bluuebunny/crossref_metadata_2025_split huggingface dataset:
Strategic Design Skills in a Live Project: A Case Study of a Graduate Studio Course
Authors: Mejía G. Mauricio , Xie Yumeng , Simeone Luca , Tomlin Stephanie 
Published: June 2024

AbstractAs design becomes more oriented towards strategy, services and systems, design learning is no longer something apprentices can develop only with masters’ input and critique. Further, the experimentation and reflection commonly occurring inside studio‐based education is insufficient. Real‐world or live projects offer an alternative to learning strategic design skills and approaches such as design research, experience prototyping, visioning, co‐design or systems thinking. In this paper, we report a case study of a graduate studio live project exploring the use of strategic design skills. The findings suggest that students spend more time on and practice synthesis skills for research, reframing and dealing with uncertainty. They also develop skills for modelling and prototyping to address the need to improve communication with stakeholders. On the contrary, they underdevelop skills such as speculation, stakeholder facilitation and implementation viability. While live projects offer benefits, not all strategic design skills are equally used. Instructors’ main role is to coach students and prepare them to interact with the client. Learning evaluation focuses not only on the process but also on the outcomes.
Achieving consensus on the essential knowledge and skills needed by nursing students to promote planetary health and sustainable healthcare: A Delphi study
Authors: Levett‐Jones Tracy , Catling Christine , Cheer Sarah , Fields Lorraine , Foster Anna , Maguire Jane , Mcintyre Erica , Moroney OAM Tracey , Pich Jacqueline , Pitt Victoria , Whiteing Nicola , Lokmic‐Tomkins Zerina 
Published: June 2024

AbstractAimTo achieve consensus on the knowledge and skills that undergraduate/pre‐licensure nursing students require to steward healthcare towards a more sustainable future.DesignA two‐phase real‐time Delphi study.MethodsPhase 1 included the generation of Planetary Health, climate change and sustainability knowledge and skill statements based on a review of relevant literature. Phase 2 consisted of a real‐time Delphi survey designed to seek consensus on the proposed statements from a panel of 42 international experts.ResultsOf the 49 survey statements, 44 (90%) achieved ≥75% consensus and 26 (53%) achieved ≥80% consensus. Three were removed and 32 were modified to improve clarity of language.ConclusionThe knowledge and skills statements that emerged through this Delphi study can serve as a guide for incorporating Planetary Health, climate change and sustainability into nursing education programs.Implications for the ProfessionIncorporating Planetary Health and climate change education into nursing programs has the potential to produce more environmentally conscious and socially responsible nurses.ImpactThe absence of consensus on the essential knowledge and skills expected of nursing students has hindered the advancement of curricula and impacted educators' confidence in teaching Planetary Health and climate change. This study has resulted in a meticulously crafted framework of knowledge and skill statements that will be beneficial to educators, the future nursing workforce, and, ultimately, the individuals and communities whom nurses serve.Reporting MethodThis paper adheres to the Conducting and REporting DElphi Studies (CREDES) reporting guideline.Patient or Public ContributionNo patient or public contribution.
Premature ventricular complexes after catheter ablation for atrial fibrillation: Accounting for regression to the mean
Authors: Choy Alex , Stanton Eric , Gegechkori Nana , Gibson Kyle , Strzeciwilk Magdalena , Lam Jeff , Hsia Brian , Dukkipati Srinivas , Reddy Vivek Y. , Whang William 
Published: June 2024

AbstractIntroductionPrior studies have indicated that the frequency of premature ventricular complexes (PVC) increases after catheter ablation for atrial fibrillation (AF). However, these studies have primarily focused on patients whose PVC burden increased rather than including the full spectrum of outcomes.Methods and ResultsWe performed a single‐center retrospective cohort study of consecutive patients who underwent first‐time AF ablation from 1/2018 to 12/2022 for paroxysmal or persistent AF and had both preablation and postablation rhythm monitoring within 6 months of the procedure. Patients were excluded if they had prior AF or PVC ablation or were prescribed a class I or III antiarrhythmic medication. Among 2945 patients who underwent AF ablation during the study period, 130 patients underwent first‐time AF ablation and received both pre and post ambulatory monitoring. The median PVC burden before ablation was <1%. Most patients (63%) had no change in PVC burden after AF ablation compared with preablation, and patients who had an increase in PVC burden were offset by those with reductions in PVCs. A paired analysis pre‐ and post‐AF ablation showed no significant change in PVC burden (p = .495).ConclusionAlthough an elevated PVC burden after AF ablation may be seen clinically, the majority of patients have no change in burden. Studies that suggest an increase in PVC burden after AF ablation may suffer from incomplete sample selection and thus omit the important effect of regression to the mean.
Factors delaying non‐metastatic breast cancer adjuvant therapy and impact on prognosis in a cohort of Brazilian women
Authors: Veiga Maria A. C. , Medeiros Giselle C. , de Aguiar Suzana S. , Bergmann Anke , Thuler Luiz C. S. 
Published: June 2024

AbstractObjectiveTo identify factors associated with delays in beginning adjuvant therapy and prognosis impacts on non‐metastatic breast cancer patients.MethodsThis assessment comprised a prospective cohort study concerning breast cancer patients treated at a public oncology centre. A time interval of ≥60 days between surgery and the beginning of the first adjuvant treatment was categorised as a delay. Factors associated with delays were evaluated through logistic regression analysis and the prognosis effects were assessed by a Cox regression analysis.ResultsThe median time interval between surgery and the first adjuvant treatment for the 401 women included in this study was of 57.0 days (37.0–93.0). Independent factors associated with delays comprised not presenting an overexpression of the HER‐2 protein, not having undergone neoadjuvant chemotherapy, and having undergone chemotherapy or other therapeutic modalities other than hormone therapy and chemotherapy as the first adjuvant treatment. Delays did not affect recurrence, distant metastasis, or death risks. Factors associated with recurrence and distant metastasis risks comprised a clinical staging ≥2B, having undergone neoadjuvant chemotherapy, presenting the luminal molecular subtype B and triple‐negative tumours, and having children. Factors associated with death comprised triple‐negative molecular tumours and neoadjuvant chemotherapy.ConclusionDelays in beginning adjuvant treatment did not affect the prognosis of non‐metastatic breast cancer patients. Clinical and treatment‐related factors, on the other hand, were associated with delays, and recurrence, distant metastasis, and death risks.
Efficacy of endoscopic ultrasound‐guided gastroenterostomy using self‐expandable metallic stent for afferent loop syndrome: A single‐center retrospective study
Authors: Hagiwara Yuya , Hijioka Susumu , Nagashio Yoshikuni , Maruki Yuta , Ohba Akihiro , Kawasaki Yuki , Takeshita Kotaro , Takasaki Tetsuro , Agarie Daiki , Hara Hidenobu , Yagi Shin , Fukuda Soma , Kuwada Masaru , Yamashige Daiki , Okamoto Kohei , Chatto Mark , Kondo Shunsuke , Morizane Chigusa , Ueno Hideki , Endo Masato , Sugawara Shunsuke , Sone Miyuki , Saito Yutaka , Tsuchiya Kiichiro , Okusaka Takuji 
Published: June 2024

AbstractBackground and AimEndoscopic ultrasound‐guided gastroenterostomy is a procedure used to connect the stomach and dilated afferent loop using a stent under endoscopic ultrasound for afferent loop syndrome. However, the actual efficacy and safety of this procedure remain unclear. Therefore, this retrospective study aimed to evaluate the efficacy and safety of endoscopic ultrasound‐guided gastroenterostomy using a laser‐cut‐type fully covered self‐expandable metallic stent and an anchoring plastic stent for afferent loop syndrome.MethodsTechnical and clinical success rates, adverse events, recurrent intestinal obstruction rates, time to recurrent intestinal obstruction, and technical and clinical success rates of re‐intervention were evaluated in intended patients who underwent endoscopic ultrasound‐guided gastroenterostomy for afferent loop syndrome from October 2018 to August 2022.ResultsIn 25 intended patients with afferent loop syndrome who intended endoscopic ultrasound‐guided gastroenterostomy, the technical success rate was 100% (25/25), whereas the clinical success rate was 96% (24/25). Two patients experienced grade ≥ 3 early adverse events, including one with intra‐abdominal abscess and one with hypotension. Both events were attributed to intestinal fluid leakage. No late adverse events were observed. The recurrent intestinal obstruction rate was 32% (8/25), and the median time to recurrent intestinal obstruction was 6.5 months (95% confidence interval: 2.8–not available). The technical and clinical success rates of re‐intervention were both 100% (8/8).ConclusionsEndoscopic ultrasound‐guided gastroenterostomy using a fully covered self‐expandable metallic stent and an anchoring plastic stent is effective and safe as a treatment procedure for afferent loop syndrome.
Colonoscopy findings after increasing two‐stool faecal immunochemical test (FIT) cut‐off: Cross‐sectional analysis of the SCREESCO randomized trial
Authors: Westerberg Marcus , Eriksson Julia , Metcalfe Chris , Löwbeer Christian , Ekbom Anders , Steele Robert , Holmberg Lars , Forsberg Anna 
Published: June 2024

AbstractBackgroundWe determined the impact of an increased two‐stool faecal immunochemical test (FIT) cut‐off on colonoscopy positivity and relative sensitivity and specificity in the randomized controlled screening trial screening of Swedish colons conducted in Sweden.MethodsWe performed a cross‐sectional analysis of participants in the FIT arm that performed FIT between March 2014 and 2020 within the study registered with ClinicalTrials.gov, NCT02078804, who had a faecal haemoglobin concentration of at least 10 µg/g in at least one of two stool samples and who underwent a colonoscopy (n = 3841). For each increase in cut‐off, we computed the positive predictive value (PPV), numbers needed to scope (NNS), sensitivity and specificity for finding colorectal cancer (CRC) and advanced neoplasia (AN; advanced adenoma or CRC) relative to cut‐off 10 µg/g.ResultsThe PPV for AN increased from 23.0% (95% confidence intervals [CI]: 22.3%–23.6%) at cut‐off 10 µg/g to 28.8% (95% CI: 27.8%–29.7%) and 33.1% (95% CI: 31.9%–34.4%) at cut‐offs 20 and 40 µg/g, respectively, whereas the NNS to find a CRC correspondingly decreased from 41 to 27 and 19. The PPV for AN was higher in men than women at each cut‐off, for example 31.5% (95% CI: 30.1%–32.8%) in men and 25.6% (95% CI: 24.3%–27.0%) in women at 20 µg/g. The relative sensitivity and relative specificity were similar in men and women at each cut‐off.ConclusionA low cut‐off of around 20–40 µg/g allows detection and removal of many AN compared to 10 µg/g while reducing the number of colonoscopies in both men and women.
Determination of the region‐specific characteristics of traditional Korean doenjang produced in Chungcheongbuk‐do through physicochemical property, enzyme activity, and descriptive sensory analyses
Authors: Jo Yongwoo , Hwang In‐Seo , Kim Mina K. 
Published: June 2024

AbstractThis study determined the region‐specific characteristics of traditional doenjang produced in Chungcheongbuk‐do by analyzing the physicochemical properties, enzyme activities, and aroma characteristics of the samples. Color, moisture, pH, soluble solid content, salinity, acid value, titratable acidity, amylase and protease activities, and NH2‐N, alcohol, and total/reducing sugar contents were analyzed. A descriptive sensory analysis involving trained sensory panelists was also conducted for aroma profile determination. Similarities were observed among the samples produced in the same city. The Yeongdong‐made samples had strong fermented and lipid/musty aromas. The Cheongju‐made doenjang had a high protease activity and a high NH2‐N content. The Goesan‐made samples had a high reducing sugar content due to amylase activities and a fishy aroma, and the Jincheon‐made doenjang had a high soluble solid content and an intense spice aroma. This study describes for the first time the region‐specific characteristics of traditional doenjang produced in Chungcheongbuk‐do.Practical applicationsTraditional food produced through a natural fermentation process may have differences in physicochemical properties and flavor due to the diversity of microbial communities depending on the region and environment. Previous studies have identified the characteristics of traditional Korean fermented foods such as doenjang and kimchi in each region, but this study is the first to analyze differences in the characteristics of traditional doenjang produced in a small city within a specific region (Chungcheongbuk‐do). The findings from this study can give baseline information on the doenjang produced by small‐ to mid‐sized doenjang manufacturers located in Chungcheongbuk‐do, and allow them to use it for strategic marketing to expand their market to the national market in Korea.
Attitudes of nurses and nurse managers towards violence risk assessment and management: A cross‐sectional study in psychiatric inpatient settings
Authors: Varpula Jaakko , Ameel Maria , Lantta Tella 
Published: June 2024

Accessible SummaryWhat is known on the subject

Workplace violence is a significant challenge in psychiatric hospital care.

Some existing practices of violence risk assessment and management are based on nurses' intuition and clinical experience instead of structured tools.

What the paper adds to existing knowledge

Nurses and nurse managers consider violence risk assessment and management their responsibility. Still, nurses and nurse managers have mixed attitudes towards the use of validated risk assessment tools.

The attitudes towards service users' positive risk‐taking in nurses and nurse managers vary, with some nurses and nurse managers supporting its importance.

What are the implications for practice

Change in nurses' and nurse managers' attitudes towards risk assessment tools is required before their implementation into practice.

More profound change in practices towards recovery‐oriented care is required also in risk assessment.

AbstractIntroductionWorkplace violence is a prevalent issue in psychiatric inpatient care. Prevention efforts require the identification of at‐risk service users using validated violence risk assessment tools. The shift in violence prevention emphasises preventive measures and collaborative risk assessment together with service users. Nurses have a central role in this process. Therefore, their attitudes are crucial when implementing evidence‐based methods.AimTo assess the attitudes of nurses and nurse managers towards violence risk assessment and management.MethodA cross‐sectional online survey in Finnish psychiatric inpatient care. Data analysis was conducted with statistical methods. The STROBE guideline was used in reporting.ResultsNurses (n = 142) valued risk assessment and felt that it was their responsibility. Attitudes towards service users' risk‐taking as part of their recovery varied. Nurses had mixed attitudes regarding the effectiveness of risk assessment tools. Older participants and nurse managers had more positive attitudes towards risk assessment tools.DiscussionThe study findings highlight a feeling of responsibility of nurses towards violence risk assessment and at the same time their preference towards their own clinical judgement.Implications for PracticeUnderstanding nurses' attitudes is crucial in training and implementation processes to address concerns, provide support and enhance positive attitudes.
Reproductive and vegetative remains of an eucalypt (Myrtaceae) from the early Eocene of India
Authors: Patel Raman , Ali Ashif , de Almeida Rafael F. , Rana Rajendra S. , Khan Mahasin A. 
Published: June 2024

AbstractEucalypt fossils were widely reported from the Cenozoic deposits across the Southern Hemisphere (Australia, New Zealand, and Argentina). However, no attached reproductive and vegetative fossil remains of this myrtaceous clade have been discovered till now. We report and describe for the first time a fossil eucalypt twig with attached foliage, flower buds, and mature flowers from the early Eocene (~55–52 Ma) sediments (Palana Formation) of Rajasthan, western India. As both vegetative and reproductive organs are in organic connection, they clearly represent the same species. In addition, here we also introduce fossil materials of isolated leaves, flower buds, inflorescence, and flowers recovered from the same stratigraphic level. Our Eocene fossils and extant members of the eucalypt clade are related morphologically by means of robust, thick petiolate lanceolate‐shaped leaves with intramarginal secondary veins; operculate flower buds consisting of imbricate petals with discernable margins; solitary inflorescence with three flowers per umbellaster, epigynous and bisexual flowers. Based upon combined characteristics of leaf, flower, and bud morphology, these fossils conform to the Eucalypt clade and are recognized as a new fossil genus and species: Hindeucalyptus eocenicus Patel, R.F. Almeida, Ali et Khan gen. nov. et sp. nov. We also compare it with extant and extinct eucalypts using morphological phylogeny and character mapping analyses. In addition, we briefly discuss its phytogeographic and paleoclimatic implications regarding the distribution and habitat of fossil and modern eucalypts.
Cathectic mechanisms of cosmetic surgery: Operation and recovery as a ritual‐like process
Authors: Kurakin Dmitry 
Published: June 2024

AbstractCultural sociology undertheorizes the emotional dimension of culture. In this study, I use the case of invasive cosmetic surgery to develop conceptual tools for filling this gap. Cosmetic surgery (i) brings a prominent and complex change in meanings of the self and the social image that goes far beyond mere appearance; and (ii) it involves intensive emotions of suffering, anxiety, and excitement. These two features reveal key similarities that cosmetic surgery shares with Victor Turner's model of the ritual of passage. I apply it to the case at hand and show that these emotions, which are usually either neglected or seen as mere ‘side effects’ of surgery, strongly affect meaning‐making related to cosmetic operations, meanings of the self, and broader aesthetic conventions. To zoom into these hidden processes, I introduce a sketch of a Durkheimian theory of cathexis that enables us to recognize cultural, cognitive, and emotional mechanisms of cosmetic surgery's ‘extraphysical effects.’ I illustrate my approach using open data from Internet forums of cosmetic surgery consumers and other evidence from existing literature.
Growth and population structure of Odaxothrissa mento and Brycinus leuciscus from the lower reaches of the White Volta in Ghana
Authors: Quarshie Evelyn Nhyiraba , Alhassan Elliot Haruna , Abobi Seth Mensah 
Published: June 2024

AbstractThe growth and population structure of two small pelagics: Odaxothrissa mento and Brycinus leuciscus were studied based on 1‐year data collected from the White Volta at Yapei in northern Ghana. The species were assessed using an R package TropFishR. The von Bertalanffy growth parameters were estimated with an asymptotic length (L∞) of 13.65 cm TL (CI95%: 11.29–17.29), growth curvature of .32/year (CI: .14–.63) for Odaxothrissa mento and L∞ of 8.85 cm TL (CI95%: 8.17–11.02) and growth curvature of 1.57/year (CI95%: .64–1.57) for Brycinus leuciscus. The computed total mortality (Z) was 2.25/year, the natural mortality (M) was .91/year and fishing mortality (F) was 1.34/year for Odaxothrissa mento while Z = 4.5/year, M = 2.8/year and F = 1.7/year were estimated for Brycinus leuciscus. Results indicate that the stock of Odaxothrissa mento is slightly overexploited with a current exploitation rate (E) of .60/year which is above the optimum exploitation rate (Eopt) of .5. However, the stock of Brycinus leuciscus was found to be underexploited with a current exploitation rate (E) of .38 year−1. The estimated age at 50% capture for Odaxothrissa mento and Brycinus leuciscus were 3.4 years and .65 years, respectively, with their corresponding lengths at 50% capture of 9.14 cm and 5.67 cm, which are close to the mean lengths of the population in the present study. Mean length at first sexual maturity (Lm) for Odaxothrissa mento is estimated as 5.2 and 4.2 cm TL for females and males while Lm of 3.5 cm and 4.5 cm were estimated for females and males of Brycinus leuciscus, respectively. The estimated longevity (tmax) of Odaxothrissa mento and Brycinus leuciscus was 9.7 years and 1.7 years, respectively, indicating that Odaxothrissa mento is a long‐lived species while Brycinus leuciscus is a short‐lived species. This conforms to the exploitation pattern of the species and thus requires species‐specific management interventions.
A crisis of confidence? Intervening in vaccine hesitancy in North Dakota
Authors: Rubinstein Ellen B. , Heinemann Laura L. 
Published: June 2024

AbstractIn November 2020, North Dakota reported a higher number of cases and deaths per capita from COVID‐19 than any other state in the United States. Several months later, it reported one of the country's highest rates of vaccine hesitancy, leading to the development and implementation of the state‐funded and physician‐led “Vaccine Champion” (“VaxChamp”) program. Glossing the primary problem as one of “provider confidence,” the VaxChamp program emphasized a standardized, scalable intervention that targeted healthcare providers directly, and patients only indirectly. Although the program hit its quantitative benchmarks, a qualitative inquiry into the program's history and context reveals multiple crises of confidence, many beyond the bioscientific domain of the program's focus. Drawing from work in medical and linguistic anthropology, we describe and analyze the “multiple levers of vaccine confidence” at play in the intervention and its surrounding context, as well as how these crises of confidence emerged.