bluuebunny/crossref_metadata_2025_split huggingface dataset:
Understanding the Challenges of Readiness for Hospital Discharge in Stoma Patients: A Mixed‐Methods Study
Authors: Lin Liying , Zheng Jianwei , Lin Zhenglong , Xiao Huimin 
Published: January 2025

ABSTRACTAimTo identify key factors influencing readiness for hospital discharge and delve into the experiences of stoma patients regarding their discharge.DesignA mixed‐methods study.MethodA total of 374 colorectal cancer patients with stomas were involved to assess discharge readiness and its influencing factors. Additionally, 28 stakeholders—comprising surgeons, nursing managers, surgical nurses, enterostomal therapists, stoma patients and their family caregivers—participated in semistructured interviews. Data on discharge readiness, discharge teaching quality, stoma self‐efficacy and social support were collected using validated scales. In‐depth interviews provided further insights into discharge preparation experiences. Multivariate logistic regression analysis using IBM SPSS 26.0 and thematic analysis via NVivo 12.0 were employed for data analysis.ResultsSix variables accounted for 80% of the variance in discharge readiness: quality of discharge teaching, stoma self‐efficacy, social support, age, gender and family income. Four main themes emerged: ambivalence towards discharge, insufficient preparation time, inadequate communication of discharge information and personal planning needs.ConclusionDischarge readiness among stomas patients is influenced by perceived discharge teaching quality, self‐efficacy, social support, age, gender and family income. Insufficient preparation and poor communication hinder effective discharge information transfer. Enhanced, patient‐centred discharge planning is expected to improve the transition from hospital to home.Implications for the Profession and/or Patient CareTo improve hospital discharge readiness and facilitate a smooth transition to family care, it is essential to implement patient‐centred discharge planning.Reporting MethodReported with the Mixed Methods Reporting in Rehabilitation & Health Sciences guidelines.Patient or Public ContributionNone.Trial RegistrationClinicalTrials.gov identifier: ChiCTR2200058756. https://www.chictr.org.cn/bin/home
Theoretical analysis, simulation, and field experiment for vibration mitigation of suspender cables/hangers using the four‐wire pendulum tuned mass damper
Authors: An Yonghui , Gong Siyuan , Wang Zhongzheng , Shen Wei , Wang Zhihao , Ou Jinping 
Published: January 2025

AbstractSuspender cables/hangers occupy a crucial role during the whole service life of suspension bridges/arch bridges/space structures, and their long‐term repeated vibration under corrosion and high‐stress service state will cause fatigue damage and even induce fatigue failure. To mitigate the vibration of the vertical suspender cables/hangers, a four‐wire pendulum tuned mass damper (FWPTMD) is proposed. It mainly consists of the cross bracket, four pendulum ropes, the moving mass, and four universal rotating ball hinges that can rotate in any direction and provide damping. A suspender cable in a real suspension bridge is selected as the research object. First, the design procedure and effect of the modal mass ratio are provided; the optimization design method for parameters of optimal frequency ratio and optimal damping ratio is investigated in detail. Second, simulations are conducted to illustrate its feasibility, and results show excellent vibration mitigation effect. Third, the optimal FWPTMD is designed and fabricated; its performance is further validated by field experiments, and the results are very close to those in simulation. The FWPTMD has the advantages of simple structural form, convenient installation, low cost, easy tuning, easy maintenance, and so forth. Therefore, it can play an obvious vibration mitigation role in the life‐cycle of the suspender cable/hanger, and it has a positive meaning to retard fatigue damage, extend the service life, and assure traffic safety under extreme weather.
Association between nursing workload and staff size with the occurrence of adverse events and deaths of patients with COVID‐19: A retrospective cohort study
Authors: Cassiano Carolina , Nogueira Lilia de Souza , Araújo Ana Carolina Unger , Lima Fernanda Rodrigues , Hanifi Nasrin 
Published: January 2025

AbstractBackgroundThe safety of patients in the intensive care unit (ICU) is significantly impacted by inadequate staffing of nursing professionals to meet the demand for care of critically ill patients. COVID‐19 patients increased nurses' workload, particularly in high‐intensity care settings like the ICU.AimTo evaluate the association of workload and number of patients per nursing professional with the occurrence of adverse events and death in critically ill patients with COVID‐19 in the ICU.Study DesignThis is a retrospective cohort study. This study analysed patients with COVID‐19, aged 12 years or older, admitted between 1 April 2020 and 31 May 2021 in the ICU of a hospital in Brazil. Nursing workload was measured by the Nursing Activities Score (NAS). The independent variables were the ratio of the NAS score per nursing professional (NNR) and the ratio of the number of patients per nursing professional (PNR). Dependent variables included adverse events (pressure injuries and health care‐associated infections—HAIs) and death in the ICU.ResultsOf the 386 included patients, 59.59% were male and the median age was 60.5 years. The median NAS, NNR and PNR values were 72.81%, 128% and 1.64, respectively. The frequency of pressure injuries (31.09%) exceeded that of HAIs (16.06%), and 218 patients (56.48%) died. The NNR was associated with HAIs (OR 1.006; CI95% 1.001–1.012; p = .012), pressure injury (OR 1.005; CI95% 1.000–1.010; p = .033) and death (OR 1.010; CI95% 1.005–1.015; p < .001) in the ICU. There was no association between PNR values and the study's dependent variables.ConclusionA high workload per nursing professional was associated with the occurrence of adverse events and deaths of patients with COVID‐19 in the ICU, while the nursing staff sizing was not.Relevance to Clinical PracticeThe results reinforce the importance of evaluating the workload of nursing professionals to establish safety measures for the care of patients with infectious diseases.
Caregiving experiences of Turkish intensive care unit nurses who survived in the most destructive double earthquake of the century: A qualitative study
Authors: Çetinkaya Onur , Aşkar Selva Ezgi , Ovayolu Özlem 
Published: January 2025

AbstractBackgroundTurkey has been exposed to many devastating earthquakes in recent years. Considering that nurses are on the front lines of responding to disasters, they need to be prepared at all times. In the literature review, it was seen that despite the roles of intensive care nurses in disasters, their experiences in caring for earthquake victims have not been adequately researched.AimThis study aims to investigate the experiences of intensive care nurses during the double earthquake in Turkey in 2023.Study DesignThis descriptive qualitative research was conducted with 11 intensive care nurses working in the double earthquake in Turkey in 2023. Snowball sampling was used to select participants. Data were collected through face‐to‐face semi‐structured interviews. Interviews were continued until data saturation was reached.ResultsAs part of the analysis of the interviews, the nurses' experiences were grouped under four main themes covering 10 sub‐themes—‘Continuing care despite difficulties’, ‘Staying in a dilemma’, ‘Two faces of the earthquake’ and ‘The need for perfect planning kneaded with experience.’ConclusionThe main source of the difficulties and dilemmas experienced is the obligation of nurses who experienced the earthquake to continue their profession. Still, continuity of care was maintained and nurses drew positive conclusions from the negativity.Relevance to Clinical PracticeConsidering the positive and negative effects of the earthquake, intensive care nurses should be both professionally and psychologically empowered, organizational planning should be conducted as soon as possible and their functionality should be tested through drills.
Insights from the top‐cited papers in the critical care nursing literature: A bibliometric and visualized analysis
Authors: Eltaybani Sameh , McEvoy Natalie 
Published: January 2025

AbstractBackgroundHighly cited papers in critical care nursing can offer valuable insights for all stakeholders engaged in the research process by highlighting key research trends, guiding resource allocation and shaping future research priorities.AimTo gain insights from the top‐cited papers in the top critical care nursing journals.Study DesignThis was a bibliometric analysis of the top‐cited papers in the top critical care nursing journals as reported by the Journal Citation Report 2023—released in June 2024. Data were tabulated and visualized using Microsoft Excel and the VOSviewer software.ResultsForty papers from the top four critical care nursing journals (Intensive and Critical Care Nursing [ICCN], Nursing in Critical Care [NICC], Australian Critical Care [ACC] and American Journal of Critical Care [AJCC]) were analysed. Half of the analysed papers were related to the COVID‐19 pandemic, and mental health was the most addressed theme (n = 11 papers). Papers from the ICCN featured contributions from 17 countries, the highest among the journals analysed, followed by NICC, with contributions from 11 countries. Articles received more citations than reviews (median [interquartile range]: 18 [9–23] vs. 8 [8–11.5]), and open‐access papers were cited about twice those published under a subscription model (19 [16–31] vs. 9 [8–15]). In ICCN, 9 of the 10 analysed papers were published open access compared with 3 in NICC and ACC and 2 in AJCC.ConclusionsThe identified themes in this paper underscore the dynamic nature of the field of critical care nursing and the ongoing efforts to address key challenges in critical care nursing practice and health care delivery. Publishing open‐access articles on trending topics and collaborating internationally seem to be effective approaches for gaining more citations.Relevance to ResearchUnderstanding these prevalent themes has significant implications for guiding research priorities, informing clinical practice, shaping policy and improving patient outcomes. Academic journals need to encourage increasing the representation of researchers from the Global South in both journals' editorial boards and submissions to the journals.
Prevalence of and risk factors analysis for post‐intensive care syndrome among survivors of critical care during 3‐month longitudinal follow‐up
Authors: Gao Shuang , Liang Xifeng , Lyu Yaning , Zhang Xiuping , Zhang Liwen 
Published: January 2025

AbstractBackgroundPatients discharged from the intensive care unit (ICU) can experience post‐intensive care syndrome (PICS), which is comprised of cognitive, physical and psychological impairments.AimThe objective of this study was to identify the prevalence of and risk factors associated with all three domains of PICS at the first and third month after ICU discharge.DesignA prospective descriptive‐analytic study was conducted in two ICUs of a Chinese university hospital. We used the Healthy Aging Brain Care Monitor Self‐Report Chinese version, a scale from 1 to 57, with 57 indicating the worst outcome, to comprehensively assess PICS at the first and third month follow‐ups after patients left the ICU. We performed an analysis of stepwise multiple linear regression to explore the relationship between risk factors and PICS.ResultsWe enrolled 654 and 584 participants at the first‐ and third‐month follow‐ups, respectively. More than 60% of patients experienced different degrees of PICS, with the most severe impairment being in the physical domain. We classified risk factors associated with PICS, categorized as patient‐related, disease‐related, and ICU‐related factors. Among these risk factors, only being the main income provider for the family, the diagnosis of digestive system disease, trauma and the number of invasive catheters at ICU discharge significantly predicted PICS at both follow‐ups. ICU‐related risk factors should be given greater attention, given their potential for modification.ConclusionsThe prevalence and severity of PICS were high in this population after their ICU stay. ICU nurses and medical staff members should collaborate to pay more attention to the comprehensive risk factors and implement targeted preventive measures.Relevance to Clinical PracticeICU staff must have a holistic view of PICS and a comprehensive understanding of its risk factors to proactively evaluate patients at high risk of PICS upon admission to the hospital.
U2DDS‐Net: A New Architecture Based on U2Net With Disaster Type for Building Damage Assessment Under Natural Disasters
Authors: Wang Bo , Zhao Chenting , Li Jun , Sheng Qinghong , Ling Xiao 
Published: January 2025

ABSTRACTBuilding damage assessment in the face of natural disasters is crucial for economic development, disaster relief, and post‐disaster reconstruction. However, existing algorithms often overlook the impact of the disaster class when extracting difference features from high‐resolution pre‐ and post‐disaster image pairs obtained through satellite remote sensing, without considering the influence of the disaster type, that is, the different ways in which different disasters affect buildings. To address this limitation, we propose U2DDS‐Net, a two‐stage model based on U2Net and Swin Transformer. In stage 1, U2Net locates and segments buildings in pre‐disaster images. In stage 2, we enhance the model with the disaster‐type token and the diff swin stage module, which consider the disaster type and extract difference information at multiple scales. Experimental results on the xBD dataset demonstrate the significant improvement achieved by our approach, surpassing state‐of‐the‐art performance. Our research fills the gap by considering specific disaster types, and our two‐stage model provides accurate building damage assessment across various disaster scenarios.
Gestural Iconicity and Alignment as Steps in the Evolution of Language
Authors: Cartmill Erica A. 
Published: January 2025

AbstractStudies of the evolution of language rely heavily on comparisons to nonhuman primates, particularly the gestural communication of nonhuman apes. Differences between human and ape gestures are largely ones of degree rather than kind. For example, while human gestures are more flexible, ape gestures are not inflexible. In this piece, I closely consider two features of the gestural communication of apes and humans that might display differences in kind: iconicity and temporal alignment. Iconicity has long played a privileged role in theories of gestural language origins, the proposal being that it provided a steppingstone into language through a stage of pantomime. However, iconicity is not as easy as it seems. Evidence from co‐speech gestures of hearing children and from homesign suggests that iconic reference is both cognitively complex and slow to develop in humans. There is no conclusive evidence that nonhuman apes understand or produce iconic gestures; some gestures may appear iconic to human observers but the apes themselves may not understand the similarity between form and meaning. Far from providing an easy pathway into the emergence of symbolic communication, iconicity relies on sophisticated capacities for analogy and abstraction, ones often lacking in apes and young children. Temporal alignment between gesture and vocalization is another area that may show sharp contrasts between adult humans and apes, though data here is sparser. I discuss the tight synchronization of gesture and speech that emerges over the first year of life in human children and contrast it with gesture and vocalization in apes, which typically are described as overlapping but not simultaneous. Human ancestors probably communicated in ways similar to other apes, but the dual emergence of the ability to use iconic reference and the alignment of hand and mouth may have set our ancestors down a unique evolutionary road toward language.
Experimental and Numerical Study of Parallel Flow Evacuated U-Tube Solar Collector With Parabolic Reflector: Impact of Particulate Matter
Authors: Sunkarwar Omkar P. , Naik B. Kiran , Dasore Abhishek 
Published: January 2025

Abstract
The article explores the performance of an evacuated U-tube solar collector integrated with a parabolic reflector under extremely hot tropical conditions, both with and without the presence of particulate matter, using experimental and simulation approaches. Experimental results showed that at peak conditions of 1017-W/m2 solar intensity and 42 ℃ ambient temperature, the heat transfer fluid (HF) exhibited a temperature increase of 11.5 ℃, accompanied by a heat gain of 1100 W, with a flowrate ranging from 0.028 to 0.03 L/s and a U-tube contact area of nearly 0.18 m2. In these tropical conditions, the maximum thermal efficiency achieved was 66% without particulate matter and 61% with particulate matter treatment (PMT), which simulated the accumulation of particles on the evacuated tube's surface. The introduction of PMT on the evacuated tube's outer surface led to slight deteriorations, including a 2 ℃ reduction in HF temperature increase, a 200-W decrease in heat gain, and a 17% drop in thermal efficiency compared to the scenario without PMT. The study also includes case studies using two numerical models to assess the time required to reach a steady state and to understand the system's thermal behavior throughout the day, both with and without PMT. The analyses reveal that under peak solar conditions, a steady state is achieved in 117 s with PMT and 131 s without, at a flowrate between 0.026 and 0.028 L/s. Additionally, the impact of HF flowrate, solar intensity, and HF inlet temperature on thermal performance is examined, revealing intricate temperature patterns along the U-tube's radial and axial directions. Detailed 3D temperature contours for hourly variations on sunny days and transient analyses along the collector length are presented. These findings offer valuable insights for optimizing solar collector systems for extremely hot tropical climates.
Understanding patients’ emotional well-being, perceptions and concerns during an unprecedented deferment of arthroplasty: an Italian qualitative study
Authors: Urakcheeva Iuliia , Ciccarelli Paola , Tenti Michael , Torre Marina , Toccaceli Virgilia 
Published: January 2025

ObjectivesNearly 40 000 Italian patients had their arthroplasty postponed between March and May 2020 (lockdown period) and experienced a period of several months without knowing when surgeries would resume. The hypothesis was that such conditions caused changes in perceived well-being and quality of life. The study aimed to explore the feelings, perceptions and concerns of orthopaedic patients in Italy during COVID-related arthroplasty rescheduling.DesignThe study designed by an interdisciplinary research group, used a qualitative methodology based on thematic analysis of semi-structured interviews.SettingInterviews were conducted by phone from August to November 2021.ParticipantsA purposive sample of orthopaedic patients (from North, Centre and South of Italy), whose elective arthroplasty was delayed due to the COVID-related healthcare measures, was selected. Patients who opted for further voluntary deferment were included. Participants were mainly recruited through orthopaedic surgeons.ResultsWe conducted and analysed 26 interviews (12 males and 14 females; age range 50–85 years). We identified six themes describing negative feelings, deterioration of quality of life, resources behind coping strategies associated with surgery postponement and lockdowns. A psychosocial phenomenon we called the ‘lockdown paradox’ was detected. It was induced by the general condition of isolation at home that made orthopaedic patients share restricted mobility with all the people in the country and, therefore, suffer less.ConclusionsArthroplasty suspension in the context of anti-COVID measures had implications on emotional well-being and perceived quality of life. Deterioration appeared mitigated by inner resources, favourable living conditions and, in some cases, by the psychosocial phenomenon, not detected in other studies, of the ‘lockdown paradox’ associated with mobility and autonomy restrictions shared by the whole community. Future studies are needed to investigate predictors of negative feelings and deterioration of quality of life in patients experiencing sudden major surgery delays.
Nation-wide cohort of device-measured sedentary time and physical activity in the USA—the Cancer Prevention Study-3 (CPS-3) Accelerometry Substudy: cohort profile
Authors: Rees-Punia Erika , Nelson Jillian , Briggs Peter J , Joiner Nance , Hodge James M , Bontemps-Jones Jeuneviette E , Bloodworth Den E , Yeager Ashley , McCrary Jeshondria , Patel Alpa 
Published: January 2025

PurposeThis paper describes the data collection and management methods for the Cancer Prevention Study-3 (CPS-3) Accelerometry Substudy, a nested cohort of device-based physical activity and sedentary time data.ParticipantsUS-based CPS-3 participants (initially enrolled 2006–2013) who completed the 2018 follow-up survey and had a valid email address were invited to the Accelerometry Substudy (n=109 780). Among the 23 111 participants who registered and were shipped an ActiGraph GT3X+ accelerometer, 21 219 participants returned the device with a complete wear log (91.8%) and 20 950 (90.6%) provided at least three adherent days of data (eg, days with at least 10 hours of wear).Findings to dateParticipants with ≥3 adherent days were predominantly female (n=16 187, 77.3%), non-Latino white (n=17 977, 85.8%) and had an average age of 58 years (SD=9.8). The median daily wear time was 15.3 hours, which did not vary considerably by wear day. The median time spent in moderate-intensity aerobic physical activity was 29 min/day (IQR=36), and the median time in vigorous physical activity was 3 min/day (IQR=13). Participants were sedentary for 9.4 hours (564 min, IQR=171 min) and accumulated a median of 6474 steps per day (IQR=5348).Future plansThe full CPS-3 cohort will be linked with the National Death Index and state cancer registries biennially. Participants will be sent triennial surveys for the next two decades. Future analyses within the CPS-3 Accelerometry Substudy more specifically aim to identify relationships between physical activity, sedentary time and health outcomes, primarily cancer incidence, survival and survivorship.