bluuebunny/crossref_metadata_2025_split huggingface dataset:
Midterm Outcomes of Pharmacomechanical Thrombectomy in the Treatment of Lower Extremity Deep Vein Thrombosis With a Rotational Thrombectomy Device
Authors: Yuksel Ahmet , Tuydes Oktay 
Published: May 2017

Background: The purpose of this study was to assess the safety and efficacy with midterm outcomes of pharmacomechanical thrombectomy (PMT) performed by using a relatively new thrombectomy device in the treatment of lower extremity deep vein thrombosis (DVT). Methods: Between February 2014 and February 2016, a total of 46 patients with lower extremity DVT were treated with PMT by using Cleaner rotational thrombectomy system. Preprocedural, intraprocedural, postprocedural, and follow-up records of patients were collected and retrospectively analyzed. Results: Mean age of patients was 50.5 (14.8) years, and 58.7% of them were female. Technical success rate of procedure was 91.3%. Mean procedure time was 81.8 (40.3) minutes. Early clinical improvement was observed in all patients with successful treatment. No serious adverse event related to procedure and mortality was observed. Mean follow-up time was 16.0 (7.9) months. Reocclusion was observed in 7 (17.5%) patients during the follow-up period. Venous patency rates of patients at 1-, 3-, 6-, and 12-month follow-up visits were 95%, 92.5%, 89.7%, and 79.5%, respectively. Mild, moderate, and severe postthrombotic syndrome were observed in 8 (20%) patients, 4 (10%) patients, and 1 (2.5%) patient, respectively. Postthrombotic syndrome–free survival rate was 67.5%. Conclusion: Cleaner rotational thrombectomy system appears to be safe and effective in the treatment of lower extremity DVT. Further larger randomized studies are needed to determine the long-term outcomes of this treatment modality.
Information Display in the Intensive Care Unit – Considerations for System Design and Implementation
Authors: Bitan Yuval , Fuerch Janene H. , Harris Steven D. , Karn Keith S. , Halamek Louis P. , Ilan Roy , Yamada Nicole K. 
Published: May 2017

Healthcare working environments are complex, and intensive care units (ICUs) are particularly complex due to the influx of data to the healthcare professionals who are providing continuous care to the most critically ill patients. Systems that are designed to work in these environments should take into consideration varied patient conditions, the clinical professionals who use these systems, and the features and performance requirements that will support their efforts to provide care to their patients. We suggest that developing systems that will meet these challenges requires customized design approach, including cognitive system engineering. Until recently, this work domain has been largely ignored by manufacturers of patient monitoring systems. This panel brought together two separate teams who have been using such an approach independently to design new systems for information integration and display in ICU settings. The goals of this panel discussion were to take a close look at the tools and methods that are being used for such a cognitive system engineering approach to the design processes, and to review the recommendations and concepts that are emerging from these processes from each of the two independent teams. This paper summarizes the presentations made during the panel by the two teams regarding updates of ongoing work followed by a lively discussion between panelists and the symposium participants in the audience. Each team had its unique design process that was customized to the specific target ICU, the available resources and goals. The designed systems have original features that evolve from the unique needs of the target unit, yet the designs also share some common features.
Validation of an Inventory for Providers to Self-Assess Their Engagement in Patient-Centered Culturally Sensitive Health Care
Authors: Tucker Carolyn M , Roncoroni Julia , Wippold Guillermo , Wall Whitney , Marsiske Michael 
Published: May 2017

Objective: Cultural sensitivity training of health-care providers could help eliminate health disparities. The Tucker-Culturally Sensitive Health-Care Provider Inventory (T-CSHCPI) is an inventory for providers to self-assess their engagement in patient-defined/-centered culturally sensitive health care. The T-CSHCPI is novel in that it assesses providers’ strengths and areas of growth in their efforts to provide culturally sensitive care as defined by culturally diverse patients. Methods: Using ratings on this inventory by a sample of culturally diverse providers (N = 291) from 67 health-care sites across the United States, a confirmatory analysis of the T-CSHCPI was conducted, and its validity and reliability were determined. Results: Factor analysis produced a final solution with 4 factors (interpersonal skills, conscientiousness, sensitivity, and disrespect/disempowerment) that were reliable. These 4 factors are associated with cultural competence, suggesting validity. Discussion: The T-CSHCPI measures independent dimensions of patient-centered care as identified by a national sample of health-care providers. The T-CSHCPI can be used to inform training that promotes patient-centered culturally sensitive health care by providers.
Factors Affecting Older Persons’ Ability to Manage Oral Hygiene: A Qualitative Study
Authors: Grönbeck Lindén I. , Hägglin C. , Gahnberg L. , Andersson P. 
Published: May 2017

A great challenge for the dental service is to support the growing group of elderly people with preserving good oral health throughout their lives. Limitations in the ability to manage oral hygiene and an increased number of risk factors are often reflected by poor oral health. Thus, the need for individualized support and oral health procedures based on the older person’s condition is significant. Deficiencies in the motor skills needed to manage oral hygiene are well known, but other factors that affect the ability are not well studied. The aim of the present study was to identify factors that may affect an elderly person’s ability to perform oral hygiene self-care, which is the first step to develop a more comprehensive “oral hygiene ability index.” The design of the study was qualitative. Data were collected from 4 focus group interviews with a total of 23 participants. Three of the groups consisted of dental hygienists, occupational therapists, and assistant nurses, all working with elderly persons. The fourth group was made up of elderly people (72–89 years). Content analysis was used to analyze the data. The latent content was formulated into the core category, “oral hygiene—a complex activity.” Three categories emerged: “psychological,” “environmental,” and “functional” dimensions. The psychological dimension described attitude/motivation, emotions, and cognitive factors. The environmental dimension included practical conditions and social context. The functional dimension dealt with bodily and oral function as well as the senses. In conclusion, self-care with respect to oral hygiene is a complex activity for elderly persons and includes a large number of factors. These factors should be taken into consideration when developing a future oral hygiene ability index. Knowledge Transfer Statement: Various factors may affect the ability to manage oral hygiene self-care. Impaired ability to manage oral hygiene, in combination with an increased number of risk factors, often results in deteriorating oral health and impaired quality of life in older persons. Factors necessary to manage oral hygiene were identified in a qualitative study of dental hygienists, occupational therapists, and assistant nurses, all working with elderly patients, and a group of elderly persons. The results of this study may be important for clinical oral health work with older patients and for the planning of oral health and social care interventions for the growing group of older people.
Reversion of anergy signatures in clonal CD21low B cells of mixed cryoglobulinemia after clearance of HCV viremia
Authors: Del Padre Martina , Todi Laura , Mitrevski Milica , Marrapodi Ramona , Colantuono Stefania , Fiorilli Massimo , Casato Milvia , Visentini Marcella 
Published: May 2017

Key Points
Anergic features of B cells of MC rapidly reverse after eradication of HCV with DAAs. Phenotypic and functional features of virus-specific B-cell exhaustion persist for several months after HCV eradication.
Pseudomonas aeruginosaadaptation and diversification in the non-cystic fibrosis bronchiectasis lung
Authors: Hilliam Yasmin , Moore Matthew P. , Lamont Iain L. , Bilton Diana , Haworth Charles S. , Foweraker Juliet , Walshaw Martin J. , Williams David , Fothergill Joanne L. , De Soyza Anthony , Winstanley Craig 
Published: May 2017

To characterisePseudomonas aeruginosapopulations during chronic lung infections of non-cystic fibrosis bronchiectasis patients, we used whole-genome sequencing to 1) assess the diversity of P. aeruginosaand the prevalence of multilineage infections; 2) seek evidence for cross-infection or common source acquisition; and 3) characteriseP. aeruginosaadaptations.189 isolates, obtained from the sputa of 91 patients attending 16 adult bronchiectasis centres in the UK, were whole-genome sequenced.Bronchiectasis isolates were representative of the widerP. aeruginosapopulation. Of 24 patients from whom multiple isolates were examined, there were seven examples of multilineage infections, probably arising from multiple infection events. The number of nucleotide variants between genomes of isolates from different patients was in some cases similar to the variations observed between isolates from individual patients, implying the possible occurrence of cross-infection or common source acquisition.Our data indicate that during infections of bronchiectasis patients,P. aeruginosapopulations adapt by accumulating loss-of-function mutations, leading to changes in phenotypes including different modes of iron acquisition and variations in biofilm-associated polysaccharides. The within-population diversification suggests that larger scale longitudinal surveillance studies will be required to capture cross-infection or common source acquisition events at an early stage.
Spigelian hernia in gynaecology
Authors: Ussia Anastasia , Imperato Fabio , Schindler Larissa , Wattiez Arnaud , Koninckx Philippe R. 
Published: May 2017

Abstract
Background
A Spigelian hernia is a rare hernia through the Spigelian fascia between the rectus muscle and the semilunar line. This hernia is well known in surgery. Symptoms vary from insidious to localised pain, an intermittent mass and/or a bowel obstruction.

Results
The Spigelian hernia is poorly known in gynaecology. Spigelian hernias may be causally related to secondary trocar insertion. This review is written to increase awareness in gynaecology and is illustrated by a case report in which the diagnosis was missed for 4 years even by laparoscopy. Smaller hernias risk not to be diagnosed and will thus not be treated. Even larger Spigelian hernias might not be recognised and treated appropriately.

Conclusions
The gynaecologist should consider a Spigelian hernia in women with localised pain in the abdominal wall lateral of the rectus muscle some 5 cm below the umbilicus. Smaller hernias can be closed by laparoscopy without a mesh. Larger hernias require a mesh repair.
Tri-Functional OER, HER and ORR Electrocatalyst Electrodes from In Situ Metal-Nitrogen Co-Doped Oxidized Graphite Rods
Authors: Tsutsumi Mayu , Islam Md Saidul , Karim Mohammad Razaul , Rabin Nurun Nahar , Ohtani Ryo , Nakamura Masaaki , Lindoy Leonard F , Hayami Shinya 
Published: May 2017

Abstract
In contrast to monofunctional electrocatalysts for oxygen evolution reaction (OER), hydrogen evolution reaction (HER) or oxygen reduction reaction (ORR), trifunctional catalysts for simultaneously generating H2, O2 and H2O provide a crucial means for improving the overall efficiency of water electrolysis. Herein we present a series of nonnoble metal [M = Fe(III), Co(II), Ni(II)]-nitrogen co-doped oxidized graphite rods (M-N/OGRs) that function as in situ working electrodes for tri-functional OER, HER and ORR electrocatalysis. The enhanced performance of the hybrid catalysts appear mostly associated with dual active site mechanisms originating from the synergic effects of M-N/Co-doped on the surface of the OGR. Our findings suggest that, the development of multifunctional electrocatalysts with optimal catalytic activity using transition metals and nitrogen doped OGR opens new doors for in situ synthesized electrocatalysts for use in clean electrochemical energy storage and conversion technologies.
Case Report: Inflammatory myofibroblastic tumor causes formation of an ileal conglomerate in a patient previously treated for Wilms’ tumor
Authors: Leganger Julie , Raagaard Soerensen Rikke , Rosenberg Jacob , Burcharth Jakob 
Published: May 2017

Introduction: Inflammatory myofibroblastic tumors (IMTs) are uncommon mesenchymal lesions classified by WHO as neoplasms of uncertain behavior. Morphologically, IMTs are composed of proliferating spindled myofibroblastic cells accompanied by a marked - usually chronic - inflammatory infiltrate. The etiology is unknown, but several theories have been suggested, including an association with Wilms’ tumor. IMTs are rarely diagnosed in adults and have been reported in various organs. IMTs are considered benign but with a potential to recur at their primary site. Case report: A 44-year-old female experienced intermittent severe abdominal pain, loose stools and a visible abdominal bulge. In early childhood the patient had been treated for a Wilms’ tumor. At admission Meckel’s diverticulitis was suspected, but during surgery a tumor in the terminal ileum, creating a conglomerate of small intestinal loops, was observed and completely resected. The pathology report characterized the tumor as a histologically benign inflammatory myofibroblastic tumor. Postoperatively, the patient experienced several complications including an anastomotic leakage and subsequent formation of an abscess and transcutaneous fistula. Discussion: IMTs rarely arise in the small intestine, and to our knowledge the manifestation of a small intestine conglomerate has not been described previously. Making the diagnosis is difficult, and numerous differential diagnoses were possible in this case. Approximately 8-25% of IMTs in the gastrointestinal tract recur locally. Complete surgical resection is the treatment of choice, and re-excision is the preferred therapy for local recurrence. To our knowledge, no guidelines concerning follow-ups are available. Conclusion: IMTs in the terminal ileum can mimic Meckel’s diverticulitis and present with symptoms of obstructive ileus due to the formation of a conglomerate of small intestinal loops. Furthermore, IMTs should be considered as a diagnostic possibility in patients with a past medical history of Wilms’ tumor.
Reflection of animosities among countries on consumers: A conceptual study on consumer animosity concept<p>Ülkeler arasındaki düşmanlıkların tüketicilere yansıması: Tüketici düşmanlığı kavramı üzerine kavramsal bir çalışma
Authors: Kiracı Hakan 
Published: May 2017

Consumer animosity which was firstly defined by Klein et al. (1998) is often used to explain consumers’ buying behavior from a foreign country. Considering the findings and results of past empirical studies, it could be seen that consumer animosity especially was a stronger predictor of willingness to buy foreign (target country-ies) products and consumer animosity was significantly distinct structure from consumer ethnocentrism which was previously conceptualized by Shimp and Sharma (1987). In this study, in the era of increasing anti-country currents, it was explained the consumer animosity concept that could be defined as strong negative emotions toward purchasing products from a disliked country and mentioned the differences and similarities between consumer animosity and other concepts such as consumer ethnocentrism, origin-of-country effect, country image, country boycott, consumer cosmopolitanism. In this aim, it was collected the findings and results of past studies, revealed the drivers and outcomes related to consumer animosity, pointed out the importance of consumer animosity on businesses actions, and presented the results of classifications related to consumer animosity concept and proposals to the businesses and future studies. Extended English abstract is in the end of PDF (TURKISH) file. Özetİlk kez Klein vd. (1998) tarafından tanımlanan tüketici düşmanlığı, tüketicilerin yabancı ülkelerin ürünlerini satın alma davranışlarını açıklamada sıkça kullanılan bir kavramdır. Tüketici düşmanlığı konusunda günümüze dek yapılan ampirik çalışmalar sonucunda ortaya çıkan bulgular; tüketici düşmanlığının yabancı ürün satın alma niyetinin belirlenmesinde güçlü bir tahmin değişkeni olduğunu yansıtmaktadır. Bunun yanında, tüketici düşmanlığının daha önce Shimp ve Sharma (1987) tarafından tanımlanan tüketici etnosentrizminden ayrı bir yapıyı temsil ettiği ortaya çıkarılmıştır. Bu çalışmada; anti-ülke akımlarının günden güne çoğaldığı çağımızda, belirli bir ülkeye karşı hissedilen olumsuz duyguların karşılığı olarak ortaya çıkan tüketici düşmanlığı kavramı açıklanmakta ve bu kavramın, tüketici etnosentrizmi, orijin ülke etkisi, ülke imajı, ülke boykotu, tüketici kosmopolitanlığı vb. kavramlarla benzer ve farklı yönleri dile getirilmektedir. Bu amaçla, daha önce tüketici düşmanlığı konusunda yapılmış kuramsal ve ampirik çalışmaların bulguları derlenmekte, tüketicilerin hissettiği düşmanlığın neden ve sonuçları belirtilmekte, tüketici düşmanlığı kavramının işletmeler açısından taşıdığı öneme değinilmekte, tüketici düşmanlığı konusunda yapılan sınıflandırmalar sonucu ortaya atılan düşmanlık türleri açıklanmakta ve son olarak işletmeler ve gelecek araştırmalar için öneriler sunulmaktadır.
KEBIJAKAN PENGELOLAAN LINGKUNGAN DI KAWASAN KENDENG UTARA PROVINSI JAWA TENGAH
Authors: Purnaweni Hartuti 
Published: May 2017

ABSTRAK Kebijakan tentang pengelolaan lingkungan hidup di Indonesia mengalami perubahan dengan dikeluarkannya Undang-undang Nomor 32 Tahun 2009 tentang Perlindungan dan Pengelolaan Lingkungan Hidup. Keluarnya Undang-undang ini adalah karena dirasakan kerusakan lingkungan makin menjadi, sehingga perlu dikeluarkan sebuah kebijakan yang tidak hanya mengharuskan pengelolaan lingkungan akan tetapi juga perlindungan terhadap lingkungan. Tujuan penelitian ini adalah : (1) mengetahui tentang kebijakan lingkungan kawasan karst Kendeng Utara di Kecamatan Sukolilo, Kabupaten Pati, Provinsi Jawa Tengah; (2) mengetahui pengelolaan lingkungan di kawasan karst Kendeng Utara, Kecamatan Sukolilo, Kabupaten Pati, Provinsi Jawa Tengah. Metode penelitian ini adalah deskriptif kualitatif, dengan lokasi penelitian khususnya di Kecamatan Sukolilo, Kabupaten Pati, Provinsi Jawa Tengah, karena di wilayah ini terutama terjadi pertentangan kepentingan terhadap pengelolaan lingkungan di kawasan karst Kendeng Utara. Kesimpulan penelitian adalah: (1) Kebijakan pengelolaan kawasan karst di Kecamatan Sukolilo terwujud dalam Peraturan Menteri dan Keputusan Gubernur Jawa Tengah, terkait dengan karakteristik geografis. (2) Pengelolaan lingkungan memenuhi tiga unsur POAC (Planning, Organizing, Actuating) yang menjadi fokus penelitian ini. Rekomendasinya adalah : (1) Kebijakan kawasan karst sebaiknya mempertimbangkan keunikan keunikan kawasan karst, kondisi sosial ekonomi sebagian masyarakat yang masih bersifat tradisional, dan dukungan publik perlu digalang oleh pemerintah untuk dilakukannya pembangunan yang seharusnya menguntungkan semua pihak, dan mengacu pada pembangunan berkelanjutan; (2) Pengelolaan lingkungan: (a) Planning/Perencanaan: pembangunan berkelanjutan seharusnya dikedepankan, dengan menekankan pada terwujudnya pembangunan sosial dimana peranserta dan keadilan menjadi bagian penting dalam pembangunan; (b) Organizing/Pengorganisasian: kepentingan yang bersinggungan dalam pengelolaan kawasan karst antara pemerintah, swasta, dan masyarakat, yang seharusnya dilakukan dengan mengedepankan win-win solution, misalnya dengan pelaksanaan zonasi; (c) Actuating/Pelaksanaan: harus dimunculkan pelaksanaan optimatisasi pemanfaatan sumberdaya alam secara efisien, dengan memanfaatkan teknologi yang ramah lingkungan, sekiranya pabrik semen jadi didirikan di wilayah Sukolilo. Kata kunci: kebijakan, lingkungan, kawasan karst, Kendeng Utara
PENGARUH FAKTOR-FAKTOR SOSIAL-EKONOMI TERHADAP PERILAKU PENGELOLAAN SAMPAH DOMESTIK DI NUSA TENGGARA TIMUR
Authors: Beni Martinus Tulit , Arjana IGB , Ramang Ruslan 
Published: May 2017

In the attempt to implement sustainable development, there is a definition that the use of natural source to keep it uses by the next generation well, both in quantity and quality. It needs to be supported by caring the environment both by the government and the community itself. The community awareness can be seen at its role on the management of domestic garbage. Several socio-economic factors such as age, sex, education, income, job, and the knowledge of environment have effect on community awareness in the management of domestic garbage. This study used logistic regression model which aimed at measuring to what extend the effect of the socio-economic factors to domestic garbage management in East Nusa Tenggara Province in 2013. It uses secondary data of Environmental Awareness Behaviour Survey that done in 2013 by the Central Agency on Statistics. The result of this study used α = 0,05, showed that the variable of sex, age group of the head household among 40-59 years old and the knowledge of environment did not have effect on household garbage management behavioral. Level education of the patriarch and capital income affected positively on domestic garbage management behavioral. Variable of age group of the patriarch above 60 years old did negatively affected to the domestic garbage management behavioral. Although knowledge about the environment did not affect eco-friendly behavior, but the knowledge about the environment has to be continued to be disseminated to the public. Right knowledge about the behavior of environmental awareness is a major component of internal factors that can drive change one's attitude to be more concerned about the environment
VOLUME SEDIMEN DAN VALUASI EKONOMI SUMBERDAYA AIR EMBUNG DI KOTA KUPANG
Authors: Dethan Maxi Nikodemus , Pelokilla Marthen Roby 
Published: May 2017

Masalah yang dikaji dalam penelitian ini adalah analisis jumlah sedimen dalam kantung embung dan valuasi ekonomi sumberdaya air embung, dengan mengambil 3 (tiga) lokasi embung di Kota Kupang. Tujuan dari penelitian ini menghitung dan mengetahui jumlah sedimen dalam kantung embung dan valuasi ekonomi sumberdaya air embung. Hasil perhitungan sedimen embung Nononesnab diperoleh jumlah sedimen sebesar 1382,96 m3, embung Nonopasi sebesar 976,82 m3, dan embung Kampung Lama sebesar 186,18 m3. Nilai valuasi ekonomi sumberdaya air embung dilihat dari hasil perhitungan Total WTP sebagai berikut, untuk penawaran 1 (satu) embung sebesar Rp. 437.234,04, untuk penawaran 2 (dua) embung sebesar Rp. 295.744,68, untuk penawaran 3 (tiga) embung sebesar Rp.225.531,91, untuk penawaran 4 (empat) embung sebesar Rp. 166.489,36 dan untuk penawaran 5 (lima) embung sebesar Rp. 100.638,30. Dari hasil nilai valuasi ekonomi sumberdaya air embung menunjukkan bahwa semakin tinggi penawaran penambahan pembangunan embung baru semakin rendah tingkat kesediaan masyarakat untuk membayar. This research has been done to analyse the sediment in quarries and economic valuation of water resources. The locations were at 3 quarries in Kupang City. The result of sediment Nonoesnab quarry was 1.382,96 m3, Nonopasi quarry was 976,82 m3, and Kampung Lama quarry was 186,18 m3. Economic valuation water resources as total WTP as follows, WTP of 1 quarry was Rp. 437.234,04, WTP of 2 quarries was Rp. 295.744,68, WTP of 3 quarries was Rp. 225.531,91,WTP of 4 quarries was Rp. 166.489,36 and WTP of 5 quarries was Rp. 100.638,30. Based on economic valuation of water resources showed that the higher the additional development of the quarry, the lower the public's willingness to pay.