bluuebunny/crossref_metadata_2025_split huggingface dataset:
Crafting an Interesting Job: Stimulating an Active Role of Older Workers in Enhancing Their Daily Work Engagement and Job Performance
Authors: Kooij Dorien T A M , Nijssen Helen , Bal P Matthijs , van der Kruijssen Daphne T F 
Published: January 2020

AbstractSince workforces are aging rapidly worldwide, older workers need to work longer. Therefore, this study investigated active ways through which older workers shape their job to age successfully at work. We build on the lifespan psychology literature and the activation hypothesis to argue that activating workdays, characterized by high work pressure and high autonomy, stimulate older workers to engage in job crafting behaviors aimed at making their jobs more interesting (i.e., interests crafting) rather than in job crafting behaviors aimed at lowering their work pressure (i.e., work pressure crafting). Interests crafting in turn enhances the work engagement and job performance of older workers. We conducted a daily diary study among 128 older workers and found that activating workdays were indeed positively associated with daily interests crafting, and that daily interests crafting was positively related to daily work engagement and daily job performance. In contrast, we found that although daily work pressure was positively associated with daily work pressure crafting, an activating workday was not, and engaging in work pressure crafting was negatively associated with daily work engagement and job performance. These results demonstrate that older workers can be stimulated daily to engage in effective job crafting behaviors to make sure that they are motivated and productive members of the workforce.
Women and Infants in the Deep South Receiving Perinatal and Neonatal Palliative and Supportive Care Services
Authors: Davis Sara L. , Harmon C. Miles , Baker Urquhart Brady , Moore Bridget , Sprague Rene 
Published: January 2020

Background:
While women in the Deep South area of the United States have higher rates of maternal and infant mortality, palliative and supportive care programs are lacking. Additionally, few studies have detailed referral triggers that are specific to the mother, infant, or pregnancy for inclusion in perinatal and neonatal palliative and supportive care programs.

Purpose:
The purpose of this retrospective, descriptive study was to examine the sociodemographic factors and referral triggers for perinatal-neonatal palliative and supportive care services for women enrolled in a newly developed perinatal-neonatal palliative and supportive care program.

Methods:
Data were collected from medical records of 135 women enrolled in the program. Triggers for referral to the program were classified as fetal, maternal, or prenatal complications.

Results:
A diverse sample of women were enrolled in the program. Most infants survived to birth and discharge from the hospital. Two-thirds of referrals were related to infant complications and 34% were for multiple complications (fetal, maternal, and/or prenatal). Triggers for referral to the program were not related to sociodemographic characteristics of women.

Implications for Practice:
A comprehensive list of triggers that include maternal and prenatal complications, in addition to infant complications, may ensure at-risk women and infants, are enrolled in perinatal-neonatal palliative and supportive care programs early in pregnancy, regardless of sociodemographic factors.

Implications for Research:
Prospective research on the effectiveness of perinatal-neonatal palliative and supportive care programs in diverse populations of women is needed. This includes the examination of family health outcomes and provider perspectives.
Fetal Movement Counting and Perinatal Mortality
Authors: Bellussi Federica , Po' Gaia , Livi Alessandra , Saccone Gabriele , De Vivo Valentino , Oliver Emily A. , Berghella Vincenzo 
Published: January 2020

OBJECTIVE:
To assess the association of fetal movement counting with perinatal mortality.

DATA SOURCES:
Electronic databases (ie, MEDLINE, ClinicalTrials.gov, ScienceDirect, the Cochrane Library at the CENTRAL Register of Controlled Trials) were searched from inception until May 2019. Search terms used were: “fetal movement,” “fetal movement counting,” “fetal kick counting,” “stillbirth,” “fetal demise,” “fetal mortality,” and “perinatal death.”

METHODS OF STUDY SELECTION:
We included all randomized controlled trials comparing perinatal mortality in those women randomized to receive instructions for fetal movement counting compared with a control group of women without such instruction.

TABULATION, INTEGRATION AND RESULTS:
The primary outcome was perinatal mortality. Five of 1,290 identified articles were included, with 468,601 fetuses. Definitions of decreased fetal movement varied. In four of five studies, women in the intervention group were asked to contact their health care providers if they perceived decreased fetal movement; the fifth study did not provide details. Reported reduction in fetal movement usually resulted in electronic fetal monitoring and ultrasound assessment of fetal well-being. There was no difference in the incidence of perinatal outcome between groups. The incidence of perinatal death was 0.54% (1,252/229,943) in the fetal movement counting group and 0.59% (944/159,755) in the control group (relative risk [RR] 0.92, 95% CI 0.85–1.00). There were no statistical differences for other perinatal outcomes as stillbirths, neonatal deaths, birth weight less than 10th percentile, reported decreased fetal movement, 5-minute Apgar score less than 7, neonatal intensive care unit admission or perinatal morbidity. There were weak but significant increases in preterm delivery (7.6% vs 7.1%; RR 1.07, 95% CI 1.05–1.10), induction of labor (36.6% vs 31.6%; RR 1.15, 95% CI 1.09–1.22), and cesarean delivery (28.2% vs 25.3%; RR 1.11, 95% CI 1.10–1.12).

CONCLUSION:
Instructing pregnant women on fetal movement counting compared with no instruction is not associated with a clear improvement in pregnancy outcomes. There are weak associations with some secondary outcomes such as preterm delivery, induction of labor, and cesarean delivery.

SYSTEMATIC REVIEW REGISTRATION:
PROSPERO, CRD42019123264.
Diffuse Large B-Cell Lymphoma During Third-Trimester Pregnancy and Lactation
Authors: Hersey Alicia E. , Giglio Patricia , Kurt Habibe , Tarabulsi Gofran , Chen Kenneth K. 
Published: January 2020

BACKGROUND:
Diffuse large B-cell lymphoma is the most common type of non-Hodgkin's lymphoma affecting pregnancy. These tumors may be aggressive and rapidly growing in pregnancy. Management is based on the balance of risks and benefits to both the pregnant patient and the fetus.

CASE:
We present a case of diffuse large B-cell lymphoma diagnosed in the third trimester of pregnancy. The patient underwent labor induction at 34 weeks of gestation, started a standard chemotherapy protocol postpartum, and breastfed following a timed lactation protocol.

CONCLUSION:
Management of lymphoma during pregnancy highlights the need to consider all aspects of proposed oncologic and obstetric care as well as neonatal risks. Considerations highlighted in this case include staging methods, administration of antenatal steroids, timing of delivery, and lactation during chemotherapy.
Patient Decision Aids to Facilitate Shared Decision Making in Obstetrics and Gynecology
Authors: Poprzeczny Amanda J. , Stocking Katie , Showell Marian , Duffy James M. N. 
Published: January 2020

OBJECTIVE:To assess the effectiveness of patient decision aids to facilitate shared decision making in obstetrics and gynecology.DATA SOURCES:We searched ClinicalTrials.gov, MEDLINE, CENTRAL, Cochrane Gynaecology and Fertility specialized register, CINAHL, and EMBASE from 1946 to July 2019.METHODS OF STUDY SELECTION:We selected randomized controlled trials comparing patient decision aids with usual clinical practice or a control intervention.TABULATION, INTEGRATION, AND RESULTS:Thirty-five randomized controlled trials, which reported data from 9,790 women, were included. Patient decision aids were evaluated within a wide range of clinical scenarios relevant to obstetrics and gynecology, including contraception, vaginal birth after cesarean delivery, and pelvic organ prolapse. Study characteristics and quality were recorded for each study. The meta-analysis was based on random-effects methods for pooled data. A standardized mean difference of 0.2 is considered small, 0.5 moderate, and 0.8 large. When compared with usual clinical practice, the use of patient decision aids reduced decisional conflict (standardized mean difference −0.23; 95% CI −0.36, to −0.11; 19 trials; 4,624 women) and improved patient knowledge (standardized mean difference 0.58; 95% CI 0.44 to 0.71; 17 trials; 4,375 women). There was no difference in patient anxiety (standardized mean difference −0.04; 95% CI −0.14 to 0.06; 12 trials; 2,714 women) or satisfaction (standardized mean difference 0.17; 95% CI 0.09 to 0.24; 6 trials; 2,718 women).CONCLUSION:Patient decision aids are effective in facilitating shared decision making and can be helpful in clinical practice to support patient centered care informed by the best evidence.SYSTEMATIC REVIEW REGISTRATION:PROSPERO International Register of Systematic Reviews, www.crd.york.ac.uk/prospero/89953, CRD42018089953.
Race and Ethnicity, Medical Insurance, and Within-Hospital Severe Maternal Morbidity Disparities
Authors: Howell Elizabeth A. , Egorova Natalia N. , Janevic Teresa , Brodman Michael , Balbierz Amy , Zeitlin Jennifer , Hebert Paul L. 
Published: January 2020

OBJECTIVE:
To examine within-hospital racial and ethnic disparities in severe maternal morbidity rates and determine whether they are associated with differences in types of medical insurance.

METHODS:
We conducted a population-based, cross-sectional study using linked 2010–2014 New York City discharge and birth certificate data sets (N=591,455 deliveries) to examine within-hospital black–white, Latina–white, and Medicaid–commercially insured differences in severe maternal morbidity. We used logistic regression to produce risk-adjusted rates of severe maternal morbidity for patients with commercial and Medicaid insurance and for black, Latina, and white patients within each hospital. We compared these within-hospital adjusted rates using paired t-tests and conditional logit models.

RESULTS:
Severe maternal morbidity was higher among black and Latina women than white women (4.2% and 2.9% vs 1.5%, respectively, P<.001) and among women insured by Medicaid than those commercially insured (2.8% vs 2.0%, P<.001). Women insured by Medicaid compared with those with commercial insurance had similar risk for severe maternal morbidity within the same hospital (P=.54). In contrast, black women compared with white women had significantly higher risk for severe maternal morbidity within the same hospital (P<.001), as did Latina women (P<.001). Conditional logit analyses confirmed these findings, with black and Latina women compared with white women having higher risk for severe maternal morbidity (adjusted odds ratio [aOR] 1.52; 95% CI 1.46–1.62 and aOR 1.44; 95% CI 1.36–1.53, respectively) and women insured by Medicaid compared with those commercially insured having similar risk.

CONCLUSION:
Within hospitals in New York City, black and Latina women are at higher risk of severe maternal morbidity than white women; this is not associated with differences in types of insurance.
Steroid-Associated Acute Clinical Worsening and Poor Outcome in Patients With Spinal Dural Arteriovenous Fistulas
Authors: Ma Yongjie , Hong Tao , Chen Sichang , Peng Chao , Wang Chunxiu , Yang Kun , Yu Jiaxing , Ren Jian , Bian Lisong , Liu Jiang , Wang Zhichao , Krings Timo , Ling Feng , Zhang Hongqi 
Published: January 2020

Study Design.
A prospective cohort study.

Objective.
We conducted a prospective cohort study to identify the association between steroids and clinical worsening and compare outcomes between patients with and without preoperative steroid administration.

Summary of Background Data.
Patients with spinal dural arteriovenous fistulas (SDAVFs) often were misdiagnosed and treated with steroids which led to acute worsening.

Methods.
Patients with angiographically confirmed SDAVFs were recruited consecutively between March 2013 and December 2014 in two referral centers. We reviewed the history of all the patients to identify those patients who were treated with steroids before exclusion of the fistulas. Modified Aminoff & Logue scale (mALS) was used to evaluate the spinal cord function at different time points: before and after steroid administration, before operation, and at 1-year follow-up. Paired t tests were used to assess the mALS of patients with steroid administration at different time points. Unpaired t tests and Pearson chi-square test were used to assess differences between patients with and without steroid administration.

Results.
Eighteen patients with (18.2%) and 81 patients without (81.8%) steroid administration were included in this study. At baseline, there were no difference between both patient groups, in regards to age, sex, duration, location of fistula, treatment, and preoperative mALS. Patients without steroid administration, however, had statistically significant better outcome according to their mALS at 1-year follow-up (P < 0.05).

Conclusion.
Steroid administration can induce acute clinical worsening in patients with SDAVFs that may persist despite successful obliteration of the fistula and should thus be avoided.

Level of Evidence: 3
Spinal Stenosis Grading in Magnetic Resonance Imaging Using Deep Convolutional Neural Networks
Authors: Won Dongkyu , Lee Hyun-Joo , Lee Suk-Joong , Park Sang Hyun 
Published: January 2020

Study Design.
Retrospective magnetic resonance imaging grading with comparison between experts and deep convolutional neural networks (CNNs).

Objective.
This study aims to verify the feasibility of a computer-assisted spine stenosis grading system by comparing the diagnostic agreement between two experts and the agreement between the experts and trained artificial CNN classifiers.

Summary of Background Data.
Spinal stenosis grading is important; however, it is tedious job to check the MR images slide by slide to classify patient grades often having different opinions regarding the final diagnosis.

Methods.
For 542 L4-5 axial MR images, two experts independently localized the center position of the spine canal and graded the status. Two CNN classifiers each trained with the grading label made by the two experts were validated using 10-fold cross-validation. Each classifier consisted of a CNN detection model responsible for the localization of patches near the canal and a classification CNN model to predict the spinal stenosis status in the localized patches. Faster R-CNN was used for the detection model whereas VGG network was used for the classification model. A comparison in grading agreement was carried out between the two experts as well as that of the experts and the prediction results generated by the CNN models.

Results.
Grading agreement between the experts was 77.5% and 75% in terms of accuracy and F1 scores. The agreement between the first expert and the model trained with the labels of the first expert was 83% and 75.4%, respectively. The agreement between the second expert and the model trained with the labels of the second expert was 77.9% and 74.9%. The differences between the two experts were significant, whereas the differences between each expert and the trained models were not significant.

Conclusion.
We indeed confirmed that automatic diagnosis using deep learning may be feasible for spinal stenosis grading.

Level of Evidence: 4
Characterization of Sagittal Spine Alignment With Reference to the Gravity Line and Vertebral Slopes
Authors: Hey Hwee Weng Dennis , Tan Kimberly-Anne , Thadani Vishaal Nanik , Liu Gabriel Ka-Po , Wong Hee-Kit 
Published: January 2020

Mini
Spinal sagittal realignment necessitates a reference posture, and thus far this has only been defined for an “averaged” curve via horizontal offsets from the gravity line (GL). This prospective study of 169 healthy subjects demonstrates normative sagittal spatial orientation of each vertebra, for all Roussouly curve types, using vertebral slopes and horizontal offsets from the GL.

Study Design.
Prospective study.

Objective.
To map the healthy standing alignment of the adult spine, grouped according to Roussouly curve types, using both horizontal offset distance from the gravity line (GL), as well as vertebral slope measurements.

Summary of Background Data.
Spinal sagittal realignment requires a reference posture, and this has been defined in the literature via horizontal offsets from the GL. While useful, this does not provide information on the orientation of each vertebral segment, or distinguish between the various physiological curve types.

Methods.
A total of 169 consecutive young adult subjects with healthy spines were recruited over a year. (EOS Imaging, Paris, France) whole body radiographs were performed. Radiographic measurements collected included sagittal vertical axis (SVA), T1-slope, global cervical angle (GCA), global thoracic angle (GTA), global lumbar angle (GLA), pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), apical and inflection vertebrae. Outcome measures comprised slope measurements, and distance offsets relative to the GL for individual vertebrae from T3 to S1.

Results.
GLA, PI, PT, SS, apex of lordosis, and inflection vertebra were significantly different across groups, while SVA, T1-slope, GCA, GTA, and apex of kyphosis were not. Mean PI to LL discrepancy for Type I to IV groups were 8.0°, 2.3°, 4.8°, and 3.0°, respectively. Between groups, T3, T7 to T12, and L2 to S1 slopes and T9 to L3 offset distances from GL were significantly different, while the distance of the hip center from the GL was not. GLA was significantly different between curve types except between Type 1 and 2 curves, while the inflection vertebrae were not significantly different between Type 1 and 2 curves, as well as Type 3 and 4 curves.

Conclusion.
This study demonstrates normative sagittal spatial orientation of each vertebra in healthy adults, for each Roussouly type. Comparison across groups suggests the possibility of further refining the sagittal curve patterns described by Roussouly.

Level of Evidence: 3
Association Between Cardiac Injury and Mortality in Hospitalized Patients Infected With Avian Influenza A (H7N9) Virus
Authors: Gao Chang , Wang Yeming , Gu Xiaoying , Shen Xinghua , Zhou Daming , Zhou Shujun , Huang Jian-an , Cao Bin , Guo Qiang ,   for the Community-Acquired Pneumonia–China Network
Published: January 2020

Objectives:
To evaluate the prevalence of cardiac injury and its association with mortality in hospitalized patients infected with avian influenza A (H7N9) virus.

Design:
Retrospective cohort study.

Setting:
A total of 133 hospitals in 17 provinces, autonomous regions, and municipalities of mainland China that admitted influenza A (H7N9) virus–infected patients between January 22, 2015, and June 16, 2017.

Patients:
A total of 321 patients with influenza A (H7N9) virus infection were included in the final analysis.

Interventions:
None.

Measurements and Main Results:
Demographics and clinical characteristics were collected from medical records. Cardiac injury was defined according to cardiac biomarkers, electrocardiography, or echocardiography. Among the 321 patients, 203 (63.2%) showed evidence of cardiac injury. Compared with the uninjured group, the cardiac injury group had lower Pao
2/Fio
2 (median, 102.0 vs 148.4 mm Hg; p < 0.001), higher Acute Physiology and Chronic Health Evaluation II score (median, 17.0 vs 11.0; p < 0.001), longer stay in the ICU (10.0 vs 9.0 d; p = 0.029), and higher proportion of in-hospital death (64.0% vs 20.3%; p < 0.001). The proportion of virus clearance until discharge or death was lower in the cardiac injury group than in the uninjured group (58.6% vs 86.4%; p < 0.001). Multivariable-adjusted Cox proportional hazards regression analysis showed that cardiac injury was associated with higher mortality (hazards ratio, 2.06; 95% CI, 1.31–3.24) during hospitalization.

Conclusions:
Cardiac injury is a frequent condition among hospitalized patients infected with influenza A (H7N9) virus, and it is associated with higher risk of mortality.
A Qualitative Exploration of Simulation as a Tool for Learning in Physical Therapist Education
Authors: Donlan Pamela , Greenwood Kristin , Kiami Sheri 
Published: January 2020

Background:
Physical therapists must be able to practice in acute care environments, integrate complex information to ensure patient safety, and effectively adapt to the changing medical needs of patients. Simulation-based learning experiences (SBLEs) have been found to be useful teaching methods to prepare clinicians for high-risk acute care experiences. While research has examined the use of SBLE in physical therapist education, a clear focus has not been given to SBLE in the neurologic curriculum, where students must incorporate knowledge of critical care medical management with neurorehabilitation expertise. The purpose of this study was to understand how SBLE, within a neurorehabilitation curriculum, contributes to physical therapist students' learning.

Methods:
Using the reflective practitioner theory as a framework for inquiry, qualitative data were gathered from 2 focus groups and analyzed through conventional content analysis.

Results:
An analysis of transcripts yielded 3 major themes: (1) promotes advanced clinical performance through reflection; (2) promotes authenticity without high risk; and (3) highlights the value of teamwork. Participants conveyed that synthesis of neurologic management content material in conjunction with skill execution was uniquely able to promote higher order learning. Additionally, they underscored the importance of designing the activity to enhance learning rather than using it solely for assessment. Further, participants highlighted how collaboration during a simulation activity advances clinical performance and communication.

Conclusion:
Consideration should be given to designing specific neurorehabilitation scenarios that mimic real life, include interprofessional or group collaboration, and provide an opportunity for post-SBLE reflection.