bluuebunny/crossref_metadata_2025_split huggingface dataset:
Customer Expectations, Perceptions and Satisfaction … Measurement Methodologies
Authors: Walsh Joanne M. 
Published: July 2017

This paper describes two interconnected methodologies for soliciting customers' expectations of suppliers (of products or services) and for measuring satisfaction against these expectations. The first of these procedures identifies Key Purchase/Evaluative Criteria and takes the form of a structured interview. It pursues the customers unaided spontaneous identification of the critical and essential attributes necessary to meet (or exceed) their expectations. The focus in on individual customers' operational definitions of these attributes and their view of importance. The second, Report Card methodology, incorporates these criteria into a standardized measurement scheme designed to elicit how well expectations had been met. The format of this Report Card can be described as analogous to a Chinese menu with specific core items accompanied by key attributes and other customized items from which to choose. Both methodologies rate suppliers and the suppliers' competitors identified as such by individual respondents. Results include gap analyses of these ratings against the ratings of suppliers and against the maximum possible score. Results are presented in the customers' words and include a “How to Think About This” interpretation that shapes recommendations.
Comedy in the Service of Science: Maintaining Motivation and Attention in Exploring Call Waiting
Authors: Paul Lawrence M. 
Published: July 2017

A hardware incompatibility in a telephone call waiting system with direct effects on the end users required a rapid solution. Designers proposed to address this incompatibility by increasing the tone components of each call waiting pattern. The Human Factors Group reviewed this proposed solution and were concerned that it might lead to unacceptable durations of call interruption, and to discrimination problems in some cases. Experiment 1 was conducted to explore these concerns. Although the study was conducted in a laboratory setting, a rather novel attempt was made to simulate realistic motivation and attention. An “Artificial Caller” was used in the form of professional comedy routines which appeared to work very satisfactorily. The results of Experiment 1 suggested that discrimination of the patterns was not a significant problem. Participants did find the longest of the lengthened patterns to be somewhat disruptive of the simulated telephone call. However, the disruption caused by the longest pattern may still be marginally acceptable to actual users. A second study explored a different approach to solving the hardware incompatibility. New patterns were generated which maintained the identification levels and suggested the possibility of less call disruption for the longest patterns. Further work is briefly discussed.
The DASH (Disabilities of the Arm, Shoulder and Hand) Outcome Measure: What do we know about it now?
Authors: Beaton Dorcas E , Davis Aileen M , Hudak Pamela , Mcconnell Sara 
Published: July 2017

Outcome measurement is an essential component for defining the effectiveness of clinicians’ practice (Reiman 1988) and standardised measures make that job more consistent, comparable and valid (Cole et al 1994). Hand therapists have long recognised the need for the standardisation of outcome measures, particularly for performance-based measures such as strength testing (Mathiowetz et al 1985, Woody et al 1988) or joint motion. More recently there has been an increased interest in outcome measures that capture the patient's perspective of their status, and that are standardised. The DASH (Disabilities of the Arm, Shoulder and Hand) is a standardised outcome measure that could be used for this purpose (Hudak et al 1996, McConnell et al 1999). The DASH reflects the impact of a disorder in terms of physical function and symptoms, which are the two main reasons patients seek care for a disorder of the musculoskeletal system. The DASH is becoming widely used by clinicians and researchers (McConnell et al 1999). It is now important to revisit what we know about how well the DASH is able to measure what it purports to measure. The purpose of this paper is to review the research that has been done to date on the DASH outcome measure, and to describe the implications of this for future research and for clinical practice.
Hand Therapy for Carpal Tunnel Syndrome Part I: Overview of Disease and Non-surgical Management
Authors: Ellis Jo , Mckenna Helen , Burke Frank D 
Published: July 2017

Carpal tunnel syndrome is the commonest peripheral nerve compression neuropathy and as such is frequently seen by hand therapists. Patients presenting with carpal tunnel syndrome are seen both in the primary and tertiary (hospital) settings and are referred for treatment at various stages of the disease process. The provision of splintage alone is viewed by some healthcare providers as conservative management for this condition. The purpose of this paper is to give a broad overview of conservative management options including posture and exercise, task modifications, splints, nerve and tendon-gliding exercises and ultrasound. It is the view of the authors that early and comprehensive treatment may relieve symptoms and potentially decrease the need for operative intervention, in the short to middle term at least, for patients with mild to moderate symptoms.
Through The Maze: The Development of a Learning Pathway Through a Six-Month Hand Therapy Rotation
Authors: Fitzpatrick Niall 
Published: July 2017

Junior therapists starting a six-month rotation in hand therapy soon realise that protocols or guidelines of care do not cover every eventuality presented in the workplace, nor do they provide a failsafe pathway through their rotation. Self-perceived lack of knowledge was reportedly reducing proficient junior therapists to novice practitioners. To help them through this maze of new ideas and treatment concepts, ‘islands-of-learning’ formulated from 12 stand-alone modules have been developed in consultation with junior therapists, that focus on various learning needs to provide a structured learning pathway through their rotation. These ‘islands’ are undertaken bi-weekly and are designed to enable junior therapists to gain a broad grounding in each subject matter. This method has allowed therapists a sense of control over their own learning and reduced the feeling of being overwhelmed by the amount of new information they must acquire. By the end of their rotations, they have developed their own resource pack. This idea has proved successful within the hand therapy department and subsequently other departments within the trust have developed similar training courses for staff during their basic grade rotations.
Pain, Disability in Daily Activities and Work Participation in Patients with Traumatic Hand Injury
Authors: Poerbodipoero Sj , Steultjens Mpm , Van Der Beek Aj , Dekker J 
Published: July 2017

Traumatic hand injuries are represented in a large proportion of the patients treated at the out-patient department of occupational therapy in the VU University Medical Centre, Amsterdam. Most of the patients are referred to occupational therapy by specialists in the hospital. Information about the course of traumatic hand injuries regarding performance of daily activities is still limited. Research, focused on problems experienced by patients with hand injuries, may contribute to a better understanding of the course and rehabilitation of traumatic hand injuries. This article is a report of a cross-sectional observational study with the objective to: 1) describe the impact of traumatic injuries of the hand on daily activities and work participation six months after injury 2) to analyse the impact of demographic characteristics and type and severity of the injury on pain and ability to perform daily activities, and 3) to analyse the impact of demographic characteristics and type and severity of the injury on work participation and time off work (TOW). Fifty-eight patients completed a questionnaire six months after injury. The Disability of Arm, Shoulder and Hand (DASH) questionnaire was used to evaluate disability in daily activities. A Numeric Rating Scale (NRS) was used to evaluate pain. Patients showed a mean DASH score of 22.5 (±19.3). The experience of pain and ethnicity were predictors of disability (p<0.001). The average TOW was 10.3 weeks (± 8.3). There was a significant difference (p=0.005) in TOW between Dutch patients (7.6 ± 5.8) and patients of another ethnicity (20.0 ± 8.9). Despite the reported disabilities in performing daily activities, almost all patients (91%) returned to their occupations within six months after hand injury. It is suggested that, for optimal rehabilitation, it may be necessary to focus more attention on the cultural background of the patients and the problems experienced in daily activities. Integration of evaluative instruments in hand therapy practice is advocated to guide therapy sessions, to measure outcome and to anticipate long-term problems in daily activities in an early stage of treatment.
Report of a focus group survey of current practice in the therapeutic treatment of Complex Regional Pain Syndrome in the United Kingdom
Authors: Ramsey Lucia 
Published: July 2017

Complex Regional Pain Syndrome (CRPS) typically affects the hand following trauma. It is characterised by pain, altered sensation, motor disturbance, oedema, functional limitation and psychological disturbance. There is no definitive curative treatment for CRPS and controversy exists regarding the most effective combination of interventions for the treatment of this syndrome (Siddiqui et al 2001). A study was commissioned in 2006 to explore the therapeutic interventions being implemented with patients with CRPS in the UK. Sixty therapists at the British Association of Hand Therapists annual conference consented to participate in focus group discussions. Categories were established to identify all therapeutic modalities currently used by participants. Therapists utilised the following therapeutic techniques: functional activity, exercise, education, support, sensory re-education, desensitisation, stress loading, pressure garments, mirror visual feedback, splints and psychological strategies, amongst others. The identified interventions were then reviewed against evidence in the recent literature. There is insufficient evidence to support the use of a single set of multidisciplinary interventions (Stanton-Hicks et al 2002) to address the primary long-term goals of functional restoration and pain relief. This study has, however, highlighted that this is achieved through the treatment of individual symptoms, using multiple therapeutic interventions and algorithms in a multidisciplinary approach.
Phylogeny, expression patterns and regulation of DNA Methyltransferases in early development of the flatfish, Solea senegalensis
Authors: Firmino Joana , Carballo Carlos , Armesto Paula , Campinho Marco A. , Power Deborah M. , Manchado Manuel 
Published: July 2017

Abstract
Background
The identification of DNA methyltransferases (Dnmt) expression patterns during development and their regulation is important to understand the epigenetic mechanisms that modulate larval plasticity in marine fish. In this study, dnmt1 and dnmt3 paralogs were identified in the flatfish Solea senegalensis and expression patterns in early developmental stages and juveniles were determined. Additionally, the regulation of Dnmt transcription by a specific inhibitor (5-aza-2′-deoxycytidine) and temperature was evaluated.

Results
Five paralog genes of dnmt3, namely dnmt3aa, dnmt3ab, dnmt3ba, dnmt3bb.1 and dnmt3bb.2 and one gene for dnmt1 were identified. Phylogenetic analysis revealed that the dnmt gene family was highly conserved in teleosts and three fish-specific genes, dnmt3aa, dnmt3ba and dnmt3bb.2 have evolved. The spatio-temporal expression patterns of four dnmts (dnmt1, dnmt3aa, dnmt3ab and dnmt3bb.1) were different in early larval stages although all of them reduced expression with the age and were detected in neural organs and dnmt3aa appeared specific to somites. In juveniles, the four dnmt genes were expressed in brain and hematopoietic tissues such as kidney, spleen and gills. Treatment of sole embryos with 5-aza-2′-deoxycytidine down-regulated dntm1 and up-regulated dntm3aa. Moreover, in lecithotrophic larval stages, dnmt3aa and dnmt3ab were temperature sensitive and their expression was higher in larvae incubated at 16 °C relative to 20 °C.

Conclusion
Five dnmt3 and one dnmt1 paralog were identified in sole and their distinct developmental and tissue-specific expression patterns indicate that they may have different roles during development. The inhibitor 5-aza-2′-deoxycytidine modified the transcript abundance of dntm1 and dntm3aa in embryos, which suggests that a regulatory feedback mechanism exists for these genes. The impact of thermal regime on expression levels of dnmt3aa and dnmt3ab in lecithotrophic larval stages suggests that these paralogs might be involved in thermal programing.
Normal foot loading parameters and repeatability of the Footscan® platform system
Authors: Xu Chao , Wen Xin‐Xin , Huang Lu‐Yu , Shang Lei , Cheng Xi‐Xia , Yan Ya‐Bo , Lei Wei 
Published: July 2017

AbstractBackgroundThe Footscan® platform system is one of the most commonly used clinical tools for the measurement of the foot pressure. The present study was designed to assess the repeatability of the system and identify the range of loading parameters observed in the normal foot.MethodsMeasurements were collected from 32 healthy participants, 15 females and 17 males, twice at an interval of 1 week. Peak pressure (PP), contact time (CT), contact area (CA), pressure‐time integral (PTI), and maximum force (MaF) were recorded; these parameters were investigated in 10 areas of the foot: medial heel, lateral heel, midfoot, first to fifth metatarsals, hallux, and toes 2–5. The intra‐session repeatability was evaluated by calculating the intraclass correlation coefficients (ICCs) and coefficients of variation (CVs) across the three repeated trials within the same session. The inter‐session repeatability was assessed using the average of the three trials in each session to determine the ICCs and CVs.ResultsThe ICCs showed moderate to good repeatability for every variable of interest, and the CVs were all <28%. The highest zones of PP were found under the second and third metatarsals, followed by the medial heel. The CT was 68.5–82.8% of the total stance time under the metatarsal heads. CA was highest under the midfoot, PTI was highest under the second metatarsal, and MaF was highest under the medial heel.ConclusionsFootscan® platform system was found to be repeatable. Thus, it can be used as a valuable tool in the assessment of plantar pressure distribution, and the normal values of the foot loading parameters identified in this study can be employed to provide a reference range for the gait analysis performed by the Footscan® system.
A randomized controlled trial comparing the effects of dapagliflozin and DPP-4 inhibitors on glucose variability and metabolic parameters in patients with type 2 diabetes mellitus on insulin
Authors: Nomoto Hiroshi , Miyoshi Hideaki , Sugawara Hajime , Ono Kota , Yanagiya Shingo , Oita Mayuko , Nakamura Akinobu , Atsumi Tatsuya 
Published: July 2017

Abstract
Background
Dipeptidyl peptidase-4 (DPP-4) inhibitors and sodium–glucose co-transporter 2 (SGLT2) inhibitors improve hyperglycemia, and the usefulness of co-administration of DPP-4 inhibitors and insulin therapy has been well established. However, it has been still uncertain whether combination therapy of SGLT2 inhibitors and insulin is superior to that of DPP-4 inhibitors and the latter. Therefore, we investigated the superiority of dapagliflozin on glucose fluctuation compared with DPP-4 inhibitors in patients with type 2 diabetes mellitus (T2DM) on insulin using a continuous glucose monitoring (CGM) system.

Methods
In this prospective, randomized, open-label controlled trial, 36 patients with T2DM and treated with DPP-4 inhibitors and insulin therapy, were enrolled and allocated into two groups. The patients either switched their DPP-4 inhibitors to dapagliflozin 5 mg for 12 weeks, or continued their DPP-4 inhibitors for the same period. CGM analyses and metabolic markers were assessed before and after treatment periods.

Results
In total, data from 29 patients were analyzed. There were no significant differences in the mean amplitude of glycemic excursions and other CGM profiles in either group after treatment. Within the dapagliflozin treatment group, significant reductions of body mass index and albuminuria, and increases of HbA1c, hemoglobin and hematocrit were observed, but improvement of albuminuria was not significant if compared with the DPP-4 continuation group.

Conclusions
Combination therapy of dapagliflozin and insulin was not superior in glucose fluctuation to DPP-4 inhibitors on insulin. However, dapagliflozin may in part provide favorable effects on metabolism in patients with T2DM treated with insulin therapy.
Trial registration UMIN-CTR: UMIN000015033. Registered 2 September 2014
Wine glass size and wine sales: a replication study in two bars
Authors: Pechey Rachel , Couturier Dominique-Laurent , Hollands Gareth J. , Mantzari Eleni , Zupan Zorana , Marteau Theresa M. 
Published: July 2017

Abstract
Objective
Wine glass size may influence perceived volume and subsequently purchasing and consumption. Using a larger glass to serve the same portions of wine was found to increase wine sales by 9.4% (95% CI 1.9, 17.5) in a recent study conducted in one bar. The current study aimed to replicate this previous work in two other bars using a wider range of glass sizes. To match the previous study, a repeated multiple treatment reversal design, during which wine was served in glasses of the same design but different sizes, was used. The study was conducted in two bars in Cambridge, England, using glass sizes of 300, 370, 510 ml (Bar 1) and 300 and 510 ml (Bar 2). Customers purchased their choice of a 750 ml bottle, or standard UK measures of 125, 175 or 250 ml of wine, each of which was served with the same glass.

Results
Bar 1 Daily wine volume (ml) purchased was 10.5% (95% CI 1.0, 20.9) higher when sold in 510 ml compared to 370 ml glasses; but sales were not significantly different with 300 ml vs. 370 ml glasses (6.5%, 95% CI −5.2, 19.6). Bar 2 Findings were inconclusive as to whether daily wine purchased differed when using 510 ml versus 300 ml glasses (−1.1%, 95% CI −12.6, 11.9). These results provide a partial replication of previous work showing that introducing larger glasses (without manipulating portion size) increases purchasing. Understanding the mechanisms by which wine glass size influences consumption may elucidate when the effect can be expected and when not.
Trial registration This study is a replication study, based on the procedure set out in the trial registration for the study that it attempts to replicate (ISRCTN registry: ISRCTN12018175)
Future career plans of a cohort of senior doctors working in the National Health Service
Authors: Taylor Kathryn , Lambert Trevor , Goldacre Michael 
Published: July 2017

Summary Objective To report on the future career plans of senior doctors working in the NHS. Design Postal questionnaires. Setting All doctors who qualified in 1977 from all UK medical schools. Main outcome measures Future plans and whether participants had any unmet needs for advice on how to put their future plans into effect. Results 25% definitely intended to continue with their current employment on the same basis until they retired; 75% hoped for change. A reduction in working hours was the most commonly desired change; but a substantial percentage also wanted changes in job content. 50% of respondents intended definitely (17%) or probably (33%) to work in the NHS to their normal retirement age; and 37% definitely (20%) or probably (17%) intended to retire early. 48% had made plans, in addition to the standard pension, to facilitate early retirement. The main factors given for considering early retirement were family reasons and wanting more time for leisure, a desire to maintain good health, excessive pressure of work, and disillusionment with NHS changes. A reduction in workload would be the greatest inducement to stay. 31% of respondents reported that they had unmet needs for advice about their future plans. Of these, about half were needs for advice about planning for retirement. Conclusions Many senior NHS doctors would like to reduce their working hours. Less than a quarter definitely intend to work in the NHS to normal retirement age. Even for senior doctors, advice on career development is needed.
Career destinations, job satisfaction and views of the UK medical qualifiers of 1977
Authors: Taylor Kathryn , Lambert Trevor , Goldacre Michael 
Published: July 2017

Summary Objective To study the career destinations, job satisfaction and views of UK-trained senior doctors. Design Postal questionnaire. Setting All doctors who qualified from all UK medical schools in 1977; and Department of Health employment data. Main outcome measures Career destinations of medical qualifiers from 1977. Results 72% responded to the questionnaire. Using all available evidence, including that on non-responders, 76% of the cohort, comprising 77% of the men and 74% of the women, were working in the NHS 27 years after qualification. Approximately 18% were in medical jobs either overseas or outside the NHS. Of respondents in the NHS, 89% of men and 51% of women had full-time contracts. NHS doctors rated their job satisfaction highly, with a median score of 19.5 on a scale from 5 (very low satisfaction) to 25 (very high satisfaction). Satisfaction with time off for leisure was much lower, with a median score of 4.6 on a scale from 1 (low) to 10 (high). Of those in the NHS, 67% agreed that they worked longer hours than they thought they should; and 40% agreed that their working conditions were satisfactory. Conclusions 27 years after qualification, the percentage of women who were working in the NHS was similar to that of men. Although these senior doctors had high levels of satisfaction with the content of their jobs, they were not so satisfied with their working hours and working conditions. Our results can be used as benchmarks, against which the career pathways and satisfaction levels of more recently qualified doctors can be compared.
Relationships between Static Mechanical Properties and SilviScan Measured Wood Properties in Loblolly Pine
Authors: Dahlen Joseph , Antony Finto , Schimleck Laurence R. , Daniels Richard F. 
Published: July 2017

Abstract
Relationships between static bending modulus of elasticity (MOE) and SilviScan (SS) properties (SilviScan MOE [MOESS], specific gravity, and microfibril angle) were explored. Seventy-three clearwood specimens (25 by 25 by 406 mm) were cut from thirty-two 33-year-old loblolly pine trees. Relationships were calculated between MOE and MOESS (R2 = 0.77); however, MOESS, calibrated using sonic resonance, averaged 25 percent higher than static MOE. Calibrating MOESS to static MOE instead of sonic resonance MOE resulted in similar prediction performance (R2 = 0.77), but more importantly approximately equal prediction values. The results demonstrate the importance of properly utilizing SilviScan information for predicting loblolly pine properties in static bending.
La constitución de la Argentina democrática en el discurso de asunción presidencial de Raúl Alfonsín
Authors: Vitale María Alejandra , Dagatti Mariano 
Published: July 2017

<p>Desde la perspectiva de la retórica constitutiva, este artículo estudia el discurso de asunción del presidente argentino Raúl Alfonsín ante el Congreso de la Nación (10 de diciembre de 1983). Con herramientas tomadas de la retórica y del análisis del discurso, se estudia cómo esta alocución constituye la democracia después de siete años de dictadura (1976-1983), performando un auditorio heterogéneo, compuesto por diferentes filiaciones políticas e ideológicas, en un sujeto democrático unido y plural, aglutinado en torno a una ética cívica.</p>