bluuebunny/crossref_metadata_2025_split huggingface dataset:
Understanding the concept of missed nursing care from a cross‐cultural perspective
Authors: Zeleníková Renáta , Drach‐Zahavy Anat , Gurková Elena , Papastavrou Evridiki ,   RANCARE Consortium COST
Published: August 2019

AbstractAimsTo investigate how nursing experts and experts from other health professions understand the concept of rationing/missed/unfinished nursing care and how this is compared at a cross‐cultural level.DesignThe mixed methods descriptive study.MethodsThe semi‐structured questionnaires were sent to the sample of 45 scholars and practitioners from 26 countries. Data were collected from November 2017–February 2018.ResultsAssigning average cultural values to participants from each country revealed three cultural groups: high individualism‐high masculinity, high individualism‐low masculinity and low individualism‐medium masculinity. Content analysis of the findings revealed three main themes, which were identified across cultural clusters: (a) projecting blame for the phenomenon: Blaming the nurse versus blaming the system; (b) intentionality versus unintentionality; and (c) focus on nurses in comparison to focus on patients.ConclusionConsistent differences in the understanding of missed nursing care can be understood in line with the nation's standing on two main cultural values: individualism and masculinity.ImpactThe findings call for scholars' caution in interpreting missed nursing care from different cultures, or in comparing levels and types of missed nursing tasks across nations. The findings further indicated that mimicking interventions to limit missed nursing care from one cultural context to the other might be ineffective. Interventions to mitigate the phenomenon should be implemented thoughtfully, considering the cultural aspects.
The effect of gender and clinical experience on shade perception
Authors: Aswini Kumar K. , Ramanarayanan Venkitachalam , Rejithan Athira , Sajeev Rahul , Suresh Reshma 
Published: August 2019

AbstractObjectiveShade matching is a critical procedure in prosthetic dentistry. The correct identification of the shade by the doctor as well as the perception of the shade by the dental technician becomes critical due to the high patient expectations. The current study aims to evaluate the effect of gender and clinical experience on shade perception by dental professionals.Materials and MethodsA total of 100 dental professionals with normal color vision who were categorized as dental students, dental doctors, and dental specialists were included in the study. Masked A2 and B2 shades tabs were made to match with a complete set of shade guide. The obtained data were entered, coded, and analyzed using SPSS version 17 for Windows.ResultsTotal number of participants who identified both shade tabs correctly was 44%. There were no statistically significant differences among the gender or the clinical experience with regard to correct identification of shade tabs.ConclusionWithin its limitations of fewer number (two) of shade tabs for comparison, the study concludes that multiple opinions may be taken clinically irrespective of the gender or clinical experience as gender and experience do not have a significant role to play for shade matching in prosthetic and restorative dentistry.
Can universal adhesive systems bond to zirconia?
Authors: dos Santos Ricardo Alves , de Lima Eliane Alves , Mendonça Luciana Sarmento , de Oliveira José Eurípedes , Rizuto Ariela Vilela , de Araújo Silva Tavares Áurea Fernanda , Braz da Silva Rodivan 
Published: August 2019

AbstractObjectiveTo measure the bond strength to zirconia subjected to different surface treatments of universal bonding agents.Materials and methodsEighty blocks of zirconia were obtained by CAD/CAM milling. The blocks were embedded into PVC tubes, polished sequentially with increasing granulation sandpapers and divided into two groups according to surface treatment: polished or grit‐blasted with alumina particles. Each group was then subdivided by bonding agent employed: Z‐Prime Plus (control); Scotchbond Universal; All Bond Universal; and Z‐Prime Plus + All Bond Universal. Cylindrical composite resin build‐ups were constructed atop the blocks using a two‐part metal die. Specimens were stored for 24 hours and subjected to microshear bond strength testing. Statistical analyses were performed by means of the F‐test (ANOVA), Student's t and Tukey's test. After sputter coating, zirconia surfaces and adhesive interfaces were analyzed by scanning electron microscopy (SEM).ResultsBond strength was superior for grit‐blasted zirconia. In specimens with this surface treatment, there were no significant differences between experimental groups. On SEM, blasted surfaces exhibited areas of micromechanical retention and adhesive interfaces exhibited areas of zirconia‐adhesive interlocking.ConclusionUniversal adhesive systems were able to bond to zirconia. The interlocking promoted by grit‐blasting enhanced bond strength.Clinical significanceUniversal adhesive systems simplify bonding to zirconia and enable intraoral repair of fractures.
Effects of lactic acid stress with lactic acid adaptation on the survival and expression of virulence‐related genes in Escherichia coli O157:H7
Authors: Yu Lanlin , Ji Saisai , Yu Jinlong , Fu Wenjing , Zhang Lin , Li Jiaolong , Gao Feng , Jiang Yun 
Published: August 2019

AbstractThis study was aimed to investigate the effects of lactic acid stress with acid adaptation on the survival and expression of virulence‐related genes in Escherichia coli O157:H7 (strains CICC21530, 89, 95, 112, 109, and J42). E. coli were subjected to acid adaption (pH 5.0) for 1–4 hr and then exposed to acid stress (pH 3.5) for 30–120 min. Results showed that exposure to pH 3.5 decreased the survival of E. coli strains, in which strains 109, 112, and J42 had stronger acid resistance. The expression of virulence‐related genes of most strains decreased after exposure to pH 3.5 compared with nonstressed cells. In addition, acid adaptation increased the acid resistance of most strains, except for CICC21530 and J42. And the virulence expression of most acid‐adapted cells decreased or showed no significant changes compared with nonadapted cells. There were no obvious relationships between the survival and expression of virulence‐related genes in E. coli O157:H7 strains. However, variable acid resistance of acid‐adapted strains was existed, and some acid adaptation increased the strain survival and expression of virulence‐related genes, which may still threaten food safety.Practical ApplicationsThis study evaluated the effects of lactic acid stress with acid adaptation on the survival and expression of virulence‐related genes in Escherichia coli O157:H7. Acid adaptation could enhance the survival and virulence expression of some strains, which will threaten the safety of acidic food during processing and storage. Furthermore, variable acid resistance of acid‐adapted strains should be noticed in surveillance and control of E. coli O157:H7 in environment and food, which is beneficial for its scientific and effective risk assessment and control.
Repair of cutaneous and mucosal upper lip defects using double V‐Y advancement flaps
Authors: Zhang Wen‐Chao , Liu Zhifei , Zeng Ang , Wang Xiaojun , Yu Nanze , Zhu Lin , Dong Ruijia , Wang Sam , Li Xuemei 
Published: August 2019

AbstractBackgroundThe repair and reconstruction of the upper lip defects should focus on the important anatomical landmarks of the upper lip. In this investigation, double V‐Y advancement flaps were used to simultaneously repair the cutaneous and mucosal defects of the upper lip. It was especially suitable for young patients with tight skin and high‐risk scar hyperplasia in the donor sites.ObjectiveThe objective was to examine the surgical outcomes following the simultaneous repairation of upper lip mucocutaneous defects using double V‐Y advancement flaps.MethodsA retrospective review of all patients with defects near the vermilion border who underwent double V‐Y flaps repair from July 2014 to November 2018 was performed. Transverse V‐Y advancement flaps were used to repair the cutaneous defects and longitudinal V‐Y advancement flaps to repair the mucosal defects.ResultsFifteen patients (six males, nine females) were retrospectively reviewed. Defects spanning the vermilion border ranged from 0.8 × 0.5 to 2.5 × 1.5 cm2. Follow‐up was for 3 months or longer. There were no perioperative complications or visible postoperative scars, and major anatomic landmarks were preserved and reconstructed. All patients were satisfied with the aesthetic outcome.ConclusionDouble V‐Y advancement flaps are suitable for the repair of superficial mucocutaneous defects smaller than 50% of the lateral upper lip, especially for younger patients with tight skin.
Facial skin cancer reconstructive and cosmetic outcomes: Analysis with algorithm for its management
Authors: Helmy Ali Yasser , Farahat Mohamed Ayman , Nasef Mahmoud A. , Abu‐Elsoud Ahmed , Dahi Asmaa , Hossni Mohamed , Ouf Mohamed O. , Zayed Tarek , ELBatawy Amr , Farid Mohamed , Taha Sayed Ahmed , EL‐Banooby Tarek 
Published: August 2019

AbstractBackgroundManagement of facial skin cancer and its complications is important research topics needing continuous update to improve the outcome.ObjectiveThe study is to share our findings with surgeons and healthcare providers. The authors provide their efforts by pooling data from multiple institutions; as reporting surgical outcomes is significantly lacking and much needed in the Middle East and North Africa region in order to meaningfully improve quality of care. This study proposes an algorithm for management that could aid a surgical decision‐making for reconstruction of defects after excision of facial skin cancer.MethodsRetrograde simple descriptive analysis study is conducted for multicenter data about management of facial skin cancer and its cosmetic outcome. The analysis involves 159 male patients and 95 females.ResultsNonmelanoma skin cancer was reported in 250 (98.4%) of 254 cases. Reconstructive procedures were complicated in 16 cases (~6.3% of the study). Skin cancer recurrence in head and neck has happened in five cases (~1.9% of the study). Flaps used survived without major complications; however, V‐Y advancement flaps showed the best aesthetic outcome.ConclusionThis study reports data in order to meaningfully improve the quality of care. Disease incidence, reconstructive complications, recurrences, and aesthetic outcome of facial skin cancer are included in the study. Based on the data pooling, the study proposes a simple treatment algorithm that could aid in surgical decision‐making. V‐Y advancement flaps showed the best aesthetic outcome.
Gender‐related characterization of sensitive skin in normal young Chinese
Authors: Wang Xiaohua , Su Yunzhi , Zheng Baoqing , Wen Si , Liu Dan , Ye Li , Yan Yunling , Elias Peter M. , Yang Bin , Man Mao‐Qiang 
Published: August 2019

AbstractBackgroundWhile clinical signs, symptoms, as well as etiology of sensitive skin in general populations have been extensively studied over the last decades, characteristics of sensitive skin in normal subjects, particularly gender‐related characteristics, still remain unknown.ObjectiveIn the present study, we characterize facial sensitive skin in normal young Chinese.Subjects and MethodsA questionnaire was given to each participant aged 10‐30 years. Clinical signs, symptoms, and associated trigger factors of facial sensitive skin were compared in normal young Chinese males versus females.ResultsAfter excluding subjects with pre‐existing skin disorders, 475 females and 429 males out of 954 responders were included in the analyzes. Prevalence of self‐reported facial sensitive skin was significantly higher in females than in males. Yet, while more females experienced various symptoms, symptoms were more severe in males than in females. However, both the prevalence and severity of clinical signs were similar in females and males. Skin care products appeared to be the major contributors to facial sensitive skin in both genders. Moreover, it appeared that females were more sensitive to environmental factors such as low humidity and sun‐exposure while males were more sensitive to emotional factors. Taken together, these results demonstrate that characteristics of sensitive skin are associated with gender, while the underlying mechanisms remain to be explored.ConclusionsThere are gender differences in prevalence, symptoms, and trigger factors of facial sensitive skin in normal young Chinese.
Use of labor induction with dinoprostone vaginal suppositories in pregnant women with gestational hypertension
Authors: Hu Ya‐Ping , Zhou Dong , Li Min , Wang Ying , Wang Ling , Sun Guo‐Qiang , Xiao Mei 
Published: August 2019

AbstractAimGestational hypertension is a common disorder of pregnancy. This study aims to evaluate the effect of labor induction with dinoprostone vaginal suppositories (Propess) on pregnancy outcomes in pregnant women with gestational hypertension.MethodsThe retrospective study included 375 patients with gestational hypertension. All patients were included into three groups according to the characteristics at admission. Women who had initiated labor spontaneously at admission were enrolled in Spontaneous labor group. According to Bishop score, other patients underwent labor induction with Propess or oxytocin were enrolled in Propess group or Oxytocin group. Demographic information and perinatal outcome data were collected.ResultsThe vaginal delivery rate of the women with gestational hypertension was respectively 93.5% (Spontaneous labor group), 77.0% (Propess group), and 52.5% (Oxytocin group) in three groups with significant difference (P < 0.001). The duration of labor was 8.29 ± 3.70 h (Spontaneous labor group), 8.45 ± 5.21 h (Propess group) and 12.37 ± 11.47 h (Oxytocin group) in three groups, respectively. No differences were found in the intrapartum fever (P = 0.588), intrapartum hemorrhage (P = 0.953), intrapartum maximum blood pressure (P = 0.301 and P = 0.535) and post‐partum hemorrhage (P = 0.075) among three groups. Neonatal outcomes were similar among three groups (Neonatal hospitalization rate, P = 0.437; 1‐min Apgar score, P = 0.304; 5‐min Apgar score, P = 0.340; Birth weight, P = 0.089). No poor maternal and neonatal outcomes occurred.ConclusionPregnant women with gestational hypertension could have favorable pregnancy outcomes. Using Propess as a mode of labor induction in gestational hypertension is safe and effective, without increasing intrapartum blood pressure and inducing poor pregnancy outcomes.
Glycosylation of DMP1 maintains cranial sutures in mice
Authors: Cai Mingxiang , Li Junhui , Yue Rui , Wang Zuolin , Sun Yao 
Published: August 2019

AbstractCraniosynostosis, a severe craniofacial developmental disease, can only be treated with surgery currently. Recent studies have shown that proteoglycans are involved in the suture development. For the bone matrix protein, dentin matrix protein 1 (DMP1), glycosylation on the N‐terminal of it could generate a functional proteoglycan form of DMP1 during osteogenesis. We identified that the proteoglycan form of DMP1 (DMP1‐PG) is highly expressed in mineralisation front of suture. But, the potential role of DMP1‐PG in suture fusion remain unclear. To investigate the role of DMP1‐PG in cranial suture fusion and craniofacial bone development. By using a DMP1 glycosylation site mutation mouse model, DMP1‐S89G mice, we compared the suture development in it with control mice. We compared the suture phenotypes, bone formation rate, expression levels of bone formation markers in vivo between DMP1‐S89G mice and wild‐type mice. Meanwhile, cell culture and organ culture were performed to detect the differences in cell differentiation and suture fusion in vitro. Finally, chondroitin sulphate (CHS), as functional component of DMP1‐PG, was employed to test whether it could delay the premature suture fusion and the abnormal differentiation of bone mesenchymal stem cells (BMSCs) of DMP1‐PG mice. DMP1‐S89G mice had premature closure of suture and shorter skull size. Lack of DMP1‐PG accelerated bone formation in cranial suture. DMP1‐PG maintained the essential stemness of BMSCs in suture through blocking the premature differentiation of BMSCs to osteoblasts. Finally, chondroitin sulphate, a major component of DMP1‐PG, successfully delayed the premature suture fusion by organ culture of skull in vitro. DMP1‐PG could inhibit premature fusion of cranial suture and maintain the suture through regulating the osteogenic differentiation of BMSCs.
Efficiency of Zoledronic Acid in Inhibiting Accelerated Periprosthetic Bone Loss After Cementless Total Hip Arthroplasty in Osteoporotic Patients: A Prospective, Cohort Study
Authors: Fu Guang‐tao , Lin Li‐jun , Sheng Pu‐yi , Li Chang‐chuan , Zhang Jin‐xin , Shen Jun , Liu Sheng , Xue Yun‐lian , Lin Si‐peng , Wang Kun , Zheng Qiu‐jian , Ding Yue 
Published: August 2019

ObjectiveTo investigate the influence of preoperative osteopenia/osteoporosis on periprosthetic bone loss after total hip arthroplasty (THA) and the efficiency of zoledronate (ZOL) treatment in periprosthetic bone preservation.MethodsThis multicenter, prospective cohort study was conducted in four centers between April 2015 and October 2017. Patients were assigned to Normal BMD, Osteopenia, and Osteoporosis+ZOL groups. Patients with osteopenia received daily oral calcium (600 mg/d) and vitamin D (0.5 μg/d), while patients in the Osteoporosis+ZOL group received additional ZOL annually (5 mg/year). Periprosthetic bone mineral density (BMD) in seven Gruen zones, radiographic parameters, Harris hip score, EuroQol 5‐Dimensions (EQ‐5D) score, and BMD in hip and spine were measured within 7 days, 3 months, 12 months postoperation and annually thereafter.ResultsA total of 266 patients were enrolled, while 81 patients that completed the first year follow‐up were involved in the statistical analysis. The mean follow‐up time was 1.3 years. There were significant decreases of mean BMD in total Gruen zones (−4.55%, P < 0.05) and Gruen zone 1 (−10.22%, P < 0.01) in patients with osteopenia during the first postoperative year. Patients in the Osteoporosis+ZOL group experienced a marked increase in BMD in Gruen zone 1 (+16%) at the first postoperative year, which had a significant difference when compared with the Normal BMD group (P < 0.05) and the Osteopenia Group (P < 0.001). Low preoperative BMD in hip and spine was predictive of bone loss in Gruen zone 1 at 12 months after THA in patients with normal BMD (R2 = 0.40, P < 0.05).ConclusionsPatients with osteopenia are prone to higher bone loss in the proximal femur after cementless total hip arthroplasty (THA). ZOL, not solely calcium and vitamin D, could prevent the accelerated periprosthetic bone loss after THA in patients with osteopenia and osteoporosis.
Brain‐type natriuretic peptide level in pregnant women with congenital heart disease predicts SGA offspring
Authors: Ishida Shuji , Uchiyama Atsushi , Imai Ken , Kusuda Satoshi 
Published: August 2019

AbstractBackgroundWomen with congenital heart disease (CHD) commonly experience complications related to CHD during pregnancy. The clinical features of neonates born to mothers with CHD, however, have not been fully investigated. The frequency of small for gestational age (SGA) is high in infants born to mothers with CHD, but the risk factors have not been examined sufficiently. Therefore, we analyzed the maternal features associated with SGA infants.Methods and ResultsWe enrolled pregnant women with repaired CHD and infants born to them at Tokyo Women's Medical University Hospital between April 2007 and March 2015. Eleven SGA (11%) and 91 non‐SGA infants (89%) were included. On multivariate logistic regression, SGA infants were significantly more likely to be associated with a high maternal brain‐type natriuretic peptide (BNP) level (OR, 6.7; 95%CI: 1.3–34.5; P = 0.02) and maternal single ventricle disease (OR, 8.4; 95%CI:1.4–51.8; P = 0.02) than were non‐SGA infants.ConclusionsThe incidence of SGA infants born to mothers with CHD was not high in this study. High BNP and maternal single ventricle disease, however, are independent predictors of SGA in infants.
Dysfunctional cognitive control and reward processing in adolescents with Internet gaming disorder
Authors: Li Qi , Wang Yong , Yang Zhong , Dai Weine , Zheng Ya , Sun Yuwei , Liu Xun 
Published: August 2019

AbstractDevelopmental theories posit that immature cognitive control and excessive reward‐seeking capacities may be a risk factor for addictive behaviors during adolescence, but the control and reward capacities have rarely been assessed experimentally in adolescents with Internet gaming disorder (IGD) simultaneously. This electrophysiological study examined inhibitory control and reward processing in adolescents with IGD during a go/no‐go task and a gambling task. Behaviorally, the adolescents with IGD exhibited lower inhibitory control, as measured by the accuracy of no‐go trials, and more risk seeking, as measured by the proportion of risky choices, than did the controls. Compared with the controls, the adolescents with IGD exhibited decreased no‐go P3 and blunted feedback‐related negativity (FRN) amplitudes following gains (gain FRN) but not losses. Thus, IGD in adolescents is potentially driven by dysfunction of the control system and the approach system rather than the avoidance system, supporting the neurobiological model of adolescent development.
Theanine transporters identified in tea plants (Camellia sinensis L.)
Authors: Dong Chunxia , Li Fang , Yang Tianyuan , Feng Lin , Zhang Shupei , Li Fangdong , Li Weihong , Xu Guohua , Bao Shilai , Wan Xiaochun , Lucas William J. , Zhang Zhaoliang 
Published: August 2019

SummaryTheanine, a unique non‐proteinogenic amino acid, is an important component of tea, as it confers the umami taste and relaxation effect of tea as a beverage. Theanine is primarily synthesized in tea roots and is subsequently transported to young shoots, which are harvested for tea production. Currently, the mechanism for theanine transport in the tea plant remains unknown. Here, by screening a yeast mutant library, followed by functional analyses, we identified the glutamine permease, GNP1 as a specific transporter for theanine in yeast. Although there is no GNP1 homolog in the tea plant, we assessed the theanine transport ability of nine tea plant amino acid permease (AAP) family members, with six exhibiting transport activity. We further determined that CsAAP1, CsAAP2, CsAAP4, CsAAP5, CsAAP6, and CsAAP8 exhibited moderate theanine affinities and transport was H+‐dependent. The tissue‐specific expression of these six CsAAPs in leaves, vascular tissues, and the root suggested their broad roles in theanine loading and unloading from the vascular system, and in targeting to sink tissues. Furthermore, expression of these CsAAPs was shown to be seasonally regulated, coincident with theanine transport within the tea plant. Finally, CsAAP1 expression in the root was highly correlated with root‐to‐bud transport of theanine, in seven tea plant cultivars. Taken together, these findings support the hypothesis that members of the CsAAP family transport theanine and participate in its root‐to‐shoot delivery in the tea plant.