bluuebunny/crossref_metadata_2025_split huggingface dataset:
Implementation strategy for advanced practice nursing in Gabon: A multicenter mixed‐method study
Authors: Toniolo Jean , Ngoungou Edgard Brice , Ategbo Simon , Ibinga Euloge , Maghendji‐Nzondo Sydney , Preux Pierre‐Marie , Beloni Pascale 
Published: November 2023

AbstractAimTo describe the expectations, acceptability, and challenges identified by nurses and key healthcare stakeholders regarding the implementation of advanced practice nursing in Gabon.BackgroundAdvanced practice nursing presents an opportunity to address the epidemiological transition and the shortage of healthcare professionals in Africa. In anticipation of establishing a master's degree program in advanced practice nursing and its subsequent implementation, it is important to understand Gabon's specific needs and characteristics.DesignThis study used a multicenter cross‐sectional mixed‐method design.MethodsFrom April to May 2022, a total of 187 healthcare professionals were included from two hospitals and two universities in Gabon. Data were collected through questionnaires and complemented by focus group discussions, guided by the existing literature, the PEPPA framework, and Hamric's model.ResultsThe implementation of advanced practice nursing was generally well accepted. Factors influencing acceptability included being female, awareness of advanced practice nursing, and supporting the role of advanced practice nurses in diagnosing chronic diseases. Barriers to implementation included the absence of a legal framework for the profession and a lack of recognition of nursing skills by both nurses and doctors. Facilitators included the establishment of a master's degree program, formalization of a legal framework, raising awareness, providing training to medical doctors and other healthcare professionals about advanced practice nursing, and the development of nursing leadership.Implications for nursingAdvanced practice nursing can play a crucial role in addressing healthcare resource shortages and the dual burden of chronic and infectious diseases in Gabon, as well as in other African countries.Implications for nursing policyTo successfully implement advanced practice nursing in Gabon and French‐speaking Africa, it is essential to regulate the nursing and advanced nursing professions by creating a legal framework and establishing nursing councils. An effective implementation strategy for advanced practice nurses should be based on the specific needs of the country.GuidelinesCOREQ, STROBE
The relationship between servant leadership and nurses' in‐role performance: The sequential mediating effects of job autonomy and emotional exhaustion
Authors: Xiao Qijie , Iftikhar Qudsia , Spaeth Katharina , Zhang Chunyu , Liang Xiaoyan (Christiana) , Klarin Anton , Liu Liping 
Published: November 2023

AbstractAimsDrawing on the conservation of resources theory, this study examines the underlying process through which servant leadership is associated with nurses' in‐role performance. Specifically, we test the indirect effect of servant leadership on in‐role performance via a sequential mediating mechanism of job autonomy and emotional exhaustion.DesignA time‐lagged design was implemented using data gathered from two‐wave online surveys (1 week apart) of registered nurses from Jiangsu Province, China.MethodsBetween September 2022 and February 2023, we used Wenjuanxing and Credma, which are two powerful and user‐friendly data collection platforms, to distribute online surveys to potential participants. We received a total of 220 usable responses and employed the PROCESS Model 4 and Model 6 to assess our proposed hypotheses.ResultsOur proposed model was supported. Servant leadership has a positive indirect effect on nurses' in‐role performance through job autonomy and emotional exhaustion. Job autonomy has a negative effect on emotional exhaustion. Additionally, job autonomy mediates the negative relationship between servant leadership and emotional exhaustion.ConclusionThe present research extends existing nursing studies by unravelling the complex mechanisms underlying the relationship between servant leadership and nurses' in‐role performance. Our study also identifies the underlying mechanism of how servant leadership mitigates emotional exhaustion by supporting nurses' job autonomy.ImpactThe sequential mediation results provide us with a more fine‐grained understanding of the relationship between servant leadership and nurses' in‐role performance. It further promotes job autonomy and decreases emotional exhaustion, which supports the UN Sustainable Development Goal #3 (Good Health and Well‐being).Patient or Public ContributionThis study addresses the UN Sustainable Development Goal #3: ‘To ensure healthy lives and promote well‐being for all at all ages’ and the healthcare providers will benefit from our study. Therefore, the study contributes to a more sustainable organization and society.
Nursing students' and educators' perspectives on sustainability and climate change: An integrative review
Authors: Aronsson Jennie , Nichols Andy , Warwick Paul , Elf Marie 
Published: November 2023

AbstractAimTo identify and synthesize research on the awareness, attitudes and action related to sustainability and climate change from the perspective of nursing students and educators globally.DesignIntegrative review.MethodsThe review was guided by Whittemore and Knafl. Included studies were appraised using the Mixed Methods Appraisal Tool. A deductive content analysis based on Elo and Kyngäs' methodology was employed.Data SourcesCINAHL, MEDLINE, EMBASE, Web of Science, British Education Index, GreenFILE and Scopus were searched up to the 8th November 2022.ResultsThirty‐two studies were included in the review. Two studies included nursing educators in their samples, the rest focused solely on students. Findings suggest that whilst some students were aware of sustainability issues and felt that nurses have a responsibility to mitigate climate change, others showed limited awareness and believed that nurses have more important priorities. A global interest was seen among students for increased curricular content related to sustainability and climate change. Waste management and education of others were suggested actions students can take; however, barriers included lack of confidence and limited power.ConclusionThere is a need for sustainability education within nursing curricula, accompanied by student support.Implications for the ProfessionThe review acts as a starting point to make sustainable healthcare and climate change mitigation integral aspects of nursing.ImpactSustainability education within nursing curricula can positively impact on sustainable healthcare and climate change mitigation. More research is needed on the perspectives of nursing educators.Reporting MethodThe review is reported according to the PRISMA guidelines.Patient or Public ContributionNo Patient or Public Contribution.
Character variation in separate body regions of Gerreidae (Osteichthyes: Teleostei) fishes inferred from geometric morphometrics
Authors: Chollet‐Villalpando Jorge Guillermo , García‐Rodríguez Francisco Javier , De La Cruz‐Agüero José 
Published: November 2023

AbstractBody morphology is a valuable feature for distinguishing teleostean fishes. However, the utility of character variation in separate body regions has yet to be tested. The taxonomy of the Gerreidae family is controversial due to character overlapping among its fish species. This work aims to analyze and compare the body shape variation in three regions, cephalic, trunk, and caudal peduncle, using landmark data and geometric morphometric methods in 17 species and five genera of the family Gerreidae. The pattern of shape variation for the cephalic region consisted of well‐defined character states exclusive of each species analyzed. Shape variation in the trunk and caudal peduncle regions does not distinguish all species in this study. This study showed that the dorsal cephalic profile is highly variable among the species, therefore, shape variation in this region is useful for distinguishing Gerreidae species. In contrast, some species within the same genus share similar shape states in the trunk and caudal peduncle regions, with the most shape variation in the dorsal profile and anal fin for the trunk and in the middle of the caudal peduncle.
Association between selective serotonin reuptake inhibitor use and developing irritable bowel syndrome through retrospective analysis
Authors: Kwak Nayoung , Lee Hankil , Kim Beom Kyung , Yu Yun Mi , Kang Hye‐Young 
Published: November 2023

AbstractBackground and AimSerotonin affects the balance and integrity of the gut microbiome; however, studies have confirmed the influence of selective serotonin reuptake inhibitors (SSRIs) on irritable bowel syndrome (IBS). We evaluated the association between SSRI use and subsequent IBS occurrence in a real‐world setting.MethodsA multivariate Cox proportional hazard model was adopted, and the National Health Insurance Service cohort claims database between 2010 and 2019 was used. Non‐SSRI users were selected using the propensity score matching method. Subgroup analyses were performed using the point of use, cumulative dose, and duration of SSRI use. Additional analysis was performed using a control group without psychiatric medications.ResultsWe included 2901 SSRI users and 2727 non‐SSRI users. After adjusting covariates, the risk of developing IBS in SSRI users was 1.54 times that in non‐SSRI users (95% confidence interval [CI]: 1.01–2.33). The hazard ratio (HR) of the recent, heavy, and short‐term user groups were 3.19 (95% CI: 2.03–4.99), 2.22 (95% CI: 1.50–3.29), and 4.83 (95% CI: 3.02–7.73), respectively, compared with that of non‐users. In patients without a history of psychiatric medications, the risk of IBS incidence after SSRI use increased significantly (HR: 1.61, 95% CI: 1.06–2.42), whereas HR was insignificant in patients with a history of psychiatric medications (HR: 1.25, 95% CI: 0.98–1.60).ConclusionsThe risk of subsequent IBS occurrence following SSRI use was high in patients who initially took a heavy SSRI dose and those who did not have a history of psychiatric drug use.
Prospective life cycle assessment of sodium‐ion batteries made from abundant elements
Authors: Wickerts Sanna , Arvidsson Rickard , Nordelöf Anders , Svanström Magdalena , Johansson Patrik 
Published: November 2023

AbstractBatteries are enablers for reducing fossil‐fuel dependency and climate‐change impacts. In this study, a prospective life cycle assessment (LCA) of large‐scale production of two different sodium‐ion battery (SIB) cells is performed with a cradle‐to‐gate system boundary. The SIB cells modeled have Prussian white cathodes and hard carbon anodes based only on abundant elements and thus constitute potentially preferable options to current lithium‐ion battery (LIB) cells from a mineral resource scarcity point of view. The functional unit was 1 kWh theoretical electricity storage capacity, and the specific energy density of the cells was 160 Wh/kg. Data for the cathode active material come from a large‐scale facility under construction and data for the SIB cell production is based on a large‐scale LIB cell gigafactory. For other SIB cell materials, prospective inventory data was obtained from a generic eight‐step procedure developed, which can be used by other LCA practitioners. The results show that both SIB cells indeed have considerably lower mineral resource scarcity impacts than nickel‐manganese‐cobalt (NMC)‐type LIB cells in a cradle‐to‐gate perspective, while their global warming impacts are on par. Main recommendations to SIB manufacturers are to source fossil‐free electricity for cell production and use hard carbon anodes based on lignin instead of phenolic resin. Additionally, since none of the assessed electrolytes had clearly lower cradle‐to‐gate impacts than any other, more research into SIB electrolyte materials with low environmental and resource impacts should be prioritized. An improvement of the SIB cell production model would be to obtain large‐scale production data specific to SIB cells.
Phase separation of S‐RNase promotes self‐incompatibility in Petunia hybrida
Authors: Tian Huayang , Zhang Hongkui , Huang Huaqiu , Zhang Yu'e , Xue Yongbiao 
Published: November 2023

ABSTRACTSelf‐incompatibility (SI) is an intraspecific reproductive barrier widely present in angiosperms. The SI system with the broadest occurrence in angiosperms is based on an S‐RNase linked to a cluster of multiple S‐locus F‐box (SLF) genes found in the Solanaceae, Plantaginaceae, Rosaceae, and Rutaceae. Recent studies reveal that non‐self S‐RNase is degraded by the Skip Cullin F‐box (SCF)SLF‐mediated ubiquitin–proteasome system in a collaborative manner in Petunia, but how self‐RNase functions largely remains mysterious. Here, we show that S‐RNases form S‐RNase condensates (SRCs) in the self‐pollen tube cytoplasm through phase separation and the disruption of SRC formation breaks SI in self‐incompatible Petunia hybrida. We further find that the pistil SI factors of a small asparagine‐rich protein HT‐B and thioredoxin h together with a reduced state of the pollen tube all promote the expansion of SRCs, which then sequester several actin‐binding proteins, including the actin polymerization factor PhABRACL, the actin polymerization activity of which is reduced by S‐RNase in vitro. Meanwhile, we find that S‐RNase variants lacking condensation ability fail to recruit PhABRACL and are unable to induce actin foci formation required for pollen tube growth inhibition. Taken together, our results demonstrate that phase separation of S‐RNase promotes SI response in P. hybrida, revealing a new mode of S‐RNase action.
Recurrent otitis media and behaviour problems in middle childhood: A longitudinal cohort study
Authors: Altamimi Ali AH , Robinson Monique , Alenezi Eman MA , Veselinović Tamara , Choi Robyn SM , Brennan‐Jones Christopher G 
Published: November 2023

AimTo investigate the long‐term effects of early‐life recurrent otitis media (OM) and subsequent behavioural problems in children at the age of 10 years.MethodsData from the Raine Study, a longitudinal pregnancy cohort, were used to categorise children into those with three or more episodes of OM (rOM group) and those without a history of recurrent OM in the first 3 years of life (reference group). The parent report Strengths and Difficulties Questionnaire was used to assess child behaviour at the age of 10 years. Parental questionnaires were used to report past and present diagnoses of various mental health and developmental conditions, including attention, anxiety, depression, learning, and speech‐language problems. Multiple linear and logistic models were used to analyse the data and were adjusted for a fixed set of key confounding variables.ResultsThe linear regression analysis revealed significant, independent associations between a history of recurrent OM and higher Strengths and Difficulties Questionnaire scores, including total, internalising, externalising, emotional, attention/hyperactivity and peer problems subscales. Logistic regression analyses revealed an independent increased likelihood for children in the rOM group to have a diagnosis of attention, anxiety, learning and speech‐language problems.ConclusionChildren at 10 years of age with an early history of recurrent OM are more likely to exhibit attentional and behavioural problems when compared to children without a history of recurrent OM. These findings highlight the association between early‐life recurrent OM and later behavioural problems that may require professional allied health‐care interventions.
Suspected tick‐borne flavivirus meningoencephalomyelitis in dogs from the UK: six cases (2021)
Authors: Gonzalo‐Nadal V. , Kohl A. , Rocchi M. , Brennan B. , Hughes J. , Nichols J. , Da Silva Filipe A. , Dunlop J. I. , Fares M. , Clark J. J. , Tandavanitj R. , Patel A. H. , Cloquell‐Miro A. , Bongers J. , Deacon J. , Kaczmarska A. , Stalin C. , Liatis T. , Irving J. , Gutierrez‐Quintana R. 
Published: November 2023

ObjectivesTick‐borne encephalitis virus and louping ill virus are neurotropic flaviviruses transmitted by ticks. Epidemiologically, tick‐borne encephalitis is endemic in Europe whereas louping ill's predominant geographical distribution is the UK. Rarely, these flaviviruses affect dogs causing neurological signs. This case series aimed to describe the clinical, clinicopathological, and imaging findings, as well as the outcomes in six dogs with meningoencephalitis and/or meningomyelitis caused by a flavivirus in the UK in 2021.Materials and MethodsObservational retrospective case‐series study. Clinical data were retrieved from medical records of dogs with positive serological or immunohistochemical results from three different institutions from spring to winter 2021.ResultsSix dogs were included in the study. All dogs presented an initial phase of pyrexia and/or lethargy followed by progressive signs of spinal cord and/or intracranial disease. Magnetic resonance imaging showed bilateral and symmetrical lesions affecting the grey matter of the thalamus, pons, medulla oblongata, and thoracic or lumbar intumescences with none or mild parenchymal and meningeal contrast enhancement. Serology for tick‐borne encephalitis virus was positive in five dogs with the presence of seroconversion in two dogs. The viral distinction between flaviviruses was not achieved. One dog with negative serology presented positive immunohistochemistry at post‐mortem examination. Three dogs survived but presented neurological sequelae. Three dogs were euthanased due to the rapid progression of the clinical signs or static neurological signs.Clinical SignificanceThese cases raise awareness of the presence of tick‐borne encephalitis as an emergent disease or the increased prevalence of louping ill virus affecting dogs in the UK.
Low but significant evolutionary potential for growth, phenology and reproduction traits in European beech
Authors: Westergren Marjana , Archambeau Juliette , Bajc Marko , Damjanić Rok , Theraroz Adélaïde , Kraigher Hojka , Oddou‐Muratorio Sylvie , González‐Martínez Santiago C. 
Published: November 2023

AbstractLocal survival of forest tree populations under climate change depends on existing genetic variation and their adaptability to changing environments. Responses to selection were studied in European beech (Fagus sylvatica) under field conditions. A total of 1087 adult trees, seeds, 1‐year‐old seedlings and established multiyear saplings were genotyped with 16 nuSSRs. Adult trees were assessed for phenotypic traits related to growth, phenology and reproduction. Parentage and paternity analyses were used to estimate effective female and male fecundity as a proxy of fitness and showed that few parents contributed to successful regeneration. Selection gradients were estimated from the relationship between traits and fecundity, while heritability and evolvability were estimated using mixed models and the breeder's equation. Larger trees bearing more fruit and early male flowering had higher total fecundity, while trees with longer growth season had lower total fecundity (directional selection). Stabilizing selection on spring phenology was found for female fecundity, highlighting the role of late frosts as a selection driver. Selection gradients for other traits varied between measurement years and the offspring cohort used to estimate parental fecundity. Compared to other studies in natural populations, we found low to moderate heritability and evolvability for most traits. Response to selection was higher for growth than for budburst, leaf senescence or reproduction traits, reflecting more consistent selection gradients across years and sex functions, and higher phenotypic variability in the population. Our study provides empirical evidence suggesting that populations of long‐lived organisms such as forest trees can adapt locally, even at short‐time scales.
Geoacoustic and geophysical data‐driven seafloor sediment classification through machine learning algorithms with property‐centered oversampling techniques
Authors: Park Junghee , Lee Jong‐Sub , Yoon Hyung‐Koo 
Published: November 2023

AbstractThis study aims to classify seafloor sediments using physics‐inspired and data‐driven soil models combined with machine learning algorithms and oversampling techniques. The field data used for the input variables include porosity, S‐ and P‐wave velocities and depth. The soil information reported in the original literature and the “six reference sediments” and effective stress‐versus‐depth models proposed by the previous study confirm the sediment type across all of the input variables. We use three machine learning algorithms and four oversampling methods to enhance the performance accuracy and overcome data imbalance in the minority class. The results show that the averaged accuracy of sediment classification with original data corresponds to 0.88 for porosity, 0.61 for S‐wave velocity, and 0.97 for P‐wave velocity. In particular, the enhanced accuracy with oversampled input variables becomes more pronounced when the depth data are considered in a dataset. The class‐oriented grouping method newly proposed in this study appears to be a robust approach to enhancing performance. Surprisingly, model‐based input variables lead to the best performance in all cases. The proposed analyses conducted using machine learning algorithms and oversampling techniques within the physics‐inspired models could be extended to obtain a first‐order assessment of marine sediment properties.
Sensory neuropathy complicated with de novo diabetes mellitus during levodopa‐carbidopa intestinal gel infusion in a patient with Parkinson's disease: A case report
Authors: Ueno Tatsuya , Baba Masayuki , Haga Rie , Arai Akira , Hattori Nobutaka , Tomiyama Masahiko 
Published: November 2023

AbstractLevodopa‐carbidopa intestinal gel therapy (LCIG), an effective treatment for advanced Parkinson's disease, can cause peripheral neuropathy. We present a 39‐year‐old man with LCIG‐related neuropathy with de novo diabetes mellitus (DM), decreased vitamin B6 and folate levels, and elevated homocysteine levels that developed over 2 years of LCIG treatment. Physicians should assess levels of levodopa metabolism‐associated vitamins and monitor risk factors of peripheral neuropathy, such as DM, before and after LCIG initiation.
Street food pantries as gendered sites of labour and home: Suburban geographies of food (in)securities in Kirikiriroa, Aotearoa New Zealand
Authors: Johnston Lynda , Adams‐Hutcheson Gail 
Published: November 2023

AbstractOpen street food pantries are a community‐led response to food insecurity, food waste, poverty and climate action. They are at the centre of a dynamic interplay of material, cultural, spatial and embodied relations. This article explores the gendered and spatial politics of home, labour and food in suburban communities through examining street food pantries in Kirikiriroa Hamilton, Aotearoa New Zealand. We use multisensory methods (participant sensing and interviews) with pantry owners and community centre leaders to show the gendered labour and emotional connections associated with street food pantries and suburban communities experiencing food insecurity.