСТОРИИ ЭКОНОМИЧЕСКОЙ МЫСЛИ: В ПОИСКАХ АЛЬТЕРНАТИВНОЙ ИНТЕРПРЕТАЦИИ, "Общественные науки и современность"
Authors: Мальцев Александр Андреевич 
Published: May 2018

В статье выделены и проанализированы некоторые из существующих интерпретаций феномена “национальной диспропорциональности” в развитии истории экономических учений. Предложено авторское объяснение парадокса неравномерной представленности в истории экономической мысли теоретических концепций ученых из разных стран мира. В связи с этим проанализированы такие проблемы, как связи прорывных инноваций в достижении лидерства в глобальной экономике и хозяйственной практике и процессов развития экономической мысли.
Dosimetric study of GZP6 60Co high dose rate brachytherapy source
Authors: Lei Qin , Xu Anjian , Gou Chengjun , Wen Yumei , He Donglin , Wu Junxiang , Hou Qing , Wu Zhangwen 
Published: May 2018

AbstractThe purpose of this study was to obtain dosimetric parameters of GZP6 60Co brachytherapy source number 3. The Geant4 MC code has been used to obtain the dose rate distribution following the American Association of Physicists in Medicine (AAPM) TG‐43U1 dosimetric formalism. In the simulation, the source was centered in a 50 cm radius water phantom. The cylindrical ring voxels were 0.1 mm thick for r ≤ 1 cm, 0.5 mm for 1 cm < r ≤ 5 cm, and 1 mm for r > 5 cm. The kerma‐dose approximation was performed for r > 0.75 cm to increase the simulation efficiency. Based on the numerical results, the dosimetric datasets were obtained. These results were compared with the available data of the similar 60Co high dose rate sources and the detailed dosimetric characterization was discussed.
Stretchable Optomechanical Fiber Sensors for Pressure Determination in Compressive Medical Textiles
Authors: Sandt Joseph D. , Moudio Marie , Clark J. Kenji , Hardin James , Argenti Christian , Carty Matthew , Lewis Jennifer A. , Kolle Mathias 
Published: May 2018

AbstractMedical textiles are widely used to exert pressure on human tissues during treatment of post‐surgical hematoma, burn‐related wounds, chronic venous ulceration, and other maladies. However, the inability to dynamically sense and adjust the applied pressure often leads to suboptimal pressure application, prolonging treatment or resulting in poor patient outcomes. Here, a simple strategy for measuring sub‐bandage pressure by integrating stretchable optomechanical fibers into elastic bandages is demonstrated. Specifically, these fibers possess an elastomeric photonic multilayer cladding that surrounds an extruded stretchable core filament. They can sustain repetitive strains of over 100%, and respond to deformation with a predictable and reversible color variation. Integrated into elastic textiles, which apply pressure as a function of their strain, these fibers can provide instantaneous and localized pressure feedback. These colorimetric fiber sensors are well suited for medical textiles, athletic apparel, and other smart wearable technologies, especially when repetitive, large deformations are required.
Sub‐Micrometer Au@PDA‐125I Particles as Theranostic Embolism Beads for Radiosensitization and SPECT/CT Monitoring
Authors: Sun Gaofeng , Wang Tao , Li Xiao , Li Danni , Peng Ye , Wang Xiaoke , Jia Guorong , Su Weiwei , Cheng Chao , Yang Jian , Zuo Changjing 
Published: May 2018

AbstractAu nanoparticles (3.8 ± 0.6 nm) are assembled to sub‐micrometer Au particles (186.3 ± 20.4 nm) and covered with adhesive polydopamine (PDA) as embolism beads (198.8 ± 23.2 nm). Radioactive iodine‐125 is labeled to Au@PDA to introduce the function of intra‐irradiation. For the therapeutic effects of Au@PDA‐125I, Au particles sensitize the radiation to MHCC97H hepatoma cells and tumor‐bearing mice. At the cellular level, after being treated with a relatively low‐dose (5 Gy) γ‐ray, Au‐sensitized radiotherapy (RT) leads to an immediate increase of intracellular reactive oxygen species, accompanying with an increase of cell apoptosis. Due to the intra‐irradiation, self‐healing of RT‐leaded DNA double‐strand breakage is suppressed, inducing a further increase of cell apoptosis after RT treatment. Likewise, 3 cycles of sensitized RT leads to a valid control of tumor volume growth, but Au@PDA‐125I has no harm or radioactive residual on or in the radiosensitive organs, including the thyroid, heart, lungs, liver, and spleen. Additionally, photons emitted from 125I and high X‐ray absorption of the Au element makes the beads suitable for single photon emission computed tomography/computed tomography (SPECT/CT) imaging. Therefore, as theranostic embolism beads, Au@PDA‐125I can both enhance the therapeutic effects of external RT, and provide a real‐time SPECT/CT monitoring of therapeutic time window.
Monodisperse π–π Stacking Anthracene Dimer under Pressure: Unique Fluorescence Behaviors and Experimental Determination of Interplanar Distance at Excimer Equilibrium Geometry
Authors: Liu Haichao , Dai Yuxiang , Gao Yu , Gao Hongcheng , Yao Liang , Zhang Shitong , Xie Zengqi , Wang Kai , Zou Bo , Yang Bing , Ma Yuguang 
Published: May 2018

AbstractOrganic light‐emitting materials are centered on their excited states. However, excited‐state geometry is hardly solved. Herein, the planar distance of an anthracene excimer is determined by integrating a monodisperse dimeric anthracene stacking in crystal and high‐pressure technique. The crystal exhibits the pure excimer fluorescence at ambient conditions, and a unique photophysical phenomenon is observed under pressure: fluorescence peak keeps constant first and then starts a gradual redshift. The theoretical potential energy curve indicates that this starting point of redshift corresponds to the excimer equilibrium geometry, which will be innovative to determine the excited‐state π–π interplanar distance (Re) in experiment. Moreover, high‐pressure synchrotron powder X‐ray diffraction experiment tactfully determines Re = 3.330 Å at the pressure point of initial redshift. This work not only suggests the Re determination by an original pathway but also reports a unique excimer photophysics, which may provide a reference benchmark for the further theoretical and experimental studies on aromatic excimer.
Unusual Activation of Cation Disordering by Li/Fe Rearrangement in Triplite LiFeSO4F
Authors: Kim Minkyu , Kim Minkyung , Park Heetaek , Li Hong , Kang Byoungwoo 
Published: May 2018

AbstractIt is reported that cation disordering in triplite LiFeSO4F can be activated by Li/Fe rearrangement that results from irreversible and nondestructive structural changes during the 1st charge/discharge cycle, especially during the charge. This rearrangement decreases the number of edge‐shared FeO4F2 connection environments, compared to the pristine material. With this activation, triplite LiFeSO4F exhibits several unexpected electrochemical features in subsequent cycles; a decrease in open‐circuit voltage indicating the change in thermodynamic property, negligible volumetric change, enhanced Li diffusion, and facile phase transformation pathway. As a consequence, the cation‐disordered triplite LiFeSO4F achieves superior rate capability up to ≈66 mA h g−1 at 40 C rate (1.5 min discharge) and has excellent capacity retention for 500 cycles at 5 C charge/5 C discharge rate and for 1200 cycles at 2 C charge/2 C discharge rate. Therefore, triplite LiFeSO4F can be one of the most promising electrode materials for Li ion batteries.