bluuebunny/crossref_metadata_2025_split huggingface dataset:
Postintensive care syndrome: Development and psychometric validation of a knowledge test
Authors: Sürmeli Mahmut , Boy Yasemin , Pazarli Ahmet Cemal 
Published: May 2024

AbstractIntroductionPostintensive care syndrome (PICS) is a combination of short‐, medium‐ and long‐term morbidities that occur in patients discharged from the Intensive care unit (ICU). ICU professionals have a crucial role in managing and understanding the PICS. This study aimed to develop the PICS Knowledge Test (PICS‐KT), which measures ICU professionals' awareness and knowledge levels regarding PICS, and to determine its validity and reliability.MethodsThe databases were searched in detail, scientific research related to PICS was analyzed, and the draft scale was created accordingly. A total of 117 doctors and nurses who had been working in the ICU for at least 6 months were included in the study. For the validity and reliability analysis of the test, content validity ratio, item difficulty index, item discrimination index values and Cronbach α were examined.ResultsThe Cronbach's α reliability coefficient for the 46‐item PICS‐KT is 0.93, indicating high reliability. Scores range from 0 to 46, with 32 or higher considered successful, suggesting adequate knowledge of PICS among ICU professionals. Scores of 14 or less indicate minimal knowledge. Those with scores between 14 and 32 possess some knowledge but need improvement. PICS‐KT assesses knowledge in four main areas: general information, risk factors/causes, symptoms and findings and interventions. ICU professionals show high awareness of interventions for preventing and treating PICS, as indicated by a high mean score in the interventions subdimension.ConclusionThe PICS‐KT is crucial in assessing healthcare professionals' understanding of the various short‐, medium‐ and long‐term morbidities associated with PICS. The study ensures that the test is a robust and dependable instrument for evaluating ICU professionals' knowledge about PICS.
Efficacy of a full management model in daytime surgery for gastrointestinal polyps based on WeChat: A study protocol for randomized controlled trials
Authors: Zhou Xin , Wu Jiao , Li Hong , Zeng Xin , Luo Huai‐li 
Published: May 2024

AbstractObjectiveThe objective of this study is to improve the efficiency of daytime surgery for gastrointestinal polyp and ensure the safety of patients. We tried an information management method based on WeChat platform in patients undergoing daytime gastrointestinal polypectomy and to explore the feasibility and effectiveness of a full management model.MethodsFive hundred and ninety‐three patients were randomly divided into two groups: the control group was treated with traditional management methods and the experimental group was treated with the whole‐process management mode based on the WeChat platform. The WeChat platform‐based full management model included establishing a day surgery management WeChat group, developing multidisciplinary, full‐management protocols and processes for day surgery, establishing an information‐based surgical scheduling system and adopting diverse forms of day surgery education and continuity of care. This feature included illustrated brochures, vivid verbal presentations, WeChat public numbers and Internet management platforms. The treatment time, hospitalization cost and patient satisfaction of the two groups were counted.ResultsIn the experimental group, 408 patients were enrolled. The preoperative waiting time and patients’ length of stay were 3 days and 1 day, respectively. The medical and nursing intake time was 7 min. The procedure cancellation rate and postoperative complications rate was 0.07% and 0.02%. In the control group, 185 patients were enrolled in the study, The preoperative waiting time and patients’ length of stay was 7 days and 3 days. The medical and nursing intake time was 28 min. The procedure cancellation rate and postoperative complications rate were 0.13% and 0.05%, respectively. The hospitalization costs were reduced by an average of $140/person and the satisfaction scores were higher than the control group. In summary, the preoperative waiting time, medical reception time, surgical cancellation rate, length of hospital stay and hospitalization cost in the observation group were less than those in the control group (p < 0.05). Patient satisfaction scores were significantly higher than those in the control group (p < 0.05).ConclusionThrough the full management model based on WeChat, the preoperative waiting time, medical reception time, surgical cancellation rate, length of hospital stay and hospitalization cost in the experimental group were less than those in the control group. Patient satisfaction scores were significantly higher than those in the control group and the difference was statistically significant.
Efficacy and safety of bemiparin as treatment of venous thromboembolic disease in the elderly
Authors: Ena Javier , Stanimirova‐Nikolova Silvena , Iborra‐Devesa Maria , Raya‐Santos Carmen , Serra‐Manclus Aurora , Seco‐Hanselaar Ignacio J. 
Published: May 2024

AbstractBackgroundAs the elderly population continues to grow worldwide, it becomes crucial to explore safe and effective treatment options to manage venous thromboembolic disease in this vulnerable demographic group.MethodsWe carried out a retrospective cohort study (January 2017–December 2021) to analyse the efficacy and safety of bemiparin as a treatment for venous thromboembolic disease in 223 patients. We compared patients aged ≥65 years (elderly; n = 153) with patients aged less than 65 years (adults; n = 70) for a combined end point of death, recurrent thromboembolism, and major bleeding at 30 days.ResultsElderly (mean age 79 ± 7.7 years) and adult patients (mean age 51.5 ± 11.6 years) received similar bemiparin doses 8470 ± 2362 International units (IU)/d versus 8754 ± 1593 IU/d, during a similar median [Interquartile range] period of 28 [9–118] versus 30 [10–90] days, respectively. At 30‐day follow up a total of 24 elderly patients (15.7%), reached at least one of the end points, as compared with six adult patients (8.6%) (absolute difference 7.1%; 95% confidence interval [95% CI], −1.6 to 15.8). Recurrence of venous thromboembolic disease occurred in five elderly patients (3.3%) and in five adult patients (7.1%) (absolute difference −3.9%; 95% CI, −10.5 to 2.8). There were two episodes of major bleeding each in elderly (1.3%) and adult (2.9%) patients (absolute difference −1.6%; 95% CI, −5.8 to 2.7).ConclusionBemiparin showed a similar efficacy and safety profile in the treatment of venous thromboembolic disease in elderly and adult patients.
Characterization of Tenacibaculum maritimum isolated from diseased salmonids farmed in Chile reveals high serological and genetic heterogeneity
Authors: Avendaño‐Herrera Ruben , Lopez Pierre , Echeverría‐Bugueño Macarena , Araya‐León Henry , Irgang Rute 
Published: May 2024

AbstractThe diversity of Tenacibaculum maritimum in Chile remains poorly understood, particularly in terms of antigenic and genetic diversity. This information is crucial for the future development of a vaccine against tenacibaculosis and would increase understanding of this important fish pathogen. With this aim, the biochemical, antigenic, and genetic characteristics were analysed for 14 T. maritimum isolates, recovered from diseased Atlantic salmon (Salmo salar) and rainbow trout (Oncorhynchus mykiss) farmed in Chile between 1998 and 2022. Biochemical analysis showed a homogeneity among all the Chilean T. maritimum isolates and all four other strains included for comparison purposes. Serological characterization using dot‐blot assaying revealed antigenic heterogeneity with the use of unabsorbed antisera. The majority of isolates showed cross‐reactions, identifying three main serological patterns. When the PCR‐based serotyping scheme was performed, the existence of antigenic heterogeneity was confirmed. Four Atlantic salmon isolates were 4–0; and most isolates, including the rainbow trout isolate, were 3–1 (n = 9). A turbot (Scophthalmus maximus) isolate was 1–0. Using an existing Multilocus Sequence Typing system, two newly identified sequence types (ST193 and ST198) in the database were detected. ST193 encompassed nine isolates obtained from Atlantic salmon and rainbow trout, while ST198 regrouped four isolates, all retrieved from diseased Atlantic salmon in 2022. These findings highlight significant antigenic and genetic diversity among the Chilean isolates. This information is useful for epizootiology and the selection of suitable candidate strain(s) for vaccine development against tenacibaculosis caused by T. maritimum in Chilean salmon farming.
Beta amyloid PET scans for dementia diagnoses: Practice and research implications from CARE‐IDEAS
Authors: Wetle Terrie T. , Van Houtven Courtney H. , Shepherd‐Banigan Megan E. , Belanger Emmanuelle , Couch Elyse , Sorenson Corinna , Gadbois Emily A. , Burke James R. , Jutkowitz Eric , O'Brien Emily C. , Plassman Brenda L. 
Published: May 2024

AbstractBeta amyloid PET scans are a minimally invasive biomarker that may inform Alzheimer's disease (AD) diagnosis. The Caregiver's Reactions and Experience (CARE) study, an IDEAS supplement, aimed to understand experiences of PET scan recipients and their care partners regarding motivations for scans, reporting and interpreting results, and impact of results. Patients with mild cognitive impairment or dementia who agreed to join the CARE‐IDEAS study and their care partners participated in a baseline survey and follow‐up survey approximately 18 months later, supplemented by in‐depth qualitative interviews with subsets of participants. Patients who received scans and volunteered for follow‐up research were more likely to be male, better educated, and have higher income than the general population. Survey information was merged with Medicare data. This article integrates findings from several CARE‐IDEAS publications and provides implications for practice and research. Although most participants accurately reported scan results, they were often confused about their meaning for prognosis. Some participants reported distress with results, but there were no significant changes in measured depression, burden, or economic strain over time. Many respondents desired more information about prognosis and supportive resources. Scan results were not differentially associated with changes in service use over time. Findings suggest a need for carefully designed and tested tools for clinicians to discuss risks and benefits of scans and their results, and resources to support patients and care partners in subsequent planning. Learning of scan results provides a point‐of‐contact that should be leveraged to facilitate shared decision‐making and person‐centered longitudinal AD care.
Do people with type 2 diabetes find continuous and intermittent low‐energy diets for weight loss and diabetes remission acceptable?
Authors: Brooks Joanna , Ruane Helen , McDiarmid Sarah , Vyas Avni , Issa Basil , Harvie Michelle 
Published: May 2024

AbstractBackgroundThe Manchester Intermittent versus Daily Diet App Study (MIDDAS) tested the feasibility and potential efficacy of two remotely delivered low‐energy diet (LED) programmes (800 kcal/day) to support weight loss and remission of type 2 diabetes: continuous [CLED] (8 weeks of daily LED) and intermittent [ILED] (2 days of LED/week for 28 weeks). Understanding participant experiences can help us to understand the acceptability of LED programmes to people with type 2 diabetes, informing future programme development and implementation.MethodsTwenty participants (10 CLED; 10 ILED) took part in interviews conducted at the end of the active weight loss phase (CLED week 12, ILED week 28). Interviews were transcribed and analysed thematically using the template analysis approach, with an a priori focus on acceptability. Four themes are presented: prospective acceptability, intervention coherence and perceived effectiveness, opportunity costs and self‐efficacy.ResultsBoth remotely supported CLED and ILED interventions appeared acceptable to participants. CLED participants found the rapid initial weight loss phase comparatively easy and highly motivating but expressed more concerns around weight maintenance. ILED participants found the more gradual weight loss initially frustrating but expressed greater confidence in their longer‐term adherence. The importance of continued individualised support from healthcare professionals was emphasised, and evidence of weight loss and improvement in other medical markers through monitoring via the mobile phone app was useful.ConclusionDifferent approaches to remotely delivered LEDs appear acceptable; therefore asking patients which approach may be more acceptable to them may be a useful way to offer individualised and tailored support.
An investigation of employer perceptions of Irish nutrition graduate competencies
Authors: O'Donovan Sarah , Owens Shannon , Hubble Elaine , Ryan Lisa 
Published: May 2024

AbstractBackgroundUndergraduate nutrition programmes prepare students and graduates for a wide range of employment opportunities. However, little is known about how employers perceive current nutrition education practices in Ireland and how well graduates are prepared for the realities of today's workforce. The present study aimed to explore employers' perspectives of nutrition placement students and graduates' competencies for the workforce.MethodsInterviews were conducted with 12 nutrition employers across Ireland and the UK who currently or have recently employed Irish nutrition graduates or supervised placement students. Interviews were transcribed verbatim and thematically analysed.ResultsThree themes were identified including: “adapting to modern workforce needs”, “professional competency expectations” and “valuing competency‐based educational and professional systems”. Employers reported an overall positive experience with Irish nutrition placement students and graduates. They are perceived as adaptable, willing to learn and professional. Many felt nutrition students and graduates had received quality education with knowledge, skills and attitudes meeting expectations of nutrition education being provided but felt that students and graduates often lacked confidence in their abilities. Employers remarked that graduates who had undergone placements were better prepared for the professional work environment. However, gaps were identified because employers felt nutrition curricula lack training on business skills and digital competencies.ConclusionsEmployers had a positive experience with Irish nutrition graduates and students and felt they were competent for the workforce. Addressing the gaps identified by employers to adapt curricula to modern workforce needs would further enhance graduate employability.
Milk fat globule membranes for psychological and physical health: qualitative results from the Employing Milk Phospholipids to Observe Well‐being and Emotional Resilience (EMPOWER) randomised trial
Authors: Slykerman Rebecca , Davies Naomi , Fuad Maher , Dekker James 
Published: May 2024

AbstractBackgroundMilk fat globule membranes (MFGM) present a nutritional intervention with the potential to improve psychological well‐being and mitigate the negative effects of stress on health. The present study aimed to investigate participant's experience of different aspects of health during a trial of MFGM supplementation and determine the effect of MFGM on qualitative measures of psychological and physical well‐being.MethodsSeventy‐three adults in New Zealand who were enrolled in a clinical trial to test MFGM supplementation for improvement of psychological well‐being took part in a post‐intervention interview. Participants and researchers remained blinded to intervention group allocation. Interviews were conducted over the video conferencing platform Zoom and transcribed. A mixed methods analytical approach included thematic analysis to identify emerging themes and χ2 regression models to examine frequency of improvements in different aspects of well‐being between the MFGM and placebo groups.ResultsThere were no significant demographic or psychological differences between interviewees and non‐interviewed study participants. Four central themes emerged from the data for all participants: improved well‐being, increased ability to cope with stress and improvements in mood, improvement in physical energy or activity, and improved sleep. The frequency of improved ability to cope with stress and improved sleep quality was significantly higher in participants who received MFGM supplementation compared to those receiving the placebo.ConclusionsQualitative data may capture aspects of improved sleep or psychological well‐being not measured by rating scales. The results suggest that MFGM supplementation may improve the ability to cope with stress and improve sleep quality in healthy adults.
Family‐oriented care and health‐related quality of life for women with gynaecological cancer: A cross‐sectional mixed‐method study
Authors: Metsävainio Tea , Vaajoki Anne , Sopo Minna , Vehviläinen‐Julkunen Katri 
Published: May 2024

AbstractAimsThis study aims to describe the experiences of women with gynaecological cancer regarding family‐oriented care (FOC) and how they rated their health‐related quality of life (HRQoL) using a 15D instrument (15D©).DesignA cross‐sectional mixed‐method study.MethodsThe data were collected by electronic surveys of two Finnish cancer associations from gynaecological cancer patients (n = 53). The qualitative data were analysed using thematic analysis. The HRQoL answers were analysed statistically using IBM SPSS Statistics (Version 27).ResultsThe results emphasized that FOC is not yet part of the care process. Furthermore, comprehensive encounters are lacking, and the experience of being a woman is forgotten during the care process. The results of the HRQoL analysis suggest that distress and the discomfort and symptoms of cancer patients are perceived as significant factors affecting their quality of life during different phases of treatment. Family status also has an impact on perceived quality of life, whereby those living alone gave worse ratings for the depression and vitality dimensions.ConclusionIn part, the quantitative and qualitative data supported each other, but the descriptions provided a more comprehensive view of issues that affect women in a more multidimensional way, such as sexual health issues. More research on the effectiveness of FOC is needed to develop the capacity for effective healthcare.Implications for the Profession and/or Patient CareThis study was able to identify important areas for improvement in clinical practice from the perspective of patients and their families.Reporting MethodThis study was prepared and reported according to the STROBE checklist.Patient or Public ContributionNo patient or public contribution.
Core competencies among nurses engaged in pallative care: A scoping review
Authors: Guo Junchen , Dai Yunyun , Chen Yongyi , Liang Zhen , Hu Yonghong , Xu Xianghua , Xiao Yazhou 
Published: May 2024

AbstractAimTo synthesize available evidence about core competencies for nurses engaged in palliative care.DesignA scoping review conducted according to the framework from Joanna Briggs Institute.MethodsThe Preferred Reporting Items for Systematic Reviews and Meta‐Analyses extension for Scoping Reviews checklist was adopted to report this scoping review. The PubMed, Web of Science, Embase, ScienceDriect, CNKI, WangFang, VIP and Sinomed databases were used to systematically search for published studies from their inception to December 2023. Two researchers independently screened and selected relevant studies and performed the data charting.ResultsTwenty‐six studies were included in this scoping review. Among these, 14 studies identified core competency assessment instruments among nurses engaged in palliative care, with the Palliative Care Core Competence Questionnaire was used most frequently; 13 studies investigated the status of core competencies of nurses engaged in palliative care, the majority of included studies indicated that nurse's core competencies were at moderate levels; 11 studies explored the factors influencing the core competencies of the nurses engaged in palliative care, which were classified as sociodemographic‐related factors, palliative care education‐related factors, death attitude, palliative care practice‐related experience and others.ConclusionThis scoping review offers a comprehensive overview of the current landscape of core competencies among nurses in palliative care. Findings suggested that the clinical nursing leaders need to develop tailored strategies and interventions to address specific factors and promote the continuous development of nurses' competencies in palliative care.Relevance to Clinical PracticeCore competency assessment instruments equip nurses and healthcare organizations with a range of validated tools for evaluating their proficiency in palliative care. Targeted core competency enhancement programmes need to be developed to foster a nursing workforce better equipped to improve the quality of life of end‐of‐life patients and their families.Patient or Public ContributionNo patient or public contribution.
Development and validation of a nomogram for oral mucosal membrane pressure injuries in ICU patients: A prospective cohort study
Authors: Jia Lingli , Deng Yuchun , Xu Yu , Wu Xiaoli , Liu Dan , Li Muying , Huang Shijun , Zhang Yaodan , Du Aiping , Liu Huan , Tian Yongming 
Published: May 2024

AbstractAimsEstablishing a nomogram to estimate the probability of oral mucosal membrane pressure injury of endotracheal tube‐intubated hospitalized patients in intensive care unit.DesignMulticentre prospective cohort study.MethodsUsing Lasso regression and COX regression, variable selection was performed on demographic, clinical and laboratory data of 1037 ICU endotracheal tube‐intubated hospitalized patients from West China Hospital, to construct a nomogram. External validation was conducted on 484 ICU endotracheal tube‐intubated patients from People's Hospital of Zhongjiang County.ResultsAmong 38 potential predictors, five variables emerged as independent predictors, integrated into the nomogram: administration of antibiotics, nutritional therapy duration, agitation, hypotension and albumin levels.ConclusionsWe established a nomogram based on the hospital characteristics of ICU endotracheal tube‐intubated patients, aiding in the prediction of the occurrence of oral mucosal membrane pressure injury.Reporting MethodThe study followed TRIPOD guidelines.Relevance to Clinical PracticeThe nomogram we developed can assist clinical worker in better identifying at‐risk patients and risk factors. It enables the implementation of evidence‐based nursing interventions in care to prevent the development of oral mucosal membrane pressure injury.Trial registrationThe study has been registered with the Chinese Clinical Trial Registry (http://www.chictr.org.cn) under registration number ChiCTR2200056615.