bluuebunny/crossref_metadata_2025_split huggingface dataset:
Characterization of the visually impaired patients with diabetes mellitus in Japan
Authors: Sugihara Yuka , Takamura Yoshihiro , Yamada Yutaka , Morioka Masakazu , Gozawa Makoto , Kato Kumiko , Hirano Takao , Murao Fumiko , Shimizu Miho , Kusuhara Sentaro , Murakami Tomoya , Takenaka Yuki , Okabe Naoko , Jujo Tatsuya , Terasaki Hiroto , Nagasato Daisuke , Dong Zhenyu , Yoshida Shigeo , Ogura Shuntaro , Yasuda Kanako , Ishigooka Gaku , Sawada Osamu , Higashijima Fumiaki , Inatani Masaru 
Published: March 2024

ABSTRACTAims/IntroductionTo conduct a multicenter survey of visually impaired patients with diabetes mellitus (DM) and to identify the physical and ocular characteristics that lead to blindness in Japan.Materials and MethodsVisually impaired patients with diabetes mellitus in Japan were divided into blind and low‐vision groups according to the World Health Organization classification. Data on parameters related to diabetes mellitus and ocular complications in the right and left eyes were collected from 19 highly advanced medical facilities and compared between the two groups.ResultsAmong 408 visually impaired persons (blind group: 257, low‐vision group: 151), 72.1% were under 70 years of age. The rates of neovascular glaucoma (NVG) (right eye, P = 0.041; left eye, P = 0.0031) or proliferative diabetic retinopathy (PDR) (right eye: P = 0.014, left eye: P = 0.0047) and the rate of proliferative membrane beyond half of the retinal area (right eye: P = 0.0263, left eye: P = 0.037) were significantly higher in the blind group. The direct cause of visual impairment was retinal atrophy, common in both groups. Neovascular glaucoma and diabetic macular edema were equally prevalent in the blind and low‐vision groups, respectively.ConclusionsIn Japan, blind patients with diabetes mellitus are characterized by severe conditions such as neovascular glaucoma and progressive proliferative diabetic retinopathy upon their initial visit to an advanced care facility. These results highlight the importance of monitoring retinopathy through regular ophthalmological examinations, internal medicine, and appropriate therapeutic intervention.
Children's experiences of mask‐wearing: a systemic review and narrative synthesis
Authors: Preest Elin , Greenhalgh Trisha , Farrier Christian , van der Westhuizen Helene‐Mari 
Published: March 2024

AbstractRationaleMasks have been widely used as a preventative tool during the COVID‐19 pandemic. However, the use of masks by children has been controversial, with international guidelines recommending a risk‐based approach to national policymakers.Aims and objectivesWe aimed to conduct a systematic review that explores children's experiences of mask‐wearing, drawing on an evidence base that describes mask‐wearing in different contexts including air pollution, and to prevent the spread of infectious disease.MethodsWe searched MEDLINE, Embase and PsycINFO in June 2021, with repeat searches in August 2022 and January 2024, for primary research studies exploring children's experiences of masks. Included studies reported on participants between 4 and 14 years (inclusive), with no restrictions on language where an English translation was available. Two reviewers independently screened titles and abstracts and reviewed full texts, with discrepancies resolved by a third reviewer. We used the Mixed Methods Appraisal Tool for quality appraisal and narrative synthesis to identify key findings. We also conducted stakeholder consultation (Patient and Public Involvement (PPI)) with nine children, where they submitted annotated drawings of their preferred masks to complement our review findings.ResultsWe screened 982 titles and abstracts and reviewed 94 full texts. 45 studies were included in the synthesis. Children's experiences of mask‐wearing were influenced by their perceived necessity, social norms around their use and parental attitudes. Challenges related to mask‐wearing were described, including difficulty reading facial expressions and physical discomfort. Children found it easier to wear masks when sitting and in cooler environments, and they benefited from unmasking during outdoor break time at school. As part of the PPI consultation, children highlighted the importance of mask design and the environmental impact of masks.ConclusionChildren's experiences of mask‐wearing were varied and context‐dependent, with several mask‐design challenges raised. Future policy on mask‐wearing needs to consider the context in which mask‐wearing would be most beneficial, and how local adaptations to policy can respond to children's needs.
Diamond Gymnura natalensis and duckbill Aetomylaeus bovinus rays undertake nationwide coastal migrations
Authors: Elston Chantel , Murray Taryn S. , Rogers Toby , Parkinson Matthew C. , Mann Bruce Q. , Daly Ryan , Filmalter John D. , Cowley Paul D. 
Published: March 2024

AbstractMigration is a critical aspect of ocean ecosystems, and understanding this phenomenon answers ecological and management questions. Given the difficulty in tracking ocean animals across large distances, the extent to which different ray species perform long‐distance movements, such as migrations, remains unknown. This study used passive acoustic telemetry to track the movements of endemic diamond Gymnura natalensis and critically endangered duckbill Aetomylaeus bovinus rays along the South African coastline using a collaborative nationwide network of coastal acoustic receivers for up to 7 years. Duckbill rays were detected significantly more frequently than diamond rays, but both species moved between the south and east coasts of South Africa (traveling up to 1167 km). Tagged individuals were detected significantly more often in their tagging locations during summer months but traveled significantly further distances during winter months. Furthermore, movement models fitted to individual duckbill rays' annual net‐squared displacement identified most individual annual movements as migratory. This evidence suggests that both diamond and duckbill rays make eastward winter migrations and return to specific areas along the coastline during the summer months. The exceptions to this were diamond rays tagged on the east coast that were not found to migrate seasonally, which supports previous research that there is intraspecific variability in migrations for ray species. These findings have implications for understanding ray migration not only on a global scale but also locally for spatial management interventions and population delineation.
Effect of a plant protein‐rich diet on postprandial phosphate metabolism in healthy adult men: a randomised controlled trial
Authors: Uenishi Kozue , Kawasaki Nozomi , Iseki Haruka , Nogata Misato , Kawabata Yuki , Kido Shinsuke 
Published: March 2024

AbstractBackgroundThis study examined the effects of animal protein‐ and plant protein‐rich diets on postprandial phosphorus metabolism in healthy male subjects.MethodsThe study was conducted by randomised parallel‐group comparison of healthy men aged 21–24 years. In Study 1, participants were divided into two groups and consumed either a 70% animal protein diet (AD, n = 6) or a 70% plant protein diet (PD, n = 6). In Study 2, participants were divided into three groups and consumed either AD (n = 10), PD (n = 10) or AD + DF, a 70% animal protein diet loaded with the same amount of fibre as PD (n = 9). The phosphorus contents of the diets used in this study were nearly equivalent (AD, 710.1 mg; PD, 709.7 mg; AD + DF, 708.9 mg). Blood and urine samples were collected before, and 2 and 4 h after the meal to measure phosphorus and calcium levels.ResultsIn Study 1, PD consumption resulted in lower blood and urinary phosphorus concentrations 2 h postprandially compared with AD (p < 0.05). In Study 2, blood phosphorus levels in AD + DF after the diet remained lower, but not significantly so compared with AD, and urinary phosphorus levels were significantly lower 2 h postprandially (p < 0.05).ConclusionsA plant protein‐rich diet reduced rapid postprandial increases in blood and urinary phosphorus concentrations compared with the animal protein‐rich diets, suggesting that dietary fibre may play a partial role in the postprandial decreases in blood and urinary phosphorus concentrations.
The role of social media in the professional sphere of Finnish registered dietitians
Authors: Liikkanen Jade , Virtanen Heli E.K. , Mikkonen Santtu , Laitinen Aija L. 
Published: March 2024

AbstractBackgroundWith the widespread use of social media, understanding how healthcare professionals, such as dietitians, utilise these platforms for their work has gained interest. The aim of the current study was to describe how Finnish registered dietitians utilise various social media channels for professional purposes. The study also investigated the perceived social media skills of dietitians.MethodsA cross‐sectional study was conducted using an online survey administered between December 2022 and February 2023. The participants were 107 Finnish registered dietitians who held a master's degree suitable for the profession. The Fisher's exact test was employed for categorical variables, whereas the Kruskal–Wallis test was used for ordinal variables with multiple groups.ResultsOut of the 107 participants, 62 (58%) reported using social media for professional purposes. The primary purposes across various social media channels were interaction with colleagues (80%) on Facebook, networking with professionals from other fields (86%) on LinkedIn and general monitoring of the field on Instagram (91%), Twitter (77%) and YouTube (58%). Dietitians' perceived social media skills were found to have a statistically significant relationship with age (p < 0.05) for all channels, except Twitter.ConclusionsThe findings suggest that Finnish dietitians predominantly utilise social media for passive monitoring of the field, rather than actively sharing content with the public. Professional communication tends to take place within their own professional groups. Incorporating social media use into the official job description could serve as an encouraging factor to enhance the professional utilisation of social media among dietitians.
Optimization of the end‐of‐life tire repartition within the European treatment system to minimize its environmental impacts
Authors: Duval Lisa , Majeau‐Bettez Guillaume , Saunier François , Maréchal François , Margni Manuele 
Published: March 2024

AbstractThis study contrasts two different approaches to inform European‐scale decision‐making to mitigate the environmental impacts of the end‐of‐life tires (ELT) management system. The first analysis is a traditional life cycle assessment (LCA) that compares the environmental performances of the 12 main available European end‐of‐life (EOL) technologies in ELT processing while restricting the boundaries to the EOL stage. The second analysis has a broader scope, addressing the optimization of the ELT distribution within the 12 considered pathways to minimize the environmental impacts of the total tire use in Europe under present capacity and constraints. The results of the traditional LCA show that, except for landfill, all the tested EOL routes present environmental benefits. Material recovery pathways bring the most environmental credits, whereas civil engineering pathways are the least promising. The LCA results that emerged from the optimization of ELT management technologies yield two optimal technological mixes that maximize the quantity of ELT recycled in molded objects production: such results represent a hypothetical case with no constraints. When considering constraints, that is, limitations on maximum quantities of ELT that can undergo retreading, pyrolysis, or recycling in synthetic turfs, in molded objects and in production, the number of optimal technology mixes increases to five. The type of technologies favored depends on the minimized impact categories (climate change, fossil and nuclear energy use, human health, and ecosystem quality). A comparison between constrained and unconstrained scenarios shows that achieving the best environmental performances is conditional to the accessibility of the EOL technologies as well as their individual environmental impacts.
Nursing students' attitudes towards mental illness: A multi‐national comparison
Authors: Moxham Lorna , Tapsell Amy , Perlman Dana , Al Mutair Abbas , AL‐Sagarat Ahmad Yahya , Alsaraireh Faris A. , Chung Min‐Huey , Jose Tessy Treesa , Kuo Shu‐Yu , Liu Megan F. , Nayak Asha K. , Shamsan Abbas , Sudhakar Christopher , Tsai Hsiu‐Ting , Velayudhan Binil , Yang Chyn‐Yng , Roberts Michelle M. , Yeh Pi‐Ming , Patterson Christopher 
Published: March 2024

Accessible SummaryWhat is known on the subject

Health professionals, including nurses, are shown to have stigmatizing attitudes towards mental illness.

For nursing students who are in their formative years of professional development, mental illness stigma can severely impact the care they provide.

Little research has investigated multi‐national comparisons of nursing students' attitudes towards mental illness.

What this paper adds to existing knowledge

This study shows that between countries, there were substantial differences amongst nursing students in stigmatizing attitudes towards mental illness.

Cultural perspectives may explain some of these differences.

What are the implications for practice

Regardless of location, stigmatizing attitudes are present at varying levels. Each nation can take steps to reduce these by acknowledging the presence of stigmatizing attitudes amongst nurses, educating nurses regarding the negative impacts of stigma on patient outcomes, and decrease stigmatizing attitudes by facilitating opportunities for nurses (particularly student nurses) to have direct contact with people with lived experiences of mental illness.

AbstractIntroductionStigmatizing attitudes perpetuated by nursing professionals are a pervasive problem for people experiencing mental health issues. This global issue has detrimental consequences; inhibiting one's life chances and help‐seeking behaviours. To date, few studies have compared nursing students' attitudes towards mental illness from a multi‐national perspective.AimTo compare undergraduate nursing students' attitudes towards mental illness across six countries: Australia, India, Jordan, Saudi Arabia, Taiwan and USA.MethodIn a cross‐sectional design, data were collected from undergraduate nursing students (N = 426) using the Social Distance Scale. A one‐way analysis of variance was used to compare differences between countries.ResultsNursing students' attitudes to mental illness differed between countries. Social Distance Scores were highest amongst nursing students from Jordan and Saudi Arabia. Students from Taiwan and India possessed moderate stigma scores. Social Distance Scores from the USA and Australia were lowest.DiscussionClear differences in stigmatizing attitudes emerged between countries; these are discussed in relation to possible cultural influences.Implications for PracticeIt is suggested that educating nurses, combined with direct contact with people with lived experiences of mental illness, can reduce stigmatizing attitudes regardless of country, location or educational institution.
Utility of focused cardiac ultrasonography training in veterinary students to differentiate stages of subclinical myxomatous mitral valve disease in dogs
Authors: Huh Terry , Achilles Erin J. , Massey Laura K. , Loughran Kerry A. , Larouche‐Lebel Éva , Convey Victoria , McKaba Victoria F. , Crooks Alexandra , Kraus Marc S. , Gelzer Anna R. , Oyama Mark A. 
Published: March 2024

AbstractBackgroundDifferentiation of the subclinical phases of myxomatous mitral valve disease (MMVD) in dogs relies heavily on echocardiography. Focused cardiac ultrasonography (FCU) is a point‐of‐care technique that can assess heart size.Hypothesis/ObjectivesVeterinary students trained in FCU can differentiate dogs with subclinical MMVD based on left ventricular (LV) and left atrial (LA) dimensions.AnimalsForty‐eight dogs with subclinical MMVD.MethodsVeterinary students were trained to measure LV dimension and LA‐to‐aortic root dimension ratio (LA : Ao) using FCU. Dogs were categorized into 2 cohorts based on whether or not the LV normalized internal diastolic dimension was ≥1.7 and LA : Ao was ≥1.6. Agreement between FCU and echocardiographic studies performed by cardiologists was evaluated.ResultsOne‐hundred and forty‐six FCU examinations were performed by 58 veterinary students on 48 dogs. Overall agreement between students and cardiologists was moderate (Fleiss' kappa, 0.54; 95% confidence interval [CI], 0.39‐0.69; P < .001). Percentage accuracy in observations with heart dimensions less than the cutoffs (86/89, 97%) was significantly higher than in observations in with larger hearts (31/57, 54%; P < .001). Agreement increased from moderate to good as heart sizes became more extreme. Degree of confidence by students in performing FCU was significantly higher at the end vs start of the study.Conclusions and Clinical ImportanceCategorization of dogs with subclinical MMVD by veterinary students using FCU was associated with moderate to good agreement with echocardiography. Focused cardiac ultrasonography is a point‐of‐care method that can help assess clinical stage in dogs with subclinical MMVD.
Island medicine longitudinal cohort study: Rapid rise in chronic kidney disease in rural and remote communities
Authors: Jose Matthew D. , Cuthbertson Laura , Burgess James , Jose Kim , Saunder Timothy , Kitsos Alex , Radford Jan , Raj Rajesh 
Published: March 2024

AbstractAimTo determine the change in incidence and prevalence of chronic kidney disease (CKD) in rural and remote communities over the last decade.MethodsWe examined the change in age‐standardized incidence and prevalence in Tasmania between 2010 and 2020, using a linked dataset that included any adult with a creatinine test taken in a community laboratory during the study period (n = 581 513; 87.8% of the state's adult population). We defined CKD as two measures of eGFR <60 mL/min per 1.73 m2, at least 3 months apart.ResultsState‐wide age‐standardized prevalence of CKD increased by 28% in the decade to 2020, from 516 to 659 per 10 000 population. Prevalence in men increased 31.3% and women 24.8%. The greatest increase in age‐standardized prevalence was seen in rural or remote communities with an increase of 36.6% overall, but with considerable variation by community (range + 0.4% to +88.3%). The increase in the actual number of people with CKD in the decade to 2020 was 67%, with the number of women increasing by 58% and men by 79%.ConclusionThe age‐standardized prevalence of CKD in rural and remote regions has increased considerably over the past decade, likely compounded by limited access to primary and secondary healthcare. These findings highlight the need to ensure healthcare resources are directed to areas of greatest need.
How much do we know about nursing care delivery models in a hospital setting? A mapping review
Authors: Geltmeyer Klara , Eeckloo Kristof , Dehennin Laurence , De Meester Emma , De Meyer Sigrid , Pape Eva , Vanmeenen Margot , Duprez Veerle , Malfait Simon 
Published: March 2024

AbstractTo deal with the upcoming challenges and complexity of the nursing profession, it is deemed important to reflect on our current organization of care. However, before starting to rethink the organization of nursing care, an overview of important elements concerning nursing care organization, more specifically nursing models, is necessary. The aim of this study was to conduct a mapping review, accompanied by an evidence map to map the existing literature, to map the field of knowledge on a meta‐level and to identify current research gaps concerning nursing models in a hospital setting. Next to nursing models, two other organizational correlates seem to be of importance when looking at the organization of nursing care: nurse staffing and skill mix. Although it seems that in recent research, the theoretical focus on the organization of nursing care has been left behind, the increasingly complex healthcare environment might gain from the use of nursing theory, or in this case, care delivery models. As almost no fundamental studies have been done toward the combination of care delivery models, nurse staffing, and skill mix, those elements should be taken into account to fully capture the organization of nursing care in future research.
From plaster casts to picket lines: Public support for industrial action in the National Health Service in England
Authors: Hansen Martin Ejnar , Pickering Steven David 
Published: March 2024

AbstractThis paper explores public sentiment towards strike action among healthcare workers, as a result of their perceived inadequate pay. By analysing survey data collected in England between 2022 and 2023, the study focuses on NHS nurses and junior doctors, due to their critical role in delivering essential public services. Results indicate higher public support for strikes by nurses and junior doctors compared to other professions such as postal workers, teachers, rail workers, airport workers, civil servants and university lecturers. However, variation in support for strikes by healthcare workers is observed across societal segments. Significant disparities in support are linked to individual political affiliations, left–right ideological positions and trust in the NHS. In short, nonconservative voters, individuals leaning towards left‐wing politics and those with greater trust in the NHS demonstrate higher likelihoods of supporting strikes by health workers. These findings carry implications for future strike decisions and highlight specific target groups for enhanced communication efforts to garner increased public support.
“There is nothing to protect us from dying”: Black women's perceived sense of safety accessing pregnancy and intrapartum care
Authors: Boakye Priscilla N. , Prendergast Nadia 
Published: March 2024

AbstractPregnancy and childbirth have become a dangerous journey for Black women as harrowing stories of death and near‐death experiences resonate within Black communities. While the causes of pregnancy‐related morbidity and mortality are well documented, little is known about how Black Canadian women feel protected from undesirable maternal health outcomes when accessing and receiving pregnancy and intrapartum care. This critical qualitative inquiry sheds light on Black women's perceived sense of safety in accessing pregnancy and intrapartum care. Twenty‐four in‐depth interviews were conducted with Black women who were pregnant or had given birth. Five interconnected themes were generated through thematic analysis: (1) There is a lot of prejudice towards us, (2) We are treated as sick bodies, (3) There is a lot of stereotypes towards us, (4) Our care is lacking in quality, and (5) We feel unsafe in the healthcare system. These themes highlight the perils faced by Black women accessing pregnancy and intrapartum care. The right to safe motherhood and equitable care for Black women should be a national priority in Canada to avert a looming crisis.