bluuebunny/crossref_metadata_2025_split huggingface dataset:
“Back to Bedside”: Residents' and Fellows' Perspectives on Finding Meaning in Work
Authors: Hipp Dustin M. , Rialon Kristy L. , Nevel Kathryn , Kothari Anai N. , Jardine LCDR Dinchen A. 
Published: March 2017

ABSTRACT

Background
Physician burnout is common and associated with significant consequences for physicians and patients. One mechanism to combat burnout is to enhance meaning in work.

Objective
To provide a trainee perspective on how meaning in work can be enhanced in the clinical learning environment through individual, program, and institutional efforts.

Methods
“Back to Bedside” resulted from an appreciative inquiry exercise by 37 resident and fellow members of the ACGME's Council of Review Committee Residents (CRCR), which was guided by the memoir When Breath Becomes Air by Paul Kalanithi. The exercise was designed to (1) discover current best practices in existing learning environments; (2) dream of ideal ways to enhance meaning in work; (3) design solutions that move toward this optimal environment; and (4) support trainees in operationalizing innovative solutions.

Results
Back to Bedside consists of 5 themes for how the learning environment can enhance meaning in daily work: (1) more time at the bedside, engaged in direct patient care, dialogue with patients and families, and bedside clinical teaching; (2) a shared sense of teamwork and respect among multidisciplinary health professionals and trainees; (3) decreasing the time spent on nonclinical and administrative responsibilities; (4) a supportive, collegial work environment; and (5) a learning environment conducive to developing clinical mastery and progressive autonomy. Participants identified actions to achieve these goals.

Conclusions
A national, multispecialty group of trainees developed actionable recommendations for how clinical learning environments can be improved to combat physician burnout by fostering meaning in work. These improvements can be championed by trainees.
Incidence of Patient Identification Errors observed before Medication and Procedure/Intervention
Authors: Kaushik Saakshi , Chawla, Ritwik 
Published: March 2017

ABSTRACT
Objectives
To identify the number of individuals for whom double identification check was done before administering medication and before procedure/intervention, as per Continual Quality Improvement 3j indicator of National Accreditation Board of Hospitals (4th edition) and hospital policy.

Materials and methods
The study was a concurrent, observational recording of the study population which included doctors/surgeons, nurses, and/or technicians before administration of any medication and before beginning of any procedure/intervention. The observations were recorded on a prepared checklist to find the compliance of incidence of patients’ double identification.

Results
A total of 34 observations were recorded before administering medication to a patient. In 18 cases, wristbands were not being used, and identification details were incorrect in 4 cases. Of 34 cases, identifiers were illegible in 6 cases. The major area where the error was high was noncompliance to verbal confirmation of identity (ID) and checking it from the patient’s file. Out of 34 observations before a procedure/intervention, 9 errors were identified in cases where the ID band was not used for verification, and identification details on the band were illegible in 5 cases. In six cases, the patient’s name was not verbally confirmed with the patient or carer. Furthermore, in 10 cases, verbally confirmed name was not checked with the patient’s file. Out of 34 cases, double identification was not done in 13 cases.

Conclusion
Many nurses, doctors, and technicians in clinical settings do not verify patient ID before performing a task, resulting in more than one-third of staff not conforming themselves with the double identification procedure. The study also showed that over three-fourths of the total invasive procedures are compliant to double identification. On the contrary, noninvasive procedures showed less than one-fourth compliance to double identification.

How to cite this article
Chawla R, Kaushik S. Incidence of Patient Identification Errors observed before Medication and Procedure/Intervention. Int J Res Foundation Hosp Healthc Adm 2016;4(2):100-106.
‘Mensen genoeg die voor vos, varken of lam worden uitgemaakt. Maar omgekeerd?’
Authors: Fraipont Barbara 
Published: March 2017

Abstract

‘People enough that are called fox, pig or lamb. But the other way round?’: a zoopoetical comparison between Charlotte Mutsaers' and La Fontaine’s animal texts

This article aims to highlight the yet unexplored zoopoetical relation of the Dutch writer and artist Charlotte Mutsaers (1942-) to the famous animal fables of Jean de la Fontaine. A couple of important animal configurations will be identified in Mutsaers’s work through the analysis of animal discursive devices and metamorphoses in La Fontaine. In this respect, La Fontaine’s fable ‘La Chatte métamorphosée en femme’ (‘The cat metamorphosed into a woman’) (1688-1693) will be compared with Mutsaers’s novel Koetsier Herfst (2008). The literary-philosophical frameworks of metamorphosis and hybridity as well as the becoming-animal motif, drawn from research in the Cultural and Literary Animal Studies (CLAS), will prove useful to show how animal aspects in Mutsaers and La Fontaine relate to each other and correlate with different political discourses about the animal. The analysed creative and discursive human-animal patterns in Mutsaers’s and La Fontaine’s texts set out significant social-philosophical reversals of perspective about the animal-human bond and shed new light on Mutsaers’s artistic practice.
In de demonische schaduw van de grote meester
Authors: Van Rompaey Andreas 
Published: March 2017

Abstract
In 1979, the Dutch author Louis Ferron published the novel De gallische ziekte, a literary work that often is linked to postmodernism. The nineteenth century tale ‘Der Sandmann’ by E.T.A. Hoffmann serves as one of the narrative’s many intertexts. In this article, I will examine whether the same cultural templates show up in both ‘Der Sandmann’ and De gallische ziekte. Although De gallische ziekte does include more or less the same cultural templates as ‘Der Sandmann’, my research also shows in which way Ferron adapts those templates to suit his own worldview.
Realization of daily evapotranspiration in arid ecosystems based on remote sensing techniques
Authors: Elhag Mohamed , Bahrawi Jarbou A. 
Published: March 2017

Abstract. Daily evapotranspiration is a major component of water resources management plans. In arid ecosystems, the quest for an efficient water budget is always hard to achieve due to insufficient irrigational water and high evapotranspiration rates. Therefore, monitoring of daily evapotranspiration is a key practice for sustainable water resources management, especially in arid environments. Remote sensing techniques offered a great help to estimate the daily evapotranspiration on a regional scale. Existing open-source algorithms proved to estimate daily evapotranspiration comprehensively in arid environments. The only deficiency of these algorithms is the course scale of the used remote sensing data. Consequently, the adequate downscaling algorithm is a compulsory step to rationalize an effective water resources management plan. Daily evapotranspiration was estimated fairly well using an Advance Along-Track Scanner Radiometer (AATSR) in conjunction with (MEdium Resolution Imaging Spectrometer) MERIS data acquired in July 2013 with 1 km spatial resolution and 3 days of temporal resolution under a surface energy balance system (SEBS) model. Results were validated against reference evapotranspiration ground truth values using standardized Penman–Monteith method with R2 of 0.879. The findings of the current research successfully monitor turbulent heat fluxes values estimated from AATSR and MERIS data with a temporal resolution of 3 days only in conjunction with reliable meteorological data. Research verdicts are necessary inputs for a well-informed decision-making processes regarding sustainable water resource management.
ANÁLISE DE VARIÁVEIS MORFOMÉTRICAS EXTRAÍDAS APARTIR DE IMAGEM SRTM PARA ELABORAÇÃO DE MAPA PEDOLÓGICO
Authors: Oliveira Silva Iza Carla , Alves Regia Estevam , Rodrigues Tiago Lima 
Published: March 2017

O Modelo Digital de Terreno - MDT é utilizado para realizar diversas análises relacionadas à modelagem ambiental. Os diferentes recursos disponíveis pelo sensoriamento remoto, como as imagens de radar interferométrico SRTM, faz-se necessário, pois estes possibilitam mapeamentos de recursos naturais importantes para o homem, como por exemplo, o solo. Além disso, esses dados de sensoriamento remoto são obtidos e disponibilizados gratuitamente. Desta forma, este trabalho tem como objetivo elaborar um mapa pedológico preliminar da Bacia Hidrográfica do Rio Passaúna no estado do Paraná, a partir da análise de variáveis morfométricas extraídas do processamento digital de imagens de radar interferométrico SRTM. A metodologia objetiva orientar trabalhos de campo tornando-se pesquisas mais rápidas e de baixo custo. O MDT foi elaborado com resolução espacial de 30 metros disponíveis por reamostragem pelo TOPODATA. A partir do MDT, foram obtidos variáveis morfométricas para serem usadas na elaboração das composições de cores RGB, com vistas a identificar tipos de solo, sendo: declividade, aspecto e área de contribuição. Os resultados foram comparados com o mapa de solos elaborado pela EMBRAPA onde foi possível observar semelhanças e diferenças em relação à extensão e distribuição das classes de solo da bacia.
Mandibular Reconstruction by Using a Liquid Nitrogen-Treated Autograft in a Dog with an Oral Tumor
Authors: Okamura Yasuhiko , Heishima Kazuki , Motegi Tomoki , Sasaki Jun , Goryo Masanobu , Nishida Hideji , Tsuchiya Hiroyuki , Katayama Masaaki , Uzuka Yuji 
Published: March 2017

ABSTRACT
A 10 yr old intact female German shepherd dog presented with a large peripheral odontogenic fibroma and malignant melanoma on her lower jaw. The tumor was resected with a unilateral subtotal rostral hemimandibulectomy. After the mandible was removed, it was devitalized intraoperatively by freezing it in liquid nitrogen. It was subsequently reimplanted. New bone tissue formed in the gap between the frozen bone and the host bone. The regenerated bone contained osteocytes, osteoblasts, and blood vessels. The cosmetic appearance of the dog was preserved. The dog had normal mastication. The malignant melanoma recurred rostral of the left canine tooth at 159 days after the reconstruction surgery. A subtotal hemimandibulectomy was consequently performed. This is the first reported case of mandibular reconstruction using a liquid nitrogen-treated autograft in a dog with oral tumors.
Periodontal Therapy in Dogs Using Bone Augmentation Products Marketed for Veterinary Use
Authors: Angel Molly 
Published: March 2017

ABSTRACT
Periodontal disease is extremely common in companion animal practice. Patients presenting for a routine oral examination and prophylaxis may be found to have extensive periodontal disease and attachment loss. Vertical bone loss is a known sequela to periodontal disease and commonly involves the distal root of the mandibular first molar. This case report outlines two dogs presenting for oral examination and prophylaxis with general anesthesia. Both patients did not have any clinical symptoms of periodontal disease other than halitosis. Both patients were diagnosed with three-walled vertical bone loss defects of one or both mandibular first molars utilizing dental radiography as well as periodontal probing, measuring, and direct visual inspection. These defects were consistent with periodontal disease index stage 4 (&gt;50% attachment loss). The lesions were treated with appropriate root planing and debridement. Bone augmentation products readily available and marketed for veterinary use were then utilized to fill the defects to promote both the re-establishment of normal alveolar bone height and periodontal ligament reattachment to the treated surface. Follow-up assessment and owner dedication is critical to treatment outcome. Both patients' 6 mo follow-up examinations radiographically indicated bone repair and replacement with visible periodontal ligament space.
Bemiddeling-mediation: (ontwerp)regelgeving in België, Nederland en de EU met een impressie van de TMD-congresmiddag op 1 december 2016
Authors: Jagtenberg Rob , de Roo Annie 
Published: March 2017

Mediation: (concept) legislation in Belgium, the Netherlands and the EU and an impression of the TMD symposium on 1 December 2016
This Volume is a special issue, almost entirely dedicated to the TMD symposium that took place on 1 December 2016 at the premises of Intersentia Publishing company near Antwerp. The symposium addressed the current Belgian and Dutch plans for new legislation aiming to further the use of mediation by intending litigants. The TMD Editorial Board is honoured that an insight into the respective plans was provided by the highest level authorities, that is: Mr. Koen Geens, the Belgian Minister of Justice, and Mr. Dennis Hesemans, senior counsel to the Dutch Minister of Justice. The Board is equally honoured that on behalf of the European Commission, Mrs. Karen Vandekerckhove, Acting Head of Unit at DG Justice and Consumers, was willing to discuss the outcomes of the recent official Evaluation of the EU Mediation Directive 52/2008. These findings made it possible to assess the Belgian and Dutch plans in a broader European perspective. The presentations delivered by these three keynote speakers have been reworked and are included as main contributions in this Volume.
La notion de compétence : une approche épistémologique
Authors: Kahn Sabine , Rey Bernard 
Published: March 2017

La notion de compétence souffre d’une incertitude épistémologique : bien qu’on ait socialement besoin de penser que certains individus sont compétents dans un domaine, rien ne garantit absolument qu’un individu ayant accompli une tâche saura accomplir une tâche du même type, mais comportant des aspects différents. L’examen de quelques modèles explicatifs de la compétence rencontrés dans la littérature fait apparaître la difficulté à en rendre compte à partir du seul rapport entre une situation et le fonctionnement psychique de l’individu. Nous conduirons ces analyses en prenant essentiellement des exemples dans le monde scolaire. Pour expliquer que certains individus sont compétents dans un domaine et que d’autres ne le sont pas, il apparaît nécessaire de prendre en compte l’interprétation de la situation par le sujet en fonction d’une visée intentionnelle. Cela nous conduit à proposer, pour expliquer la compétence, un cadre paradigmatique qui prend pour objet la relation ternaire entre sujet, situations et normes.
Développement de compétences avancées dans la formation des futurs médecins : l’exemple de la médecine familiale au Canada
Authors: Lacasse Miriam , Renaud Jean-Sébastien , Cantat Adrien , Saucier Danielle 
Published: March 2017

Au Canada comme ailleurs dans le monde, un mouvement général de transformation des cursus est en cours depuis une vingtaine d’années en vue d’adopter une approche par compétences dans les programmes de formation médicale et autres professions. Cet article décrit la mise en oeuvre de cette approche dans le contexte particulier des programmes de formation postdoctorale (résidence) en médecine familiale au Canada. Après une mise en contexte sur l’éducation médicale et la résidence en médecine familiale au Canada, on y discute de trois défis rencontrés à travers le pays : définir compétence et approche par compétences dans le contexte de l’éducation médicale; enseigner dans une approche par compétences en transformant les dispositifs de formation pour favoriser le développement des compétences; évaluer les compétences pour en soutenir le développement. Pour ce faire, les auteurs se basent sur des écrits en éducation et en éducation des sciences de la santé, de même que sur leur expérience de travail au sein de programmes de résidence et de comités nationaux portant sur le sujet.
La compétence à l’école pensée à partir de la perspective située de l’apprentissage
Authors: Mottier Lopez Lucie 
Published: March 2017

Cet article présente une réflexion conceptuelle sur la compétence à partir des travaux de la cognition située et de l’apprentissage situé, particulièrement ceux qui concernent l’apprentissage scolaire. Pour interroger la compétence, l’unité d’analyse sera la « relation dialectique », au sens de Lave (1988), entre la personne en activité et le monde socialement et culturellement organisé expérimenté. Cette unité offre un cadre pour penser les processus de médiation dans la mobilisation des ressources internes et externes au coeur du concept de compétence. Nous choisissons de revenir aux travaux de la fin des années 1980, car, comme l’observe Brougère (2008), ils représentent une contribution majeure et originale à la conceptualisation de l’apprentissage comme un acte de participation à des pratiques sociales et culturelles. L’article examine plus particulièrement deux axes de conceptualisation interreliés : les dimensions données et construites du contexte immédiat à l’activité d’apprentissage, les pratiques socioculturelles des contextes de classe et plus largement. D’une part, la réflexion conceptuelle proposée par l’article amène à envisager le développement de compétences en salle de classe à partir des dimensions contextuelles sur lesquelles l’enseignant ou l’enseignante peut agir en pensant les contraintes et les ressources de l’environnement d’apprentissage et des pratiques de la classe. D’autre part, elle insiste sur l’appréhension de la relation de structuration réciproque entre l’élève en activité et les aspects agissants des contextes, dans leurs dimensions circonstancielles et au regard des normes sociales et des pratiques culturelles dans la classe et en dehors de la classe.
Extreme sea levels on the rise along Europe's coasts
Authors: Vousdoukas Michalis I. , Mentaschi Lorenzo , Voukouvalas Evangelos , Verlaan Martin , Feyen Luc 
Published: March 2017

Future extreme sea levels (ESLs) and flood risk along European coasts will be strongly impacted by global warming. Yet, comprehensive projections of ESL that include mean sea level (MSL), tides, waves, and storm surges do not exist. Here, we show changes in all components of ESLs until 2100 in view of climate change. We find that by the end of this century, the 100‐year ESL along Europe's coastlines is on average projected to increase by 57 cm for Representative Concentration Pathways (RCP)4.5 and 81 cm for RCP8.5. The North Sea region is projected to face the highest increase in ESLs, amounting to nearly 1 m under RCP8.5 by 2100, followed by the Baltic Sea and Atlantic coasts of the UK and Ireland. Relative sea level rise (RSLR) is shown to be the main driver of the projected rise in ESL, with increasing dominance toward the end of the century and for the high‐concentration pathway. Changes in storm surges and waves enhance the effects of RSLR along the majority of northern European coasts, locally with contributions up to 40%. In southern Europe, episodic extreme events tend to stay stable, except along the Portuguese coast and the Gulf of Cadiz where reductions in surge and wave extremes offset RSLR by 20–30%. By the end of this century, 5 million Europeans currently under threat of a 100‐year ESL could be annually at risk from coastal flooding under high‐end warming. The presented dataset is available through this link:
http://data.jrc.ec.europa.eu/collection/LISCOAST.Plain Language SummaryFuture extreme sea levels and flood risk along European coasts will be strongly impacted by global warming. Here, we show changes in all acting components, i.e., sea level rise, tides, waves, and storm surges, until 2100 in view of climate change. We find that by the end of this century the 100‐year event along Europe will on average increase between 57 and 81 cm. The North Sea region is projected to face the highest increase, amounting to nearly 1 m under a high emission scenario by 2100, followed by the Baltic Sea and Atlantic coasts of the UK and Ireland. Sea level rise is the main driver of the changes, but intensified climate extremes along most of northern Europe can have significant local effects. Little changes in climate extremes are shown along southern Europe, with the exception of a projected decrease along the Portuguese coast and the Gulf of Cadiz, offseting sea level rise by 20–30%. By the end of this century, 5 million Europeans currently under threat of a 100‐year coastal flood event could be annually at risk from coastal flooding under high‐end warming.
Potential controls of isoprene in the surface ocean
Authors: Hackenberg S. C. , Andrews S. J. , Airs R. , Arnold S. R. , Bouman H. A. , Brewin R. J. W. , Chance R. J. , Cummings D. , Dall'Olmo G. , Lewis A. C. , Minaeian J. K. , Reifel K. M. , Small A. , Tarran G. A. , Tilstone G. H. , Carpenter L. J. 
Published: March 2017

AbstractIsoprene surface ocean concentrations and vertical distribution, atmospheric mixing ratios, and calculated sea‐to‐air fluxes spanning approximately 125° of latitude (80°N–45°S) over the Arctic and Atlantic Oceans are reported. Oceanic isoprene concentrations were associated with a number of concurrently monitored biological variables including chlorophyll a (Chl a), photoprotective pigments, integrated primary production (intPP), and cyanobacterial cell counts, with higher isoprene concentrations relative to all respective variables found at sea surface temperatures greater than 20°C. The correlation between isoprene and the sum of photoprotective carotenoids, which is reported here for the first time, was the most consistent across all cruises. Parameterizations based on linear regression analyses of these relationships perform well for Arctic and Atlantic data, producing a better fit to observations than an existing Chl a‐based parameterization. Global extrapolation of isoprene surface water concentrations using satellite‐derived Chl a and intPP reproduced general trends in the in situ data and absolute values within a factor of 2 between 60% and 85%, depending on the data set and algorithm used.
Propagation characteristics of plasmaspheric hiss: Van Allen Probe observations and global empirical models
Authors: Yu J. , Li L. Y. , Cao J. B. , Chen L. , Wang J. , Yang J. 
Published: March 2017

AbstractBased on the Van Allen Probe A observations from 1 October 2012 to 31 December 2014, we develop two empirical models to respectively describe the hiss wave normal angle (WNA) and amplitude variations in the Earth's plasmasphere for different substorm activities. The long‐term observations indicate that the plasmaspheric hiss amplitudes on the dayside increase when substorm activity is enhanced (AE index increases), and the dayside hiss amplitudes are greater than the nightside. However, the propagation angles (WNAs) of hiss waves in most regions do not depend strongly on substorm activity, except for the intense substorm‐induced increase in WNAs in the nightside low L‐region. The propagation angles of plasmaspheric hiss increase with increasing magnetic latitude or decreasing radial distance (L‐value). The global hiss WNAs (the power‐weighted averages in each grid) and amplitudes (medians) can be well reproduced by our empirical models.