bluuebunny/crossref_metadata_2025_split huggingface dataset:
Behind vegan label: What's really in some certified vegan products in Brazil
Authors: Lage Policarpo Nathalia , Teodoro Anderson Junger , Nakajima Vânia Mayumi 
Published: February 2024

SummaryThe number of vegetarians and vegans has been growing worldwide, increasing the food choices available to this public in the market. One way to recognise these products is the presence of a certification label, which guarantees, or should guarantee, the absence of animal ingredients. Despite the growing demand and supply of certified vegan foods, there is no overview on the nutritional composition of these products in Brazil. Thus, a survey was conducted to evaluate the labels of ninety‐five certified vegan products from the groups: breads, cookies and crackers, meat substitutes and dairy substitutes. Carbohydrates were the most present macronutrient in all food groups, except for plant‐based beverages. Protein was highest in meat substitutes, while saturated fat was highest in cheese and cookies/crackers substitutes. Sodium was found in higher amounts in the meat substitutes, reaching a maximum value of 510.64 mg/100 g. Breads and cookies/crackers presented twenty and sixteen different types of flours, respectively. Refined wheat flour was the most present (48%) in bread, and refined rice flour (96%) in cookies/crackers. None of the cookies/crackers contained wheat flour. In meat substitutes, the main protein sources were soy, lentil, and chickpea, with a wide variety of spices and natural ingredients (n = 49). Most of the plant‐based beverages (60%) had no added sugar, however, all of the yogurt substitutes contained sugar or sweetener. Additives were present in 92% of breads, 100% of cookies/crackers, 33% of meat substitutes, and 70% of dairy substitutes. Eighty‐one percent of the products were classified as ultra‐processed. As conclusion, there is a great variety of ingredients used in the products, emphasising the need to read and understand the label when choosing a food. Furthermore, the results indicate the commercialisation of more ‘natural’ products, given the variety of fresh and dried foods among the ingredients. However, there should be caution in the consumption of certified foods due to the high percentage of ultra‐processed products, with elevated presence of additives and high sodium content. In addition, they should not be used as simple substitutes for conventional foods, due to their nutritional composition.
Intergenerational solidarity in a developing welfare state: The case of South Korea
Authors: Gurín Martin , Brandt Martina 
Published: February 2024

AbstractWith our analysis of the Korean society we intend to make an innovative contribution to research on intergenerational solidarity by examining how the introduction of welfare policies has changed patterns of intergenerational solidarity. Using aggregated data from the Korean Longitudinal Study of Aging, the Korean General Social Survey, and the Korean Social Survey, we examine the changing character of intergenerational solidarity by focusing on national trends in both societal practice and intergenerational norms from 2002 to 2018. Our findings show that patterns of Korean intergenerational solidarity have modified in various respects. The normative dimension of the familial/filial contract has profoundly changed along with the developing welfare state, shifting from a dominantly filial piety‐centric character to more complementarity contract‐based norms in which children, welfare state and society are all assigned responsibility for the well‐being of parents. Intergenerational “functional” solidarity, however, in terms of the exchange of money and practical support has not de‐filialized.
Exploring the potential of artificial intelligence in paediatric dentistry: A systematic review on deep learning algorithms for dental anomaly detection
Authors: Hartman Henri , Nurdin Denny , Akbar Saiful , Cahyanto Arief , Setiawan Arlette Suzy 
Published: February 2024

AbstractBackgroundArtificial intelligence (AI) based on deep learning (DL) algorithms has shown promise in enhancing the speed and accuracy of dental anomaly detection in paediatric dentistry.AimThis systematic review aimed to investigate the performance of AI systems in identifying dental anomalies in paediatric dentistry and compare it with human performance.DesignA systematic search of Scopus, PubMed and Google Scholar was conducted from 2012 to 2022. Inclusion criteria were based on problem/patient/population, intervention/indicator, comparison and outcome scheme and specific keywords related to AI, DL, paediatric dentistry, dental anomalies, supernumerary and mesiodens. Six of 3918 initial pool articles were included, assessing nine DL sub‐systems that used panoramic radiographs or cone‐beam computed tomography. Article quality was assessed using QUADAS‐2.ResultsArtificial intelligence systems based on DL algorithms showed promising potential in enhancing the speed and accuracy of dental anomaly detection, with an average of 85.38% accuracy and 86.61% sensitivity. Human performance, however, outperformed AI systems, achieving 95% accuracy and 99% sensitivity. Limitations included a limited number of articles and data heterogeneity.ConclusionThe potential of AI systems employing DL algorithms is highlighted in detecting dental anomalies in paediatric dentistry. Further research is needed to address limitations, explore additional anomalies and establish the broader applicability of AI in paediatric dentistry.
The effect of placing drains and no drains after caesarean section in obese patients on patients' post‐operative wound complications: A meta‐analysis
Authors: Zheng Yuanyuan , Zhao Fei , Ning Fangjiao , Li Ning 
Published: February 2024

AbstractThe purpose of this research is to investigate the influence of placement of drainage channels and non‐drainage channels in obese women on post‐caesarean delivery. Documents were retrieved from four databases, such as PubMed and Embase. This study was not limited in time, language, or geography. This trial was conducted using either a cohort or a randomized, controlled study to compare the efficacy of placement of drain in caesarean delivery channel in obese women with or without drain for post‐operative wound complications. The study excluded those who were restricted to those who were not overweight. The main results were the wound infection, the bleeding of the wound and the dehiscence. The risk of bias was evaluated by two authors with a risk‐of‐bias tool for nonrandomized intervention trials. The meta‐analyses only included those that were considered to have a low‐to‐medium risk of bias. The data were pooled with a random‐effects model to determine the relative risk and 95% confidence interval (CI). The quality of the evidence in the selection of results was evaluated. Of 329 related trials, eight were eligible for inclusion. There were 1868 cases of obesity who received C‐section. Among them, there were 451 cases of drain and 1417 cases of non‐drain. No statistical significance was found in the rate of post‐operation infection of the post‐operation between non‐drain or drain treatment of obesity patients (OR, 0.8; 95% CI: 0.48–1.33; p = 0.39). Compared with those with non‐drain, there was a reduction in the risk of haematoma after drain (OR, 0.34; 95% CI: 0.20–0.58; p < 0.0001). The results showed that there were no significant differences in the influence of drainage and non‐drainage on the post‐operative dehiscence of the patients with obesity (OR, 0.84; 95% CI: 0.15–4.70; p = 0.85). The results showed that there were no statistically different effects on the rate of post‐operation wound infection and dehiscence after operation, but the rate of haematoma during drain operation was lower.
Reliability of evidence supporting the role of electrical stimulation in the treatment of pressure ulcers
Authors: Qin Xiaohui , Shen Hong , Chen Rui , Ye Richun , Hu Caixia 
Published: February 2024

AbstractTo systematically appraise the evidence from overlapping systematic reviews/meta‐analyses (SRs/MAs) on electrical stimulation for pressure ulcers. A thorough search of public databases was conducted to collect SRs/MAs on electrical stimulation for pressure ulcers. Two independent authors used the AMSTAR‐2 tool, the PRISMA checklists and the GRADE system to appraise the methodological quality, reporting quality and evidence quality of eligible SRs/MAs. Ten eligible SRs/MAs were included. The methodological quality of two SRs/MAs were determined to be high, six were determined to be very low and two were assessed as being of low quality. For PRISMA checklists, potential factors that undermined the quality of reporting were the lack of reporting on the registration of protocols, search, additional analysis of methodology and additional analysis of results. With GRADE, the evidence quality of two outcomes were determined to be moderate, six were determined to be low and two were assessed as being of very low quality. Electrical stimulation appears to be an adjunctive therapy that may promote the healing of pressure ulcers, but the available evidence suggests caution in recommending electrical stimulation widely for the treatment of pressure ulcers. Large‐scale trials are the focus of future research to find out how electrical stimulation affects all important outcomes.
Effects of platelet‐rich fibrin on post‐extraction wound healing and wound pain: A meta‐analysis
Authors: Yuan Yongping , Xu Bin , Yang Jie , Wu Mengyuan 
Published: February 2024

AbstractWe conducted a meta‐analysis to assess the effect of platelet‐rich fibrin (PRF) on post‐extraction wound healing and pain, with a view to providing a reliable basis for the selection of treatment options in clinical practice. A computerised search of PubMed, EMBASE, Cochrane Library, China National Knowledge Infrastructure and Wanfang databases for studies on the effect of PRF on post‐extraction wound healing and pain compared with natural healing (control group) was performed from the time of creation of the respective databases to July 2023. Literature screening, data extraction and quality assessment were done independently by two authors. Meta‐analysis was performed using RevMan 5.4 software. Fourteen studies with a total of 508 patients were finally included. Meta‐analysis showed that the use of PRF relieved patients' wound pain (standardised mean differences [SMDs]: −1.78, 95% confidence intervals [CIs]: −2.61 to −0.94, p < 0.001), promoted soft tissue healing of extraction wounds (SMD: 1.09, 95% CIs: 0.26–1.91, p = 0.010) and also reduced the incidence of alveolar osteitis (AO) in patients after tooth extraction (2.42% vs. 10.14%, odds ratio: 0.27, 95% CIs: 0.11–0.65, p = 0.004). Current clinical evidence suggests that the use of PRFs can reduce patients' postoperative wound pain, promote soft tissue healing of extraction wounds and reduce the incidence of postoperative AO compared with natural healing. However, due to limitations in the number and quality of studies, large‐scale randomised controlled trials are still needed to validate the results of this study in the future.
Effect of bone grafting on postoperative wound infection and marginal necrosis in patients with calcane fractures
Authors: Ye Lingchao , Su Yan , Fan Yongyong , Wu Minjiao 
Published: February 2024

AbstractThis study was conducted to evaluate the impact of bone‐transplantation over nonbone transplantation in treating intra‐articular fractures of the heel bone on postsurgical complications. Our results were retrieved from the Pubmed, Embase, and Cochrane databases. The data of the injury of the patient and the wound infection were collected. Study were carried out with Revman 5.3 software. Eight operative trials associated with the implant of the heel were selected from a large number of publications. Among the 804 cases that needed operation on the heel, 410 cases were treated with bone grafting while 394 cases were not treated with the operation. Seven trials showed that there was no difference in the risk of post operative wound infection among patients who had received a bone‐grafting operation on the heel or had not (OR, 0.87; 95% CI, 0.51, 1.49 p = 0.62). There was no difference in the risk for post‐operation marginal necrosis among patients who had received a bone‐grafting operation on the heel or had not (OR, 0.75; 95% CI, 0.42, 1.36 p = 0.34). The results of this show that there are no statistically significant differences in the incidence of post‐operative necrosis and infection in the case of endarticular surgery of the heel.
The efficacy of sacral foam dressing in preventing sacral pressure injury: A systematic review and meta‐analysis
Authors: Xia Jing , Huang Kai , Jiang Qiting , Wang Wen 
Published: February 2024

AbstractPurposeWe aim to evaluate the efficacy of sacral foam dressings in preventing sacral pressure injury.MethodsThe PubMed, Embase and Web of Science databases were searched for relevant publications until October 2023. All studies evaluating the efficacy of sacral foam dressings in preventing sacral pressure injury were included. We calculated pooled risk ratio (RR) with 95% confidence intervals (CIs) for binary outcomes. The Cochrane's Risk of Bias Tool were used to evaluate the quality of studies.ResultsA total of 9 randomized controlled studies with 3972 patients were included in this analysis. Sacral pressure injury rate was significantly lower in the sacral foam dressing group compared with the standard care group (RR: 0.37, 95% CI: 0.17–0.82). Furthermore, the rate of ≥stage II sacral pressure injury was also significantly reduced (RR: 0.56, 95% CI: 0.37–0.83), along with a lower blanching erythema rate (RR: 0.64, 95% CI: 0.42–0.97). No obvious publication bias was observed in the funnel plot (Egger's p values = 0.91).ConclusionsSacral foam dressing significantly reduced the incidence of sacral pressure injuries, including those of stage II or higher, and blanching erythema when compared to standard care without sacral foam dressing. However, the results should be interpreted with cautious because of the observed heterogeneity and the diverse patient population. Further larger, well‐designed randomized control studies are needed.
Effects of different dressings in the prevention of facial skin pressure injury related to non‐invasive ventilation: Systematic review and network meta‐analysis
Authors: Zhang Guoli , Yan Fanghong , Sun Ruiyi , Peng Guotian , Pei Juhong , Zhang Hongyan , Ma Yuxia , Han Lin 
Published: February 2024

AbstractTo investigate the preventive effect of different dressings on pressure injuries related to non‐invasive ventilation equipment and to screen the efficacy of dressings. Systematic review and network meta‐analysis. PubMed, the Cochrane Library, Web of Science, EMBASE, Cumulative Index to Nursing & Allied Health Literature (CINAHL), China Knowledge Resource Integrated Database (CNKI), Wanfang Database, Chinese Biomedical Database (CBM) and Weipu Database (VIP) were used for the search from the date of inception of each database to 15 October 2023. The quality of the data was assessed using the Cochrane Risk of Bias tool. Stata 16.0 Software was used to analysis and ranking of different types of dressings. A total of 23 randomized controlled trials on 7 interventions were included in the final analysis. The effectiveness of these in preventing the overall incidence of pressure injuries is ranked from best to worst as follows: hydrogel dressing > foam dressing > petroleum jelly gauze dressing > hydrocolloid dressing > film dressing > clean gauze dressing > sterile gauze. Sixteen studies reported the incidence of Stage I pressure injuries, the effectiveness in preventing the incidence of Stage I pressure injuries was ranked from best to least effective: foam dressing > hydrogel dressing > petroleum jelly gauze dressing > hydrocolloid dressing > film dressing > clean gauze dressing > sterile gauze dressing. Fourteen studies reported the incidence of Stages I/II pressure injuries, the effective in preventing the incidence of Stages I and II pressure injuries was ranked from best to least effective: foam dressing > hydrogel dressing > petroleum jelly gauze dressing > hydrocolloid dressing > clean gauze dressing > sterile gauze dressing. Considering the advantages and disadvantages of different dressings, both hydrogel and foam dressings are effective in preventing pressure injuries related to non‐invasive ventilation equipment.
Effects of enhanced recovery after surgery nursing program on the surgical site wound infection and postoperative complications in patients of gastric cancer: A meta‐analysis
Authors: Sun Cui‐Zhen , Li Xu‐Xiang , Cao Sheng‐Hua , Li Wei , Li Nian‐Mei 
Published: February 2024

AbstractThis meta‐analysis systematically evaluates the impact of the enhanced recovery after surgery (ERAS) concept on surgical site wound infections and postoperative complications in gastric cancer patients. A comprehensive computerized search was conducted in PubMed, Embase, Google Scholar, Cochrane Library, China National Knowledge Infrastructure and Wanfang databases for randomized controlled trials (RCTs), from database inception to November 2023, exploring the application of the ERAS concept in the perioperative period of gastric cancer surgery. Two researchers independently screened the literature, extracted data, and conducted quality assessments based on inclusion and exclusion criteria. Data analysis was performed using Stata 17.0 software. A total of 24 RCTs involving 2050 gastric cancer patients were included. The analysis revealed a significantly lower incidence of wound infections (OR = 0.23, 95% CI: 0.14–0.40, p < 0.001) and postoperative complications (OR = 0.20, 95% CI: 0.15–0.27, p < 0.001) in the ERAS group compared to the standard care group. This study demonstrates that the application of the ERAS concept during the perioperative period in gastric cancer surgery can effectively reduce the occurrence of wound infections and complications, thereby facilitating postoperative recovery.
RETRACTED: Effects of rapid rehabilitation nursing on surgical‐site wound infection and postoperative complications of patients undergoing thoracoscopic lung cancer surgery: A meta‐analysis
Authors: Li Yueqiong , Huang Donghua , Mei Cailing , Xie Ning , Li Lian 
Published: February 2024

AbstractThis meta‐analysis systematically evaluates the impact of rapid rehabilitation nursing interventions on wound infections and postoperative complications in patients undergoing thoracoscopic lung cancer surgery. A comprehensive literature search was conducted, from database inception to November 2023, using databases including PubMed, Embase, Google Scholar, Cochrane Library, China National Knowledge Infrastructure, and Wanfang databases to identify randomized controlled trials (RCTs) that focused on the application of rapid rehabilitation nursing in the perioperative period of thoracoscopic lung cancer surgery. Two researchers independently screened the literature, extracted data, and assessed the quality based on inclusion and exclusion criteria. Data analysis was performed using Stata 17.0 software. A total of 22 RCTs involving 2319 patients were included in the analysis. The results indicated that the application of rapid rehabilitation nursing in thoracoscopic lung cancer surgery significantly reduced the incidence of wound infections (OR = 0.32, 95% CI: 0.20–0.54, p < 0.001) and postoperative complications (OR = 0.24, 95% CI: 0.18–0.31, p < 0.001). This study demonstrates that implementing rapid rehabilitation nursing interventions during the perioperative period for patients undergoing thoracoscopic lung cancer surgery can significantly decrease the occurrence of wound infections and complications, thereby facilitating rapid patient recovery.
A survey of knowledge, attitudes, and practices among paediatric intensive care unit nurses for preventing pressure injuries: An analysis of influencing factors
Authors: Song Nan , Liu Wen , Zhu Rui , Wang Cong , Wang Chun‐li , Chi Wei 
Published: February 2024

AbstractTo explore the knowledge, attitudes and practice (KAP) status of preventing pressure injury among clinical nurses working in paediatric ICU, and to examine factors affecting nurses' KAP. A questionnaire survey was conducted among 1906 paediatric ICU nurses in 18 children's hospitals by convenience sampling method. The survey tools were self‐designed general data questionnaire, KAP questionnaire for the prevention of pressure injury and the influencing factors were analysed. A total of 1906 valid questionnaires were collected. The scores of overall KPA, knowledge, attitudes, and practice were 101.24 ± 17.22, 20.62 ± 9.63, 54.93 ± 5.81and 25.67 ± 6.76, respectively. The results of multiple linear regression analysis showed that education background, professional title, age and specialist nurse were the main influencing factor of nurses' knowledge of preventing PI; education background and specialist nurse were the main influencing factors of nurses' attitudes of preventing PI; knowledge, attitudes and education background were the main influencing factors of nurses' practice of preventing PI. Paediatric ICU nurses have a positive attitude towards the prevention of PI, but their knowledge and practice need to be improved. According to different characteristics of nurses, nursing managers should carry out training on the knowledge of prevention of PI to establish a positive attitude, so as to drive the change of nursing practice and improve the nursing practice level of ICU nurses to prevent of PI.
Y1/6Yb5/6TaO4/8YSZ composite ceramics with enhanced mechanical and thermal properties
Authors: Wang Jiankun , Chen Lin , Zhang Luyang , Gan Mengdi , Li Baihui , Feng Jing 
Published: February 2024

AbstractCeramic thermal barrier coatings (TBCs) with high toughness and low thermal conductivity are important for developing aero engines with high thrust‐to‐weight ratio and thermal efficiency. In this work, the properties of tantalate Y1/6Yb5/6TaO4 (YYT) were optimized by introducing 8 wt.% yttria‐stabilized zirconia (8YSZ), synthesized using spark plasma sintering, as a second‐phase ceramic. The highest toughness (3.57 MPa m1/2) of the YYT/8YSZ composite ceramics was due to multiple toughening mechanisms. The underlying mechanisms of these processes were revealed based on the microstructures and residual stress of the YYT/8YSZ composite ceramics. A shift from an intergranular fracture to a transgranular fracture was caused by the difference between soft‐grain YYT and hard‐grain 8YSZ, which consumed the fracture energy. Furthermore, the formation of microcracks, crack deflection, bridging, and branching were analyzed based on the differences in Young's moduli and thermal expansion coefficients of YYT and 8YSZ. Internal defects and weak connections between the YYT and 8YSZ grains reduced the thermal conductivity of the composites until it reached its lowest value at 1.4 W m−1 K−1. The studied toughening mechanisms could be applied to various composites. Moreover, herein, we provide a new strategy to design and synthesize TBCs with enhanced performance.