bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nurses’ experiences of ethical responsibilities of care during the COVID-19 pandemic
Authors: Peter Elizabeth , Mohammed Shan , Killackey Tieghan , MacIver Jane , Variath Caroline 
Published: January 2022

Background The COVID-19 pandemic has forced rapid and widespread change to standards of patient care and nursing practice, inevitably leading to unprecedented shifts in the moral conditions of nursing work. Less is known about how these challenges have affected nurses’ capacity to meet their ethical responsibilities and what has helped to sustain their efforts to continue to care. Research objectives 1) To explore nurses’ experiences of striving to fulfill their ethical responsibilities of care during the COVID-19 pandemic and 2) to explore what has fostered nurses’ capacity to fulfill these responsibilities. Research Design A generic qualitative approach was used incorporating concepts coming from fundamental features of care. Participants Twenty-four Canadian Registered Nurses from a variety of practice settings were interviewed. Ethical Considerations After receiving ethics approval, signed informed consent was obtained before participants were interviewed. Findings Four themes were identified. 1) Challenges providing good care in response to sudden changes in practice. 2) Tensions in juggling the responsibility to prevent COVID-19 infections with other competing moral responsibilities. 3) Supports to foster nurses’ capacity to meet their caring responsibilities. 4) The preservation of nurses’ moral identity through expressions of gratitude and health improvement. Discussion Infection control measures and priorities set in response to the pandemic made at distant population and organizational levels impacted nurses who continued to try to meet the ideals of care in close proximity to patients and their families. Despite the challenges that nurses encountered, the care they received themselves enabled them to continue to care for others. Nurses benefited most from the moral communities they had with their colleagues and occasionally nurse leaders, especially when they were supported in a face-to-face manner. Conclusion: Moral community can only be sustained if nurses are afforded the working conditions that make it possible for them to support each other.
Young Adults’ Self-Regulatory Responses to Positive Career Goal Discrepancies: Testing Cross-Lagged Relationships
Authors: Akmal Sari Z. , Hood Michelle , Creed Peter A. , Duffy Amanda L. 
Published: January 2022

Researchers have assessed young people’s outcomes when they do not meet their career goals, but little is known about the consequences when they do better than expected (positive discrepancies). We (a) tested the cross-lagged relationships between positive career goal discrepancies and the career-related outcomes of upward goal revision, career exploration, and career coasting, and (b) assessed the indirect relationships between positive career goal discrepancy and outcomes through self-efficacy and outcome expectations. Using a sample of 314 young adults (76% female, Mage 19.13 years), we found that the standard causation model was the most parsimonious. Positive discrepancies predicted more upward goal revision and exploration and less coasting after a 6-month time lag, both directly and indirectly through outcome expectations. The findings highlight the importance of positive career goal appraisals in career goal-setting, exploration, management and clarify the roles of agency (self-efficacy and outcome expectations) as explanatory mechanisms in these relationships.
Risk of Postneonatal Infant Mortality Associated With Prior Founded Allegations of Child Abuse
Authors: Hauck Fern R. , Tanabe Kawai O. , Blackstone Sarah R. 
Published: January 2022

This study examined the association between prior reports of child abuse and subsequent postneonatal death and differences by cause of death, using data from the Chicago Infant Mortality Study (CIMS). CIMS included all sudden, unexplained infant deaths up to 1 year of age in Chicago (November 1993–April 1996), and age, race-ethnicity, and birthweight-matched living controls. Information on prior child abuse reports and outcomes was obtained through the Illinois Department of Children and Family Services (DCFS) State Central Registry for each case and control. Conditional logistic regression modeling determined the odds of postneonatal death when there was a founded prior allegation. Families with founded allegations were almost 4 times more likely to have a child die during the postneonatal period (aOR = 3.79, 95% CI, 1.56, 9.10). Child protective services involvement is an opportunity for education on safe sleep messaging to help reduce the incidence of potentially preventable infant deaths.
The Development of Young Peoples’ Internalising and Externalising Difficulties Over the First Three-Years in the Public Care System
Authors: Hiller Rachel M , Fraser Abigail , Denne Megan , Bauer Andreas , Halligan Sarah L 
Published: January 2022

Although we know there are high rates of mental health difficulties amongst young people in out-of-home care (i.e. social welfare-involved children), there is limited evidence on the longitudinal development of these problems, particularly from when they enter the care system. Using the routinely collected carer-reported strengths and difficulties questionnaire, we explored internalising (emotional and peer) and externalising (conduct and hyperactivity) difficulties for 672 young people across their first 3 years in the UK care system (2–16 yrs, 51% boys, 76% Caucasian). In all cases stable profiles (resilient or chronic) were most common, while changing profiles (recovery or delayed) were less common. Findings showed that entry into the care system is not enough of an intervention to expect natural recovery from mental health difficulties. Number of placements and being separated from siblings were associated with greater difficulties. Implications for child welfare and mental health systems are discussed.
Technique for a lateral approach to a superficial femoral artery-femoral vein thigh loop arteriovenous graft placement in avoidance of a traditional groin incision
Authors: Yuan Fang , De Grijs Derek , Goudreau Bernadette , Robinson William P 
Published: January 2022

Introduction: The number of patients with end stage renal disease reliant on long-term hemodialysis access continues to grow. When traditional upper extremity hemodialysis sites are exhausted, lower extremity access should be considered. Although autogenous lower extremity options are available, prosthetic lower extremity grafts are frequently used. However, infection can complicate a significant percentage of lower extremity grafts with a traditional groin incision. We present our technique and early results of a lateral approach to a superficial femoral artery-femoral vein thigh loop arteriovenous graft (lat-SFA-FV AVG) in the proximal thigh, which avoids a traditional groin incision and provides a functional access with promising patency. Methods: Between April 2017 and August 2019, five lat-SFA-FV AVG were placed in our institution for arteriovenous access in patients who had exhausted options in upper extremities. Results: Five patients were included in the study. Median SFA size was 8 mm. One patient had moderate SFA calcification, while the other four patients had either none or mild SFA calcification. All grafts were successfully placed with few postoperative complications, including no wound infections. One patient expired 3 weeks after the procedure due to unrelated cause. Three patients had functional grafts at a median follow-up of 499 days. Conclusion: Our early experience demonstrates that the lateral approach to the SFA-FV AVG has several advantages including avoidance of groin infection and acceptable patency. Furthermore, our early experience identifies patient factors which may be important to patient selection for this procedure.
Effects of exercise on sleep, melatonin level, and behavioral functioning in children with autism
Authors: Tse Andy CY , Lee Paul H , Zhang Jihui , Chan Roy CY , Ho Amy WY , Lai Elvis WH 
Published: January 2022

Poor sleep quality and low behavioral functioning are commonly reported in children with autism spectrum disorder. This study examined the impact of exercise on sleep on melatonin level and behavioral functioning in the population. Children with autism spectrum disorder( n = 55; age = 10.97 ± 1.90) were randomly allocated to a morning jogging intervention group or a control group. Participants’ sleep was measured using actigraphy and sleep log assessments. Twenty-four-hour and first morning urinary 6-sulfatoxymelatonin were used to determine whether the exercise intervention could elicit changes in melatonin levels. Behavioral functioning of the participants was assessed by the repetitive subscale of the Gilliam Autism Rating Scale–3rd edition. All assessments were carried out in baseline, post-intervention, or regular treatment, and follow-up to elucidate the sustainability of the exercise effects. Positive changes were observed between baseline and post-intervention in actigraphy-assessed sleep efficiency and wake after sleep onset, as well as melatonin level and behavioral functioning within the intervention group ( ps < 0.017). However, no significant changes were observed in all measurements between post-intervention and follow-up ( ps > 0.05). The findings suggest that physical exercise is effective to improve sleep with an increase in melatonin level. It can also reduce repetitive behaviors in children with autism spectrum disorder. Lay abstract This study examined the impact of physical exercise on sleep and behavioral functioning in children (aged 8–12 years) with autism spectrum disorders. It also investigated whether exercise would alter endogenous melatonin level among the population. Participants were divided into two groups: exercise group (12–week, 30-min morning jogging intervention) and a control group (i.e. did not receive any physical exercise intervention during the study period). Significant improvements on sleep and behavioral functioning were found in the exercise group, but not in the control group Moreover, a significant increase in melatonin level was also shown in the exercise group. Findings of this study reconfirmed the sleep and behavioral benefits of exercise in children with autism spectrum disorder. Melatonin-mediated mechanism should be further explored to develop an effective treatment intervention.
Bidirectional cross-linguistic influence on DOM in Romanian-Spanish bilinguals
Authors: López Otero Julio César 
Published: January 2022

Aims and objectives: This study aims to explore the acquisition of differential object marking (DOM) of Spanish and Romanian in balanced Romanian-speaking L2 speakers of Spanish. The study is motivated by the paucity of studies analyzing bidirectional cross-linguistic influence (BCLI) in DOM. Methodology: Romanian-Spanish bilinguals completed a background language questionnaire, a productive vocabulary test, an elicited production task, and an acceptability judgment task in Romanian and Spanish. Two groups of Spanish and Romanian monolinguals completed the same tasks in their languages for comparison purposes. Findings: The bilinguals show signs of BCLI at their DOM in Spanish and Romanian. They may also be at an incipient stage of L1 attrition. Originality: This is the first study that examines BCLI at DOM and the acquisition of DOM in Spanish by speakers of Romanian in a naturalistic setting. Significance: This project highlights the importance of examining both the L1 and the L2 when examining cross-linguistic influence. Limitations: This study cannot examine proficiency effects or acquisition stages because all the participants are highly proficient in Spanish.
Conditional Presidential Priorities: Audience-Driven Agenda Setting
Authors: Russell Annelise , Eissler Rebecca 
Published: January 2022

The president’s agenda-setting ability has a rich research history, with studies most often derived from the State of the Union Address. While a president communicates many of his policy priorities via the public address, the presidential agenda is more complex and variable than can be understood in one speech. Presidents have a number of tools to articulate their priorities, and how we understand presidential agenda-setting is linked to the tool and its intended audience. This research note illustrates the important variation in presidential agendas across venues by comparing the publicized agenda from the State of the Union with the policymaker-focused priorities conveyed in the annual Budget Message. Using the coding scheme of the U.S. Policy Agendas Project to assess presidential agenda setting over more than 35 years, we illustrate the audience-driven variability in presidents’ agendas and highlight how the intended audience reveals presidents’ strategic choices.
Hand Surgeons’ Understanding of Partial Hand Prostheses: Results of a National Survey Study
Authors: Graham Emily M. , Baschuk Christopher M. , Atkins Diane J. , Hutchinson Lana , Duncan Christopher C. , Mendenhall Shaun D. 
Published: January 2022

Purpose: Partial hand amputations are devastating injuries that often negatively affect individuals and communities. Partial hand prostheses can mitigate the burdens of living with an amputation, especially when reconstruction alone cannot restore form or function. However, hand surgeons may be unfamiliar with these newer devices because the prosthetic field is rapidly progressing. Methods: An electronic survey was distributed to hand surgeon members of the American Association for Hand Surgery with the intent of assessing surgeons’ familiarity with partial hand prosthetic devices and their clinical applications. Survey items used Likert 5-point scales, rank order, multiple-choice, and yes/no question formats. Responses were compared by training background (orthopedic or plastic surgery) and by years of experience (≤10 years in practice or >10 years in practice). Results: Overall, hand surgeons are unfamiliar with modern partial hand prosthetic devices. Most of the cohort denied working within a multidisciplinary hand team (76.2%) or consulting with a prosthetist prior to revisional surgeries (71.4%). Restoring gross motor function and reducing pain were important outcomes to the cohort (4.42 and 4.17, respectively). Plastic trained hand surgeons were more likely to list toe-to-hand transfers as treatment options for multilevel digital amputations ( P = .03) and transmetacarpal amputations ( P = .02). Senior hand surgeons were more likely to suggest no treatment for partial thumb amputations ( P = .02). Conclusions: Expanding surgeon knowledge and encouraging collaboration within a multidisciplinary team may enhance amputee care.
Endovascular treatment with versus without tirofiban for stroke patients with large vessel occlusion: The multicenter, randomized, placebo-controlled, double-blind RESCUE BT study protocol
Authors: Qiu Zhongming , Li Fengli , Sang Hongfei , Liu Wenhua , Huang Wenguo , Li Huagang , Zhang Min , Zhou Peiyang , Lei Bo , Zhou Zhiming , Saver Jeffrey L , Nogueira Raul G , Zi Wenjie , Yang Qingwu 
Published: January 2022

Background: Tirofiban, a glycoprotein IIb/IIIa receptor inhibitor, has been shown to reduce the risk of thrombotic complications during percutaneous coronary intervention. However, it remains unknown whether tirofiban improves outcomes in large vessel occlusion stroke patients undergoing endovascular treatment. Objective: This trial aims to assess whether additional intravenous tirofiban therapy can improve the clinical outcomes in large vessel occlusion stroke patients who undergo endovascular treatment within 24 h of symptom onset. Methods and design: The Endovascular Treatment With versus Without Tirofiban for Stroke Patients With Large Vessel Occlusion (RESCUE BT) Trial is an investigator-initiated, randomized, placebo-controlled, double-blind, multicenter trial. Up to 930 eligible patients will be consecutively randomized to intravenous tirofiban or placebo in 1:1 ratio over 3 years across 50 endovascular-capable stroke centers in China. Outcomes: The primary end point is the disability level as measured by overall distribution of the 90-day modified Rankin Scale scores. Primary safety end points include symptomatic intracerebral hemorrhage at 48 h and mortality at 90 days. Trial registry number: ChiCTR-INR-17014167 ( www.chictr.org.cn ).
Impacts et mise en œuvre du service sanitaire des étudiants en santé (SSES) français : étude de cas dans deux académies françaises
Authors: Prigent Ollivier , Bureau A , Aromatario O , Cambon L 
Published: January 2022

Contexte: Le service sanitaire des étudiants en santé (SSES) est un programme de 2018 de sensibilisation à la promotion de la santé (PS), à destination d’étudiants en santé français. Il comprend un temps de formation et un temps d’action des étudiants sur diverses populations. Il est déployé sur le territoire français sans évaluation préalable. L’étude que nous avons conduite a pour objectifs de i) documenter la perception et le degré d’appropriation des objectifs du SSES par les parties prenantes (étudiants et professionnels encadrants), ii) analyser les interventions réalisées par les étudiants au regard des bonnes pratiques de promotion de la santé (PS). Méthodes: Il s’agissait d’une étude de cas qualitative menée dans deux académies de la Région Nouvelle-Aquitaine : Poitiers et Bordeaux. Des entretiens ont été conduits auprès des parties prenantes, ainsi que des observations d’actions menées par les étudiants. Résultats: Nous avons réalisé 87 entretiens et 18 observations. Les données obtenues montrent que : (i) si les parties prenantes se sont fortement impliquées, les conditions de mise en place étaient difficiles et inégales, (ii) les objectifs se révèlent en décalage avec des enjeux de la prévention dans le système de soins, (iii) les étudiants ont entériné une vision erronée de la PS rationnelle et individualisant les comportements liés à la santé, et (iv) les actions menées contreviennent pour la majorité aux critères de qualité en PS, qu’ils soient pédagogiques, méthodologiques ou éthiques. Conclusion: Ces résultats ont été confortés dans l’académie de Normandie. À notre connaissance, aucune autre évaluation de ce type n’est réalisée sur le territoire français. Ceci pose des questions car les impacts observés semblent suffisamment inquiétants pour appeler à une réforme du dispositif, tant sur les objectifs que sur les accompagnements à l’action en PS (ex. sur les déterminants sociaux de la santé).
Circadian activity in different photoperiod (12L: 12 D) and (8L: 16D) in passerine finches
Authors: Singh Garima , Kumar Sachin 
Published: January 2022

Circadian rhythms are more synchronized in birds than mammals. Circadian clock functions as a timing reference allow organisms fluctuations in their environments and are the basis for the transduction of seasonality from photoperiod. The present study was performed to determine the effect of constant dim and bright light illumination on circadian behavior of baya weaver bird ( Ploceus philippinus), black-headed munia ( Lonchura malaca malaca), and red-headed bunting ( Emberiza bruniceps). It analyzed the data of locomotors activity of these under the effect of different photoperiods (12L: 12D and 8L: 16D) for a period of 30 days. In the captivity, birds were acclimatized for 4 weeks and were subjected to photoperiodic chambers (60×45×35 cm3) providing short-day conditions (8h light: 16h darkness; 8L:16D). Total activity profile was observed for 30 days under 12L: 12D and 8L: 16D photoperiod. Under 12 L: 12D photoperiod, significant response was observed in two of the four birds in daily profile of baya weaver bird and also in black-headed munia but the marginal significant response noticed in one of the four birds under 8L: 16D. The comparison of day and night total activity count in baya weaver bird and black-headed munia showed the maximum activity in weaver bird under 12L: 12D photoperiod.
Recognizing medical child abuse in children presenting with chronic pain
Authors: Sherry David D , Gmuca Sabrina , Christian Cindy W 
Published: January 2022

Medical child abuse (MCA), previously referred to as Munchausen by proxy, can present as chronic pain. We report the presentation of five children seeking treatment for chronic pain who we identified as victims of MCA. The index case had essentially not eaten for the 6 years of her life due to alleged allergies to all foods, developed severe pain, used a wheelchair for ambulation beyond a few blocks, and was alleged to have dysautonomia requiring oxygen monitoring at night. Other cases posed as arthritis that resulted in foot amputation and total body pain, fibromyalgia with alleged mutation negative Stickler syndrome who had symptoms only in her mother’s presence, severe incapacitating intermittent pains along with abdominal pain that resulted in appendectomy, cholecystectomy, and pancreatectomy, and alleged disabling hypermobile Ehlers-Danlos in a non-hypermobile child for which the mother sought a power wheelchair. The unusual pattern to the pain, the presence of multiple additional, atypical symptoms and diagnoses, and a generally well appearing child are characteristic. The perpetrator is typically over-invested in the symptoms, derives tangible and intangible secondary gain from the child’s alleged illnesses, and is able to present the child in such a fashion to enlist the physician to aid in perpetuating the abuse. These children are highly over-medicalized and suffer significant morbidity. Multiple barriers exist to identifying and reporting these children to Child Protective Services, which need to be recognized and overcome in order to protect these vulnerable children.