bluuebunny/crossref_metadata_2025_split huggingface dataset:
Preparing Nurses to Support the Family During Resuscitation
Authors: Powers Kelly , Duncan Jaclyn M. , Twibell K. Renee 
Published: November 2024

Background
The family support person role during resuscitation is complex and requires role preparation; however, there is a lack of guidance on preparing nurses for this crucial role.

Objectives
To examine how critical care nurses prepared for the role of supporting families during resuscitation and their perceptions of the preparation needed to fulfill this role.

Method
An exploratory-descriptive qualitative design guided the study. Individual, semistructured interviews with 16 critical care nurses yielded data for thematic analysis. All participants had been in the family support person role.

Results
Three themes emerged: who should perform the family support person role, why role preparation is important, and how to prepare for the role. The themes captured participants’ views about identifying and preparing individuals to support families during resuscitation.

Discussion
Nurses are the ideal health care team member to support families during resuscitation. However, participants felt unprepared for this role, especially for communicating with families. Education and experience are important to prepare nurses to effectively enact the role to ensure positive outcomes for family members.
Transcatheter Aortic Valve Replacement for Aortic Valve Stenosis Case Report
Authors: Bump Jamie , Tennyson Carolina 
Published: November 2024

Abstract
This case report details the interdisciplinary care provided to a 48-year-old male patient with severe aortic valve stenosis who underwent transcatheter aortic valve replacement in a community hospital setting. Focus is placed on the interdisciplinary team model demonstrated in the care of this patient, including interventional cardiology and cardiothoracic surgery from the outpatient to the inpatient setting. The use of decision-making tools, including the Society of Thoracic Surgeons Risk Calculator, and a collaborative, shared decision-making approach will be discussed. The care and evaluation of the patient will be presented and compared with the American College of Cardiology/American Heart Association guidelines.
Persistent leukopenia secondary to SARS-CoV-2 infection: a case report
Authors: Alghawe Fatima , Hodaifa Yara , Btrush Sana , Hamsho Suaad , Ghazal Afraa , Kudsi Maysoun , Suliman Ameen 
Published: November 2024

Introduction and importance:
Leukopenia is a condition in which a person has few white blood cells. It should not be considered a disease in itself, but rather a sign of a disease that needs to be further investigated. Leukopenia is a rare complication and is not commonly seen in patients with COVID-19 disease. Here, we report a case of leukopenia in a previously immunocompetent female patient with SARS-CoV-2 infection.

Case presentation:
A 31-year-old woman presented to the emergency department with complaints of fever, fatigue, and dyspnea with a dry cough of 10 days’ duration. Initial laboratory investigations revealed leukopenia. She was diagnosed with severe COVID-19 disease with leukopenia and admitted to intensive care. After 3 years of infection, she is doing well with persistent leukopenia.

Clinical discussion:
Various hematological abnormalities have been reported in COVID-19 disease, including lymphopenia, thrombocytopenia, leukopenia, and hypercoagulability. Possible causes of leukopenia include nutritional deficiencies, megaloblastic anemia, hypersplenism, malignancies, radiotherapy, chemotherapy-induced bone marrow toxicity, connective tissue diseases, and immunosuppressive drugs.

Conclusion:
Leukopenia is a rare complication of COVID-19 disease. We report a case of this manifestation associated with a disease likely caused by bone marrow suppression that persisted for 3 years.
Mutagenicity, DNA Repair Gene Polymorphism, and Differentially Expressed Plasma Protein Fractions Among Textile Dyeing Workers
Authors: Al-Wehedy Adel , Eldegla Heba , Hazem Noha M. , Kamel Emily A. , El-Hadidy Nada M. , Sehsah Radwa 
Published: November 2024

Objectives
This study aimed to assess mutagenicity biomarkers among Egyptian textile dyeing workers, their alteration with gene polymorphism, and the changes in plasma proteins’ expression.

Methods
Using a detailed questionnaire, a comparative cross-sectional study was conducted on 212 workers (106 textile dyeing-exposed group and 106 control group). CBMN-Cyt assay, ERCC2 gene polymorphism, and plasma protein fractions were analyzed in workers’ blood samples.

Results
Textile dye workers had significantly higher mutagenicity biomarkers than the control group. Mutant ERCC2 genotypes, dye exposure, exposure period, and formaldehyde levels significantly predicted mutagenicity biomarkers’ levels. Dye-exposed workers also showed significant changes in plasma protein fractions.

Conclusions
Textile dyeing workers, particularly susceptible genotypes, are at mutagenic risk and have significant changes in plasma protein fractions. Those changes are usually the first detectable response to toxic exposures and can be useful as exposure biomarkers.
Occupational Factors Influencing Turnover Intention in Working Women With Lower Urinary Tract Symptoms
Authors: Jung Joo Hee , Lee Yu Min , Lee Jongin , Kim Hyoung-Ryoul , Cho Hyun A , Kang Mo-Yeol 
Published: November 2024

Objective
This study aimed to identify the occupational factors that influence turnover intention among working women with lower urinary tract symptoms (LUTS).

Methods
This cross-sectional study targeted 410 working women with LUTS from a 2022 survey. Occupational characteristics, including working hours, shift work, bathroom accessibility, sitting time, musculoskeletal strain, job stress, and emotional labor, were assessed through a structured self-reported questionnaire using validated tools. Multiple logistic regression was applied to analyze the association of these factors with turnover intention.

Results
Women who worked >52 hours per week had an odds ratio of 2.02 for turnover intention compared to those who worked fewer hours. Higher job stress and emotional labor scores also were associated with increased turnover intention.

Conclusions
Women with LUTS have higher turnover intention due to vulnerability to long hours, job stress, and emotional labor.
Impact of Family Cohabitation Status and Work-From-Home on Sleep Problems Among Japanese Workers During the COVID-19 Pandemic
Authors: Fujii Rintaro , Okawara Makoto , Matsugaki Ryutaro , Odagami Kiminori , Hino Ayako , Tateishi Seiichiro , Tsuji Mayumi , Yoshimura Reiji , Matsuda Shinya , Fujino Yoshihisa ,   for the CORoNaWork Project
Published: November 2024

Objective
This cross-sectional study examined the impact of family cohabitation status and work-from-home (WFH) on sleep during the COVID-19 pandemic.

Methods
An online survey of 27,036 Japanese workers assessed WFH frequency, family cohabitation, and trouble sleeping to estimate odds ratios (ORs) for sleep problems from December 22 to 26, 2020.

Results
In multivariate analysis, WFH had no significant benefit for trouble sleeping ≥3 months. Interactions were observed between WFH and cohabitation with elementary school children (OR = 1.26, P = 0.049 for trouble sleeping ≥3 months) and with family members in need of care (OR = 1.39, P = 0.013 for trouble sleeping ≥3 days/week; OR = 1.37, P = 0.02 for trouble sleeping ≥3 months).

Conclusions
The study suggests that the sleep disadvantage during the pandemic may have resulted from WFH with specific cohabitation.
Effects of the Maternal Work Environment on Psychological Distress During Pregnancy
Authors: Kobayashi Sumitaka , Saijo Yasuaki , Itoh Mariko , Tamura Naomi , Tojo Maki , Iwata Hiroyoshi , Yamaguchi Takeshi , Ito Yoshiya , Kishi Reiko ,   The Japan Environment and Children's Study (JECS) Group
Published: November 2024

Objectives
As part of the “Japan Environment and Children's Study (JECS),” a national prospective birth cohort study, we examined the association between the maternal work environment and psychological distress during pregnancy in Japan.

Methods
Employing a cross-sectional design, we analyzed data from 42,797 participants, originally collected between 2011 and 2014. Associations between the maternal work environment and psychological distress (Kessler 6) were examined using generalized estimation equation models adjusted for confounding factors.

Results
Pregnant women who worked ≥51 hours/week had a 1.19-fold higher odds ratio (OR) of psychological distress than those who worked 36 to 40 hours/week (95% confidence intervals [CIs], 1.07–1.32). Pregnant women who worked ≥5 days/month of shift work had a 1.11-fold higher OR of psychological distress than those who worked 0 days/month (1.00–1.24).

Conclusions
We observed an association between the maternal work environment and psychological distress during pregnancy.
Video Assessment of the Frequency and Evaluations of Head Collision Events During the 2022 World Cup
Authors: Dean Robert S. , Farley Kevin X. , Colemen Jacob , Van Wagoner Colin , Guettler Joseph H. , Bicos James , Acker William 
Published: November 2024

Objectives:
To describe the incidence, characteristics, and assessment of head collision events in the 2022 world cup, and to compare these findings with published data from prior world cups.

Setting:
Video footage of the 2022 world cup.

Participants:
2022 world cup participants.

Interventions:
Four reviewers identified head collision events through review of video footage of the 2022 world cup.

Main Outcome Measures:
The length of each assessment, duration of player removal from game, and duration of game stoppage were recorded. These findings were compared with previous work on the 2018 world cup that evaluated these same variables.

Results:
Intotal, 147 head collision events were identified (2.30 per game). There were 123 players that had 2 or more signs of a concussion, of which 105 (85.4%) were evaluated and 35 (28.5%) were evaluated by medical personnel. There were 4 players who were removed from the game for suspected head injury. When the data from the 2018 world cup were compared with those from the 2022 world cup, duration of time stopped for evaluation was the only variable that was significantly different.

Conclusions:
The results of this study suggest that progress has been made to properly evaluate and recognize concussions; however, further attention is clearly still required to ensure the health and safety of international soccer players.
Examination of Sex Differences in Energy Availability, Disordered Eating, and Compulsive Exercise Among Male and Female Adolescent Athletes
Authors: Armento Aubrey M. , Brna Madison , Seehusen Corrine , McCarthy Amanda , VanBaak Karin D. , Howell David R. 
Published: November 2024

Objective:
The primary aim of this study was to examine sex differences in energy availability (EA) and its relationships with disordered eating, compulsive exercise, and body mass index (BMI) among adolescent athletes.

Design:
Cross-sectional study.

Setting:
University hospital pediatric sports medicine center.

Participants:
Sixty-four participants (61% female) of ages 13 to 18 years, actively participating in at least 1 organized sport.

Main Independent Variable:
Participant sex.

Main Outcome Measures:
Average 7-day EA (kcal/kg FFM/d; calculated using participant-recorded dietary intake and exercise expenditure from a wrist-worn heart rate/activity monitor), Eating Disorder Examination Questionnaire (EDE-Q) score (range 0–6), Compulsive Exercise Test (CET) score (range 0–25), and age- and sex-adjusted BMI percentile.

Results:
There were no significant sex differences in EA (females: 40.37 ± 12.17 kcal/kg FFM/d; males: 35.99 ± 12.43 kcal/kg FFM/d; P = 0.29), EDE-Q (females: 0.68 ± 0.70; males: 0.68 ± 0.83; P = 0.99), or CET scores (females: 11.07 ± 0.44; males: 10.73 ± 0.63; P = 0.66). There were low and insignificant negative correlations between EA and EDE-Q and CET scores for female athletes (EDE-Q: r = −0.22, P = 0.18; CET: r = −0.21, P = 0.09) and male athletes (EDE-Q: r = −0.09, P = 0.66; CET: r = −0.35, P = 0.08). EA and BMI-for-age percentile were inversely correlated in both male (r = −0.451, P = 0.009) and female (r = −0.37, P = 0.02) participants.

Conclusions:
In our sample of adolescent athletes, lower EA occurred in the absence of notable disordered eating or compulsive exercise behaviors, suggesting unintentional underfueling (and/or underreporting of energy intake), without significant sex differences. Low BMI can be an imperfect surrogate marker for low EA. These findings inform risk factors and screening practices for low EA among adolescent athletes.
Predictive value of thyroglobulin after radioiodine therapy for excellent response to treatment in postoperative thyroid cancer
Authors: Zhu Yuan , Yang Xiaoying , Liu Zhao , Zhang Qinghua , Li Zhiyong , Hou Xiancun , Zhu Hui 
Published: November 2024

Objective
This study aimed to assess the usefulness of thyroglobulin (Tg) after radioiodine (RAI) therapy in predicting excellent response (ER) to therapy in postoperative differentiated thyroid cancer (DTC).

Methods
A retrospective observational study was conducted on postoperative DTC patients who underwent RAI from August 2018 to December 2022. Various factors were analyzed to predict ER to treatment. This involved Tg under stimulation (sTg) before RAI, Tg immediately (imTg) 112 h post-RAI and imTg/sTg(rTg). Based on the efficacy of RAI, patients were categorized into two groups: ER and non-ER (NER). Univariate logistic analysis was utilized to compare parameters between the two groups, followed by binary logistic regression analysis on factors associated with ER. Receiver operating characteristic (ROC) curves were employed to evaluate the sensitivity, specificity, and optimal diagnostic cutoff points for parameters affecting ER.

Results
The analysis included 45 ER patients and 56 NER patients. Statistical significance was found in the binary logistic regression analysis for the number of lymph nodes in the lateral cervical region (P = 0.016), sTg (P = 0.021), and rTg (P ≤ 0.001) concerning ER. ROC curve analysis revealed that the rTg area under the curve was 0.845, with an optimal cutoff value of 11.78, sensitivity of 82.6%, and specificity of 74.5%.

Conclusion
Post-RAI therapy, significant value is demonstrated by rTg with high sensitivity and specificity. This provides a foundation for the evaluation and decisions about DTC treatment in advance.
Nondiabetic Fetal Macrosomia: Causes, Outcomes, and Clinical Management
Authors: Bair Courtney A. , Cate Jennifer , Chu Allison , Kuller Jeffrey A. , Dotters-Katz Sarah K. 
Published: November 2024

ABSTRACT

Importance
Fetal macrosomia (FM) is common in clinical practice and carries increased risk of adverse maternal and neonatal health outcomes. Maternal diabetes mellitus (DM) is a well-known cause of macrosomia with significant research and guidelines focusing on macrosomia in this population. Less is known about causes, prevention, and clinical management for suspected FM in individuals without diabetes.

Objective
The objective of this review is to describe the risk factors associated with nondiabetic FM, review risks associated with macrosomia in pregnancy, and potential treatment considerations for this condition.

Evidence Acquisition
Original research articles, review articles, and guidelines on macrosomia were reviewed.

Results
Risk factors for macrosomia in patients without DM include previous delivery of an infant with macrosomia, excessive pregnancy weight gain, and obesity. Maternal complications of FM include higher rates of cesarean delivery, postpartum hemorrhage, and vaginal laceration. Fetal complications include shoulder dystocia, decreased Apgar scores, and increased risk of childhood obesity. Exercise during pregnancy has been shown to reduce the risk of FM. Induction of labor prior to 39 weeks is not recommended in the setting of suspected macrosomia as there is a lack of adequate evidence to support that this decreases adverse neonatal or maternal outcomes. In addition, elective cesarean delivery for suspected macrosomia is not recommended to be considered unless estimated fetal weight is greater than 5000 g in the absence of DM.

Conclusions and Relevance
Delivery of an infant with macrosomia in patients without DM has increased maternal and fetal risks. Predicting infants who will meet criteria for macrosomia is challenging. More research is needed to identify ways to accurately estimate fetal weight, interventions to prevent macrosomia, and additional ways to mitigate risk in patients without DM who have suspected FM.

Target Audience
Obstetricians and gynecologists, family physicians.

Learning Objectives
After completing this activity, the learner will be better able to explain risk factors for nondiabetic FM; describe fetal and maternal consequences of nondiabetic FM; and discuss management for patients with suspected macrosomia in the absence of diabetes.
Treatment of Obesity Before, During, and After Pregnancy: Time for Obstetricians to Get Involved
Authors: Gustafson Deborah , Al-Sayyed Farah , Minkoff Howard 
Published: November 2024

Importance
Obesity is a major public health concern that is associated with serious health risks and consequences for people who want to be, are, or have been pregnant.

Objective
We will describe the implications and consequences of obesity, and describe the factors fueling obesity’s escalating prevalence. We will describe new treatment approaches including glucagon-like peptide-1 agonists, which may be an effective strategy for achieving weight loss and for improving the health of people who have been, are, or want to be pregnant.

Evidence Acquisition
Existing literature on obesity consequences, treatment options, and pregnancy implications was reviewed through a PubMed search

Results
Obesity has dire pregnancy-related health consequences and leads to multiple barriers to healthcare. Traditional interventions related to diet and exercise have fallen short, and newer medical therapies are emerging.

Relevance
The periods before, during, and after pregnancy are crucial to mitigate potential morbidities of pregnancy pre, peri, and post. Obstetricians have a unique opportunity to tackle the problem of obesity at those times.

Target Audience
Obstetricians and gynecologists, family physicians.

Learning Objectives
After completing this activity, the learner will be better able to identify health consequences associated with obesity before, during, and after pregnancy including maternal and fetal complications; discuss the factors contributing to the escalating prevalence of obesity in the United States; and explain therapeutic options and their efficacy in treating individuals with obesity who have been, are, or may become pregnant.
Likelihood of Primary Cesarean Section Following Induction of Labor in Singleton Cephalic Pregnancies at Term, Compared With Expectant Management: An Australian Population-Based, Historical Cohort Study
Authors: Hu Yanan , Homer Caroline S.E. , Ellwood David , Slavin Valerie , Vogel Joshua P. , Enticott Joanne , Callander Emily J. 
Published: November 2024

(Abstracted from Acta Obstet Gynecol Scand 2024;103:946–954)
In high-income countries, there has been an increase in both induction of labor (IOL) and cesarean delivery (CD) in individuals with term pregnancies. On average, the rate of IOL has increased from 20% to 30% from 1990 to 2019, and the rate of CD has increased from 12% to 27% from 1990 to 2018.
A Rare Case of Eosinophilic Myocarditis Described With 18F-FDG PET/CT
Authors: Peslier Hugo , Metrard Gilles , Malmare Bianca-Angela , Bailly Matthieu 
Published: November 2024

Abstract
Late-stage eosinophilic myocarditis (or Löffler endocarditis) is known to occur in patients with hypereosinophilic syndrome and can cause restrictive cardiomyopathy. Eosinophilic myocarditis is an acute life-threatening inflammatory disease of the heart that can be associated with cancer. We report a case of a 70-year-old White woman, previously treated for diffuse large B-cell lymphoma in remission, admitted for acute dyspnea with a 1-year history of hypereosinophilia. 18F-FDG PET/CT revealed endocardial uptake consistent with MRI gadolinium enhancement, suggesting left ventricular wall inflammation.
Post–Liver Transplant Outcomes: A Comparative Study of 6 Predictive Models
Authors: Kaltenmeier Christof , Ashwat Eishan , Liu Hao , Elias Charbel , Rahman Amaan , Mail-Anthony Jason , Neckermann Isabel , Dharmayan Stalin , Crane Andrew , Packiaraj Godwin , Ayloo Subhashini , Ganoza Armando , Gunabushanam Vikraman , Molinari Michele 
Published: November 2024

Background.
We compared the performance of the Liver Transplant Risk Score (LTRS) with the survival outcomes following liver transplantation (SOFT), pretransplant SOFT (P-SOFT), Balance of Risk Score (BAR), donor-age and model for end-stage liver disease (D-MELD), and Organ Procurement and Transplantation Network Risk Prediction Score (ORPS) for the prediction of 90-d mortality, 1-y mortality, and 5-y survival after first-time liver transplantation (LT).

Methods.
A retrospective analysis of the Scientific Registry of Transplant Recipients was conducted using data collected between 2002 and 2021.

Results.
A total of 82 696 adult LT recipients with a median age of 56 y were included. The area under the curve for 90-d mortality were 0.61, 0.66, 0.65, 0.61, 0.58, and 0.56 for the LTRS, SOFT, P-SOFT, BAR, D-MELD, and ORPS, respectively (all pairwise comparisons: P < 0.05). The area under the curve for 1-y mortality were 0.60, 0.63, 0.62, 0.59, 0.60, 0.57, and 0.59 for the LTRS, SOFT, P-SOFT, BAR, D-MELD, and ORPS, respectively (all pairwise comparisons: P < 0.05). The c-statistics for 5-y survival were not statistically significant among the models. For 90-d mortality, 1-y mortality, and 5-y survival, the correlation coefficients between the LTRS and P-SOFT (the 2 models requiring only preoperative parameters) were 0.90. 0.91, and 0.81, respectively (P < 0.01).

Conclusions.
None of the predictive models demonstrated sufficient precision to reliably identify LT recipients who died within 90 d and 1 y after LT. However, all models exhibited strong capabilities in perioperative risk stratification. Notably, the P-SOFT and LTRS models, the 2 models that can be calculated using only preoperative data, proved to be valuable tools for identifying candidates at a significant risk of poor outcomes.