bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Rural Community Care Gerontologic Nurse Entrepreneur: ROLE DEVELOPMENT STRATEGIES
Authors: Caffrey Rosalie A 
Published: May 2014

This article is the fourth in a series of articles focusing on the independent nurses role. Other articles in this series appeared in April 2005 (Vol. 31, No. 4, pp. 5-11), July 2005 (Vol. 31, No. 7, pp. 18-25), and August 2005 (Vol. 31, No.8, pp. 12-17). This series showcases the nurse's diverse responsibilities outside the hospital or long-term care facility.
ABSTRACT
Rural elderly individuals are an underserved population with limited access to health care. There is an increasing need for independent community care nurses to provide assistance to homebased elderly individuals with chronic illnesses to prevent unnecessary medical and placement decisions and, thus, allow them to maintain independence and quality of life. This article describes the rural setting and why community care nurses are needed, and explores strategies for implementing the role of the independent nurse entrepreneur in caring for community-based elderly individuals in rural settings.
Wearing and Using Personal Emergency
Authors: Porter Eileen J 
Published: May 2014

Older Frail Widows' Intentions
ABSTRACT
Frail older adults living alone are at risk for falling and not being found. A personal emergency response system (PERS) is a technological adjunct to home care for such individuals, but little is known of their experiences with the PERS. The experiences of seven frail women (ages 83 to 96) who lived alone were studied using a descriptive phenomenological method. The key phenomenon was temporizing about the PERS button, and the two component phenomena were deciding when to wear it and deciding whether to use it. Findings were contrasted to the existing literature about wearing and using the PERS, which has been focused on compliance. The variations in the experiences of the women in this small sample warrant further research and individualized interventions to enhance consistent use of the PERS by frail older adults.
Innovation in Bladder Assessment: USE OF TECHNOLOGY IN EXTENDED CARE
Authors: Newman Diane K , Gaines Theresa , Snare Elisabeth 
Published: May 2014

ABSTRACT
Nursing homes are required to conduct a comprehensive assessment and screening of residents with urinary incontinence (UI) and indwelling catheter upon admission, and if there is a change in cognition, physical ability, or urinary tract function (Centers for Medicare and Medicaid Services [CMS], 2005). The desired goal is to improve the quality of care through the maintenance and the restoration of bladder function. CMS regulations and revised Tag F315 mandate that long-term care facilities appropriately assess and treat the specific bladder disorder of UI and decrease the inappropriate use of indwelling urinary catheters. Assessment includes evaluation for reversible factors that may cause UI, such as urinary retention and urinary tract infection. The scope of this article is to demonstrate the relationship between these bladder disorders and assessments that can be performed by nursing staff. Because invasive instrumentation of the bladder can increase the likelihood of urinary tract infections, the use of non-invasive technology that ensures quality and evidence-based clinical practice, while preventing associated medical problems in vulnerable residents, is necessary for bladder assessment in the extended care setting. With this technology, assessment of bladder function is easy for staff and provides information that can be vital to successful nursing care outcomes. The staff of CRISTA Senior Community changed clinical practice through incorporation of technology to determine the presence of bladder dysfunction. Staff accurately and effectively applied ultrasonography to determine the bladder volume and abnormalities with bladder emptying, with ultimate improvement in resident care. Adoption of technology can preserve the resident's dignity and respect, while ensuring the highest level of bladder function.
Bladder Control: Educational Needs of Older Adults
Authors: Palmer Mary H , Newman Diane K 
Published: May 2014

ABSTRACT
Bladder control problems, especially urinary incontinence (UI) and urinary freqency and urgency, are prevalent among older adults. The purpose of this project was to determine older adults' educational needs, preferred format, and interest in bladder control educational materials. Eighty-one older adults participated in focus groups conducted at senior centers, churches, and senior apartment dwellings located in Philadelphia, PA. A doctorally prepared nurse acted as the moderator, using a questionnaire that included items on general health issues and specific questions about bladder control issues. Participants showed interest in learning more about bladder control issues, discussed their preferences in relation to format for receiving health-related information, and expressed their interest in bladder control educational materials. This information can be used to devise an educational program about bladder control that is acceptable to older adults and can be easily accessed in settings where they reside or recreate.
The Experience of Being Listened To: A Qualitative Study of Older Adults in Long-Term Care Settings
Authors: Jonas-Simpson Christine , Mitchell Gail J , Fisher Anne , Jones Grazia , Linscott Jan 
Published: May 2014

ABSTRACT
The experience of being listened to for older adults living in long-term care facilities was explored using a qualitative descriptive method outlined in Parse (2001), with the human becoming theory as the theoretical framework. The themes that emerged from this study- Nurturing Contentment, Vital Genuine Connections, and Deference Triumphs Mediocrity-affirmed the experience of being listened to as fundamental to the participants' quality of life. The findings expand nursing theory, provide enhanced understanding of the experience of being listened to, and offer ideas for future research. Through the voices of older adults participating in this study, the authors learn how critical listening is to quality care, and thus to excellence in nursing practice.
Personality and Coping: Predictors of Depression and Sleep Problems Among Caregivers of Individuals Who Have Cancer
Authors: Carter Patricia A , Acton Gayle J 
Published: May 2014

ABSTRACT
This cross-sectional study described personality and coping and examined their relationships with depression and sleep in 51 adult caregivers of individuals who have cancer. Findings are compared with dementia caregiver literature. Fifty-two percent of caregivers reported Center for Epidemiological Studies-Depression (CES-D) scores greater than 16, and 95% reported Pittsburgh Sleep Quality Index (PSQI) scores greater than 5, indicating risk for clinical depression and severe sleep problems. Less functional coping, optimism, mastery, neuroticism, and sleep predicted 66.4% of the variance in depression. Less functional coping, mastery, neuroticism, and depression predicted 41 % of the variance in sleep. Neuroticism and mastery predicted 45.3% of the variance in less functional coping strategies. Caregiver optimism and mastery levels were consistent with levels found in dementia studies. Neuroticism scores were higher than in studies of caregivers of individuals with dementia. Mastery and neuroticism were related to depression, as in other caregiver studies. Findings suggest there are far more similarities than differences between caregivers of individuals who have cancer and caregivers of those who have dementia. Caregiver personality and coping strategies appear to be related to caregiver outcomes similarly in the cancer and dementia populations.
A case of septicemia due to Chyresobacterium indologenes producing bla NDM-1
Authors: Khajuria Atul , Praharaj Ashok Kumar , Kumar Mahadevan , Grover Naveen 
Published: May 2014

AbstractA multidrug resistant Chyresobacterium indologenes was isolated from blood in a case of septicemia. The organism was resistant to carbapenems and was positive for bla NDM-1 ; transferable through plasmid.
Kenny-Caffey syndrome type 1
Authors: Jabbour Tony El , Aboursheid Tarek , Keifo Mohammad Baraa , Maksoud Ismael , Alasmar Diana 
Published: May 2014

AbstractKenny-Caffey syndrome type 1 is a rare hereditary skeletal disorder. We present here a documented case of a 7-month-old girl with the characteristic symptoms of growth retardation, dysmorphic features, and hypoparathyroidism.
Structuring Clinical Workflows for Diabetes Care
Authors: Lasierra N. , Oberbichler S. , Toma I. , Fensel A. , Hoerbst A. , Schweitzer M. 
Published: May 2014

SummaryBackground: Electronic health records (EHRs) play an important role in the treatment of chronic diseases such as diabetes mellitus. Although the interoperability and selected functionality of EHRs are already addressed by a number of standards and best practices, such as IHE or HL7, the majority of these systems are still monolithic from a user-functionality perspective. The purpose of the OntoHealth project is to foster a functionally flexible, standards-based use of EHRs to support clinical routine task execution by means of workflow patterns and to shift the present EHR usage to a more comprehensive integration concerning complete clinical workflows.Objectives: The goal of this paper is, first, to introduce the basic architecture of the proposed OntoHealth project and, second, to present selected functional needs and a functional categorization regarding workflow-based interactions with EHRs in the domain of diabetes.Methods: A systematic literature review regarding attributes of workflows in the domain of diabetes was conducted. Eligible references were gathered and analyzed using a qualitative content analysis. Subsequently, a functional workflow categorization was derived from diabetes-specific raw data together with existing general workflow patterns.Results: This paper presents the design of the architecture as well as a categorization model which makes it possible to describe the components or building blocks within clinical workflows. The results of our study lead us to identify basic building blocks, named as actions, decisions, and data elements, which allow the composition of clinical workflows within five identified contexts.Conclusions: The categorization model allows for a description of the components or building blocks of clinical workflows from a functional view.Citation: Schweitzer M, Lasierra N, Oberbichler S, Toma I, Fensel A, Hoerbst A. Structuring clinical workflows for diabetes care: An overview of the OntoHealth approach. Appl Clin Inf 2014; 5: 512–526 http://dx.doi.org/10.4338/ACI-2014-04-RA-0039
La photographie sérielle et séquentielle. Origines et ambiguïtés
Authors: Chik Caroline 
Published: May 2014

Cet article vise à poser les premiers jalons d’une histoire de la photographie séquentielle du mouvement. Après en avoir recherché les origines dans les premiers cas de prise de vue multiple ayant donné lieu à la variation des poses (série) ainsi qu’à leur succession (séquence), l’auteure entend démontrer que les premières formes séquentielles du mouvement sont apparues dès les années 1850. Un autre rapport de la photographie au mouvement existe en dehors des « incontournables » bougé, instantané et chronophotographie : un mouvement mis en scène, posé et composé image par image. L’auteure examine des formes photographiques obtenues notamment au moyen du châssis multiplicateur et de la chambre à objectifs multiples, qui souvent présentent une ambiguïté entre sérialité et séquentialité : le portrait multiple, le portrait-carte et le portrait tournant, en interrogeant en particulier les liens étroits entre ce dernier, expérimenté par Nadar, et la photosculpture.
High‐resolution spectroscopy of the lunar sodium exosphere
Authors: Mierkiewicz E. J. , Oliversen R. J. , Roesler F. L. , Lupie O. L. 
Published: May 2014

AbstractWe have applied high‐resolution Fabry‐Perot spectroscopy to the study of the lunar sodium exosphere for the study of exospheric effective temperature and velocity variations. Observing from the National Solar Observatory McMath‐Pierce Telescope, we used a dual‐etalon Fabry‐Perot spectrometer with a resolving power of 180,000 to measure line widths and Doppler shifts of the sodium D2 (5889.95 Å) emission line. Our field of view was 360 km, and measurements were made in equatorial and polar regions from 500 km to 3500 km off the limb. Data were obtained from full moon to 3 days following full moon (waning phase) in March 2009. Measured Doppler line widths within 1100 km of the sunlit east and south lunar limbs for observations between 5 and 40° lunar phase imply effective temperatures ranging between 3260 ± 190 and 1000 ± 135 K. Preliminary line center analysis indicates velocity displacements between different locations off the lunar limb ranging between 100 and 600 m/s from the lunar rest velocity with a precision of ±20 to ±50 m/s depending on brightness. Based on the success of these exploratory observations, an extensive program has been initiated that is expected to constrain lunar atmospheric and surface‐process modeling and help quantify source and escape mechanisms.
Arylation of Azlactones using Diaryliodonium Bromides and Silver Carbonate: Facile Access to α‐Tetrasubstituted Amino Acid Derivatives
Authors: Chai Zhuo , Wang Biao , Chen Jia‐Nan , Yang Gaosheng 
Published: May 2014

AbstractWith the combined use of silver carbonate, diaryliodonium bromides were successfully utilized as aryl source to realize the highly efficient arylation of azlactones under mild conditions. The reaction worked well with various alkyl‐ and aryl‐substituted azlactones, providing a range of α‐tetrasubstituted amino acid derivatives in moderate to high yields.magnified image
Palladium‐Catalyzed Oxidative Heck‐Type Allylation of β,β‐Disubstituted Enones with Allyl Carbonates
Authors: Jin Weiwei , Yang Qin , Wu Ping , Chen Jiping , Yu Zhengkun 
Published: May 2014

AbstractThe palladium‐catalyzed oxidative Heck‐type allylation of β,β‐disubstituted enones, i.e., α‐oxoketene dithioacetals, was efficiently realized with allyl carbonates, providing a concise route to highly functionalized dienes. The present synthetic methodology utilizes the substrate activation strategy to activate the CH bond of β,β‐disubstituted enones by introduction of a 1,2‐dithiolane functionality to make the enone substrate highly polarized and thus increase its reactivity, demonstrating rare examples for transition metal‐catalyzed allylic substitution of ß,ß‐disubstituted enones through a Heck‐type allylation process.magnified image
Copper(I)‐Induced Sulfenylation of H‐Phosphonates, H‐Phosphonites and Phosphine Oxides with Aryl/alkylsulfonylhydrazides as a Thiol Surrogate
Authors: Kumaraswamy Gullapalli , Raju Ragam 
Published: May 2014

AbstractAerobic dehydrogenative sulfenylation of H‐phosphonites, and phosphine oxides with aryl/alkylsulfonyl hydrazides catalyzed by a sub‐stoichiometric amount of copper iodide has been accomplished. This protocol is compatible with functional groups, and results in various thiophosphate derivatives in good to high yields.magnified image
One‐Pot Asymmetric Synthesis of Substituted Tetrahydrofurans via a Multicatalytic Benzoin/Michael/Acetalization Cascade
Authors: He Gu , Wu Fengbo , Huang Wei , Zhou Rui , Ouyang Liang , Han Bo 
Published: May 2014

AbstractA sequential benzoin/Michael/acetalization tandem reaction catalyzed by NHC and amine together has been developed to assemble aromatic aldehydes and enals into chiral tetrahydrofuran derivatives bearing multiple functional groups and stereogenic centers with high stereoselectivity of up to 95:5 dr and 96% ee. The high yield and stereocontrol of this process may be due to both acid‐promoted symmetrization of racemic acyloins and iminium ion activation of enals.magnified image
Chemisch modifizierte guideRNAs verbessern die ortsgerichtete RNA‐Editierung in vitro und in Zellkultur
Authors: Vogel Paul , Schneider Marius F. , Wettengel Jacqueline , Stafforst Thorsten 
Published: May 2014

AbstractAntagomir‐ähnliche guideRNAs adressieren die Adenosin‐zu‐Inosin‐Editierung an beliebige mRNAs. Vor allem in der Zelle verbesserte die massive chemische Modifikation die enzymatische Wirkung der kovalenten Konjugate aus guideRNA und SNAP‐ADAR. Die gezielte Modifikation der guideRNA mit einzelnen Modifikationen ermöglicht die Kontrolle der Selektivität und wurde zur Reparatur der Faktor‐5‐Leiden‐Mutation eingesetzt.
Towards a Sustainable Synthesis of Formate Salts: Combined Catalytic Methanol Dehydrogenation and Bicarbonate Hydrogenation
Authors: Liu Qiang , Wu Lipeng , Gülak Samet , Rockstroh Nils , Jackstell Ralf , Beller Matthias 
Published: May 2014

AbstractFormate salts are important chemicals widely used in everyday products. The current industrial‐scale manufacture of formates requires CO at high pressure and harsh reaction conditions. Herein, we describe a new process for these products without the utilization of hazardous gases and chemicals. By application of ruthenium pincer complexes, a simultaneous methanol dehydrogenation and bicarbonate hydrogenation reaction proceeds, which provides a green synthesis of formate salts with excellent TON (>18 000), TOF (>1300 h−1), and yield (>90 %).
Indole Synthesis Based On A Modified Koser Reagent
Authors: Fra Laura , Millán Alba , Souto José A. , Muñiz Kilian 
Published: May 2014

AbstractA new metal‐free method for the rapid and productive preparation of indoles has been developed. This process is based on sterically congested hypervalent iodine compounds of the family of Koser reagents, and iodosobenzene in combination with 2,4,5‐tris‐isopropylbenzene sulfonic acid provides the highest yields and fastest reaction times. This reagent alone promotes the chemoselective oxidative cyclization of 2‐amino styrenes to indoles in high yields under mild conditions.
Composite resins based on novel and highly reactive bisglycidyl methacrylate monomers
Authors: Herrera‐González Ana María , D'Accorso Norma Beatriz , Cuevas‐Suárez Carlos Enrique , Fascio Mirta Liliana , García‐Serrano Jesús , Alho Miriam Martins , Zamarripa‐Calderón Juan Eliezer 
Published: May 2014

ABSTRACTThree new bisglycidyl monomers; 1,4‐bis((2‐hydroxy‐3‐methacryloxypropoxy) methyl)benzene (MB‐Phe‐OH), 1,4‐bis(2‐hydroxy‐3‐methacryloxypropoxy)2‐cis‐butene (MB‐Cis‐OH), and 1,7‐bis(2‐hydroxy‐3‐methacryloxypropoxy)heptane (MB‐1,7‐OH); were synthesized and used as Bis‐GMA/TEGDMA (bisphenolglycidyl methacrylate/triethylene glycol dimethacrylate) composite resin additives. Flexural properties and double bond conversion of the dental resins composed of silanizated inorganic filler and organic matrices containing new monomers were evaluated. The composite resins formulated, using the monomers MB‐Cis‐OH and MB‐1,7‐OH, have mechanical properties and double bond conversion comparable with those of Bis‐GMA/TEGDMA composite resin used as control. The composite containing the new monomer MB‐Phe‐OH has better flexural properties (flexural strength 65.01 MPa and flexural modulus 5675.91 MPa) than the control composite resin (flexural strength 52.85 MPa and flexural modulus 4879.72 MPa); this could be attributed to the molecular structure of the monomer and its high double bond conversion level of 74.19%. The new bisglycidyl methacrylate monomer MB‐Phe‐OH could be potentially useful in the development of new organic matrices for dental composite resins with high double bond conversion and enhanced mechanical properties. © 2014 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2014, 131, 40971.
Interleukin‐6 Deficiency Corrects Nephritis, Lymphocyte Abnormalities, and Secondary Sjögren's Syndrome Features in Lupus‐Prone Sle1.Yaa Mice
Authors: Maier‐Moore Jacen S. , Horton Christopher G. , Mathews Shirley A. , Confer Anthony W. , Lawrence Christina , Pan Zijian , Coggeshall K. Mark , Farris A. Darise 
Published: May 2014

ObjectiveTo assess disease features in Sle1.Yaa mice with genetic interleukin‐6 (IL‐6) deficiency.MethodsSera and tissues were collected from C57BL/6 (B6), Sle1.Yaa, and Sle1.Yaa.IL‐6−/− mice and analyzed for various features of disease. Using serum samples, autoantibody specificities were determined by enzyme‐linked immunosorbent assay (ELISA) and indirect immunofluorescence, cytokine production was analyzed by Luminex and ELISA, and levels of blood urea nitrogen were determined by ELISA. Renal, lung, and salivary gland tissue sections were evaluated for pathologic changes. Lymphocyte phenotypes, including CD4+ T cell cytokine production, and those of follicular and extrafollicular T helper subsets, germinal center B cells, and plasma cells, were determined using flow cytometry.ResultsIL‐6 deficiency not only ameliorated autoantibody production and renal disease in this model, but also effectively reduced inflammation of lungs and salivary glands. Furthermore, IL‐6 deficiency abrogated differentiation of Th1 and extrafollicular T helper cells, germinal center B cells, and plasma cells in the spleen and eliminated renal T cells with IL‐17, interferon‐γ, and IL‐21 production potential.ConclusionOur findings highlight IL‐6–mediated T cell aberrations in Yaa‐driven autoimmunity and support the concept of therapeutic IL‐6/IL‐6 receptor blockade in systemic lupus erythematosus and Sjögren's syndrome by impairing the production of autoantibodies and lymphocytic infiltration of the kidneys, lungs, and salivary glands.
Macrophage Migration Inhibitory Factor Down‐Regulates the RANKL–RANK Signaling Pathway by Activating Lyn Tyrosine Kinase in Mouse Models
Authors: Mun Se Hwan , Oh Dongmyung , Lee Sun‐Kyeong 
Published: May 2014

ObjectiveMacrophage migration inhibitory factor (MIF) is an important modulator of innate and adaptive immunity as well as local inflammatory responses. We previously reported that MIF down‐regulated osteoclastogenesis through a mechanism that requires CD74. The aim of the current study was to examine whether MIF modulates osteoclastogenesis through Lyn phosphorylation, and whether down‐regulation of RANKL‐mediated signaling requires the association of CD74, CD44, and Lyn.MethodsCD74‐knockout (CD74‐KO), CD44‐KO, and Lyn‐KO mouse models were used to investigate whether Lyn requires these receptors and coreceptors. The effects of MIF on osteoclastogenesis were assessed using Western blot analysis, small interfering RNA (siRNA)–targeted down‐regulation of Lyn, Lyn‐KO mice, and real‐time imaging of Lyn molecules to surface proteins.ResultsMIF treatment induced Lyn expression, and MIF down‐regulated RANKL‐induced activator protein 1 (AP‐1) and the Syk/phospholipase Cγ cascade during osteoclastogenesis through activated Lyn tyrosine kinase. The results of immunoprecipitation studies revealed that MIF receptors associated with Lyn in response to MIF treatment. Studies using Lyn‐specific siRNA and Lyn‐KO mice confirmed our findings.ConclusionOur findings indicate that the tyrosine kinase Lyn is activated when MIF binds to its receptor CD74 and its coreceptor CD44 and, in turn, down‐regulates the RANKL‐mediated signaling cascade by suppressing NF‐ATc1 protein expression through down‐regulation of AP‐1 and calcium signaling components.