bluuebunny/crossref_metadata_2025_split huggingface dataset:
Addressing the crisis of GP recruitment and retention: a systematic review
Authors: Marchand Catherine , Peckham Stephen 
Published: March 2017

BackgroundThe numbers of GPs and training places in general practice are declining, and retaining GPs in their practices is an increasing problem.Aim To identify evidence on different approaches to retention and recruitment of GPs, such as intrinsic versus extrinsic motivational determinants.Design and setting Synthesis of qualitative and quantitative research using seven electronic databases from 1990 onwards (Medline, Embase, Cochrane Library, Health Management Information Consortium [HMIC], Cumulative Index to Nursing and Allied Health Literature (Cinahl), PsycINFO, and the Turning Research Into Practice [TRIP] database).MethodA qualitative approach to reviewing the literature on recruitment and retention of GPs was used. The studies included were English-language studies from Organisation for Economic Cooperation and Development countries. The titles and abstracts of 138 articles were reviewed and analysed by the research team.ResultsSome of the most important determinants to increase recruitment in primary care were early exposure to primary care practice, the fit between skills and attributes, and a significant experience in a primary care setting. Factors that seemed to influence retention were subspecialisation and portfolio careers, and job satisfaction. The most important determinants of recruitment and retention were intrinsic and idiosyncratic factors, such as recognition, rather than extrinsic factors, such as income.ConclusionAlthough the published evidence relating to GP recruitment and retention is limited, and most focused on attracting GPs to rural areas, the authors found that there are clear overlaps between strategies to increase recruitment and retention. Indeed, the most influential factors are idiosyncratic and intrinsic to the individuals.
Satisfaction of users of the Family Health Strategy in a capital city of Northeast Brazil
Authors: Batista Moura Luana Kelle , Milanês Sousa Laelson Rochelle , Batista Moura Maria Eliete , De Mesquita Rafael Fernandes , Matos Fátima Regina Ney , Campelo Lago Eliana , Monte Thiago Lima , Coelho Matos Francisca Tereza , De Arêa Leão Ferraz Maria Ângela , Clementino Santos Tanit , Monteiro Falcão Carlos Alberto , Ibiapina Tapety Fabrício , Mobin Mitra 
Published: March 2017

Objective: To analyze the satisfaction of users of the Family Health Strategy in relation to the Reliability and Safety aspects.
Method: This is a quantitative research carried out with 353 participants enrolled in an Integrated Health Center of the eastern region of a capital in the Northeast Brazil, through the SERVQUAL instrument. The data collection took place from January to May 2015, the research was approved by the Ethics and Research Committee of the UNINOVAFAPI University Center.
Results: The results indicated that in the Reliability dimension, participants agreed that the healthcare professionals record the attendance, perform on the promised date and have an interest in solving the problems. In the Security dimension, the majority of the participants were indifferent as to the behavior of the professionals generating confidence. They demonstrated security in requesting the services because they were politely attended by the professionals. Moreover, in the two dimensions analyzed, it was noticed that there is a tendency to increase satisfaction as the participants' income decreases with significant statistical relations, with satisfaction on Reliability and Security inversely proportional to income.
Conclusion: It is considered that users of the Family Health Strategy have demonstrated satisfaction with the services received, however, there is a need for more studies with different methodological approaches to better elucidate the intersubjective issues that shape the process of interaction between users, healthcare professionals and services.
Keywords: Family health; patient satisfaction; security.
An Alternative Method for Identifying Interplanetary Magnetic Cloud Regions
Authors: Ojeda-Gonzalez A. , Mendes O. , Calzadilla A. , Domingues M. O. , Prestes A. , Klausner V. 
Published: March 2017

Abstract
Spatio-temporal entropy (STE) analysis is used as an alternative mathematical tool to identify possible magnetic cloud (MC) candidates. We analyze Interplanetary Magnetic Field (IMF) data using a time interval of only 10 days. We select a convenient data interval of 2500 records moving forward by 200 record steps until the end of the time series. For every data segment, the STE is calculated at each step. During an MC event, the STE reaches values close to zero. This extremely low value of STE is due to MC structure features. However, not all of the magnetic components in MCs have STE values close to zero at the same time. For this reason, we create a standardization index (the so-called Interplanetary Entropy, IE, index). This index is a worthwhile effort to develop new tools to help diagnose ICME structures. The IE was calculated using a time window of one year (1999), and it has a success rate of 70% over other identifiers of MCs. The unsuccessful cases (30%) are caused by small and weak MCs. The results show that the IE methodology identified 9 of 13 MCs, and emitted nine false alarm cases. In 1999, a total of 788 windows of 2500 values existed, meaning that the percentage of false alarms was 1.14%, which can be considered a good result. In addition, four time windows, each of 10 days, are studied, where the IE method was effective in finding MC candidates. As a novel result, two new MCs are identified in these time windows.
A Possible Mechanism for Driving Oscillations in Hot Giant Planets
Authors: Dederick Ethan , Jackiewicz Jason 
Published: March 2017

Abstract
The κ-mechanism has been successful in explaining the origin of observed oscillations of many types of “classical” pulsating variable stars. Here we examine quantitatively if that same process is prominent enough to excite the potential global oscillations within Jupiter, whose energy flux is powered by gravitational collapse rather than nuclear fusion. Additionally, we examine whether external radiative forcing, i.e., starlight, could be a driver for global oscillations in hot Jupiters orbiting various main-sequence stars at defined orbital semimajor axes. Using planetary models generated by the Modules for Experiments in Stellar Astrophysics and nonadiabatic oscillation calculations, we confirm that Jovian oscillations cannot be driven via the κ-mechanism. However, we do show that, in hot Jupiters, oscillations can likely be excited via the suppression of radiative cooling due to external radiation given a large enough stellar flux and the absence of a significant oscillatory damping zone within the planet. This trend does not seem to be dependent on the planetary mass. In future observations, we can thus expect that such planets may be pulsating, thereby giving greater insight into the internal structure of these bodies.
The Mass, Color, and Structural Evolution of Today’s Massive Galaxies Since z ∼ 5
Authors: Hill Allison R. , Muzzin Adam , Franx Marijn , Clauwens Bart , Schreiber Corentin , Marchesini Danilo , Stefanon Mauro , Labbe Ivo , Brammer Gabriel , Caputi Karina , Fynbo Johan , Milvang-Jensen Bo , Skelton Rosalind E. , Dokkum Pieter van , Whitaker Katherine E. 
Published: March 2017

Abstract
In this paper, we use stacking analysis to trace the mass growth, color evolution, and structural evolution of present-day massive galaxies (

) out to z = 5. We utilize the exceptional depth and area of the latest UltraVISTA data release, combined with the depth and unparalleled seeing of CANDELS to gather a large, mass-selected sample of galaxies in the NIR (rest-frame optical to UV). Progenitors of present-day massive galaxies are identified via an evolving cumulative number density selection, which accounts for the effects of merging to correct for the systematic biases introduced using a fixed cumulative number density selection, and find progenitors grow in stellar mass by

since z = 5. Using stacking, we analyze the structural parameters of the progenitors and find that most of the stellar mass content in the central regions was in place by

, and while galaxies continue to assemble mass at all radii, the outskirts experience the largest fractional increase in stellar mass. However, we find evidence of significant stellar mass build-up at

beyond

probing an era of significant mass assembly in the interiors of present-day massive galaxies. We also compare mass assembly from progenitors in this study to the EAGLE simulation and find qualitatively similar assembly with z at

. We identify

as a distinct epoch in the evolution of massive galaxies where progenitors transitioned from growing in mass and size primarily through in situ star formation in disks to a period of efficient growth in r

e
consistent with the minor merger scenario.
Cutting Edge: Innate Immune Augmenting Vesicular Stomatitis Virus Expressing Zika Virus Proteins Confers Protective Immunity
Authors: Betancourt Dillon , de Queiroz Nina M. G. P. , Xia Tianli , Ahn Jeonghyun , Barber Glen N. 
Published: March 2017

Abstract
Zika virus (ZIKV) has become a serious public health concern because of its link to brain damage in developing human fetuses. Recombinant vesicular stomatitis virus (rVSV) was shown to be a highly effective and safe vector for the delivery of foreign immunogens for vaccine purposes. In this study, we generated rVSVs (wild-type and attenuated VSV with mutated matrix protein [VSVm] versions) that express either the full length ZIKV envelope protein (ZENV) alone or include the ZENV precursor to the membrane protein upstream of the envelope protein, and our rVSV-ZIKV constructs showed efficient immunogenicity in murine models. We also demonstrated maternal protective immunity in challenged newborn mice born to female mice vaccinated with VSVm-ZENV containing the transmembrane domain. Our data indicate that rVSVm may be a suitable strategy for the design of effective vaccines against ZIKV.
Streamlining the Process of Communicating and Recording the Gender of the Newborn Child in the Labor Room
Authors: Arya SK , Tadia VK , Sahran, Deepti 
Published: March 2017

ABSTRACT
Purpose
The article tries to streamline the process of communicating and recording the gender of newborn in the birth certificate in the labor room.

Design
Descriptive.

Materials and methods
Redesigning of the process of recording gender in hospital information system (HIS) module/e-birth module using process mapping and feedback from stakeholders.

Results
There were instances of discrepancy in verbally communicating the gender of newborn soon after the birth and the gender being recorded in the birth certificate issued in the labor room. Soon after these instances were reported, the process was examined and redesigned. After implementation of the redesigned process, follow-up was done and it was noted that there had been no further instances of discrepancies in communication of sex of the newborn child and recording of gender in the birth certificate. However, to institutionalize the change and to prevent any further mishaps in future and to eliminate chances of all possible human errors, it was decided that the whole process will be retested and all possible loopholes will be identified, with the aim to create a process which achieves the objective of elimination of all possible human errors (mistake-proofing). Initially, the process mapping was done. Later, the new process of recording birth-related information including gender was codified and implemented. The follow-up was again done post this intervention. It was found that systemic changes had streamlined the process. This had resulted not only in right gender recording and elimination of possibility of any errors, but also in reduction of number of visits by patients to labor room to get birth certificate.

Conclusion
Investigation of errors and redesigning of processes help in rooting out various defects in the system. Therefore, all the acts of omission/commission resulting in undesirable outcomes should be used as opportunities for overall improvement rather than to find fault of erring employees. As in this case, the overall approach was to improve the existing system leading to elimination of chances of any mistake and streamlining operations leading to desired outcomes.

How to cite this article
Sahran D, Tadia VK, Arya SK. Streamlining the Process of Communicating and Recording the Gender of the Newborn Child in the Labor Room. Int J Res Foundation Hosp Healthc Adm 2016;4(2):66-69.
Resection and Primary Closure of Edematous Glossoepiglottic Mucosa in a Dog Causing Laryngeal Obstruction
Authors: Schabbing Kevin J. , Seaman Jeffrey A. 
Published: March 2017

ABSTRACT
An approximately 22 mo old male neutered English bulldog was evaluated for acute onset of dyspnea with suspected brachycephalic obstructive airway syndrome (BOAS). Laryngoscopic exam revealed diffuse, severe edema and static displacement of redundant glossoepiglottic (GE) mucosa causing complete obstruction of the larynx and epiglottic entrapment. Static displacement of the GE mucosa was observed and determined to be the overriding component of dyspnea in this patient with BOAS. Resection and primary closure with two separate, simple continuous sutures of the GE mucosa were performed. Resection and primary closure of the GE mucosa resolved the acute onset of dyspnea in this patient. Surgical correction of the stenotic nares, elongated soft palate, and everted laryngeal saccules were performed under the same anesthetic procedure. Static displacement of the GE mucosa may occur in patients with BOAS. Surgical resection and closure of the GE mucosa resolved this patient's dyspnea and is recommended in airway obstruction. It remains to be determined if primary closure and subsequent tensioning or scar tissue of the GE mucosa results in further complications related to restricted epiglottic movement.
Effect of Variations in Stent Placement on Outcome of Endoluminal Stenting for Canine Tracheal Collapse
Authors: Rosenheck Stephanie , Davis Garrett , Sammarco Carl D. , Bastian Richard 
Published: March 2017

ABSTRACTThe study's objective was to determine effects of relative size and placement location of endoluminal stents on incidence of complications and survival for canine tracheal collapse. Measurements were obtained on lateral radiographs before and after stenting to determine percent of the trachea occupied by the stent. These values were monitored over time and compared to complication rates and survival. Overall median survival time was 502 days. Six month survival rate was 78%, 1 yr survival was 60%, and 2 yr survival was 26%. Median percent of trachea occupied by the stent at initial placement was 79% (range, 41–93%). Percent of the trachea occupied by the stent at the time of placement did not significantly correlate to complication rate (0.397) or survival time (0.853). Incidence of serious complications was 37%, including granuloma formation, pneumonia, material failure, and stent migration. For patients experiencing serious complications, median survival was shorter, at 208 days, but was not significantly different from survival without serious complications. Within the margins of the data from this study, the proportion of the trachea occupied by the stent at the time of placement does not appear to impact incidence of complications or survival time in dogs with tracheal collapse.
Evaluation of the Impacts of Epilepsy in Dogs on Their Caregivers
Authors: Nettifee Julie A. , Munana Karen R. , Griffith Emily H. 
Published: March 2017

ABSTRACTEpilepsy is a common problem in dogs, and management of this chronic disorder requires a substantial commitment on the part of the pet owner. The aim of this study was to evaluate the impact of epilepsy in dogs on their owners, utilizing an online survey tool. A questionnaire was developed to explore a variety of factors, including seizure history, treatment, outcome, quality of life, costs associated with therapy, and sources of support. A total of 225 responses were obtained. The majority of respondents reported positive scores for overall quality of life, although scores were significantly lower for dogs with poorly controlled epilepsy and medication-related adverse effects. The median monthly expenditure for antiepileptic medication was $51–75. Despite the considerable financial burden placed on the dog owner, monthly medication cost was not associated with quality of life score. Few published reports follow dogs with epilepsy after diagnosis, and there is a growing need to understand the issues associated with long-term management of this population. The results of this study provide useful information that can help veterinary professionals educate owners and set expectations regarding treatment of seizures and quality of life for dogs with epilepsy.
El Carbono Acumulado en la Masa Arbórea de la Reserva Biológica Uyuca, Honduras
Authors: Mora José Manuel , Ulloa Nelson Saúl , Quezada Banny Omar , López Lucía Isabel 
Published: March 2017

El dióxido de carbono (CO2) es uno de los principales gases de efecto invernadero. La quema de combustibles fósiles y la eliminación de los bosques provocan un aumento de este gas a nivel global. Los bosques contribuyen al balance global del carbono por lo que desde la convención de Kioto estos han cobrado relevancia en su papel en el ciclo del carbono. Debido a ello se ha promovido la cooperación internacional, iniciativas y proyectos con el fin de mantener niveles globales de biomasa boscosa y disminuir las tasas regionales de decline, objetivo central del proyecto REDD+. La Reserva Biológica Uyuca (RBU) en Honduras provee varios servicios ecosistémicos que no han sido cuantificados ni valorados, como el carbono acumulado en ella. La valoración es importante para la justificación de su mantenimiento y manejo. Para ayudar a solventar este vacío estimamos la cantidad de carbono acumulado que existe en la biomasa forestal de la RBU. Estratificamos la cobertura forestal y estimamos la biomasa en cada estrato. Calculamos el carbón acumulado en la reserva según la metodología del IPCC. Estimamos una biomasa aérea de 445.6 toneladas (t) por hectárea en el bosque mixto y 212.1 t/ha en el bosque de pino. La biomasa aérea en las 371 ha de bosque mixto es de 165,326 t y de 94,582 en las 446 ha de bosque de pino, para un total de 259,909 t para la RBU. La biomasa de raíces estimada fue de 58,594 t para 318,504 t de biomasa total. Esta biomasa contiene 159,252 t de carbono acumulado solo en el componente arbóreo (árboles mayores a 10 cm de diámetro a la altura del pecho). No tomamos en cuenta otros elementos como hierbas y arbustos. La RBU y otras áreas boscosas del país son claves en el balance del carbono local y regional y pueden ser elementos importantes para programas y proyectos basados en el protocolo de Kioto. Es necesario cuantificar el carbono acumulado en estas áreas y los recursos forestales, especialmente en el contexto de la implementación de REDD+. Ceiba, 2016. Volumen 54(2):139-146
E pluribus unum? The Manifold Meanings of Sovereignty
Authors: Geenens Raf 
Published: March 2017

E pluribus unum? The Manifold Meanings of Sovereignty
This article investigates and classifies the different meanings of the term sovereignty. What exactly do we try to convey when using the words “sovereign” or “sovereignty”? I will argue that, when saying that X is sovereign, we can mean five different things: it can mean that X holds the capacity to force everyone into obedience, that X makes the laws, that the legal and political order is created by X, that X holds the competence to alter the basic norms of our legal and political order, or that X is independently active on the international stage. These different usages of the term are of course related, but they are distinct and cannot be fully reduced to one another.
Power and Principle in Constitutional Law
Authors: Eleftheriadis Pavlos 
Published: March 2017

Power and Principle in Constitutional Law
Legal and sociological theories of sovereignty disagree about the role of legal and social matters in grounding state power. This paper defends a constructivist view, according to which the constitution is a judgment of practical reason. The paper argues that a constitution sets out a comprehensive institutional architecture of social life in terms of principles and official roles that are necessary for any legitimate scheme of social cooperation to exist. It follows that legal and sociological theories of sovereignty capture only part of the truth of sovereignty. Legal reasoning engages with political power, but it is not determined by it. There is no causal chain between power and validity, as suggested by the legal positivists. The relation between power and law is interpretive, not causal. It follows that the circularity of law and the constitution, namely the fact that the law makes the constitution and the constitution makes the law, is not a vicious circle. It is part of an ordinary process of deliberation.
E-commerce sector inquiry
Authors: Kuipers D.P. , van de Sanden M.A.M.L. 
Published: March 2017

E-commerce sector inquiry
Op 15 september 2016 heeft de Europese Commissie als onderdeel van haar Digital Single Market-strategie een rapport gepubliceerd waarin de voorlopige bevindingen van haar e-commerce sector inquiry zijn opgenomen. Dit rapport brengt de praktijken aan het licht die tot een beperking van de concurrentie zouden kunnen leiden. De bevindingen uit het rapport kunnen mogelijk een grote impact hebben op de e-commerce sector in de Europese Unie. In dit artikel worden de belangrijkste door de Commissie geïdentificeerde ontwikkelingen en praktijken beschreven alsmede of die ontwikkelingen en praktijken aanleiding geven tot mededingingsbezwaren. Het definitieve rapport wordt in het eerste kwartaal van 2017 verwacht.European Commission, Preliminary Report on the E-Commerce Sector Inquiry, Commission staff working document, 15 september 2016, SWD(2016) 312 final.
Hof van Justitie eist in de cementzaken een steviger fundament onder inlichtingenverzoeken
Authors: Fanoy J.W. , Raats T. 
Published: March 2017

Hof van Justitie eist in de cementzaken een steviger fundament onder inlichtingenverzoeken
In de cementzaken concludeert het Hof van Justitie dat de Europese Commissie haar inlichtingenverzoek onvoldoende had gemotiveerd. In dit artikel wordt de verwachte impact van deze uitspraak besproken. Daarnaast gaan auteurs in op (rechts)vragen die het arrest oproept.
Technology Transfer From The University of Minas Gerais to a Private Company: Process and Results
Authors: Alves De Oliveira Maria Do Rosário , Girolleti Domingos A. , Maccari Emerson Antonio , Storopoli José Eduardo 
Published: March 2017

Economic growth and technological development are closely related. In this article, the process of technology transfer developed by the UFMG (a new sole cushioning system for a footwear industry in Nova Serrana city, in Minas Gerais State) is analyzed, using a case study. The data were collected from UFMG document research and through semi-structured interviews with the principal stakeholders. The process of technology transfer from the university to Crômic was a great learning process for both institutions. It led to a better relationship between the UFMG and the productive sector, opening up opportunities for new agreements and products. The study identified some aspects that need to be improved, such as simplification of procedures, bureaucracy reduction and regulation of the Brazilian Innovation Law within the departments of the university. The case study shows how much better cooperation between university and industry can contribute to the innovation process and improve competitiveness and the development of our country in these times of economic crisis.