bluuebunny/crossref_metadata_2025_split huggingface dataset:
Serious mental illness in healthcare and academia: A lived experience
Authors: Butler Ryan Melissia 
Published: July 2022

Accessible SummaryWhat is known on the subject?

There are individuals living with serious mental illness in both healthcare and academia.

The high stress nature of these fields can worsen or trigger mental illness, burnout, moral injury, and compassion fatigue in employees.

Mental health nurses have the needed skillset to foster change in these settings.

What this paper adds to existing knowledge?

This paper describes the holistic experiences of a nurse faculty member living with serious mental illness and highlights lessons learned in both healthcare and academic settings.

In addition to insights from the experience, the paper also shares suggestions for moving forward, reducing burnout, and supporting employees in these fields.

What are the implications for practice?

This lived experience narrative showcases the effect that high‐pressure occupations have on individuals with serious mental illness.

Mental health nurses have the training and experience to transform the experiences of employees in healthcare and academia.

Through assessment, deep listening, and powerful questioning, these nurses in partnership with the employees themselves can design and implement interventions that have a lasting impact for these populations.

AbstractIntroductionFirst‐hand accounts from clients living with mental health challenges deepen provider understanding and offer direct insight into the lives of those with chronic mental illness. There is a gap in the literature surrounding the lived experience of serious mental illness in the professional setting.AimThis narrative outlines the challenges and opportunities for those living with serious mental illness in healthcare and academia.MethodsThe author reviewed personal journals and reflected upon her years as both a nurse and faculty member to highlight the experience of living with serious mental illness in these professions.FindingsThese high‐pressure fields place inordinate demands on faculty and staff; yet, there are few organizational supports in place for employees. Despite the push to improve resiliency and ease burnout, healthcare organizations and academic institutions still struggle to identify the best interventions and methods of support for staff.DiscussionMental health nurses and nurse coaches are uniquely positioned to ease this burden and help create inclusive workplaces for those with serious mental illness.
Systemic reliability of bridge networks with mobile sensing‐based model updating for postevent transportation decisions
Authors: Ozer Ekin , Malekloo Arman , Ramadan Wasim , Tran Thanh T. X. , Di Xuan 
Published: July 2022

AbstractThis paper proposes the upscaling of conventional individual bridge health monitoring problems into urban regions and transportation networks via mobile and smart sensing techniques together with an innovative reconnaissance procedure. The paper associates structural failure probabilities with systemic features and proposes decision criteria to optimize postdisaster actions. Twenty bridges constituting transportation network infrastructure compose the testbed region and utilize smartphone accelerometers for dynamics characterization in a vibration‐based framework. In this framework, reconnaissance output serves for model development, and mobile sensor data enable finite element model updating. Structural reliability analyses merged in a chain setting generate the systemic behavior of cascaded bridge performance. Combining systemic reliability with transportation and health services demand, one can optimize the response strategies of the bridge population and strategize disaster‐related decisions in a postevent assessment setting. Based on a testbed region with remote access to nearby vicinities, 18 earthquake scenarios are conducted to visualize the optimal evacuation strategies on the network, taking systemic bridge performance into consideration. Cost‐free mobile sensing support adds one more fundamental information source for reducing the uncertainty of the models and, therefore, improves associated mitigation actions.
Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia
Authors: Keil Oliver , Brunsmann Katja , Boethig Dietmar , Dennhardt Nils , Eismann Hendrik , Girke Stefan , Horke Alexander , Nickel Katja , Rigterink Vanessa , Sümpelmann Robert , Beck Christiane E. 
Published: July 2022

AbstractBackgroundIn our institution, a modified WHO surgical safety checklist was implemented more than ten years ago. In retrospect, we noticed that pediatric anesthesia was underrepresented in our surgical safety checklist modification. Therefore, we added a standardized team briefing (pedSOAP‐M) immediately before induction of anesthesia and hypothesized that the use of this checklist was effective to detect relevant errors with potentially harmful consequences.AimsThe primary aim was to assess the incidence and characteristics of the detected errors, and the secondary aim was to identify factors influencing error detection.MethodsThis prospective observational study was performed between November 2020 and October 2021 in five operation rooms at the Children's Hospital of Hannover Medical School, Germany. The subcategories of the pedSOAP‐M checklist were suction, oxygen, airway, pharmaceuticals, and monitoring. Demographic and procedure‐related data and the briefing results were documented anonymously and undated, using a standardized case report form.ResultsWe enrolled 1030 and analyzed 1025 patients (aged 0–18 years). Relevant errors were detected in 111 (10.8%) cases (suction 2.5%, oxygen 3.0%, airway 0.2%, pharmaceuticals 2.4%, monitoring 3.0%). In the pharmaceuticals subcategory, the most common error was entering a wrong patient weight into the perfusor syringe pumps. Experienced anesthetists detected significantly more errors than less experienced ones.ConclusionThe briefing tool pedSOAP‐M was effective in detecting relevant errors with potentially harmful consequences. The presence of an experienced anesthetist was associated with a higher efficacy of the briefing. Particular attention should be given to entering patient weight into the anesthesia workstation and the perfusor syringe pumps.
Landscape of mutations in early stage primary cutaneous melanoma: An InterMEL study
Authors: Luo Li , Shen Ronglai , Arora Arshi , Orlow Irene , Busam Klaus J. , Lezcano Cecilia , Lee Tim K. , Hernando Eva , Gorlov Ivan , Amos Christopher , Ernstoff Marc S. , Seshan Venkatraman E. , Cust Anne E. , Wilmott James , Scolyer Richard A. , Mann Graham , Nagore Eduardo , Funchain Pauline , Ko Jennifer , Ngo Peter , Edmiston Sharon N. , Conway Kathleen , Googe Paul B. , Ollila David , Lee Jeffrey E. , Fang Shenying , Rees Judy R. , Thompson Cheryl L. , Gerstenblith Meg , Bosenberg Marcus , Gould Rothberg Bonnie , Osman Iman , Saenger Yvonne , Reynolds Adam Z. , Schwartz Matthew , Boyce Tawny , Holmen Sheri , Brunsgaard Elise , Bogner Paul , Kuan Pei Fen , Wiggins Charles , Thomas Nancy E. , Begg Colin B. , Berwick Marianne ,   InterMEL
Published: July 2022

AbstractIt is unclear why some melanomas aggressively metastasize while others remain indolent. Available studies employing multi‐omic profiling of melanomas are based on large primary or metastatic tumors. We examine the genomic landscape of early‐stage melanomas diagnosed prior to the modern era of immunological treatments. Untreated cases with Stage II/III cutaneous melanoma were identified from institutions throughout the United States, Australia and Spain. FFPE tumor sections were profiled for mutation, methylation and microRNAs. Preliminary results from mutation profiling and clinical pathologic correlates show the distribution of four driver mutation sub‐types: 31% BRAF; 18% NRAS; 21% NF1; 26% Triple Wild Type. BRAF mutant tumors had younger age at diagnosis, more associated nevi, more tumor infiltrating lymphocytes, and fewer thick tumors although at generally more advanced stage. NF1 mutant tumors were frequent on the head/neck in older patients with severe solar elastosis, thicker tumors but in earlier stages. Triple Wild Type tumors were predominantly male, frequently on the leg, with more perineural invasion. Mutations in TERT, TP53, CDKN2A and ARID2 were observed often, with TP53 mutations occurring particularly frequently in the NF1 sub‐type. The InterMEL study will provide the most extensive multi‐omic profiling of early‐stage melanoma to date. Initial results demonstrate a nuanced understanding of the mutational and clinicopathological landscape of these early‐stage tumors.
How to choose normative concepts
Authors: Lau Ting Cho 
Published: July 2022

AbstractMatti Eklund (2017) has argued that ardent realists face a serious dilemma. Ardent realists believe that there is a mind‐independent fact as to which normative concepts we are to use. Eklund claims that the ardent realist cannot explain why this is so without plumping in favor of their own normative concepts or changing the topic. The paper first advances the discussion by clarifying two ways of understanding the question of which normative concepts to choose: a theoretical question about which concepts have the abstract property of being normatively privileged and a further practical question of which concepts we are to choose even granting some concepts are thus privileged. I argue that the ardent realist's best bet for answering the theoretical question while avoiding Eklund's dilemma is to provide a real definition of this property. I point out the difficulties for providing such a definition. I then argue that even with an answer to the theoretical question, the ardent realist faces a further dilemma in answering the practical question. In sum, though I see no knock‐down argument against ardent realism, it may nonetheless die a death by a thousand cuts. I close by considering a deeper reason for why ardent realism is so difficult to defend: every argument starts somewhere. It is unclear how there can be an Archimedean point that makes no reference to any normative concepts that can nonetheless be employed to convince everyone to adopt ours. I then briefly propose two options for someone still inclined towards realism: either (i) accept that our normative concepts are normatively privileged without attempting to explain why this is so, or (ii) be less ardent and accept a perspective‐dependent account of normativity.
Lived experiences of being cared for by ambulance clinicians when experiencing breathlessness—A phenomenological study
Authors: Kauppi Wivica , Axelsson Christer , Herlitz Johan , Jiménez‐Herrera Maria , Palmér Lina 
Published: July 2022

AbstractBackgroundBreathlessness is a serious and distressing symptom and a common reason why patients require prehospital care by ambulance clinicians. However, little is known about how patients experience this care when they are in a state of breathlessness.AimThe aim of this study is to describe the lived experiences of being cared for by ambulance clinicians when experiencing breathlessness.MethodsFourteen lifeworld interviews were conducted with patients who experienced breathlessness and were cared for by ambulance clinicians. The interviews were analysed using a qualitative phenomenological approach.FindingsThe essential meaning of being cared for by ambulance clinicians when experiencing breathlessness is described in two ways: existential humanising care, in which the experience is that of being embraced by a genuine presence or existential dehumanising care, in which feeling exposed to an objectifying presence is the main experience. This meaning has four constituents: surrendering to and trusting in the care that will come; being exposed to an objectifying presence is violating; being embraced by a genuine presence is relieving; and knowing is dwelling.ConclusionThe findings reveal that the ability of ambulance clinicians to provide existential humanising and trustful care, which is the foundation of professional judgement, was essential in how patients responded to and handled the overall situation when breathlessness.
Zaxinone synthase controls arbuscular mycorrhizal colonization level in rice
Authors: Votta Cristina , Fiorilli Valentina , Haider Imran , Wang Jian You , Balestrini Raffaella , Petřík Ivan , Tarkowská Danuše , Novák Ondřej , Serikbayeva Akmaral , Bonfante Paola , Al‐Babili Salim , Lanfranco Luisa 
Published: July 2022

SUMMARYThe Oryza sativa (rice) carotenoid cleavage dioxygenase OsZAS was described to produce zaxinone, a plant growth‐promoting apocarotenoid. A zas mutant line showed reduced arbuscular mycorrhizal (AM) colonization, but the mechanisms underlying this behavior are unknown. Here, we investigated how OsZAS and exogenous zaxinone treatment regulate mycorrhization. Micromolar exogenous supply of zaxinone rescued root growth but not the mycorrhizal defects of the zas mutant, and even reduced mycorrhization in wild‐type and zas genotypes. The zas line did not display the increase in the level of strigolactones (SLs) that was observed in wild‐type plants at 7 days post‐inoculation with AM fungus. Moreover, exogenous treatment with the synthetic SL analog GR24 rescued the zas mutant mycorrhizal phenotype, indicating that the lower AM colonization rate of zas is caused by a deficiency in SLs at the early stages of the interaction, and indicating that during this phase OsZAS activity is required to induce SL production, possibly mediated by the Dwarf14‐Like (D14L) signaling pathway. OsZAS is expressed in arbuscule‐containing cells, and OsPT11prom::OsZAS transgenic lines, where OsZAS expression is driven by the OsPT11 promoter active in arbusculated cells, exhibit increased mycorrhization compared with the wild type. Overall, our results show that the genetic manipulation of OsZAS activity in planta leads to a different effect on AM symbiosis from that of exogenous zaxinone treatment, and demonstrate that OsZAS influences the extent of AM colonization, acting as a component of a regulatory network that involves SLs.
Análisis de la información sobre el proceso de reforma al sistema de salud colombiano publicada en prensa escrita, Colombia 2012-2013
Authors:   , Corredor Hernández Julián Andrés , Jiménez Pinilla Camilo Andrés 
Published: July 2022

Luego de veinte años de haberse aprobado la Ley 100 de 1993, el sistema de salud colombiano presenta una de sus mayores crisis, los ciudadanos no tienen garantía plena de sus derechos y se empieza en el año 2012 un proceso de reforma en donde participan no solo el Gobierno Nacional sino los diferentes actores involucrados en el sistema de salud. Este proceso de reforma y el debate generado entre los diferentes actores a favor y en contra, se registró en los medios de comunicación dando la posibilidad de hacer un seguimiento al proceso de reforma mediante lo publicado por los medios de comunicación. En el presenta trabajo de grado se hace un análisis de contenido de las piezas informativas publicadas en dos medios de comunicación, "El Tiempo" y "El Espectador" en un periodo comprendido entre octubre de 2012 y octubre de 2013, con el fin de analizar las características de la información noticiosa publicada, en relación con el proceso de reforma al sistema de salud.
Los acuerdos de costos compartidos : una aproximación al análisis económico de su regulación y posibles efectos sobre el impuesto a la renta para las empresas en Colombia
Authors:   , Aguirre Castaño Lina María , Zabala Latorre Nestor Guillermo 
Published: July 2022

La presente tesis tiene como objetivo principal realizar una revisión conceptual sobre la política tributaria colombiana en materia de impuesto para las empresas entre los años 2002-2014 de cara al análisis económico de la regulación existente dpara los acuerdos de costos compartidos (en adelante "ACC") a fin de proponer lineamientos para su aplicación en Colombia, conforme con los objetivos que persigue la política tributaria en Colombiay las recomendaciones de la organización para el desarrollo y cooperación económica en materia de ACC.
La paradoja de la abundancia : regalías en Colombia
Authors:   , Carreño Laverde Laura Marcela 
Published: July 2022

Muchos estudios han demostrado que países con abundancia de recursos naturales crecen más lentamente con respecto a los países que tienen escasez de recursos, si la diferencia entre un grupo y otro no está determinada por la escasez de recursos, surge la pregunta de si es calidad de las instituciones la que determina la eficiencia en el uso de los recursos. El presente trabajo busca evaluar si este fenómeno, identificado entre naciones como "la maldición de los recursos" se replica a nivel departamental en Colombia y si diferencias entre las instituciones, pudieran afectar el impacto de las regalías sobre el desarrollo económico.
El proyecto de vida en la redignificación y reintegración social de los niños, niñas y adolescentes (NNA), víctimas de reclutamiento forzado
Authors:   , Portela Calderon Angela María 
Published: July 2022

En el marco del conflicto armado colombiano se ha presentado una serie de vulneraciones a los Derechos Humanos (DDHH) y al Derecho Internacional Humanitario (DIH), cuyas víctimas en gran proporción han sido los niños, niñas y adolescentes (NNA) por graves hechos como desplazamiento, abuso sexual y reclutamiento forzado, entre otros. Teniendo en cuenta que el Estado colombiano reconoce a los NNA como sujetos de especial protección se han diseñado e implementado a lo largo de los últimos 20 años políticas y programas encaminados a su atención, restablecimiento de derechos y reparación integral, sin embargo, pese a lo anterior este fenómeno continúa. Adicionalmente, los programas de atención en sus análisis y evaluaciones reportan estadísticas en relación con el número de beneficiarios más no se conoce su percepción frente a la contribución de dichos programas en la reestructuración o estructuración de su proyecto de vida como expresión de la dignidad humana. De este modo, la presente investigación busca conocer, desde la percepción de aquellos que siendo NNA han sido víctimas de reclutamiento forzado, las posibilidades de reconstrucción de sus "proyectos de vida" en el proceso de reintegración social.
Análisis de la fundación de la ciudadania juvenil en el marco de la experiencia del espacio coordinador de iniciativas por una plataforma nacional de juventud en Colombia
Authors:   , Ayala Camelo Monica 
Published: July 2022

Este trabajo de tesis de Maestría pretende realizar un ejercicio de análisis que responda por la fundación de la Ciudadanía juvenil desde la experiencia colombiana, contestando a la pregunta por ¿Cómo se funda la ciudadanía juvenil en el marco de la Ley Estatutaria de Juventud por parte de los miembros del "Espacio Coordinador de Iniciativas por una Plataforma Nacional de Juventud"?
Efecto del consumo de aceite de hibrido de palma y aceite de oliva extra-virgen sobre los factores de riesgo tradicionales y emergentes de la enfermedad cardiovascular
Authors:   , Ojeda Arredondo Miriam Lucia 
Published: July 2022

El aceite de híbrido de palma proviene del cruzamiento entre la palma americana (Elaeis oleífera) y africana (Elaeis guineensis). Se ha encontrado que el aceite de híbrido de palma (Elaeis oleífera x Elaeis guineensis), posee un alto contenido de antioxidantes y compuestos cardioprotectores tales como, beta-caroteno, tocoferoles y tocotrienoles. Sin embargo, hasta la fecha, no existen estudios que documenten los efectos del consumo del aceite de híbrido de palma en la salud en humanos. Por esta razón, el objetivo del estudio fue determinar, en personas mayores de 50 años, después de consumir 25 ml/día, durante tres meses aceite de híbrido de palma (grupo experimental) y aceite de oliva extra-virgen (grupo control), el efecto sobre el perfil lipídico (método colorimétrico), la capacidad antioxidante del plasma (métodos: Reactivo Folin Ciocalteu, RFC para compuestos fenólicos, capacidad de absorción de radicales de oxígeno, ORAC y capacidad antioxidante equivalente Trolox, TEAC) y los cambios en los ácidos grasos, fosfolípidos e índice omega3 en la membrana de los eritrocitos, y compararlos resultados de ambos grupos. Después de consumo de los aceites, los sujetos de ambos grupos, mostraron disminución significativa del colesterol total y lipoproteínas de baja densidad plasmáticos y aumento del contenido fenólico y capacidad antioxidante. Los ácidos grasos saturados y el índice omega3 disminuyeron en la membrana de los eritrocitos. Ambos aceites mostraron resultados similares, lo que sugiere que el aceite de híbrido de palma podría ser considerado como el "equivalente tropical" del aceite de oliva extra-virgen y aportar similares beneficios en la salud cardiovascular.
Composición de los aceites esenciales de las hojas de conyza bonariensis, gnaphalium pellitum y achyrocline satureioides, por cg-em y evaluación de la actividad antibacteriana y antioxidante
Authors:   , Andrade Barreiro William Alejandro 
Published: July 2022

Las especies herbáceas Gnaphalium pellitum, Achyrocline satureioides y Conyza bonaríensis. abundantes en américa, que crece en los montes circunvecinos de la sabana de Bogotá y propia de la vegetación de subpáramo, se les ha referenciado con el nombre común de vira vira, que agrupan diversas especies de los géneros Gnaphalium y Achyrocline. todas presentes en el altiplano cundiboyacense. primeras plantas nativas de la sabana de Bogotá con propiedades medicinales descritas por los cronistas. Zamora (1635) la describe como "yerba calidísima, se halla en los páramos más helados y la virtud que tiene para expeler en sudores los achaques fríos, es muy experimentada". Según Hernández (1992). el sabio Mutis la prescribía y en la exposición de Lima, en 1878, fue referida como gran planta medicinal peruana, de igual modo, Farga y Lastra (1988) afirman que el término vira-vira procede del quechua (huirá huirá) y era planta empleada por los Indígenas mapuche, aymara y quechua. Durante el siglo pasado gozó de gran popularidad como depurativo de la sangre y en medicina popular se emplea como pectoral. Portilla (1951) reporta su uso como expectorante, sudorífico, febrífugo y vulneraria. García Barriga (1992) anota diferentes especies de Gnaphalium y Achyrocline con el nombre de vira-vira, eficaces para problemas de prostatitls, cáncer, Inflamaciones y problemas dermatológicos. En la Universidad Javeriana se han realizado diferentes Investigaciones lideradas por el Dr. Rubén Dario Torrenegra. por sus resultados se les ha considerado a estas especies como promisorias, lo cual incentiva a realizar estudios más profundos y poder comparar sus actividades.
Gain-Scheduled Steering and Braking Coordinated Control in Path Tracking of Intelligent Heavy Vehicles
Authors: Dong Qing , Ji Xuewu , Liu Yulong , Liu Yahui 
Published: July 2022

Abstract
In the context of intelligent transportation system and advanced vehicle control system, higher requirements for intelligent control and coordinated control of heavy vehicles (HVs) have been proposed. Automatic path tracking control is essential for automatic driving of heavy vehicles. However, uncertain lateral disturbances and time-varying characteristics of system parameters make it difficult to guarantee roll stability and path tracking accuracy during automatic path tracking. This paper investigates the coordination of active front steering (AFS) and direct yaw moment control (DYC) in the automatic path tracking system for intelligent heavy vehicles. The main idea is to adjust the braking action according to the rollover risk evaluated by a specific rollover index (RI). The coordination of steering and braking systems and the robustness of the system against time-varying parameters are achieved by a gain-scheduled linear parameter varying (LPV) controller. Based on the linear matrix inequality (LMI) framework, the LPV controller is synthesized to ensure the robust H∞ performance against external disturbances. Simulation results show that the proposed gain-scheduled LPV/H∞ control strategy can enhance roll stability and path tracking accuracy in the path tracking process of intelligent heavy vehicles.