bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of Center Volume on the Use of Status 2 Exceptions for Heart Transplantation
Authors: Thornhill Rosanne , Blitzer David , Lirette Seth T. , Carter Kristen T. , Mohammed Asim , Baran David A. , Copeland Hannah 
Published: October 2024

ABSTRACTObjectiveThere are limited data examining the relationship between transplant center volume and their use of Status 2 exceptions for heart transplant (OHT).MethodsA retrospective review of the Organ Procurement and Transplantation Network (OPTN) database identified all patients undergoing OHT under Status 2 exception between late 2018 and early 2023. Demographics were collected and transplant centers were categorized based on the number of OHT performed annually (very low volume = < 5 OHT per year; low volume = 5–24 OHT per year; medium volume = 25–50 OHT per year, high volume = > 50 OHT per year).ResultsAcross all centers, 6348 OHT were included, with n = 68 performed at very low volume centers, n = 1001 performed at low volume centers, n = 1834 performed at medium volume centers, and n = 3445 performed at high volume centers. Medium and high volume centers applied for at least one Status 2 exception about 30%–35% of the time, compared to 50%–60% of the time observed at very low and low volume centers. Compared to very low volume centers, medium volume centers applied for half the amount of Status 2 exceptions (IRR = 0.52 [0.35–0.76]; p < 0.001) while high volume centers applied for less than half the amount (IRR = 0.42 [0.29–0.62]; p < 0.001). High‐volume centers were also 18% less likely to apply for exceptions than medium‐volume centers (IRR = 0.82 [0.74–0.91]; p < 0.001).ConclusionsLower volume transplant centers apply for Status 2 exceptions at a significantly higher rate, with a stepwise decrease in exception use with increasing transplant center volume.
Hurricanes, reconstruction, and resistance: thinking through vulnerability in the Caribbean
Authors: Aparicio Cuervo Juan Ricardo , Macías Perdomo Laura Victoria 
Published: October 2024

AbstractThis paper critically analyses events that surrounded the reconstruction of the Colombian archipelago of San Andrés, Providencia, and Santa Catalina islands after Hurricane Iota struck in 2020. Discussing the historical‐structural and conjunctural dimensions within which the archipelago's history, various hurricanes, and reconstructions must be set, this paper draws on two theoretical conversations from Latin American and Caribbean critical thought and the critical humanitarian field that understand humanitarian governance as an ‘arena of dispute’. Through mainly archival research of different sources, this paper assesses reconstruction and what it laid bare: structural vulnerability largely produced by the long lasting coloniality of power. In addition, it describes the active mediations and negotiations and the plethora of actions and repertoires in response to these centralised plans. Ultimately, we offer a vision whereby what is negotiated concerns not only the priorities and directions of the reconstruction, but also the design of a different future for the islands.
Using Benford's Law to Detect Possible Biases in Reported Catches of Tropical Tuna From the Indian Ocean
Authors: Domínguez‐Bustos Ángel Rafael , Cabrera‐Castro Remedios , Ramos María Lourdes , Abaunza Pablo , Báez José Carlos 
Published: October 2024

ABSTRACTAccuracy of catch landing data reported by captains of commercial vessels is crucial in the assessment of marine species stocks and in fisheries policy and management. However, this data can be subject to estimation biases, such as a tendency to inflate some catches (to the detriment of others) and refusal to fill in logbooks. We assessed the accuracy of catch reports from the Spanish tropical tuna purse seine fleet (which accounts for 26% of catches in the Indian Ocean) using Benford's law, a mathematical principle effective for detecting irregularities across multiple datasets. During 2013–2020, including periods before and after the implementation of total allowable catch (TAC) limits in 2017, reported catches differed from Benford's expected distribution, especially for bigeye tuna, indicating potential inaccuracies in reported catches. Changes in data reporting after TAC limits were imposed in 2017 suggested modifications in fishing operations and reporting practices. Use of Benford's law highlighted its potential as an auditing tool in fisheries management and provided insights into data integrity that are crucial for sustainable fisheries governance.
Supervising criminalised women in the community in England and Wales: A brief history of (un)changing attitudes
Authors: Vanstone Maurice , Worrall Anne 
Published: October 2024

AbstractThere has not been a specific history of supervising women in the community. This article, therefore, describes the early neglect of work with women and the period of change from the 1970s when women became more visible and the criminal justice system's response to them began to face scrutiny. It posits the story against the background of increased awareness of gender discrimination and efforts to reduce the use of imprisonment by addressing women's criminogenic and social needs through community‐based supervision. It juxtaposes innovative work initiated by practitioners and managers to years of unfulfilled policy promises. An essential part of the story is the attempt to integrate feminist perspectives into policy and practice at a time of organisational and political turbulence. It concludes that our increased understanding of criminalised women presents the opportunity of breaking the frustrating cycle of governmental ‘enthusiasm‐disillusion‐indifference’ and making a genuine contribution to equality and social justice.
Psychometric testing of the continence and mobility in older adults knowledge quiz
Authors: Dahlke Sherry , Hunter Kathleen F. , Butler Jeffrey I. , Pietrosanu Matthew 
Published: October 2024

AbstractWhat are the psychometric properties of the Continence and Mobility in Older Adults Knowledge Quiz? Our previous research revealed gaps in practicing and student nurses' knowledge of mobility and continence in older people. To address this gap, we developed a self‐directed e‐learning module on continence and mobility to enhance student nurses knowledge. The module provided education about continence, mobility, and the links between them. Since we were unable to locate a continence and mobility measure that captured both lower urinary track symptoms and elements of mobility, we developed a continence and mobility knowledge quiz. For researchers and educators to be able to use this quiz with confidence, psychometric testing of our continence and mobility knowledge quiz was required. When caring for older people, two geriatric challenges—continence and mobility—are often linked and viewed as indicators of frailty. Functional changes related to continence and/or mobility can indicate an acute illness in older persons and, if left untreated, can result in permanent changes managing continence needs. Continence care is often viewed negatively and is not prioritized by nurses. We employed stages in development of the Continence and Mobility Knowledge Quiz. In stage one, we developed 18 item true/false items from the literature with the guidance of a continence expert. In stage two, we tested the Quiz with nursing students from three universities in Canada. In stage three, (the current stage) we assessed the validity of the scale using a factor analysis and a reliability analysis (via standardized Cronbach's alpha). From our sample of 420, factor analysis indicated a two‐factor model (as suggested by Kaiser's rule), explained 22% of the variation in responses to the assessment items. We recommend removing item 7 as it does not contribute to the internal consistency of the tool. Cronbach's alpha after removing 7 is 0.65, indicating satisfactory reliability. To our knowledge, this is the first validated tool for measuring nurse knowledge about continence and mobility that addresses both a range of lower urinary tract symptoms and elements of mobility in older adults.
Nurse Practitioners' Experiences of Transitioning to and Working in the Pioneering Nursing Role: An Interview Study
Authors: Ljungbeck Birgitta , Carlson Elisabeth , Sjögren Forss Katarina 
Published: October 2024

ABSTRACTBackgroundNurse practitioners (NPs) play a crucial role in healthcare by providing person‐centred and high‐quality care. Their contributions encompass enhanced accessibility to healthcare and reduced hospital admissions and cost‐effectiveness. They usually hold a master's degree in nursing, incorporating expanded clinical skills to manage patients in different settings and address both nursing and medical needs. Despite the global development of the role, its implementation varies, presenting challenges related to role clarity, regulation and acceptance by other healthcare professionals.AimTo explore how nurses who are or have been employed as NPs describe their experiences of transitioning to and working in the NP role in Sweden.DesignA qualitative interview study.MethodThis study explores the experiences of 15 NPs in Sweden, using a snowball sampling strategy and semi‐structured interviews. The data were collected through interviews in April and May 2022 and analysed with inductive content analysis.FindingsThe present study explores the experiences of NPs as they transition from experienced nurses to NPs, emphasising motivations, educational challenges, acceptance and autonomy. Transitioning into the NP role initially brought isolation that evolved into acceptance. They recognised their strength in integrating medical and nursing competencies for holistic care. Leadership was pivotal, with managerial support crucial for the successful implementation of the role. Autonomy‐related challenges, such as prescription rights and dependency on physicians, underscored the need for a protected professional title and national guidelines.ConclusionThis study enriches the evolution of the NP role in Sweden, offering vital insights into the ongoing national‐level dialogues on NP role development in Sweden.ImpactThe paper's relevance extends globally by providing valuable perspectives on NPs practicalities and fostering international understanding and advancement.Reporting MethodStandards for reporting qualitative research.Patient or Public ContributionNot applicable.
Association Between Modifiable Structural and Process Factors and the Quality Indicator Pain in Nursing Home Residents: A MultiCentre Cross‐Sectional Survey
Authors: Baumgartner‐Violand Simone , Brunkert Thekla , Cassidy Sinéad , Blatter Catherine , Favez Lauriane , Zúñiga Franziska 
Published: October 2024

ABSTRACTAim(s)The aim of this study is to examine the association between modifiable structural and process factors and self‐reported as well as observed pain in Swiss residential long‐term care residents.DesignSub‐study of a multicentre cross‐sectional survey.MethodsInstitution, unit, and staff data were collected from September 2018 to October 2019 in 118 residential long‐term care institutions in Switzerland's German‐ and French‐speaking regions using paper questionnaires. Resident data were exported during the same period from routine data sets.ResultsIn this study, 6213 residents from 86 residential long‐term care institutions were included. Modifiable structural factors such as institutions having access to geriatricians, nursing experts and a palliative care team, the presence of a pain guideline on the unit and good teamwork among care workers were associated to less pain in residents.ConclusionIt is possible for residential long‐term care institutions to improve pain in residents and to optimise the quality of care by providing access to geriatricians, nursing experts and a palliative care team, working with a pain guideline and fostering teamwork.Implication for the Profession and/or Patient CareResidential long‐term care institutions can modify and implement modifiable structural factors which can reduce pain in residents to optimise residents' quality of life and quality of care.ImpactImproved pain management in residential long‐term care institutions can lead to optimised quality of care and quality of life for individual residents.Reporting MethodSTROBE checklist.Patient or Public ContributionNo patient or public contribution.
A systematic review and meta‐analysis of frailty in patients with heart failure
Authors: Chen Xia , Meng Xiangying 
Published: October 2024

AbstractObjectiveTo systematically evaluate the effect of frailty on the prognosis of patients with heart failure.MethodsComputer searches were conducted on PubMed, Embase, The Cochrane Library, Web of Science, CNKI, Wanfang Data Knowledge Service platform, Weipu full‐text database of Chinese scientific and technological journals, and Chinese biomedical literature database from August 12, 2022. After literature screening was completed by two researchers, the data extraction (such as study type, sample size, age of included patients, New York Heart Association (NYHA) Functional Classification, frailty assessment tool, frailty positive rate, outcome indicators, etc.) was performed and the risk of bias in the included studies was assessed. Meta‐analysis was performed using Revman 5.4 and Stata 14.0 software.ResultsA total of 32 studies were included, including 406,269 patients with heart failure. All included studies were rated high overall quality. The results of meta‐analysis showed: Frailty increases the risk of all‐cause death in patients with heart failure (hazard ratio [HR] = 1.73, 95% confidence interval [CI]: 1.50 – 2.00, p < 0.001), unplanned readmission (HR = 1.96, 95% CI: 1.21 – 3.17, p = 0.006), and joint endpoint risk (HR = 1.66, 95% CI: 1.48 – 1.86, p < 0.001).ConclusionCurrent evidence suggests that frailty increases the risk of all‐cause death, unplanned readmission, and joint endpoints in patients with heart failure.
A comprehensive overview of neuropsychiatric symptoms in adolescents with 22q11.2 deletion syndrome
Authors: Selten I. , Blok J. , Boerma T. , Djelantik A. A. A. M. J. , Houben M. , Wijnen F. , Zinkstok J. , Vorstman J. A. S. , Fiksinski A. M. 
Published: October 2024

AbstractBackgroundThe 22q11.2 deletion syndrome (22q11DS) is associated with a variety of neuropsychiatric outcomes that vary across deletion carriers. We adopted a dimensional approach to provide a comprehensive overview of neuropsychiatric symptom expression in adolescents with 22q11DS and further our understanding of the observed phenotypical heterogeneity.MethodsParticipants were 208 adolescents with 22q11DS between 10 and 19 years old. Semi‐structured clinical interviews and IQ tests were used to quantify symptom expression on multiple symptom dimensions, some reflecting DSM‐IV diagnostic domains. We investigated symptom expression in those with and without a formal DSM‐IV classification and examined between and within symptom dimensions. We used correlation analyses to explore associations between different symptom dimensions.ResultsWe demonstrated inter‐individual differences in symptom expression, both between and within neuropsychiatric symptom dimensions. On most symptom dimensions, more than 50% of adolescents expressed at least one clinically relevant symptom. In addition, a significant proportion of youth without a formal DSM‐IV diagnosis reported clinically relevant symptoms (e.g. >85% of those without an ADHD diagnosis reported ADHD symptoms). The exploratory correlation analysis indicated mostly positive correlations between symptom dimensions.ConclusionsThe finding that most adolescents with 22q11DS express neuropsychiatric symptoms, even in the absence of a DSM‐IV classification, has substantial ramifications for guiding adequate support. Findings may spur further research into the dimensional structure of neuropsychiatric symptoms in 22q11DS and aid in uncovering mechanisms that contribute to symptom expression. Ultimately, this provides leads to improve clinical care for 22q11DS and to understand phenotypical variation in other high‐risk genetic variants.
Comparison of denture space and patient satisfaction for neutral zone versus standard‐designed digital dentures restoring mandibular resorbed ridges: A crossover randomized clinical trial
Authors: Soliman Sara Ibrahim , Nosair Abdelrhman Alaa Ali , Abbas Al‐Sadat Omar , Refai Omnia M. 
Published: October 2024

AbstractPurposeTo compare neutral‐zone‐designed and standard‐designed digital complete dentures used to restore severely resorbed ridges through differential digital analysis of teeth arrangement position, shape of the polished surface, and assessment of patient satisfaction.Materials and MethodsThis study applied a within‐subject comparison of two denture forms: computer‐aided design and computer‐aided manufacturing (CAD‐CAM) dentures designed based on the bone‐support concept (control group) and CAD‐CAM dentures designed based on the neutral‐zone concept (test group). Twelve completely edentulous patients exhibiting advanced ridge atrophy were recruited, and they were randomly assigned to use one of the two dentures before the other. A comparison between the two groups’ virtual denture confines was conducted using “Medit compare” digital software. The average values of three‐dimensional deviations between the two dentures at different regions were calculated. The “patient denture assessment” questionnaire was used to gauge participants' satisfaction with their dentures. The obtained scores were used to compare the two denture types.ResultsThe position of the neutral zone was significantly shifted at the level of both denture teeth and denture base outer limits (p = 0.001). The greatest deviation was calculated at the region of the palatal polished surface followed by lingual flange contours, while the buccal flanges displayed the least deviations (p ≤ 0.05). Statistically significant differences were observed between patients' satisfaction with neutral zone and standard dentures regarding function and comfort, retention, and stability of lower dentures (p ≤ 0.05).ConclusionCAD‐CAM neutral‐zone dentures have distinctly different anatomical confines that can be clinically correlated to their better impact on patient acceptance.
Assessment of left atrial function using tissue motion annular displacement in healthy dogs
Authors: Sarraff A. P. , Silva V. B. C. , Wolf M. , Tuleski G. L. R. , Queiroz L. V. , de Farias M. R. , Sousa M. G. 
Published: October 2024

ObjectivesRecently, tissue motion annular displacement by speckle tracking has been shown to be a reliable method for evaluating deformation of the left atrium in healthy dogs. The aim of this study was to investigate whether tissue motion annular displacement is a feasible alternative method for studying left atrial function.Materials and MethodsOne hundred healthy dogs were included. Left atrial function was assessed by tissue motion annular displacement, which was correlated to the left atrial strain and biplane area‐length method‐derived volumes. Left atrial reservoir function was evaluated by left atrial global tissue motion annular displacement, global left atrial strain and left atrial emptying fraction, while left atrial systolic tissue motion annular displacement and left atrial ejection fraction were used to assess left atrial systolic function.ResultsA statistically significant association between body weight and the dependent variables others than age was found. Indexed global and systolic tissue motion annular displacement decreased as body weight increased. Global iTMAD_AIIometric (mm/∛kg) showed a moderate, positive correlation with left atrial emptying fraction and with global left atrial strain. Systolic iTMAD_AIIometric (mm/∛kg) showed a moderate correlation with left atrial ejection fraction. Coefficients of variation for the intraobserver and interobserver analyses were 8.3% and 20.3% for global and 10.5% and 18.9% for systolic tissue motion annular displacement, respectively.Clinical SignificanceTissue motion annular displacement is a feasible and simple method for the evaluation of left atrial function. Our study documented the effects of body weight on left atrial tissue motion annular displacement, indicating that tissue motion annular displacement must be indexed to body weight. No influence of age or heart rate was observed on tissue motion annular displacement.
The British Sleep Society position statement on Daylight Saving Time in the UK
Authors: Crawford Megan R. , Winnebeck Eva C. , von Schantz Malcolm , Gardani Maria , Miller Michelle A. , Revell Victoria , Hare Alanna , Horton Caroline L. , Durrant Simon , Steier Joerg 
Published: October 2024

SummaryThere is an ongoing debate in the United Kingdom and in other countries about whether twice‐yearly changes into and out of Daylight Saving Time should be abolished. Opinions are divided about whether any abolition of Daylight Saving Time should result in permanent Standard Time, or year‐long Daylight Saving Time. The British Sleep Society concludes from the available scientific evidence that circadian and sleep health are affected negatively by enforced changes of clock time (especially in a forward direction) and positively by the availability of natural daylight during the morning. Thus, our recommendation is that the United Kingdom should abolish the twice‐yearly clock change and reinstate Standard Time throughout the year.
Treating narcolepsy‐related nightmares with cognitive behavioural therapy and targeted lucidity reactivation: A pilot study
Authors: Mundt Jennifer M. , Pruiksma Kristi E. , Konkoly Karen R. , Casiello‐Robbins Clair , Nadorff Michael R. , Franklin Rachel‐Clair , Karanth Sunaina , Byskosh Nina , Morris Daniel J. , Torres‐Platas S. Gabriela , Mallett Remington , Maski Kiran , Paller Ken A. 
Published: October 2024

SummaryNightmares are a common symptom in narcolepsy that has not been targeted in prior clinical trials. This study investigated the efficacy of Cognitive Behavioural Therapy for Nightmares (CBT‐N), adapted for narcolepsy, in a small group of adults. Given the high prevalence of lucid dreaming in narcolepsy, we added a promising adjuvant component, targeted lucidity reactivation (TLR), a procedure designed to enhance lucid dreaming and dream control. Using a multiple baseline single‐case experimental design, adults with narcolepsy and frequent nightmares (≥3/week, N = 6) were randomised to a 2 or 4 week baseline and received seven treatment sessions (CBT‐N or CBT‐N + TLR). Across the groups, there was a large effect size (between‐case standardised mean difference [BC‐SMD] = −0.97, 95% CI −1.79 to −0.14, p < 0.05) for reduced nightmare frequency from baseline (M = 8.38/week, SD = 7.08) to posttreatment (M = 2.25/week, SD = 1.78). Nightmare severity improved significantly with large effect sizes on sleep diaries (BC‐SMD = −1.14, 95% CI −2.03 to −0.25, p < 0.05) and the Disturbing Dream and Nightmare Severity Index (z = −2.20, p = 0.03, r = −0.64). Treatment was associated with a reduction for some participants in sleep paralysis, sleep‐related hallucinations, and dream enactment. NREM parasomnia symptoms (z = −2.20, p = 0.03, r = −0.64) and self‐efficacy for managing symptoms (z = −2.02, p = 0.04, r = −0.58) improved significantly with large effect sizes. Participants who underwent TLR (n = 3) all recalled dreams pertaining to their rescripted nightmare. In interviews, participants noted reduced shame and anxiety about sleep/nightmares. This study provides a proof of concept for the application of TLR as a therapeutic strategy with clinical populations, as well as preliminary evidence for the efficacy of CBT‐N in treating narcolepsy‐related nightmares.