bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of nurse‐led social media intervention for diabetes self‐management: A mixed‐method study
Authors: Kim Su Hyun , Kim Younghee , Choi Sookyung , Jeon Bomin 
Published: February 2022

AbstractAimsThis study aimed to investigate the effectiveness and understand the process of a nurse‐led social media intervention for health behavior and glucose control for diabetes self‐management among patients with type 2 diabetes mellitus.DesignThis study had an explanatory sequential mixed methods design, with a randomized controlled trial and qualitative interviews.MethodsA total of 89 patients diagnosed with type 2 diabetes mellitus were randomly assigned to an intervention or a control group. Patients in the intervention group were invited to join the closed nurse‐led social media platform that included diabetes information, action planning, unmoderated chat, and questions and answers. The outcomes of diabetes self‐care behavior, hemoglobin A1c (HbA1c) percentage, fasting blood sugar level (FBS), systolic and diastolic blood pressure, and triglyceride (TG) and total cholesterol levels were measured at baseline, 3 months, and 6 months. A linear mixed model was used to analyze the effectiveness of the intervention over time. Qualitative data were collected from interviews with seven patients engaged in the intervention and analyzed using qualitative content analysis.FindingsAfter 6 months, insulin users who were provided with the social media intervention had significantly lower FBS and TG levels than those with usual care (135.80 ± 12.37 vs. 175.82 ± 15.34 mg/dL, p = 0.049; 206.85 ± 38.26 vs. 387.50 ± 56.19 mg/dL, p = 0.013; respectively). Although a similar rate of decrease in the HbA1c level over time was observed among insulin and noninsulin users after the social media intervention, this decrease was significantly greater among noninsulin users at 3 and 6 months compared with the control group (6.38 ± 0.34 vs. 7.25 ± 0.24, p = 0.040; 6.31 ± 0.37 vs. 7.28 ± 0.26, p = 0.036; respectively). Interview with seven patients who engaged in the intervention revealed that their engagement in the intervention was primarily determined by their acceptance of the role of managing their diabetes. Being engaged in the intervention, patients benefited from information sharing and interactive support to motivate their self‐care, nurses' professional advice to modify their behaviors, and action planning to make progress toward behavioral change.ConclusionsThe positive outcomes of the nurse‐led social media intervention indicate that the social media platform is an effective strategy to implement diabetes self‐management in clinical nursing practice.Clinical RelevanceThe social media intervention would be successfully implemented by nurses to facilitate patients accepting their role in diabetes management and employing key services for diabetes information, support, professional advice, and action planning.
Autonomy as a politico‐economic concept: Peasant practices and nested markets
Authors: van der Ploeg Jan Douwe , Schneider Sergio 
Published: February 2022

AbstractThis paper discusses autonomy as a set of practices that result in the production and reproduction of resources that allow for self‐organization. We define autonomy as a social construct that refers to the self‐organizing capacity of people, communities, and movements. Such capacity assumes both resources and agency. In that vein, our conceptualisation implies that autonomy is a relational concept: It can only emerge when and where struggles that aim at going beyond dependency (i.e., nonautonomy) concretely exist. Autonomy is three‐pronged, involving a set of goal‐oriented activities, a distantiation from capital, and the agency of social actors. Intertwined with these levels are peasant movements that have the capacity to develop and implement a political agenda that is not overshadowed and/or dictated by external influences. The paper illustrates this intertwining with the case of the Circuito (O Circuito), a Brazilian peasant movement that has constructed and operates an extended farmers' market and which simultaneously transforms farming practices. The Circuit is the outcome of collective action and shows the potential of multilevel performance of several actors engaged in concerted actions. In the conclusion, we suggest that the Circuit represents autonomy based on commonly pooled resources as well representing a countermovement to the destructive dynamics of food empires.
A novel fractional solid‐state 585 nm laser on facial verruca plana: A report of three cases
Authors: Pan Po‐Yang , Wei Kai‐Che , Wu Jen‐Chin , Lin Jeng‐Hsien 
Published: February 2022

AbstractA novel fractional laser system with differential‐wavelength modified optically pumped semiconductor technology can produce a pure 585 nm wavelength as pulsed dye laser, which has been used to treat vascular, pigmented skin lesions. Besides, this new laser modality also showed promising results for verruca plana in our experience. In this brief report, we present three cases of facial flat warts treated by this novel 585 nm diode laser.
“I feel many contradictory emotions”: Finnish mothers' discursive struggles with motherhood
Authors: Raudasoja Mirjam , Sorkkila Matilda , Laitila Aarno , Aunola Kaisa 
Published: February 2022

AbstractObjectiveThe aim of the study was to facilitate the understanding and interpretation of multiple aspects of working with mothers by examining Finnish mothers' mothering discourses and the interplay among these discourses.BackgroundAccording to relational dialectics theory, discourses are systems of meaning that are coproduced in interaction. Although discursive research on motherhood has identified various discourses, research on the interplay among competing motherhood discourses is in its infancy.MethodQualitative questionnaire data from 479 Finnish mothers of infants were analyzed using contrapuntal analysis. Mothers' responses to three open‐ended questions were analyzed inductively. Emerging themes were identified so as to represent different motherhood discourses, and the power struggle among discourses was addressed.ResultsFour discourses were identified. In theEquality discourse, parenting was presented as ideally shared between co‐parents, and equality between family members and various family forms was promoted. In theFamilistic discourse, traditional stay‐at‐home mothering, good housekeeping, and the unity of the family were emphasized. In theIntensive Mothering discourse, the importance of the mother to her child was highlighted. In theBalance discourse, the needs of all family members were presented as equally important, and flexibility in parenting choices was promoted. The results demonstrated discursive struggles within mothers' answers, suggesting that contemporary Finnish motherhood is a contested terrain of competing ideologies.ConclusionThe findings suggest that Finnish mothers' mothering discourses are multivocal and often competing. The results contribute to the current understanding of motherhood ideologies and provide new insights to be utilized in counseling and clinical practice.
Basal ganglia stroke is associated with altered functional connectivity of the left inferior temporal gyrus
Authors: Li Zhongming , Hu Jianping , Wang Zhimin , You Ruixiong , Cao Dairong 
Published: February 2022

AbstractBackground and PurposeAcute cerebral infarction in the basal ganglia is associated with an increased risk of cognitive impairment, suggesting that cognitive networks might be involved in neural plasticity after ischemic stroke. This study was conducted to explore the abnormalities in functional and causal connectivity of the brain network in patients with acute ischemic stroke (AIS) in the basal ganglia.MethodsResting‐state functional magnetic resonance imaging was performed in 27 patients with AIS in the basal ganglia and 27 healthy controls (HCs). Brain regions with statistically different degree centrality (DC) values between groups were selected as seed points for granger causality analysis (GCA) analysis. The effective connectivity values of GCA were extracted, and the correlation between them and the Montreal Cognitive Assessment (MoCA) score was analyzed.ResultsCompared with HCs group, AIS patients displayed increased DC value in the left inferior temporal gyrus (ITG) and hippocampus head, reduced effective connectivity from the left ITG to the left precentral and postcentral gyri, increased effective connectivity from the left precentral and postcentral gyri to the left ITG, and reduced effective connectivity from the left anterior cingulate gyrus to the left ITG. The MoCA score of the AIS group was lower than that of the HCs group (t = –7.33, p < .05).ConclusionAlterations of functional and causal connectivity among multiple brain regions suggest that patients with AIS in the basal ganglia have impairment of multifunctional networks in the whole brain.
Sending One's Own Intimate Image: Sexting Among Middle‐School Teens
Authors: Barrense‐Dias Yara , Chok Lorraine , Stadelmann Sophie , Berchtold André , Suris Joan‐Carles 
Published: February 2022

AbstractBackgroundThere is a gap in the literature regarding data on sexting among youth under the age of 16 whereas the problems related to this practice could affect them more because of their ongoing development. This study aims to determine the prevalence rate and characteristics of sending one's own sexually related image among middle‐school teens.MethodsData were obtained from a web‐based in‐school survey conducted between October 2019 and February 2020. The sample comprised 3006 (mean age 13.7; 50.2% males) 10th‐grade pupils in the canton of Vaud (Switzerland). Participants were asked “Have you ever sent a sexually related/sexy image of yourself?”. Analysis of variance/chi‐square tests and multinomial regression analyses were used to compare the groups.ResultsOverall, 93.0% reported never, 3.7% once and 3.3% several times. No gender differences were found. Sending was associated with older age, low academic performance, cyberbullying victimization and reception of unsolicited sexually related images.ConclusionsEducation and health professionals should be aware that it is necessary to discuss the theme, perhaps with a more global approach including pressure, consent, exchange of nonsexual images, and so on from an early age. The context and reasons for sending remain to be explored, particularly to determine if the pressure is greater at this age.
The Australasian grass flora in a global context
Authors: Bryceson Susanna R. , Morgan John W. 
Published: February 2022

AbstractAustralia's flora and fauna have long been considered unique, but whether this applies to its grasses is less known. This study characterises the Australasian grass flora biogeographically. We investigate the distribution of C3and C4grass genera across four continents and construct broad profiles of their grass flora. We use endemism to examine global patterns of specialisation, and inter‐continental distributions as indicators of dispersal, using databases constructed over twenty years. We examined Australasian patterns with regard to endemicity and shared groups and categorised all of the region's genera into four age classes, from Australia's separation from Gondwana to the present. Globally, each continent presented a unique profile and C4grasses were more widely shared than C3. Australasia's grasses equally comprise C3and C4genera; it shared two thirds of its C4types with other continents, whereas C3types split evenly between shared and endemic. Australasia shared relatively few genera with just one neighbour (7% C3, 13% C4), primarily with EurAsia. Australasian grass genera and species were either endemic or globally widespread, and 88% of C3and 93% of C4species were derived from lineages that originated elsewhere. We conclude Southeast Asia was the gateway for dispersal into Australasia, akin to rainforest taxa exchanges which increased from c12 Ma, with about 65% of Australasia's grass genera arriving in the past 3.5 Ma. The strong presence of C4grasses in Australasia implies they have infiltrated a wide range of ecosystems, many probably occupied by ancient taxa with which they had not co‐evolved.
Individuals’ Use of Religion in Response to the COVID‐19 Pandemic as Complementary to Their Use of Medically Recommended Responses
Authors: Corcoran Katie E. , Scheitle Christopher P. , DiGregorio Bernard D. 
Published: February 2022

AbstractMany individuals have engaged in behaviors to cope with and mitigate the COVID‐19 pandemic, including mask wearing and physical distancing. This study considers the extent to which individuals have also engaged in religious behaviors in response to the pandemic and how those responses are associated with behaviors like mask wearing. Using data from a probability survey of U.S. adults, our analysis finds that over half of the respondents have engaged in pandemic‐related prayer and about one‐fifth have taken other religious steps in response to the pandemic, such as reading religious texts or carrying religious items for protection. All else being equal, Republicans are significantly less likely to have undertaken religious steps in response to the pandemic relative to Democrats, suggesting that the politicized nature of the pandemic influences religious responses as well. The analysis also finds that religious responses to the pandemic—especially prayer—are positively associated with mask wearing and physical distancing. These findings suggest that religious responses to the pandemic are not inherently opposed to undertaking responses recommended by scientific and medical authorities.
Evaluation of the hepatitis C cascade of care among people living with HIV in New South Wales, Australia: A data linkage study
Authors: Hosseini‐Hooshyar Samira , Alavi Maryam , Martinello Marianne , Valerio Heather , Tillakeratne Shane , Matthews Gail V. , Dore Gregory J. 
Published: February 2022

AbstractPeople living with HIV (PLHIV) are a priority population to receive hepatitis C virus (HCV) screening and treatment. We aimed to characterize the HCV care cascade among PLHIV between 2010 and 2018 and to compare HCV testing and treatment uptake pre‐ and post‐availability of direct‐acting antivirals (DAAs) in New South Wales (NSW), Australia. Records of all HCV notifications (1993–2017) were linked to HIV notifications, deaths, hospitalizations, incarcerations, opioid agonist therapy, HCV RNA testing and treatment databases. Numbers and proportions were calculated for all stages of the care cascade and factors associated with HCV testing, and DAA treatment uptake were evaluated using logistic regression. From 383 individuals with HCV notification (2009–2017), 349 (91%) were ever HCV RNA tested, 285 (74%) had an indicator of chronic HCV infection, and from those eligible for treatment, 210 (74%) received HCV treatment. HCV testing was recorded for 85% pre‐DAA era and reached a cumulative proportion of 90% post‐DAA while treatment uptake had a 10‐fold increase from 7% pre‐ to 73% post‐DAA era. Younger age (adjusted odds ratio [aOR] 0.98; 95% CI 0.96–0.99), female gender (aOR 1.87; 95% CI 1.10–3.19), and rural region residence at notification (aOR 1.56; 95% CI 1.03–2.36) were associated with not receiving HCV testing. No identified factor was associated with not receiving treatment post‐DAA era. Removing barriers to HCV testing, expanding treatment to a variety of settings and continuous education and harm reduction are essential to achieve HCV elimination among PLHIV in Australia.
COVID‐19‐associated aspergillosis in a Brazilian referral centre: Diagnosis, risk factors and outcomes
Authors: de Almeida João N. , Doi André Mario , Watanabe Maria Julia L. , Maluf Maira Maraghello , Calderon Cecília Leon , Silva Moacyr , Pasternak Jacyr , Koga Paula Célia M. , Santiago Kelly Aline S. , Aranha Luis Fernando C. , Szarf Gilberto , da Silva Teles Gustavo B. , Filippi Renée Zon , Paes Vitor Ribeiro , Baeta Marina , Hamerschlak Nelson , Mangueira Cristovão Luis P. , Martino Marines Dalla Valle 
Published: February 2022

AbstractBackgroundCOVID‐19 patients on mechanical ventilation are at risk to develop invasive aspergillosis. To provide additional data regarding this intriguing entity, we conducted a retrospective study describing risk factors, radiology and prognosis of this emerging entity in a Brazilian referral centre.MethodsThis retrospective study included intubated (≥18 years) patients with COVID‐19 admitted from April 2020 until July 2021 that had bronchoscopy to investigate pulmonary co‐infections. COVID‐19‐associated aspergillosis (CAPA) was defined according to the 2020 European Confederation of Medical Mycology/International Society of Human and Animal Mycosis consensus criteria. The performance of tracheal aspirate (TA) cultures to diagnose CAPA were described, as well as the radiological findings, risk factors and outcomes.ResultsFourteen patients (14/87, 16%) had probable CAPA (0.9 cases per 100 ICU admissions). The sensitivity, specificity, positive predictive value and negative predictive value of TA for the diagnosis of CAPA were 85.7%, 73.1%, 46.2% and 95% respectively. Most of the radiological findings of CAPA were classified as typical of invasive pulmonary aspergillosis (64.3%). The overall mortality rate of probable CAPA was 71.4%. Age was the only independent risk factor for CAPA [p = .03; odds ratio (OR) 1.072]. CAPA patients under renal replacement therapy (RRT) may have a higher risk for a fatal outcome (p = .053, hazard ratio 8.047).ConclusionsCAPA was a prevalent co‐infection in our cohort of patients under mechanical ventilation. Older patients had a higher risk to develop CAPA, and a poor prognosis may be associated with RRT.
Thalamotomy for tremor and dystonia in progressive supranuclear palsy
Authors: Machida Wataru , Horisawa Shiro , Yokoi Kenichiro , Momosaki Oji , Kawamata Takakazu , Taira Takaomi 
Published: February 2022

AbstractThalamotomy for tremor and dystonia in patients with progressive supranuclear palsy (PSP) has been rarely reported. A 71‐year‐old woman was diagnosed with PSP. Resting tremor in the left hand and dystonic posture in the left foot were present, both of which were dramatically improved after radiofrequency thalamotomy. The limb motor function and gait on the PSP rating scale showed 63.6% and 14.3% improvement, respectively. The results of this study suggest that thalamotomy can be an alternative treatment option for tremor and dystonia in PSP.
The future of bariatric surgery research: A worldwide mapping of registered trials
Authors: Rives‐Lange Claire , Poghosyan Tigran , Rassy Nathalie , Carette Claire , Phan Aurelie , Goeau‐Brissonnière Marc , de Castelbajac Flore , Merazka Amel , Czernichow Sebastien 
Published: February 2022

SummaryThe bariatric surgery (BS) research landscape is a continuous evolving. Since the first described procedure, numerous different techniques have been developed by surgical teams. In this context, we conducted a systematic mapping of upcoming randomized controlled trials (RCTs) in BS for people with obesity. In June 2021, we performed a systematic review of RCTs evaluating BS versus another surgical procedure or versus a medical control group, through a search in ClinicalTrials.gov. There was no restriction on outcomes for study selection. A total of 62 RCTs were included, totaling 10,800 potential individuals to be included, with planned Roux‐en‐Y gastric bypass (RYGB) and sleeve gastrectomy surgeries the most common. The median number of patients planned to be enrolled is 78 (IQR: 50–143). Mean follow‐up time is 12 months in 55% of trials and 4 years or more in 23%. The most frequent (81% of RCTs) outcomes to be investigated are obesity‐related diseases with the study of type 2 diabetes, followed by weight loss, quality of life, and surgical complications. The rising number of BS procedures around the world has been followed by a subsequent surge in BS research. An increase in interest is observed in outcomes such as obesity‐related diseases, intermediate metabolic markers, quality of life, and body composition.
Evaluation of a novel mechanical compression device for hematoma prevention and wound cosmesis after CIED implantation
Authors: Rojas Edward , Morgaenko Katerina , Brown Louis , Kim Sieu , Mazimba Sula , Malhotra Rohit , Darby Andrew , Monfredi Oliver , Mason Pamela , Mangrum James Michael , Haines David E. , Campbell Christopher , Bilchick Kenneth , Mehta Nishaki K. 
Published: February 2022

AbstractBackgroundAn important complication of cardiac implantable electronic devices (CIED) implantation is the development of hematoma and device infection.ObjectiveWe aimed to evaluate a novel mechanical compression device for hematoma prevention and cosmetic outcomes following CIED implantation.MethodsAn open, prospective, randomized, single‐center clinical trial was performed in patients undergoing CIED implantation. Patients were randomized to receive a novel mechanical compression device (PressRite, PR) or to receive the standard of care post device implantation. Skin pliability was measured with a calibrated durometer; the surgical site was evaluated using the Manchester Scar Scale (MSS) by a blinded plastic surgeon and the Patient and Observer Scar Scale (POSAS). Performance of PR was assessed through pressure measurements, standardized scar scales and tolerability.ResultsFrom the total of 114 patients evaluated for enrollment, 105 patients were eligible for analysis. Fifty‐one patients were randomized to management group (PR) and 54 to the control group. No patients required early removal or experienced adverse effects from PR application. There were 11 hematomas (14.8% vs. 5.9% in the control and PR group respectively, p = NS). The control group had higher post procedure durometer readings in the surgical site when compared with the PR group (7.50 ± 3.45 vs. 5.37 ± 2.78; p = < .01). There were lower MSS scores in the PR group after 2 weeks (p = .03).ConclusionWe have demonstrated the safety of PR application and removal. In addition, PR appears to improve postoperative skin pliability, which could facilitate wound healing.
The effect of empagliflozin on P wave peak time and other P wave parameters in patients with diabetes mellitus
Authors: Aslan Burhan , Akyüz Abdurrahman , Işık Ferhat , Boyraz Bedrettin , İnci Ümit , Yıldız Halil , Çap Murat , Karahan Mehmet Zülküf , Araç Eşref , Okşul Metin , Kaya İlyas 
Published: February 2022

AbstractBackgroundEmpagliflozin is a selective SGLT2 inhibitor and provides a significant reduction in hospitalizations in heart failure patients and a reduction in combined cardiovascular deaths regardless of diabetes. The mechanisms of favorable effects remain unclear. Improvement in left ventricular diastolic function and a decrease in filling pressure are any mechanisms of positive effects. These effects may show themselves with some changes on the electrocardiography (ECG). So, we aimed to evaluate the effect of empagliflozin on P wave parameters in type 2 diabetes mellitus patients without HF.MethodFifty‐three patients were included in the study. The electrocardiographic and echocardiographic evaluations were examined at the baseline and end of the third month for all patients.ResultsThe median age of all patients was 55 (45–64 IQR). After treatment, LA volume (p <.001) and diameter (p = .001) in both the parasternal long‐axis (p = .001) and the apical four‐chamber view decreased. E/e′ and systolic pulmonary arterial pressure were significantly decreased after treatment. P wave duration max,min, PWDmin, and PWdis were significantly shorter after treatment. The P wave peak time (PWPT) in lead Dıı and V1 were significantly shorter after treatment.ConclusionWe found shortening of PWPT, PWdis, and PWD as reflections of improvements in left atrial volume and LV diastolic function on ECG after empagliflozin treatment.