bluuebunny/crossref_metadata_2025_split huggingface dataset:
Change in oral hygiene behaviour after non‐surgical periodontal therapy – A retrospective analyses
Authors: Elkerbout Therese A. , Slot Dagmar Else , Rijnen Mirella E. , van der Weijden G. A. (Fridus) 
Published: March 2022

AbstractAimThis retrospective analysis investigates changes in daily oral hygiene behaviour after the initial phase of non‐surgical periodontal therapy (NSPT).Materials and MethodsThis retrospective study includes 189 consecutive periodontitis patients treated for moderate to severe periodontitis. The authors used the oral hygiene behaviour questionnaire (OHB‐9) to assess and evaluate the oral hygiene self‐care practices at both intake and evaluation after an active phase of NSPT which consisted of repeated oral hygiene instruction (OHI), supra‐ and subgingival debridement and polishing. In addition, data on pocket probing depth and bleeding upon pocket probing (BOP) were extracted and PISA and PESA scores were collected. All these parameters are descriptive of the periodontal status at intake and the clinical response to NSPT.ResultsThe OHB‐9 showed an increased oral hygiene self‐care level after the active phase of NSPT. At the evaluation, 85% of patients used a power toothbrush (PTB), representing an increase of 26% as compared with the intake. In addition, 64% reported brushing 3 min or longer, representing an increase of 33%. The use of woodsticks (WS) and interdental brushes (IDB) at least once a day increased with 15% and 40% respectively. The distribution changes on the answering scale were significant for IDB, WS and brushing duration. However, no significant relationship was found between oral hygiene behaviour at the evaluation and the improvement of the gingival inflammation evaluated by BOP percentage.ConclusionThe finding of the OHB‐9 questionnaire reported was an increase of patients who brushed longer and used the PTB, WS and IDB on a daily basis. The observed improvements in gingival inflammation assessed as bleeding on probing tendency were not significantly associated with oral hygiene behaviour at the evaluation of NSPT.
Clinical supervision practice by community‐based child and family health nurses: A mixed‐method systematic review
Authors: O'Neill Anne , Edvardsson Kristina , Hooker Leesa 
Published: March 2022

AbstractAimsTo systematically search the literature to identify studies related to clinical supervision in child and family health nurse contexts, and to determine the role it has in professional practice and the characteristics required for effective supervision.DesignA mixed‐method systematic review using a convergent integrative approach to data synthesis.Data sourceStudies only in English language were identified from searches of CINAHL, MEDLINE and EMBASE databases covering the years of publication from January 1990 to December 2020.Review methodsPrimary research studies of clinical supervision with child and family health nurses in community settings were included. Studies were critically appraised for methodological quality and data extracted, coded and analysed for themes in keeping with the review aims and key findings of each study.ResultsOf 2185 records screened, 63 full‐text papers were assessed for eligibility, which yielded 12 publications for inclusion—11 from the United Kingdom and one from Sweden. The majority (75%) of included studies were qualitative or mixed method. Four main themes with sub‐themes were identified: structural features, supportive experience, ensuring safety and strengthening practice.ConclusionClinical supervision across child and family health nurse contexts is limited. This study highlighted organizational commitment to clinical supervision as an important component of safe and quality practice. Supervisor training and supervisee orientation to supervision is required to optimize effective participation, together with shared agreement of the goals and purpose of supervision.ImpactThe findings from this review confirm the potential for clinical supervision to support improved outcomes for children and families. Understanding what models work best and in what contexts will inform workplace policy and educational programs for child and family nurses across diverse settings.
COVID‐19 pandemic: Burdens on and consequences for nursing home staff
Authors: Hoedl Manuela , Thonhofer Nina , Schoberer Daniela 
Published: March 2022

AbstractThe objective of this study was to assess burdens placed on and consequences of the COVID‐19 pandemic on nursing home staff.DesignWe conducted a qualitative descriptive interview study.MethodsWe interviewed 18 nurses, nursing aides and care aides from five different nursing homes by using a semi‐structured interview guideline between June and September 2020. Data were analysed with a qualitative content analysis method by combining an inductive and deductive coding frame.ResultsResults show that the qualitative work load and work organization were major concerns. Regarding the qualitative work load, participants stated that they were required to perform additional tasks to care for residents, because the pandemic interventions placed the residents under stress and dealing with relatives presented significant challenges. Nursing home staff reported that psychological consequences such as uncertainty, fear and stress represented major effects of the COVID‐19 situation.ConclusionWe could show that qualitative workloads were assessed and perceived differently. Most nursing home care staff members experienced the changes in working conditions as both physically and psychologically challenging.ImpactWe highly recommend that nursing home staff receive support in such pandemics by being allowed, for example personal protective equipment breaks. Individually tailored programs need to be established to enhance wellbeing and decrease psychological stress and fear in such challenging times.
Communication strategies used by Parkinson's nurse specialists during healthcare interactions: A qualitative descriptive study
Authors: Pitts Emilie , Wylie Karen , Loftus Andrea M. , Cocks Naomi 
Published: March 2022

AbstractAimTo explore the range and use of communication strategies by Parkinson's nurse specialists, and describe key communication strategies, to support health professionals in their healthcare interactions with people with Parkinson's.DesignA qualitative descriptive study.MethodsDue to the COVID‐19 pandemic, the study took place in an online setting. Online semi‐structured interviews were conducted with eight Australian Parkinson's nurse specialists and one UK Parkinson's nurse between August and October of 2020. Interviews explored healthcare communication, specifically (1) ways Parkinson's nurse specialists support communication during healthcare interactions, (2) factors influencing the use of communication strategies, and (3) how the nurses learned to communicate effectively with people with Parkinson's disease. Reflexive thematic analysis was used to analyse the data.ResultsParkinson's nurse specialists described the importance of establishing strong therapeutic relationships, the key role of the communication partner, adapting communication to reduce cognitive load, ensuring two‐way understanding, and enabling expressive communication for people with Parkinson's. Knowing the person and family, knowing the disease and understanding the symptoms appeared to influence the choice of communication strategies in healthcare interactions. Learning through others, learning through experience and learning through education and research were considered important parts of becoming a skilled healthcare communicator when working with people with Parkinson's.ConclusionKnowledge and use of effective communication strategies to support people with Parkinson's is crucial for all health professionals working with this population, in order to reduce the occurrence of poor healthcare outcomes. A deep understanding of how Parkinson's disease affects communication and experience in implementing communication strategies were reported as contributing to the success of Parkinson's nurses in communicating with their patients.ImpactThis study provides a description of the key, translational communication strategies that can be used by all health professionals to support healthcare interactions with people with Parkinson's.
The mediating effect of self‐efficacy in the relationship between mental health and quality of life in patients with hypertensive nephrology
Authors: Lee Mei‐Chen , Chen Yen‐Yen , Tai Chun‐Yi , Wu Shu‐Fang Vivienne 
Published: March 2022

AbstractAimsTo examine the factors associated with the quality of life and the mediating effect of self‐efficacy in the relationship between mental health and quality of life among patients with hypertensive nephrology.DesignA cross‐sectional and correlational study using the Strengthening the Reporting of Observational Studies in Epidemiology checklist guidelines.MethodsA total of 202 participants were collected from November 2019 to September 2020 from the outpatient department of nephrology of a regional teaching hospital in Taiwan using a convenience sampling method. The research tools included the World Health Organization‐5 Well‐Being Index, the Chronic Kidney Disease Self‐Efficacy Instrument and the Medical Outcome Study Short Form‐12. The mediating effect was statistically analysed by linear regression models and verified by Sobel testing.ResultsMental health and self‐efficacy were positively correlated with the overall quality of life. The results showed that the total explanatory variation of mental health and self‐efficacy on the overall quality of life was 37.1%. Mental health was the most important explanatory factor, which could explain 27.1% of the variations in the overall quality of life alone. Moreover, self‐efficacy was a partial mediator in the relationship between mental health and the quality of life among patients with hypertensive nephrology, with a total effect of 34.8%.ConclusionsThe quality of life of this population can be improved by enhancing mental health, leading to an improvement in self‐efficacy. Consequently, improved mental health and self‐efficacy will improve the overall quality of life.ImpactMedical staff should be able to assess patients' mental health in providing referrals and assistance in a timely manner. If intervention programmes can be developed to improve patients' self‐efficacy, their quality of life can also be improved.
Occupational relationships and working duties of nursing management staff during theCOVID‐19 pandemic: A qualitative analysis of survey responses
Authors: Schoberer Daniela , Reiter Lea , Thonhofer Nina , Hoedl Manuela 
Published: March 2022

AbstractAimsTo reflect on the situation of nurse managers, examining their professional relationships and additional working duties during the second COVID‐19 wave.DesignCross‐sectional online survey with open questions.MethodsNurse managers from different healthcare institutions, for example, hospitals and nursing homes, were included. Data collection took place from November 2020 to March 2021. Open questions were analysed with qualitative content analysis.ResultIn total, 321 managers took part. With regard to professional relationships, four main themes were identified: cooperation, cohesion, communication and consequences. While cooperation and cohesion in the nursing and the interprofessional team were predominantly considered positive, communication was seen as challenging. Additional work duties arose in relation to fulfilling regulatory requirements, managing personnel and carrying out both organizational and informational tasks. Consequences of the pandemic were mentioned in two thematic categories (professional relations and additional work duties). Participants referred to a loss of image, a reduction in job satisfaction and mental stress.ConclusionThe regulation of certain tasks by the central authority, such as the enrolment of employees to manage the use of personal protective equipment, would make the managers' duties simpler. This would enable them to direct their attention towards their teams and provide necessary support in other parts of their profession.ImpactWhat problem did the study address?Nursing managers are important members of the nursing team and faced particular challenges during the pandemic. Nevertheless, their perspectives are rarely presented in research.What were the main findings?Overall, communication was perceived as good, and cohesion was strengthened during the pandemic. However, heavy burdens were placed on nursing managers due to the numerous additional tasks.On whom will the research have an impact?Facility managers and government representatives are called upon to provide supportive measures and clear information for nursing managers to relieve them from additional duties during the pandemic.
South Asian immigrants’ and their family carers’ beliefs, practices and experiences of childhood long‐term conditions: An integrative review
Authors: Sudarsan Indu , Hoare Karen , Sheridan Nicolette , Roberts Jennifer 
Published: March 2022

AbstractAimThe aim was to examine South Asian immigrants' beliefs, practices and experiences of childhood long‐term conditions.DesignThis was an integrative review.Data sourcesMEDLINE, PsycINFO, PubMed, Scopus and Web of Science were searched for primary peer‐reviewed articles published in English between January 2011 and April 2021.Review methodsArticles were screened based on PRISMA guidelines. The quality of the studies was evaluated using the Critical Appraisal Skills Programme Checklist for qualitative studies and the Joanna Brigg's Institute Critical Appraisal Checklist for quantitative studies.ResultsFourteen studies were included in the review. South Asian immigrant children and their family carers experienced cultural clashes as they attempted to incorporate their cultural beliefs about long‐term conditions into a more westernized biomedical approach. Families were overburdened by caregiving and struggled to find additional support for their children. The main findings were categorized into three themes: (1) cultural beliefs; (2) religious, spiritual and complementary and alternative medicine practices and (3) care and support of the child.ConclusionHealth‐care providers should use a combination of culturally safe management strategies and a nuanced approach to educational initiatives on the biomedical aspects of various long‐term conditions to effectively engage South Asian immigrant families with health services.ImpactThe growth of South Asians worldwide along with the increased burden of long‐term conditions among South Asian immigrant children has implications for health service delivery. However, no reviews to date have explored South Asian immigrants' experience of childhood long‐term conditions. Incorporating South Asian immigrants' beliefs and practices into the plan of care promotes collaborative decision‐making that can lead to better treatment adherence, improved health outcomes and higher patient and family satisfaction. The findings encourage clinicians, researchers and policymakers to develop culturally safe child/family‐centred interventions to address the specific needs of South Asian immigrant children with long‐term conditions.
Dermoscopic spectrum of mycosis fungoides: a retrospective observational study by the International Dermoscopy Society
Authors: Errichetti E. , Apalla Z. , Geller S. , Sławińska M. , Kyrgidis A. , Kaminska‐Winciorek G. , Jurakic Toncic R. , Bobos M. , Rados J. , Ledic Drvar D. , Ceovic R. , Akay B. N. , Piccolo V. , Myskowski P. , Vitiello P. , Russo T. , Argenziano G. , Sokołowska‐Wojdyło M. , Sobjanek M. , Stojkovic‐Filipovic J. , Longo C. , Pellacani G. , Stinco G. , Lallas A. 
Published: March 2022

AbstractBackgroundThe dermoscopic features of classic patch stage mycosis fungoides (MF) have been described, but data on plaque and tumoral stage as well as rarer MF subtypes is limited.ObjectiveTo evaluate dermoscopic morphology and dermoscopic‐pathological correlations of classic MF stages and investigate dermoscopic features of MF variants.MethodsPatients with histopathologically confirmed lesions of classic MF (patch, plaque and tumoral stage) or folliculotropic, erythrodermic and poikilodermatous MF were included. Standardized evaluation of dermoscopic pictures of the included MF variants and comparative analysis and dermoscopic‐pathological correlation assessment of different stages of classic MF were performed.ResultsA total of 118 instances were included (75 classic MF, 26 folliculotropic MF, 9 erythrodermic MF and 8 poikilodermatous MF). Linear/linear‐curved vessels and white scales in the skin furrows were significantly associated with patch‐stage MF, while clustered dotted vessels were related to plaque‐stage MF and peripheral linear vessels with branches, ulceration and red globules separated by white lines to tumour‐stage MF. Moreover, patchy white scales were significantly more common in patches and plaques compared to tumours, whereas focal bright white structureless areas were related to plaque and tumoral stage. Vessels histopathologically corresponded to dilated vascular structures in the dermis, orange structureless areas to either dermal hemosiderin (patch/plaque stage) or dense cellular infiltration (tumours), bright white lines/structureless areas to dermal fibrosis and ulceration to loss of epidermis. The main dermoscopic findings of folliculotropic MF were lack of hairs, dilated follicles and follicular plugs, while erythrodermic MF was mainly characterized by linear/dotted vessels, patchy white scales and focal orange structureless areas and poikilodermatous MF by focal white and brown structureless areas, white patchy scales and brown reticular lines.ConclusionDermoscopy may allow a more precise characterization of classic MF and reveal clues suggestive of the main MF variants.
An updated review of cold shock and cold stress in fish
Authors: Reid Connor H. , Patrick Paul H. , Rytwinski Trina , Taylor Jessica J. , Willmore William G. , Reesor Bob , Cooke Steven J. 
Published: March 2022

AbstractTemperature is critical in regulating virtually all biological functions in fish. Low temperature stress (cold shock/stress) is an often‐overlooked challenge that many fish face as a result of both natural events and anthropogenic activities. In this study, we present an updated review of the cold shock literature based on a comprehensive literature search, following an initial review on the subject by M.R. Donaldson and colleagues, published in a 2008 volume of this journal. We focus on how knowledge on cold shock and fish has evolved over the past decade, describing advances in the understanding of the generalized stress response in fish under cold stress, what metrics may be used to quantify cold stress and what knowledge gaps remain to be addressed in future research. We also describe the relevance of cold shock as it pertains to environmental managers, policymakers and industry professionals, including practical applications of cold shock. Although substantial progress has been made in addressing some of the knowledge gaps identified a decade ago, other topics (e.g., population‐level effects and interactions between primary, secondary and tertiary stress responses) have received little or no attention despite their significance to fish biology and thermal stress. Approaches using combinations of primary, secondary and tertiary stress responses are crucial as a research priority to better understand the mechanisms underlying cold shock responses, from short‐term physiological changes to individual‐ and population‐level effects, thereby providing researchers with better means of quantifying cold shock in laboratory and field settings.
Healthcare utilisation and unmet health needs in children with intellectual disability: a propensity score matching approach using longitudinal cohort data
Authors: Nicholson E. , Doherty E. , Guerin S. , Schreiber J. , Barrett M. , McAuliffe E. 
Published: March 2022

AbstractBackgroundHealth disparities for children with intellectual disabilities can be challenging to measure due to many other factors that can impact health and healthcare use. The aim of the current study was to use longitudinal cohort data to compare children with intellectual disability (ID) in Ireland between 2006 and 2014 on healthcare utilisation and unmet need, at ages 9 and 13, using a propensity score matching (PSM) approach.MethodsUsing data from the Growing up in Ireland study, PSM was used to identify an appropriate control sample to compare with a sample of children with ID (n = 124). Participants were matched on variables that are known to influence healthcare utilisation to reduce the impact of confounding variables between groups so that differences between the groups can be estimated. Logistic regression was used to estimate effects at ages 9 and 13.ResultsChildren with ID were no more likely to have visited a general practitioner or emergency department in the past 12 months than children without ID. They did have a greater likelihood of visiting a doctor in a hospital in the past 12 months and of having an overnight stay in hospital by age 9. Primary caregivers of children with ID were more likely to report unmet health needs at ages 9 and 13.ConclusionsThis approach is a novel means of comparing healthcare use in this population by balancing the impact of other factors that may result in inequities, to which children with ID may be more vulnerable.
What the Caribbean Teaches Us: The Afterlives and New Lives of Coloniality
Authors: Thomas Deborah A. 
Published: March 2022

AbstractIf the Caribbean was (and remains) central to modern processes of extraction, labor organization, and racial hierarchy, and if it has also been a space of conceptual mining, then it is worth asking about the status of the Caribbean (in anthropology) today. As anthropologists continue to reorient the field away from “coloniality” (Wynter 2003) and toward something like “radical humanism” (Jobson 2020), what might research in the Caribbean teach us? In this essay, I will focus on recent work on sovereignty emerging from ethnographic research in the region in order to argue that focusing on the ephemeral, the performative, and the affective charts sovereignty as something that is constantly in process, something that emerges through dialogue and practice. In doing so, contemporary ethnographies raise questions about the afterlives, and new lives, of imperialism and slavery, and about the potential for reparation and repair.
Open‐source deep learning‐based air‐void detection algorithm for concrete microscopic images
Authors: Hilloulin B. , Bekrine I. , Schmitt E. , Loukili A. 
Published: March 2022

AbstractAnalysing concrete microscopic images is difficult because of its highly heterogeneous composition and the different scales involved. This article presents an open‐source deep learning‐based algorithm dedicated to air‐void detection in concrete microscopic images. The model, whose strategy is presented alongside concrete compositions information, is built using the Mask R‐CNN model. Model performances are then discussed and compared to the manual air‐void enhancement technique. Finally, the selected open‐source strategy is exposed. Overall, the model shows a good precision (mAP = 0.6452), and the predicted air void percentage agrees with experimental measurements highlighting the model's potential to assess concrete durability in the future.