bluuebunny/crossref_metadata_2025_split huggingface dataset:
Significant factors for work attractiveness and how these differ from the current work situation among operating department nurses
Authors: Björn Catrine , Lindberg Magnus , Rissén Dag 
Published: September 2015

Aims and objectivesThe aim was to examine significant factors for work attractiveness and how these differ from the current work situation among operating department nurses. A second objective was to examine the associations between age, gender, length of employment, work engagement, work ability, self‐rated health indicators and attractiveness of the current work situation.BackgroundThe attractiveness of work is rarely taken into account in research on nurse retention. To expand this knowledge, it is relevant to examine factors that make work attractive and their associations with related concepts.DesignCorrelational, cross‐sectional survey using a convenience sample.MethodsQuestionnaires were answered by 147 nurses in four operating departments in Sweden. Correlation and regression analyses were conducted.ResultsThe nurses rated the significance of all factors of work attractiveness higher than they rated those factors in their current work situation; salary, organisation and physical work environment had the largest differences. The most significant attractive factors were relationships, leadership and status. A statistically significant positive correlation between work engagement and attractive work was found. In the multiple regression model, the independent variables work engagement and older age significantly predicted work attractiveness.ConclusionsSeveral factors should be considered in the effort to increase work attractiveness in operating departments and thereby to encourage nurse retention. Positive aspects of work seem to unite work engagement and attractive work, while work ability and self‐rated health indicators are other important dimensions in nurse retention.Relevance to clinical practiceThe great discrepancies between the significance of attractive factors and the current work situation in salary, organisation and physical work environment suggest ways in which work attractiveness may be increased. To discover exactly what needs to be improved may require a deeper look into the construct of the examined factors.
Effect of intra‐abdominal administration of ligustrazine nanoparticles nano spray on postoperative peritoneal adhesion in rat model
Authors: Yan Shuai , Yue Yin‐zi , Zeng Li , Yue Jin , Li Wen‐lin , Mao Chun‐qin , Yang Lan 
Published: September 2015

AbstractAimWe aimed to evaluate the preventive effect of the ligustrazine nanoparticles nano spray (LNNS) for postoperative peritoneal adhesions in female rat models.Material and MethodsFifty Wistar female rats weighting 250–300 g were randomly assigned to seven equal groups. All animals in the seven groups underwent midline laparotomy and ceca were abraded with sterile rasp. Group 1 underwent sham operations without treatment. In group 2, a postoperative peritoneal adhesion model was created, but no medication was given. In group 3, a postoperative peritoneal adhesion model was treated with LNNS, 2.5 mg/kg. In group 4, a postoperative peritoneal adhesion model was treated with LNNS, 5 mg/kg. In group 5, a postoperative peritoneal adhesion model was treated with LNNS, 10 mg/kg. In group 6, a postoperative peritoneal adhesion model was treated with polylactic acid (PLA) nanoparticle. In group 7, a postoperative peritoneal adhesion model was treated with ligustrazine, 2.5 mg/kg. Ten days after surgery, macroscopic and pathologic assessments were performed, and peritoneal fluid samples were collected in each group. The levels of tumor necrosis factor‐α, tissue plasminogen activator and plasminogen activator inhibitor‐1 in peritoneal fluid were determined by enzyme‐linked immunosorbent assay.ResultsThe adhesion score and extent of groups 4 and 5 was lower than that of group 2 in macroscopic assessment (P < 0.05). A comparison of tumor necrosis factor‐α and tissue plasminogen activator level in the peritoneal fluid also demonstrated significant differences among groups 2, 4 and 5 (P < 0.05). The levels of plasminogen activator inhibitor‐1 in peritoneal fluid in the LNNS groups were decreased compared to group 1.ConclusionWe suggest that LNNS could reduce peritoneal adhesion formation and it could be applied as a novel intervention for postoperative peritoneal adhesion.
Mifepristone and misoprostol compared with misoprostol alone for induction of labor in intrauterine fetal death: A randomized trial
Authors: Chaudhuri Picklu , Datta Sutapa 
Published: September 2015

AbstractAimTo assess whether mifepristone and misoprostol are more beneficial than misoprostol alone for the induction of labor in women with intrauterine fetal death.MethodsA randomized double blind placebo‐controlled parallel group superiority trial was conducted. One hundred and ten women who had experienced fetal death at or later than 20 weeks of gestation were randomized by computer‐generated random number sequence to receive 200 mg of mifepristone or matched placebo tablets orally. Misoprostol was administered vaginally to women of both groups after 36–48 h. The main outcomes studied were the fetal‐placental delivery rate within 24 hours of commencement of the first dose of misoprostol without additional intervention and the induction‐delivery interval.ResultsSuccessful delivery occurred significantly more frequently in women who received mifepristone prior to misoprostol than in women who received only misoprostol (92.5 % [49/53] compared with 71.2% [37/52] respectively; P = 0.001). The mean induction‐delivery interval was also significantly shorter when using mifepristone plus misoprostol than using misoprostol alone (9.8 h, standard deviation, 4.4 compared with 16.3 h standard deviation, 5.7, respectively; P < 0.001).ConclusionUse of a combination of mifepristone and misoprostol significantly improved the rate of successful delivery and shortened the induction‐delivery interval in women who had experienced fetal death compared with the use of misoprostol alone.
Long‐lasting analgesic effect of transcranial direct current stimulation in treatment of chronic endometriosis pain
Authors: Rostami Reza , Badran Bashar W. , Kazemi Reza , Habibnezhad Mohammad , George Mark S. 
Published: September 2015

AbstractApproximately 10–20% of women of reproductive age suffer from endometriosis, with 70–90% of these women reporting chronic pain symptoms that persist during their menstrual cycle. We are presenting a case in which a novel form of noninvasive brain stimulation called transcranial direct current stimulation was used as an intervention in a 32‐year‐old woman with persistent, chronic pain symptoms caused by endometriosis for 20 years. Ten daily, 20‐min sessions of 2‐mA anodal transcranial direct current stimulation were applied over the left primary motor cortex. Acutely, visual analog scale pain symptoms were reduced by 60%. There were also significant decreases in modules of the Endometriosis Health Profile. At the 4‐month follow‐up, the patient still expressed an overall decrease in pain symptoms of 30%.
Survey of Japanese mothers of daughters eligible for human papillomavirus vaccination on attitudes about media reports of adverse events and the suspension of governmental recommendation for vaccination
Authors: Egawa‐Takata Tomomi , Ueda Yutaka , Morimoto Akiko , Yoshino Kiyoshi , Kimura Tadashi , Nishikawa Nobumichi , Sekine Masayuki , Horikoshi Yorihiko , Takagi Tetsu , Enomoto Takayuki 
Published: September 2015

AbstractAimFollowing media reports of adverse medical events surrounding human papillomavirus (HPV) vaccination and the suspension of Japanese governmental recommendation, most adolescents have refrained from receiving the vaccine. This represents a national critical event, because the incidence of cervical cancer in Japan continues to increase.MethodsWe conducted an Internet survey to investigate why Japanese adolescent girls decline, continue or discontinue their HPV vaccination, how their mothers influence their decision, and the mothers’ feelings about future HPV vaccination for their daughters. One thousand mothers with daughters 10–18 years of age were recruited for our questionnaire.ResultsOur results suggest that acceptance of the HPV vaccine was determined predominantly by the mother's perceptions of risk versus benefits, rather than the daughter's wishes. The mothers’ knowledge of the benefits of the prophylactic HPV vaccine and their attitude toward cervical cancer screening influenced their decision whether to allow their daughter to receive future vaccinations. The tenor of survey responses of those mothers who were anti‐vaccine changed significantly to the positive in response to a proposed scenario where the governmental recommendation for the HPV vaccine was reinstated, whereas a hypothetical educational intervention sheet did not significantly change their attitude.ConclusionsPromotion of the HPV vaccine through comprehensive education for both mothers and daughters, not only on the vaccine itself, but also about cervical cancer and screening, is required for any successful program to prevent cervical cancer.
Did antepartum hypoxic insult caused by fetal vessel thrombosis influence the procalcitonin level in umbilical blood? A case report
Authors: Kaneko Masatoki , Yamauchi Aya , Yamashita Rie , Sato Yuichiro , Kodama Yuki , Sameshima Hiroshi 
Published: September 2015

AbstractWe report a case of marked elevation of the procalcitonin level in umbilical blood and neonatal blood at birth. The mother did not perceive fetal motion. Antepartum fetal heart rate monitoring showed a loss of variability and absence of acceleration. No fetal breathing movement, fetal movement, or fetal tone were observed by ultrasonography. The female neonate was delivered by cesarean section at 25 weeks of gestation, with birthweight 774 g. The umbilical arterial pH value at birth was 7.29. Mild elevation in interleukin‐6 and tumor necrosis factor‐α in umbilical blood were observed. Cytochrome c showed a high level in umbilical and neonatal blood at birth. Placental histopathology revealed multiple fetal vessel thrombosis in the large stem villi and chorionic vessels. The neonate showed no infectious signs throughout the neonatal period. Computed tomography at 3 months of age revealed atrophy in the cerebrum and cerebellum. At 1 year after birth, the infant showed spastic quadriplegia. In this case, antepartum asphyxia due to fetal vessel thrombosis may have influenced the elevation of procalcitonin level in umbilical blood and neonatal blood at birth.
The Effect of Tissue Entrapment on Screw Loosening at the Implant/Abutment Interface of External‐ and Internal‐Connection Implants: An In Vitro Study
Authors: Zeno Helios A. , Buitrago Renan L. , Sternberger Sidney S. , Patt Marisa E. , Tovar Nick , Coelho Paulo , Kurtz Kenneth S. , Tuminelli Frank J. 
Published: September 2015

AbstractPurposeTo compare the removal of torque values of machined implant abutment connections (internal and external) with and without soft tissue entrapment using an in vitro model.Materials and MethodsThirty external‐ and 30 internal‐connection implants were embedded in urethane dimethacrylate. Porcine tissue was prepared and measured to thicknesses of 0.5 and 1.0 mm. Six groups (n = 10) were studied: External‐ and internal‐connection implants with no tissue (control), 0.5, and 1.0 mm of tissue were entrapped at the implant/abutment interface. Abutments were inserted to 20 Ncm for all six groups. Insertion torque values were recorded using a digital torque gauge. All groups were then immersed in 1 M NaOH for 48 hours to dissolve tissue. Subsequent reverse torque measurements were recorded. Mean and standard deviation were determined for each group, and one‐way ANOVA and Bonferroni test were used for statistical analysis.ResultsAll 60 specimens achieved a 20‐Ncm insertion torque, despite tissue entrapment. Reverse torque measurements for external connection displayed a statistically significant difference (p < 0.05) between all groups with mean reverse torque values for the control (13.71 ± 1.4 Ncm), 0.5 mm (7.83 ± 2.4 Ncm), and 1.0 mm tissue entrapment (2.29 ± 1.4 Ncm) groups. Some statistically significant differences (p < 0.05) were found between internal‐connection groups. In all specimens, tissue did not completely dissolve after 48 hours.ConclusionsExternal‐connection implants were significantly affected by tissue entrapment; the thicker the tissue, the lower the reverse torque values noted. Internal‐connection implants were less affected by tissue entrapment.
Changes in Upper Airway Volume in Edentulous Obstructive Sleep Apnea Patients Treated with Modified Mandibular Advancement Device
Authors: Tripathi Arvind , Gupta Ashutosh , Sarkar Sabyasachi , Tripathi Suryakant , Gupta Narendra 
Published: September 2015

AbstractPurposeThis study was an attempt to verify the utility of complete dentures modified as a mandibular advancement device (MAD) in effecting expansion in pharyngeal volume to treat obstructive sleep apnea (OSA) in edentulous patients.Materials and MethodsThe sample consisted of 17 patients (12 male, 5 female, average age 61 ± 4 years; BMI, 22 ± 5; apnea hypopnea index [AHI] 15 to 30). All patients had worn complete dentures for at least 1 year; all patients had the dentures modified to a MAD. Five variables were assessed preoperatively and 6 months after wearing the modified MADs. These variables were: sleep efficiency, AHI, oxygen desaturation events/hr., mean oxygen saturation, snoring index, and airway volume. This assessment was done by subjecting the patients to all‐night polysomnography.ResultsWithout any prosthesis or device in the edentulous patients, the mean velopharyngeal volume was 8.05 ± 0.58 cm3, oropharyngeal volume was 2.14 ± 0.38 cm3, and hypopharyngeal volume was 3.26 ± 0.78 cm3. With complete dentures (unaltered) in the edentulous patients, the mean velopharyngeal, oropharyngeal, and hypopharyngeal volumes were 10.73 ± 0.98 cm3, 2.60 ± 0.48 cm3, and 4.31 ± 0.89 cm3, respectively. There was a statistically significant change in the airway volume following insertion of the complete dentures modified as MADs with velopharyngeal, oropharyngeal, and hypopharyngeal volume recorded as 11.76 ± 1.07 cm3, 3.33 ± 0.51 cm3, and 4.94 ± 0.83 cm3, respectively.ConclusionFrom the results obtained in this limited small sample study, it was inferred that the pharyngeal expansion induced by complete dentures modified as MADs effectively reduced symptoms of OSA. Increased volume was most pronounced in the velopharynx region followed by hypopharynx and oropharynx.
CARE OF A PATIENT'S VASCULAR ACCESS FOR HAEMODIALYSIS: A NARRATIVE LITERATURE REVIEW
Authors: Cowan Debi , Smith Lindsay , Chow Josephine 
Published: September 2015

SUMMARYBackgroundPatients requiring haemodialysis have diverse clinical needs impacting on the longevity of their vascular access and their quality of life. A clinical practice scenario is presented that raises the potential of unsafe cannulation of a patient's vascular access as a result of minimal patient empowerment. Vascular access care is the responsibility of everyone, including the patient and carer.AimThe aim of this narrative literature review (1997–2014) is to explore the current understanding of what factors influence the care of vascular access for haemodialysis.MethodA narrative literature review allows the synthesis of the known literature pertinent to the research question into a succinct model or unique order to enable new understandings to emerge. The bio‐ecological model was used to guide the thematic analysis of the literature.ResultsThe narrative literature review revealed five themes related to care of vascular access: patient experience; relationships‐empowerment and shared decision making; environment of healthcare; time; and quality of life as the outcome of care.ConclusionThe management of vascular access is complicated. Current available literature predominantly concentrates on bio‐medical aspects of vascular access care. Contextualised vascular access care in the complex ecology of the patient and carer's lives has the potential to enhance nursing practice and patient outcomes.
Insomnia symptoms and mortality: a register‐linked study among women and men from Finland, Norway and Lithuania
Authors: Lallukka Tea , Podlipskytė Aurelija , Sivertsen Børge , Andruškienė Jurgita , Varoneckas Giedrius , Lahelma Eero , Ursin Reidun , Tell Grethe S. , Rahkonen Ossi 
Published: September 2015

SummaryEvidence on the association between insomnia symptoms and mortality is limited and inconsistent. This study examined the association between insomnia symptoms and mortality in cohorts from three countries to show common and unique patterns. The Finnish cohort comprised 6605 employees of the City of Helsinki, aged 40–60 years at baseline in 2000–2002. The Norwegian cohort included 6236 participants from Western Norway, aged 40–45 years at baseline in 1997–1999. The Lithuanian cohort comprised 1602 participants from the City of Palanga, aged 35–74 years at baseline in 2003. Mortality data were derived from the Statistics Finland and Norwegian Cause of Death Registry until the end of 2012, and from the Lithuanian Regional Mortality Register until the end of 2013. Insomnia symptoms comprised difficulties initiating sleep, nocturnal awakenings, and waking up too early. Covariates were age, marital status, education, smoking, alcohol, physical inactivity, obesity, diabetes, cardiovascular diseases, depression, shift work, sleep duration, and self‐rated health. Cox regression analysis was used. Frequent difficulties initiating sleep were associated with all‐cause mortality among men after full adjustments in the Finnish (hazard ratio 2.51; 95% confidence interval 1.07–5.88) and Norwegian (hazard ratio 3.42; 95% confidence interval 1.03–11.35) cohorts. Among women and in Lithuania, insomnia symptoms were not statistically significantly associated with all‐cause mortality after adjustments. In conclusion, difficulties initiating sleep were associated with mortality among Norwegian and Finnish men. Variation and heterogeneity in the association between insomnia symptoms and mortality highlights that further research needs to distinguish between men and women, specific symptoms and national contexts, and focus on more chronic insomnia.
Sense‐Think‐Act Framework for Intelligent Building Energy Management
Authors: Katsigarakis K.I. , Kontes G.D. , Giannakis G.I. , Rovas D.V. 
Published: September 2015

AbstractThe realization of smart and energetically efficient buildings is contingent upon the successful implementation of two tasks that occur on distinct phases of the building life cycle: in the design and subsequent retrofitting phases, the selection and implementation of an effective energy concept, and, during the operation phase, the actuation of energy systems to ensure parsimonious energy use while retaining acceptable end‐user thermal comfort. Operational efficiencies are achieved through the use of Building Energy Management Systems tasked to deliver core Sense, Think, Act (STA) functionalities: Sense, using sensing modalities installed in the building; Think, utilizing, typically a rule‐based decision system; and Act, by sending actuation commands to controllable building elements. Providing the intelligence in this STA process can be a formidable task due to the complex interplay of many systems and occurrence of disturbances. In this article, an architectural and algorithmic framework is presented to provide streamlined implementation of this process. Important ingredients in this framework are: (S) a data access component capable of collecting and aggregating information from a number of heterogeneous sources (sensors, weather stations, weather forecasts); (T) a model‐based optimization methodology to generate intelligent operational decisions; and (A) an assessment and actuation component. An illustrative application of the proposed methodology in an office building is provided.
GA‐Based Multi‐Objective Optimization for Retrofit Design on a Multi‐Core PC Cluster
Authors: Park Keunhyoung , Oh Byung Kwan , Park Hyo Seon , Choi Se Woon 
Published: September 2015

AbstractThis article presents a distributed nondominated sorting genetic algorithm II (NSGA‐II) for optimal seismic retrofit design using buckling restrained braces (BRBs) on a cluster of multi‐core PCs. In the formulation, two conflicting objective functions of the initial BRB installation cost required for seismic retrofitting and damage cost that can be incurred by earthquakes expected during the life cycle of the structure were minimized. Because time‐consuming nonlinear structural analyses are required for fitness evaluations of individuals in every generation, parallelism at candidate design level or individual level is exploited by assigning fitness evaluations for individuals to slave core processors evenly. The distributed algorithm is applied to seismic retrofit design of 2D steel frame structure and 3D irregular reinforced concrete structure. The performance of the distributed NSGA‐II was assessed based on three criteria: convergence of the distributed algorithm, efficiency of distributed computing, and quality of optimal solutions. Implementation of the distributed algorithm on the multi‐core cluster consisting of up to 64 core processors resulted in relatively high speedups or efficiencies of the distributed optimization without deteriorating the quality of the optimal solutions.
N‐acteyl‐ß‐D‐glucosaminidase and kidney injury molecule‐1: New predictors for long‐term progression of chronic kidney disease in patients with heart failure
Authors: Jungbauer Carsten G. , Uecer Ekrem , Stadler Stefan , Birner Christoph , Buchner Stefan , Maier Lars S. , Luchner Andreas 
Published: September 2015

AbstractAimPatients with chronic heart failure (CHF) are often characterized by the cardiorenal syndrome (CRS). The aim of the present study was to assess whether novel markers of kidney injury are able to predict progression of chronic kidney disease (CKD) in patients with CHF.MethodsNew renal biomarkers, N‐acteyl‐ß‐D‐glucosaminidase (NAG), kidney injury molecule‐1 (KIM‐1) and Neutrophil Gelatinase‐Associated Lipocalin (NGAL), were assessed from urine samples of 149 patients with chronic heart failure. During a 5‐year‐follow‐up, renal function was assessed by creatinine and estimated glomerular filtration rate (eGFR CKD EPI) and was available for 138 patients. Further, data regarding all‐cause mortality was obtained.ResultsTwenty‐six patients (18.8%) developed a progression of CKD during the follow‐up period, as defined by decline in eGFR category accompanied by a ≥25% drop in eGFR form baseline. No difference regarding age, sex, body mass index, hypertension, diabetes or EF was present between patients with and without CKD progression (each P = n.s.). At baseline, creatinine concentrations and eGFR were significantly different between both groups (sCr: 1.50 ± 0.67 vs 1.04 ± 0.37, P = < 0.001; eGFR: 47.8 ± 12.3 vs. 77.3 ± 23.5 mL/min per 1.73m2, each P < 0.001). In a Kaplan–Meier‐analysis, KIM‐1 and NAG were significant predictors for CKD progression (both P < 0.05). In Cox regression analysis, NAG > median (OR 3.25,P = 0.013), initial eGFR (OR 0.94, P < 0.001) and diuretic use (OR 3.92, P = 0.001) were independent predictors of CKD progression. Further, KIM‐1 and NAG were also independent predictors of a combined endpoint of CKD progression and all‐cause mortality by Cox regression analysis (each P < 0.05). The combination of both markers showed additive value regarding both endpoints. NGAL showed no association with CKD progression.ConclusionsDuring long‐term follow‐up chronic heart failure patients with CKD show a relevant disease progression. The current study emphasizes a strong association of the tubular biomarkers NAG and KIM‐1 with CKD progression in chronic heart failure and suggests their usefulness as cardiorenal markers.