bluuebunny/crossref_metadata_2025_split huggingface dataset:
The association between psychological factors and breastfeeding behaviour in women with a body mass index (BMI) ≥30 kg m−2: a systematic review
Authors: Lyons S. , Currie S. , Peters S. , Lavender T. , Smith D. M. 
Published: March 2018

SummaryBreastfeeding can play a key role in the reduction of obesity, but initiation and maintenance rates in women with a body mass index (BMI) of ≥30 kg m−2 are low. Psychological factors influence breastfeeding behaviours in the general population, but their role is not yet understood in women with a BMI ≥30 kg m−2. Therefore, this review aimed to systematically search and synthesize the literature, which has investigated the association between any psychological factor and breastfeeding behaviour in women with a BMI ≥30 kg m−2. The search identified 20 eligible papers, reporting 16 psychological factors. Five psychological factors were associated with breastfeeding behaviours: intentions to breastfeed, belief in breast milk's nutritional adequacy and sufficiency, belief about other's infant feeding preferences, body image and social knowledge. It is therefore recommended that current care should encourage women to plan to breastfeed, provide corrective information for particular beliefs and address their body image and social knowledge. Recommendations for future research include further exploration of several psychological factors (i.e. expecting that breastfeeding will enhance weight loss, depression, anxiety and stress) and evidence and theory‐based intervention development.
Self‐care among older people living with chronic conditions
Authors: LeBlanc Raeann G. , Jacelon Cynthia S. 
Published: March 2018

PurposeThe aim of this study was to clarify the concept of self‐care among older people living with chronic health conditions. This concept clarification will assist nurses in addressing self‐care among older people through research, policy and practice in offering an expanded conceptual model.BackgroundSeveral policy influences over the past decade directly relate to the increased importance and economic necessity to require self‐directed care for older people living with chronic health conditions to maintain their care at home in the community.MethodA selective review of literature on the concept of self‐care included 31 sources. The Norris Concept Clarification method (1982) was used for clarification. The phenomenon is described historically according to its antecedents, attributes and consequences.ResultsA proposed definition is provided based on the clarification of this concept. A conceptual model is presented through an ecological framework. Self‐care among older people living with chronic conditions is multidimensional and has multilevel influences (individual, community, system levels) and is mediated by the contexts and processes of ageing. Self‐care originates along one's life course and is learned. Self‐care responses are based on care needs when living with chronic health conditions.ConclusionSelf‐care is an individual capacity, disposition and activity older people manifest in living with multiple chronic conditions. These features (capacity, disposition, action) influence one another and are hierarchical and continuous. Research, practice and policies that promote self‐care among older people can focus on these features to improve health outcomes and promote new models of care consistent with personal development and chronic care needs in older age.Implications for practiceThis concept clarification can offer a model to support self‐care among older people living with chronic conditions.
New care home admission following hospitalisation: How do older people, families and professionals make decisions about discharge destination? A case study narrative analysis
Authors: Rhynas Sarah J. , Garrido Azucena Garcia , Burton Jennifer K. , Logan Gemma , MacArthur Juliet 
Published: March 2018

Aims and objectivesTo gain an in‐depth understanding of the decision‐making processes involved in the discharge of older people admitted to hospital from home and discharged to a care home, as described in the case records.BackgroundThe decision for an older person to move into a care home is significant and life‐changing. The discharge planning literature for older people highlights the integral role of nurses in supporting and facilitating effective discharge. However, little research has been undertaken to explore the experiences of those discharged from hospital to a care home or the processes involved in decision‐making.MethodA purposive sample of 10 cases was selected from a cohort of 100 individuals admitted to hospital from home and discharged to a care home. Cases were selected to highlight important personal, relational and structural factors thought to affect the decision‐making process. Narrative case studies were created and were thematically analysed to explore the perspectives of each stakeholder group and the conceptualisations of risk which influenced decision‐making.ResultsCare home discharge decision‐making is a complex process involving stakeholders with a range of expertise, experience and perspectives. Decisions take time and considerable involvement of families and the multidisciplinary team. There were significant deficits in documentation which limit the understanding of the process and the patient's voice is often absent from case records. The experiences of older people, families and multidisciplinary team members making care home decisions in the hospital setting require further exploration to identify and define best practice.Implications for practiceNurses have a critical role in the involvement of older people making discharge decisions in hospital, improved documentation of the patient's voice is essential. Health and social care systems must allow older people time to make significant decisions about their living arrangements, adapting to changing medical and social needs.
Empowering education of arthroplasty patients' significant others in three Southern European countries
Authors: Copanitsanou Panagiota , Sourtzi Panayota , Cano Sara , Cabrera Esther , Charalambous Andreas , Katajisto Jouko , Leino‐Kilpi Helena , Papastavrou Evridiki , Valkeapää Kirsi , Zabalegui Adelaida , Lemonidou Chryssoula 
Published: March 2018

Aims and objectivesTo examine the relationship between significant others' expected and received knowledge and their background characteristics in three Mediterranean countries (Cyprus, Greece, Spain), all of which deal with economic restrictions, have similar social support systems with the family members acting as family caregivers, and cultural similarities.BackgroundSignificant others' role is a key element in the older patients' postoperative recovery. However, people who take care of persons older than 65 years, as persons undergoing arthroplasty, are usually old themselves and need special support.DesignMulticentre, descriptive, correlational study.MethodsData were collected preoperatively from 189 and postoperatively from 185 significant others using the Knowledge Expectations and the Received Knowledge of Significant Others Scales during 2010‐2012.ResultsApproximately one‐fourth of the significant others were older than 65 years. Their knowledge expectations were not adequately addressed in any of the countries; they expected to be educated more on biophysiological issues and received the lowest knowledge regarding financial issues. The highest difference between expected and received knowledge was found in Greece and the lowest in Cyprus. Significant others may be less prepared for dealing with situations at home due to the knowledge difference between expected and received knowledge.ConclusionsSignificant others receive less education comparing to what they expect; therefore, they are not prepared for dealing with problematic situations during their old relative's recovery. This is especially important in Mediterranean countries, where family members often provide patient care.Implications for practiceAs health care is changing towards active participation of patients and family, it is important that nurses provide the education needed, as lower education may lead to poor patient outcomes and higher education may lead to significant others' anxiety. Nurses may keep in mind that older significant others do not report higher knowledge difference, but may have lower expectations.
High prevalence and familial aggregation of keratoconus in an Iranian rural population: a population‐based study
Authors: Hashemi Hassan , Heydarian Samira , Yekta Abbasali , Ostadimoghaddam Hadi , Aghamirsalim Mohamadreza , Derakhshan Akbar , Khabazkhoob Mehdi 
Published: March 2018

AbstractPurposeThe objective of this study was to determine the prevalence of keratoconus and the potential effect of genetic and environmental factors on its prevalence in households living in rural areas of Iran in a large population‐based study.MethodsThe present cross‐sectional study was performed in two Iranian rural populations. Two rural areas were randomly selected in the southwest and north of Iran. All individuals over one year of age were invited to participate in the study. The study population underwent a thorough eye examination, including visual acuity measurement, refraction, slit lamp biomicroscopy, and Scheimpflug imaging. The diagnosis of keratoconus was made based on Pentacam‐specific criteria, tomographic maps, and clinical findings. After detecting keratoconus cases, its prevalence in the study population was reported as a percentage with a 95% confidence interval (CI). For familial aggregation analysis, the odds ratios of keratoconus and its more severe types were calculated in different family relationships (siblings, parents‐offspring, spouses) using second order generalised estimating equation.ResultsOf the 3851 eligible individuals, 3314 subjects participated in the study. After applying the exclusion criteria, data from 2667 subjects was used in the analysis. The prevalence of keratoconus in the present population was 4% (95% CI: 3–4). The odds of keratoconus were significantly higher in males (OR = 2.30, p = 0.032). To investigate the familial aggregation of keratoconus, we only evaluated families from which at least two members participated in the study. So, 403 families (1452 participants) were evaluated. Our results showed a higher odds ratio for the sibling pairs compare to parent–offspring pairs and as reported, the odds ratio of the spouses was less than 1.0.ConclusionOur findings showed a relatively high prevalence and familial aggregation of keratoconus in rural areas of Iran, independent of age, sex, and place of residence. This aggregation may be due to heredity or the effect of undetermined shared environmental factors.
Failure to shock: What is the mechanism?
Authors: Torbey Estelle , Love Charles J. 
Published: March 2018

AbstractBackgroundThe Biotronik DX lead is an attractive option due to its floating atrial bipole and its noninferiority compared to dual‐chamber defibrillators.MethodsWe describe the case of atrial undersensing by the DX lead resulting in failure of the device to appropriately treat a slow ventricular tachycardia.ConclusionThis case underlies the importance of understanding the limitations to each lead technology as well as the underlying assumptions inherent to detection enhancement algorithms.
Day‐case device implantation—A prospective single‐center experience including patient satisfaction data
Authors: Peplow Jessica , Randall Esther , Campbell‐Cole Carolyn , Kamdar Ravi , Petzer Ed , Dhillon Para , Murgatroyd Francis , Scott Paul A. 
Published: March 2018

AbstractPurposeMany centers perform day‐case cardiac rhythm management (CRM) device implantation. However, there is a paucity of prospective data concerning this approach. We performed a prospective single‐center study of day‐case device implantation, including data on patient satisfaction.MethodsAll patients scheduled for a new elective device were considered for a day‐case procedure. Exclusion criteria were living alone or without a suitable carer, advancing age/frailty, a metallic valve, and persistent complete heart block. Following discharge, patients were reviewed in device clinic at 6 weeks with an anonymized questionnaire.ResultsDuring the study period (May 2014–August 2016), 797 new CRM devices were implanted. Of these, 232 were elective and included in the analysis; 101 were planned to be day‐case and 131 scheduled for overnight stay. Of the 101 day‐case patients, 52 had a pacemaker, 28 an implantable cardioverter defibrillator (ICD), 16 a cardiac resynchronization therapy pacemaker/defibrillator, and five a subcutaneous‐ICD. Complications were similar in the day‐case (n = 12, 12%) and overnight stay (n = 15, 11%) groups (P = 0.92). In the day‐case group, 93 (92%) patients went home the same day. An estimated 111 overnight bed days were saved, translating to a cost saving of £61,912 (euro 70,767, $79,211).Note that 99% (n = 100) of patients returned the questionnaire. Patient satisfaction was universally high. The majority (n = 98, 98%) felt ready to go home on discharge; only a minority (n = 5, 5%) would have preferred an overnight stay.ConclusionsA significant proportion of elective new CRM device implants can be performed as day‐case procedures. With appropriate selection patient acceptability of same‐day discharge is high.
Postoperative ergometry‐guided programming does not prevent T‐wave oversensing and inappropriate shocks in S‐ICD patients
Authors: Larbig Robert , Motloch Lukas J. , Bettin Markus , Fischer Alicia , Frommeyer Gerrit , Reinke Florian , Loeher Andreas , Eckardt Lars , Köbe Julia 
Published: March 2018

AbstractBackgroundT‐wave oversensing (TWOS) is a feared complication after subcutaneous implantable cardioverter‐defibrillator (S‐ICD) implantation, potentially leading to inappropriate shocks (IS) with tremendous impact on quality of life.HypothesisPostoperative ergometry facilitates primary and secondary prevention of TWOS or other potential causes of IS and optimizes S‐ICD programming.MethodsWe analyze the impact of ergometry guided‐programming (EMGP) on primary and secondary prevention of TWOS/IS in S‐ICD patients, we screened 146 patients implanted in our center (2010–2016) for the incidence of TWOS/IS during postoperative ergometry. Furthermore, to evaluate the outcome in 123 eligible patients complete follow‐up (FU) of at least 6 months up to 2 years was retrospectively analyzed.Results(1) Primary prevention: TWOS could only be provoked postoperatively in 3.7% of patients (n = 3/82). FU analyses did not reveal significant differences compared to our control group (Ctrl: n = 6/61, 9.8% vs EMGP: n = 5/62, 8.1%; P = 0.731). Further subgroup analyses of patients with postoperative ergometry in the close postoperative period (< 7 days; n = 3/45, 6.7%; P = 0.563) did not yield any significant difference.(2) Secondary prevention: We found various causes of TWOS/IS. In patients who underwent reprogramming due to previous TWOS/IS events we observed a 66.7% (n = 6/9) reduction of TWOS/IS using EMGP.ConclusionTWOS/IS has various causes while not all cases are exercise‐associated. Postoperative ergometry does not seem to be useful for primary prevention. Further trials need to investigate the potential benefit of EMGP for secondary prevention of TWOS/IS.
Multiple genetic variations in sodium channel subunits in a case of sudden infant death syndrome
Authors: Denti Federico , Bentzen Bo Hjorth , Wojciak Julianne , Thomsen Nancy Mutsaers , Scheinman Melvin , Schmitt Nicole 
Published: March 2018

AbstractBackgroundDysfunction of NaV1.5 encoded by SCN5A accounts for approximately half of the channelopathic SIDS cases. We investigated the functional effect of two gene variants identified in the same patient, one in SCN5A and one in SCN1Bb. The aim of the study was to risk stratify the proband's family.MethodsThe family was referred for cardiovascular genetic evaluation to assess familial risk of cardiac disease. Functional analysis of the identified variants was performed with patch‐clamp electrophysiology in HEK293 cells.ResultsA 16‐month‐old healthy boy died suddenly in the context of nonspecific illness and possible fever. Postmortem genetic testing revealed variants in the SCN5A and SCN1Bb genes. The proband's father carries the same variants but is asymptomatic. Electrophysiological analysis of the NaV1.5_1281X truncation revealed complete loss‐of‐function of the channel. Coexpression of NaV1.5 with NaVβ1b significantly increased INa density when compared to NaV1.5 alone. The NaVβ1b _V268I variant abolished this INa density increase. Moreover, it shifted the activation curve toward more depolarized potentials.ConclusionsGenetic variation of both sodium channel and its modifiers may contribute to sudden unexplained death in childhood. However, the asymptomatic father suggests that genetic variation of these genes is not sufficient to cause sudden death or clinically detectable SCN5A phenotypes.
Managing sleep disturbances in children with atopic dermatitis
Authors: Patel Devika , Levoska Melissa , Shwayder Tor 
Published: March 2018

AbstractAtopic dermatitis is a chronic, pruritic inflammatory disease that often disrupts sleep in severely affected children, but there are limited studies to guide clinical management of these sleep problems. Disease control is crucial in improving sleep, but additional sleep aids may sometimes be helpful in decreasing scratching during the night. This review discusses the benefits and limitations of potential therapeutic agents available to manage sleep disturbances in children with atopic dermatitis.
Stevens‐Johnson syndrome and toxic epidermal necrolysis‐like cutaneous presentation of chikungunya fever: A case series
Authors: Garg Taru , Sanke Sarita , Ahmed Riaz , Chander Ram , Basu Srikanta 
Published: March 2018

AbstractChikungunya fever is a benign, self‐limiting, acute viral illness. An epidemic occurred in New Delhi, India, in August and September 2016. We observed many cases with atypical cutaneous features mimicking Stevens‐Johnson syndrome and toxic epidermal necrolysis during this epidemic, especially in infants and children. Twenty‐one children (13 [61.9%] boys, 8 [38%] girls) presenting with vesico‐bullous and necrotic lesions were reviewed. Cutaneous presentation included vesicles and bullae with purpuric macules and necrosis, seen in 16 (76%) patients. Skin lesions resolved in 5‐7 days, leaving behind hyperpigmentation in seven (33.3%) patients and hypopigmentation in three (14.2%). Minor oral erosions were observed in three (14.2%) patients, and palmoplantar erythema was seen in four (19.04%). It is essential for dermatologists to understand the Stevens‐Johnson syndrome and toxic epidermal necrolysis‐like presentation of chikungunya and not to misinterpret it as true Stevens‐Johnson syndrome and toxic epidermal necrolysis, which will lead to unnecessary intervention and management.
Solitary pigmented lesions in oral mucosa in Latin American children: A case series
Authors: Pennacchiotti Gina , Oviedo Carlos , Ortega‐Pinto Ana 
Published: March 2018

AbstractBackgroundA variety of local and systemic processes caused exogenous and endogenous pigmentation of the oral mucosa. Solitary melanotic pigmentation is rare, hence the scarce number of studies in children and adolescents.MethodsClinical and histopathologic features of 10 Latin American children with solitary pigmented lesions of the oral mucosa were reviewed.ResultsThe area most affected was the gingiva, followed by the palate. All lesions were flat and <1 cm in diameter. A brown color was observed in oral melanocytic macules and nevi. The exogenously pigmented lesion was bluish gray. Histopathology showed that the biopsied lesions corresponded to melanotic macules, junctional nevus, blue nevus, and exogenous pigmentation.ConclusionSolitary pigmented lesions on the oral mucosa of children, from melanin pigment or exogenous pigment, may have a similar clinical presentation, but melanotic lesions such as oral melanotic macules and nevi can be differentiated from one another only with histopathologic examination.
Massive hemorrhage: A rare complication of rapidly involuting congenital hemangioma
Authors: Al Malki Aysha , Al Bluwi Shatha , Malloizel‐Delaunay Julie , Mazereeuw‐Hautier Juliette 
Published: March 2018

AbstractRapidly involuting congenital hemangioma is a subtype of congenital hemangioma. Ulceration and bleeding are rarely reported in rapidly involuting congenital hemangioma, with only four cases reported in the literature to our knowledge. We describe a case of a newborn girl who presented with rapidly involuting congenital hemangioma complicated by ulceration and severe bleeding and discuss treatment.
Pattern of video game use in children with attention‐deficit–hyperactivity disorder and typical development
Authors: Kietglaiwansiri Tanyawan , Chonchaiya Weerasak 
Published: March 2018

AbstractBackgroundVideo game playing is a favorite leisure activity among children worldwide. Individuals with attention‐deficit–hyperactivity disorder (ADHD) often lack self‐control, making them at risk for substance abuse and game addiction. There are conflicting results, however, between studies on the pattern of video gaming and game addiction between those with ADHD and healthy controls. We therefore compared the pattern of video game use and game addiction between Thai children with ADHD and healthy controls.MethodsA total of 80 participants with ADHD (median age, 9.5 years) and 102 controls (median age, 10 years) were recruited in this study. ADHD was diagnosed by a developmental pediatrician. Each control subject's teacher completed the ADHD questionnaire to ensure that they did not have the diagnosis of ADHD. Pattern of video game use and Game Addiction Screening Test (GAST) were completed by participants’ parents.ResultsMore than half of the children with and without ADHD spent >2 h/day playing video games rather than engaging in other age‐appropriate leisure activities, particularly on weekends. Participants with ADHD, however, had a higher rate of compulsive video game use than controls (37.5% vs 11.8%, P < 0.001).ConclusionsAlthough video game playing was relatively prevalent in children regardless of ADHD status, those with ADHD had a higher rate of problematic video game use than controls. The pattern of leisure activities including video game use should be assessed during health supervision visits. As such, those at risk for game addiction could be identified early, resulting in appropriate intervention.
Infant colic or early symptom of autism spectrum disorder?
Authors: Bağ Özlem , Alşen Güney Sevay , Cevher Binici Nagihan , Tuncel Tuba , Şahin Aslıhan , Berksoy Emel , Ecevit Çiğdem 
Published: March 2018

AbstractBackgroundGastrointestinal (GI) disorders are common in autism spectrum disorder (ASD). Infant colic (IC), the functional GI disorder of infancy, has not been evaluated in this patient group. The aim of this study was therefore to determine the rate of IC in ASD and investigate a possible association between ASD and IC.MethodsThe subjects consisted of 100 ASD patients (mean age, 6.6 ± 3.5 years) and 100 healthy controls (mean age, 5.3 ± 2.8 years). The parents were questioned using the diagnostic criteria for infant colic for clinical research purposes defined in Rome IV to diagnose IC, retrospectively. The sample size was estimated using a maximum type I error probability of 5% (alpha) and a type II error of 20%.ResultsThe rate of IC was 16% and 17% in the ASD group and control group, respectively (P ˃ 0.05). Excessive crying with late onset and long duration in infants was defined as persistent crying. The rate of persistent crying was significantly higher in the ASD group than in the control group (32% vs 9%, P < 0.001). The relative risk of persistent crying was 4.40 in ASD. The likelihood of being misdiagnosed with IC in this group was 78%.ConclusionThe rate of IC is not increased in patients with ASD, but infants with excessive crying should be very thoroughly evaluated before being diagnosed with IC. In particular, persistent crying in infants (i.e. excessive crying with late onset and long duration) may be an early symptom of ASD.