bluuebunny/crossref_metadata_2025_split huggingface dataset:
Retrospective study of long-term outcome after brain arteriovenous malformation rupture: the RAP score
Authors: Shotar Eimad , Debarre Matthieu , Sourour Nader-Antoine , Di Maria Federico , Gabrieli Joseph , Nouet Aurélien , Chiras Jacques , Degos Vincent , Clarençon Frédéric 
Published: January 2017

OBJECTIVEThe authors aimed to design a score for stratifying patients with brain arteriovenous malformation (BAVM) rupture, based on the likelihood of a poor long-term neurological outcome.METHODSThe records of consecutive patients with BAVM hemorrhagic events who had been admitted over a period of 11 years were retrospectively reviewed. Independent predictors of a poor long-term outcome (modified Rankin Scale score ≥ 3) beyond 1 year after admission were identified. A risk stratification scale was developed and compared with the intracranial hemorrhage (ICH) score to predict poor outcome and inpatient mortality.RESULTSOne hundred thirty-five patients with 139 independent hemorrhagic events related to BAVM rupture were included in this analysis. Multivariate logistic regression followed by stepwise analysis showed that consciousness level according to the Glasgow Coma Scale (OR 6.5, 95% CI 3.1–13.7, p < 10−3), hematoma volume (OR 1.8, 95% CI 1.2–2.8, p = 0.005), and intraventricular hemorrhage (OR 7.5, 95% CI 2.66–21, p < 10−3) were independently associated with a poor outcome. A 12-point scale for ruptured BAVM prognostication was constructed combining these 3 factors. The score obtained using this new scale, the ruptured AVM prognostic (RAP) score, was a stronger predictor of a poor long-term outcome (area under the receiver operating characteristic curve [AUC] 0.87, 95% CI 0.8–0.92, p = 0.009) and inpatient mortality (AUC 0.91, 95% CI 0.85–0.95, p = 0.006) than the ICH score. For a RAP score ≥ 6, sensitivity and specificity for predicting poor outcome were 76.8% (95% CI 63.6–87) and 90.8% (95% CI 81.9–96.2), respectively.CONCLUSIONSThe authors propose a new admission score, the RAP score, dedicated to stratifying the risk of poor long-term outcome after BAVM rupture. This easy-to-use scoring system may help to improve communication between health care providers and consistency in clinical research. Only external prospective cohorts and population-based studies will ensure full validation of the RAP scores' capacity to predict outcome after BAVM rupture.
Retrograde motion of a rolling disk
Authors: Borisov A V , Kilin A A , Karavaev Yu L 
Published: January 2017

Abstract
This paper presents results of theoretical and experimental research explaining the retrograde final-stage rolling of a disk under certain relations between its mass and geometric parameters. Modifying the no-slip model of a rolling disk by including viscous rolling friction provides a qualitative explanation for the disk’s retrograde motion. At the same time, the simple experiments described in the paper completely reject the aerodynamical drag torque as a key reason for the retro-grade motion of a disk considered, thus disproving some recent hypotheses.
Learning from patients: trainers’ use of narratives for learning and teaching
Authors: Skelton John R , O’Riordan Margaret , Ossȯ Anna Berenguera , Beavan Jackie , Weetman Katharine 
Published: January 2017

BackgroundThere is a growing interest in how doctors learn from narratives about individual cases, reflected, for example, in the use of e-portfolios.AimThis study aimed to evaluate how GP trainers conceptualised ‘learning from patients’, and what use they currently made of narrative recounts in training.Design & settingThematic analysis (TA) and corpus-linguistic (CL) analysis, with data collected from a convenience sample of trainers in the UK, Ireland, and Spain.MethodGP trainers in the three settings were contacted, and volunteers recruited (22 in UK, 24 in Ireland, and 16 in Spain). Volunteers were interviewed and asked to offer a narrative about ‘a patient you learned from’ and whether they used narratives as a training device.ResultsThere were no differences between settings. Trainers described an engaged and personal relationship with patients. They described learning about themselves, the human condition, and about how to live and die well. Their narratives were structured in various ways. At times, they led to precise conclusions: at times, they were perceived as meaningful, but resisting analysis. As regards teaching through narrative, it was reported as commonly used, but present practice appears ad hoc rather than planned.DiscussionThe lack of difference between settings suggests a degree of commonality about how trainers perceive learning and teaching in the areas explored, but cannot be generalised further. The level of personal engagement was more than anticipated, and suggests the label ‘doctor–patient relationship’, as the term is used, may not be adequate to describe the nature of some interactions.
GPs’ patterns of clinical assessment when faced with a patient suspected for spondyloarthritis: a prospective educational intervention study
Authors: van Onna Marloes , Gorter Simone , Maiburg Bas , Waagenaar Gerrie , van Tubergen Astrid 
Published: January 2017

BackgroundTimely recognition and referral of patients with spondyloarthritis (SpA) is challenging due to the frequent unawareness of the clinical picture.AimTo identify clinical assessment patterns of GPs and GP-residents when facing a patient suspected of having SpA, and to determine which components of clinical assessment were most prevalent prior to referral to the rheumatologist and whether targeted education could positively influence pattern recognition.Design & settingProspective multicentre educational intervention study in primary care practices in the Netherlands.MethodGPs and GP-residents were visited in two rounds by standardised patients (SPs) simulating axial or peripheral SpA (dactylitis). Between these rounds, an educational intervention regarding SpA took place for part of the participants. SPs completed a case-specific checklist inquiring about disease-related items and items on physical examination.ResultsSixty-eight participants (30 GPs and 38 GP-residents) were included and 19 (28%) received the educational intervention. In round 1, about half of the participants asked at least one question to differentiate between an inflammatory or mechanical origin of the back pain or peripheral complaint; on average, <15% asked for extra-articular manifestations. After education, GP-residents inquired more about the presence of extra-articular manifestations and family history of axial SpA; this pattern was also observed in the GPs and GP-residents who correctly referred the SP. In the peripheral SpA case, the observed gain was less evident when compared to the axial SpA case.ConclusionPattern recognition of patients suspected for SpA by GP(-residents) is essential for referral to a rheumatologist and can be improved by education.
Adapting primary care for new migrants: a formative assessment
Authors: Such Elizabeth , Walton Elizabeth , Delaney Brigitte , Harris Janet , Salway Sarah 
Published: January 2017

BackgroundImmigration rates have increased recently in the UK. Migrant patients may have particular needs that are inadequately met by existing primary care provision. In the absence of national guidance, local adaptations are emerging in response to these new demands.AimTo formatively assess the primary care services offered to new migrants and the ways in which practitioners and practices are adapting to meet need.Design & settingOnline survey and case studies of current practice across primary care in the UK. Case studies were selected from mainstream and specialist general practice as well as primary care provision in the third sector.MethodNon-probability sample survey of primary care practitioners (n = 70) with descriptive statistical analysis. Qualitative case studies (n = 8) selected purposively; in-depth exploration of organisational and practitioner adaptations to services. Analysis is structured around the principles of equitable care.ResultsSurvey results indicated that practitioners focused on working with communities and external agencies and adapting processes of, for example, screening, vaccination, and health checks. Lack of funding was cited most frequently as a barrier to service development (n = 51; 73%). Case studies highlighted the prominence partnership working and of an organisational and practitioner focus on equitable care. Adaptations centred on addressing wider social determinants, trauma, and violence, and additional individual needs; and on delivering culturally-competent care.ConclusionDespite significant resource constraints, some primary care services are adapting to the needs of new migrants. Many adapted approaches can be characterised as equity-oriented.
Questions sur l’oral : médium, syntaxe, genre
Authors: Cappeau Paul 
Published: January 2017

L’article aborde plusieurs points qui font l’objet de discussions ou d’interrogations récurrentes sur les questions d’oral. Tout d’abord, la frontière entre oral et écrit semble mise à mal avec des formes nouvelles et des lieux d’écriture (sms, tchats, forums). Or des travaux comme ceux de P. Koch et W. Œsterreicher (2001) apportent des outils de réflexion qui aident à mieux poser les différences. Ensuite, il convient d’observer la diversité des liens syntaxiques que la langue parlée exploite. À côté de marqueurs grammaticaux que l’on trouve tant à l’oral qu’à l’écrit, cette langue parlée recourt notamment à des liens de juxtaposition qui peuvent donner, à tort, l’impression que la syntaxe est absente ; l’analyse en termes de macrosyntaxe (Blanche-Benveniste 2010) aide à mieux comprendre l’organisation des énoncés. Enfin, la perspective des genres permet de sortir de l’opposition réductrice entre oral et écrit. Les genres requièrent, pour partie, un matériau grammatical spécifique. Il importe donc d’être sensibilisé à cet aspect pour pouvoir mieux observer et appréhender certains usages de la langue parlée. Des exemples variés empruntés à diverses sources (médias, corpus de Poitiers, corpus MPF) servent à préciser et illustrer les points traités.
La naturalisation acte ou vecteur d’intégration ?
Authors: Zalc Claire 
Published: January 2017

Naturalisation et intégration semblent bien souvent liées dans les débats politiques et philosophiques. Les uns défendent l’idée que la naturalisation vient sanctionner le parcours d’un immigrant « intégré », d’autres défendent la thèse selon laquelle la naturalisation, par elle-même, est vectrice d’intégration en donnant accès à un ensemble de droits. Ce débat oppose deux conceptions de la nationalité : d’un côté, une « faveur » qui se « mérite » ; de l’autre, un droit réducteur d’inégalités. Cet article propose de revenir sur la mise en place des termes de ce débat dans la France du premier xx e siècle, pour discuter la pertinence de cette alliance sémantique et conceptuelle. Et s’il valait mieux considérer la nationalité comme un statut ?
L’apatridie
Authors: Decaux Emmanuel 
Published: January 2017

L’apatridie qui prive une personne de son « droit à une nationalité » est tout à la fois une conséquence technique, découlant des entrelacs du droit international privé, et un phénomène politique, traduisant des politiques discriminatoires, qui touchent principalement aujourd’hui les femmes et les enfants. Malgré les efforts de la Société des Nations puis des Nations unies, les normes juridiques visant la prévention et la réduction des cas d’apatridie sont insuffisantes et les impératifs humanitaires de protection restent une priorité dans un monde en pleine crise migratoire.
Enfant de la parole, quel est ton sujet ?
Authors: Pellé Arlette 
Published: January 2017

« La parole de l’enfant n’est ni à réprimer ni à respecter, elle est avant tout à construire dans le rapport à l’Autre. Elle se fabrique avec les processus d’humanisation, qui la précèdent, langage, culture, éthique et la parole qu’il reçoit de son entourage familial couplée au maternage. L’auteur rappelle ainsi que l’entrée dans le langage chez l’enfant se soutient d’une place symbolique qui lui préexiste. Et d’abord par les quatre signifiants que sont sa date de naissance, son sexe, son nom patronymique et son prénom. L’auteur explique alors logiquement comment l’enfant placé est confronté à une déchirure du tissu symbolique, souvent plus éclaté et troué que de coutume ; celle qui s’occupe de lui, rémunérée pour le faire, est autre que la famille dont il porte ses signifiants de base. Comment retisser ce lieu fragmenté ? Comment utiliser ses ressources propres en internalisant ce qui vient du dehors de manière à ce que : « Actif, il puisse le redevenir en étant assuré d’un lieu d’ancrage symbolique, pour progressivement devenir responsable d’une parole qui l’engage » ?
L’enfant est-il le client de l’avocat ?
Authors: Brault Catherine , Le Calvez Annie , Kurpis Laura , Delpeyrou Marie-Christine 
Published: January 2017

Il est d’abord fait cas dans cet article d’exemples de traitement judiciaire concernant trois enfants placés. Dans chacune de ces situations, la parole de l’enfant paraît soit exagérément prise en compte, soit ignorée pour de multiples causes : la mère se défend avec un avocat, pas la famille d’accueil ou l’enfant, le magistrat prend des mesures lourdes qui ballotent l’enfant d’un lieu à l’autre… Puis Catherine Brault répond à ces trois cas en précisant que l’enfant est le client de l’avocat, que des procédures légales permettent tout à fait cette pratique encore rare, faisant l’objet d’une prise en charge financière dans certains tribunaux. L’avocat d’enfants se place alors en défenseur de la parole de l’enfant, quelle que soit cette parole.
Au seuil de la féminité
Authors: Perrève Clotilde 
Published: January 2017

Si la question du féminin se pose à l’adolescence sous la forme d’un redéploiement d’une bisexualité infantile dans le corps de chair, elle pose problème dès qu’il s’agit de l’altérité (particulièrement pour les jeunes filles). La rencontre de l’autre, de sexe différent, autour de jeux sexuels qualifiés de « préliminaires » par les adolescentes, laisse certaines d’entre elles interdites, au seuil de la féminité. L’involution qui va suivre est parfois marquée par une régression massive. Revisiter avec elles, en séance, leur relation à la mère des premiers temps nous permettra de déplacer la question de l’altérité dans le lieu de l’Autre qui, à travers la mère et la femme, est aussi le lieu du féminin. L’auteur s’appuiera sur les séances dites « préliminaires » avec une jeune adolescente boulimique pour montrer comment celle-ci est venue interroger le féminin en elle, autour d’une expérience sexuelle qu’elle qualifie de « préliminaire » et qui apparaîtra de façon traumatique dans sa vie.
Development of Nurses' Professional Competence Early in Their Career: A Longitudinal Study
Authors: Numminen Olivia , Leino-Kilpi Helena , Isoaho Hannu , Meretoja Riitta 
Published: January 2017

Background:
Research on newly graduated nurses' competence development and associated factors is relatively scarce.

Method:
Data for this longitudinal, descriptive, correlation study were collected during 2012–2014 from 318 Finnish nurses to explore their competence development during the first 3 years after graduation and to estimate the extent to which given work-related factors predicted change in competence. Data were analyzed using NCSS 10 statistical software.

Results:
Nurses' initially fairly high level of competence showed an increase in the third year, as measured by the Nurse Competence Scale. Empowerment increased minimally, whereas perceptions of practice environment, ethical climate, and occupational commitment decreased. Willingness to leave the profession and dissatisfaction with current job and nursing profession increased. Empowerment, satisfaction with current job and quality of care, time from graduation, and work experience explained 25.6% of the change in competence.

Conclusion:
Competence development was modest but increasing. Willingness to leave the profession was concerning. Factors enhancing or preventing competence development need further studying and developing proactive interventions.

J Contin Educ Nurs.
2017;48(1):29–39.
Using the Teach-Back Method in Patient Education to Improve Patient Satisfaction
Authors: Centrella-Nigro Andrea M. , Alexander Catherine 
Published: January 2017

Background:
This quasi-experimental research study used two similar nursing units to test the effects of teach back on Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores.

Method:
A pretest–posttest design tested 24 nurses' knowledge, attitudes, and beliefs about teach back. Education specialists provided a 1-hour teaching session on teach back to all nurses in the intervention unit.

Results:

A significant improvement in knowledge scores in the pretest–posttest was found using paired
t
tests (
p
= .002). Qualitative analysis of nurses' comments demonstrated strong support for teach back in the post-test. The HCAHPS scores were not significantly improved in the intervention unit when compared with the control unit.

Conclusion:
More research needs to be conducted to determine the effectiveness of teach back on HCAHPS scores.

J Contin Educ Nurs.
2017;48(1):47–52.
Enabling a Freely Accessible Open Source Remotely Controlled Robotic Articulator with a Neuro-Inspired Control Algorithm
Authors: Vijayan Asha , Nutakki Chaitanya , Kumar Dhanush , Achuthan Krishnashree , Nair Bipin , Diwakar Shyam 
Published: January 2017

Internet-enabled technologies for robotics education are gaining importance as online platforms promoting skill training. Understanding the use and design of robotics are now introduced at university undergraduate levels, but in developing economies establishing usable hardware and software platforms face several challenges like cost, equipment etc. Remote labs help providing alternatives to some of the challenges. We developed an online laboratory for bioinspired robotics using a low-cost 6 degree-of-freedom robotic articulator with a neuro-inspired controller. Cerebellum-inspired neural network algorithm approximates forward and inverse kinematics for movement coordination. With over 210000 registered users, the remote lab has been perceived as an interactive online learning tool and a practice platform. Direct feedback from 60 students and 100 university teachers indicated that the remote laboratory motivated self-organized learning and was useful as teaching material to aid robotics skill education.
Les motivations dans l’usage pathologique des jeux vidéo : théories et thérapie
Authors: Taquet Pierre 
Published: January 2017

Le jeu vidéo est devenu au cours des dernières décennies un loisir majeur dans notre société. Pour certains joueurs, la pratique du jeu vidéo devient pathologique. Cet article aborde les théories de la motivation qui viennent éclairer la notion d’engagement dans l’usage des jeux vidéo. Il s’agit de la théorie des usages et gratifications [Katz, Blumler, & Gurevitch, 1973 ; Rosengren, 1974], de la théorie du flow [Csíkszentmihályi, 1990] et de la théorie de l’autodétermination [Deci & Ryan, 1985]. Les motivations à jouer de Yee (2006) sont également évoquées. Ces mêmes approches motivationnelles nous renseignent aussi sur l’usage pathologique des jeux vidéo. Au regard des données actuelles concernant les motivations à jouer aux jeux vidéo, des pistes thérapeutiques pour la prise en charge des joueurs excessifs de jeux vidéo sont proposées.
A Review of Perspectives on Frameworks for Ethical Theories in Public Service Life
Authors: Sing Deoram 
Published: January 2017

Given the dynamic and changing interwoven and intertwined internal and external environments impacting on public service life, establishing and promoting a proper ethical foundation in public service life, has in itself emerged as a profound and daunting challenge, a worldwide phenomenon. The role of frameworks for ethical theories – such as teleological, deontological, virtue-based, and learning and growth, is crucial to dealing with this challenge. It is the view of the author that a keen grasp and application of the various frameworks, as well as their various components, could project their viewing and that of their components, not in isolation, but in an interconnected and intertwined manner. This could enhance the clarification of ethical and moral alternatives, as well as facilitate the spreading and diffusion of techniques for ethical reasoning and moral awareness, throughout public service life.
Management of patients taking rivaroxaban for dental treatments
Authors: Curto Adrian 
Published: January 2017

AbstractThere are several novel anticoagulant drugs that are being increasingly used as an alternative to warfarin and acenocoumarol. Novel oral anticoagulants have emerged in recent years to overcome some of the drawbacks of classic oral anticoagulants. Rivaroxaban, dabigatran, apixaban, and edoxaban were approved by the Food and Drug Administration and European Medicines Agency. This paper examines the available evidence regarding rivaroxaban and sets out proposals for the clinical guidance of dental practitioners treating these patients in primary dental care. Literature search was conducted through May 2016 for publications in the ISI Web of Knowledge, PubMed, and Cochrane Library using the keywords, “rivaroxaban,” “dabigatran,” “apixaban,” “edoxaban,” “new oral anticoagulants,” “novel oral anticoagulants,” “bleeding,” and “dental treatment.” For patients requiring minor oral surgery procedures, interruption of rivaroxaban is not generally necessary while a higher control of bleeding and discontinuation of the drug (at least 24 h) should be requested before invasive surgical procedure, depending on renal functionality. Their increased use means that oral care clinicians should have a sound understanding of the mechanism of action, pharmacology, reversal strategies, and management of bleeding in patients taking rivaroxaban. Currently, recommendations are based on poor quality scientific data and clinical trials are required to establish best evidence-based practice guidance.
The role of acupuncture in the treatment of prosthodontic patients with a gagging reflex
Authors: Hashim Raghad , Shaltoni Reem , Kamal Luma , Khanfar Faten 
Published: January 2017

Abstract
Aim and Objectives: Hyperactive gag reflex (GR) can be a big obstacle in certain dental procedures especially in making an upper arch impression. Treating those might be a challenge for both the dentist and the patient. Many patients withdraw from treatment because of their inability to cope with the procedure. One of the effective modalities in controlling this phenomenon is the use of Acupuncture. In this trial, Ear acupuncture was used aiming to control hyperactive GR during upper alginate impression. Methods: A total of ten patients aged between 20 and 60 years, with a history of GR on taking dental impressions were selected to be part of this clinical trial. All patients fulfilled the inclusion criteria had an upper dental alginate impression taken (or an attempt made at it) before acupuncture and a second upper alginate impression taken immediately after acupuncture based on traditional Chinese medicine. The gagging severity index used to assess GR before insertion of the acupuncture needle while gagging prevention index was used after the acupuncture and impression taking. Results: Seven patients scored I with the reflex obtunded and the impression taking carried out successfully, one patient scored II with the reflex partially controlled and impression taking still possible, two patients scored III with the reflex partially controlled but with frequent gagging and impression taking still possible. No adverse effects were observed, and patients were fit to leave unescorted. Conclusions: Ear acupuncture was found to be effective in controlling GR in all ten participants in different levels.