bluuebunny/crossref_metadata_2025_split huggingface dataset:
Salivary antimicrobial defensins in pregnancy
Authors: Gürsoy Mervi , Gürsoy Ulvi K. , Liukkonen Anna , Kauko Tommi , Penkkala Saara , Könönen Eija 
Published: May 2016

AbstractAimSusceptibility to and severity of gingival inflammation are enhanced during pregnancy; however, regulation of oral innate immune response, including antimicrobial peptides, during pregnancy is still unknown. We analysed salivary levels of human beta‐defensin (hBD)‐1, ‐2, ‐3, and human neutrophil peptide (HNP)‐1 in pregnant women, and related those to their periodontal status.Material and MethodsIn this cohort study, 30 generally healthy, non‐smoking Caucasian women without periodontitis were followed at three time points during pregnancy and twice post‐partum. The non‐pregnant group consisted of 24 women, who were examined three times at the following months. At each visit, periodontal status was recorded and stimulated saliva samples were collected. Salivary estradiol, progesterone, and defensin concentrations were measured by ELISA assays.ResultsAfter adjusting for visible plaque and gingival bleeding, reduced salivary concentrations of hBD‐1, hBD‐2, and HNP‐1 were found especially during the third trimester, whereas hBD‐3 concentrations did not change during pregnancy and post‐partum visits. Weak associations were observed between salivary defensin and hormone concentrations and clinical parameters.ConclusionThere seems to be an independent regulation cascade for each antimicrobial defensin in the oral cavity during pregnancy, despite of the similarities between these antimicrobial peptides.
Effectiveness of enamel matrix derivative on the clinical and microbiological outcomes following surgical regenerative treatment of peri‐implantitis. A randomized controlled trial
Authors: Isehed Catrine , Holmlund Anders , Renvert Stefan , Svenson Björn , Johansson Ingegerd , Lundberg Pernilla 
Published: May 2016

AbstractObjectiveThis randomized clinical trial aimed at comparing radiological, clinical and microbial effects of surgical treatment of peri‐implantitis alone or in combination with enamel matrix derivative (EMD).MethodsTwenty‐six subjects were treated with open flap debridement and decontamination of the implant surfaces with gauze and saline preceding adjunctive EMD or no EMD. Bone level (BL) change was primary outcome and secondary outcomes were changes in pocket depth (PD), plaque, pus, bleeding and the microbiota of the peri‐implant biofilm analyzed by the Human Oral Microbe Identification Microarray over a time period of 12 months.ResultsIn multivariate modelling, increased marginal BL at implant site was significantly associated with EMD, the number of osseous walls in the peri‐implant bone defect and a Gram+/aerobic microbial flora, whereas reduced BL was associated with a Gram−/anaerobic microbial flora and presence of bleeding and pus, with a cross‐validated predictive capacity (Q2) of 36.4%. Similar, but statistically non‐significant, trends were seen for BL, PD, plaque, pus and bleeding in univariate analysis.ConclusionAdjunctive EMD to surgical treatment of peri‐implantitis was associated with prevalence of Gram+/aerobic bacteria during the follow‐up period and increased marginal BL 12 months after treatment.
Optimized Methodology for Alkaline and Enzyme‐Assisted Extraction of Protein from Sacha Inchi (Plukenetia volubilis) Kernel Cake
Authors: Chirinos Rosana , Aquino Martin , Pedreschi Romina , Campos David 
Published: May 2016

AbstractThe residue after oil extraction from sacha inchi (SI) presents a high protein content of ∼59% that can be further exploited to extract proteins. In this study, the protein extraction parameters for defatted SI cake meal (DSICM) were optimized using alkaline and enzyme‐assisted extractions. A central composed design (CCD) was used to optimize the protein yield for both methods. The obtained response surface models (RSM) produced a satisfactory fitting of the results for both extraction methods (R2 = 0.9609–0.9761). For the alkaline extraction method, the optimal SI protein extraction conditions corresponded to 54.2C, solvent/meal 42/1 (v/w) ratio, NaCl concentration of 1.65 M, pH 9.5 for 30 min and yielded 29.7% protein. For the enzyme‐assisted method, optimal extraction conditions corresponded to an enzyme concentration of 5.6%, 40.4 min extraction, solvent/meal 50/1 (v/w) ratio, pH 9.0 and 50C and yielded 44.7% protein and hydrolysis degree of 7.8%.Practical ApplicationsThe cake obtained after oil extraction from SI seed is an important source of protein. Thus, efforts should focus on the development of protein extraction processes from the cake to add value to this by‐product. Up to date, studies are very limited. Results obtained in this study allowed the optimization of the protein extraction process from SI cake meal. The enzyme‐assisted protein extraction resulted in a higher quantity of protein recovery (∼1.5 fold more) than the alkaline protein extraction. The optimized protein extraction process will allow the food industry to obtain isolates or protein concentrates from SI cake meal to be used as techno‐functional, nutritional and/or functional agent.
Relabelling behaviour. The effects of psycho‐education on the perceived severity and causes of challenging behaviour in people with profound intellectual and multiple disabilities
Authors: Poppes P. , van der Putten A. , Post W. , Frans N. , ten Brug A. , van Es A. , Vlaskamp C. 
Published: May 2016

AbstractBackgroundPrevalence rates of challenging behaviour are high in children and adults with profound intellectual and multiple disabilities (PIMD). Moreover, many of these behaviours are observed daily. Direct support staff report that most challenging behaviour identified has little impact on the person with PIMD and attribute challenging behaviour in children and adults with PIMD mainly to a biomedical model. The purpose of this study was to evaluate whether an intervention (psycho‐education) had any effect on direct support staff's assessment of challenging behaviour in terms of its severity and their biomedical causal explanations (attributions) for this behaviour.MethodA stepped wedge study design was used to evaluate the effects of a psycho‐education intervention on the perceived severity and the attributions offered for challenging behaviour of people with PIMD by 198 direct support staff. We used questionnaires assessing the perceived severity of challenging behaviour and staff views of its causes. Data on the dependent variables were collected at four 1‐month intervals.ResultsThe intervention was found to have an effect on the perceived severity of challenging behaviour identified in people with PIMD in the sense that staff generally scored challenging behaviour as more severe in its consequences after the intervention. However, this effect was very small. No significant effects were found in terms of reduction in the biomedical scale scores.ConclusionNo evidence for the effectiveness of a psycho‐educational approach on the assessment of challenging behaviour in terms of severity and the biomedical attributions for behaviour was found. More research is required to explore further the effects of more elaborate training using methods to enable direct support staff to reflect on the behaviour of people with PIMD and on their own behaviour.
Subjective evaluation of a peer support program by women with breast cancer: A qualitative study
Authors: Ono Miho , Tsuyumu Yuko , Ota Hiroko , Okamoto Reiko 
Published: May 2016

AimThe aim of this study was to determine the subjective evaluation of a breast cancer peer support program based on a survey of the participants who completed the program.MethodsSemistructured interviews were held with 10 women with breast cancer. The responses were subject to a qualitative inductive analysis.ResultsWomen with breast cancer who participated in the breast cancer peer support program evaluated the features of the program and cited benefits, such as “Receiving individual peer support tailored to your needs,” “Easily consulted trained peer supporters,” and “Excellent coordination.” Also indicated were benefits of the peer support that was received, such as “Receiving peer‐specific emotional support,” “Obtaining specific experimental information,” “Re‐examining yourself,” and “Making preparations to move forward.” The women also spoke of disadvantages, such as “Strict management of personal information” and “Matching limitations.”ConclusionsIn this study, the subjective evaluation of a peer support program by women with breast cancer was clarified . The women with breast cancer felt that the program had many benefits and some disadvantages. These results suggest that there is potential for peer support‐based patient‐support programs in medical services that are complementary to the current support that is provided by professionals.
Older people and their care partners’ experiences of living with mental health needs: a focus on collaboration and cooperation
Authors: McCormack Brendan , Skatvedt Astrid 
Published: May 2016

Aims and objectivesTo explore how older people living at home with mental health needs and their care partners experienced the practices of collaboration within and between services.BackgroundMany healthcare strategies for community mental health services for older people espouse a person‐centred approach or principles that are similar in focus.DesignThis study reports on the first stage of a three‐year action research project that focused on improving mental health services for older people and their care partners living at home. Data were collected through individual interviews. Twenty people were interviewed. Data were analysed continuously and in parallel with data collection for the identification of themes.ResultsWe focus on two particular themes, ‘acknowledgement, recognition and respect’ and ‘the prestige hierarchy of mental illness in older people’. We highlight how older people and their care partners experience discontinuities in their everyday interactions with nurses and care workers and that this impacts on their experience of person‐centred care.ConclusionsOlder people with mental health needs and their care partners need high levels of energy to express their needs and have them met in a way that reflects principles of partnership working.Relevance to clinical practiceNurses and care workers need to consider how ‘tasks’ can be used as a vehicle for creating emotional connections with service users. Service managers and leaders need to consider the implications of discontinuities in care on service user, care partner, nurses and care workers experiences.
Diabetes literacy and informal social support: a qualitative study of patients at a diabetes centre
Authors: Black Stephen , Maitland Catherine , Hilbers Julieanne , Orinuela Kirsty 
Published: May 2016

Aims and objectivesTo explore the resources that patients diagnosed with type 2 diabetes drew upon to manage the disease in their daily lives.BackgroundType 2 diabetes is a disease affecting Australian adults at a rate described as an ‘epidemic’. Treatment usually focuses on patient self‐management, which may require daily blood sugar monitoring, oral medications or injectable therapies, and regulating diet and exercise. Health research studies of patient self‐management, including those involving type 2 diabetes, have focused largely on individual‐centred definitions, though a number of studies, in particular qualitative studies, have indicated the positive role of social relationships and informal social networks.DesignExploratory, qualitative.MethodsThe project focused on 26 patients attending a diabetes centre for clinical consultations with centre staff including doctors, diabetes educators, podiatrists and dietitians. The consultations were observed and audio recorded, followed by semi‐structured, audio‐recorded interviews with the patients and separate interviews with the consulting professional staff.ResultsOverwhelmingly the patients drew on informal social networks of support to manage the disease. Spouses were significant, sometimes presenting with the patient as a ‘team’ approach to managing the disease. Sons and daughters also played a significant support role, especially interpreting during consultations and explaining health information. In some cases neighbours and also local community organisations provided informal support. Only two patients claimed not to use informal social support.ConclusionsInformal social support in patients’ self‐management of type 2 diabetes was found to be an important factor to be considered by clinicians. The study suggested the need for a more deliberate or pro‐active policy to involve patients’ family and other informal social networks in treatment programs.Relevance to clinical practiceClinicians may need document and incorporate informal social support in the development and implementation of patient management plans.
Participatory design facilitates Person Centred Nursing in service improvement with older people: a secondary directed content analysis
Authors: Wolstenholme Daniel , Ross Helen , Cobb Mark , Bowen Simon 
Published: May 2016

Aims and objectivesTo explore, using the example of a project working with older people in an outpatient setting in a large UK NHS Teaching hospital, how the constructs of Person Centred Nursing are reflected in interviews from participants in a Co‐design led service improvement project.BackgroundPerson Centred Care and Person Centred Nursing are recognised terms in healthcare. Co‐design (sometimes called participatory design) is an approach that seeks to involve all stakeholders in a creative process to deliver the best result, be this a product, technology or in this case a service. Co‐design practice shares some of the underpinning philosophy of Person Centred Nursing and potentially has methods to aid in Person Centred Nursing implementation.Research designThe research design was a qualitative secondary Directed analysis.MethodsSeven interview transcripts from nurses and older people who had participated in a Co‐design led improvement project in a large teaching hospital were transcribed and analysed. Two researchers analysed the transcripts for codes derived from McCormack & McCance's Person Centred Nursing Framework.ResultsThe four most expressed codes were as follows: from the pre‐requisites: knowing self; from care processes, engagement, working with patient's beliefs and values and shared Decision‐making; and from Expected outcomes, involvement in care. This study describes the Co‐design theory and practice that the participants responded to in the interviews and look at how the co‐design activity facilitated elements of the Person Centred Nursing framework.ConclusionsThis study adds to the rich literature about using emancipatory and transformational approaches to Person Centred Nursing development, and is the first study exploring explicitly the potential contribution of Co‐design to this area.Implications for practiceMethods from Co‐design allow older people to contribute as equals in a practice development project, co‐design methods can facilitate nursing staff to engage meaningfully with older participants and develop a shared understanding and goals. The co‐produced outputs of Co‐design projects embody and value the expressed beliefs and values of staff and older people.
Perioperative nurses' attitudes towards organ procurement: a systematic review
Authors: Gao Weili , Plummer Virginia , Williams Allison 
Published: May 2016

Aims and objectivesTo explore and evaluate perioperative nurses’ experience of organ procurement.BackgroundOrgan procurement is part of the organ donation process, and is typically performed in the perioperative setting. This experience may contribute to perioperative nurses’ feelings of distress and negative attitudes towards organ donation.DesignSystematic review of the literature.MethodPrimary research studies, published in the English language between 1990–2014 were identified, screened and appraised using Joanna Briggs Institute appraisal tools. Data extraction and analysis followed.ResultsThe quality assessment resulted in seven qualitative and three quantitative research studies. The main findings were: (1) Perioperative nurses reported feeling emotionally distressed, challenged, lonely and physically drained throughout the entire organ procurement procedure. (2) Perioperative nurses reported finding their own unique self‐coping strategies and ways of eliciting support. (3) Perioperative nurses had positive and negative attitudes towards organ donation.ConclusionPerioperative nurses reported feelings of sadness, feeling challenged and physically drained through the entire organ procurement procedure, which were influenced by differing factors in the preoperative, intraoperative and postoperative stages. It is acknowledged that personal coping strategies and support are important to help perioperative nurses improve their psychological well‐being, and their experiences and attitudes towards organ procurement and donation. The meaningfulness of these findings for practice policy and research is described.Relevance to clinical practicePerioperative nurses play a vital role in the organ procurement procedure and require ongoing support to ensure their psychological welfare, in particular, newly qualified or inexperienced nurses’ participating in organ procurement.
Advanced Nursing Process quality: Comparing the International Classification for Nursing Practice (ICNP) with the NANDA‐International (NANDA‐I) and Nursing Interventions Classification (NIC)
Authors: Rabelo‐Silva Eneida Rejane , Dantas Cavalcanti Ana Carla , Ramos Goulart Caldas Maria Cristina , Lucena Amália de Fátima , Almeida Miriam de Abreu , Linch Graciele Fernanda da Costa , da Silva Marcos Barragan , Müller‐Staub Maria 
Published: May 2016

Aims and objectivesTo assess the quality of the advanced nursing process in nursing documentation in two hospitals.BackgroundVarious standardised terminologies are employed by nurses worldwide, whether for teaching, research or patient care. These systems can improve the quality of nursing records, enable care continuity, consistency in written communication and enhance safety for patients and providers alike.DesignCross‐sectional study.MethodsA total of 138 records from two facilities (69 records from each facility) were analysed, one using the NANDA‐International and Nursing Interventions Classification terminology (Centre 1) and one the International Classification for Nursing Practice (Centre 2), by means of the Quality of Diagnoses, Interventions, and Outcomes instrument. Quality of Diagnoses, Interventions, and Outcomes scores range from 0–58 points. Nursing records were dated 2012–2013 for Centre 1 and 2010–2011 for Centre 2.ResultsCentre 1 had a Quality of Diagnoses, Interventions, and Outcomes score of 35·46 (±6·45), whereas Centre 2 had a Quality of Diagnoses, Interventions, and Outcomes score of 31·72 (±4·62) (p < 0·001). Centre 2 had higher scores in the ‘Nursing Diagnoses as Process’ dimension, whereas in the ‘Nursing Diagnoses as Product’, ‘Nursing Interventions’ and ‘Nursing Outcomes’ dimensions, Centre 1 exhibited superior performance; acceptable reliability values were obtained for both centres, except for the ‘Nursing Interventions’ domain in Centre 1 and the ‘Nursing Diagnoses as Process’ and ‘Nursing Diagnoses as Product’ domains in Centre 2.ConclusionThe quality of nursing documentation was superior at Centre 1, although both facilities demonstrated moderate scores considering the maximum potential score of 58 points. Reliability analyses showed satisfactory results for both standardised terminologies.Relevance to clinical practiceNursing leaders should use a validated instrument to investigate the quality of nursing records after implementation of standardised terminologies.
Coping styles used by sexual minority men who experience intimate partner violence
Authors: Goldberg‐Looney Lisa D , Perrin Paul B , Snipes Daniel J , Calton Jenna M 
Published: May 2016

Aims and objectivesThis study examined the coping styles used by sexual minority men who have experienced intimate partner violence, including sexual, emotional and physical victimisation, as well as physical injury.BackgroundAlthough sexual minority men experience intimate partner violence at least as often as do heterosexuals, there is currently limited knowledge of intimate partner violence in this community or resources for sexual minority men who experience intimate partner violence.DesignCross‐sectional design.MethodSexual minority men (N = 89) were recruited as part of a national online survey and completed questionnaires assessing lifetime experiences of intimate partner violence as well as various coping strategies. In terms of intimate partner violence, 34·8% of participants reported having been targets of sexual abuse, 38·2% targets of physical abuse, 69·7% targets of psychological abuse and 28·1% had experienced an injury as a result of intimate partner violence during their lifetime.ResultsCanonical correlation analyses found that intimate partner violence victimisation explained 32·5% of the variance in adaptive and 31·4% of the variance in maladaptive coping behaviours. In the adaptive coping canonical correlation, standardised loadings suggested that sexual minority men who experienced intimate partner violence resulting in injury were more likely to use religious coping, but less likely to use planning coping. In the maladaptive coping canonical correlation, sexual minority men who had been targets of intimate partner sexual victimisation and intimate partner violence resulting in injury tended to engage in increased behavioural disengagement coping.ConclusionThis study revealed several coping behaviours that are more or less likely as the severity of different forms of intimate partner violence increases.Relevance to clinical practiceThe identification of these coping styles could be applied to the development and modification of evidence‐based interventions to foster effective and discourage ineffective coping styles, thereby improving outcomes for sexual minority men who experience intimate partner violence.
Consistency Matters! How and When Does Corporate Social Responsibility Affect Employees’ Organizational Identification?
Authors: De Roeck Kenneth , El Akremi Assâad , Swaen Valérie 
Published: May 2016

AbstractDespite the increasing attention to corporate social responsibility (CSR) in the management literature, little is known about the mechanisms and boundary conditions explaining employees’ responses to CSR. Drawing on social identity and cue consistency theory, we develop a mediated moderation model that explains how and under which conditions perceived CSR affects employees’ organizational identification. We test the model by carrying out a three‐wave longitudinal study on employees of an international utility company. The findings indicate that perceived CSR interacts with overall justice to predict organizational identification through the successive mediation of perceived external prestige and organizational pride. The study clarifies and advances some of the theoretical foundations surrounding the micro‐level approach of CSR and has key implications for management research and practice.