bluuebunny/crossref_metadata_2025_split huggingface dataset:
Influence of the implementation of strengths-based nursing and healthcare on early childhood nurses’ competencies: a mixed-method study
Authors: Thentz Camille , Durgnat-Sciboz Christine , Macé Sylvie , Béguin Marie-Catherine , Falcy Vincent , Schobinger Elisabeth , Da Rocha Gora 
Published: December 2022

Abstract
Background
The scope of practice for nurses caring for families has evolved to meet the challenges presented by societal changes and increasing needs. In 2015, early childhood nurses from a Swiss region decided to implement a new model of care to guide their practice. The aim of this study was to explore the changes to early childhood nurses’ practices following the implementation of the strengths-based nursing and healthcare (SBNH) approach to care.

Methods
This study of early childhood nurses’ (N = 61) practices used a pre-post intervention design and a mixed-method approach. Nurses’ competencies and changes in practice were measured using the Nurse Competence Scale (NCS). The quantitative data were analysed using descriptive statistics, Kruskal Wallis tests and logistic regression. Thematic analysis was used to derive themes from the qualitative data.

Results
After the intervention, frequency of competency use increased in all domains of the NCS except the “teaching-coaching” domain; perceived levels of competencies also increased in all areas except “helping role” and “diagnostic functions”. Age and length of employment at the current post hindered improvement in the “teaching-coaching” competency. Interviews revealed themes related to the implementation process: “adaptability”, “implementation process”, “ambivalence” and “engagement to change”. Other themes were related to practice changes: “developing a disciplinary identity”, “path with families” and “strengths”.

Conclusion
This study showed that the use of perceived competencies changed over time after the introduction of SBNH into practice. Nurses questioned and adapted their routines based on SBNH. Nurse’s vision of care also changed; they felt that their care was congruent with their values. For families, this approach allowed a change of vision with a resource-centred approach. Implementation of models of care such as the SBNH in the early childhood context is innovative, as little research in the literature addresses the early childhood community home-visiting context is still modest. This research underlines the added value of this approach on early childhood nurses’ competencies.
Risk factors and potential predictors of pulmonary embolism in cancer patients undergoing thoracic and abdominopelvic surgery: a case control study
Authors: Li Yi , Liu Zhenjun , Chen Chen , Li Dan , Peng Huan , Zhao Pei , Wang Jiuhui 
Published: December 2022

AbstractBackgroundPostoperative pulmonary embolism (PE) is a severe complication leading to death and poor prognosis. The present study investigated the risk factors and potential predictors of PE in cancer patients undergoing thoracic and abdominopelvic surgery.MethodsA retrospective study was conducted on the patients with cancer who underwent thoracic and abdominopelvic surgery in Sichuan Cancer Hospital from December 2016 to January 2022. A total of 189 patients were included, in which 63 patients diagnosed PE after operation were collected as PE group, and 126 patients matched by age, type of cancer and cancer location were enrolled as control group. Conditional logistic regression was conducted to analyze the association between PE and risk factors. Predictive values of key factors were compared by the area under the curve (AUC) in receiver operating characteristic curve (ROC) curve.ResultsConditional multivariate logistic regression showed that BMI (odds ratio [OR] 4.065, 95% confidence interval [CI] 1.138–14.527;p = 0.031), intraoperative hypotension time (OR 4.095, 95% CI 1.367–12.266;p = 0.009), same day fluid balance (OR 0.245, 95% CI 0.061–0.684;p = 0.048), and postoperative D-Dimer (OR 1.693, 95% CI 1.098–2.611;p = 0.017) were significantly related to the occurrence of postoperative PE. Postoperative D-Dimer had the maximal AUC value 0.8014 (95% CI: 0.7260–0.8770) for predicting PE, with a cutoff value of 1.505 μg/ml.ConclusionsBMI, intraoperative hypotension time, lower same day fluid balance and postoperative D-dimer are independent risk factors associated with PE in cancer patients undergoing thoracic and abdominopelvic surgery. Postoperative D-Dimer seems to be a good indicator to predict postoperative PE for cancer patients.
Bacterial ribosomal RNA detection in cerebrospinal fluid using a viromics approach
Authors: Kinsella Cormac M. , Edridge Arthur W. D. , van Zeggeren Ingeborg E. , Deijs Martin , van de Beek Diederik , Brouwer Matthijs C. , van der Hoek Lia 
Published: December 2022

Abstract
Background
In patients with central nervous system (CNS) infections identification of the causative pathogen is important for treatment. Metagenomic next-generation sequencing techniques are increasingly being applied to identify causes of CNS infections, as they can detect any pathogen nucleic acid sequences present. Viromic techniques that enrich samples for virus particles prior to sequencing may simultaneously enrich ribosomes from bacterial pathogens, which are similar in size to small viruses.

Methods
We studied the performance of a viromic library preparation technique (VIDISCA) combined with low-depth IonTorrent sequencing (median ~ 25,000 reads per sample) for detection of ribosomal RNA from common pathogens, analyzing 89 cerebrospinal fluid samples from patients with culture proven bacterial meningitis.

Results
Sensitivity and specificity to Streptococcus pneumoniae (n = 24) before and after optimizing threshold parameters were 79% and 52%, then 88% and 90%. Corresponding values for Neisseria meningitidis (n = 22) were 73% and 93%, then 67% and 100%, Listeria monocytogenes (n = 24) 21% and 100%, then 27% and 100%, and Haemophilus influenzae (n = 18) 56% and 100%, then 71% and 100%. A higher total sequencing depth, no antibiotic treatment prior to lumbar puncture, increased disease severity, and higher c-reactive protein levels were associated with pathogen detection.

Conclusion
We provide proof of principle that a viromic approach can be used to correctly identify bacterial ribosomal RNA in patients with bacterial meningitis. Further work should focus on increasing assay sensitivity, especially for problematic species (e.g. L. monocytogenes), as well as profiling additional pathogens. The technique is most suited to research settings and examination of idiopathic cases, rather than an acute clinical setting.
Assessment of the correlation between clinical and radiological outcomes in patients suffering from mild to moderate cervical spine dysfunction symptoms: a prospective study
Authors: Niu Xiao-ping , Zhu Wei-Hua , Wang Lu , Zhao Gao-nian , Liu Ji-tao , Huang Ai-bing 
Published: December 2022

Abstract
Background
Neck pain and cervical disc degeneration (CDD) are common findings. Valid data on correlation between clinical scores and radiological grade of CDD in patients with mild to moderate clinical disability are not available. The study has been designed to investigate the correlation between clinical and radiological outcomes in these patients.

Methods
A cohort of 150 patients who suffered from mild to moderate cervical spine dysfunction symptoms from September 2020 to May 2021 was enrolled. We evaluated functional status using Japanese Orthopaedic Association scores (JOA), the visual analog scale, and the Neck Disability Index. We assessed the CDD with magnetic resonance imaging-based grading systems. We analyzed relationships between radiological grades of CDD and clinical symptoms along with demographic data.

Results
One hundred thirteen patients [mean age 44.78, 78 (69%) females] were finally included. CDD occurred most at the C5–C6 level, with 56.93% of higher grade III from Miyazaki. The grades of Miyazaki (P < 0.05) and the scores of Nakashima (P < 0.05) were positively correlated with the duration of symptoms, and the severity of the CDD increased with aging (P < 0.01). Moreover, we correlated patients’ JOA scores with the current scoring and grading systems, especially the grades of Miyazaki (P < 0.01) and the scores of Nakashima (P < 0.01).

Conclusion
Increasing grades of CDD paralleled decreasing JOA scores in the population studied.
Ground-glass opacity in a patient with right aortic arch and no left pulmonary artery
Authors: Yang Guang , Zeng Chenxi , Tu Dehao , Fu Xiangning , Xiong Jing , Liu Changyu , Cai Yixin 
Published: December 2022

Abstract
Background
Here we report a case of patients with mixed ground glass opacity in the left lung combined with congenital right aortic arch, which is only present in 0.01–0.1% of adults.

Case presentation
A 60-year-old woman was referred to our department with a mixed ground-glass opacity (GGO) in the upper lobe of her left lung. She had congenital right aortic arch, and the left pulmonary artery was absent. Enhanced chest computed tomography, pulmonary perfusion imaging, and three-dimensional reconstruction were performed to confirm the blood supply in the left lung and the exact location of the GGO. Because of the unusual left pulmonary vascular structure, wedge resection was performed to prevent massive hemorrhage. The final pathological examination revealed that the mixed GGO was a well-differentiated pulmonary adenocarcinoma.

Conclusion
The surgical options should be evaluated carefully in view of the complications and the prognosis of the patient, when ground glass opacity is combined with congenital cardiovascular anomalies.
The efficacy and safety of thermal ablation for patients with lung malignancy: a meta-analysis of 12 studies in China
Authors: Liu Rongxing , Shen Qiurong , Lu Hongjun 
Published: December 2022

Abstract
Background
Thermal ablation has been increasingly used in the treatment of lung cancer in recent years. This meta-analysis aims to investigate the therapeutic effect and safety of thermal ablation plus chemotherapy as compared with chemotherapy alone in treating patients with lung malignancy in China based on current evidence.

Methods
Databases including PubMed, Web of Science, Embase and the Cochrane Library were searched for clinical reports. Additional literature search was also performed by searching the reference list of included studies and latest reviews. Raw data including objective response rate, disease control rate, progression-free survival, overall survival and the incidence of major complication were extracted and pooled.

Results
A total of 12 studies in China including 1282 patients with lung malignancy were included in this meta-analysis. The number of studies that reported data of objective response rate, disease control rate, progression-free survival, overall survival and major complication was 8, 7, 7, 6 and 7, respectively. The combination therapy of thermal ablation plus chemotherapy showed a significantly better efficacy in improving objective response rate (odds ratio = 2.73; P < 0.001) and disease control rate (odds ratio = 2.43; P < 0.001) as compared with chemotherapy alone. Thermal ablation was also a significant protective factor for progression-free survival (hazard ratio = 0.43; P < 0.001) and overall survival (hazard ratio = 0.49; P < 0.001). Besides, thermal ablation did not increase the risk of major complication (odds ratio = 0.75; P = 0.252).

Conclusion
The present meta-analysis based on these studies in China suggested that thermal ablation is a promising technique to provide better disease response and survival outcomes for patients with lung malignancy. Thermal ablation is worth further promotion in treating lung malignancy and application in clinical practice.
A neuroendocrine tumor within an anterior mediastinal mature teratoma: a case report
Authors: Sato Daisuke , Izu Asami , Sakakibara Masashi , Hayashi Sohei , Kawachi Riken , Shimamura Mie , Masuda Shinobu , Sakurai Hiroyuki 
Published: December 2022

Abstract
Background
Mature teratomas are benign germ cell tumors. On rare occasions, they have been associated with somatic malignancies and are termed rare germ cell tumors with a somatic-type malignancy (GCTSM). Mature teratomas commonly comprise adenocarcinomas; only seven previous cases of mature teratomas with neuroendocrine tumors have been reported to date. Here, we report a patient with a neuroendocrine tumor whithin a mature teratoma.

Case presentation
A 26-year-old man visited our department complaining of chest tightness. Contrast-enhanced computed tomography (CT) scans showed a strongly enhanced lesion within a 10-cm encapsulated cystic lesion in the anterior mediastinum. Positron emission tomography (PET) scans showed no areas of significant 18F-fluorodeoxyglucose (18F-FDG) accumulation. He underwent complete tumor resection via the transsternal approach. Histopathological examination of the specimen indicated a neuroendocrine tumor contained within a mature teratoma.

Conclusions
In this case, a neuroendocrine tumor was contained within a mature teratoma. Our patient had no specific symptoms and his serum markers were within the normal range. Although PET is beneficial for diagnosing other GCTSM, it is not useful in detecting a neuroendocrine tumor. Therefore, the preoperative diagnosis of neuroendocrine tumors contained within mature teratomas remains challenging. However, GCTSM should be suspected in patients exhibiting CT findings of a mediastinal tumor, measuring ≥ 6 cm, in addition to characteristic GCTSM findings. Moreover, surgery should be performed carefully in such cases.
A faster iterative method for solving nonlinear third-order BVPs based on Green’s function
Authors: Okeke Godwin Amechi , Ofem Austine Efut , Işık Hüseyin 
Published: December 2022

AbstractIn this article, we propose an iterative method, called the GA iterative method, to approximate the fixed points of generalized α-nonexpansive mappings in uniformly convex Banach spaces. Further, we obtain some convergence results of the new iterative method. Also, we provide a nontrivial example of a generalized α-nonexpansive mapping and with the example, we carry out a numeral experiment to show that our new iterative algorithm is more efficient than some existing iterative methods. Again, we present an interesting strategy based on the GA iterative method to solve nonlinear third-order boundary value problems (BVPs). For this, we derive a sequence named the GA–Green iterative method and show that the sequence converges strongly to the fixed point of an integral operator. Finally, the approximation of the solution for a nonlinear integrodifferential equation via our new iterative method is considered. We present some illustrative examples to validate our main results in the application sections of this article. Our results are a generalization and an extension of several prominent results of many well-known authors in the literature.
Influence of pyrolysis temperature on the physicochemical properties of biochars obtained from herbaceous and woody plants
Authors: Tu Panfeng , Zhang Guanlin , Wei Guoqiang , Li Juan , Li Yongquan , Deng Lifang , Yuan Haoran 
Published: December 2022

AbstractThis work aimed to investigate the effect of pyrolysis temperature on the yield and properties of biochars synthesized from herbaceous and woody plants. Four typical materials, including two herbaceous plants (rice straw, corn straw) and two woody plants (camellia oleifera shells, garden waste), were used in the experiments under five operating temperatures (from 300 °C to 700 °C, with an interval of 100 °C). The results showed biochar derived from herbaceous plants had a significantly higher pH (from 7.68 to 11.29 for RS), electrical conductivity (EC, from 6.5 Ms cm−1 to 13.2 mS cm−1 for RS), cation exchange conductivity (CEC, from 27.81 cmol kg−1 to 21.69 cmol kg−1 for RS), and ash content (from 21.79% to 32.71% for RS) than the biochar from woody plants, but the volatile matter (VM, from 42.23% to 11.77% for OT) and specific surface area (BET, from 2.88 m2 g−1 to 301.67 m2 g−1 for OT) in the woody plant-derived biochar were higher. Except for CEC and VM, all the previously referred physicochemical characteristics in the as-prepared biochars increased with the increasing pyrolysis temperature, the H/C and O/C values of herbaceous and woody plant-derived biochar were lower than 0.9 and 0.3, respectively, confirming their potential as the material for carbon sequestration. The results revealed that biochar made from herbaceous plants was more suitable for acidic soil amendments. In contrast, woody plant-derived biochar were recommended to remove heavy metals in environmental remediation and water treatment.
Graphical Abstract
Intravenous thrombolysis for acute ischemic stroke associated with known left ventricular thrombus: safe or not?
Authors: Kitmeridou Sofia , Tsiptsios Dimitrios , Tsalkidis Dimos , Psatha Evlampia A. , Iliopoulos Ioannis , Aggelousis Nikolaos , Vadikolias Konstantinos 
Published: December 2022

AbstractSafety and efficacy data on intravenous thrombolysis (IVT) for acute ischemic stroke (AIS) in case of known left ventricular thrombus (LVT) are lacking. We present the case of a 35-year-old male with disabling AIS and known LVT that was treated successfully with intravenous alteplase. Apart from neurological improvement, post-procedural full thrombus lysis was also evident. Even though performing IVT in similar instances constitutes a difficult decision for physicians, it may be reasonable in the context of acute disabling stroke.
Spatial attention in natural tasks
Authors: Wohlgemuth Melville , Salles Angeles , Moss Cynthia 
Published: December 2022

Little is known about fine scale neural dynamics that accompany rapid shifts in spatial attention in freely behaving animals, primarily because reliable indicators of attention are lacking in standard model organisms engaged in natural tasks. The echolocating bat can serve to bridge this gap, as it exhibits robust dynamic behavioral indicators of overt spatial attention as it explores its environment. In particular, the bat actively shifts the aim of its sonar beam to inspect objects in different directions, akin to eye movements and foveation in humans and other visually dominant animals. Further, the bat adjusts the temporal features of sonar calls to attend to objects at different distances, yielding a metric of acoustic gaze along the range axis. Thus, an echolocating bat’s call features not only convey the information it uses to probe its surroundings, but also provide fine scale metrics of auditory spatial attention in 3D natural tasks. These explicit metrics of overt spatial attention can be leveraged to uncover general principles of neural coding in the mammalian brain.
A Clinically Oriented antimicrobial Resistance surveillance Network (ACORN): pilot implementation in three countries in Southeast Asia, 2019-2020
Authors: van Doorn H. Rogier , Miliya Thyl , Douangnouvong Anousone , Ta Thi Dieu Ngan , Soputhy Chansovannara , Lem Meymey , Chommanam Danoy , Keoluangkhot Valy , Soumphonphakdy Bandith , Rassavong Khaysy , Thanadabouth Khamphong , Sayarath Manoloth , Chansamouth Vilada , Vu Minh Dien , Dong Phu Khiem , Dang Van Duong , Tran Van Bac , Do Thi Kim Yen , Ninh Thi Ngoc , Nguyen Hong Long , Kim Ngoc Hao , Prak Sothea , Vongsouvath Manivanh , Van Dinh Trang , Nguyen Thi Kim Tuyen , Nguyen Hong Khanh , Hamers Raph L. , Ling Clare , Roberts Tamalee , Waithira Naomi , Wannapinij Prapass , Vu Tien Viet Dung , Celhay Olivier , Ngoun Chanpheaktra , Vongphachanh Susath , Pham Ngoc Thach , Ashley Elizabeth A. , Turner Paul 
Published: December 2022

Background: Case-based surveillance of antimicrobial resistance (AMR) provides more actionable data than isolate- or sample-based surveillance. We developed A Clinically Oriented antimicrobial Resistance surveillance Network (ACORN) as a lightweight but comprehensive platform, in which we combine clinical data collection with diagnostic stewardship, microbiological data collection and visualisation of the linked clinical-microbiology dataset. Data are compatible with WHO GLASS surveillance and can be stratified by syndrome and other metadata. Summary metrics can be visualised and fed back directly for clinical decision-making and to inform local treatment guidelines and national policy. Methods: An ACORN pilot was implemented in three hospitals in Southeast Asia (1 paediatric, 2 general) to collect clinical and microbiological data from patients with community- or hospital-acquired pneumonia, sepsis, or meningitis. The implementation package included tools to capture site and laboratory capacity information, guidelines on diagnostic stewardship, and a web-based data visualisation and analysis platform. Results: Between December 2019 and October 2020, 2294 patients were enrolled with 2464 discrete infection episodes (1786 community-acquired, 518 healthcare-associated and 160 hospital-acquired). Overall, 28-day mortality was 8.7%. Third generation cephalosporin resistance was identified in 54.2% (39/72) of E. coli and 38.7% (12/31) of K. pneumoniae isolates. Almost a quarter of S. aureus isolates were methicillin resistant (23.0%, 14/61). 290/2464 episodes could be linked to a pathogen, highlighting the level of enrolment required to achieve an acceptable volume of isolate data. However, the combination with clinical metadata allowed for more nuanced interpretation and immediate feedback of results. Conclusions: ACORN was technically feasible to implement and acceptable at site level. With minor changes from lessons learned during the pilot ACORN is now being scaled up and implemented in 15 hospitals in 9 low- and middle-income countries to generate sufficient case-based data to determine incidence, outcomes, and susceptibility of target pathogens among patients with infectious syndromes.
Diversity in workplace – equality of workers: reality vs legal and economic conditions
Authors: Florek Iwona 
Published: December 2022

The modern labor market changes as society changes. Employees should be treated equally, regardless of age, gender, race, beliefs, etc. Such a right is guaranteed in international and national legal acts. Despite legal regulations, the situation of different groups varies.
The subject of the issue is extremely extensive, therefore the article summarizes selected data on the realities of the labor market, which are juxtaposed with the legal framework within which it should function.
In the article European statistical data was used. The author has analyzed literature in the field of law and human resources management, legal acts.
Freedom of expression and information within the right to communicate according to Albanian legislation
Authors: Memini Valentina 
Published: December 2022

Throughout history, mankind has been inclined to use an increasingly advanced technology to enhance communication skills between them. Communication already represents a need as essential as it is considered one of the fundamental human rights. This right of communication today translates, among others, as the right to freedom of expression, as well as the right to information. These rights are provided in the highest acts such as the Universal Declaration of Human Rights, the European Convention on Human Rights, the Constitution of the Republic of Albania as well as other laws or bylaws issued on the basis and implementation of the Constitution. The human right to express oneself, to be informed and at the same time to preserve privacy, is developing along with the great boom that has taken place in the development of communication technology, in an increasingly connected world, so much so that to look like a global village, where information spreads very quickly. The evolution that has taken place with the development of information technology and related digital communications in recent years has changed the communication practices around the world. But in addition to this, the legislation that regulates this field has undergone constant changes, due to the fact of direct implication for human rights.