bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Position of Museum and Gallery Educators in Spain: Some Paradoxes
Authors: Amengual‐Quevedo Irene 
Published: June 2016

AbstractThis article presents some of the reflections articulated in the author's doctoral thesis: Saberes y aprendizajes en la construcción de la identidad y la subjetividad de una educadora de museos: El caso del proyecto Cartografiem‐nos en el museo Es Baluard. (Knowledge and learning in the construction of the identity and the subjectivity of a gallery educator: The case of ʻMapping ourselvesʼ at Es Baluard Museum), produced at the Faculty of Fine Arts, University of Barcelona (2012). The author deals with the question of the professional development of museum and gallery educators, exploring some of the paradoxes that operate in the discourses and practices that surround this collective. The second part of the article is dedicated to demonstrating the knowledge and learning implicated in the experiences of museum and gallery educators. Offering a view from the inside of the professional sphere will serve to counteract more official descriptions, in which museum and gallery education is usually understood as an artisan profession which requires little training or qualifications. Finally, this article poses questions regarding the research of educational practice within the field of museums and galleries.
Recovery after lung transplantation from a patient perspective – proposing a new framework
Authors: Lundmark Martina , Lennerling Annette , Almgren Matilda , Forsberg Anna 
Published: June 2016

AbstractAimsThe aims of this study were two‐fold:

to develop the concept analysis by Allvin et al. from lung recipients’ perspective of their post‐transplant recovery process and
to identify the recovery trajectories including critical junctions in the post‐transplant recovery process after lung transplantation.
BackgroundLung transplantation is an established treatment for patients with end‐stage lung disease. The recovery process after lung transplantation is very demanding. Today, patients are expected to play an active role in their own recovery but require ongoing support during the process.DesignA deductive, retrospective interview study using directed content analysis and Allvin′s recovery concept analysis.MethodFifteen adult lung transplant recipients who were due their 12‐month follow‐up were consecutively included and interviewed during 2015. Patients who were medically unstable or had difficulties speaking Swedish were excluded from this multi‐centre study.FindingsAllvin's concept analysis is partly applicable to the context of lung transplantation. The recipients’ experience of the post‐transplant recovery process could be confirmed in the main dimensions of the concept analysis, while several sub‐dimensions were contradictory and were excluded. Six new sub‐dimensions emerged; symptom management, adjusting to physical restraints, achieving an optimum level of psychological well‐being, emotional transition, social adaptation and reconstructing daily occupation.ConclusionThe concept analysis by Allvin et al. was possible to expand to fit the lung transplantation context and a new contextual definition of post‐transplant recovery after solid organ transplantation was developed. Recovery and health were viewed as two different things.
Fluctuating emotions: relating emotional variability and job satisfaction
Authors: Xu Shi , Martinez Larry R. , Van Hoof Hubert , Eljuri Maria Isabel , Arciniegas Liliana 
Published: June 2016

AbstractThis study focuses on the relation between emotional variability and job satisfaction and examines emotional exhaustion as a potential explanation forwhyvariability may result in lower satisfaction. In addition, this study examines organizational identification as a potential moderator of the relation between emotional exhaustion and job satisfaction. A total of 244 nonacademic staff in two universities in Ecuador responded to the surveys. The results demonstrated that emotional exhaustion mediated the relation between emotional variability and job satisfaction and that organizational identification weakened the negative relation between emotional exhaustion and job satisfaction. This research is among the first to investigate emotional variability in organizations and examine the role of organizational identification in buffering the negative effect of emotional variability.
Annual predictions of the peak numbers of Sitobion avenae infesting winter wheat
Authors: Honek A. , Martinkova Z. , Dixon A. F. G. , Saska P. 
Published: June 2016

AbstractSitobion avenae is the most abundant aphid that infests the ears of winter wheat in central Europe. Control of this pest will benefit from prediction of its maximum abundances on ears. We attempted to predict the maximum numbers of this species infesting the ears using earlier counts of this species in ears and on leaves using data collected in the Czech Republic in 2002–2014. The numbers of aphids on particular leaves and the ears were recorded at weekly intervals. The maximum numbers infesting the ears were significantly related to aphid counts on the ears made 1 week, 2 weeks and even 3 weeks before the peak. A regression based only on plots where there were aphids (non‐zero aphid counts) recorded 3 weeks prior to the peak resulted in a critical number of ≥0.44 aphids/ear, which if exceeded resulted in a harmful maximum abundance of ≥5 aphids/ear at the peak. We also regressed maximum numbers infesting ears on numbers of S. avenae on leaves recorded 1, 2 and 3 weeks after earing, which all resulted in reliable predictions. Regression of maximum abundance on non‐zero aphid counts on the leaves in week 3 after earing revealed a critical number of ≥0.59 aphids/tiller. Zero aphid counts resulted in only 3% of cases of a harmful maximum abundance in ears. Using records of the numbers on flag leaves, which make up 58% of the S. avenae population present on the foliage, also provided reliable predictions of maximum abundance in ears. Predicting maximum numbers of aphids from earlier records of the numbers of aphids on leaves or ears is thus possible. The prediction may be further improved by increasing the precision with which the numbers of aphids initially infesting the crop are estimated.
Multimorbidity in Heart Failure: Effect on Outcomes
Authors: Manemann Sheila M. , Chamberlain Alanna M. , Boyd Cynthia M. , Gerber Yariv , Dunlay Shannon M. , Weston Susan A. , Jiang Ruoxiang , Roger Véronique L. 
Published: June 2016

ObjectivesTo investigate the effect of the number and type of comorbid conditions on death and hospitalizations in individuals with incident heart failure (HF).DesignPopulation‐based cohort study.SettingOlmsted County, Minnesota.ParticipantsOlmsted County, Minnesota, residents with incident HF from 2000 to 2010 (mean age 76 ± 14, 56% female) (N = 1,714).MeasurementsThe prevalence of 16 chronic conditions obtained at HF diagnosis classified into three groups: cardiovascular (CV) related, other physical, and mental.ResultsThe mean number of conditions per participant was 2.6 ± 1.5 for CV‐related conditions, 1.3 ± 1.1 for other physical conditions, and 0.30 ± 0.61 for mental conditions. After a mean follow‐up of 4.2 years, 1,073 deaths and 6,306 hospitalizations had occurred. After adjustment for age, sex, ejection fraction, in‐ or outpatient status, and number of other conditions, an increase of one other physical condition was associated with a 14% (HR = 1.14, 95% CI = 1.08–1.20) greater risk of death and a 26% (HR = 1.26, 95% CI = 1.20–1.32) greater risk of hospitalization, and an increase of one mental condition was associated with a 31% (HR = 1.31, 95% CI = 1.19–1.44) greater risk of death and an 18% (HR = 1.18, 95% CI = 1.07–1.29) greater risk of hospitalization. In contrast, an increase of one CV‐related condition was not associated with greater risk of death and was associated with a 10% (HR = 1.10, 95% CI = 1.06–1.15) greater risk of hospitalization.ConclusionCV‐related conditions are the most common type of comorbid conditions in individuals with HF, but other physical and mental conditions are more strongly associated with death and hospitalizations. This underscores the effect of non‐CV conditions on outcomes in HF.
Patients’ experiences of enhanced recovery after surgery: a systematic review of qualitative studies
Authors: Sibbern Tonje , Bull Sellevold Vibeke , Steindal Simen A , Dale Craig , Watt‐Watson Judy , Dihle Alfhild 
Published: June 2016

Aims and objectivesTo aggregate, interpret and synthesise findings from qualitative studies to further our knowledge regarding patients’ pre‐ and postoperative experiences when participating in an enhanced recovery after surgery.BackgroundNumerous quantitative studies have documented benefits of participation in enhanced recovery after surgery programmes. Randomised control trials show that enhanced recovery after surgery reduce patient morbidity and shorten hospital length of stay. However, we presently have only sparse knowledge regarding patients’ experiences of participating in these programmes.DesignA qualitative systematic review and meta‐synthesis.MethodsA systematic literature search of databases (Cinahl, Medline, PsycINFO, Ovid Nursing, and EMBASE) for qualitative studies published between 2000–2014 were undertaken. The identified studies were critically evaluated using the Critical Appraisal Skills Program, and patient experiences were synthesised into new themes by a team of researchers, using qualitative content analysis.ResultsEleven studies were included. Upon analysis, four main themes emerged: information transfer, individualised treatment vs. standardised care, balancing burdensome symptoms and expectations for rapid recovery, and sense of security at discharge. Information helped patients feel secure and prepared for surgery. Patients reported being motivated to participate in their recovery process. However, this became challenging when they faced symptoms such as pain, nausea, and weakness. Professional support fostered a feeling of security that was important in helping patients continue their regimen, recover, and be discharged as early as planned.ConclusionsPatients in enhanced recovery after surgery programmes desired more consistency between pre‐ and postoperative information. Important opportunities exist to improve symptom management and help patients feel more secure about recovery postoperatively.Relevance to clinical practiceNurses are in a unique position to improve communication of standardised regimens and enhance symptom management across the perioperative period. Clinical outreach, such as follow‐up visits or phone calls, could target older adults who need additional assistance to meet enhanced recovery after surgery programme goals and derive benefit.
Predicting family health and well‐being after separation from an abusive partner: role of coercive control, mother's depression and social support
Authors: Broughton Sharon , Ford‐Gilboe Marilyn 
Published: June 2016

Aims and objectivesDrawing on the Strengthening Capacity to Limit Intrusion theory, we tested whether intrusion (i.e. unwanted interference from coercive control, custody and access difficulties and mother's depressive symptoms) predicted family health and well‐being after separation from an abusive partner/father, and whether social support moderated intrusion effects on family health and well‐being.BackgroundExperiences of coercive control and the negative consequences related to those experiences have been documented among women who have separated from an abusive partner.DesignWe conducted a secondary analysis of data from 154 adult, Canadian mothers of dependent children who had separated from an abusive partner and who participated in Wave 2 of the Women's Health Effects Study.MethodsWe used hierarchical multiple regression to test whether intrusion predicts family health and well‐being as well as whether social support moderated this relationship.ResultsFamilies were found to experience considerable intrusion, yet their health and well‐being was similar to population norms. Intrusion predicted 11·4% of the variance in family health and well‐being, with mother's depressive symptoms as the only unique predictor. Social support accounted for an additional 9% of explained variance, but did not buffer intrusion effects on family health and well‐being.ConclusionsAlthough women had been separated from their abusive partners for an average of 2·5 years, the majority continued to experience coercive control. On average, levels of social support and family functioning were relatively high, contrary to public and academic discourse.Relevance to clinical practiceIn working with these families postseparation, nurses should approach care from a strength‐based perspective, and integrate tailored assessment and intervention options for women and families that address both depression and social support.
COPING SKILLS OF IRANIAN FAMILY CAREGIVERS’ IN CARETAKING OF PATIENTS UNDERGOING HAEMODIALYSIS: A QUALITATIVE STUDY
Authors: Eslami Ahmad Ali , Rabiei Leili , Abedi Heidar Ali , Shirani Majid , Masoudi Reza 
Published: June 2016

SUMMARYBackgroundCoping skills enable caregivers to establish and maintain supportive relationships with the haemodialysis patients they care for. These skills are very important in terms of social support, promotion of mental health and social and family relations. The aim of this study is to investigate the coping skills of Iranian family caregivers as they take care of patients undergoing haemodialysis.MethodsTwenty participants were selected for the study through purposive sampling. The data gathering techniques used for the research were in‐depth and unstructured interviews. The researchers used an inductive thematic analysis approach to analyse the data generated from the interviews.ResultsFour main themes emerged from the data: help‐seeking skills, self‐nurturing skills, time management skills and stress management skills.ConclusionThe focus of attention was on the stress management coping skills of the caregivers of haemodialysis patients together with their ability to cope with complex problems. Healthcare providers, by taking into account these skills and strategies of empowerment, can help other caregivers of haemodialysis patients cope with their heavy care conditions and better define their purposes in caretaking.
What if Variable Annuity Policyholders With Guaranteed Lifelong Withdrawal Benefit Were Rational?
Authors: Piscopo Gabriella , Rüede Philipp 
Published: June 2016

AbstractThis article examines the lapse risk inherent to the guaranteed lifelong withdrawal benefit option embedded in a variable annuity product valuated from a pure derivatives perspective, that is, as a Bermudian option given to the policyholder. We assume rational behavior and quantify the potential impact of the lapse risk, defined as the difference between no lapse and optimal lapsing. We develop a sensitivity analysis that shows how the value of the product varies with the key parameters, and calculate the fair fee using Monte Carlo simulations. Empirical analyses are performed and numerical results are provided.
Pharmacokinetics, efficacy and safety of daclatasvir plus asunaprevir in dialysis patients with chronic hepatitis C: pilot study
Authors: Kawakami Y. , Imamura M. , Ikeda H. , Suzuki M. , Arataki K. , Moriishi M. , Mori N. , Kokoroishi K. , Katamura Y. , Ezaki T. , Ueno T. , Ide K. , Masaki T. , Ohdan H. , Chayama K. 
Published: June 2016

SummaryThe aim of this study was to evaluate the pharmacokinetic profile of daclatasvir (DCV) and asunaprevir (ASV) dual therapy in haemodialysis patients infected with hepatitis C virus (HCV). Eighteen haemodialysis patients and 54 patients with normal renal function were treated with DCV and ASV dual therapy for 24 weeks. We evaluated the pharmacokinetic profiles of DCV and ASV and examined the rate of sustained virological response 12 weeks after the end of treatment (SVR12) and incidence of adverse events during treatment of haemodialysis patients infected with chronic HCV genotype 1 infection. To adjust for potential differences in baseline characteristics between haemodialysis patients and patients with normal renal function, we used propensity scores case–control matching methods. Area under the plasma concentration time curve from 0 to 6 h (AUC0–6 h) of DCV was slightly lower in haemodialysis patients than in patients with normal renal function (P > 0.6). AUC0–6 h of ASV was significantly lower in haemodialysis patients (P = 0.012). SVR12 rates were 100% (18/18) for haemodialysis and 96.2% (52/54) for patients with normal renal function. Changes in mean log10 HCV RNA levels and viral response were higher in haemodialysis patients compared to patients with normal renal function. No discontinuations due to adverse events occurred. In conclusion, DCV and ASV dual therapy for HCV infection is effective and safe with similar results in haemodialysis patients compared to patients with normal renal function.
Decrease in tooth count in melon‐headed whales
Authors: Kurihara N. , Amano M. , Yamada T. K. 
Published: June 2016

AbstractA total of 62 skulls from two herds of melon‐headed whales stranded on Japanese coasts were examined. Although the species originally had around 22 teeth in each tooth row, older specimens (30–35 years old) possessed only an average of 9.2 teeth on each side of the upper jaw. Significant shortening of the root caused the tooth loss observed in this species. In addition, we observed the following trends with respect to the pattern of tooth loss: (1) teeth are lost from the posterior to the anterior part of the tooth row, (2) the loss of teeth in the upper jaw precedes that in the lower jaw, and (3) tooth count decreases with age. The above‐mentioned tendencies were found in both herds. Bony tissues at the alveoli seem to push out the teeth: the bottom of the tooth socket rises both during the root‐shortening process and after the tooth falls out. There were no signs of accidental tooth loss such as resorption of alveolar bones due to gingival disease or injuries on alveolar bones by physical impacts. Therefore, the postnatal tooth count decrease is considered an ontogenetic event of this species. The ontogenetic decrease in tooth count coincides with the tendency of evolutionary tooth number reduction in odontocetes at two particular points, the secondary reduction from polyodontia and the more progressed decrease in teeth in the upper jaw than in the lower jaw. Therefore, the evolutionary tooth count reduction seems to be repeated in the lifetime of the melon‐headed whale.
Hospital readiness for undertaking evidence‐based practice: A survey
Authors: Nguyen Thi Ngoc Minh , Wilson Anne 
Published: June 2016

AbstractDespite the fact that evidence‐based practice has increasing emphasis in health care, organizations are not always prepared for its implementation. Identifying organizational preparedness for implementing evidence‐based practice is desirable prior to application. A cross‐sectional survey was developed to explore nurses’ perception of organizational support for evidence‐based practice and was implemented via a self‐enumerated survey completed by 234 nurses. Data were analyzed with descriptive and inferential statistics. Nurses reported that implementation of evidence‐based practice is complex and fraught with challenges because of a lack of organizational support. A conceptual framework comprising three key factors: information resources, nursing leadership, and organizational infrastructure was proposed to assist health authorities in the implementation of evidence‐based practice. Suggestions of how organizations can be more supportive of research utilization in practice include establishing a library, journal clubs/mentoring programs, nurses’ involvement in decision‐making at unit level, and a local nursing association.
Immunologic environment influences macrophage response to Porphyromonas gingivalis
Authors: Papadopoulos G. , Shaik‐Dasthagirisaheb Y.B. , Huang N. , Viglianti G.A. , Henderson A.J. , Kantarci A. , Gibson F.C. 
Published: June 2016

SummaryMacrophages adapt both phenotypically and functionally to the cytokine balance in host tissue microenvironments. Recent studies established that macrophages contribute an important yet poorly understood role in the development of infection‐elicited oral bone loss. We hypothesized that macrophage adaptation to inflammatory signals encountered before pathogen interaction would significantly influence the subsequent immune response of these cells to the keystone oral pathobiont Porphyromonas gingivalis. Employing classically activated (M1) and alternatively activated (M2) murine bone‐marrow‐derived macrophage (BMDMø), we observed that immunologic activation of macrophages before P. gingivalis challenge dictated phenotype‐specific changes in the expression of inflammation‐associated molecules important to sensing and tuning host response to bacterial infection including Toll‐like receptors 2 and 4, CD14, CD18 and CD11b (together comprising CR3), major histocompatibility complex class II, CD80, and CD86. M2 cells responded to P. gingivalis with higher expression of tumor necrosis factor‐α, interleukin‐6, monocyte chemoattractant protein‐1, macrophage inflammatory protein‐1α, regulated on activation normal T cell expressed and secreted, and KC than M1 cells. M1 BMDMø expressed higher levels of interleukin‐10 to P. gingivalis than M2 BMDMø. Functionally, we observed that M2 BMDMø bound P. gingivalis more robustly than M1 BMDMø. These data describe an important contribution of macrophage skewing in the subsequent development of the cellular immune response to P. gingivalis.
Radiofrequency Ablation of Left Atrial Reentrant Tachycardias in Rheumatic Mitral Valve Disease: A Case Series
Authors: PRABHU MUKUND A. , THAJUDEEN ANEES , VK AJIT KUMAR , J THARAKAN , B.V PRASAD SRINIVAS , NAMBOODIRI NARAYANAN 
Published: June 2016

BackgroundLeft atrial (LA) reentrant tachycardias are not uncommon in regions where rheumatic heart disease is prevalent. Some of these arrhythmias may be curable by radiofrequency ablation (RFA). However, there are limited data pertaining to this in existing literature.Case ReportThree patients who had rheumatic mitral valve disease with past history of surgical‐/catheter‐based intervention and having no significant residual disease had symptomatic atrial flutter despite optimal medical management. An electrophysiological study confirmed an LA focal/micro‐reentrant mechanism in all. There was patchy scarring of the LA, and successful RFA of these arrhythmias could be achieved.ConclusionThe focal nature of the scar in these patients may suggest that the rheumatic involvement of the atrium or the hemodynamic consequence of the vulvar lesion causes nonuniform insult to the atrial tissue and limited scar. At least in some patients with limited scarring, early RFA may help in the maintenance of sinus rhythm.