bluuebunny/crossref_metadata_2025_split huggingface dataset:
Reducing length of stay for acute diabetic foot episodes: employing an extended scope of practice podiatric high‐risk foot coordinator in an acute foundation trust hospital
Authors: Cichero Matthew J , Bower Virginia M , Walsh Tom P , Yates Ben J 
Published: December 2013

AbstractBackgroundTo enhance the acute management of people with diabetic foot disease requiring admission, an extended scope of practice, podiatric high‐risk foot coordinator position, was established at the Great Western Hospital, Swindon in 2010. The focus of this new role was to facilitate more efficient and timely management of people with complex diabetic foot disease. The aim of this project was to investigate the impact of the podiatric high‐risk foot coordinator role on length of stay, rate of re‐admission and bed cost.MethodThis study evaluated the difference in length of stay and rate of re‐admission between an 11‐ month pre‐pilot period (November 2008 to October 2009) and a 10‐month pilot period (August 2010 to June 2011). The estimated difference in bed cost between the pre‐pilot and pilot audits was also calculated. Inclusion criteria were restricted to inpatients admitted with a diabetic foot ulcer, gangrene, cellulitis or infection as the primary cause for admission. Eligible records were retrieved using ICD‐10 (V9) coding via the hospital clinical audit department for the pre‐pilot period and a unique database was used to source records for the pilot phase.ResultsFollowing the introduction of the podiatric high‐risk foot coordinator, the average length of stay reduced from 33.7 days to 23.3 days (mean difference 10.4 days, 95% CI 0.0 to 20.8, p = 0.050). There was no statistically significant difference in re‐admission rate between the two study periods, 17.2% (95% CI 12.2% to 23.9%) in the pre‐pilot phase and 15.4% (95% CI 12.0% to 19.5%) in the pilot phase (p = 0.820). The extrapolated annual cost saving following the implementation of the new coordinator role was calculated to be £234,000 for the 2010/2011 year.ConclusionsThis audit found that the extended scope of practice coordinator role may have a positive impact on reducing length of stay for diabetic foot admissions. This paper advocates the role of a podiatric high‐risk foot coordinator utilising an extended scope of practice model, although further research is needed.
Metabarcoding avian diets at airports: implications for birdstrike hazard management planning
Authors: Coghlan Megan L , White Nicole E , Murray Dáithí C , Houston Jayne , Rutherford William , Bellgard Matthew I , Haile James , Bunce Michael 
Published: December 2013

AbstractBackgroundWildlife collisions with aircraft cost the airline industry billions of dollars per annum and represent a public safety risk. Clearly, adapting aerodrome habitats to become less attractive to hazardous wildlife will reduce the incidence of collisions. Formulating effective habitat management strategies relies on accurate species identification of high-risk species. This can be successfully achieved for all strikes either through morphology and/or DNA-based identifications. Beyond species identification, dietary analysis of birdstrike gut contents can provide valuable intelligence for airport hazard management practices in regards to what food is attracting which species to aerodromes. Here, we present birdstrike identification and dietary data from Perth Airport, Western Australia, an aerodrome that saw approximately 140,000 aircraft movements in 2012. Next-generation high throughput DNA sequencing was employed to investigate 77 carcasses from 16 bird species collected over a 12-month period. Five DNA markers, which broadly characterize vertebrates, invertebrates and plants, were used to target three animal mitochondrial genes (12S rRNA, 16S rRNA, and COI) and a plastid gene (trnL) from DNA extracted from birdstrike carcass gastrointestinal tracts.ResultsOver 151,000 DNA sequences were generated, filtered and analyzed by a fusion-tag amplicon sequencing approach. Across the 77 carcasses, the most commonly identified vertebrate wasMus musculus(house mouse). Acrididae (grasshoppers) was the most common invertebrate family identified, and Poaceae (grasses) the most commonly identified plant family. The DNA-based dietary data has the potential to provide some key insights into feeding ecologies within and around the aerodrome.ConclusionsThe data generated here, together with the methodological approach, will greatly assist in the development of hazard management plans and, in combination with existing observational studies, provide an improved way to monitor the effectiveness of mitigation strategies (for example, netting of water, grass type, insecticides and so on) at aerodromes. It is hoped that with the insights provided by dietary data, airports will be able to allocate financial resources to the areas that will achieve the best outcomes for birdstrike reduction.
Sustained high serum malondialdehyde levels are associated with severity and mortality in septic patients
Authors: Lorente Leonardo , Martín María M , Abreu-González Pedro , Domínguez-Rodriguez Alberto , Labarta Lorenzo , Díaz César , Solé-Violán Jordi , Ferreres José , Cabrera Judith , Igeño Jose Carlos , Jiménez Alejandro 
Published: December 2013

Abstract
Introduction
There is a hyperoxidative state in sepsis. The objective of this study was to determine serum malondialdehyde (MDA) levels during the first week of follow up, whether such levels are associated with severity during the first week and whether non-surviving patients showed higher MDA levels than survivors during the first week.

Methods
We performed an observational, prospective, multicenter study in six Spanish Intensive Care Units. Serum levels of MDA were measured in 328 patients (215 survivors and 113 non-survivors) with severe sepsis at days one, four and eight of diagnosis, and in 100 healthy controls. The primary endpoint was 30-day mortality and the secondary endpoint was six -month mortality. The association between continuous variables was carried out using Spearman’s rank correlation coefficient. Cox regression analysis was applied to determine the independent contribution of serum MDA levels on the prediction of 30-day and 6-month mortality. Hazard ratio (HR) and 95% confidence intervals (CI) were calculated as measures of the clinical impact of the predictor variables.

Results
We found higher serum MDA in septic patients at day one (p < 0.001), day four (p < 0.001) and day eight (p < 0.001) of diagnosis than in healthy controls. Serum MDA was lower in surviving than non-surviving septic patients at day one (p < 0.001), day four (p < 0.001) and day eight (p < 0.001). Serum MDA levels were positively correlated with lactic acid and SOFA during the first week. Finally, serum MDA levels were associated with 30-day mortality (HR = 1.05; 95% CI = 1.02-1.09; p = 0.005) and six-month mortality (hazard ratio (HR) = 1.05; 95% CI = 1.02-1.09; p = 0.003) after controlling for lactic acid levels, acute physiology and chronic health evaluation (APACHE)-II, diabetes mellitus, bloodstream infection and chronic renal failure.

Conclusions
To our knowledge, this is the largest series providing data on the oxidative state in septic patients to date. The novel finding is that high serum MDA levels sustained throughout the first week of follow up were associated with severity and mortality in septic patients.
The Development of Human Resource Planning in the Tourism Business Sector
Authors: Ананьев Александр , Ananev Aleksandr 
Published: December 2013

The article studies the current ways of introducing elements of human resource planning into tourism and service enterprise development strategies. The author considers the specifics and peculiarities of the tourism and service business and identifies the major lines of application as well as the workability of corporate and HRplanning in reference to small- and medium-sized enterprises operating in the focus areas. Special stress is laid on the contribution ofmarketing research, pursuing prospective lines of tourism and service enterprise development and introducing elements of HRplanning to delivering the targeted results. The author regards the basic stages and methods of personnel planning as employed by tourism and service enterprises in terms of occupation, skill and qualification.
The article may serve the scientific, special and teaching purposes of those studying the problem of HR planning in the context of tourism and service business.
‘Whatever it means, you should have it’: Exploring digital literacies in arts education
Authors: Boyd Vic 
Published: December 2013

Abstract
This article examines both staff and students’ perspectives of using learning technologies within arts education in developing flexible, longitudinal support for digital literacies. Based on data collected at a small, specialist arts institution in the United Kingdom, the article explores ways in which staff may consider students’ use of technology in learning as well as how students themselves use technology in creative practices. In so doing, the article considers the digital natives/immigrants debate through a social constructionist lens to underscore how pervading assumptions about students’ use of technology may influence ongoing support and ambiguous institutional culture.
In the wake of SNS Challenger: Rephotographing collectively online with informal learners
Authors: McLeod Gary 
Published: December 2013

Abstract
This article addresses the growing practice of ‘rephotography’ and the medium of social network sites in relation to developing visual literacy and digital skills within informal learning. Drawing upon ongoing research, this article examines contributions made to a bespoke social network site by participants involved in a global project that aims to identify and photograph again locations once photographed during the voyage of the British scientific survey ship HMS Challenger (18721876). With a focus on the rephotographic process, the article discusses contributions made to the project by three participants in Gibraltar, Cape Town and Manila. Upon reflection of their contributions, the combination of rephotography and a dedicated social network site is put forward as a potential visual methodology for the development of visual literacy and digital skills of twenty-first century informal learners.
Locating the value and opportunities for online collaborative creativity within advertising
Authors: Sykes Janine 
Published: December 2013

Abstract
Advertising art directors and copywriters have worked in teams, concurrent with workshop pedagogy becoming orthodox in the UK art school. Advertising creatives now often work in larger teams using social media. The e-studio and Online Collaborative Creativity (OCC) appear as descendents of workshop pedagogy, with claims that these practices increase innovation and motivation. This article explores such assertions in an investigation that takes place within a creative advertising degree course, where teams work online while competing on a live brief. What could be the value and opportunities of introducing OCC to a traditional studio? To what extent should OCC be implemented in the curriculum? This article tackles these questions and shares findings of a contextualist and quasi-experimental approach to an analysis of OCC. In doing so, it argues for studio pedagogy to be re-aligned with a different collaborative model as a means to prepare graduates for industry.
‘Styling’ teenage private space: Identity, fashion and consumption in girls’ bedrooms
Authors: Lincoln Siân 
Published: December 2013

Abstract
Drawing on the example of the teenage girl and her bedroom, in this article I argue that personal and private spaces such as bedrooms are not just ‘hubs’ of social and cultural activity but are important sites within which teenage girls’ social and cultural identities are continually ‘styled’ and represented. As a key space of expression, identity and consumption for girls experiencing their teenage years, I examine the concept of ‘styling’ in teenage girls’ bedrooms as an ongoing process of identity formation and experimentation. In doing this, I explore the interplay between the public and private realm in the styling of personal spaces, whereby teenage girls’ practices of identity flow between the two, can intertwine and are inextricably mapped onto one another. In exploring the relationship between teenage girls, consumption and identity, and specifically focusing on the role of ‘space’ in this relationship, I take the example of fashion stores such as Topshop and Urban Outfitters to explore the ways in which elements of public spaces of teen consumption are ‘taken home’ to be recreated and rearticulated back in the bedroom as a stylistic statement about a teenage girl’s identity. In doing this, I argue that teenage bedrooms are important sites of contemporary youth identity construction and display and that teenage girls’ emerging adult identities and patterns of consumption are articulated through the ‘fabric’ of bedroom space.
Contemplating in a dream-like room: The Virgin Suicides and the aesthetic imagination of girlhood
Authors: Monden Masafumi 
Published: December 2013

Abstract
Sofia Coppola’s film The Virgin Suicides (1999) can be viewed as visualizing the (re)negotiation process of the twinned aspects of girlish ‘autonomy’ and ‘restriction’. Although the film’s references to more established images of girlhood are observable, its vague, narrative neutrality, supported by cinematic aesthetics with a dreamy and melancholic effect, leaves their meanings largely unexplained. Connected to our contemporary ideas about adolescence, femininity is generally linked to either pathological fragility or emphasized sexual assertiveness. I question the legitimacy of these binaries and instead read The Virgin Suicides as a depiction of female complexity where the subtle complexity of the heroines contradicts these stereotypes. Instead of situating on either polar of extreme assertiveness and fragility, Coppola presents her conception of adolescent girls as floating between these two. The film’s ethereal and maidenly aesthetics conveyed through the visual qualities of the Lisbon Sisters, including the dresses they wear, effectively layer the girls’ sense of autonomy and sexual maturity, signifying the negotiation of idealizing, suppressing and empowering adolescent girls. The tragic fate of the girls, on the other hand, limits the film’s capacity to offer an alternative to the monolithic idea of adolescent ‘girlhood’ and how it is visualized in our contemporary culture.
‘You’re just some bitch who broke my heart and cut up my mom’s wedding dress’: Reading the wedding dress in Hollywood’s romantic comedies
Authors: Jenkins Claire 
Published: December 2013

Abstract
In a number of recent romantic comedies including 27 Dresses (Fletcher, 2008) and Bride Wars (Winick, 2009) the wedding dress takes on a particular significance as the daughter desires to wear her mother’s wedding gown on her own big day. This article explores the dress within these films, amongst others, demonstrating, with reference to a discussion of consumption, gender roles and psychoanalytic frameworks, that a complex debate around femininity, inheritance, love and consumption is presented. The mother’s dress is an effective totem object that must be overcome by the daughter, who never wears it, in order to forge her own identity. This renders feminine inheritance unimportant and offers a false notion of personal identity to its heroines. The discussion of the wedding dress is extended to include the tension between the vintage and designer wedding dress in Sex and the City (King, 2008) a film in which the vintage dress is celebrated, potentially representing a more balanced and forward-thinking notion of marriage and womanhood.
Internationalizing and localizing: Shaping community music in Germany
Authors: Kertz-Welzel Alexandra 
Published: December 2013

Abstract
While community music is an internationally successful concept, and community musicians have been facilitating music learning worldwide for many years, community music is still almost unknown in Germany. This is rather surprising, because there are groups and activities in Germany, which (according to the international understanding) would qualify as community music. The concept of music for everyone, without relying on notions of talent or social class, as an activity that facilitates personal and group development, has also been known in Germany. Because music education in German schools is in a crisis, with music educators and scholars searching for new concepts and practices, it seems to be the right time now to introduce community music into the German music education discourse and practice. Community music offers solutions to some of the challenges of today’s music education classes in German schools, such as inclusion, participation, heterogeneity, connections between music education inside and outside of schools, or supporting students with special needs. The German example also raises the issue of internationalization and localization in music education, one of the most important challenges in times of globalization.
Creative learning and communities of practice: Perspectives for music education in the school
Authors: Beineke Viviane 
Published: December 2013

Abstract
This article discusses processes and practices of creative learning in musical education in schools, reflecting on the contributions of this approach to the construction of communities of musical practice in the classroom. The discussion is based on a case study carried out in a primary school in Porto Alegre, in southern Brazil. In this study, the creative learning is triggered in group-composition activities, through collective musical presentation and criticism of the students’ productions. The music teacher created the conditions needed to establish an environment of social relations that favours the construction of a community of musical practice in the classroom. Over time, these forms of social participation configure an engaged and committed community of musical practice, sharing ways of making and thinking about music. Detailing this proposition, the role of the composition activities, presentation and critical in the articulating process between the dimensions of creative learning are analysed, considering the children’s perspective and the teacher’s role in this process, reflecting on opportunities for teaching music in schools.
The Shelter Concert Series: Reflections on homelessness and service learning
Authors: Knapp David 
Published: December 2013

Abstract
The Shelter Concert Series was a service-learning project conducted in coordination with a university-music programme and a shelter for individuals experiencing homelessness. Students performed weekly concerts, including a jazz band, steel band, clarinet duet, old time ensemble, acoustic guitarist, rhythm and blues band and a classical vocalist. This article offers a reflective account of practice based on qualitative research. Questionnaire, interview and observation data indicated Shelter clients enjoyed the concerts and were appreciative of the students’ performances. Students reported an increase in positive attitudes towards individuals experiencing homelessness, and a desire to participate more often in service learning. Shelter staff believed the concerts led to a more positive atmosphere for the clients. Implications for service learning and music education, especially with individuals experiencing homelessness, are discussed.
Degenerate neckpinches in Ricci flow
Authors: Angenent Sigurd B. , Isenberg James , Knopf Dan 
Published: December 2013

Abstract

In earlier work [Nonlinearity 24 (2011), 2265–2280], we derived formal matched asymptotic
profiles for families of Ricci flow solutions developing Type-II
degenerate neckpinches. In the present work, we prove that there
do exist Ricci flow solutions that develop singularities modeled on
each such profile. In particular, we show that for each positive
integer k ≥ 3, there exist compact solutions in all dimensions
m ≥ 3 that become singular at the rate

(
T
-
t
)

-
2
+
2
/
k

$(T-t)^{-2+2/k}$

.
Acardiacus acephalus twinning associated with exomphalos major, high impeforate anus and hypospadias
Authors: Godse Alok , Hosie Gareth 
Published: December 2013

Abstract
We describe a case report of acardiacus acephalus twinning associated with exomphalos major in both twins. One twin survived, who in addition had an anorectal anomaly and hypospadias. This is the first reported description of this combination of anomalies.
Drug metabolising enzyme polymorphisms in Middle- and Eastern-European Slavic populations
Authors: Hubacek Jaroslav A. 
Published: December 2013

Abstract
Inter-individual differences in genes for drug metabolising enzymes and drug transporters are important for understanding efficacy in drug therapy. These differences are important both for the timely estimation of the dosage that should be prescribed to a patient and for the detection of individuals who are prone to side effects from the drug at normal doses. This review summarises the literature concerning the gene variants within nine major drug metabolising enzymes and drug transporters (i.e., CYP1A2, CYP2A6, CYP2C9, CYP2C19, CYP2D6, CYP2E1, CYP3A4, CYP3A5, and MDR-1) in the Middle European region. Notably, published data are not extensive, and most studies were performed on relatively low numbers of individuals. No country has a complete coverage of all genes. Two variants (C2677T/A and C3435T) within the multidrug resistance-1 (MDR-1) gene and variants within the CYP2C9 gene were analysed within most Slavic populations. Nevertheless, even from this incomplete coverage (where unexpectedly high variability was at times seen both between and within populations), it could be extrapolated that the variants within the drug metabolising enzyme genes are present in roughly the same frequencies as in neighbouring countries.
Is Your Digital Identity Property?This article was written when Dr Sullivan was Visiting Fulbright Scholar at the Law School, George Washington University in Washington DC.
Authors: Sullivan Clare 
Published: December 2013

Abstract
As dealings previously conducted in person are replaced by dealings without personal interaction and without any history of personal acquaintance, digital identity is assuming a crucial role in transactions, most recently those between government and its citizens. This paper examines digital identity as an emergent legal concept with a focus on its legal nature as a new form of intangible property. The constitution and functions of digital identity are examined, particularly in relation to the small collection of digital information which is now typically required for transactions with government departments and agencies as part of the transition to e-government. The author considers whether this transaction identity has the legal characteristics of property and the repercussions, including recognition and protection of ownership rights under public law. The paper adopts a comparative approach in considering these issues. Because of their obvious similarities, recent developments in United States of America in relation to use of digital identity for transactions are compared to Australia which has also recently formally announced its move to digital citizenship. However, although the paper focusses on the US and Australia, the analysis and findings are relevant to other jurisdictions, especially those in Europe and Asia which are now using a concept of digital identity for transactions between government and citizens and indeed also for private sector transactions. The analysis essentially translates to civil law countries as well as those which have a common law legal system.