bluuebunny/crossref_metadata_2025_split huggingface dataset:
Getting Out of Silos: An Innovative Transitional Care Curriculum for Internal Medicine Residents Through Experiential Interdisciplinary Learning
Authors: Schoenborn Nancy L. , Christmas Colleen 
Published: October 2013

Abstract

Background
Care transitions are common and highly vulnerable times during illness. Physicians need better training to improve care transitions. Existing transitional care curricula infrequently involve settings outside of the hospital or other health care disciplines.

Intervention
We created a curriculum to teach internal medicine residents how to provide better transitional care at hospital discharge through experiential, interdisciplinary learning in different care settings outside of the acute hospital, and we engaged other health care disciplines frequently involved in care transitions.

Setting/Participants
Nineteen postgraduate year-1 internal medicine trainees at an academic medical center in an urban location completed experiences in a postacute care facility, home health care, and outpatient clinics.

Program Description
The 2-week required curriculum involved teachers from geriatric medicine; physical, occupational, and speech therapy; and home health care, with both didactic and experiential components and self-reflective exercises.

Program Evaluation
The curriculum was highly rated (6.86 on a 9-point scale) and was associated with a significant increase in the rating of the overall quality of transitional care education (from 4.09 on a 5-point scale in 2011 to 4.53 in 2012) on the annual residency program survey. Learners reported improved knowledge in key curricular areas and that they would change practice as a result of the curriculum.

Conclusions
Our transitional care curriculum for internal medicine residents provides exposure to care settings and health care disciplines that patients frequently encounter. The curriculum has shown positive, short-term effects on learners' perceived knowledge and behavior.
Leading Educationally Effective Family-Centered Bedside Rounds
Authors: Sandhu Amonpreet K. , Amin Harish J. , McLaughlin Kevin , Lockyer Jocelyn 
Published: October 2013

Abstract

Background
Family-centered bedside rounds (family-centered rounds) enable learning and clinical care to occur simultaneously and offer benefits to patients, health care providers, and multiple levels of learners.

Objective
We used a qualitative approach to understand the dimensions of successful (ie, educationally positive) family-centered rounds from the perspective of attending physicians and residents.

Methods
We studied rounds in a tertiary academic hospital affiliated with the University of Calgary. Data were collected from 7 focus groups of pediatrics residents and attendings and were analyzed using grounded theory.

Results
Attending pediatricians and residents described rounds along a spectrum from successful and highly educational to unsuccessful and of low educational value. Perceptions of residents and attendings were influenced by how well the environment, educational priorities, and competing priorities were managed. Effectiveness of the manager was the core variable for successful rounds led by persons who could develop predictable rounds and minimize learner vulnerability.

Conclusions
Success of family-centered rounds in teaching settings depended on making the education and patient care aims of rounds explicit to residents and attending faculty. The role of the manager in leading rounds also needs to be made explicit.
Influence of the Cervical Enlargement in Determining the Diameter of the First File and Establishing the Working Length
Authors: Borges Alvaro Henrique , Bandéca Matheus Coelho , Semenoff-Segundo Alex , Porto Alessandra Nogueira , Pires Laís Bittencourt , Bueno Carlos , Albergaria Silvio 
Published: October 2013

ABSTRACT
The objective of this study was to analyze the influence of different methods of cervical prepare in determining the first file of the apical preparation of root canal and working length. Thirty mesiobuccal fully formed roots of upper first permanent molars humans were used and the root canals were initially cleaned with K-file #10. Then, the teeth were randomly divided into three groups according to the type of enlargement: group I: ProTaper S1, SX; group II: K3 Orifice Opener 25.10 and 25.08; and group III: technique with hybrid K-type hand files and gates glidden drills # 3 and # 2. The specimens were taken to a stereomicroscope to evaluate the adaptation of the first file in the dentinal walls at length established. The data were submitted to Kruskal-Wallis and Wilcoxon tests. The reliability of the apex locator methods was performed by Spearman test. All groups showed statistically significant difference in the length of root canals after preparation of the cervical third (p < 0.05). The level of agreement between the measurement and visual electronics was higher (r = 98.07%) before the cervical enlargement, compared to that reported after cervical preparation (r = 96.42%) (p < 0.0001). Based on the methodology, was possible to conclude that cervical and middle thirds prepare were important to determine the first file diameter and it did lead to a decrease in the working length. The electronic apex was effective to determine the working length.

How to cite this article
Pires LB, Bueno C, Albergaria S, Bandéca MC, Semenoff-Segundo A, Porto AN, Borges; H. Influence of the Cervical Enlargement in Determining the Diameter of the First File and Establishing the Working Length. World J Dent 2013;4(3):164-169.
Evaluation of the Influence of the Nd:YAG Laser and Different Irrigants on the Bond Strength of the Adhesion of the Fiber Posts to Root Dentin using a Self-etching Adhesive System
Authors: Pucci Cesar Rogério , Torres Carlos Rocha Gomes , Carvalho Cláudio Antonio Talge , Lacerda Ana Julia Farias , Gullo Marina , Xavier Ana Claudia Carvalho , Martinho Frederico Canato 
Published: October 2013

ABSTRACT

Aim
The aim of this study was to investigate the effects of pretreatment of different irrigating solutions with and without the application the Nd: YAG laser on the bond strength (RU) of the adhesion of the fiberglass post relined with resin composite to the root dentin.

Materials and methods
Sixty-six single bovine incisor roots were divided into 6 groups according to irrigating solution and with/without the apllication of the Nd: YAG laser after root canal filling: S- saline; C-2% chlorhexidine solution, H-2.5% sodium hypochlorite; SL-saline + laser, CL-2% chlorhexidine + laser; HL-2.5% sodium hypochlorite + laser (all n = 11). The roots were standardized up to a file # 80 and root-filled with gutta-percha (Dentsply) and Sealer 26 (Dentsply) by lateral condensation. The root canal filling was partly removed. Afterward, root canals were irrigated with 5 ml of the selected irrigant and the fiberglass post were cemented with epoxy resin curing dual Bifix QM (VOCO) and a self-etch adhesive system Futurabond DC (VOCO). All roots were sectioned transversely, and the push-out tested was performed. The bond strength means were analyzed by the analysis of variance and Tukey test (α= 5%).

Results
The following bond strength MPa values—were recorded for each group: group C—7.77(±1.8)a, LC—6.46 (±2.2)a, S7.33 (±2.2)a, LS 7.35 (±1.68)a, H 5.43 (±1,3)b, LH 5.13 (±1,6)b. A signifcant bond strenght decrease was noticed with the use of 2.5% NaOCl (p < 0.05). No statistical significant difference were found with our without the apllication of the Nd:YAG laser (p > 0.05).

Conclusion
Regardless the irrigant tested, the use of Nd: YAG laser can be indicated prior to cementation of fiberglass without loss in bond strength.

How to cite this article
Pucci CR, Lacerda AJF, Gullo M, Xavier ACC, Torres CRG, Martinho FC, Carvalho CAT. Evaluation of the Influence of the Nd:YAG Laser and Different Irrigants on the Bond Strength of the Adhesion of the Fiber Posts to Root Dentin using a Self-etching Adhesive System. World J Dent 2013;4(3):170-174.
Concise Review: Guidance in Developing Commercializable Autologous/Patient-Specific Cell Therapy Manufacturing
Authors: Eaker Shannon , Armant Myriam , Brandwein Harvey , Burger Scott , Campbell Andrew , Carpenito Carmine , Clarke Dominic , Fong Timothy , Karnieli Ohad , Niss Knut , Van't Hof Wouter , Wagey Ravenska 
Published: October 2013

Abstract
Cell therapy is poised to play an enormous role in regenerative medicine. However, little guidance is being made available to academic and industrial entities in the start-up phase. In this technical review, members of the International Society for Cell Therapy provide guidance in developing commercializable autologous and patient-specific manufacturing strategies from the perspective of process development. Special emphasis is placed on providing guidance to small academic or biotech researchers as to what simple questions can be addressed or answered at the bench in order to make their cell therapy products more feasible for commercial-scale production. We discuss the processes that are required for scale-out at the manufacturing level, and how many questions can be addressed at the bench level. The goal of this review is to provide guidance in the form of topics that can be addressed early in the process of development to better the chances of the product being successful for future commercialization.
Heschel’s View of Religious Diversity
Authors: Kasimow Harold 
Published: October 2013

A number of prominent Christian theologians who have contemplated the issue of religious diversity speak of three major models for approaching it: exclusivist, inclusivist, and pluralist. Claiming that “diversity of religions is the will of God,” Abraham Joshua Heschel was certainly no exclusivist. But he also was neither a pluralist nor an inclusivist in the way these terms are commonly used by Christian theologians. Much like the Dalai Lama’s perspective on Buddhism vis-à -vis other religions, Heschel’s distinctive Jewish approach to religious diversity transcended the categories created by Christian scholars.
Rethinking the “Golden Age”: Jewish-Christian Relations in Pre-Modern Poland
Authors: Teter Magda 
Published: October 2013

This paper addresses the question of the “golden age” present in Polish and Jewish historiographies. It demonstrates that though the idea of the “golden age” was embraced by both Polish Christian and Jewish historians, they never applied it to Jewish-Christian relations. This paper looks at the myths of the golden age and the age of decline in both historiographies by juxtaposing them with archival documents that complicate both the idea of the “zenith” or “golden age” of the 16th century and that of the decline and crisis of the 17th century.
Dimensions of Teacher Self-Efficacy for Inclusive Practices among Mainland Chinese Pre-Service Teachers
Authors: Malinen Olli-Pekka , Savolainen Hannu , Xu Jiacheng 
Published: October 2013

Abstract
Five hundred fifty mainland Chinese university students were given a questionnaire that contained a Teacher Efficacy for Inclusive Practices (TEIP) scale. The purpose of the study was a) to test the factor structure of teacher self-efficacy for inclusive practices, b) to investigate the relationship between teacher self-efficacy for inclusive practices and attitude toward inclusive education, and c) to study the relationship between participants' attitudes and other variables related to inclusive education. Confirmatory factor analysis gave support the hyphothesis of three correlated but separate factors of self-efficacy: Efficacy to use inclusive instructions, Efficacy in collaboration, and Efficacy in managing behaviour. As the initial factors were correlated, another model with second-order factor to which the three factors loaded, was tested. This model fit the data equally well. The second-order factor, which was named as General teacher self-efficacy for inclusive practices, explained significantly participants' attitudes to inclusive education.
Biopsychosocial Typologies of Pain in a Cohort of Patients With Systemic Sclerosis
Authors: Merz Erin L. , Malcarne Vanessa L. , Assassi Shervin , Nair Deepthi K. , Graham Tiffany A. , Yellman Brayden P. , Estrada‐Y‐Martin Rosa M. , Mayes Maureen D. 
Published: October 2013

ObjectiveDespite being a common problem in systemic sclerosis (SSc; scleroderma), the extant literature on pain has primarily focused on biomedical correlates, or bivariate relationships with a few psychological characteristics. There is a need to investigate the more heuristic biopsychosocial model, which incorporates the simultaneous contributions of medical, psychological, and social variables in understanding pain.MethodsPatients with SSc (n = 333) received clinical examinations and completed self‐report surveys at enrollment in the Genetics versus Environment in Scleroderma Outcome Study. Latent profile analysis was used to derive biopsychosocial profiles of patients using skin thickening, percent predicted forced vital lung capacity, perceived physical health, health worry, mental health, and social support. The profiles were examined in relation to pain and pain medication usage.ResultsA 3‐profile solution provided the best fit to the data. Based on the biopsychosocial indicators, the profiles were characterized as managing (n = 217), resilient (n = 86), and distressed (n = 30). Between‐group differences for pain emerged, with the distressed group, whose disease was less severe than the resilient group, reporting the highest pain and the greatest utilization of pain medication.ConclusionClinicians should consider biopsychosocial characteristics as contributing factors to the experience of pain in patients with SSc. Patients who are similar to those in the distressed profile may be at an increased risk for pain and would likely benefit from a referral to a behavioral health or other ancillary service provider for pain management, rather than relying solely on pharmacologic therapies.
Estimating the Occurrence of Renal Complications Among Persons With Ankylosing Spondylitis
Authors: Levy Adrian R. , Szabo Shelagh M. , Rao Sumati R. , Cifaldi Mary , Maksymowych Walter P. 
Published: October 2013

ObjectiveThe few published estimates of the risk of renal complications in ankylosing spondylitis (AS) are established on clinic‐based studies. Our objective was to estimate the age‐ and sex‐specific risks of renal complications in a population‐based cohort of AS subjects in Québec between 1996 and 2006, relative to the general population.MethodsA retrospective cohort design was implemented using population‐based administrative data collected from 1996 to 2006 in Québec, Canada. The study cohort included subjects diagnosed with AS on physician billing records, and the comparison cohort comprised a 1% random sample of subjects without AS. Age‐ and sex‐stratified prevalence ratios for acute kidney injury, chronic kidney disease, amyloidosis, and hypertensive renal disease were compared between subjects with and without AS.ResultsThe AS cohort included 4,836 men and 3,780 women. Renal complications were diagnosed among 3.4% of men and 2.1% of women with AS compared with 2.0% and 1.6% of persons without AS, respectively. Renal complications were 72% more prevalent among persons with AS and an increase was observed in each of the conditions. The magnitude of the risk of renal complications was highest among younger individuals and decreased with advancing age.ConclusionThese findings indicate that renal complications may be elevated among persons with AS, especially at younger ages. Despite the limitations of administrative data pertaining to onset of disease, these findings warrant further investigation because of their clinical relevance.
Assessment of occupational health and safety hazard exposures among working college students
Authors: Balanay Jo Anne G. , Adesina Adepeju , Kearney Gregory D. , Richards Stephanie L. 
Published: October 2013

AbstractBackgroundAdolescents and young adults have higher injury rates than their adult counterparts in similar jobs. This study used the working college student population to assess health and safety hazards in the workplace, characterize related occupational diseases and injuries, and describe worker health/safety activities provided by employers.MethodsCollege students (≥17 years old) were assessed via online surveys about work history, workplace exposure to hazards, occupational diseases/injuries, and workplace health/safety activities.ResultsApproximately half (51%) of participants (n = 1,147) were currently employed at the time of the survey or had been employed while enrolled in college. Restaurants (other than fast food) were the most frequently reported work setting. The most reported workplace hazards included noise exposure and contact with hot liquids/surfaces. Twenty percent of working students experienced injury at work; some injuries were severe enough to limit students' normal activities for >3 days (30%) or require medical attention (44%). Men had significantly higher prevalence of injuries (P = 0.05) and near‐misses (P < 0.01) at work than women. Injury occurrence was associated with near‐misses (AOR = 5.08, P < 0.01) and co‐worker injuries (AOR = 3.19, P < 0.01) after gender and age adjustments. Most (77%) received worker safety training and half were given personal protective equipment (PPE) by their employers.ConclusionsRisk reduction from workplace injuries and illnesses among working college students may be achieved by implementing occupational health and safety (OHS) strategies including incorporation of OHS in the college curriculum, promotion of OHS by university/college student health services, and improving awareness of OHS online resources among college students, employers, and educators. Am. J. Ind. Med. 57:114–124, 2014. © 2013 Wiley Periodicals, Inc.
Preparation and photocurrent generation of an electrostatically self‐assembled film of hemicyanine and poly(4‐styrenesulfonic acid‐co‐maleic acid)
Authors: Lin Xiaoyan , Gao Lihua , Chen Xi , Qi Jianmin , Wang Kezhi 
Published: October 2013

ABSTRACTIn this article, we report on electrostatically self‐assembled thin films prepared by the alternative immersion of quartz‐coated and indium tin oxide coated glass substrates in aqueous solutions of a copolymer of poly(4‐styrenesulfonic acid‐co‐maleic acid) (PSSMA) and a hemicyanine of (E)−1,1′‐(propane‐1,3‐diyl)bis{4‐[4‐(dimethylamino)styryl]pyridinium} bromide (H3Br2). The films were studied by means of ultraviolet–visible absorption and X‐ray photoelectron spectroscopies, scanning electron microscopy, and photoelectrochemical measurements. When irradiated with white light, the PSSMA/H3 monolayer film gave a stable cathodic photocurrent. The effects of the applied bias voltages, layer numbers of the (PSSMA/H3)n films (where n stands for the number of bilayer films on both sides of the substrates), light intensities, pH value, and electron acceptor on the photocurrent generation of the (PSSMA/H3)n film were examined. © 2013 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2014, 131, 39871.
Effects of coffee on the stability of accelerated aged poly(acrylonitryle‐butadiene‐styrene)
Authors: Rytlewski Piotr , Moraczewski Krzysztof , Żenkiewicz Marian 
Published: October 2013

ABSTRACTIn food chemistry coffee is nowadays accepted as a rich source of compounds possessing antioxidant and radical scavenging activities. The aim of this work was to assess the influence of coffee on degradation properties of poly(acrylonitryle‐butadiene‐styrene) (ABS). Content of instant extract coffee powder varied from 0.1 to 0.5 wt %. The injection moulded samples were accelerated aged by means of heat treatment, UV‐Vis irradiation, and immersion in salt water. The influence of coffee on ABS properties were characterized by oxidation induction time (isothermal OIT), oxidation induction temperature (dynamic OIT), Fourier transform‐infrared spectroscopy (FT‐IR), UV‐Vis spectroscopy, differential scanning calorimetry (DSC), thermogravimetry (TG), and dynamic mechanical analysis (DMA). It was found that coffee effectively acted as an antioxidant, color, and structure stabilizer, maintaining mechanical properties close to the nonaged as compared with aged ABS. © 2013 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2014, 131, 39887.
Thermotropic glazings for overheating protection. II. morphology and structure–property relationships
Authors: Weber Andreas , Schmid Andrea , Resch Katharina 
Published: October 2013

ABSTRACTThis article completes a systematic strategy for formulation and optimization of thermotropic systems with fixed domains (TSFDs) for overheating protection purposes. Focus was on characterization of morphology and on revealing optimization potential. A comprehensive characterization of scattering domain size and shape was done applying optical microscopy and scanning electron microscopy. In general, scattering domains exhibited inappropriate size and/or shape for optimum overheating protection performance. Moreover, several TSFD displayed defects (vacuoles, voids) resulting from thermomechanical or physicochemical interaction of matrix material and thermotropic additive during manufacturing. Morphological features along with solar optical and thermorefractive properties allowed for establishment of structure–property relationships. Light‐shielding efficiency of TSFD correlated well with scattering domain size and shape. The majority of TSFD showing defects exhibited an increase of solar hemispheric transmittance upon heating. Several strategies to overcome defect formation and to improve scattering morphology were suggested and proof of concept was shown partially, thus indicating a significant optimization potential of the established TSFD. © 2013 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2014, 131, 39910.
Schallschutz von entkoppelten Massivtreppen – Teil 1: Prüfverfahren im Labor
Authors: Scheck Jochen , Tas¸kan Emre , Fischer Heinz‐Martin , Fichtel Christoph 
Published: October 2013

AbstractZur Verbesserung der Trittschalldämmung von Massivtreppen werden diese mit elastischen Auflagern vom Gebäude entkoppelt. In den meisten europäischen Ländern (z. B. in Deutschland) ist eine Entkopplung erforderlich, um den Anforderungen an die Trittschalldämmung gerecht zu werden. Bislang gibt es jedoch kein genormtes Prüfverfahren zur schalltechnischen Kennzeichnung der Entkopplungselemente, ein zuverlässiges Prognoseverfahren ist weder in der nationalen noch in der internationalen Normung verfügbar. Im Rahmen eines Forschungsprojektes wurden die maßgeblichen Einflüsse auf die Trittschallübertragung von entkoppelten Massivtreppen im Prüfstand untersucht. Basierend darauf wird ein Labor‐Prüfverfahren vorgeschlagen, welches Daten liefert, die eine Beurteilung und einen Vergleich der akustischen Qualität von Produkten sowie eine Prognose der Schallübertragung nach EN 12354‐2 ermöglichen. In diesem Artikel werden Untersuchungen im Prüfstand vorgestellt. Die Übertragbarkeit auf Bausituationen, insbesondere die Prognose, ist Gegenstand eines folgenden Artikels.Impact sound insulation of decoupled heavy stairs – Part 1: Test procedures and prediction. To improve the impact sound insulation heavy stairs are decoupled from the building using resilient supports. In many countries in Europe (e.g. in Germany) this is actually required to meet legal requirements. However, at present there are no standard procedures available neither for measurement in the laboratory nor for the prediction of the impact sound transmission in buildings. Investigations on representative constructions were carried out in a staircase test facility in order to identify and quantify the parameters that are relevant for the sound transmission of decoupled heavyweight stairs. Based on the results a standard test method is proposed that gives data that can be used to rate and compare the acoustic quality of products and to predict the sound transmission in buildings using EN 12354‐2. In this article investigations in the laboratory are presented. A second article addresses the transferability of laboratory results to building situations, in particular the prediction.