bluuebunny/crossref_metadata_2025_split huggingface dataset:
Strategies that nurses working irregular night shifts use to improve sleep quality: A qualitative study among good and poor sleepers
Authors: Albakri Uthman , Smeets Nick , Kant IJmert , Meertens Ree 
Published: November 2023

AbstractAimsTo assess the sleep strategies that nurses working irregular night shifts use to improve their sleep quality, and to compare the strategies of good and poor sleepers to determine whether the differences between the two groups could provide insights into possible effective strategies.DesignA qualitative descriptive study.MethodsThe study was conducted from September 2019 to January 2020. Thirty‐four nurses working irregular night shifts participated; 17 were classified as good sleepers and 17 as poor sleepers based on the Sleep‐Wake Experience List, a validated self‐report instrument that measures one's sleep quality. Interviews were conducted using open questions to explore strategies around the night‐shift set. The interviews were analysed using thematic analysis.FindingsBoth groups described similar and different strategies that help them work and sleep well during and after night shifts. However, good sleepers mentioned a greater number of strategies and seemed to have thought about them more than poor sleepers. The most common strategies were having a clear structure, being organized—especially regarding sleeping time—maintaining a daily routine and adjusting their sleep environment.ConclusionHealthcare institutions should consider offering education and training programs aimed at empowering nurses who work irregular night shifts. These programs should provide nurses with various sleep strategies to enhance their sleep quality and overall well‐being.Implications for the ProfessionNurses working irregular night shifts can possibly enhance their sleep quality by making personalized plans, for example, including a clear day structure, or an optimized sleep environment.ImpactThe study focused on how nurses working night shifts could possibly enhance their sleep quality. The findings highlight the importance of providing nurses with diverse sleep strategies to improve sleep quality, helping them to identify what works best for them and consistently apply these strategies.Reporting MethodThe Consolidated Criteria for Reporting Qualitative Research guidelines were followed.Patient or Public ContributionNurses working irregular night shifts at Maastricht University Medical Center in Maastricht, the Netherlands, who agreed to participate in the study, engaged in a discussion to assess the relevance of sleep quality to their work. They were also encouraged to share their perspectives during the interviews.
A nomogram‐based model to predict postoperative transient neurological dysfunctions in patients receiving acute type A aortic dissection surgery
Authors: Lin Xin‐fan , Xie Lin‐feng , He Jian , Xie Yu‐ling , Zhang Zhao‐feng , Chen Liang‐wan , Chen Mei‐fang 
Published: November 2023

AbstractThe purposes of this study were to develop and validate a nomogram for predicting postoperative transient neurological dysfunctions (TND) in patients with acute type A aortic dissection (AAAD) who underwent modified triple‐branched stent graft implantation. This retrospective study developed a nomogram‐based model in a consecutive cohort of 146 patients. Patient characteristics, preoperative clinical indices, and operative data were analyzed. Univariate and multivariable analyses were applied to identify the most useful predictive variables for constructing the nomogram. Discrimination and the calibration of the model was evaluated through the receiver operating characteristic curve (ROC), the Hosmer–Lemeshow goodness‐of‐fit test and the decision curve analysis (DCA). At the same time, to identify and compare long‐term cumulative survival rate, Kaplan‐Meier survival curve was plotted. The incidence rate of postoperative TND observed in our cohort were 40.9%. Supra‐aortic dissection with or without thrombosis, creatinine >115 μmol and albumin <39.7 g/L, selective antegrade cerebral perfusion (SACP) time >7 min and total operation time >303 min, were confirmed as independent predictors that enhanced the likelihood of TND. Internal validation showed good discrimination of the model with under the ROC curve (AUC) of 0.818 and good calibration (Hosmer–Lemeshow test, p > .05). DCA revealed that the nomogram was clinically useful. In the long‐term survival there was no significant difference between patients with or without TND history. The results showed the predict model based on readily available predictors has sufficient validity to identify TND risk in this population, that maybe useful for clinical decision‐making.
Mitochondrial dysfunction is associated with the severity of liver fibrosis in patients after the Fontan operation
Authors: Sethasathien Saviga , Leemasawat Krit , Silvilairat Suchaya , Sittiwangkul Rekwan , Makonkawkeyoon Krit , Leerapun Apinya , Kongkarnka Sarawut , Inmutto Nakarin , Suksai Supanai , Apaijai Nattayaporn , Chattipakorn Siriporn C. , Chattipakorn Nipon 
Published: November 2023

AbstractThe gold standard for determining the severity of liver disease in Fontan patients is now liver biopsy. Since it is an invasive procedure, this study determined the possibility of applying mitochondrial function from isolated peripheral blood mononuclear cells (PBMCs) as a non‐invasive indicator of liver fibrosis. Fontan patients (n = 37) without known liver disease were analysed cross‐sectionally. Patients were classified according to their histology using the METAVIR score as follows; F0/F1—no/mild fibrosis; F2—moderate fibrosis; and F3/F4—cirrhosis. Peripheral blood mononuclear cells were assessed for mitochondrial activity and apoptosis. This study did not find any significant differences in cardiac function among the groups according to liver histology. Interestingly, our findings indicated a significant decrease in maximal respiration and spare respiratory capacity, in both the moderate (F2) and cirrhosis (F3/F4) groups compared with the group without significant fibrosis (F0/F1). Moreover, the cirrhosis group exhibited higher levels of apoptosis and lower levels of live cells, compared with both the moderate and no significant fibrosis groups. In conclusion, the degree of liver fibrosis in Fontan patients is strongly correlated with mitochondrial dysfunction in PBMCs. Mitochondrial function and apoptosis could potentially serve as novel markers for tracking the progression of liver fibrosis in these patients.
First description of larvae of Radulinopsis derzhavini Soldatov et Lindberg, 1930 (Scorpaeniformes: Psychrolutidae) with remarks on melanin colouration and relationships with related species
Authors: Epur Irina V. , Balanov Andrey A. , Shelekhov Vladimir A. , Turanov Sergey V. 
Published: November 2023

AbstractThe Derzhavin's sculpin (Radulinopsis derzhavini Soldatov et Lindberg, 1930) is a psychrolutids species that leads a cryptic life in coastal waters of the Japan Sea and the southern Okhotsk Sea. To date, larvae of this species have remained unknown; therefore, their biology is poorly understood. In the present study, the early developmental stages of R. derzhavini are described for the first time. In Peter the Great Bay, Japan Sea, this species is characterized by a spring spawning season (May) and a short pelagic period of larval development, usually from mid‐May to the last 10 days of June. Species identification of the described larvae was confirmed by incubation, rearing of larvae in captivity, and genotyping of a fragment of the mitochondrial cytochrome c oxidase I (COI) gene. In addition, the development of pigmentation in larvae of this and related species was compared. Morphological analysis of both adults and larvae, together with complementary molecular genetics, confirms the previously obtained conclusions that the species of the genera Radulinopsis, Radulinus, Asemichthys, and Astrocottus form a natural group with monophyly by all types of data.
Changes in nutrient composition and diet quality in the first 6 months following bariatric surgery: An observational cohort study
Authors: Heusschen Laura , Berendsen Agnes A. M. , Balvers Michiel G. J. , Deden Laura N. , de Vries Jeanne H. M. , Hazebroek Eric J. 
Published: November 2023

AbstractBackgroundBariatric surgery (BS) may result in inadequate nutrient intake and poor diet quality, which can lead to nutritional complications. The present study aimed to evaluate changes in macro‐ and micronutrient composition and diet quality in the first 6 months following BS.MethodsOne hundred seven participants undergoing BS (Roux‐en‐Y gastric bypass: n = 87, sleeve gastrectomy: n = 20) completed 3‐day food records before and 6 months after surgery. Changes in energy, macronutrient (carbohydrates, protein, fat, dietary fibre) and micronutrient intake (folate, vitamin B12, vitamin D, calcium, iron) were evaluated. Diet quality was assessed by adherence to the Dutch food‐based dietary guidelines.ResultsAfter BS, we observed a significant decrease in intake of energy and all macro‐ and micronutrients (p < 0.01 for all), except for calcium (−39.0 ± 404.6 mg; p = 0.32). Overall, nutrient composition slightly changed with an increase in the relative intake of protein (+1.1 ± 4.3 energy percentage [en%]; p = 0.01) and mono‐ and disaccharides (+4.2 ± 6.4 en%; p < 0.001) post‐surgery. Consumption (median [Q1, Q3]) of vegetables (−50 [−120, 6] g day–1), wholegrain products (−38 [−81, −8] g day–1), liquid fats (−5 [−13, 2] g day–1), red meat (−3 [−30, 4] g day–1), processed meat (−32 [−55, 13] g day–1), sodium (−0.7 [−1.1, −0.2] g day–1) and unhealthy food choices (−2.4 [−5.0, 0.6] serves week–1) significantly decreased after BS (p < 0.01 for all).ConclusionsOur results demonstrate both favourable and unfavourable changes in macro‐ and micronutrient composition and diet quality in the first 6 months following BS. Insight into these changes can improve dietary counselling in this population. Future research into underlying causes, consequences and long‐term changes in dietary intake is needed.
Critically appraising and utilising qualitative health research evidence in nutrition practice
Authors: Campbell Karen A. , Cammer Allison , Moisey Lesley L. , Orr Elizabeth , Whitmore Carly , Jack Susan M. 
Published: November 2023

AbstractBackgroundEvidence‐based decision‐making and practice recommendations are commonly based on findings from quantitative studies or reviews. In the present study, we provide an overview of how to incorporate findings from qualitative research into the evidence‐based decision‐making process.MethodsTo illustrate how qualitative evidence can be integrated into the decision‐making process, we have outlined a clinical nutrition scenario and the process for sourcing credible evidence to inform decision‐making. A qualitative health research study was selected and appraised using the Critical Appraisal Skill Programme (CASP) appraisal tool for qualitative research. Based on the results of the critical appraisal, the study quality is considered, and we discuss whether the qualitative evidence can be applied to practice.ResultsA detailed description of how the qualitative findings can be used conceptually and instrumentally in practice to address the clinical nutrition scenario is provided.ConclusionsDeveloping skills in critically appraising findings from qualitative studies will increase awareness and utilisation of this type of evidence in practice and policy, with a goal to ensure that patient/client perceptions are considered, leading to enhanced person‐centred care or systems.
Retrospective audit of a school‐based integrated health‐care model in a specialised school for children with externalising behaviour
Authors: Rungan Santuri , Montgomery Alicia , Smith‐Merry Jennifer , Liu Huei Ming , Eastwood John 
Published: November 2023

AimProblematic externalising behaviours in adolescents are associated with high individual and societal burden. A school‐based multidisciplinary health clinic, Ngaramadhi Space (NS), was developed at Yudi Gunyi School, a specialised behavioural school in Sydney, Australia, to improve access to holistic health‐care and behavioural support. This evaluation aimed to describe the demographics, clinic attendance, health screening, recommendations made, and changes in Strengths and Difficulties Questionnaire (SDQ) scores of students attending the clinic.MethodsRetrospective evaluation of students including changes in SDQ scores using descriptive statistics (26 July 2016 to 14 May 2019; n = 79).ResultsPrior to the assessment, few students engaged with a paediatrician or mental health professional (22.8%; 27.8%, respectively). Child protection services were involved with 76%. NS attendance was high (failure‐to‐attend = 7.6%; cancellations = 8.9%). New issues found at the assessment included: parental separation (31.6%); trauma history (27.8%); substance use (19%); emotional wellbeing concerns (16.5%), learning difficulties (12.7%), domestic violence (12.7%) and medical conditions (10.1%). SDQ teacher reports showed a significant decrease in total difficulties scores (M = 6.2, SD = 6.165, P < 0.05, eta squared = 1.013 (large effect)) and all subsets. No significant differences in parent and self‐reported SDQ.ConclusionsStudents with problematic externalising behaviour have unmet health and social needs. The NS school‐based integrated health‐care model offers a novel, convenient and innovative way to engage these students. This approach has high initial attendance rates with teacher‐reported SDQ results showing some behavioural improvement. Further qualitative studies are required.
Framing innovation success, failure, and transformation: A systematic literature review
Authors: Reynolds Orlagh , O'Dochartaigh Aideen , Secchi Enrico , Marshall Donna , Prothero Andrea 
Published: November 2023

AbstractFraming is a powerful tool shaping innovation success, failure, and transformation. However, innovation framing is not recognized as a unified domain of research and the extant literature is theoretically fragmented across diverse fields. Inconsistencies in definition and operationalization of constructs stall theoretical advancement of innovation framing theory and practice. Importantly, an understanding of the underlying mechanisms enabling framing to mediate innovation outcomes has been missing. Using a systematic literature review (SLR), we integrate diverse theoretical perspectives. Stemming from this, we develop a unified conceptual framework of innovation framing. In so doing we make three vital contributions to the field. First, we develop a typology of construct categories of innovation framing, defining these framing concepts and identifying their theoretical basis. Next, we emphasize the importance of key mechanisms (sensemaking, interpretive flexibility, consensus) in explaining innovation outcomes. Our third contribution identifies innovation stage‐specific differences in the role of framing processes, frame types and characteristics, and the temporal elements of these. Finally, we discuss the implications of our research for innovation practitioners, while concluding with a detailed agenda for future innovation framing research.
Interactive effects of temperature and protein levels on the growth performance, proximate composition, digestive enzyme activity and serum biochemistry of Labeo rohita
Authors: Tahir Irum , Fatima Mahroze , Shah Syed Zakir Hussain , Khan Noor , Ali Wazir 
Published: November 2023

AbstractThe current study was performed to investigate the impact of different temperatures and protein levels on the growth performance, proximate composition and digestive and hepatic enzyme activities of Labeo rohita fingerlings. For this purpose, healthy fingerlings (average initial weight of 6.40 ± 0.02 g) were acclimatized for 15 days, then reared at three temperatures (25°C, 30°C and 35°C) and fed three levels of crude protein (25%, 30% and 35% crude protein (CP)) twice daily until satiation for 60 days. The results of the study revealed that the highest growth performance was observed in fish fed 35% protein and reared at 30°C. Similarly, fish reared at 35°C and 25°C water temperature showed comparatively better growth performance in fish fed with 35% protein. Furthermore, a significant enhancement in feed intake was observed with increasing culture temperature and increasing CP levels, but at 25°C, increasing CP levels significantly decreased the feed intake. Sligh variations were also observed in proximate composition in terms of moisture, CP, crude fat (CF) and ash contents in fish fed with different CP levels and reared at different temperatures. The hepatosomatic index and viscerosomatic index decreased significantly with increasing levels of protein and temperature. Amylase activities were significantly reduced with increasing culture temperature at each protein level. Increasing culture temperature did not affected the lipase activities. However, lipase activities were enhanced with increasing CP levels at 25°C and activities decreased with increasing CP levels at 30–35°C. Protease activity was enhanced with increasing temperature and CP levels. Significant increases were also observed in serum total proteins and liver functioning enzymes such as alkaline phosphatase, alanine aminotransferase and aspartate aminotransferase in response to increased temperature, and protein had a reciprocal effect. It is concluded that increasing the CP levels increased the growth performance independent of temperature. However, similar growth performance at 30 CP (30°C) and 35 CP (35°C) indicates that L. rohita requires more protein at higher temperature for optimum growth.
Substance use among rural adolescents with incarcerated parents: Evidence from a state‐wide sample
Authors: Muentner Luke , McLaughlin Katie K. , Shlafer Rebecca 
Published: November 2023

AbstractPurposeIncarceration rates are highest in rural communities, disproportionately exposing rural children to parental incarceration (PI). Substance use is a pressing public health issue—and a key driver of incarceration—in rural areas, yet limited research has examined PI as a social determinant of health for adolescent alcohol and drug use. This study links exposure to PI with rural adolescent substance use and examines the role of coresidence with parents in these associations.MethodsData come from the 2019 Minnesota Student Survey, including 18,820 rural adolescents. Respondents self‐reported experiences of PI (current, former, never), whether they lived with the parent at the time of incarceration, and past‐year alcohol, marijuana, cocaine, heroin, and methamphetamine use.FindingsOver 22% of rural adolescents experienced PI. In adjusted logistic regression models, current PI was associated with greater past‐year alcohol (aOR = 2.20), marijuana (aOR = 4.08), cocaine (aOR = 3.61), heroin (aOR = 4.96), and methamphetamine (aOR = 5.43) use compared to peers who never experienced PI. Current PI was also associated with greater counts of use. Associations between coresidence and substance use were largely nonsignificant.ConclusionsThe elevated risk for substance use in the context of rural PI and its adverse sequelae call for expanded prevention and intervention strategies that support adolescent health alongside targeted decarceration efforts in rural communities that reduce the number of families put in the potentially compromising situation of PI.
Effect of biofloc technology in Farfantepenaeus aztecus culture: The optimization of dietary protein level on growth performance, digestive enzyme activity, non‐specific immune response, and intestinal microbiota
Authors: Genc Ercument , Kaya Dogukan , Genc Munevver Ayce , Keskin Emre , Yavuzcan Hijran , Guroy Derya , Gurler Ahmet , Yaras Koray Umut , Pipilos Atakan , Ozbek Berna Funda , Yilmaz Bilgenur Harmansa , Aktas Mevlut 
Published: November 2023

AbstractIn this study, a biofloc technology (BFT) based 90‐day feeding trial was performed to estimate the effects of four different dietary protein levels (290, 320, 350 and 380 g protein kg−1 diet; 29P, 32P, 35P, and 38P, respectively) on growth performance, digestive enzyme activity, non‐specific immune response, whole‐body proximate and fatty acid composition and intestinal microbiota of Farfantepenaeus aztecus. Final weight, weight gain, and specific growth rate improved with protein levels up to 35P per kg of diet, below which decreased significantly. Significant differences were observed in total hemocyte count, acid phosphatase, respiratory burst, glutathione, alkaline phosphatase, and total antioxidant capacity indices of shrimp fed different dietary protein levels. Protease, lipase, and amylase activities of shrimp were also affected by dietary protein levels. Proteobacteria was the most abundant bacteria among the groups. Overall, this study revealed that using 35% dietary protein is optimal in F. aztecus culture under environmentally friendly BFT conditions. Furthermore, these results provide a theoretical basis for future research on the evaluation of functional ingredients in diet for more economical production of F. aztecus at optimal protein levels.
Seasonal abundance estimates of cetaceans in the southern Black Sea (Sinop), Türkiye
Authors: Özsandıkçı Uğur , Özdemir Süleyman 
Published: November 2023

AbstractThe availability of reliable information on the abundance and distribution of threatened species is fundamental to evaluating their conservation status and taking the necessary measures to implement effective management. The seasonal abundance and distribution of cetaceans in the Sinop region, one of the essential fishing areas of the Black Sea, were estimated with line‐transect data. Dedicated boat‐based visual observations were conducted in four seasons between May 2019 and March 2020. Average estimates of abundance in the region over all seasons were 1,058 individuals for Black Sea harbor porpoises (Phocoena phocoena relicta; CV = 19.25%, 95% CI[725, 1,542]), 188 individuals for Black Sea bottlenose dolphins (Tursiops truncatus ponticus; CV = 21.67%, 95% CI[123, 289]), and 311 individuals for Black Sea common dolphin (Delphinus delphis ponticus; CV = 16.77%, 95% CI[123, 427]). The highest estimates for all three species were obtained in the spring. Harbor porpoises and bottlenose dolphins were present in the study area throughout the year, while common dolphins left the region in winter. These findings offer valuable insights that can guide and inform future conservation strategies, aligning with national and international frameworks for the protection of these cetacean species.
The impact of explicit instruction in intercultural competence in the world language classroom
Authors: Aski Janice M. , Jiang Xinquan , Weintritt April D. 
Published: November 2023

AbstractThis article describes a research study of a three‐semester elementary Italian language curriculum at a large Midwestern research university that incorporates intercultural competence (IC) training through cognitive dissonance image analyses, conversations with native speakers, classroom discussion, and reflections to determine the impact of this curriculum on learners’ development of IC. Quantitative and qualitative data were gathered over three semesters to assess students’ IC and identify insights into the developmental processes. Students’ development of IC was measured in pre‐ and posttests using the Intercultural Development Inventory. Students demonstrated positive growth in IC with 9‐point gains in developmental orientation scores (p < .001). Qualitative data from student interviews and reflections were analyzed using the VALUE rubric of the Association of American Colleges and Universities and illustrate that students increased awareness of cultural self and different others, applied openness and curiosity in intercultural interactions, and developed skills for empathy and perspective taking. While previous studies on language courses with no or limited intercultural learning content failed to prove effective in promoting IC growth, this study suggests that purposeful integration of IC materials and activities can promote intercultural development in elementary language learners.