bluuebunny/crossref_metadata_2025_split huggingface dataset:
Acute Care Nurses' Partnership With Patients to Recognise and Respond to Changes in Patients' Clinical States: A Qualitative Study
Authors: Burdeu Gabrielle , Rasmussen Bodil , Lowe Grainne , Considine Julie 
Published: October 2024

ABSTRACTAimTo explore and describe acute care nurses' partnership with patients to recognise and respond to changes in patients' clinical states. Acute care nurses' decisions to partner with patients to recognise deterioration in clinical states and to respond by activating a rapid response system improves patient outcomes. Acutely unwell patients can also experience clinical changes that include improvement and deterioration that does not trigger rapid response system activation over the course of hospitalisation from illness and treatment. How acute care nurses partner with patients in response to improvement and deterioration not triggering a rapid response system is not well‐understood.DesignAn exploratory, descriptive study underpinned by Tanner's Clinical Judgement Model.MethodsUsing purposive and quota sampling, 20 nurses with direct patient care responsibilities on one medical and one surgical ward in a large Australian hospital were recruited. Nonparticipant observations followed by semistructured interviews were conducted between January and May of 2021. Nurse–patient interactions were observed for 4 h, and verbally described and recorded. Semistructured interviews were recorded and explored nurses' reasoning behind decisions observed. Reflexive thematic analysis was used to analyse the data.ResultsThree themes were identified from the data: nurses checking in for changes; nurses forming judgements; and nurses partnering with patients to respond. Acute care nurses promoted subjective assessment based on patients' safety risks. Patients' participation in response to changes was prioritised based on acute care nurses' judgement of safety.ConclusionPatients receive significant safety benefits when acute care nurses partner with patients in response to their experience of improvement and deterioration during acute illness. Further research should evaluate the sensitivity of subjective cues in patient assessment.Implications for the Profession and Patient Care

Partnership with patients in assessment and management of improvement and deterioration improves the quality and safety of patient care.

Assessment frameworks should equally prioritise the use of objective and subjective cues.

Nursing education should promote the safety benefits of patient partnerships in responding to patient changes.

Reporting MethodEquator checklist COREQ.Patient or Public ContributionData collected included description of patients' interactions with study participants.
An Evaluative Study of a Nurse‐Led Surgical Information Initiative for Gender Diverse Individuals Seeking Genital Surgery
Authors: Kearns Seán , Forrester Pauline , O'Shea Donal , Neff Karl 
Published: October 2024

ABSTRACTAimTo evaluate the impact of nurse‐led one‐on‐one psychoeducation sessions on gender diverse individuals seeking gender‐affirming genital surgery.DesignA quasi‐experimental, pre‐ and post‐test research design was employed to examine the impact of a nurse‐led initiative on improving patients self‐perceived knowledge and confidence pertaining to gender affirming genital surgery. The study followed the SQUIRE 2.0 (Standards for Quality Improvement Reporting Excellence) guidelines and the COREQ (Consolidated Criteria for Reporting Qualitative Research) guidelines.MethodsThe curriculum for the initiative was crafted through literature reviews, expert panel engagements, multidisciplinary team input and was delivered by two specialist gender nurses.ResultsThe results indicated a statistically significant increase in all participants' self‐perceived knowledge and confidence scores. Furthermore, the study increased confidence in the ability to ask questions and plan for the logistical and financial aspects of surgery.ConclusionParticipants reported that the sessions were very useful, and for most, the information did not change their desire to seek surgery but did help them make more informed choices about the procedure, timing and preferred surgeon.Implications for Patient CareThe study underscores the imperative role of support networks and recommends interventions to facilitate open communication within families. The study emphasises the importance of customising healthcare approaches to align with the preferences of patients.ImpactThe study addressed the need for psychoeducation sessions for individuals considering gender‐affirming genital surgery. The main findings revealed a significant increase in participants' self‐perceived knowledge and confidence, following a nurse‐led intervention. The research's impact extends to gender‐diverse individuals seeking surgery globally.Patient or Public ContributionFour individuals who had undergone gender‐affirming surgeries contributed their perspectives to the study design, ensuring that the educational content addressed specific information needs and concerns.
Newly Graduated Perioperative Nurses' Experiences of Transitioning to Clinical Practice: A Qualitative Explorative Secondary Analysis
Authors: Kaldheim Hege Kristin Aslaksen , Munday Judy , Haddeland Kristine , Fossum Mariann 
Published: October 2024

ABSTRACTAimThe aim of this secondary analysis was to explore newly graduated perioperative nurses' experiences of transitioning to clinical practice to gain more in‐depth knowledge of this phenomenon.DesignA qualitative explorative study of secondary data was used, and this study was reported following the Consolidated Criteria for Reporting Qualitative Research checklist.MethodsA secondary analysis of data collected between March 2019 and November 2020 via 16 semi‐structured interviews with newly graduated perioperative nurses. The interviews were conducted 3 to 5 months after they graduated from five different educational institutions in Norway and entered clinical practice as perioperative nurses. A three‐step phenomenological hermeneutical analysis inspired by Ricoeur's theory was applied: naïve reading, structural analysis and comprehensive understanding.ResultsWe identified three themes: expectations of competence, facilitation for newly graduated perioperative nurses and the transition from being a student to a newly qualified perioperative nurse.ConclusionsNewly graduated perioperative nurses emphasised the critical role of supportive facilitation, manageable expectations and support from leaders and colleagues, which seemed essential for a successful transition to clinical practice.ImpactThis study addresses knowledge essential for universities, universities colleges and clinical practice, specifically healthcare organisations, to understand the transition process for newly graduated perioperative nurses. This can support the establishment of improved practices to ensure patient safety via more specific education and mentoring and more accurate expectations of competence.Patient and Public ContributionNo patient or public contribution.
Professional Bereavement in Nursing: An Evolutionary Concept Analysis
Authors: He Xingyue , Wang Yanxing , Yang Caizheng , Cao Huili , Wang Qiaohong , Yang Hui 
Published: October 2024

ABSTRACTAimsClarify and define the concept of professional bereavement in nursing.DesignRodgers' evolutionary method was used to identify the attributes, antecedents, and consequences of professional bereavement in nursing.Data SourcesLiterature from inception to May 20, 2024, was searched from PubMed, Embase, Web of Science, CINAHL, PsycINFO, Scopus, Medline, EBSCO host, Proquest, Ovid, and Cochrane.Reporting MethodsThe preferred reporting items for systematic reviews and meta‐analyses (PRISMA) guidelines were adopted.ResultsThe 32 articles included in the study provided data on the concept of professional bereavement in nursing. We propose the concept of professional bereavement in nursing as follows: Professional bereavement in nursing is the experience of a patient or colleague's death in the workplace, influenced by contextual, internal, and external factors. Nurses perceive personal and professional losses, exhibit a multidimensional liminal state, and experience personal impacts (life and worldview) and professional impacts (health‐related productivity and professional ability).ConclusionsWe developed a preliminary conceptual model of professional bereavement in nursing based on its attributes, antecedents, and consequences. This conceptual model promotes the development of theories related to professional bereavement.ImpactThis is the first article to clarify and define professional bereavement in nursing. We have clarified the antecedents, attributes, and consequences of professional bereavement, which provides a conceptual framework for understanding professional bereavement. The conceptual framework guides the content of interventions and suggests future professional bereavement interventions from a dialectical perspective.Patient or Public ContributionNot applicable.
Government affiliation, analyst behavior and the economic consequences
Authors: Jia Ning , Lan Tianqi , Wang Dan , Xiaoteng Ma 
Published: October 2024

AbstractA significant number of regional brokerage firms in China are owned by their respective local governments. We use this context to examine how local government affiliation affects brokerage firms’ research activities. Using a sample of analyst reports from 2013 to 2021, we find that analysts working at local government‐affiliated brokerage firms are more likely to cover firms within the local government's jurisdiction than non‐affiliated analysts. Local government‐affiliated analysts enjoy an information advantage, as evidenced by the issuance of more accurate earnings forecasts for local firms, compared to those of non‐affiliated analysts. The effect is stronger for local firms with lower information quality. Additionally, local government‐affiliated analysts show more optimism in stock recommendations, but not in earnings forecasts, for local firms, compared to non‐affiliated analysts. The effect is more pronounced for local firms that receive more local government subsidies, operate in regions with greater local government intervention or during the COVID‐19 pandemic and the National Congress conferences, and require more capital market support. The results of this study advance our understanding of the key determinants of analyst performance and provide new evidence in the debate on the role of government intervention in financial institutions.
The role of financial literacy in reducing financial distress: What if consumers were perfectly financially literate?
Authors: Białowolski Piotr , Cwynar Andrzej , Weziak‐Bialowolska Dorota 
Published: October 2024

AbstractUsing longitudinal data from the Panel Study of Income Dynamics (PSID), this study examines the extent to which financial literacy can mitigate financial distress. Employing a “what if” analysis, we simulate the effect of maximizing financial literacy on the likelihood of experiencing financial distress. We show that raising financial literacy to its highest level could prevent financial distress for a group of households facing moderate financial distress. Our results also imply that financial literacy is not a panacea for consumers' financial problems as those facing high risk of financial distress seem to be not affected by financial literacy. Interventions beyond financial literacy might be needed to effectively address financial distress.
A deficit story in motion: How marginalized youngsters are defined out of the educational game before they enter school
Authors: Miller Peggy J. , Sperry Douglas E. , Sperry Linda L. 
Published: October 2024

AbstractThis paper offers a case study of the Life History of the Word Gap (WG) Story, the most prominent deficit discourse of the contemporary era. Mindful of mounting critiques of deficit thinking and informed by Bakhtinian theory, we seek to understand the Story's ascendance by interrogating its evolving historical context. Where did the Story begin, what fueled its circulation, what were its consequences, and how does it end? We found that implicit biases of class, race, and method converged with sociopolitical developments to create a thoroughly flawed but remarkably resilient WG Story. Heedless of history, structural inequalities, and contradictory evidence from other disciplines, the Story spread across American research, policy, and media, attaining the status of received wisdom and infiltrating schools. Ethnographic studies revealed that the Story stigmatizes poor youngsters, shapes teachers’ and peers’ perceptions, and creates discriminatory programs and practices. We conclude by addressing obstacles to imagining new stories.
Local sleep in songbirds: different simultaneous sleep states across the avian pallium
Authors: Yeganegi Hamed , Ondracek Janie M. 
Published: October 2024

SummaryWakefulness and sleep have often been treated as distinct and global brain states. However, an emerging body of evidence on the local regulation of sleep stages challenges this conventional view. Apart from unihemispheric sleep, the current data that support local variations of neural oscillations during sleep are focused on the homeostatic regulation of local sleep, i.e., the role preceding awake activity. Here, to examine local differences in brain activity during natural sleep, we recorded the electroencephalogram and the local field potential across multiple sites within the avian pallium of zebra finches without perturbing the previous awake state. We scored the sleep stages independently in each pallial site and found that the sleep stages are not pallium‐wide phenomena but rather deviate widely across electrode sites. Importantly, deeper electrode sites had a dominant role in defining the temporal aspects of sleep state congruence. Altogether, these findings show that local regulation of sleep oscillations also occurs in the avian brain without prior awake recruitment of specific pallial circuits and in the absence of mammalian cortical neural architecture.
Influence of circadian preference, sleep inertia and their interaction on marathon completion time: A retrospective, cross‐sectional investigation of a large mass‐participation city marathon
Authors: Gratton Matthew K. P. , Charest Jonathan , Lickel James , Bender Amy M. , Werthner Penny , Pedlar Charles R. , Kipps Courtney , Lawson Doug , Samuels Charles H. , Cook Jesse 
Published: October 2024

SummaryBurgeoning interest in marathons necessitates an understanding of performance determinants. Research has highlighted the importance of diet, training and sleep, yet relations of circadian preference and sleep inertia with marathon performance remain largely unexplored. Because marathons generally start early‐to‐mid morning, these characteristics may have relevant impact. This study investigates relationships of circadian preference, sleep inertia and their interaction with marathon completion time. Consenting participants in a 2016 large mass‐participation city marathon completed self‐report questionnaires capturing circadian preference and sleep inertia, along with demographics and other characteristics. Circadian preference and sleep inertia were described across subgroups. Analyses examined the associations and interactions of circadian preference and sleep inertia with marathon completion times, with adjusted analyses accounting for age, sex and sleep health. Participants were marathon finishers (n = 936; 64.5% male; 66.3% young‐adults), with a majority reporting morningness tendencies (60.8%). Results supported a linear association between increasing eveningness preference with slower marathon times (p = 0.003; padjusted = 0.002), while some support was provided for a linear relationship between greater sleep inertia and slower marathon times (p = 0.04; padjusted = 0.07). A significant interaction was observed (p = 0.02; padjusted = 0.01), with the directionality suggesting that the circadian preference relationship weakened when sleep inertia severity increased, and vice‐versa. Our results suggest deleterious associations of increasing eveningness preference and greater sleep inertia with marathon completion time. These features may aid identifying marathoners who could be at a disadvantage, while also serving as modifiable targets for personalized training regimens preceding competition.
Limited Value of HBV‐RNA for Relapse Prediction After Nucleos(t)ide Analogue Withdrawal in HBeAg‐negative Hepatitis B Patients
Authors: Ohlendorf Valerie , Wübbolding Maximilian , Höner zu Siederdissen Christoph , Bremer Birgit , Deterding Katja , Wedemeyer Heiner , Cornberg Markus , Maasoumy Benjamin 
Published: October 2024

ABSTRACTInternational guidelines suggest cessation of nucleos(t)ide analogues (NA) independent of HBsAg loss in HBeAg‐negative patients after 2–3 years of viral suppression. Detectable HBV‐RNA levels at the time of NA cessation were linked to a better prediction of relapse after NA withdrawal in small cohorts of HBeAg‐negative patients. This study proves the impact of HBV‐RNA levels in the prediction of relapse in a large cohort of HBeAg‐negative patients, mainly infected with genotype B or C. Serum levels of HBV‐RNA, HBsAg, anti‐HBc and HBcrAg were determined before NA withdrawal in 154 HBeAg‐negative patients, participating either in a therapeutic vaccination trial (NCT02249988) or in an observational register trial (NCT03643172). Importantly, vaccination showed no impact on relapse. Endpoints of the study were virological relapse (HBV‐DNA > 2000 IU/mL) or biochemical relapse (attendant ALT levels ≥ 2 × ULN) 24 weeks after NA cessation. Virological relapse occurred in 54.5% of patients (N = 84/154), including eight patients (10%) developing an ALT flare. Baseline HBV‐RNA level did not differ significantly between relapsers and off‐treatment responders (p = 0.92). No significant difference occurred in proportions of detectable HBV‐RNA levels between off‐treatment responders (N = 27/70; 38.6%) and relapsers (N = 31/84; 36.9%) (p = 0.99). Combining predefined HBsAg cut‐offs (100 IU/mL, p = 0.0013), anti‐HBc cut‐offs (325 IU/mL, p = 0.0117) or HBcrAg cut‐offs (2 log U/mL, p = 0.66) with undetectable HBV‐RNA (HBsAg, p = 0.0057; anti‐HBc, p = 0.085; HBcrAg, p = 0.60) did not improve relapse prediction. The value of HBV‐RNA levels at timepoint of NA cessation for the prediction of relapse is limited in HBeAg‐negative patients.Trial Registration: ABX 203‐002: NCT02249988; Terminator 2: NCT03643172
Ba and Sr isotopic patterns from step‐leaching experiments on the pristine Aguas Zarcas CM2 meteorite
Authors: McGovern Liam S. T. , Charlier Bruce L. A. , Wilson Colin J. N. 
Published: October 2024

AbstractStepwise acid leaching experiments were performed on the pre‐rain CM2 fall Aguas Zarcas to interrogate release patterns and isolate fractions with isotopic anomalies. Acid leachates and a bulk sample were analyzed for elemental abundances via solution ICP‐MS, and Sr and Ba isotopic compositions were measured using TIMS. Isotopic systematics reveal diverse values for the bulk sample and leachates, interpreted to reflect the Aguas Zarcas parent body history. Compared with the NBS987 standard, μ84Sr values for the bulk sample average + 90, while the leach fractions yield +326 to −2089, with the largest μ84Sr depletions in the strongest acid leachates. For Ba isotopes, the bulk sample shows resolvable depletions (μ values) in 130Ba (−210), 135Ba (−64), 137Ba (−73) and 138Ba (−89). Early leachates show positive anomalies in 130Ba (up to +2295), 132Ba, 135Ba, 137Ba, and 138Ba. In contrast, final leachates show strong depletions for the same nuclides (up to −60,000 ppm μ130Ba). The Sr and Ba isotopic anomalies found in the earlier leachates suggest that nucleosynthetic signatures were redistributed to more soluble phases during parent body alteration. Moreover, contrasting p‐nuclide Sr and Ba nucleosynthetic anomalies suggest that presolar contributions came from a variety of nucleosynthetic sources, including possibly a rotating massive star undergoing a core‐collapse supernova or an electron capture supernova.
Phylogenomics and phylogeographic model testing using convolutional neural networks reveal a history of recent admixture in the Canarian Kleinia neriifolia
Authors: Rincón Barrado Mario , Perez Manolo , Villaverde Tamara , García‐Verdugo Carlos , Caujapé‐Castells Juli , Riina Ricarda , Sanmartín Isabel 
Published: October 2024

AbstractMultiple‐island endemics (MIE) are considered ideal natural subjects to study patterns of island colonization that involve recent population‐level genetic processes. Kleinia neriifolia is a Canarian MIE widespread across the archipelago, which exhibits a close phylogenetic relationship with species in northwest Africa and at the other side of the Sahara Desert. Here, we used target sequencing with plastid skimming (Hyb‐Seq), a dense population‐level sampling of K. neriifolia, and representatives of its African–southern Arabian relatives to infer phylogenetic relationships and divergence times at the species and population levels. Using population genetic techniques and machine learning (convolutional neural networks [CNNs]), we reconstructed phylogeographic relationships and patterns of genetic admixture based on a multilocus SNP nuclear dataset. Phylogenomic analysis based on the nuclear dataset identifies the northwestern African Kleinia anteuphorbium as the sister species of K. neriifolia, with divergence starting in the early Pliocene. Divergence from its sister clade, comprising species from the Horn of Africa and southern Arabia, is dated to the arid Messinian period, lending support to the climatic vicariance origin of the Rand Flora. Phylogeographic model testing with CNNs supports an initial colonization of the central island of Tenerife followed by eastward and westward migration across the archipelago, which resulted in the observed east/west phylogeographic split. Subsequent population extinctions linked to aridification events, and recolonization from Tenerife, are proposed to explain the patterns of genetic admixture in the eastern Canary Islands. We demonstrate that CNNs based on SNPs can be used to discriminate among complex scenarios of island migration and colonization.
Anisakis spp. as indicators of latitudinal movements of short‐finned pilot whales, Globicephala macrorhynchus, in the Northeast Atlantic
Authors: Pons‐Bordas Claudia , Pool Rachel V. , Ten Sofía , Armenteros‐Santos José A. , Balseiro Ana , Fayos Manena , Aznar F. Javier 
Published: October 2024

AbstractIn the Northeast Atlantic, it is unclear whether short‐finned pilot whales, Globicephala macrorhynchus (SFPWs), are transient or resident above 40°N. We used Anisakis spp. to identify the latitudes recently visited by a SFPW pod stranded in NW Spain (43°N) in 2020. Analysis of cox2 gene in 30 nematodes from 6 SFPWs revealed the presence of A. simplex sensu stricto (s.s.) (93.3%) and A. pegreffii (6.7%). Morphological analysis of 972 nematodes corroborated species molecular identification and relative proportions; in males (n = 66), the estimated proportions of A. simplex s.s. and A. pegreffii were 86.4% and 13.6%, respectively. These percentages resembled those reported in fish/cetaceans above 40°N, and L4 larvae or adults of A. typica (a tropical‐temperate species found in SFPWs up to 38°N–39°N) were not detected. Population structure of A. simplex s.s. + A. pegreffii in SFPWs suggested a continuous recruitment of nematodes starting at least 3 weeks before stranding. We interpret that either the SFPW pod was within the range of the species (perhaps as a recent northern shift) or represented a vagrant group that visited waters off Northwest Spain for a protracted period. Future analysis on nematode assemblages could shed light on movements and climate‐driven shifts in cetacean distribution.