bluuebunny/crossref_metadata_2025_split huggingface dataset:
Variation in referral and access to new psychological therapy services by age: an empirical quantitative study
Authors: Pettit Sophie , Qureshi Adam , Lee William , Stirzaker Alex , Gibson Alex , Henley William , Byng Richard 
Published: June 2017

BackgroundOlder people with common mental health problems (CMHPs) are known to have reduced rates of referral to psychological therapy.AimTo assess referral rates to the Improving Access to Psychological Therapies (IAPT) services, contact with a therapist, and clinical outcome by age.Design and settingEmpirical research study using patient episodes of care from South West of England IAPT services.MethodBy analysing 82 513 episodes of care (2010–2011), referral rates and clinical improvement were compared with both total population and estimated prevalence in each age group using IAPT data. Probable recovery of those completing treatment was calculated for each group.ResultsEstimated prevalence of CMHPs peaks in 45–49-year-olds (20.59% of population). The proportions of patients identified with CMHPs being referred peaks at 20–24 years (22.95%) and reduces with increase in age thereafter to 6.00% for 70–74-year-olds. Once referred, the proportion of those attending first treatment increases with age between 20 years (57.34%) and 64 years (76.97%). In addition, the percentage of those having a clinical improvement gradually increases from the age of 18 years (12.94%) to 69 years (20.74%).ConclusionYounger adults are more readily referred to IAPT services. However, as a proportion of those referred, probabilities of attending once, attending more than once, and clinical improvement increase with age. It is uncertain whether optimum levels of referral have been reached for young adults. It is important to establish whether changes to service configuration, treatment options, and GP behaviour can increase referrals for middle-aged and older adults.
A Systematic Search for Hidden Type 1 AGNs: Gas Kinematics and Scaling Relations
Authors: Eun Da-in , Woo Jong-Hak , Bae Hyun-Jin 
Published: June 2017

Abstract
We search type 1 active galactic nuclei (AGNs) among emission-line galaxies, that are typically classified as type 2 AGNs based on emission line flux ratios if a broad component in the Hα line profile is not properly investigated. Using ∼24,000 type 2 AGNs at z < 0.1, initially selected from Sloan Digital Sky Survey Data Release 7 by Bae & Woo, we identify a sample of 611 type 1 AGNs based on the spectral fitting results and visual inspection. These hidden type 1 AGNs have relatively low luminosity with a mean broad Hα luminosity, log

erg s−1 and low Eddington ratio with a mean log L
bol/L
Edd = −2.04 ± 0.34, while they do follow the black hole mass–stellar velocity dispersion relation defined by the inactive galaxies and the reverberation-mapped type 1 AGNs. We investigate ionized gas outflows based on the [

] λ5007 kinematics, which show relatively high velocity dispersion and velocity shift, indicating that the line-of-sight velocity and velocity dispersion of the ionized gas in type 1 AGNs is, on average, larger than that of type 2 AGNs.
VLBI Ecliptic Plane Survey: VEPS-1
Authors: Shu Fengchun , Petrov Leonid , Jiang Wu , Xia Bo , Jiang Tianyu , Cui Yuzhu , Takefuji Kazuhiro , McCallum Jamie , Lovell Jim , Yi Sang-oh , Hao Longfei , Yang Wenjun , Zhang Hua , Chen Zhong , Li Jinling 
Published: June 2017

Abstract
We present here the results of the first part of the VLBI Ecliptic Plane Survey (VEPS) program. The goal of the program is to find all compact sources within

of the ecliptic plane that are suitable as calibrators for anticipated phase referencing observations of spacecraft, and determine their positions with accuracy at the 1.5 nrad level. We run the program in two modes: search and refine. In the search mode, a complete sample of all sources brighter than 50 mJy at 5 GHz listed in the Parkes-MIT-NRAO and Green Bank 6 cm (GB6) catalogs, except those previously detected with VLBI, is observed. In the refining mode, the positions of all ecliptic plane sources, including those found in the search mode, are improved. By 2016 October, thirteen 24 hr sessions that targeted all sources brighter than 100 mJy have been observed and analyzed. Among 3320 observed target sources, 555 objects have been detected. We also conducted a number of follow-up VLBI experiments in the refining mode and improved the positions of 249 ecliptic plane sources.
L’expérience des enfants adoptés tardivement à l’étranger : étude qualitative
Authors: Sarmiento Laura , Skandrani Sara , Benoit Laelia , Harf Aurélie , Moro Marie Rose 
Published: June 2017

Ce travail de recherche propose de donner une voix aux enfants adoptés tardive­ment à l’étranger. L’objectif est d’analyser le discours de sept adolescents adoptés entre 5 et 7 ans à l’étranger afin de mieux appréhender ce type d’adoptions. L’analyse qualitative (Interpretative Phenomenological Analysis, Smith, 2008) des entretiens réalisés permet de dégager trois thèmes principaux : 1) La participation de l’enfant à son histoire ; 2) la place qu’occupe le pays de naissance ; et 3) des voies multiples pour se construire. Des sous-thèmes portent sur l’importance des souvenirs et des liens rappelant les origines ainsi que leur quête de continuité et la singularité de grandir dans la différence. Une discussion sur les enjeux qui se dégagent quant à leur participation dans l’adoption, la place de la famille adoptive et leur construction identitaire est proposée. L’importance d’un travail de prévention avec les enfants avant qu’ils ne soient adoptés ainsi que d’un travail d’élaboration familiale après l’adoption est rappelée.
Les interventions comportementales intensives et précoces auprès des enfants avec autisme : une revue critique de la littérature (2009-2012)
Authors: Cruveiller Virginie , Crespin Graciela C. 
Published: June 2017

Les interventions comportementales intensives et précoces – méthode ABA (Applied Behavior Analysis), ou EIBI (Early Intensive Behavioral Intervention) – font aujourd’hui l’objet d’un apparent consensus ; leur validité serait scientifiquement prouvée. Or, les données de la littérature scientifique sont bien plus divergentes et controversées qu’il n’y paraît. Cet article se propose de faire le point sur l’état actuel des connaissances en la matière, à travers une revue de la littérature récente (essais cliniques et méta-analyses parus depuis 2009). Si ce type d’intervention est probablement efficace sous certaines formes et pour certains enfants, comme l’attestent plusieurs essais cliniques, de nombreuses questions restent sans réponse, et le niveau de preuve général de ces études est grevé par un certain nombre de biais méthodologiques potentiels. De plus, certaines études montrent que l’intensivité d’une prise en charge n’est pas nécessairement corrélée à l’importance de ses effets. Les données actuellement disponibles – par ailleurs souvent en faveur de l’EIBI – restent donc lacunaires et discutables.
Le soutien des parents dans les Early childhood dual focused groups anglais et australiens : quelle approche ?
Authors: Needham Martin , Jackson Dianne 
Published: June 2017

S’appuyant sur deux recherches doctorales qualitatives réalisées dans les early childhood dual-focused groups (groupes de la petite enfance à double objectif) australiens et anglais, cet article explore le concept de soutien lors de situations d’accueil enfant-parent. Nous avons identifié huit types d’apports à double objectif que les parents ressentent comme du soutien : amitié et réseaux sociaux, soutien relationnel, soutien par des pairs, soutien émotionnel, soutien du rôle parental, soutien informationnel, soutien par « le cercle des soins » et soutien multidisciplinaire. Dans le contexte des discours internationaux actuels sur le soutien à la parentalité dans la petite enfance, cet article discute l’importance qu’il y a à développer une compréhension plus large de la valeur de ces dispositifs à double objectif auprès des politiques, des parents et des praticiens.
Impact of Interprofessional Simulation on Nursing Students' Attitudes Toward Teamwork and Collaboration
Authors: Krueger Linda , Ernstmeyer Kim , Kirking Ellen 
Published: June 2017

Background:
The purpose of this study was to examine the influence of a multipatient, interprofessional simulation session on nursing students' attitudes toward nurse–physician collaboration using the Jefferson Scale of Attitudes Toward Physician–Nurse Collaboration.

Method:
Final-semester nursing students, along with medical resident and students from other health programs, participated in a simulation exercise that included a period of prebriefing, simulation, and debriefing. Participants completed pre- and postsimulation surveys to assess the impact on collaboration.

Results:
In total, 268 nursing students completed the survey. Participants had a more positive attitude toward nurse–physician collaboration following the simulation event, compared with prior to it. Significant differences between male and female nursing students were found on mean postsimulation scores and for three of the four subscales of the tool.

Conclusion:

Interprofessional simulation may be an effective way to enhance collaborative relationships, which ultimately may influence patient safety and quality of care. [
J Nurs Educ.
2017;56(6):321–327.]
Faculty Attitudes and Adoption of Simulation: Pilot Testing of a New Instrument
Authors: Min Haeyoung , O'Rourke Jenny 
Published: June 2017

Background:This study evaluated the reliability and validity of a new instrument, the Faculty Attitudes and Adoption of Simulation (FAAS). The FAAS was designed to identify faculty attitudes toward and levels of perceived knowledge and adoption of simulation. The instrument was developed based on a comprehensive literature review.Method:A convenience sample of 47 faculty members was used. Content validity, internal consistency reliability, and convergent construct validity were evaluated.Results:Content validity, measured through a content validity index, was found to be .91. Pilot testing of the FAAS demonstrated a Cronbach's alpha of .83. Construct validity was evaluated by comparing the FAAS with a related tool called the Faculty Attitudes and Intent to Use Related to the Human Patient Simulator instrument (r= .64,p< .001).Conclusion:Pilot testing of the FAAS demonstrated initial reliability and validity for measuring faculty attitudes toward and perceived knowledge and adoption of simulation. [J Nurs Educ.2017;56(6):356–359.]
Online or In-Class: Evaluating an Alternative Online Pedagogy for Teaching Transcultural Nursing
Authors: Ochs Jessica H. 
Published: June 2017

Background:
Online learning formats are prevalent in current higher education. Given the changing student demographics and the drive for creativity in educating a technology-savvy student, it is imperative to incorporate innovative and alternative learning modalities to engage these students.

Method:
This pilot study was designed as a quality improvement program evaluation comparing the effects of an online learning module with traditional classroom delivery of transcultural nursing content using a posttest two-group survey design in associate degree nursing students. The students' perceived knowledge and confidence were investigated after receiving the lecture for both the online and in-class groups.

Results:
Data analysis revealed the online cohort perceived themselves as more knowledgeable concerning the ways that cultural factors influence nursing care, but not more confident in providing culturally competent care.

Conclusion:

Due to the students' perceived knowledge gain, this pilot study supports the use of online learning modules as being more effective than the traditional classroom delivery of transcultural nursing content. [
J Nurs Educ.
2017;56(6):368–372.]
Contemplative Activities in Undergraduate Nursing Courses
Authors: Fiske Elizabeth Ann 
Published: June 2017

Background:
Affective learning is valued in nursing, but it is often difficult to plan and evaluate learning activities in this domain. Contemplative activities can promote learning and are relatively easy to implement. These activities can promote deep, reflective thinking.

Method:
A variety of contemplative activities were used in undergraduate nursing courses. Students participated in and reflected on a vigil promoting domestic violence awareness. They attended two different art exhibits and related these exhibits to nursing. The students used journals and eportfolios to reflect on the entire nursing program. They participated in breathing exercises and guided imagery meditations.

Results:
Students evaluated the activities positively, and their reflections were thoughtful.

Conclusion:

Contemplative activities can be useful to develop affective competencies. [
J Nurs Educ.
2017;56(6):378–382.]
Perspective Transformation: A Mechanism to Assist in the Acceptance of Contemporary Education Reform in Athletic Training
Authors: Peer Kimberly S. 
Published: June 2017

Context:Athletic training education is experiencing major reform. As professionals consider the implications of these initiatives, the perspective transformation approach to change processes and future impact provides a viable model for all constituents.Objectives:Transformative learning is used as a construct for framing perspective transformation. The purposes of this commentary are to contextualize athletic training education reform through perspective transformation as a mechanism for understanding and to facilitate acceptance of the transition process through the use of learning theory. Proactive encouragement for stakeholders uses transformative perspectives to create critical dialogue, cultural shifts, and behavioral changes that are inclusive, reciprocal, and broad focused.Background:Perspective transformation theory encourages critical reflection on personal bias, fears and assumptions, and understanding to promote critical growth. Through a 10-step process, perceptual shifts and ongoing dialogue create a culture for transformative learning.Synthesis:Perspective transformation theory provides a strategy for athletic training education programs across the country to embrace change and create meaning from the disorienting dilemma of considering the impact of the educational directive on their programs and students and the profession as a whole.Results:Ongoing dialogue and inclusive perspectives will help reorient educational programs while protecting the future of the profession.Recommendation(s):Dissonance within a profession creates animosity and divides stakeholders. Providing encouragement and specific mechanisms for dealing with disorienting dilemmas helps adult learners realize their assumptions and how they impact their perspectives on change initiatives.Conclusion(s):As a widely supported construct, perspective transformation provides a viable framework for addressing the emerging dissonance and uncertainty associated with educational reform in athletic training. Despite previously surviving tremendous change in athletic training education, this theory provides insights into resolving new fears and creates perspective transformation within the profession.
Psychiatric Comorbidities in Patients with Epilepsy: A Cross-sectional Study
Authors: Jaiswal Saurabh , Kumar Santosh 
Published: June 2017

ABSTRACT

Introduction
People with epilepsy are more likely than the general population to have comorbid psychiatric disorders that include anxiety, depression, and interictal and chronic psychoses. Even though psychiatric comorbidity is common in epilepsy, it is underrecognized and undertreated, both in specialty epilepsy centers and also in community-based services. A thorough assessment of this was sought in this study among the patients of Rohilkhand region of Uttar Pradesh (India).

Materials and methods
A total of 100 patients with epilepsy who visited the psychiatry outpatient clinic were recruited for this study. They were assessed in detail for the presence of comorbid psychiatric disorders on Axis 1 with the help of Structured Clinical Interview for Fourth Edition of the Diagnostic and Statistical Manual of Mental Disorders.

Results
Overall, it was found that a comorbidity of psychiatric disorders was present in 45% of patients with epilepsy. The frequency of cooccurrence of different types of psychiatric disorders was as follows: Mood disorders 21%, anxiety disorders 14%, and psychotic disorders 28%.

Conclusion
Psychiatric comorbidities were found to be a common problem in patients with epilepsy. The results of this study are in line with many different research works both in India and abroad. A proper address of this issue is important for management, better outcome, and policy making in patients with epilepsy.

How to cite this article
Jaiswal S, Kumar S, Sharma CS, Kuchhal A, Jaiswal A. Psychiatric Comorbidities in Patients with Epilepsy: A Cross-sectional Study. Int J Adv Integ Med Sci 2017;2(1):24-28.
Diagnostic Accuracy of Ultrasonography in Cases of Acute Appendicitis
Authors: Singhania Pooja 
Published: June 2017

ABSTRACT

Aims and objectives
To evaluate the accuracy of ultrasonography in the diagnosis of various pathologies of the appendix and to compare the findings of ultrasonography with surgical outcome.

Materials and methods
All the patients suspected of appendicitis clinically were referred for ultrasonography. The accuracy of ultrasonography in the diagnosis of appendicitis was compared with surgical outcome.

Results
Out of 50 cases who underwent ultrasonography, 37 cases were sonographically positive for appendicitis and 13 cases were appendicular masses. Right iliac fossa tenderness, rebound tenderness, and Rovsing's sign were the cardinal signs. The overall specificity and sensitivity were 95% in the diagnosis of acute appendicitis.

Conclusion
Ultrasound is the first-line method in patients referred with clinically suspected acute appendicitis and is cost-effective and reduces the cost of treatment of expensive procedures like exploratory laparoscopy and computed tomography abdomen.

How to cite this article
Kumar V, Sharma G, Singhania A, Khan S, Singhania P, Singhania S. Diagnostic Accuracy of Ultrasonography in Cases of Acute Appendicitis. Int J Adv Integ Med Sci 2017;2(1):32-36.
Role of Narrow-band Ultraviolet B Phototherapy with Topical Tacrolimus 0.03% for Treatment of Childhood Vitiligo
Authors: Dixit Ambika , Yadav Prerna 
Published: June 2017

ABSTRACT
Vitiligo in children is a challenging disease to treat, as fewer safe options are available compared with the adult population. The combination of topical tacrolimus (0.03%) with narrowband ultraviolet B (NBUVB) phototherapy is a safer option and hence we decided to explore this in our study. The extent of repigmentation was assessed at baseline, 12 weeks, and 24 weeks by photographic documentation. We observed that out of 16 patients, 3 (18.75%) had <25% repigmentation, 7 (43.75%) had 25 to 75% repigmentation, and 6 (37.5%) achieved >75% repigmentation. Combined therapy with topical tacrolimus and NBUVB phototherapy is an excellent and safe modality in childhood vitiligo.

How to cite this article
Dixit A, Yadav P, Rathore PK, Goyal S. Role of Narrow-band Ultraviolet B Phototherapy with Topical Tacrolimus 0.03% for Treatment of Childhood Vitiligo. Int J Adv Integ Med Sci 2017;2(1):37-39.
An Innovative Modified Orbital Implant in Enucleated Eyes for Postoperative Functionality and Cosmesis
Authors: Dokania A , Rizvi Y , Sinha Surabhi 
Published: June 2017

ABSTRACT
Orbital implants replace the volume lost by enucleated eye, impart motility to the prosthesis, and maintain cosmetic symmetry with the fellow eye. They include nonintegrated, synthetic semi-integrated, integrated, bio-integrated, and biogenic varieties. The much favored hydroxyapatite (bio-integrated) implant, due to its rough surface, needs to be wrapped in donor sclera or other wrapping materials (like polyglactin-910 mesh, polytetrafluoroethylene sheet, etc.) to which the muscles could be directly sutured. Cost factor of such wrappings is often prohibitive that add to the expense of such implants.

Purpose
To highlight monofilament polypropylene surgical mesh commonly used for herniorrhaphy as an alternative implant wrapping for achieving augmented implant volume and enabling easier extraocular muscle attachment in postenucleation reconstruction of artificial eye.

Materials and methods
Following enucleation of a nonfunctional eye in a patient who met with a road traffic accident, a 14 mm hydroxyapatite ball was used to replace the globe. The ball was wrapped with a monofilament polypropylene surgical mesh used in herniorrhaphy and sutured. The patient achieved a satisfactory cosmesis and movements of the implant for different gazes. No ocular discomfort or implant extrusion was reported following 6 months of follow-up.

Conclusion
Monofilament polypropylene mesh can be used safely as an orbital implant wrapping, economizing the implant cost.

How to cite this article
Sinha S, Rizvi Y, Dokania A. An Innovative Modified Orbital Implant in Enucleated Eyes for Postoperative Functionality and Cosmesis. Int J Adv Integ Med Sci 2017;2(1):47-50.
Recalcitrant steroid-resistant EGPA with multisystem involvement
Authors: Cervi Andrea , Cox Gerard , Khalidi Nader , Nair Parameswaran , Hambly Nathan 
Published: June 2017

Eosinophilic granulomatosis with polyangiitis (EGPA) is a multisystem disorder classically characterized by sequential histopathologic and clinical disease phases. An eosinophilic tissue infiltration phase typically precedes the development of a systemic small-vessel vasculitic phase. The contribution of these two pathogenic mechanisms to disease course and the boundaries between them are often blurred. We report the case of a 49-year-old man with established p-ANCA positive EGPA presenting acutely with central and peripheral nervous system dysfunction, diffuse alveolar hemorrhage, biopsy-proven myositis, and myocarditis resistant to steroids. The patient’s clinical course was marked by unremitting abdominal pain associated with significant weight loss. Although eosinophilic infiltrates were not observed on gastrointestinal mucosal biopsy, samples stained heavily for eosinophil peroxidase, indicating prior degranulation of eosinophils. Complete remission of eosinophil-mediated tissue infiltration and vasculitic phases was achieved only after the addition of intravenous cyclophosphamide to corticosteroid therapy. This case report demonstrates both: a) the importance of recognizing eosinophilic degranulation in addition to intact eosinophils in tissue and b) a unique presentation of a rare disease, underscoring the multifaceted and heterogeneous nature of EGPA and its overlapping disease phases.
Bespreking van: P.H.M. van Hoesel, J.W.M. Mevissen & L.H. Dekker (red.), Kennis voor beleid: Beleidsonderzoek in Nederland, Assen: Van Gorcum 2015
Authors: Gorrée Marieke 
Published: June 2017

Bespreking van: P.H.M. van Hoesel, J.W.M. Mevissen & L.H. Dekker (red.), Kennis voor beleid: Beleidsonderzoek in Nederland, Assen: Van Gorcum 2015
De bundel Kennis voor beleid (2015), onder redactie van Peter van Hoesel, Jos Mevissen en Bart Dekker, is een boek voor iedereen die werkzaam is op het snijvlak van onderzoek en beleid. De uitgave is vooral opgezet als leerboek of overzichtswerk voor studenten, beleidsonderzoekers en beleidsmedewerkers die in hun dagelijkse praktijk te maken hebben met beleidsonderzoek.