bluuebunny/crossref_metadata_2025_split huggingface dataset:
Breaking Bad News in Ethnic Settings: Perspectives of Patients and Families in Northern Sri Lanka
Authors: Rajasooriyar Chrishanthi , Kelly Jenny , Sivakumar Thanikai , Navanesan Gowcikan , Nadarasa Shahini , Sriskandarajah Madona Hashanthy , Sabesan Sabe 
Published: August 2016

Purpose The discussion of a cancer diagnosis and prognosis often is difficult. This study explored the expectations of Tamil-speaking patients with cancer and their families with respect to receiving their cancer diagnosis in northern Sri Lanka. Methods This exploratory, descriptive, qualitative study used semistructured interviews. Results Thematic analysis identified two major themes: communication and information seeking. The findings illustrate a discrepancy between patient preference for direct disclosure of the diagnosis and that of families. Ninety-five percent of patients wanted medical staff to disclose their cancer diagnosis, whereas only 45% of family members believed that the diagnosis should be disclosed to the patient rather than to the family. Conclusion Although patients and their family members’ views and expectations of the disclosure of diagnosis and prognosis differ, a majority of patients want to be told directly about their diagnosis rather than to learn of it from a relative. The findings are similar to the literature on other ethnic groups from Sri Lanka and studies from English-speaking developed countries. Therefore, the main questions are how to educate families and physicians about the benefits of open disclosure to patients and how to change culture. Results of this study along with a previous study call for the development of strategies and guidelines to improve societal views, educate patients and families, and train health professionals in the area of breaking bad news and discussing prognosis in the Sri Lankan setting.
Gender Differences in Stereotypes of Risk Preferences: Experimental Evidence from a Matrilineal and a Patrilineal Society
Authors: Pondorfer Andreas , Barsbai Toman , Schmidt Ulrich 
Published: August 2016

We use a controlled experiment to analyze gender differences in stereotypes about risk preferences of men and women across two distinct island societies in the Pacific: the patrilineal Palawan in the Philippines and the matrilineal Teop in Papua New Guinea. We find no gender differences in actual risk preferences, but we find evidence for culture-specific stereotypes. Like men in Western societies, Palawan men overestimate women’s actual risk aversion. By contrast, Teop men underestimate women’s actual risk aversion. We argue that the observed differences in stereotypes between the two societies are determined by the different social status of women. Data are available at http://dx.doi.org/10.1287/mnsc.2016.2505 . This paper was accepted by Uri Gneezy, behavioral economics.
Using electronic health record data to identify prostate cancer patients that may
qualify for active surveillance
Authors: Knighton Andrew J. , Belnap Tom , Brunisholz Kim , Huynh Kelly , Bishoff Jay T. 
Published: August 2016

Introduction: The introduction of the protein-specific antigen (PSA) test in care
means that prostate cancer (PCa) is being detected earlier and more frequently. The
result of increased screening using PSA, digital rectal examination and awareness of
prostate was an increase in the number of men with low risk cancers. Active surveillance
has become a viable alternative to immediate treatment with surgery, radiation and other
forms of localized treatment. Evidence suggests that there is no significant difference
in mortality rates between AS and surgery. In addition, patients may potentially delay
other complications associated with surgery, radiation or deprivation
therapy.Methods: This quality improvement study using a delivery system science
framework describes the electronic identification of AS candidates given an
evidence-based identification criteria based upon national guidelines and clinical
judgement. The study population (n=649) was drawn from health records of all patients
who received a prostate biopsy (n=1731) at Intermountain Healthcare from 1/1/2013 to
12/31/2014. Automated and manual abstraction was performed. Receiver operating
characteristic (ROC) analysis was used to compare AS-eligible patients to the actual
treatment received to identify potential care improvement opportunities.Among those with
complete data, 24.7% of this population (n=160) met “AS-eligible” criteria. 39.1% of the
population had not received surgery, radiation or androgen deprivation therapy and were
considered as being treated using an AS approach. 9% of AS-eligible patients did not
receive AS; 27% of patients who did not meet AS-eligible criteria received AS. Estimated
guideline adherence measured using area under the curve was 0.70 (95% CI: 0.66-0.73).
Modest variation in criteria parameters for identifying AS-eligible patients did not
significantly change estimated adherence levels.Conclusion: Implementation of
evidence-based criteria for detection of AS candidates is feasible using electronic
health record data and provides a reasonable basis for delivery system evaluation of
practice patterns and for quality improvement.
Using a Patient Portal to Transmit Patient Reported Health Information into the
Electronic Record: Workflow Implications and User Experience
Authors: Sorondo Barbara , Allen Amy , Bayleran Janet , Doore Stacy , Fathima Samreen , Sabbagh Iyad , Newcomb Lori 
Published: August 2016

Introduction: This project implemented an integrated patient self-reported
screening tool in a patient portal and assessed clinical workflow and user experience in
primary care practices.Methods: An electronic health risk assessment based on the CMS
Annual Wellness Visit (AWV) was developed to integrate self-reported health information
into the patient’s electronic health record (EHR). Patients enrolled in care
coordination tested the implementation. The evaluation plan included quantitative and
qualitative measures of patient adoption, provider adoption, workflow impact, financial
impact, and technology impact.Findings: Seventy-two patients completed the sample AWV,
and 80% of the questionnaires had clinical findings that required provider follow-up.
Patients expressed satisfaction with the portal, as it enabled them to view their health
record and enter information. Implementation did not reduce office staff time. Providers
and office staff agreed that an electronic system for adding information to their record
would increase patient satisfaction, but they expressed concern with the need to
promptly review the information and the time involved to accomplish this prior to an
office visit.Discussion: Despite satisfaction among patients, portal adoption is still
low, due totechnological limitations and to the lack of adaptability to primary care
practice workflow. Notwithstanding those barriers, the use of the portal for completion
of repetitive tasks, such as screening tools, should be encouraged.Conclusions: Patients
can effectively use portals to complete the patient reported section of the CMS AWV.
However, if the information is not completed during the same day of the office visit,
the time required to address health findings outside of a regular office visit is
uncompensated, and diminished the enthusiasm for this process among primary care
practice staff.
Aorto-oesophageal fistula after oesophageal stent placement in a patient with a Roux-en-Y gastric bypass
Authors: Boerlage TCC , Hermanides HS , Moes DE , Tan IL , Houben GMP , Acherman YIZ 
Published: August 2016

A 43-year-old female patient suffered from persistent anastomotic leakage after Roux-en-Y gastric bypass for morbid obesity. Endoscopic stenting of the anastomotic leakage was performed. The patient presented with haematemesis 3 weeks later. An aorto-oesophageal fistula was diagnosed, most likely due to ulceration of the oesophageal stent. The fistula was closed with an endovascular covered aortic stent and a new gastrojejunostomy was created. One year after surgery, the patient is in good condition. Endoscopic stents are increasingly being used to treat anastomotic leakage in bariatric patients. An aorto-oesophageal fistula is a life-threatening complication of stent placement, early clinical recognition is essential. More data are needed on the complications of anastomotic stenting in bariatric patients.
Outcomes of regional transfers of ruptured abdominal aortic aneurysm in a UK vascular network
Authors: Proctor VK , Lee MJ , Nassef AH 
Published: August 2016

INTRODUCTION Rupture of abdominal aortic aneurysm is a surgical emergency. In order to improve operative outcomes, vascular services have been centralised in the United Kingdom. This means that a patient may present to a hospital with a ruptured aneurysm, but require transfer to a vascular centre for definitive treatment. METHODS This retrospective cohort study identified patients who underwent surgery for ruptured abdominal aortic aneurysm in a tertiary vascular centre over a 2-year period. Data on demographics and originating unit were recorded. Outcomes assessed included 30-day mortality, operative mortality and postoperative morbidity. RESULTS We identified 70 patients who underwent surgery for ruptured abdominal aortic aneurysm in the 2-year period; 36 presented directly to the vascular unit (VU), 14 to referral unit 1 (RU1) and 20 to referral unit 2 (RU2); 30-day mortality rates were 27.7% (VU), 35.5% (RU1) and 30.0% (RU2), respectively. There was no statistical difference in mortality between units. Postoperative complications were seen in 35.9% of VU patients, 78.6% of RU1 patients and 70% of RU2 patients. This was statistically significant between VU and RU1 (P = 0.006) and VU and RU2 (P = 0.02). Direct operative complications were seen in 9 patients, gastrointestinal complications in 9, limb complications in 6 and systemic complications in 40. CONCLUSION This study found that site of presentation does not affect mortality but is associated with increased morbidity. This is a complex issue, which will require a prospective multicentre study to investigate further.
Synthesis of Zeolites from A Low-Quality Colombian Kaolin
Authors: Villaquirán-Caicedo Mónica A. , De Gutiérrez Ruby M. , Gordillo Marisol , Gallego Nidia C. 
Published: August 2016

AbstractAt present, no production of zeolites is ongoing in Colombia; thus, because of the high demand in the industrial sector, ~2500 tons is imported annually from other countries such as Cuba, Ecuador, Mexico, and the United States. In order minimize the need for these costly imports, the present study sought to evaluate the viability of producing low-silica zeolites through the hydrothermal synthesis of a Colombian kaolin, which contains quartz (40%) and iron-oxide impurities. The kaolin was subjected to a milling process to reduce the particle size to the order of 11 μm, and was heat treated to transform it to metakaolin. Optimization of the synthesis variables (Na2O/SiO2 and H2O/Al2O3 ratios, time, and temperature) was accomplished by applying an experimental design based on the ‘Response Surface Methodology’ technique. The degree of crystallinity and the cation exchange capacity (CEC) were used as response variables. The CEC was determined from the NTC 5167 standard. In addition, the mineralogical composition and the zeolite microstructure were evaluated using techniques such as scanning electron microscopy, X-ray diffraction, and solid state nuclear magnetic resonance spectroscopy. The results indicated that synthetic type A zeolites with a CEC value of 442 cmol(+)/kg can be obtained from the Colombian kaolin, with the following optimal processing conditions: Na2O/SiO2 molar ratio of 2.7, H2O/Al2O3 molar ratio of 150, temperature = 66°C, and processing time = 8 h. Note that this value (442 cmol(+)/kg) is greater than that reported for an imported commercial zeolite (408 cmol(+)/kg) of the same type, which is currently being used in industry in Colombia. The nationwide availability of the raw material and the quality of the final product present opportunities to make this material available to the Colombian market.
Dissolving the stigma of disability through drama therapy: A case study of an integrated classroom approach to addressing stigmatization by pre-professional health care students
Authors: Bailey Sally 
Published: August 2016

Abstract
Stigma, a negative attribute projected onto an individual or group different from the ‘norm’, is a continuing problem for people with disabilities. Health care workers need to become aware of their own tendencies to stigmatize and challenge them during their education. This article presents a case study of an integrated classroom approach involving education about stigma, engagement in basic drama therapy sessions with people with disabilities, and reflection on experiences to achieve a positive attitude change.
The use of Image Theatre to examine the acculturation process of Taiwanese international performing arts students in New York City
Authors: Jen Wanning 
Published: August 2016

Abstract
Acculturation is a complicated and evolving process. International performing arts students in New York City face particular stressors during their acculturation to the United States. Through the use of Image Theatre, the author examined the acculturation experiences of five Taiwanese international students in the performing arts. Seven themes emerged: acculturation stress in educational setting; social isolation and feelings of otherness; the role of gossip; acceptance; the importance of reaching towards one’s dreams; alliance and reliance; and togetherness.
Com a cabeça fervendo: nervos e câncer nas classes populares
Authors: Redon Silvano Aparecido 
Published: August 2016

As doenças exigem interpretações e acionam configurações de sentido próprias dos universos socioculturais em que os doentes estão inseridos. Se elas ocupam uma dimensão social por excelência, entender sua etiologia inserindo-a num contexto mais amplo é uma necessidade antropológica pela qual se busca conferir sentido ao “não sentido”. Os modelos nativos de causalidade das doenças são bastante complexos e variados, e nesse artigo, escrito a partir de pesquisa etnográfica realizada junto a doentes em tratamento ambulatorial de quimioterapia e radioterapia do Hospital do Câncer de Londrina, busco trazer elementos que indicam a doença dos nervos como referência recorrente nos modelos explicativos acerca da origem do câncer nas classes populares. Trata-se de uma reconfiguração da categoria nervos, que alinhava e dialoga com questões fisiológicas, religiosas, biomédicas e com as relações de gênero, possibilitando mais bem perceber os contornos da noção de pessoa entre os grupos populares.
Ditadura e homossexualidades no Brasil
Authors: Oliveira Jainara Gomes de , Santana Tarsila Chiara 
Published: August 2016

Resenha de: GREEN, James N & QUINALHA, Renan (Orgs.). Ditadura e homossexualidades: repressão, resistência e a busca pela verdade. São Carlos: EdUFSCar, 2014. 332 p.
Extrapancreatic effects of incretin hormones: evidence for weight‐independent changes in morphological aspects and oxidative status in insulin‐sensitive organs of the obese nondiabetic Zucker rat (ZFR)
Authors: Colin Ides M. , Colin Henri , Dufour Ines , Gielen Charles‐Edouard , Many Marie‐Christine , Saey Jean , Knoops Bernard , Gérard Anne‐Catherine 
Published: August 2016

AbstractIncretin‐based therapies are widely used to treat type 2 diabetes. Although hypoglycemic actions of incretins are mostly due to their insulinotropic/glucagonostatic effects, they may also influence extrapancreatic metabolism. We administered exendin‐4 (Ex‐4), a long‐acting glucagon‐like peptide receptor agonist, at low dose (0.1 nmol/kg/day) for a short period (10 days), in obese nondiabetic fa/fa Zucker rats (ZFRs). Ex‐4‐treated ZFRs were compared to vehicle (saline)‐treated ZFRs and vehicle‐ and Ex‐4‐treated lean rats (LRs). Blood glucose levels were measured at days 0, 9, and 10. Ingested food and animal weight were recorded daily. On the day of sacrifice (d10), blood was sampled along with liver, epididymal, subcutaneous, brown adipose, and skeletal muscle tissues from animals fasted for 24 h. Plasma insulin and blood glucose levels, food intake, and body and epididymal fat weight were unchanged, but gross morphological changes were observed in insulin‐sensitive tissues. The average size of hepatocytes was significantly lower in Ex‐4‐treated ZFRs, associated with decreased number and size of lipid droplets and 4‐hydroxy‐2‐nonenal (HNE) staining, a marker of oxidative stress (OS). Myocytes, which were smaller in ZFRs than in LRs, were significantly enlarged and depleted of lipid droplets in Ex‐4‐treated ZFRs. Weak HNE staining was increased by Ex‐4. A similar observation was made in brown adipose tissue, whereas the elevated HNE staining observed in epididymal adipocytes of ZFRs, suggestive of strong OS, was decreased by Ex‐4. These results suggest that incretins by acting on OS in insulin‐sensitive tissues may contribute to weight‐independent improvement in insulin sensitivity.
The response of muscle protein synthesis following whole‐body resistance exercise is greater following 40 g than 20 g of ingested whey protein
Authors: Macnaughton Lindsay S. , Wardle Sophie L. , Witard Oliver C. , McGlory Chris , Hamilton D. Lee , Jeromson Stewart , Lawrence Clare E. , Wallis Gareth A. , Tipton Kevin D. 
Published: August 2016

AbstractThe currently accepted amount of protein required to achieve maximal stimulation of myofibrillar protein synthesis (MPS) following resistance exercise is 20–25 g. However, the influence of lean body mass (LBM) on the response of MPS to protein ingestion is unclear. Our aim was to assess the influence of LBM, both total and the amount activated during exercise, on the maximal response of MPS to ingestion of 20 or 40 g of whey protein following a bout of whole‐body resistance exercise. Resistance‐trained males were assigned to a group with lower LBM (≤65 kg; LLBM n = 15) or higher LBM (≥70 kg; HLBM n = 15) and participated in two trials in random order. MPS was measured with the infusion of 13C6‐phenylalanine tracer and collection of muscle biopsies following ingestion of either 20 or 40 g protein during recovery from a single bout of whole‐body resistance exercise. A similar response of MPS during exercise recovery was observed between LBM groups following protein ingestion (20 g – LLBM: 0.048 ± 0.018%·h−1; HLBM: 0.051 ± 0.014%·h−1; 40 g – LLBM: 0.059 ± 0.021%·h−1; HLBM: 0.059 ± 0.012%·h−1). Overall (groups combined), MPS was stimulated to a greater extent following ingestion of 40 g (0.059 ± 0.020%·h−1) compared with 20 g (0.049 ± 0.020%·h−1; P = 0.005) of protein. Our data indicate that ingestion of 40 g whey protein following whole‐body resistance exercise stimulates a greater MPS response than 20 g in young resistance‐trained men. However, with the current doses, the total amount of LBM does not seem to influence the response.
Nonlinear Nonhomogeneous Robin Problems with Superlinear Reaction Term
Authors: Papageorgiou Nikolaos S. , Rădulescu Vicenţiu D. 
Published: August 2016

Abstract
We consider a nonlinear Robin problem driven by a nonlinear, nonhomogeneous differential operator, and with a Carathéodory reaction term which is

(

p
-
1

)

${{(p-1)}}$

-superlinear near

±
∞

${\pm\infty}$

without satisfying the Ambrosetti–Rabinowitz condition and which does not have a standard subcritical polynomial growth. Using a combination of variational methods and Morse theoretic techniques, we prove a multiplicity theorem producing three nontrivial solutions (two of which have constant sign). In the process we establish some useful facts about the boundedness of the weak solutions of critical equations and the relation of Sobolev and Hölder local minimizers for functionals with a critical perturbation term.
Effects of hatha yoga exercises on spine flexibility in young adults
Authors: Grabara Małgorzata 
Published: August 2016

Summary
Study aim: To assess the effects of yoga exercises on the flexibility of the spine in male and female students aged 19–22 years old.

Material and methods: The study comprised 59 male and female first-year students, aged 19–22 years old (mean 19.6 ± 0.9), studying Sport and Tourism Management at the Jerzy Kukuczka Academy of Physical Education in Katowice. The participants took part in an obligatory yoga class, of 90 minutes duration, once a week over a 13-week period. The ranges of motion of the spine in the sagittal, frontal and transverse planes were measured using the Rippstein Plurimeter-V.

Results: The study indicated a statistically significant increase of the spine flexibility in forward and lateral bending before and after the yoga classes in the entire studied group. In the men, a significant increase of the range of motion in backward bending was also noted. In the women, and in all of the participants (women and men together), a significant increase of the range of motion in the torsion was noted.

Conclusions: Regular yoga exercises could increase the flexibility of the spine and the hamstring muscles. Hatha yoga training may be a good intervention for improving flexibility, but for better results it should be performed more often than once a week.
Influence of sizes of abutments and fixation screws on dental implant system: a non-linear finite element analysis
Authors: Mao Zhihong , Yi Dake , Cao Guo 
Published: August 2016

AbstractThe purpose of this study is to discuss the influence of sizes of abutments and fixation screws on immediately loaded dental implants in mandibular bones using nonlinear finite element methods. Abutments with three unilateral wall thicknesses and fixation screws with three diameters are analyzed to compare the stresses and deformations under a vertical or oblique force of 130 N. The nonlinearity due to friction contacts between the fixation screw, the abutment, the implant, and the bone is taken into account. The results showed that improper sizes of abutments and fixation screws would increase the stress and deformation of the dental implant system. If possible, the diameter of fixation screw should not be smaller than Φ1.0 mm, the diameter between Φ1.0 mm and Φ1.2 mm is acceptable. The fixation screw diameter preferably exceeds Φ1.4 mm. The unilateral wall thickness >0.5 mm is optimal selection for abutments.
Effect of Fiber Laser Treating on Magnetic Domains in the Grain-Oriented Silicon Steel: Imaging Domains by Bitter, MFM and Kerr Microscopy
Authors: Puchý V. , Kováč F. , Hvizdoš P. , Petryshynets I. , Sopko M. 
Published: August 2016

Abstract
A magnetic domain laser scribing technique of grain-oriented 3.2% silicon steel has been investigated for the direct influencing on the magnetic domain wall. The magneto-optical Kerr effect was employed to obtain a visible contrast between antiparallel domains. The effects of laser treating on domain wall were observed. The Bitter, MFM and Kerr microscope pictures showed that domain-wall positions did not repeat precisely from cycle to cycle, particularly at high inductions, and that the average domain-wall spacing decreased with increasing density of laser scribing lines. Two phenomena have been discovered that are difficult to explain (1) that the hardness decreases with increasing laser energy and (2) that the coercivity decreases with decreasing laser energy. A semi-quantitative relationship has been found between the domain patterns and used fiber laser treating method. The behavior of patterns in an applied magnetic field is shown, and based on that a two-dimensional laser lines configuration is proposed for one of the less complicated surface patterns.