bluuebunny/crossref_metadata_2025_split huggingface dataset:
Experiences of registered nurses transitioning from employment in acute care to primary health care—quantitative findings from a mixed‐methods study
Authors: Ashley Christine , Halcomb Elizabeth , Brown Angela , Peters Kath 
Published: June 2017

Aims and objectivesTo describe the experiences of registered nurses who transition from acute to primary health care (PHC) employment.BackgroundInternationally the provision of health care in PHC settings is increasing. Nurses are moving from acute care employment to meet the growing demand for a PHC workforce. However, little is known about the transition experiences of these nurses.DesignA sequential mixed‐methods study comprising a survey, and semi‐structured interviews. This study reports on survey findings relating to the transition experience.MethodsConvenience and snowballing techniques were used to recruit 111 registered nurses who had transitioned from Australian acute settings to PHC employment within the last 5 years. An online survey gathered data relating to personal and professional demographics, type of PHC setting and transition experiences.ResultsMost respondents (n = 90, 81.1%) reported receiving some orientation, although the length and content varied considerably. Those working in metropolitan locations were more likely to report concerns associated with their orientation, with respondents from rural or remote locations more likely to have access to a preceptor than city/metropolitan respondents. Just under half of respondents found prioritising workload (n = 47; 42.7%) or organisational knowledge (n = 45; 40.9%) difficult or very difficult, and 47.7% (n = 53) felt isolated or unsupported. 49.5% (n = 55) reported being overwhelmed with the new role either sometimes or regularly. Barriers to transitioning successfully included limited employer support to attend professional development activities.ConclusionsAvailability of specific support measures may assist in the transition process. Findings from our study should be considered by employers when recruiting nurses new to PHC, and when designing orientation and ongoing education programmes.Relevance to clinical practiceThis study highlights the challenges faced by nurses who transition from acute care into PHC employment. Understanding the barriers and facilitators to successful transitions enhances the process for future recruitment and retention of PHC nurses. This evidence can inform managers, educators and policymakers in developing support programmes for nurses moving into PHC.
Clean catch urine collection: Time taken and diagnostic implication. A prospective observational study
Authors: Tosif Shidan , Kaufman Jonathan , Fitzpatrick Patrick , Hopper Sandy M , Hoq Monsurul , Donath Susan , Babl Franz E 
Published: June 2017

AimClean catch urine (CCU) collection is commonly used in pre‐continent children. CCU can be time‐consuming and specimens may be contaminated. Our aim was to determine the time taken for CCU attempts and to describe the success of this method in diagnosing or excluding urinary tract infection.MethodsProspective observational study of CCU in pre‐continent children aged 2–48 months in the emergency department. Time taken until urine collection, ‘successful’ (voided and caught), ‘missed’ (voided not caught) or the procedure ‘stopped’, were recorded and urine culture results analysed.ResultsTwo hundred and seventeen children (131 (60%) male) were enrolled. There were a total of 247 attempts at CCU. For the first attempt, the median collecting time was 30.5 min (interquartile range (IQR) 11–66). Outcome was ‘successful’ in 64% (95% confidence intervals (CI) 58–70%), ‘missed’ in 16% (95% CI 11–20%) and ‘stopped’ in 20% (95% CI 15–26%). Median time if ‘successful’ was 25 min (IQR 7–46.5), ‘missed’ 27 min (IQR 11.6–59) and 71 min (IQR 42.5–93) when ‘stopped’. One hundred and sixty children had successful CCU collection, 129 were sent for culture. Fifty of 129 (39%) cultures were contaminated. If all urine specimens caught were sent for culture, the estimated yield of an uncontaminated urine specimen was 45%. Contamination was not related to time taken for CCU.Conclusions
CCU is time‐consuming, frequently unsuccessful and contaminated, resulting in a low overall diagnostic yield. Clinicians could expect a 45% chance of obtaining a definitive urine sample from this method overall.
The gingival biotype in a cohort of Chinese subjects with and without history of periodontal disease
Authors: Liu F. , Pelekos G. , Jin L. J. 
Published: June 2017

ObjectiveThe present study aimed to determine the gingival biotype in Chinese subjects with and without a history of periodontal disease.Material and MethodsThirty periodontally healthy subjects and 20 subjects with treated chronic periodontitis were recruited. The mid‐buccal gingival thickness of upper central and lateral incisors was measured by a customized caliper in all subjects. The crown length and crown width of these teeth were recorded in the healthy group, while gingival recession was measured in the periodontitis group. These outcome measures were compared among the groups and sub‐groups, and the correlation of gingival biotypes with clinical parameters was analyzed.ResultsThe mean thickness of gingiva in the 30 periodontally healthy subjects was 1.05±0.31 mm (0.47‐1.57 mm). The males exhibited a greater crown length than the females (P<.05). No significant correlation was found between gingival thickness and the crown width to crown length ratio. The mean gingival thickness at the 80 sites measured in the 20 periodontitis subjects was 0.89±0.29 mm (0.33‐1.56 mm). Overall, gingival biotype as measured by gingival thickness was significantly correlated with gingival recession (r=−.240, P=.032), while a stronger correlation was found among the 42 sites with bleeding on probing prior to periodontal treatment (r=−.382, P=.013).ConclusionThis study shows that gingival biotype measured by gingival thickness in subjects with treated periodontitis is significantly correlated with gingival recession. Further study could clarify the clinical implications of gingival biotype in the management of periodontal patients.
Subjective insomnia symptoms and sleep duration are not related to hypothalamic–pituitary–adrenal axis activity in older adults
Authors: van Neijenhof Rian J. G. Peters , van Duijn Erik , Van Den Berg Julia F. , de Waal Margot W. M. , van der Mast Roos C. , Comijs Hannie C. 
Published: June 2017

SummaryInsomnia symptoms are highly prevalent in depressed older adults. This study investigates the association between hypothalamic–pituitary–adrenal (HPA) axis activity and symptoms of insomnia, respectively, sleep duration among 294 depressed and 123 non‐depressed older adults of the Netherlands Study of Depression in Older people (NESDO) study. Insomnia symptoms were defined as clinically relevant when having a score ≥ 10 points on the Women's Health Initiative Insomnia Rating Scale (WHIIRS). Sleep duration was categorized in short (≤ 6 h per night), normal (7–8 h per night) and long (≥ 9 h per night) duration. Salivary cortisol levels were used to assess the following cortisol parameters for HPA axis activity: area under the curve with respect to the increase (AUCi) and to the ground (AUCg), diurnal slope, evening cortisol level and dexamethasone suppression ratio. Clinically relevant insomnia symptoms were present in 46% of the participants. Thirty‐two per cent of the participants were short sleepers, whereas 16% were long sleepers. However, univariate analyses showed no differences in any of the HPA axis parameters between people with and without insomnia symptoms or between the three groups with different sleep duration. In addition, no significant interaction was found between a diagnosis of depression or the severity of depressive symptoms and any of the cortisol parameters in relation to insomnia symptoms or sleep duration.
Investigation of an N‐Terminal Prohormone of Brain Natriuretic Peptide Point‐of‐Care ELISA in Clinically Normal Cats and Cats With Cardiac Disease
Authors: Harris A.N. , Beatty S.S. , Estrada A.H. , Winter B. , Bohannon M. , Sosa I. , Hanscom J. , Mainville C.A. , Gallagher A.E. 
Published: June 2017

BackgroundN‐terminal prohormone of brain natriuretic peptide (NT‐proBNP) concentrations may be increased in cats with various cardiac disorders. The point‐of‐care (POC) ELISA assay uses the same biologic reagents as the quantitative NT‐proBNP ELISA. Previous studies have evaluated the sensitivity and specificity of the POC ELISA in cats with cardiac disease.ObjectivesTo prospectively evaluate the diagnostic utility of the POC ELISA in a select population of cats.AnimalsThirty‐eight client‐owned cats presented to the University of Florida Cardiology Service for cardiac evaluation. Fifteen apparently healthy cats recruited as part of another study.MethodsPhysical examination and echocardiography were performed in all cats. The POC ELISA was assessed visually as either positive or negative by a reader blinded to the echocardiographic findings, and results were analyzed relative to quantitative assay results.ResultsTwenty‐six cats were diagnosed with underlying cardiac disease, and 27 cats were considered free of cardiac disease. Cats with cardiac disease included: 21 with hypertrophic cardiomyopathy, 2 with unclassified cardiomyopathy, 2 with restrictive cardiomyopathy, and 1 with 3rd degree atrioventricular (AV) block. The POC ELISA differentiated cats with cardiac disease with a sensitivity of 65.4% and specificity of 100%.Conclusions and Clinical ImportanceThe POC NT‐proBNP ELISA performed moderately well in a selected population of cats. A negative test result cannot exclude the presence of underlying cardiac disease, and a positive test result indicates that cardiac disease likely is present, but further diagnostic investigation would be indicated for a definitive diagnosis.
The sociolinguistics of globalizing China
Authors: Gao Shuang 
Published: June 2017

AbstractThe sociolinguistics of globalization has emerged as an important research paradigm in response to the challenges of global social change. As a country undergoing some of the most drastic changes during the past few decades, China provides a rich site for exploring the issue of language and globalization empirically and theoretically. This article seeks to map out the new socio‐cultural values being produced or re‐conceptualized in the process of China's transformation, with a view to understand the materiality of language use under the current conditions of global economy and geopolitics. It reviews recent research mainly from four perspectives: identity, social stratification and consumerism; English and neoliberal globalization; diversity, ethnicity and race; state and nationalism, and concludes with suggestions for future research.
Regional citrate anticoagulation in membrane based plasma exchange: Safety, efficacy and effect on calcium balance
Authors: Christiadi Daniel , Mercado Chari , Singer Richard 
Published: June 2017

AbstractAimTo assess the efficacy, safety and calcium balance of a membrane based regional citrate anticoagulation plasma exchange protocol.MethodsThis was an observational, prospective, single centre study of membrane separation plasma exchange using regional citrate anticoagulation. It was performed using a fixed dose pre‐filter citrate infusion that was based on the plasma flow rate. Patients received a post filter calcium infusion that was modified during treatment based on systemic ionized calcium monitoring. Post filter ionized calcium was not assessed. Safety and efficacy were assessed by extraction of clinical events and laboratory data contemporaneously recorded in electronic health records.ResultsThirty‐six sessions in five patients were performed. No patients developed symptomatic hypocalcaemia, and no patient had a recorded ionized calcium below 0.81 mmol/L. Filter clotting occurred in two sessions. The mean net calcium gained was 9.6 ± 1.8 mmol per session.ConclusionRegional citrate anticoagulated membrane separation plasma exchange can be performed safely and effectively without the need for post filter ionized calcium monitoring. The algorithm employed resulted in a net calcium gain.
Dreaming: a gateway to the unconscious?
Authors: Paulson Steve , Barrett Deirdre , Bulkeley Kelly , Naiman Rubin 
Published: June 2017

AbstractWhere do our dreams originate from, and what do they tell us? Is there a universal set of symbols that are common to all dreams, regardless of a person's ethnicity or culture? What does dreaming reveal about the unconscious? Why do some dreams remain etched in our memories, whereas others are almost instantly forgotten? Some scientists have adopted the position that dreams are little more than noise in the brain, without any substantive purpose or function. Yet, such a stance seemingly runs counter to the experience of many people who reflect upon and even analyze their dreams, often in search of clues to their daily lives or insights into their deeper selves. Similarly, in virtually all wisdom traditions, dreams are invoked as an important source of revelation or prophecy. Steve Paulson, executive producer and host of To the Best of Our Knowledge, moderated a discussion that included psychologist Deirdre Barrett, dream researcher Kelly Bulkeley, and psychologist and sleep/dream medicine specialist Rubin Naiman; they examined dreams from a variety of perspectives to answer these questions.
Holter‐monitored sudden cardiac arrest after atrioventricular junction ablation
Authors: Waldmann Victor , Marijon Eloi , Combes Nicolas 
Published: June 2017

AbstractWe present a case of sudden cardiac arrest 7 hours after radiofrequency ablation of the atrioventricular junction for symptomatic permanent atrial fibrillation unresponsive to medical therapy. The Holter monitoring revealed a progressive increasing of QT interval after the procedure, highlighting the repolarization instability after acute changes in heart rates associated with modification of ventricular activation, leading to occurrence of short coupling interval ventricular extra beats and finally to a “torsade de pointes.” This illustration underlines the need to program a relatively rapid ventricular rate first weeks after junction ablation, especially in case of rapid ventricular rate prior to the procedure, as well as the role of continuous ECG and QT interval monitoring during hospital stay.
Introduction of color‐flow injection test to confirm intravascular location of peripherally placed intravenous catheters
Authors: Gautam Nischal K. , Bober Kayla R. , Cai Chunyan 
Published: June 2017

SummaryBackgroundThe incidence of infiltration and extravasation when using peripheral intravenous catheters is high in pediatric patients. Due to the lack of a gold standard test to confirm intravascular location of a peripherally placed intravenous catheter, we introduce a novel method, the color‐flow injection test to assess the intravascular location of these catheters. For the color‐flow injection test, 1 mL of normal saline was injected within 2 seconds in the distal intravenous catheter and changes in color‐flow via ultrasonography were observed at the proximal draining veins. The primary objective of the study was to demonstrate feasibility of the color‐flow injection test.MethodsA prospective study was conducted on children <18 years old undergoing general anesthesia. All peripheral intravenous catheters were subject to the color‐flow injection test and standard confirmation tests.ResultsOut of the 100 patients enrolled, 22 patients came to the operating room with preexisting peripheral intravenous catheters. Intraoperatively, 105 attempts were made on 78 patients of which 27 catheters were considered as infiltrated during their placement. A final set of 100 catheters were considered for intraoperative usage after they had passed at least one of the standard confirmatory tests. For the color‐flow injection test, the ideal sites for ultrasound evaluation of proximal draining veins were the axillary veins and femoral veins. The color‐flow injection test was positive in 93 of the 100 catheters with color‐flow changes noticed in the proximal veins during the saline injection. Of the 100 catheters, infiltration around seven catheter sites were observed within 2 hours of intraoperative usage and the color‐flow injection test was negative in these seven catheters. The color‐flow injection test was also negative in the 27 catheters that had infiltrated during their placement. The color‐flow injection test was sensitive at 100% [95% confidence interval (CI)=95‐100] and specific at 100% (95% CI=56‐100) to indicate intravascular location.ConclusionWe were able to confirm intravascular location of peripheral intravenous catheters using the color‐flow injection test in pediatric patients. The test can lead to early recognition of malfunctioning peripheral intravenous catheters and decrease rate of infiltration‐extravasation injuries associated with their use.
Retracted: ‘Hepatitis B Virus Infection in Preconception Period Among Women of Reproductive Age in Rural China – A Nationwide Study’
Authors: Zhou Qiongjie , Li Xiaotian , Wang Qiaomei , Shen Haiping , Zhang Yiping , Zhang Shikun , Acharya Ganesh 
Published: June 2017

Retraction: ‘Hepatitis B Virus Infection in Preconception Period Among Women of Reproductive Age in Rural China – A Nationwide Study’ by Qiongjie Zhou, Xiaotian Li, Qiaomei Wang, Haiping Shen, Yiping Zhang, Shikun Zhang, Ganesh AcharyaThe above manuscript, published online on 15 June 2017 in Wiley Online Library (http://wileyonlinelibrary.com), has been retracted by agreement between the authors, Cande V. Ananth, the Editor‐in‐Chief of Paediatric and Perinatal Epidemiology, and John Wiley & Sons Ltd. The retraction has been made at the request of the authors since the data collected from self‐report of the HBV vaccination remains unverified, and potentially subject to errors.ReferenceZhou Q, Li X, Wang Q, Shen H, Zhang Y, Zhang S, Acharya G. Hepatitis B Virus infection in preconception period among women of reproductive age in Rural China – A nationwide study. Paediatric and Perinatal Epidemiology 2017. https://doi.org/10.1111/ppe.12371
Mind the movement: Frontal asymmetry stands for behavioral motivation, bilateral frontal activation for behavior
Authors: Rodrigues Johannes , Müller Mathias , Mühlberger Andreas , Hewig Johannes 
Published: June 2017

AbstractFrontal asymmetry has been investigated over the past 30 years, and several theories have been developed about its meaning. The original theory of Davidson and its diversification by Harmon‐Jones & Allen allocated approach motivation to relative left frontal brain activity and withdrawal motivation to relative right frontal brain activity. Hewig and colleagues extended this theory by adding bilateral frontal activation representing a biological correlate of the behavioral activation system if actual behavior is shown. Wacker and colleagues formulated a theory related to the revised reinforcement sensitivity theory by Gray & McNaughton. Here, relative left frontal brain activation represents the revised behavioral activation system and behavior, while relative right frontal brain activation represents the revised behavioral inhibition system, representing the experience of conflict. These theories were investigated with a newly developed paradigm where participants were able to move around freely in a virtual T maze via joystick while having their EEG recorded. Analyzing the influence of frontal brain activation during this virtual reality task on observable behavior for 30 participants, we found more relative left frontal brain activation during approach behavior and more relative right brain activation for withdrawal behavior of any kind. Additionally, there was more bilateral frontal brain activation when participants were engaged in behavior compared to doing nothing. Hence, this study provides evidence for the idea that frontal asymmetry stands for behavioral approach or avoidance motivation, and bilateral frontal activation stands for behavior. Additionally, observable behavior is not only determined by frontal asymmetry, but also by relevant traits.
Hazard Experience, Geophysical Vulnerability, and Flood Risk Perceptions in a Postdisaster City, the Case of New Orleans
Authors: Gotham Kevin Fox , Campanella Richard , Lauve‐Moon Katie , Powers Bradford 
Published: June 2017

AbstractThis article investigates the determinants of flood risk perceptions in New Orleans, Louisiana (United States), a deltaic coastal city highly vulnerable to seasonal nuisance flooding and hurricane‐induced deluges and storm surges. Few studies have investigated the influence of hazard experience, geophysical vulnerability (hazard proximity), and risk perceptions in cities undergoing postdisaster recovery and rebuilding. We use ordinal logistic regression techniques to analyze experiential, geophysical, and sociodemographic variables derived from a survey of 384 residents in seven neighborhoods. We find that residents living in neighborhoods that flooded during Hurricane Katrina exhibit higher levels of perceived risk than those residents living in neighborhoods that did not flood. In addition, findings suggest that flood risk perception is positively associated with female gender, lower income, and direct flood experiences. In conclusion, we discuss the implications of these findings for theoretical and empirical research on environmental risk, flood risk communication strategies, and flood hazards planning.
Risk Communication Emergency Response Preparedness: Contextual Assessment of the Protective Action Decision Model
Authors: Heath Robert L. , Lee Jaesub , Palenchar Michael J. , Lemon Laura L. 
Published: June 2017

AbstractStudies are continuously performed to improve risk communication campaign designs to better prepare residents to act in the safest manner during an emergency. To that end, this article investigates the predictive ability of the protective action decision model (PADM), which links environmental and social cues, predecision processes (attention, exposure, and comprehension), and risk decision perceptions (threat, alternative protective actions, and stakeholder norms) with protective action decision making. This current quasi‐longitudinal study of residents (N = 400 for each year) in a high‐risk (chemical release) petrochemical manufacturing community investigated whether PADM core risk perceptions predict protective action decision making. Telephone survey data collected at four intervals (1995, 1998, 2002, 2012) reveal that perceptions of protective actions and stakeholder norms, but not of threat, currently predict protective action decision making (intention to shelter in place). Of significance, rather than threat perceptions, perception of Wally Wise Guy (a spokes‐character who advocates shelter in place) correlates with perceptions of protective action, stakeholder norms, and protective action decision making. Wally's response‐efficacy advice predicts residents’ behavioral intentions to shelter in place, thereby offering contextually sensitive support and refinement for PADM.