bluuebunny/crossref_metadata_2025_split huggingface dataset:
Predicting factors of pressure ulcers in older Thai stroke patients living in urban communities
Authors: Suttipong Chophaka , Sindhu Siriorn 
Published: November 2011

Aim and objective.  To describe the contributing factors for pressure ulcer development in older Thai stroke patients in an urban community.Background.  Pressure ulcers are a common problem signifying a source of morbidity and mortality in older stroke patients. In the past, most studies have focused on the physiological factors affecting pressure ulcer development. However, studies related to effect of stroke severity and psychosocial factors in community‐based setting have not found.Design.  Cross‐sectional survey design.Methods.  One hundred and sixty‐eight older stroke patients from urban communities in three districts in metropolitan Thailand were recruited for this cross sectional study. Data were collected from the Skin Assessment Tool, the Braden scale, the Canadian Neurological Scale, the Social Support Questionnaire and the Thai Geriatric Depression Scale for each patient. The results were analysed using multiple logistic regression and the chi‐square test.Results.  Eighty older stroke patients who developed pressure ulcers (47·6%). The participants were aged between 60–93 years. Multiple logistic regression analysis was applied to calculate the odds ratio. The significant predicting factors for pressure ulcers were activity, moisture, nutrition, friction and shearing and depression. Sensory perception, mobility, severity of stroke and social support were not found to be significant predictors.Conclusions.  Physiological factors and depression were found to be significant predicting factors for pressure ulcer development in older stroke patients living in an urban community.Relevance to clinical practice.  To help prevent pressure ulcers in older stroke patients, the findings suggest that healthcare providers assess activity, moisture, nutrition, friction and shearing, as well as psychological assessment for depression. The results indicate that models for pressure ulcer prevention merit further investigation.
Using a nurse invented T‐Bar device in a rehabilitation program improved the range of motion for rotator cuff repair patients
Authors: Wang Ching‐Hui , Lin Pi‐Chu , Lee Yu‐Tai , Chuang Ching‐Wen , Tsay Shiow‐Luan , Chu Chan‐Yi 
Published: November 2011

Aims and objectives.  This study investigates the effects on patient outcomes of using a T‐bar in rehabilitation programs in shoulder arthroscopic surgical procedure patients.Background.  Orthopaedic nurses play an important role in facilitating restoration of patients’ range of motion shoulder function. Conventionally, nurses instruct patients to use the unaffected arm to hold the surgical arm when performing range of motion. However, patients often have difficulty performing the entire range of motion efficiently in this manner. Therefore, nurses have invented a T‐bar device to help patients perform range of motion in a rehabilitation program.Design.  A repeated‐measure, quasi‐experimental study.Method.  Sixty‐eight participants were recruited from four orthopaedic wards of a medical center in Taipei, Taiwan. Of the patients meeting the inclusion criteria for the study, 33 were assigned to the experimental group and 35 to the comparison group. Both groups had the same shoulder rehabilitation program including identical activities, duration and frequency, except that the experimental group used the nurse invented T‐bar device to facilitate range of motion while the comparison group used a conventional method. Data were collected when patients were admitted, five days and four weeks after the surgery. Outcome indicators were shoulder range of motion, muscle power and the American Shoulder and Elbow Society Shoulder Index. Statistical methods used for analysis included mean, standard deviation and repeated measures anova.Results.  All the participants completed the study. Results showed a significant improvement in shoulder abduction after surgery in experimental group versus the comparison group. No significant differences were found in other outcomes.Conclusions.  The nurse invented T‐bar device used in the rehabilitation program was effective in helping restore the abduction function of rotator cuff repair patients in our preliminary study.Relevance to clinical practice.  Using a T‐bar in the rehabilitation program to improve range of motion may be considered for patients with shoulder surgery.
Symptoms and uncertainty in breast cancer survivors in Korea: differences by treatment trajectory
Authors: Kim Soo Hyun , Lee Ran , Lee Keon Suk 
Published: November 2011

Aims.  The study compared the levels of symptoms and uncertainty, their associated factors, relationships between them and predictors of uncertainty by treatment trajectory among breast cancer survivors.Background.  Little is known with regard to how uncertainty and symptoms are related to treatment trajectory among breast cancer survivors.Design. A cross‐sectional descriptive design was used.Method.  A total of 252 women with breast cancer, receiving cancer therapy, or having completed their therapy were recruited from the National Cancer Center in Korea. Measurements used included symptom subscales of the European Organization of Research and Therapy for Cancer QLQ‐C30 and Breast Cancer Module BR23 and the Mishel Uncertainty in Illness Scale.Results.  Women in treatment reported more severe symptoms and higher levels of uncertainty than women having completed treatment. During treatment, most symptoms were positively correlated with the level of uncertainty, whereas, in women who had completed treatment, only dyspnoea, insomnia, systemic therapy side effects and arm symptoms positively correlated with uncertainty. There were also differences in predictors of uncertainty by treatment trajectory. Age, marital status and pain were significant predictors of uncertainty during treatment, while monthly income, dyspnoea and insomnia were predictors of uncertainty after treatment.Conclusions.  Among breast cancer survivors, levels of symptoms and uncertainty, associated factors, relationships between them and predictors of uncertainty differed depending on treatment trajectory.Relevance to clinical practice.  To provide trajectory‐sensitive nursing intervention for uncertainty among breast cancer survivors, age, marital status and pain should be considered during treatment, while factors such as economic status, dyspnoea and insomnia should be taken into account after treatment.
An exploration of Singaporean parental experiences in managing school‐aged children’s postoperative pain: a descriptive qualitative approach
Authors: Lim Siew Hoon , Mackey Sandra , Liam Joanne Li Wee , He Hong‐Gu 
Published: November 2011

Aims and objectives.  To enhance understanding of the experience of parents in managing their children’s postoperative pain in Singapore.Background.  Parents play a significant role in their hospitalised child’s postoperative pain care. Their active involvement may contribute to accurate pain assessment and effective pain management for their child. However, there is a lack of in‐depth research exploring the experience of parents involved in their children’s postoperative pain management.Design.  This study adopted a descriptive qualitative approach, which is situated in the interpretive paradigm.Method.  Semi‐structured interviews were conducted to collect data from 14 parents whose children were hospitalised in one of the three paediatric surgical wards in a hospital in Singapore in December 2009. Thematic analysis was used to analyse the data.Results.  Three themes were identified: ‘Actions used by parents to alleviate their child’s postoperative pain’, ‘Factors influencing parents’ management of their child’s postoperative pain’ and ‘Parents’ needs in the process of caring for their child’s postoperative pain’. Parents used a range of non‐pharmacological pain relief interventions for their child. Parental roles and expectations, bond between parent and child, support from nurses, family and own religious beliefs, as well as children’s age and maturity level were factors which promoted parental participation, whereas parents’ negative feelings, knowledge deficit and nurses’ busy schedule were hindering factors. Parents expressed needs for more involvement in their child’s care, adequate rest and information support from nurses.Conclusions.  This study highlights the importance of involving parents in their child’s postoperative pain management. It provides evidence for health care professionals to pay attention to factors that may influence parental participation and, therefore, guide their practice.Relevance to clinical practice.  Nurses need to provide parents with support and education to facilitate their roles and improve their child’s postoperative pain management.
Effects of denervation at ileocecal junction and ileocecal resection in dogs
Authors: Morita H. , Mochiki E. , Ogawa A. , Yanai M. , Toyomasu Y. , Tabe Y. , Ohno T. , Tsutsumi S. , Asao T. , Kuwano H. 
Published: November 2011

AbstractBackground  To investigate neural regulation at the ileocecal junction (ICJ) and motility changes after ileocecal resection (ICR). Previous studies showed normal basal motility at the ICJ directly by force transducers in dogs, but these observations were limited to normal contractile activity.Methods  Continuous strain gauge recordings of stomach, terminal ileum, ileocecal sphincter (ICS), and colon were performed in dogs. The dogs were divided into four groups, namely control (CONT), extrinsic denervation at ICJ (ED), intrinsic denervation at ICJ (ID), and ICR groups. Colonic activity was recorded 2 h before a meal, in the early postprandial period (first 2 h), and in the late postprandial period (4–6 h after a meal). The meal lasted 5 min.Key Results  Motility index was significantly increased at the ICS (P = 0.0056) and proximal colon (P = 0.0059) after feeding. However, such changes were not observed in the ED and ID groups. The amplitude of contractions at proximal colon in the interdigestive state was significantly decreased by ED. In the ID and ICR groups, the numbers of nonmigrating contractions were significantly decreased (P < 0.05), and colonic migrating motor complex (CMMC) ratio was significantly higher than that of the CONT group (P < 0.001). The dogs in these two groups had diarrhea.Conclusions & Inferences  Gastrocolonic response at the ICJ may require both intrinsic and extrinsic innervation. When ID was performed, CMMC ratio increased. As a result, intraluminal water absorption may have decreased. ID may be one of the causes of diarrhea after ICR.
Altered physiology of acid secretion in depression‐prone Flinders rats results in exacerbated NSAID and stress‐induced gastric damage
Authors: Padol I. T. , Wang C. , Hunt R. H. 
Published: November 2011

AbstractBackground  Flinders Sensitive Line (FSL) rats are characterized by hypersensitivity to cholinergic stimuli and have been extensively used for studying depressive disorders. A link between depression and peptic ulcers has long been established; however, there is a lack of data from animal models.Methods  We studied the physiology of acid secretion in FSL and Flinders Resistant Line (FRL) rats in vivo and in vitro. We also examined the susceptibility of Flinders rats to water immersion restraint stress (WIRS) or NSAID‐induced gastric damage and explored the effect of an anticholinergic agent, atropine, in reversing this effect.Key Results  Basal acid output was more than twofold greater in FSL compared with FRL rats in vivo, 213.5 and 92.8 μEq/3 h/100 g (P = 0.02), respectively. Carbachol was a more potent secretagog in vitro, and somatostatin was a less potent inhibitory agent, while paradoxically stimulating acid secretion over and above the carbachol response in gastric glands from FSL rats. The FSL rats were more susceptible to indomethacin and WIRS‐induced gastric mucosal damage compared with FRL rats. Atropine reduced acid output, which resulted in a reduction in indomethacin and stress‐induced gastric damage in FSL rats.Conclusions & Inferences  Our study, for the first time, demonstrates that the altered vagally mediated physiology of acid secretion in depression‐prone FSL rats contributes to gastric hypersecretion and, consequently, results in exacerbated stress and NSAID‐induced gastric damage. Flinders rats may be a useful animal model for studying acid‐related and also gastrointestinal functional disorders in depression.
Donor cell‐derived acute myeloid leukemia after second allogenic cord blood transplantation in a patient with Fanconi anemia
Authors: Gustafsson Britt , Moell Jacob , LeBlanc Katarina , Barbany Gisela , Söderhäll Stefan , Winiarski Jacek 
Published: November 2011

Gustafsson B, Moell J, LeBlanc K, Barbany G, Söderhäll S, Winiarski J. Donor cell‐derived acute myeloid leukemia after second allogenic cord blood transplantation in a patient with Fanconi anemia. Pediatr Transplantation 2011. © 2011 John Wiley & Sons A/S.Abstract:  DCL following hematopoietic stem cell transplantation has been reported in approximately 5% of all leukemic relapses. There have been several reports on DCL, mainly AML after umbilical cord blood transplantation. In this case study, we present a young boy diagnosed with Fanconi anemia who underwent an umbilical cord blood transplantation. Because of the graft failure, he was retransplanted one month later, also with a cord blood transplant. Two years after the second transplant, he developed AML, where 100% of the cells were of female donor origin. The donor, a now 14‐yr‐old female, was recently reported healthy.
Transjugular liver biopsy in pediatric patients with left split liver transplantation and severe coagulation impairment
Authors: Miraglia Roberto , Maruzzelli Luigi , Spada Marco , Riva Silvia , Luca Angelo , Gridelli Bruno 
Published: November 2011

Miraglia R, Maruzzelli L, Spada M, Riva S, Luca A, Gridelli B. Transjugular liver biopsy in pediatric patients with left split liver transplantation and severe coagulation impairment.  Pediatr Transplantation 2012: 16: 58–62. © 2011 John Wiley & Sons A/S.Abstract:  The aim of this study is to report our experience in TJLB performed in pediatric patients who underwent partial LT using a left lateral segments graft. Eight consecutive TJLBs were performed in six patients with contraindication to percutaneous biopsy owing to severe coagulation impairment and ascites. All procedures were performed using an 18‐gauge automated core needle biopsy. Median age of the patients was 44 months (range, 11–198). Median patients’ weight was 13 kg (range, 8–45). Technical success was achieved in all cases without complications. The specimens were adequate for the diagnosis in all cases.
Significant background rates of HBV and HCV infections in patients and risks of blood transfusion from donors with low anti‐HBc titres or high anti‐HBc titres with high anti‐HBs titres in Japan: a prospective, individual NAT study of transfusion‐transmitted HBV, HCV and HIV infections
Authors: Tani Y. , Aso H. , Matsukura H. , Tadokoro K. , Tamori A. , Nishiguchi S. , Yoshizawa H. , Shibata H. ,   JRC NAT Screening Research Group
Published: November 2011

Background  The Japanese Red Cross (JRC) conducted a prospective study to evaluate the frequency of transfusion‐transmitted HBV, HCV and HIV infections to assess the risk of transfusion of blood components routinely supplied to hospitals.Study Design and Methods  Post‐transfusion specimens from patients at eight medical institutes were examined for evidence of infection with HBV (2139 cases), HCV (2091) and HIV (2040) using individual nucleic acid amplification testing (NAT). If these specimens were reactive, pre‐transfusion specimens were also examined for the virus concerned by individual NAT. In the event that the pre‐transfusion specimen was non‐reactive, then all repository specimens from implicated donors were tested for the viruses by individual donation NAT. In addition, a further study was carried out to evaluate the risk of transfusion of components from donors with low anti‐HBc titres or high anti‐HBc with high anti‐HBs titres.Results  Transfusion‐transmitted HCV and HIV infections were not observed. One case of post‐transfusion HBV infection was identified (rate, 0·0004675; 95% CI for the risk of transmission, 1 in 451–41 841). The background rates of HBV, HCV and HIV infections in patients prior to transfusion were 3·4% (72/2139), 7·2% (150/2091) and 0% (0/2040), respectively. Sixty‐four anti‐HBc‐ and/or anti‐HBs‐reactive blood components were transfused to 52 patients non‐reactive for anti‐HBc or anti‐HBs before and after transfusion (rate, 0; 95% CI for the risk of transmission, <1 in 22).Conclusion  This study demonstrated that the current criteria employed by JRC have a low risk, but the background rates of HBV and HCV infections in Japanese patients are significant.
Testing the Threat‐Sensitive Hypothesis with Predator Familiarity and Dietary Specificity
Authors: Crawford Brian A. , Hickman Caleb R. , Luhring Thomas M. 
Published: November 2011

AbstractIn a system with multiple predators, the threat‐sensitive predator avoidance hypothesis predicts that prey respond differently to predators relative to the risks each poses (e.g., degree of dietary specialization). Aquatic animals often rely heavily on detecting predators via chemical cues (kairomones) and respond with a suite of behaviors including detection and avoidance. However, little is known about how animals respond to kairomones of specialist versus generalist predators. In laboratory experiments, we compared behavioral responses of a poorly studied aquatic salamander, the greater siren (Siren lacertina), to cues from specialist and generalist predator snakes to evaluate threat‐sensitive responses. Sirens exhibited a novel behavior (gill‐flushing) most often in the presence of specialist predator cues. Avoidance behavior (reversing direction following cue detection) was higher in response to specialist predator and novel animal control cues and lowest in response to generalist predator cues. An intermediate response to the animal control, an unfamiliar amphibian predator, indicated that sirens respond cautiously to a novel cue. The gradient of observed responses to different snake cues indicates that sirens may be evaluating predation potential of animals based on their foraging specificity and familiarity.
Occurrence of Hop Stunt Viroid in Mulberry (Morus alba) in Lebanon and Italy
Authors: Elbeaino Toufic , Kubaa Raied Abou , Choueiri Elia , Digiaro Michele , Navarro Beatriz 
Published: November 2011

AbstractThe presence of Hop stunt viroid (HSVd) was detected using RT‐PCR and Northern blot hybridization in five of 60 samples from symptomless mulberry trees (Morus alba) collected in Italian and Lebanese orchards in July 2010. Infection levels were c. 10% in Lebanese and 8% in Italian samples. Nucleotide alignments showed that sequences of the mulberry HSVd isolates shared 95–96% identity with those of the same viroid occurring elsewhere. In a phylogenetic tree, mulberry HSVd isolates clustered together with those of HSVd‐citrus, regardless of their geographical origin. This is the first report of infection in mulberry trees by HSVd.
First Report of Rhizoctonia solani AG 8 on Wheat in Turkey
Authors: Ünal Fİlİz , Sara Dolar Fatma 
Published: November 2011

AbstractA survey was conducted in Ankara and Eskisehir provinces of Turkey for determining anastomosis groups and pathogenicity of Rhizoctonia species associated with root and crown rot of wheat. Pathogenicity tests revealed that Rhizoctonia solani AG 8 caused the common symptoms of damping‐off and stunting.
Spatial Pattern of Phomopsis Cane and Leaf Spot Symptoms in Commercial Vineyards in Ohio
Authors: Nita Mizuho , Ellis Michael A. , Madden Laurence V. 
Published: November 2011

AbstractSpatial patterns of incidence of Phomopsis cane and leaf spot were examined using 57 data sets obtained from a statewide survey of grape vineyards in Ohio from 2002–2004. To characterize small‐scale patterns at the vine scale or below, discrete‐distributional analyses were used to quantify the heterogeneity of disease incidence within vineyards. The number of diseased leaves and internodes (out of 15) per sampling unit was better fitted by the beta‐binomial than the binomial distribution in 67% and 91% of the cases, respectively. The index of aggregation was significantly >1 for 78% and 98% of the cases for diseased leaves and internodes, respectively. These results indicated aggregation of this disease at an individual vine scale (or lower). Conversely, there was little evidence of aggregation at scales larger than a vine (e.g. disease foci extending beyond individual vines) for most vineyards based on Spatial Analysis by Distance IndicEs (SADIE). SADIE analysis suggested a random pattern of the count of diseased leaves and internodes in the majority (>86%) of the cases. Based on SADIE, there was significant (P ≤ 0.05) evidence of association between leaf and internode disease counts per vineyard in 75% of cases, indicating that the dispersal of inoculum from the previously infected wood tissues (canes) affected both leaf and internode in the same manner. In contrast, association of disease counts from one year to the next was only significant in approximately 15% of the cases, indicating the difficulty in predicting the level of disease in a section of a vineyard based on the previous year’s observations alone.
A Comovirus Infecting Rocket (Eruca sativa) in Brazil
Authors: Picoli Marcelo Henrique Savoldi , De Souto Eliezer Rodrigues , Da Silva Jaqueline Mnzatti , Carnelossi Patrícia Rosin , Garcia Alexandre , Almeida Álvaro Manuel Rodrigues 
Published: November 2011

AbstractA virus related to Radish mosaic virus and Turnip ringspot virus (TuRSV) was found infecting rocket plants in Brazil. Predicted amino acids from partial viral RNA sequences placed it closer to TuRSV. We describe here the identification and partial characterization of the first comovirus found infecting a crucifer species in Brazil.
Male Sterility in three crop Lupinus species
Authors: Clements Jon C. , Wilson Julia , Sweetingham Mark W. , Quealy John , Francis Gordon 
Published: November 2011

With 2 figures and 6 tablesAbstractMale sterility is described for the first time in lupin crop species Lupinus angustifolius L. and Lupinus luteus L. and is also characterized in the Andean lupin, Lupinus mutabilis Sweet. In L. angustifolius and L. luteus, male‐sterile plants were identified in artificially induced mutation populations, while in L. mutabilis, both naturally occurring and induced male‐sterile plants were selected. For L. angustifolius artificially induced sterility, the segregation ratios in F1, F2 and backcrosses showed a single‐gene recessive inheritance and was concluded to be of a nuclear rather than cytoplasmic form. In L. luteus, male‐sterile plants were recovered from an M3 mutation population derived from cv. ‘Wodjil’, and several were consistent with that of single recessive gene, most likely nuclear. A naturally occurring sterility in L. mutabilis was concluded to be cytoplasmic with identification of restorer and maintainer genotypes. The trait in L. mutabilis has greatly increased the rate of F1 seed set with zero selfing. Male sterility could be useful for increasing crossing efficiency in breeding programmes, for exploiting heterosis and for interspecific hybridization.