bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Comparative Effectiveness of Diabetes Prevention Strategies to Reduce Postpartum Weight Retention in Women With Gestational Diabetes Mellitus: The Gestational Diabetes’ Effects on Moms (GEM) Cluster Randomized Controlled Trial
Authors: Ferrara Assiamira , Hedderson Monique M. , Brown Susan D. , Albright Cheryl L. , Ehrlich Samantha F. , Tsai Ai-Lin , Caan Bette J. , Sternfeld Barbara , Gordon Nancy P. , Schmittdiel Julie A. , Gunderson Erica P. , Mevi Ashley A. , Herman William H. , Ching Jenny , Crites Yvonne , Quesenberry Charles P. 
Published: December 2015

OBJECTIVE
To compare the effectiveness of diabetes prevention strategies addressing postpartum weight retention for women with gestational diabetes mellitus (GDM) delivered at the health system level: mailed recommendations (usual care) versus usual care plus a Diabetes Prevention Program (DPP)–derived lifestyle intervention.

RESEARCH DESIGN AND METHODS
This study was a cluster randomized controlled trial of 44 medical facilities (including 2,280 women with GDM) randomized to intervention or usual care. The intervention included mailed gestational weight gain recommendations plus 13 telephone sessions between 6 weeks and 6 months postpartum. Primary outcomes included the following: proportion meeting the postpartum goals of 1) reaching pregravid weight if pregravid BMI &lt;25.0 kg/m2 or 2) losing 5% of pregravid weight if BMI ≥25.0 kg/m2; and pregravid to postpartum weight change.

RESULTS
On average, over the 12-month postpartum period, women in the intervention had significantly higher odds of meeting weight goals than women in usual care (odds ratio [OR] 1.28 [95% CI 1.10, 1.47]). The proportion meeting weight goals was significantly higher in the intervention than usual care at 6 weeks (25.5 vs. 22.4%; OR 1.17 [1.01, 1.36]) and 6 months (30.6 vs. 23.9%; OR 1.45 [1.14, 1.83]). Condition differences were reduced at 12 months (33.0 vs. 28.0%; OR 1.25 [0.96, 1.62]). At 6 months, women in the intervention retained significantly less weight than women in usual care (mean 0.39 kg [SD 5.5] vs. 0.95 kg [5.5]; mean condition difference −0.64 kg [95% CI −1.13, −0.14]) and had greater increases in vigorous-intensity physical activity (mean condition difference 15.4 min/week [4.9, 25.8]).

CONCLUSIONS
A DPP-derived lifestyle intervention modestly reduced postpartum weight retention and increased vigorous-intensity physical activity.
Assessment of ice flow dynamics in the zone close to the calving front of Antarctic ice shelves
Authors: Wearing Martin G. , Hindmarsh Richard C.A. , Worster M. Grae 
Published: December 2015

AbstractWe investigate the relationship between four ice-shelf characteristics in the area close to the calving front: ice flow speed, strain rate, ice thickness and shelf width. Data are compiled for these glaciological parameters at the calving fronts of 22 Antarctic ice shelves. Clarification concerning the viscous supply of ice to the calving front is sought following the empirical calving law of Alley and others (2008), derived from a similar but smaller dataset, and the scaling analysis of Hindmarsh (2012). The dataset is analysed and good agreement is observed between the expected theoretical scaling and geophysical data for the flow of ice near the calving front in the case of ice shelves that are laterally confined and have uniform rheology. The lateral confinement ensures flow is aligned in the along-shelf direction, and uniform rheological parameters mean resistance to flow is provided by near-stationary ice in the grounded margins. In other cases, the velocity is greater than predicted, which we attribute to marginal weakening or the presence of ice tongues.
Virtual Reality to Assess and Treat Lower Extremity Disorders in Post-stroke Patients
Authors: Oliva-Pascual-Vaca A. , Kiper P. , Rodríguez-Blanco C. , Agostini M. , Turolla A. , Luque-Moreno C. 
Published: December 2015

SummaryIntroduction: This article is part of the Focus Theme of Methods of Information in Medicine on “Methodologies, Models and Algorithms for Patients Rehabilitation”. Objectives: To identify support of a virtual reality system in the kinematic assessment and physiotherapy approach to gait disorders in individuals with stroke. Methods: We adapt Virtual Reality Rehabilitation System (VRRS), software widely used in the functional recovery of the upper limb, for its use on the lower limb of hemiplegic patients. Clinical scales have been used to relate them with the kinematic assessment provided by the system. A description of the use of reinforced feedback provided by the system on the recovery of deficits in several real cases in the field of physiotherapy is performed. Specific examples of functional tasks have been detailed, to be considered in creating intelligent health technologies to improve post-stroke gait. Results: Both participants improved scores on the clinical scales, the kinematic parameters in leg stance on plegic lower extremity and walking speed > Minimally Clinically Important Difference (MCID). Conclusion: The use of the VRRS software attached to a motion tracking capture system showed their practical utility and safety in enriching physiotherapeutic assessment and treatment in post-stroke gait disorders.
Shared Curriculum Model: A Promising Practice for Education Transformation
Authors: Close Liz , Gorski Mary Sue , Sroczynski Maureen , Farmer Pat , Wortock Jean 
Published: December 2015

Background:
The shared curriculum model is one of four successful models of academic progression identified through a consensus-building process facilitated by The Future of Nursing: Campaign for Action, with support from the Robert Wood Johnson Foundation, AARP, and the AARP Foundation.

Method:
Seamless academic progression from the associate degree in nursing (ADN) to the baccalaureate degree in nursing (BSN) is achieved either by simultaneously revising both ADN and BSN curricula or by making targeted adjustments in ADN or BSN curricula to create a unified academic progression. Systematic vetting and definitive agreement on nursing prerequisites and corequisites, general education courses, nursing major content, and general degree requirements are necessary to ensure coordinated degree progression. A standardized set of expectations for beginning professional practice and for unique baccalaureate nursing knowledge ensures vital nursing content across the ADN-to-BSN continuum.

Results:
Examples of state and regional ADN-to-BSN progression programs using the shared curriculum model are highlighted.

Conclusion:

The shared curriculum model is a promising practical and sustainable approach to seamless ADN-to-BSN academic progression. [
J Nurs Educ
. 2015;54(12):677–682.]
Evaluation of Patients' Satisfaction With Nursing Students' Care on a Perinatology Ward
Authors: Oskay Ümran , Güngör Ilkay , Basgöl Sükran 
Published: December 2015

Background:
The aim of this study was to evaluate patient satisfaction with the care provided by nursing students on a perinatology ward.

Method:
The sample for this descriptive study included 210 patients. Data were collected using an interview form and the Turkish version of the Oncology Patients' Perceptions of the Quality of Nursing Care Scale-Short Form.

Results:
According to the mean scores for all subscales in the instrument, patients were highly satisfied with the care they received from the nursing students. Multivariate analysis revealed that the reason for hospitalization was found to be the most statistically significant factor affecting patient perceptions of quality of care.

Conclusion:

A high level of satisfaction with the care provided by nursing students indicates that the students were able to meet the patients' needs, which may serve as an indicator of the quality of nursing education and quality of care provided by future nurses. [
J Nurs Educ.
2015;54(12):696–703.]
Engagement and Creation of Professional Identity in Undergraduate Nursing Students: A Convention-Style Orientation Event
Authors: Burkhardt Melanie Sue , Gower Shelley , Flavell Helen , Taplin John 
Published: December 2015

Background:
In an innovative event that challenged traditional orientation programs, the Curtin University School of Nursing and Midwifery brought together nursing students, academic and student support staff, and health industry representatives. This unique whole-of-school convention consisted of sessions tailored to each student year group and aimed to promote nursing identity, highlight leadership opportunities, and showcase employer pathways.

Method:

To evaluate the event, a survey approach was used to collect quantitative data via questionnaire and qualitative data via open-ended questions from first-year students (
n
= 113), staff (
n
= 24), and industry representatives (
n
= 14).

Results:
Students, staff, and industry evaluations indicated a successful event that achieved its goals, including student engagement and motivation and community building.

Conclusion:

This orientation model could be used as a basis for institution-wide engagement activities. [
J Nurs Educ.
2015;54(12):712–715.]
Sharing a Piece of the PIIE:

P

rogram of

I

nternational

I

nterprofessional

E

ducation/

P

rograma

I

nternacional

I

nterprofesional

E

ducativo
Authors: Hannigan Norma Stephens , Takamiya Kristine , Lerebours Nadal Leonel 
Published: December 2015

Background:
Interprofessional education and global health are priorities in health professions education. Health organizations such as the Institute of Medicine and the World Health Organization recommend that education of health care providers be interdisciplinary and use technology.

Method:
A webinar took place between adult gerontology nurse practitioner (AGNP) students in the United States and the providers of a clinic in the Dominican Republic. The providers from the Dominican Republic presented a case typical of their practices but one with which AGNP students were not familiar. Similarly, the AGNP students presented a case representing new information for the Dominican providers.

Results:
All participants responded positively to the webinar, primarily because of the technological and case-based approach to learning; they benefitted from disease review and interprofessional collaboration.

Conclusion:

A webinar format across clinical settings and countries is a novel interprofessional way to disseminate information in a mutually beneficial way. [
J Nurs Educ.
2015;54(12):716–718.]
Changes in Corneal Power After Descemet Stripping Automated Endothelial Keratoplasty
Authors: Clemmensen Kåre , Ivarsen Anders , Hjortdal Jesper 
Published: December 2015

PURPOSE:
To examine the optical effects of Descemet stripping automated endothelial keratoplasty (DSAEK) by evaluating changes in anterior and posterior corneal curvatures and aberrations.

METHODS:
Eighty-three eyes treated using DSAEK combined with cataract surgery (the DSAEK group) and 41 control eyes of healthy patients (the control group) were included. Patients were examined before and 1 year after surgery with autokeratometry and Pentacam (Oculus Optikgeräte GmbH, Wetzlar, Germany). The preoperative posterior corneal curvature was estimated from the anterior corneal curvature.

RESULTS:

The mean intended postoperative refraction in the DSAEK group was −0.75 ± 0.62 diopters (D), which was statistically different from the achieved refraction of +0.50 ± 0.93 D at the 1-year follow-up (
P
< .001). The average biometry prediction error was a hyperopic shift of +1.27 ± 0.80 D. Anterior corneal power was significantly higher before than after DSAEK with a difference of −0.63 ± 0.68 D (
P
= .03) correlating significantly with the hyperopic change (r
2
= 0.23,
P
< .01). The posterior corneal power after DSAEK showed a significant steepening of −0.69 ± 0.38 D (
P
< .01) from the estimated preoperative power and a difference of −0.64 ± 0.38 D (
P
< .01) from the posterior corneal power in the control group. The change correlated significantly with the hyperopic change (r
2
= 0.10,
P
< .01). The combined changes in anterior and posterior keratometry increased the correlation coefficient to r
2
= 0.34 (
P
< .01). Significant differences were observed for total higher-order aberrations root mean square and coma root mean square after DSAEK compared to controls. No significant changes were observed in spherical aberration.

CONCLUSIONS:
The hyperopic shift in the DSAEK group can be explained by changes in anterior and posterior corneal surfaces. Spherical aberration was not changed by DSAEK, suggesting that aspherical intraocular lenses may be implanted on the same indications as in normal cataract surgery.

[
J Refract Surg.
2015;31(12):807–812.]
Retinal Complications After Anterior Versus Posterior Chamber Phakic Intraocular Lens Implantation in a Myopic Cohort
Authors: Al-Abdullah Abdulelah A. , Al-Falah Mohammad A. , Al-Rasheed Saba A. , Khandekar Rajiv , Suarez Enrique , Arevalo J. Fernando 
Published: December 2015

PURPOSE:
To compare the incidence and characteristics of retinal complications following implantation of two types of phakic intraocular lenses (PIOLs) in patients with myopia.

METHODS:
In this comparative, retrospective study, 603 eyes of 344 patients with myopia underwent implantation of either an Artisan iris-fixated phakic intraocular lens IOL (Artisan; Ophtec, Groningen, Netherlands) (Artisan group) or a Visian implantable collamer lens (ICL; STAAR Surgical Company, Monrovia, CA) (ICL group) between June 2005 and December 2013. Preoperative, operative, and postoperative clinical data were collected on the incidence of retinal complications, including rhegmatogenous retinal detachment (RRD) or choroidal neovascular membrane (CNVM).

RESULTS:
The Artisan lens was implanted in 185 (30.68%) eyes and 418 (69.32%) eyes underwent ICL implantation. Mean follow-up was 26.78 months (range: 9 days to 98 months). Mean preoperative spherical equivalent (SE) was −12.44 ± 4.43 D (range: −1.13 to −31.00 D). The overall rate of retinal complications was 1%. Postoperatively, 3 (0.7%) eyes developed RRD in the ICL group, and no eyes developed RRD in the Artisan group. Submacular hemorrhage was observed in 1 (0.24%) eye in the ICL group. Two (1%) eyes developed CNVM in the Artisan group. The mean time from PIOL implantation to retinal complications was 15.6 months (range: 0.03 to 43 months).

CONCLUSIONS:
Implantation of ICL or Artisan phakic IOL demonstrated comparable rates of retinal complications. Anterior chamber PIOL does not increase the risk of retinal detachment or CNVM in patients with myopia.

[
J Refract Surg.
2015;31(12):814–819.]
The Big-Bubble Full Femtosecond Laser-Assisted Technique in Deep Anterior Lamellar Keratoplasty
Authors: Buzzonetti Luca , Petrocelli Gianni , Valente Paola , Iarossi Giancarlo , Ardia Roberta , Petroni Sergio , Parrilla Rosa 
Published: December 2015

PURPOSE:
To describe the big-bubble full femtosecond laser-assisted (BBFF) technique, which could be helpful in standardizing the big-bubble technique in deep anterior lamellar keratoplasty (DALK).

METHODS:

Ten eyes of 10 consecutive patients affected by keratoconus underwent the BBFF technique using the 150-kHz IntraLase femtosecond laser (Intra-Lase FS Laser; Abbott Medical Optics, Inc., Santa Ana, CA). A 9-mm diameter metal mask with a single fissure 0.7 mm wide oriented at the 12-o'clock position was positioned into the cone, over the laser glass. The laser performed a ring lamellar cut (internal diameter = 3 mm; external diameter = 8 mm) 100
µ
m above the thinnest point, with the photodisruption effectively occurring only in the corneal stroma corresponding to the fissure to create a deep stromal channel; subsequently, an anterior side cut created an arcuate incision, from the corneal surface to the deep stromal channel on the mask's opening site. The mask was removed and the laser performed a full lamellar cut 200
µ
m above the thinnest point to create a lamella. After the removal of the lamella, the air needle was inserted into the stromal channel and air was injected to achieve a big bubble.

RESULTS:
The big bubble was achieved in 9 eyes (all type 1 bubbles) and all procedures were completed as DALK.

CONCLUSIONS:
Preliminary results suggest that the BBFF technique could help in standardizing the big-bubble technique in DALK, reducing the “learning curve” for surgeons who approach this technique and the risks of intraoperative complications.

[
J Refract Surg.
2015;31(12):830–834.]
Anterior Capsulotomy Outcomes: A Comparison Between Two Femtosecond Laser Cataract Surgery Platforms
Authors: Pantanelli Seth M. , Diakonis Vasilios F. , Al-Mohtaseb Zaina , Cabot Florence , Yesilirmak Nilufer , Kounis George A. , Sayed-Ahmed Ibrahim O. , Waren Daniel , Yoo Sonia H. , Donaldson Kendall E. 
Published: December 2015

PURPOSE:To compare capsulotomy outcomes between two femtosecond laser platforms for cataract surgery.METHODS:This retrospective case series included 205 eyes of 162 consecutive patients (75 male and 87 female) aged 68.32 ± 10.27 years (range: 38 to 92 years) who underwent femtosecond laser-assisted cataract surgery (FLACS) using either the LenSx (Alcon Laboratories, Inc., Fort Worth, TX) or the Catalys (Abbott Medical Optics, Abbott Park, IL) laser platform. Intraoperative assessment of the capsulotomy was performed and graded as one of the following four types: complete treatment pattern (type 1), microadhesions (type 2), incomplete treatment pattern (type 3), and complete pattern but not continuous (type 4).RESULTS:Ninety-seven eyes underwent FLACS using the LenSx platform and 108 eyes using the Catalys platform. Ninety-four capsulotomies in the LenSx group were graded as type 1 (96.91%), and three were graded as type 2 (3.09%); all capsulotomies in the Catalys group were graded as type 1 (100%). There was no statistically significant difference between the LenSx and Catalys groups (P> .05). No intraoperative complications (specifically, no posterior capsular extension or vitreous loss) were noticed in any of the eyes included in the study.CONCLUSIONS:The LenSx and Catalys laser platforms demonstrate similar capsulotomy outcomes. The microadhesions that were demonstrated in three cases in the LenSx group did not lead to intraoperative or postoperative complications.[J Refract Surg.2015;31(12):821–825.]
Retained Intraocular Perfluoro-n-octane After Valved Cannula Pars Plana Vitrectomy for Retinal Detachment
Authors: Oellers Patrick , Schneider Eric W. , Fekrat Sharon , Mahmoud Tamer H. , Mruthyunjaya Prithvi , Hahn Paul 
Published: December 2015

BACKGROUND AND OBJECTIVE:
To investigate cases of retained intraocular perfluoro-n-octane (PFO) after pars plana vitrectomy (PPV) for retinal detachment (RD).

PATIENTS AND METHODS:
Retrospective, noncomparative case series of six eyes with retained intraocular PFO after RD repair. Clinical data were supplemented with an experimental silicone eye model.

RESULTS:
A cluster of six cases of retained intraocular PFO after PPV for RD repair were noted shortly after transitioning to valved cannulas. PFO was noted in the anterior chamber (AC) and/or vitreous and removed with AC paracentesis, AC wash-out, and/or PPV. A silicone eye model demonstrated that PFO levels are maintained anterior to cannula insertion with valved cannulas only.

CONCLUSION:
The authors hypothesize that anterior PFO fill using valved cannulas can lead to sequestration within the AC, zonules, ciliary sulcus, ciliary teeth, and/or capsular bag. They suggest vigilance in not overfilling PFO, particularly when transitioning to use of valved cannulas, to minimize the risk of intraocular retention.

[
Ophthalmic Surg Lasers Imaging Retina
. 2015;46:451–456.]
Microstructural Retinal Findings by Spectral-Domain Optical Coherence Tomography After Vitrectomy Repair of Rhegmatogenous Retinal Detachments
Authors: Kumar Gokul N. , Rao P. Kumar , Apte Rajendra S. 
Published: December 2015

BACKGROUND AND OBJECTIVE:
To evaluate macular microstructural changes after macula-involving rhegmatogenous retinal detachment repair and correlate with visual recovery.

PATIENTS AND METHODS:
A prospective, observational study was performed of select patients presenting with macula-involving rhegmatogenous retinal detachments (RRD). Spectral-domain optical coherence tomography (SD-OCT) imaging was performed at postoperative visits over the course of the first year after operative repair of the RRD.

RESULTS:
The maculas of seven patients were evaluated. Postoperative best corrected visual acuity (BCVA) at the final follow-up ranged from 20/20 to 20/70 for all patients. Eyes with final BCVA greater than 20/40 had intact external limiting membrane and outer photoreceptor structures, while those with BCVA of less than 20/70 had poorer definition to those structures. Serial images showed resolution of irregularities in both the external limiting membrane and outer photoreceptor structures.

CONCLUSION:
Macular structure and function can progressively improve in the first year after successful RRD repair, including in the external limiting membrane, damage to which has previously been thought to be irreversible. SD-OCT serves as a useful tool to monitor postoperative retinal recovery.

[
Ophthalmic Surg Lasers Imaging Retina
. 2015;46:493–498.]
Enhancer Turnover Is Associated with a Divergent Transcriptional Response to Glucocorticoid in Mouse and Human Macrophages
Authors: Jubb Alasdair W. , Young Robert S. , Hume David A. , Bickmore Wendy A. 
Published: December 2015

Abstract
Phenotypic differences between individuals and species are controlled in part through differences in expression of a relatively conserved set of genes. Genes expressed in the immune system are subject to especially powerful selection. We have investigated the evolution of both gene expression and candidate enhancers in human and mouse macrophages exposed to glucocorticoid (GC), a regulator of innate immunity and an important therapeutic agent. Our analyses revealed a very limited overlap in the repertoire of genes responsive to GC in human and mouse macrophages. Peaks of inducible binding of the GC receptor (GR) detected by chromatin immunoprecipitation-Seq correlated with induction, but not repression, of target genes in both species, occurred at distal regulatory sites not promoters, and were strongly enriched for the consensus GR-binding motif. Turnover of GR binding between mice and humans was associated with gain and loss of the motif. There was no detectable signal of positive selection at species-specific GR binding sites, but clear evidence of purifying selection at the small number of conserved sites. We conclude that enhancer divergence underlies the difference in transcriptional activation after GC treatment between mouse and human macrophages. Only the shared inducible loci show evidence of selection, and therefore these loci may be important for the subset of responses to GC that is shared between species.