bluuebunny/crossref_metadata_2025_split huggingface dataset:
STEPP IN: A Multicenter Quality Improvement Collaborative Standardizing Postoperative Handoffs
Authors: Piazza Anthony J. , Brozanski Beverly , Grover Theresa , Chuo John , Mingrone Teresa , Rao Rakesh , Smith Joan , Soliman Doreen , Rintoul Natalie , Bellflower Bobby , Richardson Troy , Holston Margaret , McClead Richard , Guidash Judy , Pallotto Eugenia K 
Published: November 2021

OBJECTIVE
To reduce care failures by 30% through implementation of standardized communication processes for postoperative handoff in NICU patients undergoing surgery over 12 months and sustained over 6 months.

METHODS
Nineteen Children’s Hospitals Neonatal Consortium centers collaborated in a quality improvement initiative to reduce postoperative care failures in a surgical neonatal setting by decreasing respiratory care failures and all other communication failures. Evidence-based clinical practice recommendations and a collaborative framework supported local teams’ implementation of standardized postoperative handoff communication. Process measures included compliance with center-defined handoff staff presence, use of center-defined handoff tool, and the proportion of handoffs with interruptions. Participant handoff satisfaction was the balancing measure. Baseline data were collected for 8 months, followed by a 12-month action phase and 7-month sustain phase.

RESULTS
On average, 181 postoperative handoffs per month were monitored across sites, and 320 respondents per month assessed the handoff process. Communication failures specific to respiratory care decreased by 73.2% (8.2% to 4.6% and with a second special cause signal to 2.2%). All other communication care failures decreased by 49.4% (17% to 8.6%). Eighty-four percent of participants reported high satisfaction. Compliance with use of the handoff tool and required staff attendance increased whereas interruptions decreased over the project time line.

CONCLUSIONS
Team engagement within a quality improvement framework had a positive impact on the perioperative handoff process for high-risk surgical neonates. We improved care as demonstrated by a decrease in postoperative care failures while maintaining high provider satisfaction.
National Trends of Adolescent Exposure to Tobacco Advertisements: 2012–2020
Authors: Li Xiao , Kaiser Nina , Borodovsky Jacob T. , Riordan Raven , Kasson Erin , Cao Chao , Cavazos-Rehg Patricia A. 
Published: November 2021

BACKGROUND AND OBJECTIVES
The objective of the current study is to evaluate the temporal trends in the prevalence of cigarette and electronic cigarette (e-cigarette) advertisement exposure by venue and sociodemographic correlates among US adolescents from 2012 to 2020.

METHODS
We conducted a serial cross-sectional analysis of nationally representative samples of middle and high school youth from the 2012–2020 National Youth Tobacco Survey. Advertisement exposure was defined as self-report of seeing advertisements “sometimes,” “most of the time,” and “always.” The prevalence of cigarette (and other tobacco products) and e-cigarette advertisement exposure, including overall and at specific venues (Internet, press, screen, and retail stores), was estimated by survey year.

RESULTS
A total of 139 795 adolescents aged 11 to 19 years old were included in the analysis. The prevalence of exposure to combustible cigarette marketing remained high across all years (any venue ranging from 77.0% [2018] to 91.1% [2014]). An increasing trend for cigarette advertisement exposure was observed from 2017 to 2020 after a drop in 2015 (β2012–2015 = 2.8, P for trend &lt; .001; β2017–2020 = .7, P for trend = .03), driven by retail store–based and Internet-based exposure. A similar increasing pattern in the estimated prevalence of e-cigarette marketing was observed (β2014–2016 = 4.6, P for trend &lt; .001; β2017–2020 = 5.1, P for trend &lt; .001).

CONCLUSIONS
Given the high estimated prevalence of cigarette and e-cigarette marketing exposure among US adolescents, further regulation efforts for both off-line and online tobacco marketing are needed to mitigate adolescent exposure to content regarding these products, reducing susceptibility to uptake.
Nonmedical Opioid Use After Short-term Therapeutic Exposure in Children: A Systematic Review
Authors: Ahrari Malema , Ali Samina , Hartling Lisa , Dong Kathryn , Drendel Amy L. , Klassen Terry P. , Schreiner Kurt , Dyson Michele P. 
Published: November 2021

CONTEXT
Opioid-related harms continue to rise for children and youth. Analgesic prescribing decisions are challenging because the risk for future nonmedical opioid use or disorder is unclear.

OBJECTIVE
To synthesize research examining the association between short-term therapeutic opioid exposure and future nonmedical opioid use or opioid use disorder and associated risk factors.

DATA SOURCES
We searched 11 electronic databases.

STUDY SELECTION
Two reviewers screened studies. Studies were included if: they were published in English or French, participants had short-term (≤14 days) or an unknown duration of therapeutic exposure to opioids before 18 years, and reported opioid use disorder or misuse.

DATA EXTRACTION
Data were extracted, and methodologic quality was assessed by 2 reviewers. Data were summarized narratively.

RESULTS
We included 21 observational studies (49 944 602 participants). One study demonstrated that short-term therapeutic exposure may be associated with opioid abuse; 4 showed an association between medical and nonmedical opioid use without specifying duration of exposure. Other studies reported on prevalence or incidence of nonmedical use after medical exposure to opioids. Risk factors were contradictory and remain unclear.

LIMITATIONS
Most studies did not specify duration of exposure and were of low methodologic quality, and participants might not have been opioid naïve.

CONCLUSIONS
Some studies suggest an association between lifetime therapeutic opioid use and nonmedical opioid use. Given the lack of clear evidence regarding short-term therapeutic exposure, health care providers should carefully evaluate pain management options and educate patients and caregivers about safe, judicious, and appropriate use of opioids and potential signs of misuse.
IMPACTOS DA PANDEMIA DE COVID-19 NA SAÚDE DE CUIDADORAS DE PESSOAS COM TRANSTORNOS DO ESPECTRO AUTISTA
Authors: Ferreira de Sousa Alves Silvana , Groff Vivian Aline , Hirdes Alice 
Published: November 2021

Objetivo: Esta pesquisa teve como objetivo investigar os impactos do contexto pandêmico sobre a saúde e a sobrecarga de cuidadoras de pessoas com Transtorno do Espectro Autista durante o período de distanciamento social.
Método: Trata-se de estudo qualitativo, realizado por meio de 20 entrevistas semiestruturadas com cuidadoras de pessoas com TEA, vinculadas à Associação de Familiares e Amigos de Pessoas com Autismo e do Centro de Atenção Psicossocial Infanto-Juvenil, de Imperatriz/MA, Brasil. Os dados foram submetidos à análise de conteúdo na modalidade temática.
Resultados: Os resultados evidenciaram que a pandemia de Covid-19 provocou modificações significativas na rotina, ocorrendo a intensificação dos cuidados de higiene para evitar o contágio e mudanças na rotina escolar e terapêutica, o que elevou a responsabilidade das cuidadoras. Quanto ao processo de cuidado, havia pouco ou nenhum suporte familiar, recaindo sobre as mães essa tarefa. A sobrecarga dificultou o autocuidado, resultando no adoecimento físico e mental das cuidadoras, com diagnóstico de quadros depressivos, de ansiedade e transtorno do pânico.
Conclusão: Conclui-se que é emergente a necessidade de políticas públicas voltadas aos cuidadores e à conscientização dos familiares e da comunidade em geral, quanto ao apoio necessário neste processo.
DESCRITORES: Cuidador; Fardo do cuidador; Saúde; Transtorno do Espectro Autista; Covid-19.
Flexible Bayesian Nonlinear Model Configuration
Authors: Hubin Aliaksandr , Storvik Geir , Frommlet Florian 
Published: November 2021

Regression models are used in a wide range of applications providing a powerful scientific tool for researchers from different fields. Linear, or simple parametric, models are often not sufficient to describe complex relationships between input variables and a response. Such relationships can be better described through flexible approaches such as neural networks, but this results in less interpretable models and potential overfitting. Alternatively, specific parametric nonlinear functions can be used, but the specification of such functions is in general complicated. In this paper, we introduce a flexible approach for the construction and selection of highly flexible nonlinear parametric regression models. Nonlinear features are generated hierarchically, similarly to deep learning, but have additional flexibility on the possible types of features to be considered. This flexibility, combined with variable selection, allows us to find a small set of important features and thereby more interpretable models. Within the space of possible functions, a Bayesian approach, introducing priors for functions based on their complexity, is considered. A genetically modi ed mode jumping Markov chain Monte Carlo algorithm is adopted to perform Bayesian inference and estimate posterior probabilities for model averaging. In various applications, we illustrate how our approach is used to obtain meaningful nonlinear models. Additionally, we compare its predictive performance with several machine learning algorithms.
'Unheard voices’: Perceptions of women with mental illness on nurses screening routinely for domestic violence: A qualitative analysis
Authors: Poreddi Vijayalakshmi , Reddy S. Sai Nikhil , Gandhi Sailaxmi , P Marimuthu , BadaMath Suresh 
Published: November 2021

Objective. To explore women's experiences of violence and their opinion on routine screening for domestic violence by nursing professionals in mental health care settings.
Methods. This qualitative narrative research design was carried out among 20 asymptomatic women with mental illness at a tertiary care centre in Bangalore, India.
Results. Narrative content analysis was performed, and five dominant themes have emerged: 1. Understanding the nature and signs of violence (subtheme: Meaning of violence), 2. Abusive experiences of women with mental illness (subthemes: Physical violence, psychological violence, social violence, sexual violence and financial violence), 3. Experiences on disclosure of violence (subthemes: Identification of violence by nursing professionals, Experiences of disclosure of violence), 4. Barriers for disclosure of abuse(subthemes: Fear of consequences, the hectic schedule of nursing staff, helplessness and hopelessness, perceived poor family support). 5.Routine screening for violence by nursing professionals (subthemes: reasons for routine inquiry of violence, nature of inquiry by the nursing professionals).
Conclusion. Women with mental illness were undergoing more than one form of violence, and most of the participants supported routine screening by nursing professionals. Nurses play an essential role in identifying and supporting abused women in mental health care settings.
Physiological changes in vision during aging: perceptions of older adults and healthcare providers
Authors: Cordeiro Tattiana Dias de Carvalho , Silva Luípa Michele , Monteiro Edilene Araujo , Pontes Maria de Lourdes de Farias , Casemiro Francine Golgheto , Rodrigues Rosalina Aparecida Partezani 
Published: November 2021

Objective. To identify the physiological changes in older adults’ vision during the aging process.
Methods. An exploratory, descriptive study with a qualitative approach was conducted with 20 older adults and six healthcare providers who worked with older adults in João Pessoa, Paraíba (Brazil). The Focus Group Technique was used for data collection, with the collected information subsequently being submitted to Inductive Thematic Analysis using textual analysis software.
Results. The physiological changes related to vision were described by both the older adults and healthcare providers using the following words: vision, difficulty; see; cataract; glasses; surgery; more; age; eye; and no. These terms represent declines in vision resulting from advancing age which significantly modify the daily lives of older adults and their families.
Conclusion. The perception of the older adults and the healthcare providers who care for them regarding the physiological changes in vision throughout the aging process shows that the loss of visual acuity significantly affects the daily life of older adults and their families.
Measurement of Practices-Knowledge-Attitudes of the Nursing Process: Systematic Review
Authors: Camargo-Figuera Fabio Alberto , Ortega-Barco María Alejandra , Rojas-Plata María Camila , Marín-Rodríguez Daniela , Alarcón-Meléndez Lizeth Johana , Villamizar-Carvajal Beatriz 
Published: November 2021

Objective. To analyze the literature available on the psychometric properties of the instruments to measure knowledge, attitudes, and practices of the nursing care process.
Methods. This was a narrative-type review conducted by following the recommendations of the PRISMA declaration. The search strategy was executed in two stages; through the search in databases by two reviewers and – thereafter – three reviewers identified independently the studies and evaluated the methodological quality of the measurement instruments by using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) property checklist boxes.
Results. Of 71 studies identified for the full-text review, only seven complied with the inclusion criteria that represent four instruments (Q-DIO, D-CATCH, NP-CDSS, PNP). It was found that the instruments continue in their validation and appropriation processes to reality in health services.
Conclusion. In spite of the evident evolution of the instruments to evaluate the implementation of the nursing care process, the need is still valid for an instrument that measures aspects of knowledge, attitudes, and practices in every stage of the process.
Dipeptidyl peptidase-4 inhibitor (teneligliptin) significantly reduces liver fat content and delays progression of non-alcoholic steatohepatitis in type 2 diabetes mellitus patients
Authors: Gupta Vishal Kumar , Giri Richa , Agrawal Saurabh 
Published: November 2021

Background: Dipeptidyl peptidase (DPP)-4 inhibitors, anti-diabetic agents, are expected to be effective for treatment of non-alcoholic fatty liver disease (NAFLD). Several studies have shown that some DPP-4 inhibitors alleviate hepatic steatosis or steatohepatitis in type 2 diabetic mice or rats. Teneligliptin is DPP4 inhibitor whose efficacy to control blood sugar is well established but its effect on liver is not studied well. In present study we investigated effect of teneligliptin, a DPP-4 inhibitor on patients of type 2 diabetes with non-alcoholic steatohepatitis (NASH). Methods: This was a randomized, double-blind study in which 64 patients between ages of 18 to 80 years were selected for study. Participants were identified as type 2 diabetes with biopsy confirmed NASH. We excluded the patients with glucocorticoid use, hepatitis B or C, and other diseases that might affect liver function. Results: The mean HbA1c change after 48 weeks of therapy in group A was-1.06 % and in group B was-0.77% and this was statistically insignificant (p>0.06). The mean AST change after 48 weeks of therapy in group A was-45.4% and in group B was-33.3% and this was statistically significant (p<0.001). The mean ALT change after 48 weeks of therapy in group A was-41.6% and in group B was-22.7% and this was statistically significant (p<0.001). The change in liver fat content (LFC) after 48 weeks of therapy in group A was-15.4% and group B was-7.14% and this was also statistically significant (p<0.001).Conclusions: Result of our study revealed that teneligliptin significantly reduce serum transaminases in patients of NASH with type 2 DM. Teneligliptin significantly reduce LFC and delay progression of NASH independent of diabetes control in type 2 diabetes mellitus (DM) patients. These data show significant antisteatotic and anti-inflammatory effect of teneligliptin in type 2 diabetes patients.
Knee joint stability following fixation of tibial plateau fracture by angular locking plate fixation
Authors: Bari Jahidul , . Wang , . Wu 
Published: November 2021

<p class="abstract"><strong>Background:</strong> Injuries to the tibial plateau generally occur because of a force directed either medially or laterally an axial compressive force or both an axial force and force from the side. Tibial plateau fractures resulting frequently in functional impairment.</p><p class="abstract"><strong>Methods: </strong>The total of cases included in the study was 47 in number. More than 20 years old patients of both sexes with tibial plateau fractures attended in the study. Proper informed consent was taken from the patients under the study and purpose of the study was explained. Ethical approval was obtained from the Institutional Ethics Committee. All data were processed, analyzed, and disseminated by MS Office and Statistical package for social sciences (SPSS) version 26 as per need.</p><p class="abstract"><strong>Results: </strong>In this study, for majority (51%) patients &lt;12 weeks were in needed for union. Besides these, for 23.40% and 21.28% patients, time for union were 12-14 and &gt;14 weeks respectively. Unfortunately, in 4.26%% cases (n=2) incidence of non-union was occur. The mean period of radiological union was 12.75 weeks (12-16 weeks). Most of the patients were allowed complete weight bearing at 11 to 14 weeks. Average time gap for complete weight bearing was 13.5 weeks. In assessing the knee stability of the participants, we observed, the mean (±SD) angle of knee joints was 112.08 ±12.32 degree. The mean (±SD) Knee Society Score (KSS) was found 77.51 ± 8.16. As per the functional outcomes among all the participants, majority of them (57.45%) got ‘good’ results whereas 29.79% got ‘Excellent’ and 8.51% got ‘Poor’ results.</p><p class="abstract"><strong>Conclusions:</strong> Satisfactory knee joint stability for patients with tibial plateau fracture angular locking plate fixation technic may be considered as an effective treatment method for orthopedic surgeons. </p>
Evaluation of vitamin D status and depression in thyroid patients referred to Yazd Diabetes Center clinic in 2020
Authors: Shukohifar Marzieh , Dadbinpour Ali , Mozafari Zohre Sadat , Zarei Yazdeli Mohadeseh 
Published: November 2021

Introduction: Vitamin D is a hormonal precursor that in addition to known roles, may have an important effect on mental disorders such as depression. Therefore, this study was performed to determine the extent of vitamin D deficiency and depression and their relationship in thyroid patients referred to The clinic of Yazd Diabetes Center has been performed.
Methods: The present study is a cross-sectional-analytical study that was performed on 150 thyroid patients referred to the Yazd Diabetes Center Clinic.
Results: In this study, 150 thyroid patients including 55 men and 11. women with a mean age of 41.40± 7.61years participated. The mean score of Beck depression among these patients was 28.71± 8.34 .The mean level of vitamin D in these patients was 20.58 ± 7.21 ng / ml so that a total of 85% of thyroid patients were in the group of insufficient levels of vitamin D. A significant negative correlation was observed between depression score and serum vitamin D levels (r = -0.79 and p <0.001).
Conclusion: The results of this study indicate a high prevalence of depression and vitamin D deficiency in thyroid patients. Another finding of this study was the relationship between vitamin D deficiency and depression, so that the less vitamin D in the body, the lower the rate of depression in The person becomes more. The use of vitamin D supplements in the treatment of thyroid patients with depression, as a clinical trial, can be a good solution in the treatment of patients.
Evaluation of the efficiency adsorption process with Zeolite@ in the removal of methylene blue dye from aqueous solutions
Authors: Einollahzadeh Negar , Vosoughi Mehdi 
Published: November 2021

Introduction: Dyes are materials with a complex structure that enter the environment from textile process such as dyeing and washing. The aim of this study was to investigate the efficiency of the absorption process along with adsorption using by Zeolite @ ZnO in the removing methylene blue dye from textile wastewater.
Methods: The structure and morphology of nanoparticles were examined using XRF, FTIR and FESEM techniques. Dye concentrations were determined using a spectrophotometer at 664 nm. In this study, the variables of reaction time, solution pH, adsorbent amount and dye concentration were evaluated. To determine the isotherm and adsorption kinetics, two isotherm models of Langmuir and Freundlich and two kinetics models pseudo-first order pseudo-second order were used.
Results: We found that optimal conditions were concentration of 50 mg/l, adsorbent dose of 1 g/l, pH of 11 and a reaction time of 60 minutes. The removal efficiency under optimal conditions for methylene blue was 95.8%.
Conclusion: The results of the isotherm and adsorption kinetics study for methylene blue showed that the adsorption process follows the Langmuir isotherm and quasi-quadratic kinetics. The maximum adsorption capacity of the adsorbent was determined 384 mg/g using the Langmuir model.
The Online Learning and Students’ Fear of COVID-19: Study in Malaysia and Pakistan
Authors: Munir Farhat , Anwar Aizza , Kee Daisy Mui Hung 
Published: November 2021

The COVID-19 pandemic has forced millions of students to stay indoors and adapt to the new normal, namely distance learning at home, placing online learning in the spotlight. However, students’ motivation for online learning and its effectiveness in skill development during the COVID-19 pandemic has not been widely studied. This study examined the relationship between students’ fear of COVID-19 and students’ social presence in online learning while investigating the parallel mediating role of student psychological motivation and cognitive problem-solving skills related to online learning. The participants were 472 university students in Malaysia and Pakistan. An online data collection technique using Google Forms was employed. Faculty members of the universities were asked to share the survey with their students. Moreover, using a snowball sampling technique, students were requested to share the survey with their friends. SPSS Statistics (Version 21) was employed to do preliminary data analysis, AMOS (Version 21) software was used to conduct confirmatory factor analysis using a maximum likelihood estimation, and Hayes’ PROCESS model was used to examine proposed hypotheses. The results show that only cognitive problem solving mediates the relationship between fear of COVID-19 and students’ social presence in online learning in Malaysian samples. In Pakistan, cognitive problem solving and psychological motivation mediate the relationship between fear of COVID-19 and students’ social presence in online learning. The study found that developing cognitive problem-solving skills and providing psychological motivation could enhance their engagement with online learning.