bluuebunny/crossref_metadata_2025_split huggingface dataset:
Do Combined Pharmacist and Prescriber Efforts on Medication Reconciliation Reduce Postdischarge Patient Emergency Department Visits and Hospital Readmissions?
Authors: Baker Michelle , Bell Chaim M. , Xiong Wei , Etchells Edward , Rossos Peter G. , Shojania Kaveh G. , Lane Kelly , Tripp Tim , Lam Mary , Tiwana Kimindra , Leong Derek , Wong Gary , Huh Jin‐Hyeun , Musing Emily , Fernandes Olavo 
Published: October 2017

BACKGROUNDAlthough medication reconciliation (Med Rec) has demonstrated a reduction in potential adverse drug events, its effect on hospital readmissions remains inconclusive.OBJECTIVETo evaluate the impact of an interprofessional Med Rec bundle from admission to discharge on patient emergency department visits and hospital readmissions (hospital visits).METHODSThe design was a retrospective, cohort study. Patients discharged from general internal medicine over a 57‐month interval were identified through administrative databases. Patients who received an enhanced, Gold level, Med Rec bundle (including both admission Med Rec and interprofessional pharmacist‐prescriber collaboration on discharge Med Rec) were assigned to the intervention group. Patients who received partial Med Rec services, Silver and Bronze level, comprised the control group. The primary outcome was hospital visits within 30 days of discharge.RESULTSOver a 57‐month period, 9931 unique patient visits (n = 8678 patients) met the study criteria. The main analysis did not detect a difference in 30‐day hospital visits between the intervention (Gold level bundle) and control (21.25% vs 19.26%; adjusted odds ratio, 1.06; 95% confidence interval [CI], 0.95‐1.19). Propensity score adjustment also did not detect an effect (16.7% vs18.9%; relative risk of readmission, 0.88; 95% CI, 0.59‐1.32).CONCLUSIONA long‐term, observational evaluation of interprofessional Med Rec did not detect a difference in 30‐day postdischarge patient hospital visits between patients who received enhanced versus partial Med Rec patient care bundles. In future prospective studies, researchers could focus on evaluating high‐risk populations and specific elements of Med Rec services on avoidable, medication‐related hospital admissions and postdischarge adverse drug events.
Attitudes towards three ultrasound-guided vascular access techniques in a paediatric emergency department
Authors: Ng Carrie , Ng Lorraine , Kessler David O 
Published: October 2017

Background: although nurses often place peripheral intravenous (IV) catheters, little is known about their perceptions regarding use of ultrasound guidance. Aim: the authors aimed to determine paediatric emergency department nurses' attitudes toward ultrasound-guided IV access techniques and assessed practice change after training. Method: In a cross-sectional study of nurses, they had didactic and hands-on practice sessions, using three short-axis ultrasound-guided IV access techniques on gel models. Outcomes included likability and ease of learning and performing the techniques. A 3-month follow-up questionnaire assessed attitudes and behavioural changes. Results: 18 nurses were enrolled and 17 analysed. Participants liked all three techniques and thought they were easy to learn and perform. Eighty-two percent of the nurses used at least one technique clinically. The two-person self-guided technique was most preferred (65%) and used 3 months later (65%). Conclusions: nurses reported generally positive attitudes toward all three ultrasound-guided IV access techniques, but preferred the two-person self-guided technique. Owing to the small sample size, these results cannot be generalised and further research is needed.
Evapotranspiration Mapping with METRIC to Evaluate Effectiveness of Irrigation in Flood Mitigation for the Devils Lake Basin
Authors: Büyükcangaz Hakan , Steele Dean D. , Tuscherer Sheldon R. , Hopkins David G. , Jia Xinhua 
Published: October 2017

Abstract. A period of excess precipitation since 1993 in the Devils Lake basin in northeastern North Dakota has caused extensive flooding of agricultural land and has raised the question of whether irrigation of agricultural crops to increase evapotranspiration (ET) might be an effective way to remove water from the basin. The objectives of this study were to compare ET estimates derived from application of the Mapping ET at High Resolution with Internalized Calibration (METRIC) algorithm for North Dakota conditions (METRICND) under irrigated and rainfed conditions and to assess the potential for irrigation to increase crop ET as a flood mitigation strategy. Weather data, land use maps, and Landsat 5 Thematic Mapper imagery from 2006, 2007, and 2008 were used as inputs to the METRICND model. The ET for irrigated crops (ETIrrigated) was estimated at five test sites from the Devils Lake Basin Water Utilization Test Project (DLBWUTP). The ET for the predominantly rainfed study area (ETRainfed) was estimated using land use maps to identify locations of the same crops as were present on the test sites. The METRICND model was compared to ET values derived from an eddy covariance (EC) system for approximately two months in 2007 at an irrigated alfalfa test site in the DLBWUTP; the mean absolute error between METRICND and the EC system for the comparison period was 0.51 mm d-1. Linear regression of ET (in mm) for the test sites and the larger study area yielded ETIrrigated = 1.23 × ETRainfed + 4.77 with R2 = 0.96, and a t-statistic indicated that the slope was greater than 0 at p = 0.001, indicating the potential for increased ET under irrigation. However, addition of large volumes of irrigation water to the predominantly poorly drained soils in the basin will cause waterlogging and trafficability problems. Installation of subsurface drainage may help alleviate waterlogging, improve crop productivity, and increase ET, but subsurface drainage brings its own complications of disposal of the drained water, salinity of the drainage effluent, and possible sodicity problems on some soils. Keywords: Drainage, Evapotranspiration mapping, Irrigation, METRIC, Landsat 5, Remote sensing, Satellite imagery, SEBAL.
Nutrient Removal and Nitrous Oxide Emission by a Two-Step Fed SBR in Treating Dairy Manure Wastewater
Authors: Wu Sarah (Xiao) 
Published: October 2017

Abstract. In this study, a two-step fed sequencing batch reactor (SBR) was employed to treat dairy manure wastewater to remove nutrients, including nitrogen, phosphorus, 5-day biochemical oxygen demand (BOD5), and chemical oxygen demand (COD), and to examine the associated nitrous oxide (N2O) emission by the SBR treatment. The SBR was operated on an 8 h cycle with preset time periods for different phases, including anoxic/anaerobic/aerobic phases. The results showed that the SBR system could effectively reduce the nutrients in the wastewater, with removal efficiencies reaching 86.6%, 95.6%, 98.8%, 100%, 97.9%, 95.6%, and 99.8%, respectively, for volatile solids (VS), volatile suspended solids (VSS), total Kjeldahl nitrogen (TKN), ammonium nitrogen (NH4+-N), total phosphorus (TP), COD, and BOD5. However, the SBR could not complete denitrification at the end of the cycle, with 12 mg L-1 nitrate left in the effluent, possibly due to suppression of denitrifiers by the anoxic/aeration phase that was placed almost at the end of cycle and overprovided oxygen to the liquid. Denitrification was found to be a major process for N2O generation, so reducing denitrification time in the cycle is recommended, given that the overall performance of the SBR system in removing nutrients was not compromised. Using oxidation-reduction potential (ORP) alone to automate the SBR control was not sufficient to avoid failure of the system. Keywords: Dairy manure wastewater, Nitrous oxide emission, Nutrient removal, ORP control, Sequencing batch reactor, Two-step fed strategy.
Chemical Reaction Effects on Nano Carreau Liquid Flow Past a Cone and a Wedge with Cattaneo-Christov Heat Flux Model
Authors: Kumar R.V.M.S.S. Kiran , Raju C.S.K , Mahanthesh B , Gireesha B.J , Varma S.V.K 
Published: October 2017

AbstractChemical reaction aspect is utilized for heat mass transfer analysis of nano non-Newtonian liquid flow past a cone and a wedge. Flow is steady, laminar and two dimensional created due to a cone and a wedge. The Carreau liquid and Cattaneo-Christov heat flux models are utilized. The magneto-nano Carreau liquid material occupies the porous space. The relevant PDEs are rendered into coupled non-linear ODEs via appropriate transformations before treated them numerically through Runge-Kutta and Newton’s method. The computed results are plotted for employing the various values of physical constraints on the profiles of velocity, temperature and nanoparticle volume fraction. Moreover, vitiation of the friction factor, Nusselt number and Sherwood number against physical parameters are presented numerically. It is figured out that convective heating and Brownian motion effects are constructive for thermal boundary layer growth. Aspect of chemical reaction is significant to control the solute layer growth and mass transfer rate.
Soil treatment engineering
Authors: Ivica Kisic , Zeljka Zgorelec , Aleksandra Percin 
Published: October 2017

Abstract
Soil is loose skin of the Earth, located between the lithosphere and atmosphere, which originated from parent material under the influence of pedogenetic processes. As a conditionally renewable natural resource, soil has a decisive influence on sustainable development of global economy, especially on sustainable agriculture and environmental protection. In recent decades, a growing interest prevails for non-production soil functions, primarily those relating to environmental protection. It especially refers to protection of natural resources whose quality depends directly on soil and soil management. Soil contamination is one of the most dangerous forms of soil degradation with the consequences that are reflected in virtually the entire biosphere, primarily at heterotrophic organisms, and also at mankind as a food consumer. Contamination is correlated with the degree of industrialization and intensity of agrochemical usage. It is typically caused by industrial activity, agricultural chemicals or improper disposal of waste. The negative effects caused by pollution are undeniable: reduced agricultural productivity, polluted water sources and raw materials for food are only a few of the effects of soil degradation, while almost all human diseases (excluding AIDS) may be partly related to the transport of contaminants, in the food chain or the air, to the final recipients - people, plants and animals. The remediation of contaminated soil is a relatively new scientific field which is strongly developing in the last 30 years and becoming a more important subject. In order to achieve quality remediation of contaminated soil it is very important to conduct an inventory as accurately as possible, that is, to determine the current state of soil contamination.
Time to parathyroid function recovery in patients with protracted hypoparathyroidism after total thyroidectomy
Authors: Villarroya-Marquina Inés , Sancho Juan , Lorente-Poch Leyre , Gallego-Otaegui Lander , Sitges-Serra Antonio 
Published: October 2017

Objective
Hypocalcaemia is the most common adverse effect after total thyroidectomy. It recovers in about two-thirds of the patients within the first postoperative month. Little is known, however, about recovery of the parathyroid function (RPF) after this time period. The aim of the present study was to investigate the time to RPF in patients with protracted (>1 month) hypoparathyroidism after total thyroidectomy.

Design
Cohort prospective observational study.

Methods
Adult patients undergoing total thyroidectomy for goitre or thyroid cancer. Cases with protracted hypoparathyroidism were studied for RPF during the following months. Time to RPF and variables associated with RPF or permanent hypoparathyroidism were recorded.

Results
Out of 854 patients undergoing total thyroidectomy, 142 developed protracted hypoparathyroidism. Of these, 36 (4.2% of the entire cohort) developed permanent hypoparathyroidism and 106 recovered: 73 before 6 months, 21 within 6–12 months and 12 after 1 year follow-up. Variables significantly associated with RPF were the number of parathyroid glands remaining in situ (not autografted nor inadvertently resected) and a serum calcium concentration >2.25 mmol/L at one postoperative month. Late RPF (>6 months) was associated with surgery for thyroid cancer. RPF was still possible after one year in patients with four parathyroid glands preserved in situ and serum calcium concentration at one month >2.25 mmol/L.

Conclusions
Permanent hypoparathyroidism should not be diagnosed in patients requiring replacement therapy for more than six months, especially if the four parathyroid glands were preserved.
Die Regelung legitimer Handlungen im neuen Insiderrecht (Art. 9 MAR)
Authors: Klöhn Lars 
Published: October 2017

Zusammenfassung
Zu den wichtigsten Neuerungen der Marktmissbrauchsverordnung im Bereich des Insiderrechts gehört die Normierung „legitimer Handlungen“, also die gesetzliche Fixierung bestimmter Ausnahmefälle, in denen der Erwerb oder die Veräußerung von Finanzinstrumenten trotz Kenntnis einer Insiderinformation nicht gegen das Insiderhandelsverbot verstößt. Der vorliegende Beitrag erörtert den historischen, teleologischen und ökonomischen Hintergrund dieser Regelung und geht auf die wichtigsten Anwendungsfragen ein.
Kleine Betas in der rechtsgeprägten Unternehmensbewertung
Authors: Ziemer Franziska , Knoll Leonhard 
Published: October 2017

Zusammenfassung
Im Rahmen der Unternehmensbewertung ist das Capital Asset Pricing Model (CAPM) das am häufigsten verwendete Modell zur Bestimmung des Diskontierungszinssatzes. Trotz seiner enormen Praxisrelevanz ist es in seiner Standardform für die wissenschaftliche Theorie aus dem Fokus entschwunden, was Lücken zwischen dem Vorgehen in der Praxis und dem theoretischen Modellverständnis begünstigt. Der Beitrag beschreibt den (mangelnden) Umgang mit dem Spannungsverhältnis zwischen Theorie und Praxis in Bezug auf den Betafaktor und beschäftigt sich insbesondere mit der Beobachtung, dass in der rechtsgeprägten Unternehmensbewertung kleine Betafaktoren häufig abgelehnt werden, obwohl sie nicht im Widerspruch zum CAPM stehen, d. h. obwohl eine Ablehnung nicht modelltheoretisch begründet ist. Dazu werden die gegen die Verwendung kleiner Betas häufig vorgebrachten Argumente kommentiert, wobei insbesondere auf t-Test, Bestimmtheitsmaß R², Liquidität und Surrogatlösungen wie Peer Groups eingegangen wird. Der Beitrag präsentiert auch Erklärungsansätze für das Vorgehen in der gutachtlichen Bewertungspraxis und zeigt Konsequenzen dieser Problematik auf.
SIGNIFICADO DO SACRO NA ARTE CHILENA CONTEMPORÂNEA
Authors: Cisternas Rebeca León , Brito María Eugenia 
Published: October 2017

Trata-se de texto em uma investigação sobre os vários sentidos das palavras sagradas sobre a produção cultural de arte contemporânea e literatura no Chile. Por palavras sagradas entendemos a relação secreta, profunda e a vida do povo com sua comunidade e cultura. Relação expressada pelas emoções pessoais e por crenças conscientes e inconscientes. Nesta pesquisa, exploramos alguns dos significados destes sentidos sagrados poderosamente expressados na poesia de Gabriela Mistral e performances visuais de AngelaRiesco. Observamos, também, o poder do significado das canções Violeta Parra e música como uma litúrgica clara e um presente ritual cheio de força inconsciente mantido pela comunidade. Ela se levanta e dá música e canções para as pessoas esquecidas e pobres. Este processo permite que a sua produção artística adquira um sentido sagrado como a base dos nomes de uma comunidade.
THE ASSESSMENT OF BANDUNG TRIGA REACTOR TANK RADIOACTIVITY IN THE PERIOD 2000-2014 USING ORIGEN-2
Authors: Alfa Sudjatmi Kustituantini , Nazar Reinaldy , Kamajaya Ketut , Ilham Y Putranto 
Published: October 2017

THE ASSESSMENT OF BANDUNG TRIGA REACTOR TANK RADIOACTIVITY IN THE PERIOD 2000-2014 USING ORIGEN-2 In accordance with the regulation of the regulatory body of Indonesia related to the decommissioning of nuclear reactors, the management of the Bandung TRIGA reactor have to prepare a decommissioning plan document of the Bandung TRIGA research reactor. Decommissioning program documents shall be regularly updated every five years of the operation of nuclear reactor. In year 2000, Bandung TRIGA reactor tank have been lined using aluminum alloy 6061-T6 and has activated during reactor operation. Aluminum alloy 6061-T6 contains impurities that can produce high radioactivity and has a long half-life. This paper describes the radioactivity of the reactor tank after activation during the period from 2000 to 2014 using the software ORIGEN-2. Total radioactivity of the reactor tank bottom after decay for 5 years was 1.83 10-7 Curie, while the total radioactivity of reactor tank wall was 3.2 10-3 Curie.
Effect of family factors on juvenile delinquency
Authors: Rathinabalan Indiran , Naaraayan Sridevi A. 
Published: October 2017

Background: Juvenile delinquency is multifactorial with risk factors operating at multiple levels namely individual, micro environment and macro environment levels. The objective of this study was to determine the effect of family factors on juvenile delinquency.Methods: This was a case control study done from January 2009 to December 2009. Adolescents present in the Government run Special observation home were cases, while boys of 10, 11, and 12 standards in a government school served as controls. Data on demographic details, offence committed and family factors were collected using a structured proforma. Univariate and multivariate analyses were performed to determine which of the factors acted as risk factors for juvenile delinquency.Results: Totally sixty juveniles and an equal number of school students were interviewed. Paternal age above 50 years, paternal smoking, alcohol intake, substance abuse and involvement in crime, maternal education and employment, being born as a single child, having separated parents or single parent were significant family factors identified in univariate analysis. Paternal age more than 50 years, paternal smoking, maternal employment and single parent emerged as significant risk factors in regression analysis.Conclusions: Paternal age more than 50 years, paternal smoking, maternal employment and single parent are significant independent risk factors of juvenile delinquency.
A simple innovative Chennai handshake technique for reducing anterior dislocation of shoulder joint: a community study of 60 cases
Authors: Thahir Muhammad , Gandhi B. Suresh , Kanniyan Kalaivanan , . Shanmugasundaram 
Published: October 2017

<p class="abstract"><strong>Background:</strong> Anterior shoulder dislocation is one of the commonest dislocation of our body. We here by introduce a simple, safe, successful and easily reproducible “Chennai Handshake Technique” to relocate anterior dislocation of shoulder joint.</p><p class="abstract"><strong>Methods:</strong> This method was performed by a single surgeon on sixty cases (51 males, 9 females) of anterior shoulder dislocation with a mean age of 38 years (18 to 58 years) between 2008 to 2013 in tertiary care center. Among sixty patients, there were 12 cases (20%) of fresh dislocation and 48 cases (80%) of recurrent dislocation. It comprises of holding the hand in a classical double shake position and then giving a gentle longitudinal traction (stage I) followed with slow abduction and external rotation of arm (stage II), thus reducing the shoulder dislocation. Vertical oscillation may be a part of stage II in some cases before the external rotation.<strong></strong></p><p class="abstract"><strong>Results:</strong> The index time of patient presenting to the casualty ranged from one hour to 18hrs with a mean of 4.45 hrs. The reduction time ranged from 1 to 16 min with a mean of 5.6 min. 17 dislocations (28.3%) were reduced during stage I. 41 dislocations (68.3%) were reduced during stage II. 5 dislocations (12.1%) needed vertical oscillation during stage II. we failed in two cases (3.3%).</p><p><strong>Conclusions:</strong> No need of assistant, no need of anesthesia, no complications makes this technique, a more look back one.</p>
فصاحة القرآن الثابتة والتطور اللغوي المتغير
Authors: Burhan Ali 
Published: October 2017

Fashahah according to the classic scholars is sealed by period, place, and vocabularies with certain conditions, while it according to contemporary scholars is a process of renewable development. In modern linguistics, it reveals the activities and thought of the modern Arab nation. It continuously describes its function as a different transmitter of the Arabic functions according to classic scholars which is more dynamic and not static. The result concludes that the classical Arab in the Qur'an is in peak not only as a means of conveying the thought, but also becomes the religious and unifying language of Arab nations with its various specifications. The process of evolution occurring in Arabic Language includes its pronunciation, structure of grammar, and dilalah.
Classes de Resistência de Algumas Madeiras de Mato Grosso
Authors: Jesus José Manoel Henriques de , Logsdon Norman Barros , Finger Zenesio 
Published: October 2017

Atualmente o cálculo de estruturas de madeira é direcionado para a utilização de classes de resistência, mas o comércio de madeiras, no Brasil, não classifica a madeira em classes de resistência e, no máximo, fornece o nome vulgar da espécie arbórea da madeira em negociação. Para associar o nome vulgar da espécie à classe de resistência é necessário caracterizar mecanicamente a madeira em questão. O objetivo deste trabalho é relacionar ao nome vulgar de algumas espécies mato-grossenses à sua classe de resistência, a fim de subsidiar os engenheiros da região em seus projetos de estruturas de madeira. Para isto, foram caracterizadas 26 espécies nativas de Mato Grosso, utilizando os atuais métodos da norma brasileira, e estes resultados foram associados às classes de resistência destas espécies.
Resíduos sólidos, mais que uma Questão Ambiental, uma Questão Social
Authors: Alves Diego Henrique Correa , Ishii Francine Maky , Morais Herminio Augusto de Souza , Hoffmann Hugo , Silva Simone Raquel Caldeira Moreira da , Marchetto Margarida 
Published: October 2017

Este Trabalho visa relatar a experiência e os conhecimentos obtidos sobre o gerenciamento de resíduos sólidos, a partir de um diagnóstico realizado no Instituto Federal de Educação Ciência e Tecnologia de Mato Grosso (IFMT - CAMPUS CUIABÁ), Campus Octayde Jorge da Silva. O projeto de extensão contou com apoio financeiro do CNPq, Chamada CNPq/VALE S.A. Nº 05/2012 - Forma-Engenharia, projeto nº 454837/2012-7 e integrou o Projeto Gestão dos Recursos Hídricos e Resíduos sólidos. Este projeto teve duração de 14 meses e foi dividido em três etapas. Na primeira etapa foi realizado o levantamento das normas técnicas relativas a resíduos sólidos. Na segunda foi feito o diagnóstico da produção de resíduos sólidos na Instituição, tanto no quesito qualidade, quanto no quesito quantidade. Na terceira etapa realizou-se a análise das informações e o desenvolvimento de algumas técnicas de educação ambiental com o intuito de contribuir na conscientização dos frequentadores do IFMT - CAMPUS CUIABÁ. Durante o desenvolvimento da pesquisa notaram-se várias irregularidades com relação ao armazenamento e o destino dos resíduos sólidos produzidos na Instituição. Os dados levantados, assim como as medidas tomadas com o intuito de minimizar os problemas que apareceram de forma cotidiana no Campus serão apresentados ao longo do artigo. Observou-se que as ações de educação ambiental adotadas não surtiram o efeito esperado junto à comunidade da instituição avaliada, talvez devido ao tempo curto ou à forma de abordagem. O artigo traz um breve relato sobre a importância da reciclagem dos resíduos sólidos na área da construção civil, inclusive analisando a visita à Eco Ambiental, empresa responsável pelo recolhimento e pela reciclagem de todos os resíduos sólidos referentes à construção civil da grande Cuiabá.