bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Role of Nursing Homes in the Spread of Antimicrobial Resistance Over the Healthcare Network
Authors: van den Dool Carline , Haenen Anja , Leenstra Tjalling , Wallinga Jacco 
Published: April 2016

OBJECTIVERecerntly, the role of the healthcare network, defined as a set of hospitals linked by patient transfers, has been increasingly considered in the control of antimicrobial resistance. Here, we investigate the potential impact of nursing homes on the spread of antimicrobial-resistant pathogens across the healthcare network and its importance for control strategies.METHODSBased on patient transfer data, we designed a network model representing the Dutch healthcare system of hospitals and nursing homes. We simulated the spread of an antimicrobial-resistant pathogen across the healthcare network, and we modeled transmission within institutions using a stochastic susceptible–infected–susceptible (SIS) epidemic model. Transmission between institutions followed transfers. We identified the contribution of nursing homes to the dispersal of the pathogen by comparing simulations of the network with and without nursing homes.RESULTSOur results strongly suggest that nursing homes in the Netherlands have the potential to drive and sustain epidemics across the healthcare network. Even when the daily probability of transmission in nursing homes is much lower than in hospitals, transmission of resistance can be more effective because of the much longer length of stay of patients in nursing homes.CONCLUSIONSIf an antimicrobial-resistant pathogen emerges that spreads easily within nursing homes, control efforts aimed at hospitals may no longer be effective in preventing nationwide outbreaks. It is important to consider nursing homes in planning regional and national infection control and in implementing surveillance systems that monitor the spread of antimicrobial resistance.Infect Control Hosp Epidemiol2016;37:761–767
Large-eddy simulation and parameterization of buoyant plume dynamics in stratified flow
Authors: Yang Di , Chen Bicheng , Socolofsky Scott A. , Chamecki Marcelo , Meneveau Charles 
Published: April 2016

Characteristics of laboratory-scale bubble-driven buoyant plumes in a stably stratified quiescent fluid are studied using large-eddy simulation (LES). As a bubble plume entrains stratified ambient water, its net buoyancy decreases due to the increasing density difference between the entrained and ambient fluids. A large fraction of the entrained fluid eventually detrains and falls along an annular outer plume from a height of maximum rise (peel height) to a neutral buoyancy level (trap height), during which less buoyant scalars (e.g. small droplets) are trapped and dispersed horizontally, forming quasi-horizontal intrusion layers. The inner/outer double-plume structure and the peel/intrusion process are found to be more distinct for cases with small bubble rise velocity, while weak and unstable when the slip velocity is large. LES results are averaged to generate distributions of mean velocity and turbulent fluxes. These distributions provide data for assessing the performance of previously developed closures used in one-dimensional integral plume models. In particular, the various LES cases considered in this study yield consistent behaviour for the entrainment coefficients for various plume cases. Furthermore, a new continuous peeling model is derived based on the insights obtained from LES results. Comparing to previous peeling models, the new model behaves in a more self-consistent manner, and it is expected to provide more reliable performance when applied in integral plume models.
WHENTHE ZIONIST IDEACAME TO BEIRUT: JUDAISM, CHRISTIANITY, AND THE PALESTINE LIBERATION ORGANIZATION'S TRANSLATION OF ZIONISM
Authors: Gribetz Jonathan Marc 
Published: April 2016

AbstractIn 1970, the Palestine Liberation Organization (PLO) Research Center in Beirut published an Arabic translation ofThe Zionist Idea, an anthology of classic Zionist texts compiled originally by Arthur Hertzberg in 1959. This article compares how the two versions present the biographies and motivations of key Zionist ideologues. It suggests that, in contrast to Hertzberg, the PLO researchers tended to present Zionism, especially at its roots, as a Jewishreligiousmovement. Attempting to discern what might lie behind this conception of Zionism, the article considers the significance of the religious backgrounds of the leadership of the PLO Research Center and of those involved in the translation project. It argues that the researchers’ concern about the status of Christians as a religious minority among Palestinians and other Arabs and certain deeply rooted Christian ideas about the nature of Judaism may help account for the particular view of Zionism that the Research Center developed in its—and in the PLO's—foundational years.
PRAYER AND THE ISLAMIC REVIVAL: A TIMELY CHALLENGE
Authors: Rock-Singer Aaron 
Published: April 2016

AbstractThis article traces the emergence of the early afternoonẓuhrprayer as a key project of subject formation during the second half of the Anwar al-Sadat period (1976–81). Drawing on three Islamic magazines of differing ideological orientation (Muslim Brotherhood-Islamist, Salafi-Islamist, and state-sponsored), all containing letters to the editor and fatwa requests, it charts contestation among religious elites and the reception of their programmatic visions. Specifically, the article explores the performance of this daily prayer as a hybrid practice that disrupted the temporal and spatial claims of a state-sponsored bureaucratic order to produce national subjects within public schools and bureaucratic institutions, even as it reproduced the state's emphasis on temporal precision and social order. Based on these texts, this article challenges previous scholarly narratives that place Islamist projects of subject formation on the fringes of secularism and previous studies of Islamist mobilization that posit a separate social universe of Islamist activism.
INTERNATIONAL HUMANITARIAN AGENCIES AND IRAQI MIGRATION IN PRECONFLICT SYRIA
Authors: Hoffmann Sophia 
Published: April 2016

AbstractDuring the Iraqi refugee crisis of 2007–10, international humanitarian organizations appeared for the first time in the Syrian domestic arena. These aid providers interpreted the position of Iraqi refugees in Syria according to a liberal conception of state–citizen relations that did not accord with the Syrian government's actual approach to Iraqis. Guided by this liberal frame, humanitarian organizations introduced biopolitical programs into the Syrian domestic context. Through new forms of population management, they solicited forms of behavior from Iraqis that were different from those required by Syrian state authorities. Drawing on the concept of biopower and using ethnographic material drawn from long-term research in Damascus in 2009–10, this article sheds light on an important political development in Syria shortly before the outbreak of social unrest and on the social changes that international humanitarian aid may transport.
Evaluation of early maturing cowpea (Vigna unguiculata) germplasm for variation in phosphorus use efficiency and biological nitrogen fixation potential with indigenous rhizobial populations
Authors: ABAIDOO R. , DARE M. O. , KILLANI S. , OPOKU A. 
Published: April 2016

SUMMARYCowpea genotypes that efficiently utilize phosphorus (P) with high potential for biological nitrogen (N) fixation (BNF) are vital to sustainable cropping systems in West Africa. A total of 175 early maturing cowpea genotypes were evaluated in 2010 and 2011 for P use efficiency (PUE) and BNF with an indigenous rhizobial population at Shika in the Northern Guinea savanna of Nigeria. There were significant genotypic variations for all 11 variables measured. The P utilization index, percentage N derived from the atmosphere and total N fixed ranged between 2·10–4·67, 31·3–61·86% and 11·86–50 kg/ha, respectively. The 175 early maturing cowpea genotypes were divided into five categories using principal component analysis (PCA), whereby total N fixed was associated with N and P uptake and plant biomass yield. Complete linkage cluster analysis revealed a total of three distinctive clusters having remarkable correspondence with the PCA. Some genotypes were identified as potential candidates for further breeding programmes using high PUE genotypes with relatively high capacity for BNF and indigenous rhizobial populations.
Patterns of change in soil organic matter, physical properties and crop productivity under tillage practices and cropping systems in Bangladesh
Authors: ALAM MD. KHAIRUL , SALAHIN N. , ISLAM S. , BEGUM R. A. , HASANUZZAMAN M. , ISLAM M. S. , RAHMAN M. M. 
Published: April 2016

SUMMARYConservation agriculture (CA) is inadequately developed for rice-based cropping systems widely practiced in Bangladesh. The current drawback is the implementation of CA for all crops including rice (Oryza sativaL., ecotype ‘transplanted aman’ [T. aman]) to increase rice–wheat (Triticum aestivumL.) rotation productivity. It is important to identify the best combination of tillage types and cropping systems to achieve a high yield of component crops and improve soil health. Three tillage practices, assigned to main experimental plots [namely, zero tillage (ZT), conventional tillage using a rotary tiller (CT) and deep tillage using a chisel plough (DT)] and three different cropping systems, assigned to sub-plots [namely, WFT: wheat–fallow–T. aman, WMT: wheat–mungbean (Vigna radiataL. Wilczek)–T. aman and WDT: wheat–dhaincha (Sesbania rostrata)–T. aman], were tested. After 4 years, ZT under WDT and WMT significantly increased soil organic matter (SOM) at 0–150 mm depth, and these replicates also held the highest levels of total organic carbon. Soil organic carbon (C) increased at a rate of 1.17 and 1.14 t/ha/y in ZT under WDT and WMT, respectively, while CT and DT under WFT were almost unchanged. After 4 years, SOM build-up by the three-crop system (WDT and WMT) under ZT helped conserve soil moisture and improve other soil properties, such as reduction in soil strength and bulk density and increase plant available water content, thus maintaining an optimum soil water infiltration rate. Zero tillage under WMT and WDT showed significant improvements in root mass density of rice and wheat at increased soil depth. The WDT and WMT plots under DT consistently gave the highest yield followed by WDT and WMT under CT, in contrast with ZT under WMT or WDT, which showed the highest improvement in crop yields over the years. In summary, minimum soil disturbance together with incorporation of a legume/green manure crop into the rice–wheat system as well as the retention of their residues increased soil C status, improved soil properties and maximized grain yields.
Genome-wide single nucleotide polymorphism heritability of nicotine dependence as a multidimensional phenotype
Authors: Bidwell L. C. , Palmer R. H. C. , Brick L. , McGeary J. E. , Knopik V. S. 
Published: April 2016

BackgroundHeritability estimates from twin studies of the multi-faceted phenotype of nicotine dependence (ND) range from moderate to high (31–60%), but vary substantially based on the specific ND-related construct examined. The current study estimated the aggregate role of common genetic variants on key ND constructs.MethodGenomic-relationship-matrix restricted maximum likelihood (GREML) was used to decompose phenotypic variance across multiple ND indices using 796 125 polymorphisms from 2346 unrelated ‘lifetime ever smokers’ of European ancestry. Measures included DSM-IV ND and Fagerström Test for Nicotine Dependence (FTND) summary measures and constituent constructs (e.g. withdrawal severity, tolerance, heaviness of smoking and time spent smoking). Exploratory and confirmatory factor models were used to describe the covariance structure across ND measures; resulting factor(s) were the subject(s) of GREML analyses.ResultsFactor models indicated highly correlated DSM-IV and FTND factors for ND (0.545, 95% confidence interval 0.50–0.60) that could be represented as a higher-order factor (NIC DEP). Additive genetic influence on NIC DEP was 33% (s.e. = 0.14, p = 0.009). Post-hoc analyses indicated moderate genetic effects on the DSM-IV (34%, s.e. = 0.14, p = 0.008) and FTND (26%, s.e. = 0.14, p = 0.032) factors, both of which were influenced by the same genetic effects (rG-SNP = 1.00, s.e. = 0.09, p < 0.00001).ConclusionsOverall, common single nucleotide polymorphisms accounted for a large proportion of the genetic influences on ND-related phenotypes that have been observed in twin studies. Genetic contributions across distinct ND scales were largely influenced by shared genetic factors.
The supportive network: rural disadvantaged older people and ICT
Authors: BAKER STEVEN , WARBURTON JENI , HODGKIN SUZANNE , PASCAL JAN 
Published: April 2016

ABSTRACTThe rapid development of Information and Communications Technologies (ICT) is profoundly transforming the social order, into what Spanish sociologist Manuel Castells callsthe network society. Mobile technologies, such as smartphones and tablet computers, are perhaps the definitive tools of the network society; however, cultural and economic barriers exist that restrict access to these transformative tools and to the information networks in which they operate. One group that is particularly at risk is rural older people from disadvantaged backgrounds. This paper reports on one aspect of a larger action research project that involved working with a small group of rural, socially isolated older people with histories of homelessness and complex needs (N = 7) and their social workers. This paper focuses on the older participants who, having been provided tablet computers, were then supported to use the device in their homes over the course of eight months. Despite most participants having never used a computing device of any kind prior to the research project, findings suggested that participants gained confidence, independence and social engagement as a result of their ICT use. Results also highlighted that they experienced challenges in utilising ICT, specifically technical, economic and social barriers. Findings highlight the individual and structural issues that must be addressed to enable all citizens to participate fully in the network society.
FREEDOM UNDER AN INDIFFERENT DICTATOR: INTENTIONALITY AND RESPONSIBILITY
Authors: Hindriks Frank 
Published: April 2016

Abstract:Freedom is often analysed in terms of the absence of intentionally imposed constraints. I defend the alternative view on which the relevant constraints are those for which some agent can be held morally responsible. I argue that this best captures the relation between freedom and respect. Berlin (1969) correctly points out that intentional restrictions exhibit ill will and hence are disrespectful. However, the same holds, I argue, for restrictions that are due to indifference. Berlin also observed that it would be counterintuitive if an agent could increase her freedom by changing her preferences. I criticize the argument that Dowding and Van Hees (2007, 2008) present according to which this observation counts in favour of explicating freedom in terms of intentionality.
IX.—Harmonic Riemannian Spaces
Authors: Copson E. T. , Ruse H. S. 
Published: April 2016

In this paper we consider a new class of Riemannian spaces which arise in the theory of the solution of the tensor generalisation of Laplace's equation ∇2V = o. To obtain this generalisation Beltrami's second differential parameter is defined in terms of the metricof the associated n-dimensional Riemannian space by the usual formulæwhere denotes the Christoffel symbol . The generalised Laplace's equation is then Δ2V = o. For simplicity the quadratic differential form (1.1) is taken to be positive definite, which involves no essential loss of generality.
Orofacial dyskinesia: caused by antidepressants?
Authors: Gool A.R. Van , Mast R.C. Van Der , Moleman P. 
Published: April 2016

SummaryA case report is presented of a 72 year old woman, who has been treated for a depression with amitriptyline. During the treatment an orofacial dyskinesia develloped. Data in the literature concerning a possible link between the manifestation of orofacial dyskinesia and treatment with antidepressants were mainly found to be case reports. A closer study of the total in all of 25 case reports reveals that the antidepressant is often at most one of more possible determinants of the movement disorder. Particularly, it was frequently noted that patients were treated with other drugs or that the use of other drugs was not specified. A controverse exists in the literature whether or not a so called spontaneous orofacial dyskinesia is found in high frequency in elderly people. For clinical practice the advice is given that, in case an orofacial dyskinesia arises during antidepressant treatment, attention should be paid to other provoking factors in the first place.
Impact of an influenza vaccine educational programme on healthcare personnel
Authors: RODRÍGUEZ-FERNÁNDEZ R. , MARTÍNEZ-LÓPEZ A. B. , PÉREZ-MORENO J. , GONZÁLEZ-SÁNCHEZ M. I. , GONZÁLEZ-MARTÍNEZ F. , HERNÁNDEZ-SAMPELAYO T. , MEJIAS A. 
Published: April 2016

SUMMARYInfluenza vaccination has been shown to be the most effective preventive strategy to reduce influenza-related morbidity and mortality in high-risk groups. Despite healthcare personnel (HCP) being considered part of such high-risk groups, their vaccination coverage is low in Europe. In January 2012, we distributed an 18-question survey regarding influenza vaccination to HCP at Gregorio Marañon Paediatric Hospital, in Madrid, Spain. After we documented that only ~30% of HCP were vaccinated an educational programme was implemented in October 2012 before the next influenza season. In January 2013, the same survey delivered again to all HCP documented a significant increase in vaccination rates (from 30% to 40%, P = 0·007) mainly among physicians and for patients' protection. In summary we found that a simple and inexpensive educational programme significantly improved the uptake of influenza vaccination in HCP in our centre. Nevertheless, vaccination rates remained low, and broader and updated campaigns are needed to overcome perception barriers.
Changing Pattern of Pediatric Maxillofacial Injuries at the Accident and Emergency Department of the University Teaching Hospital, Ibadan–A Four-Year Experience
Authors: Okoje Victoria N. , Alonge Temitope O. , Oluteye Olufemi A. , Denloye Obafunke O. 
Published: April 2016

AbstractIntroduction:Maxillofacial injuries are common among polytraumatized patients, and in Nigeria, the incidence seems to be on the increase. This probably is related to the drive of industrialization and the increase in the number of road traffic accidents. Delays in attending to severe maxillofacial injuries can be grave because of concomitant injuries that can be life threatening.Methods:This is a prospective review of maxillofacial injuries in patients ≤16 years of age who were seen at the Accident and Emergency Department between October 2002 and December 2006. In all the patients, the accident and emergency physicians carried out initial resuscitation, and thereafter, they were referred to the maxillofacial unit on call.Results:A total of 611 patients with maxillofacial injuries were seen during the study period and of this, 134 (22%) were ≤16 years old. The male:female ratio was 1.1:1.0. Road traffic accident (RTA) was the most common etiological factor in 73 (54.5%) cases, while gunshot injuries accounted for 6 (4.4%) cases. Soft tissue lacerations were the most common maxillofacial injuries occurring in 90 (55.9%) cases; mandibular fractures were the most common bony injury in 17 (13.4%).Conclusions:The upsurge in maxillofacial gunshot injuries in the pediatric age group is alarming and this may be a reflection of the global changes (westernization and drug-related offenses like armed robberies) and the harsh economic conditions in this community.
Internally Displaced Persons
Authors: Leus Xavier , Wallace Jane , Loretti Alessandro 
Published: April 2016

AbstractThere were estimated to be over 20 million internally displaced persons (IDPs) at the end of 1999, a number that surpasses global estimates of refugees. Displacement exposes IDPs to new hazards and accrued vulnerability. These dynamics result in greater risk for the development of illness and death. Often, access of IDPs to health care and humanitarian assistance is excluded deliberately by conflicting parties. Furthermore, the arrival of IDPs into another community or region strains local health systems, and the host population ends up sharing the sufferings of the internally displaced. Health outcomes are dismaying.From a health perspective, the best option is to avoid human displacement. WHO contributes to the prevention of displacement by working for sustainable development. Placing health high on the political agenda helps maintain stability, and thereby, reduce the likelihood for displacement.Primary responsibility for assisting IDPs, irrespective of the cause, rests with the national government. However, where the government is unwilling or unable to provide the necessary aid, the international humanitarian community must step in, with WHO playing a major role in the health sector.There is consensus among the partners of the World Health Organization (WHO) that, in emergencies, the WHO must: 1) take the lead in rapid health assessment, epidemiological and nutritional surveillance, epidemic preparedness, essential drugs management, control of communicable diseases, and physical and psychosocial rehabilitation; and 2) provide guidelines and advice on nutritional requirements and rehabilitation, immunisation, medical relief items, and reproductive health.If the vital health needs of IDPs—security, food, water, shelter, sanitation and household items—are not satisfied, the provision of health services alone cannot save lives. Community participation is essential, and community participation implies bolstering the assets and capacities of the beneficiaries.
Consolidating Rural School Districts: Potential Savings and Effects on Student Achievement
Authors: Jacques Charles , Brorsen B. Wade , Richter Francisca G. C. 
Published: April 2016

AbstractOne frequently proposed policy is to consolidate rural school districts in order to save money by obtaining economies of size. The effects of school district size on both expenditures and standardized test scores are estimated for Oklahoma. Results indicate that economies of scale with respect to expenditures per student exist up to an average daily membership (ADM) of 965 students, but that as school districts become larger, tests scores decline. Even if savings in school district administration from consolidation are spent on instruction, state average test scores would decrease slightly. Thus, school district consolidation can reduce costs, but it will also reduce student learning.