bluuebunny/crossref_metadata_2025_split huggingface dataset:
Zooplankton community dynamics in the N. Aegean front (E. Mediterranean) in the winter spring period
Authors: SIOKOU I. , FRANGOULIS C. , GRIGORATOU Μ. , PANTAZI M. 
Published: June 2016

Zooplankton community composition was studied in the North Aegean frontal area in the winter-spring period along a trophic gradient going from the less saline and cold modified Black Sea water to the high salinity and temperature waters of Levantine origin. Samples were collected at the upper 100 m of three stations positioned along this gradient by using three nets with different mesh sizes (45 μm, 200 μm and 500 μm). Τhe community composition (all sizes) was differentiated along the gradient with smoother seasonal succession and higher diversity with increasing oligotrophy and salinity. The temporal variability of the community composition revealed significant changes in the January-April period as well as gradual decrease of diversity index values at the station positioned within the front. The major characteristic at this station was the abrupt increment and dominance of Centropages typicus in April, especially within the layer occupied by the modified Black Sea water. Significant difference in the community composition between March and April was a common feature in the whole study area and for all zooplankton fractions, though not of the same strength. The inflow of the Black Sea water and the trophic gradient were found to be important factors for the observed temporal variability and its spatial differentiation, while changes in the phytoplankton and protozoa abundance and community composition could account for the seasonal succession in species dominance.
Neck keloids: evaluation of risk factors and recommendation for keloid staging system
Authors: Tirgan Michael H. 
Published: June 2016

Importance: Health care providers have long struggled with recurrent and hard to treat keloids. Advancing our understanding of natural history and risk factors for development of large, very large and massive neck keloids can lead to improved treatment outcomes. Clinical staging system for the categorization of keloid lesions, as well as grouping of keloid patients according to the extent of skin involvement is both fundamental for design and delivery of proper plan of care and an absolute necessity for methodical trial design and interpretation of the results thereof. Objective: To review clinical presentation and natural history of neck keloids; to explore risk factors for development of large, very large and massive neck keloids; and to propose a clinical staging system that allows for categorization of keloid lesions by their size and grouping of keloid patients by the extent of their skin involvement. Setting: This is a retrospective analysis of 68 consecutive patients with neck keloids who were seen by the author in his keloid specialty medical practice. Intervention: Non-surgical treatment was offered to all patients. Results: Neck-area keloids were found to have several unique characteristics. All 53 African Americans in this study had keloidal lesions elsewhere on their skin. Very large and massive neck keloids appear to be race-specific and almost exclusively seen among African Americans. Keloid removal surgery was found to be the main risk factor for development of very large and massive neck keloids. Conclusions and relevance: Surgical removal of neck keloids results in wounding of the skin and triggering a pathological wound-healing response that often leads to formation of a much larger keloid. Given the potential for greater harm from surgery, the author proposes non-surgical approach for treatment of all primary neck keloids. Author’s attempts to properly categorize keloid lesions and to group the study subjects was hampered by the lack of a previously defined methodology. A clinical staging system is proposed to address the deficiency in grouping of keloid patients according to the size and extent of skin involvement with keloid lesions.
Cluster approach in the development of Russian education system
Authors: Григорьева Анна , Grigoreva Anna 
Published: June 2016

The essence of the cluster approach application to education
system, as well as its development, is revealed in the paper.
The author cites an overview of the clusters and the cluster approach,
the possibilities of its application in the educational system
within the framework of the Concept of development of Russia.
Also author defines benefits for the subjects of educational cluster
and for the integration of educational institutions different types,
shapes and levels
TO THE QUESTION ABOUT ECOLOGICAL-ECONOMIC EFFICIENCY OF ENVIRONMENTAL ACTIVITIES IN URBAN AREAS IN THE NEW ECONOMIC ENVIRON
Authors: Таранова Анна , Taranova Anna , Борисова Наталья , Borisova Natalya , Борисов Александр , Borisov Alyeksandr 
Published: June 2016

The analysis of aspects of ecological and economic efficiency
in environmental management in urban areas under the
new economic conditions is given. The main task of evaluating
economic efficiency, cost and profit, research, indicators of the
ecological-economic efficiency and address key methods of economic
evaluation of environmental activities identified. the need
to analyse the economic efficiency and its organization, defining
objectives, through which to ensure the conservation and installation
of the dependence of efficiency on different factors also reviewed.
Air-ice carbon pathways inferred from a sea ice tank experiment
Authors: Kotovitch Marie , Moreau Sébastien , Zhou Jiayun , Vancoppenolle Martin , Dieckmann Gerhard S. , Evers Karl-Ulrich , Van der Linden Fanny , Thomas David N. , Tison Jean-Louis , Delille Bruno 
Published: June 2016

Abstract
Given rapid sea ice changes in the Arctic Ocean in the context of climate warming, better constraints on the role of sea ice in CO2 cycling are needed to assess the capacity of polar oceans to buffer the rise of atmospheric CO2 concentration. Air-ice CO2 fluxes were measured continuously using automated chambers from the initial freezing of a sea ice cover until its decay during the INTERICE V experiment at the Hamburg Ship Model Basin. Cooling seawater prior to sea ice formation acted as a sink for atmospheric CO2, but as soon as the first ice crystals started to form, sea ice turned to a source of CO2, which lasted throughout the whole ice growth phase. Once ice decay was initiated by warming the atmosphere, the sea ice shifted back again to a sink of CO2. Direct measurements of outward ice-atmosphere CO2 fluxes were consistent with the depletion of dissolved inorganic carbon in the upper half of sea ice. Combining measured air-ice CO2 fluxes with the partial pressure of CO2 in sea ice, we determined strongly different gas transfer coefficients of CO2 at the air-ice interface between the growth and the decay phases (from 2.5 to 0.4 mol m−2 d−1 atm−1). A 1D sea ice carbon cycle model including gas physics and carbon biogeochemistry was used in various configurations in order to interpret the observations. All model simulations correctly predicted the sign of the air-ice flux. By contrast, the amplitude of the flux was much more variable between the different simulations. In none of the simulations was the dissolved gas pathway strong enough to explain the large fluxes during ice growth. This pathway weakness is due to an intrinsic limitation of ice-air fluxes of dissolved CO2 by the slow transport of dissolved inorganic carbon in the ice. The best means we found to explain the high air-ice carbon fluxes during ice growth is an intense yet uncertain gas bubble efflux, requiring sufficient bubble nucleation and upwards rise. We therefore call for further investigation of gas bubble nucleation and transport in sea ice.
Anxiety and depression in individuals with Parkinson's disease: perspectives of the nurse specialist
Authors: Theed Rachael , Eccles Fiona JR , Travers Vicky , Simpson Jane 
Published: June 2016

Aim: Parkinson's disease (PD) is a neurodegenerative disease, most usually associated with motor problems, although psychological difficulties are also commonly experienced. In the UK, Parkinson's disease nurse specialists (PDNSs) are often the key health professionals involved in the management of PD, with regards to both the motor and psychological aspects of the disease. This qualitative study sought to investigate the experiences of PDNSs in recognising and managing psychological difficulties in people with PD. Design: Five female participants—four PDNSs and one neurology nurse specialising in PD—from the north west of England took part in the study. Participants were all female and had been in their roles for between 2.5 and 14 years. The study used a qualitative methodology aimed at providing a detailed account and analysis. Method: Individual semi-structured interviews were conducted and subsequently analysed using thematic analysis. Results: Five overarching themes were developed summarising participants' experiences. These included understanding the causes of psychological difficulties; accessing psychological support; the recognition and management of psychological difficulties; the improvement of psychological care and the personal resilience of the nurse specialists. Conclusions: The specialist nurses were closely involved in the assessment and support of anxiety and depression of people with PD but concerns were expressed that there were limited resources for further help and management.
Development of a logic model to support a network approach in delivering 24/7 children's palliative care: part two
Authors: Maynard Linda , Lynn Deborah 
Published: June 2016

Background: This is the second of a two-part article that discusses a research project that aimed to develop and evaluate a 24/7 symptom-management service for children with palliative care needs and a nursing logic model to enable a novel service approach to be generalised and replicated. Results: Findings demonstrated that the service standards were met and exceeded expectations. Families valued the role, which enabled choice in location of care and perceived the service as a ‘lifeline’. Discussion: Team composition with the right level of specialist and advanced nursing skills, anticipating symptom-management planning, clinical supervision and funded on-call processes were key success criteria. The nursing logic model demonstrated relationships between context investments into the service and outcomes for children and families.
Open Science and eGEMs: Our Role in Supporting a Culture of Collaboration in
Learning Health Systems
Authors: Holve Erin 
Published: June 2016

“Open science” includes a variety of approaches to facilitate greater access to
data and the information produced by processes of scientific inquiry. Recently, the
health sciences community has been grappling with the issue of potential pathways and
models to achieve the goals of open science—namely, to create and rapidly share
reproducible health research. eGEMs’ continued dedication to and milestones regarding
the publication of innovative, useful, and timely research to help contribute to the
push towards open science is discussed, as well as the EDM Forum’s new data sharing
platform, CIELO. Although strides have been made, there is still more work to be done to
help health sciences community truly embrace open science.
El armario. Una serie de kits tecnoafectivos
Authors: Gil Delgado David 
Published: June 2016

El Armario es el espacio donde somos nosotros mismos. Es lo contrario de lo que se espera que seamos en el espacio público. En él guardamos las máscaras que usamos en el exterior. Contiene tanto nuestro material biológico como nuestro material socialmente producido. No es un espacio metafórico, sino un espacio que siempre llevamos con nosotros mismos y que sólo se abre cuando el contexto nos lo permite. Quizás, los verdaderos afectos humanos sólo sean reales cuando el espacio del armario se activa.Cada persona puede tener un tipo de armario. Más grande o más pequeño, más fijo o más transportable, más cerrado o más abierto. No obstante, el uso y el contenido que cada uno puede hacer de su armario viene condicionado por los espacios que atraviesa a lo largo de su vida. Si el contenido “per se” no es aceptado por estos espacios exteriores, quizás ese armario nunca se atreverá a abrirse y a posibilitar la realización afectiva de su propietario. Este proyecto nace motivado por todos aquellos armarios que resisten y que tratan de buscar un espacio en el que poder abrirse. Se desarrolla mediante dos campos de trabajo: una cartografía fragmentada –ejercicios para intentar definir una ecología afectiva– y una investigación propositiva –diez escenarios materiales–. Ambos campos de trabajo son simultáneos y permanecen en proceso, susceptibles de seguir desarrollándose. No obstante, los dos tratan de articular la aplicación de una ecología afectiva a la arquitectura como método de trabajo para la crítica y la proposición de espacios afectivos.La cartografía fragmentada se basa en conocer, descubrir y catalogar –que no desvelar– diversos agentes humanos y diversas tecnologías –dispositivos tecnoafectivos– que consiguen desmontar la normativa de ciertos espacios. Sus esfuerzos alcanzan satisfacciones afectivas que no serían aceptadas en el contexto espacial y social dominante. Estas personas, comunidades y tecnologías pueden abrir un debate y generar unas enseñanzas aplicables a las propuestas arquitectónicas. El objetivo es evitar la opresión sobre las minorías o los “outsiders” del contexto donde nos encontremos. La serie de kits tecnoafectivos se centra en crear n escenarios, narrados en n capítulos –en este momento y en este contexto serán diez– con la intención de construir una crítica hacia algún tipo de opresión afectiva ligada a la arquitectura. Las propuestas buscan potenciar las “desviaciones” antinormativas para conseguir la realización sentimental y corporal de uno o más agentes humanos. 10 historias afectivas, 10 propuestas arquitectónicas, 10 desafíos a lo normativo, 10 reivindicaciones contra el control, 10 debates sociales, 10 espacios queer, 10 institucionalizaciones, 10 multi-performatividades, 10 intentos de libertad, 10 esfuerzos por la igualdad. Podemos llamarlos de diferentes formas. También podemos leer cada propuesta de forma aislada o de forma conectada al resto. Pero todas tienen el mismo objetivo: abrir el armario.
Review and determining the influence of zeolite on concrete strength under high temperature conditions
Authors: Sharif Jadidi Mahdi , Mohammad Ranjbar Malek 
Published: June 2016

in this paper, to verify the effect of zeolite on the strength of concrete and the effect of high temperatures on this type of concrete 5 composition, containing different percentages zeolite (5%, 10%, 15% and 20%) with fixed water to cement ratio for perception of optimized percent of zeolite is made and influence of heat on compressive strength and ultrasonic speed waves was checked . according to tests, it is concluded that the replacement of 10% cement with zeolite at ratio water to cement 0.45 at ages 7, 28 and 90 days, is the optimized replacement level to zeolite.
Comparison of Isolated Primary CABG in Two Successive Decades in Patients Under 40 Years of Age
Authors: Trzeciak Przemyslaw , Zembala Marian , Desperak Piotr , Karolak Wojtek , Zembala Michal , Gasior Mariusz 
Published: June 2016

<strong>Background:</strong> Coronary artery bypass graft (CABG) surgery is rarely performed in very young patients. The purpose of our study is to compare the characteristics, treatments, in-hospital, and long-term outcomes of two groups of patients less than 40 years of age who had CABG in two successive decades: 1990-2000 and 2001-2011. <br /><strong>Methods:</strong> We identified 145 consecutive patients who underwent primary isolated CABG. Group 1 consisted of <br />78 patients operated between 1990-2000 and group 2 consisted of 67 patients operated between 2001-2011. Composite end point assessed at follow-up period involved death or recurrence of symptoms, which we defined as myocardial infarction, a need for percutaneous coronary intervention (PCI), reoperation, or congestive heart failure (CHF). <br /><strong>Results:</strong> Smoking and hypercholesterolemia before CABG were noted as more frequent in group 1 than in group 2: 96.1% versus 83.6%, P = .011; 88.5% versus 61.2%, <br />P = .0001, respectively. Patients from group 2 more frequently received one graft (29.8% versus 11.5%, P = .0059), were operated with off-pump (41.8% versus 0%, P &lt; .0001) or MIDCAB (28.4% versus 0%, P = .0008) techniques, and had complete arterial revascularization (58.2% versus 23.1%, P &lt; .0001). Group 1 patients had a higher prevalence of composite end point (33.9% versus 17.9%, P = .035), with no significant difference in mortality (11.5% versus 10.4%, P = .83).<br /><strong>Conclusion:</strong> Patients operated between 1990-2000 had a higher prevalence of smoking and hypercholesterolemia and higher frequency of composite-end point during folow-up period without significant difference in mortality.
Failing to Prepare is Preparing to Fail: The Known, The Known Unknown, and The Unknown Unknown
Authors: Tribble Curtis G 
Published: June 2016

Cardiothoracic surgery residents often enter their training with fairly limited prior exposure to the field. Obviously, they need to master the essential knowledge and skills of the discipline during their training. In addition to following a didactic curriculum of one sort or another, much of the necessary knowledge and understanding will accrue from their experiences caring for and operating on the patients who will be under their auspices, not only during their formal training but also after they finish their training. Some of these cases and situations, such as elective cases, allow for careful preparation, while some more urgent or emergent cases require generic, advance preparation in order to be ready to perform optimally in these cases when they arise. And then there will always be cases for which one will not be able to prepare in any meaningful way, and these types of cases will require creativity and innovation “on the fly.” I will describe three cases, which are examples of each of these situations, with suggestions on how to handle each type of situation optimally. I will describe the preparation, such as it was for each, in some detail to help the reader understand how it felt to deal with each of these cases. The technical details of each of these cases resulted in a publication, which will be cited in the references, should the reader want to learn more about them.
Extended- Versus Narrower-Spectrum Antibiotics for Appendicitis
Authors: Kronman Matthew P. , Oron Assaf P. , Ross Rachael K. , Hersh Adam L. , Newland Jason G. , Goldin Adam , Rangel Shawn J. , Weissman Scott J. , Zerr Danielle M. , Gerber Jeffrey S. 
Published: June 2016

BACKGROUND AND OBJECTIVES:Appendicitis guidelines recommend either narrower- or extended-spectrum antibiotics for treatment of complicated appendicitis. The goal of this study was to compare the effectiveness of extended-spectrum versus narrower-spectrum antibiotics for children with appendicitis.METHODS:We performed a retrospective cohort study of children aged 3 to 18 years discharged between 2011 and 2013 from 23 freestanding children’s hospitals with an appendicitis diagnosis and appendectomy performed. Subjects were classified as having complicated appendicitis if they had a postoperative length of stay ≥3 days, a central venous catheter placed, major or severe illness classification, or ICU admission. The exposure of interest was receipt of systemic extended-spectrum antibiotics (piperacillin ± tazobactam, ticarcillin ± clavulanate, ceftazidime, cefepime, or a carbapenem) on the day of appendectomy or the day after. The primary outcome was 30-day readmission for wound infection or repeat abdominal surgery. Multivariable logistic regression, propensity score weighting, and subgroup analyses were used to control for confounding by indication.RESULTS:Of 24 984 patients, 17 654 (70.7%) had uncomplicated appendicitis and 7330 (29.3%) had complicated appendicitis. Overall, 664 (2.7%) patients experienced the primary outcome, 1.1% among uncomplicated cases and 6.4% among complicated cases (P &lt; .001). Extended-spectrum antibiotic exposure was significantly associated with the primary outcome in complicated (adjusted odds ratio, 1.43 [95% confidence interval, 1.06 to 1.93]), but not uncomplicated, (adjusted odds ratio, 1.32 [95% confidence interval, 0.88 to 1.98]) appendicitis. These odds ratios remained consistent across additional analyses.CONCLUSIONS:Extended-spectrum antibiotics seem to offer no advantage over narrower-spectrum agents for children with surgically managed acute uncomplicated or complicated appendicitis.
A Williams ÉletKészségek® stresszkezelő és pszichoszociális készségfejlesztő program magyar adaptációja és 10 éves tapasztalatai
Authors: Stauder Adrienne , Balog Piroska , Kovács Mónika , Susánszky Éva 
Published: June 2016

Háttér
A Williams ÉletKészségek® (WÉK) komplex, standardizált, bizonyítottan hatékony magatartásorvoslási program, amelynek fókusza a pszichoszociális stresszhelyzetekkel való adaptív megküzdési stratégiák elsajátítása.

Célkitűzés
Bemutatjuk a WÉK programot, a magyar verzió kidolgozásának módszertanát, valamint a kulturális adaptáció és a széles körű gyakorlati alkalmazás során szerzett tapasztalatainkat.

Módszerek
A WÉK kulturálisan adaptált magyar verziója 2004-ben készült el, a programot azóta folyamatosan fejlesztjük. Az alaptréningek mellett csoportvezetői (WÉK facilitátor) képzéseket indítunk, a facilitátorok számára folyamatos szupervízió biztosított. A WÉK önsegítő változata (70’ DVD és Munkafüzet) 2007-ben készült el. Diákok, pedagógusok és érzelmi evők számára adaptált verzióját is sikerrel alkalmazzuk. A WÉK tréning akkreditált képzés egészségügyi dolgozók és pedagógusok számára. A kiscsoportos tréningek hatékonyságát kérdőívvel vizsgáltuk.

Eredmények
A WÉK használhatóságát a mindennapi gyakorlatban jól jelzi, hogy a tréningeken eddig közel 4000 fő vett részt országszerte. A WÉK-facilitátorképzést több mint 200 szakember végezte el, ez teszi lehetővé a program elérhetőségét Magyarország minden régiójában. A WÉK alaptréning hatékonyságát prospektív, kérdőíves, 6 hónapos utánkövetéses vizsgálataink igazolták. A megküzdő képességek javultak, az észlelt stressz, a szorongás és a depresszió szintje, valamint a szubjektív testi tünetek csökkentek. A programot minimális kiegészítésekkel különböző kiemelt célcsoportok számára sikeresen adaptáltuk.

Következtetések
Az elmúlt 10 év tapasztalatai azt igazolják, hogy a Williams ÉletKészségek® kiscsoportos készségfejlesztő tréning hazai körülmények között széles körben alkalmazható. A résztvevők szubjektív elégedettsége mellett a program hatékonyságát a nemzetközi vizsgálatokkal összhangban, hazai kutatási eredményeink is igazolták.