bluuebunny/crossref_metadata_2025_split huggingface dataset:
The relationship between self-efficacy and error orientation of nursing students during clinical internships: a cross-sectional study
Authors: Guo Yuanli , Fan Wenfeng , Dong Xiaofang , Yang Caixia , Wang Min , Gao Huanhuan , Lv Peihua , Ma Keke 
Published: July 2024

BackgroundNursing students often make clinical errors due to their limited clinical experience and their orientation toward errors, revealing their attitude and behavioral tendencies regarding nursing errors. Understanding how self-efficacy, motivation, and a sense of security influence the error orientation of nursing students is important for developing strategies to enhance their error orientation.ObjectivesThis study aimed to explore the relationship between self-efficacy, motivation, and error orientation of nursing students during clinical internships.MethodThis was a cross-sectional study. An electronic questionnaire was distributed to nursing students from 14 September 2023 to 30 September at a comprehensive tertiary A teaching hospital in Zhengzhou, Henan province. The instruments used in this study included the General Information Questionnaire, General Self-efficacy Scale, Achievement Motives Scale, Security Scale, and Error Orientation Scale. Statistical Product and Service Software Automatically (SPSSAU) was used to perform statistical description, mediation analysis, and moderated mediation analyses.ResultsA total of 510 nursing students were included in this study. The motivation for success and failure-escaping fully mediated the relationships between self-efficacy and error orientation of nursing students, with a mediation effect of 0.101 (95% CI: 0.058–0.144). The security of nursing students moderated both the direct effect of this model and the indirect effect of motivation for failure-escaping. When security was high, the self-efficacy of nursing students was positively correlated with their error orientation, with an effect of 0.059 (95% CI: 0.003~0.116). When security was high, the moderation effect was significant, with an effect of −0.012 (95% CI: −0.026~-0.002). However, at low and median levels of security, the mediation effect was non-existent.ConclusionThe motivation for success and failure escaping play different roles in the paths between self-efficacy and error orientation. Clinical nursing teachers should take measures to enhance the motivation for success but reduce the failure-escaping motivation to improve the error orientation of nursing students. Additionally, it is crucial to pay attention to and improve the sense of security of students during clinical internships.
A qualitative exploration of perceived challenges and opportunities in the implementation of injury prevention and management in amateur female sport
Authors: Walshe Ayrton , Daly Ed , Ryan Lisa 
Published: July 2024

IntroductionCoaches, practitioners, and leadership in amateur female sport must navigate many obstacles in the pursuit of athlete availability and optimal performance. The present study aims to evaluate opportunities and challenges to both injury prevention and management in amateur female sport, as experienced by mixed-gender coaches, allied healthcare professionals, and general practitioners.MethodsSemi-structured virtual interviews of coaches, allied healthcare professionals, and general practitioners (N = 25), recruited via convenience snowball sample. Data transcribed verbatim with reflexive thematic analysis through a critical realism framework.ResultsFemale-specific issues, education, and resource capital were challenges to the implementation of injury prevention and management in amateur female sport, thus negatively impacting on performance, prevention, and rehabilitation. Opportunities for improved care for female athletes were developing communication and relationships, outsourcing responsibility, and providing greater education, in response to desires for such, and lastly exposure to elite sport and national governing bodies’ protocols.DiscussionIn amateur female sport, developing communication pathways and relationships, along with upskilling coaches, can help better support female athletes, coaches, and healthcare professionals. Leaders and stakeholders must advocate for and support greater education, resourcing, and an understanding of female-specific issues in amateur female sport. It is intended that these findings will provide evidence and opportunities for discourse between stakeholders in amateur female sport to improve standard of supports for female athletes, coaches, and healthcare professionals. These findings may also help practitioners better exploit opportunities and circumvent challenges to improve the welfare and performance of amateur female athletes.
Modeling the feasibility of fermentation-produced protein at a globally relevant scale
Authors: Fletcher Andrew J. , Smith Nick W. , Hill Jeremy P. , McNabb Warren C. 
Published: July 2024

IntroductionFermentation-produced protein (FPP) is gaining global interest as a means of protein production with potentially lower cost and environmental footprint than conventionally-produced animal-sourced proteins. However, estimates on the potential performance of FPP vary substantially, limiting assessment of its scalability and utility.MethodsWe integrate life cycle analysis data with nutritional and economic data in an interactive online tool, simulating the requirements and consequences of fermentation at a globally-relevant scale.ResultsThe tool demonstrates that production of an additional 18 million tons of protein annually via fermentation (~10% of 2020 global consumption) would necessitate 10–25 million hectares of feedstock cropland expansion/reallocation, utilize up to 1% of global electricity generation, produce 159 million tons CO2 equivalents, and have a total process input cost of 53.77 billion USD, with a negligible impact on nutrient supply beyond protein.DiscussionThis tool should be used to inform the debate on the future use of fermentation in the food system.
Prevalence of type 2 inflammation in patients with chronic rhinosinusitis with nasal polyps in Saudi Arabia
Authors: Aldajani Ahmad , Alroqi Ahmad , Alramyan Rana , Alhejin Nujud , Alswayyed Mohammed , Alrajban Waleed A. , Alromaih Saud , Aloulah Mohammad O. , Alrasheed Abdulaziz S. , Aldousary Surayie , Alsaleh Saad 
Published: July 2024

BackgroundChronic Rhinosinusitis (CRS) is a common condition causing a significant worldwide burden, affecting 5%–12% of the general population. CRS is classified into type 2 and non-type 2 disease based on endotype dominance. Type 2 inflammation is distinguished by the presence of IL-4, IL-5, and IL-13 cytokines, along with eosinophil and mast cell activation and recruitment. Evidence of type 2 inflammation is ascertained by tissue eosinophil count &gt;10/high-power field (HPF) or serum eosinophil &gt;250 cells/mcL or total immunoglobulin E (IgE) &gt; 100 IU/ml.ObjectivesTo investigate the prevalence and characteristics of type 2 inflammation in patients who presented with nasal polyps and underwent Endoscopic Sinus Surgery (ESS) in Saudi Arabia.DesignA retrospective cross-sectional Study.MethodsThis study was conducted among patients who presented with nasal polyps and underwent ESS at King Saud University Medical City (KSUMC) from 2015 to 2020. Patients with nasal/sinus diseases other than Chronic Rhinosinusitis with Nasal Polyps (CRSwNP) were excluded. Demographic data, olfaction status, and co-morbidities were collected, and radiological images were evaluated. Type 2-CRS was determined by meeting at least one of three predictor criteria (blood eosinophils ≥250 cells/mcL, tissue eosinophils ≥10/HPF, or total IgE levels ≥100 IU/ml). Blood parameters and histopathologic analysis were obtained for each patient.ResultsOf the 381 patients included in the study, the prevalence of type 2-CRS, based on the EPOS2020 criteria, was 99.7% in our population. Among these patients, 47.5% had hyposmia, 38.8% had anosmia, and 13.6% had normal olfaction. The most prevalent co-morbidity was allergic rhinitis, followed by bronchial asthma.ConclusionThis study aimed to determine the prevalence of type 2 inflammation among patients Diagnosed with CRSwNP and underwent ESS in Saudi Arabia. The results showed a prevalence of 99.7%, indicating that almost all recorded patients with CRSwNP in our population had type 2 inflammation.
Launch of the first canine mobile blood donation center in Asia: development, outcomes, and influence of an animal bloodmobile
Authors: Choi Hee-Jae , Han Hyun-Jung 
Published: July 2024

IntroductionA mobile blood donation station allows a maximum number of donors to donate blood at any location. In veterinary medicine, no previous studies have reported the use of bloodmobiles for blood donation in animals. We assessed Asia’s first canine mobile blood donation center, which was trialed using a modified vehicle in South Korea.MethodsA vehicle was modified into a canine bloodmobile with two sections: the front as a laboratory and the back as a blood collection room with necessary equipment. To recruit companion dogs nationwide, the campaign was advertised on television and promoted via social media. Applications of the dogs meeting the following criteria were accepted: in general good health, between 2-8 years old, body weight above 25kg, vaccinated, regularly on heartworm and ectoparasite prophylactics. Pre-donation procedures included medical screening and informed consent, followed by blood collection in a routine fashion. Post-donation, dogs were monitored for complications and owners completed a post-donation survey.ResultsOf the 750 applicants, 48 donor dogs were selected for investigation. Ten failed to donate blood owing to the following issues: behavioral problems (2/48), positive results on vector-borne disease screening tests (5/48), in-tubing clot formation (2/48), and absence on the relevant appointment date (1/48). Blood collection took approximately 12 minutes, and the entire procedure lasted an average of 1.5 hours per donor. The prevalence rates of dog erythrocyte antigen 1-negative and 1-positive blood were 32.6% and 67.4%, respectively. There were no donation-related complications, except for one dog that had contact dermatitis induced by clipper irritation. The post-donation survey completed by 46 owners revealed that most were satisfied with the campaign. The convenience of the mobile blood drive (93.5%) was a key factor contributing to high owner satisfaction and willingness to participate in future campaigns (95.7%), in line with findings from prior veterinary and human blood donation motivation research.DiscussionThe bloodmobile effectively increased engagement in canine blood donation by enhancing accessibility. To optimize canine mobile blood drives, procuring larger vehicles and enhancing infrastructure for future campaigns would be beneficial. In conclusion, this study showed that Asia’s first canine bloodmobile was successful in terms of improving the convenience, accessibility, and efficacy of canine blood donation. Although the concept is still unfamiliar to the public, active promotion of canine blood donation can help ensure a robust blood donation culture in the veterinary field.
Exploring the additive effect of Ampelopsis grossedentata flavonoids and Tween 80 on feeding Nubian goats
Authors: Zhu Junhong , Lu Ying , Gao Zhendong , Chong Yuqing , Li Mengfei , Deng Weidong , Xi Dongmei 
Published: July 2024

IntroductionThe ban on antibiotics in animal husbandry underscores the crucial need for safe, natural feed additives. This study investigates the effects of Ampelopsis grossedentata flavonoids (AGF) and Tween 80 on the growth performance, blood indexes, and rumen microbiota of Nubian goats, evaluating their potential as alternative feed additives in livestock management.MethodsThirty-two goats were randomly divided into four groups. The control group (CON group) was provided with a basal diet, while the experimental groups received diets supplemented with various dietary additives for a duration of 100 days: either a basal diet supplemented with 25 mg/kg of monensin (MN group), a basal diet containing 2.0 g/kg of Ampelopsis grossedentata flavonoids (AGF group), or a basal diet containing 7.5 mL/kg of Tween 80 (TW group). Blood and rumen fluid samples were collected for analysis at the end of the feeding period. Growth performance was monitored through regular weighing and feed intake measurements. Blood indexes were analyzed using standard biochemical techniques, while the microbial composition of the rumen fluid was determined through high throughput 16S rRNA gene sequencing to assess microbial diversity and function. The effects of the dietary treatments on growth performance, blood indexes, and rumen microbial composition were then evaluated.ResultsThe AGF group exhibited significantly increased average daily gain, and decreased feed-to-gain ratio (p &lt; 0.05). Blood indexes analysis revealed no differences between the CON and AGF groups, with both showing higher concentrations of triglyceride, low-density lipoprotein cholesterol, glutamic-pyruvic transaminase, alkaline phosphatase, and lactate dehydrogenase compared to the monensin group (p &lt; 0.05). The TW group had significantly higher glucose, glutamic-oxaloacetic transaminase, and glutamic-pyruvic transaminase levels than the MN group (p &lt; 0.05). Microbial diversity analysis revealed that the TW group had significantly greater alpha-diversity than other groups, while beta-diversity analysis showed closer similarity between the rumen microbiota of the AGF and CON groups. LEfSe analysis identified Proteobacteria, Deferribacteres, Ehryarchaeoia, and Elusimicrobia as biomarkers distinguishing the rumen microbiota among the groups. In conclusion, AGF supplementation increased the relative abundance of beneficial bacteria in the rumen of Nubian goats, and thus enhanced the growth performance. TW supplementation significantly increased rumen microbial diversity and abundance, suggesting benefits for rumen health despite poor palatability. These findings highlight the potential of AGF as a new green additive with important implications for the efficiency and development of animal husbandry.
Infections with Klebsiella pneumoniae in Children Undergoing Anticancer Therapy or Hematopoietic Cell Transplantation: A Multicenter Nationwide Study
Authors: Sękowska Alicja , Czyżewski Krzysztof , Jaremek Kamila , Zalas-Więcek Patrycja , Zając-Spychała Olga , Wachowiak Jacek , Szmydki-Baran Anna , Hutnik Łukasz , Gietka Agnieszka , Gryniewicz-Kwiatkowska Olga , Dembowska-Bagińska Bożenna , Semczuk Katarzyna , Dzierżanowska-Fangrat Katarzyna , Czogała Wojciech , Balwierz Walentyna , Żak Iwona , Tomaszewska Renata , Szczepański Tomasz , Bień Ewa , Irga-Jaworska Ninela , Machnik Katarzyna , Urbańska-Rakus Justyna , Pająk Sonia , Płonowski Marcin , Krawczuk-Rybak Maryna , Królak Aleksandra , Ociepa Tomasz , Urasiński Tomasz , Wawryków Paweł , Peregud-Pogorzelski Jarosław , Brzeski Tomasz , Mycko Katarzyna , Mańko-Glińska Hanna , Badowska Wanda , Urbanek-Dądela Agnieszka , Karolczyk Grażyna , Stolpa Weronika , Skowron-Kandzia Katarzyna , Mizia-Malarz Agnieszka , Pierlejewski Filip , Młynarski Wojciech , Musiał Jakub , Chaber Radosław , Zawitkowska Joanna , Zaucha-Prażmo Agnieszka , Drabko Katarzyna , Goździk Jolanta , Frączkiewicz Jowita , Salamonowicz-Bodzioch Małgorzata , Kałwak Krzysztof , Styczyński Jan 
Published: July 2024

Background: Klebsiella pneumoniae is a nosocomial pathogen that causes severe infections in immunocompromised patients. The aim of the study was to conduct a microbiological and clinical analysis of K. pneumoniae infections in children with malignancies or undergoing hematopoietic cell transplantation in Poland. Methods: We conducted a retrospective, multicenter study including children and adolescents under 19 years old treated between 2012 and 2021. We analyzed patients’ characteristics, microbiological data, and the outcomes of antibiotic therapy. Results: A total of 9121 newly diagnosed children were treated for malignancy and 1697 pediatric patients underwent hematopoietic cell transplantation. K. pneumoniae infections were diagnosed in 527 patients. Their overall incidence was 4.86% in pediatric hematology and oncology patients and 4.95% in patients who underwent hematopoietic cell transplantation. The incidence of infection was higher in patients with acute leukemia than with solid tumors (7.8% vs. 4.1%; OR = 2.0; 95% CI = 1.6–2.4; p < 0.0001). The most frequent source of infection was in the urinary tract at 55.2%. More than 57% of K. pneumoniae strains were extended-spectrum β-lactamase-positive and almost 34% were multidrug-resistant. Infections with K. pneumoniae contributed to death in 3.22% of patients. Conclusions: K. pneumoniae is one of the most critical pathogens in children suffering from malignancies or undergoing hematopoietic cell transplantation. The incidence of multidrug-resistant K. pneumoniae strains is increasing and contributing to poor clinical outcome.
Description and Whole-Genome Sequencing of Mariniflexile litorale sp. nov., Isolated from the Shallow Sediments of the Sea of Japan
Authors: Romanenko Lyudmila , Bystritskaya Evgeniya , Savicheva Yuliya , Eremeev Viacheslav , Otstavnykh Nadezhda , Kurilenko Valeriya , Velansky Peter , Isaeva Marina 
Published: July 2024

A Gram-negative, aerobic, rod-shaped, non-motile, yellow-pigmented bacterium, KMM 9835T, was isolated from the sediment sample obtained from the Amur Bay of the Sea of Japan seashore, Russia. Phylogenetic analyses based on the 16S rRNA gene and whole genome sequences positioned the novel strain KMM 9835T in the genus Mariniflexile as a separate line sharing the highest 16S rRNA gene sequence similarities of 96.6% and 96.2% with Mariniflexile soesokkakense RSSK-9T and Mariniflexile fucanivorans SW5T, respectively, and similarity values of <96% to other recognized Mariniflexile species. The average nucleotide identity and digital DNA–DNA hybridization values between strain KMM 9835T and M. soesokkakense KCTC 32427T, Mariniflexile gromovii KCTC 12570T, M. fucanivorans DSM 18792T, and M. maritimum M5A1MT were 83.0%, 82.5%, 83.4%, and 78.3% and 30.7%, 29.6%, 29.5%, and 24.4%, respectively. The genomic DNA GC content of strain KMM 9835T was 32.5 mol%. The dominant menaquinone was MK-6, and the major fatty acids were iso-C15:0, iso-C15:1ω10c, and C15:0. The polar lipids of strain KMM 9835T consisted of phosphatidylethanolamine, two unidentified aminolipids, an unidentified phospholipid, and six unidentified lipids. A pan-genome analysis showed that the KMM 9835T genome encoded 753 singletons. The annotated singletons were more often related to transport protein systems (SusC), transcriptional regulators (AraC, LytTR, LacI), and enzymes (glycosylases). The KMM 9835T genome was highly enriched in CAZyme-encoding genes, the proportion of which reached 7.3%. Moreover, the KMM 9835T genome was characterized by a high abundance of CAZyme gene families (GH43, GH28, PL1, PL10, CE8, and CE12), indicating its potential to catabolize pectin. This may represent part of an adaptation strategy facilitating microbial consumption of plant polymeric substrates in aquatic environments near shorelines and freshwater sources. Based on the combination of phylogenetic and phenotypic characterization, the marine sediment strain KMM 9835T (=KCTC 92792T) represents a novel species of the genus Mariniflexile, for which the name Mariniflexile litorale sp. nov. is proposed.
Exploring the Impact of Steric Effects on Ion Removal of Water Solutions under the Influence of an Electric Field
Authors: Bartzis Vasileios , Merlemis Nikolaos , Ninos Georgios , Sarris Ioannis E. 
Published: July 2024

In this study, we examine the movement of ions that are in a water solution which flows along a duct, due to the existence of an electric field, taking into account the size of the ions, a phenomenon known as the steric effect. We compare the results from the above model with the classical one (the one that uses the Boltzmann distribution where ions are considered dimensionless) for various parameters such as surface charge density, electric field and differential capacitance. It is shown that for dilute water solutions (1019–1024 ions/m3 final concentration at the center of the duct), with ions of valence z=1 (let us say saline water), steric effects become important for potentials greater than 1 V, and the phenomenon is more pronounced at higher concentrations. Furthermore, the steric effect model is applied to the calculation of the percentage of reduction in ion concentration in the main volume of the solution as a function of duct width for various electrode potentials and initial ion concentrations. Removal times are also calculated using Modified PNP equations which take into account steric effects. It is found that with a potential of 2.6 V, a 96% reduction in ions is achieved in the main volume of the solution for duct width 0.1 mm for 1021 ions/m3 final concentration at the center of the duct within approximately 1.6 s, while the percentage drops to 80% for duct width 1 mm. For smaller potentials, no noticeable decrease in concentration is observed, while for higher potentials, there are more impressive results, but we must be very careful because there is the case of other electrochemical phenomena taking place. The results are better when reducing the width of the duct, but relatively large widths are considered for the method to be practically applicable. With the increase in the concentration of the ions, their reduction percentage in the main volume of the solution decreases but remains significant up to 1023 ions/m3 final concentration at the center of the duct. In addition, the completion time is shown to be proportional to the duct width. Therefore, for example, with the other parameters the same (2.6 V, 1021 ions/m3) but with L~1 mm, the completion time can be estimated to be approximately 16 s. This observation enables us to estimate the completion time for different duct widths, eliminating the need for repeated numerical computation of the MPNP equations.
Tele-educação para o controle de asma nas escolas
Authors: Leal Heitor Calsaverini , Wichniauskas Eduarda , Oliveira Débora Moreira de , Silva Deisy Cristina Lopes da , Leal Renata Calsaverini 
Published: July 2024

O impacto da asma na sociedade, tem com um dos fatores causais, a lacuna de conhecimento sobre automanejo entre familiares e portadores, principalmente entre os escolares, grupo de maior prevalência da doença. Para que esta realidade seja ratificada, entre diversas iniciativas, a educação no formato digital ganha espaço no meio orientador e formador de conhecimento, de tal forma que, a telessaúde e teleducação proporcionem conteúdos de auto-cuidados de maneira eficiente e acessível à comunidade. Tendo, portanto, o objetivo de implementar a teleducação interativa para o manejo da asma na comunidade por meio do ambiente escolar e capacitar estudantes asmáticos e responsáveis, de forma remota, por meio de um estudo exploratório sob a estratégia de intervenção educativa, com abordagens quantitativa situacional e qualitativa de intervenção. Espera-se reproduzir conhecimento e replicar informações sobre asma entre a população e as famílias afetadas, de modo a modificar a qualidade de vida e a realidade da doença na idade escolar. Deste modo, construir subsídio para implementação de programas educativos na linha de cuidados às pessoas com asma brônquica.