bluuebunny/crossref_metadata_2025_split huggingface dataset:
‘She believed in me’. What patients with depression value in their relationship with practitioners. A secondary analysis of multiple qualitative data sets
Authors: Percival John , Donovan Jenny , Kessler David , Turner Katrina 
Published: February 2016

AbstractBackgroundClinical guidance promotes the practitioner–patient relationship as integral to good quality person‐centred care for patients with depression. However, patients can struggle to engage with practitioners and practitioners have indicated that they want more guidance on how to establish effective relationships with their patients.ObjectiveTo identify what practitioner attributes patients with depression particularly value or find problematic.MethodA secondary analysis of data collected during four qualitative studies, all of which entailed interviewing patients diagnosed with depression about their treatment experiences. Patients in the four studies had received different treatments. These included antidepressants, cognitive behaviour therapy, facilitated physical activity and listening visits. We thematically analysed 32 patient accounts.ResultsWe identified two complimentary sets of important practitioner attributes: the first based on the practitioner's bearing; the second based on the practitioner's enabling role. We found that patients value practitioners who consider their individual manner, share relevant personal information, show interest and acceptance, communicate clearly and listen carefully, collaborate on manageable goals and sanction greater patient self‐care and self‐compassion. It was also evident that patients receiving different treatments value the same practitioner attributes and that when these key practitioner qualities were not evident, patients were liable not to re‐attend or comply with treatment.ConclusionThe practitioner attributes that patients with depression most value have a positive impact on their engagement with treatment. Patients emphasise the importance of a practitioner's demeanour and encouragement, rather than the amount of time or specific treatment a practitioner is able to provide.
‘Well, if the kids can do it, I can do it’: older rehabilitation patients' experiences of telerehabilitation
Authors: Shulver Wendy , Killington Maggie , Morris Claire , Crotty Maria 
Published: February 2016

AbstractBackground and objectiveAlthough trials continue to emerge supporting the role of telerehabilitation, implementation has been slow. Key users include older people living with disabilities who are frequent users of hospital rehabilitation services but whose voices are rarely heard. It is unclear whether the use of technologies and reduced face‐to‐face contact is acceptable to these people. We report on a qualitative study of community dwelling participants who had received a home telerehabilitation programme as an alternative to conventional rehabilitation.DesignThirteen older participants, three spouses and one carer were interviewed. All had participated in an individualized therapy programme, using a combination of face‐to‐face and video consults with therapists. The programme used ‘off‐the‐shelf’ technologies including iPads for videoconferencing and electronic FitBitR devices. Interviews were recorded, transcribed verbatim and analysed using NVivo software.ResultsThematic analysis resulted in five emergent themes: (i) telerehabilitation is convenient; (ii) telerehabilitation promotes motivation and self‐awareness; (iii) telerehabilitation fosters positive therapeutic relationships; (iv) mastering technologies used by younger relatives is a valued aspect of telerehabilitation; and (v) Telerehabilitation does not replace traditional face‐to‐face rehabilitation therapies.ConclusionsParticipants found telerehabilitation convenient and motivating, coped well with the technology and developed positive therapeutic relationships. The learning and practice aspects sat well in the context of a rehabilitation programme. The use of commercially available technologies may have contributed to respondents' high levels of acceptability. The perception of telerehabilitation as complementary to in‐person care and the expectation of technological support have implications for the implementation and delivery of telerehabilitation services to older people.
Missing the Boat: Australia and Asylum Seeker Deterrence Messaging
Authors: Fleay Caroline , Cokley John , Dodd Andrew , Briskman Linda , Schwartz Larry 
Published: February 2016

AbstractMany of Australia's border protection policies have focused on attempts to deter the arrival of asylum seekers by boat. These include government ‘messaging’ in the hope this will influence the decision‐making of would‐be boat arrivals. This article outlines the findings of an exploratory study on the sources of information accessed by asylum seekers, prior to and during their boat journeys to Australia, about their destination country. The findings suggest that government media and Internet strategies focused on deterring asylum seekers are adopted without full regard to how information is sourced before and during these boat journeys.
Jordanian Nurses' involvement in health policy: perceived benefits and barriers
Authors: AbuAlRub R.F. , Foudeh F.N. 
Published: February 2016

AimTo examine (1) the level of involvement of Jordanian nurses in health policy development and (2) perceived benefits, barriers and impacts on health outcomes of involvement in health policy process.BackgroundLack of nurses' political involvement may result in self‐serving policies by policymakers who are in power and passing policies that are less than optimum.MethodA descriptive cross‐sectional design was adopted in this study. A convenience sample of 231 nurses was recruited with a response rate of 77%. The instrument of Registered Nurses' Involvement in Health Policies was used in this study.ResultsThe results revealed that participants were most frequently involved in the health policy activity ‘voting for a candidate or a health policy proposal’. The mean scores for involvement of participants as nurses and as citizens were low. The most perceived frequent barrier to involvement in health policy was lack of time.DiscussionThe low rate of Jordanian nurses' involvement in health policy could be explained by the fact that most participants had family roles in addition to work roles, which might leave little time for health policy activities. Lack of mentoring for nurses by nursing leaders could also negatively affect their involvement in health policy development.Conclusion and implications for health policyResults of this study could be baseline information for Jordanian nurse leaders to enhance the level of nurses' involvement in health policy development. Such findings could also add knowledge to the existing literature about nurses' involvement in health policy.
An activity theoretic analysis of the mediating role of information systems in tackling climate change adaptation
Authors: Hasan Helen , Smith Stephen , Finnegan Patrick 
Published: February 2016

AbstractThis paper demonstrates that information systems (IS) researchers and practitioners can make a significant contribution to the grand challenge of sustainability in light of global climate change. In doing so, the paper takes a novel perspective by going beyond the dominant emphasis in the Green IS literature on climate change mitigation to focus on climate change adaptation. To demonstrate how IS researchers and practitioners can engage with the grand challenge of sustainability, we report the findings of an investigation into the role of IS in climate change adaptation programmes of the government of New South Wales, Australia. Canonical action research, informed by activity theory, proved to be an appropriate methodology for this investigation by combining iterative collaborative engagement and rigorous scholarly reflection. Activity theory has previously been successfully used in IS research as a framework for inquiry and description but not for prediction. This raised questions, addressed in this study, about whether or not activity theory could be used to guide interventions and make sense of their impact. The findings reveal how activity theory provides an appropriate balance between scope and detail to accommodate the complex processes of planning and implementing climate change adaptation programmes. We conclude that while climate adaptation is complex, activity theory, specifically five dynamic dimensions for deep sense‐making, can inform interventions in climate change adaptation projects. Most significantly, we demonstrate that IS experts can make a positive contribution to addressing one of the most important grand challenges of our time.
Apical versus Non‐Apical Lead: Is ICD Lead Position Important for Successful Defibrillation?
Authors: AMIT GUY , WANG JIA , CONNOLLY STUART J. , GLIKSON MICHAEL , HOHNLOSER STEPHAN , WRIGHT DAVID J. , BRACHMANN JOHANNES , DEFAYE PASCAL , NEUZNER JOERG , MABO PHILIPPE , VANERVEN LISELOT , VINOLAS XAVIER , O‘HARA GILLES , KAUTZNER JOSEF , APPL URSULA , GADLER FREDRIK , STEIN KENNETH , KONSTANTINO YUVAL , HEALEY JEFF S. 
Published: February 2016

ICD Lead Position and OutcomeIntroductionWe aim to compare the acute and long‐term success of defibrillation between non‐apical and apical ICD lead position.Methods and ResultsThe position of the ventricular lead was recorded by the implanting physician for 2,475 of 2,500 subjects in the Shockless IMPLant Evaluation (SIMPLE) trial, and subjects were grouped accordingly as non‐apical or apical. The success of intra‐operative defibrillation testing and of subsequent clinical shocks were compared. Propensity scoring was used to adjust for the impact of differences in baseline variables between these groups. There were 541 leads that were implanted at a non‐apical position (21.9%). Patients implanted with a non‐apical lead had a higher rate of secondary prevention indication. Non‐apical location resulted in a lower mean R‐wave amplitude (14.0 vs. 15.2, P < 0.001), lower mean pacing impedance (662 ohm vs. 728 ohm, P < 0.001), and higher mean pacing threshold (0.70 V vs. 0.66 V, P = 0.01). Single‐coil leads and cardiac resynchronization devices were used more often in non‐apical implants. The success of intra‐operative defibrillation was similar between propensity score matched groups (89%). Over a mean follow‐up of 3 years, there were no significant differences in the yearly rates of appropriate shock (5.5% vs. 5.4%, P = 0.98), failed appropriate first shock (0.9% vs. 1.0%, P = 0.66), or the composite of failed shock or arrhythmic death (2.8% vs. 2.3% P = 0.35) according to lead location.ConclusionWe did not detect any reduction in the ICD efficacy at the time of implant or during follow‐up in patients receiving a non‐apical RV lead.
The Role of Political Efficacy on Public Opinion in the European Union
Authors: Mcevoy Caroline 
Published: February 2016

AbstractRecent developments in EU (European Union) support literature confirm that citizen attitudes towards the EU are shaped by both input‐oriented factors relating to the procedural fairness of the system (e.g. political representation and identity) and output‐oriented factors based on the EU's capacity to yield economic benefits. This article builds on these models by suggesting a theoretical framework of support that is driven by both perceptions of the economy and political efficacy. Using data from the 2013 Eurobarometer 80.1, I find that political efficacy is a key predictor of public opinion towards the EU and that citizens who feel their voice is represented in the EU are more likely to maintain support for the EU even when their perceptions of the economy are poor. The findings in this article have particular significance to the puzzle of declining support for the EU following the onset of the ‘great recession’ in 2008.
Inter‐ and Intra‐Operator Reliability of Facial and Dental Measurements Using 3D‐Stereophotogrammetry
Authors: Ceinos Romain , Tardivo Delphine , Bertrand Marie‐France , Lupi‐Pegurier Laurence 
Published: February 2016

AbstractObjectivesThe goal of this study was to assess the reproducibility of an innovative method for facial analysis with three‐dimensional‐stereophotogrammetry (3D‐spg).MethodsTwelve subjects with no obvious malocclusion participated in this study. For each of them, four photographs were acquired using the LifeVizTM, an absolute calibration 3D‐spg system. The facial reconstructions were analyzed with the DermaPixTM image management software. Two different operators recorded distances between landmarks and each operator repeated the measurements after one week. The intra‐ and inter‐examiner reproducibilities were assessed using the Intraclass Correlation Coefficient (ICC).ResultsThis study showed reproducible intra and inter‐examiners results for facial measurements (ICC comprised between 0.732 and 0.976) except for measurements that involve the inner part of the dental corridor (ICC comprised between 0.598 and 0.914).ConclusionThe measurements recorded by 3D‐LifeVizTM system are accurate and reliable for research and clinical use. Moreover, it is simple and inexpensive compared with other 3D methods (laser scanner, 3D Computed Tomography, and 3D Cone Beam CT).Clinical SignificanceThe inter‐ and intra‐operator reliability of the LifeVizTM 3D‐spg method was demonstrated. The LifeVizTM 3D‐spg method might be a useful method to accomplish indirect 3D measurements that are relevant to dental and facial diagnosis. (J Esthet Restor Dent, 2016)
Changes in dermal matrix in the absence of Rac1 in keratinocytes
Authors: Stanley Alanna , Pedersen Esben , Brakebusch Cord , Quondamatteo Fabio 
Published: February 2016

AbstractKeratinocytes, in response to irritants, secrete pro‐inflammatory mediators which recruit and activate immune and mesenchymal cells, including fibroblasts, to repair the skin. Fibroblasts respond by synthesising collagen and promoting the crosslinking extracellular matrix (ECM). We recently showed that the deletion of Rac1 in keratinocytes causes heightened inflammation due to aberrant crosstalk with immune cells. Indeed, the skin of these mice shows a higher inflammatory response to the induction of irritant contact dermatitis (ICD), and also even to treatment with a vehicle alone, compared with controls. As inflammation is intimately linked with fibrotic disease in the skin, this raised the question as to whether this deletion may also affect the deposition and arrangement of the dermal ECM. This study assessed the effects of Rac1 deletion in keratinocytes and of the heightened inflammatory status by induction of ICD on the tissue localisation and arrangements of dermal collagen. Qualitative analysis did not reveal evidence for the formation of pathologies in the dermis. However, quantitative analysis did reveal some perturbations in the dermal matrix, namely that only the combination of the lack of Rac1 and ICD affects the architectural organisation of the dermal collagen, and that a higher inflammatory state in the tissue (i.e. when Rac1 is deleted in the keratinocytes or ICD is induced in the skin, or a combination of both) influences the diameter of the collagen fibrils. It is proposed that this increase in the diameter of collagen fibrils due to inflammation may serve as pre‐fibrotic marker enabling earlier determination of fibrosis and earlier treatment. This study has revealed previously unknown effects on the ECM due to the deletion of Rac1 in keratinocytes.
A rare case of leiomyosarcoma localized in the Bartholin's gland area and review of the literature
Authors: Korkmaz Vakkas , Kurdoğlu Zehra , Karadag Burak , Arslanca Tufan , Caydere Muzaffer , Ergun Yusuf 
Published: February 2016

AbstractSarcomas of the vulva in the Bartholin's gland area are extremely rare in adults and only a few cases have been reported in the literature. A 65‐year‐old female patient without any previous complaint presented to our hospital complaining of a genital lump with progressive enlargement over the last six months. Pelvic examination revealed a 6 × 5 cm solid mass lesion with irregular margins localized in the left Bartholin's gland. Preoperative pathology results indicated a benign lesion, which was subsequently totally excised. Histopathological examination of the lesion revealed leiomyosarcoma. When a lesion is localized in the Bartholin's gland area, preoperative biopsy may suggest benign cytology, which can lead to a delay in diagnosis and curative treatment. Total local excision is the first choice for vulvar‐complicated masses in the Bartholin's gland area. The present case is the ninth well‐documented case reported in the literature.
Correlation of clinical and biochemical hyperandrogenism in Thai women with polycystic ovary syndrome
Authors: Leerasiri Pichai , Wongwananuruk Thanyarat , Indhavivadhana Suchada , Techatraisak Kitirat , Rattanachaiyanont Manee , Angsuwathana Surasak 
Published: February 2016

AbstractAimThe aim of this study was to determine the correlation of clinical hyperandrogenism and biochemical hyperandrogenism (hyperandrogenemia) in Thai women with polycystic ovary syndrome (PCOS).MethodsThis cross‐sectional study was conducted at Siriraj Hospital, Thailand. Subjects were 145 women with PCOS who were diagnosed in accordance with the revised Rotterdam 2003 criteria and registered during January to July 2008. Clinical hyperandrogenism was assessed using the modified Ferriman–Gallwey score for hirsutism, the American Academy of Dermatology criteria for severity of acne, and the Ludwig scale for androgenic alopecia and virilization. Biochemical hyperandrogenism was determined from serum concentration of total testosterone (TT), dehydroepiandrosterone sulfate and free testosterone (FT).ResultsThe participants had a mean age of 25.5 ± 6.5 years and a body mass index of 26.2 ± 6.9 kg/m2. The most common presenting symptom was oligomenorrhea or amenorrhea. The most common expression of clinical hyperandrogenism was acne (56.6%). Most of the participants (84.8%) had high serum‐FT. There was a statistically significant correlation between clinical and biochemical hyperandrogenism in the following pairs: hirsutism and FT (r = 0.3, P < 0.001); hirsutism and TT (r = 0.26, P < 0.001); and acne and TT (r = 0.26, P = 0.002). The others had little or no correlations.ConclusionClinical hyperandrogenism is not a good predictor for biochemical hyperandrogenism in Thai women with PCOS. A modified Ferriman–Gallwey score cut‐off point of 8 has low sensitivity but high specificity for hyperandrogenemia; therefore, it is useful for the diagnosis but not useful for the exclusion of hyperandrogenemia in Thai women with PCOS.
Incidence and causes of maternal mortality in theUSA
Authors: Kuriya Anita , Piedimonte Sabrina , Spence Andrea R. , Czuzoj‐Shulman Nicholas , Kezouh Abbas , Abenhaim Haim A. 
Published: February 2016

AbstractAimTo characterize the most common causes and risk factors of maternal mortality in theUSAand observe trends over the past 9 years.MethodsWe carried out a population‐based retrospective cohort study using data from the Health Care Cost and Utilization Project, Nationwide Inpatient Sample. Women who were pregnant between 2003 and 2011 were identified. Baseline characteristics of pregnant women who died and those who lived were measured. ICD‐9 codes for each cause of death were examined by up to three independent reviewers. Causes of death were categorized into the nine most common subgroups and trends were examined by tertiles of the period 2003–2011.ResultsDuring this 9‐year period, there were approximately 7 million births and 1102 maternal deaths, for an overall incidence of 14.2 per 100 000 births. Primary causes of maternal death included sepsis (20.6%), cardiac disease (17.8%), hemorrhage (16.2%), venous thromboembolism (15.2%), and hypertensive disorders (9.4%). During the study period, there was a significant decrease in the frequency of sepsis from 33.2% to 10.0% and a non‐significant decrease in venous thromboembolism from 19.1% to 12.9%. There were increases noted in all other groups, notably in terms of hemorrhage from 8.2% to 22.0% and hypertensive disorders from 2.1% to 16.4%.ConclusionMaternal mortality remains a rare event. Although sepsis was the overall predominant cause of mortality during the study period, frequency declined over time and it was surpassed by hemorrhage and hypertensive disorders as the leading causes of maternal mortality.
Exploring Environmental Entrepreneurship: Identity Coupling, Venture Goals, and Stakeholder Incentives
Authors: York Jeffrey G. , O'Neil Isobel , Sarasvathy Saras D. 
Published: February 2016

AbstractOn the basis of a qualitative study of 25 renewable energy firms, we theorize why and how individuals engage in environmental entrepreneurship, inductively defined as: the use of both commercial and ecological logics to address environmental degradation through the creation of financially profitable organizations, products, services, and markets. Our findings suggest that environmental entrepreneurs: (1) are motivated by identities based in both commercial and ecological logics, (2) prioritize commercial and/or ecological venture goals dependent on the strength and priority of coupling between these two identity types, and (3) approach stakeholders in a broadly inclusive, exclusive, or co‐created manner based on identity coupling and goals. These findings contribute to literature streams on hybrid organizing, entrepreneurial identity, and entrepreneurship's potential for resolving environmental degradation.
Patterns and Rates of Supplementary Venous Drainage to the Internal Jugular Veins
Authors: Qureshi Adnan I. , Ishfaq Muhammad Fawad , Herial Nabeel A. , Khan Asif A. , Suri M. Fareed K. 
Published: February 2016

ABSTRACTBACKGROUND AND PURPOSESeveral studies have found supplemental venous drainage channels in addition to bilateral internal jugular veins for cerebral venous efflux. We performed this study to characterize the supplemental venous outflow patterns in a consecutive series of patients undergoing detailed cerebral angiography with venous phase imaging.METHODSThe venographic phase of the arteriogram was reviewed to identify and classify supplemental cerebral venous drainage into anterior (cavernous venous sinus draining into pterygoid plexus and retromandibular vein) and posterior drainage pattern. The posterior drainage pattern was further divided into plexiform pattern (with sigmoid venous sinus draining into the paravertebral venous plexus), and solitary vein pattern (dominant single draining deep cervical vein) drainage. The posterior plexiform pattern was further divided into 2 groups: posterior plexiform with or without prominent solitary vein.RESULTSSupplemental venous drainage was seen ipsilateral to internal jugular vein in 76 (43.7%) of 174 venous drainages (87 patients) analyzed. The patterns were anterior (n = 23, 13.2%), posterior plexiform without prominent solitary vein (n = 40, 23%), posterior plexiform with prominent solitary vein (n = 62, 35.6%), and posterior solitary vein alone (n = 3, 1.7%); occipital emissary veins and/or transosseous veins were seen in 1 supplemental venous drainage. Concurrent ipsilateral anterior and posterior supplemental drainage was seen in 6 of 174 venous drainages analyzed.CONCLUSIONSWe provide an assessment of patterns and rates of supplementary venous drainage to internal jugular veins to improve our understanding of anatomical and physiological aspects of cerebral venous drainage.