bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Sleep Disorders Inventory: an instrument for studies of sleep disturbance in persons with Alzheimer's disease
Authors: Tractenberg Rochelle E. , Singer Clifford M. , Cummings Jeffrey L. , Thal Leon J. 
Published: October 2010

SummaryThe Sleep Disorders Inventory (SDI) is an expanded version of one item of the Neuropsychiatric Inventory (NPI). It describes the frequency, severity, and caregiver burden of sleep‐disturbed behaviors during a period prior to its administration. We carried out post hoc analyses on baseline responses to the SDI in 104 persons with Alzheimer's disease (AD) and live‐in caregivers who had been recruited for a trial of melatonin in the treatment of sleep disturbance. These patient‐participants averaged <7 h of sleep per night, measured by actigraph (sleep disturbance), for the 2–3‐week period prior to administration of SDI. Data were from the 2 weeks prior to the baseline visit (SDI, NPI) including actigraph‐derived sleep variables and 2 weeks’ worth of sleep quality ratings (SQR) kept in a diary by caregivers, plus Mini‐Mental State Examination and activities of daily living assessment at baseline. The prevalence of sleep disorder symptoms ranged from 34% (waking up at night thinking it is daytime) and 82% (getting up during the night). Worse SDI scores were associated with worse cognitive, functional, and behavioral status, but not with sex, age, education or duration of dementia. SDI scores were significantly worse in individuals meeting independently established criteria for a diagnosis of ‘sleep disturbance’ (<6 h total sleep time per night) whereas demographic variables and scores reflecting cognition and function were not significantly different across this grouping. The SDI covers a wide range of sleep behaviors and provides information independent of sleep time and SQR.
Nutritional status of pregnant and lactating women in Japan: A comparison with non‐pregnant/non‐lactating controls in the National Nutrition Survey
Authors: Takimoto Hidemi , Yoshiike Nobuo , Katagiri Akane , Ishida Hiromi , Abe Shiro 
Published: October 2010

AbstractAim:  To describe the nutritional status in Japanese pregnant and lactating women at a national level, through a comparison with their non‐pregnant/non‐lactating controls.Material and methods:  Pooled data from five years (1995–1999) of the National Nutrition Survey, Japan. Data on 330 pregnant and 388 lactating women, and their one‐by‐one matched non‐pregnant/non‐lactating controls, were used for analysis.Results:  There were fewer smokers, drinkers, and exercisers in pregnant women compared to their controls (P < 0.01). Both pregnant and lactating women showed significantly higher intakes of carbohydrates, calcium and vitamin B2. Mean iron intakes ranged 10.3–11.5 mg in the four groups, all being lower than the recommended intake level for non‐pregnant/non‐lactating women (12 mg/day). Pregnant women consumed more fruits, milk and milk products, and less alcohol beverages and fish/shellfish compared to controls. Lactating women consumed more grain, vegetables, milk and milk products, and less alcohol beverages. There were 22.9% anemic subjects (Hb < 11 g/dL) in pregnant women, and 11.1% anemic subjects (Hb < 12 g/dL) in lactating women and 15.7% in non‐pregnant/non‐lactating women. None of the pregnant subjects was severely anemic (Hb < 8 g/dL). No significant differences were observed in iron intakes between anemic and non‐anemic women in each group.Conclusion:  Pregnant and lactating women in Japan were aware of adopting healthy behaviors, such as smoking less, drinking less, and taking more milk or milk products compared to controls. Prevalence of mild anemia in pregnant women may have been partly due to plasma volume expansion in pregnancy.
Effect of hypoxia on the auditory system of goat fetuses during extrauterine incubation
Authors: Nishioka Nobuko , Nishina Hidenori , Yoshida Koyo , Kinoshita Katsuyuki , Ehara Yoshiro 
Published: October 2010

AbstractAim: To investigate the effect of hypoxia on the auditory system in fetuses, we attempted to analyze the auditory brainstem response, the middle latency response, and changes of several physiological parameters of goat fetuses during extrauterine incubation.Methods: We conducted extrauterine incubation of five goat fetuses at around 127 days of gestation (term = 148 days). Their physiological parameters, such as fetal heart rate, mean blood pressure, flow rate of carotid artery, as well as the auditory brainstem response and middle latency response, were recorded prior to and during hypoxia, and the two sets of data were compared with each other.Results: In all five cases, the fetal heart rate decreased from 178 ± 12.2 b.p.m. to 144 ± 15.2 b.p.m. during hypoxia, while mean blood pressure and flow rate of carotid artery increased from 37.3 ± 3.7 mmHg to 43.2 ± 5.1 mmHg, and from 38.5 ± 5.5 mL/min to 47.0 ± 5.1 mL/min, respectively. The latency of the auditory brainstem response's wave V and of the middle latency response's Pa wave elongated from 5.24 ± 0.24 ms to 5.69 ± 0.20 ms, and from 19.2 ± 1.6 ms to 20.9 ± 1.4 ms, respectively.Conclusions: Although fetal compensatory reactions, such as increases in mean blood pressure and flow rate of carotid artery during hypoxia were recognized, elongation of latency, and decrement of amplitude were observed in the auditory brainstem response and middle latency response. These results suggest that hypoxia itself influences the auditory system of the fetus.
Study on the Mechanism of the Bone Formation Process by 17β‐estradiol during Rat Bone Marrow Stromal Cell Culture
Authors: Sado Toshiyuki , Saito Shigeru , Morikawa Hajime 
Published: October 2010

The aim of this study is to clarify the mechanism of bone formation by using 17β‐estradiol (E2) during rat bone marrow stromal cell culture. Stromal cells were separated from female rat femora (seven weeks old), and were cultured in an Eagle Minimal Essential Medium (MEM) containing 15% fetal calf serum (FCS). After confluence, the cells were subcultured in a MEM containing 15% FCS (sex steroids removed by charcoal treatment) with dexamethasone, Na betaglycerophosphate and ascorbic acid phosphate for 18 days. They were then cultured in medium containing E2 or insulin‐like growth factor‐I (IGF‐I) alone or with anti‐IGF‐I antibody. On the 14th day, formation of white colored nodules showing positive ALP activity in ALP staining and showing calcium deposition in alizarin red S staining was observed in each culture system, indicating the beginning of calcification. The addition of E2 (10−7M or 10−8M), or IGF‐I (10 and 100 ng/ml) enhanced ALP activity and calcium content significantly, but 17α‐estradiol did not. Anti‐IGF‐I antibody significantly inhibited enhancing effects of E2 and IGF‐I on ALP activity and calcium deposition. Incubating with E2 alone (10–8M), the medium IGF‐I concentration and IGF‐Im RNA expression in the cells were significantly increased on days 10~14, but the expression of IGF‐I receptor mRNA had not changed.These results suggest that E2 participates in bone formation by promoting IGF‐I production in the bone marrow stromal cells just before calcification starts. ACTA OBST GYNAEC JPN Vol. 54, No. 10, pp1457–1466, 2002
Determination of sensitivity and specificity of breast tumor diagnosis by primary health care providers (Behvarz) using clinical examination by obstetrician as a gold standard
Authors: Naderi Tayebeh , Bahrampoor Abbas 
Published: October 2010

AbstractAim:  The aim of this study was to find a practical screening strategy to detect breast tumors in those who cannot refer to specialists due to problems, such as geographic location, and economical obstacles.Methods:  Considering the mentioned aim this study was designed to compare the sensitivity and specificity of diagnosis of breast tumors made by health care providers (Behvarz) with those made by specialists. For this, the results of examinations of Behvarzes and an obstetrician on 2000 women referring to the 17 health care centers of Kerman and Zarand cities were compared.Results:  Among the 2000 women examined by Behvarzes 170 cases were reported to have pathological signs (palpable mass) and 1830 cases were reported without any pathological sign. Among 169 cases diagnosed by physicians as having pathological signs, 162 cases had also been diagnosed by Behvarzes, and there were only seven cases diagnosed by physicians that had been missed by Behvarzes. There were eight cases diagnosed by Behvarzes as having pathological signs that were reported healthy by physicians.Conclusions:  Based on these findings, the sensitivity and specificity of diagnosis of breast tumors made by Behvarzes was 95.8% and 99.56%, respectively, compared with those made by specialists. Considering the obtained results, the screening program for breast tumors by Behvarzes can be very helpful in early diagnosis of breast tumors.
A randomized controlled study of three targets of propofol plasma concentration in patients undergoing uterine dilation and curettage
Authors: Uerpairojkit Ketchada , Urusopone Pakorn , Somboonviboon Wanna 
Published: October 2010

AbstractAim:  To compare the efficacy and the complications of three target levels of propofol plasma concentration in patients undergoing uterine dilation and curettage.Methods:  Sixty‐nine patients were randomly allocated to receive propofol target controlled infusion at different target concentrations of 4 (group I), 5 (group II) and 6 (group III) mcg/mL combined with 1 µg/kg of fentanyl and 66% of nitrous oxide. Patients’ movement during the procedure, hemodynamic variables, oxygen saturation, end tidal carbon dioxide, time to sleep and awake, and bispectral index score were recorded.Results:  Seven patients in group I, one in group II, and none in group III (P < 0.05) moved grossly during the procedure. More patients in group III developed hypotension (5 vs 0 and 2 in group I and II, P < 0.05), but no difference was found regarding respiratory complication. No difference was found in time to sleep, but time to wake was longer in group III.Conclusion:  Propofol infusion at the target concentration of 5 µg/mL was recommended for uterine dilation and curettage when it was administered with fentanyl 1 µg/kg and nitrous oxide 66% under close monitoring and appropriate respiratory management.
Use of fetal‐pelvic index in the prediction of vaginal birth following previous cesarean section
Authors: Wong Kin Sun , Wong Alice Y.K. , Tse Lowina H.Y. , Tang Lawrence C.H. 
Published: October 2010

AbstractAim:  To clarify the usefulness of the fetal‐pelvic index as a predictor of vaginal birth after previous lower segment cesarean section.Methods:  One hundred and seventy women with one lower segment cesarean section who attempted for trial of vaginal birth were enrolled. Pelvimetry was performed to measure maternal pelvic inlet and mid‐cavity circumferences at 37 weeks gestation. Ultrasound was performed to measure fetal head and abdominal circumferences at 38–39 weeks. The fetal‐pelvic index was derived. The predictability of fetal‐pelvic index in the predicting the outcome of delivery was calculated.Results:  Fifty‐seven (33.5%) women required repeated cesarean section and 113 (66.5%) delivered vaginally. Twenty‐two women with positive fetal‐pelvic index had repeated cesarean section. The predictability of positive fetal‐pelvic index was 48.9%. Ninety of the 125 patients with a negative fetal‐pelvic index delivered vaginally. The predictability of negative fetal‐pelvic index was 72.0%.Conclusions:  Fetal‐pelvic index derived in the antenatal period has low predictive value in predicting of successful vaginal birth after cesarean section. This index is not useful in clinical practice.
Patients' experiences of laparoscopic cholecystectomy in day surgery
Authors: Barthelsson Cajsa , Lützén Kim , Anderberg Bo , Nordström Gun 
Published: October 2010

Summary• Previous research has concentrated mainly on surgical aspects and postoperative complication rates after day surgery laparoscopic cholecystectomy (LC), and less on patients' experiences and nursing care aspects.• A qualitative study was conducted aimed at investigating patients' experiences of LC in day surgery.• Ten women and two men were interviewed. The material was coded, categorized and analysed using qualitative analysis.• The findings demonstrate that individuals with gallstone disease experience limitations in their daily life and feelings of socially handicapped. Prior to surgery, the patients felt anxious and expressed a wish for tranquilizers, and to meet the surgeon responsible.• At discharge after day surgery, amnesia was experienced and the respondents did not remember important information about the operation given by the surgeon.• Experience of postoperative pain varied greatly. Several respondents had a relapse of pain on the third day lasting up to 1 week. The need for additional pain medication and a bloated feeling were reported. Some respondents reported nausea and vomiting, and most had questions about wound care.• The need for additional telephone follow‐up was mentioned, as was the fact that it was difficult to come home to small children. However, the great majority felt that returning home on the same day as the operation, was positive.
The experience of fatigue for people living with hepatitis C
Authors: Glacken Michèle , Coates Vivien , Kernohan George , Hegarty John 
Published: October 2010

Summary• Hepatitis C affects approximately 3% of the world population, with fatigue being acknowledged as the cardinal symptom. Despite growing recognition that hepatitis C fatigue impacts in a negative manner on quality of life, at the time of this study no empirical information existed regarding the nature of this fatigue or the way in which it affects a person's life. Such information is needed to enable nurses to engage in appropriate sensitive symptom management which is the core nursing activity with this population, as to date there is no vaccine or widely effective pharmacological therapy.• The aim of the study was to ascertain the nature of hepatitis C fatigue.• A qualitative approach using a grounded theory approach was employed. Theoretical sampling generated 28 participants for in‐depth interview. Data analysis consisted of three coding processes, each type of coding having its own purpose and method. Ethical approval was obtained, both from the principal author's academic institution and the participating health care institution.• Hepatitis C fatigue emerged as being multidimensional in nature, with both acute and chronic versions existing.• The hepatology community is beginning to acknowledge the significant prevalence of hepatitis C fatigue. This study provides a valuable insight into its nature. This information can serve as resource for practitioners in their development of interventions to enable the hepatitis C virus population live with fatigue in a proactive manner.
Prerequisites and consequences of nursing documentation in patient records as perceived by a group of Registered Nurses
Authors: Björvell Catrin , Wredling Regina , Thorell‐Ekstrand Ingrid 
Published: October 2010

Summary• The issue of nursing documentation and care planning has been discussed in numerous articles, revealing barriers and few facilitators in nursing practice. Few of these articles are scientifically researched and they are often based on small samples.• This study aimed to illuminate the factors that Registered Nurses (RNs) in acute care perceived as prerequisites and consequences relevant to their documentation of nursing care when using the VIPS model (VIPS is an acronym formed from the Swedish words for Well‐being, Integrity, Prevention and Security).• In total 377 RNs divided into two groups (Groups A and B) completed a questionnaire concerning opinions about nursing documentation. Both groups had received a 3‐day course on nursing documentation based on the VIPS model. Group A had also participated in a 2‐year comprehensive intervention programme.• The findings showed that most participants, regardless of group, perceived nursing documentation to be beneficial to them in their daily practice and to increase patient safety, and that use of the VIPS model facilitated documentation of nursing care.• The inhibitors, facilitators and consequences of nursing documentation identified here should help both RNs in practice and their leaders to be more attentive to the prerequisites needed to achieve satisfactory nursing documentation in patient records.
Nurses' personalities, nursing‐related qualities and work satisfaction: a 10‐year perspective
Authors: Sand Åsa 
Published: October 2010

Summary• The personalities and qualities of nursing personnel are considered to be of great importance for their interactions and nursing relationships with patients and may also influence work satisfaction.• The aim of the study was to explore the extent to which different personal qualities and personality factors, with a possible effect on motivation, professional conduct and coping with stress and anxiety, are represented in a group of assistant nurses (second level nurses), and how these qualities are related to nursing competence and long‐range work satisfaction.• A group of 51 female nursing students (mean age 31.8 years) participated in the study.• The nursing‐related qualities were empathy, sensitivity to non‐verbal communication, feelings of discomfort in different nursing situations and work satisfaction. The personality factors were psychogenic needs and defence mechanisms.• At a follow‐up 2 years later, 43 nurses were interviewed, work satisfaction was assessed and nursing competence was appraised. At a follow‐up 10 years after completion of nursing school, 33 of the nurses took part in a telephone interview. Work satisfaction was assessed in 23 of those who were still working as nurses.• Cluster analysis performed on baseline data resulted in four groups: empathic, discomfort prone, service‐minded and dominant. At the first follow‐up, the service‐minded had the greatest work satisfaction, with many considered to be ‘real jewels’. At the second follow‐up 8 years later, there appeared to be an overrepresentation of injuries and long‐term sick leave in this group, whose members had apparent difficulties in being dominant and asserting own interests. Work satisfaction diminished in all the groups over time. Long‐term work satisfaction was found, however, to be related to degree of empathy and a low degree of sensitivity to aggressiveness.
Views of job satisfaction and dissatisfaction in Australian long‐term care
Authors: Moyle Wendy , Skinner Jan , Rowe Gillian , Gork Chris 
Published: October 2010

Summary• The existing job satisfaction literature has tended towards an overemphasis on job satisfaction instruments.• In the study reported here the views of 27 nurses and assistants‐in‐nursing, collected through focus group interviews, were examined to determine the factors that contribute to workplace satisfaction and dissatisfaction in long‐term care of older people.• Content analysis of focus group interview data revealed that job satisfaction was related to workplace flexibility, residents, working within a team environment and dedication to the service of optimal resident care. Dissatisfaction was linked to working with unskilled or inappropriately trained staff, laborious tasks such as documentation, staffing levels, tensions within role expectations and the increasing need to be available for overtime.• In spite of different role expectations, long‐term nursing home care is reported to be a very satisfying area in which to work. However, care managers need to put in place strategies for building improved job satisfaction and workplace incentives to encourage graduates to consider long‐term care opportunities.• Limitations of the study include the small number of participants, bias towards one organization and lack of generalizability of the results.• However, the findings confirm many earlier job satisfaction studies and further support the need to consider these issues in relation to recruitment and retention in long‐term care.
Acute Pain Teams in England: current provision and their role in postoperative pain management
Authors: Mcdonnell Ann , Nicholl Jon , Read Susan M. 
Published: October 2010

Summary• This survey describes the current provision of multidisciplinary Acute Pain Teams (APTs) in acute English hospitals performing adult in‐patient surgery (excluding maternity). Associations between the presence of an APT and a number of organizational and clinical initiatives for the management of postoperative pain are also explored.• Postal questionnaires were sent to the Clinical Director of Anaesthetics or head of the APT at every acute English hospital providing separate anaesthetic services.• After written and telephone reminders, the response rate was 86% (n = 226).• Eighty‐four per cent (n = 190) of respondents had an APT in their hospital. The presence of an APT was associated (P≤0.05) with higher estimates of patient controlled analgesia and epidural use, regular in‐service training for nurses and junior doctors, written guidelines/protocols for management of postoperative pain, routine use of postoperative pain measurement systems and audit/research in relation to postoperative pain issues.• Acute Pain Teams, in which nurses play a major role, have a pivotal influence not only in relation to postoperative analgesia but also in wider service development. Since 1995, the number of hospitals offering in‐patient surgery that are covered by an APT has risen. However, despite repeated endorsements from professional bodies, some acute hospitals still have no APT and recent evidence indicates that some APTs face financial problems and provide a ‘token’ service only. Recent policy recommendations may have little impact on the current situation.
The Attending Nurse Caring Model ®: integrating theory, evidence and advanced caring–healing therapeutics for transforming professional practice
Authors: Watson Jean , Foster Roxie 
Published: October 2010

Summary• This paper presents a proposed model: The Attending Nursing Caring Model® (ANCM) as an exemplar for advancing and transforming nursing practice within a reflective, theoretical and evidence‐based context.• Watson's theory of human caring is used as a guide for integrating theory, evidence and advanced therapeutics in the area of children's pain.• The ANCM is offered as a programme for renewing the profession and its professional practices of caring–healing arts and science, during an era of decline, shortages, and crises in care, safety, and hospital and health reform.• The ANCM elevates contemporary nursing's caring values, relationships, therapeutics and responsibilities to a higher/deeper order of caring science and professionalism, intersecting with other professions, while sustaining the finest of its heritage and traditions of healing.