bluuebunny/crossref_metadata_2025_split huggingface dataset:
Glacier Fluctuations in George VI Sound Area, West Antarctica (Abstract only)
Authors: Clapperton C.M. , Sugden D.E. 
Published: September 2017

George VI Sound lies between Alexander Island and the Antarctic Peninsula and is over 20 km wide and 500 km long. At present an ice shelf fills the sound and is nourished largely by ice from the Antarctic Peninsula which flows across the sound to ground against the coast of Alexander Island. Ice-free areas, comprising small nunataks and larger massifs, fringe both sides of the sound and contain evidence of the former glacial history of the area. This paper describes the field evidence in detail and uses geomorphological and sedimentary analyses to put forward a relative glacial chronology, constrained by two absolute dates.The chronology distinguishes:
(1) a maximum state during which all ice-free areas were submerged by ice flowing into George VI Sound from both the Antarctic Peninsula and Alexander Island and thence along the sound as an ice stream. This occurred in the late Wisconsin and followed an interstadial or interglacial when George VI Sound was free of an ice shelf.(2) a valley-based stadial during overall deglaciation represented by pronounced marginal moraines on Alexander Island.(3) deglaciation to a stage where there was less landbased ice on Alexander Island than today. At this stage isostatic recovery was incomplete, relative sealevel was higher, and George VI Ice Shelf penetrated further into embayments on Alexander Island than at present.(4) probable disappearance of George VI Ice Shelf by 6.5 14C ka BP.(5) neoglacial readvance of local glaciers on Alexander Island to form three closely spaced terminal moraines and the growth of a new George VI Ice Shelf which was again more extensive than at present.(6) subsequent oscillations of both smaller Alexander Island glaciers and George VI Ice Shelf probably during the Little Ice Age. These fluctuations are similar to those in other sub-Antarctic Islands in the Scotia Sea and also in southern Chile.
Ice Flow Along AN Iagp Flow Line, Wilkes Land, Antarctica (Abstract only)
Authors: Young N.W. , SheehY D. , Hamley T. 
Published: September 2017

Trilateration and single line surveys have been made to about 900 km inland of Casey, Wilkes Land, to measure surface elevation, ice thickness, horizontal velocity, and other parameters. On the large scale the velocity U increases smoothly from 8 m a−1, 800 km inland, to 280 m a−1 inland of the fast outlet streams. This increase in velocity is associated with a corresponding increase in the large-scale smoothed (over about 30 ice thicknesses) basal shear stress τb from 0.4 to 1.5 bar. The mean shear strain-rate through the ice sheet U/Z = kτb4, where Z is the ice thickness (range 4 500 to 1 700 m).At scales of one to several ice thicknesses large variations occur in surface slope and ice thickness without proportionally large velocity variations, because of the effect of the longitudinal stress. Detailed measurements made over a 30 km section indicated that the surface longitudinal strain-rate gradient varied from -1.7 to +1.3×l0−6 a−1 m−1 along with variations in surface slope of from -3.5 to +1.5%.A multilayer model, based on the solution of the biharmonic equation for the stream function, was used in a study of the ice flow associated with these surface undulations. Given the bedrock topography and large-scale flow parameters, the model closely predicted the measured surface profile when the variation of the surface accumulation rate over an undulation was also considered.
Estimation of Precipitation and Accumulation for the Iagp Area from Rawinsonde Data (Abstract only)
Authors: Bromwich D.H. 
Published: September 2017

Routine upper-air observations for the year 1972 are used to construct the atmospheric water vapor budget between the coast and the line joining the highest points of the terrain between the meridians 55°E and 110°E. This gives seasonal and annual values of precipitation for an area of 2.4 × 106 km2. Annual accumulation amounts are then estimated for the whole budget region. By assuming that the accumulation poleward of the 2 000 m elevation contour equals the 1972 precipitation, the annual areallyaveraged precipitation (and thus the accumulation) is computed for the coastal slopes below 2 000 m.Rigorous analysis of the rawinsonde data from five coastal stations and one on the plateau is a feature of this study. A special attempt is made to resolve the key boundary-layer properties. A systematic and important bias in the record due to missed observations during storms is demonstrated. The use of estimates for these missing values, which are obtained from multilinear regression equations, increases the computed annual poleward water-vapor transport at two stations by more than 30%.Regions of net water-vapor inflow to and outflow from the continent were found to be organized in the same fashion as the mean circulation in the lower troposphere: the budget region is under the influence of a cyclonic vortex centered offshore. There was a poleward-directed, integrated (surface to 300 mbar) eddy flux of water vapor at all points along the coast. 43% of the annual precipitation fell during the period June to August due to a particularly stormy sequence mainly at one station.The annual accumulation between the coast and the crest of the terrain is estimated with an uncertainty of 17%, and for the coastal slopes with an uncertainty of 39%. Comparison of the multiannually averaged accumulation derived from glaciological measurements with the computed values for a single year shows agreement within the limits of error.In conclusion, the water-vapor budget approach produces accumulation values similar to the glaciological measurements. This approach offers a viable alternative method for monitoring the seasonal and annual accumulation over large parts of East Antarctica.
Serviço de Atendimento Móvel de Urgência 192: Violência Contra A Mulher
Authors: Ibiapino Mateus K , Couto Vanessa BM , Sampaio Bernardo P , Souza Roberto AR , Padoin Felipe A , Carvalho Bárbara EB , Salomão Irany S 
Published: September 2017

RESUMO

Histórico
A violência contra a mulher constitui uma grande preocupação de saúde pública brasileira, que apresenta uma taxa de homicídio feminino que coloca o Brasil no quinto lugar no ranking mundial dessa estatística. Contudo, há poucas informações publicadas na literatura sobre mecanismos de trauma e prevalência de lesões nesse cenário. Este trabalho objetiva analisar o perfil epidemiológico das mulheres vítimas de violência através da análise de atendimentos pré-hospitalares.

Desenho do estudo
Foi realizado um estudo descritivo retrospectivo com base em coleta de dados de registros de atendimentos do Serviço de Atendimento Móvel de Urgência (SAMU) do município de Ilhéus, Bahia, realizados entre janeiro e dezembro do ano de 2014. De um universo de 1588 atendimentos a traumatizados, selecionaram-se as vítimas do sexo feminino (466), e destas aquelas cujos mecanismos de trauma foram por agressão, resultando numa amostra final de 49 atendimentos. Analisaram-se idade, hora do atendimento, dia da semana do evento, mecanismo de lesão, principal região acometida,necessidade de reposição volêmica, Revised Trauma Score (RTS) e a ocorrência de óbito pré-hospitalar. Os dados foram analisados através do software Epi Info versão 7.1.5.

Resultados
A média de idade das vítimas foi 32,6 anos. 23,4% dos eventos ocorreram aos sábados e 21,3% aos domingos e 57,1% ocorreram no período noturno. 49% das injúrias foram causadas por espancamentos. 61,3% das lesões estavam localizadas em cabeça e pescoço. 48% das lesões eram lacerações. Utilizou-se reposição volêmica em 14,3% dos atendimentos. Apenas 1 vítima viva apresentou RTS inferior a 7,8408. A mortalidade verificada foi de 4,1%.

Conclusão
O presente estudo evidencia a preocupante realidade da violência contra a mulher, uma temática urgente e que exige uma resposta para que a sociedade brasileira e mundial alcance melhores condições de vida, segurança e igualdade.

How to cite this article
Ibiapino MK, Couto VBM, Sampaio BP, Souza RAR, Padoin FA, Carvalho BEB, Salomão IS. Serviço de Atendimento Móvel de Urgência 192: Violência Contra A Mulher. Panam J Trauma Crit Care Emerg Surg 2017; 6(2):77-80.
Acute Acalculous Cholecystitis in Dengue Fever: An Alert for Emergency Surgeons
Authors: Netto Fernando Spencer , Scherer Julia R , Oliveira Carla S de 
Published: September 2017

ABSTRACT
Dengue fever is an acute viral disease, typical of tropical countries and endemic in Brazil, which can present abdominal symptoms and complications. One of its atypical presentations is acute acalculous cholecystitis (AAC), present in 6% of the severe cases. It is usually self-limited, and generally improves with nonoperative treatment.
This is a case report of a patient transferred to a tertiary hospital for surgical evaluation of acute abdomen. She presented with significant abdominal findings (pain, nausea, and vomits), suggestive of acute cholecystitis. After initial assessment and examinations, the patient was diagnosed with severe dengue fever and AAC. The patient was treated conservatively and improved within 3 days. Physicians must be aware of ACC in patients with suspicious presentations in endemic areas for dengue fever. Surgery should be avoided once it is associated with significant postoperative complications and death.

How to cite this article
Becker MJ, Scherer JR, de Oliveira CS, Netto FS. Acute Acalculous Cholecystitis in Dengue Fever: An Alert for Emergency Surgeons. Panam J Trauma Crit Care Emerg Surg 2017;6(2):124-126.
Accreditation is not a One-time Process: Quality Assessment of Intensive Care Unit during Post-NABH Accreditation Period in a Tertiary Care Hospital
Authors: Dubey Suneeta , Tadia VK , LNU Monalisa 
Published: September 2017

ABSTRACT
Accreditation is an integral part of quality and it is not a onetime process. This study was done to know the extent to which hospitals maintain the standards after obtaining accreditation. This study tries to find out the gaps in standards during the postaccreditation period. The objective of the study was to assess the policies of the intensive care unit (ICU) with reference to standard protocols of the National Accreditation Board for Hospital and Health Care Providers (NABH) and measures taken by the management to maintain the standards. Data was collected from a 285-bedded NABH-accredited hospital that had five ICUs and four recovery rooms by means of nonparticipant observation, semistructured interviews. Data on indicators was collected by using the hospital management information system; the questionnaire on satisfaction was filled by 30 patients/relatives who were admitted in the ICU for more than a week. Quality team was interviewed to know the perception of the management toward quality and accreditation. To know the compliance of the staff to the NABH standards, a surprise check was done in three ICUs of the hospital.
Data analysis showed that the organization was not able to maintain the standards, as it had done at the time of accreditation. The quality team strongly accepted that accreditation helps in maintaining and improving quality, whereas the data from ICUs showed a wide variation in compliance. Three ICUs from the same hospital were having different compliance rates for standards, which shows that staff was not aware about the standard protocol to be followed. The patient-satisfaction questionnaire also showed that the patients were not satisfied with the services given.

How to cite this article
Tadia VK, Monalisa, Dubey S. Accreditation is not a One-time Process: Quality Assessment of Intensive Care Unit during Post-NABH Accreditation Period in a Tertiary Care Hospital. Int J Res Foundation Hosp Healthc Adm 2017;5(1):29-41.
Conservation and Sustainable Utilization of Medicinal Plants of Chandauli and Obra Forests of Uttar Pradesh
Authors: Shankar Rama , Lale Sanjeev K , Mudaiya Rajesh K 
Published: September 2017

Aims:
This article deals with the pharmaceutically important medicinal plants from Obra and Chandauli forest divisions of Uttar Pradesh. Exploration of the two adjoining forest divisions has been carried out during 2014 and 2017. The study was conducted to prepare records of medicinal plants in the study areas.

Outcome of the study:
During exploration, records of pharmaceutically important medicinal plants with its Global Positioning System (GPS) and potential in the field were taken. The important medicinal plants, such as Aegle marmelos, Bacopa monnieri, Boswellia serrata, Celastrus paniculata, Centella asiatica, Desmodium gangeticum, Gymnema sylvestris, Holarrhena antidysenterica, Oroxylum indicum, Solanum nigrum, and Terminalia tomentosa were recorded, which can be undertaken for mass cultivation by the farmers by adding some other medicinal plants having commercial value, viz. Aloe barbadensis and Withania somnifera.

Conclusion:
The study area is widely occupied by plants of Holarrhena antidysenterica and Woodfordia fruticosa for commercialization, whereas plants of Oroxylum indicum, Gymnema sylvestre, Butea superba, etc., need conservation in the habitat.
Ayurveda and Plant-based Interventions for Cancer Management
Authors: Gundeti Manohar S , Srikanth Narayanam , Dedge Amrish , Khanduri Shruti , Dave Parth , Tripathi Ashish Kumar , Sakethram Thrigulla , Reddy R Govind 
Published: September 2017

Introduction:
A resurgence of interest in Ayurveda, other traditional systems of medicine, and complementary and alternative medicine (CAM) has resulted from the preference of many consumers for products of natural origin. The potential benefits of plant-based medicines could lie in their high acceptance by patients, and efficacy and safety. The most prevalent users of traditional medicine are individuals who have refractory conditions and nonlife-threatening conditions that may be chronic viz. neurological disorders, arthritis, etc. The second-largest group of users is those struggling with chronic, potentially life-threatening diseases, such as cancer and human immunodeficiency virus/acquired immunodeficiency syndrome, etc. Both groups turn to Ayurveda and traditional system of medicine for a variety of reasons, such as management as the main treatment option and improved immune functioning, overall functioning, and quality-of-life (QoL) by coping with side effects from conventional therapies, and to relieve symptoms related to their illness. The upsurge in use of traditional system among cancer patients warrants evidence of safety and effectiveness for these interventions as concomitant to conventional cancer therapy.

Objective:
This manuscript aims at a systematic review of published data on the effectiveness of Ayurveda/ herbal interventions as stand-alone or concomitant in the management of cancer.

Materials and methods:
Literature search for clinical studies with specific terms was carried using search engines viz. Google scholar, PubMed, Ayush Research Portal, etc. and print journals, reports from May 2017 to June 2017.

Results:
Various randomized controlled trials (RCTs) have shown that ginger, honey, turmeric, and ashwagandha are effective as add-on in chemotherapy-induced nausea and vomiting (CINV), radiation mucositis, and fatigue. Moreover, single case reports and case-control studies also reported with positive outcomes for Ayurveda as stand-alone and add-ons to conventional treatment.

Conclusion:
Evidence for effectiveness of Ayurveda as add-on concomitant to conventional cancer treatment is substantial in comparison with Ayurveda as stand-alone, and this may help to develop integrative Ayurveda oncology treatment protocols.
Tribal Health Care Research Program
Authors: Srikanth Narayanam , Singh Sobaran , Sharma Bhagwan Sahai , Khanduri Shruti , Singh Renu , Maheswar Thugutla 
Published: September 2017

Introduction:
Tribal Health Care Research Program (THCRP) was initiated by the Central Council for Research in Ayurvedic Sciences (CCRAS) in 1982. The core objective of the program is to study the living conditions of tribal people, which includes health-related demography, documentation of folk claims, local health traditions (LHTs), use of common medicinal plants and their availability, propagation of knowledge about personnel hygiene, and prevention of diseases besides extending medical aid at their doorsteps. The program has been implemented in Madhya Pradesh, Maharashtra, Bihar, Assam, Arunachal Pradesh, and Andaman and Nicobar at different years from 1982 to 2016. During this period, five independent Tribal Health Care Research units have been relocated through reorganization, which came into force in the year 2000. Further, during the year 2014 to 2015 and 2016 to 2017 the program has been extended in 10 more states, viz., Rajasthan, Jammu and Kashmir, Himachal Pradesh, Karnataka, Tamil Nadu, West Bengal, Odisha, Andhra Pradesh, Sikkim, and Telangana. Currently, the THCRP is being executed in 14 states through 15 peripheral institutes of CCRAS under tribal subplan (TSP).

Materials and methods:
The gross physical achievements including the beneficiaries of health care services, details of villages, tribal pockets covered, documentation of disease prevalence, and LHTs during the period 1982 to 2016 were compiled, summarized, and presented based on the information available in the published monographs, technical reports, and annual reports.

Conclusion:
A critical appraisal of THCRP revealed that from 1982 up to March 2016, CCRAS has extended health care services at 1,358 villages/tribal pockets that represent around 50 tribes across 14 states covering a population of 947,587. Apart from propagation of knowledge about hygiene and prevention of diseases, medical aid was provided to 336,015 seekers. In addition to this, through this program about 734 folklore claims, LHTs, use of common medicinal plants and their availability were documented and also the prevalence of different diseases in the tribal pockets was recorded.
Innovation and willingness to export: is there an effect of conscious self-selection?
Authors: Movahedi Mohammad , Shahbazi Kiumars , Gaussens Olivier 
Published: September 2017

Abstract
This paper presents an analysis of the crucial relationship between innovation, productivity, and export in Small and Medium Enterprises (SMEs). The primary aims of this study are to evaluate the role of innovation in the premium export and test the hypothesis of firm conscious self-selection on willingness to export. To this end, the authors used their database of SMEs, obtained from the survey conducted in the IDEIS project, which provides highly pertinent information on innovation and export areas. Based on the aforementioned database, the authors evaluate apparent premium of exportation and innovation. In addition, they demonstrate the effectiveness of the export premium for high exportation firms that implement process and organization innovations. Finally, the authors analyse the effect of conscious self-selection from the export process that transforms an intention to export into the capacity to export in short term. The conscious self-selection to export is revealed by simultaneously endogeneizing productivity and innovation output based on recursive non-linear model.
Opportunities and obstacles using a clinical decision support system for maternal care in Burkina Faso
Authors: Zakane Sidagna Alphonse , Gustafsson Lars L , Sie Ali , Tomson Göran , Loukanova Svetla , Bastholm-Rahmner Pia 
Published: September 2017

AbstractObjective: Maternal and neonatal mortality is high in sub-Saharan Africa. To support Healthcare Workers (HCWs), a computerized decision support system (CDSS) was piloted at six rural maternal care units in Burkina Faso. During the two years of the study period, it was apparent from reports that the CDSS was not used regularly in clinical practice. This study aimed to explore the reasons why HCWs failed to use the CDSS.Methods: A workshop, organised as group discussions and a plenary session, was performed with 13 participants to understand their experience with the CDSS and suggest improvements if pertinent. Workshop transcripts were analysed thematically. Socio-demographic and usage patterns of the CDSS were examined by a questionnaire and analysed descriptively.Results: The participants reported that the contextual basic conditions for using the CDSS were not fulfilled. These included unreliable power supply, none user-friendly partograph, the CDSS was not integrated with workflow and staff lacked motivational incentives. Despite these limitations, the HCWs reported learning benefits from guidance and alerts in the CDSS. Using the CDSS enabled them to discover problems earlier as they learned to focus on symptoms to prevent harmful situations.Conclusion: The CDSS was not tailored to the needs and context of the users. The HCWs, defined their needs and suggested how the CDSS should be re-designed. This suggests that the successful and regular usage of any CDSS in rural settings requires the involvement of users throughout the construction and pilot-testing phases and not only during the early prototype design period.
Applications of information and communications technologies to public health: A scoping review using the MeSH term “public health informatics”
Authors: Bhattarai Arjun Kumar , Zarrin Aein , Lee Joon 
Published: September 2017

Objective: To examine public health informatics (PHI) articles that are tagged with MeSH term “public health informatics” and to review the use of this MeSH term in recognizing the current state of PHI. Materials and Methods: MeSh term “public health informatics” was searched on MEDLINE-PubMed. The result of the search was screened in two steps. First, articles were included or excluded based on their titles and abstracts. Second, a full-text review was conducted to ensure the relevance of the included articles. All articles were charted based on public health focus, information technology, article type, and informatics concept. Results: 515 articles met the inclusion criteria. The majority of the articles focused on communicable disease monitoring, public health policy and research, and public health awareness. Syndromic surveillance and communication between clinical and public health units were dominant themes, while electronic registries and websites were the most popular information technologies applied in this field. Data collection, retrieval, and management were the most prevalent informatics concepts, and data security was the least researched concept. Discussion: PHI is a multi-disciplinary field with a wide range of themes, such as disease and injury surveillance, environmental monitoring, and research/policy utilization. MeSh term-tagged articles emphasized the need for further research in interoperability, data quality, appropriate data sources, accessible health information, and communication. Conclusion: Despite the rapid growth in PHI, improvements in interoperability, data quality, appropriate data sources, accessible health information and communication between stakeholders is needed to facilitate adequate implementation of PHI into the healthcare system.