bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessing the culture of safety in cardiovascular perfusion: attitudes and perceptions
Authors: Lawson Chad , Predella Megan , Rowden Allison , Goldstein Jamie , Sistino Joseph J. , Fitzgerald David C. 
Published: June 2017

Introduction: The Hospital Survey on Patient Safety Culture was developed by the Agency for Healthcare Research and Quality (AHRQ) to assess the culture of safety in hospitals. The purpose of this study was to identify specific domains of perfusion that are indicators of a high quality culture of safety. Methods: Perfusionists were recruited to participate in the survey through email invitation through Perflist, Perfmail and LinkedIn. The survey consisted of 37 questions across six safety domains. Questions were developed using the AHRQ Hospital Survey on Patient Safety Culture. ‘Positive scores’ were defined as a response that either agreed or strongly agreed with a safety standard. Survey responses that resulted in a 75 percent or higher positive response rate were identified as vital components of a high culture of safety. Logistic regression analysis was used to determine importance components of perceived safety. Results: Four responses were found to have a significant predictive level of a positive safety environment in the work unit: (1) in this unit, we discuss ways to prevent errors from happening again; OR=3.09, (2) in this unit, we treat others with respect; OR=1.09 (3) my supervisor/manager seriously considers staff suggestions for improving patient safety; OR=1.89 and (4) there is good cooperation among hospital units that need to work together; OR=1.77. There were two predictors of a negative work unit safety environment: (1) staff are afraid to ask questions when something does not seem right; OR=0.62 and (2) it is just by chance that more serious mistakes don’t happen around here; OR=0.55. Conclusions: The results from this survey indicate that effective communication secondary to both incident and near-miss reporting is associated with a higher perceived culture of safety. A positive safety environment is associated with being able to speak up regarding safety issues without fear of negative repercussions.
Testicular ultrasensitive Doppler preliminary experience: a feasibility study
Authors: Rocher Laurence , Gennisson Jean-Luc , Ferlicot Sophie , Criton Aline , Albiges Laurence , Izard Vincent , Bellin Marie France , Correas Jean-Michel 
Published: June 2017

Background Ultrasensitive Doppler is a novel non-invasive ultrasound (US) Doppler technique that improves sensitivity and resolution for the detection of slow flow. Purpose To investigate the feasibility of ultrasensitive Doppler (USD) for testicular disease diagnosis, using both qualitative and quantitative results. Material and Methods This prospective study was conducted in 160 successive men referred for scrotal US including B-mode and conventional Color-Doppler. A new USD sequence and algorithm dedicated to academic research were implemented into the US system. The quality criterion for a successful examination was the detection of well delineated intratesticular vessels. Qualitative USD results were described in terms of tumor vascular architecture and flow intensity for different pathologies for 41 patients. The testicular vascularization (TV), defined as a vessel’s surface ratio, was quantified using customized MATLAB® software and compared in azoospermic and normal patients. Results USD was acquired successfully in 153/160 patients (95.6%). The tumor vascular architecture differed depending on the nature of the tumors. Leydig cell tumors exhibited mostly circumferential vascularization, while germ cell tumors exhibited straight vessels through the tumors, or anarchic vascular maps. USD improved the diagnostic performance of testicular Doppler US in a case of incomplete spermatic cord torsion and acute epididymitis. The reproducibility of TV measurements established an interclass correlation of 0.801. Non-Klinefelter syndrome non-obstructive azoospermia patients exhibited a lower TV compared to normal patients, to Klinefelter syndrome, and to obstructive azoospermia patients ( P < 0.002, P < 0.005, and P < 0.05, respectively). Conclusion Testicular USD can become a promising technique for improving US diagnosis of tumors, acute scrotum, and for determining infertility status.
Meta-Analysis of Electroacupuncture in Cardiac Anesthesia and Intensive Care
Authors: Asmussen Sven , Przkora Rene , Maybauer Dirk M. , Fraser John F. , Sanfilippo Filippo , Jennings Kristofer , Adamzik Michael , Maybauer Marc O. 
Published: June 2017

Background: Acupuncture treatment has been employed in China for over 2500 years and it is used worldwide as analgesia in acute and chronic pain. Acupuncture is also used in general anesthesia (GA). The aim of this systematic review and meta-analysis was to assess the efficacy of electroacupuncture (EA) in addition to GA in patients undergoing cardiac surgery. Methods: We searched 3 databases (Pubmed, Cochrane Library, and Web of Science—from 1965 until January 31, 2017) for randomized controlled trials (RCTs) including patients undergoing cardiac surgery and receiving GA alone or GA + EA. As primary outcomes, we investigated the association between GA + EA approach and the dosage of intraoperative anesthetic drugs administered, the duration of mechanical ventilation (MV), the postoperative dose of vasoactive drugs, the length of intensive care unit (ICU) and hospital stay, and the levels of troponin I and cytokines. Results: The initial search yielded 477 citations, but only 7 prospective RCTs enrolling a total of 321 patients were included. The use of GA + EA reduced the dosage of intraoperative anesthetic drugs ( P < .05), leading to shorter MV time ( P < .01) and ICU stay ( P < .05) as well as reduced postoperative dose of vasoactive drugs ( P < .001). In addition, significantly lower levels of troponin I ( P < .01) and tumor necrosis factor α ( P < .01) were observed. Conclusion: The complementary use of EA for open-heart surgery reduces the duration of MV and ICU stay, blunts the inflammatory response, and might have protective effects on the heart. Our findings stimulate future RCT to provide definitive recommendations.
Associations Between Bicycling for Transportation and Cardiometabolic Risk Factors Among Minneapolis–Saint Paul Area Commuters: A Cross-Sectional Study in Working-Age Adults
Authors: Berger Aaron T. , Qian Xinyi (Lisa) , Pereira Mark A. 
Published: June 2017

Purpose: This study describes the association between frequency of bicycling for active transportation and modifiable cardiometabolic risk factors in the Minneapolis–Saint Paul (MSP) metropolitan area. Design: We conducted an online survey from a convenience sample of likely bicycle commuters. Setting: Participants were e-mailed invitations including a link to the online survey. Participants: Participants (n = 1450, 15.6% response rate) were residents of the 7-county MSP metropolitan area aged 20 to 64 years. Measures: Participants reported frequency of commute and destination cycling from April to September and October to March, prevalent cardiometabolic risk factors, and demographic covariates. Analysis: We performed logistic regressions for associations between average weekly transportation bicycling and self-reported prevalent obesity, high blood pressure, high cholesterol, low high-density lipoprotein cholesterol, and high triglycerides. We used Poisson regression for the count of cardiometabolic risk factors. All models were adjusted for age, sex, race, smoking, alcohol consumption, and other physical activity, with random intercepts by zip code. Results: Self-reported bicycling frequency is associated with significantly lower odds of prevalent obesity, hypertension, and high triglycerides. Three bicycling trips per week is associated with 20% fewer (95% confidence interval: 12%-28%) cardiometabolic risk factors. Conclusion: Bicycling frequency is inversely associated with cardiometabolic risk factors. These results provide empirical support for the promotion of active transportation as public health policy.
Torpedo Maculopathy Presenting With Fovea Plana in a 21-Year-Old Female
Authors: Iaboni Douglas S. M. , Seamone Mark E. , Choudhry Netan , Gupta R. Rishi 
Published: June 2017

Purpose: To report a case of torpedo maculopathy presenting with fovea plana in a 21-year-old female patient. Methods: Multimodal imaging including fluorescein angiography, fundus autofluorescence, and spectral domain optical coherence tomography (OCT) was used to characterize pathology. Results: A well-circumscribed ellipsoidal hypopigmented lesion was observed inferotemporal to the fovea OS. Fluorescein angiography and fundus autofluorescence revealed hyperfluorescence and focal hypoautofluorescence, respectively, corresponding to the hypopigmented lesion. Spectral domain optical coherence tomography imaging of the lesion revealed attenuation of the ellipsoid zone and retinal pigment epithelium with a hyporeflective subretinal cleft. En face OCT imaging demonstrated an area of subretinal hyporeflectivity at the subretinal cleft. Spectral domain optical coherence tomography revealed the absence of a foveal pit. Conclusion: We have described a novel case presentation of fovea plana alongside torpedo maculopathy. The significance of this association remains unclear. Further study into these conditions is necessary to help better determine factors responsible for visual symptoms or lack thereof and circumstances that promote their development.
INVESTIGATION OF DYNAMIC SOIL STABILITY AT THE SEISMIC INFLUENCES
Authors: Тер-Мартиросян Завен , Ter-Martirosyan Zaven 
Published: June 2017

This paper presents the main stages of the analysis of dynamic
stability of foundation soils buildings and structures increased
responsibility in difficult engineering-geological conditions.
The article contains a brief theoretical background used methodology for assessing the dynamic stability. The results of the special laboratory tests of soils in triaxial compression devices under dynamic loads caused by seismic action performed in the scientific and educational center «Geotechnics» MSUCE.
To a question on the structure of the institute of legal responsibility of the state
Authors: Романова Вера 
Published: June 2017

The article analyzes the structure of the legal responsibility institute of the state. The article reveals the peculiarities of legal regulation of constitutional, civil and international legal responsibility of the state.
The features of the subinstitute of constitutional responsibility of the State, which aims to ensure the inviolability of the principles of democracy and supremacy of the Constitution, as well as to protect the rights and freedoms of man and citizen are being shown. The author analyzed foreign experience of legal regulation of the legal responsibility of the state. The history of the formation and functioning of the procedure for impeachment of the Institute in the following countries: United States, United Kingdom, Denmark, Norway and the Federal Republic of Germany are expounded.
Also considered are the basics of civil responsibility of the state. According to para. 2, Art. 8 of the Constitution of the Russian Federation in the Russian Federation it is recognized and protected equally private, state, municipal and other forms of property. Equal protection of all forms of property means, in particular, establishing the inadmissibility of any exception regarding the property responsibility for individual subjects, including the state. On this basis, we analyzed the concept of functional and absolute immunity of foreign states. The main provisions of both international law and the Federal Law of 11.03.2015, № 297-FZ &#34;On the jurisdictional immunities of foreign States and property of a foreign state in the Russian Federation.&#34; are reviewed.
The features of subinstitute of international legal responsibility of the state are investigated. It is generally known that one of the fundamental principles of contemporary international law is sovereignty. However, this principle does not indicate a lack of interaction and interdependence of the state, since no state can exist and develop in isolation from the world community.
The article was supported by the Russian Foundation for Humanities, the project № 16-33-00017 «A comprehensive, interdisciplinary institute of legal responsibility: the concept, structure, relationships and place in the legal system&#34;.
Use of the partograph among midwives at University Teaching Hospital, Lusaka: a LAMRN project in Zambia
Authors: Kalusopa Victoria Mwiinga , Mayimbo Sebean , Muleya Mutinta , Kwaleyela Concepta , Hazemba Alice Ngoma , Maimbolwa Margaret , Lyangenda Kutemba , Sianga Maureen , Msiska Francesca , Porteous Carol 
Published: June 2017

Background: Globally, 830 women die every day from pregnancy- or childbirth-related complications, 99% of whom are in developing regions. In Zambia, the maternal mortality ratio is 398 maternal deaths per 100 000 live births, yet the majority of these deaths could have been prevented by using the partograph to detect abnormal progress of labour. Aim: To determine the use, practices, and level of knowledge among midwives on the labour ward at the University Teaching Hospital in Lusaka. Methods: A cross-sectional design was implemented to determine the use of the partograph among 110 skilled birth attendants. This involved a self-administered, semi-structured questionnaire and a checklist, which was used to assess the completion of 370 partographs from the records. Findings: In the initial audit 40 (36%) of 110 skilled birth attendants who worked in labour ward completed the questionnaire. Of these, 35 (87.5%) used the partograph all the time. When asked for the reasons why the partograph was not used, 3 (7.5%) cited non-availability; 4 (10%) said lack of knowledge and 6 (15%) said emergencies. In the initial audit, only 7.5% of the midwives were knowledgeable on use of the partograph, but this improved to 95.5% in the re-audit. Conclusions: The study revealed low knowledge and under use of the partograph among skilled birth attendants at the University Teaching Hospital in Lusaka.
Safer sex communication among young women in Botswana
Authors: Magowe Mabel KM 
Published: June 2017

Background: The prevalence of HIV remains high in Botswana and women are disproportionately affected because of cultural barriers related to safer sex communication. Aims: This study aimed to explore young women's perceptions and beliefs about safer sex communication, in order to inform future interventions. Methods: A cross-sectional qualitative study was conducted among 40 sexually active young women in Gaborone clinics in Botswana, selected through purposive sampling. Relevant institutional review boards gave ethical clearance. Participants gave written informed consent. Data were audio-recorded, transcribed verbatim and translated for thematic content analysis. The women explained the meaning of beliefs, perceptions, content, influence tactics, outcomes, advantages and disadvantages, self-efficacy, facilitators and barriers for safer sex communication. Findings: The women's male sexual partners controlled the direction and outcome of the communication and the use of safer sex practices. Conclusions: Further research and interventions should focus on improving men's appreciation of safer sex communication.
Injuries in the competitive paediatric motocross athlete
Authors: Arena C. B. , Holbert J. A. , Hennrikus W. L. 
Published: June 2017

Purpose The purpose of this study is to report the spectrum of injuries sustained by competitive paediatric motocross athletes at a level I trauma centre. Patients and Methods A retrospective study of paediatric competitive motocross injuries treated at a level I trauma centre between 2004 and 2014 was performed. Athletes were included if aged less than 18 years and injured while practising or competing on a competitive motocross track. Medical records were reviewed for age, gender, race, location of accident, use of safety equipment, mechanism of injury, injury type and severity, Glasgow Coma Score at hospital presentation and Injury Severity Score (ISS). Results In total, 35 athletes were studied. The average age was 14 years. One athlete died. Thirty athletes were injured during competition; five were injured during practice. Twenty-four athletes (69%) suffered an orthopaedic injury with a total of 32 fractures and two dislocations. Two fractures were open (6.3%). Lower extremity fractures were twice as common as upper extremity fractures. Surgery was more common for lower extremity fractures—83% versus 30%. The most common fractures were femoral shaft (18.8%), fibula (12.5%), clavicle (12.5%), tibial shaft (9.4%) and forearm (9.4%). Conclusions Competitive paediatric motocross athletes suffer serious, potentially life-threatening injuries despite the required use of protective safety equipment. Femoral shaft, fibula and clavicle were found to be the most commonly fractured bones. Further prospective research into track regulations, protective equipment and course design may reduce the trauma burden in this athlete population.
Mediações poéticas sobre o corpo gordo de Elisa Queiroz e Fernanda Magalhães
Authors: Almeida de Mello Júlia 
Published: June 2017

O presente artigo traz uma interseção entre o projeto poético das artistas brasileiras Elisa Queiroz e Fernanda Magalhães. Ambas possuem produções autorreferenciais que permitem reflexões acerca da corpulência. As artistas provocam os espectadores através de trabalhos feitos em diferentes suportes e superfícies e parecem tensionar as normas e padrões estéticos vigentes na sociedade contemporânea. Para a leitura dos projetos, são considerados os escritos de autores como Donna Haraway (2009), Chantal Mouffe (2007), Whitney Chadwick (2001) e André Rouillé (2005), que tratam de gênero, política e práticas artísticas como política. Os resultados revelam a possibilidade em realizar uma conversa entre as obras das artistas, partindo dos seus corpos para alinhavar discursos concernentes a identidade, gênero e poder.

ABSTRACT
This article provides an intersection between the poetic project from Brazilian artists Elisa Queiroz and Fernanda Magalhães. Both have self-referential productions that allow reflections about corpulence and seem to tighten standards and aesthetic standards prevailing in contemporary society. For the reading of the projects are considered the writings of authors such as Donna Haraway (2009), Chantal Mouffe (2007), Whitney Chadwick (2001) and Andre Rouillé (2005), dealing with gender, political and artistic practices as politics. The results reveal the possibility to hold a conversation between the artists works starting from their bodies to tack speeches concerning identity, gender and power.
KEYWORDS
Art, Elisa Queiroz, Fernanda Magalhães, body, gender.
Effect of Training Load Distribution on Aerobic Fitness Measures in Hurling Players
Authors: Malone Shane , Hughes Brian , Collins Kieran 
Published: June 2017

Abstract
Malone, S, Hughes, B, and Collins, K. Effect of training load distribution on aerobic fitness measures in hurling players. J Strength Cond Res 33(3): 825–830, 2019—The aim of the current investigation was to quantify the training intensity distribution of hurling players and their association with changes in aerobic fitness measures within hurling players. Thirty hurling players (n = 30; age 26.5 ± 3.2 years; height 178.9 ± 3.2 cm; body mass 81.5 ± 4.5 kg) were observed during the pre-championship training period (12 weeks). Aerobic fitness measures (V̇o
2max), peak treadmill velocity (km·h−1), heart rates (HRs) at 2 and 4 mmol·L−1 blood lactate concentrations, and Yo-Yo intermittent recovery test performance (Yo-YoIR1) were assessed before and after the training period. Training intensities were categorized using 3 individualized HR zones based on the following criteria: low intensity (≤HR 2 mmol·L−1), moderate intensity (between HR 2 and 4 mmol·L−1), and high intensity (≥HR 4 mmol·L−1). Analysis of 1,025 individual training sessions showed that players spent 58.1 ± 2.5%, 24.3 ± 2.9%, and 17.6 ± 1.3% of time in the low-, moderate-, and high-intensity zones, respectively. The training time spent at high intensity (Zone 3) showed moderate-to-large associations with improvements in S2 (r = 0.80; p = 0.04) and S4 (r = 0.58; p = 0.03). Similar trends were observed for time spent in high intensity and improvements in V̇o
2max (r = 0.77; p = 0.001) and Yo-YoIR1 performance (r = 0.65; p = 0.05). Hurling players have been shown to spend the majority of training time in low (≤ HR 2 mmol·L−1) to moderate intensity (between HR 2 and 4 mmol·L−1) training. However, only the time spent at high intensity (≥90% of maximal HR) was related to changes in aerobic fitness. These results support the usefulness of the quantification of aerobic training load using HR. The study also supports the efficacy of spending elements of training time within the high-intensity zone to increase hurling player's aerobic fitness characteristics.
Mitochondrial permeability transition involves dissociation of F1FO ATP synthase dimers and C‐ring conformation
Authors: Bonora Massimo , Morganti Claudia , Morciano Giampaolo , Pedriali Gaia , Lebiedzinska‐Arciszewska Magdalena , Aquila Giorgio , Giorgi Carlotta , Rizzo Paola , Campo Gianluca , Ferrari Roberto , Kroemer Guido , Wieckowski Mariusz R , Galluzzi Lorenzo , Pinton Paolo 
Published: June 2017

AbstractThe impact of the mitochondrial permeability transition (MPT) on cellular physiology is well characterized. In contrast, the composition and mode of action of the permeability transition pore complex (PTPC), the supramolecular entity that initiates MPT, remain to be elucidated. Specifically, the precise contribution of the mitochondrial F1FO ATP synthase (or subunits thereof) to MPT is a matter of debate. We demonstrate that F1FO ATP synthase dimers dissociate as the PTPC opens upon MPT induction. Stabilizing F1FO ATP synthase dimers by genetic approaches inhibits PTPC opening and MPT. Specific mutations in the F1FO ATP synthase c subunit that alter C‐ring conformation sensitize cells to MPT induction, which can be reverted by stabilizing F1FO ATP synthase dimers. Destabilizing F1FO ATP synthase dimers fails to trigger PTPC opening in the presence of mutants of the c subunit that inhibit MPT. The current study does not provide direct evidence that the C‐ring is the long‐sought pore‐forming subunit of the PTPC, but reveals that PTPC opening requires the dissociation of F1FO ATP synthase dimers and involves the C‐ring.