bluuebunny/crossref_metadata_2025_split huggingface dataset:
Continuing Professional Development: Deficiencies in patient handover: A Case study
Authors: Bell Claire 
Published: September 2016

Overview This module discusses the concept of patient handover between ambulance clinicians and hospital staff, using a case study from the author's practice. It looks both at handovers that take place in ‘Resus’ rooms and those less time-critical exchanges in other areas of the Accident and Emergency Department. It explores how the handover can be rendered ineffective by errors in communication between the two parties and how this can be detrimental to the patient. It also looks into whether the hospital or ambulance staff are to blame for errors in patient handover. Finally, suggestions are made for areas of further study. Learning Outcomes After completing this module you will be able to: • Understand what factors contribute to a good and a bad handover • Define active listening and why it is important • Consider how hospital waiting times can affect the quality of the handover • Recognize the importance of good interpersonal working relationships
Total knee arthroplasty and infection: how surgeons can reduce the risks
Authors: Ratto Nicola , Arrigoni Chiara , Rosso Federica , Bruzzone Matteo , Dettoni Federico , Bonasia Davide Edoardo , Rossi Roberto 
Published: September 2016

Total joint arthroplasty (TJA) is one of the most common orthopaedic procedures. Nevertheless, several complications can lead to implant failure. Peri-prosthetic joint infections (PJI) certainly represent a significant challenge in TJA, constituting a major cause of prosthetic revision. The surgeon may have an important role in reducing the PJI rate by limiting the impact of significant risk factors associated to either the patient, the operative environment or the post-operative care. In the pre-operative period, several preventive measures may be adopted to manage reversible medical comorbidities. Other recognised pre-operative risk factors are urinary tract infections, intra-articular corticosteroid injections and nasal colonisation with Staphylococcus (S.) aureus, particularly the methicillin-resistant strain (MRSA). In the intra-operative setting, protective measures for PJI include antibiotic prophylaxis, surgical-site antisepsis and use of pre-admission chlorhexidine washing and pulsed lavage during surgery. In this setting, the use of plastic adhesive drapes and sterile stockinette, as well as using personal protection systems, do not clearly reduce the risk of infection. On the contrary, using sterile theatre light handles and splash basins as well as an increased traffic in the operating room are all associated with an increased risk for PJI. In the post-operative period, other infections causing transient bacteraemia, blood transfusion and poor wound care are considered as risk factors for PJI. Cite this article: Ratto N, Arrigoni C, Rosso F, Bruzzone M, Dettoni F, Bonasia DE, Rossi R. Total knee arthroplasty and infection: how surgeons can reduce the risks. EFORT Open Rev 2016;1: 339-344 DOI: 10.1302/2058-5241.1.000032.
Foster Care Outcomes for Children With Intellectual Disability
Authors: Slayter Elspeth M. 
Published: September 2016

Abstract
The promotion of speedy, permanent outcomes for foster children is a central child welfare policy goal. However, while children with intellectual disability (ID) are at greater risk for child welfare involvement, little is known about their case outcomes. This cross-sectional national study explores between-group foster care outcomes. Foster children with intellectual disability were more likely to have experienced an adoption disruption or dissolution but less likely to be reunified with a parent, primary caretaker or other family member. Implications for interagency collaboration in support of pre and post-foster care discharge support services are discussed.
Culture in Better Group Homes for People With Intellectual Disability at Severe Levels
Authors: Bigby Christine , Beadle-Brown Julie 
Published: September 2016

Abstract
Building on cultural dimensions of underperforming group homes this study analyses culture in better performing services. In depth qualitative case studies were conducted in 3 better group homes using participant observation and interviews. The culture in these homes, reflected in patterns of staff practice and talk, as well as artefacts differed from that found in underperforming services. Formal power holders were undisputed leaders, their values aligned with those of other staff and the organization, responsibility for practice quality was shared enabling teamwork, staff perceived their purpose as “making the life each person wants it to be,” working practices were person centered, and new ideas and outsiders were embraced. The culture was characterized as coherent, respectful, “enabling” for residents, and “motivating” for staff. Though it is unclear whether good group homes have a similar culture to better ones the insights from this study provide knowledge to guide service development and evaluation.
Outdated Language: Use of “Mental Retardation” in Medicaid HCBS Waivers Post-Rosa's Law
Authors: Friedman Carli 
Published: September 2016

AbstractRosa's Law, which changed references of “mental retardation” to “intellectual disability” within federal legislation, marked recognition by the federal government that the term “mental retardation” is outdated and pejorative. However, Rosa's Law did not apply to many notable federal programs related to disability, such as Medicaid. This article explores if and how the term “mental retardation” was used within Medicaid Home and Community Based Services 1915(c) waivers, as they are the most prevalent provider of long-term services and supports for people with intellectual and developmental disabilities. Waivers provide some of the most advanced community services and the language used in them should reflect this. Although an overwhelming majority of waivers used “mental retardation,” we found that the term was used less for later benchmark dates.
The Differencies in Adult and Pediatric Myelodysplastic Syndrome: A Review
Authors: Vasekova P , Plank L 
Published: September 2016

Abstract
Myelodysplastic syndrome (MDS) represent very heterogenous group of clonal stem cell bone marrow disorders with ineffective haematopoesis leading to cytopenias in peripheral blood and increased risk of blastic transformation and evolution of acute myeloid leukemia. MDS is a disease of older age mostly, in children it seems to be very rare. There are several significant morphological, cytogenetic and prognostic differencies of the disease in adults and in children. Adult MDS patients most commonly manifest with symptoms of anemia, bleeding and infection are uncommon. In childhood, MDS manifests predominantly by neutropenia and thrombocytopenia. In addition, some pediatric MDS patients present also with constitutional disease’s signs and symptoms. Early and correct diagnosis in both age groups is essential for the choice of appropriate therapy and also for next life of patients. However, the diagnosis of MDS is challenging, complex and requiring close correlation of clinical symptoms, laboratory parameters and standardized examination of BM biopsies. The authors present an overview focused on biology of MDS in adults and children, on the differences in the incidence, clinical presentation and treatment. They summarize the possibilities and limits of histopathological diagnosis and differential diagnosis of the disease in different age groups. A major problem in the morphological diagnosis of MDS remains the determination, whether the myelodysplasia is due to clonal disorder. It might result also from some other factors, as significant dysplasia can also occur in reactive conditions, and vice versa, only discrete dysplasia is sometimes observed in MDS patients. Although histomorphological and immunohistochemical analysis of BM biopsy is invasive and time-consuming examination, it has its value in the diagnosis, differential diagnosis and evaluation of therapeutic effect.
Rotational Asymmetric Multifocal Intraocular Lens - Use in Patient Undergoing Cataract Surgery
Authors: Ziak P , Halicka J , Mojzis P , Kralik M , Nikel J 
Published: September 2016

Abstract
Introduction: A cataract is a clouding of the lens in the eye leading to a decrease in vision. Cataracts are the cause of half of blindness and 33% of visual impairment worldwide. Surgery with phacoemulsification followed by implantation of intraocular lens (IOL) is gold standard treatment for cataract. In some cases multifocal IOLs are used. This is the first published use of rotational asymmetric multifocal IOL in cataract surgery in Slovakia.
Method: In the study 78 eyes of 58 patients (mean age 62.3 years) were implanted for a cataract with the rotational asymmetric multifocal IOL. Corrected and uncorrected distance and near visual acuities were analysed preoperatively, 1 month and 6 months postoperatively. Contrast sensitivity was tested at 6 months postoperatively. The Friedman Two -Way Analysis of Variance and Multiple Comparison Test were used for all parameter comparisons, in all cases, the same level of statistical significance (p < 0.05) was considered significant.
Results: Average preoperative uncorrected distance visual acuity has increased from 0.32 to 0.87 and 0.93 respectively in 1 month and 6 months after surgery (p < 0.05, n = 78). Average preoperative uncorrected near visual acuity (UCNVA) has increased from 0.2 to 0.77 and 0.79 respectively in 1 month and 6 months after surgery (p < 0.05). Average preoperative best corrected distance visual acuity has increased from 0.65 to 0.95 and 1.03 respectively in 1 month and 6 months after surgery (p < 0.05). Significant improvement was found also between preoperative best corrected near visual acuity and UCNVA 1 and 6 month after surgery (p < 0.05).
In conclusion, the rotational asymmetric multifocal IOL LS-313 MF 30 provides good visual rehabilitation for near and distance vision after cataract surgery. Contrast sensitivity outcomes account for the patient satisfaction with this innovative IOL technology.
Identification and Quantification of Gases Releasing From Furan No Bake Binder
Authors: Acharya S.G. , Vadher J.A. , Kanjariya P.V. 
Published: September 2016

Abstract
Sand samples with furan binder were prepared using Sand, Furfuryl Alcohol and Toluene Sulfonic Acid with ratio 100:0.85:0.30. To identify and quantify gases releasing from furan binder various studies like FTIR, TGA and GC-MS were carried out. After analyzing our materials using above mentioned characterizations the chemical formula of the Resin and Binder and amount of gases releasing from composition were confirmed. After studying various reports on pyrolysis process of furan binder calculation of the % of various gases emitting during pyrolysis process of furan was carried out. Sample of gas collected from mold was analyzed using GC-MS. Based on GCMS measurement various gases emitting from furan sand mold were identified and their amount were calculate and compared with the international standers of permissible gas emission limits in a foundry. The purpose of this paper is to assist foundries in pollution prevention by devising clean technologies which maintain or improve the quality of ambient surrounding. This paper aimed at minimization of pollution of air by using various techniques.
Quality Index of the AlSi7Mg0.3 Aluminium Casting Alloy Depending on the Heat Treatment Parameters
Authors: Czekaj E. , Zych J. , Kwak Z. , Garbacz-Klempka A. 
Published: September 2016

Abstract
Issues connected with high quality casting alloys are important for responsible construction elements working in hard conditions. Traditionally, the quality of aluminium casting alloy refers to such microstructure properties as the presence of inclusions and intermetallic phases or porosity. At present, in most cases, Quality index refers to the level of mechanical properties – especially strength parameters, e.g.: UTS, YS, HB, E (Young’s Modulus), K1c (stress intensity factor). Quality indexes are often presented as a function of density. However, generally it is known, that operating durability of construction elements depends both on the strength and plastic of the material. Therefore, for several years now, in specialist literature, the concept of quality index (QI) was present, combines these two important qualities of construction material. The work presents the results of QI research for casting hypoeutectic silumin type EN AC-42100 (EN AC-AlSi7Mg0.3), depending on different variants of heat treatment, including jet cooling during solution treatment.
Structure and Properties of Coatings Made with Self Shielded Cored Wire
Authors: Gucwa M. , Winczek J. , Bęczkowski R. , Dośpiał M. 
Published: September 2016

Abstract
The welding technologies are widely used for design of protection layer against wear and corrosion. Hardfacing, which is destined for obtaining coatings with high hardness, takes special place in these technologies. One of the most effective way of hardfacing is using self shielded flux cored arc welding (FCAW-S). Chemical composition obtained in flux cored wire is much more rich in comparison to this obtained in solid wire. The filling in flux cored wires can be enriched for example with the mixture of hard particles or phases with specified ratio, which is not possible for solid wires. This is the reason why flux cored wires give various possibilities of application of this kind of filler material for improving surface in mining industry, processing of minerals, energetic etc. In the present paper the high chromium and niobium flux cored wire was used for hardfacing process with similar heat input. The work presents studies of microstructures of obtained coatings and hardness and geometric properties of them. The structural studies were made with using optical microscopy and X-ray diffraction that allowed for identification of carbides and other phases obtained in the structures of deposited materials. Investigated samples exhibit differences in coating structures made with the same heat input 4,08 kJ/mm. There are differences in size, shape and distribution of primary and eutectic carbides in structure. These differences cause significant changes in hardness of investigated coatings.
Research on Accuracy of Automatic System for Casting Measuring
Authors: Jaworski J. , Kluz R. , Trzepieciński T. 
Published: September 2016

Abstract
Ensuring the required quality of castings is an important part of the production process. The quality control should be carried out in a fast and accurate way. These requirements can be met by the use of an optical measuring system installed on the arm of an industrial robot. In the article a methodology for assessing the quality of robotic measurement system to control certain feature of the casting, based on the analysis of repeatability and reproducibility is presented. It was shown that industrial robots equipped with optical measuring systems have the accuracy allowing their use in the process of dimensional control of castings manufactured by lost-wax process, permanent-mould casting, and pressure die-casting.
Effect of Austenite Transformation on Abrasive Wear and Corrosion Resistance of Spheroidal Ni-Mn-Cu Cast Iron
Authors: Medyński D. , Janus A. 
Published: September 2016

Abstract
Within the presented work, the effect of austenite transformation on abrasive wear as well as on rate and nature of corrosive destruction of spheroidal Ni-Mn-Cu cast iron was determined. Cast iron contained: 3.1÷3.4 %C, 2.1÷2.3 %Si, 2.3÷3.3 %Mn, 2.3÷2.5 %Cu and 4.8÷9.3 %Ni. At a higher degree of austenite transformation in the alloys with nickel equivalent below 16.0%, abrasive wear resistance was significantly higher. Examinations of the corrosion resistance were carried out with the use of gravimetric and potentiodynamic method. It was shown that higher degree of austenite transformation results in significantly higher abrasive wear resistance and slightly higher corrosion rate, as determined by the gravimetric method. However, results of potentiodynamic examinations showed creation of a smaller number of deep pinholes, which is a favourable phenomenon from the viewpoint of corrosion resistance.
Locally Reinforcement TiC-Fe Type Produced in Situ in Castings
Authors: Olejnik E. , Szymański Ł. , Kurtyka P. , Tokarski T. , Maziarz W. , Grabowska B. , Czapla P. 
Published: September 2016

Abstract
Refinement is one of the most energy consuming technological process, aimed at obtaining mineral raw materials of the proper grain size. Cast structural elements such as jaws or hammers in crushing machines operate under conditions of an intensive wear. The data indicate that 80 % of failures of machines and devices is caused by wearing of rubbing surfaces. This problem became the subject of several scientific and industrial investigations carried out in the whole world in order to produce materials ultra- wear resistant. Methods allowing to obtain wear resistant composite castings are discussed in the hereby paper. Within the performed research microstructures of the produced composite zones were presented and the comparative analysis with regard to mechanical and functional properties of local composite reinforcements in relation to the commercial alloys of increased wear resistance was performed. The results show almost twenty five times increase in wear resistance compared to manganese cast steel containing 18 % Mn.
Silica-Kaolin Mix Effect on Evaporative Pattern Castings Surface Roughness
Authors: Omidiji B.V. , Khan R.H. , Abolarin M.S. 
Published: September 2016

Abstract
The influence of the refractory coating which is a mixture of silica flour and kaolin on the surface roughness of the plate castings produced using evaporative patterns had been considered in this work. The kaolin was used as a binder and ratio method was employed to form basis for the factorial design of experiment which led to nine runs of experiments. Methyl alcohol at 99% concentration was used as the carrier for the transfer of the coating to the surface of the patterns. Pouring temperature was observed as a process parameter alongside the mix ratios of the coating. Attempts were made to characterize the refractory coating by using two methods; differential thermal analysis (DTA) and X-ray diffraction. Attempt was also made to characterize the casting material. Gating system design was done for the plate casting to determine the correct proportions of the gating parameters in order to construct the gating system properly to avoid turbulence during pouring of liquid metal. A digital profilometer was used to take the measurements of the surface roughness. It was observed that the mix ratio 90% silica flour-10% kaolin produced the lowest value of the surface roughness of the plate castings and had the lowest material loss in the DTA test. The pouring temperature of 650°C produced best casting.
Influence of Casting Conditions on Tribological Properties of A390.0 Alloy
Authors: Piątkowski J. , Wieszała R. , Gontarczyk A. 
Published: September 2016

Abstract
The paper presents tribological properties of A390.0 (AlSi17Cu5Mg) alloy coupled in abrasive action with EN-GJL-350 grey cast-iron. The silumin was prepared with the use of two different technologies which differed in terms of cooling speed. In the first case the alloy was modified with foundry alloy CuP10 and cast to a standard tester ATD and in case of second option the modified alloy was cast into steel casting die. Due to different speed of heat removal the silumins varied in structure, particularly with size of primary crystals of silicon and their distribution in matrix which had a significant influence of friction coefficient in conditions of dry friction.
The Use of Modern Statistical Methods to Optimize Production Systems in Foundries
Authors: Szymszal J. , Gajdzik B. , Kaczmarczyk G. 
Published: September 2016

Abstract
Conducting reliable and credible evaluation and statistical interpretation of empirical results related to the operation of production systems in foundries is for most managers complicated and labour-intensive. Additionally, in many cases, statistical evaluation is either ignored and considered a necessary evil, or is completely useless because of improper selection of methods and subsequent misinterpretation of the results. In this article, after discussing the key elements necessary for the proper selection of statistical methods, a wide spectrum of these methods has been presented, including regression analysis, uni- and multivariate correlation, one-way analysis of variance for factorial designs, and selected forecasting methods. Each statistical method has been illustrated with numerous examples related to the foundry practice.
Usable Properties of AlSi7Mg Alloy after Sodium or Strontium Modification
Authors: Tupaj M. , Orłowicz A.W. , Mróz M. , Trytek A. , Markowska O. 
Published: September 2016

Abstract
The paper deals with the effect of microstructure diversified by means of variable cooling rate on service properties of AlSi7Mg cast alloy refined traditionally with Dursalit EG 281, grain refining with titanium-boron and modified with sodium and a variant of the same alloy barbotage-refined with argon and simultaneously grain refining with titanium-boron and modified with strontium. For both alloy variants, the castings were subject to T6 thermal treatment (solution heat treatment and artificial aging). It turned out that AlSi7Mg alloy after simultaneous barbotage refining with argon and grain refining with titanium-boron and modified with strontium was characterised with lower values of representative microstructure parameters (SDAS – secondary dendrite arm spacing, λE, lmax) and lower value of the porosity ratio compared to the alloy refined traditionally with Dursalit EG 281 and grain refining with titanium-boron and modified with sodium. The higher values of mechanical properties and fatigue strength parameters were obtained for the alloy simultaneously barbotage-refined with argon and grain refining with titanium-boron and modified with strontium.
On Degradation of Cast Iron Surface-Protective Paint Coat Joint
Authors: Tupaj M. , Orłowicz A.W. , Trytek A. , Mróz M. , Bąk G. , Abram T. 
Published: September 2016

Abstract
The paper is a presentation of a study on issues concerning degradation of protective paint coat having an adverse impact on aesthetic qualities of thin-walled cast-iron castings fabricated in furan resin sand. Microscopic examination and microanalyses of chemistry indicated that under the coat of paint covering the surface of a thin-walled casting, layers of oxides could be found presence of which can be most probably attributed to careless cleaning of the casting surface before the paint application process, as well as corrosion pits evidencing existence of damp residues under the paint layers contributing to creation of corrosion micro-cells