bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effect of Refined Nursing on Wound Complications After Thoracoscopic Surgery for Lung Cancer
Authors: Dong Yanxia , Ma Guangqin , Wu Shuaishuai , Zhang Shuling 
Published: January 2025

ABSTRACTIntroductionLung cancer thoracoscopic postoperative wound complications bring great pain and inconvenience to patients.MethodsTo provide clinical nurses with a more scientific and effective nursing plan, this study evaluated the effect of refined nursing on wound complications after thoracoscopic surgery for lung cancer. Two‐hundred thirty patients undergoing thoracoscopic radical resection for lung cancer were randomly divided into two groups according to the random number table method. The study group received refined nursing intervention (115 cases), and the control group received routine nursing intervention (115 cases). The effects of the two groups' nursing modes on the wound complications (pleural effusion, incision infection, lung leakage, and wound bleeding) after thoracoscopic surgery for lung cancer were compared.ResultsAccording to the study results, the study group experienced a shorter intraoperative blood loss, lower extubation time, shorter hospital stay, and lower wound complication rate than the control group (p < 0.05). Compared to the control group, the study group had significantly lower Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD) and visual analog scale (VAS) scores, and higher the short form 36 health survey questionnaire (SF‐36) scores (p < 0.05).ConclusionCompared with the control group, the implementation of refined nursing intervention for patients with thoracoscopic radical resection of lung cancer has fewer postoperative wound complications and can improve patients' nursing satisfaction and quality of life, which is worthy of clinical promotion and application.
Examining Baseline Relations Between Parent–Child Interactions and STEM Engagement and Learning
Authors: Gin Skyler , Yin Heyang , Boykin C. Malik , Sobel David M. 
Published: January 2025

ABSTRACTSeveral studies suggest that children's learning and engagement with the content of play activities is affected by the ways parents and children interact. In particular, when parents are overly directive and set more goals during play with their children, their children tend to play less or are less engaged by subsequent challenges with the activity on their own. A concern, however, is that this directed interaction style is only compared with other styles of parent–child interaction, not with a baseline measure of engagement or learning. The present study incorporates such a baseline measure, comparing it with previously‐collected data on children's engagement and learning in a set of circuit‐building challenges. Regarding engagement, children were less engaged by the challenges when their parents were more directed during a free play setting (tested in Sobel et al. 2021) than when children had no prior experience playing with the circuit components. Regarding learning, children were better able to complete the circuit challenges and provided more causal explanations for how the completed challenges worked when they had experience playing with the circuit blocks with their parent. Overall, these data suggest that parent–child interaction during a STEM activity relates to both children's engagement and performance on challenges related to that activity.
Political Business Cycles in Varieties of Capitalistic Systems
Authors: Beckmann Joscha , Schweickert Rainer , Jahn Marvin 
Published: January 2025

ABSTRACTThis study contributes to the literature on political business cycles by assessing the effect of elections on growth expectations based on expert survey data instead of using actual performance data. We analyze the different roles opportunistic and partisan politics play in varieties of capitalistic systems as a source of heterogeneity. Our results show that expectations differ remarkably between Liberal and Coordinated Market Economies (LME vs. CME) even independent of election outcomes.
Exploring Dental Trauma Among Cattle Farmers in Vadodara, Gujarat: Prevalence and Risk Factors
Authors: Kariya Pratik B. , Antala Aishwarya V. , Singh Sweta , Baishya Simron , Shah Palak 
Published: January 2025

ABSTRACTBackgroundTraumatic dental injuries (TDI) are a global health concern, affecting millions of people annually. The prevalence of traumatic dental injuries (TDIs) can vary significantly with change in geographic region, occupation, and lifestyle. Animal handlers, such as cattle farmers, are at risk of experiencing TDIs due to their interactions with animals. However, there have been no previous studies investigating the prevalence of TDI among cattle farmers.AimTo determine the prevalence and associated risk of TDI among cattle farmers in Vadodara City, Gujarat, India.MethodologyA cross‐sectional study was conducted among cattle farmers residing in Vadodara City. Purposive snowball sampling was used to recruit the cattle farmers. A questionnaire was used to collect data on demographic variables, animal handling practices, experience, history of trauma. Clinical examination was carried out to screen for TDI and possible risk factors.ResultsA total of 357 cattle farmers participated in the study. The prevalence of TDI among cattle farmers was 7.8%. All the respondents reported some form of soft tissue injury (100%). Luxation (60.71%) was the most frequent dental injury, followed by tooth fracture (57.14%). Maxillary incisors were the most commonly affected teeth (75.61%). Kicking (39%) and head‐butting (43%) were the most frequent causes of injury. Increased overjet, inadequate lip coverage, and Class II molar relationship were associated with a higher risk of TDI.ConclusionPrevalence of TDI among cattle farmers was found to be 7.8%. Since the cattle farmers are inherently at risk for TDI as occupational hazard, preventing dental trauma‐related injuries in cattle farmers is crucial.
Evaluating the Effects of Mental Health e‐Learning on the Knowledge, Attitudes and Practices of Primary Healthcare Professionals in Mali. A Pilot Study
Authors: Mroueh Lara , Bruand Pierre‐Emile , Poudiougou Oumar , Kleinebreil Line , Fall Ndao Amy , Moussaoui Driss , Preux Pierre‐Marie , Bagayoko Cheick Oumar , Boumediene Farid 
Published: January 2025

ABSTRACTBackgroundDespite their high prevalence and significant burden, mental disorders remain grossly under‐diagnosed and under‐treated. In low‐and‐middle‐income countries, such as Mali, integrating mental health services into primary care is the most viable way of closing the treatment gap. The aim of this study was to assess the effects of a mental health e‐learning program on the knowledge, attitudes and practices of primary healthcare professionals in Mali.MethodsAn e‐learning platform including 12 interactive modules was used to train 46 healthcare professionals. Changes in knowledge, attitudes and practices, as well as in satisfaction with knowledge and in ability to diagnose and manage patients were evaluated by comparing data collected pre and post e‐learning.OutcomesKnowledge and practices scores increased significantly post e‐learning for all modules, except the practices score for anxiety disorders. Similarly, scores regarding satisfaction with knowledge and ability to diagnose and manage patients increased significantly, and more so than the knowledge and practices scores. Changes in attitudes however were not significant.ConclusionDespite the difficult conditions of implementation in isolated areas of rural Mali, preliminary results suggest a positive effect of the e‐learning.
Product Market Competition and Financial Constraints: Evidence From Higher Education
Authors: Becker Mary , McGurk Zachary , Reilly Patrick 
Published: January 2025

ABSTRACTThis paper empirically investigates the relationship between product market competition and financial constraint of traditional US private colleges and universities. Using data for private, not‐for‐profit colleges and universities from 2006 to 2018, we create a synthetic credit rating using the Moody's Rating Methodology for Higher Education and generate market concentration measurements using enrollment data, geographic location, and incoming student SAT scores or acceptance rates. We find that higher market concentration is associated with greater financial constraint, schools with low‐scoring incoming students are more constrained when facing competition from peers with low‐scoring incoming students, and schools in markets with growing student populations have more financial constraint on average in less‐competitive markets and less financial constraint in more‐competitive markets.
Gait speed assessment in confined spaces: Development of a novel automated 4‐m static‐start test to measure dynamic‐start gait speed
Authors: Pua Yong‐Hao , Clark Ross Allan , Tay Laura , Ng Yee‐Sien , Poh Jaylyn Tze‐Theng , Ibrahim Salma Bte Md , Cheong Wai‐Chye , Tan Hong‐Han , Thumboo Julian 
Published: January 2025

ObjectivesTo promote standardization and feasible measurements of gait speed across the field, we developed a device that used light detection and ranging (LiDAR) technology to measure gait speed from a standing‐start testing procedure conducted on a 4‐m total walkway. We compared this automated (LiDAR‐based) standing‐start 4‐m gait speed test (AS‐4MG) with automated and manual (stopwatch‐based) dynamic‐start 4‐m gait speed tests (AD‐4MG and MD‐4MG, respectively) on between‐method agreement, measurement repeatability, and predictive validity with functional outcomes.MethodsA sample of 48 community‐dwelling adults (mean [SD], 69 [9] years) participated in this method comparison study. Participants completed a survey and a physical function assessment, from which self‐reported stair difficulty, handgrip strength, sit‐to‐stand performance, and gait speed (AS‐, AD‐, and MD‐4MG) were measured.ResultsMean AS‐4MG, AD‐4MG, and MD‐4MG were 1.12, 1.13, and 1.14 m/s, respectively, with a strong correlation (r = 0.94) and no systematic bias observed between AS‐4MG and the referent AD‐4MG. In the analyses of repeated gait measurements, coefficients of repeatability were <0.20 m/s for the automated tests (0.16 and 0.18 m/s for AS‐4MG and AD‐4MG, respectively) but not for MD‐4MG (0.22 m/s). Correlations between gait speed and functional measures ranged between 0.44 and 0.68 (Ps < 0.01). Correlations for the automated tests were comparable, while AS‐4MG correlations tended to exceed MD‐4MG correlations.ConclusionsIn community‐dwelling adults, the AS‐4MG test was unbiased when compared with the AD‐4MG, encompassing a 9‐m walkway, with both tests showing equivalence of measurement repeatability and predictive validity. The AS‐4MG potentially allows gait measurements in confined spaces (e.g., doctor's office) where the gait speed test was previously unfeasible. Geriatr Gerontol Int 2025; ••: ••–••.
Comparative analysis of product and network supply chain resilience
Authors: Ivanov Dmitry 
Published: January 2025

AbstractSupply chain resilience has been extensively investigated at the network and firm levels. More granular studies at the level of product supply chain resilience are scarce. In this paper, we examine relationships between product supply chain resilience, firm resilience, and network resilience. We simulate supply chains with two products in different settings of structural and process diversity, connectivity, and flexibility. The methodology is based on discrete‐event simulation. The focus of the analysis is on managerial insights. Our main insights show that the resilience of product supply chains depends on the firm and network resilience, and higher firm and network resilience do not always automatically translate into higher resilience at the product level. Managerial implications are discussed and generalized. The outcomes of our study can be used by supply chain and operations managers to improve the resilience of supply chain with consideration of both product and network levels. We contribute to the literature by offering novel insights on the interrelations between firm and network resilience practices and product supply chain resilience.
Planning for the Restoration of Functional Connectivity in Brazil
Authors: Manes Stella , Rocha Diogo S. B. , Oliveira Luiz , Liévano‐Latorre Luisa Fernanda , de Almeida‐Rocha Juliana M. , Capellão Renata , Cordeiro Carlos Leandro , Dib Viviane , Lacerda Eduardo , Latawiec Agnieszka , Niemeyer Julia , Resende Fernando , Loyola Rafael 
Published: January 2025

ABSTRACTAimLand use and land cover (LULC) change is the main driver of biodiversity loss, causing habitat loss and fragmentation that hinders species movement and negatively impacts populations. While habitat fragments are structurally disconnected, functional connectivity can still occur depending on the species' dispersal abilities. Incorporating landscape connectivity into restoration planning helps identify strategic areas significantly enhancing connectivity. Here, we present an unprecedented, nationwide continuous spatial layer representing each restorable pixel's contribution to functional connectivity, using Brazil as a case study.LocationBrazil.MethodsWe performed a dynamic pixel‐based analysis across each Brazilian biome to assess the potential increases in the Integral Index of Connectivity (IIC) resulting from restoring each restorable pixel in the landscape. For that, we defined hypothetical species with medium, high and very high dispersal abilities and calculated the IIC for the different natural LULC in each biome. Then, we ran a dynamic pixel‐based restoration analysis to assess the contribution of each restorable pixel to functional connectivity.ResultsOur resulting dataset represents the relative contribution of connectivity for each restorable pixel in the landscape, considering all dispersal abilities and LULC in each biome. Since we are assessing the contributions of individual pixels to overall biome landscape connectivity, most values are expectedly low. However, pixels with the highest contributions to connectivity show a stand‐alone contribution biome‐wide and thus were interpreted as priorities for restoration. Notably, we show nested regions as priorities for restoration, with a trend of higher priority rankings (e.g., the top 5% most important regions) being surrounded by subsequent rankings of priorities.Main ConclusionsOur study is the first to evaluate the impact of restoration planning efforts on functional connectivity across all Brazilian biomes. We identified priority areas for restoration within each Brazilian biome, providing valuable information to guide decision‐making and policy implementation. The innovative pixel‐based analysis used in the study can be replicated in other regions, aiming to make restoration planning more efficient.
Distribution and Protection of Ecological Specialists in Chinese Terrestrial Mammals
Authors: Shuai Ling‐Ying , Benedetti Yanina , Morelli Federico , Gao Zhu‐Cheng , Luo Yu‐Xin , Luo Yue , Zhu Hao , Liu Zhi‐Tao , Liu Wei 
Published: January 2025

ABSTRACTAimSpecialist species are characterised as species with a narrow niche and, thus, vulnerable to environmental changes and disturbance. Understanding the distribution of specialists is important for developing proactive conservation strategies. Although China is among the countries with the highest diversity of mammals, no previous studies have explored the distribution and conservation status of specialists in Chinese mammals.LocationChina.Time PeriodPresent day.Taxa StudiedChinese terrestrial mammals.MethodsWe assessed the distribution of three types of specialisation in Chinese terrestrial mammals: diet specialist, habitat specialist and extreme specialist (i.e., species that are both diet and habitat specialist). We adopted generalised linear models to test whether some landscape‐level factors explain the variation of each type of specialisation richness. Gap analyses were conducted to assess the conservation status of the specialists identified.ResultsFrom a total of 621 mammal species, 327 species were identified as specialists, including 237, 137 and 48 species categorised as diet specialists, habitat specialists and extreme specialists respectively. The mountains in southwest China have the highest diversity of specialised terrestrial mammals in China, regardless of the type of specialisation. After controlling for the effect of overall species richness, other hotspots held more specialist species than expected from the overall species richness (e.g., the Qinghai‐Tibet plateau, the Junggar Basin, Liaoning and Guangdong). High‐altitude areas tended to possess more diet and habitat specialist species. Elevation range and habitat diversity were positively related to diet specialist richness but negatively related to habitat specialist richness. Only 42 (12.84%) of the 327 specialist species were adequately covered by the current protected areas.Main ConclusionsWe have identified multiple hotspots of ecological specialisation in terrestrial mammals in China. The role of landscape factors in shaping specialist richness was inconsistent among different types of specialisation. We also found a serious spatial mismatch between specialisation and current conservation efforts.
Nurses' Alarm Fatigue Levels in Adult Intensive Care Units and Their Strategies to Reduce Fatigue: A Convergent Parallel Design
Authors: Uçak Ayşe , Cebeci Fatma , Tat Çatal Arzu 
Published: January 2025

ABSTRACTBackgroundAlarm fatigue is a challenge for nurses and patients. Also, feasible strategies to reduce/manage alarm fatigue are still unclear.AimThis study aimed to identify adult intensive care nurses' alarm fatigue levels and strategies to reduce alarm fatigue.DesignA convergent parallel design was employed.MethodThe study was conducted between January and June 2022 in adult intensive care units of a university hospital, with 67 nurses in the quantitative phase and 14 in the qualitative phase. Quantitative data were collected using a personal information form, the Satisfaction Visual Analog Scale and the Nurses' Alarm Fatigue Questionnaire. Qualitative data were collected using a semi‐structured interview form. Descriptive analyses, Mann–Whitney U, Kruskal–Wallis and Multiple Linear Regression analysis were used to evaluate quantitative data. The inductive content analysis method was utilised to evaluate qualitative data. The STROBE and COREQ checklists were employed to report the study.ResultsIn the quantitative phase, increased intensive care unit working hours, available alarm management support for managing alarms, and increased satisfaction level were negatively associated with alarm fatigue. Three main themes (“building an alarm management culture”, “safe care environment” and “improving the features of alarm equipment/devices”) and 10 sub‐themes were elicited from interview data about the reduction of alarm fatigue.ConclusionsIn the study, adult intensive care nurses' alarm fatigue levels and strategies to reduce fatigue were revealed. These strategies should be applied to reduce alarm fatigue in intensive care units.Implications for PracticeHealthcare providers should develop and implement proactive strategies through effective organisational management to prevent and reduce alarm fatigue so that an alarm management culture can be built, employee satisfaction can be increased, a safe care environment can be provided, and the features of alarm devices can be improved.Reporting MethodThe study was reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) and Consolidated Criteria for Reporting Qualitative Research (COREQ) checklists.Patient ContributionsNo patient or public contribution.Trial RegistrationClinicalTrials.gov identifier: NCT05163340
Nurse‐Led/Involved Home‐Based Interventions for Older Adults With Chronic Obstructive Pulmonary Disease (COPD): A Mixed‐Methods Systematic Review
Authors: Sturm Lucillie Silahis , Jeong Sarah Yeun‐Sim , Giles Michelle 
Published: January 2025

ABSTRACTAimsTo determine the effectiveness of nurse‐led/involved home‐based interventions for older people with COPD and to explore the experiences of older people and nurses with the interventions.DesignA mixed‐methods systematic review following the JBI methodology for mixed‐methods systematic reviews.Data SourcesThe search included relevant and peer‐reviewed studies published from January 2010 to December 2023 in CINAHL, MEDLINE, Cochrane Central Register of Controlled Trials, PsycINFO, EMBASE, JBI, EMCARE and ProQuest.Review MethodsEnglish‐language reports of nurse‐led/involved home‐based interventions for people with COPD were included based on authors’ consensus. Three reviewers performed independent quality appraisal using JBI tools. A convergent segregated approach was used for data synthesis and integration.ResultsSeven interventions were identified in two mixed‐methods, two qualitative, two quasi‐experimental studies, and one secondary analysis from a randomised control trial. The effectiveness of the interventions was measured with various outcomes and was effective to some extent, with reduced hospitalisation, hospitalisation days, hospitalisation cost and all‐paid claims. However, the outcomes were not statistically significant, and the effectiveness was inconclusive. While patients appreciated support and resources, some perceived them as a double‐edged sword.ConclusionsPatients preferred more holistic interventions over extended periods. The inconclusive findings and limitations warrant further research with larger sample sizes and comparable measurement tools and outcomes.ImpactThis is the first mixed‐methods systematic review on the effectiveness of home interventions for people with COPD with a clear definition of ‘nurse‐led’. Nurses felt highly valued by patients and other health professionals; however, they reported a lack of support from management. The lack of interventions led by nurses challenges them to lead, deliver and evaluate what matters to people with COPD.Reporting MethodThis systematic review was reported in accordance with the Referred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines.Patient or Public ContributionNot applicable.