bluuebunny/crossref_metadata_2025_split huggingface dataset:
Secluded and restrained patients' perceptions of their treatment
Authors: Soininen Päivi , Välimäki Maritta , Noda Toshie , Puukka Pauli , Korkeila Jyrki , Joffe Grigori , Putkonen Hanna 
Published: September 2012

AbstractThough some empirical and anecdotal accounts can be located in the extant literature, it remains the case that little is known about how secluded/restrained (S/R) patients perceive their overall treatment. The purpose of this study was to explore patients' perceptions of their hospital treatment measured after S/R. The data were collected with a Secluded and Restrained Patients' Perceptions of their Treatment (S/R‐PPT) questionnaire from S/R patients aged 18–65 years. Ninety completed questionnaires were analysed. Patients perceived that they received enough attention from staff, and they were able to voice their opinions, but their opinions were not taken into account. Patients denied the necessity and beneficence of S/R. Women and older patients were more critical than men and younger patients regarding the use of restrictions. There were also statistically‐significant differences in responses among patients at different hospitals. It is concluded that patients' opinions need more attention in treatment decisions. To achieve this, psychiatric treatment needs genuine dialogue between patients and staff, and individual care should have alternatives and no routine decisions. Therefore, the treatment culture must improve towards involving patients in treatment planning, and giving them a say when S/R is considered.
Reflective practice groups for nurses: A consultation liaison psychiatry nursing initiative: Part 1 – the model
Authors: Dawber Chris 
Published: September 2012

AbstractIn the present study, we outline the evolution of a process‐focused reflective practice group (RPG) model for nurses working in clinical settings. The groups were initiated at Redcliffe and Caboolture hospitals by the consultation liaison psychiatry nurse and author. An associated article provides an evaluation of these RPG. The literature review identifies the key themes and theories on which the model is based, and the article outlines the process and practicalities of facilitating RPG in critical care, midwifery, and oncology specialties over a 3‐year period. The model proposes that the effectiveness and sustainability of RPG arises from adequate preparation and engagement with prospective participants. Group rules, based on principles of confidentially, supportiveness, and diversity, were collaboratively developed for each group. Facilitation utilized a group‐as‐a‐whole approach to manage process and stimulate reflection. While the purpose of RPG was a reflection on interpersonal aspects of nursing, contextual workplace issues were frequently raised in groups. Acknowledgement and containment of such issues were necessary to maintain clinical focus. The literature highlights facilitator credibility and style as crucial factors in the overall success of RPG, and it is proposed that reflective practice as a process‐focused model for groups succeeds when nurse facilitators are trained in group process and receive concurrent supervision.
Restraint use in acute and extended mental health services for older persons
Authors: Gerace Adam , Mosel Krista , Oster Candice , Muir‐Cochrane Eimear 
Published: September 2012

AbstractRestraint of older persons in inpatient and residential care is used to control aggression, and prevent falls and other adverse outcomes. Initiatives to reduce these practices are being implemented worldwide. However, there has been little examination of restraint practice in psychiatric services for older persons. This paper reports a retrospective comparative analysis of restraint use in three acute and two extended care psychiatric inpatient wards in Australia. The analysis involved examination of restraint incidents and comparison of restrained and non‐restrained patients. There was significant variation in restraint use between wards. On one acute ward, 12.74% of patients were restrained, although restraint use declined during the data collection period. Patients with dementia were restrained at higher rates than patients with other diagnoses, and restrained patients stayed in hospital for a longer duration. Restraint occurred early in admission, and few differences emerged between those restrained once or multiple times. Mechanical restraint was more prevalent than physical restraint, with restraint predominantly used to manage aggression and falls. Findings provide new data on restraint in older persons' psychiatric services. Greater conceptual understandings of behaviours associated with dementia and the unique needs of patients with these disorders may assist in reducing restraint use in these settings.
The inpatient psychiatric unit as both a safe and unsafe place: Implications for absconding
Authors: Muir‐Cochrane Eimear , Oster Candice , Grotto Jessica , Gerace Adam , Jones Julia 
Published: September 2012

AbstractAbsconding from acute psychiatric inpatient units is a significant issue with serious social, economic, and emotional costs. A qualitative study was undertaken to explore the experiences of people (n = 12) who had been held involuntarily under the local mental health act in an Australian inpatient psychiatric unit, and who had absconded (or attempted to abscond) during this time. The aim of the study was to explore why people abscond from psychiatric inpatient units, drawing on published work from health geography on the significance of the person–place encounter, and in particular the concept of ‘therapeutic landscapes’. The findings show that the inpatient unit is perceived as a safe or unsafe place, dependent on the dialectical relationship between the physical, individual, social, and symbolic aspects of the unit. Consumers absconded when the unit was perceived as unsafe. Forming a therapeutic relationship with staff, familiarity with the unit, a comfortable environment, and positive experiences with other consumers all supported perceptions that the unit was safe, decreasing the likelihood of absconding. Findings extend existing work on the person–place encounter within psychiatric inpatient units, and bring new knowledge about the reasons why consumers abscond. Implications for practice are discussed.
Post‐partum blues among Korean mothers: A structural equation modelling approach
Authors: Chung Sung Suk , Yoo Il Young , Joung Kyoung Hwa 
Published: September 2012

AbstractThe objective of this study was to propose the post‐partum blues (PPB) model and to estimate the effects of self‐esteem, social support, antenatal depression, and stressful events during pregnancy on PPB. Data were collected from 249 women post‐partum during their stay in the maternity units of three hospitals in Korea using a self‐administered questionnaire. A structural equation modelling approach using the Analysis of Moments Structure program was used to identify the direct and indirect effects of the variables on PPB. The full model had a good fit and accounted for 70.3% of the variance of PPB. Antenatal depression and stressful events during pregnancy had strong direct effects on PPB. Household income showed indirect effects on PPB via self‐esteem and antenatal depression. Social support indirectly affected PPB via self‐esteem, antenatal depression, and stressful events during pregnancy.
Beyond Depoliticization? Caste, NGOs and Dalit Land Rights in Maharashtra, India
Authors: Waghmore Suryakant 
Published: September 2012

ABSTRACTIn India, Dalit mobilization for land rights and the cultivation of gaairan (grazing lands) in the last decade has attracted the attention of international civil society actors who participate in such mobilization through local non‐governmental organizations (NGOs). This article contextualizes the debate on the growth and role of NGOs by presenting the politics of formation and working of a funding‐driven network of NGOs on Dalit rights and livelihoods in India. It cautions against exaggerating the role of international civil society actors in local democratization processes, and also argues that the feared depoliticizing of public interests as a result of INGO involvement is misplaced in the case of Dalit politics.
Social network influences on smoking, drinking and drug use in secondary school: centrifugal and centripetal forces
Authors: Fletcher Adam , Bonell Chris 
Published: September 2012

AbstractWe explore how school experiences and social networks structure young people’s substance use in different institutional contexts. The concepts of ‘selection’ and ‘influence’ are situated within the context of bounded agency, counter‐school cultures and Bourdieusian notions of capital. We employed individual and group interviews, network‐mapping, and observations at two contrasting English secondary schools. Both schools were characterised by extended social network structures that appeared to influence patterns of substance use, although the mechanisms via which this occurred varied according to school context. At Grange House school (suburban context) a minority of students from disadvantaged families were alienated by the attainment‐focused regime, marginalised by a strong peer‐led centrifugal force pushing them outwards, and substance use was an alternative source of bonding and identity for these students. In contrast, at North Street a centripetal force operated whereby the majority of students were pulled towards highly‐visible, normative markers of ‘safe’, ‘road culture’, such as cannabis use and gang‐involvement, as they attempted to fit in and survive in an inner‐city school environment. We conclude that health inequalities may be reproduced through these distinctive centrifugal and centripetal forces in different institutional contexts, and this should be the focus of quantitative examination in the UK and elsewhere.
The craft of intensive care medicine
Authors: Carmel Simon 
Published: September 2012

AbstractThe practice of medicine is often represented as a dualism: is medicine a ‘science’ or an ‘art’? This dualism has been long‐lasting, with evident appeal for the medical profession. It also appears to have been rhetorically powerful, for example in enabling clinicians to resist the encroachment of ‘scientific’ evidence‐based medicine into core areas of medical work such as individual clinical judgement. In this article I want to make the case for a more valid conceptualisation of medical practice: that it is a ‘craft’ activity. The case I make is founded on a theoretical synthesis of the concept of craft, combined with an analysis of ethnographic observations of routine medical practice in intensive care. For this context the craft aspects of medical work can be seen in how biomedical and other types of knowledge are used in practice, the embodied skills and practical judgement of practitioners and the technological and material environment. These aspects are brought together in two conceptual dimensions for ‘craft’: first, the application of knowledge; second, interaction with the material world. Some practical and political implications of a ‘craft’ metaphor for medical practice are noted.
Ethics and social media: Implications for sociolinguistics in the networked public1
Authors: D’Arcy Alexandra , Young Taylor Marie 
Published: September 2012

As a popular agora for writing identity into being, the networked public of social media sites presents exciting and unprecedented possibilities for sociolinguistic research. At the same time, these sites raise a wealth of unfamiliar methodological and ethical issues, and debate concerning appropriate ethical measures for research targeting online discourse communities is emergent. One of the most pressing debates concerns the visibility of online interaction (i.e. its locus between the public and private ends of the continuum). Although they exist freely online, networked publics are not public forums. They are governed by both personal and communal norms, and they are networked. This combination of factors gives rise to unique ethical challenges, particularly in the case of Facebook, an accessible and data‐rich, yet problematic, research site. This paper reviews the ethical difficulties presented by Facebook, and presents a framework for ethnographic sociolinguistic research that uses this site as a source of data.En tant qu’espace public privilégié pour la création de l’identitéà travers l’écriture, le public ≪réseauté≫ (interconnecté) des sites des médias sociaux présente des possibilités prometteuses et sans précédent pour la recherché en sociolinguistique. Cependant, ces sites soulèvent de nombreuses questions méthodologiques et éthiques qui sont nouvelles, d’où l’émergence de discussions portant sur les mesures éthiques appropriées pour la recherche qui vise les communautés discursives en ligne. Un des débats concerne la visibilité de l’interaction en ligne (c.‐à‐d. sa place entre les extrémités privée et publique du continuum). Bien qu’ils existent de façon libre en ligne, les réseaux publics ne sont pas des forums publics. Ils sont gouvernés à la fois par des normes personnelles et communautaires, et ils sont interconnectés. Cette combinaison de facteurs donne naissance à des défis éthiques uniques, en particulier dans le cas de Facebook, un site de recherche accessible et riche en données, mais problématique. Cet article passe en revue les difficultés éthiques que Facebook présente, et offre un cadre de travail pour la recherche sociolinguistique ethnographique utilisant ce site comme source de données. [French]
Textural and sensory properties of Lal peda manufactured with artificial sweeteners and bulking agents
Authors: Jain Parul , Kumar Arvind , Jha Alok , Kumar Ravindra , Pandey Sanjeev K 
Published: September 2012

Lal peda is an Indian heat desiccated dairy food. High sugar content in Lal peda poses severe restriction in its consumption. Sugar was replaced with artificial sweeteners (aspartame, acesulfame‐k and sucralose) with the addition of bulking agents (Litesse and inulin) to provide a characteristic texture. Lal peda prepared using 25% Litesse and 0.17% aspartame gave an optimum product. HPLC analysis of artificially sweetened Lal peda samples revealed that aspartame in Lal peda was stable up to 6 days when stored at 20 and 37 °C. The acidic pH of Lal peda stabilised the aspartame and slowed down its degradation until 6 days. Neither inulin nor Litesse significantly altered the colour or sensory characteristics of Lal peda.
A decomposition algorithm for the ring spur assignment problem
Authors: Carroll Paula , McGarraghy Seán 
Published: September 2012

AbstractThis paper describes the ring spur assignment problem (RSAP), a new problem arising in the design of next generation networks. The RSAP complements the sonet ring assignment problem (SRAP). We describe the RSAP, positioning it in relation to problems previously addressed in the literature. We decompose the problem into two IP problems and describe a branch‐and‐cut decomposition heuristic algorithm suitable for solving problem instances in a reasonable time. We present promising computational results.
Costs and Benefits of Trap‐Neuter‐Release and Euthanasia for Removal of Urban Cats in Oahu, Hawaii
Authors: LOHR CHERYL A. , COX LINDA J. , LEPCZYK CHRISTOPHER A. 
Published: September 2012

AbstractOur goal was to determine whether it is more cost‐effective to control feral cat abundance with trap‐neuter‐release programs or trap and euthanize programs. Using STELLA 7, systems modeling software, we modeled changes over 30 years in abundance of cats in a feral colony in response to each management method and the costs and benefits associated with each method . We included costs associated with providing food, veterinary care, and microchips to the colony cats and the cost of euthanasia, wages, and trapping equipment in the model. Due to a lack of data on predation rates and disease transmission by feral cats the only benefits incorporated into the analyses were reduced predation on Wedge‐tailed Shearwaters (Puffinus pacificus). When no additional domestic cats were abandoned by owners and the trap and euthanize program removed 30,000 cats in the first year, the colony was extirpated in at least 75% of model simulations within the second year. It took 30 years for trap‐neuter‐release to extirpate the colony. When the cat population was supplemented with 10% of the initial population size per year, the colony returned to carrying capacity within 6 years and the trap and euthanize program had to be repeated, whereas trap‐neuter‐release never reduced the number of cats to near zero within the 30‐year time frame of the model. The abandonment of domestic cats reduced the cost effectiveness of both trap‐neuter‐release and trap and euthanize. Trap‐neuter‐release was approximately twice as expensive to implement as a trap and euthanize program. Results of sensitivity analyses suggested trap‐neuter‐release programs that employ volunteers are still less cost‐effective than trap and euthanize programs that employ paid professionals and that trap‐neuter‐release was only effective when the total number of colony cats in an area was below 1000. Reducing the rate of abandonment of domestic cats appears to be a more effective solution for reducing the abundance of feral cats.Costos y Beneficios de Captura‐Esterilización‐Liberación y Eutanasia para la Remoción de Gatos Urbanos en Oahu, Hawaii
Modified Metaphyseal‐Loading Anterolaterally Flared Anatomic Femoral Stem: Five‐ to Nine‐Year Prospective Follow‐Up Evaluation and Results of Three‐Dimensional Finite Element Analysis
Authors: Kokubo Yasuo , Uchida Kenzo , Oki Hisashi , Negoro Kohei , Nagamune Kouki , Kawaguchi Shogo , Takeno Kenichi , Yayama Takafumi , Nakajima Hideaki , Sugita Daisuke , Yoshida Ai , Baba Hisatoshi 
Published: September 2012

AbstractWe have designed a proximal‐fitting, anterolaterally flared, arc‐deposit hydroxyapatite‐coated anatomical femoral stem (FMS‐anatomic stem; KYOCERA Medical, Osaka, Japan) for cementless total hip arthroplasty (THA) for Japanese patients with dysplastic hip osteoarthritis, using a nonlinear three‐dimensional finite element analysis simulating loading conditions. The Anatomic Fit stem was modified in the region of the arc‐sprayed surface, to allow more proximal appearance of spot welds. The aim of the present study was to analyze the clinical and radiographic outcomes of patients who underwent THA using this stem. We reviewed 73 consecutive patients (79 hips; 13 men 16 hips; 60 women 63 hips; age at surgery, 57.6 years, range, 35–78) who underwent cementless THA using the Anatomic Fit stem, at a follow‐up period of 7.1 years (range, 5.1–9.4). Harris Hip score improved from 40.7 ± 17.1 before surgery to 91.0 ± 5.2 points at follow‐up. The 7.1‐year stem survival rate was 100%. Radiographs at follow‐up confirmed the stability of the femoral stems within the femoral canal in all cases, with sufficient bone ingrowth. None of the patients had subsidence of the stem exceeding 2.0 mm within the femoral canal or changes in varus or valgus position of more than 2.0°. The Anatomic Fit stem provided excellent results. The nonlinear three‐dimensional finite element analysis demonstrated that the stem‐bone relative motion was 10 µm at the proximal end of the stem and proximal load transfer. Our analysis confirmed reduced radiolucency around the stem, minimal subsidence, appropriate stress shielding, and promising medium‐term stability within the femoral canal.
New Insights into Electronic Waste Recycling in Metropolitan Areas
Authors: Leigh Nancey Green , Choi Taelim , Hoelzel Nathanael Z. 
Published: September 2012

SummaryElectronic waste (e‐waste) recycling is a critical sector for sustainable urban industrial systems. U.S. residents and businesses generate an estimated 3.2 million tons of electronic waste each year; most is not recycled and is generated in urban areas. However, adoption of state environmental regulations for e‐waste recycling is increasing. Between 2003 and mid‐2011, 25 states passed e‐waste laws. There are a growing number of e‐waste collectors and certified processors in U.S. urban areas. While the landscape of e‐waste recycling is changing, there is little analysis on the economic impacts of this industry. The research presented here synthesizes e‐waste management policy developments and growth of the e‐waste recycling industry. We present an economic impact analysis at the metropolitan level through constructing an extended input‐output (IO) model that specifies an e‐waste recycling sector. In a case study, we examine changes in e‐waste recycling activities in the Seattle metropolitan area and provide simulation results of new regional economic impacts.
Thoracic Epidural Steroid Injection for Rib Fracture Pain
Authors: Rauchwerger Jacob J. , Candido Kenneth D. , Deer Timothy R. , Frogel Jonathan K. , Iadevaio Robert , Kirschen Neil B. 
Published: September 2012

AbstractTreatment for rib fracture pain can be broadly divided into pharmacologic approaches with oral and/or parenteral medication and interventional approaches utilizing neuraxial analgesia or peripheral nerve blocks to provide pain relief. Both approaches attempt to control nociceptive and neuropathic pain secondary to osseous injury and nerve insult, respectively. Success of treatment is ultimately measured by the ability of the selected modality to decrease pain, chest splinting, and to prevent sequelae of injury, such as pneumonia. Typically, opioids and NSAIDs are the drugs of first choice for acute pain because of ease of administration, immediate onset of action, and rapid titration to effect. In contrast, neuropathic pain medications have a slower onset of action and are more difficult to titrate to therapeutic effect. Interventional approaches include interpleural catheters, intercostal nerve blocks, paravertebral nerve blocks, and thoracic and lumbar epidural catheters. Each intervention has its own inherent advantages, disadvantages, and success rates. Rib fracture pain management practice is founded on the thoracic surgical and anesthesiology literature. Articles addressing rib fracture pain are relatively scarce in the pain medicine literature. As life expectancy increases, and as healthcare system modifications are implemented, pain medicine physicians may be consulted to treat increasing number of patients suffering rib fracture pain and may need to resort to novel therapeutic measures because of financial constraints imposed by those changes. Here we present the first published case series of thoracic epidural steroid injections used for management of rib fracture pain.