bluuebunny/crossref_metadata_2025_split huggingface dataset:
Development and evaluation of an aged care specific Advance Care Plan
Authors: Silvester William , Parslow Ruth A , Lewis Virginia J , Fullam Rachael S , Sjanta Rebekah , Jackson Lynne , White Vanessa , Hudson Rosalie 
Published: March 2013

ObjectivesTo report on the quality of advance care planning (ACP) documents in use in residential aged care facilities (RACF) in areas of Victoria Australia prior to a systematic intervention; to report on the development and performance of an aged care specific Advance Care Plan template used during the intervention.DesignAn audit of the quality of pre-existing documentation used to record resident treatment preferences and end-of-life wishes at participating RACFs; development and pilot of an aged care specific Advance Care Plan template; an audit of the completeness and quality of Advance Care Plans completed on the new template during a systematic ACP intervention.Participants and setting19 selected RACFs (managed by 12 aged care organisations) in metropolitan and regional areas of Victoria.ResultsDocumentation in use at facilities prior to the ACP intervention most commonly recorded preferences regarding hospital transfer, life prolonging treatment and personal/cultural/religious wishes. However, 7 of 12 document sets failed to adequately and clearly specify the resident's preferences as regards life prolonging medical treatment. The newly developed aged care specific Advance Care Plan template was met with approval by participating RACFs. Of 203 Advance Care Plans completed on the template throughout the project period, 49% included the appointment of a Medical Enduring Power of Attorney. Requests concerning medical treatment were specified in almost all completed documents (97%), with 73% nominating the option of refusal of life-prolonging treatment. Over 90% of plans included information concerning residents’ values and beliefs, and future health situations that the resident would find to be unacceptable were specified in 78% of completed plans.ConclusionsStandardised procedures and documentation are needed to improve the quality of processes, documents and outcomes of ACP in the residential aged care sector.
Deep brain stimulation: a return journey from psychiatry to neurology
Authors: Ashkan Keyoumars , Shotbolt Paul , David Anthony S , Samuel Michael 
Published: March 2013

Abstract
Deep brain stimulation (DBS) has emerged as an effective neurosurgical tool to treat a range of conditions. Its use in movement disorders such as Parkinson's disease, tremor and dystonia is now well established and has been approved by the National Institute of Clinical Excellence (NICE). The NICE does, however, emphasise the need for a multidisciplinary team to manage these patients. Such a team is traditionally composed of neurologists, neurosurgeons and neuropsychologists. Neuropsychiatrists, however, are increasingly recognised as essential members given many psychiatric considerations that may arise in patients undergoing DBS. Patient selection, assessment of competence to consent and treatment of postoperative psychiatric disease are just a few areas where neuropsychiatric input is invaluable. Partly driven by this close team working and partly based on the early history of DBS for psychiatric disorders, there is increasing interest in re-exploring the potential of neurosurgery to treat patients with psychiatric disease, such as depression and obsessive–compulsive disorder. Although the clinical experience and evidence with DBS in this group of patients are steadily increasing, many questions remain unanswered. Yet, the characteristics of optimal surgical candidates, the best choice of DBS target, the most effective stimulating parameters and the extent of postoperative improvement are not clear for most psychiatric conditions. Further research is therefore required to define how DBS can be best utilised to improve the quality of life of patients with psychiatric disease.
Culinary Diplomacy: Breaking Bread to Win Hearts and Minds
Authors: Chapple-Sokol Sam 
Published: March 2013

Summary
The concept of ‘culinary diplomacy’ is defined as the use of food and cuisine as an instrument to create cross-cultural understanding in the hopes of improving interactions and cooperation. Its origins are rooted in ancient history, while a modernized version emerged alongside French diplomatic tradition in the early nineteenth century, beginning with the iconic French chef Antonin Carême. The theory underlying the concept is multifaceted, with foundations in the schools of public and cultural diplomacy, non-verbal communication, nation-branding, and in the conflict resolution theory of the contact hypothesis. Culinary diplomacy campaigns worldwide have been undertaken, from the national governmental promotions of multiple South-East Asian countries, to the White House’s outreach to promote healthy eating, to grassroots efforts by cooks to reduce violent conflict. The summit of culinary diplomacy is the Club des Chefs des Chefs, a group of the chefs of heads of state, whose goal it is to unite people with a good meal. There is work to be done in the field, but there are big potential gains, up to and including world peace.
Paleoclimate Data–Model Comparison and the Role of Climate Forcings over the Past 1500 Years*
Authors: Phipps Steven J. , McGregor Helen V. , Gergis Joëlle , Gallant Ailie J. E. , Neukom Raphael , Stevenson Samantha , Ackerley Duncan , Brown Josephine R. , Fischer Matt J. , van Ommen Tas D. 
Published: March 2013

Abstract
The past 1500 years provide a valuable opportunity to study the response of the climate system to external forcings. However, the integration of paleoclimate proxies with climate modeling is critical to improving the understanding of climate dynamics. In this paper, a climate system model and proxy records are therefore used to study the role of natural and anthropogenic forcings in driving the global climate. The inverse and forward approaches to paleoclimate data–model comparison are applied, and sources of uncertainty are identified and discussed. In the first of two case studies, the climate model simulations are compared with multiproxy temperature reconstructions. Robust solar and volcanic signals are detected in Southern Hemisphere temperatures, with a possible volcanic signal detected in the Northern Hemisphere. The anthropogenic signal dominates during the industrial period. It is also found that seasonal and geographical biases may cause multiproxy reconstructions to overestimate the magnitude of the long-term preindustrial cooling trend. In the second case study, the model simulations are compared with a coral δ18O record from the central Pacific Ocean. It is found that greenhouse gases, solar irradiance, and volcanic eruptions all influence the mean state of the central Pacific, but there is no evidence that natural or anthropogenic forcings have any systematic impact on El Niño–Southern Oscillation. The proxy climate relationship is found to change over time, challenging the assumption of stationarity that underlies the interpretation of paleoclimate proxies. These case studies demonstrate the value of paleoclimate data–model comparison but also highlight the limitations of current techniques and demonstrate the need to develop alternative approaches.
Extratropical Summertime Response to Tropical Interannual Variability in an Idealized GCM
Authors: Hall Nicholas M. J. , Douville Hervé , Li Laurent 
Published: March 2013

Abstract
A primitive equation model is used to investigate the role of the tropics in generating seasonal-mean anomalies in the extratropics. A nudging technique is applied to guide selected tropical regions toward 40-yr European Centre for Medium-Range Weather Forecasts (ECMWF) Re-Analysis (ERA-40) and the National Centers for Environmental Prediction (NCEP)/Department of Energy Reanalysis (NCEP-2). The time-independent linear response to these tropical anomalies is calculated for extratropical basic states taken from reanalysis climatologies and also from the climatological states of Action de Recherche Petite Echelle Grande Echelle (ARPEGE) and Laboratoire de Météorologie Dynamique (LMDZ) general circulation model simulations.
For summer case studies, time-independent linear solutions show that some seasonal anomalies can be attributed to linear wave propagation from the tropics, especially for lower extratropical latitudes. If nudging is applied to the anomaly part of the tropical flow, the linear response shows little dependence on the basic state. Regional tropical nudging experiments display a global extratropical response. The persistent European summer anomaly in 2003 is partly attributable to a linear response to both Central American and West African monsoon circulations. The African region also triggers a wave train along the Asian subtropical jet.
The model is then used in “simple GCM” mode to obtain extratropical responses that include a contribution from transient eddies. Tropical nudging improves the simple GCM's stationary wave climatology, and transient eddy forcing can produce substantial seasonal anomalies at high latitudes with better correspondence to some observed cases, especially in the Western Hemisphere, with stronger communication between the Asian monsoon and North America.
Recent Summer Rainfall Increase and Surface Cooling over Northern Australia since the Late 1970s: A Response to Warming in the Tropical Western Pacific
Authors: Li Xiao-Feng , Yu Jingjing , Li Yun 
Published: March 2013

AbstractRainfall over northern Australia (NA) in austral summer is the largest water source of Australia. Previous studies have suggested a strong zonal-dipole trend pattern in austral summer rainfall since 1950, with rainfall increasing in northwest Australia (NWA) but decreasing in northeast Australia (NEA). The dynamics of rainfall increase in NWA was linked to sea surface temperature (SST) in the south Indian Ocean and the rainfall decrease in NEA was associated with SST in the northeast Indian Ocean.This study reports that, in contrast to a zonal-dipole trend pattern, a dominant wetting pattern over NA has recently been observed in the post-1979 satellite era. The recent NA rainfall increase also manifests as the first leading mode of summer rainfall variability over the Australian continent. Further investigation reveals that SST in the tropical western Pacific (TWP) has replaced the SST in the south and northeast Indian Ocean as the controlling factor responsible for the recent NA rainfall increase. Direct thermal forcing by increasing TWP SST gives rise to an anomalous Gill-type cyclone centered around NA, leading to anomalously high rainfall. As such, the increasing SST in the TWP induces over 50% of the observed rainfall wetting trend over NA. The increased rainfall in turn induces land surface cooling in NA. This mechanism can be confirmed with results obtained from sensitivity experiments of a numerical spectral atmospheric general circulation model. Thus, increasing SST in the TWP has contributed much of the recent summer rainfall increase and consequently the surface cooling over NA.
Long-Term Nitrate Measurements in the Ocean Using the in situ Ultraviolet Spectrophotometer: Sensor Integration into the APEX Profiling Float
Authors: Johnson Kenneth S. , Coletti Luke J. , Jannasch Hans W. , Sakamoto Carole M. , Swift Dana D. , Riser Stephen C. 
Published: March 2013

Abstract
Reagent-free optical nitrate sensors [in situ ultraviolet spectrophotometer (ISUS)] can be used to detect nitrate throughout most of the ocean. Although the sensor is a relatively high-power device when operated continuously (7.5 W typical), the instrument can be operated in a low-power mode, where individual nitrate measurements require only a few seconds of instrument time and the system consumes only 45 J of energy per nitrate measurement. Operation in this mode has enabled the integration of ISUS sensors with Teledyne Webb Research's Autonomous Profiling Explorer (APEX) profiling floats with a capability to operate to 2000 m. The energy consumed with each nitrate measurement is low enough to allow 60 nitrate observations on each vertical profile to 1000 m. Vertical resolution varies from 5 m near the surface to 50 m near 1000 m, and every 100 m below that. Primary lithium batteries allow more than 300 vertical profiles from a depth of 1000 m to be made, which corresponds to an endurance near four years at a 5-day cycle time. This study details the experience in integrating ISUS sensors into Teledyne Webb Research's APEX profiling floats and the results that have been obtained throughout the ocean for periods up to three years.
Rising Variability in Thunderstorm-Related U.S. Losses as a Reflection of Changes in Large-Scale Thunderstorm Forcing*
Authors: Sander J. , Eichner J. F. , Faust E. , Steuer M. 
Published: March 2013

Abstract
Thunderstorm-related normalized economic and insured losses in the United States east of the Rockies from the period 1970–2009 (March–September) exhibit higher peaks and greater variability in the last two decades than in the preceding two decades. To remove the bias from increasingly detected losses over time due to newly built-up locations, only large events that incurred normalized losses of at least $250 million (U.S. dollars) economically ($150 million insured) were selected. These are multistate damage events that are unlikely to have been missed at any time within the analysis period, thus providing for homogeneity of the events covered. Those losses, if aggregated, account for the major proportion (~80%) of all thunderstorm-related losses in the period 1970–2009. This study demonstrates that the pattern of variability in the time series of these losses can be seen as a reflection (“fingerprint”) of the temporal variability in severe thunderstorm forcing. The meteorological information on forcing is inferred from NCEP–NCAR reanalysis data. No final attribution of the climatic variability identified in thunderstorm forcing and losses—either to natural climate variability or to anthropogenic climate change—can be conclusively arrived at in this study because of the chosen methodology. Nevertheless, the expected impacts of anthropogenic climate change on the forcing of convective storms appear consistent with these findings.
The Decreasing Population Bias in Tornado Reports across the Central Plains
Authors: Elsner James B. , Michaels Laura E. , Scheitlin Kelsey N. , Elsner Ian J. 
Published: March 2013

Abstract
Tornado–hazard assessment is hampered by a population bias in the available data. Here, the authors demonstrate a way to statistically quantify this bias using the ratio of city to country report densities. The expected report densities come from a model of the number of reports as a function of distance from the nearest city center. On average since 1950, reports near cities with populations of at least 1000 in a 5.5° latitude × 5.5° longitude region centered on Russell, Kansas, exceed those in the country by 70% [54%, 84%; 95% confidence interval (CI)]. The model is applied to 10-yr moving windows to show that the percentage is decreasing with time. Over the most recent period (2002–11), the tornado report density in the city is slightly fewer than 3 reports (100 km2)−1 (100 yr)−1, and this value is statistically indistinguishable from the report density in the country. On average, the population bias is less pronounced for Fujita (F) scale F0 tornadoes, but the bias disappears more quickly over time for the F1 and stronger tornadoes. The authors show evidence that this decline could be related in part to an increase in the number of storm chasers. The population-bias model can enhance the usefulness of the Storm Prediction Center's tornado database and help create more meaningful spatial climatologies.
A comparison of treadmill training and overground walking in ambulant children with cerebral palsy: randomized controlled clinical trial
Authors: Grecco Luanda André Collange , Zanon Nelci , Sampaio Luciana Maria Malosá , Oliveira Claudia Santos 
Published: March 2013

Objective: Compare the effects of treadmill training and training with overground walking (both without partial weight support) on motor skills in children with cerebral palsy. Design: Randomized controlled clinical trial. Setting: Physical therapy clinics. Subjects: Thirty-six children with cerebral palsy (levels I–III of the Gross Motor Functional Classification System) randomly divided into two intervention groups. Interventions: Experimental group (17 children) submitted to treadmill training without partial weight support. Overground walking group (18 children) submitted to gait training on a fixed surface (ground). Training was performed for seven consecutive weeks (two sessions per week), with four subsequent weeks of follow-up. Results: Both groups demonstrated improvements on the 6-minute walk test (experimental group from 227.4 SD 49.4 to 377.2 SD 93.0; overground walking group from 222.6 SD 42.6 to 268.0 SD 45.0), timed up-and-go test (experimental group from 14.3 SD 2.9 to 7.8 SD 2.2; overground walking group from 12.8 SD 2.2 to 10.5 SD 2.5), Pediatric Evaluation Disability Inventory (experimental group from 128.0 SD 19.9 to 139.0 SD 18.4; overground walking group from 120.8 SD 19.0 to 125.8 SD 12.2), Gross Motor Function Measure-88 (experimental group from 81.6 SD 8.7 to 93.0 SD 5.7; overground walking group from 77.3 SD 7.0 to 80.8 SD 7.2), Berg Balance Scale (experimental group from 34.9 SD 8.5 to 46.7 SD 7.6; overground walking group from 31.9 SD 7.0 to 35.7 SD 6.8) after treatment. The experimental group demonstrated greater improvements than the overground walking group both after treatment and during follow up ( p < 0.05). Conclusion: Treadmill training proved more effective than training with overground walking regarding functional mobility, functional performance, gross motor function and functional balance in children with cerebral palsy.
Feeding
Authors: Chai Hui Zhong , Krishna Lalit Kumar Radha , Wong Victoria Hwei May 
Published: March 2013

Introduction: The decision-making process underlying caregivers’ choice to continue feeding at the end of life is not well understood. Objectives: To provide a better understanding of the complex interplay of factors that influence the decision by caregivers to continue feeding. Methods: Palliative care patients and their main caregiver recruited at National Cancer Centre Singapore between May and July 2011 were included. Data were collected using an interviewer-administered questionnaire. Results: One hundred respondents were included. Three major prevailing themes were identified: filial piety, source of hope, and expression of affection. Nonparametric statistical testing showed that patients and caregivers shared similar views about feeding at the end of life. Discussion: The major themes identified above undergird the caregiver’s decision to continue feeding at the end of life.
Using the DLOQ to Support Learning in Republic of Korea SMEs
Authors: Kim Young-Saing , Marsick Victoria J. 
Published: March 2013

The Problem Watkins and Marsick (1993) recommend that interventions be sculpted to meet unique organizational contexts and conditions. They provide examples, but do not show how interventions can be designed based on the dimensions of the learning organization questionnaire (DLOQ). The Solution The Government of the Republic of Korea (ROK) used the DLOQ to guide development of a policy-oriented Learning Organization Initiative (LOI) to increase employee skills and capabilities in small and medium size enterprises (SMEs). Research was prompted by awareness of gaps in resource use and of differences in how employees prefer to learn in SMEs in comparison to large companies. This article shows how the DLOQ guided work with multiple stakeholders to create a customizable set of interventions for SMEs. The Stakeholders Scholar practitioners and policy specialists may be interested in ways that policy was crafted to suit the unique learning preferences of SMEs when developing solutions that support within-firm, across-firm, and national human resource development.
What Performance Characteristics Determine Elite Versus Nonelite Athletes in the Same Sport?
Authors: Lorenz Daniel S. , Reiman Michael P. , Lehecka B.J. , Naylor Andrew 
Published: March 2013

Context: There are significant data comparing elite and nonelite athletes in anaerobic field and court sports as well as endurance sports. This review delineates specific performance characteristics in the elite athlete and may help guide rehabilitation. Evidence Acquisition: A Medline search from April 1982 to April 2012 was undertaken for articles written in English. Additional references were accrued from reference lists of research articles. Results: In the anaerobic athlete, maximal power production was consistently correlated to elite performance. Elite performance in the endurance athlete is more ambiguous, however, and appears to be related to the dependent variable investigated in each individual study. Conclusion: In anaerobic field and court sport athletes, maximal power output is most predictive of elite performance. In the endurance athlete, however, it is not as clear. Elite endurance athletes consistently test higher than nonelite athletes in running economy, anaerobic threshold, and VO2max.
Rehabilitation of Low Back Pain in Golfers
Authors: Finn Christopher 
Published: March 2013

Context: Low back injuries are the most common injury in golf. Best practice guidelines for rehabilitation and prevention of these injuries are helpful for health care professionals and all golfers. Objective: To establish a best practice clinical model for low back pain in golfers from diagnosis through treatment and rehabilitation to return to golf. Evidence Acquisition: The PubMed database and Google Scholar were searched from 1993 to 2012 with the following keywords: golf and low back injury, low back injury, golf and low back pain, golf injury prevention, golf modern swing, muscles in golf swing, low back rehabilitation, diaphragm, and core stability. All studies addressed in some manner the rehabilitation, prevention, or return to sport from low back injury, preferably in direct relation to golf, as well as muscle firing patterns used during the golf swing. Results: Best practice for rehabilitation and prevention of low back injury in golf appears to be through a multidisciplinary approach. Conclusion: Movement patterns, muscle imbalances, and type of swing utilized all have a direct effect on the forces applied to the spine during the golf swing and need to be assessed to prevent or rehabilitate injury. Understanding the golf swing and how the body works during the swing is necessary.