bluuebunny/crossref_metadata_2025_split huggingface dataset:
The pilgrim's two economies: Greek convent pilgrimage and economic crisis.
Authors: Rahkala-Simberg M. J. 
Published: November 2017

Abstract

This chapter focuses on pilgrimage to Greek convents (particularly the Convent of the Dormition of the Virgin) in the current period of economic crisis. It discusses the ways in which convents have helped society in different social and economic situations and concentrates on the current crisis, which has forced the monasteries and convents to provide more material and economic help to more people than ever before. The chapter also introduces the pilgrimage as a way to obtain salvation and as a way to become a reflection of God. This process of union, theósis, is one of the most crucial concepts of Orthodox theology and is presented as the ultimate purpose of pilgrimage. Finally, the chapter focuses on how convent pilgrimage and public image are affected by the current economic situation.
Calibration of mass and conventional mass of weights between INACAL–CENAM–CESMEC (SIM.M.M-S13)
Authors: Becerra Luis Omar , Cori Almonte Luz Marina , García Fernando , García Francisco , Hernández Raúl , Peña Luis Manuel , Quiroga Rojas Aldo , Taipe Araujo Donny 
Published: November 2017

This supplementary comparison was piloted by the Instituto Nacional de Calidad (INACAL, Peru) and describes the results of the comparison in mass and conventional mass in weights of 2 kg and 10 kg between INACAL-PERU, CENAM-MEXICO and CESMEC-CHILE.
The travelling standards were OIML class E2 weights of stainless steel.
INACAL measured the volume of the traveling standards of 10 kg and the volume value used for the 2 kg mass standard was provided by the PTB.
To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/.
The final report has been peer-reviewed and approved for publication by the CCM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).
Taking the Biggest First: Age Differences in Preferences for Monetary and Hedonic Sequences
Authors: Strough JoNell , Bruine de Bruin Wändi , Parker Andrew M 
Published: November 2017

AbstractObjectivesPeople face decisions about how to sequence payments and events, including when to schedule bigger events relative to smaller ones. We examine age differences in these sequence preferences.MethodsWe gave a national adult life-span sample (n = 1,296, mean = 53.06 years, standard deviation = 16.33) four scenarios describing a positive or negative hedonic (enjoyable weekends, painful dental procedures) or monetary (receiving versus paying money) event. We considered associations among age, sequence preferences, three self-reported decision-making processes—emphasizing experience, emotion, and reasoning—and two dimensions of future time perspective—focusing on future opportunities and limited time.ResultsOlder age was associated with taking the “biggest” event sooner instead of later, especially for receiving money, but also for the other three scenarios. Older age was associated with greater reported use of reason and experience and lesser reported use of emotion. These decision-making processes played a role in understanding age differences in sequence preferences, but future time perspective did not.DiscussionWe discuss “taking the biggest first” preferences in light of prior mixed findings on age differences in sequence preferences. We highlight the distinct roles of experience- and emotion-based decision-making processes. We propose applications to financial and health-care settings.
Primary Caregivers in a Network Context
Authors: Marcum Christopher Steven , Ashida Sato , Koehly Laura M 
Published: November 2017

Abstract

Objectives
Caregiving to individuals affected by Alzheimer’s disease and related dementia (ADRD) is a family-systems process where tasks are distributed between multiple caregivers in a network. We evaluate the extent to which multiple network members nominate one another as filling primary caregiver (PCG) roles and factors associated with nomination.

Method
Data come from the Caregiving Roles and Expectations Networks project, which aimed to characterize the caregiving networks of families affected by ADRD. All persons affected by ADRD were either full-time residents in residential care facilities or community-dwelling adult day-care participants. Generalized Poisson regression was used to model the count of incoming PCG nominations of each network member.

Results
On average, there were multiple network members identified as PCGs across different network contexts. Network members who were perceived to perform essential caregiving tasks, such as making decisions on behalf of and spending time with the care recipient, received more primary caregiving nominations from their network peers, adjusting for personal attributes, and the context of care.

Discussion
Having multiple PCGs in a network may result in lack of consensus in who fills those roles, potentially putting families at risk for interpersonal conflicts. Future work aimed at intervention development should fully assess the social contexts surrounding caregiving processes in order to better understand how network composition might impact outcomes.
Onset of Multiple Chronic Conditions and Depressive Symptoms: A Life Events Perspective
Authors: Wilson-Genderson Maureen , Heid Allison R , Pruchno Rachel 
Published: November 2017

AbstractBackgroundWhile the association between depressive symptoms and chronic illness has been the subject of many studies, little is known about whether depressive symptoms differ as a function of the illnesses people have as they transition to living with multiple chronic conditions.MethodsSelf-reports of five diagnosed chronic conditions (arthritis, diabetes, heart disease, hypertension, and pulmonary disease) and depressive symptoms were provided by 3,396 people participating in three waves of the ORANJ BOWLSM research panel. Longitudinal multilevel modeling was used to examine the effects that transitioning to having a diagnosis of multiple chronic conditions has on depressive symptoms.ResultsBetween 2006 and 2014, controlling for age, gender, income, race, and a lifetime diagnosis of depression, people who transitioned to having a diagnosis of multiple chronic conditions had significantly higher levels of depressive symptoms than people who did not make this transition. The diagnosis of arthritis, diabetes, heart disease, and pulmonary disease, but not hypertension had independent effects, increasing depressive symptoms.ConclusionsHaving a diagnosis of multiple chronic conditions leads to increases in depressive symptoms, but not all illnesses have the same effect. Findings highlight the need for clinicians to be aware of mental health risks in patients diagnosed with multiple chronic conditions, particularly those with a diagnosis of arthritis, diabetes, heart disease, and pulmonary disease. Clinical care providers should take account of these findings, encouraging psychosocial supports for older adults who develop multiple chronic conditions to minimize the negative psychological impact of illness diagnosis.
Testing the isotropy of the Universe with Type Ia supernovae in a model-independent way
Authors: Wang Yu-Yang , Wang F Y 
Published: November 2017

Abstract
In this paper, we study an anisotropic universe model with Bianchi-I metric using Joint light-curve analysis (JLA) sample of Type Ia supernovae (SNe Ia). Because light-curve parameters of SNe Ia vary with different cosmological models and SNe Ia samples, we fit the SNe Ia light-curve parameters and cosmological parameters simultaneously employing Markov chain Monte Carlo method. Therefore, the results on the amount of deviation from isotropy of the dark energy equation of state (δ), and the level of anisotropy of the large-scale geometry (Σ0) at present, are totally model-independent. The constraints on the skewness and cosmic shear are −0.101 &lt; δ &lt; 0.071 and −0.007 &lt; Σ0 &lt; 0.008. This result is consistent with a standard isotropic universe (δ = Σ0 = 0). However, a moderate level of anisotropy in the geometry of the Universe and the equation of state of dark energy, is allowed. Besides, there is no obvious evidence for a preferred direction of anisotropic axis in this model.
The Swedish Police after the 2015 Reform: Emerging Findings and New Challenges
Authors: Cameron Iain 
Published: November 2017

Abstract
The Swedish police has recently been the subject of a major reform. A single national police force was created in 2015, consisting of a hierarchal structure with a central body and seven subordinate regional authorities, in turn divided into a number of local police units. The reform replaces the previous central supervisory body and 21 autonomous county police authorities. The reform was intended primarily to improve effectiveness, but improved local responsiveness was also a goal. Complaints from the rank and file dominated news reporting on the reform throughout 2016. The police trade union claimed that the Swedish police was an organization in crisis. The first official evaluation of the reform was published in October 2016 and a more nuanced picture has begun to emerge. This article will examine the reform, the emerging findings from the evaluation, and new challenges around governance and accountability.
Factors Contributing to Memory of Acute Pain in Older Adults Undergoing Planned and Unplanned Hip Surgery
Authors: Halicka Monika , Bąbel Przemysław 
Published: November 2017

Objectives:
Previous research on pain memory provides inconsistent evidence about the accuracy of pain recall, and few studies have attempted to examine broad affective and contextual contributions to this phenomenon. The present research aimed to determine the accuracy of postoperative pain recall after 3 months, with respect to the context of the surgery and the congruence of affective states concurrent with the initial experience and its recall. The study also aimed to identify predictors of remembered pain by analyzing a range of sensory, cognitive, and affective factors.

Methods:
Older adults, undergoing planned (N=40) and unplanned hip surgery (N=31), were enrolled in this prospective study to investigate their presurgery, postsurgery, and delayed ratings of expected, experienced, and recalled pain intensity and unpleasantness, state anxiety, and positive and negative affect.

Results:
Memory of postoperative pain was found to be accurate, regardless of the context of the surgery. Affective states in the postoperative period were congruent with those during pain recall. The study also revealed that in planned surgery context, remembered pain was predicted by experienced postoperative pain, cognitive functions, positive and negative affect; whereas in unplanned surgery context its significant predictors included age, anxiety, and negative and positive affect.

Discussion:
The results of this study suggest that older orthopedic patients remember postoperative pain correctly after 3 months and that mood dependence effect may contribute to memory of pain. Pain recall after planned surgery seems to depend mainly on the actual experience, while following unplanned surgery it depends on affective factors. Present findings contribute to knowledge about pain memory in older adults and have implications for patients’ recovery and best practice in perioperative hospital care.
Effect of a Scenario-tailored Opioid Messaging Program on Parents’ Risk Perceptions and Opioid Decision-making
Authors: Voepel-Lewis Terri , Zikmund-Fisher Brian J. , Boyd Carol J. , Veliz Philip T. , McCabe Sean E. , Weber Monica J. , Tait Alan R. 
Published: November 2017

Objectives:
Poor parental understanding of prescription opioid risks is associated with potentially dangerous decisions that can contribute to adverse drug events (ADE) in children and adolescents. This study examined whether an interactive Scenario-tailored Opioid Messaging Program (STOMP) would (1) enhance opioid risk perceptions and (2) improve the safety of parents’ decision-making.

Materials and Methods:
In total, 546 parents were randomized to receive the STOMP versus control information and 516 completed the program. A baseline survey assessed parents’ opioid risk knowledge, perceptions, and preferences for pain relief versus risk avoidance (Pain Relief Preference). Parents then made hypothetical decisions to give or withhold a prescribed opioid for high-risk (excessive sedation) and low-risk (no ADE) scenarios. The STOMP provided immediate feedback with specific risk and guidance information; the control condition provided general information. We reassessed knowledge, perceptions, and decision-making up to 3 days thereafter.

Results:
Following the intervention, the STOMP group became more risk avoidant (Pain Relief Preference, mean difference −1.27 [95% confidence interval, −0.8 to −1.75]; P<0.001) and gained higher perceptions of the critical risk, excessive sedation (+0.56 [0.27 to 0.85]; P<0.001). STOMP parents were less likely than controls to give a prescribed opioid in the high-risk situation (odds ratio, −0.14 [−0.24 to −0.05]; P=0.006) but similarly likely to give an opioid for the no ADE situation (P=0.192).

Discussion:
The STOMP intervention enhanced risk perceptions, shifted preferences toward opioid risk avoidance, and led to better decisions regarding when to give or withhold an opioid for pain management. Scenario-tailored feedback may be an effective method to improve pain management while minimizing opioid risks.
Anterior Cutaneous Nerve Entrapment Syndrome in Children: A Prospective Observational Study
Authors: Kifer Tomislav , Mišak Zrinjka , Jadrešin Oleg , Hojsak Iva 
Published: November 2017

Objective:
Anterior cutaneous nerve entrapment syndrome (ACNES) is often an overlooked cause of abdominal pain. Data for pediatric patients, especially with regard to the treatment modalities are scarce. The aim of this study was to present a treatment modality of ACNES with combined local subfascial anesthetic and corticosteroid injection in a prospectively collected cohort of pediatric patients.

Methods:
This was a prospective observational long-term study that included pediatric patients who were diagnosed with ACNES in a tertiary care pediatric center and who were followed-up for at least 12 months (median: 1.7 y; range: 1 to 2.7 y). All children were treated by ultrasound-guided subfascial injection of 40 mg 1% lidocaine and 4 mg dexamethasone into the rectus abdominis muscle in the place of the most severe pain (trigger point infiltration).

Results:
The study included 38 children (28, 73.7% female; median age: 15 y). The majority of patients had pain in the lower right abdominal quadrant and were diagnosed in a median of 6 (range: 0.5 to 50) months after symptoms started. Overall, 24 (63%) patients achieved sustained symptom-free remission after a median of 1 (mean: 1.6; range: 1 to 5) trigger point infiltration during the first treatment session. Five (13%) children were surgically treated because of a lack of long-term response. Children who were surgically treated required a higher number of block applications during the first session of treatment, compared with children who were successfully treated conservatively.

Discussion:
ACNES in children can be successfully treated by a combined local subfascial anesthetic and corticosteroid trigger point infiltration.
Temporal Trends in Difficult and Failed Tracheal Intubation in a Regional Community Anesthetic Practice
Authors: Schroeder Rebecca A. , Pollard Richard , Dhakal Ishwori , Cooter Mary , Aronson Solomon , Grichnik Katherine , Buhrman William , Kertai Miklos D. , Mathew Joseph P. , Stafford-Smith Mark 
Published: November 2017

Abstract

Background
When tracheal intubation is difficult or unachievable before surgery or during an emergent resuscitation, this is a critical safety event. Consensus algorithms and airway devices have been introduced in hopes of reducing such occurrences. However, evidence of improved safety in clinical practice related to their introduction is lacking. Therefore, we selected a large perioperative database spanning 2002 to 2015 to look for changes in annual rates of difficult and failed tracheal intubation.

Methods
Difficult (more than three attempts) and failed (unsuccessful, requiring awakening or surgical tracheostomy) intubation rates in patients 18 yr and older were compared between the early and late periods (pre- vs. post-January 2009) and by annual rate join-point analysis. Primary findings from a large, urban hospital were compared with combined observations from 15 smaller facilities.

Results
Analysis of 421,581 procedures identified fourfold reductions in both event rates between the early and late periods (difficult: 6.6 of 1,000 vs. 1.6 of 1,000, P < 0.0001; failed: 0.2 of 1,000 vs. 0.06 of 1,000, P < 0.0001), with join-point analysis identifying two significant change points (2006, P = 0.02; 2010, P = 0.03) including a pre-2006 stable period, a steep drop between 2006 and 2010, and gradual decline after 2010. Data from 15 affiliated practices (442,428 procedures) demonstrated similar reductions.

Conclusions
In this retrospective assessment spanning 14 yr (2002 to 2015), difficult and failed intubation rates by skilled providers declined significantly at both an urban hospital and a network of smaller affiliated practices. Further investigations are required to validate these findings in other data sets and more clearly identify factors associated with their occurrence as clues to future airway management advancements.
Management of bicondylar tibial plateau fractures with severe articular comminution by ligamentotaxis with biplanar spanning external fixation
Authors: Kotb Ahmed , Samir Shady , Abd Alghafar Khalid 
Published: November 2017

Background:
Bicondylar tibial plateau fractures are serious injuries with a high incidence of complications. The fracture treatment protocol has to take into consideration soft-tissue complications that might develop with severe articular comminution. This prospective study aims at highlighting the role of ligamentotaxis and spanning external fixation as an effective method in treatment of such injuries.

Methods:
Twenty-three patients were admitted with bicondylar tibial plateau fractures. Seventeen men and six women with severe intraarticular comminution were treated with ligamentotaxis and fixation with two spanning external fixators. Patients were followed for 2 yr. Functional outcome was assessed using the Knee Society Scoring System directly after removal of the fixators then at 1 and 2 yr.

Results:
The scores of the patients ranged from 94-72, with an average of 82.4. Seven of the patients had an excellent score (80-100), and five had a good score (70-79).

Conclusions:
Ligamentotaxis and spanning external fixation is a safe and successful method for treatment of severely comminuted bicondylar tibial plateau fractures. This technique allows achievement of an acceptable reduction with avoidance of skin and soft-tissue complications.

Level of Evidence:
Level IV therapeutic study.
The Prato Method
Authors: Rivers George , Reeves Scott , Ilic Dragan , Foo Jon , Walsh Kieran , Maloney Stephen 
Published: November 2017

Abstract:
The estimation of cost and value in health professions education should involve robust methodologies and decision tools. These methods and tools should be applied consistently and transparently, but more importantly, employed in the appropriate context depending on the availability of data, target estimates, and stakeholder focus. Best practice methodology and application of decision tools will allow for a clearer and more comprehensive understanding of the return on investment of health profession education interventions by shedding greater light on the full opportunity cost of providing programs and the value of such programs to learners and recipients of health care services more broadly. This article provides insight into the basic methods, decision tools, and key evaluation concepts that might be considered for the purpose of undertaking cost and value research in continuing education for health professionals. These methods and decision tools are based on consolidated discussions by the organizing delegates of the inaugural Symposium of the Society for Cost and Value of Health Professions Education, held in Prato, Italy, October 2015. In summary, the application of economic methods and tools used for analyzing health professions education is currently inconsistent. This article provides an overview and recommendations on the use of certain economic methods and tools when evaluating health profession education programs. It also provides a clear understanding of key evaluation concepts important for undertaking an economic review of a program.
Early Therapeutic Drug Monitoring of Posaconazole Oral Suspension in Patients With Hematologic Malignancies
Authors: Suh Hyeon Jeong , Kim Inho , Cho Joo-Youn , Park Sang-In , Yoon Seo Hyun , Hwang Joo-Hee , Bae Ji Yun , Lee Jeong-Ok , Koh Youngil , Song Kyoung-Ho , Choe Pyoeng Gyun , Yu Kyung-Sang , Kim Eu Suk , Kim Hong Bin , Bang Soo-Mee , Kim Nam Joong , Song Sang Hoon , Park Wan Beom , Oh Myoung-don 
Published: November 2017

Background:
Therapeutic drug monitoring (TDM) of posaconazole is usually performed 1 week after starting the drug because of its long half-life. However, previous studies showed that measuring the posaconazole plasma concentration (PPC) on day 3 is effective for predicting steady-state levels. The purpose of this study was to evaluate the relevance of early TDM (day 3) of posaconazole for achieving an optimal PPC.

Methods:
This prospective study was conducted from September 2014 to August 2016. A total of 148 patients with acute myeloid leukemia or myelodysplastic syndromes received a 200 mg posaconazole oral suspension 3 times daily for fungal prophylaxis. During the period from September 2014 to December 2015 (control group), no dose adjustment was performed on day 3. During the period from January 2016 to Aug 2016 (early TDM group), the frequency of posaconazole 200-mg administration was increased to 4 times daily in patients whose PPC on day 3 was <400 ng/mL. The cutoff value for optimal PPC on day 8 was defined as 500 ng/mL.

Results:
In 21 of 107 patients (20%) in the control group, PPC was <400 ng/mL on day 3. In 15 (71%) of these 21 patients, the PPC was suboptimal on day 8. In the early TDM group, the PPC was <400 ng/mL on day 3 in 4 of 41 patients (10%). After increasing the posaconazole administration frequency in these 4 patients, PPC was suboptimal on day 8 in 1 patient (25%). In both groups, 104 patients had a PPC of ≥500 ng/mL on day 3, but 7% (7/104) of these had a suboptimal level on day 8.

Conclusions:
Early TDM on day 3 for posaconazole suspension may help more patients achieve optimal drug levels on day 8, although TDM on day 8 is needed even in patients with optimal levels on day 3.