bluuebunny/crossref_metadata_2025_split huggingface dataset:
Psychometrics of the Home Safety Self-Assessment Tool (HSSAT) to Prevent Falls in Community-Dwelling Older Adults
Authors: Tomita Machiko R. , Saharan Sumandeep , Rajendran Sheela , Nochajski Susan M. , Schweitzer Jo A. 
Published: November 2014

Abstract
OBJECTIVE. To identify psychometric properties of the Home Safety Self-Assessment Tool (HSSAT) to prevent falls in community-dwelling older adults.
METHOD. We tested content validity, test–retest reliability, interrater reliability, construct validity, convergent and discriminant validity, and responsiveness to change.
RESULTS. The content validity index was .98, the intraclass correlation coefficient for test–retest reliability was .97, and the interrater reliability was .89. The difference on identified risk factors between the use and nonuse of the HSSAT was significant (p = .005). Convergent validity with the Centers for Disease Control and Prevention Home Safety Checklist was high (r = .65), and discriminant validity with fear of falling was very low (r = .10). The responsiveness to change was moderate (standardized response mean = 0.57).
CONCLUSION. The HSSAT is a reliable and valid instrument to identify fall risks in a home environment, and the HSSAT booklet is effective as educational material leading to improvement in home safety.
Occupational Therapy Interventions to Improve Driving Performance in Older Adults: A Systematic Review
Authors: Golisz Kathleen 
Published: November 2014

Abstract
This systematic review synthesizes the research on interventions used by occupational therapy practitioners to address cognitive and visual function, motor function, driving skills, self-regulation and self-awareness, and the role of passengers and family involvement in the driving ability, performance, and safety of older adults. After a comprehensive search of the research literature, 29 studies were reviewed and synthesized into five themes: (1) educational interventions including family education, (2) cognitive–perceptual training, (3) interventions addressing physical fitness, (4) simulator training, and (5) behind-the-wheel training. Outcome measures used in the studies included changes in knowledge through speed of processing, physical and cognitive skills predicted to reduce crash risk, simulated driving, and real-world driving. The studies demonstrated low to moderate positive effects for interventions used by occupational therapy practitioners to improve older driver performance.
Updated Systematic Review on Older Adult Community Mobility and Driver Licensing Policies
Authors: Stav Wendy B. 
Published: November 2014

Abstract
An updated systematic review of literature related to the effects of driver licensing policies, community mobility programs, and driving cessation programs on older adult performance and participation was completed as a part of the American Occupational Therapy Association’s Evidence-Based Literature Review Project. The results revealed that relicensing policies instituted by states yield inconsistent results in terms of reducing traffic crashes, traffic violations, and traffic-related fatalities. The evidence related to community mobility and driving cessation programs has suggested that programming to support the transition from driving to other modes of mobility can be beneficial for older adults and their family members. In addition, community contexts that are supportive of pedestrian travel significantly increase this mode of mobility. This evidence-based review informs occupational therapy practice and suggests that increased therapeutic attention should be directed toward supportive transitions from driving and sustaining community mobility for optimal engagement and participation.
Effects of a Classroom-Embedded Occupational Therapist–Teacher Handwriting Program for First-Grade Students
Authors: Case-Smith Jane , Weaver Lindy , Holland Terri 
Published: November 2014

Abstract
This study examined the effectiveness of Write Start, a handwriting and writing program cotaught by teachers and occupational therapists for first-grade children. Four classrooms (n = 80) received the Write Start program, and four (n = 58) received standard handwriting and writing instruction. Two teachers and an occupational therapist implemented the 24-session manualized program, which included station teaching and individualized supports. The program emphasized practice in small groups in which the coteaching team provided students with frequent feedback, encouraged self-evaluation, and facilitated peer modeling and peer evaluation. Students who completed the Write Start program improved more in handwriting legibility and speed than the group receiving standard instruction. Writing fluency and written composition were no different between groups at posttest; however, writing fluency was significantly higher for Write Start students at 6-mo follow-up. Write Start students with low legibility at baseline made significant improvements, suggesting that the program may benefit students at risk for handwriting and writing problems.
Climbing therapy under PK-tailored prophylaxis
Authors: Schmit E. , Czepa D. , Kurnik K. , Spannagl M. , Stemberger M. 
Published: November 2014

SummaryClimbing has a low risk of injury and strengthens the entire musculature. Due to its benefits in physical and mental health as well as its high fun factor climbing is an established way of therapy. So far, the usefulness of climbing therapy has not been shown for people with haemophilia (PWH). A crucial requirement for physical activity in PWH is regular prophylaxis. As the patient’s individual pharmacokinetic (PK) response varies significantly, PK-tailored prophylaxis may decrease bleeding frequency. Case report: We describe a man (age 25 years) with severe haemophilia A who took part in an 8.5-month weekly climbing program under PK-tailored prophylaxis. Bleeding frequency, factor consumption, joint health (Haemophilia Joint Health Score, HJHS), quality of life (Haemo-QoL-A) and climbing performance (UIAA scale) were assessed before and after the training. Prior to the study, the patient was on demand treatment. The patient was started on standard prophylaxis for a 2 months period and then observed for 6.5 months under PK-tailored prophylaxis. PK-tailored prophylaxis was targeted to a trough level of 1–3%. For high-impact activities a factor activity >15%, for low-impact activities a factor activity >5% was suggested. Results: Climbing therapy was safe. The bleeding rate decreased from 14 (2012) to 1 (during the study period of 8.5 months). The one bleeding event was due to a missed infusion and was not triggered by physical activity. The elimination half-life using Bayesian statistics was determined to be 16h. Using this half-life for PK-tailored prophylaxis reduced the factor VIII consumption in comparison to standard prophylaxis. Joint health was particularly improved in the categories range of motion and swelling. Quality of life scores stayed at a high level. Climbing performance improved by 1 grade. Conclusio: The combination of PK-tailored prophylaxis with therapeutic climbing improved clinical outcome in this young adult with severe haemophilia. The tailored concept for high- and low-impact activities appeared to be safe.
Successful second ITI with factor IX and combined immunosuppressive therapy
Authors: Schneppenheim R. , Schrum J. , Bokemeyer C. , Langer F. , Holstein K. 
Published: November 2014

SummaryImmune tolerance induction (ITI) in patients with haemophilia B and inhibitors may be complicated by anaphylactic reactions and nephrotic syndrome with lower success rates than in haemophilia A (25% vs. 50–90%). According to case reports, immunosuppressive therapy in addition to high doses of factor IX (FIX) appears to be promising. We report an 18-year-old patient with severe haemophilia B and a FIX inhibitor with a maximum titre of 2.6 Bethesda units and allergic skin reactions to FIX infusions. At 5 years of age, this patient already had a FIX inhibitor with allergic reactions to FIX and activated prothrombin complex concentrate. ITI at 11 years of age with high-dose FIX, de-xamethasone, rituximab, mycophenolate mofetil and intravenous immunoglobulins had induced a sustained response until the current presentation.The patient was restarted on the same ITI regimen with aforementioned immunosup-pressants, which were initiated one week before high-dose FIX. No allergic reactions, nephrotic syndrome or serious infection occurred during ITI. The FIX inhibitor was unde-tectable after five weeks of treatment and remained so until 19 months of follow-up.
Levantamento de lesões na região bucomaxilofacial em vítimas de violência periciadas no Instituto Médico Legal (IML) de Feira de Santana-BA, entre 2007 e 2009
Authors: Pimenta Rodolfo Macedo Cruz , Matos Felipe Rafael Rios Oliveira , Silva Mona Lisa Cordeiro Asselta da , Rodrigues Ana Áurea Alécio de Oliveira , Marques Jeidson Antônio Morais , Musse Jamilly de Oliveira 
Published: November 2014

Objetivo: Analisar o perfil das vítimas e agressores, segundo as variáveis sociodemográficas e manifestações clínicas orofaciais em Feira de Santana-Bahia, no período de 2007-2009. Materiais e Métodos: Estudo epidemiológico do tipo descritivo utilizando dados secundários coletados no Instituto Médico Legal de Feira de Santana, nos anos de 2007 a 2009. Foram consultadas as características sócio-demográficas da vítima; vínculo da mesma com o agressor; caracterização do instrumento; descrição das lesões quanto aotipo e localização; avaliação do dano causado. Após a tabulação dos dados, realizou-se a análise estatística dos mesmos através do programa SPSS, versão 15.0. Resultados: A maioria das vítimas pertenceu ao sexomasculino, eram solteiras, faiodermas e apresentaram idade entre 18 e 35 anos. Quanto ao tipo de lesão, houve destaque para o edema (14,8%), a fratura dentária (14,8%) e a luxação dentária (11,2%). As estruturasintra-orais mais afetadas foram os dentes e a mucosa labial, com 54,6% e 30,9%, respectivamente. No exame extra-oral as regiões bucal (39%) e malar (10,3%) apresentaram um comprometimento maior. O emprego doinstrumento contundente foi mais comum, na maioria das agressões. Conclusão: Houve um maior número de vítimas do sexo masculino, solteiro, estudante, faioderma e com idade entre 18 e 35 anos. Na maioria doslaudos não havia informações sobre o agressor. O instrumento contudente foi o mais utilizado no momento da agressão. O edema e a fratura dentária foram os principais tipos de lesões resultantes da violência. Osresultados desta pesquisa denotam a necessidade de implementação de programas preventivos da violência nas áreas de saúde e de segurança pública.Descritores: Odontologia Legal. Violência. Epidemiologia.
Resistência à fratura de dentes com restaurações MOD: efeito da matriz resinosa e do método de fotoativação.
Authors: Silva Maria Goreti da , Prates Luiz Henrique Maykot , Chain Marcelo Carvalho 
Published: November 2014

Objetivo: Avaliar o efeito de dois compósitos, de diferentes matrizes poliméricas, e da técnica de fotoativação, sobre a resistência à fratura, por compressão, de pré-molares superiores com restaurações declasse II. Materiais e Métodos: Cavidades MOD foram preparadas em 56 pré-molares superiores, simulando tratamentos endodônticos. Os dentes foram divididos em quatro grupos (n=14): G1 - fotoativação convencional,restauração com Filtek Z350XT (3M ESPE) e adesivo Adper Single Bond 2 (3M ESPE); G2 - fotoativação pulso tardio, restauração Filtek Z350XT e adesivo Adper Single Bond2; G3 - fotoativação convencional, restauraçãoFiltek P90 (3M ESPE) e adesivo próprio da Filtek P90 (3M ESPE); e G4 - fotoativação pulso tardio, restauração Filtek P90 e adesivo próprio da Filtek P90. No G1 e G3 (fotoativação convencional), a aplicação de compósitofoi em incrementos de 2 mm, cada incremento fotoativado por 40 segundos, com aparelho LED, intensidade de 500 mW/cm2, aferida com radiômetro (Demetron). No G2 e G4 (fotoativação por pulso tardio) aplicação decompósito também foi com incrementos de 2mm, porém, cada incremento fotoativado, inicialmente durante 5s., com 300 mW/cm2. Após um período de 5 minutos foi realizada fotoativação, por 40s., intensidade de500 mW/cm2. A fotoativação foi repetida para cada incremento. Após 24 horas, os espécimes foram polidos e submetidos ao teste de compressão, com ponta ativa de formato cilíndrico/arredondado (Instron-0,5mm/min). Para análise estatística foi usado ANOVA 2 e Teste de Tukey (p > 0,05). Resultados: Os valores médios (newtons) foram: G1 - 1157,98 (±444,62); G2 - 1404,14 (±391,82); G3 - 1255,30 (±422,34); e G4 - 1213,76(±419,95). A resistência à fratura, por compressão, dos pré-molares com restaurações MOD foi estatisticamente similar nos quatro grupos avaliados. Conclusão: Não foram verificadas diferenças significativas relacionadasaos dois compósitos, com diferentes matrizes poliméricas e diferentes métodos de fotoativação.Descritores: Resinas compostas. Força compressiva. Polimerização.
Conduta dos cirurgiões dentistas de Alfenas/MG frente ao tratamento emergencial de pacientes com avulsão dentária.
Authors: Lima Daniela Coelho de , Pereira Alessandro Aparecido , Swerts Andressa Araújo , Fernandes Leandro Araújo 
Published: November 2014

Objetivo: Verificar a conduta dos cirurgiões dentistas de Alfenas/MG frente ao tratamento emergencial de dentes avulsionados. Materiais e Métodos: Foram entrevistados 72 profissionais, por meio de um questionário semiestruturado, analisando gênero, idade e período de experiência profissional e questões específicas como conduta do dentista frente a uma lesão dentária do tipo avulsão, em diversas situações clínicas. Resultados: Cinquenta cirurgiões dentistas (69,4%) atenderam algum caso de avulsão, mas apenas 8% relataram ser uma prática rotineira. Em relação ao tempo ideal para a realização de um reimplante dentário, 56 profissionais (77,8%) afirmaram ser imediatamente ou no máximo 30 minutos após o trauma. Quanto ao tratamento imediato do alvéolo, 52,8% dos pesquisados irrigariam o alvéolo com solução salina (NaCl 0,9%), sem remover o coágulo, e, quando tardiamente, 59,7% curetariam para a remoção do coágulo e irrigariam comsolução salina. Além disso, 52,8% afirmaram realizar contenção com fio flexível. Quanto ao ajuste oclusal, 54,2% dos entrevistados responderam que deixariam o dente em infra-oclusão. Conclusão: Os resultadosobservados sugerem que os cirurgiões dentistas de Alfenas/MG realizam condutas adequadas com relação à avulsão dentária, quando comparados aos protocolos estabelecidos na literatura15.Descritores: Avulsão Dentária; Reimplante Dentário; Tratamento de Emergência.
Medicações intracanal e sistêmica utilizadas por cirurgiões-dentistas das unidades de saúde da família para tratamento de urgência do abscesso periapical agudo.
Authors: Garcia Nayara A’vila , Santos Almira Alves Braga dos , Ângelo Angelinne Ribeiro , Veloso Heloísa Helena Pinho , Ferreira Glauco dos Santos , Queiroga Andréa Sarmento 
Published: November 2014

Objetivo: Verificar quais são as medicações sistêmica (MS) e intracanal (MIC) utilizadas pelos cirurgiões-dentistas para tratamento de urgência do abscesso periapical agudo (APA), nas Unidades de Saúde da Família (USFs) do município de João Pessoa/PB. Materiais e Métodos: Participaram do estudo 130cirurgiões-dentistas que responderam a um questionário com perguntas relativas às MS e MIC para tratamento de urgência do APA em suas três fases de evolução: inicial, em evolução e evoluída. Os dados foram registradosna forma de banco de dados do programa de informática SPSS (Statistical Package for Social Sciences) para Windows®, versão 15.0 e analisados por meio de estatística descritiva. Resultado: O paramonoclorofenol canforado (PMCC) foi a MIC mais empregada, independente da fase do APA, seguida por tricresol formalina, hidróxido de cálcio, formocresol, hipoclorito de sódio e Otosporin®. Na fase evoluída, observou-se que a maioria dos profissionais (34,62%) tende a não utilizar MIC deixando o dente aberto para drenagem. A MS mais utilizada foi o antimicrobiano, independente da fase do APA, seguido por anti-inflamatório e analgésico. A dipirona, o ibuprofeno e a amoxicilina foram o analgésico, o anti-inflamatório e o antimicrobiano de primeiraescolha, respectivamente. Conclusão: O PMCC foi a medicação intracanal mais utilizada e o antimicrobiano a medicação sistêmica mais citada independente da fase de evolução do APA.Descritores: Abscesso periapical. Sistemas de medicação. Irrigantes do canal radicular.
Inclusão da Odontologia no cenário hospitalar da região metropolitana de Belo Horizonte, MG
Authors: Miclos Paula Vitali , Junior Manoelito Ferreira Silva , Oliveira Cecília Maria Soares Carvalho , De Oliveira Maria Aparecida 
Published: November 2014

Objetivo: Verificar a inclusão da Odontologia no contexto hospitalar dos hospitais de grande porte da região metropolitana de Belo Horizonte – MG (RMBH) através dos insumos odontológicos e a inter-relação de profissionais de saúde no cenário da odontologia hospitalar. Materiais e Métodos: Estudo quantitativo, descritivo e transversal realizado por meio de entrevista, conduzida por apenas uma entrevistadora, com o cirurgião-dentista responsável pelo setor odontológico dos hospitais de grande porte da RMBH que tinhamatendimento odontológico. Os dados coletados foram tabulados no Excel 2003 (Microsoft®) em frequências absolutas e relativas. Resultados: 66,67% dos hospitais de grande porte da RMBH prestam assistência odontológica sendo que 64,28% destes hospitais com serviços odontológicos existem há mais de 16 anos. Os jogos de instrumentais mais fornecidos pelos hospitais são respectivamente os de emergência/urgência, exame clínico e cirúrgico ambulatorial. Os atendimentos são realizados dentro das dependências do hospital em 85,71%. Conclusão: Constatou-se a existência da odontologia na maioria dos hospitais de grande porte da RMBH, com presença de equipes odontológicas fortes, que trabalham em interdisciplinaridade, mostrando umreconhecimento e valorização do cirurgião-dentista também neste campo de trabalho.Descritores: Unidade hospitalar de odontologia. Equipe hospitalar de odontologia. Área de atuação profissional.Odontologia.
Predictors of liver‐related death among people who inject drugs in Vancouver, Canada: a 15‐year prospective cohort study
Authors: Hayashi Kanna , Milloy Michael‐John , Wood Evan , Dong Huiru , Montaner Julio SG , Kerr Thomas 
Published: November 2014

IntroductionWhile HIV/AIDS remains an important cause of death among people who inject drugs (PWID), the potential mortality burden attributable to hepatitis C virus (HCV) infection among this population is of increasing concern. Therefore, we sought to identify trends in and predictors of liver‐related mortality among PWID.MethodsData were derived from prospective cohorts of PWID in Vancouver, Canada, between 1996 and 2011. Cohort data were linked to the provincial vital statistics database to ascertain mortality rates and causes of death. Multivariate Cox proportional hazards regression was used to examine the relationship between HCV infection and time to liver‐related death. A sub‐analysis examined the effect of HIV/HCV co‐infection.Results and discussionIn total, 2,279 PWID participated in this study, with 1,921 (84.3%) having seroconverted to anti‐HCV prior to baseline assessments and 124 (5.4%) during follow‐up. The liver‐related mortality rate was 2.1 (95% confidence interval [CI]: 1.5–3.0) deaths per 1,000 person‐years and was stable over time. In multivariate analyses, HCV seropositivity was not significantly associated with liver‐related mortality (adjusted relative hazard [ARH]: 0.45; 95% CI: 0.15–1.37), but HIV seropositivity was (ARH: 2.67; 95% CI: 1.27–5.63). In sub‐analysis, HIV/HCV co‐infection had a 2.53 (95% CI: 1.18–5.46) times hazard of liver‐related death compared with HCV mono‐infection.ConclusionsIn this study, HCV seropositivity did not predict liver‐related mortality while HIV seropositivity did. The findings highlight the critical role of HIV mono‐ and co‐infection rather than HCV infection in contributing to liver‐related mortality among PWID in this setting.
Analisis Efektifitas Mesin/Alat Pabrik Gula Menggunakan Metode Overall Equipments Effectiveness
Authors: Subiyanto Subiyanto 
Published: November 2014

The national sugar production capability especially of the state owned sugar factory tends to decrease while demand increases. To overcome the problem, government has issued the presidential Decree No. 5/2010 and declared a revitalization program of sugar industry as a priority development program. The Ministry of Industry has implemented the program by restructuring the sugar factory's machinery/equipments. Since there are many of factories (51 units) and the budget is limited, the ministry should be selective as to which factories need to be restructered, and therefore the program shoud be supported by prior information about the machinery efficiency status of each factory. To provide those information, this study applies the application of the Overall Equipment Effectiveness (OEE) method on 39 state owned sugar factories. The results indicate that the everage rate of OEE for the 39 sugar factories for the year of 2010 to 2012 is 61.28% (best practice: 77.4%), while Availability, Performance, and Quality is 86.43%, 91.39%, and 77.02% respectively. The study also identifies 19 worst factories in efficiency, and therefore recommends those factories as priority to be restructured.
Improvement of aerosol optical depth retrieval using visibility data in China during the past 50 years
Authors: Wu Jian , Luo Jianguo , Zhang Liya , Xia Lan , Zhao Deming , Tang Jianping 
Published: November 2014

AbstractHorizontal visibility and water vapor pressure data from 483 stations in China from 1960 to 2009 were used to inverse aerosol optical depth (AOD) using a new series of parameters, which were revised for each station using the polybasic nonlinear regression method based on monthly Multiangle Imaging Spectroradiometer (MISR) AOD data during 2001–2005. Monthly AOD retrievals from 2006 to 2009 using the new parameters were compared with MISR AOD in the same period. AOD retrieved with the new parameters can capture the extreme values better than the inversion result with the original parameters, and the root‐mean‐square error between retrieval and MISR AOD reached the minimum of 0.047 in northwest China and the maximum of 0.102 in the Huang–Huai River Basin, respectively. The spatial distribution and seasonal features of monthly AOD from 1960 to 2009 in China were also analyzed. The monthly AOD in China for past 50 years, from 1960 to 2009, exhibited an increasing trend, especially during 1960–1985, with a linear rate of increase of 0.004/year. No distinct trend can be found for AOD from 1985 to 1995; then it increased obviously from 1996 to 2009 with an annual rate of 0.002. Seasonal change in AOD showed that it reached a maximum value in summer with the average value between 0.34 and 0.36 for the whole China, while a minimum value was reached in winter with a mean value between 0.2 and 0.22. It is noted that the aerosol vertical profile was a sensitive factor to the inversion result. The root‐mean‐square error using Goddard Chemistry Aerosol Radiation and Transport aerosol profiles was increased 1.9 to 5.7 times than using the traditional three‐segment profile in northwest, southwest, northeast, and northern China, which meant that the retrieval AOD was sensitive to aerosol vertical profile in these regions; at the same time, the root‐mean‐square error was decreased 1.13 to 1.37 times in other regions.