bluuebunny/crossref_metadata_2025_split huggingface dataset:
Anal cancer screening in a high-risk behavior group: A local picture
Authors: Rabelo Fernanda Elias Ferreira , Oliveira Fábio Henrique de , Melo Bárbara Diniz Greco de , Borges Eduardo Rafael Oliveira , Pena Nicholas Resende , Ferreira Rayara Pupo , Prates Thais Oliveira , Paes Juliana Fracalossi 
Published: January 2020

Abstract
Study objectives To perform anal lesion and anal cancer screening in men living with HIV/AIDS.
Methods This is a descriptive, observational, cross-sectional study. Data were obtained from the Specialized Assistance Service (SAE) in Divinópolis, Minas Gerais. A sociodemographic, epidemiological, and sexual behavior questionnaire was applied; material was collected for cytology, high-resolution anoscopy (AAR) was performed, and an acceptability questionnaire applied.
Main results Of the 50 men living with HIV/AIDS invited to participate in this study, 6% were excluded because they were illiterate, 40% refused to participate, and 54% participated in the survey. Among these, all answered the self-administered questionnaire. However, ten (37.0%) underwent proctological examination and anal cytology. Of these, two did not respond to the acceptability questionnaire. No anal lesions were identified during AAR and no biopsy was required. A 10% change in anal cytology was found.
Conclusions Through the study it was possible to construct a flow of referrals from the SAE to the UFSJ Coloproctology outpatient clinic. Moreover, the existence of internal stigmas on the part of the participants regarding the proctological examination and the lack of information about anal cancer screening are challenges to be overcome.
Nudge FORGOOD
Authors: LADES LEONHARD K. , DELANEY LIAM 
Published: January 2020

AbstractInsights from the behavioural sciences are increasingly used by governments and other organizations worldwide to ‘nudge’ people to make better decisions. Furthermore, a large philosophical literature has emerged on the ethical considerations on nudging human behaviour that has presented key challenges for the area, but is regularly omitted from discussion of policy design and administration. We present and discuss FORGOOD, an ethics framework that synthesizes the debate on the ethics of nudging in a memorable mnemonic. It suggests that nudgers should consider seven core ethical dimensions:Fairness,Openness,Respect,Goals,Opinions,OptionsandDelegation. The framework is designed to capture the key considerations in the philosophical debate about nudging human behaviour, while also being accessible for use in a range of public policy settings, as well as training.
Nationalism with a Human Face? European Human Rights Judgments and the Reinvention of Nationalist Politics
Authors: Henrard Kristin , Vermeersch Peter 
Published: January 2020

AbstractIn this article, we show how judgments of the European Court of Human Rights (ECtHR) have provided nationalists with an unexpected opportunity to promote a nationalist discourse that is seemingly in line with human rights while fundamentally at odds with the counter-majoritarian core of human rights. We start our analysis with two judgments in which the Court accepted the arguments of liberal democratic states to infringe fundamental rights of persons belonging to (immigrant) Muslim minorities in the name of “requirements of living together” or “social integration”: SAS v France (2014) and Osmanoglu and Kocabas v Switzerland (2017). Strikingly, the justifications by the states for these infringements point to concerns about perceived threats to national identity and culture. We show how nationalist politicians in countries with minority populations, including those in East Central Europe, have used justifications in terms of national self-protection, tacitly or explicitly, to pursue old anti–human rights agendas. The case law discussed here enabled them to present these justifications as ECtHR proof, notwithstanding the underlying nationalism.
Economic Nationalism of the Committee of Union and Progress Revisited: The Case of the Society for the Ottoman Navy
Authors: Gökatalay Semih 
Published: January 2020

AbstractThe Ottoman-Turkish historiography has been largely concerned with the economic nationalism of the Committee of Union and Progress (CUP), which consisted of four doctrines: elimination of foreign dominance on the Ottoman economy, removal of non-Muslims from the economic sphere, creation of a Turkish/Muslim bourgeoisie, and rapid industrialization. Through its focus on the economic activities of the Society for the Ottoman Navy, a CUP-affiliated charitable organization with enormous economic power, the present study investigates how the economic policies of the period can be regarded as a practice of economic nationalism. Based on archival material and in dialogue with secondary sources, this article argues that although the Unionist leadership and intelligentsia employed the language of economic nationalism, the operation of the economy in practice was considerably different from its rhetoric. War conditions, the lack of indigenous capital accumulation, and relations of the Ottoman Empire with foreign powers heavily shaped the implementation of the economic nationalism of the CUP.
Geometric framework reveals that a moderate protein, high carbohydrate intake is optimal for severe burn injury in mice
Authors: Hew Jonathan J. , Parungao Roxanne J. , Tsai Kevin H.-Y. , Shi Huaikai , Ma Duncan , Nicholls Caroline , Li Zhe , Solon-Biet Samantha M. , D’Souza Mario , Le Couteur David G. , Simpson Stephen J. , Jeschke Marc G. , Maitz Peter K. , Wang Yiwei 
Published: January 2020

AbstractNutritional therapy is a cornerstone of burns management. The optimal macronutrient intake for wound healing after burn injury has not been identified, although high-energy, high-protein diets are favoured. The present study aimed to identify the optimal macronutrient intake for burn wound healing. The geometric framework (GF) was used to analyse wound healing after a 10 % total body surface area contact burn in micead libitumfed one of the eleven high-energy diets, varying in macronutrient composition with protein (P5−60 %), carbohydrate (C20−75 %) and fat (F20−75 %). In the GF study, the optimal ratio for wound healing was identified as a moderate-protein, high-carbohydrate diet with a protein:carbohydrate:fat (P:C:F) ratio of 1:4:2. High carbohydrate intake was associated with lower mortality, improved body weight and a beneficial pattern of body fat reserves. Protein intake was essential to prevent weight loss and mortality, but a protein intake target of about 7 kJ/d (about 15 % of energy intake) was identified, above which no further benefit was gained. High protein intake was associated with delayed wound healing and increased liver and spleen weight. As the GF study demonstrated that an initial very high protein intake prevented mortality, a very high-protein, moderate-carbohydrate diet (P40:C42:F18) was specifically designed. The dynamic diet study was also designed to combine and validate the benefits of an initial very high protein intake for mortality, and subsequent moderate protein, high carbohydrate intake for optimal wound healing. The dynamic feeding experiment showed switching from an initial very high-protein diet to the optimal moderate-protein, high-carbohydrate diet accelerated wound healing whilst preventing mortality and liver enlargement.
High parasite diversity in a neglected host: larval trematodes ofBithynia tentaculatain Central Europe
Authors: Schwelm J. , Kudlai O. , Smit N.J. , Selbach C. , Sures B. 
Published: January 2020

AbstractBithynids snails are a widespread group of molluscs in European freshwater systems. However, not much information is available on trematode communities from molluscs of this family. Here, we investigate the trematode diversity ofBithynia tentaculata, based on molecular and morphological data. A total of 682 snails from the rivers Lippe and Rhine in North Rhine-Westphalia, Germany, and 121B.tentaculatafrom Curonian Lagoon, Lithuania were screened for infections with digeneans. In total,B. tentaculatashowed a trematode prevalence of 12.9% and 14%, respectively. The phylogenetic analyses based on 55 novel sequences for 36 isolates demonstrated a high diversity of digeneans. Analyses of the molecular and morphological data revealed a species-rich trematode fauna, comprising 20 species, belonging to ten families. Interestingly, the larval trematode community ofB. tentaculatashows little overlap with the well-studied trematode fauna of lymnaeids and planorbids, and some of the detected species (Echinochasmus beleocephalusandE. coaxatus) constitute first records forB. tentaculatain Central Europe. Our study revealed an abundant, diverse and distinct trematode fauna inB.tentaculata, which highlights the need for further research on this so far understudied host–parasite system. Therefore, we might currently be underestimating the ecological roles of several parasite communities of non-pulmonate snail host families in European fresh waters.
Resisting Dispossession: Performative Spatial Irruptions and the LA Poverty Department
Authors: Welch Kimberly Chantal 
Published: January 2020

I was so unimpressed with the city council. … They had a line of homeless people who were allowed to vote because Kevin [Michael Key] was running for councilman and everything. So, they wanted IDs … [The person tabling] asked me, “Well I need some id. Do you have any ID?” And the way he said it, he knew I wouldn't have any id. It was like I wasn't even there. I was invisible. He was just going through the motions of making the sound. But he didn't know he was dealing with R-C-B. So when I dropped my passport, and I do mean dropped my passport on the table, that's when I got respect.—RCB, Los Angeles Poverty Department (LAPD)What does it mean to perform presence or selfhood? What conditions necessitate these performances? In the opening epigraph, RCB articulates an instance when transparency was mapped onto his body—a moment in which he was simultaneously invisible as an individual and hypervisible as the projections of stereotypes surrounding homelessness and blackness collided on his body, rendering his history, present, and future as instantly knowable. During the election cycles of 2010, 2012, and 2014, KevinMichael Key, a prominent, formerly homeless Skid Row activist, community organizer, and member of the Los Angeles Poverty Department (LAPD), ran for a position on the Downtown Los Angeles Neighborhood Council (DLANC). As part of his campaigns, Key sought to help homeless residents of Skid Row exercise their right to vote. One instantiation of this objective involved tabling in the neighborhood. In a show of support, RCB lined up to vote and subsequently encountered the tabler. “And the way he said it, he knew I wouldn't have any ID. It was like I wasn't even there. I was invisible.” As understood by RCB, the tabler did not expect homeless individuals to possess government-issued identification. Instead of acknowledging RCB's individuality and subjectivity, the tabler assumed that RCB's status as homeless meant not having state ID, an official marker of occupancy in a state-recognized residence. In this interaction, RCB's political subjectivity was under erasure, invisible. For RCB, in this confrontation, homelessness marked him as a knowable (non)subject—a generic homeless man.
Food Insecurity and Aging: A Scoping Study of the Literature
Authors: Leroux Janette , Cox Justyna , Rosenberg Mark 
Published: January 2020

ABSTRACTLiterature on food insecurity (FI) and aging is limited and scattered across disciplines, the reasons for which include the nascence of the study of “hunger” more generally, and relatively lower rates of FI among older people. This scoping review synthesized and characterized the current research to prompt a more critical examination of food insecurity and aging. Data extraction included reviewing and characterizing the empirical, methodological and conceptual contributions of each study, accessed from selected health sciences and social sciences databases. Thirty-eight studies were included from 2,041 titles. Different methods and operationalizations of FI and age were found to be used across studies. Thematic analysis revealed, with few exceptions, consistent tendencies towards the biomedicalization of the FI issue alongside aging. These findings reinforce the value of population-level monitoring of FI and uptake of standard measures. Moving forward, the issue of FI and aging is an opportune topic for critical social analysis.
Multi-drug resistant spinal tuberculosis-epidemiological characteristics of in-patients: a multicentre retrospective study
Authors: Yang S. , Yu Y. , Ji Y. , Luo D. J. , Zhang Z. Y. , Huang G. P. , He F. Y. , Wu W. J. , Mou X. P. 
Published: January 2020

AbstractTuberculosis (TB) is the leading cause of death among infectious diseases. China has a high burden of TB and accounted for almost 13% of the world's cases of multi-drug resistant (MDR) TB. Spinal TB is one reason for the resurgence of TB in China. Few large case studies of MDR spinal TB in China have been conducted. The aim of this research was to observe the epidemiological characteristics of inpatients with MDR spinal TB in six provinces and cities of China from 1999–2015. This is a multicentre retrospective observational study. Patients' information was collected from the control disease centre and infectious disease database of hospitals in six provinces and cities in China. A total of 3137 patients with spinal TB and 272 patients with MDR spinal TB were analysed. The result showed that MDR spinal TB remains a public health concern and commonly affects patients 15–30 years of age (34.19%). The most common lesions involved the thoracolumbar spine (35.66%). Local pain was the most common symptom (98.53%). Logistic analysis showed that for spinal TB patients, reside in rural district (OR 1.79), advanced in years (OR 1.92) and high education degree (OR 2.22) were independent risk factors for the development of MDR spinal TB. Women were associated with a lower risk of MDR spinal TB (OR 0.48). The most common first-line and second-line resistant drug was isoniazid (68.75%) and levofloxacin (29.04%), respectively. The use of molecular diagnosis resulted in noteworthy clinical advances, including earlier initiation of MDR spinal TB treatment, improved infection control and better clinical outcome. Chemotherapy and surgery can yield satisfactory outcomes with timely diagnosis and long-term treatment. These results enable a better understanding of the MDR spinal TB in China among the general public.
Adolescents with congenital heart defects: a patient and parental perspective of genetic information and genetic risk
Authors: Crawford Christopher A. , Vujakovich Courtney E. , Elmore Lindsey , Fleming Emily , Landis Benjamin J. , Spoonamore Katie G. , Ware Stephanie M. 
Published: January 2020

AbstractCongenital heart defects (CHDs) occur in 8 of 1000 live-born children, making them common birth defects in the adolescent population. CHDs may have single gene, chromosomal, or multifactorial causes. Despite evidence that patients with CHD want information on heritability and genetics, no studies have investigated the interest or knowledge base in the adolescent population. This information is necessary as patients in adolescence take greater ownership of their health care and discuss reproductive risks with their physicians. The objectives of this survey-based study were to determine adolescents’ recall of their own heart condition, to assess patient and parent perception of the genetic contribution to the adolescent’s CHD, and to obtain information about the preferred method(s) for education. The results show that adolescent patients had good recall of their type of CHD. Less than half of adolescents and parents believed their CHD had a genetic basis or was heritable; however, adolescents with a positive family history of CHD were more likely to believe that their condition was genetic (p = 0.0005). The majority of patients were interested in receiving additional genetics education and preferred education in-person and in consultation with both parents and a physician. The adolescents who felt most competent to have discussions with their doctors regarding potential causes of their heart defect previously had a school science course which covered topics in genetics. These results provide insight into adolescents’ perceptions and understanding about their CHD and genetic risk and may inform the creation and provision of additional genetic education.
Infantile-onset pompe disease: a tale of two cases
Authors: Tolani Drishti , Bansal Neha , Sehgal Swati 
Published: January 2020

AbstractPompe disease is a type-II glycogen storage disease, and clinical manifestations include hypertrophic cardiomyopathy and generalised muscular hypotonia. Enzyme replacement therapy has proven to be effective in reversing the ventricular hypertrophy. The outcomes are variable depending on time to diagnosis and severity of the cardiac disease. We describe two contrasting cases of patients with infantile-onset Pompe disease. The first child was diagnosed late and had severe cardiac hypertrophy with respiratory decompensation and ventilator dependence and eventual death. The second case was diagnosed at birth with early initiation of therapy resulting in a good outcome. Our cases highlight the importance of early initiation of enzyme replacement therapy to improve clinical outcomes.
A Cross-Sectional Survey on Burnout Prevalence and Profile in the Sicilian Population of Ambulance Driver-Rescuers
Authors: Ferraro Laura , La Cascia Caterina , De Santis Antonio , Sideli Lucia , Maniaci Giuseppe , Orlando Ilenia Maria , Chifari Angelo , Maniaci Lorenzo , La Barbera Daniele 
Published: January 2020

AbstractIntroduction:Burnout is present at a high rate in emergency medicine. The ambulance driver-rescuers, who furnish first aid to the victims, are the non-medical part of the Italian 118-service staff. There is a lack of research on burnout risk in Italian Emergency Medical Services and, particularly, for this category of workers. The two Italian studies, including a little group of ambulance driver-rescuers, reported inconsistent findings.Hypothesis:This survey investigated for the first time the prevalence and exact profile of burnout in a large sample of Italian driver-rescuers. As a secondary aim, the study described how the items of the Italian version of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) cluster in components in this sample.Methods:This cross-sectional census survey was conducted from June 2015 through May 2016 and involved all the driver-rescuers operating in Sicily, the biggest and most southern region of Italy. The subjects received a classification according to different profiles of burnout by using the Italian version of the MBI-HSS (burnout, engagement, disengagement, over-extension, and work-inefficacy). In order to explore the existence of independent factors, a Principal Component Analysis (PCA) was conducted on the survey to obtain eigenvalues >one for each component in the data.Results:The final sample comprised 2,361 responders (96.6% of the initial sample). Of them, 29.8% were in burnout (95% confidence interval [CI], 27.8% to 31.8%) and 1.7% presented a severe form (95% CI, 1.1% to 2.3%); 30.0% were engaged in their work (95% CI, 21.0% to 34.8%), 24.7% of responders were disengaged (95% CI, 22.9% to 26.5%), 1.2% presented an over-extension profile (95% CI, 0.8% to 1.7%), and 12.6% felt work-inefficacy (95% CI, 11.3% to 14.1%). The factors loaded into a five-factor solution at PCA, explaining 48.1% of the variance and partially replicating the three-factor structure. The Emotional Exhaustion (EE) component was confirmed. New dimensions from Personal Accomplishment (PA) and Depersonalization (DP) sub-scales described empathy and disengagement with patients, respectively, and were responsible for the increased risk of burnout.Conclusions:These results endorse the importance of screening and psychological interventions for this population of emergency workers, where burnout could manifest itself more insidiously. It is also possible to speculate that sub-optimal empathy skills could be related to the disengagement and work-inefficacy feelings registered.
Performance of First Aid Trained Staff using a Modified START Triage Tool at Achieving Appropriate Triage Compared to a Physiology-Based Triage Strategy at Australian Mass Gatherings
Authors: Douglas Ned , Leverett Jacqueline , Paul Joseph , Gibson Mitchell , Pritchard Jessica , Brouwer Kayla , Edwards Ebony , Carew James , Donovan Jake , Bourke Elyssia , Smith Erin 
Published: January 2020

AbstractIntroduction:Triage at mass gatherings in Australia is commonly performed by staff members with first aid training. There have been no evaluations of the performance of first aid staff with respect to diagnostic accuracy or identification of presentations requiring ambulance transport to hospital.Hypothesis:It was hypothesized that triage decisions by first aid staff would be considered correct in at least 61% of presentations.Methods:A retrospective audit of 1,048 presentations to a single supplier of event health care services in Australia was conducted. The presentations were assessed based on the first measured set of physiological parameters, and the primary triage decision was classified as “expected” if the primary and secondary triage classifications were the same or “not expected” if they differed. The performance of the two triage systems was compared using area under the receiver operating characteristic curve (AUROC) analysis.Results:The expected decision was made by first aid staff in 674 (71%) of presentations. Under-triage occurred in 131 (14%) presentations and over-triage in 142 (15%) presentations. The primary triage strategy had an AUROC of 0.7644, while the secondary triage strategy had an AUROC of 0.6280, which was significantly different (P = .0199).Conclusion:The results support the continued use of first aid trained staff members in triage roles at Australian mass gatherings. Triage tools should be simple, and the addition of physiological variables to improve the sensitivity of triage tools is not recommended because such an approach does not improve the discriminatory capacity of the tools.