bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prediction of Nursing Need Proxies Using Vital Signs and Biomarkers Data: Application of Deep Learning Models
Authors: Baek Yunmi , Han Kihye , Jeon Eunjoo , Yoo Hae Young 
Published: December 2024

ABSTRACTAimTo develop deep learning models to predict nursing need proxies among hospitalised patients and compare their predictive efficacy to that of a traditional regression model.DesignThis methodological study employed a cross‐sectional secondary data analysis.MethodsThis study used de‐identified electronic health records data from 20,855 adult patients aged 20 years or older, admitted to the general wards at a tertiary hospital. The models utilised patient information covering the preceding 2 days, comprising vital signs, biomarkers and demographic data. To create nursing need proxies, we identified the six highest‐workload nursing tasks. We structured the collected data sequentially to facilitate processing via recurrent neural network (RNN) and long short‐term memory (LSTM) algorithms. The STROBE checklist for cross‐sectional studies was used for reporting.ResultsBoth the RNN and LSTM predicted nursing need proxies more effectively than the traditional regression model. However, upon testing the models using a sample case dataset, we observed a notable reduction in prediction accuracy during periods marked by rapid change.ConclusionsThe RNN and LSTM, which enhanced predictive performance for nursing needs, were developed using iterative learning processes. The RNN and LSTM demonstrated predictive capabilities superior to the traditional multiple regression model for nursing need proxies.Implications for the ProfessionApplying these predictive models in clinical settings where medical care complexity and diversity are increasing could substantially mitigate the uncertainties inherent in decision‐making processes.Patient or Public ContributionWe used de‐identified electronic health record data of 20,855 adult patients about vital signs, biomarkers and nursing activities.Reporting MethodThe authors state that they have adhered to relevant EQUATOR guidelines: STROBE statement for cross‐sectional studies.ImpactDespite widespread adoption of deep learning algorithms in various industries, their application in nursing administration for workload distribution and staffing adequacy remains limited. This study amalgamated deep learning technology to develop a predictive model to proactively forecast nursing need proxies. Our study demonstrates that both the RNN and LSTM models outperform a traditional regression model in predicting nursing need proxies. The proactive application of deep learning methods for nursing need prediction could help facilitate timely detection of changes in patient nursing demands, enabling the effective and safe nursing services.
The Relationship Between Perceived Nursing Workload and Occupational Fatigue in Clinical Nurses: The Moderating Role of Nursing Teamwork
Authors: Nemati‐Vakilabad Reza , Ebadi Erfan , Homaei Amirreza , Hoseini Soraya , Mirzaei Alireza 
Published: December 2024

ABSTRACTAimThis study investigated the association between perceived nursing workload and occupational fatigue in clinical nurses. We specifically focused on how nursing teamwork moderates this relationship.BackgroundHospital nurses often face heavy workloads, leading to significant fatigue. Understanding the link between workload, fatigue and teamwork is crucial to addressing nurse burnout.MethodsA cross‐sectional study was conducted among 356 clinical nurses from five educational‐therapeutic hospitals in Ardabil, Iran. Data were collected using validated instruments, including the Occupational Fatigue Exhaustion Recovery‐15 (OFER) scale, the Quantitative Workload Inventory (QWI) and the Nursing Teamwork Survey (NTS). Hierarchical linear regression analysis assessed the relationships between perceived workload, occupational fatigue and nursing teamwork.ResultsThe study's findings show that increased nursing workloads were significantly linked to higher levels of both acute (B = 5.70 to 6.76, p < 0.001) and chronic fatigue (B = 6.71 to 7.16, p < 0.001). Additionally, effective nursing teamwork, comprising trust, team orientation, support, shared mental models and team leadership was associated with reduced fatigue levels.ConclusionOur study shows high workloads are linked to increased fatigue among nursing professionals. Teamwork can help lessen the adverse effects of workload on fatigue. Healthcare organisations should focus on optimising workload distribution and strengthening teamwork. Further research is needed to understand these dynamics and develop targeted interventions to support nursing staff in high‐demand environments.Implications for Nursing and Health PolicyThe study emphasises the need for healthcare organisations to prioritise workload management and enhance teamwork among nursing staff. Implementing structured workload assessments and fostering a collaborative work environment, along with policies promoting work–life balance, can improve patient care quality, benefit nursing professionals and contribute to a more resilient healthcare system.
Artificial intelligence applications in smile design dentistry: A scoping review
Authors: Baaj Rakan E. , Alangari Talal A. 
Published: December 2024

AbstractPurposeArtificial intelligence (AI) applications are growing in smile design and aesthetic procedures. The current expansion and performance of AI models in digital smile design applications have not yet been systematically documented and analyzed. The purpose of this review was to assess the performance of AI models in smile design, assess the criteria of points of reference using AI analysis, and assess different AI software performance.MethodsAn electronic review was completed in five databases: MEDLINE/PubMed, EMBASE, World of Science, Cochrane, and Scopus. Studies that developed AI models for smile design were included. The search strategy included articles published until November 1, 2024. Two investigators independently evaluated the quality of the studies by applying the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Quasi‐Experimental Studies and Textual Evidence: Expert Opinion Results.ResultsThe search resulted in 2653 articles. A total of 2649 were excluded according to the exclusion criteria after reading the title, abstract, and/or full‐text review. Four articles published between 2023 and 2024 were included in the present investigation. Two articles compared 2D and 3D points while one article compared the outcome of satisfaction between dentists and patients, and the last article emphasized the ethical components of using AI.ConclusionThe results of the studies reviewed in this paper suggest that AI‐generated smile designs are not significantly different from manually created designs in terms of esthetic perception. 3D designs are more accurate than 2D designs and offer more advantages. More articles are needed in the field of AI and smile design.
A consort‐guided randomized, blinded, controlled clinical trial on the effects of 6 weeks training on heart rate variability in thoroughbred horses
Authors: Santosuosso Emma , Léguillette Renaud , Shoemaker Sierra , Baumwart Ryan , Temple Sierra , Hemmerling Kaneesha , Kell Tessa , Bayly Warwick 
Published: December 2024

AbstractBackgroundFitness assessment of horses remains challenging. Heart rate variability (HRV) can be used to monitor human athlete's training, but its value is unknown in horses.HypothesisThe linear domain HRV variables are affected by fitness.AnimalsTwelve healthy untrained thoroughbreds were randomly split into a training group (6 weeks of incremental racetrack training) and a control group (no training).MethodsLinear domain HRV variables were analyzed (high frequency [HF], low frequency [LF], their normalized units [Hfnu, Lfnu], root mean square of successive differences between beats [RMSSD], Poincaré plot features [SD1 and SD2]) while resting overnight before (baseline) and after 2, 4 and 6 weeks of training. V̇O2max and echocardiographic indexes were measured at baseline and after 6 weeks. Changes in HRV variables over time (ANOVA), and correlation with V̇O2max (Pearson's chi‐squared test) were tested (P < .05 significance).ResultsV̇O2max, LF/HF ratio, and LFnu increased while HFnu decreased in the training group (before and after training mean [SD] values: V̇O2max 134 [12.8]‐146 [16.5] mL/[kg min]; P < .001; LF/HF ratio 0.51 [0.2]‐0.91 [0.3] [P = .02]; LFnu 37.5 [10.1]‐46.8 [7.8] [P = .02]; HFnu 76.2 [7.9]‐53.2 [7.7] [P < .001]). Training did not affect RMSSD, SD1, SD2, resting HR, or echocardiographic indexes. Strong correlations were found between V̇O2max and HRV variables (V̇O2max and LFnu [r = −0.59, P = .04]; ΔV̇O2max and the corresponding ΔLF [r = −0.88, P = .02]).Conclusions and Clinical ImportanceSix weeks of training affected some frequency domain HRV variables. Further studies are necessary to validate the use of HRV for monitoring horses' responses to training.
Willow above, changes below: Seedless tree invader impacts riparian seed bank in the Patagonian ecotone
Authors: Torres María del Milagro , Franzese Jorgelina , Blackhall Melisa , Relva María Andrea 
Published: December 2024

AbstractAimThe soil seed bank, an ecosystem component with a crucial role in the natural regeneration of plant communities, can be impacted by invasive non‐native plants. The impact of non‐native plants can be direct with the production of their own seeds or indirect without producing seeds, which has been less investigated. We determined the impact of an invasive seedless tree, non‐native willow (Salix × rubens), on the soil seed bank in a riparian ecosystem.LocationNorthwestern Patagonia, Argentina.MethodsIn autumn and spring 2022, we collected soil samples and estimated understorey cover, respectively, in plant communities invaded by willow and in uninvaded communities with a canopy dominated by native species. Over a year, we recorded the seedling emergence of soil samples to estimate the abundance, richness, and composition of the seed bank. We also compared the composition between the seed bank and understorey.ResultsTotal seed abundance and native woody species seed abundance decreased twofold and fourfold, respectively, in invaded plant communities in comparison with uninvaded communities. The most affected woody species was Ochetophila trinervis, a key tree species, because of its dominance in the canopy and understorey, and its role in various ecological processes (nitrogen cycling). In addition, willow invasion moderately changed the seed bank species composition producing species turnover. For both the seed bank and the understorey, species composition was more similar between invaded and uninvaded communities than between the seed bank and understorey. Willow invasion had more impact on understorey composition than on the seed bank.ConclusionsAlthough willows do not produce seeds regionally, their invasion negatively impacts the soil seed bank by replacing native woody canopy species that supply seeds to the seed bank. These impacts could result in notable changes in the structure of the plant communities and the ecosystem dynamics of riparian areas.
Social Media and the Adolescent Transplant Recipient
Authors: Barreda Christina , Moreno Megan A. 
Published: December 2024

ABSTRACTIntroductionSocial media is interwoven into adolescents' daily lives. Many adolescents utilize digital technology in their healthcare journeys, as do their caregivers. Health systems increasingly seek ways to leverage these new tools toward supporting and caring for patients. These approaches may be of particular importance of adolescents, as well as healthcare systems, in providing care for chronic and serious illness including transplant patients.MethodsThis review article will begin with an overview of adolescent social media use. We will then consider ways in which social media may impact adolescents' healthcare experience including identity development and adherence.ResultsCaregivers may leverage social media for information seeking. Families may use social media to seek social support, as well as potential donors. For healthcare systems, social media may enhance research efforts as well as information delivery.DiscussionFuture directions include studies examining how social media can support adolescent transplant patients. incorporation of youth voice into these studies may enhance application of findings to clinical practice.
Photoprotective Effect of Taurine‐Rich Protamex Extract From Salmon (Oncorhynchus keta) Byproduct Against Ultraviolet B‐Induced Skin Damage in Human Dermal Fibroblasts and Zebrafish Model
Authors: Im Seung Tae , Kim Wook Chul , Lee Seung‐Hong 
Published: December 2024

ABSTRACTBackgroundExposure to ultraviolet (UV) light promotes reactive oxygen species (ROS) production and metalloproteinase (MMP) 1 expression, leading to skin damage. Several studies have reported that protein‐rich fish byproducts from enzymatic hydrolysis exhibited a variety of health benefits such as antioxidant and anti‐inflammation. In the current study, we investigated the protective effect of protein hydrolysate from salmon byproduct (SBPH) in ultraviolet B (UVB)‐irradiated human dermal fibroblasts (HDFs) and zebrafish.MethodsAntioxidant activities of SBPH were evaluated by the oxidative radical scavenging assay. To determine the cytotoxicity of SBPH, the CCK‐8 assay was performed. The protective effects of SBPH against photodamage was evaluated by DCF‐DA, ELISA, and western blotting analysis in UVB‐induced in vitro and in vivo model.ResultsSBPH significantly increased cell proliferation and suppressed UVB‐induced intracellular ROS generation and MMP‐1 expression by regulating activator protein 1 (AP‐1) and mitogen‐activated protein kinases (MAPKs) signaling pathways in HDF cells. In addition, SBPH reduced the expression of proinflammatory cytokines and alleviated the inflammatory response via suppressing nitric oxide synthase (NOS) and cyclooxygenase 2 (COX2). Moreover, UVB‐induced abnormal homeostasis in HDF cells was remarkably improved via the downregulation of cell cycle regulatory proteins including p53 and p21. Furthermore, the in vivo photoprotective effect was determined by reducing the level of ROS in the UVB‐induced zebrafish model.ConclusionThese results demonstrate that SBPH possesses strong protective effects against UVB and may serve as a potential ingredient in pharmaceuticals and cosmeceuticals.
Unruly subjects: The subaltern struggle for media justice, multimodality, and autoethnography in academia and beyond
Authors: Osman Wazhmah 
Published: December 2024

AbstractIn this autoethnographic article, I explore the “crisis of representation” and the struggle of subaltern people for reparative representation and media justice. I argue that the field of visual anthropology and its multimodal programs have emerged from the margins to be at the forefront of decolonizing media and representation in the academy and beyond, but more work still needs to be done to achieve parity. I highlight the work and programs of leading scholar‐practitioners and their methodological and theoretical approaches that have shifted the paradigm of modern anthropology and representational politics and practice more generally. I focus on the trajectory of Faye Ginsburg's scholarship and media activism working with Indigenous, disability, and reproductive justice movements and show its impact on my work in the media worlds of the United States and Afghanistan and on Middle Eastern and Asian contexts and studies more broadly.
Performance and Psychophysiological Effects of Light-Guided Pacing During a 5000-m Run
Authors: Casado Arturo , Hornillos Alberto , Foster Carl , Ranieri Luis E. , Renfree Andrew , Domínguez Raúl 
Published: December 2024

Purpose: In world-class middle- and long-distance running races, a Wavelight signal has recently been used as a pacing guide for setting records. The aim of the present study was to compare performance and psychophysiological effects between light-guided, drafting, and nonassisted pacing conditions in distance runners. Methods: Fifteen male middle- and long-distance runners of national and regional standard ran three 5000-m time trials in a counterbalanced order with the following pacing distribution: the first 4000 m and last 1000 m were covered at submaximal and maximal intensities, respectively. The 3 trials (conditions) were (1) self-paced, (2) guided by a light signal, and (3) guided by a cyclist in front (drafting condition). Pace, heart rate, rating of perceived exertion, and affective valence were recorded every 500 m. Results: No statistically significant differences were found between pacing-light and self-paced conditions. Running time was shorter in the drafting versus self-paced condition in the final 500-m section (P = .031; d = 0.76). No differences were found between drafting and light conditions. Similarly, whereas 9 out of 10 significant differences in terms of lower heart rate, or rating of perceived exertion, or higher affective valence responses were found in the drafting versus self-paced condition (P = .004–.041; d = 0.63–1.39), only 4 were found across the tests in the drafting versus light condition (P = .005–.016; d = 0.66–0.84). Conclusion: Light-guided pacing did not influence performance or psychophysiological responses in distance runners during a 5000-m test, but drafting produced a large effect.
Acquisition, Retention, and Transfer Effects of Landing Training to Increase Foot Progression Angle During Bilateral Drop Landings
Authors: Weinhandl Joshua T. , Genter Alec M. , Peel Shelby A. , Zhang Songning , Fairbrother Jeffrey T. 
Published: December 2024

Foot position during landing directly influences knee mechanics. Thus, the purpose of this study was to determine success in practicing, repeating, and transferring a desired foot progression angle (FPA) during landing, as well as changes in knee mechanics. Twenty females were randomly assigned to a control or verbal instruction group. On day 1, each group performed 40 drop landings. The verbal instruction group was instructed to “Land with 30 degrees of external rotation” before every trial. Feedback was provided on a terminal schedule in the form of knowledge of FPA error. On day 2, retention was assessed with 5 drop landings, while transfer was assessed during a 2-step stop-jump landing. Repeated-measures analyses of variance (2 × 4 [group × time]) were used to assess the influence of verbal instruction on knee mechanics. Participants who received verbal instruction exhibited increased FPA. They also demonstrated increased initial contact knee abduction during acquisition and retention. For all participants, initial contact knee flexion increased, while peak knee adduction moment decreased during acquisition. While the verbal instruction cue was effective in promoting an increase in FPA and reducing some ACL injury risk factors during practice and retention, this cue may only be effective to tasks similar to what was practiced.
Lawsonella clevelandensis
as a cause of monomicrobial breast abscess: a case report
Authors: Lindstrom Meghan , Ferrieri Patricia , Kubiak Jeffrey M. 
Published: December 2024

ABSTRACT

Background

Lawsonella clevelandensis
is a recently characterized fastidious anaerobic Gram-positive, partially acid-fast bacillus associated with monomicrobial abscess formation.

Case Summary

This case report features a 56-year-old female who developed right breast pain and was found to have subareolar breast abscess. Aspiration of the abscess grew pinpoint to small waxy colonies within 5 days on phenylethyl alcohol agar under anaerobic conditions. The organism was maintained with sustained growth from a subculture in thioglycolate broth. Conventional identification techniques, including matrix-assisted laser desorption/ionization time-of-flight mass spectrometry, failed to identify the organism, which was confirmed as
L. clevelandensis
by 16S rDNA sequencing.

Conclusion

This case marks the fifth reported case of
L. clevelandensis
as the causative organism of monomicrobial breast abscess. Additionally, this case marks the first reported instance of
L. clevelandensis
being maintained and cultivated within liquid-based growth media.
Chest wall-necrotizing soft tissue infection caused by
Finegoldia magna
and
Helcococcus kunzii
in an immunocompromised patient: a case report
Authors: Alaifan Thamer , Al-Thaqafi Abdualhakeem , Munshi Enas , Kaaki Mai , Khojah Abdulrahman , Sakhakhni Abdulrazak 
Published: December 2024

ABSTRACT

Background

Necrotizing soft tissue infections are life-threatening conditions that require prompt diagnosis and intervention. This case report presents a rare case of chest wall-necrotizing soft tissue infection caused by
Finegoldia magna
and
Helcococcus kunzii
in an immunocompromised patient.

Case Summary

A 60-year-old female with metastatic uterine leiomyosarcoma and multiple comorbidities presented with swelling of the right breast and discharge. Surgical intervention revealed extensive necrosis, and cultures identified
Finegoldia magna
and
Helcococcus kunzii
. Despite antibiotic therapy and repeated debridement, the patient developed septic shock and coagulopathy, ultimately succumbing to infection.

Conclusion
This case highlights the potential of rare organisms to cause severe necrotizing soft tissue infections in immunocompromised individuals. Rare microbiological and anatomical presentations and findings are interesting incidents that require further attention. It is important to note that, although these organisms are rare, they still pose a significant risk for the development of necrotizing soft tissue infections. By reporting such cases, we will aid in raising awareness of these organisms.