bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of a passive clinical decision support tool on potentially inappropriate medications (PIM) use in older adult patients
Authors: Luu Alan , Bui Nghi (Andy) , Adeola Mobolaji , Bhakta Sunny , Fuentes Amaris , Agarwal Kathryn 
Published: September 2023

AbstractBackgroundMedication related clinical decision support (CDS) interventions may improve patient safety. In older patient populations, there has been effort placed in reducing exposure to potentially inappropriate medications (PIMs). After years of reducing exposure of older adults in our hospitals to PIMs through multi‐component interventions, our system chose to expand the scope and attempt a new strategy to lessen alert burden for providers and pharmacists. Based on the American Geriatric Society Beers Criteria and internal data, a passive CDS approach, termed “geriatric context” was established to recommend appropriate medication selection including lower dosage amounts and frequency of administration in older adults.MethodsRetrospective descriptive study examining change in a pre and post implementation analysis of medication usage patterns between two 9‐month time periods in 2019 and 2021 in patients age ≥65 years across an 8‐hospital health system. The primary endpoint is the percentage of each medication intervened with an ordered dose and frequency outside of alignment with recommended context parameters. Secondary endpoints include total daily dose (TDD) and average dose (AD) per patient of the individual PIMs. Exploratory endpoints include frequency of active alerts fired by the CPOE and overridden by providers.ResultsA total of 62,738 older adult hospital admissions are included in the overall study period, with 32,969 pre‐implementation and 29,769 post‐implementation. Haloperidol showed the greatest reduction in inappropriate doses from 41.5% to 21.4% (p < 0.001) of orders, followed by reduction in inappropriate frequencies in orders for diphenhydramine from 57.2% to 39.7% (p < 0.001). Secondary endpoints showed favorable reductions across 11 of the 16 medications in both TDD and AD administered. Exploratory analysis with select medications showed reductions in frequency of alerts fired and overridden.ConclusionsUtilization of a passive CDS positively influences prescribing patterns for older adults and reduces the alert burden to ordering providers.
Formation of low‐pressure reaction textures during near‐isothermal exhumation of hot orogenic crust (Bohemian Massif, Austria)
Authors: Sorger Dominik , Hauzenberger Christoph A. , Finger Fritz , Linner Manfred , Skrzypek Etienne , Schorn Simon 
Published: September 2023

AbstractTwo types of aluminous paragneiss from the Loosdorf complex (Bohemian Massif, NE Austria) contain coarse‐grained granulite assemblages and retrograde reaction textures that are investigated to constrain the post‐peak history of the Gföhl unit in the southern Bohemian Massif. Both types have a peak assemblage garnet–biotite–sillimanite–plagioclase–K‐feldspar–quartz–granitic melt ± kyanite ± ilmenite ± rutile, recording peak metamorphic conditions of
0.9–1.1 GPa and
780–820°C estimated by isochemical phase equilibrium modelling. The first sample type (Ysper paragneiss) developed (i) cordierite coronae around garnet and (ii) cordierite–spinel and cordierite–quartz reaction textures at former garnet–sillimanite interfaces. Calculated chemical potential relationships indicate that the textures formed in the course of a post‐peak near‐isothermal decompression path reaching
0.4 GPa. Texture formation follows a two‐step process. Initially, cordierite coronae grow between garnet and sillimanite. As these coronae thicken, they facilitate the development of local compositional domains, leading to the formation of cordierite–spinel and cordierite–quartz symplectites. The second sample type (Pielach paragneiss) exhibits only discontinuous cordierite coronae around garnet porphyroblasts but lacks symplectites. The formation of cordierite there also indicates near‐isothermal decompression to 0.4–0.5 GPa and 750–800°C. This relatively hot decompression path is explained by the contemporaneous exhumation of a large HP–UHT granulite body now underlying the Loosdorf complex. The timing of regional metamorphism in the granulites and the southern Bohemian Massif in general is well constrained and has its peak at
340 Ma. Monazite from Loosdorf paragneiss samples yield a slightly younger age of
335 Ma. Although the ages overlap within error, they are interpreted to reflect near‐isothermal decompression and exhumation resulting in the formation of the observed reaction textures.
Humanised care in acute psychiatric hospitalisation units: Definition, values and strategic initiatives from the perspective of persons with mental health problems, primary carers and professionals
Authors: Sanz‐Osorio Maria Teresa , González‐Diez Lydia , Sánchez‐Rueda Guadalupe , Vallès Vicenç , Escobar‐Bravo Miguel Angel , Monistrol Olga 
Published: September 2023

AbstractIntroductionHumanised care refers to the holistic approach to the person, considering their bio‐psycho‐social and behavioural dimensions. It becomes more complex when the person has mental health problems that may affect his or her will, cognition and relationship to the world. The literature on the humanisation of mental health is scarce and only offers the view of professionals.AimTo analyse the concept, values and strategic initiatives of humanised care in acute psychiatric units from the perspective of persons with mental health problems, carers and professionals.MethodQualitative grounded‐theory approach. Data were collected through focus groups and in‐depth interviews among persons with mental health problems, carers and professionals.ResultsThirteen focus groups and three in‐depth staff interviews were performed, with a total of 61 participants. Humanised care is defined as quality care of an individualised, ethical and safe nature, empowering persons/carers to involve them in their health process, helping them resist the stigma of mental illness through a therapeutic relationship, bond and communication. Formal training, teamwork and effective communication are required. Six values and strategic initiatives were identified.DiscussionEach value and strategic initiatives acquires full meaning when connected with the rest. Without this interconnection, humanised care would be impossible.
Reproductive payoffs of territoriality are snow‐dependent in a mountain ungulate, the Alpine chamois
Authors: Cotza A. , Tomassini O. , Corlatti L. , Ferretti F. , Davoli M. , Bassano B. , Lovari S. 
Published: September 2023

AbstractFemale density and distribution are dependent on resource phenology and female availability strongly influences male mating behaviour and success. When a male adopts a ‘resource defence’ tactic, his reproductive success depends on the location and attractiveness of his territory. Environmental factors associated with territory quality are expected to influence mating success, for example, through territory features or male–male competition. In a protected population of a mountain‐dwelling polygynous herbivore, the Alpine chamois Rupicapra r. rupicapra, we investigated the relationships among mating opportunities, some environmental variables (snow depth, topographic features and size of territories) and male intra‐sexual competition for mating. We recorded the mating behaviour and territory size of 15 GPS‐GSM radio‐tagged territorial males, during five rutting seasons (early November to early December: N = 8 individuals in 2011, N = 9 in 2012, N = 8 in 2015, N = 11 in 2016, N = 7 in 2017; 80% of them were observed for more than one mating season) and related them to snow depth and topography of territories. In ruts with deep snow cover, territorial males had smaller territories and higher number of mating opportunities than in ruts with lower snow cover. Smaller territories showed the highest values of terrain roughness, in turn with little or no snow cover in the mating season, and were visited by a greater number of females, than larger territories. Number of wins was positively influenced by snow depth and negatively related to the frequency of aggressions. The frequency of male–male aggressive interactions was greater during ruts with deep snow cover and for males with territories at higher elevations; additionally, it was negatively related to interactions won. Thus, snow depth, which influences resource distribution and female movements, is confirmed as a strong determinant of male mating opportunities and mating behaviour.
An automation solution to convert CAD engineering drawings into railroad station models
Authors: Wang Yuan , Li Xiaopeng , Zhang Yu 
Published: September 2023

AbstractCreating a high‐fidelity railroad station model to match the physical details of hundreds of tracks and switches is never a trivial task. The manual modeling approach often costs engineers significant efforts and constrains the generality and extensivity of many advanced methods. Taking advantage that many stations are drawn proportionally into two‐dimensional drawing exchange format (DXF) files via state‐of‐the‐art computer‐aided design (CAD) techniques, this paper proposed an efficient solution to convert DXF files into meaningful station models. The proposed solution consists of two phases (1) converting graphic basic primitives without explicit engineering interpretations into recognizable railroad symbols and (2) modeling undirected railroad station graphs with necessary configurations such as endpoints and routes. The proposed solution is developed into a graphic user interface application with minimal user interactions and subsequently tested at several real‐world passenger stations in Asia for its validity, productivity, and applicability.
Evaluation of the cost‐effectiveness of a multicomponent fall prevention program in hospitalized patients
Authors: Baris Veysel Karani , Seren Intepeler Seyda 
Published: September 2023

AbstractThe aim of this pre‐ and post‐interventional study was to analyze the cost‐effectiveness of the multicomponent fall prevention program in hospitalized patients. To achieve this aim, cost‐effectiveness analysis performed using decision tree modeling was compared with the implementation of the fall prevention program and usual care. The primary outcome was the number of patient falls. The uncertainty in cost and effectiveness data was evaluated using one‐way sensitivity analysis, best–worst‐case scenario analysis, and probabilistic sensitivity analysis. According to cost‐effectiveness analysis, implementation of the fall prevention program was dominantly cost‐effective. As a result of the probabilistic sensitivity analysis, it was revealed that, even if willing‐to‐pay per‐fall prevented value was 0, the probability of being cost‐effective was 54.4% for the fall prevention program. Economic evaluation results showed that implementing the multicomponent fall prevention program was dominantly cost‐effective in hospitalized patients. Nurses and nurse managers can benefit from economic evaluations in their decision‐making processes to implement fall prevention programs.
Differences in the feasibility, anatomical parameters predicting procedural difficulty, and isolation area of a left atrial posterior wall isolation using radiofrequency versus cryoballoon catheters
Authors: Sakai Satoshi , Takitsume Akihiro , Soeda Tsunenari , Kawata Hiroyuki , Nishida Taku , Watanabe Makoto 
Published: September 2023

AbstractBackgroundsThe difficulty and outcome of the adjunctive left atrial posterior wall isolation (LAPWI) in patients with persistent atrial fibrillation (PersAF) may be affected by the ablation energy used. This study aimed to compare the completion rate, anatomical parameters predicting procedural difficulty, and the isolation area of a LAPWI between the use of radiofrequency (RFA) and cryoballoon ablation (CBA).MethodsWe enrolled 95 and 93 patients with PersAF who underwent pulmonary vein isolation (PVI)+LAPWI using RFA (RF group) and CBA (CB group), respectively. Preoperative computed tomography was used to evaluate the anatomical features associated with an incomplete LAPWI. Post‐ablation 3‐dimensional maps were analyzed to quantify the isolation area.ResultsThe completion rate of the LAPWI was significantly higher in the RF group than the CB group without touch‐up RFA (88.4% vs. 72.0%; p = .005). Predictors of incomplete LAPWI were a longer left inferior pulmonary vein (LIPV)‐esophageal distance (p < .001) for RFA and a steeper angle of the LAPW (p < .001) and longer transverse LAPW diameter (p = .016) for CBA. The isolated non‐PV area with RFA or CBA alone was significantly greater in the CB group than the RF group (27.5 ± 9.5 cm2 vs. 22.9 ± 6.9 cm2; p < .001).ConclusionThe position of the esophagus at a distance from the LIPV was associated with an incomplete LAPWI using RFA, while a steeper angle of the LAPW and transverse enlargement of the LAPW were associated with that using CBA. The completion rate of the LAPWI was higher with RFA, but the isolation area outside of the PVs was greater with CBA.
Grief, Smell and the Olfactory Air of a Person
Authors: Millar Becky , Richardson Louise 
Published: September 2023

AbstractPhilosophical research into olfaction often focuses on its limitations. We explore instead an underappreciated capacity of the sense of smell, namely, its role in interpersonal experience. To illustrate this, we examine how smell can enable continuing connections to deceased loved ones. Understanding this phenomenon requires an appreciation of, first, how olfaction's limitations can facilitate experiences of the deceased person and, second, how olfaction enables experiences of what we refer to as the ‘olfactory air’ of a person. This way of experiencing someone privileges their status as an environmentally situated human animal.
Evaluation of domestic animal sperm head morphology via flow cytometric DNA labelling and pulse shape analysis using bull and stallion spermatozoa as model species
Authors: Nagy Szabolcs , Kovacs Barnabas , Johannisson Anders 
Published: September 2023

AbstractThe aim of the present study was to test a rapid, robust flow cytometric technique for the detection of sperm head abnormalities of domestic bulls and stallions. The so‐called PulSA approach detects the pulse profiles of propidium‐iodide labelled spermatozoa. In the first experiment, species‐specific threshold values were established on sperm samples that were tested for sperm head abnormalities with a classic visual morphology analysis. In the second experiment, serial mixtures of bull and stallion spermatozoa mimicking different percentages of sperm head abnormalities were analysed. Non‐metric multidimensional scaling showed a clear separation between the normal and mixed samples. The PulSA approach may be a useful tool in identifying sub‐ or infertile breeding males as well as in studying the evolutionary aspects of sperm morphology and morphometry.
How bad is it to eat an intelligent chicken? Children's judgments of eating animals are less ‘self‐serving’ than adults
Authors: Kozachenko Heather Henseler , Piazza Jared 
Published: September 2023

AbstractResearch shows that adult meat eaters strategically distort or disregard information about animals (e.g., their intelligence) that is problematic for meat consumption. However, the development of such behaviours is not well understood. Two studies tested whether primary‐school‐age children exhibit motivated use of information about food animals as adults do (N = 148 children, 410 adults). Using experimental methods that manipulated participants’ perceptions of the intelligence (high vs. low) of food animals versus non‐food animals (Study 1) and the perspective taken (self vs. other; Study 2), it was found that, compared to adult omnivores, children tend to hold stronger moral views about the wrongness of harming animals to use as food. Only adults exhibited motivated non‐use of intelligence information and self‐other distinctions in their moral‐concern judgments. Children's judgments of eating animals did not exhibit the strategic, self‐serving processes characteristic of adult meat eaters. Psychological explanations for these developmental differences are discussed.
Reclaiming other geographical traditions: The hidden roots of Italian radical geography
Authors: Celata Filippo , Governa Francesca 
Published: September 2023

AbstractThe article recalls the history of Geografia Democratica, a collective of scholars that during the second half of the 1970s sought to dismantle the old deterministic approach and promote a critical and radical turn in Italian academic geography. The aim is to contribute to the ongoing debate about ‘other geographical traditions’ beyond the Anglo‐American hegemony, to highlight the pluriversal roots of contemporary critical geographies and the influence that the transnational circulation of knowledge had in their unfolding, in light of recent quests for a more global geographical imagination. To do so, the article first engages with Geografia Democratica as a ‘rupture experience’ in the mainstream of Italian geography, and then discusses how it intersected or not similar turns that occurred elsewhere, focusing on the mostly implicit dialogue between Italian and Anglo‐American critical/radical geographies of the time. By following the controversial story of the collective during and after its short existence, we question its legacy for today's geographical scholarship, and reflect more generally upon the significance of reviving other critical and radical traditions. To highlight the plurality of our disciplinary past, we suggest, is crucial not only to fill the ‘asymmetric ignorance’ between various traditions, but also to nurture and reposition the present ‘worlding’ practices of non‐Anglophone critical geographers.
Amplification of Ovis aries papillomavirus type 2 DNA from an ovine cutaneous fibropapilloma
Authors: Munday John S. , Klobukowska Hanna J. , Nicholson Karen 
Published: September 2023

AbstractSeven of 60 Perendale sheep within a flock developed single or multiple exophytic masses on their distal hind limbs. A mass was excised from one sheep and histological evaluation revealed epidermal and mesenchymal proliferation, papillomavirus‐induced keratinocyte changes and marked keratohyalin clumping. Ovis aries papillomavirus type 2 DNA sequences were amplified using PCR.
Distribution of equine and food animal emergency caseload by time of day, day of week, time of year, holiday, and phase of moon at an academic ambulatory and referral hospital
Authors: Graves Meggan T. , Zhu Xiaojuan 
Published: September 2023

AbstractObjectiveDetermine the association of time of day, day of week, time of year, holiday, and phase of moon on academic ambulatory and hospital emergency caseload for equine and food animal species.DesignRetrospective study.SettingLarge animal teaching hospital emergency service.AnimalsEquine and food animals.InterventionsNone.Measurements and Main ResultsThe hospital database was searched for after‐hours on‐farm and in‐hospital emergencies seen from 2014 to 2020. Variables included date and time of admission, species (equine or food/fiber animal [FA]), and hospital service (field or in‐hospital). The association of the caseload with time of day, day of week, day of year (holiday, full moon, or new moon), and season of year was defined and examined. The majority of equine field‐based emergencies occurred on the weekend, in contrast to 44.8% of hospital cases. Most equine emergencies occurred between 4:00 p.m. and midnight on weekdays and between 8:00 a.m. and 4:00 p.m. on weekends for both field (89.1% and 46.9%) and hospital (82.8% and 48%) services. The same was true for FA cases on the farm (90% and 49.2%) and in the hospital (85% and 51.4%). More equine cases (67%) were seen in the field than FA. Winter had the fewest emergency cases for all species and locations, and spring had the most for FA. The majority of holiday equine emergencies were seen in the field (62.2%), but the majority of holiday FA emergencies were seen in the hospital (66.3%). Moon phase had no significance on caseload for all species and locations.ConclusionsSaturdays and Sundays were the busiest days for all species and services. Winter was the slowest time for emergencies for all species and services. Most emergencies were seen between 4:00 p.m. and midnight on weekdays and between 8:00 a.m. and 4:00 p.m. on Sundays and Saturdays.
Languaging as refusal
Authors: Aparna Kolar , Hamzah Saba 
Published: September 2023

How are we refusing to be the bridge in ‘diversity’ responses in academia? What processes open up when we refuse the word and the singular language of ‘borders’ circulating in border studies and gender studies in the Netherlands? Where are we refusing from? Who is the subject-object of refusal? What is the language of refusal? How to speak from our burning guts that refuse to refuse in a language that doesn’t speak to our daily lives and struggles? How are we refusing the violence of research processes promoting the individual ‘trophy’ academic/artist in academic and cultural institutions while holding one’s own and each other’s bodies and power asymmetries shaping our writing processes for healing? How does one listen to the silences in histories of slavery, war, patriarchy, colonial trauma, and gender violence passing through our bodies while writing? In this essay we reflect on these questions by interspersing pieces of texts, experiences, excerpts (from thesis/thesis-related events), visuals, and poetry, by entangling biographies, traumas and memories situated in our everyday contexts and processes of teaching, writing for healing and for a living. Languaging becomes a location where we speak from, inspired and yet in tension with Anzaldúa (Hamzah 2020). Languaging (Kramsch et al. 2015) is our practice of refusal to refuse in one dominant language. We language a call for a poetics of refusal. We intentionally make the fleeting process known to each other and open it up to the reader, in holding each other’s bodies as they are collapsing and healing. In doing so we invite the reader to struggle with us in the process of naming our struggles that emerge from refusing to refuse singularly in English, refusing to write by partitioning our guts and everyday battles with patriarchy, refusing the writing subject as fully knowing what one is refusing.
Experimental Research on Effects of Combustion Air Humidification on Energy and Environment Performance of a Gas Boiler
Authors: Zhang Qunli , Li Yanxin , Zhang Qiuyue , Jiao Yuqing , Shi Qiu , Lü Xiaoshu 
Published: September 2023

Abstract
To increase the waste heat recovery (WHR) efficiency of gas boiler and decrease NOx emissions, a flue gas total heat recovery (FGTHR) system integrating direct contact heat exchanger (DCHE) and combustion air humidification (CAH) is put forward. The experimental bench and technical and economic analysis models are set up to simulate and evaluate the WHR performance and NOx emissions in various operation situations. The results show that when the air humidity ratio elevates from 3 g/kgdry air to 60 g/kgdry air, the dew point temperature increases by 7.9 °C. When the flue gas temperature approaches the dew point temperature, the rate of improvement of the FGTHR system's total heat efficiency notably rises. With spray water (SW) flowrate and temperature of 0.075 kg/s and 45 °C, the WHR efficiency relatively increases by up to 8.4%. The maximum sensible and latent heat can be recovered by 4468 w and 3774 w, respectively. The flue gas temperature can be reduced to 46.55 °C, and the average NOx concentration is 39.6 mg/m3. Compared with the non-humidified condition, the NOx and CO2 emissions relative reduction of the FGTHR system are 61.2% and 8.7%. The payback period of FGTHR system is 2 years. Through simulation, it can be concluded that the decrease in exhaust flue gas temperature and velocity, as well as the increase in exhaust flue gas humidity, has a negative impact on the diffusion of NOx in the atmosphere.