bluuebunny/crossref_metadata_2025_split huggingface dataset:
Predictors of nurses’ intention to accept COVID‐19 vaccination: A cross‐sectional study in five European countries
Authors: Patelarou Athina , Saliaj Aurela , Galanis Petros , Pulomenaj Velide , Prifti Vasilika , Sopjani Idriz , Mechili Enkeleint A. , Laredo‐Aguilera José Alberto , Kicaj Emirjona , Kalokairinou Athina , Cobo‐Cuenca Ana Isabel , Celaj Jerina , Carmona‐Torres Juan Manuel , Bucaj Jorgjia , Asimakopoulou Evanthia , Argyriadi Agathi , Argyriadis Alexandros , Patelarou Evridiki 
Published: July 2021

AbstractAims and ObjectivesTo investigate nurses’ intention in accepting COVID‐19 vaccination and the factors affecting their decision.BackgroundCOVID‐19 vaccination has started in most European countries with healthcare personnel being the first group receiving the vaccine shots. Their attitude towards vaccination is of paramount significant as their role in the frontline could help in the awareness of general population.MethodsA study was conducted in Albania, Cyprus, Greece, Spain and Kosovo with the use of an online questionnaire. The Fear of COVID‐19 Scale was used. The STROBE checklist was followed for this cross‐sectional study.ResultsStudy population consisted of 1135 nurses. Mean age of the participants was 38.3 years, while most of them were female gender (84.7%) and married (53.1%). Acceptance of a safe and effective COVID‐19 vaccine was higher among Greek (79.2%) and Spanish (71.6%) nurses, followed by Cypriot (54%), Albanian (46.3%) and Kosovo (46.2%) nurses. Key factors for willingness to get vaccinated were male gender, living in a country with a high mortality rate in comparison with low mortality, being not infected with COVID‐19, having high level of knowledge about COVID‐19 vaccines and having been vaccinated for influenza in the last 2 years. Moreover, trusting the government and doctors regarding the information about the COVID‐19 and having high level of fear about this virus were key factors for willingness to get vaccinated.ConclusionVaccination of healthcare personnel is a crucial issue not only for their own safety but also for their patients’. Healthcare acceptance to get vaccinated can work as a role model for general population.Relevance to clinical practiceGender, country, mortality rate, trust in government and health professionals and the level of fear were key factors that should be managed in clinical practice.
Dangerous games: A literature review on cybersecurity investments
Authors: Fedele Alessandro , Roner Cristian 
Published: July 2021

AbstractCybersecurity has gained prominence in the decision‐making of firms. Due to the increasing occurrences of threats in the cyberspace, investments in cybersecurity have become critical to mitigate the operational disruption of businesses. This paper surveys the theoretical literature on the firms' incentives to invest in cybersecurity. A taxonomy of the existing contributions is provided to frame them in a common reference scheme and a model is developed to encompass such contributions and discuss their main findings. Papers that investigate the investment problem of an isolated firm are distinguished from those that consider interdependent firms. In turn, interdependent cybersecurity is analyzed in three different contexts: (i) firms that operate their business via a common computer network, but are not competitors in the product market; (ii) firms that are competitors in the product market, but run their business using non‐interconnected computer systems; (iii) firms that are competitors and rely on a common computer network. Finally, promising avenues for future research and policy implications are discussed.
Preliminary evaluation of the disease resistance of Festuca sinensis infected by Epichloë sinensis
Authors: Wang Yanbing , Luo Yang , Tian Pei , Peng Hao , Feng Jian 
Published: July 2021

AbstractIn the present study, the effects of Epichloë sinensis on the interaction of host grasses Festuca sinensis with two fungal pathogens—Alternaria alternata and Bipolaris sorokiniana—were evaluated. The two pathogen spore inoculation on detached leaves of 3 F. sinensis ecotypes showed that neither E. sinensis endophyte nor host genotype had effects on disease resistance of detached leaves of the host F. sinensis until later stage of disease progress. The disease lesion lengths of B. sorokiniana on E+ plants of all 3 ecotypes were significantly lower (p < .05) than those on E‐ plants of corresponding ecotype at 7 days after inoculation. Field survey and two pathogen spore inoculation on intact plants of different ecotypes showed that the endophyte infected plants although remained susceptible to infection, fewer or smaller lesions were more likely to occur than on endophyte‐free plants which suggested positive effects of endophyte on F. sinensis disease resistance. Host genotype also had effects on disease resistance of the intact F. sinensis plants. The primary evaluation provided more reference for relationship between native grass species and its associated endophyte.
Dyadic interactions and physical and social environment in dementia mealtime care: a systematic review of instruments
Authors: Liu Wen , Kim Sohyun 
Published: July 2021

AbstractUsing valid instruments to measure dyadic interactions and physical and social environment during mealtime care of persons with dementia is critical to evaluate the process, fidelity, and impact of mealtime interventions. However, the characteristics and quality of existing instruments remain unexplored. This systematic review described the characteristics and synthesized the psychometric quality of instruments originally developed or later modified to measure mealtime dyadic interactions and physical and/or social dining environment for people with dementia, on the basis of published reports between January 1, 1980 and December 31, 2020. We identified 26 instruments: 17 assessed dyadic interactions, one assessed physical environment, and eight assessed physical and social environment. All instruments were used in research and none in clinical practice. All instruments were observational tools and scored as having low psychometric quality, except for the refined Cue Utilization and Engagement in Dementia (CUED) mealtime video‐coding scheme rated as having moderate quality. Reasons for low quality are the use of small samples compared with the number of items, limited psychometric testing, and inadequate estimates. All existing tools warrant further testing in larger diverse samples in varied settings and validation for use in clinical practice. The refined CUED is a potential tool for use and requires testing in direct on‐site observations.
Pediatric thiamine deficiency disorders in high‐income countries between 2000 and 2020: a clinical reappraisal
Authors: Rakotoambinina Benjamin , Hiffler Laurent , Gomes Filomena 
Published: July 2021

AbstractOften thought to be a nutritional issue limited to low‐ and middle‐income countries (LMICs), pediatric thiamine deficiency (PTD) is perceived as being eradicated or anecdotal in high‐income countries (HICs). In HICs, classic beriberi cases in breastfed infants by thiamine‐deficient mothers living in disadvantaged socioeconomic conditions are thought to be rare. This study aims to assess PTD in HICs in the 21st century. Literature searches were conducted to identify case reports of PTD observed in HICs and published between 2000 and 2020. The analyzed variables were age, country, underlying conditions, clinical manifestations of PTD, and response to thiamine supplementation. One hundred and ten articles were identified, totaling 389 PTD cases that were classified into four age groups: neonates, infants, children, and adolescents. Eleven categories of PTD‐predisposing factors were identified, including genetic causes, lifestyle (diabetes, obesity, and excessive consumption of sweetened beverages), eating disorders, cancer, gastrointestinal disorders/surgeries, critical illness, and artificial nutrition. TD‐associated hyperlactatemia and Wernicke encephalopathy were the most frequent clinical manifestations. The circumstances surrounding PTD in HICs differ from classic PTD observed in LMICs and this study delineates its mutiple predisposing factors. Further studies are required to estimate its magnitude. Awareness is of utmost importance in clinical practice.
Essayism as a form of writing and a form of life
Authors: Zambito Pascal F. 
Published: July 2021

AbstractAs Wittgenstein still eludes classification as either an analytic or a poetic philosopher, this article considers his work under the perspective of essayism as a hybrid intellectual attitude that combines elements from both modes of thinking. Drawing on Adorno’s and Musil’s accounts, I present four characteristics of essayism that can be applied to Wittgenstein’s writing: (a) essayism does not claim access to primal knowledge or an absolute starting point of thought, but typically reacts to given ideas; (b) it is systematic insofar as it is concerned with words, things, and events in systemic contexts rather than in isolation; (c) it is anti‐systematic insofar as it neither accepts the given conceptual system nor strives for an ultimate system in which all things are in their place and all problems ultimately solved; (d) it is aware of, and emphasizes, the mediatedness of its objects and warns of any equation of the conceptual ordering with the order of reality. As a consequence, essayism goes beyond a particular text form, but concerns an attitude towards the world that manifests itself in various forms. It thus turns out to be not merely a form of writing but ultimately a form of life.
Four subtypes of childhood allergic rhinitis identified by latent class analysis
Authors: Yavuz Suleyman Tolga , Oksel Karakus Ceyda , Custovic Adnan , Kalayci Ömer 
Published: July 2021

AbstractBackgroundChildhood allergic rhinitis (AR) is clinically heterogenous. We aimed to identify distinct phenotypes among children with AR using data‐driven techniques and to ascertain their association with patterns of symptoms, allergic sensitization, and comorbidities.MethodsWe recruited 510 children with physician‐diagnosed AR, of whom 205 (40%) had asthma. Latent class analysis (LCA) was performed to identify latent structure within the data set using 17 variables (allergic conjunctivitis, eczema, asthma, family history of asthma, family history of allergic rhinitis, skin sensitization to 8 common allergens, tonsillectomy, adenoidectomy).ResultsA four‐class solution was selected as the optimal model based on statistical fit. We labeled latent classes as: (1) AR with grass mono‐sensitization and conjunctivitis (n = 361, 70.8%); (2) AR with house dust mite sensitization and asthma (n = 75, 14.7%); (3) AR with pet and grass polysensitization and conjunctivitis (n = 35, 6.9%); and (4) AR among children with tonsils and adenoids removed (n = 39, 7.6%). Perennial AR was significantly more common among children in Class 2 (OR 5.83, 95% CI 3.42–9.94, p < .001) and Class 3 (OR 2.88, 95% CI 1.36–6.13, p = .006). Mild and intermittent AR symptoms were significantly more common in children in Class 2 compared to those in Class 1. AR was more severe in Class 1 compared to other 3 classes, indicating that upper respiratory symptoms are more severe among children with isolated seasonal rhinitis, than in those with rhinitis and coexisting asthma.ConclusionWe have identified 4 phenotypes in school‐age children with AR, which were associated with different patterns of clinical symptoms and comorbidities.
Propofol‐induced uric acid crystals: A case of cloudy urine
Authors: Baumgarten Alexandra , Newton Mark 
Published: July 2021

AbstractPropofol is an intravenous anesthetic agent commonly used intraoperatively as well as in the intensive care unit. Known short‐term effects of propofol can include apnea, hypotension, and bradycardia. In children, the rarer adverse sequelae of intravenous anesthetics have received little attention. We present the case of a thirteen‐year‐old male who incidentally developed uric acid crystals in his urine following a short‐duration propofol infusion.
Characterization of physiological traits during development of the recalcitrant seeds of Quercus serrata
Authors: Xia K. , Zhu Z.‐Q. 
Published: July 2021

Abstract

We investigated how developmental stage affects seed traits, including the relative level of desiccation tolerance of Quercus serrata. We tested the hypothesis that the relative level of desiccation tolerance is a quantitative trait associated with seed development and that a maximum relative level of desiccation tolerance is reached during development.

Seed growth and physiological traits of Q. serrata from a subtropical forest were examined in detail during the developmental process.

During seed development, the relative level of desiccation tolerance and other seed traits of Q. serrata varied. Dry matter accumulation in seed components increased rapidly beginning in mid‐August, and moisture content declined. At the peak period of seed dispersal in late September, seeds were fully mature, with 100% germination. Relative level of desiccation tolerance increased up to the point of peak dispersal; however, at this time seeds were still recalcitrant. Post‐mature development was accompanied by further increases in seed dry matter and decreases in moisture content, which led to a decrease in seed germination and relative level of desiccation tolerance.

Our results suggest that in species with recalcitrant seeds, the relative level of desiccation tolerance and other seed traits are quantitative at the intraspecific level. The relative level of desiccation tolerance for recalcitrant seeds does not increase infinitely during phase II of development. There is a maximum relative level of desiccation tolerance in recalcitrant seeds within a species.
Loneliness, Love, and the Limits of Language
Authors: Tietjen Ruth Rebecca , Furtak Rick Anthony 
Published: July 2021

AbstractIn this article, we illuminate the affective phenomenon of loneliness by exploring the question of how it relates to love and other forms of friendship. We reflect in particular on the question of how different forms of loneliness are relevant to human existence. Distinguishing three forms of loneliness, we first introduce two border cases of loneliness: unfelt loneliness in which one’s individuality is denied and one thereforecannotfeel lonely; and existential loneliness in which the possibility of intimacy and existential communication are denied and one thereforecannot butfeel lonely. We then turn to loneliness that occurs within intimate friendships—even the most intimate ones. In our analysis, we pay attention especially to the role of communication. In order to do so, we repeatedly turn to poetic expressions of loneliness. We argue that loneliness cannot reflect only the absence or partial failure of communication but also the inherent limits of communication. These limits in turn point back to the nature of human existence and love itself.
Meeting physical activity and screen time among Colombian adolescents with or without sensory‐related problems
Authors: López‐Gil José Francisco , Ramírez‐Vélez Robinson , Flórez‐López María Eugenia , Izquierdo Mikel , García‐Hermoso Antonio 
Published: July 2021

AbstractThe aim of this study was to assess the extent to which adolescents with and without visual and hearing‐related problems meet physical activity (PA) and recreational screen time (ST) recommendations in a representative Colombian sample. A total of 35,404 adolescents aged 13–17 years were included from the Encuesta Nacional de Salud Escolar (ENSE) (Colombia). Sociodemographic‐related information, anthropometric variables, PA, ST, and both visual‐ and hearing‐related problems were collected by self‐administered questionnaires. The prevalence of adolescents meeting with PA, ST, and both recommendations was 14.8%, 53.4%, and 7.8%, respectively. Both sexes with visual‐ (males: OR=0.70, 95%CI 0.59–0.83; females: OR=0.73, 95%CI 0.61–0.88) and hearing‐related problems (males, OR=0.75, 95%CI 0.61–0.93; females, OR=0.76, 95%CI 0.61–0.94) are less likely to meet combined recommendations. Sensory problems such as vision‐ and hearing‐related problems could be considered key barriers to engagement in PA and facilitators of recreational ST in Colombian adolescents.
Linking the Pleiades to a reawakened Black Duck Songline in Southeastern Australia
Authors: Fuller Robert S. , Bursill Leslie W. 
Published: July 2021

AbstractThis article presents an analysis of an Aboriginal songline in South‐eastern Australia that has not been previously recorded. As part of a project examining the astronomy and songline connections of the Saltwater Aboriginal peoples of the New South Wales coast, the Black Duck Songline was identified that may have links to the Pleiades star cluster. The Pleiades, known by many peoples as the Seven Sisters, is one of the most important elements of Aboriginal cosmologies across Australia, and features in songlines and oral traditions, as well as being a resource calendar identifier. Aboriginal songlines are a unique development of Aboriginal culture that celebrate the travels of the Creator Ancestors as they shaped the landscape. The identification of the Black Duck Songline and its possible connection to the Pleiades is an example of the potential reawakening of other long‐distance songlines in Australia and their connection to the cosmology of their communities.
A review of minimally invasive fracture stabilization in dogs and cats
Authors: Pozzi Antonio , Lewis Daniel D. , Scheuermann Logan M. , Castelli Emanuele , Longo Federico 
Published: July 2021

AbstractObjectiveTo summarize and discuss peer‐reviewed studies on minimally invasive osteosynthesis (MIO) of long bone, physeal, and articular fractures in dogs and cats.Study DesignInvited review.MethodsA critique of literature was performed to assess MIO feasibility, outcomes, and complications through PubMed, Scopus, and CAB abstracts research databases (2000–2020).ResultsMore than 40 MIO articles have been published in the last 15 years, but most studies had small numbers, lacked control groups, and used limited outcome measures. Studies generally showed that MIO was feasible in dogs and cats with low complication rates. The current evidence does not demonstrate superior bone healing or functional outcomes with MIO when compared to standard methods. Although treatment principles, case selection, and techniques varied depending on the anatomical location, there were no salient differences in complication rates among long bones, physeal, and articular fractures treated by MIO.ConclusionThe current available evidence and the personal experience of the authors support MIO as a promising fracture management modality. MIO can yield excellent outcomes when applied in carefully selected cases, performed by surgeons experienced in the technique. We cannot, however, conclude that MIO is superior to open fracture stabilization based on the available evidence in veterinary literature. Randomized controlled studies are warranted to prospectively compare MIO with other osteosynthesis techniques and thereby validate its role in fracture management for dogs and cats.
Altered central and peripheral haemodynamics during rhythmic handgrip exercise in young adults with SARS‐CoV‐2
Authors: Stute Nina L. , Stickford Abigail S. L. , Stickford Jonathon L. , Province Valesha M. , Augenreich Marc A. , Bunsawat Kanokwan , Alpenglow Jeremy K. , Wray D. Walter , Ratchford Stephen M. 
Published: July 2021

New Findings

What is the central question of this study?
Are central and peripheral haemodynamics during handgrip exercise different in young adults 3–4 weeks following infection with of SARS‐CoV‐2 compared with young healthy adults.

What is the main finding and its importance?
Exercising heart rate was higher while brachial artery blood flow and vascular conductance were lower in the SARS‐CoV‐2 compared with the control group. These findings provide evidence for peripheral impairments to exercise among adults with SARS‐CoV‐2, which may contribute to exercise limitations.

AbstractThe novel severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) can have a profound impact on vascular function. While exercise intolerance may accompany a variety of symptoms associated with SARS‐CoV‐2 infection, the impact of SARS‐CoV‐2 on exercising blood flow (BF) remains unclear. Central (photoplethysmography) and peripheral (Doppler ultrasound) haemodynamics were determined at rest and during rhythmic handgrip (HG) exercise at 30% and 45% of maximal voluntary contraction (MVC) in young adults with mild symptoms 25 days after testing positive for SARS‐CoV‐2 (SARS‐CoV‐2: n = 8M/5F; age: 21 ± 2 years; height: 176 ± 11 cm; mass: 71 ± 11 kg) and were cross‐sectionally compared with control subjects (Control: n = 8M/5F; age: 27 ± 6 years; height: 178 ± 8 cm; mass: 80 ± 25 kg). Systolic blood pressure, end systolic arterial pressure and rate pressure product were higher in the SARS‐CoV‐2 group during exercise at 45% MVC compared with controls. Brachial artery BF was lower in the SARS‐CoV‐2 group at both 30% MVC (Control: 384.8 ± 93.3 ml min–1; SARS‐CoV‐2: 307.8 ± 105.0 ml min–1; P = 0.041) and 45% MVC (Control: 507.4 ± 109.9 ml min–1; SARS‐CoV‐2: 386.3 ± 132.5 ml min–1; P = 0.002). Brachial artery vascular conductance was lower at both 30% MVC (Control: 3.93 ± 1.07 ml min–1 mmHg–1; SARS‐CoV‐2: 3.11 ± 0.98 ml min–1 mmHg–1; P = 0.022) and 45% MVC (Control: 4.74 ± 1.02 ml min–1 mmHg–1; SARS‐CoV‐2: 3.46 ± 1.10 ml min–1 mmHg–1; P < 0.001) in the SARS‐CoV‐2 group compared to control group. The shear‐induced dilatation of the brachial artery increased similarly across exercise intensities in the two groups, suggesting the decrease in exercising BF may be due to microvascular impairments. Brachial artery BF is attenuated during HG exercise in young adults recently diagnosed with mild SARS‐CoV‐2, which may contribute to diminished exercise capacity among those recovering from SARS‐CoV‐2 like that seen in severe cases.
Key Components Related to Pressure Injury Formation: An Initial Investigation Into Pressure Distribution and Blood Perfusion Responses in Wheelchair Users
Authors: Scott Justin , Bush Tamara Reid 
Published: July 2021

Abstract
Soft tissue around bony prominences in the buttocks and back are high-risk areas prone to the development of pressure injuries. From a clinical perspective, prevention of pressure injuries all together is the ideal situation. Unfortunately, prevalence rates still reach 47% with recurrence rates even higher. The goals of this study were to evaluate the effects of a series of wheelchair movements, some that currently exist in commercial wheelchairs and some new, on interface pressures and perfusion under the buttocks. Twenty-seven chair positions were obtained by varying back recline, seat pan tilt, and articulation of two supports along the back. Although back recline is commonly taught by therapists to be used as a pressure relieving posture, results indicated an increase in pressures under the ischial tuberosities and sacral areas in reclined positions. Articulation of the back supports produced changes in posture moving from an “erect” to “slouched” position. These movements successfully shifted pressures across back regions. Seat pan tilt was effective in shifting pressures off the ischial tuberosity regions. Additionally, in a portion of the participants, seat pan tilt consistently increased perfusion under the ischial tuberosity region. The findings of this research suggest that movements other than back recline should be considered to more effectively alter interface pressures, particularly in high-risk regions like the sacrum and ischial tuberosities.