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Nurse educators' perceptions of factors related to the competence of graduating nursing students.

Nurse Educ Today 2021 Apr 8;101:104884. Epub 2021 Apr 8.

Turku University Hospital, Department of Nursing Science, University of Turku, 20014, Finland. Electronic address:

Background: Clinical practice, clinical nursing teaching, curricula, working experience and previous healthcare degrees are factors related to the competence of graduating nursing students from the points of view of nursing students and clinical mentors. However, nurse educators' perceptions of these factors are lacking in previous studies, despite assessing student performance and competence is a core competence and one of the main duties of nurse educators.

Objectives: The aim of this study was to describe nurse educators' perceptions of factors related to graduating nursing students' competence. Read More

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Environmental Awareness and sensitivity of nursing students.

Nurse Educ Today 2021 Apr 8;101:104882. Epub 2021 Apr 8.

Department of Nursing, Faculty of Health Sciences, Eastern Mediterranean University, Famagusta, North Cyprus, via Mersin 10, Turkey. Electronic address:

Objective: Currently, environmental problems have reached alarming levels, constituting a serious problem for public health. This study was conducted in order to evaluate the environmental awareness and sensitivity of nursing students.

Methods: This descriptive study was conducted on 286 nursing students of a foundation university in Northern Cyprus in the fall term of the 2016-2017 academic year. Read More

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Biomonitoring of occupational exposure to bisphenol A, bisphenol S and bisphenol F: A systematic review.

Sci Total Environ 2021 Apr 5;783:146905. Epub 2021 Apr 5.

French Research and Safety Institute for the Prevention of Occupational Accidents and Diseases (INRS), 1 rue du Morvan, 54519 Vandœuvre-Lès-Nancy, France.

Bisphenol A (BPA) and its substitutes bisphenol S (BPS) and bisphenol F (BPF) are endocrine disrupting chemicals widely used in the production of polycarbonate plastics, epoxy resins and thermal papers. The aim of the review was to identify occupational studies using human biomonitoring (HBM) as a tool for bisphenol exposure assessment and to characterize research gaps on the topic as part of the HBM4EU project. Hence, a systematic literature search using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology was conducted for articles published between 2000 and 27th March 2020 across three databases (PubMed, Scopus and Web of Science). Read More

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Modeling the effects of temperature on the migration and transformation of nitrate during riverbank filtration using HYDRUS-2D.

Sci Total Environ 2021 Mar 30;783:146656. Epub 2021 Mar 30.

School of Water Conservancy and Environment, University of Jinan, Shandong 250022, PR China.

Riverbank filtration is a natural aquifer-based process. The nitrogen dynamics in a riverbank filtration system are affected by many factors, including temperature, water quality, and travel time, which cannot be quantified easily. In this study, a field experiment was conducted to investigate nitrogen transport during riverbank filtration. Read More

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The C Factor: Cognitive dysfunction as a transdiagnostic dimension in psychopathology.

Clin Psychol Rev 2021 Mar 26;86:102007. Epub 2021 Mar 26.

NYC Medical and Neurological Offices, USA.

Research into cognitive functions across psychological disorders suggests that cognitive deficiencies may be present across multiple disorders, potentially pointing to a transdiagnostic phenomenon. More recently, a single dimension model of psychopathology, the p factor, has been proposed, in which cognitive deficits are thought to be an intrinsic construct, assumed to be transdiagnostic. However, no systematic investigation to date tested this hypothesis. Read More

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Effective HPV vaccination coverage in Australia by number of doses and two-dose spacing: what if one or two doses are sufficient?

Tumour Virus Res 2021 Apr 14:200216. Epub 2021 Apr 14.

VCS Population Health, VCS Foundation, Melbourne, Australia; Melbourne School of Population and Global Health, University of Melbourne, Australia.

Background: Initially, three-dose schedules were recommended for vaccines against human papillomavirus (HPV); subsequently recommendations have been updated to a schedule of two doses delivered at least six (minimum five) months apart for those aged <15 years at dose 1. We aimed to re-estimate effective HPV vaccination coverage in Australia, considering reduced-dose schedules and possible one-dose effectiveness. We also aimed to identify which of the three school visits was most commonly missed amongst two-dose only recipients, to inform optimal timing of visits. Read More

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Seroprevalence of influenza A (H9N2) virus infection among humans in China: A meta-analysis.

Microb Pathog 2021 Apr 14:104881. Epub 2021 Apr 14.

Anhui Province Key Laboratory of Animal Nutritional Regulation and Health, Anhui Science and Technology University, Fengyang, China; Laboratory of Pork Quality and Safety Control, Ministry of Agriculture and Rural Affairs, Fengyang, Anhui, China. Electronic address:

Herein, we conducted a meta-analysis aimed at comprehensively assessing avian influenza A (H9N2) virus infection seroprevalence and infection-related risk factors among humans in China. We reviewed published studies pertaining to H9N2 seroprevalence of in China from inception to March 20, 2020, with PubMed, Clinical Trial, VIP, CNKI and databases being used to identify English and Chinese articles. After excluding the incomplete literature and data, 45 studies about risk factor of human H9N2 viral infections in China were analyzed by systematic review and meta-analysis. Read More

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Convolutional Neural Networks Ensemble Model for Neonatal Seizure Detection.

J Neurosci Methods 2021 Apr 14:109197. Epub 2021 Apr 14.

Department of Mechatronics and Biomedical Engineering, Air University, Islamabad, Pakistan.

Background: Neonatal seizures are a common occurrence in clinical settings, requiring immediate attention and detection. Previous studies have proposed using manual feature extraction coupled with machine learning, or deep learning to classify between seizure and non-seizure states.

New Method: In this paper a deep learning based approach is used for neonatal seizure classification using electroencephalogram (EEG) signals. Read More

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Higher dietary insulin load and index are not associated with risk of metabolic syndrome and obesity in Iranian adults.

Int J Clin Pract 2021 Apr 17:e14229. Epub 2021 Apr 17.

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran.

Background: Data about the relation between dietary insulin load (DIL) and dietary insulin index (DII) with metabolic syndrome (MetS) and obesity are scarce. Therefore, the present study aimed to examine the association of the insulinemic potential of the diet with MetS and obesity among Iranian adults.

Methods: This cross-sectional study was conducted among 850 adults aged 20-59 years. Read More

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A pairwise and network meta-analysis comparing the efficacy and safety of progestogens in threatened abortion.

Int J Gynaecol Obstet 2021 Apr 17. Epub 2021 Apr 17.

Department of Obstetrics and Gynecology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Background: Progesterone is widely used to prevent threatened miscarriage.

Objective: To determine the efficacy and safety of progestogens in the treatment of threatened miscarriage.

Search Strategy: PubMed, Cochrane Library, EMBASE, CNKI, CBM, and WanFang databases were searched for randomized controlled trials (RCTs) published from the date of inception of the database to August 2020. Read More

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Electronic health records and patient registries in medical oncology departments in Spain.

Clin Transl Oncol 2021 Apr 17. Epub 2021 Apr 17.

Medical Oncology Department, Complejo Asistencial Universitario de León, Instituto de Biomedicina (IBIOMED), León, Spain.

Purpose: We aimed to evaluate the current situation of electronic health records (EHRs) and patient registries in the oncology departments of hospitals in Spain.

Methods: This was a cross-sectional study conducted from December 2018 to September 2019. The survey was designed ad hoc by the Outcomes Evaluation and Clinical Practice Section of the Spanish Society of Medical Oncology (SEOM) and was distributed to all head of medical oncology department members of SEOM. Read More

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Cross-walk of the Assessment of Spondyloarthritis International Society Health Index and Ankylosing Spondylitis Quality of Life Scores in Ankylosing Spondylitis and Non-radiographic Axial Spondyloarthritis Patients.

Rheumatol Ther 2021 Apr 17. Epub 2021 Apr 17.

Eli Lilly and Company, Indianapolis, IN, USA.

Introduction: Axial spondyloarthritis (axSpA) is a chronic rheumatic disease affecting the spine and sacroiliac joints, encompassing both ankylosing spondylitis (AS) and non-radiographic axial spondyloarthritis (nr-axSpA) patients. Patient quality of life (QoL) is assessed using the Ankylosing Spondylitis Quality of Life (ASQoL) (disease-specific measure) and the Assessment of SpondyloArthritis International Society Health Index (ASAS HI) (disease-specific measure). Both ASQoL and ASAS HI have similar parameters and scoring ranges, however, their performance relative to each other is unknown. Read More

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Systemic sclerosis-associated myositis features minimal inflammation and characteristic capillary pathology.

Acta Neuropathol 2021 Apr 17. Epub 2021 Apr 17.

Department of Neuropathology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health (BIH), Charitéplatz 1, 10117, Berlin, Germany.

Systemic sclerosis represents a chronic connective tissue disease featuring fibrosis, vasculopathy and autoimmunity, affecting skin, multiple internal organs, and skeletal muscles. The vasculopathy is considered obliterative, but its pathogenesis is still poorly understood. This may partially be due to limitations of conventional transmission electron microscopy previously being conducted only in single patients. Read More

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Prevalence and associated factors of pelvic organ prolapse among women attending gynecologic clinic in referral hospitals of Amhara Regional State, Ethiopia.

Int Urogynecol J 2021 Apr 17. Epub 2021 Apr 17.

School of Midwifery, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

Introduction And Hypothesis: While pelvic organ prolapse is common in clinical observation, there is a lack of evidence regarding its actual proportion and associated factors in the study area. Understanding the prevalence and risk factors could potentially help with prevention. Thus, this study aimed to determine the prevalence and associated factors related to pelvic organ prolapse in the Amhara region, northwest Ethiopia. Read More

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Implementation of peer recovery coach services for opioid overdose patients in emergency departments in Indiana: findings from an informal learning collaborative of stakeholders.

Transl Behav Med 2021 Apr 17. Epub 2021 Apr 17.

Center for Dissemination and Implementation Science, Department of Medicine, University of Illinois at Chicago, Chicago, IL, USA.

The Recovery Coach and Peer Support Initiative (RCPSI) in Indiana focused on implementing peer recovery coaches (PRCs) to engage opioid overdose patients in emergency department (ED) settings and promote entry into recovery services. State workers and researchers organized an informal learning collaborative primarily through teleconference meetings with representatives of 11 health service vendors to support implementation. This study presents qualitative analysis of the teleconference meeting discussions that guided RCPSI implementation to display how the informal learning collaborative functioned to support implementation. Read More

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Gastric Lavage for Prevention of Feeding Intolerance in Neonates Delivered Through Meconium-Stained Amniotic Fluid: A Systematic Review and Meta-Analysis.

Indian Pediatr 2021 Apr 17. Epub 2021 Apr 17.

Department of Neonatology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India. Correspondence to: Dr Sriparna Basu, Professor, Department of Neonatology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203, India.

Background: The role of gastric lavage in neonates delivered through meconium-stained amniotic fluid remains unclear.

Objectives: This study evaluated the effects of gastric lavage, compared to no- gastric lavage, on the incidences of feeding intolerance, respiratory distress, meconium aspiration syndrome, time to establish breastfeeding, hospitalization and procedure-related complications in late-preterm and term neonates delivered through meconium-stained amniotic fluid.

Design: Systematic review and meta-analysis. Read More

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The lived experiences of people with inflammatory bowel diseases: A phenomenological hermeneutic study.

Ayla Demirtas

Int J Nurs Pract 2021 Apr 17:e12946. Epub 2021 Apr 17.

Gulhane Faculty of Nursing, Department of Internal Medicine Nursing, University of Health Sciences Turkey, ANKARA, Turkey.

Aim: The aim of this research was to provide an in-depth study about the life experiences of patients with inflammatory bowel diseases.

Methods: The phenomenological (hermeneutic) method was used to analyse data. The data were collected between March 25 and July 1, 2019. Read More

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Self-reported prognostic factors in adults reporting neck or low back pain: An umbrella review.

Eur J Pain 2021 Apr 16. Epub 2021 Apr 16.

Primary Care Centre Versus Arthritis, School of Medicine, Keele University, Staffordshire, ST5 5BG, UK.

Numerous systematic reviews have attempted to synthesise evidence on prognostic factors for predicting future outcomes such as pain, disability and return-to-work/work absence in neck and low back pain populations. An umbrella review of systematic reviews was conducted to summarise the magnitude and quality of the evidence for each prognostic factor investigated. Searches were limited to the last 10 years (2008-11th April 2018, updated 28th September 2020). Read More

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Prognostic awareness in advanced cancer patients and their caregivers: A longitudinal cohort study.

Psychooncology 2021 Apr 16. Epub 2021 Apr 16.

Department of Oncology, First Faculty of Medicine and Thomayer Hospital, Charles University, Prague, Czech Republic.

Objective: The aim of this study was to analyze longitudinal development of prognostic awareness in advanced cancer patients and their families.

Methods: This was a longitudinal cohort study, involving 134 adult cancer patients, 91 primary family caregivers and 21 treating oncologists. Key eligibility criterion for patients was life expectancy less than 1 year (estimated by their oncologists using the 12-month surprised question). Read More

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The effect of speed on Achilles tendon forces and patellofemoral joint stresses in high performing endurance runners.

Scand J Med Sci Sports 2021 Apr 16. Epub 2021 Apr 16.

Human Movement and Rehabilitation, School of Health and Society, University of Salford, Salford, UK.

Achilles tendinopathy and patellofemoral pain are common running injuries associated with increased Achilles tendon (AT) forces and patellofemoral joint (PFJ) stresses. This study examined AT forces and PFJ stresses at different running speeds in high performing endurance runners. Twenty runners ran overground at four running speeds (3. Read More

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Remote consultations for patients with hidradenitis suppurativa during the COVID-19 pandemic: a single centre experience.

N P Patel

Clin Exp Dermatol 2021 Apr 16. Epub 2021 Apr 16.

Department of Dermatology, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK.

Remote dermatology consultations largely superseded face-to-face (FTF) consultations during the peak of the COVID-19 pandemic in the UK. Remote examination of patients with hidradenitis suppurativa (HS) brings particular challenges, given the propensity of HS to affect intimate body parts. To understand the impact of remote consultations on the care of HS patients, a retrospective analysis was conducted of all consultations from 2 April to 29 October 2020 at the HS clinic at Imperial College Healthcare NHS Trust. Read More

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The effects of adding quinolones to beta-lactam antibiotics for sepsis.

Acta Anaesthesiol Scand 2021 Apr 16. Epub 2021 Apr 16.

Copenhagen Trial Unit, Centre for Clinical Intervention Research, The Capital Region of Denmark, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

Background: Sepsis is common, deadly, and a major challenge to treat. Quinolones added to beta-lactam antibiotics are currently recommended as a second-line empiric regimen in sepsis, but the evidence regarding their benefits and harms is unclear.

Objective: To assess the benefits and harms of adding quinolones to standard care for sepsis. Read More

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Clinical experience and psychometric properties of the Cardiff Acne Disability Index (CADI).

Br J Dermatol 2021 Apr 16. Epub 2021 Apr 16.

Division of Infection and Immunity, Cardiff University School of Medicine, Cardiff, UK.

The Cardiff Acne Disability Index (CADI) is a questionnaire designed to measure the quality of life (QoL) of teenagers and young adults with acne. It has been used clinically and within therapeutic research globally. This review aims to appraise all published data regarding the clinical and research experience of CADI, its psychometric properties and validation, from its publication in 1992 until September 2020, into a single reference source. Read More

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Kinetics and thermodynamics of organo-sulfur-compound desorption from saturated neutral activated alumina.

Environ Sci Pollut Res Int 2021 Apr 16. Epub 2021 Apr 16.

Department of Environmental Engineering, National Chung Hsing University, 40227, Taichung, Taiwan.

Desulfurization of liquid fuels mitigates the amount of noxious sulfur oxides and particulates released during fuel combustion. Existing literature on oxidative-adsorptive desulfurization technologies focus on sulfur-in-fuel removal by various materials, but very little information is presented about their desorption kinetics and thermodynamics. Herein, we report for the first time, the mechanism of sulfur desorption from neutral activated alumina saturated with dibenzothiophene sulfone. Read More

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The Epidemic of Substandard and Falsified Medications in Iraq: Evaluating the Effectiveness of National Pharmacovigilance Alerts to Community Pharmacies.

Pharmaceut Med 2021 Apr 16. Epub 2021 Apr 16.

University of Baghdad College of Pharmacy, Baghdad, Iraq.

Background: Assessing Iraqi experience with the impact of substandard and falsified (S/F) medicines can help other countries deal comprehensively with the underlying causes of this multifactorial problem. The tools used in this study to assess strategies to prevent the use of S/F medications can be used in other developing countries. This study investigated the problem of S/F medications at three levels: the Ministry of Health (MOH), pharmaceutical company representatives, and community pharmacists. Read More

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Exploring communication between the thalamus and cognitive control-related functional networks in the cerebral cortex.

Cogn Affect Behav Neurosci 2021 Apr 17. Epub 2021 Apr 17.

Department of Psychology, Renmin University of China, Beijing, 100872, China.

It has been suggested by multiple studies (postmortem studies, invasive animal studies, and diffusion tensor imaging in the human brain) that the thalamus is important for communication among cortical regions. Many functional magnetic resonance imaging (fMRI) studies, including noninvasive and whole-brain studies, have reported thalamic co-activation with several cognitive control-related cortical systems. This forms a complex network that may be important for advanced cognitive control-related processes, such as working memory and attention. Read More

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Determination of pharmaceuticals in solid samples in municipal wastewater treatment plants by online SPE LC-MS/MS using QuEChERS extraction.

Environ Monit Assess 2021 Apr 17;193(5):279. Epub 2021 Apr 17.

Department of Environmental Infrastructure Research, National Institute of Environmental Research, 42 Hwangyeong-ro, Seo-gu, Incheon, 22689, South Korea.

In this study, a pretreatment method based on the QuEChERS method has been applied for simultaneously extracting 27 residual pharmaceuticals from wastewater solids. The extracted compounds have been analyzed using online solid-phase extraction (SPE) coupled to liquid chromatography with tandem mass spectrometry (LC-MS/MS). A recovery test was conducted according to the absorbent type, and buffers were added in the sample extraction step. Read More

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An online intervention for vulnerable young adults: identifying mechanisms of change using a grounded theory approach.

Soc Psychiatry Psychiatr Epidemiol 2021 Apr 17. Epub 2021 Apr 17.

School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Melbourne, VIC, Australia.

Purpose: The purpose of this study is to qualitatively identify the mechanisms of change as young adults, whose parents have a mental illness and/or substance use issue, navigate their way through a 6-week, moderated online intervention.

Methods: Using a qualitative, grounded theory approach, data were collected and triangulated for analysis from participants before, during, and after engaging in the intervention. First, 31 young people's motivations for enrolling in the intervention were identified from one open ended question on an online survey. Read More

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The delivery of obesity interventions to children and adolescents with physical disabilities: a systematic review.

J Public Health (Oxf) 2021 Apr 16. Epub 2021 Apr 16.

Brighton and Sussex Medical School, Division of Medical Education, Department of Public Health and Primary Care, Watson Building, University of Brighton, Falmer, Brighton, East Sussex, BN1 9PH, UK.

Background: To examine the process and mechanisms of delivering obesity interventions to physically disabled children/adolescents.

Methods: PubMed, Medline, CINAHL Plus, Embase, Cochrane Library, Google Scholar, ClinicalTrials.gov, Science Direct were systematically and manually searched for studies conducted in physically disabled children/adolescents (0-18 years). Read More

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Effectiveness of antimicrobial prophylaxis at 30 versus 60 min before cesarean delivery.

Sci Rep 2021 Apr 16;11(1):8401. Epub 2021 Apr 16.

Department of Obstetrics and Gynecology, Emek Medical Center, 18101, Afula, Israel.

This study aimed to examine the effect of antibiotic prophylaxis (AP) given within 30 compared to 30-60 min before skin incision on the incidence of infectious morbidity after cesarean delivery (CD). A retrospective cohort study was conducted at a single institution on data between 2014 and 2018. Women who delivered by CD were divided into two groups according to AP timing before skin incision: group 1 within 30 min, and group 2 from 30 to 60 min. Read More

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