bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Spoken Language Checklist: A User-Friendly Normed Language Acquisition Checklist
Authors: Clark M Diane , Greene-Woods Ashley , Alofi Abdullah , Sides Misty , Buchanan Beverly , Hauschildt Sean , Alford Andrea , Courson Frances , Venable Tabitha 
Published: December 2020

AbstractThere are many variables having an impact on the spoken language acquisition of deaf and hard of hearing (DHH) children; therefore, it is critical for parents and professionals to have appropriate tools to monitor language acquisition. The Spoken Language Checklist (SLC) was developed to monitor and identify developmental milestones in a user-friendly checklist format that includes norms. The availability of the SLC will help parents and professionals to monitor the spoken language development of DHH children and provide interventions that should any delays be observed. Recognizing these delays early could prevent any insurmountable effects for cognitive development and further language development.
Rethinking Couples’ Fertility in Spain: Do Partners’ Relative Education, Employment, and Job Stability Matter?
Authors: Bueno Xiana , García-Román Joan 
Published: December 2020

AbstractFertility decisions among Spanish couples have been strongly driven by economic uncertainty in a context in which dual-earner couples have become the norm and in which the gender gap in education has reversed. However, the partners’ respective jobs do not carry the same weight in such decisions. We explore how homogamous or heterogamous education, employment, and job stability between partners can provide insights into couples’ fertility decisions using data from 2002 to 2018 Spanish Labor Force Survey. The results reveal that among heterogamic couples, the woman’s job stability more than the man’s is key for childbearing decisions, while no differences are found in fertility levels for educationally heterogamous partners. In homogamous couples, the results suggest a reversal of the negative education-fertility gradient and show that highly educated couples have a higher likelihood of having a child than less-educated couples. Dual-earner couples are more likely to be parents than couples affected by unemployment and as likely as those meeting the declining male breadwinner, female caregiver model. We conclude that the role played by female employment in fertility trumps the role played by gender essentialism, highlighting the nonexclusive importance of gender egalitarianism, female employment, and economic uncertainty to fertility.
Attachment to Home and Community in Older Rural African Americans in Mississippi
Authors: Adams-Price Carolyn , Riaz Muhammed , Ralston Margaret , Gardner Antonio 
Published: December 2020

Abstract
The purpose of this study was to examine qualitatively attachment to home and community in older rural African Americans in the Deep South. Sixty adults aged 52-79 (mean age 64.7, 24 males and 36 females) were interviewed using semi-structured interviews. Participants lived in two micropolitan counties in Mississippi, with most living in one of two mostly African American communities with fewer than 1000 residents. Interviewees were asked about their attachment to their house, the land the house is on, and the community in which they live. Interviews were recorded and transcribed, and transcriptions were analyzed for themes by two qualitative researchers using phenomenological analysis. The two researchers uncovered similar themes; discrepancies were discussed and integrated, and checked for consistency with the original text. The most prominent themes for attachment to home were sense of ownership/having built or made home their own, legacy/generational/historical attachment, sense of peace and safety, solitude and privacy, and attachment to specific features. Interviewees felt that their homes were a part of who they are and a part of their personal and family history; they also reported that their homes were safe and comfortable havens. When participants were asked about their attachment to their community, four themes emerged: socialization/friendly visiting, family and close ties, religious/spiritual, and solitude/quiet community. These results will be discussed in the context of Wahl’s 2012 model, which asserts that older adults’ attachment to place is a function of agency and belonging; belonging was a more prominent theme in this group.
Family Availability and Its Influence on Informal and Formal Care Used by Adults With Dementia in the United States
Authors: Choi HwaJung , Heisler Michele , Cho Tsai-Chin , Connell Cathleen 
Published: December 2020

Abstract
This research is to provide national estimates of spouse and adult child availability to care for adults 55+ with dementia and to examine associations between availability and formal and informal care utilization. Only 23% of adults with dementia had a non-disabled spouse; 66% had an adult child living less than 10 miles away. Substantial variations in family availability were discovered across demographic and socioeconomic groups. For example, 29% of non-Hispanic blacks vs. about 40% of other racial/ethnic groups (OR=0.63; p&lt;0.001) had a spouse. Only 16% of the bottom wealth quartile had a spouse compared to 61% of the top quartile (OR=0.13; p&lt;0.001). In contrast, the greater share of non-Hispanic blacks than non-Hispanic whites had a coresident adult child (OR=2.07; p&lt;0.001) and a non-employed adult child (OR=1.45; p&lt;0.001). Hispanics had the most family availability from both spouse and child. Having a spouse was significantly associated with a lower probability of receiving formal care; AOR=0.54 (95% CI 0.46-0.64) for any formal care; AOR=0.50 (95% CI 0.39-0.64) for institutional care. Having a coresident adult child in year T-2 also substantially reduced the probability of receiving formal care in year T (AOR=0.37; 95% CI 0.29-0.48). The presence of a spouse and co-resident adult child significantly reduce the use of formal care by adults with dementia in the US. Policies and interventions that rely on family members to provide dementia should reflect the substantial heterogeneity in potential family availability across racial/ethnic and socioeconomic groups.
Developing an Intervention to Reduce Sedentary Behavior: Assisted Living Resident Feedback
Authors: Webster Katelyn , Larson Janet 
Published: December 2020

Abstract
Older adults in assisted living (AL) tend to be highly sedentary, which increases their risk of functional decline and frailty. Reducing sedentary behavior (SB) and replacing it with light physical activity (LPA) could have important implications for maintenance of functional abilities. The purpose of this qualitative study was to gather feedback from AL residents on a proposed exercise-specific self-efficacy enhancing intervention designed to promote LPA and reduce SB. We conducted one-on-one semi-structured interviews at four AL facilities with 20 residents ages 65-99 (mean age 83.1; 60% women). They were presented with the proposed intervention and were asked questions to inform the development and modification of the intervention. Data were analyzed with a thematic analysis approach. Specific recommendations included short intervention sessions of one hour and scheduled in the morning. Many residents thought a 16 week intervention was too long. We identified broader themes, including concerns about how the intervention would work for residents with a wide range of abilities and concerns about safety. They suggested that exercises will need to be highly modifiable. Most residents recommended framing the intervention message as increasing LPA rather than decreasing SB, because it would be more positive. All except one said they would want to participate in the intervention, but they were unsure how many other residents would want to be more active. The resident feedback and suggestions will guide development of the intervention and are important for increasing the probability that a future feasibility and acceptability trial of the intervention will be successful.
Age-Friendly Initiatives and Primary Care in Rural Arkansas
Authors: McAtee Robin , Tobey Leah 
Published: December 2020

Abstract
The Arkansas Geriatric Education Collaborative (AGEC)’s Geriatric Workforce Enhancement Program is partnering with a plethora of community based organizations (CBO) and with ARcare, an Arkansas federally qualified healthcare clinic network, to implement the 4Ms of age-friendly care in rural clinics. Baseline clinical data related to the Age-Friendly 4M Framework has been gathered and quality improvement projects initiated to improve the outcomes. Initiatives to improve depression and cognitive screenings are addressing Mentation; fall prevention screens and the offering of fall prevention programs have been added for Mobility; high risk medication screens and chronic pain educational programs are being implemented to address Medications; and finally, Medicare Annual Wellness Visits is the cornerstone to improve what Matters to older adults. A campaign that involves partnered CBOs to address health literacy and increase involvement in evidence-based programs is also helping to drive improvements in age-friendly care in rural Arkansas.
Effect of Nutritional Stress on the Expression of Sirtuin Gene Family
Authors: Zhang Xiaomin , Ameer Fathima , Crane Jasmine , Azhar Gohar , Wei Jeanne 
Published: December 2020

Abstract
The sirtuin (SIRT) proteins are a highly conserved family of NAD+-dependent deacetylases that regulate histones as well as non-histone proteins. Seven sirtuin genes have been identified (SIRT1 to SIRT7) in mammals. SIRT1, SIRT6, and SIRT7 are primarily localized in the nucleus. SIRT2 is localized mainly in the cytoplasm. SIRT3, SIRT4, and SIRT5 are often located in the mitochondria. Therefore, the sirtuin family proteins exert their diverse functions at various cellular locations and regulate metabolism, stress responses, growth and aging processes. The sirtuin proteins are often considered as nutrient sensors. This study assessed the expression of sirtuin genes in C2C12 muscle cells under glucose stress conditions at different time points. Expression of all seven sirtuins was confirmed by Real-Time PCR analysis. SIRT1 (24 h) and SIRT3 (6 h and 15 h) are highly expressed under low glucose (2.7 mM) and high glucose (25 mM) conditions, whereas SIRT2 and SIRT4, SIRT5, SIRT6 and SIRT7 expressions were either relatively lower or there was no significant change under glucose stress conditions. Our results indicate that SIRT1 and SIRT3 demonstrated the greatest fluctuation in response to glucose stress, whether high or low glucose. These findings will help elucidate the role of sirtuins in the regulation of cellular processes, including metabolism. It will also help to enhance our understanding of the roles of sirtuin genes in regulation of blood sugar fluctuation in normal persons and diabetic patients, as well as in elderly individuals, many of whom are insulin resistant and “prediabetic” or diabetic.
Effects of Ambient Bright Light on Neurobehavioral Symptoms in Dementia: A Systematic Review
Authors: Jao Ying-Ling , Wang Julian , Liao Yo-Jen , Berish Diane , Van Haitsma Kimberly , Boltz Marie 
Published: December 2020

Abstract
Most persons living with dementia (PLwD) experience behavioral and psychological symptoms of distress in dementia (BPSDs). Despite increased utilization of bright light to improve BPSDs, the evidence of effectiveness and dosage using ambient light has not been comprehensively examined. This review synthesized research evidence on the effect of ambient light on BPSD in PLwD. A literature search conducted in Scopus, PubMed, CINAHL, and Web of Science included keywords: dementia, bright light, ambient light, indirect light, behavior symptoms, agitation, wandering, depression, aggression, and apathy. Original studies that examined the effect of ambient light on BPSDs were included. Six studies were identified. Sample size ranged from 6 to 189. Lighting delivery methods included a lighting table and ceiling-mounted fixtures in public areas and/or participant’s bedroom. Lighting intensity ranged from 1,000-3,000 lux, color temperature ranged from bluish white to warm white, and exposure duration ranged from 4 to 24 hours a day. PLwD with higher light exposure showed more pleasure and alertness. Ambient bright lighting showed mixed results in reducing agitation with one study reporting increased agitation. Three out of four studies showed positive effects upon depressive symptoms. Ambient bright light positively impacted pleasure and alertness. Mixed results on agitation and depressive symptoms may be explained by differences in illuminance, color, duration, and targeted lighting positions. Further studies are needed to confirm the positive effects of ambient light on BPSD. Accurate lighting exposure measurements related to spectral compositions and dosage for individual PLwD would help explain the underlying relationships between lighting and BPSD.
Assessing Functional Need of Minority Older Adults Across Two Long-Term Services and Supports Settings
Authors: Travers Jasmine , Cohen Andrew , Coe Norma , Naylor Mary 
Published: December 2020

Abstract
Research has suggested that growth in Black and Hispanic older adults’ nursing home (NH) use may be the result of disparities in options for long-term services and supports (LTSS). To investigate this issue, we aimed to determine whether there were no differences in the functional needs of racial and ethnic groups who received care in NHs versus the community. We identified respondents aged ≥65 years in the 2016 Health and Retirement Study who reported requiring caregiving help. We compared the site of care for Black and Hispanic older adults (minority group) to White older adults (comparison group). We performed unadjusted analyses to assess the association of functional need with community vs. NH care. Functional need was operationalized using a functional-limitations score and six individual activities of daily living (ADL). There were 186 minority older adults (community=78%, NH=22%) and 357 White older adults (community=50%, NH=50%). Across settings, minority older adults did not differ in age, marital status, and income, but a greater percentage of men were in NHs (48% versus 28%; p=0.01). The functional-limitations score was higher in NHs than in the community for both groups. Functional needs for the minority group were similar across the two settings in 2/6 ADLs (dressing p=0.11, toileting p=0.09), while White older adults in NHs were more impaired in all ADLs. Functional need for minority older adults primarily differed by setting while demographics did not. These are important factors to consider when implementing programs to keep older adults out of NHs and in the community.
Can Robots Encourage Social Engagement Among Older Adults?
Authors: Lin Yichun , Fan Jing , Dietrich Mary , Beuscher Linda , Newhouse Paul , Sarkar Nilanjan , Mion Lorraine 
Published: December 2020

Abstract
Apathy in older adults in long term care (LTC) settings is common, associated with morbidity and mortality, and requires extensive personnel time. Most LTC sites are limited in their ability to provide activities. We conducted a 3-month pilot study at two LTCs to determine whether a robot, with/without virtual reality (VR), was successful in encouraging social engagement between older LTC adults. Three robot activities were offered twice weekly for three weeks (6 sessions). Two activities with VR consisted of two book sorting games. One activity was “Simon Says” where older adults took turns as leaders. Demographics and cognitive data were collected. Videos were coded and analyzed using Noldus Observer: activity engagement as visual and verbal attention to the robot activity and social engagement as visual and verbal attention towards their partner. Participants were 2 men and 14 women, mean age 83. One dropped out because of hearing problems; one dropped out because of cognitive impairment. Fourteen, ie 7 pairs, attended all 6 sessions; ten had MCI and one had AD. Social and activity engagement varied by activity and by participant. Participants’ perceptions (7-point Likert scale) remained positive over time (6.33 (SD 0.94) to 6.52 (SD 0.61)) but decreased slightly for the repeat activities (6.19 (SD 1.01) to 5.96 (SD 1.13)). Robots hold promise in LTC as ways to engage older adults who suffer from apathy. Further work is necessary to elucidate participant- and activity-level characteristics most conducive for success and mechanisms to increase the number and variety of activities.
Perceptions of a Transitional Care Model for Older Adults With Multimorbidity and Depressive Symptoms
Authors: Markle-Reid Maureen , McAiney Carrie , Ganann Rebecca , Whitmore Carly 
Published: December 2020

Abstract
Transitioning from hospital to home is an important healthcare system priority. This paper reports on the qualitative findings from a larger mixed methods study designed to examine the implementation and effectiveness of a new transitional care intervention (Community Assets Supporting Transitions [CAST]). The goal of the CAST intervention is to improve the quality and experience of hospital-to-home transitions for older adults (≥ 65 years) with depressive symptoms and multimorbidity. Semi-structured interviews were completed with a sub-set of intervention group trial participants including 11 older adult participants and 1 caregiver, as well as 4 intervention nurses. A qualitative descriptive design was used to explore the perceived impacts of the CAST intervention on participants and their caregivers. Audio-recorded interviews were transcribed verbatim, with descriptive codes and themes generated using conventional content analysis. Patient participants indicated that the intervention resulted in improved access to information (e.g., medication review) and services (e.g., care coordination) that enhanced their self-management. Participants felt that the home visits and phone visits were valuable and helped to improve their mental health. Intervention nurses described advocating for patients to help achieve their needs. For example, nurses advocated for physiotherapy services to provide additional education to support patient mobility. Understanding patient, caregiver, and provider perceptions of the impact of the CAST intervention will help to identify how to improve the delivery of this transitional care intervention, to bridge the gap between hospital and community care, and to positively impact patient health outcomes.
Marital Religious Homogamy and Dimensions of Well-Being in Later Life: Evidence From the United States
Authors: Upenieks Laura , Schafer Markus , Uecker Jeremy 
Published: December 2020

Abstract
Past research points to the importance of couple-level religious similarity for multiple dimensions of older adults’ partnership quality and stability, but we have a limited understanding of whether religious homogamy matters for the well-being of seniors. This study uses dyadic data from the National Social Life, Health, and Aging Project (NSHAP), a representative sample of 953 individuals ages 62–91 plus their marital or cohabiting partners. Using actor-partner interdependence models in the general structural equation model framework (GSEM), we find that religious attendance homogamy is beneficial for the physical health of men and the mental health and self-reported happiness of women. There were no associations between religious homogamy for religious importance detected. Taken together, our results attest to the ongoing importance of religious similarity—service attendance, in particular—for mental and physical well-being in later life. Future research is needed to more fully examine which mechanisms account for these patterns.
Tofacitinib Treatment Safety in Moderate to Severe Ulcerative Colitis: Comparison of Observational Population Cohort Data From the IBM MarketScan® Administrative Claims Database With Tofacitinib Trial Data
Authors: Curtis Jeffrey R , Regueiro Miguel , Yun Huifeng , Su Chinyu , DiBonaventura Marco , Lawendy Nervin , Nduaka Chudy I , Koram Nana , Cappelleri Joseph C , Chan Gary , Modesto Irene , Lichtenstein Gary R 
Published: December 2020

Abstract

Background
Tofacitinib is an oral, small molecule Janus kinase inhibitor for the treatment of ulcerative colitis (UC). We aimed to estimate the overall incidence of safety events in patients with UC in a real-life population cohort for comparison with the tofacitinib UC clinical trial program.

Methods
Clinical trial-like criteria were applied to an IBM MarketScan® claims database population-based cohort (n = 22,967) of patients with UC (October 2010 to September 2015) to identify a UC trial-like cohort treated with tumor necrosis factor inhibitors (TNFi; n = 6366) to compare with the tofacitinib UC clinical trial cohort (n = 1157).

Results
Incidence rates (events per 100 patient-years; [95% confidence interval]) in the UC trial-like cohort were as follows: serious infections, 3.33 (2.73–4.02); opportunistic infections (OIs; excluding herpes zoster [HZ]), 1.45 (1.06–1.93); HZ, 1.77 (1.34–2.29); malignancies (excluding nonmelanoma skin cancer [NMSC]), 0.63 (0.43–0.90); NMSC, 1.69 (1.35–2.10); major adverse cardiovascular events (MACE), 0.51 (0.31–0.79); pulmonary embolism (PE), 0.54 (0.30–0.89); deep vein thrombosis (DVT), 1.41 (1.00–1.93); and gastrointestinal perforations, 0.31 (0.16–0.54). Compared with the UC trial-like cohort, tofacitinib-treated patients had numerically lower incidence rates for serious infections (1.75 [1.27–2.36]), OIs (excluding HZ; 0.16 [0.04–0.42]), NMSC (0.78 [0.47–1.22]), PE (0.16 [0.04–0.41]), and DVT (0.04 [0.00–0.23]), and a higher rate for HZ (3.57 [2.84–4.43]); rates for malignancies (excluding NMSC), MACE, and gastrointestinal perforations were similar.

Conclusions
When acknowledging limitations of comparing claims data with controlled clinical trial data, incidence rates for HZ among TNFi-treated patients in the UC trial-like cohort were lower than in the tofacitinib UC clinical trial cohort; rates for serious infections, OIs, NMSC, PE, and DVT were numerically higher.

ClinicalTrials.gov
NCT00787202, NCT01465763, NCT01458951, NCT01458574, NCT01470612.
First Case Report of Mange in Molossus molossus (Chiroptera: Molossidae) Caused by Notoedres (Notoedres) yunkeri (Sarcoptiformes: Sarcoptidae) in Minas Gerais State, Brazil
Authors: Bassini-Silva Ricardo , Huang-Bastos Matheus , de Mello Érica Munhoz , Oconnor Barry M , Barros-Battesti Darci Moraes , de Castro Jacinavicius Fernando 
Published: December 2020

Abstract
There are many records of the family Sarcoptidae in bats. The species Notoedres (Notoedres) yunkeri has been reported only once, parasitizing a molossid bat in Panama. In the present study, we expand the occurrence of the species to Brazil.
L’évaluation complète de la santé sexuelle à l’ adolescence
Authors: Johnson Natasha 
Published: December 2020

Abstract
L’activité et l’expérimentation sexuelles sont des aspects normaux du développement des adolescents, mais peuvent toutefois avoir des effets défavorables sur la santé, y compris sous forme d’infections transmises sexuellement, de grossesse non planifiée et de violence dans les fréquentations. Les conseils préventifs aux adolescents sur la santé sexuelle et reproductive doivent inclure les questions relatives au développement sexuel normal, telles que l’identité et l’attirance, les relations sécuritaires, les activités sexuelles mieux protégées et la contraception. Les professionnels de la santé peuvent améliorer l’éducation sexuelle des jeunes qu’ils rencontrent en cabinet et contribuer à atténuer les effets négatifs de leur sexualité sur la santé. Le présent point de pratique propose l’approche des 7 P pour aider les professionnels de la santé à obtenir une évaluation complète de la santé sexuelle des adolescents. Des enjeux liés à l’adolescence sont abordés, comme l’identité, la confidentialité, le consentement et la violence dans les fréquentations, et des ressources de la Société canadienne de pédiatrie sont proposées pour fournir des cheminements cliniques plus détaillés sur des enjeux connexes : la contraception, la grossesse et les infections transmises sexuellement.