bluuebunny/crossref_metadata_2025_split huggingface dataset:
Are validated outcome measures used in distal radial fractures truly valid?
Authors: Kleinlugtenbelt Y. V. , Nienhuis R. W. , Bhandari M. , Goslings J. C. , Poolman R. W. , Scholtes V. A. B. 
Published: May 2016

Objectives Patient-reported outcome measures (PROMs) are often used to evaluate the outcome of treatment in patients with distal radial fractures. Which PROM to select is often based on assessment of measurement properties, such as validity and reliability. Measurement properties are assessed in clinimetric studies, and results are often reviewed without considering the methodological quality of these studies. Our aim was to systematically review the methodological quality of clinimetric studies that evaluated measurement properties of PROMs used in patients with distal radial fractures, and to make recommendations for the selection of PROMs based on the level of evidence of each individual measurement property. Methods A systematic literature search was performed in PubMed, EMbase, CINAHL and PsycINFO databases to identify relevant clinimetric studies. Two reviewers independently assessed the methodological quality of the studies on measurement properties, using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist. Level of evidence (strong / moderate / limited / lacking) for each measurement property per PROM was determined by combining the methodological quality and the results of the different clinimetric studies. Results In all, 19 out of 1508 identified unique studies were included, in which 12 PROMs were rated. The Patient-rated wrist evaluation (PRWE) and the Disabilities of Arm, Shoulder and Hand questionnaire (DASH) were evaluated on most measurement properties. The evidence for the PRWE is moderate that its reliability, validity (content and hypothesis testing), and responsiveness are good. The evidence is limited that its internal consistency and cross-cultural validity are good, and its measurement error is acceptable. There is no evidence for its structural and criterion validity. The evidence for the DASH is moderate that its responsiveness is good. The evidence is limited that its reliability and the validity on hypothesis testing are good. There is no evidence for the other measurement properties. Conclusion According to this systematic review, there is, at best, moderate evidence that the responsiveness of the PRWE and DASH are good, as are the reliability and validity of the PRWE. We recommend these PROMs in clinical studies in patients with distal radial fractures; however, more clinimetric studies of higher methodological quality are needed to adequately determine the other measurement properties. Cite this article: Dr Y. V. Kleinlugtenbelt. Are validated outcome measures used in distal radial fractures truly valid?: A critical assessment using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist. Bone Joint Res 2016;5:153–161. DOI: 10.1302/2046-3758.54.2000462.
Imperial Apparitions: Manchu Buddhism and the Cult of Mañjuśrī
Authors: Chou Wen-Shing 
Published: May 2016

Abstract
This essay reconsiders the Qing imperial appropriation of the sacred mountain range of Wutai Shan through a study of three Manchu monasteries, Baodi Si, Baoxiang Si, and Shuxiang Si, built at the court of the Qianlong emperor between 1750 and 1775. Qianlong's consuming interest in the vision cult of Wutai Shan's resident deity Mañjuśrī is displayed in the building of the three monasteries, which were all modelled after famed temples at Wutai Shan. An investigation of the ritual, architectural, and artistic productions surrounding the three monasteries reveals the crafting of a distinct Manchu Imperial Buddhist identity centered on Qianlong himself as the apparition of Mañjuśrī at Wutai Shan.
A Gestão Pública em Polo de Apoio Presencial do Sistema da Universidade Aberta do Brasil: Estudo de caso no Polo de Apoio Presencial em Resende.
Authors: Xavier Marcos Antonio Gomes 
Published: May 2016

Este artigo trata da Gestão da Educação a Distância pelas instituições de ensino superior, parceiras da Universidade Aberta do Brasil, descrevendo fatores estruturais e organizacionais essenciais para a gestão de qualidade. Através do estudo de caso, com desenvolvimento de pesquisa exploratória, no Polo de Apoio Presencial do Município de Resende, no Estado do Rio de Janeiro, foi possível observar que o polo é elemento-chave no sistema para que propicie ensino de qualidade; para tanto, enfatiza-se a importância do papel do gestor do polo nesse contexto. Palavras-chave: Gestão; Educação a distância; Polo de apoio presencial. The Public Management of Open University of Brazil: A Case Study in Resende Learning Support Center AbstractThis article reports how higher education institutions, partners of the Open University of Brazill, deals with Distance Education Management, by describing structural and organizational factors, essential for a quality management. Through the case study, with exploratory development, he Learning Support Center in the municipality of Resende in the state of Rio de Janeiro, we observed that the Polo is a key element in the system, that provides quality education, therefore, it is emphasized the important role of the manager at this Learning Center in this context. Keywords: Management; Distance Education; Learning Support Center.
Acessibilidade em Objetos de Aprendizagem na EaD: uma Análise em um Curso de Especialização
Authors: Omodei Juliana Dalbem , Oliveira Édison Trombeta de , Souza Marcos Barros de , Santos Vanderlei Leite dos 
Published: May 2016

Este trabalho tem como objetivo analisar os objetos de aprendizagem oferecidos em duas disciplinas do curso de especialização em Educação Especial na perspectiva da Educação Inclusiva, sob a ótica da acessibilidade. Os objetos de aprendizagem são recursos digitais reutilizáveis e que auxiliam a aprendizagem de algum conceito. Para atingir o objetivo proposto, foi empreendida uma pesquisa bibliográfica seguida de um estudo de caso. Para a coleta de dados optou-se no estabelecimento de categorias de análise que permitiram obter uma visão global dos recursos. Os dados foram analisados qualitativamente etapa a etapa de cada jogo, e os dados coletados foram organizados em uma planilha previamente elaborada para esse fim. Os resultados evidenciaram que, embora haja esforço da universidade promotora do curso em oferecer acessibilidade em todo o ambiente virtual e materiais disponíveis, ainda são necessárias algumas adaptações nos objetos de aprendizagem para que se tornem totalmente acessíveis às pessoas com necessidades especiais em nível sensorial. Todavia, é por meio de iniciativas como essa que são possíveis o crescimento e o aprimoramento de objetos educacionais acessíveis e, dessa forma, contribuir com o acesso de permanência de todos na educação a distância.Palavras-chave: Objetos de aprendizagem; Acessibilidade; Educação a Distância. Accessibility in Objects Learning in EAD: an Analysis on a Course of Expertise AbstractThis work aims to analyze the learning objects offered in two course subjects of specialization in Special Education from the perspective of inclusive education from the perspective of accessibility. The learning objects are reusable digital resources and that help learning some concept. To achieve this purpose a literature search followed by a case study was undertaken. To collect data it was decided to establish categories of analysis, which provided an overview of resources. Data were analyzed qualitatively, step by step each game, and collected data organized in a spreadsheet previously prepared for this purpose. The results showed that although there is a university effort to offer accessibility across the virtual environment and available materials are still needed some adjustments to the learning object to become fully accessible to people with sensory disabilities. However, it is through such initiatives that are possible growth and improvement of accessible educational materials and thus contribute to the permanence of access for all in the distance. Keywords: Learning objects; Accessibility; Distance education.
TICs a Serviço da Pedagogia do Diálogo e da Prática da Liberdade na Educação
Authors: Grzybowski Candido 
Published: May 2016

A globalização controla o mundo inteiro e nos torna, todos os povos e todos os habitantes, interdependentes em termos planetários. Qualquer reflexão sobre educação e TICs não pode estar desvinculada de cidadania: de princípios éticos da democracia tais como liberdade, igualdade, diversidade, solidariedade e participação cidadã: e nem dos desafios maiores que a humanidade deve enfrentar na busca de organização da economia/mercado e do poder/Estado para a sustentabilidade da vida e do planeta. As TICs, como qualquer tecnologia e invenção, são um campo de disputa social. Democratizá-las é um imperativo ético e, por isto, o acesso a elas, o mais amplo e includente possível combatendo a exclusão digital ainda imperante entre nós, pode ser um meio de democratizar a sociedade que temos. Mas há um grande potencial nas novas TICs para a sustentabilidade da vida e do planeta, também importante para as escolas. Este é o horizonte das TICs na educação: serem ferramentas libertadoras, participativas e sustentáveis. Palavras-chave: TICs, Cidadania, Igualdade, Liberdade. TICs at the Service of the Pedagogy of Dialogue and the Practice of Freedom in Education Abstract Globalization controls the world and makes us, all people and all inhabitants, interdependent in planetary terms. Any reflection on education and ICT cannot be separated from citizenship - ethical principles of democracy such as freedom, equality, diversity, solidarity and citizen participation: nor from the greatest challenges that humanity must face in the search for organization of the economy / market and power / state for the sustainability of life and the planet. ICT, like any technology and invention, are a social dispute field. Democratize them is an ethical imperative, therefore, the widest and most inclusive access to them, fighting the digital exclusion that is still prevailing among us, it can be a mean of democratizing the society we have. But there is a big potential in new ICT for the sustainability of life and the planet, also important for schools. This is the horizon of ICT in education: to be liberating, participatory and sustainable tools. Keywords: ICT; Citizenship; Equality; Freedom.
2015 JOSPT Reviewer of the Year Award
Authors: Abbott J. Haxby 
Published: May 2016

The winner of the JOSPT Reviewer of the Year Award was Szu-Ping Lee, PT, PhD, who performed with consistent excellence across 3 categories: (1) willingness to serve the Journal by conducting reviews, (2) insightfulness and constructiveness of the reviews, and (3) promptness of turnaround. We are very grateful to all of the many reviewers who served the Journal during 2015 by providing excellent, timely, and constructive reviews, and thank and congratulate Dr Lee in particular for consistently providing high-quality peer reviews for JOSPT and the authors who submit their work to the Journal. J Orthop Sports Phys Ther 2016;46(5):315–316. doi:10.2519/jospt.2016.0107
Neuromodulation in intractable pain management: outcomes and predictors of revisions of spinal cord stimulators
Authors: Bir Shyamal C. , Konar Subhas , Maiti Tanmoy , Nanda Anil , Guthikonda Bharat 
Published: May 2016

OBJECTIVE
Spinal cord stimulators (SCSs) appear to be safe and efficacious for chronic intractable back pain. Although there are many reports on percutaneous SCSs, there are very few studies on outcomes of paddle lead SCSs. In addition, the predictors of requirement for SCS revision have not been well established. Here, the authors review the outcome of a case series and attempt to identify the predictors of SCS revisions.

METHODS
The clinical and radiological information of 141 patients with intractable chronic pain who underwent SCS implantation within the past 20 years was retrospectively reviewed. Paddle lead SCSs were used in this series. Statistical analysis was conducted using Kaplan-Meier curves and Cox proportional-hazards regression.

RESULTS
Among 141 cases, 90 (64%) did not require any revision after SCS implantations. Removal of the SCS was required in 14 patients. The average pain score was significantly reduced (preimplantation score of 8 vs postimplantation score of 1.38; p < 0.0001). Younger age, male sex, obesity, a preimplantation pain score ≥ 8, and the presence of neuromuscular pain were identified as predictors of the overall requirement for SCS revision. However, only a preimplantation pain score ≥ 8 was identified as a predictor of early failure of the SCS.

CONCLUSIONS
Implantation of a paddle lead SCS is a relatively less invasive, safe, and effective procedure for patients with intractable back pain. Revision of the procedure depends on many factors, including younger age, male sex, associated neuromuscular pain, and severity of the pain. Therefore, patients with these factors, for whom implantation of an SCS is planned, should be closely followed for the possible requirement for revision.
Effect of Topography and Soil Depth on Clay Content, Organic Matter Content, Active Acidity, Reserve Acidity and Cation Exchange Capacity of Some Tea Soils of Bangladesh
Authors: Sanaullah A. F. M. , Akhtaruzzaman M. , Uddin M. A. 
Published: May 2016

Soil samples were collected from M. R. Khan tea-estate area of Moulvibazar district, Bangladesh. Organic matter, active acidity, reserve acidity, cation exchange capacity, clay content and textural class of the collected soil samples for different topographic positions and depths were determined. The percentage of sand, silt and clay varied from 59.75 to 70.50, 12.50 to 20.00 and 14.50 to 22.75, respectively. Active acidity and reserve acidity of the soils varied from 4.13 to 5.82 and 3.46 to 4.84, respectively. Organic matter content varied from 0.37% to 1.93%. Cation exchange capacity (CEC) varied from 11.42 to 24.86 cmolKg-1. Soils were acidic in nature with considerably high reserve acidity. The measured parameters of the soil samples were plotted and analyzed with reference to topography and depth. The parameters have been found to vary with sampling sites, depths and topography.
Agreement between Rheumatologist and Patient-reported Adherence to Methotrexate in a US Rheumatoid Arthritis Registry
Authors: Curtis Jeffrey R. , Bharat Aseem , Chen Lang , Greenberg Jeffrey D. , Harrold Leslie , Kremer Joel M. , Sommers Tanya , Pappas Dimitrios 
Published: May 2016

Objective.Rheumatologists have limited tools to assess medication adherence. The extent to which methotrexate (MTX) adherence is overestimated by rheumatologists is unknown.Methods.We deployed an Internet survey to patients with rheumatoid arthritis (RA) participating in a US registry. Patient self-report was the gold standard compared to MTX recorded in the registry.Results.Response rate to the survey was 44%. Of 228 patients whose rheumatologist reported current MTX at the time of the most recent registry visit, 45 (19.7%) had discontinued (n = 19, 8.3%) or missed ≥ 1 dose in the last month (n = 26, 11.4%). For the subgroup whose rheumatologist also confirmed at the next visit that they were still taking MTX (n = 149), only 2.6% reported not taking it, and 10.7% had missed at least 1 dose.Conclusion.MTX use was misclassified for 13%–20% of patients, mainly because of 1 or more missed doses rather than overt discontinuation. Clinicians should be aware of suboptimal adherence when assessing MTX response.
Development of a Flare Instrument for Use in Psoriatic Disease: A Report from the 2015 GRAPPA Annual Meeting
Authors: Moverley Anna R. , Waxman Robin , de Wit Maarten , Parkinson Andrew , Campbell Willemina , Brooke Melanie , Gossec Laure , Helliwell Philip S. 
Published: May 2016

Objective.The objective of this Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) initiative is to develop a questionnaire to determine the presence of a flare of disease activity in psoriatic disease (PsD), for use in clinical care and research settings.Methods.In 2014 and 2015, 2 online Delphi surveys of patients and physicians attempted to achieve consensus about items that might discriminate a flare of disease. In the first round, items were derived from previous qualitative studies with patients; in the second round, new items, suggested by both patients and physicians, were added. Survey results were discussed at the 2015 GRAPPA annual meeting, and 8 breakout groups discussed specific aspects of PsD flares.Results.Survey participants were patients (n = 103 and n = 57 in rounds 1 and 2) and physicians (n = 125 and n = 81). Items for flare covered 6 domains (joints, skin, emotion, participation, fatigue, and unclassified). Patients agreed that 20 items were important (10 joints, 1 participation, 8 fatigue, 1 unclassified), and physicians agreed on 23 items (5 skin, 11 joints, 4 participation, 3 unclassified). Eight items were selected as important by both groups: 7 joint items and 1 unclassified. Patients emphasized fatigue and physicians emphasized skin and participation. Breakout groups concluded that the components of a flare instrument should be derived from patients. A flare should be defined as a change in disease state requiring intervention.Conclusion.The concept of flare in PsD covers articular, skin, emotional, participation, and fatigue domains. Further work is required to specify items that represent these domains.
Enhancing the Communication of Suddenly Speechless Critical Care Patients
Authors: Rodriguez Carmen S. , Rowe Meredeth , Thomas Loris , Shuster Jonathan , Koeppel Brent , Cairns Paula 
Published: May 2016

Background
Sudden speechlessness is common in critically ill patients who are intubated or have had surgery for head and neck cancer. Sudden inability to speak poses challenges for hospitalized patients because strategies to facilitate communication are often limited and unreliable.

Objective
To determine the impact of a technology-based communication intervention on patients’ perception of communication difficulty, satisfaction with communication methods, and frustration with communication.

Methods
A quasi-experimental, 4-cohort (control and intervention) repeated-measures design was used. Data were collected daily for up to 10 days. Patients in adult critical care units were followed up as they were transferred to other units within the institutions selected for the study. The impact of a technology-based communication system (intervention) was compared with usual care (control). Patients’ communication outcomes pertinent to communication with nursing staff that were evaluated included perception of communication ease, satisfaction with methods used for communication, and frustration with communication.

Results
Compared with participants in the control group, participants in the intervention group reported lower mean frustration levels (−2.68; SE, 0.17; 95% CI, −3.02 to −2.34; P &lt; .001) and higher mean satisfaction levels (0.59; SE, 0.16; 95% CI, 0.27 to 0.91; P &lt; .001) with use of the communication intervention. Participants in the intervention group reported a consistent increase in perception of communication ease during the hospital stay.

Conclusions
The results facilitated evaluation of a bedside technology-based communication intervention tailored to the needs of suddenly speechless critically ill patients.
Critical Care Nurses’ Perceived Need for Guidance in Addressing Spirituality in Critically Ill Patients
Authors: Canfield Christina , Taylor Debi , Nagy Kimberly , Strauser Claire , VanKerkhove Karen , Wills Stephanie , Sawicki Patricia , Sorrell Jeanne 
Published: May 2016

Background
The term spirituality is highly subjective. No common or universally accepted definition for the term exists. Without a clear definition, each nurse must reconcile his or her own beliefs within a framework mutually suitable for both nurse and patient.

Objectives
To examine individual critical care nurses’ definition of spirituality, their comfort in providing spiritual care to patients, and their perceived need for education in providing this care.

Methods
Individual interviews with 30 nurses who worked in a critical care unit at a large Midwestern teaching hospital.

Results
Nurses generally feel comfortable providing spiritual care to critically ill patients but need further education about multicultural considerations. Nurses identified opportunities to address spiritual needs throughout a patient’s stay but noted that these needs are usually not addressed until the end of life.

Conclusions
A working definition for spirituality in health care was developed: That part of person that gives meaning and purpose to the person’s life. Belief in a higher power that may inspire hope, seek resolution, and transcend physical and conscious constraints.
Development of Eulophidae (Hymenoptera) parasitoids in Diatraea saccharalis (Lepidoptera: Crambidae) pupae exposed to entomopathogenic fungi
Authors: Rossoni C. , Pereira F.F. , Kassab S.O. , Rodrigues A. , Barbosa R.H. , Zanuncio J.C. 
Published: May 2016

AbstractPalmistichus elaeisis Delvare and LaSalle, Tetrastichus howardi (Olliff), and Trichospilus diatraeae Cherian and Margabandhu (Hymenoptera: Eulophidae) are promising candidates for the control of sugarcane borer, Diatraea saccharalis (Fabricius) (Lepidoptera: Crambidae). The fungi Beauveria bassiana (Balsamo) Vuillemin (Cordycipitaceae) and Metarhizium anisopliae (Metchnikoff) Sorokin (Clavicipitaceae) also can be used to control sugarcane borers plus leafhoppers (Hemiptera: Cercopidae) in sugarcane. This observation motivated us to investigate whether entomopathogenic fungi can affect biological aspects of these parasitoids. Diatraea saccharalis pupae (24 hours in age) were exposed to parasitism by three females of each eulophid species for 72 hours and then placed in small tubes. A contact surface treated with 1 mL of fungal suspension was placed inside each tube with the parasitised pupae at concentrations of 1×109, 5×109, or 10×109 conidia mL−1 of M. anisopliae and B. bassiana. Exposure to fungi reduced emergence of adult P. elaeisis, but not of T. howardi and T. diatraeae. Life cycle duration, progeny, and sex ratio of P. elaeisis were not affected by exposure. Exposure was associated with decreased longevity for both sexes of T. howardi and in males of P. elaeisis, but not at levels expected to affect their performance as biocontrol agents. In general, the exposure of eulophid species developing in pupae of D. saccharalis exposed to entomopathogenic fungi, did not compromise the biological aspects of these parasitoids.