bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Chief Clinical Informatics Officer (CCIO)
Authors: Sengstack Patricia , Thyvalikakath Thankam , Poikonen John , Middleton Blackford , Payne Thomas , Lehmann Christoph , Kannry Joseph ,   the AMIA Task Force Report on CCIO Skillset and Educational Requirements
Published: March 2016

SummaryThe emerging operational role of the “Chief Clinical Informatics Officer” (CCIO) remains heterogeneous with individuals deriving from a variety of clinical settings and backgrounds. The CCIO is defined in title, responsibility, and scope of practice by local organizations. The term encompasses the more commonly used Chief Medical Informatics Officer (CMIO) and Chief Nursing Informatics Officer (CNIO) as well as the rarely used Chief Pharmacy Informatics Officer (CPIO) and Chief Dental Informatics Officer (CDIO).The American Medical Informatics Association (AMIA) identified a need to better delineate the knowledge, education, skillsets, and operational scope of the CCIO in an attempt to address the challenges surrounding the professional development and the hiring processes of CCIOs.An AMIA task force developed knowledge, education, and operational skillset recommendations for CCIOs focusing on the common core aspect and describing individual differences based on Clinical Informatics focus. The task force concluded that while the role of the CCIO currently is diverse, a growing body of Clinical Informatics and increasing certification efforts are resulting in increased homogeneity. The task force advised that 1.) To achieve a predictable and desirable skillset, the CCIO must complete clearly defined and specified Clinical Informatics education and training. 2.) Future education and training must reflect the changing body of knowledge and must be guided by changing day-to-day informatics challenges.A better defined and specified education and skillset for all CCIO positions will motivate the CCIO workforce and empower them to perform the job of a 21st century CCIO. Formally educated and trained CCIOs will provide a competitive advantage to their respective enterprise by fully utilizing the power of Informatics science.
Vocational Literacy in Mozambique: Historical Development, Current Challenges and Contradictions
Authors: Popov Oleg , Manuel Alzira 
Published: March 2016

The study analyses the historical development of vocational literacy in basic education and Non-Formal Vocational Education (NFVE) in Mozambique, as well as current challenges and contradictions. The theoretical lens of Cultural-Historical Activity Theory (CHAT) is employed in the study. Methodologically the study was executed through an analysis of oral, printed and e-resources produced by the main stakeholders and also the reflective experiences of the authors in their extensive educational work in the country. The findings reveal poorly developed vocational literacy education in schools and non-formal settings in spite of recurrent political declarations about its importance. There is a strong dependence by formal and particularly NFVE sectors on the technical and financial support provided by international organisations. Vocational literacy courses are characterized by a lack of adequate equipment and poor practice. As a consequence, theoretical or elementary forms of vocational knowledge are dominant in the courses, resulting in the dissatisfaction of both learners and educators. Vocational literacy development proved to be a complex field that faces many challenges and is characterised by diverse internal contradictions.
Analysis of the mass balance time series of glaciers in the Italian Alps
Authors: Carturan Luca , Baroni Carlo , Brunetti Michele , Carton Alberto , Dalla Fontana Giancarlo , Salvatore Maria Cristina , Zanoner Thomas , Zuecco Giulia 
Published: March 2016

Abstract. This work presents an analysis of the mass balance series of nine Italian glaciers, which were selected based on the length, continuity and reliability of observations. All glaciers experienced mass loss in the observation period, which is variable for the different glaciers and ranges between 10 and 47 years. The longest series display increasing mass loss rates, which were mainly due to increased ablation during longer and warmer ablation seasons. The mean annual mass balance (Ba) in the decade from 2004 to 2013 ranged from −1788 to −763 mm w.e. yr−1. Low-altitude glaciers with low range of elevation are more out of balance than the higher, larger and steeper glaciers, which maintain residual accumulation areas in their upper reaches. The response of glaciers is mainly controlled by the combination of October–May precipitations and June–September temperatures, but rapid geometric adjustments and atmospheric changes lead to modifications in their response to climatic variations. In particular, a decreasing correlation of Ba with the June–September temperatures and an increasing correlation with October–May precipitations are observed for some glaciers. In addition, the October–May temperatures tend to become significantly correlated with Ba, possibly indicating a decrease in the fraction of solid precipitation, and/or increased ablation, during the accumulation season. Because most of the monitored glaciers have no more accumulation area, their observations series are at risk due to their impending extinction, thus requiring a replacement soon.
Daily Activity and Initial Bone Mineral Density are Associated with Periprosthetic Bone Mineral Density after Total HIP Arthroplasty
Authors: Hayashi Shinya , Hashimoto Shingo , Kanzaki Noriyuki , Kuroda Ryosuke , Kurosaka Masahiro 
Published: March 2016

Objectives To evaluate periprosthetic bone mineral density (BMD) changes around a cementless short tapered-wedge stem and determine correlations between BMD changes and various clinical factors, including daily activity, after total hip arthroplasty (THA) with a tapered-wedge stem. Methods 65 patients underwent THA with a TriLock BPS stem. At baseline and at 6, 12, and 24 months postoperatively the BMD of the 7 Gruen zones were evaluated using dual-energy x-ray absorptiometry. Correlations were determined between BMD changes and clinical factors, including the Harris Hip Score, body mass index, University of California at Los Angeles (UCLA) activity rating score, age at surgery, and initial spine BMD. Radiographic parameters, including the proximal femoral geometry (Dorr Classification), canal filling ratio, canal flare index, and calcar-to-canal ratio were also assessed. Results Minimal BMD changes were noted in the distal femur. However, significant BMD loss was noted in zone 7 at each time point. BMD loss was also noted in zone 1 at 6 and 12 months postoperatively, but BMD recovered after 18 months. Significant positive correlations were noted between BMD changes and the UCLA activity score in zones 1, 6, and 7. Additionally, negative correlations were noted between BMD changes and the preoperative lumbar BMD in zones 2 and 3. No correlations were noted between BMD changes and the radiographic parameters. Periprosthetic BMD was was virtually unchanged in the proximal femur, especially Gruen zone 1. Conclusions Daily activity may reflect improvements in periprosthetic bone quality after THA; however, the use of this tapered-wedge stem is not recommended in patients with poor bone quality.
Subspine Impingement: 2 Case Reports of a Previously Unreported Cause of Instability in Total HIP Arthroplasty
Authors: Davidovitch Roy I. , DelSole Edward M. , Vigdorchik Jonathan M. 
Published: March 2016

Background Instability is a common cause of revision hip arthroplasty and is frequently due to improper component placement and subsequent component impingement. Impingement of the greater trochanter upon the anterior inferior iliac spine (AIIS) has been described as a cause of symptomatic femoroacetabular impingement (FAI), but has never been described as a cause of instability following total hip arthroplasty (THA). Case review We present 2 cases of patients undergoing THA. Each patient was evaluated preoperatively and found to have a prominent AIIS, which was concerning due to it overhanging the anterolateral acetabular lip. Both patients had intraoperative posterior instability of their THA, the cause of which was determined to be impingement of the greater trochanter upon a prominent AIIS. Open resection of the AIIS was performed with subsequent resolution of impingement. Literature review AIIS impingement has been reported as a cause of symptomatic FAI. In these case reports, open or arthroscopic resection of the AIIS resulted in resolution of symptoms. Morphologically distinct subtypes of the AIIS have been previously described based upon computed tomography, and some subtypes are associated with a high risk of impingement in the native hip. No previous studies have described this phenomenon in the setting of THA. Clinical relevance Instability is a common cause of revision THA. Impingement of the greater trochanter upon a prominent AIIS is a previously unreported cause of THA instability which can be addressed with intraoperative resection of the AIIS with good result.
Bonding Strategies of Resin Cement to Er, Cr:YSGG Lased Dentin: Micro-CT Evaluation and Microshear Bond Strength Testing
Authors: Meriç Gökçe , Taşar Simge , Orhan Kaan 
Published: March 2016

Aims Pretreatment of the tooth surface is essential for establishing effective micromechanical retention between it and the restoration. The purpose of this study was to evaluate the bond strength between the resin and the Er, Cr:YSGG laser irradiated dentin and to examine morphologic characterization of the dentin-resin interface. In addition, the study evaluated the quantity of opened and closed dentinal tubules. Subjects and Methods Thirty extracted human molars were sectioned into samples of 1 mm thickness. The samples were randomly assigned to two groups containing 15 specimens each. Surface treatments were not applied to the samples in the control group and the samples in the experimental group were irradiated with an Er,Cr:YSGG laser. Two resin cement samples were polymerized on the surface of each sliced dentin. The micro-shear bond strength (μSBS) between dentin and cement (n = 30 for each group) was measured with a universal testing machine. The topography and morphology of the resin-dentin interface were evaluated by micro-CT (n = 20 for each group). The areas of closed tubular space, closed porosity, area of open tubular space, open porosity, total area of tubular space and fractal dimension were investigated by micro-CT. Statistical analysis used: The data for each parameter were analyzed by Shapiro-Wilk and Student's t test (p<0.05). Results μSBS values for control group were higher than experimental group. Dentin surfaces in the control group revealed less closed and more opened dentin tubules compared to the experimental group. Total area of tubular space was found to have decreased due to the laser ablation. There was no significant difference between the fractal dimensions of the control and experimental groups. Conclusions The lased dentin surface was not favorable for the bonding mechanism due to alterations in the dentinal structure.
Self-Centering Split-Tip Catheter versus Conventional Split-Tip Catheter in Prevalent Hemodialysis Patients
Authors: Balamuthusamy Saravanan , Nguyen Peter , Bireddy Suman , Vallurapalli Avinash , Jalandhara Nishant , Afolabi Dapo 
Published: March 2016

Purpose This study compared the patency of a split-tip self-centering catheter with a predesigned curve (CentrosFLO; Merit, Salt Lake City, Utah) and a standard split-tip catheter with straight distal limbs (Medcomp, Harleysville, Pennsylvania) catheter in patients requiring exchange of a dysfunctional tunneled dialysis catheter (TDC). Materials and methods A single-center retrospective chart review was performed between January 2013 and July 2014. Patients had an existing dysfunctional TDC that was exchanged over a wire using the same access site for either a split-tip self-centering catheter with a predesigned curve or a standard split-tip catheter with straight distal limbs catheter. The primary endpoint was catheter patency analyzed at 1, 3, and 6 months after initial exchange. Results A total of 73 patients met inclusion criteria (46 in the self-centering catheter group and 27 in the standard split-tipped group). Mean durations of the exchanged catheters were similar between groups. The mean 1-, 3-, and 6-month patency rates for the self-centering and split-tip catheters were 89%, 67.4%, and 23.9% and 81.5%, 40.7%, and 14.8%, respectively. Mean blood flow rates (BFRs) were similar between groups at 1 and 3 months; however, at 6 months, mean rates were 388 mL/min versus 352 mL/min for the self-centering group and split-tipped group, respectively (p<0.01). Conclusions These results demonstrate improved patency with the CentrosFLO self-centering catheter versus the split-tip catheter. This may be due to the unique design of the self-centering catheter, allowing for preserved BFRs and patency. These results should be further explored in prospective, randomized multicenter studies.
Sequential Boost in Neoadjuvant Irradiation for T3N0-1 Rectal Cancer: Long-Term Results from a Single-Center Experience
Authors: Mazzola Rosario , Ferrera Giuseppe , Cucchiara Teresa , Figlia Vanessa , Gueci Marina , Sciumè Francesco , Di Paola Gioacchino , Scibetta Nunzia , Lo Casto Antonio , Pappalardo Maria Pia , Lagalla Roberto , Alongi Filippo 
Published: March 2016

Purpose To evaluate the influence of radiation dose on tumor regression grade (TRG) and sphincter preservation rate in a series of cT3N0-1 rectal cancer patients treated with neoadjuvant chemoradiotherapy (CT-RT) with or without a sequential radiation boost. Materials and methods Between May 2002 and September 2013, 116 cases were eligible for retrospective evaluation. Radiotherapy was delivered for a total dose of 45 Gy (no boost arm) or 50.4 Gy (boost arm). TRG was evaluated with the Dworak scale. Results Median follow-up was 62 months (range, 12-138 months). The 5-year overall survival and local control rates were 72% and 93%, respectively. Fifty-five patients (47%) were treated with a sequential radiation boost and 61 (53%) without a boost. Eighty patients (72%) presented T3N0 disease and 32 (28%) T3N1 disease. Concomitant capecitabine was administered in 92 cases (79%) and intravenous 5-fluorouracil in 24 cases (21%). Sphincter preservation was performed in 82% of patients in the boost arm and 66% in the no-boost arm. A higher TRG was related to a longer interval between neoadjuvant treatment and surgery (p<0.001). The probability of a TRG ≥2 was 2.5 times higher in the boost arm. A gain in local control, estimated at 4% during the first 3 years after CT-RT, favored the boost arm. Conclusions The long-term results from our single-center experience confirm literature data on the role of a sequential boost in tumor response after neoadjuvant CT-RT in a series of cT3N0-1 rectal cancer patients.
Secondary Bone Marrow Malignancies after Adjuvant Chemotherapy for Breast Cancer: A Report of 2 Cases and a Review of the Literature
Authors: Rossi David , Sarti Donatella , Malerba Lara , Tommasoni Silvia , Visani Giuseppe , Martignetti Angelo , Fiorentini Giammaria 
Published: March 2016

Purpose Secondary malignancies are new cancers occurring in patients previously treated with radiation or chemotherapy for a primary tumor. Secondary cancers are not related to the primary tumor, and may develop months or years after cancer treatment: they are usually a result of the first cancer therapy. Chemotherapy and radiotherapy may increase the risk of second cancers, such as skin tumors (basal or squamous cell carcinoma) or acute leukemia. Methods A patient with B-lymphoma and a patient with multiple myeloma, previously treated for breast cancer, are presented. Results We report the cases of 2 patients treated with adjuvant therapy for breast cancer who developed secondary bone marrow malignancies 15 years after primary treatment. Conclusions By literature review, these 2 cases do not support the relationship between primary tumor treatment and secondary cancer, but strongly suggest the need for histologic samples when bone metastasis occurred after years from diagnosis of breast cancer. In this setting, the oncologist should take into account a secondary bone marrow tumor before starting treatment for breast cancer.
Divinations of Agency in Blood Meridian and No Country for Old Men
Authors: Bannon Brad 
Published: March 2016

Abstract
McCarthy's characteristic interest in questions of determinism and agency is perhaps nowhere as evident as it is in Blood Meridian and No Country for Old Men, yet little attention has been given to the way in which these novels are linked through the imagery of coinage, circulation, and currency. In this article, I argue that McCarthy's conception of agency is explicitly tied to a criticism of economic modernity that traces its history from the scalp-hunting of the Glanton gang to the calm collection methods of Anton Chigurh, outlining a trajectory of spiritual decline that reaches its culmination in the final years of the twentieth century.
“In what direction did lost men veer?”: Late Capitalism and Utopia in The Road
Authors: Jergenson Casey 
Published: March 2016

Abstract
This paper analyzes the material, social, and ideological composition of The Road's post-apocalyptic world through the lens of Benjaminian historical materialism. The Road historicizes the post-apocalyptic condition through its framing of the relationship between the novel's present and its late capitalist prehistory. The ideological project of the father and son, as they seek to convey “the fire” across the desiccated wasteland, entails the performance of a mode of human relationality that conflicts with the late capitalist ideologies of the past and their behavioral residue in the cannibalistic practices of the apocalypse's other survivors. The Road transcends purely negative social criticism by offering, through the praxis of the father and son, the outline of a utopian alternative to the social order that produced and continues to shape the novel's post-apocalyptic world.
Het consultatievoorstel voor een herziene Code en langetermijnwaardecreatie: alleen ‘jam tomorrow’ of ook ‘jam today’?
Authors: Overkleeft F.G.K. , Beckers J.H.L. 
Published: March 2016

Het consultatievoorstel voor een herziene Code en langetermijnwaardecreatie: alleen ‘jam tomorrow’ of ook ‘jam today’?
Op 11 februari 2016 publiceerde de Monitoring Commissie Corporate Governance een consultatiedocument met voorstellen tot herziening van de Nederlandse Corporate Governance Code. De Commissie heeft met haar consultatievoorstel beoogd om het onderwerp van langetermijnwaardecreatie nadrukkelijk op de agenda te zetten. Dat is gelukt, maar er is nog wel voer voor discussie.
Historier for øjne, ører og muskler. Computerspil set under en mediehistorisk og evolutionær synsvinkel”
Authors: Grodal Torben 
Published: March 2016

Artiklen er en grundig gennemgang af en række principielle kognitive
mekanismer, der har afgørende betydning for, hvordan computerspil
kan modtages af ”brugeren”. Artiklen diskuterer en række verserende
synspunkter om, hvordan computerspil kan eller ikke kan betragtes
som historie og spil. Endelig fremlægger artiklen det synspunkt, at com-
puterspil aktiverer en fundamental anden form for kognitiv respons sam-
menlignet med at se film. At spille et spil og at se en film er kognitivt set
noget forskelligt.
Digital æstetik i hverdagen
Authors: Højbjerg Lennard 
Published: March 2016

Denne artikel er en videreførelse af forfatterens arbejde med en digital
æstetik, der i stigende omfang vinder indpas på tværs af forskellige
mediegenrer. Med en række konkrete iagttagelser fra den danske
sendeflade og trykte medier demonstrerer forfatteren, hvordan denne
digitale stil umærkeligt har selvstændiggjort sig som dominerende.
McTv. Bidrag til en forståelse af tv-formaternes globale popularitet
Authors: Waisbord Silvio 
Published: March 2016

Globaliseringen har knyttet verdens tv-industrier tættere sammen. Struk-
turelle og institutionelle forbindelser mellem tv-systemer og tv-industrier
har skabt en tv-branche, der i stigende grad styres af de samme prak-
sisser og mål. Denne dynamik afspejles i tv-formaternes popularitet. På
overfladen bidrager den globale udbredelse af tv-formater dog ikke kun
til en global integration af industriens økonomi men også til en standardi-
sering af programmernes indhold. Få store medieselskaber sælger idéer
på et internationalt marked, således at seerne tilsyneladende ser natio-
nale variationer af de samme programmer. På et dybere niveau viser
salget af formater dog, at tv stadig er knyttet til lokale og nationale kulturer.
Med eksempler fra Latinamerika argumenterer denne artikel for det syns-
punkt, at tv på én gang er globalt og nationalt formet både af de globalise-
rede medieøkonomier og af de lokale og nationale kulturer.
New Technologies and Not-So-New Democracies
Authors: Schudson Michael 
Published: March 2016

Discussions of the impact of the new media on democratic politics
often generalize too broadly about new technologies and almost
always take for granted a uniformity about democracies. Democra-
cies vary across nations and over time. For the USA, it is argued
that Americans have had four different visions of what political spe-
ech and participation should be. American democracy has shifted
from a citizenship of deference, to one of party enthusiasm, to a
model of the informed citizen, to the contemporary model of irreve-
rent citizenship. Each model calls forth different versions of a public
sphere. What is the democracy that technology is having an impact
on? This question must be integrated in the discussion of the impact
of technology on democracy.
Four steps in the history of museum technologies and visitors' digital participation
Authors: Christensen Jørgen Riber 
Published: March 2016

The hypothesis of this article is that the authentic and auratic exhibited objects in museums enter into a dialogue with surrounding paratexts. The paratexts anchor and change the meaning of the exhibited object in the museum context. Recent years have indicated a tendency for museum paratexts to grow increasingly allographic, i.e., visitors generate them both in situ and online as a part of Web 2.0 participation. The verification and documentation of this hypothesis are partly empirical, partly historical. The empirical research consists of an examination of the exhibition and display technologies used today in three different museums and galleries: the Bode Museum in Berlin, the Victoria and Albert Museum and Dr. Johnson's House in London. The historical verification and documentation in this article describe four steps in the development of exhibition technologies: the Boydell Shakespeare Gallery (1789-1805), the post-photographic museum (the 1850s), audio guides, as well as a special focus on how museum paratexts have become independent today in its digital and participatory form. In this way, the article sketches the historical development of curating towards the digital and paratextual participation of visitors and audience. Here the argumentation is based on how the displayed object creates signification in its position between its autonomy and its contexts. The following display technologies are described and analysed: stipple engraving, photography, the audio guide, and the interactive, digital Anota pen and its Internet server. In conclusion, the article asks where the place of signification or meaning of the exhibited object has moved to in the face of the increased degree of visitor participation. The tentative answer is that the signification generating process has moved away from the historical context of the object and towards the contemporary world of the visitor. The article connects this change in cultural discourse with Karin Sander's archaeological imagination and in a wider sense with the concept of negotiation from new historicism.