bluuebunny/crossref_metadata_2025_split huggingface dataset:
New technologies and performance support
Authors: Coulson‐Thomas Colin 
Published: April 2013

PurposeThis paper aims to discuss the impact new technology has had on performance support.Design/methodology/approachThe paper reports the findings from a five‐year investigation into methods of improving performance in the workplace.FindingsHR applications of performance support offer significant advantages over general initiatives, e‐learning and face‐to‐face approaches to training and mentoring. Creating a shared understanding of HR and other policies, procedures and rules can present particular problems, particularly in diversified organizations when components have different histories and practices.Originality/valueThis article draws upon the findings of an investigation, which examined widely adopted approaches to improving performance with a view to identifying the most cost‐effective options. The investigation suggests “new management” is needed, requiring a shift of emphasis from top‐down direction and motivation to the provision of bottom‐up support.
Putting personalisation and integration into practice in primary care
Authors: Clark Michael , Moreland Neil , Greaves Ian , Greaves Nicola , Jolley David 
Published: April 2013

PurposeThe purpose of this article is to discuss the policy developments of integration and personalisation within the context of Primary Care, specifically an innovative Memory Service provided within a General Practice. It examines how these policies work together in this context to deliver a high quality service that is responsive to individual needs in an area of care: memory disorder or dementia, which has often relied heavily on secondary care services.Design/methodology/approachThe article is a case study analysis of integration and personalisation in Primary Care, allowing for examination and elaboration of both concepts as applied in this setting; and their contribution to a better quality care Memory Service. The analysis is produced by independent researchers (MC and NM), background and facts by service personnel (IG, NG and DJ).FindingsThe innovative Memory Service operates as a person‐centred facility, integrating into the surgery, expertise that would traditionally be locked into secondary care health services. It makes maximum use of locally available knowledge of the patient, their family and formal and informal sources of support and therapy through links which cross agency boundaries. These links are identified and utilised in tailored support for individuals by the practice‐based Dementia Advisor. Outcomes include improved dynamics of identification, diagnosis and after care, high satisfaction amongst patients and families and reduced utilisation and expenditure of other healthcare facilities.Practical implicationsPersonalisation and integration can be united in the development of innovative and improved Memory Services centred in Primary Care.Social implicationsMaintaining a focus on the needs of people within their social contexts (being person‐centred) is a powerful means of driving better integrated care in Primary Care for people living with dementia and related disorders.Originality/valueThis is the first examination of personalisation and integration as coupled concepts to lead the improvement of care, specifically a Memory Service, in Primary Care.
Neurological Complications During Pulsatile Ventricular Assistance With the Berlin Heart EXCOR in Children: Incidence and Risk Factors
Authors: Polito Angelo , Netto Roberta , Soldati Massimiliano , Brancaccio Gianluca , Grutter Giorgia , Amodeo Antonio , Ricci Zaccaria , Morelli Stefano , Cogo Paola 
Published: April 2013

AbstractThe aim of this study is to describe the incidence of brain injury (BI) in children with end‐stage cardiac failure who were supported with the Berlin Heart EXCOR ventricular assist device (VAD) as a bridge to heart transplantation. Between January 2002 and January 2012, all patients <18 years of age who underwent the implantation of the Berlin Heart EXCOR at Bambino Gesú Children's Hospital were included. A total of 25 patients were included in this study. Median age and weight at implantation were 22.4 months (range 3.6–154.2) and 10 kg (range 4.5–36), respectively. Diagnosis included cardiomyopathy (n = 20) and congenital heart disease (n = 5). Eleven patients received atrial cannulation. Nine patients underwent biventricular assist device support. Seven patients underwent extracorporeal membrane oxygenation before the implantation of the EXCOR VAD. Median duration of VAD support was 51 days (range 2–167). Nine patients had evidence of acute BI including intracranial hemorrhage (n = 5) and cerebral ischemia (n = 4). Freedom from BI at 30, 60, and 90 days from VAD implantation was 80.7, 69.9, and 43.3%, respectively. Weight <10 kg at implantation was significantly associated with BI. BI is a frequent complication among children supported with EXCOR VAD and is associated with lower weight at implantation. However, our data do not support the association between size and BI. Future prospective multicenter studies are warranted to further help understand the etiology and the impact of BI and to improve functional outcomes for children undergoing EXCOR VAD mechanical support.
Parent satisfaction with early and delayed abduction splinting therapy of developmental hip dysplasia
Authors: Bergo Kaja K , Rosendahl Karen 
Published: April 2013

AbstractAimTo determine whether treatment for mild hip dysplasia instigated in the newborn period was preferred over a delayed treatment by the parents, as delayed treatment for mild hip dysplasia detected in newborns is an acceptable medical policy.MethodsDuring a study period of 16 months from 2010 to 2011, parents attending the paediatric radiology outpatient clinic at Haukeland University Hospital for a follow‐up of their baby with developmental dysplasia of the hip (DDH), were invited to fill in a questionnaire on parent satisfaction on information provided, and on follow‐up and treatment given.ResultsA total of 91 parents were included, of which 66 (72.5%) had their babies treated from birth (group 1), while 25 (27.5%) had their child treated from 5 weeks onwards (group 2).Although parents in the delayed treatment group, in retrospect, were less satisfied with timing of the treatment than those in the early treatment group (p < 0.00), their general impression and total satisfaction did not differ (p = 0.29).ConclusionThe overall parent satisfaction on follow‐up and treatment did not differ according to whether treatment was instigated at birth or later in infancy.
IMMEDIATE SETTLEMENT OR ENDURING A STRIKE: THE CHOICE OF SIGNALS
Authors: Yao Zhiyong 
Published: April 2013

ABSTRACTSome labour contract negotiations involve strikes while most conclude with immediate settlement. This article offers a model of union‐firm negotiation with private information to show that either strikes or immediate settlement will take place in the equilibrium. Different from most signalling literature where the signals are exogenously given, this article endogenizes the choice of signals. We compare two signals, the employment level and the strategic delay. We show that the low‐revenue firm will choose the signal which gives it higher payoff while separating itself from the high‐revenue firm.
Lipid synthesis and processing proteins ABHD5, PGRMC1 and squalene synthase can serve as novel immunohistochemical markers for sebaceous neoplasms and differentiate sebaceous carcinoma from sebaceoma and basal cell carcinoma with clear cell features
Authors: Chen Wei‐Shen , Chen Pei‐Ling , Li Jianping , Lind Anne C. , Lu Dongsi 
Published: April 2013

BackgroundSebaceous carcinoma represents a rare and potentially fatal adnexal malignancy. Poorly‐differentiated sebaceous carcinoma consisting of infiltrative basaloid tumor cells with inapparent lipid vesicles can mimic basal cell carcinoma (BCC). Conversely, other epithelial tumors can exhibit clear cell histopathology and mimic sebaceous carcinoma. At the present time, immunohistochemical markers unique for sebaceous carcinoma are limited.MethodsWe evaluated the expression of three lipid synthesis/processing protein markers alpha/beta hydrolase domain‐containing protein 5 (ABHD5), progesterone receptor membrane component‐1 (PGRMC1) and squalene synthase (SQS) in sebaceous carcinoma and investigated their utility in differentiating sebaceous tumors from BCC with clear cell features. Immunohistochemistry was performed on 23 sebaceous carcinomas, 14 sebaceomas and 14 BCCs with clear cell features.ResultsIn sebaceous carcinomas, ABHD5 showed dispersed, cytoplasmic punctate and/or vesicular staining (n = 19/23, 83%), while PGRMC1 and SQS each showed vesicular and membranous staining in tumor cells (n = 22/23, 96%). In all sebaceomas, these markers highlighted tightly clustered lipid vesicles in sebocytes. All BCCs with clear cell features were negative for these three markers.ConclusionABHD5, PGRMC1 and SQS are novel markers for sebaceous carcinoma and can reliably distinguish sebaceous neoplasms from non‐sebaceous tumors, specifically BCC with clear cell features.
The Temple and the Bazaar: Wikipedia as a Platform for Open Authority in Museums
Authors: Phillips Lori Byrd 
Published: April 2013

AbstractMuseums today grapple with the reconciliation of traditional models of authority with the expectation to incorporate new voices in cultural interpretation. At the same time, society is increasingly empowered by a social Web that provides collaboration, connectivity, and openness. This paper frames the dialogue of authority and openness around parallel theories within the museum and technology communities, offering Wikipedia as a platform for facilitating new perspectives in collaborative knowledge‐sharing between museums and communities. Expanding on the metaphors of the museum as “the Temple and the Forum” and the Web as “the Cathedral and the Bazaar,” this essay argues that issues of democratization, voice, and authority in museums can be addressed through Wikipedia's community, process, and its potential as a model for a new Open Authority in museums.
Digital Asset Management: Where to Start
Authors: McGovern Megan 
Published: April 2013

AbstractThe creation of a comprehensive digital asset management strategy for a museum can seem like a daunting or even impossible task, but it need not be. This paper will show how the creation of a comprehensive digital asset management strategy document, outlining the administrative principles, policies, technical specifications, and operating guidelines for digital initiatives, can be accomplished in discrete, manageable tasks. Once created, such a document can form the backbone of an institution's digital activities and provide the basis for an RFP for a digital asset management system. This paper proposes a model framework for institutional digital asset management plans, including standards, tasks, and decisions. Each of the elements in the framework is discussed in both general, best‐practice terms and also specifically, presenting case studies and lessons learned from Corning Museum of Glass.
Characteristics of post‐traumatic headaches in children following mild traumatic brain injury and their response to treatment: a prospective cohort
Authors: Kuczynski Andrea , Crawford Susan , Bodell Lisa , Dewey Deborah , Barlow Karen M 
Published: April 2013

AimPost‐traumatic headaches (PTHs) following mild traumatic brain injury (mTBI) are common; however, few studies have examined the characteristics of PTHs or their response to treatment. The aims of this study were (1) to describe the clinical characteristics of PTH in a prospective cohort of children presenting to a paediatric emergency department with mTBI, and (2) to evaluate the response of PTH to treatment.MethodThe emergency department cohort was obtained from a prospective longitudinal cohort study of symptoms following mTBI (n=670; 385 males, 285 females) and a comparison group of children with extracranial injury (n=120; 61 males, 59 females). A retrospective chart review of a separate cohort of children from a brain injury clinic (the treatment cohort) treated for PTH was performed (n=44; 29 females, 15 males; mean age 14y 1mo, SD 3y 1mo). The median time since injury was 6.9 months (range 1–29mo). The mean follow‐up interval after treatment started was 5.5 weeks (SD 4.3wks).ResultsAmong the emergency department cohort (n=39; 20 males, 19 females; mean age 11y 1mo, SD 4y 3mo) 11% of children were symptomatic with PTHs at a mean of 15.8 days (SD 11.6d) post injury. Three months post injury, 7.8% of children complained of headaches; of those, 56% had pre‐existing headaches and 18% had experienced migraine before the injury. Although headache type varied, 55% met the criteria for migraine. A family or past medical history of migraine was present in 82% of cases. Among the treatment cohort, medications included amitriptyline, flunarizine, topiramate, and melatonin, with an overall response rate of 64%.ConclusionThis is the first prospective cohort study to describe the clinical characteristics of PTHs following mTBI in children. Migraine was the most common headache type seen; other headaches included tension‐type, cervicogenic, and occipital neuralgias, and 64% responded to treatment. Referral to a headache specialist should be considered, especially when the features are not typical of one of the primary headache disorders.
ASD Device Embolization: Caught in the Act
Authors: Mahesh Kumar Saktheeswaran , Subramanian Venkateshwaran , Krishnamoorthy Kavassery Mahadevan , Sivasankaran Sivasubramonian 
Published: April 2013

Mini‐AbstractAtrial septal defects (ASD) are often complex in shape and deciding an appropriate device size is important to avoid embolization as well as erosion. Here, we describe a patient with an oval ASD whose percutaneous closure was complicated by device embolization which was caught live by transoesophageal echocardiography.
Imaging Cardiac Sarcoidosis: The Incremental Benefit of Speckle Tracking Echocardiography
Authors: Shah Benoy N. , De Villa Manuel , Khattar Rajdeep S. , Senior Roxy 
Published: April 2013

Mini‐AbstractEchocardiography is the front‐line investigation for assessment of cardiac morphology and function. Assessment of ventricular systolic function has traditionally been defined by the ejection fraction (EF). However, EF is influenced by preload and after load and is inadequate as a sole indicator of systolic performance. Studies have also shown its inability to detect early myocardial dysfunction.We present images from a patient with pulmonary sarcoidosis referred for echocardiography after developing palpitations. Two‐dimensional‐echocardiography was unremarkable but speckle tracking echocardiography (STE) revealed significantly abnormal regional myocardial strains. The images highlight the potential of STE to reveal early myocardial involvement in sarcoidosis.
Decreased A‐currents in hippocampal dentate granule cells after seizure‐inducing hypoxia in the immature rat
Authors: Peng Bi‐Wen , Justice Jason A. , He Xiao‐Hua , Sanchez Russell M. 
Published: April 2013

SummaryPurposeCerebral hypoxia is a major cause of neonatal seizures, and can lead to epilepsy. Pathologic anatomic and physiologic changes in the dentate gyrus have been associated with epileptogenesis in many experimental models, as this region is widely believed to gate the propagation of limbic seizures. However, the consequences of hypoxia‐induced seizures for the immature dentate gyrus have not been extensively examined.MethodsSeizures were induced by global hypoxia (5–7% O2 for 15 min) in rat pups on postnatal day 10. Whole‐cell voltage‐clamp recordings were used to examine A‐type potassium currents (IA) in dentate granule cells in hippocampal slices obtained 1–17 days after hypoxia treatment.Key FindingsSeizure‐inducing hypoxia resulted in decreased maximum IA amplitude in dentate granule cells recorded within the first week but not at later times after hypoxia treatment. The decreased IA amplitude was not associated with changes in the voltage‐dependence of activation or inactivation removal, or in sensitivity to inhibition by 4‐aminopyridine (4‐AP). However, consistent with the role of IA in shaping firing patterns, we observed in the hypoxia group a significantly decreased latency to first spike with depolarizing current injection from hyperpolarized potentials. These differences were not associated with changes in resting membrane potential or input resistance, and were eliminated by application of 10 m 4‐AP.SignificanceGiven the role of IA to slow action potential firing, decreased IA could contribute to long‐term hippocampal pathology after neonatal seizure‐inducing hypoxia by increasing dentate granule cell excitability during a critical window of activity‐dependent hippocampal maturation.
Diagnostic reliability of the Tzanck smear in dermatologic diseases
Authors: Eryılmaz Aydolu , Durdu Murat , Baba Mete , Yıldırım Fatma E 
Published: April 2013

AbstractBackground  The Tzanck smear is a simple, easily applicable, rapid, and inexpensive test for the diagnosis of erosive vesiculobullous, tumoral, and granulomatous diseases. The diagnostic accuracy of the Tzanck smear is known, but its diagnostic reliability has been evaluated only in herpetic infections and basal cell carcinoma.Objectives  The aim of this study was to evaluate the diagnostic reliability of the Tzanck smear in erosive vesiculobullous, tumoral, and granulomatous diseases.Methods  Patients evaluated by Tzanck smear at Başkent University Faculty of Medicine, Department of Dermatology, between February 2009 and July 2010, were included. Three dermatologists were involved in the study. Dermatologist A performed a clinical dermatologic examination, took the smear material, made a clinical diagnosis, and compared the clinical and cytological diagnoses. Dermatologists B and C evaluated the smears. Agreement between the latter two dermatologists on the cytological diagnoses was determined.Results  In 500 patients, a total of 272 (54%) erosive vesiculobullous, 190 (38%) tumoral, and 38 (8%) granulomatous lesions were diagnosed. The diagnostic reliability of the Tzanck smear was reasonably substantial (κ = 0.59) for all types of lesions, substantial for erosive vesiculobullous (κ = 0.79) and granulomatous (κ = 0.68) lesions, and moderate (κ = 0.50) for tumoral lesions.Conclusions  The Tzanck smear may be used for the evaluation of erosive vesiculobullous and granulomatous lesions with brief training. However, the evaluation of tumoral lesions by Tzanck smear requires more experience.
Treatment outcomes of a combined cognitive behavior therapy and pharmacotherapy for a sample of women with and without substance abuse histories on an acute psychiatric unit: Do therapeutic alliance and motivation matter?
Authors: Clarke Nickeisha , Mun Eun‐Young , Kelly Shalonda , White Helene R. , Lynch Katherine 
Published: April 2013

Background and ObjectivesWomen with comorbid psychiatric and substance abuse problems (PwSA) experience more consequences from their use and typically have the poorest prognosis and outcome, compared to those with psychiatric problems but without substance abuse problems (PwoSA). The present study examined outcomes of a combined intensive inpatient cognitive behavior therapy (CBT) and pharmacotherapy program for women with PwSA and PwoSA.MethodsSample consisted of 117 women on a women‐only acute inpatient unit (PwSA = 50, PwoSA = 67).ResultsWomen in both groups made significant improvements in psychological functioning. High motivation at admission and therapeutic alliance at discharge were associated with improved psychological functioning at discharge for both groups.Scientific SignificanceFindings provide preliminary support for the efficacy of a combined CBT and pharmacotherapy program for women with psychiatric diagnoses on a women‐only acute inpatient unit, and for pre‐treatment motivation and therapeutic alliance as important correlates of better treatment outcomes. (Am J Addict 2013;22:556–573)
Matrix Corrections and Error Analysis in High‐Precision SIMS18O/16O Measurements of Ca–Mg–Fe Garnet
Authors: Ickert Ryan B. , Stern Richard A. 
Published: April 2013

We report technical and data treatment methods for making accurate, high‐precision measurements of 18O/16O in Ca–Mg–Fe garnet utilising the Cameca IMS 1280 multi‐collector ion microprobe. Matrix effects were similar to those shown by previous work, whereby Ca abundance is correlated with instrumental mass fractionation (IMF). After correction for this effect, there appeared to be no significant secondary effect associated with Mg/Fe2+ for routine operational conditions. In contrast, investigation of the IMF associated with Mn‐ or Cr‐rich garnet showed that these substitutions are significant and require a more complex calibration scheme. The Ca‐related calibration applied to low‐Cr, low‐Mn garnet was reproducible across different sample mounts and under a range of instrument settings and therefore should be applicable to similar instruments of this type. The repeatability of the measurements was often better than ± 0.2‰ (2s), a precision that is similar to the repeatability of bulk techniques. At this precision, the uncertainties due to spot‐to‐spot repeatability were at the same magnitude as those associated with matrix corrections (± 0.1–0.3‰) and the uncertainties in reference materials (± 0.1–0.2‰). Therefore, it is necessary to accurately estimate and propagate uncertainties associated with these parameters – in some cases, uncertainties in reference materials or matrix corrections dominate the uncertainty budget.
Impact of an Educational Program on the Use of Standardized Nursing Languages for Nursing Documentation Among Public Health Nurses in Nigeria
Authors: Odutayo Patience Omonigho , Olaogun Adenike Ayobola , Oluwatosin Abimbola Oyeninhun , Ogunfowokan Adesola Adenike 
Published: April 2013

PurposeTo measure the effect of an educational package on documentation of care among public health nurses (PHNs).MethodA quasi‐experimental design was adopted. Forty PHNs working in primary healthcare settings were selected. Education was given through a 5‐day workshop. Documentation of care was assessed using a modified “Muller‐Staub Q‐DIO instrument.” Data were analyzed using t test third and twelfth months postintervention.FindingsThere was a significant improvement on documentation of care at p = .0001.ConclusionEducating PHNs and providing them with standardized nursing care plans enhance documentation of care.Implication to PracticeA combination of education on the use of standardized nursing languages and standardized nursing care plans can enhance documentation of care. There is a need for more research on the use of standardized nursing languages in developing nations.