bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factors associated with lymphedema self‐management behaviours among breast cancer survivors: A cross‐sectional study
Authors: Shen Aomei , Wu Peipei , Qiang Wanmin , Fu Xin , Zhu Fei , Pang Lisha , Wang Fangfang , Lu Qian 
Published: July 2023

AbstractAims and ObjectivesThe purpose of this empirical study was to explore the current status and associated factors of lymphedema self‐management behaviours among Chinese breast cancer survivors.BackgroundBreast cancer‐related lymphedema is a lifetime concern for survivors and is currently incurable. Lifetime lymphedema self‐management takes a significant role in preventing development and progression of lymphedema. Understanding influencing factors of lymphedema self‐management behaviours can help to develop targeted intervention programs.DesignA multicentre cross‐sectional study.MethodsFrom December 2021 to April 2022, a convenience sample of 586 participants were recruited at four tertiary hospitals in four cities in China. Self‐reported questionnaires were used to measure socio‐demographic characteristics, disease‐and treatment‐related characteristics, lymphedema self‐management behaviours, lymphedema knowledge, illness perception, self‐efficacy, self‐regulation and social support. Descriptive analysis, bivariate analysis and hierarchical multiple regression were conducted. This study was registered at Chinese Clinical Trial Registry (ChiCTR2200057084), and was reported followed the STROBE checklist.ResultsBreast cancer survivors reported moderate level of lymphedema self‐management behaviours. Promotion of lymph reflux management was ranked the least performed self‐management behaviours, while the affected limb protection management ranked the most. 36.2% of self‐management behaviours was explained by exercise regularly, level of attention on lymphedema prevention, unclear about the tumour stage (vs. stage I), knowledge, self‐efficacy, emotional illness representation and social support.ConclusionsLymphedema self‐management behaviours of breast cancer survivors was insufficient. Performance of lymphedema self‐management varied with different socio‐demographic characteristics, along with different levels of knowledge, self‐efficacy, perception and social support. All these identified predictors should be reckoned in assessment and intervention of lymphedema self‐management behaviours.Relevance To Clinical PracticeThis study addressed that breast cancer survivors' lymphedema self‐management behaviours should be promoted. Focusing on identified predictors, further lymphedema surveillance, knowledge education or social facilitation programs are recommended to enhance their self‐management performance and adherence.
The prevalence, related factors and interventions of oncology nurses' burnout in different continents: A systematic review and meta‐analysis
Authors: Ma Yao , Xie Tian , Zhang Jian , Yang Hui 
Published: July 2023

AbstractBackgroundBurnout is a significant occupational problem among oncology nurses, affecting their physical and mental health and the quality of medical care. Besides, there is a gradually increasing trend that we should pay more attention to.ObjectivesTo investigate the prevalence, influencing factors and interventions of oncology nurses' burnout among different continents.DesignSystematic review and meta‐analysis.Data SourcesEnglish literature in PubMed, EMBASE, MEDLINE/EBSCOhost, CINAHL Complete and Web and of Science were searched before 1 March 2022.ResultsTwenty studies included 5904 oncology nurses in this review. Meta‐analysis was performed in 19 of the studies. First, the pooled mean scores estimate for emotional exhaustion (EE) was 22.13 (95% CI: 19.69–24.58), depersonalization (DP) was 6.89 (95% CI: 5.67–8.10) and personal accomplishment (PA) was 32.86 (95% CI: 29.34–36.37). A high level of burnout was defined as a high level of EE (score ≥ 27), a high level of DP (score ≥ 10), and a low level of PA (score ≤ 33). Of these, 36.40% of nurses reported high EE, 28.26% reported high DP and 28.68% reported low levels of PA. Furthermore, there are differences in the prevalence, influencing factors and intervention measures of burnout among oncology nurses in different regions. The highest pooled mean scores for EE and DP were found in Asia. And the highest pooled mean scores for PA were found in the Americas. The factors that influence burnout among Asian oncology nurses are mostly personal‐related factors such as empathy and personality traits, while the factors that influence burnout among European oncology nurses are work‐related factors. This review included three intervention studies from Europe and the Americas, with fewer intervention studies on burnout in oncology nurses in Asia.ConclusionOncology nurses in Asia had the highest pooled mean scores for EE and DP, and the highest mean scores for the PA pool in the Americas. There are regional differences in the prevalence and factors influencing burnout among oncology nurses, but there are few interventions for it. Therefore, future interventions should be developed to address the differences that exist in different regions.Relevance To Clinical PracticeBurnout among oncology nurses in different regions is a concern, and this review may provide a reference for managers to target interventions to alleviate burnout among oncology nurses.
The learning curve of introduced robotic‐assisted hysterectomy versus skilled laparoscopic hysterectomy for benign gynecologic diseases
Authors: Iida Yuki , Komatsu Hiroaki , Kudoh Akiko , Azuma Yukihiro , Sato Shinya , Harada Tasuku , Taniguchi Fuminori 
Published: July 2023

AbstractAimThis study aimed to compare introduced robotic‐assisted hysterectomy (RAH) and skilled total laparoscopic hysterectomy (TLH) for the treatment of benign gynecological diseases.MethodsPatients who underwent RAH or TLH by two surgeons at the Tottori University Hospital between January 2018 and May 2022 were included in this retrospective study. Inclusion criteria were patients with 100–300 g of uterine weight. The exclusion criteria were patients with stage IV endometriosis. Mean operative time and learning curve were compared among the first‐half RAH, second‐half RAH, and TLH groups.ResultsThere were 40 eligible cases (first‐half RAH: 20 cases, second‐half RAH: 20 cases) in the RAH group and 44 cases in the TLH group. The total operative time (TOT) of the second half of RAH was significantly shorter than that of the first half of RAH (p = 0.021) and was comparable to that of the TLH group. The operative time (OT) of the second half of RAH was shorter than that of TLH (p = 0.023). The preparation time of TLH was shorter than that of the RAH group (p < 0.01). The learning curve of the TOT in RAH crossed that of TLH on the 31st case of RAH. In contrast, both curves of the OT crossed on the 11th case of RAH.ConclusionThe TOT of the introduced RAH was equivalent to that of skilled TLH in approximately 30 cases since the first RAH. Furthermore, the OT of RAH was comparable to that of TLH in approximately 10 cases of surgery since the first RAH.
The role of height‐driven constraints and compensations on tree vulnerability to drought
Authors: Fernández‐de‐Uña Laura , Martínez‐Vilalta Jordi , Poyatos Rafael , Mencuccini Maurizio , McDowell Nate G. 
Published: July 2023

SummaryFrequent observations of higher mortality in larger trees than in smaller ones during droughts have sparked an increasing interest in size‐dependent drought‐induced mortality. However, the underlying physiological mechanisms are not well understood, with height‐associated hydraulic constraints often being implied as the potential mechanism driving increased drought vulnerability. We performed a quantitative synthesis on how key traits that drive plant water and carbon economy change with tree height within species and assessed the implications that the different constraints and compensations may have on the interacting mechanisms (hydraulic failure, carbon starvation and/or biotic‐agent attacks) affecting tree vulnerability to drought. While xylem tension increases with tree height, taller trees present a range of structural and functional adjustments, including more efficient water use and transport and greater water uptake and storage capacity, that mitigate the path‐length‐associated drop in water potential. These adaptations allow taller trees to withstand episodic water stress. Conclusive evidence for height‐dependent increased vulnerability to hydraulic failure and carbon starvation, and their coupling to defence mechanisms and pest and pathogen dynamics, is still lacking. Further research is needed, particularly at the intraspecific level, to ascertain the specific conditions and thresholds above which height hinders tree survival under drought.
Secular trends in skill‐related physical fitness among Slovenian children and adolescents from 1983 to 2014
Authors: Sember Vedrana , Đurić Saša , Starc Gregor , Leskošek Bojan , Sorić Maroje , Kovač Marjeta , Jurak Gregor 
Published: July 2023

AbstractIt is vital from the public health and educational perspective to be familiar with changes in the fitness levels of individuals and populations since fitness is associated with several health outcomes and cognition. Skill‐related physical fitness refers to performance in sports or occupation and is associated with motor skill performance. The aim of the present study was to examine secular trends in skill‐related physical fitness of 16 678 participants in four youth generations of Slovenian children and adolescents in years 1983 (n = 3128), 1993/94 (n = 3413), 2003/04 (n = 5497), and 2013/14 (n = 4640). Using repeated cross‐sectional design, we observed fitness level of all participants divided into three age groups: 6–10, 11–14, and 15–19 years. Skill‐related physical performance was measured with seven fitness tests for speed, coordination, balance, and flexibility. Analysis of covariance was used to compare differences in fitness performance between decades in each age and sex group, adjusted for body height, body weight, and body mass index. Overall, large but inconsistent changes in coordination, a small improvement in speed, and a decline in flexibility were seen. The trends over the whole examined period were not linear throughout decades. Generally, positive trends were noticed in periods 1983–1993 (range 1.4%–17.9%; except flexibility) and 2003/04–2013/14 (range 0.2%–36.4%; except age group 15–19 years) while in the period 1993/94–2003/04 there are some particularities in secular trends according to individual components as well as age groups. In general, the secular trend showed a positive direction for both genders (p < 0.05), except for gross motor coordination, which demonstrated positive trends in 1993 and 2013 compared with a decade earlier (p < 0.05) and from 1983 to 2013/14, except for the youngest boys in 2003 and the youngest girls from 1993 to 2003 (p < 0.05). Our findings call for exercise programs aimed at improving speed and gross motor coordination in both sexes and all age groups, especially in the group of 15–19 years old.
Draft genome sequence of a representative strain of the
Catenibacterium
genus isolated from human feces
Authors: Ricci Liviana , Selma-Royo Marta , Golzato Davide , Nabinejad Amir , Servais Charlotte , Armanini Federica , Asnicar Francesco , Pinto Federica , Tamburini Sabrina , Segata Nicola 
Published: July 2023

ABSTRACT

A strain from a previously undescribed species belonging to the
Catenibacterium
genus was isolated from the stool of a healthy volunteer. The strain is strictly anaerobic, and the genome encodes a CRISPR-Cas system and genes related to trimethylamine production.
Desulfobotulus pelophilus sp. nov., an Alkaliphilic Sulfate-Reducing Bacterium from a Terrestrial Mud Volcano
Authors: Frolova A. A. , Merkel A. Yu. , Kuchierskaya A. A. , Slobodkin A. I. 
Published: July 2023

Abstract—
An alkaliphilic, sulfate-reducing, anaerobic bacterium (strain H1T) was isolated from a terrestrial mud volcano at the Taman Peninsula, Russia. The cells of the isolate were gram-negative motile vibrios, 1 µm in diameter and 2.0–2.5 µm in length. Strain H1T grew at 14–42°C (optimum at 37°C), pH 8.5–10.5 (optimum at pH 9.5), and NaCl concentrations of 0.5–6% (wt/vol) (optimum at 0.5–1.5%); pyruvate, lactate, butyrate, caproate, or pelargonate were used as electron donors, and elemental sulfur, sulfite, or sulfate were used as electron acceptors. Pyruvate and lactate were fermented. No growth occurred in the presence of oxygen. Thiosulfate, DMSO, fumarate, nitrate, nitrite, arsenate, selenite, and Fe(III) were not used as electron acceptors. Elemental sulfur, thiosulfate, and sulfite were not disproportionated. Glucose, fructose, sucrose, trehalose, galactose, xylose, fumarate, citrate, yeast extract, and peptone were not fermented. Predominant fatty acids were C20:0 (54.2%), C22:0 (24.6%), and C18:0 (11.1%). The genome of strain H1T was 3.66 Mb in size and had G + C DNA content of 51.1%. The genome contained the genes encoding the enzymes of dissimilatory sulfate reduction and β-oxidation of fatty acids. According to the results of analysis of the 16S rRNA gene sequence, Desulfobotulus mexicanus was the organism most closely related to strain Н1Т (98.3% similarity). Based on its phenotypic characteristics and the data of phylogenetic analysis, affiliation of the isolate as member of a novel Desulfobotulus species, Desulfobotulus pelophilus sp. nov., is proposed, with the type strain H1T (=DSM 112796T = VKM B-3697Т =UQM 41590T).
Paludisphaera mucosa sp. nov., a Novel Planctomycete of the Family Isosphaeraceae from a Boreal Fen
Authors: Ivanova A. A. , Naumoff D. G. , Kulichevskaya I. S. , Meshcheriakova A. A. , Dedysh S. N. 
Published: July 2023

Abstract—
Planctomycetes are common inhabitants of northern wetland ecosystems. In this study, a new planctomycete of the genus Paludisphaera, strain Pla2T, was isolated from a boreal fen in Russia. The novel isolate was represented by nonmotile, pink-pigmented, spherical cells that multiplied by budding and occurred singly or were assembled in small aggregates. Strain Pla2T was a chemoorganotrophic, psychrotolerant mesophile with a growth optimum at pH 5.5‒6 and 15‒20°C. The preferred growth substrates were polysaccharides, including xylan, xanthan gum, and phytagel, as well as some sugars. The 16S rRNA gene sequence of strain Pla2T displayed the highest similarity (97.9%) to that of ‘Paludisphaera soli’ JC670T isolated from highland soil of the western Himalayas. With other members of the genus Paludisphaera, ‘P. rhizosphaerae’ JC665T and P. borealis PX4T, this similarity was 97.0 and 93.8%, respectively. The genome of strain Pla2T was 8.21 Mb in size and contained about 6500 protein-coding genes and 3 copies of the rRNA operon. The DNA G + C content was 67 mol %. The average nucleotide identity between the genome sequence of strain Pla2T and those of previously described members of the genus Paludisphaera was between 79.4 and 82.6%. This genotypic distance as well as several phenotypic differences allowed classifying the new planctomycete from a fen as representing a novel species of the genus Paludisphaera, Paludisphaera mucosa sp. nov. with the type strain Pla2T (=KCTC92668T = VKM B-3698T).
WHO Global Situational Alert System: a mixed methods multistage approach to identify country-level COVID-19 alerts
Authors: McMenamin Martina , Kolmer Jessica , Djordjevic Irena , Campbell Finlay , Laurenson-Schafer Henry , Abbate Jessica Lee , Abdelgawad Basma Mostafa , Babu Amarnath , Balde Thierno , Batra Neale , Bélorgeot Victoria D , Brindle Hannah , Dorji Tshewang , Esmail Marjam , Hammermeister Nezu Ingrid , Hernández-García Lucía , Hassan Mahmoud , Idoko Friday , Karmin Sarah , Kassamali Zyleen A , Kato Masaya , Matsui Tamano , Duan Mengjuan , Motaze Villyen , Ogundiran Opeayo , Pavlin Boris I , Riviere-Cinnamond Ana , Ryan Kathleen , Schmidt Tanja , Sedai Tika , Van Kerkhove Maria D , Zakaria Teresa , Höhle Michael , Mahamud Abdi R , le Polain de Waroux Olivier 
Published: July 2023

BackgroundGlobally, since 1 January 2020 and as of 24 January 2023, there have been over 664 million cases of COVID-19 and over 6.7 million deaths reported to WHO. WHO developed an evidence-based alert system, assessing public health risk on a weekly basis in 237 countries, territories and areas from May 2021 to June 2022. This aimed to facilitate the early identification of situations where healthcare capacity may become overstretched.MethodsThe process involved a three-stage mixed methods approach. In the first stage, future deaths were predicted from the time series of reported cases and deaths to produce an initial alert level. In the second stage, this alert level was adjusted by incorporating a range of contextual indicators and accounting for the quality of information available using a Bayes classifier. In the third stage, countries with an alert level of ‘High’ or above were added to an operational watchlist and assistance was deployed as needed.ResultsSince June 2021, the system has supported the release of more than US$27 million from WHO emergency funding, over 450 000 rapid antigen diagnostic testing kits and over 6000 oxygen concentrators. Retrospective evaluation indicated that the first two stages were needed to maximise sensitivity, where 44% (IQR 29%–67%) of weekly watchlist alerts would not have been identified using only reported cases and deaths. The alerts were timely and valid in most cases; however, this could only be assessed on a non-representative sample of countries with hospitalisation data available.ConclusionsThe system provided a standardised approach to monitor the pandemic at the country level by incorporating all available data on epidemiological analytics and contextual assessments. While this system was developed for COVID-19, a similar system could be used for future outbreaks and emergencies, with necessary adjustments to parameters and indicators.
Teen pregnancy involvement among African, Caribbean and Black adolescent boys and girls: a scoping review protocol
Authors: Ojukwu Emmanuela , Bawafaa Eunice , Afsah Sara , Singh Shivangi , Grewal Harsimran , Raja Zainab , McKay Emily 
Published: July 2023

IntroductionAfrican, Caribbean and Black (ACB) adolescents are disproportionately affected by teen pregnancy in North America. Teen pregnancy poses risks to the quality of life of adolescent boys and girls, including physical, psychosocial and socioeconomic risks. Our review aims to explore this public health concern for ACB adolescents within North America. We aim to identify and analyse available evidence on the incidence and prevalence of, associated factors of and interventions to curtail teen pregnancy involvement (TPI) among ACB adolescent boys and girls in North America. This review will explore TPI, rather than teen pregnancy, to ensure a review of men’ involvement in teen pregnancy outcomes.Methods and analysesHealth literature databases such as CINAHL, OVID (Medline and Embase) and CAB direct. Searches will be conducted for evidence published from 2001 to October 2021. Search results will be exported to Covidence for subsequent steps of the review. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Review guidelines will be used to ensure reproducibility and transparency. We will include all study designs focused on ACB boys and girls between 10 and 19 years old, residing in North America. Studies with a mixed racial sample will be included if sample consists of greater than 50% ACB individuals.Ethics and disseminationTPI is a public health concern with socioeconomic and health consequences for ACB teens in North America. A scoping review such as this will provide direction for healthcare practice, policy changes, education and further research in reducing the incidence of TPI in North America. Study results will be disseminated via presentations at conferences, at target populations, communities and organisations and publications via peer-reviewed journals. As knowledge generated from this scoping review will stem from previously published evidence, an ethical approval is not needed
How does social desirability bias influence survey-based estimates of the use of antenatal care in rural Nepal? A validation study
Authors: Thorne-Lyman Andrew L , Lama Tsering P , Heidkamp Rebecca A , Munos Melinda K , Manandhar Porcia , Khatry Subarna K , Bryce Emily , LeClerq Steven C , Katz Joanne 
Published: July 2023

ObjectivesSocial desirability bias is often speculated to influence survey responses but seldom studied in healthcare. The objective was to explore whether social desirability scores (SDS) or the presence of interview observers is associated with inaccurate recall and overestimation of antenatal care (ANC) services.DesignLongitudinal validation study comparing recalled receipt of ANC services and nutrition components of ANC against direct observations of care. An adapted short form Marlowe-Crowne questionnaire was used to generate an SDS, and the presence of interview observers was treated as a separate exposure. We assessed accuracy and overestimation of recalled receipt of ANC services against observed receipt using log-binomial regression, adjusting for age, education, first-pregnancy and socioeconomic status.SettingRural Southern Nepal with recruitment from five government health posts.Participants401 pregnant women.ResultsSocial desirability scores did not significantly predict accuracy or overestimation of most types of ANC care except counselling on nausea. Higher SDS was associated with more accurate recall (adjusted RR, aRR 1.08 (95% CI 1.03, 1.12)) and less overestimation (aRR 0.85 (0.80, 0.91)). The presence of mothers-in-law or husbands during interviews was associated with greater overestimation of the number of ANC visits received by more than three visits (aRR 2.07 (1.11, 3.84)) and (aRR 4.19 (2.17, 8.10)), respectively. Those interviewed with friends present tended to overestimate the receipt of counselling on nausea, avoiding alcohol and not smoking.ConclusionThe presence of observers can lead to overestimation of the receipt of ANC care and support the conduct of interviews in private settings despite challenges of doing so in village contexts. Findings that the SDS did not predict the accuracy of most types of ANC care might reflect a reality that such questions may not be sensitive from a social-norms perspective. Additional local adaptation of SDS is recommended.