bluuebunny/crossref_metadata_2025_split huggingface dataset:
Association Between Periodontitis and Gestational Diabetes Mellitus: Systematic Review and Meta‐Analysis
Authors: Esteves Lima Rafael Paschoal , Cyrino Renata Magalhães , de Carvalho Dutra Bernardo , Oliveira da Silveira Juliana , Martins Carolina Castro , Miranda Cota Luis Otávio , Costa Fernando Oliveira 
Published: September 2015

Background: To the best of the authors’ knowledge, there is no systematic review of the potential association between periodontitis and gestational diabetes mellitus (GDM) in the current literature. The aim of the present systematic review and meta‐analysis is to search for scientific evidence regarding the association between periodontitis and GDM.Methods: The present study was conducted in accordance with the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) statement and registered (CRD2014010728) with PROSPERO (International prospective register for systematic reviews, University of York, York, UK). A search was conducted in three electronic databases without restrictions regarding language or date of publication. From 190 studies selected, 15 underwent full‐text analysis. Eight studies were eligible (five cross‐sectional and three case‐control studies), and seven were entered in the meta‐analysis. Meta‐analysis was performed with tests for sensitivity and statistical heterogeneity. Summary effect measures were calculated by odds ratio (OR) and 95% confidence interval (CI).Results: There was a significant association between periodontitis and GDM in the meta‐analyses of four cross‐sectional studies (OR 1.67, 95% CI 1.20 to 2.32) and two case‐control studies (OR 2.66, 95% CI 1.52 to 4.65). However, sensitivity tests for case‐control studies showed a lack of consistency in data; when including one case‐control study, the significance was null (meta‐analysis of three case‐control studies: OR 1.69, 95% CI 0.68 to 4.21).Conclusions: There was substantial clinical, methodologic, and statistical heterogeneity among the studies. The scientific evidence cannot affirm a positive association between periodontitis and GDM. Future studies with different designs in distinct populations should be conducted to investigate this association.
El medio ambiente en la Constitucion española de 1978
Authors: Real Ferrer Gabriel 
Published: September 2015

La Constitution espagnole de 1978 reconnaît le « droit de bénéficier d'un environnement adéquat ». Néanmoins, cette affirmation n'implique pas que le droit à l'environnement est inclus parmi les droits qui sont considérés comme « droits fondamentaux » ; il ne bénéficie donc pas des moyens juridictionnels de protection que la Constitution garantit à cette catégorie de droits. La Constitution considère la protection de l'environnement comme un « principe directeur » de l'action des pouvoirs publics qui s'étend également aux personnes privées. Pour l'auteur, cette interprétation est correcte. La nature des intérêts qui gravitent autour de la notion d'environnement rend impossible, au moins techniquement, de considérer leur préservation comme celle d'un « droit fondamental » classique équivalent à ceux que reconnaissent la plupart des Constitutions.
Le concept d'environnement auquel se réfère la Constitution est extrêmement large, mais il est limité par la mise en œuvre des techniques de protection. Ainsi, la préservation de l'environnement se conçoit comme un droit-devoir, basé sur la « solidarité collective » qui s'étend à toutes les personnes publiques ou privées. Comme techniques de protection, la Constitution prévoit aussi bien la réparation des dommages que la répression pénale.
Les particuliers disposent toutefois de moyens peu nombreux pour exiger le respect des législations environnementales.
Le contentieux administratif et la protection de l'environnement : le point de vue d'un magistrat
Authors: Calderaro Norbert 
Published: September 2015

|S'il n'existe pas de contentieux administratif spécifique en matière d'environnement, de nombreux contentieux posent aujourd'hui au juge administratif des questions relatives à la protection de l'environnement. L'intervention du juge administratif reste classique : ce juge reste un juge du service public, de l'activité d'intérêt général exercée par une personne morale de droit public. Et son action obéit à un principe de base de notre droit public : la primauté de l'intérêt public dans le respect des libertés individuelles. Ce principe général explique notamment la diversité des régimes de responsabilité des personnes publiques en matière d'atteintes à l'environnement. Mais, devant les demandes de la société, le juge administratif a été amené à interpréter, à clarifier des notions souvent vagues posées par le législateur. On assiste parallèlement à un renouveau du plein contentieux, à une application de plus en plus fréquente du droit européen et à une prise en compte, par le juge, de certaines données scientifiques et techniques.
Le juge administratif, qui n'est ni technicien ni élu, en raison de son indépendance, est peut-être le seul à pouvoir prétendre faire œuvre, en matière environnementale, d'impartialité.
Exploring Student and Faculty Perceptions of Clinical Simulation: A Q-Sort Study
Authors: Landeen Janet , Pierazzo Joanna , Akhtar-Danesh Noori , Baxter Pamela , van Eijk Sylvia , Evers Courtney 
Published: September 2015

Background:
Simulation learning has become a widely accepted and valuable methodology within nursing education. This study assessed whether student and faculty perceptions regarding simulation learning have changed since curricular integration of simulation activities within an undergraduate nursing program.

Method:
Q-methodology was used to identify unique and similar perspectives of 12 faculty and 21 students. Participants completed a brief demographic questionnaire and sorted statements related to beliefs about simulation-based learning.

Results:
Faculty perceptions were captured within one viewpoint—positive enthusiasts. Three student viewpoints were identified: challenge seekers, realistic embracers, and support seekers. Both students and faculty believed that simulation improved critical thinking.

Conclusion:

The findings suggest that faculty should be aware of the range of student perceptions and tailor their teaching approaches accordingly to maximize student learning. [
J Nurs Educ.
2015;54(9):485–491.]
Educating Integrated Family/Psychiatric–Mental Health Nurse Practitioners: Program Development and Evaluation
Authors: Hulme Polly A. , Houfek Julia F. , Fiandt Kathryn , Barron Cecilia , Muhlbauer Susan 
Published: September 2015

Background:
This article describes the development, implementation, and outcomes of an integrated family nurse practitioner/psychiatric–mental health nurse practitioner (FNP/PMH-NP) program. The program was designed to help alleviate health professional shortages in rural areas.

Method:
Faculty from both specialties developed a 3-year integrated curriculum, with attention to course sequencing and removing redundancies. Students completed all FNP and PMH-NP specialty courses and 855 clinical hours. Specialty integration occurred during the final semester through faculty-facilitated integrated case studies and clinical preceptorships with dual-certified rural nurse practitioners.

Results:
Thirteen students completed the program between 2006 and 2014. A survey of graduates (75% response rate) demonstrated that most were dual certified, and less than half practiced in rural areas. All were very satisfied with their nurse practitioner role.

Conclusion:

The program successfully prepared graduates to care for patients across the mind–body spectrum in integrated mental health–primary care positions. More work may be needed to market the integrated role and rural practice. [
J Nurs Educ.
2015;54(9):493–499.]
Effects of the Use of High-Fidelity Human Simulation in Nursing Education: A Meta-Analysis
Authors: Lee Jin , Oh Pok-Ja 
Published: September 2015

Background:
This study was conducted to evaluate the effects of high-fidelity human simulation (HFHS) on cognitive, affective, and psychomotor outcomes of learning.

Method:
PubMed, Cochrane Library, EMBASE, CINAHL, and Korean databases were searched. The RevMan program was used for analysis.

Results:
A meta-analysis was conducted of 26 controlled trials, with a total of 2,031 nursing students. The use of HFHS tended to have beneficial effects on cognitive and psychomotor domains of learning. In analysis of cognitive outcomes, the weighted average effect size across studies was −0.97 for problem-solving competency, −0.67 for critical thinking, and −2.15 for clinical judgment. The effect size for clinical competence of the psychomotor domain was −0.81.

Conclusion:

Use of HFHS might positively impact a high level of cognitive skill and clinical skill acquisition. Further research is required to determine the effectiveness of use of HFHS as an educational strategy to improve knowledge acquisition and communication skills. [
J Nurs Educ.
2015;54(9):501–507.]
Nursing as a Career Choice by Hispanic/Latino College Students: A Multi-Institutional Study
Authors: Stroup Linda M. , Kuk Linda 
Published: September 2015

Background:
Despite rapid growth in the Hispanic/Latino population, there is significant underrepresentation of Hispanic/Latino individuals in the nursing workforce and nursing programs. This study investigated college students’ interest in and self-efficacy for nursing as a career choice, and factors that students believe will impact their success in a nursing program.

Method:
A nonexperimental, associational research study using a survey instrument was conducted at three comprehensive, public state universities and one community college in the western United States in an area with a significant Hispanic/Latino population.

Results:
Descriptive and multivariable correlation statistical analysis suggested that college students’ interest in and self-efficacy for nursing as a career choice was similar for both Hispanic/Latino and non-Hispanic/Latino students in the sample. Perceived facilitators for success in a nursing program were identified.

Conclusion:

Findings can be used to develop strategies and programs to enhance the success of Hispanic/Latino students interested in nursing as a career choice. [
J Nurs Educ.
2015;54(9, Suppl.):S83–S88.]
Capturing Student Transformation From a Global Service-Learning Experience: The Efficacy of Photo-Elicitation as a Qualitative Research Method
Authors: Kronk Rebecca , Weideman Yvonne , Cunningham Leah , Resick Lenore 
Published: September 2015

Background:
This article describes the use of photo-elicitation as a qualitative research method that captured transformational outcomes of baccalaureate nursing students who participated in a 10-day global service-learning experience in Nicaragua.

Method:

All participants (
N
= 8) took photographs as a natural way of capturing moments, scenes, and events that occurred during their immersion experience. Four weeks after the trip, each student selected photographs that were a meaningful visual representation of their experience and participated in a semistructured interview conducted by one of the three faculty investigators.

Results:
Photo-elicitation captured the cultural, professional, and personal transformations of the students through a process that included “letting go,” “confronting reality,” and “coming to an understanding.”

Conclusion:

The use of photo-elicitation as a qualitative research method enabled a deeper, more poignant exploration of the impact of a global service-learning experience. [
J Nurs Educ.
2015;54(9, Suppl.):S99–S102.]
Evaluation of the Nutritional Knowledge of Undergraduate Nursing Students
Authors: Chepulis Lynne M. , Mearns Gael J. 
Published: September 2015

Background:
Obesity is prevalent in health care workers, but it is unknown whether a lack of nutritional knowledge contributes to this. This study measured the nutrition knowledge of undergraduate nursing students to identify knowledge gaps that could be addressed through nutrition teaching in an updated undergraduate nursing curriculum.

Method:

Undergraduate nursing students (
N
= 197) completed a nutrition knowledge survey with questions on demographics, body composition, nutrition labels, food packaging claims, and healthy food-purchasing choices.

Results:

Mean overall nutritional knowledge scores were low, but overall scores were higher for students who had received nutrition teaching (60.5% versus 52.5%;
F
[1, 187] = 7.2,
p
< 0.001). Improvements in nutrition knowledge were consistent across all ethnic groups, and no effects of age were observed.

Conclusion:

To sufficiently prepare nurses for their public health role in obesity prevention, more nutrition education is needed in undergraduate nursing education programs, with emphasis on ethnic-specific educational requirements. [
J Nurs Educ.
2015;54(9, Suppl.):S103–S106.]
Development of Nurse Self-Concept in Nursing Students: The Effects of a Peer-Mentoring Experience
Authors: Ford Yvonne 
Published: September 2015

Background:
Positive nurse self-concept has been shown to increase job productivity, retention, and job satisfaction. Student participation in peer-mentoring experiences has been shown to increase self-confidence and understanding of the role of the nurse leader.

Method:
The Nurse Self-Concept Questionnaire (NSCQ) was used to measure the nurse self-concept of senior baccalaureate nursing students before and after completion of a peer-mentoring experience.

Results:
Female students scored significantly higher on two subscales of the NSCQ than male students prior to the peer-mentoring experience. This difference was not seen after the experience. Mean changes in scores on all six dimensions of self-concept measured by the NSCQ were significantly higher after the mentoring experience.

Conclusion:

Further investigation of male students’ experiences in clinical settings may be warranted. The experience of mentoring lower-level students offers practice for upper-level nursing students in providing direction, exercising leadership and management skills, and working as a member of the health care team. [
J Nurs Educ.
2015;54(9, Suppl.):S107–S111.]
“If Only We Could Have Them Walk a Mile in Their Shoes”: A Community-Based Poverty Simulation Exercise for Baccalaureate Nursing Students
Authors: Johnson Karen E. , Guillet Nancy , Murphy Linda , Horton Shalonda E.B. , Todd Ana T. 
Published: September 2015

Background:

Poverty is linked to poorer health outcomes across the life span. Nurses must understand how poverty impacts health and the ability to achieve social mobility. This article describes a poverty simulation exercise,
In Their Shoes
.

Method:
Scenarios of clients in need of community resources were developed. Using public transportation, students travelled to agencies to collect information about accessing resources. Students were introduced to content about poverty, income inequality, social mobility, and critical social theory prior to the simulation exercise. After the simulation, students returned to the classroom and reflected on the experience.

Results:

In Their Shoes
received positive feedback. Students expressed surprise at the number of community resources, frustration by the challenges encountered, and dedication to being aware and compassionate advocates for underserved clients.

Conclusion:

Nursing programs should develop and evaluate similar activities to expose students to the challenges of living in poverty, and how this affects health and nursing practice. [
J Nurs Educ.
2015;54(9, Suppl.):S116–S119.]
Femtosecond Laser-assisted Cataract Surgery Technique to Enhance Safety in Posterior Polar Cataract
Authors: Titiyal Jeewan S. , Kaur Manpreet , Sharma Namrata 
Published: September 2015

PURPOSE:
To describe the technique of femtosecond laser-assisted cataract surgery for management of posterior polar cataracts.

METHODS:
The technique was performed in 25 eyes of 20 patients with posterior polar cataract and nuclear sclerosis grades II to III. A hybrid pattern of three cylinders (2, 4, and 6 mm) and three chops (6 mm in length) was used for nucleotomy. Block by block emulsification of the pre-chopped nucleus was done from the center outward, with the remaining outer rings acting as a protective cushion. Manual hydrodissection and hydrodelineation were avoided.

RESULTS:
There were no cases with posterior capsular tear in this series and the phacoemulsification procedure could be completed uneventfully with implantation of intraocular lens in the bag in all of the eyes. The postoperative uncorrected Snellen visual acuity was 20/25 or greater in all cases.

CONCLUSION:
The technique of femtosecond laser-assisted cataract surgery with a hybrid pattern of cylinder and chop is safe and effective in managing cases of posterior polar cataract, specifically for higher grades of nuclear sclerosis.

[
J Refract Surg.
2015;31(12):826–828.]
Clinical Outcomes with First-line Endocrine Therapy or Chemotherapy in Postmenopausal HR+/HER2-Metastatic Breast Cancer
Authors: Song Yan , Hao Yanni , Macalalad Alexander R. , Lin Peggy L. , Signorovitch James E. , Wu Eric Q. 
Published: September 2015

Objective To describe patient profiles and clinical outcomes associated with first-line endocrine monotherapy (ET) and chemotherapy (CT) for postmenopausal HR+/HER2– metastatic breast cancer (mBC) patients. Methods This is a retrospective chart review of 139 postmenopausal HR+/HER2– mBC patients initiating first-line ET monotherapy or CT. Overall survival (OS) was described using Kaplan–Meier curves. Exploratory comparative proportional hazards regression was conducted. Results Patients on first-line CT had significantly more frequent liver metastases than patients on first-line ET monotherapy at baseline. The median OS was 35.5 months [95% confidence interval (CI), 22.7–41.2 months] for patients on first-line ET monotherapy and 22.2 months (95% CI, 13.6–25.9 months) for those on first-line CT ( P = 0.021). Adjusting for baseline characteristics, the OS between first-line ET monotherapy and CT was not significantly different. Conclusions Patients who were prescribed CT as first-line treatment had evidence of more advanced disease at baseline and shorter OS than those who received ET monotherapy as first-line treatment, suggesting a need for additional safe and effective treatment options for these patients.
In-Home Occupational Performance Evaluation for Providing Assistance (I–HOPE Assist): An Assessment for Informal Caregivers
Authors: Keglovits Marian , Somerville Emily , Stark Susan 
Published: September 2015

Abstract
Home modification interventions have the potential to provide support to informal caregivers; however, the impact of these interventions on caregivers is understudied, and adequate assessments are lacking. This study describes the development and preliminary psychometric properties of a performance-based assessment that identifies environmental barriers to performance of daily caregiving activities. An existing assessment of person–environment fit was modified using key informant interviews and was administered to 31 informal caregivers. The In–Home Occupational Performance Evaluation for Providing Assistance demonstrated reliability across raters, good internal consistency for all subscales, and convergent validity with existing measures. This assessment has the potential to guide home modification interventions and measure the impact on informal caregiving in the home.
Autonomy and Housing Accessibility Among Powered Mobility Device Users
Authors: Pettersson Cecilia , Brandt Åse , Lexell Eva Månsson , Iwarsson Susanne 
Published: September 2015

Abstract
OBJECTIVE. To describe environmental barriers, accessibility problems, and powered mobility device (PMD) users’ autonomy indoors and outdoors; to determine the home environmental barriers that generated the most housing accessibility problems indoors, at entrances, and in the close exterior surroundings; and to examine personal factors and environmental components and their association with indoor and outdoor autonomy.
METHOD. This cross-sectional study was based on data collected from a sample of 48 PMD users with a spinal cord injury (SCI) using the Impact of Participation and Autonomy and the Housing Enabler instruments. Descriptive statistics and logistic regression were used.
RESULTS. More years living with SCI predicted less restriction in autonomy indoors, whereas more functional limitations and accessibility problems related to entrance doors predicted more restriction in autonomy outdoors.
CONCLUSION. To enable optimized PMD use, practitioners must pay attention to the relationship between client autonomy and housing accessibility problems.
Activity Pacing Self-Management in Chronic Fatigue Syndrome: A Randomized Controlled Trial
Authors: Kos Daphne , van Eupen Inge , Meirte Jill , Van Cauwenbergh Deborah , Moorkens Greta , Meeus Mira , Nijs Jo 
Published: September 2015

AbstractOBJECTIVE. The objective of this study was to evaluate the effectiveness of an activity pacing self-management (APSM) intervention in improving performance of daily life activities in women with chronic fatigue syndrome (CFS).METHOD. A total of 33 women with CFS (age 41.1 ± 11.2 yr) were randomly allocated to APSM (experimental group; n = 16) or relaxation (control group; n = 17). Main outcome measures included the Canadian Occupational Performance Measure (COPM; primary) and Checklist Individual Strength (CIS).RESULTS. COPM scores changed significantly over time in both groups (p = .03). The change in Satisfaction scores showed a significant difference in favor only of APSM (effect size = 0.74 [0.11, 1.4]). CIS scores decreased significantly in the experimental group only (p &lt; .01).CONCLUSION. APSM was found to be feasible and effective in optimizing participation in desired daily life activities in women with CFS. Replication in a larger sample with long-term follow-up is required.
Effectiveness of Interventions to Improve Social Participation, Play, Leisure, and Restricted and Repetitive Behaviors in People With Autism Spectrum Disorder: A Systematic Review
Authors: Tanner Kelly , Hand Brittany N. , O’Toole Gjyn , Lane Alison E. 
Published: September 2015

Abstract
People with autism spectrum disorder (ASD) commonly experience difficulties with social participation, play, and leisure along with restricted and repetitive behaviors that can interfere with occupational performance. The objective of this systematic review was to evaluate current evidence for interventions within the occupational therapy scope of practice that address these difficulties. Strong evidence was found that social skills groups, the Picture Exchange Communication System, joint attention interventions, and parent-mediated strategies can improve social participation. The findings were less conclusive for interventions to improve play and leisure performance and to decrease restricted and repetitive behaviors, but several strategies showed promise with moderately strong supporting evidence. Occupational therapists should be guided by evidence when considering interventions to improve social participation, play, leisure, and restricted and repetitive behaviors in people with ASD. Additional research using more robust scientific methods is needed for many of the currently available strategies.