bluuebunny/crossref_metadata_2025_split huggingface dataset:
Interdisciplinary care rounds in the community: Changing the paradigm of supportive service involvement in cancer care.
Authors: Siegel Robert D. , Crosswell Hal E. , Dillard Terra , Bayne Jennifer , Redenz Tina , Duggan Kyle , Belew Angela 
Published: February 2017

83 Background: Although cancer centers have focused on optimizing seamless Multidisciplinary Care (MDC) at tumor boards and/or clinics, there has been little published on effective ways to involve supportive services into the management of cancer patients. Historically, supportive services have been initiated when there is an active need rather than in anticipation of that need. As an alternative to pursuing such "crisis management" in our patients, Bon Secours St. Francis Cancer Center (BSSF) initiated Interdisciplinary Care (IDC) Rounds in an effort to anticipate patient needs, enhance quality of life (QoL), and potentially limit avoidable emergency room and hospital admissions. Methods: We initiated IDC Rounds with participants from the following disciplines: medical oncology, navigation, clinic nursing, palliative medicine, financial counseling, psychology, nutrition, clinical research, adolescent and young adult, and oncology rehabilitation/survivorship (ORS). A database was created to track new patients with malignancies within three weeks of presentation and the subsequent recommendations made by the IDC team. Those recommendations are then forwarded to the primary medical oncologist who has the ability to agree to those recommendations in full or in part before they are actuated. Results: BSSF is a non-academic, community-based cancer program and receives over 1,300 referrals annually from a referral population of 1.32 million in 10 counties. Short term metrics demonstrate a 57% and 100% increase in referrals to ORS and palliative care, respectively. Successes and challenges including sustainability, cost and measurable impact will be discussed. Conclusions: We have shown that it is feasible in the community setting to create a process that will allow early integration of supportive services into the full service care of cancer patients. Results demonstrate an increase in short-term metrics such as referrals to supportive services. Our ultimate goal is that formalized IDC results not only in earlier involvement by needed services but enhanced QoL for our patients with fewer emergency room and hospital admissions. Those data will be compiled as the program matures.
Ambulatory redesign: Strategies for quality improvement in patient care.
Authors: Sinanis Naralys Estevez , Lyons Catherine A. , Smith Nancy , McGlennon Maureen , Parker Terri L. , Truini Carolyn , Major-Campos Maureen , Lacy Jill , Michaels Karen , Dest Vanna , Lisitano Richard , Adelson Kerin B. , Lilenbaum Rogerio 
Published: February 2017

85 Background: Growing outpatient volume poses patient flow challenges, making it difficult to accommodate the complexities of academic medical practice. Volume increases create operational inefficiencies like delays in lab turnaround time (TAT) and limited rooming capacity resulting in delays in patient access and reduced provider productivity. These bottlenecks negatively impact patient satisfaction. Methods: Four multidisciplinary teams assessed barriers to patient flow in the lab, rooming and scheduling process. We sought to maximize the Advanced Practice Provider (APP) role within clinical programs. Each team was led jointly by an MD and RN and included subject matter experts, advisors and facilitators. The groups met regularly for 2 months to evaluate operational data, national benchmarks and surveyed staff. Monthly progress was presented during the Ambulatory Clinic Committee (ACC) meetings. Number of labs not completed on time, wait-time and APP visit volume were tracked. Results: Recommendations included provider education on lab order process, purchasing a second instrument for chemistries, APP independent visits standards, and realistic scheduling times. Preliminary findings indicate that the lab reduced their average TAT defect rate by 52.3% (CBC) and 76.1% (CMP) compared to January 2014 (baseline) and January 2015 (post implementation). This difference was statistically significant at a 95% CI, with p < .001 for both CBCs and CMPs. In addition, APP total visit volume increased by 81% from FY 2014 to FY 2015. Finally, the overall Press-Ganey mean in patient satisfaction with physician wait time increased from 81.7 to 82.7 (2014 vs. 2015). Conclusions: Multidisciplinary teams recommended valuable process improvement changes to reduce the TAT in the lab and to promote that APPs work within the full scope of their license. Implementation requires extensive project management support and continuous tracking to evaluate outcomes. Opportunities exist to maximize space and room utilization and optimize the scheduling process as the outpatient volume continues to increase.
Using a QOPI-based template to monitor appropriate evaluation of constipation.
Authors: Gulvin Joshua Michael , Lin Bruce S. , Robinson Nanette , Malpass Thomas William , Picozzi Vincent J. , Vishnu Prakash , Taylor Lynne Patricia , Chatta Gurkamal S. , Goetsch Cathleen M. , Aboulafia David Michael , Rosales Joseph K 
Published: February 2017

94 Background: A common symptom in patients being treated with opioid analgesics is constipation, which is often underreported by patients and therefore undertreated by providers. The Quality Oncology Project Initiative (QOPI) has identified constipation as one of the benchmark symptoms to be monitored in order to obtain certification. At Virginia Mason Medical Center, we had previously identified constipation as a symptom which was not adequately addressed in the medical record, and implemented a template-based initiative to increase its evaluation. Methods: We identified consecutive patients with advanced cancer undergoing systemic therapy who were also receiving opioid analgesic treatments. These patients were surveyed for constipation, and answered a questionnaire regarding its severity and whether they felt it was adequately handled. We then reviewed the encounter notes for the visit to correlate the provider’s documentation of constipation and its treatment and the patient experience. Results: Results will be presented at the symposium. Conclusions: We aim to describe whether or not the symptom of constipation was adequately captured and/or treated in patients receiving opioid therapy.
Mindfulness-Based Cognitive Therapy in Advanced Prostate Cancer: A Randomized Controlled Trial
Authors: Chambers Suzanne K. , Occhipinti Stefano , Foley Elizabeth , Clutton Samantha , Legg Melissa , Berry Martin , Stockler Martin R. , Frydenberg Mark , Gardiner Robert A. , Lepore Stephen J. , Davis Ian D. , Smith David P. 
Published: February 2017

Purpose Advanced prostate cancer (PC) is associated with substantial psychosocial morbidity. We sought to determine whether mindfulness-based cognitive therapy (MBCT) reduces distress in men with advanced PC. Methods Men with advanced PC (proven metastatic and/or castration-resistant biochemical progression) were randomly assigned to an 8-week, group-based MBCT intervention delivered by telephone (n = 94) or to minimally enhanced usual care (n = 95). Primary intervention outcomes were psychological distress, cancer-specific distress, and prostate-specific antigen anxiety. Mindfulness skills were assessed as potential mediators of effect. Participants were assessed at baseline and were followed up at 3, 6, and 9 months. Main statistical analyses were conducted on the basis of intention to treat. Results Fourteen MBCT groups were conducted in the intervention arm. Facilitator adherence ratings were high (> 93%). Using random-effects mixed-regression models, intention-to-treat analyses indicated no significant changes in intervention outcomes or in engagement with mindfulness for men in MBCT compared with those receiving minimally enhanced usual care. Per-protocol analyses also found no differences between arms in outcomes or engagement, with the exception of the mindfulness skill of observing, which increased over time for men in MBCT compared with usual care ( P = .032). Conclusion MBCT in this format was not more effective than minimally enhanced usual care in reducing distress in men with advanced PC. Future intervention research for these men should consider approaches that map more closely to masculinity.
Characteristics of Gelation by Amides Based on trans-1,2-Diaminocyclohexane: The Importance of Different Substituents
Authors: Nakagawa Haruka , Fujiki Mamoru , Sato Takaaki , Suzuki Masahiro , Hanabusa Kenji 
Published: February 2017

Abstract
Six diamides were prepared from trans-(1R,2R)-1,2-diaminocyclohexane and the corresponding racemate and were subsequently used as gelators. Three chiral compounds and their racemates were prepared. One of the chiral compounds and its racemate contained two n-dodecanoylamino groups as the same substituents. The other two chiral compounds and their racemates contained different substituents: 10-undecenoylamino and 2-heptyl-undecanoylamino groups, and 5-hydroxypentanoylamino and 2-heptylundecanoylamino groups. Their gelation abilities were evaluated on the basis of the minimum gel concentration using eight solvents. The thermal stability and transparency of the gels were investigated by UV–vis spectroscopy using three-component mixed solvents of hexadecyl 2-ethylhexanoate, liquid paraffin, and decamethyl cyclopentasiloxane (66 combinations). The gel-to-sol phase-transition temperatures were also studied. The viscoelastic behavior of the gels was studied by rheology measurements in the strain sweep mode. Aggregates constructing three-dimensional networks were studied by transmission electron microscopy and circular dichroism spectroscopy. The molecular packing of the gels was evaluated by small angle X-ray scattering (SAXS).
Extracurricular Activities As a Sphere of Social and Pedagogical Partnership in the Interaction of the General and Supplementary Education in Terms of Introduction of the Federal State Educational Standard
Authors: Иванова  , Ivanova Irina 
Published: February 2017

Article is based on the description of the author’s vision of designing a network of educational interaction in the context of socio-pedagogical partnership between the general and further education in line with the realization of extracurricular activities in the conditions of the introduction of the Federal State Educational Standard (FSES). The paper describes the stages of a network between educational institutions and supplementary education in the fi eld of extracurricular activities teaching, the content of which need a good idea of planning to become a party to the educational network. Performance criteria of socio-pedagogical partnership in the interaction of the general and supplementary education in the introduction of the FSES is
the availability of functioning network interaction of educational institutions for the implementation of extracurricular activities in the framework of the FSES, involving teaching, psychological and pedagogical, professional, material and technical resources of educational institutions of diff erent levels;
development and implementation of educational programs extracurricular activities FSES-based schools; positive dynamics of development of students involved in extracurricular activities; enhance the professional competence of teachers involved in networking through the organization of extracurricular activities in the context of the FSESSocio-pedagogical collaboration between the general and further education, the diff erent models of networking between educational institutions in the conditions of the introduction of the FSES helps to provide opportunities for the development of each child on a variety of activities taking into account
the orientation of the individual; eff ective organization of extracurricular activities of students in the development of the FSES; empowerment to improve the professional competence of school teachers; meet the requests of professional participants in the educational process. Perspective and practical importance of this activity, which can be called innovative in the light of the modernization of education is the ability to design
and realization of diff erent models of network of educational interaction in the framework of the extracurricular activities of students in the conditions of the introduction of the FSES in the educational space of city, region.
Political Advertising in 2016: The Presidential Election as Outlier?
Authors: Franklin Fowler Erika , Ridout Travis N. , Franz Michael M. 
Published: February 2017

AbstractThe 2016 presidential campaign broke the mold when it comes to patterns of political advertising. Using data from the Wesleyan Media Project, we show the race featured far less advertising than the previous cycle, a huge imbalance in the number of ads across candidates and one candidate who almost ignored discussions of policy. This departure from past patterns, however, was not replicated at the congressional level. We draw some lessons about advertising from the 2016 campaign, suggesting that its seeming lack of effectiveness may owe to the unusual nature of the presidential campaign with one unconventional candidate and the other using an unconventional message strategy, among other non-advertising related factors.
Flow Behavior and Dynamic Recrystallization of BT25y Titanium Alloy During Hot Deformation
Authors: Yang Xuemei , Guo Hongzhen , Yao Zekun , Yuan Shichong 
Published: February 2017

Abstract
The high-temperature plastic deformation and dynamic recrystallization behavior of BT25y alloy were investigated within the deformation temperatures of 1,213–1,293 K and strain rates of 0.001–1.0 s–1 on a Gleeble-1500 thermo-mechanical simulator. Results showed that the dynamic recrystallization (DRX) mechanism played an important role in the hot deformation of BT25y alloy. Based on the regression analysis of the true stress–strain data, the stress exponent and deformation activation energy of BT25y alloy were calculated to be 3.4912 and 288.0435 kJ/mol, respectively. The θ-σ and dθ/dσ–σ curves were plotted to further obtain the critical stress and critical strain for the occurrence of DRX. Based on the analysis results, the DRX kinetic model was established. The model was validated by the comparison between predicted and experimental volume fraction of DRX. As the DRX evolution was sensitive to deformation temperature and strain rate, quantities of dynamically recrystallized grains appeared at higher temperatures and lower strain rates.
Off-Design Analysis of Transonic Bypass Fan Systems Using Streamline Curvature Through-Flow Method
Authors: Acarer Sercan , Özkol Ünver 
Published: February 2017

Abstract
The two-dimensional streamline curvature through-flow modeling of turbomachinery is still a key element for turbomachinery preliminary analysis. Basically, axisymmetric swirling flow field is solved numerically. The effects of blades are imposed as sources of swirl, work input/output and entropy generation. Although the topic is studied vastly in the literature for compressors and turbines, combined modeling of the transonic fan and the downstream splitter of turbofan engine configuration, to the authors’ best knowledge, is limited. In a prior study, the authors presented a new method for bypass fan modeling for inverse design calculations. Moreover, new set of practical empirical correlations are calibrated and validated. This paper is an extension of this study to rapid off-design analysis of transonic by-pass fan systems. The methodology is validated by two test cases: NASA 2-stage fan and GE-NASA bypass fan case. The proposed methodology is a simple extension for streamline curvature method and can be applied to existing compressor methodologies with minimum numerical effort.
Asociación e identidad “imparcial”
Authors: Romero-Valderrama Ana 
Published: February 2017

En la administración de Guadalupe Victoria, los imparciales surgieron con la intención de replantear significativas problemáticas de la gobernabilidad establecida con la república federal en 1824, especialmente las logias. La suya fue una voz protagónica para las inquietudes de diferentes sectores, ya fueran contrarios a sociedades escocesas y yorkinas o estuvieran insertos en ambas. Esta investigación analiza ideas y prácticas de los imparciales desde la publicación periódica Águila Mejicana, hasta los principales debates de ésta con periódicos masónicos líderes. También explica de qué manera los imparciales contribuyeron a eliminar ambas logias y, al mismo tiempo, ofrecieron nuevos y substanciales fundamentos para cohesionar a los “hombres de bien”.
During the Guadalupe Victoria administration, the “Impartials” criticized key governance issues established in the 1824 first federal republic, especially when related to the Masonic Lodges. They voiced the concerns of many key sectors that opposed the Masonic Lodges. This article analyzes Impartials’ ideas and practices in the Águila Mejicana publication. Likewise, it examines the debates between the Impartials and the Masonic Lodges periodicals in Mexico City. This article explains how the Impartials contrived to eliminate the Masonic Lodges. Furthermore, it explores the new foundations the Impartials established to bring together the so-called “hombres de bien.”
O impacto da universidade pública no desenvolvimento regional sob a luz da literatura internacional / The Impact of the public university in regional development from the perspective of international literature
Authors: Hoff Débora Nayar , Pereira Camila Amaral , De Paula Luis Gustavo Nascimento 
Published: February 2017

Resumo
O objetivo deste artigo é rever, a partir de seu confronto com a discussão internacional sobre o assunto, o modelo analítico proposto por Hoff, San Martin e Sopeña (2011) para a análise do impacto das universidades públicas no desenvolvimento regional. O modelo, originalmente, foi desenvolvido a partir de referências nacionais para o tema. Para tanto, utiliza-se a técnica de pesquisa bibliográfica e documental. O referencial teórico estudado demonstra que o modelo analítico estabelecido com referências nacionais mostra-se correspondente à discussão apresentada pela literatura internacional sobre o tema. Destaca-se, no entanto, que a literatura internacional apresenta enfoque direcionado às relações com o ambiente externo à universidade, principalmente com o meio empresarial, fato não tão presente na literatura nacional. Conclui-se que a literatura internacional ratifica o modelo proposto por Hoff, San Martin e Sopeña (2011).

Abstract
The purpose of this article is to review, from its confrontation with the international discussion, the analytical model proposed by Hoff, San Martin and Sopeña (2011) to analyze the impact of public universities in regional development. The model originally was developed from national reference to the subject. Therefore using the bibliographic and documentary research technique. The studied theoretical framework shows that the analytical model established with national references is shown corresponding to the discussion presented in the international literature on the subject. Noteworthy, however, that the present international literature focusing mainly on relations with the external environment to the university, especially with the business community, which was not so present in the national literature. We conclude that the international literature confirms the model proposed by Hoff, San Martin and Sopeña (2011).
A Cidade Inteligente: uma reterritorialização / Smart City: A reterritorialization
Authors: Cury Mauro José Ferreira , Marques Josiel Alan Leite Fernandes 
Published: February 2017

Resumo
As cidades inteligentes são formas de apropriação do espaço urbano baseadas na utilização de três inteligências – a humana, a coletiva e a artificial – e que implica em transformações territoriais. A pesquisa objetiva discutir a cidade inteligente como uma reterritorialização do espaço das cidades, pelo exame conceitual de território, territorialidade, desterritorialização e reterritorialização. A justificativa está calcada na busca contemporânea por soluções aos problemas sociais, econômicos e culturais que as cidades enfrentam. A problemática nos induz a responder se as cidades inteligentes, ao criarem soluções, redefinem as formas e funções do espaço e por si constituem uma reterritorialização. A metodologia empregou a pesquisa documental e empírica, com revisão conceitual de autores meritórios nos temas como Komninos (2008), Haesbaert (2004), Raffestin (1993) e Sack (1986). A pesquisa apresenta as respostas à problemática de que o processo de desenvolvimento urbano propagado pelas cidades inteligentes é capaz de redefinir o uso e as ocupações dos espaços locais, regionais e nacionais, ensejando transformação territorial e, dessarte, uma reterritorialização.

Abstract
Smart cities are forms of appropriation of urban space based on the use of three intelligences – human, collective and artificial – and that implies territorial transformations. The research aims to discuss the smart city as a reterritorialization of all urban space through the conceptual examination of territory, territoriality, deterritorialization and reterritorialization. The justification is grounded in the contemporary search for solutions to social, economic and cultural problems facing cities. The problem leads us to respond if smart cities by creating solutions redefine the forms and space functions and by itself is a reterritorialization. The methodology employed documentary and empirical research with conceptual review of meritorious authors on topics such as Komninos (2008), Haesbaert (2004), Raffestin (1993) and Sack (1986). The research presents the answers to the problems of the urban development process propagated by the smart cities are able to redefine the use and occupation of the local, regional and national spaces, allowing for territorial transformation, and thus faces a reterritorialization.
Respiratory compliance of newborns after birth and their short-term outcomes
Authors: Verma Pramila , Kalraiya Ashish 
Published: February 2017

Background: Worldwide approximately one million babies die per year due to asphyxia out of which about one third (approximately 3 lakhs) is contributed by our country. The objective of this study was to determine the requirement of respiratory support in newborn babies and their short-term outcomes.Methods: This retrospective observational study was conducted over one year at PCMS and RC Bhopal. Babies who were delivered in PCMS and required respiratory support at birth were enrolled in the study. The medical records of all these babies for resuscitation measures, requirement of respiratory support after hospitalization to the neonatal intensive care unit and their short-term outcome were recorded on a pre-designed study proforma.Results: During post-resuscitation care in neonatal intensive care unit, 55.5% (30/54) babies required respiratory support. Among them 7.4% (4/54) were supplemented with oxygen for a few hrs, 22.2% (12/54) required positive end expiratory pressure and put on high flow oxygen and air mixture for 24-48 hours. While 25.9% (14/54) newborns required mechanical ventilation for 3-7 days and then switched over to CPAP for the next 24-48 hrs. Out of 54 babies eight babies expired while ten babies went against medical advice. Remaining 36 babies were discharged, of which five babies developed hypoxic ishchaemic encephalopathy.Conclusions: It is evident from the present study that half of the resuscitated babies further required respiratory support in the NICU. We also concluded that three fourth of the newborns were discharged and had normal short term outcome.