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Health Informatics Journal 2022Nurses need professional competencies for safe and effective care. In this regard, nursing informatics competence is a significant need for intensive care unit nurses....
Nurses need professional competencies for safe and effective care. In this regard, nursing informatics competence is a significant need for intensive care unit nurses. In this study, the Delphi method was used during four rounds. The participants included 30 panelists selected by purposive sampling method. The data were analyzed using qualitative content analysis and descriptive statistics. During the rounds, the items were evaluated for importance, necessity, relevancy, and percentage of agreement. The findings of nursing informatics competencies in the intensive care units (ICU) were classified in three categories including basic computer skills (7 subcategories and 20 items), skills to use information management software (2 subcategories and 9 items), and specific nursing informatics skills (2 subcategories and 22 items). In order for nurses to perform successfully in ICU, they must meet some abilities such as computer skills, available software management, nursing information systems familiarity, nursing databases, web search methods, and English proficiency.
Topics: Clinical Competence; Critical Care; Humans; Intensive Care Units; Nursing Informatics; Professional Competence
PubMed: 35337212
DOI: 10.1177/14604582221083843 -
International Journal of Environmental... Aug 2022This study evaluated the recognition and attitude toward microplastic and zero waste among college students and investigated the factors influencing their zero-waste...
This study evaluated the recognition and attitude toward microplastic and zero waste among college students and investigated the factors influencing their zero-waste behaviours. The study was conducted from 20 August 2021 to 10 September 2021, including students at a university in G metropolitan city, Republic of Korea. A total of 196 data were analysed. Statements were developed to verify how the use of disposables and the recognition, attitude, and behaviours related to zero waste were affected during the COVID-19 pandemic. Family type and usage of disposables were the factors affecting zero-waste behaviour in Model 1. In Model 2, which included the subcategory of zero-waste recognition, the health effects of microplastics and environmental preservation were significant factors. In Model 3, which included the subcategory of zero-waste attitude, the health effects of microplastics (β = 0.149, p = 0.016), use of eco-friendly products (β = 0.342, p < 0.001), and environmental preservation (β = 0.317, p < 0.001) were significant factors. The use of plastic products increased dramatically during the COVID-19 pandemic. Research and education are needed to promote zero-waste behaviours with a focus on microplastics. Raising awareness of the health effects of microplastics can enhance the effectiveness of education.
Topics: COVID-19; Environmental Monitoring; Humans; Microplastics; Pandemics; Plastics; Students; Water Pollutants, Chemical
PubMed: 35955053
DOI: 10.3390/ijerph19159697 -
Bioinformation 2023The prompt use of an enamel surface covering reagent is advised to safeguard the dental restorative substance from mishaps. Therefore, it is of interest to assess the...
The prompt use of an enamel surface covering reagent is advised to safeguard the dental restorative substance from mishaps. Therefore, it is of interest to assess the fluoride emitting capabilities of standard GIC, and Zirconomer cement together with surface coverings and without surface coverings. The conventional GIC cement was part of experimental category A while Zirconomer cement was part of category B. For every experimental categories, a set of sixty brass mould prototypes in the form of disc with dimensions: diameter (6±0.1mm) and thickness (2±0.1 mm) were created and subsequently covered with Teflon strip in accordance with the package recommendations. Also, for both experimental categories, such pellets were randomly allocated to three sub-categories of 20 each. For one category petroleum jelly was administered with a cotton bud and then delicately dried under airflow (A3 subcategory and B3 subcategory); for another sub-category G-Coat was laced through a micro-tip dispenser and light treated for twenty seconds (A2 subcategory and B2 subcategory); the rest 20 specimens were left without any coating (A1 subcategory and B1 subcategory). It was observed that in subcategory A1 and A3 there was continuous decline in emission of fluoride ion as the days progressed. However there was an increase in emission of fluoride in A2 subcategory on moving to day 5 from day 1. However, from day 5 onwards decline in fluoride emission was observed in A2 subcategory. It was concluded that both materials studied (GIC and Zirconomer) exhibited fluoride emission whether or not they were surface-coated for protection.
PubMed: 37822825
DOI: 10.6026/97320630019423 -
Asian Nursing Research Dec 2017This study was aimed to evaluate the methodological issues and comprehensiveness of workplace bullying instruments and to suggest a taxonomy of psychological abuse. (Review)
Review
PURPOSE
This study was aimed to evaluate the methodological issues and comprehensiveness of workplace bullying instruments and to suggest a taxonomy of psychological abuse.
METHODS
Nineteen instruments applied in health care organizations and 469 questionnaire items mainly regarding psychological abuse were collected through a literature review. Three researchers classified the questionnaire items according to a "taxonomy of psychological abuse in the workplace."
RESULTS
Many instruments of workplace bullying were developed in the 2000s using a reflective measurement model, but their psychometric property was not sufficient and the measurement model is questioned. Based on the questionnaire items, the "taxonomy of psychological abuse in the workplace" was modified by adding two new subcategories (unachievable work and unfair treatment) and clarifying some operational definitions. According to the modified taxonomy of 11 (sub)categories, the reviewed instruments assessed 6.5 (sub)categories on average. No instrument measured all (sub)categories. Category 4.2 (disrespect, humiliation, and rejection of the person) was measured in all instruments, followed by Categories 5 (professional discredit and denigration) and 1.2 (social isolation) behaviors.
CONCLUSION
The current instruments are not comprehensive enough. It is suggested that the modified taxonomy is verified and guide more reliable and inclusive instruments in the future. Furthermore, a formative measurement model, which defines a bullying as an inventory of different types of behaviors, should be used.
Topics: Bullying; Health Facilities; Health Personnel; Humans; Models, Theoretical; Psychometrics; Stress, Psychological; Surveys and Questionnaires; Workplace
PubMed: 29290270
DOI: 10.1016/j.anr.2017.10.001 -
EClinicalMedicine Nov 2023The various subcategories under the overarching term of steatotic liver disease (SLD) have been recently proposed by the nomenclature consensus group and endorsed by...
BACKGROUND
The various subcategories under the overarching term of steatotic liver disease (SLD) have been recently proposed by the nomenclature consensus group and endorsed by international academic liver societies. Our aim was to investigate the association between each subtype of SLD and incident cardiovascular disease (CVD) in a nationwide Korean cohort.
METHODS
From a nationwide health screening database from Korea, 351,068 individuals aged 47-86 years between January 1, 2009 and December 31, 2010 were included and followed until December 31, 2019 for a median of 9.0 years. Individuals were categorised into no SLD, metabolic dysfunction-associated steatotic liver disease (MASLD), MASLD with increased alcohol intake (MetALD), and alcohol-related liver disease (ALD). Hepatic steatosis was defined as fatty liver index ≥60. The primary outcome was a composite CVD, which includes non-fatal and fatal myocardial infarction and stroke. The subdistribution hazard ratio (SHR) was calculated using the Fine-Gray model with treating non-CVD-related death as a competing risk.
FINDINGS
There were 199,817 male (56.9%) and 151,251 female (43.1%) with a median age of 55 years (interquartile range, 50-61). The prevalence of no SLD, MASLD, MetALD, and ALD was 44.3%, 47.2%, 6.4%, and 2.1%, respectively; and the incidence rate of CVD in each subcategory was 6.2, 8.5, 8.5, and 9.6 per 1000 person-years, respectively. MASLD (SHR, 1.19; 95% confidence interval [CI], 1.15-1.24), MetALD (SHR, 1.28; 95% CI, 1.20-1.36), and ALD (SHR, 1.29; 95% CI, 1.18-1.41) increased the risk of CVD compared to no SLD, which increment was in consecutive order ( < 0.001).
INTERPRETATION
Individuals with MASLD, MetALD, or ALD are at an increased risk of developing incident CVD. Higher risk of CVD observed in MetALD compared to MASLD suggests the additive impact of alcohol consumption in conjunction with cardiometabolic risk factors on CVD development. These findings support and validate the utility of the new consensus criteria for SLD in predicting CVD.
FUNDING
The National Research Foundation of Korea and the Korea Centers for Disease Control and Prevention.
PubMed: 37954905
DOI: 10.1016/j.eclinm.2023.102292 -
Cancers Feb 2021Esophageal squamous cell carcinoma (ESCC) is the sixth most common cause of death worldwide. Incidence rates vary internationally, with the highest rates found in... (Review)
Review
Esophageal squamous cell carcinoma (ESCC) is the sixth most common cause of death worldwide. Incidence rates vary internationally, with the highest rates found in Southern and Eastern Africa, and central Asia. Initial observational studies identified multiple factors associated with an increased risk of ESCC, with subsequent work then focused on developing plausible biological mechanistic associations. The aim of this review is to summarize the role of risk factors in the development of ESCC and propose future directions for further research. A systematic search of the literature was conducted by screening EMBASE, MEDLINE/PubMed, and CENTRAL for relevant publications. In total, 73 studies were included that sought to identify risk factors associated with the development of esophageal squamous cell carcinoma. Risk factors were divided into seven subcategories: genetic, dietary and nutrition, gastric atrophy, infection and microbiome, metabolic, epidemiological and environmental and other risk factors. Risk factors from each subcategory were summarized and explored with mechanistic explanations for these associations. This review highlights several current risk factors of ESCC. These risk factors were explored, and explanations dissected. Most studies focused on investigating genetic and dietary and nutritional factors, whereas this review identified other potential risk factors that have yet to be fully explored. Furthermore, there is a lack of literature on the association of these risk factors with tumor factors and disease prognosis. Further research to validate these results and their effects on tumor biology is absolutely necessary.
PubMed: 33671026
DOI: 10.3390/cancers13051009 -
Japanese Journal of Radiology Jan 2021Category 4 in BI-RADS for magnetic resonance imaging (MRI) has a wide range of probabilities of malignancy, extending from > 2 to < 95%. We classified category 4...
PURPOSE
Category 4 in BI-RADS for magnetic resonance imaging (MRI) has a wide range of probabilities of malignancy, extending from > 2 to < 95%. We classified category 4 lesions into three subcategories and analyzed the positive predictive value (PPV) of malignancy in a tertiary hospital.
MATERIALS AND METHODS
This retrospective study included 346 breast MRIs with 434 category 2-5 lesions. All enhancing lesions were classified as category 2 (0% probability of malignancy), 3 (> 0%, ≤ 2%), 4 (> 2%, < 95%) and 5 (≥ 95%); category 4 lesions were further subcategorized into 4A (> 2%, ≤ 10%), 4B (> 10%, ≤ 50%) and 4C (> 50%, < 95%) at the time of diagnosis. Radiological and pathological reports were retrospectively analyzed, and the PPVs were calculated.
RESULTS
We included 149 malignant and 285 benign lesions. The PPVs of subcategories 4A, 4B and 4C were 1.8%, 11.8% and 67.5%, respectively. The PPVs were higher for lesions coexisting with category 5 or 6 lesions compared with those for isolated lesions.
CONCLUSION
Category 4 lesions can be classified into three subcategories depending on the likelihood of malignancy. Lesions coexisting with category 5 or 6 lesions are more likely to be malignant.
Topics: Adult; Aged; Aged, 80 and over; Breast; Breast Neoplasms; Female; Humans; Magnetic Resonance Imaging; Middle Aged; Predictive Value of Tests; Radiology Information Systems; Reproducibility of Results; Retrospective Studies; Young Adult
PubMed: 32870440
DOI: 10.1007/s11604-020-01029-w -
Nutrients Aug 2022The objective was to determine the most frequently consumed food items, food subcategories, and food categories, and those that contributed most to total energy intake...
The objective was to determine the most frequently consumed food items, food subcategories, and food categories, and those that contributed most to total energy intake for the group of U.S. adults reporting taking insulin, those with type 2 diabetes (T2D) not taking insulin, and those without diabetes. Laboratory tests and questionnaires of the National Health and Nutrition Examination Survey 2009-2016 classified 774 participants reporting taking insulin, 2758 participants reporting T2D not taking insulin, and 17,796 participants without diabetes. Raw and weighted frequency and energy contributions of each food item, food subcategory, and food category were calculated and ranked. Comparisons among groups by broad food category used the Rao-Scott modified chi-square test. Soft drinks ranked as the 8th and 6th most consumed food subcategory of participants with T2D not taking insulin and those without diabetes, and contributed 5th and 2nd most to energy, respectively. The group reporting taking insulin is likely to consume more protein foods and less soft drink compared to the other two groups. Lists of the most frequently reported foods and foods contributing most to energy may be helpful for nutrition education, prescribing diets, and digital-based dietary assessment for the group reporting taking insulin.
Topics: Adult; Diabetes Mellitus, Type 2; Diet; Eating; Energy Intake; Humans; Insulins; Nutrition Surveys
PubMed: 36014790
DOI: 10.3390/nu14163284 -
Thoracic Cancer Aug 2020Lung cancer is the leading cause of morbidity and mortality worldwide. Small cell lung cancer (SCLC) has been determined to be the most lethal lung malignancy. Few...
Small cell lung cancer (SCLC) incidence and trends vary by gender, geography, age, and subcategory based on population and hospital cancer registries in Hebei, China (2008-2017).
BACKGROUND
Lung cancer is the leading cause of morbidity and mortality worldwide. Small cell lung cancer (SCLC) has been determined to be the most lethal lung malignancy. Few studies have previously analyzed the epidemiological characteristics of SCLC in China. This study analyzed the epidemiological characteristics of SCLC aiming to provide a reference for the prevention of SCLC in Hebei Province.
METHODS
The epidemiological characteristics of SCLC using lung cancer data based on population and hospital cancer registries in Hebei Province between 2008 and 2017 were analyzed.
RESULTS
The proportion of both population- and hospital-based SCLC cases displayed a significant increasing trend. Moreover, the proportion of males was higher than that for female based on population- and hospital-based cases. The proportion of hospital-based SCLC cases in counties was higher than that in cities, whereas there were no significant regional differences between cities and counties based on population. The proportion of both population- and hospital-based SCLC cases decreased consistently with increasing age. There was a difference between population- and hospital-based distribution of subcategories of SCLC.
CONCLUSIONS
Significant increases in the proportion of both population- and hospital-based SCLC cases over recent years, particularly in males and in patients aged over 55 years, were observed. Research on the pathogenesis of SCLC in these patients and prevention is urgently required.
Topics: Age Factors; China; Female; Gender Identity; History, 21st Century; Humans; Incidence; Lung Neoplasms; Male; Registries; Small Cell Lung Carcinoma
PubMed: 32589361
DOI: 10.1111/1759-7714.13412 -
Frontiers in Public Health 2021Older women have various experiences regarding the management of urinary incontinence depending on the societies they live in and their cultural backgrounds. The present...
INTRODUCTION
Older women have various experiences regarding the management of urinary incontinence depending on the societies they live in and their cultural backgrounds. The present study aimed to determine older women's experiences in urinary incontinence management.
METHODS
The present qualitative study employed a conventional content analysis approach and was conducted in Iran from 2019 to 2020. In this research, the data were collected through face-to-face unstructured in-depth interviews with 22 older women suffering from urinary incontinence selected purposeful sampling. The interviews were continued until reaching the data saturation point. Data analysis was performed simultaneously with data collection. The interviews were recorded, transcribed, and analyzed through Graneheim and Lundman style content analysis, and data management was done using the MAXQDA software. In order to achieve the accuracy and validity of the study, the Four-Dimensions Criteria (FDC) by Lincoln and Guba, namely credibility, dependability, conformability, and transformability, were considered and used.
RESULTS
This study was conducted on 22 older women suffering from urinary incontinence with the mean age of 66.54 ± 5.76 years. The acquired data were put in four main categories of "resilience" with three subcategories, "change in lifestyle" with six subcategories, "attempt for treatment of the condition" with three subcategories, and "receiving support" with two subcategories.
CONCLUSION
The study results indicated that the older women suffering from urinary incontinence were resilient against the condition, had changed their lifestyles to manage the condition, and sought treatment. In addition, receiving support from the family and the society played a significant role in the follow-up and management of the condition. The present study findings can help healthcare team members focus on urinary incontinence, design care programs for older women with this condition, and improve their quality of life. Furthermore, focusing on young and middle-aged women's health, providing them with the necessary training for taking care of the genitourinary system, and raising their awareness for preventing urinary incontinence during old ages can be helpful. Moreover, increasing the healthcare team's sensitivity and following the patients up can help diagnose, manage, and treat the condition before exerting adverse impacts on their quality of life.
Topics: Aged; Culture; Female; Humans; Middle Aged; Qualitative Research; Quality of Life; Urinary Incontinence
PubMed: 35118038
DOI: 10.3389/fpubh.2021.738202