bluuebunny/crossref_metadata_2025_split huggingface dataset:
Role of compassion competence among clinical nurses in professional quality of life
Authors: Lee Y. , Seomun G. 
Published: June 2016

AimThe study aimed to explore measurable compassion competence among nurses and to examine the relationships between nurses’ compassion competence and levels of compassion satisfaction, compassion fatigue and secondary traumatic stress.BackgroundCompassion is a vital asset in the nursing profession. It is necessary to explore whether compassion competence is a factor influencing professional quality of life.MethodsThis study utilized a multicenter descriptive cross‐sectional survey. Data were collected from 680 nurses.ResultsProfessional quality of life based on nurses’ general characteristics showed a significant difference in the subjects’ age, marital status, education, and total clinical experience. In addition, compassion competence had a significant positive correlation with compassion satisfaction and STS, whereas it had a significant negative correlation with burnout. Compassion competence was a factor influencing compassion satisfaction and burnout in professional quality of life.LimitationsOur study included nurses with at least 1 year of clinical experience in a single cultural area, which limits its widespread applicability. To improve generalizability, future studies should include clinical nurses of various races, working in diverse cultural areas and with various levels of experience (including entry‐level nurses and nursing students).Conclusion and implications for nursing and health policyCompassion competence of clinical nurses was a predictive factor for professional quality of life. Hospital administrators, nurse leaders and policy makers should develop and adopt nurse‐retaining strategies that focus on improving nurses’ compassion competence in order to reduce their burnout. We recommend the development of educational programmes to improve nurses’ compassion competence and thereby enhance their professional quality of life.
Internationally educated nurses’ reflections on nursing communication in Canada
Authors: Lum L. , Dowedoff P. , Englander K. 
Published: June 2016

AimThe overall goal of this study was to explore internationally educated nurses’ perceptions of the English language and nursing communication skill requirements in a Canadian bridging education program.BackgroundThe increased global mobility of nurses creates a need to address the educational needs of migrating nurses. A large percentage of these nurses require additional language and professional education. New research is needed that would represent an in‐depth analysis of their educational experiences associated with learning academic English and Canadian nursing communication.IntroductionDeveloping proficiency with a new language has been documented as posing challenges for new immigrants. Since language proficiency is a key requirement of Canadian nursing regulatory bodies, previously unrecognized barriers such as attitudes and beliefs about required English language and nursing communication competency which may hinder their ability to meet local practice standards need to be explored.MethodUsing a grounded theory study design, narratives from 22 participants from the Philippines, Nigeria and Europe enrolled in bridging education were collected and analysed.ResultsThe participants identified the incongruence in professional norms between Canada and their home country as a major challenge. The major themes identified included cultural dissonance, academic literacy challenges and skepticism regarding unexpected communication competency requirements.DiscussionThe participants possessed varying degrees of comprehension and acceptance of new educational and professional regulatory requirements. A certain degree of culture shock, which may be associated with frustration and disillusionment, is a typical and anticipated aspect of the immigration process. Their perceptions need to be recognized and accommodated when assisting internationally educated nurses to integrate into the Canadian practice culture.Limitations of the studyAny generalizations to other host countries need to be made cautiously.Conclusion and implications for nursing policyClear communication from regulators about English language and nursing communication requirements during the pre‐arrival period is recommended. If bridging education is required, these programs need to be designed to address English language competency and nursing communication skills of non‐native English speakers.
Numerical Investigation of Two‐Phase Flow of Non‐Newtonian Fluid Discharged from a Sauce Dispenser
Authors: Chen Ruiyan , Zhang Zhaoyan , Hawks Jeff , Edwards Peter 
Published: June 2016

AbstractFluid dispensers are widely used in various food processing applications. The present work investigates a two‐phase flow of sauce discharged from a dispenser. Preliminary simulations were conducted to study the effects of non‐Newtonian properties on the resulting flow. It was found that the non‐Newtonian properties of the sauce tends to distribute the flow more toward the mid‐plane of the fluid field. Transient, liquid‐air flow simulations were conducted to study the effects of surface tension and geometry of the dispenser on the liquid film in ambient air. The volume of fluid (VOF) method was used to track the interface between phases. Gravity was taken into account since it is comparable with the inertia force. It was found that the breakup time of the liquid film increases as the Weber number decreases and the breakup length of the liquid film increases as the Froude number increases.Practical ApplicationsIn food processing applications, various sauces are to be dispensed onto the meal tray. To ensure uniform reheating of the packaged food as well as retaining the moisture content, ideal coverage is required. When sauce leaves the dispenser, it starts to interact with the ambient air and results in a two‐phase flow. Understandings of the shape of the liquid film as well as its breakup during the dispensing process are crucial to sauce dispenser design. Through numerical investigations of the dispensing process, the present work proposes optimized dispenser geometry and provides physical insights of the breakup time and the breakup length of the liquid film. Based on these findings, better design of the sauce dispenser can be achieved.
Quantitative Determination of Rice Moisture Based on Hyperspectral Imaging Technology and BCC‐LS‐SVR Algorithm
Authors: Sun Jun , Lu Xinzi , Mao Hanping , Wu Xiaohong , Gao Hongyan 
Published: June 2016

AbstractIn this study, a method for quantitative determination of rice moisture based on hyperspectral imaging technology was proposed. First, the hyperspectral imaging system in the spectral range of 871–1766 nm was used to collect the hyperspectral images of 120 rice samples of 10 moisture grades. Support vector regression (SVR), least‐squares support vector regression (LS‐SVR), and bacterial colony chemotaxis least‐squares support vector regression (BCC‐LS‐SVR) models were established to determine the moisture content by using full wavelengths spectra data. Among all the models, the BCC‐LS‐SVR model showed the best results. To simplify the calibration model, successive projections algorithm (SPA) was used for feature selection and the number of characteristic wavelengths was determined as 25. Principal component analysis (PCA) was used for feature extraction and the cumulative contribution rate of the first six principal components reached 99%, which could reflect most of the information of the full spectra data. Three new regression models based on the selected wavelengths were built and the results were improved obviously. The BCC‐LS‐SVR‐SPA model got the best accuracy in prediction and calibration with
of 0.980, RMSEP of 0.967%,
of 0.985 and RMSEC of 0.591%. The overall results from this study demonstrated that hyperspectral image technology is feasible to detect rice moisture.Practical ApplicationsThe quality of rice has a direct relationship with the moisture content of rice. Because of the moisture content over standard, rice storage time becomes shorter and rice is easy to go bad. It's harmful to eat this rice for a long time. Traditional methods for identification of rice moisture mainly focus on the appearance of rice and depend on the feelings of professionals, which are tedious, time‐consuming, expensive and greatly influenced by subjective factors. Hyperspectral imaging technology has the advantages of nondestructive, rapid, non‐pollution, and so on. The results showed that hyperspectral imaging technology for the detection of the rice moisture is feasible and it can measure the moisture of rice.
Long‐term outcome of surgical resection for intraductal papillary neoplasm of the bile duct
Authors: Luvira Vor , Pugkhem Ake , Bhudhisawasdi Vajarabhongsa , Pairojkul Chawalit , Sathitkarnmanee Egapong , Luvira Varisara , Kamsa‐ard Supot 
Published: June 2016

AbstractBackground and AimsIntraductal papillary neoplasm of the bile duct (IPNB) is a specific type of bile duct tumor. Studies about the surgical outcomes for IPNB are few; therefore, we investigated the survival of patients who underwent curative surgical resection of IPNB.MethodsWe retrospectively reviewed the medical and pathological records of 148 IPNB patients who underwent curative‐intent hepatic resection between January 2005 and December 2011, to examine the prognosis of IPNB. All demographic and operative parameters were analyzed the effect on survival of patients.ResultsThe median survival of IPNB patients was 1326 days with a respective 1, 3, and 5 year overall survival of 83.6% (95%CI: 76.5–88.7), 64.4% (95%CI: 56.0–71.6), and 47% (95%CI: 38.4–55.7). The level of invasiveness of IPNB predicted survival very well. For malignant IPNB, univariate analysis showed that serum CA19‐9 level, lymph node metastasis, and completeness of resection were significant prognostic factors. Lymph node metastasis and completeness of resection were found in multivariate analysis to be significantly related to survival of the patients.ConclusionsThe level of invasiveness and lymph node status were found to be associated with patient survival, as was adequacy of surgery. We recommend R0 resection be attempted for patients with IPNB.
Hospital Characteristics, Inpatient Processes of Care, and Readmissions of Older Adults with Hip Fractures
Authors: Elkassabany Nabil M. , Passarella Molly , Mehta Samir , Liu Jiabin , Neuman Mark D. 
Published: June 2016

ObjectivesTo determine hospital‐level predictors of readmission after hip fracture or potentially related inpatient care processes.DesignRetrospective cohort study.SettingU.S. acute care hospitals.ParticipantsFee‐for‐service Medicare beneficiaries who underwent hip fracture surgery between 2007 and 2009 (N = 458,526).MeasurementsInformation was obtained on hospital case volumes, teaching status, bed count, nurse staffing, and technological capabilities from Medicare files, and multivariable logistic regression was used to measure the association between these factors and an endpoint of readmission or death at 30 days and between these factors and the timing of surgery.ResultsParticipants treated in the highest‐volume hospitals (>175 cases for the study period) had lower odds of readmission or death at 30 days than those treated in low‐volume hospitals (≤12; adjusted odds ratio (aOR) = 0.87, 95% confidence interval (CI) = 0.83–0.92, P < .001). Higher nurse skill mix (aOR = 0.88, 95% CI = 0.8–0.96; P = .007) and higher ratio of nurses to beds (aOR = 0.98; 95% CI = 0.97–0.99; P < .001) were also associated with better 30‐day outcomes. Greater hospital case volume was associated with lower odds of surgical delay beyond 48 hours.ConclusionBetter nurse staffing and higher case volumes are associated with lower rates of readmission and mortality after hip fracture surgery; individuals treated at high‐volume centers experienced fewer delays in treatment, potentially indicating better inpatient care processes.
Amused, flirting or simply baffled? Is recognition of all emotions affected by traumatic brain injury?
Authors: Rosenberg Hannah , McDonald Skye , Rosenberg Jacob , Frederick Westbrook R. 
Published: June 2016

ObjectiveThis study examined whether people with moderate–severe traumatic brain injury (TBI) display a specific or a general impairment in emotion recognition compared with matched controls, whether these deficits might be accounted for by deficits in other cognitive processes, and whether emotion recognition predicts social functioning following TBI.ParticipantsThirty‐two participants with TBI and 32 matched controls took part in this study.DesignParticipants completed the Complex Audio‐Visual Emotion Assessment Task (CAVEAT), a novel measure of emotion recognition, alongside measures of neuropsychological functioning. The TBI group also completed selected self‐report measures of psychosocial functioning.ResultsTraumatic brain injury participants performed more poorly than controls in recognizing all emotions, rather than displaying a selective impairment in recognizing some emotions (e.g., negative vs. positive) compared with others. Although abstract reasoning, working memory, and processing speed were associated with emotion recognition, injury severity and abstract reasoning were the sole predictors of emotion recognition as measured by the CAVEAT. Emotion recognition accuracy in the TBI group was associated with number of friends and self‐reported apathy.ConclusionEmotion recognition deficits are a direct consequence of TBI and have a direct effect on the social dysfunction which is a common outcome of TBI, strengthening the need for targeted remediation.
Caring for the Unseen: Using Linking Social Capital to Improve Healthcare Access to Irregular Migrants in Spain
Authors: Mason Deanna Marie 
Published: June 2016

AbstractPurposeTo describe a novel strategy using linking social capital to provide healthcare access to irregular migrants with low literacy, low numeracy, and limited cultural assimilation in a European metropolitan area.Organizing ConstructPublic data show numerous shortcomings in meeting the healthcare needs of refugees and irregular migrants surging into Europe. Many irregular migrants living in European communities are unable to access information, care, or services due to lack of social capital. An overview of the problem and traditional charity strategies, including their barriers, are briefly described. A novel strategy using linking social capital to improve healthcare access of irregular migrants is explored and described. Information regarding the impact of this approach on the target population is provided. The discussion of nursing's role in employing linking social capital to care for the vulnerable is presented.ConclusionsImmigration and refugee data show that issues related to migration will continue. The novel strategy presented can be implemented by nurses with limited financial and physical resources in small community settings frequented by irregular migrants to improve health care.Clinical RelevanceThe health and well‐being of irregular migrants has an impact on community health. Nurses must be aware of and consider implementing novel strategies to ensure that all community members’ healthcare needs, which are a basic human right, are addressed.
Older lesbian women's health and healthcare: A narrative review of the literature
Authors: Hayman Brenda , Wilkes Lesley 
Published: June 2016

Aims and objectivesThe purpose of this narrative review is to locate, evaluate and synthesise the evidence presented in contemporary literature, related to the experiences of older lesbian women.BackgroundLesbian women have been identified as having unique health needs. In conjunction with the usual challenges associated with ageing, lesbian women are burdened with additional complications because of their lesbian orientation. To promote optimal health, the distinct needs of older lesbian women need to be identified and considered by those responsible for planning and delivering culturally competent services/care and allocating resources to support healthy ageing.DesignNarrative review is typically used to evaluate and synthesise health‐related literature and involves the critical evaluation of included, empirical studies to form innovative conclusions and perspectives.MethodDatabase searches using relevant keywords and applying specific limits yielded 55 articles for initial review. Eventually, 45 articles were excluded and 10 qualitative, empirical articles were then appraised using the Critical Appraisal Skills Program tool. Subsequently, seven articles were identified as meeting the inclusion criteria and formed the basis of this narrative review.ResultsData were extrapolated from the included articles and three themes emerged: support, resilience and disclosure. These themes formulate the findings of this article.ConclusionsRemarkably, very little contemporary literature exists that addresses the health and well‐being of older lesbian women, and this cohort remain positioned on the peripheries of research and society. Older lesbian women continue to be marginalised because of their lesbian identity and actively cultivate support systems, negotiate disclosure and develop resilience to minimise the effects of their marginal position.Relevance to practiceRecognition that older lesbian women often create, and draw on, a family of choice for support is imperative. In addition, the clinical environment should be safe for older lesbian women to disclose their sexual orientation and other sensitive information.
Synchronous endometrioid adenocarcinomas in the uterine cervix and corpus
Authors: Obata Takeshi , Nakamura Mitsuhiro , Mizumoto Yasunari , Matsumoto Takeo , Takakura Masahiro , Fujiwara Hiroshi 
Published: June 2016

AbstractIt is frequently difficult to distinguish multiple primary carcinomas from single primary carcinoma with metastasis. Here, we report a case of synchronous endometrioid adenocarcinomas that independently occurred in the uterine cervix and corpus. A 47‐year‐old woman complaining of genital bleeding was preoperatively diagnosed with cervical adenocarcinoma with an endometrial lesion. On surgical treatment, two separate malignant lesions bearing endometrioid adenocarcinoma were identified in the uterine cervix and cavity. Although both lesions expressed the same type of human papillomavirus (HPV) gene, type 16, microscopic continuity was not observed. Furthermore, we detected a critical difference in PTEN mutation between the tumors and finally diagnosed this case as multiple primary cancers. This is the first report to show multiple primary endometrioid adenocarcinomas simultaneously arising in the uterine cervix and corpus. Considering the rarity of this case, the coexistence of HPV suggests its possible involvement in the carcinogenesis of the endometrioid adenocarcinomas.
Relation between premenstrual syndrome and equol‐production status
Authors: Takeda Takashi , Ueno Tomomi , Uchiyama Shigeto , Hiramatsu Keizo , Shiina Masami 
Published: June 2016

AbstractAimConsumption of isoflavones, which are predominantly derived from soybeans, reduces the risk of estrogen‐related diseases, such as menopausal symptoms, breast cancer, osteoporosis, and cardiovascular disease. Equol is more bioavailable than other soy isoflavones, and equol producers are believed to benefit to a greater extent. This study was conducted to evaluate the relation between premenstrual syndrome (PMS) and equol‐production status in Japanese reproductive‐age women.MethodsThis was a cross‐sectional, observational study. The study included 144 Japanese women aged 20–45 years. PMS patients (n = 46) were recruited at three obstetrics and gynecology clinics. Control group women (n = 98) who were not receiving therapy for PMS were recruited from the local area by advertisement. The participants’ equol‐production status was determined using urine samples collected after a soy challenge test.ResultsThe prevalence of equol producers was 41.8% in the control group and 23.9% in the patient group (P = 0.042). Using univariate analysis, significant risk factors for equol non‐producers were being a PMS patient and being younger. In multivariate analysis with a step‐wise model, being a PMS patient (odds ratio, 2.342; 95% confidence interval, 1.021–5.698) was shown to be a significant risk factor for being an equol non‐producer.ConclusionThis study showed a relation between PMS and equol‐production status in Japanese women.
Mental health nurses’ views about antipsychotic medication side effects
Authors: Stomski N. J. , Morrison P. , Meehan T. 
Published: June 2016

Accessible summaryWhat is known on the subject?

The only previous quantitative study that examined nurses’ use of assessment tools to identify antipsychotic medication side effects found that about 25% of mental health nurses were using assessment tools.

No previous studies have examined factors that influence the manner in which mental health nurses assess antipsychotic medication side effects.

What this paper adds to existing knowledge?

One‐third of the respondents were not aware of any antipsychotic medication side‐effect assessment tool, and only one‐quarter were currently using an assessment tool.

‘Service responsibility’ was significantly associated with ongoing use of antipsychotic medication assessment tools, indicating that respondents with more positive attitudes to their service were more likely to continue using antipsychotic medication assessment tools.

What are the implications for practice?

The low level of awareness and use of antipsychotic medication side‐effect assessment tools indicates that nursing educational institutions should incorporate more detail about these tools in course content, and emphasize in particular the benefits that result from the use of these tools in clinical practice.

Service processes contributed significantly to the use of antipsychotic medication assessment tools, which indicates that managers need to foster workplace cultures that promote routine use of these tools.

AbstractIntroductionLimited evidence suggests that only a minority of mental health nurses regularly use standardized assessment tools to assess antipsychotic medication side effects, but the factors that contribute to the non‐routine use of these tools remain unknown.AimTo examine Australian mental health nurses’ awareness of, and attitudes towards, side‐effect assessment tools, and also identify factors the influence the use of these tools.MethodsA cross‐sectional survey was undertaken through distributing an online questionnaire via email to members of the Australian College of Mental Health Nurses. Completed questionnaires were received from 171 respondents. Linear regression was used to examine the relationship between the ‘service responsibility’ and ‘personal confidence’ scale scores, and awareness, previous use and ongoing use of antipsychotic medication assessment tools.ResultsOnly one‐quarter of the respondents (26.5%) were currently using an assessment tool. ‘Service responsibility’ was significantly associated with ongoing use of antipsychotic medication assessment tools (Β = 3.26; 95% CI 0.83–5.69). ‘Personal confidence’ did not influence the ongoing use of assessment tools (Β = −0.05; 95% CI −1.06–1.50).Implications for clinical practiceStakeholders can incorporate ‘service responsibility’ processes to foster increased use of assessment tools, which may enhance the identification antipsychotic medication side effects and improve the quality of care for service users.