bluuebunny/crossref_metadata_2025_split huggingface dataset:
Performance Assessment of a Communicable Disease Surveillance System in Response to the Twin Earthquakes of East Azerbaijan
Authors: Babaie Javad , Ardalan Ali , Vatandoost Hasan , Goya Mohammad Mehdi , Akbari Sari Ali 
Published: July 2015

AbstractObjectiveFollowing the twin earthquakes on August 11, 2012, in the East Azerbaijan province of Iran, the provincial health center set up a surveillance system to monitor communicable diseases. This study aimed to assess the performance of this surveillance system.MethodsIn this quantitative-qualitative study, performance of the communicable diseases surveillance system was assessed by using the updated guidelines of the Centers for Disease Control and Prevention (CDC). Qualitative data were collected through interviews with the surveillance system participants, and quantitative data were obtained from the surveillance system.ResultsThe surveillance system was useful, simple, representative, timely, and flexible. The data quality, acceptability, and stability of the surveillance system were 65.6%, 10.63%, and 100%, respectively. The sensitivity and positive predictive value were not calculated owing to the absence of a gold standard.ConclusionsThe surveillance system satisfactorily met the goals expected for its setup. The data obtained led to the control of communicable diseases in the affected areas. Required interventions based on the incidence of communicable disease were designed and implemented. The results also reassured health authorities and the public. However, data quality and acceptability should be taken into consideration and reviewed for implementation in future disasters. (Disaster Med Public Health Preparedness. 2015;9:367–373)
An Economic Analysis and Approach for Health Care Preparedness in a Substate Region
Authors: Stryckman Benoit , Grace Thomas L. , Schwarz Peter , Marcozzi David 
Published: July 2015

AbstractObjectiveTo demonstrate the application of economics to health care preparedness by estimating the financial return on investment in a substate regional emergency response team and to develop a financial model aimed at sustaining community-level disaster readiness.MethodsEconomic evaluation methods were applied to the experience of a regional Pennsylvania response capability. A cost-benefit analysis was performed by using information on funding of the response team and 17 real-world events the team responded to between 2008 and 2013. By use of the results of the cost-benefit analysis as well as information on the response team’s catchment area, a risk-based insurance-like membership model was built.ResultsThe cost-benefit analysis showed a positive return after 6 years of investment in the regional emergency response team. Financial modeling allowed for the calculation of premiums for 2 types of providers within the emergency response team’s catchment area: hospitals and long-term care facilities.ConclusionThe analysis indicated that preparedness activities have a positive return on their investment in this substate region. By applying economic principles, communities can estimate their return on investment to make better business decisions in an effort to increase the sustainability of emergency preparedness programs at the regional level. (Disaster Med Public Health Preparedness. 2015;9:344–348)
Substance Abuse and Mental Health Services Administration (SAMHSA) Behavioral Health Disaster Response App
Authors: Seligman Jamie , Felder Stephanie S. , Robinson Maryann E. 
Published: July 2015

AbstractThe Substance Abuse and Mental Health Services Administration (SAMHSA) in the Department of Health and Human Services offers extensive disaster behavior health resources to assist disaster survivors in preparing for, responding to, and recovering from natural and manmade disasters. One of SAMHSA’s most innovative resources is the SAMHSA Behavioral Health Disaster Response App (SAMHSA Disaster App). The SAMHSA Disaster App prepares behavioral health responders for any type of traumatic event by allowing them to access disaster-related materials and other key resources right on their phone, at the touch of a button. The SAMHSA Disaster App is available on iPhone, Android, and BlackBerry devices. (Disaster Med Public Health Preparedness. 2015;9:516–518)
Identification of Recurrent Clostridium difficile Infection Using Administrative Codes: Accuracy and Implications for Surveillance
Authors: Wen Jing , Barber Grant E. , Ananthakrishnan Ashwin N. 
Published: July 2015

OBJECTIVETo develop an algorithm using administrative codes, laboratory data, and medication data to identify recurrent Clostridium difficile infection (CDI) and to examine the sensitivity, specificity, positive and negative predictive values, and performance of this algorithm.METHODSWe identified all patients with 2 or more International Classification of Diseases, Ninth Edition, Clinical Modification (ICD-9-CM) codes for CDI (008.45) from January 1 through December 31, 2013. Information on number of diagnosis codes, stool toxin assays (enzyme immunoassay or polymerase chain reaction), and unique prescriptions for metronidazole and vancomycin was identified. Logistic regression was used to identify independent predictors of recurrent CDI and a predictive model was developed.RESULTSA total of 591 patients with at least 2 ICD-9 codes for CDI were included (median age, 66 years). The derivation cohort consisted of 157 patients among whom 43 (27%) had recurrent CDI. Presence of 3 or more ICD-9 codes for CDI (odds ratio, 2.49), 2 or more stool tests (odds ratio, 2.88), and 2 or more prescriptions for vancomycin (odds ratio, 5.87) were independently associated with confirmed recurrent CDI. A classifier incorporating 2 or more prescriptions for vancomycin and either 2 or more stool tests or 3 or more ICD-9-CM codes had a positive predictive value of 41% and negative predictive value of 90%. The area under the receiver operating characteristic curve for this combined classifier was modest (0.69).CONCLUSIONIdentification of recurrent episodes of CDI in administrative data poses challenges. Accurate assessment of burden requires individual case review to confirm diagnosis.Infect Control Hosp Epidemiol 2015;36(8):893–898
Cost of Antimicrobial Therapy Across US Children’s Hospitals
Authors: Ross Rachael K. , Hersh Adam L. , Kronman Matthew P. , Newland Jason G. , Gerber Jeffrey S. 
Published: July 2015

We analyzed the cost of antimicrobial prescribing across freestanding children’s hospitals. A few specific antimicrobials accounted for a large proportion of expenditures, and antimicrobial spending varied substantially across hospitals, even within specific clinical conditions. Antimicrobial stewardship programs should consider these data to incorporate high-value antimicrobial prescribing when clinically appropriate.Infect Control Hosp Epidemiol2015;36(10):1242–1244
Prevention of Healthcare-Associated Pneumonia with Oral Care in Individuals Without Mechanical Ventilation: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Authors: Kaneoka Asako , Pisegna Jessica M. , Miloro Keri V. , Lo Mel , Saito Hiroki , Riquelme Luis F. , LaValley Michael P. , Langmore Susan E. 
Published: July 2015

OBJECTIVEEvidence is lacking on the preventive effect of oral care on healthcare-associated pneumonia in hospitalized patients and nursing home residents who are not mechanically ventilated. The primary aim of this review was to assess the effectiveness of oral care on the incidence of pneumonia in nonventilated patients.METHODSWe searched 8 databases (MEDLINE, Embase, CENTRAL, CINAHL, Web of Science, LILACS, ICHUSHI, and CiNii), in addition to trial registries and a manual search. Eligible studies were published and unpublished randomized controlled trials examining the effect of any method of oral care on reported incidence of pneumonia and/or fatal pneumonia. Relative risks (RR) and 95% confidence intervals were calculated. Risk of bias was assessed for eligible studies.RESULTSWe identified 5 studies consisting of 1,009 subjects that met the inclusion criteria. Of these, 2 trials assessed the effect of chlorhexidine in hospitalized patients; 3 studies examined mechanical oral cleaning in nursing home residents. A meta-analysis could only be done on 4 trials; this analysis showed a significant risk reduction in pneumonia through oral care interventions (RRfixed, 0.61; 95% CI, 0.40–0.91; P=.02). The effects of mechanical oral care alone were significant when pooled across studies. (RRfixed, 0.61; 95% CI, 0.40–0.92; P=.02). Risk reduction for fatal pneumonia from mechanical oral cleaning was also significant (RRfixed, 0.41; 95% CI, 0.23–0.71; P=.002). Most studies had a high risk of bias.CONCLUSIONSThis analysis suggests a preventive effect of oral care on pneumonia in nonventilated individuals. This effect, however, should be interpreted with caution due to risk of bias in the included trials.Infect Control Hosp Epidemiol 2015;36(8): 899–906
Direct numerical simulation of turbulent channel flow up to
Authors: Lee Myoungkyu , Moser Robert D. 
Published: July 2015

A direct numerical simulation of incompressible channel flow at a friction Reynolds number ($\mathit{Re}_{{\it\tau}}$) of 5186 has been performed, and the flow exhibits a number of the characteristics of high-Reynolds-number wall-bounded turbulent flows. For example, a region where the mean velocity has a logarithmic variation is observed, with von Kármán constant ${\it\kappa}=0.384\pm 0.004$. There is also a logarithmic dependence of the variance of the spanwise velocity component, though not the streamwise component. A distinct separation of scales exists between the large outer-layer structures and small inner-layer structures. At intermediate distances from the wall, the one-dimensional spectrum of the streamwise velocity fluctuation in both the streamwise and spanwise directions exhibits $k^{-1}$ dependence over a short range in wavenumber $(k)$. Further, consistent with previous experimental observations, when these spectra are multiplied by $k$ (premultiplied spectra), they have a bimodal structure with local peaks located at wavenumbers on either side of the $k^{-1}$ range.
Influence of airfoil thickness on unsteady aerodynamic loads on pitching airfoils
Authors: Motta Valentina , Guardone Alberto , Quaranta Giuseppe 
Published: July 2015

The influence of the airfoil thickness on aerodynamic loads is investigated numerically for harmonically pitching airfoils at low incidence, under the incompressible and inviscid flow approximation. Force coefficients obtained from finite-volume unsteady simulations of symmetrical 4-digit NACA airfoils are found to depart from the linear Theodorsen model of an oscillating flat plate. In particular, the value of the reduced frequency resulting in the inversion – from clockwise to counter-clockwise – of the lift/angle-of-attack hysteresis curve is found to increase with the airfoil thickness. Both the magnitude and direction of the velocity vector due to pitching over the airfoil surface differ from their flat-plate values. During the upstroke, namely nose-up rotation, phase, this results in a decrease (increase) of the normal velocity magnitude over the upper (lower) surface of the airfoil. The opposite occurs during the downstroke phase. This is confirmed by comparing the computed pressure distribution to the flat-plate linear Küssner model. Therefore, beyond the inversion frequency, the lift coefficient of a finite-thickness airfoil is higher during upstroke and lower during downstroke than its flat-plate counterpart. A similar dependence is also found for the quarter-chord moment coefficient. Accordingly, a modification to the classical Theodorsen model is proposed to take into account the effects of the airfoil thickness on unsteady loads. The new model is found to accurately predict the unsteady aerodynamics of a thick symmetric and a slightly cambered airfoil with a maximum thickness in the range 4–24 %. The limits of the present inviscid flow analysis are assessed by means of numerical simulation of high Reynolds number ($\mathit{Re}=10^{6}$) flows.
The effects of surface tension on the initial development of a free surface adjacent to an accelerated plate
Authors: Uddin J. , Needham D. J. 
Published: July 2015

When a vertical rigid plate is uniformly accelerated horizontally from rest into an initially stationary layer of inviscid incompressible fluid, the free surface will undergo a deformation in the locality of the contact point. This deformation of the free surface will, in the early stages, cause a jet to rise up the plate. An understanding of the local structure of the free surface in the early stages of motion is vital in many situations, and has been developed in detail by King & Needham (J. Fluid Mech., vol. 268, 1994, pp. 89–101). In this work we consider the effects of introducing weak surface tension, characterized by the inverse Weber number $\mathscr{W}$, into the problem considered by King & Needham. Our approach is based upon matched asymptotic expansions as $\mathscr{W}\rightarrow 0$. It is found that four asymptotic regions are needed to describe the problem. The three largest regions have analytical solutions, whilst a numerical method based on finite differences is used to solve the time-dependent harmonic boundary value problem in the last region. Our results identify the local structure of the jet near the vicinity of the contact point, and we highlight a number of key features, including the height of this jet as well as its thickness and strength. We also present some preliminary experimental results that capture the spatial structure near the contact point, and we then show promising comparisons with the theoretical results obtained within this paper.
Cultural variation in early feeding pattern and maternal perceptions of infant growth
Authors: van Eijsden Manon , Meijers Claire M. C. , Jansen Jessica E. , de Kroon Marlou L. A. , Vrijkotte Tanja G. M. 
Published: July 2015

The perception of healthy growth and weight may differ between cultures, which could influence feeding practises and consequently affect the development of overweight. The present study examined ethnic variation in maternal perceptions of growth and their influence on feeding practises among Turkish and Dutch infants aged 0–6 months. Data were obtained from the mothers of 143 Turkish and 143 Dutch healthy, singleton, term infants with birth weights appropriate for gestational age, using structured interviews at 1, 4 and 6 months after birth. Compared with Dutch mothers, mothers of Turkish descent perceived a chubby infant more often as pretty (43v. 22 %), and were more often worried about their infant's growth (13v. 4 %). Turkish mothers were more likely to give full breast-feeding (BF) until at least 6 months (adjusted OR (aOR) 2·1, 95 % CI 1·0, 4·3) and to start introducing complementary feeding, including rice flour porridge, at the age of 6 months (aOR 2·4, 95 % CI 1·1, 4·9). Infants of Turkish descent were fed on average one milk feeding more during the day and, if introduced to complementary foods before 6 months, were more often given uncommon types of foods (e.g. yogurt and cookies) (aOR 2·1, 95 % CI 1·1, 4·3). The differences in perceptions affected differences in feeding practises only to a small extent. Preventive advice offered to Turkish mothers in Child Health Care should include discussing choices of complementary foods and frequency of feeding from an early age onwards. In Dutch mothers, support for the continuation of BF remains an important issue.
Cognitive–behavioural suicide prevention for male prisoners: a pilot randomized controlled trial
Authors: Pratt D. , Tarrier N. , Dunn G. , Awenat Y. , Shaw J. , Ulph F. , Gooding P. 
Published: July 2015

Background.Prisoners have an exceptional risk of suicide. Cognitive–behavioural therapy for suicidal behaviour has been shown to offer considerable potential, but has yet to be formally evaluated within prisons. This study investigated the feasibility of delivering and evaluating a novel, manualized cognitive–behavioural suicide prevention (CBSP) therapy for suicidal male prisoners.Method.A pilot randomized controlled trial of CBSP in addition to treatment as usual (CBSP; n = 31) compared with treatment as usual (TAU; n = 31) alone was conducted in a male prison in England. The primary outcome was self-injurious behaviour occurring within the past 6 months. Secondary outcomes were dimensions of suicidal ideation, psychiatric symptomatology, personality dysfunction and psychological determinants of suicide, including depression and hopelessness. The trial was prospectively registered (number ISRCTN59909209).Results.Relative to TAU, participants receiving CBSP therapy achieved a significantly greater reduction in suicidal behaviours with a moderate treatment effect [Cohen's d = −0.72, 95% confidence interval −1.71 to 0.09; baseline mean TAU: 1.39 (s.d. = 3.28) v. CBSP: 1.06 (s.d. = 2.10), 6 months mean TAU: 1.48 (s.d. = 3.23) v. CBSP: 0.58 (s.d. = 1.52)]. Significant improvements were achieved on measures of psychiatric symptomatology and personality dysfunction. Improvements on psychological determinants of suicide were non-significant. More than half of the participants in the CBSP group achieved a clinically significant recovery by the end of therapy, compared with a quarter of the TAU group.Conclusions.The delivery and evaluation of CBSP therapy within a prison is feasible. CBSP therapy offers significant promise in the prevention of prison suicide and an adequately powered randomized controlled trial is warranted.
Childhood maltreatment and transition to psychotic disorder independently predict long-term functioning in young people at ultra-high risk for psychosis
Authors: Yung A. R. , Cotter J. , Wood S. J. , McGorry P. , Thompson A. D. , Nelson B. , Lin A. 
Published: July 2015

Background.Individuals identified as at ultra-high risk (UHR) for psychosis are at risk of poor functional outcome regardless of development of psychotic disorder. Studies examining longitudinal predictors of poor functioning have tended to be small and report only medium-term follow-up data. We sought to examine clinical predictors of functional outcome in a long-term longitudinal study.Method.Participants were 268 (152 females, 116 males) individuals identified as UHR 2–14 years previously. A range of clinical and sociodemographic variables were assessed at baseline. Functioning at follow-up was assessed using the Social and Occupational Functioning Assessment Scale (SOFAS).Results.Baseline negative symptoms, impaired emotional functioning, disorders of thought content, low functioning, past substance use disorder and history of childhood maltreatment predicted poor functioning at follow-up in univariate analyses. Only childhood maltreatment remained significant in the multivariate analysis (p < 0.001). Transition to psychosis was also significantly associated with poor functioning at long-term follow-up [mean SOFAS score 59.12 (s.d. = 18.54) in the transitioned group compared to 70.89 (s.d. = 14.00) in the non-transitioned group, p < 0.001]. Childhood maltreatment was a significant predictor of poor functioning in both the transitioned and non-transitioned groups.Conclusions.Childhood maltreatment and transition to psychotic disorder independently predicted poor long-term functioning. This suggests that it is important to assess history of childhood maltreatment in clinical management of UHR individuals. The finding that transition to psychosis predicts poor long-term functioning strengthens the evidence that the UHR criteria detect a subgroup at risk for schizophrenia.
Investigation of an outbreak of vomiting in nurseries in South East England, May 2012
Authors: NICHOLLS M. , PURCELL B. , WILLIS C. , AMAR C. F. L. , KANAGARAJAH S. , CHAMBERLAIN D. , WOOLDRIDGE D. , MORGAN J. , McLAUCHLIN J. , GRANT K. A. , HARVEY-VINCE L. , PADFIELD M. , MEARKLE R. , CHOW J. Y. 
Published: July 2015

SUMMARYOn 30 May 2012, Surrey and Sussex Health Protection Unit was called by five nurseries reporting children and staff with sudden onset vomiting approximately an hour after finishing their lunch that day. Over the following 24 h 50 further nurseries supplied by the same company reported cases of vomiting (182 children, 18 staff affected). Epidemiological investigations were undertaken in order to identify the cause of the outbreak and prevent further cases. Investigations demonstrated a nursery-level attack rate of 55 out of 87 nurseries (63·2%, 95% confidence interval 52·2–73·3). Microbiological tests confirmed the presence ofBacillus cereusin food and environmental samples from the catering company and one nursery. This was considered microbiologically and epidemiologically consistent with toxin from this bacterium causing the outbreak. Laboratory investigations showed that the conditions used by the caterer for soaking of pearl haricot beans (known as navy bean in the USA) used in one of the foods supplied to the nurseries prior to cooking, was likely to have provided sufficient growth and toxin production ofB. cereusto cause illness. This large outbreak demonstrates the need for careful temperature control in food preparation.
Whole genome sequencing provides an unambiguous link between Salmonella Dublin outbreak strain and a historical isolate
Authors: MOHAMMED M. , DELAPPE N. , O'CONNOR J. , McKEOWN P. , GARVEY P. , CORMICAN M. 
Published: July 2015

SUMMARYSalmonella enterica subsp. enterica serovar Dublin is an uncommon cause of human salmonellosis; however, a relatively high proportion of cases are associated with invasive disease. The serotype is associated with cattle. A geographically diffuse outbreak of S. Dublin involving nine patients occurred in Ireland in 2013. The source of infection was not identified. Typing of outbreak associated isolates by pulsed-field gel electrophoresis (PFGE) was of limited value because PFGE has limited discriminatory power for S. Dublin. Whole genome sequencing (WGS) showed conclusively that the isolates were closely related to each other, to an apparently unrelated isolate from 2011 and distinct from other isolates that were not readily distinguishable by PFGE.
The legibility of food package information in France: an equal challenge for young and elderly consumers?
Authors: Droulers Olivier , Amar Jennifer 
Published: July 2015

AbstractObjectiveThe present study investigated whether food package information is legible in a real purchase context; more specifically, it examined the level of legibility of non-mandatory, mandatory and nutritional information as well as the influence of age on legibility. This is an important issue, especially for older consumers who are usually advised to pay attention to their diet.DesignAn in-store study was conducted in a French hypermarket. Descriptive statistics were used to measure the overall level of legibility and then ANOVA tests were carried out to examine the influence of age on the legibility of information. Complementary results included the influence of level of education.SettingParticipants were asked to read information on four food packages when they were food shopping.SubjectsThe sample included 196 consumers aged 18–82 years.ResultsAn asymmetry was observed between the extremely high level of legibility of non-mandatory information and the low level of legibility of mandatory and nutritional information provided on food packages. Elderly respondents performed significantly worse than their younger counterparts. An interaction effect was found between age and level of education on the legibility of mandatory information.ConclusionsLegibility of mandatory information is clearly unsatisfactory. There appears to be a hierarchy between significant, but non-mandatory, company information and important mandatory and nutritional information. The first type of information is promoted on food packages whereas the last two are all but concealed to older and less educated consumers.