bluuebunny/crossref_metadata_2025_split huggingface dataset:
Re-licensing of general practitioners using the current UK revalidation proposals: a cross sectional study
Authors: Charlton Rodger , Coomber J , Thistlethwaite J E 
Published: October 2011

ABSTRACT

Objective
To explore the views of general practitioners (GPs) on the feasibility of collecting supporting information for the Royal College of General Practitioners (RCGP) revalidation portfolio and mapping of this evidence to the General Medical Practice framework for proposed UK medical re-licensing.

Design
Cross sectional study with a questionnaire.

Setting
One inner city and one mixed urban/rural primary care organisation in the West Midlands, England and one rural primary care organisation in Wales.

Participants
51/69 GPs who submitted a revalidation portfolio from November 2009 to February 2010.

Results
The majority of GPs considered the majority of work based supporting information was feasible to collect within a 5 year revalidation cycle; most concerns were expressed about providing evidence for extended practice, learning credits, and patient satisfaction and colleague feedback surveys (59%, 63%, 72%, and 77%, respectively, of GPs considered it feasible to collect this evidence) due to workload time constraints and lack of automatic access to evidence from others, which differed by GP work role. Two-thirds of participants (65%) stated that the submission of a portfolio of evidence was a feasible component of GP revalidation, reporting reservations on the appropriateness of patient and colleague feedback surveys and extended practice (55%, 57%, and 59% respectively) to provide objective evidence. GPs requested further clarity on the evidence mapping process.

Conclusion
Overall, GPs reported a positive response to the RCGP revalidation proposals. Concerns were focused on collecting the newer types of supporting information and the ability of GPs non-principals to collect this evidence. GP revalidation training and preparation is required.
Pharmacist-Led Shared Medical Appointments for Multiple Cardiovascular Risk Reduction in Patients With Type 2 Diabetes
Authors: Cohen Lisa B. , Taveira Tracey H. , Khatana Sameed Ahmed M. , Dooley Andrea G. , Pirraglia Paul A. , Wu Wen-Chih 
Published: October 2011

Purpose To assess whether VA MEDIC-E (Veterans Affairs Multi-disciplinary Education and Diabetes Intervention for Cardiac risk reduction[EM DASH] Extended for 6 months), a pharmacist-led shared medical appointments program, could improve attainment of target goals for hypertension, hyperglycemia, hyperlipidemia, and tobacco use in patients with type 2 diabetes compared to standard primary care after 6 months of intervention. Methods A randomized, controlled trial of VA MEDIC-E (n = 50) versus standard primary care (n = 49) in veterans with type 2 diabetes, hemoglobin A1c (A1C) > 7%, blood pressure (BP) > 130/80 mmHg, and low density lipoprotein cholesterol (LDL-C) > 100mg/dl (2.59 mmol/l) in the previous 6 months was conducted. The VA MEDIC-E intervention consisted of 4 weekly group sessions followed by 5 monthly booster group sessions. Each 2-hour session included 1 hour of multidisciplinary diabetes specific healthy lifestyle education and 1 hour of pharmacotherapeutic interventions performed by a clinical pharmacist. Evaluation measures included lab values of A1C, LDL cholesterol, BP, and goal attainment of these values, and diabetes self-care behavior questionnaires at 6 months. Results The randomization groups were similar at baseline in all cardiovascular risk factors except for LDL, which was significantly lower in the MEDIC-E arm. At 6 months, significant improvements from baseline were found in the intervention arm for exercise, foot care, and goal attainment of A1C, LDL-C, and BP but not in the control arm. Conclusions The results of this study demonstrate that the pharmacist-led group intervention program for 6 months was an efficacious and sustainable collaborative care approach to managing diabetes and reducing associated cardiovascular risk.
Disparities in Diabetes Self-management Education for Uninsured and Underinsured Adults
Authors: Shaw Kathy , Killeen Maureen , Sullivan Erin , Bowman Patricia 
Published: October 2011

Purpose To examine accessibility, availability, and quality of diabetes self-management education (DSME) for uninsured adults or those utilizing Medicaid in a community with a high poverty rate. Methods A descriptive needs assessment was conducted in 8 health care agencies serving the uninsured. Face-to-face audiotaped interviews were conducted with 22 health care providers, educators, and administrators to capture descriptive characteristics about clinical care, DSME, continuity of care, and organizational function. Results Twenty-nine percent of adults with diabetes were reported to be uninsured or utilizing Medicaid in these settings. Only 4% of adults received the American Diabetes Association’s DSME standards of care. At 5 agencies, there was no direct access to DSME. Uninsured individuals had access to 2 programs; individuals utilizing Medicaid had access to 1 program. Certified diabetes educators were available at only 3 agencies. There were DSME programs that adhered to recommended guidelines but limited availability for these adults. The majority of education (86%) was limited to clinical encounters with providers, which were infrequent and variable in duration. Time spent on education ranged from 2 to 120 minutes depending on agency type. Education topics addressed by providers varied by agency. Conclusions Findings of this study suggest that adults who are utilizing Medicaid or are uninsured do not get the amount, type, or quality of DSME needed to sustain successful self-management. Limited availability and inadequate access to quality DSME place vulnerable adults at increased risk for devastating and costly complications despite the known benefits.
Sveinbergeite, Ca(Fe2+6 Fe3+)Ti2(Si4O12)2O2(OH)5(H2O)4, a new astrophyllite-group mineral from the Larvik Plutonic Complex, Oslo Region, Norway: description and crystal structure
Authors: Khomyakov A. P. , Cámara F. , Sokolova E. , Abdu Y. , Hawthorne F. C. 
Published: October 2011

AbstractSveinbergeite, Ca(Fe2+6Fe3+)Ti2(Si4O12)2O2(OH)5(H2O)4, is a new astrophyllite-group mineral discovered in a syenite pegmatite at Buer on the Vesteroya peninsula, Sandefjord, Oslo Region, Norway. The mineral occurs in pegmatite cavities as 0.01—0.05 mm thick lamellar (0.2—0.5×5—10 mm) crystals forming rosette-like divergent groups and spherical aggregates, which are covered by brown coatings of iron (and possibly manganese) oxides, associated with magnesiokatophorite, aegirine, microcline, albite. calcite, fluorapatite, molybdenite, galena and a hochelagaite-like mineral. Crystals of sveinbergeite are deep green with a pale green streak and a vitreous and pearly lustre. Sveinbergeite has perfect cleavage on ﹛001﹜ and a Mohs hardness of 3. Its calculated density is 3.152 g/cm3. It is biaxial positive with α 1.745(2), β 1.746(2), γ 1.753(2), 2V(meas.) = 20(3)°. The mineral is pleochroic according to the scheme Z > X ∽ Y : Z is deep green, X and Y are brownish green. Orientation is as follows: X ┴ L (001), Y ᶺ b = 12°, Z = a, elongation positive. Sveinbergeite is triclinic, space group P1̄, a = 5.329(4), b = 11.803(8), c = 11.822(8) Å; α = 101.140(8)°, β = 98.224(8)°, γ = 102.442(8)°; V = 699.0(8) Å3; Z = 1. The nine strongest lines in the X-ray powder diffraction pattern [d in Å(I)(hkl)] are: 11.395(100)(001,010). 2.880(38)(004), 2.640(31)(2̄10,l̄41), 1.643(24)(07̄1,072), 2.492(20)(2l̄l), 1.616(15)(070), 1.573(14)(3̄2̄2), 2.270(13)(1̄3̄4) and 2.757(12)(1̄40,1̄3̄2). Chemical analysis by electron microprobe gave Nb2O5 0.55, TiO2 10.76, ZrO2 0.48, SiO2 34.41, A12O3 0.34, Fe2O3 5.57, FeO 29.39, MnO 1.27, CaO 3.87, MgO 0.52, K2O 0.49, Na2O 0.27, F 0.24, H2O 8.05, O=F -0.10, sum 96.11 wt.%, the amount of H2O was determined from structure refinement, and the valence state of Fe was calculated from structure refinement in accord with Mossbauer spectroscopy. The empirical formula, calculated on the basis of eight (Si + Al) p.f.u., is (Ca0.95Na0.12K0.14)Σ1.21(Fe2+5.65Fe3+0.93Mn0.25Mg0.18)Σ7.01(Ti1.86Nb0.06Zr0.05Fe3+)Σ2 (Si7091Al0.09)Σ8O34.61H12.34F0.17, Z = 1. The infrared spectrum of the mineral contains the following absorption frequencies: 3588, ∽3398 (broad), ∽3204 (broad), 1628, 1069, 1009, 942, 702, 655 and 560 cm–1. The crystal structure of the mineral was solved by direct methods and refined to an R1 index of 21.81%. The main structural unit in the sveinbergeite structure is an HOH layer which is topologically identical to that in the astrophyllite structure. Sveinbergeite differs from all other minerals of the astrophyllite group in the composition and topology of the interstitial A and B sites and linkage of adjacent HOH layers. The mineral is named in honour of Svein Arne Berge (b. 1949), a noted Norwegian amateur mineralogist and collector who was the first to observe and record this mineral from its type locality as a potential new species.
Reconstitution and Organization of Photosynthetic Antenna Protein Complex Bearing Functional Hydrophilic Domains
Authors: Sakai Shunsuke , Hiro Akito , Sumino Ayumi , Mizuno Toshihisa , Tanaka Toshiki , Hashimoto Hideki , Dewa Takehisa , Nango Mamoru 
Published: October 2011

Abstract
Bacterial photosynthetic antenna polypeptide (LH1-α) was synthesized as a water-soluble fusion protein with maltose-binding protein (MBP) and a His-tag portion (MBP–rubα-YH) using an E. coli expression system. Reconstitution experiments indicated that LH1-type complexes with pigments were successfully formed, regardless of the presence of a large hydrophilic MBP portion. The reconstituted complex was immobilized onto a Au electrode via a His-tag–Ni–NTA interaction. When the complex was incorporated into a planar lipid bilayer, protruding MBP portions were clearly observed by AFM.
Lewis Acid-mediated ArSE Aroylation of Naphthalene Derivative: Distinct Second Aroylation Behavior of α-Naphthyl Ketone
Authors: Okamoto Akiko , Mitsui Ryosuke , Oike Hideaki , Yonezawa Noriyuki 
Published: October 2011

Abstract
Dual ArSE aroylation of 2,7-dimethoxynaphthalene proceeds with distinct susceptibility and regioselectivity depending on the Lewis acid. The TiCl4-mediated reaction readily affords 1,8-diaroylated product. In the AlCl3-mediated reaction, monoaroylation essentially proceeds with partial ether cleavage and under some specific conditions 1,6-diaroylation proceeds in preference to 1,8-diaroylation.
Systematic review of sonographic chronic cerebrospinal venous insufficiency findings in multiple sclerosis
Authors: Thapar A , Lane T , Nicholas R , Friede T , Ellis M , Assenheim J , Franklin I J , Davies A H 
Published: October 2011

Objective The sonographic findings of chronic cerebrospinal venous insufficiency (CCSVI) are used by some as selection criteria for venography. We performed a systematic review to establish the prevalence and strength of association between sonographic CCSVI and multiple sclerosis (MS). Method Two reviewers searched PubMed and EMBASE from 1948 to date using the keywords ‘chronic cerebrospinal venous insufficiency’ according to PRISMA guidelines. Results Four cross-sectional studies met the criteria for inclusion. The prevalence of CCSVI ranged from 7% to 100% in MS patients and from 2% to 36% in healthy controls. Diagnostic odds ratios for MS varied between 2 and 26, 499 ( I 2 = 94%). Sensitivities of CCSVI for MS varied between 7% and 100% ( I 2 = 98%). Specificities varied between 64% and 100% ( I 2 = 95%). Conclusion There is substantial variation in the strength of association between CCSVI and MS beyond that explained by demographic differences or sonographer training. Reliable evidence on which to base decisions requires sonographic consensus and assessment of the reproducibility of individual criteria between trained sonographers.
Validation of a one-stop carpal tunnel clinic including nerve conduction studies and hand therapy
Authors: Ball C , Pearse M , Kennedy D , Hall A , Nanchahal J 
Published: October 2011

INTRODUCTION Carpal tunnel syndrome is the most common hand disorder. We describe a pathway that includes clinical assessment, neurophysiological testing, surgery and physical therapy all at the same visit. METHODS All referrals for carpal tunnel syndrome were screened for inclusion in a ‘one-stop’ surgeon-led clinic. Prospective clinical data collected included patient reported outcome measures and satisfaction scores, touch threshold, pinch and grip strength. Patients were assessed clinically, underwent nerve conduction studies and surgery as indicated, all on the same day. Baseline and one-year follow-up data were analysed for 57 patients (62 hands). RESULTS There was significant improvement in all domains of the Boston Carpal Tunnel and Michigan Hand Outcomes questionnaires, grip strength and touch threshold. There were no adverse events. The total mean operating time was 12.8 minutes (range: 5–15 minutes) and the mean tourniquet time was 2.5 minutes (range: 1–11 minutes). Using a dual theatre model produced a short mean turnaround time of 14.8 minutes (range: 2–37 minutes). Patient satisfaction as judged using a Picker questionnaire was very high. CONCLUSIONS A highly efficient clinical service involving both diagnostics and treatment can be delivered at a single hospital visit while maintaining optimal outcomes and high patient satisfaction.
Management of perforated peptic ulcer in a district general hospital
Authors: Critchley AC , Phillips AW , Bawa SM , Gallagher PV 
Published: October 2011

INTRODUCTION Laparoscopic surgery has become increasingly popular for elective surgery but it has gained slow transference to emergency surgery. The management of perforated peptic ulcers (PPU) laparoscopically is an accepted strategy yet it still remains infrequently used. The purpose of this study was to analyse the utility and outcomes of laparoscopy versus open repair for PPU in a district general hospital. In addition, we evaluated whether the subspecialty of the on-call consultant affected the method of repair performed and the training opportunities for trainee surgeons. METHODS Between 2003 and 2009, 53 patients underwent laparoscopic repair, 89 patients underwent open repair and a further 20 patients had laparoscopic repair that was converted to open repair for PPU. The results from a prospectively compiled database were analysed with primary outcome measures including operative time, length of hospital stay and mortality. RESULTS The median operating time in the laparoscopic group was 60.0 minutes compared with 50.5 minutes in the open group. Hospital stay in surviving patients was significantly shorter in patients treated completely laparoscopically (5 days) when compared with the open group (6 days) (p<0.01). There were six deaths in the laparoscopic group (11%) compared with 13 in the open group (15%) and one in the converted group (5%). Trainees performed 53% (47/89) of open repairs and 13% (7/54) of laparoscopic repairs. CONCLUSIONS Both laparoscopic and open repair are equally safe in the management of PPU. Our findings support the view that this procedure can be successfully used as a training operation.
Temporary gastric neuromodulation for intractable nausea and vomiting
Authors: Ullah S , Arsalani-Zadeh R , Sedman P , Avery G , Duthie GS , MacFie J 
Published: October 2011

INTRODUCTION Gastric neuromodulation (GNM) has been advocated for the treatment of drug refractory gastroparesis or persistent nausea and vomiting in the absence of a mechanical bowel obstruction. There is, however, little in the way of objective data to support its use, particularly with regards to its effects on gastric emptying. METHODS Six patients (male-to-female ratio: 4:2, mean age: 49 years, range: 44–57 years) underwent the GNM between April and August 2010. Three patients had confirmed slow gastrointestinal transit. Aetiology included previous gastric surgery in two, diabetes in one and idiopathic nausea and vomiting in three patients. GNM pacing wires were placed endoscopically and left in situ for seven days. Pa-tients underwent gastric scintigraphy before and 24 hours after the commencement of GNM. Total gastroparesis symptom scores (TSS), weekly vomiting frequency scores (VFS), health-related quality of life (using the SF-12® questionnaire), gastric emptying, nutri-tional status and weight were compared before and after GNM. RESULTS TSS improved after GNM in comparison with baseline data. VFS improved in three of four symptomatic patients. The SF-12® physical composite score improved in four patients (27.5 vs 34.3) and the mental composite score improved in five patients (34.9 vs 35.9). All patients reported an improvement in oral intake. A significant weight gain (mean: 1kg, range: 0.3–2.4kg) was observed over seven days. Gastric emptying half-time improved in four patients. CONCLUSIONS GNM improved upper gastrointestinal symptoms, quality of life and nutritional status in patients with intractable nausea and vomiting. GNM merits further investigation.
Quality of life after treatment of laryngeal carcinoma: a single centre cross-sectional study
Authors: Williamson JS , Ingrams D , Jones H 
Published: October 2011

INTRODUCTION Laryngeal cancer treatment inherently affects life's most basic functions and significantly affects quality of life (QOL). We aimed to identify which aspects of QOL and which patients are most affected by the various treatment options. METHODS The University of Washington Quality of Life (UW-QOL) questionnaire was administered to all patients with laryngeal cancer treated at a single institution over a seven-year period (2003–2010). RESULTS In total, 41 patients responded. All had been treated for squamous cell carcinoma of the larynx. Questionnaires were completed at a median of 18.5 months after treatment. The overall quality of life was 81.1/100 as assessed by the UW-QOL scale, with only 4.9% reporting ‘poor’ or worse QOL. Neither patient age nor time after treatment significantly affected any aspect of QOL. Patients undergoing primary radiotherapy reported the best QOL. Those undergoing chemoradiotherapy or combined surgical treatment and chemoradiotherapy reported the worst QOL, particularly in terms of social eating, taste and saliva production. Patients with a T stage ≥2 and those with nodal metastases reported a significantly worse QOL. CONCLUSIONS Overall, QOL in our patients was good. This study highlights the aspects of QOL most affected by various treatments for laryngeal cancer and identifies areas in which therapeutic intervention may be focused. It also provides information to guide clinicians when assisting patients to make informed decisions regarding treatment of their head and neck cancer.
Clinical outcome of laparoscopic and open colectomy for right colonic carcinoma
Authors: Khan JS , Hemandas AK , Flashman KG , Senapati A , O'Leary D , Parvaiz A 
Published: October 2011

INTRODUCTION Laparoscopic colorectal surgery has gained widespread acceptance. While many studies have compared laparoscopic and open left-sided resections, there is limited literature on right colonic resections. We aimed to analyse the short-term outcome of laparoscopic (LRH) and open right hemicolectomy (ORH) in our unit. METHODS Consecutive patients undergoing elective right hemicolectomies over a period of 28 months were included in the study. No selection criteria were used to allocate the surgical approach. Study parameters included surgical technique, demographic details, ASA grade, body mass index (BMI), length of hospital stay (LOS), post-operative mortality and morbidity, readmission rate and histopathological data. RESULTS A total of 164 patients underwent right hemicolectomies during the study period (LRH: 89, ORH: 75). Both groups were comparable in age, sex, BMI, ASA grade, tumour stage and lymph node harvest. Four patients (4.5%) in the laparoscopic group required conversion to open surgery. In resections with curative intent, microscopic margins were positive in two patients (3%) in the ORH group compared to one (1%) in the LRH group. Seven ORH patients had an adverse post-operative outcome (three anastomotic leaks, four deaths); there were no deaths/immediate complications in the LRH group (p<0.05). The median LOS for LRH patients (4 days, range: 2–21 days) was significantly shorter than for ORH patients (8 days, range: 3–38 days) (p<0.0001, Mann–Whitney U test). By day 5, 77% of LRH patients were discharged compared with only 21% of patients in the ORH group. There were two readmissions (2.7%) in the ORH group and nine (10.1%) in the LRH group. CONCLUSIONS Our findings demonstrate advantages in favour of LRH in terms of a shorter hospital stay and reduced post-operative major complications. LRH is safe and should therefore be available to all patients requiring colonic resection.
Digitally printed textiles: A number of specific issues surrounding research
Authors: Carden Susan 
Published: October 2011

The digital printing of textiles currently encompasses a wide range of processes, from craft related to technology based. As a result, artists, designers and craft practitioners are increasingly provided with new and exciting ways of combining and intertwining multiple layers of meaning
from within the handmade and the digital. This article focuses on doctoral research into some of the opportunities for, and consequences of, using craft practices as interventions in the digital printing of textiles.
The article discusses a number of issues surrounding research through
design (Frayling 1993: 1; Scrivener 2009: 76), and considers the impact that multiple materials, multiple processes and multiple technologies can have on practice. It seeks to explain why established research methods and methodologies are often inadequate for capturing and analysing the range
and depth of interactions that exist between the material and the immaterial in digitally printed textile design. It argues instead for the development of a new generic methodology to take advantage of advanced technologies and extend existing methods for the benefit of researchers, practitioner–researchers,
artists and designers, in order to bring the digital printing of textiles into line with established disciplines, such as those from the social sciences.
Reviews
Authors: Fenlon Carol , Westron Loree 
Published: October 2011

WILD CHILD, T.C. BOYLE, (2010) London: Bloomsbury, 320pp., ISBN 9781408804803 (hbk) £16.99
TOUCH, GRAHAM MORT, (2010) Bridgend, Wales: Seren, 260pp., ISBN 9781854115126 (pbk) £7.99
THE PROPER CARE OF FOXES, WENA POON, (2009) Singapore: Ethos Books, 225pp., ISBN 9789810836467
(pbk)
MATTAPONI QUEEN, BELLE BOGGS (2009) Minneapolis: Graywolf Press, 240 pp., ISBN 9781555975586 (pbk), $15.00