bluuebunny/crossref_metadata_2025_split huggingface dataset:
Student nurses' experiences of remote learning during Covid‐19 pandemic: A qualitative evidence synthesis
Authors: Giltenane Martina , Dowling Maura 
Published: October 2023

AbstractAimTo systematically synthesize undergraduate student nurses' experience of online, blended or distance learning during Covid‐19 pandemic.DesignA qualitative evidence synthesis (QES).Review MethodsA QES. Themes were organized using the ‘best fit’ framework approach. Methodological limitations and confidence in the review findings were informed by GRADE‐CERQual (Confidence in the Evidence from Reviews of Qualitative research).Data SourcesQualitative literature from five databases including CINAHL, PubMed, Medline, Education Full Text (H.W. Wilson) and ERIC were searched from March 2020 to November 2021.ResultsNine qualitative and two mixed method studies were included in this ‘best fit’ framework using Chickering and Gamson's Seven Principles for Good Practice in Undergraduate Education. Importance of the social presence of the teacher through effective communication and interpersonal relationships is highlighted. Clinical placement and in‐person practical skills training are needed for effective nursing education.ConclusionsThis review highlighted that online content can be developed into efficient and high‐quality learner‐centred education within blended undergraduate nursing programmes incorporating essential face‐to‐face and practical components. Various supporting measures are required for both students and faculty. We suggest an adaptation of a ‘Blending with Purpose: The Multimodal Model’ with key considerations for undergraduate nursing programmes where pedagogical objectives and activities drive the approaches to achieve intended learning outcomes and student satisfaction.Implications for the ProfessionWell‐designed online programmes using digital tools that support interaction and teamwork are required for undergraduate nursing education.Impact

Blended learning approaches offer more flexibility than online learning alone which leads to improved student engagement.

Clinical placement and in‐person practical skills training are needed for effective nursing education.

Reporting Method‘Enhancing transparency in reporting the synthesis of qualitative research’ (ENTREQ) for QES.No Patient or Public ContributionNo Patient or Public Contribution.
Truth in myth: Ancient Stories' windows on treating modern trauma
Authors: Kieran Kathryn 
Published: October 2023

AbstractAimExamine frameworks of myth in the theory and treatment of sequalae of intimate and interpersonal traumas, often seen and experienced by practicing nurses.DesignA discursive narrative review using a trauma‐informed lens.MethodsReview of existing frameworks using myth to understand or treat trauma. Due to limited literature from 1945 to 2023, a strategy akin to snowball sampling was used: exploration of source references, an unstructured interview, and a synthesis of existing approaches to interpersonal and intimate trauma.ResultsEffective treatments for post‐traumatic stress disorder exist, but reach is limited. Nursing is under‐represented in the existing literature on myth and trauma, which does not sufficiently include intimate and interpersonal traumas.ConclusionEncounters with myths encourage healing from interpersonal violence by making clear connections to universal themes while engaging intellect and emotions.Implications for the Profession and/or Patient CareEncounters with myths could help to mitigate trauma sequalae. Nurses are positioned to develop and test evidence‐based, highly flexible, patient‐centred interventions using myth.Impact

Identified gap: research using myth to address intimate and interpersonal violence.

Under‐studied intervention: a few works suggest myth encounters benefit combat trauma survivors.

All nurses encounter individuals with trauma histories. Myths may build empathy and efficacy.

Reporting MethodNo EQUATOR guidelines were discovered for the paper format.Patient/Public ContributionNo patient or public contribution.
The role of psychosocial factors and biological sex on rural Thai adolescents' drinking intention and behaviours: A structural equation model
Authors: Kantawong Eakachai , Kao Tsui‐Sui Annie , Robbins Lorraine B. , Ling Jiying , Anderson‐Carpenter Kaston D. 
Published: October 2023

AbstractAimsTo examine the contributions of psychosocial factors (attitude towards drinking, perceived drinking norms [PDNs], perceived behavioural control [PBC]), and biological sex on drinking intention and behaviours among rural Thai adolescents.DesignA cross‐sectional study design.MethodsIn 2022, stratified by sex and grade, we randomly selected 474 rural Thai adolescents (Mage = 14.5 years; SD = 0.92; 50.6% male) from eight public district schools in Chiang Mai Province, Thailand, to complete a self‐administered questionnaire. Structural equation modelling with the weighted least square mean and variance adjusted was used for data analysis.ResultsAll adolescents' psychosocial factors contributed significantly to the prediction of drinking intention, which subsequently influenced their drinking onset, current drinking and binge drinking pattern in the past 30 days. PDNs emerged as the strongest psychosocial predictor of drinking intention, followed by PBC. Rural adolescents' drinking intention significantly mediated the relationship between all psychosocial factors and drinking behaviours either fully or partially. The path coefficient between drinking attitude and drinking intention was significantly different between males and females.ConclusionDifferent from previous studies focus on adolescents' drinking attitude, rural Thai adolescents' PDNs play a significant role on their drinking intention and subsequently their drinking onset and patterns. This nuanced understanding supports a paradigm shift to target adolescents' perceived drinking norms as a means to delay their drinking onset and problematic drinking behaviours.ImpactHigher levels of perceived drinking norms significantly led to the increase in drinking intention among adolescents. Minimizing adolescents' perceptions of favourable drinking norms and promoting their capacity to resist drinking, especially due to peer pressure, are recommended for nursing roles as essential components of health education campaigns and future efforts to prevent underage drinking.Patient or Public ContributionIn this study, there was no public or patient involvement.
Effectiveness of online collaborative problem‐solving method on students' learning performance: A meta‐analysis
Authors: Tian Qian , Zheng Xudong 
Published: October 2023

AbstractBackgroundDuring the COVID‐19 pandemic, online collaborative problem solving (online CPS) has become one of the most crucial learning methods to develop students' learning performance. However, it remains unclear of the effectiveness of the online CPS method on students' learning performance.ObjectivesTo explore the overall effect of online CPS methods on students' learning performance and identify the moderating factors that influence this impact, we employed a meta‐analysis approach to analyse the combined effects of 31 articles.ResultsThe results showed that the online CPS method had a medium impact on students' learning performance, with an overall effect size of 0.526. The moderator analysis indicated that the online CPS method was more effective for (a) college preparatory learners, (b) the discipline of Economics, (c) grouping method of assigned, (d) teacher‐led instruction, (e) study duration of 2 to 4 weeks, (f) group size of 3–5 members, (g) synchronous online environment and (h) cognitive performance.ImplicationsBased on these findings, we recommend using the online CPS to improve students' cognitive and affective learning performance. To enhance students' social learning performance, instructors should design reasonably to use collaborative scaffolding to engage students purposefully and constructively in online CPS activities.
Recommendations for successful virtual patient‐assisted esthetic implant rehabilitation: A guide for optimal function and clinical efficiency
Authors: Li Junying , Joda Tim , Revilla‐León Marta , Saleh Muhammad H. A. , Chen Zhaozhao , Wang Hom‐Lay 
Published: October 2023

AbstractObjectiveComplete arch implant rehabilitation necessitates meticulous treatment planning and high‐level collaboration between surgical and prosthetic dental teams. Emerging virtual technologies hold considerable promise in streamlining this process. The aim of this article is to extend recommendations to clinicians venturing into the virtual patient‐assisted esthetic implant rehabilitation workflow.OverviewThis article summarizes recommendations for virtual patient‐assisted esthetic implant rehabilitation in the following five aspects: three‐dimensional data handling and superimposition, occlusion and virtual articulator integration in creating virtual patients, streamlined face‐ and prosthetic‐driven surgical planning, reuse of presurgical data (“Copy & Paste”), and final impression for passive fitting of final restoration. To illustrate these principles, a case with complete‐mouth implant rehabilitation completed within six visits using this virtual patient workflow is presented.ConclusionThe virtual patient workflow serves as an invaluable tool to perform treatment planning, enhance efficiency, and ensure predictable outcomes in esthetic complete arch implant rehabilitation.Clinical SignificanceVirtual workflows are increasingly prevalent in esthetic implant rehabilitation. Nevertheless, these workflows necessitate a distinct set of knowledge and tools divergent from conventional dentistry practices. This article offers guidelines and recommendations for dental clinicians who are new to this field.
A guide for selecting the intraoral scan extension when fabricating tooth‐ and implant‐supported fixed dental prostheses
Authors: Revilla‐León Marta , Gómez‐Polo Miguel , Kois John C. 
Published: October 2023

AbstractObjectivesTo describe a new classification for intraoral scans based on the scan extension and to introduce a decision guideline to choose the scan extension for fabricating tooth‐ and implant‐supported fixed dental prostheses (FDPs).OverviewMultiple operator‐ and patient‐related factors have been identified that can decrease the scanning accuracy of intraoral scanners (IOSs), including scan extension. However, the decision criteria for selecting scan extension for fabricating tooth‐ and implant‐supported restorations is unclear. Based on the extension of the intraoral digital scans, three types of scans can be defined: half‐arch (anterior or posterior), extended half‐arch, and complete‐arch scan. Variables to consider when choosing the scan extension include the number and location of units being restored, as well as the extension and location of edentulous areas. Additionally, the accuracy of the virtual definitive cast and the accuracy of the maxillomandibular relationship captured by using IOSs should be differentiated.ConclusionsA decision tree for selecting the scan extension is presented. The decision is based on the number and location of units being restored, and the extension and location of edentulous areas. Intraoral scans with reduced scan extension are indicated when fabricating tooth‐ and implant‐supported crowns or short‐span fixed prostheses, when the patient does not have more than one missing tooth in the area of the dental arch included in the scan. For the remaining clinical conditions, complete‐arch intraoral scans are recommended.Clinical SignificanceScan extension is a clinician's decision that should be based on the number and location of units being restored and the extension and location of edentulous areas. Intraoral scans with a reduced scan extension is recommended, when possible.
Effect of thermal and nonthermal techniques on the physicochemical quality of high‐fat coconut cream
Authors: Nimbkar Shubham , Negi Aditi , Thirukumaran R. , Moses J. A. , Sinija V. R. 
Published: October 2023

AbstractIn light of the nutritional properties of coconut and the growing demand for plant‐based foods, this work was aimed toward the development of high‐fat coconut cream. Coconut milk was subjected to novel thermal (microwave, MW, and ohmic heating, OH) and nonthermal (ultrasound, US, and pulsed electric field, PEF) treatments. A high‐fat cream (fat content >60%) was obtained by centrifugation; its microstructure, color, particle size and zeta potential, textural, and rheological properties were evaluated. All treatments resulted in a significant increase in moisture content and a decrease in fat content; thermal treatments resulted in higher yield (up to ~18% higher than control samples). US resulted in the least particle size and highest absolute zeta potential owing to cavitation effects. MW cream had the highest value of firmness (498.38 ± 4.09 g) and consistency (5501.73 ± 178.08 g s), followed by OH cream and PEF cream had the least values. All cream samples showed shear thinning behavior with US cream exhibiting the lowest flow behavior index (0.22 ± 0.01). Sensory scores indicated that US cream was the most acceptable, especially with high preferences in terms of creaminess and spreadability. The findings of this research provide insights into the development of high‐fat plant‐based creams.Practical applicationsOver the years, there has been a surge in the focus on plant‐based foods. The present work focuses on the development of a novel coconut‐based high‐fat cream and the impact of different processing techniques. The developed novel product can be used as a replacer for animal‐based creams, spreads, and emulsified sauces such as mayonnaise, whilst providing the benefits of coconut fats. This study also provides insights into the development of novel plant‐based high‐fat creams and the use of novel processing techniques for improved quality and stability.
Hepatobiliary and pancreatic: Multi‐donor fecal microbiota transplantation attenuated high‐fat diet‐induced hepatic steatosis in mice by remodeling the gut microbiota
Authors: Shou Diwen , Luo Qingling , Tang Wenjuan , Cao Chuangyu , Huang Hongli , Chen Huiting , Zhou Yongjian 
Published: October 2023

AbstractBackground and AimsFecal microbiota transplantation (FMT) can improve the symptoms of nonalcoholic fatty liver disease (NAFLD) by restoring the gut microbiota. This study was aimed to evaluate the therapeutic effects of single‐donor (SD) or multi‐donor (MD) FMT in a mouse model of hepatic steatosis and explore the underlying mechanisms.MethodsFecal samples were collected from NAFLD patients and healthy controls with similar baseline characteristics, with gut microbiota analyzed. Mice were fed either a normal‐chow diet (NCD) or a high‐fat diet (HFD) for 3 weeks and then administered fecal microbiota collected from healthy SDs or MDs for 12 weeks.ResultsFecal samples from NAFLD patients showed significantly lower microbial diversity than those from healthy controls. MD‐FMT reduced liver fat accumulation and body weight and significantly improved serum and liver biochemical indices in HFD‐fed mice. Compared to untreated HFD‐fed mice, MD‐FMT significantly decreased the relative expression of IL‐1β, IL‐6, TNF‐α, IFN‐γ, and IL‐1β mRNAs in the liver. The relative protein level of intestinal barrier components, including claudin‐1, occludin, and E‐cadherin, as well as serum lipopolysaccharide (LPS) level in mice, were found to be improved following MD‐FMT intervention. Furthermore, FMT reversed HFD‐induced gut dysbiosis and increased the abundance of beneficial bacteria such as Blautia and Akkermansia.ConclusionNAFLD patients and healthy controls showed distinct gut microbiota. Likewise, HFD altered gut microbiota in mice compared to NCD‐fed controls. MD‐FMT restored gut dysbiosis in HFD‐fed mice and attenuated liver steatosis, and should be considered as an effective treatment option for NAFLD.
Instruments for assessing the spiritual needs of cancer patients: A systematic review of psychometric properties
Authors: Wang Wei , Yang Jing , Bai Dingxi , He Jiali , Cai Mingjin , Gong Xiaoyan , Lu Xianying , Hou Chaoming , Gao Jing 
Published: October 2023

AbstractAims and ObjectivesTo identify available instruments for assessing cancer patients' spiritual needs and to examine their psychometric properties using the Consensus‐based Standards for the selection of health Measurement Instruments (COSMIN) methodology.BackgroundCancer patients frequently have significant spiritual needs. The nurse plays an integral role in assessing the patient's spiritual needs as part of providing holistic care. It is crucial to assess these needs using appropriate and reliable instruments.DesignA systematic review based on COSMIN methodology.MethodsSeven electronic databases (PubMed, EMBASE, CINAHL, Web of Science, ProQuest, CNKI and WANFANG) were systematically searched from inception until 14 February 2023. Two authors independently screened eligible literature, extracted data and evaluated methodological and psychometric quality. This systematic review was conducted following the PRISMA checklist.ResultsSixteen studies have reported 16 different versions of the instruments. None of the instruments were properly assessed for all psychometric properties, nor were measurement error, responsiveness and cross‐cultural validity/measurement invariance reported. All of the instruments failed to meet the COSMIN quality criteria for content validity. The quality of evidence for structural validity and/or internal consistency in five instruments did not meet the COSMIN criteria. Eventually, five instruments were not recommended, and 11 were only weakly recommended.ConclusionInstruments to assess spiritual needs exhibited limited reliability and validity. The Spiritual Care Needs Scale is provisionally recommended for research and clinical settings, but its limitations regarding content validity and cross‐cultural application must be considered in practice. Future research should further revise the content of available instruments and comprehensively and correctly test their psychometric properties.Relevance to Clinical PracticeThe review findings will provide evidence for healthcare professionals to select instruments for recognising spiritual needs in cancer patients.No Patient or Public ContributionThis study is a systematic review with no patient or public participation.
The authentic self in work and family roles and well‐being: A test of self‐determination theory
Authors: White Marla L. , Wayne Julie Holliday , Casper Wendy J. , Matthews Russell A. , Odle‐Dusseau Heather , Jean Esther L. 
Published: October 2023

AbstractThe current study aims to advance the theoretical understanding of work and family authenticity, or the extent to which one's time, energy, and attention in work and family roles are consistent with life values, by examining the antecedents and processes by which they occur within a self‐determination theory framework. By testing the tenets of self‐determination theory, we examine a conceptual model in which we posit that work and family need satisfaction relates positively to life satisfaction through domain‐specific autonomous motivation, work and family authenticity, and domain satisfaction. We test our conceptual model with data collected at two time points from 220 working adults. Our results largely support our hypotheses in the work domain but, interestingly, not in the family domain, suggesting that human motivation processes differ by domain. We conclude by discussing implications and offering suggestions for future research.
Individualized chemotherapy drug dose escalation in dogs with multicentric lymphoma
Authors: Siewert Jacob M. , Gustafson Daniel L. , Weishaar Kristen M. , Galloway Annie M. , Thamm Douglas H. 
Published: October 2023

AbstractBackgroundThis study was performed to determine the ability to escalate drug doses in a 15‐week CHOP protocol in dogs with multicentric lymphoma.HypothesisWe hypothesized that at least 50% of dogs could successfully be escalated in at least 1 drug. Secondary aims were to establish objective response rate (ORR), progression‐free interval (PFI), and overall survival time (OST).AnimalsThirty dogs with newly diagnosed multicentric lymphoma were prospectively treated with a 15‐week CHOP protocol.MethodsThis was a prospective cohort study. Drug doses that did not cause dose‐limiting adverse effects (AEs) were increased using a standardized escalation protocol. AEs and response were assessed using VCOG criteria. Serial blood samples were collected after the first dose of each drug for pharmacokinetic analysis.ResultsOf the 23 dogs with the opportunity to dose escalate, at least 1 drug was successfully escalated in 18 (78%). Vincristine was successfully escalated to 0.8 mg/m2 or higher in 11 dogs, cyclophosphamide to 300 mg/m2 or higher in 16 dogs, and doxorubicin to 35 mg/m2 or 1.4 mg/kg or higher in 9 dogs. Three of the 23 dogs (13%) were hospitalized at least once because of drug‐induced AEs. Neutropenia was the most common dose‐limiting toxicosis for all drugs. Peak doxorubicin concentrations were significantly lower in dogs where doxorubicin was successfully escalated. The objective response rate was 100%. The median progression free interval was 171 days. The median overall survival time was 254 days.ConclusionsDrugs in the CHOP protocol can often be escalated safely with manageable AEs.
Investigating the effect of bacterial coinfections on juvenile and adult green‐lipped mussels (Perna canaliculus)
Authors: Azizan Awanis , Carter Jack , Venter Leonie , Young Tim , Sharma Shaneel S. , Chen Tony , Alfaro Andrea C. 
Published: October 2023

AbstractThe New Zealand's Greenshell™ mussel (Perna canaliculus) aquaculture industry is being affected by summer mortality events associated with increasing seawater temperatures and pathogens. In this study, challenge experiments were conducted to investigate, for the first time, the effects of pathogen coinfection on the survivability and haemolymph immune responses of juvenile and adult mussels. Animals were injected with marine broth (control), Vibrio mediterranei, Photobacterium swingsii, or a mixture of V. mediterranei and P. swingsii. Then, mussel survival was monitored for 72 h, and haemolymph was sampled for bacterial quantification and metabolomics analyses at 24‐ and 48‐h post challenge. Coinfected adults and juveniles showed 100% mortality. Bacterial colony counts in haemolymph decreased as infection time continued, especially in juveniles. The haemolymph metabolome of mussels exposed to single bacterial species and coinfection showed response changes largely within energy metabolism. Mussels infected with V. mediterranei exhibited increased metabolites linked to the glutathione pathway, branched‐chain amino acids, and others over time, supporting structural functions. Conversely, mussels infected with P. swingsii showed no metabolic differences over time. The coinfection group exhibited large decreases in important metabolites, such as fatty acids as an alternative energy source and amino acids to support immune functions and protein synthesis.