bluuebunny/crossref_metadata_2025_split huggingface dataset:
Magnetic Resonance Imaging and Clinical Evaluation of Patellar Resurfacing with Press-Fit Osteochondral Autograft Plugs
Authors: Nho Shane J. , Foo Li Foong , Green David M. , Shindle Michael K. , Warren Russell F. , Wickiewicz Thomas L. , Potter Hollis G. , Williams Riley J. 
Published: January 2017

Background Autologous osteochondral transplantation (AOT) has been successfully used in the femoral condyle and trochlea and is an attractive treatment option for full-thickness patellar cartilage lesions. Hypothesis Patients treated with AOT for the repair of symptomatic, isolated patellar cartilage lesions will demonstrate improvement in functional outcomes and postoperative magnetic resonance imaging appearance. Study Design Case series; Level of evidence, 4. Methods Between 2002 and 2006, patients with focal patellar cartilage lesions treated with AOT were prospectively followed. The mean age at the time of surgery was 30 years. Clinical assessment was performed with the International Knee Documentation Committee (IKDC), activities of daily living of the Knee Outcome Survey (ADL), and Short Form-36 (SF-36) at baseline and most recent follow-up. Magnetic resonance imaging was used to evaluate the cartilage repair morphologic characteristics in 14 cases. Results Twenty-two patients met the study criteria with a mean follow-up of 28.7 months (range, 17.7–57.8 months). The mean Patellar lesion size was 165.6 ± 127.8 mm and the mean size of the donor plug was 9.7 ± 1.1 mm in diameter with 1.8 ± 1.4 Plugs/defect. The mean preoperative IKDC score was 47.2 ± 14.0 and improved to 74.4 ± 12.3 ( P = .028). The mean preoperative ADL score was 60.1 ± 16.9 and increased to 84.7 ± 8.3 ( P = .022). The mean SF-36 also demonstrated an improvement, from 64.0 ± 14.8 at baseline to 79.4 ± 15.4 ( P = .059). Nine patients underwent concomitant distal realignment and demonstrated improvement between preoperative and postoperative outcomes scores, but these differences were not statistically significant. Magnetic resonance imaging appearance demonstrated that all plugs demonstrated good (67%–100%) cartilage fill, 64% with fissures <2 mm at the articular cartilage interface, 71 % with complete trabecular incorporation, and 71 % with flush plug appearance. Conclusion Patellar AOT is an effective treatment for focal patellar chondral lesions, with significant improvement in clinical follow-up. This study suggests that patients with patellar malalignment may represent a subset of patients who have a poor Prognostic outlook compared with patients with normal alignment.
Nuclear Electrics Approach to Environmental Management Systems
Authors: Kemp N. W. , Free A. J. 
Published: January 2017

Nuclear Electric (NE) currently operates the 11 nuclear power stations in England and Wales, generating 61 TWh of electricity in 93/94, constituting over 23% of the Country's electricity consumption. The company is also decommissioning 2 nuclear power station, Berkeley and Trawsfynydd, and is progressing commissioning of the PWR station at Sizewell to time and cost. NE was formed in 1990 following the re-organisation of the UK electricity industry, taking over all the nuclear stations previously operated by the Central Electricity Generating Board (CEGB). The company competes in the UK electricity market with the privatised generators National Power and Powergen who inherited the fossil fuelled stations of the CEGB. This paper outlines the nature of Nuclear Electric's existing environmental management systems, considers the implications of the adoption of a company environmental policy and looks at the exercise currently under way to incorporate the requirements of the policy into current management practices using BS7750 as a vehicle.
A Qualitative Approach to Lifelong Learning: Strategic Competence and Reflective Education
Authors: Alberici Aureliana 
Published: January 2017

The present article is first of all a contribution to theory in the broad field of adult education in lifelong perspective, that, starting from literature and theories in this field, develops a reflection based on empirical work, related in particular to the use of qualitative methodologies in the learning process for mature students enrolled in university. The outcome of this experimentation was the support and empowerment of motivation and volition and the development of proactive, reflexive and self-analytical abilities needed for adult students to achieve transformative and reflective results in learning. The first part of the paper brings forward a theory on lifelong learning (LLL) and it is also a reflection on the need to place the subject at the centre of education by using qualitative methods, such as: experiential, reflective and transformative learning. In the second part, the paper tackles the issue of the relations between LLL and reflectiveness, as a basic feature of social relationships, of organisations and personal relations. The third section focuses on ‘learning to learn’ as a strategic competence and a necessary resource for anyone. The last part takes into consideration concepts and methods of reflective education as a feature of education not limiting itself to its functional dimension. Thus, some reflective methodologies such as: Bilan de Compétences (BdC), empowerment, lifelong guidance, critical event, are brought forward as examples of reflective educational paths.
A phase 2 study incorporating sorafenib into the chemotherapy for older adults with FLT3-mutated acute myeloid leukemia: CALGB 11001
Authors: Uy Geoffrey L. , Mandrekar Sumithra J. , Laumann Kristina , Marcucci Guido , Zhao Weiqiang , Levis Mark J. , Klepin Heidi D. , Baer Maria R. , Powell Bayard L. , Westervelt Peter , DeAngelo Daniel J. , Stock Wendy , Sanford Ben , Blum William G. , Bloomfield Clara D. , Stone Richard M. , Larson Richard A. 
Published: January 2017

Key Points
The addition of sorafenib to chemotherapy for older adults with FLT3-ITD mutated AML is safe and may improve overall survival.
To Govern the Church: Autonomy and the Consequences of Self-Determination for the Brotherhood of Saint Efigênia and Saint Elesbão of Black Men of São Paulo, Brazil, 1888–1890
Authors: Monroe Alicia L. 
Published: January 2017

AbstractThis essay examines a conflict between the Brotherhood of Saint Efigênia and Saint Elesbão of Black Men and the Diocese of São Paulo over access to the Church of Saint Efigênia, which led to ecclesial proceedings and the brotherhood's unprecedented dissolution. The dispute highlights transformations in church governance, popular devotion, and racial politics in late nineteenth-century Brazil. The article documents the local impact of Romanization (ca. 1850–1960), the effort by papal authorities and Catholic Church officials in Brazil to create greater conformity in ritual and belief by increasing the number and authority of secular clerics. The reassertion of parochial authority led to discord and racial difference between brotherhood members and church officials contributed to the conflict's intensification in a period marked by elite anxiety resulting from gradual and final slave emancipation. The dispute and its extreme resolution emphasized how fragile autonomy could be for Afro-Brazilian sodalities in the late nineteenth century.
Development Strategy of Business Activity of Entrepreneurship Enterprises in the Municipalities (on the example of Sverdlovsk region)
Authors: Головина  , Golovina A. , Алексина  , Aleksina A. 
Published: January 2017

The article clarified the nature of the business activity of subjects of entrepreneurship,
the proposed methodological provision for monitoring business
activities of entrepreneurship enterprises in the municipalities, is characterized
by a strategy of development of business activity of entrepreneurship and
presents their approbation on the example of the municipalities of the Sverdlovsk
area.
Organizational and Legal Bases of State Regulation of Educational Activity
Authors: Фёклин  , Feklin Sergey 
Published: January 2017

In the Russian Federation verifi cations in the fi eld of education are carried out by the authorized authorities and in the manner prescribed by law.
The main legal acts in the fi eld of control and surveillance activities are the Federal Law “On Education in the Russian Federation”, Federal Law “On
protection of rights of legal entities and individual entrepreneurs in the exercise of state control (supervision) and municipal control” and the Federal
Law “On licensing of certain activities”.
The head of the audited educational organization in order to enhance their legal awareness when dealing with the inspectors must be aware of their
rights, obligations and the measures taken in the case of violations of the law.
The article describes and comments on the organizational and legal aspects of inspections of educational institutions and organizations engaged in
training.
Safety of Water Supply Systems and Wastewater Treatment of Industrial Enterprises
Authors: Шилков  , SHilkov Vladimir , Аникин  , Anikin Yu. 
Published: January 2017

In this article, the necessity of integrated approach to the analysis and solution of problems of safety of water supply and
wastewater treatment are declared. The results of the study the main problems of the systems of production of water
supply and wastewater treatment are described. Practical measures for solving problems are proposed. Pressing need of
application of means of informatization, strategic risk analysis methods and innovative technologies of water treatment are
declared. The basic principles of safe and effective critical systems of water supply and wastewater treatment in the sphere
of production are proposed.
Stable archaeal tetraether lipid liposomes for photodynamic application: transfer of carboxyfluorescein to cultured T84 tumor cells
Authors: Oertl Anton , Antonopoulos Emmanouil , Freisleben Seruni U. , Freisleben Hans-Joachim 
Published: January 2017

Background: Archaeal membranes have phytanyl ether lipids instead of common fatty acid-glycerol esters in bacterial and eukaryotic cells. Sulfolobus and Thermoplasma species have unique membrane-spanning tetraether lipids (TEL), which form stable liposomes. Recently, we cultured Thermoplasma species from the Indonesian volcano Tangkuban Perahu and isolated TEL. The purpose of this in vitro study is to investigate the transfer of fluorescent dye from stable TEL liposomes to cultured colon carcinoma cells.Methods: TEL was extracted from cultured cells with chloroform-methanol (1:1), then it was fractionated and purified via diethylaminoethyl-cellulose-acetate columns and activated charcoal for the formation of stable liposomes. For the fluorescence exchange assay, TEL liposomes were loaded with water-soluble carboxyfluorescein (CF). Staining experiments were conducted with various cell cultures, and T84 colon carcinoma cells were chosen for the main experiments. Liposome stability was tested by light scattering and electron microscopic size determinations as well as by unspecific CF release at low pH (6.0–7.4) and increased temperature (4–50°C/70°C).Results: TEL liposomes exhibit high stability and extremely low proton permeability at low pH. CF staining of cultured T84 colon carcinoma cells appeares more intensive from TEL liposomes than from dipalmitoylphosphatidylcholine liposomes.Conclusion: The results of this in vitro study demonstrate CF staining of colon carcinoma cells and high stability of TEL liposomes at low pH, matching the condition in the gastro-intestinal (GI) route and in the urogentital (UG) tract. For this reason, in vivo studies on liposomal fluorescent photosensitizers for topical application of photodynamic cancer therapy in the GI and UG tracts should be carried out.
Electronic Health Record's Effects on the Outpatient Office Visit and Clinical Education
Authors: Sandoval Marie B , Palumbo Mary Val , Hart Vicki 
Published: January 2017

Background: During an office visit, the provider has the important cognitive task of attending to the patient while actively using the electronic health record (EHR). Prior literature suggests that EHR may have a positive effect on simple tasks, but a negative effect on tasks that require complex cognitive processes. No study has examined the provider’s perception of EHR on multiple distinct aspects of the office visit.Methods: We surveyed providers/preceptors regarding their perception of EHR on multiple aspects of the office visit. We summarized their EHR utilization history and their perceptions of the EHR during the visit using descriptive statistics. We tested for associations between time spent using the EHR and distinct aspects of the visit using Chi-square tests of association.Results: In total, 83 providers/preceptors reported use of EHR (response rate 52%). Provider/preceptors reported an overall negative effect of EHR on the patient-provider connection, but an overall positive effect on the review of medications/medical records, communication between providers, review of results with patients and review of follow-up to testing results with patients. The effect of EHR on history taking and teaching students was neutral. We observed no correlation between the provider’s time spent using the EHR and their perception of its effectiveness.Conclusions: Providers reported a positive perception of EHR on aspects of the office visit that involved a single cognitive task. However, providers reported a negative perception of EHR on patient-provider connection, which involves a high degree of cognitive processing.
Defining Health Information Exchange: Scoping Review of Published Definitions
Authors: Akhlaq Ather , Sheikh Aziz , Pagliari Claudia 
Published: January 2017

ObjectiveThe term Health Information Exchange (HIE) is often used in health informatics, yet uncertainties remain about its precise meaning. This study aimed to capture and analyse existing definitions in order to map variations in its use and the concepts associated with it.MethodsSystematic literature search to identify published definitions of HIE and equivalent terms such as Clinical Information Exchange. Medline, Web of Science, Library Information Science and Technology Abstracts, EMBASE and CINAHL Plus were searched to identify relevant research, and Google to identify grey literature. Searches were not limited by language or date of publication. In order to warrant inclusion documents had to either define the concept explicitly or do so via a concrete description. Included references were tabulated by author affiliation, source of quote, year of publication, country of origin and definitions and the definitions themselves were analysed thematically.ResultsSearches revealed 603 scientific articles and 5981 website links. From these, a total of 268 unique definitions of HIE were identified and extracted: 103 from scientific databases and 165 from Google. Eleven constructs emerged from the thematic analysis. Contextual factors influenced the emphasis of the definitions and the framing of HIE as a concept/process, a set of enabling technologies, or an entity/organisation.ConclusionsHIE is a complex and evolving concept and uses of the term vary across settings, presenting challenges for communication. Developing a generic term is difficult, given the importance of context, but the authors suggest one covering key attributes of HIE, which may be helpful.
Health Information Exchange as a Complex and Adaptive Construct: Scoping Review
Authors: Akhlaq Ather , Sheikh Aziz , Pagliari Claudia 
Published: January 2017

ObjectiveTo understand how the concept of Health Information Exchange (HIE) has evolved over time.Methods Supplementary analysis of data from a systematic scoping review of definitions of HIE from 1900 to 2014, involving temporal analysis of underpinning themes.ResultsThe search identified 268 unique definitions of HIE dating from 1957 onwards; 103 in scientific databases and 165 in Google. These contained consistent themes, representing the core concept of exchanging health information electronically, as well as fluid themes, reflecting the evolving policy, business, organisational and technological context of HIE (including the emergence of HIE as an organisational ‘entity’). These are summarised graphically to show how the concept has evolved around the world with the passage of time. The term HIE emerged in 1957 with the establishment of Occupational HIE, evolving through the 1990s with concepts such as electronic data interchange and mobile computing technology; then from 2006-10 largely aligning with the US Government’s health information technology strategy and the creation of HIEs as organisational entities, alongside the broader interoperability imperative, and continuing to evolve today as part of a broader international agenda for sustainable, information-driven health systems.ConclusionsThe concept of HIE is an evolving and adaptive one, reflecting the ongoing quest for integrated and interoperable information to improve the efficiency and effectiveness of health systems, in a changing technological and policy environment.
Response of lowland rice-ratooned rice-fluted pumpkin sequence to fertilizer in rainfed inland valley in derived savannah of Nigeria
Authors: Adigbo Sunday Ojo , Odedina Joy N , Afolabi Clement G , Osipitan Adebola A , Agbonlahor M , Fabunmi T O , Adejuyigbe C O , Atanda F G , Nweke-Okoh M L 
Published: January 2017

Trial was carried out at Federal University of Agriculture, Abeokuta, Nigeria between 2010 and 2012 to determine response of lowland rice-ratooned rice-fluted pumpkin sequence to fertilizer. Experiment was laid out in Randomized Complete Block Design arranged in split-split plot in three replicates. Three rice genotypes constituted the main treatments sown in May and harvested in August. Split fertilizers application constituted sub-plot treatments were 90:45:45 (single dose), 45:22.5:22.5 & 45:22.5:22.5 (1:1), 30:15:15 & 60:30:30 (1:2) and 60:30:30 & 30:15:15 (2:1) NPK ha-1 at tillering and heading. N-fertilizer rates were sub-sub plot treatment and applied to ratooned ‘NERICA L-42’ had the tallest plants compare to others. ‘Ofada’ had the lowest number of days to 50 % flowering for main and ratooned rice, while ‘NERICA L-42’ had the highest number of days to 50 % heading. ‘NERICA L-41’ variety had the highest grain yield in main and ratooned rice. Based on this study, ‘NERICA L-41’ plus its ratooned rice obtained from single dose NPK and zero N-fertilizer plots produced grain yield of 4.69 t ha-1.
Fungal pathogens associated with crown and collar rot of apple trees in southern Syria
Authors: Naffaa Walid Ghazi , Rashid Abeer 
Published: January 2017

Crown and collar rot of apple trees is a destructive and widespread disease in most areas of the world. Surveys have been done to describe disease symptoms, estimate the disease incidence, and identify the pathogens associated with this disease in southern Syria. Disease incidence was 0.08 – 10 % in most studied sites, only in Alroom location it was up to 14.7 % in 2014 and 17.8 % in 2015, with average of 11.8 %. Symptoms included small pale green leaves, sparse foliage, and a reddish-brown discoloration of inner bark of the infected area at the base of infected tree. The isolated fungi belonged to genera and form genera Phytophthora, Rosellinia, Rhizoctonia, Phialophora, Acremonium, Pestalotiopsis, Cylindrocarpon and Verticillium. Phytophthora was isolated from all infected trees, and was the most frequent pathogen (53.7 % of total isolates). Phytophthora isolates recovered from crown cankers of apple were identified as P. cactorum (91.5 %) and P. cambivora (8.5 %). The results of this study are the first report of crown and collar root rot of apple in Syria.
Guanyin and Dizang: The Creation of a Chinese Buddhist Pantheon
Authors: Yü Chün-fang , Chongxin Yao 
Published: January 2017

Abstract
Although Buddhist art and Buddhist scripture have a close relationship, the Buddhist pantheon is not always based on scriptures. The authors came to this realization through their separate researches. Both Yu and Yao were impressed by the pairing of Guanyin and Dizang among the cliff sculptures in Sichuan. The two bodhisattvas often share the same niche or their individual niches are placed side by side. Moreover, although the pair is most often presented alone, we also find interesting new triads of Amitābha, Medicine Buddha, the historical Buddha or Maitreya attended by the pair. Both the paired worship of Guanyin and Dizang and the new triads cannot be attributed to any scriptural sources. This article provides some examples of this artistic innovation and offers some hypotheses for its creation.
Postmodernism as a Nationalist Conservatism? The Case of Zhang Yiwu
Authors: Strafella Giorgio 
Published: January 2017

Abstract
The adoption of postmodernist and postcolonial theories by China’s intellectuals dates back to the early 1990s and its history is intertwined with that of two contemporaneous trends in the intellectual sphere, i. e. the rise of conservatism and an effort to re-define the function of the Humanities in the country. This article examines how these trends merge in the political stance of a key figure in that process, Peking University literary scholar Zhang Yiwu, through a critical discourse analysis of his writings from the early and mid-1990s. Pointing at his strategic use of postmodernist discourse, it argues that Zhang Yiwu employed a legitimate critique of the concept of modernity and West-centrism to advocate a historical narrative and a definition of cultural criticism that combine Sino-centrism and depoliticisation. The article examines programmatic articles in which the scholar articulated a theory of the end of China’s “modernity”. It also takes into consideration other parallel interventions that shed light on Zhang Yiwu’s political stance towards modern China, globalisation and post-1992 economic reforms, including a discussion between Zhang Yiwu and some of his most prominent detractors. The article finally reflects on the implications of Zhang Yiwu’s writings for the field of Chinese Studies, in particular on the need to look critically and contextually at the adoption of “foreign” theoretical discourse for national political agendas.
Marriage Migration and State Interests: Reflections from the Experiences of Marriage Migrants from the People’s Republic of China in Taiwan
Authors: Momesso Lara 
Published: January 2017

Abstract
This paper, by building on the empirical case of marriage migration across the Taiwan Strait, problematises the consequences, on migrants’ lives, of state-to-state relations, especially when sending and receiving states hold antagonistic nationalistic interests. This paper aims to contribute to the empirical literature on marriage migration, particularly in the East Asian context, by adding the dimension of state to state relations in shaping contemporary movements for family formation. Furthermore, this paper contributes to the broader debate on transnational migration studies by arguing that the power of the nation-state over contemporary migration flows is not fixed and immutable, but it is rather a dynamic force that changes depending on broader factors related not only to global restructuring but also to the relations between sending and receiving state. Ultimately, migrants may have a degree of agency in responding to sending and receiving country’s nationalistic agendas.