bluuebunny/crossref_metadata_2025_split huggingface dataset:
Latin American Consensus for Pediatric Cardiopulmonary Resuscitation 2017: Latin American Pediatric Critical Care Society Pediatric Cardiopulmonary Resuscitation Committee*
Authors: López-Herce Jesús , Almonte Enma , Alvarado Manuel , Bogado Norma Beatriz , Cyunel Mariana , Escalante Raffo , Finardi Christiane , Guzmán Gustavo , Jaramillo-Bustamante Juan C. , Madrid Claudia C. , Matamoros Martha , Moya Luis Augusto , Obando Grania , Reboredo Gaspar , López Lissette R. , Scheu Christian , Valenzuela Alejandro , Yerovi Rocío , Yock-Corrales Adriana 
Published: December 2017

Objectives:
To develop a Latin American Consensus about Pediatric Cardiopulmonary Resuscitation. To clarify, reinforce, and adapt some specific recommendations for pediatric patients and to stimulate the implementation of these recommendations in clinical practice.

Design:
Expert consensus recommendations with Delphi methodology.

Setting:
Latin American countries.

Subjects:
Experts in pediatric cardiopulmonary resuscitation from 19 Latin American countries.

Interventions:
Delphi methodology for expert consensus.

Measurements and Main Results:
The goal was to reach consensus with all the participating experts for every recommendation. An agreement of at least 80% of the participating experts had to exist in order to deliver a recommendation. Two Delphi voting rounds were sent out electronically. The experts were asked to score between 1 and 9 their level of agreement for each recommendation. The score was then classified into three groups: strong agreement (score 7–9), moderate agreement (score 4–6), and disagreement (score 1–3). Nineteen experts from 19 countries participated in both voting rounds and in the whole process of drafting the recommendations. Sixteen recommendations about organization of cardiopulmonary resuscitation, prevention, basic resuscitation, advanced resuscitation, and postresuscitation measures were approved. Ten of them had a consensus of 100%. Four of them were agreed by all the participants except one (94.7% consensus). One recommendation was agreed by all except two experts (89.4%), and finally, one was agreed by all except three experts (84.2%). All the recommendations reached a level of agreement.

Conclusions:
This consensus adapts 16 international recommendations to Latin America in order to improve the practice of cardiopulmonary resuscitation in children. Studies should be conducted to analyze the effectiveness of the implementation of these recommendations.
Comparison of Hand Function Between Children With Type 1 Diabetes Mellitus and Children Without Type 1 Diabetes Mellitus
Authors: Atay Canan , Kaya Mutlu Ebru , Taskiran Hanifegul , Ozgen Ilker Tolga 
Published: December 2017

Purpose:
This study compared the hand function of children between the ages of 8 and 12 years with type 1 diabetes mellitus (T1DM) with that of children without diabetes.

Methods:
The Modified Jebsen-Taylor Hand Function Test and the Purdue Pegboard Test were used to assess hand function. The Pediatric Quality of Life Inventory 4.0 was used for evaluating health-related quality of life.

Results:
Duration of writing was found to be significantly longer on the dominant side of the T1DM group compared with the children without T1DM. The durations of card turning, moving large, light objects, and large, heavy objects on the nondominant side of the T1DM group were also found to be significantly longer than those in the children without T1DM. The total scale score of health-related quality of life was significantly lower in the T1DM group compared with the children without T1DM.

Conclusions:
T1DM affects hand function, particularly the dominant side for writing and nondominant side for card turning and moving large objects.
Satisfaction of Patients With Spinal Cord Injury With Self-Care Teaching by Nurses: Is It Influenced by Learning Readiness?
Authors: Wagner Debra L. , Olinzock Barbara J. , Pasicolan Elena , Lee Orapin , Velarde Jean 
Published: December 2017

Abstract

Purpose:
The aims of the study were to measure satisfaction of patients with a spinal cord injury (SCI) with discharge teaching by nurses and to examine the relationship between their stage of learning readiness and satisfaction.

Design:
Quasi-experimental.

Method:
Ninety-seven patients were surveyed to determine satisfaction using the Modified Client Satisfaction Tool; nurses determined the stage of learning readiness for patients with SCI using the Olinzock Model. Satisfaction scores were analyzed with ANOVA F and chi-square tests and correlated with learning readiness stage using t tests.

Findings:
Results showed no relationship between the stage of learning readiness and satisfaction. Patients indicated satisfaction regardless of the stage of learning readiness. Those commenting “nurses don’t teach” were significantly less satisfied with self-care teaching.

Conclusion:
The perception of patients with SCI of the role of the nurse as teacher influences satisfaction with discharge teaching by nurses.

Clinical Relevance:
Nurses may need to consider changes in their practice to help patients realize their role as teacher.
Experiences of Older Adults After Hip Fracture: An Integrative Review
Authors: Ehlers Monica M. , Nielsen Claus V. , Bjerrum Merete B. 
Published: December 2017

Abstract

Purpose
The aim of the study was to identify and synthesize scientific evidence on older adults' experience after hip fracture in relation to their physical and mental health, functional performance, and participation and to determine which personal or social factors influence functional capacity after hip fracture.

Design
Integrative review.

Methods
Eleven qualitative or quantitative papers published between 2001 and 2015 were analyzed using integrative review methodology as described by Whittemore and Knafl.

Results
Older adults experienced pain and decline in personal and instrumental activities of daily living and used adaptation strategies to cope with the hip fracture.

Conclusion
Hip fracture affected the older adults' mobility, body image, mental health, and capacity for participation.

Clinical Relevance
Pain measurement tools focusing on various perspectives of health as well as rehabilitation programs focusing on changes in body function and body image and increased awareness of vulnerability in older adults may promote functional capacity after hip fracture.
Effects of a Short-term Mindfulness-Based Intervention on Comfort of Stroke Survivors Undergoing Inpatient Rehabilitation
Authors: Wang Mian , Liao Weijing , Chen Xiaoli 
Published: December 2017

Abstract

Purpose
The aim of the study was to evaluate the effectiveness of a modified short-term mindfulness-based intervention on improving the mindfulness, comfort, and ambulation ability of stroke survivors undergoing inpatient rehabilitation in Wuhan, China.

Design
A two-group, nonrandomized, nonconcurrent design was used.

Method
Participants undergoing inpatient rehabilitation were nonrandomly divided into control group (n = 25) and intervention group (n = 25) to avoid possible ethical discrimination as well as interaction among participants. The control group received routine care; the intervention group received a 2-week mindfulness-based intervention, which included weekly 1.5-hour group practice, individual daily practice, and routine care. Data were collected using questionnaires and assessments of ambulation before and after 2 weeks of observation.

Findings
Improvement on the Mindful Attention Awareness Scale score, the overall score of the Shortened General Comfort Questionnaire, and the scores of the physical, psychospiritual, and sociocultural subscales in the intervention group was greater than those in the control group (p < .05). No significant difference (p > .05) was observed between the two groups when comparing scores of the environmental subscale of Shortened General Comfort Questionnaire, Berg Balance Scale, 10-Meter Walk Test, and Functional Ambulation Classification scale.

Conclusions and Clinical Relevance
A 2-week mindfulness-based intervention can significantly improve stroke survivors’ mindfulness and comfort but does not significantly affect ambulation ability.
Validation of a Scale to Assess Patients’ Comprehension of Frequently Used Cardiology Terminology: The Cardiac TERM Scale in Brazilian Portuguese
Authors: Ghisi Gabriela Lima de Melo , dos Santos Rafaella Zulianello , Britto Raquel R. , Bonin Christiani Decker Batista , Servio Thaianne Cavalcante , Schmidt Luiz Fernando , Benetti Magnus , Grace Sherry L. 
Published: December 2017

Abstract

Purpose
The aim of this study was to psychometrically validate the translation of a questionnaire on patient understanding of cardiology terminology (TERM) to Brazilian Portuguese.

Design
After piloting the translation and cross-cultural adaptation, the 16-item TERM questionnaire was psychometrically tested.

Methods
Internal and test–retest reliability, as well as validity, were assessed in 322 cardiac patients.

Findings
Internal (α = .88) and test–retest reliability (all weighted Kappa > 0.63) exceeded the minimum recommended standards. Criterion validity was supported by significant differences in mean scores by socioeconomic indicators (p < .01). Discriminant validity was supported in that cardiac rehabilitation participants had significantly higher TERM scores (p < .001). Participants did not correctly define any of the terms, and a floor effect was identified in all terms.

Conclusions
The Cardiac TERM Scale was demonstrated to have good reliability and validity.

Clinical Relevance
The scale can be used by healthcare professionals, such as nurses. Results can be used to inform patient education, which could in turn impact patient adherence to medical advice and hence outcomes.
Stroke Survivor and Family Caregiver Reports of Caregiver Engagement in Stroke Care
Authors: Haley William E. , Marino Victoria R. , Sheehan Orla C. , Rhodes J. David , Kissela Brett , Roth David L. 
Published: December 2017

Abstract

Purpose
The aim of the study was to identify areas of caregiver engagement in stroke care as viewed by stroke survivors and family caregivers.

Design
Interviews with stroke survivor/caregiver dyads (N = 71) from a population-based study of incident stroke.

Methods
We interviewed stroke survivors and caregivers about caregiver involvement at multiple stages of stroke care. We assessed similarities and differences between stroke survivor and caregiver reports and analyzed responses to open-ended questions.

Findings
Stroke survivor and caregiver reports of engagement were highly correlated (r = .89), although caregivers reported higher involvement. Open-ended comments suggested that, in about 25% of cases, stroke survivors and caregivers agreed that caregiver engagement led to major improvements in stroke survivor care, most commonly during onset of symptoms.

Conclusions
Stroke survivors and caregivers report significant and impactful caregiver engagement throughout the course of stroke.

Clinical Relevance
Clinicians may enhance stroke care by recognizing and facilitating caregiver efforts across all phases of stroke care.
Improving Orthopedic-Related Postoperative Edema Management in a Rehabilitative Nursing Setting
Authors: Kluga Katie L. , Weber Buchholz Susan , Semanik Pamela A. 
Published: December 2017

Abstract

Purpose
The aim of the study was to reduce postoperative edema in total knee and hip arthroplasty rehabilitation patients.

Design
A pre– and posttest design was used for this quality improvement project at a rehabilitation facility.

Methods
Staff and patient edema education was standardized. Staff pre- and posttests were administered. Patients were interviewed to assess for knowledge of edema management. Chart audits were assessed for edema management and length of stay.

Findings
Average staff knowledge scores (n = 50) increased pre- to posteducational video (64% vs. 70%). Of patients interviewed posteducation (n = 24), 38% were able to list two characteristics of edema. Two chart audits completed pre- and posteducation demonstrated that the majority of patients (n = 30 per group) had edema upon admission (96% vs. 97%). However, length of stay decreased by 3 days (19.2 vs. 16.3).

Conclusion
Standardized postoperative edema education can improve staff and patient edema knowledge and management.

Clinical Relevance
Edema education is recommended for orthopedic patients in rehabilitation facilities.
Exploring the Adaptability of Tai Chi to Stroke Rehabilitation
Authors: Hwang Inok , Song Rhayun , Ahn Sukhee , Lee Myung-ah , Wayne Peter M. , Sohn Min Kyun 
Published: December 2017

Abstract

Purpose
The aim of the study was to assess the feasibility, safety, and preliminary estimates of effectiveness of Tai Chi on functional outcomes in stroke survivors.

Design
A mixed-method study with a single-group repeated-measure design and in-depth interviews.

Methods
Fourteen stroke survivors with hemiplegia were recruited to participate in a Tai Chi program, twice weekly for 12 months. Outcomes included physical function, self-efficacy, and activity of daily living measured at 3-month intervals for 12 months.

Findings
Ten participants (mean age, 68.5 years) completed all assessments with significantly improved balance (χ2 = 14.08, p = .007), flexibility (χ2 = 11.70, p = .020), and self-efficacy (χ2 = 21.84, p < .001) over 12 months. Qualitative results highlighted the positive impact on physical improvement, psychological well-being, social support, and improved confidence in performing activities of daily living.

Conclusion
An adapted Tai Chi program was safe, feasible, and well received in community-dwelling stroke survivors.

Clinical Relevance
The Tai Chi-based rehabilitation program shows promise for improving function and balance outcomes related to fall prevention in stroke survivors.
Stability in Cardiac Attributions Before and After Cardiac Rehabilitation
Authors: Bennett Kymberley K. , Harry Kadie M. , Eways Kalon R. , Wilson Elizabeth J. , Clark Jillian M.R. , Howarter Alisha D. , Murdock Tamera B. 
Published: December 2017

Abstract

Purpose
This study examined temporal patterns in causal attributions generated by patients with cardiovascular disease before and after cardiac rehabilitation (CR).

Design
Qualitative, descriptive survey.

Methods
Eighty-six participants were asked what they believed was the primary cause of their cardiac events. Cardiac attributions were collected at the beginning of CR, at the end of CR, and 15 months after baseline.

Findings
Content analyses showed that heredity and behavior were the most commonly generated causes. Most participants showed stability in attributions over time, although we found a trend for more participants endorsing behavioral attributions at the end of the study.

Conclusions
Cardiac attributions remain relatively stable across time.

Clinical Relevance
Cardiac rehabilitation staff should approach patients differently, depending on their causal narratives. Some patients enter CR understanding that behavior played a causal role, whereas some do not. Encouraging appreciation of the importance of behavior in cardiovascular disease onset and recurrence is vital.
The Initiation of Rehabilitation Therapies and Observed Outcomes in Pediatric Traumatic Brain Injury
Authors: Reuter-Rice Karin , Eads Julia K. , Berndt Suzanna , Doser Karoline 
Published: December 2017

Abstract

Purpose
Pediatric traumatic brain injury (TBI) is associated with immense physical, emotional, social, and economic burden. This study examined timing and frequency of rehabilitation services provided by the inpatient interdisciplinary team in children admitted for a TBI. Understanding the timing and frequency of rehabilitation services could guide TBI recovery.

Design and Methods
This is a 3-year prospective observational study of previously healthy children (n = 35) admitted for a TBI to an urban Level 1 trauma hospital. Children with mild, moderate, and severe TBI were included. Initiation and frequency of the interdisciplinary rehabilitation team’s care and neurocognitive-functional outcomes were analyzed. Outcome measures included the Glasgow Outcome Scale-Extended Pediatrics and the Speech Pathology Neurocognitive-Functional Evaluation at hospital discharge and first follow-up visit.

Results
The initiation and the frequency of rehabilitation services were found in all severities of TBI. Timing and frequency of services also aligned with varied severities. Children with moderate TBI showed the most improvement in Glasgow Outcome Scale-Extended Pediatrics and the Speech Pathology Neurocognitive-Functional Evaluation on their first follow-up visit, whereas children with mild and severe TBI demonstrated little change in outcome at their first follow-up visit and had varied services based on their hospital course.

Conclusion
Services by interdisciplinary rehabilitation teams were provided across all brain injury severity groups, despite the lack of comprehensive rehabilitation guidelines. Varied neurocognitive and functional outcome changes measured found children with moderate TBI had the greatest change in outcomes. Further research is warranted to assess the timing and frequency of services and their relationship to neurocognitive-functional outcomes.
Interprofessional Collaboration and Peer Mentors for Bowel Education in Spinal Cord Injury: A Case Consultation
Authors: Cabigon Ralph D. , Wojciechowski Elizabeth , Rosen Lisa , Miller David , Mix Cristina , Chen David 
Published: December 2017

Background
Evidence shows that having a bowel management program prevents rehospitalization postacute rehabilitation discharge for persons with a spinal cord injury (SCI). Peer mentors have been used to assist patients in managing their care.

Purpose
The aim of the study was to illustrate how interprofessional collaboration led to utilizing resources of the inpatient rehabilitation facility’s peer mentor program and incorporating peer mentors into bowel education for persons with SCI.

Methods
A descriptive case review of a continuous quality improvement (CQI) project, using an eight-item Likert scale evaluation survey with three open-ended questions to assess the utility of incorporating peer mentors into bowel education.

Findings and Conclusions
Twenty-seven of the 28 participants responded to the survey. Results showed that the education program was useful, should be continued, and include the peer mentors. Responses from open-ended questions included themes related to knowledge, adherence, and taking charge of one’s own care. Interprofessional collaboration and involvement of peer mentors as copresenters in SCI bowel education were feasible.
Rehabilitation Nurses’ Knowledge, Attitudes, and Behaviors for Preventing Urinary Tract Infections From Intermittent Catheterization
Authors: Dawa Tenzin , Randolph Mary , Moyers Penelope , Finch Guthrie Patricia , Frie Brenda , Filer Debra 
Published: December 2017

Abstract

Purpose
The aim of this study was to develop and examine the reliability of a survey to assess knowledge, attitudes, and behaviors (KAB) of rehabilitation nurses for preventing urinary tract infections in persons requiring intermittent catheterization.

Design
Cross-sectional survey with principal component analysis.

Methods
Survey development and administration based on national guidelines.

Findings
Principal component analysis produced three reliable components of KAB explaining 54.5% of response variance. Results indicate that nurses report adequate knowledge and training. Although the facility had an evidence-based online catheterization procedure, staff reported that the procedure was not helpful nor useable. Twenty-eight percent incorrectly identified the root cause of urinary tract infection, and 45% reported that other nurses always washed their hands. Barriers to using standard intermittent catheterization technique were staff, time, and patient variables.

Conclusion
The modified survey is a reliable measure of KAB.

Clinical Relevance
The survey assists with identifying knowledge gaps, customizing education, and changing practice.
Effects of Sanguinate on Systemic and Microcirculatory Variables in a Model of Prolonged Hemorrhagic Shock
Authors: Nugent William H. , Cestero Ramon F. , Ward Kevin , Jubin Ronald , Abuchowski Abe , Song Bjorn K. 
Published: December 2017

ABSTRACT

Background:
Hemorrhage and its complications are the leading cause of preventable death from trauma in young adults, especially in remote locations. To address this, deliverable, shelf-stable resuscitants that provide therapeutic benefits throughout the time course of hemorrhagic shock and the progressive ischemic injury it produces are needed. SANGUINATE
∗
is a novel bovine PEGylated carboxyhemoglobin-based oxygen carrier, which has desirable oxygen-carrying and oncotic properties as well as a CO moiety to maintain microvascular perfusion.

Objectives:
To compare the crystalloid (Lactated Ringer's Solution; LRS), and the colloid (Hextend
†
) standards of care with SANGUINATE in a post “golden hour” resuscitation model.

Methods:
Rats underwent a controlled, stepwise blood withdrawal (45% by volume), were maintained in untreated hemorrhagic shock state for >60 min, resuscitated with a 20% bolus of one of the three test solutions, and observed till demise. Parameters of tissue oxygenation (PISFO2), arteriolar diameters, and mean arterial pressure (MAP) were collected.

Results:
SANGUINATE-treated animals survived significantly longer than those treated with Hextend and LRS. SANGUINATE also significantly increased tissue PISFO2 2 h after resuscitation, whereas LRS and Hextend did not. SANGUINATE also produced a significantly higher MAP, which was hypotensive compared to baseline, that endured until demise.

Conclusions:
Resuscitation with SANGUINATE after prolonged hemorrhagic shock improves survival, MAP, and PISFO2 compared with standard of care plasma expanders. Since the pathologies of hemorrhagic shock and the associated systemic ischemia are progressive, preclinical studies of this nature are essential to determine efficacy of new resuscitants across the range of possible times to treatment.
Testing hypotheses on population dynamics: A test for the inhomogeneous Poisson point process model
Authors: Hohmann Niklas 
Published: December 2017

AbstractIn this paper, a test for hypotheses on population dynamics is presented alongside an implementation of said test for R. The test is based on the assumption that the sample, consisting of points on a time axis, is a realization of a Poisson point process (PPP). There are no restrictions on the shapes of the rate functions that are regulating the PPP, type 2 errors can be calculated and the test is optimal in the sense that it is a uniform most powerful (UMP) test. So for every significance level a, the presented test has a lower type 2 error than every other test having the same significance level a. The test is applicable to all models based on PPPs, including models in spatial dimensions. It can be generalized and expanded in different ways, such as testing larger hypotheses, incorporating prior knowledge, and constructing confidence regions that can be used to obtain upper or lower bounds on rate functions.