bluuebunny/crossref_metadata_2025_split huggingface dataset:
Back School programme for nurses has reduced low back pain levels: A randomised controlled trial
Authors: Járomi Melinda , Kukla Aniko , Szilágyi Brigitta , Simon‐Ugron Ágnes , Bobály Viktória Kovácsné , Makai Alexandra , Linek Pawel , Ács Pongrác , Leidecker Eleonóra 
Published: August 2017

Aims and Objectives(i) To examine patient lifting techniques used by nurses, and (ii) to evaluate an effectiveness of the Spine Care for Nurses programme in chronic nonspecific low back pain syndrome reduction and the execution of proper patient lifting techniques.BackgroundMillions of nurses around the world suffer from occupational‐related chronic nonspecific low back pain (chronic nonspecific low back pain syndrome). Generally, low back pain in nurses is a result of increased pressure on the spine and can be associated with improperly conducted patient lifting techniques.MethodsA randomised controlled trial was conducted among 137 nurses with chronic nonspecific low back pain syndrome. Participants were randomised into an experimental and control group (experimental group n = 67, control group n = 70). Nurses in the experimental group attended the Spine Care for Nurses programme for 3 months. The programme consisted of didactic education, spine‐strengthening exercises and education on safe patient handling techniques. The control group only received a brief written lifestyle guidance. The Zebris WinSpine Triple Lumbar examination was used to analyse nurses’ patient lifting techniques (horizontal and vertical lifting). The lumbar pain intensity was measured with a 0–100 visual analogue scale.ResultsThe pre‐intervention average chronic nonspecific low back pain syndrome intensity score on visual analogue scale decreased from 49.3 to the postintervention score of 7.5. The correct execution of vertical lifting techniques in the experimental group increased from 8.91%–97.01% (control group: 8.57% pre‐intervention test and postintervention test 11.42%). The horizontal patient lifting technique pre‐intervention increased from 10.44%–100% correct execution in the experimental group (control group: pre‐intervention test 10.00% and postintervention test 11.42%).ConclusionThe Spine Care for Nurses programme significantly reduced chronic nonspecific low back pain syndrome and increased the number of properly executed horizontal and vertical patient lifting techniques in nurses.Relevance to clinical practiceWe recommend that healthcare organisations should consider the implementation of regular Spine Care for Nurses programmes as successful low back injury prevention programmes.
Registered nurses transitioning from acute care to primary healthcare employment: A qualitative insight into nurses' experiences
Authors: Ashley Christine , Brown Angela , Halcomb Elizabeth , Peters Kath 
Published: August 2017

Aims and objectivesTo describe the experiences of acute care registered nurses transitioning to primary healthcare settings.BackgroundThe worldwide increasing demand for primary healthcare services has resulted in skilled acute care nurses transitioning to primary healthcare settings to meet workforce requirements. Little is known about the experiences and challenges associated with the transition. Knowledge of this will enable employers to design appropriate support processes and transitioning nurses can make informed choices.MethodsSemistructured interviews were conducted with nurses who had transitioned into primary healthcare employment in the last 5 years. Data analysis was undertaken using Braun and Clarke's (2006) thematic analysis approach.ResultsThirteen nurses were interviewed, and two themes identified—role learning: the new environment, and role socialisation: transition validation. Role learning was influenced according to the quality of orientation programmes, previous experience, clinical knowledge and professional support. Support and professional respect from mentors and/or employers greatly assisted with role socialisation and the transition experience.ConclusionsTransitioning to primary healthcare employment provides unique challenges which must be considered by employers if they are to attract and retain experienced acute care registered nurses.Relevance to Clinical PracticeUnderstanding the experiences of nurses who transition from acute to primary healthcare employment can inform the design of orientation programmes and ongoing professional supports to address barriers and challenges. Targeted orientation and support has the potential to enhance recruitment and retention of experienced nurses in primary health care.
Attitudes towards people with physical or intellectual disabilities among nursing, social work and medical students
Authors: Kritsotakis George , Galanis Petros , Papastefanakis Emmanouil , Meidani Flora , Philalithis Anastas E. , Kalokairinou Athena , Sourtzi Panayota 
Published: August 2017

Aims and objectivesTo examine and compare undergraduate healthcare students’ attitudes towards people with physical or intellectual disabilities in Greece.BackgroundThe experience that people with disabilities have with health care is a complex interaction between their medical condition and the social and physical environment. Attitudes of the nursing and healthcare staff affect the quality of care and people's adaptation to their disability, self‐image and rehabilitation outcomes.DesignDescriptive cross‐sectional survey.MethodsNursing, Social Work and Medicine students (N = 1007, 79.4% female) attending three universities (Athens, Crete) completed during 2014–2016 two standardised scales regarding physical (ATDP‐B) and intellectual disability (CLAS‐ID). Descriptive and multivariate logistic regression analyses were performed.ResultsAttitudes towards people with physical disabilities in Greece (ATDP‐B scores) were poor with scores just above the mid‐point. Medical studies and higher knowledge and work with individuals with physical disabilities signified marginally more positive attitudes. Gender and age displayed no associations with attitudes. Regarding intellectual disability (CLAS‐ID scores), nursing students had slightly less positive attitudes in “Similarity” but more positive attitudes in “Sheltering” subscales. Previous work and contact was related to more favourable and higher age to less favourable “Similarity” and “Sheltering” attitudes. Males had higher “Exclusion” scores. Those who knew people with intellectual disabilities had less favourable “Empowerment” attitudes. Knowledge was related to more positive attitudes in all four CLAS‐ID subscales.ConclusionsGreek health and social care students showed poor attitudes towards people with physical and intellectual disability.Relevance to clinical practiceWhen holding unfavourable attitudes, healthcare professionals become less involved with the people they care for and they do not provide nursing care to the best of their abilities. Undergraduate and continuing education, along with workplace enhancements, should aim to provide high‐quality health care to people with disabilities.
Interprofessionals’ definitions of moral resilience
Authors: Holtz Heidi , Heinze Katherine , Rushton Cynda 
Published: August 2017

Aims and objectivesTo describe common characteristics and themes of the concept of moral resilience as reported by interprofessional clinicians in health care.BackgroundResearch has provided an abundance of data on moral distress with limited research to resolve and help negate the detrimental effects of moral distress. This reveals a critical need for research on how to mitigate the negative consequences of moral distress that plague nurses and other healthcare providers. One promising direction is to build resilience as an individual strategy concurrently with interventions to build a culture of ethical practice.Design/methodsQualitative descriptive methods were used to analyse descriptive definitions provided by 184 interprofessional clinicians in health care attending educational programmes in various locations as well as a small group of 23 professionals with backgrounds such as chaplaincy and nonhealthcare providers.ResultsThree primary themes and three subthemes emerged from the data. The primary themes are integrity—personal and relational, and buoyancy. The subthemes are self‐regulation, self‐stewardship and moral efficacy.ConclusionsIndividual healthcare providers and healthcare systems can use this research to help negate the detrimental effects of moral distress by finding ways to develop interventions to cultivate moral resilience.Relevance to clinical practiceMoral resilience involves not only building and fostering the individual's capacity to navigate moral adversity but also developing systems that support a culture of ethical practice for healthcare providers.
MRI Interscanner Agreement of the Association between the Susceptibility Vessel Sign and Histologic Composition of Thrombi
Authors: Bourcier Romain , Détraz Lili , Serfaty Jean Michel , Delasalle Beatrice Guyomarch , Mirza Mahmood , Derraz Imad , Toulgoat Frédérique , Naggara Olivier , Toquet Claire , Desal Hubert 
Published: August 2017

ABSTRACTBACKGROUND AND PURPOSEThe susceptibility vessel sign (SVS) on magnetic resonance imaging (MRI) is related to thrombus location, composition, and size in acute stroke. No previous study has determined its inter‐MRI scanner variability. We aimed to compare the diagnostic accuracy in‐vitro of four different MRI scanners for the characterization of histologic thrombus composition.METHODSThirty‐five manufactured thrombi analogs of different composition that were histologically categorized as fibrin‐dominant, mixed, or red blood cell (RBC)‐dominant were scanned on four different MRI units with T2* sequence. Nine radiologists, blinded to thrombus composition and MRI scanner model, classified twice, in a 2‐week interval, the SVS of each thrombus as absent, questionable, or present. We calculated the weighted kappa with 95% confidence interval (CI), sensitivity, specificity and accuracy of the SVS on each MRI scanner to detect RBC‐dominant thrombi.RESULTSThe SVS was present in 42%, absent in 33%, and questionable in 25% of thrombi. The interscanner agreement was moderate to good, ranging from .45 (CI: .37‐.52) to .67 (CI: .61‐.74). The correlation between the SVS and the thrombus composition was moderate (κ: .50 [CI: .44‐.55]) to good κ: .76 ([CI: .72‐.80]). Sensitivity, specificity, and accuracy to identify RBC‐dominant clots were significantly different between MRI scanners (P < .001).CONCLUSIONThe diagnostic accuracy of SVS to determine thrombus composition varies significantly among MRI scanners. Normalization of T2*sequences between scanners may be needed to better predict thrombus composition in multicenter studies.
Basic income guarantee: a review of implications for oral health
Authors: Chen Yi‐An , Quiñonez Carlos 
Published: August 2017

AbstractObjectivesTo: a) Familiarize readers with the concept of a basic income guarantee (BIG) and its different forms; b) Consider how BIG could improve oral health and decrease oral health disparities; c) Motivate readers to advocate for the evaluation of oral health outcomes in BIG experiments.MethodsPublished articles and book chapters that have analyzed and reviewed data from past BIG pilot projects were examined for their findings on health and socioeconomic outcomes.ResultsOur findings suggest various areas and mechanisms whereby BIG can influence oral health‐related outcomes, whether through impacts on work, illness and injury, education, a social multiplier effect, expenditure behavior, and/or mental illness and other health outcomes.ConclusionOur findings illustrate the importance of assessing oral health‐related outcomes in future BIG pilot projects.
The Perception and Attention Functions test battery as a measure of neurocognitive impairment in patients with suspected central disorders of hypersomnolence
Authors: Ramm Markus , Jafarpour Arsalan , Boentert Matthias , Lojewsky Nelly , Young Peter , Heidbreder Anna 
Published: August 2017

SummaryThe aim of the current study was to evaluate an attention test as a discriminative tool to measure neurocognitive impairment in patients with disorders of hypersomnolence. Chronic excessive daytime sleepiness is the main symptom in central disorders of hypersomnolence. For diagnostic purposes and treatment evaluation, reliable assessment of excessive daytime sleepiness is required. Thirty‐six patients with central disorders of hypersomnolence were compared with 20 healthy controls. All participants performed the ‘Perception and Attention Functions’ (WAF) of the Vienna Test System. Patients underwent polysomnography, Multiple Sleep Latency Test and Maintenance of Wakefulness Test. Patients were divided into two groups: (i) patients who met the criteria of disorder of hypersomnolence (objective excessive daytime sleepiness); and (ii) patients with subjective excessive daytime sleepiness, i.e. with normal Multiple Sleep Latency Test results. Group 1 consisted of 23 patients with objective excessive daytime sleepiness (11 with idiopathic hypersomnia, nine with narcolepsy type 1, three with narcolepsy type 2); group 2 included 13 patients with subjective excessive daytime sleepiness. The results showed cognitive impairment in patients with objective excessive daytime sleepiness and even in patients with subjective excessive daytime sleepiness. WAF tests identified distinct attention profiles in patients with narcolepsy type 1, idiopathic hypersomnia/narcolepsy type 2, and patients with subjective excessive daytime sleepiness. WAF test measures correlated with Maintenance of Wakefulness Test and the Epworth Sleepiness Scale, but not with Multiple Sleep Latency Test and the Fatigue Severity Scale. In conclusion, the multidimensional WAF test battery detects cognitive impairment even in patients that complain of excessive daytime sleepiness but have normal Multiple Sleep Latency Test results. WAF tests offer valuable information that adds to the existing polysomnographic measures in discriminating patients with different types of chronic excessive daytime sleepiness. The results provide new insights into cognitive dysfunction underlying different types of chronic excessive daytime sleepiness.
Studies on the behaviour and control of phlebotomine sandflies using experimental houses
Authors: KIRSTEIN O. D. , FAIMAN R. , KNIGIN A. , GUETA H. , STONE A. , WARBURG A. 
Published: August 2017

AbstractProgrammes for the control of phlebotomine sandflies (Diptera: Psychodidae), the vectors of leishmaniases, mainly target adults because larval breeding sites are generally unknown or inaccessible. To determine how blood‐questing sandfly females enter homes and to develop means for their control, an experimental house (EH) was constructed in a village endemic for cutaneous leishmaniasis. Initially, carbon dioxide (CO2)‐baited suction traps were installed inside the EH to attract and capture sandflies. For other experiments, the windows of the EH were fitted with CO2‐baited window entrance traps (WETs) that allow each window to be considered as a separate unit. The majority of captures inside the EH and in WETs consisted of Phlebotomus sergenti, a species that enters inhabited houses relatively infrequently. Analyses of collections in WETs and in sticky traps on external walls showed that sandflies entered windows having landed previously on the wall below or either side of the window. Shelves constructed below windows significantly reduced the numbers of sandflies that entered both the EH and inhabited houses. The lining of internal walls with insecticide‐impregnated fabric significantly increased mortality rates of sandflies captured inside the EH. To reduce the biting burden imposed by phlebotomine sandflies, several control measures must be integrated and sustained.
Present‐day sympatry belies the evolutionary origin of a high‐order polyploid
Authors: Wei Na , Tennessen Jacob A. , Liston Aaron , Ashman Tia‐Lynn 
Published: August 2017

Summary

Disentangling the evolutionary histories of polyploids, especially those with high ploidies, can reveal fundamental processes in speciation. Despite occurring frequently during evolution, the origins of many extant polyploid plant species remain largely unknown.

By integrating linkage mapping, polyploid phylogeny and sex‐determining region (SDR) in a unified framework, we statistically evaluated evolutionary hypotheses concerning the origin of a recently recognized decaploid strawberry (Fragaria cascadensis).

The maximum‐likelihood phylogenies and topology tests across homeologous groups consistently rejected the seemingly parsimonious hypothesis of ‘contemporary sympatric speciation’ via hybridization between octoploid and diploid congeners. Instead, most chromosomes supported ‘ancient hybrid speciation’ between a maternal octoploid progenitor ancestral to extant octoploid strawberries and a paternal, extinct Fragaria iinumae‐like diploid progenitor, probably in Beringia during the Pleistocene. The absence of a shared SDR between the decaploid and other Fragaria is also consistent with an older origin rather than a recent hybrid origin in situ.

Our study reveals a long evolutionary history of the decaploid despite its recent discovery, and highlights the pitfalls of inferring polyploid origins from niche/range alone or combined with morphology. It can serve as an exemplary starting step towards building much‐needed model systems of established polyploids that have been, and remain to be, recognized.
Direct assessment of the metabolic origin of carbon atoms in glutamate from illuminated leaves using 13C‐NMR
Authors: Abadie Cyril , Lothier Jérémy , Boex‐Fontvieille Edouard , Carroll Adam , Tcherkez Guillaume 
Published: August 2017

Summary

Glutamate (Glu) is the cornerstone of nitrogen assimilation and photorespiration in illuminated leaves. Despite this crucial role, our knowledge of the flux to Glu de novo synthesis is rather limited.

Here, we used isotopic labelling with 13CO2 and 13C‐NMR analyses to examine the labelling pattern and the appearance of multi‐labelled species of Glu molecules to trace the origin of C‐atoms found in Glu. We also compared this with 13C‐labelling patterns in Ala and Asp, which reflect citrate (and thus Glu) precursors, that is, pyruvate and oxaloacetate.

Glu appeared to be less 13C‐labelled than Asp and Ala, showing that the Glu pool was mostly formed by ‘old’ carbon atoms. There were modest differences in intramolecular 13C–13C couplings between Glu C‐2 and Asp C‐3, showing that oxaloacetate metabolism to Glu biosynthesis did not involve C‐atom redistribution by the Krebs cycle. The apparent carbon allocation increased with carbon net photosynthesis. However, when expressed relative to CO2 fixation, it was clearly higher at low CO2 while it did not change in 2% O2, as compared to standard conditions.

We conclude that Glu production from current photosynthetic carbon represents a small flux that is controlled by the gaseous environment, typically upregulated at low CO2.
Financial Constraints on German Firms after the Crisis: Evidence from Threshold Panel Estimation
Authors: Tarassow Artur 
Published: August 2017

AbstractThis article studies the existence and magnitude of financial investment constraints in Germany between 2006 and 2012 with a special emphasis on small and medium‐sized firms. The core contention is that the sensitivity of the investment rate to the cash flow rate is a function of a firm's financial position contributing to its access to external finance. The application of a nonlinear panel threshold model reveals that the marginal effect of the cash flow rate on the investment rate is almost twice as strong for ‘high debt’ firms compared to ‘low debt’ firms. This result holds for six out of seven balance sheet threshold variables. For a single specification, the results reveal a non‐monotonic relationship between the cash flow rate and investment rate. Firm size, however, does not explain differences in the cash‐flow‐investment nexus.
PICKLE chromatin‐remodeling factor controls thermosensory hypocotyl growth of Arabidopsis
Authors: Zha Ping , Jing Yanjun , Xu Gang , Lin Rongcheng 
Published: August 2017

AbstractTemperature is a major signal that governs plant distribution and shapes plant growth. High ambient temperature promotes plant thermomorphogenesis without significant induction of heat–stress responses. Although much progress of warm temperature‐mediated plant growth has been made during recent years, the thermomorphogenic signalling pathway is not well understood. We previously revealed that PICKLE (PKL), an ATP‐dependent chromatin remodelling factor, negatively controls photomorphogenesis in Arabidopsis thaliana. Here, we show that mutations in PKL lead to reduced sensitivity in hypocotyl elongation to warm temperature (28 °C). We demonstrate that CIRCADIAN CLOCK‐ASSOCIATED 1 (CCA1) directly binds to the specific promoter regions of PKL and its expression is reduced in the cca1 mutants. We find that the cca1 seedlings are also less sensitive to temperature‐mediated growth than the wild‐type plants. Furthermore, PKL affects the level of trimethylation of histone H3 Lys 27 associated with INDOLE‐3‐ACETIC ACID INDUCIBLE 19 (IAA19) and IAA29 and regulates their expression. We also identify 6 additional transcription factors as the upstream regulators of PKL. Our study thus reveals PKL and CCA1 as 2 novel factors in controlling plant growth in response to the elevated temperature environment and provides new insight into the integration of light and temperature signals through chromatin regulation.
Can You See Me Now? Video Supplementation for Pediatric Teledermatology Cases
Authors: Feigenbaum Dana F. , Boscardin Christy K. , Frieden Ilona J. , Mathes Erin F.D. 
Published: August 2017

AbstractBackground/ObjectivesDigital video is widely available and is used sporadically in clinical settings to evaluate patients, but whether it helps improve clinical management has not been determined. The aim of this study was to assess whether recorded video in addition to still images can improve residents' diagnostic and management accuracy and confidence with pediatric teledermatology cases.MethodsDermatology residents from three programs were assigned alternately to an online survey with 15 pediatric teledermatology cases presented with still images only (still) or still images plus recorded video (mixed). Participants provided free‐text diagnoses and management recommendations and rated their confidence and image quality. Responses were scored using a modified script concordance grading key based on reference panelists' responses.ResultsThirty‐one residents participated (response rate 57%). Participants in the mixed group scored significantly higher on management accuracy (87.6 ± 12.9 vs 71.7 ± 14.2; p = 0.003). Both groups performed better on more common conditions than less common conditions. The mixed group outperformed the still group on less common conditions with respect to management recommendations.ConclusionThis novel study suggests that supplemental recorded video may improve the management accuracy of pediatric teledermatology consultations, particularly for complex cases. Residents may benefit from training in recording and interpreting video.
Cutaneous Small‐Vessel Vasculitis in Two Children with Inflammatory Bowel Disease: Case Series and Review of the Literature
Authors: Ho Tina , Orenstein Lauren A.V. , Boos Markus D. , White Kevin P. , Fett Nicole 
Published: August 2017

AbstractCutaneous small‐vessel vasculitis (CSVV) is an infrequent manifestation of pediatric inflammatory bowel disease (IBD). We report two cases of CSVV associated with ulcerative colitis, review the literature, and discuss the diagnostic evaluation of children who present with CSVV and abdominal pain. After excluding more common causes of CSVV and abdominal pain in children, including immunoglobulin A vasculitis (previously Henoch–Schönlein purpura), infectious colitis, and drug‐induced vasculitis, alternative diagnoses such as CSVV secondary to IBD or systemic vasculitis with gastrointestinal involvement must be considered.