bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation and model of rehabilitation for primary malignant bone sarcoma patients after limb salvage
Authors: Hudson Suzy , Bamdad Katayoon , Briggs Tim 
Published: August 2014

Background and aims It has long been suspected that the rehabilitation available to patients with primary malignant bone sarcoma (PMBS) is not always adequate and appropriate to their needs. The National Specialised Commissioning Group (NSCG) commissioned the 2012–2013 Quality Improvement Development and Innovation Scheme (QIDIS) project (rehabilitation programme) to review the current rehabilitation services available to the PMBS patient groups at all five bone sarcoma specialist centres in England. Methods The 220 participating PMBS patients were provided with questionnaires, and clinicians at the participating centres were interviewed face-to-face. Patients were analysed in groups: upper limb and lower limb, and in the subgroups major and minor surgery. The groups were compared according to their preferences for rehabilitation interventions, the additional rehabilitation post-surgery that they felt was or would have been beneficial, and by their Toronto Extremity Salvage Scores (TESS). Results Out of the 220 questionnaires provided, 136 questionnaires were returned (a 62% response rate). This study identified the lack of the following factors to be associated with PMBS patients' rehabilitation and functional outcomes: equitable access to rehabilitation treatments; suitable rehabilitation admission; allied health professional (AHP) clinical progress reviews; a reliable and equitable referral system with robust referral criteria; a rehabilitation case coordinator; a nationally accepted functional outcome measure; and patients' involvement in the management of their rehabilitation to achieve the best possible outcome. Conclusions This study identified gaps in the current rehabilitation services for PMBS patients and makes several recommendations. The authors designed a postoperative model of rehabilitation, which identifies a number of target areas that may improve current rehabilitation services and enable rehabilitation professionals to assess a PMBS patient's needs to identify the most suitable rehabilitation programme for them.
A case study of knowledge brokerage in occupational therapy
Authors: Hitch Danielle , Rowan Susan , Nicola-Richmond Kelli 
Published: August 2014

Background/aimsKnowledge brokerage is a relatively new method for promoting knowledge translation in health-care services; it promotes knowledge translation through an intermediary person known as a knowledge broker. Knowledge brokerage was introduced in response to the recognised challenges to evidence-based practice as existing methods are found to have a variable impact on practice.MethodsThis study was conducted using a single workplace, phenomenological, case study design. Seven participants, who are in academic, managerial, clinical and knowledge broker positions, were asked to reflect on their experience of participating in a pilot knowledge brokerage project within a regional health service. The Gibbs Model of Reflective Practice was used as a basis for both eliciting and analysing participants' reflections, and the data were analysed thematically.FindingsThemes that were identified across both time points and/or by both participants and the knowledge broker are reported here. These themes were classified into four categories: doing research; lived experience; building, cementing and maintaining relationships; and enacting knowledge brokerage.ConclusionsA number of positive outcomes for the health service and university were identified, and knowledge brokerage will become a sustained feature of the relationship between these two organisations. This study has expanded the current evidence base for knowledge brokerage in healthcare services, and provides information that may be useful to those considering implementation of knowledge broker roles for supporting evidence-based practice.
Supporting Primary Care Practices in Building Capacity to Use Health Information
Data
Authors: Fernald Douglas , Wearner Robyn , Dickinson W. Perry 
Published: August 2014

Introduction: Our objective was to describe essential support resources and
strategies in order to advance the pace and scope of the use of health information
technology (HIT) data.Background and Context: Primary data were collected between
January 2011 and October 2012. The primary study population comprised 51 primary care
practices enrolled in the Colorado Beacon Consortium in western Colorado.Methods: We
used qualitative methods embedded in a mixed-method evaluation: monthly narrative
reports from practices; interviews with providers and staff; and focused, group
discussions with quality improvement (QI) advisors and staff from the Health Information
Technology Regional Extension Center.Findings: Practices valued effective support
strategies to assist with using HIT, including the following: translating rules and
regulations into individual practice settings; facilitating peer-to-peer connections;
providing processes and tools for practice improvement; maintaining accountability and
momentum; and providing local electronic health record (EHR) technical expertise.
Benefits of support included improved quality measures, operational improvements,
increased provider and staff engagement, and deeper understanding of EHR
data.Discussion: The findings affirm the utility of practice facilitation for
HIT-focused aims with personalized attention and cross-fertilization among practices for
improvements. Facilitation to sustain ongoing improvements and prepare for future
HIT-intensive improvement activities was highly valued. In addition to the general
practice facilitator, an EHR technical expert was critical to improving practice
capacity to use electronic clinical data. Collaborative learning expands the pool of
mentors and teachers, who can further translate their own lessons into practical advice
for their peers, yielding the emergence of a stronger sense of community among the
practices.Conclusions: Using HIT more effectively in primary care will require
sustained, focused efforts by practices as regulations, incentives and HIT evolve.
Ongoing support for community-based practice facilitators; collaborative learning; and
local, personalized EHR advisors will help practices care for patients while more
effectively deploying HIT to improve care.
Isolation and structural elucidation of norlignan polymers from the heartwood of Cryptomeria japonica
Authors: Yanase Yu , Sakamoto Kazuyuki , Imai Takanori 
Published: August 2014

Abstract
The norlignan (NorL) is a class of secondary metabolites, which occurs in the heartwood (hW) of certain softwood species. Although the NorL is often assumed to be secondarily altered (e.g., oxidized and/or polymerized in the hW over time), the formation and the chemical structure of oxidized/polymerized products remained unclear. In this study, we focused on the question whether an NorL oligomer/polymer exists in the hW of Cryptomeria japonica. First, NorL model polymers were prepared by horseradish peroxidase-catalyzed oxidation and their chemical structures were investigated by size exclusion chromatography-high-performance liquid chromatography (SEC-HPLC), nuclear magnetic resonance (NMR), and matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF-MS). Second, methanol (MeOH) extracted from the hW of C. japonica was fractionated, and one of the fractions contained NorL polymers as demonstrated by its chromatographic and spectrometric data in comparison with those of model polymers. Third, five kinds of agatharesinol (AGA) model dimers were synthesized and their chemical structures were determined. 13C-NMR signals corresponding to the model dimer structures were observed in the NMR spectrum of the natural polymer fraction. In summary, an NorL polymer was found in the hW of C. japonica, and its preliminary chemical structure was proposed for the first time.
Perceptions of a university subject on leadership and intrapersonal development: reflections of the scholarship recipients
Authors: Shek Daniel T.L. , Wu Florence K.Y. , Law Moon Y.M. 
Published: August 2014

AbstractUnder the new 4-year undergraduate curriculum, students admitted to The Hong Kong Polytechnic University have to take a course on “Leadership and Intra-personal Development”. A subject entitled “Tomorrow’s Leaders” was developed to help students satisfy this requirement. In the second piloting exercise, five outstanding students taking this subject were invited to write reflective journals. Several common themes from these reflections are highlighted from the analyses. First, students believed there was a need for this subject. Second, the students liked the course, and they identified many positive attributes in the subject and its implementation. Third, the instructors were appreciated by the students. Fourth, the subject was seen by the students to be beneficial to their development. Finally, some suggestions for improvement were noted. When the present findings are integrated with other evaluation findings, it can be concluded that the subject is able to promote psychosocial competencies in university students taking this subject.
Is there a stepwise increase in neonatal morbidities according to histological stage (or grade) of acute chorioamnionitis and funisitis?: effect of gestational age at delivery
Authors: Lee Yeri , Kim Hyun-Joo , Choi Suk-Joo , Oh Soo-young , Kim Jung-Sun , Roh Cheong-Rae , Kim Jong-Hwa 
Published: August 2014

Abstract

Aims: To test if there is a stepwise difference in neonatal outcomes according to the stage (or grade) of histological inflammatory response in the chorioamniotic membranes and umbilical cords of preterm premature rupture of membranes (PPROM).

Method: This retrospective study included singleton pregnancies diagnosed as PPROM and delivered prior to 34 weeks of gestation (n=339). Acute histological chorioamnionitis and funisitis were subdivided into stages (or grade) as defined by Redline et al. Neonatal composite morbidities and mortality were also monitored. Univariate and multivariate analyses were conducted.

Results: Increasing stage (or grade) of acute histological chorioamnionitis and funisitis was significantly associated with an earlier gestational age at membrane rupture and delivery. Among neonatal outcomes, respiratory distress syndrome (RDS), bronchopulmonary dysplasia (BPD), intraventricular hemorrhage, retinopathy of prematurity, and composite morbidity showed incremental incidence according to increased stage (or grade) of acute chorioamnionitis, while periventricular leukomalacia and necrotizing enterocolitis did not. Only RDS, BPD, and composite morbidity showed similar incremental incidences associated with severity of funisitis stage. However, the incremental trends of each neonatal outcome were found to be nonsignificant by multivariate analysis adjusting confounding variables including gestational age at delivery.

Conclusion: Higher incidences of neonatal morbidity according to increased stage (or grade) of either acute histological chorioamnionitis or funisitis were due to an earlier gestational age at delivery.
Oligomers with structural elements of imidazolidinetrione obtained from oxamic acid and oxamide: polyurethane foams modified by structural elements of imidazolidinetrione
Authors: Zarzyka Iwona 
Published: August 2014

Abstract
Hydroxyalkyl derivatives containing oxamidoester and oxamide fragments have been separately obtained using oxamic acid, oxamide and alkylene carbonates. It has been proven that the presence of oxamidoester and oxamide structural fragments in oligomer structures is responsible for the thermal stability of these products. Rigid, thermally stable polyurethane foams were obtained with the use of oligomers with oxamidoestercarbamidoimide, carbamide, oxamidoester and oxamide groups as polyols components. The properties of these foamed materials were compared with each other and with the properties of reference foams. It was found that the polyurethane foams characterized by the best properties were obtained from hydroxypropyl derivatives of oxamide.
ENTRE ROSAS E ESPINHOS, A AVALIAÇÃO E A EDUCAÇÃO A DISTÂNCIA.
Authors: Troleis Adriano Lima , Dantas Eugênia Maria 
Published: August 2014

RESUMO
Este artigo discute a avaliação como estratégia que favorece a compreensão do processo de ensino e aprendizagem. Enredada em contradições e incertezas é um campo movente por onde circulam discursos e ações que visam medir e orientar a formação dos sujeitos. A educação a distância é mais um cenário que complexifica os desafios existentes, ampliando as possibilidades de discussão sobre autonomia, mediação pedagógica, professor, aluno em um contexto que requer a problematização sobre competências e habilidades, estratégias e programas. Autores como Pierre Lévy, Phlipe Perrenoud, Edgar Morin e Jussara Hoffmann subsidiam uma reflexão teórica e metodológica sobre a avaliação e a aprendizagem, competência e habilidade, programa e estratégia, permitindo considerar e concluir que: longe das oposições essas definições se alimentam de interfaces; distante da noção de resolução de problemas são condições que servem como alimento e estímulo a práxis docente na condução dos problemas; para além da perspectiva de que um desafio se institui para ser superado, assume-se a ideia de que este é perene no processo que envolve a formação em diferentes escalas.

Palavras-chaves: Avaliação – Ensino a Distância – Competência – Habilidades – Estratégia.
Assessment of surface runoff depth changes in Sǎrǎţel River basin, Romania using GIS techniques
Authors: Romulus Costache , Iulia Fontanine , Ema Corodescu 
Published: August 2014

AbstractSǎrǎţel River basin, which is located in Curvature Subcarpahian area, has been facing an obvious increase in frequency of hydrological risk phenomena, associated with torrential events, during the last years. This trend is highly related to the increase in frequency of the extreme climatic phenomena and to the land use changes. The present study is aimed to highlight the spatial and quantitative changes occurred in surface runoff depth in Sǎrǎţel catchment, between 1990–2006. This purpose was reached by estimating the surface runoff depth assignable to the average annual rainfall, by means of SCS-CN method, which was integrated into the GIS environment through the ArcCN-Runoff extension, for ArcGIS 10.1. In order to compute the surface runoff depth, by CN method, the land cover and the hydrological soil classes were introduced as vector (polygon data), while the curve number and the average annual rainfall were introduced as tables. After spatially modeling the surface runoff depth for the two years, the 1990 raster dataset was subtracted from the 2006 raster dataset, in order to highlight the changes in surface runoff depth.
Dispersion modeling of air pollutants in the atmosphere: a review
Authors: Leelőssy Ádám , Molnár Ferenc , Izsák Ferenc , Havasi Ágnes , Lagzi István , Mészáros Róbert 
Published: August 2014

AbstractModeling of dispersion of air pollutants in the atmosphere is one of the most important and challenging scientific problems. There are several natural and anthropogenic events where passive or chemically active compounds are emitted into the atmosphere. The effect of these chemical species can have serious impacts on our environment and human health. Modeling the dispersion of air pollutants can predict this effect. Therefore, development of various model strategies is a key element for the governmental and scientific communities. We provide here a brief review on the mathematical modeling of the dispersion of air pollutants in the atmosphere. We discuss the advantages and drawbacks of several model tools and strategies, namely Gaussian, Lagrangian, Eulerian and CFD models. We especially focus on several recent advances in this multidisciplinary research field, like parallel computing using graphical processing units, or adaptive mesh refinement.
SPEP Co-director's Address: SPEP and the Continental Divide
Authors: Steinbock Anthony J. 
Published: August 2014

ABSTRACT
This address discusses both the organization of SPEP (the Society for Phenomenology and Existential Philosophy) and SPEP as an organization. I take up these issues by describing the foundation of SPEP in terms of a positive insight into a distinctive style of doing philosophy and a subsequent experience of being other. I then suggest that there is an initial and fundamental phase of openness characteristic of SPEP as “eyes wide open” and another narrowing moment of SPEP that runs counter to this as “eyes wide shut.” In a fourth section, I depict a difficulty in which SPEP finds itself today: a “continental drift,” when SPEP becomes identified with continental philosophy. Whereas continental philosophy might find itself in antagonist relations to, for example, “analytic philosophy,” SPEP does not necessarily find itself in this way. It is therefore necessary to understand continental philosophy as a participant in and from SPEP, not SPEP as an allegiance to a discipline or as an organ of continental philosophy. SPEP is an organization that edges beyond itself and, according to its distinctive style, is characterized by openness to the things themselves and their structures in terms of an orientation to problems, experience, context, and critique.
Fichte in 1804: A Radical Phenomenology of Life? On a Possible Comparison Between the 1804 Wissenschaftslehre and Michel Henry's Phenomenology
Authors: Seyler Frédéric 
Published: August 2014

ABSTRACT
Both Fichte's 1804 Wissenschaftslehre (or Theory of Knowing) and Henry's radical phenomenology conceive of the absolute as life. At the same time, both have to deal with a contradiction that seems to follow inevitably from the limitations they impose on thought and intentionality: Since the latter are intrinsically incapable of apprehending life as absolute and immanent, how is radical phenomenology, and how is the Wissenschaftslehre, even possible? The article takes this difficulty as the start to a possible comparison between Fichte and Henry. But, as will be seen, Henry's claim about the existence of a nonintentional mode of appearing is not shared by Fichte.
Revealing the Invisible: Henry and Marion on Aesthetic Experience
Authors: Gschwandtner Christina M. 
Published: August 2014

ABSTRACT
Aesthetics is a central topic in the works of Jean-Luc Marion and Michel Henry. While Henry focuses on abstract art (especially Kandinsky), Marion's writings range over the history of art, including analyses of Courbet, Rothko, and Klee. This article examines their strikingly similar aesthetic theories and shows how they are grounded in a phenomenological claim about the relation between invisible and visible, hence about phenomenality itself. The artist becomes a paradigm for phenomenological receptivity in both thinkers, and art is assigned a quasi-salvific function. This raises several important questions about their theories of art.
Assessing the fidelity of AOGCM‐simulated relationships between large‐scale modes of climate variability and wind speeds
Authors: Schoof J. T. , Pryor S. C. 
Published: August 2014

AbstractThe ability of atmosphere‐ocean general circulation models (AOGCMs) to reproduce associations between surface/near‐surface variables over the United States (US) and large‐scale modes of climate variability has implications for evaluating possible biases in future climate projections and is an important model diagnostic. Indices of three such modes (El Niño–Southern Oscillation (ENSO), the Arctic Oscillation (AO), and the Pacific‐North American (PNA) pattern) and their relationships to wind speeds over the contiguous US are derived using historical reanalysis products and then used to evaluate the fidelity of AOGCM simulations of both the climate modes and the teleconnections. In the reanalysis data, the response of middle and upper troposphere wind speeds to ENSO phase is found to be essentially symmetric with anomalies of opposite sign occurring during the warm and cold phases. The AO and PNA phases are both associated with higher wind speeds relative to “neutral” conditions. AOGCMs from Phase 5 of the Coupled Model Intercomparison Project (CMIP5) produce AO‐ and PNA‐like spatial patterns which exhibit good accord with those from NCEP‐NCAR Reanalysis. The AOGCM‐derived climate indices also exhibit general agreement with reanalysis‐derived indices in terms of the frequencies associated with highest variance, although the agreement is better for AO and PNA than it is for ENSO. The AOGCMs are in good agreement with the NNR in terms of representation of the influence of the AO and PNA on winds over the contiguous US. However, for ENSO, AOGCMs fail to consistently capture the observed relationship between La Niña and near‐surface to middle troposphere winds.
Estimating the sensitivity of regional dust sources to sea surface temperature patterns
Authors: Hoffman Alexis L. , Forest Chris E. , Li Wei 
Published: August 2014

AbstractExploring the impact of sea surface temperature (SST) anomaly patterns on local climate in major dust source regions helps clarify our understanding of variability in the global dust cycle. In contrast to previous work, this research focuses explicitly on the influence of SST anomalies on dust emissions and attempts to explain the mechanisms by which SST anomalies affect seasonal dust emissions. This study investigates the seasonal sensitivity of mineral aerosol emissions to SST anomaly patterns from the Bodele Depression, West Africa, Sahel, Kalahari Desert, Arabian Desert, and Lake Eyre basin. The global teleconnection operator, which relates regional climate responses to SST anomaly patterns, is estimated for relevant variables in an ensemble of the National Center for Atmospheric Research Community Atmosphere Model version 5 forced by randomly perturbed climatological SST fields. Variability in dust emissions from major dust sources is linked to tropical SST anomalies, particularly in the Indian and western Pacific Oceans. Teleconnections excited by remote SST anomalies typically impact dust emissions via changes in near‐surface wind speeds and friction velocity. However, SST‐driven impacts on the threshold friction velocity can be of the same order of magnitude as changes in the friction velocity, suggesting the impact of SST anomalies on precipitation and soil moisture is also significant. Identifying SST anomaly patterns as a component of internal variability in regional dust emissions helps characterize human influences on the dust cycle as well as improve predictions of climate, nutrient cycles, and human environments.
Misperception of Chance, Conjunction, Belief in the Paranormal and Reality Testing: A Reappraisal
Authors: Dagnall Neil , Drinkwater Kenneth , Parker Andrew , Rowley Kevin 
Published: August 2014

SummaryThe present study examined the degree to which specific probabilistic biases (misperception of chance and conjunction fallacy) were associated with belief in the paranormal and proneness to reality testing (RT) deficits. Participants completed measures assessing probabilistic reasoning, belief in the paranormal and RT. Perception of randomness predicted the level of paranormal belief and proneness to RT deficits. These results provide support for the notion that paranormal believers demonstrate greater misrepresentation of chance. With regard to conjunction, a framing effect occurred. Problems presented in a paranormal context correlated negatively with the level of paranormal belief and proneness to RT deficits. Copyright © 2014 John Wiley & Sons, Ltd.