bluuebunny/crossref_metadata_2025_split huggingface dataset:
Accidental awareness during general anaesthesia – a narrative review
Authors: Tasbihgou S. R. , Vogels M. F. , Absalom A. R. 
Published: December 2017

SummaryUnintended accidental awareness during general anaesthesia represents failure of successful anaesthesia, and so has been the subject of numerous studies during the past decades. As return to consciousness is both difficult to describe and identify, the reported incidence rates vary widely. Similarly, a wide range of techniques have been employed to identify cases of accidental awareness. Studies which have used the isolated forearm technique to identify responsiveness to command during intended anaesthesia have shown remarkably high incidences of awareness. For example, the ConsCIOUS‐1 study showed an incidence of responsiveness around the time of laryngoscopy of 1:25. On the other hand, the 5th Royal College of Anaesthetists National Audit Project, which reported the largest ever cohort of patients who had experienced accidental awareness, used a system to identify patients who spontaneously self‐reported accidental awareness. In this latter study, the incidence of accidental awareness was 1:19,600. In the recently published SNAP‐1 observational study, in which structured postoperative interviews were performed, the incidence was 1:800. In almost all reported cases of intra‐operative responsiveness, there was no subsequent explicit recall of intra‐operative events. To date, there is no evidence that this occurrence has any psychological consequences. Among patients who experience accidental awareness and can later remember details of their experience, the consequences are better known. In particular, when awareness occurs in a patient who has been given neuromuscular blocking agents, it may result in serious sequelae such as symptoms of post‐traumatic stress disorder and a permanent aversion to surgery and anaesthesia, and is feared by patients and anaesthetists. In this article, the published literature on the incidence, consequences and management of accidental awareness under general anaesthesia with subsequent recall will be reviewed.
Supportive palliative care should be integrated into routine care for paediatric patients with life‐limiting kidney disease
Authors: Thumfart Julia , Reindl Tobias , Rheinlaender Cornelia , Müller Dominik 
Published: December 2017

AbstractPaediatric palliative care is no longer restricted to patients with cancer and has been extended to patients with other chronic conditions, such as cystic fibrosis or neuromuscular disorders. This review focused on the current state of palliative care for children and adolescents with chronic kidney disease (CKD). We assessed the literature on CKD published up to August 2017. All the papers, except one from 1996, were published this century. This review discusses the role that palliative care plays in the process of decision‐making and explores the possibilities of implementing palliative care into the routine therapy of affected patients and providing support for their families. Offering early palliative care as an integral part of the kidney, supportive care provided by the nephrology care team is both necessary and feasible for patients with CKD. As a minimum, a specialised palliative care team should be involved in patients with multiple comorbidities, in conservative treatment scenarios and in acute life‐threatening complications. Further studies and guidelines are required to improve the care of patients with CKD and their families.ConclusionSupportive palliative care should be implemented into the routine care of patients with life‐limiting kidney disease.
Jesus Centered Leadership and Business Applications: An Alternative Approach
Authors: Peters Richard , Ricks Joe M. , Doval Christopher 
Published: December 2017

AbstractIn this article we evaluate Jesus Centered Leadership (JCL), a new concept that has emerged in the realm of spirituality and business management. JCL questions the “Christianity” of Christian business leadership, and proposes principles for ethical leadership that provide a truer representation of the teachings and traits of Jesus. We consider these principles and contribute principles of our own, thereby providing an alternative approach to JCL that remains consistent with the JCL message of morality but addresses issues that offer greater opportunities for adoption within existing business and institutional models.
John Calvin on the Christian's Social Responsibility: Cultural Activist or “Modest Social Reformer”?
Authors: Vorster Nico 
Published: December 2017

AbstractRecently there have been heated discussions between Reformed theologians who embrace the two‐kingdoms doctrine and proponents of the Neo‐Calvinist tradition on whether Calvin held social transformationist views. This article examines the debate and argues that Calvin did not interpret the kingdom as a progressive social‐transforming reality that gradually establishes God's future eschatological reign on earth. Instead, he regarded Christ's present reign as a “backward”‐reaching reality that restores God's original created order. At the same time Calvin did not make a sharp categorical distinction between the spiritual and civil realms but depicted the civil and spiritual order as two regiments of God's one reign that mutually aid and assist each other.
The Graduating European Dentist: A New Undergraduate Curriculum Framework
Authors: Field J. C. , Cowpe J. G. , Walmsley A. D. 
Published: December 2017

AbstractWith “The Graduating European Dentist”, ADEE provides a new approach that reflects best academic practice for European undergraduate dental education. The new suite of documents sees increased emphasis on important curriculum components such as patient safety, working as a team and patient‐centred care. There is also an increased emphasis on teaching excellence, student satisfaction and student preparedness and support. Guidance relating to methods of teaching and learning, and assessment (educational measurement), is also provided. It is anticipated that this new format will further increase accessibility and utility for educators, institutions, societies and regulators, across the sector.
A longitudinal cohort study on the impact of the clobazam shortage on patients with epilepsy
Authors: Lukmanji Sara , Sauro Khara M. , Josephson Colin B. , Altura K. Chelsea , Wiebe Samuel , Jetté Nathalie 
Published: December 2017

SummaryObjectiveDrug shortages are occurring at an increasing rate. From May to October 2016, there was a shortage of a level I critical antiepileptic drug, clobazam. We aimed to study the impact of this shortage on patients with epilepsy.MethodsAdult patients from Calgary's Comprehensive Epilepsy Program who were taking clobazam were approached to participate in the study. Baseline data from the clinic prospective registry included clinical variables and presurvey patient‐reported outcomes (PROs) such as the Global Assessment of Severity of Epilepsy, the Global Assessment of Disability Associated with Seizures, and the Quality of Life in Epilepsy questionnaire. We used a mixed‐methods cross‐sectional questionnaire via telephone. We analyzed quantitative data using descriptive methods and qualitative data using a phenomenological approach.ResultsOf the 85 eligible patients, 84% (n = 71) agreed to participate. Participants ranged from 18 to 78 years old, and 59.2% of participants were female. Overall, 80% of participants experienced some form of medication change due to the shortage. No significant differences were found in the pre‐ and during‐shortage PRO data. However, 6 important themes emerged regarding the impact of the antiepileptic drug shortage on patients: (1) communication and awareness, (2) burden on patients and caregivers, (3) physical impact, (4) psychological impact, (5) health care provider assistance in navigating the shortage, and (6) policy change.SignificanceWe examined the impact of the clobazam shortage on patients with epilepsy from the patient's perspective and identified 6 important themes. As a result, we were able to gain insight into what patients need to cope with drug shortages and make recommendations that can help mitigate the impact of shortages on patients in the future. Further research is needed to better understand drug shortages from the patient's perspective in various settings and conditions.
Equal Temperament: Autonomy and Identity in Chinese Public Speaking Clubs
Authors: Hampel Amir 
Published: December 2017

AbstractYoung professionals in China are eagerly studying what are called communication skills, particularly public speaking. This article reads technologies of self‐presentation in the context of tentatively liberal social imaginaries, and as therapeutic resources for connecting with others. Entering Toastmasters public speaking clubs in Beijing, we see psychosocial techniques and institutional forms that anchor people otherwise floating in a fragmented urban space. Club members actively seek to be objectified on stage, to become self‐aware under the gaze of an audience. They practice locating themselves within an imagined public, as individuals. However, members also repurpose their clubs into comprehensive social resources, and they construct a critical historical consciousness. While members of public speaking clubs pursue self‐definition, they do so in ways that challenge liberal understandings of autonomy and identity. We can hear these tensions by listening to how Chinese therapists use psychology to articulate social critiques. While both psychotherapists and members of public speaking clubs participate in a modernist cultural politics, club members do not regard personal relationships as antagonistic. Young adults in urban China are getting on stage in order to connect with other people. Like their peers elsewhere, they are learning the power of self‐definition in a world of strangers.
Older Korean adults have lower physical function despite longer exercise times compared to their Japanese counterparts: A Japan‐Korea comparative study
Authors: Jung Songee , Okubo Yoshiro , Osuka Yosuke , Seino Satoshi , Park Joonsung , Nho Hosung , Tanaka Kiyoji 
Published: December 2017

AimWe aimed to compare the level of physical function (PF) and habitual exercise between older Japanese and Korean adults.MethodsA comparative study was carried out on 1069 community‐dwelling older Japanese and Korean adults (mean age 73.9 ± 5.2 years). The participants were asked to complete a self‐reported questionnaire regarding habitual exercise and covariates. PF age, a composite measure of PF, was derived from the 12 items, using principal component analysis. PF age and habitual exercise were compared between the Japanese and Korean adults, using analysis of covariance (ancova) and multivariable logistic regression analysis adjusted for all covariates using propensity scores.Results
ancova showed that PF age in older Japanese adults was significantly younger than in their Korean counterparts. Older Japanese adults exercised significantly less frequently than their Korean counterparts. Furthermore, older Japanese adults practiced significantly less walking, mountain climbing and bicycling, but more calisthenics, resistance training, ball games and dances than their Korean counterparts.ConclusionsWe found that older Korean adults had lower PF (3.7 years older in PF age) than their Japanese counterparts. Although the overall frequency and amount of habitual exercise in older Korean adults were higher than those in their Japanese counterparts, particular types of exercise might have contributed to the higher PF levels among older Japanese adults. Thus, older Korean adults might need to engage more in habitual exercises that are specifically effective in maintaining PF. Geriatr Gerontol Int 2018; 18: 576–583.
Association between number of teeth, use of dentures and musculoskeletal frailty among older adults
Authors: Lee Seoyoung , Sabbah Wael 
Published: December 2017

AimTo assess whether there is a relationship between musculoskeletal frailty and number of teeth/denture use, and whether nutritional intake explains this relationship, in a sample of older Americans.MethodsData from the National Health and Nutrition Examination Survey 2011/2012 were used. Handgrip strength was used to show musculoskeletal frailty. Number of teeth and denture use were examined by calibrated dentists. Information on sociodemographic factors, nutrients intake and general health status were collected through interviews. Logistic regression models were used to assess the association between number of teeth/denture use by participants having <20 teeth and musculoskeletal frailty. Poisson regression analyses were used to assess the association between number of teeth/denture use and nutritional intake.ResultsThere was no statistically significant difference in musculoskeletal frailty between denture users with <20 teeth and those with ≥20 teeth. Non‐denture users with <20 teeth had higher odds for musculoskeletal frailty (OR 1.32, 95% CI 1.04–1.68). Accounting for nutritional intake explained >30% of this relationship. Having fewer teeth was associated with deficiency of nutritional intake regardless of denture use.ConclusionsDenture use is associated with lower chances of musculoskeletal frailty among older Americans. Nutritional intake explained approximately one‐third of the association, but most of the relationship was attributed to comorbidity. The findings imply that dental status might play a role in musculoskeletal frailty. Geriatr Gerontol Int 2018; 18: 592–598.
Genetic polymorphism of human leucocyte antigen and susceptibility to multidrug‐resistant and rifampicin‐resistant tuberculosis in Han Chinese from Hubei Province
Authors: Zhou X. , Zhou Q. , Yang Z.‐F. , Li W.‐X. 
Published: December 2017

SummaryWe determined the high‐resolution allele and haplotype frequencies at the human leucocyte antigen (HLA)A, B and DRB1 loci in the Han population of Hubei province, the TB endemic area of Central China, with pulmonary tuberculosis (PTB), and established the relationship between HLA‐A, B and DRB1 alleles as well as haplotypes and susceptibility to multidrug‐resistant and rifampicin‐resistant tuberculosis (MDR/RR‐TB). Blood samples were drawn from 174 patients with MDR/RR‐TB and 838 patients with drug‐susceptible PTB in ethnic Han population from Hubei province (central China). Four‐digit allele genotyping of HLA‐ A, B and DRB1 loci was performed using polymerase chain reaction with sequence‐specific oligonucleotide probes (PCR‐ SSOP). The allele and haplotype frequencies of HLA‐A, B and DRB1 were determined and compared between patients with MDR/RR‐TB and patients with drug‐susceptible PTB. Statistical analysis of the generated data indicated no departure from expectation of Hardy–Weinberg equilibrium (HWE) at all loci of the control group. Multivariate analysis identified allele DRB1*08:01 (p < .0001; OR = 174.5, 95% CI 15.3–1987.2) as independent predictor of MDR/RR‐TB, except for old age (p < .0001; OR = 10. 9, 95% CI 7.6–15.8), previous treatment history (p < .0001; OR = 11.0, 95% CI 7.2–16.7) and poor compliance to treatment (p < .0001; OR = 12.9, 95% CI 8.4–20.0). While in the subgroup of new TB cases, DRB1*08:01 (p < .0001; OR = 80.3, 95% CI 7.0–917.1) and older age (p < .0001; OR = 3.9, 95% CI 2.4–6.4) were independent susceptibility factors for primary MDR/RR‐TB. Our results suggest that a combination of clinical and host genetic information about tuberculosis patients may contribute to prediction and early detection of MDR/RR‐TB.
Some Current Trends of Christianity in Africa
Authors: Ngalula Josée 
Published: December 2017

AbstractThis article examines three trends in current African Christianity. Its denominational fragmentation is currently marked by the coexistence of three major groups: the “churches that emerged from the apostolic process of Christian antiquity”; the “churches born from Western missionary processes”; and the “African revivalists” (African initiated churches and African Pentecostal churches). The African revivalists are characterized by doctrinal and institutional creativity that largely draws on Africa's historical trajectory, with its challenges of a sociocultural, identity, and economic nature. This “fragmented African Christianity” inevitably has a diverse view of African cultures, ranging from a positive viewpoint on one end of the scale and radical rejection on the other, and including various patterns of taking over Christian heritage with the goal of giving new value to the formally scorned African identity. This diversity of attitudes in turn prompts overall judgments on Christianity in Africa, which range from praise to suspicion regarding the pertinence of this religion on the continent. This complex shape of current African Christianity is not an obstacle to the Ad Gentes mission, whose current dynamism is increasingly marked by the phenomenon of African emigration. All of this represents a great challenge for ecumenism, because a trend toward a “religion market” is taking the lead over collaboration and search for Christian unity. This is why it is important to recognize the quality of this African missionary Christianity, whose fragmentation is quite original.
Western Theology in Africa: Christian Mission in the Light of the Undermining of Scientific Hegemony
Authors: Harries Jim 
Published: December 2017

AbstractComprehension of the Old Testament in indigenous African Christianity can draw deeply on, confirm, and uphold tribal traditions designed to prevent death, calamity, and infertility. Deep spirituality demonstrated in such comprehension contrasts with “remnant spirituality” in the West. Western people's awareness of their own religious underpinnings has lapsed. As a result, how well are Western Christians able to engage with holistic African communities? Holistic or integral mission can fall short through being a holistic means of introducing dualism. This article questions the legitimacy of science's intrusion on the Christian faith, and draws practical implications for the Western mission enterprise, such as the fact that it generates dependency.
Discipleship Transforming the World: A Coptic Orthodox Perspective
Authors: Tawfik Wedad A. 
Published: December 2017

AbstractDiscipleship is the core of Christianity, based on the work of the Holy Spirit, in fulfilment of the Lord's command. True discipleship is capable of transforming the world, so that in the end all kingdoms and reign shall be to the Lord and his Christ. Therefore, discipleship is linked with evangelism, missionary, teaching, and social work. With the emerging hostile trends all over the world, faith is endangered. So it is important to remind ourselves of the aim of Christianity for humanity, for which so great a price was paid by our Lord (his precious blood) to bring the world into the knowledge of the truth. We have the privilege and honour to bear the precious name and to declare it to the whole world, even if we suffer for that. Even though this means that we have to bear his cross, to face the challenges, and to resist the powers of evil in the world. The church is aware of its mission, to reveal to the world Christ the lover of humanity, and for this end to serve them – to warn, teach, and guide them – through our behaviour, our acts, and our words. Copts are keen on serving their communities and everywhere they go, are always ready to teach others about the cause of our hope, that they also may enjoy the fruit and the deserts of the blood of Christ. This article honestly records the experience of the Coptic Orthodox Church regarding discipleship in practice throughout its history up to the present day.
Using structural technology acceptance models to segment intended users of a new technology: Propositions and an empirical illustration
Authors: Althuizen Niek 
Published: December 2017

AbstractThis article aims to offer an alternative method to analyse technology acceptance models, namely a segment‐wise analysis. The empirical illustration of this method involves data that were collected during a company‐wide implementation of a Sales Force Automation technology in Europe. The data comprise a variety of commonly used technology‐related, context‐related, and person‐related variables. The segmentation procedure, which involved a finite mixture partial least squares estimation, provides more insight into the different ways in which people come to accept new technologies. Unlike other segmentation studies published in IS journals, the resulting segments are based on similarities and differences in the structure of the underlying theoretical models rather than (a collection of) individual variables. Further research or a re‐analysis of existing data should help establish robust “technology acceptance model”‐based segments as well as comprehensive profiles of the individuals in each segment.
Overgrowth of Caribbean octocorals by milleporid hydrocorals
Authors: Wegener Chelsey , Martin Bradley , Didden Craig , Edmunds Peter J. 
Published: December 2017

AbstractOn Caribbean reefs, colonies of the hydrocoral Millepora alcicornis are capable of pursuing and overgrowing arborescent octocorals (Wahle ). Nearly four decades since these interactions were described, we quantified arborescent octocorals encrusted by Millepora spp. (Linnaeus 1758) on shallow reefs in St. John, U.S. Virgin Islands, and evaluated encrusted colonies for evidence of an origin through pursuit. In 2014, 8% of octocorals (n=1684 colonies) were encrusted by Millepora spp., and in 2015, 12% were encrusted (n=847 colonies). Millepora spp. encrusted colonies of 10 octocoral genera, and in 2014, the most frequently encrusted were Eunicea spp. (40% of encrusted octocorals); in 2015, the most frequently encrusted were Gorgonia spp. (46% of encrusted colonies). In both years, ≥67% of encrusted octocorals were >21 cm from other colonies of Millepora spp.; 7% of octocorals were >1.3 m from colonies of Millepora spp. in 2014; and 16% of octocorals were >2.0 m from colonies of Millepora spp. in 2015. Relative to the ~5% of octocorals encrusted by Millepora spp. in Jamaica in the late 1970s, a high percentage (~9%) of octocorals were encrusted by Millepora spp. in St. John in 2014 and 2015. The large distances from most encrusted octocorals to the nearest colonies of Millepora spp. in St. John are inconsistent with a hypothesized origin through pursuit, contact, and overgrowth (sensu Wahle ).