bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perceived Importance and Enjoyment of Sexuality in Late Midlife: Cohort Differences in the Longitudinal Aging Study Amsterdam (LASA)
Authors: Kolodziejczak Karolina , Drewelies Johanna , Deeg Dorly J. H. , Huisman Martijn , Gerstorf Denis 
Published: September 2020

Abstract
Introduction
Age-related declines in multiple facets of sexuality in later life are well documented. However, most studies have been cross-sectional with data collected at one point in time, leaving questions about cohort differences and interrelated historical changes in physical health and psychosocial functioning unanswered.

Methods
We examined cohort differences in perceived importance and enjoyment of sexuality in late midlife using data from the Longitudinal Aging Study Amsterdam (LASA) obtained 20 years apart, 1992–1993 (N = 718) and 2012–2013 (N = 860), from two independent samples aged 55 to 65 years (both samples: Mage ≈ 60, 52–53% women).

Results
Later-born adults in late midlife reported attributing slightly higher importance to sexuality than their earlier-born peers and experiencing their sex life as slightly less pleasant. Effect sizes were small at the sample level (d < .15), but substantial for certain population segments. For example, historical increases in reported importance of sexuality were especially pronounced among women with no partner (d = .56). When controlling for socio-demographic, physical health, and psychosocial factors, cohort differences in perceived importance of sexuality remained significant, but those for enjoyment did not.

Conclusions
Late-midlife sexuality undergoes historical changes. Specifically, reported perceived importance of sexuality has increased over historical time, especially in particular population segments.

Policy implications
We discuss whether our findings represent historical changes in actual behavior, perception, or the willingness to report on one’s sex life.
First record of Miniopterus schreibersii (Chiroptera: Miniopteridae) in Poland—a possible range expansion?
Authors: Piksa Krzysztof , Gubała Wojciech J. 
Published: September 2020

AbstractSchreiber’s bent-winged bat Miniopterus schreibersii is a typical Mediterranean species. To date, the northern limit of its distribution range ran along the northern ends of Slovakia. This paper describes the first record of this species in Poland, at a more northerly site for this part of Europe. On October 7, 2015, an adult female of M. schreibersii was caught in the underground part of the New Castle in Rożnów, southern Poland (49° 46′ 23.8″ N, 20° 41′ 43.1″ E; 339 m a.s.l.). Subsequent observations were made at the same site during the autumn of 2018 and 2019. The likely migration route and the causes for a widening of the species distribution range are discussed in this paper. Observations suggest that, like other Mediterranean species, it has expanded its range in northerly direction.
Identifying a polytope by its fibre polytopes
Authors: McMullen Peter 
Published: September 2020

AbstractIt is shown that a full-dimensional polytope P is uniquely determined by its r-dimensional fibre polytopes when $$r \ge 2$$

r
≥
2

. Further, if $$r \ge 4$$

r
≥
4

and the r-dimensional fibre polytopes are zonotopes, then P itself must be a zonotope.
Effect of Sb-site nonstoichiometry on the structure and microwave dielectric properties of Li3Mg2Sb1−xO6 ceramics
Authors: Pei Cuijin , Tan Jingjing , Li Yang , Yao Guoguang , Jia Yanmin , Ren Zhaoyu , Liu Peng , Zhang Huaiwu 
Published: September 2020

AbstractThe non-stoichiometric Li3Mg2Sb1−xO6(0.05 ⩽x⩽ 0.125) compounds have been prepared via the mixed oxide method. The influences of Sb nonstoichiometry on the sintering behavior, microstructure, phase composition along with microwave dielectric performances for Li3Mg2Sb1−xO6ceramics were studied. Combined with X-ray diffraction (XRD) and Raman spectra, it was confirmed that phase composition could not be affected by the Sb nonstoichiometry and almost pure phase Li3Mg2SbO6was formed in all compositions. Appropriate Sb-deficiency in Li3Mg2SbO6not only lowered its sintering temperature but also remarkably improved itsQ×fvalue. In particular, non-stoichiometric Li3Mg2Sb0.9O6ceramics sintered at 1250 °C/5 h owned seldom low dielectric constantεr= 10.8, near-zero resonant frequency temperature coefficientτf= −8.0 ppm/°C, and high quality factorQ×f= 86,300 GHz (at 10.4 GHz). This study provides an alternative approach to ameliorate its dielectric performances for Li3Mg2SbO6-based compounds through defect-engineering.
Critical transitions and tipping points in EMT
Authors: Wang Peng , Chen Luonan 
Published: September 2020

BackgroundPhase transition and phase separation as well as their tipping points are penetrating phenomena in biology and are intrinsic properties of biological systems ranging from basic molecule complexes to cells and all way up to entire ecosystems.ResultsFor example, phase separation has been established as a key mechanism for biological molecules such as protein or RNA to form membraneless organelles to perform complex biological functions. Phase transitions are commonly observed during cellular differentiation, and generally, there are the tipping points or critical states just before the phase transitions. And the stability of ecosystem and extinction of species are systematic manifestation of phase transitions. All phase transition and phase separation phenomena display switch‐like behavior and critical transitions.ConclusionHere we summarize the concepts regarding the epithelial‐to‐mesenchymal transition (EMT) as a type of phase changes and the implication of critical transitions in EMT, and discuss open questions and challenges in this fast‐moving field.
An Emergency Switch to Distance Learning in Response to the COVID-19 Pandemic: Experience from an Internationally Accredited Undergraduate Pharmacy Program at Qatar University
Authors: Hussain Farhat Naz , Al-Mannai Reem , Agouni Abdelali 
Published: September 2020

AbstractThe world is experiencing an unprecedented public health emergency owing to the COVID-19 pandemic. To control virus spread, many countries temporarily suspended classes. In this context, the availability of e-tools and distance learning platforms in higher education institutions has proven very useful to facilitate the emergency switch to distance learning to ensure continuity of the educational process. We discuss here the experience of the College of Pharmacy at Qatar University in responding to suspension of classes using available educational technologies. Furthermore, we provide some reflection points for optimal implementation of technology-enhanced learning into distance education for future academic years.
The digital transformation of the healthcare industry: exploring the rise of emerging platform ecosystems and their influence on the role of patients
Authors: Hermes Sebastian , Riasanow Tobias , Clemons Eric K. , Böhm Markus , Krcmar Helmut 
Published: September 2020

AbstractWhile traditional organizations create value within the boundaries of their firm or supply chain, digital platforms leverage and orchestrate a platform-mediated ecosystem to create and co-create value with a much wider array of partners and actors. Although the change to two-sided markets and their generalization to platform ecosystems have been adopted among various industries, both academic research and industry adoption have lagged behind in the healthcare industry. To the best of our knowledge current Information Systems research has not yet incorporated an interorganizational perspective of the digital transformation of healthcare. This neglects a wide range of emerging changes, including changing segmentation of industry market participants, changing patient segments, changing patient roles as decision makers, and their interaction in patient care. This study therefore investigates the digital transformation of the healthcare industry by analyzing 1830 healthcare organizations found on Crunchbase. We derived a generic value ecosystem of the digital healthcare industry and validated our findings with industry experts from the traditional and the start-up healthcare domains. The results indicate 8 new roles within healthcare, namely: information platforms, data collection technology, market intermediaries, services for remote and on-demand healthcare, augmented and virtual reality provider, blockchain-based PHR, cloud service provider, and intelligent data analysis for healthcare provider. Our results further illustrate how these roles transform value proposition, value capture, and value delivery in the healthcare industry. We discuss competition between new entrants and incumbents and elaborate how digital health innovations contribute to the changing role of patients.
Peer-to-Peer-Based Social Networks: A Comprehensive Survey
Authors: Masinde Newton , Graffi Kalman 
Published: September 2020

AbstractThe use of online social networks, such as Facebook and Twitter, has grown at a phenomenal rate. These platforms offer services that support interactions via messaging, chatting or audio/video conferencing, and also sharing of content. Most, if not all, of these platforms use centralized computing systems; therefore, the control and management of the systems lies entirely in the hands of one provider, who must be trusted to treat the data and communication traces securely. As a zero-trust alternative, peer-to-peer (P2P) technologies promise to support end-to-end communication, uncompromising access control, anonymity and resilience against censorship and massive data leaks through misused trust. The goals of this survey are threefold. First, the survey elaborates the properties of P2P-based online social networks and defines the requirements for such (zero-trust) platforms. Second, it gives an exposition of the building blocks for P2P frameworks that allow the creation of such sophisticated and demanding applications, such as user/identity management, reliable data storage, secure communication, access control and general-purpose extensibility, which are not properly addressed in other P2P surveys. As a third point, it gives a comprehensive analysis of proposed P2P-based online social network applications, frameworks and architectures by exploring the technical details, inter-dependencies and maturity of these solutions.
Analyzing the prevalence of proctological diseases in HIV-positive and -negative patients
Authors: Manzione Thiago da Silveira , Morgado Luiza Mello Ayres , Nadal Sidney Roberto 
Published: September 2020

Abstract
Objective To compare proctological diseases in HIV-positive and -negative patients.
Method Prospective study conducted in the proctology outpatient clinic at Instituto de Infectologia Emílio Ribas from 2013 through 2019. All of them underwent anamnesis and proctological examination and were divided into two groups (HIV+ and HIV−). The groups were then compared with regard to age, sex, diagnosis, and whether or not there was any indication for surgery.
Results 485 HIV + patients (41.9%) (Group I) and 672 HIV− (58.1%) (Group II). The mean age in Group I was 42.8 years, and 404 (83.3%) of the patients were males. In Group II, the mean age was 48.3 years, and 396 (59%) patients were females. In comparing the groups, a statistically significant difference was found regarding sex, age, and diagnosis. The incidence of hemorrhoid and anal skin tags was higher in group II and that of condyloma acuminata was higher in in Group I (p < 0.001). In Group I, condyloma acuminata was more prevalent, but in those with CD4 levels above 500 cells/mm3, the diagnoses were more similar to those in the population without HIV.
Conclusions Proctological diseases were found to be similar but have different incidences. The incidences of diseases in HIV− and + patients tend to approach each other as CD4 level increases.
Robotic transanal ressection for rectal tumor: A description of the technique
Authors: Valadão Marcus , Câmara Eduardo Rodrigues Zarco , Linhares Eduardo , De Jesus José Paulo , Araújo Rodrigo 
Published: September 2020

Abstract
Introduction Robotic transanal surgery (RTS) is the analog of TAMIS and represents a new focus for the advancement of transanal platforms robotic transanal surgery is sometimes referred to as robotic TAMIS. Though limited to only a few centers world-wide, experience with robotic transanal surgery has been encouraging. Most research with robotic transanal surgery has concentrated on local excision of rectal neoplasia, although more complex procedures such as transanal proctectomy are possible using the robotic approach. This article reports the surgical technique of R-TAMIS performed in the Brazilian National Cancer Institute (INCA, Rio de Janeiro).
Methods 71-year-old, female with cardiologic disease (heart failure), with a 1.5 cm rectal neoplasm at 4 cm from the anal verge in the right anterolateral position. Biopsy revealed neuroendocrine tumor. A compete colonoscopy revealed no evidence of synchronous lesions. Work-up included 3D endorectal ultrasonography and magnetic resonance imaging, which demonstrated the lesion to be uT1uN0. The patient was counseled about surgical options − local excision versus low anterior resection. Due to the cardiologic condition, the patient was elected to proceed with local excision with robotic transanal surgery.
Conclusion Robotic TAMIS is a safe and effective operative procedure for high selected cases of rectal neoplasm. It enhances surgeon ergonomics and facilitates tumor removal and suture in the transanal approach.
Ostomy time and nutrition status were associated on quality of life in patients with colorectal cancer
Authors: Silva Karine de Almeida , Duarte Arenamoline Xavier , Cruz Amanda Rodrigues , Cardoso Letícia Oliveira , Santos Thatty Christina Morais , Pena Geórgia das Graças 
Published: September 2020

AbstractIntroduction Colorectal cancer frequency increases each year and consequently the number of ostomies, a procedure that helps in the treatment of colorectal cancer but has an impact on quality of life. Studies evaluating the impact of ostomy time and nutritional status on the quality of life of colostomized patients with colorectal cancer are scarce in the literature. So, the aim of this study was to evaluate the association ostomy time and nutritional status on quality of life in colostomized colorectal cancer patients.Methods A cross-sectional study was conducted with 97 colostomized patients due to colorectal cancer from a reference service. Socioeconomic, demographic, clinical data were obtained. European Organisation for Research and Treatment of Cancer questionnaires EORTC-QLQ30 and EORTC-QLQ-CR29 were used to analyse the quality of life. Statistical significance analysis was performed using the Wilcoxon’s non-parametric or Chi–Square test.Results Of the 97 individuals, 50.5% were female, 64.9% were over 60 years old, 67.4% have ostomy for less than 1 year. Half of the patients had some nutritional status inadequacy: 24.2% were malnourished, 17.9% overweight and 8.4% obese. Shorter ostomy time was associated with role function, blood or mucus in stools, stoma care problems and men's sexual interest, while malnutrition was associated with concern about weight.Conclusions Ostomy time and nutrition status were associated with quality of life in some domains, such as role function, insomnia, appetite loss, abdominal pain, buttock pain, bloating, hair loss, taste loss have an impact together with the nutritional status on the quality of life in patients colostomized colorectal cancer.
Making Mitigation Meaningful to Descendant Communities: An Example from Zuni
Authors: Dongoske Kurt E. 
Published: September 2020

ABSTRACTMitigation of adverse impacts to archaeological resources within cultural resource management (CRM) is commonly achieved through a data recovery plan. Under this venue, the primary significance of a given site is its evaluation under NRHP Criterion D—its information potential. Rarely is consideration given to the emotional, psychological, and spiritual values descendant Native American communities attribute to these places in relation to their importance under other criteria. The associative relationships and integrity of traditional religious and cultural practices connected to sites are often overlooked because the identification of significance and values of archaeological sites is defined by Euro-American intellectual and value-laden frameworks. Even if one claims “scientific objectivity” as one's guiding principle, implementation of such practices without regard for Native American perspectives are clear violations of NHPA mandates. Balanced design of mitigation measures is seriously lacking from CRM practice, resulting in descendant communities being continually disenfranchised through the silencing of their voice in the management of their own heritage and inheritance. This article examines this issue from the perspective of the Pueblo of Zuni and how Zuni successfully worked with the Bureau of Reclamation to design a strategy for resolving adverse effects that is meaningful and beneficial to the Zuni.
Hospitalizations in School-Aged Children with Cerebral Palsy and Population-Based Controls
Authors: Fortin Olivier , Ng Pamela , Dorais Marc , Koclas Louise , Pigeon Nicole , Shevell Michael , Oskoui Maryam 
Published: September 2020

ABSTRACT:Objective:To compare hospitalizations among children with cerebral palsy (CP) and healthy controls and to identify factors associated with hospitalizations in children with CP.Methods:This retrospective cohort study linked data from a provincial CP Registry and administrative health databases. The CP cohort was comprised of children born from 1999 to 2002. Age, sex, and region-matched controls were identified from administrative health databases. Mean differences, relative risk (RR), and 95% confidence intervals (CIs) were calculated.Results:A total of 301 children with CP were linked to administrative health data and matched to 6040 controls. Mean hospitalizations per child during the study period were higher in children with CP compared to controls (raw mean difference (RMD) 5.0 95% CI 4.7 to 5.2) with longer length of stay (RMD 2.8 95% CI 1.8 to 3.8) and number of diagnoses per hospitalization (RMD 1.6 95% CI 1.4 to 1.8). Increased risk of hospitalization was observed in non-ambulant children with CP (RR 1.12 95% CI 1.01 to 1.22) compared to ambulant children and among those with spastic tri/quadriplegic CP compared to other CP subtypes (RR 1.15, 95% CI 1.05 to 1.27). Feeding difficulties (RR 1.20 95% CI 1.13 to 1.27), cortical visual (RR 1.22 95% CI 1.13 to 1.32), cognitive (RR 1.16 95% CI 1.04 to 1.30), and communication impairment (RR 1.26 95% CI 1.10 to 1.44) were associated with increased hospitalizations.Conclusions:Children with CP face more frequent, longer hospital stays than peers, especially those with a more severe CP profile. Coordinated interdisciplinary care is needed in school-aged children with CP and medical complexity.
Arterial Hypertension and Risk of Recurrent Event in Young Ischemic Stroke Patients
Authors: Divišová Petra , Šaňák Daniel , Václavík Jan , Král Michal , Hutyra Martin , Zapletalová Jana , Bártková Andrea , Franc David , Dorňák Tomáš , Veverka Tomáš , Táborský Miloš , Kaňovský Petr 
Published: September 2020

ABSTRACT:Introduction:In young patients, the cause of ischemic stroke (IS) remains often cryptogenic despite presence of traditional vascular risk factors (VRFs). Since arterial hypertension (AH) is considered the most important one, we aimed to evaluate the impact of AH and blood pressure (BP) levels after discharge on risk of recurrent IS (RIS) in young patients.Methods:The study set consisted of acute IS patients < 50 years of age enrolled in the prospective Heart and Ischemic STrOke Relationship studY registered on ClinicalTrials.gov (NCT01541163). Cause of IS was assessed according to the ASCOD classification.Results:Out of 319 enrolled patients <50 years of age (179 males, mean age 41.1 ± 7.8 years), AH was present in 120 (37.6%) of them. No difference was found in the rates of etiological subtypes of IS between patients with and without AH. Patients with AH were older, had more VRF, used more frequently antiplatelets prior IS, and had more RIS (10 vs. 1%,p= 0.002) during a follow-up (FUP) with median of 25 months. Multivariate logistic regression stepwise model showed the prior use of antiplatelets as only predictor of RIS (p= 0.011, OR: 6.125; 95% CI: 1.510–24.837). Patients with elevated BP levels on BP Holter 1 month after discharge did not have increased rate of RIS during FUP (3.8 vs. 1.7%,p= 1.000).Conclusion:AH occurred in 37.6% of young IS patients. Patients with AH had more frequently RIS. Prior use of antiplatelets was found only predictor of RIS in young IS patients with AH.
Taiwan’s Successful COVID-19 Mitigation and Containment Strategy: Achieving Quasi Population Immunity
Authors: Chien Li-Chien , Beÿ Christian K. , Koenig Kristi L. 
Published: September 2020

ABSTRACTThe authors describe Taiwan’s successful strategy in achieving control of coronavirus disease (COVID-19) without economic shutdown, despite the prediction that millions of infections would be imported from travelers returning from Chinese New Year celebrations in Mainland China in early 2020. As of September 2, 2020, Taiwan reports 489 cases, 7 deaths, and no locally acquired COVID-19 cases for the last 135 days (greater than 4 months) in its population of over 23.8 million people. Taiwan created quasi population immunity through the application of established public health principles. These non-pharmaceutical interventions, including public masking and social distancing, coupled with early and aggressive identification, isolation, and contact tracing to inhibit local transmission, represent a model for optimal public health management of COVID-19 and future emerging infectious diseases.
Ordinary care in extraordinary times
Authors: Patel S. , Gannon A. , Cryan M. , McDonnell N. , Rafiq S. , Adamis D. , Dolan C. , McCarthy G. 
Published: September 2020

The Coronavirus Disease 2019 (COVID-19) has accounted for more than 25 000 cases in Ireland with approximately 28% of the clusters in nursing homes as of June 2020. The older population is the most vulnerable to serious complications from this illness and over 90% of deaths due to COVID-19 to date have been in patients over the age of 65. Continuing to provide routine care within nursing homes in these challenging times is an essential part of ensuring that presentations to hospitals for non-essential reasons are minimized. In this article, we describe a project being undertaken by a rural Psychiatry of Old Age Service in the northwest of Ireland. We aim to provide ordinary care in extraordinary times by using mobile tablets within the nursing homes and long-stay facilities in our region for remote video consultations during the COVID-19 crisis.