bluuebunny/crossref_metadata_2025_split huggingface dataset:
Measuring the Domain Specificity of Workload Using EEG: Auditory and Visual Domains in Rotary-Wing Simulated Flight
Authors: Feltman Kathryn A. , Bernhardt Kyle A. , Kelley Amanda M. 
Published: June 2020

Objective The overarching objective was to evaluate whether workload sensory-domain specificity could be identified through electroencephalogram (EEG) recordings during simulated rotary-wing operations. Background Rotary-wing aviators experience workload from different sensory domains, although predominantly through auditory and visual domains. Development of real-time monitoring tools using psychophysiological indices, such as EEG recordings, could enable identification of aviator overload in real time. Method Two studies were completed, both of which recorded EEG, task performance, and self-report data. In Study 1, 16 individuals completed a basic auditory and a basic visual laboratory task where workload was manipulated. In Study 2, 23 Army aviators completed simulated aviation flights where workload was manipulated within auditory and visual sensory domains. Results Results from Study 1 found differences in frontal alpha activity during the auditory task, and that alpha and beta activities were associated with perceived workload. Frontal theta activity was found to differ during the visual task while frontal alpha was associated with perceived workload. Study 2 found support for frontal beta activity and the ratio of beta to alpha + theta to differentiate level of workload within the auditory domain. Conclusion There is likely a role of frontal alpha and beta activities in response to workload manipulations within the auditory domain; however, this role becomes more equivocal when examined in a multifaceted flight scenario. Application Results from this study provide a basis for understanding changes in EEG activity when workload is manipulated in sensory domains that can be used in furthering the development of real-time monitoring tools.
The personal social network of psychiatric service users
Authors: Wyngaerden François , Tempels Marie , Feys Jean-Louis , Dubois Vincent , Lorant Vincent 
Published: June 2020

Background: For psychiatric service users, the personal social network offers resources such as behavioural guidance, social support, and coherence of care delivery. So far, most research on the subject has assessed the availability of these resources using size and composition measures. However, the availability of network resources also depends on the cohesion of the relationships between network members, a topic that is rarely addressed in the literature. Aims: In this article, we aim to describe the cohesion of psychiatric service users’ networks. Method: We carried out a personal network survey and collected data on the social networks of 380 service users recruited in outpatient and inpatient services in Belgium. We used an ego-network mapping technique. The data were analysed using several structural metrics describing size, composition, and cohesion. We carried out analysis of variance (ANOVA) in relation to residential status, level of education, psychiatric history, and psychosocial functioning and analysed three cohesion indicators (density, fragmentation, and centralisation) with regression analyses. Results: Personal social networks were small and not very cohesive. Most were composed of a dense subgroup as well as several isolated network members. The analyses revealed that highly educated psychiatric service users had more fragmented networks, while users living in independent accommodation had less dense networks. Density and fragmentation were not associated with the severity of psychosocial functioning, whereas centralisation was. Conclusions: The low level of cohesion may indicate that service users aim to access multiple and diverse social resources and that better-off service users are more successful at doing so. On the whole, however, these personal social networks were fragile, because they contained a high number of isolated network members. Finally, it could be beneficial for professionals to pay special attention to the central persons within the networks of psychiatric service users.
Using a quality improvement initiative to reduce acute kidney injury during on-pump coronary artery bypass grafting
Authors: Katona Mitchell A , Walker Joshua L , Das Nitin A , Miller Stewart R , Sako Edward Y 
Published: June 2020

Introduction: In response to a perceived high incidence of acute kidney injury following cardiopulmonary bypass at our institution, a quality improvement initiative consisting of a systematic change to a delivered oxygen (DO2) goal-directed perfusion practice was implemented. We sought to maintain DO2 > 270 mL/min/m2 to reduce the incidence of acute kidney injury. Methods: ’The study population included all patients receiving isolated, non-emergent, on-pump coronary artery bypass grafting from January 2015 through December 2018, excluding patients requiring preoperative hemodialysis. DO2 goal-directed perfusion was instituted in February 2017. Acute kidney injury was defined using Acute Kidney Injury Network criteria. Results: The pre–goal-directed perfusion cohort included 257 patients, and the post–goal-directed perfusion cohort included 226 patients. The DO2 was significantly higher in the post–goal-directed perfusion group (p < 0.001). Postoperative change in serum creatinine and incidence of acute kidney injury were significantly lower in the post–goal-directed perfusion group (p < 0.001, p = 0.001, respectively). Estimation with probit and ordered probit models support these findings. Conclusion: This initiative confirms previous assertions that DO2 is a critical intraoperative parameter and should direct perfusion intervention accordingly.
A review and agenda for examining how technology-driven changes at work will impact workplace mental health and employee well-being
Authors: Johnson Anya , Dey Shanta , Nguyen Helena , Groth Markus , Joyce Sadhbh , Tan Leona , Glozier Nicholas , Harvey Samuel B 
Published: June 2020

The mental health and well-being of employees is an increasingly important issue, both in terms of the financial costs to the Australian economy and human costs to society. This review examines two major technology-driven trends in the workplace and presents evidence for their impact on mental health, both positive and negative. First, we consider how we work, with a focus on changes which have been driven by automation and advanced technology in the workplace. Next, we consider where and when we work, with a focus on flexible work arrangements afforded by changes in telecommunication technology. Finally, we look forward with a critical lens to examine the implications for future research and for industry, government and education. JEL Classification: I31
“Nothing Hurts Less Than Being Dead”: Psychological Pain in Case Descriptions of Psychiatric Euthanasia and Assisted Suicide from the Netherlands: « Rien ne fait moins mal qu’être mort »: La douleur psychologique dans les descriptions de cas d’euthanasie et de suicide assisté psychiatrique aux Pays-Bas
Authors: Lengvenyte Aiste , Strumila Robertas , Courtet Philippe , Kim Scott Y. H. , Olié Emilie 
Published: June 2020

Objectives: Euthanasia and assisted suicide (EAS) of individuals with mental disorders is a growing practice in several countries, including the Netherlands. Here, we aimed to identify the most frequent dimensions of and associated factors to psychological pain, which has been associated with suicidality, in individuals undergoing psychiatric EAS. Methods: An exploratory retrospective content analysis of the English translation of 66 digital case records of individuals who died by EAS in the Netherlands between 2011 and 2014 was performed. Nine standard psychological pain dimensions (irreversibility, loss of control, emptiness, emotional flooding, freezing, social distancing, narcissistic wounds, confusion, and self-estrangement), illness, and sociodemographic variables were evaluated by 2 independent raters using a premade data abstraction form (Kohen κ > 0.8 in all cases). Results: The mean number of dimensions was 4.64 ± 1.20 (median = 5), out of 9. The most frequent dimensions were irreversibility, loss of control, emptiness, and emotional flooding, in decreasing order. Past treatment refusal and the mention of social connections in case descriptions were related to the higher number of psychological pain dimensions (4.89 ± 1.24 vs. 4.31 ± 1.07, P = 0.03 and 5.05 ± 1.17 vs. 4.43 ± 1.17, P = 0.03, respectively). Emotional flooding was the only dimension specifically associated with specific psychiatric conditions, namely posttraumatic phenomena and personality disorders. Conclusions: Numerous psychological pain dimensions were detected in case descriptions of individuals who underwent EAS before the procedure. Subjective nature of the study precludes definite conclusions but suggest that future studies should explore psychological pain and the role of interventions targeting it in patients requesting EAS.
Use of bacterial cellulose film for repair of bile duct injury in pigs
Authors: de Abreu Gilberto FS , Batista Laécio L , Adeodato Danielle CN , de Albuquerque Amanda V , Ferraz-Carvalho Rafaela S , de Lima Rodrigo P , de Souza Veridiana SB , de Carvalho Gustavo L , Aguiar José LA 
Published: June 2020

Background/objective The aim was to evaluate the use of bacterial cellulose film and bile duct autograft in repairing critical common bile duct injury in pigs. Methods A prospective experimental analytical study was carried out on 20 Sus Domesticus, Piau suidae swine, divided into a control group ( n = 10) and an experimental group ( n = 10) divided into two subgroups: bacterial cellulose film E1 and bacterial cellulose film E2 to which bacterial cellulose film was randomly allocated. The control group underwent two complete critical common bile duct sections 10 mm apart, while the experimental group with a single critical common bile duct defect underwent a 10 mm section of the longitudinal shaft with edge resection. The defects in the control group were treated with end-to-end conventional anastomosis using polyglycolic 6–0 surgical thread and the experimental group with bacterial cellulose film by continuous suture using the same material. The animals were clinically evaluated throughout the experiment on days D150 (bacterial cellulose film E1), D225 (control group), and D330 (bacterial cellulose film E2) and by intraoperative ultrasound examination related to histopathological and biochemical findings. Results The intraoperative ultrasonography detected the changes resulting from the common bile duct anastomosis in the control group that produced a considerable incidence of ductal narrowing and obstruction to the biliary flow. In the bacterial cellulose film E2 group, there was an increase in inflammation intensity, granulomatous reaction, fibrosis, and vessels density, without producing bile duct dilation in the ultrasonography assessment. Biochemical analysis of liver enzymes yielded results in the normal range confirming preservation of liver function at the different post-surgery time points. Conclusion Bacterial cellulose film, when used as a graft for bile duct repair, proved to be a biocompatible material that produced a complete healing process and biliary flow continuity.
Prevalence of Stunting in Syrian Refugee Children With Cleft Lip and/or Cleft Palate in Time of Crisis: A Call for Intervention
Authors: Chaya Bachar F. , Chalhoub Rawad , Jaafar Rola , Nahhas Nour , Abu-Sittah Ghassan 
Published: June 2020

Objective: Our study aims to compare the prevalence of stunted growth in Syrian refugee children with cleft lip and/or palate (CL±CP) to other children with CL±CP of similar socioeconomic status. Design: A retrospective medical chart review. Setting: Center for Cleft and Craniofacial Surgery at a tertiary care hospital in Lebanon in the period between January 2013 and May 2019. Patients, Participants: One hundred three Syrian refugee children and 70 Lebanese children <18 years of low socioeconomic status who have CL, CP, or both. Interventions: These patients underwent cleft repair surgeries at our center. Main Outcome Measure(s): Stunted growth measured by calculating the height-for-age z-score (HAZ). Results: Using a confidence interval of 95%, the prevalence of stunting is significantly higher among Syrian refugees ( P < .003). The prevalence of stunting and age of presentation were positively correlated ( P < .02). There was no difference in stunting between patients with CP and CL ( P < .746). There was no difference in stunting between genders. Conclusions: The majority of Syrian refugee patients with CL±CP fall on the malnourished side of the nutritional spectrum as reflected by the high percentage of stunting as well as a mean of −1 for the HAZ.
Long-Term Adherence to Renin–Angiotensin System Inhibitors and β-Blockers After Heart Failure Hospitalization in Senior Patients
Authors: Qin Xiwen , Hung Joseph , Teng Tiew-Hwa Katherine , Briffa Tom , Sanfilippo Frank M. 
Published: June 2020

Aims: We investigated long-term adherence to renin–angiotensin system inhibitors (RASIs) and β-blockers, and associated predictors, in senior patients after hospitalization for heart failure (HF). Methods: A population-based data set identified 4488 patients who survived 60 days following their index hospitalization for HF in Western Australia from 2003 to 2008 with a 3-year follow-up. Their person-linked Pharmaceutical Benefits Scheme records identified medications dispensed during follow-up. Drug discontinuation was defined as the first break ≥90 days following the previous supply. Medication adherence was calculated using the proportion of days covered (PDC), with PDC ≥ 80% defined as being adherent. Multivariable logistic regression models were used to identify predictors of PDC < 80%. Results: In the cohort (57% male, mean age: 76.6 years), 77.4% were dispensed a RASI and 52.7% a β-blocker within 60 days postdischarge. Over the 3-year follow-up, 28% and 42% of patients discontinued RASI and β-blockers, respectively. Only 64.6% and 47.5% of RASI and β-blocker users, respectively, were adherent to their treatment over 3 years, with adherence decreasing over time (trend P < .0001 for RASI and trend P = .02 for β-blockers). Older age, increasing Charlson comorbidity score, chronic kidney disease, and chronic obstructive pulmonary disease were independent predictors of PDC < 80% for both drug groups. Conclusion: Among seniors hospitalized for HF, discontinuation gaps were common for RASI and β-blockers postdischarge, and long-term adherence to these medications was suboptimal. Where appropriate, strategies to improve long-term medication adherence are indicated in HF patients, particularly in elderly patients with comorbidities.
Tell me where it is: Selective difficulties in spatial language on the autism spectrum
Authors: Bochynska Agata , Coventry Kenny R. , Vulchanov Valentin , Vulchanova Mila 
Published: June 2020

Proficient use of spatial terms such as under, to the left of or in front of is a central component of daily communication and is important in the development of language and spatial cognition. Here we examine spatial language abilities in intellectually high-functioning individuals with autism spectrum disorder, an area previously overlooked in autism research. Twenty-five high-functioning individuals with ASD and 25 typically developing controls, matched for chronological age and cognitive abilities, completed a novel battery tapping a broad range of spatial language abilities. We report selective difficulties in the production of spatial terms and spatial description recall in high-functioning ASD. Overall verbal abilities did not account for the observed group differences. Crucially, however, the intensity of autism spectrum traits predicted individual performance in both spatial language production and spatial description recall. We discuss the theoretical implications of these findings and explore their significance for both clinical practice and intervention. Lay abstract How we think and talk about space is an essential ability, necessary for understanding the world around us. We recruit spatial thinking every day when finding our way or using tools but also in more advanced tasks, such as reading complex graphs or maps. We do so also in daily communication when we use spatial language, terms such as under, over, to the left of or in front of, and when we give instructions. Spatial terms appear in children’s early vocabularies and continue to develop until late childhood or even early adolescence. Because spatial language develops over many years, some spatial terms are mastered very early, whereas others take longer to acquire. In the current set of studies, we tested how intellectually high-functioning children and adults on the autism spectrum use and understand these early- and late-acquired spatial terms in comparison to typically developing age-matched individuals. We found that children and adults on the autism spectrum experience difficulties with the use of some spatial terms (e.g. near and far or out of and down off) but not with others, which are acquired early (e.g. in and on or over and under). We also found that remembering spatial terms from short stories was more difficult for the individuals on the autism spectrum compared with typically developing individuals. These results reveal difficulties that can profoundly affect everyday communication of children and adults on the autism spectrum but also open new directions of research on language development in autism spectrum disorders.
The Mechanism of Relaxation by Viewing a Japanese Garden: A Pilot Study
Authors: Goto Seiko , Morota Yuki , Liu Congcong , Sun Minkai , Shi Bertram Emil , Herrup Karl 
Published: June 2020

Aim: To explore people’s visual attention and psychological and physiological responses to viewing a Japanese garden (an asymmetrically designed garden) and an herb garden (a symmetrically designed garden). Background: There are few studies of eye movements when observing different style gardens, and how they are connected to the interpretation of the space, and physiological and psychological responses. Method: Thirty subjects were recruited and their physiological and psychological responses to viewing the garden types were assessed using a heart-rate monitor and questionnaire. Eye movements while viewing projected slide images of the gardens were tracking using an eye-tracking monitor. Results: A significant decrease in heart rate was observed when subjects were viewing the Japanese garden as opposed to viewing the herb garden. Mood was significantly improved in both gardens, but eye-gaze patterns differed. The Japanese garden elicited far more comments about expectations for the coming season; unlike the herb garden, it also induced memories of viewing other landscapes. Conclusion: The physiological and psychological responses to viewing gardens differs based on the quality of landscape design and the prior experience of viewers.
Thromboangiitis obliterans: Aggressive angioplasty provides a potential solution (randomized pilot study)
Authors: Soliman Mosaad , Mowafy Khaled , Elsaadany NA , Soliman Reem , Elmetwally Ahmed 
Published: June 2020

Background: Thromboangiitis obliterans is an inflammatory disease affecting both medium- and small-sized vessels. Vasodilators, antiplatelets were proposed for treatment but the effect was minimal. Objective: This study was conducted to investigate the effect of balloon angioplasty on patients with Buerger’s disease compared to medical treatment. Methods: Between January 2006 and December 2016, 82 patients with Buerger’s disease were enrolled in the study, of whom 52 were randomized to the aggressive endovascular intervention and 30 were randomized medically by cilostazol and aspirin as a control group. In all, 23% of the patients presented with severe claudication, 50% with ischemic rest pain and 27% with ischemic ulcers. Randomization was done using the opaque envelope method. Allocation concealment was maintained to ensure no selection bias. Patient groups were compared for the duration of ulcer healing, ankle–brachial index, peak systolic velocity changes and transcutaneous oximetry (TcPO2) level for 30 months. Results: No major procedural complications occurred in the endovascular group. Angiographic success was achieved in 100% of supragenicular lesions but in 90% of infrapopliteal lesions. The endovascular group showed a statistically significant improvement in the ulcer healing size and duration at 6 months after the procedure with a mean time of 3 ± 0.9 months compared to 5.8 ± 1.69 months for the medical treatment group (p < 0.001), the mean TcPO2 from 27.23 ± 16.75 mm Hg (range: 0–56 mm Hg) before the procedure to 71.32 ± 12.94 mm Hg (range: 52–92 mm Hg) following revascularization (p < 0.01). The mean ankle–brachial index significantly improved from 0.54 ± 0.14 preoperatively to 0.82 ± 0.08 at final follow-up (p < 0.01). Conclusion: The endovascular therapy should be considered as an effective, safe, minimally invasive method in the light of the promising results after a modification of the standard technique.
Point of technique: Limited anterior scrotectomy and scrotoplasty for multiple epidermoid cysts of the scrotum
Authors: Deverill Sally J , Menzies-Wilson Richard , Rees Rowland W 
Published: June 2020

Multiple scrotal epidermoid cysts present a difficult challenge. Individual cyst excision for multiple cysts is painstaking, and there is a high risk of recurrence. If treated conservatively, multiple cysts may cause pain, become infected or cause problems with self-esteem due to the cosmetic appearance. We present a technique for excision of the anterior scrotal wall as a treatment for multiple scrotal epidermoid cysts. Level of evidence: Not applicable.
The fifth cranial nerve in headaches
Authors: Edvinsson J. C. A. , Viganò A. , Alekseeva A. , Alieva E. , Arruda R. , De Luca C. , D’Ettore N. , Frattale I. , Kurnukhina M. , Macerola N. , Malenkova E. , Maiorova M. , Novikova A. , Řehulka P. , Rapaccini V. , Roshchina O. , Vanderschueren G. , Zvaune L. , Andreou A. P. , Haanes K. A. ,   On behalf of the European Headache Federation School of Advanced Studies (EHF-SAS)
Published: June 2020

AbstractThe fifth cranial nerve is the common denominator for many headaches and facial pain pathologies currently known. Projecting from the trigeminal ganglion, in a bipolar manner, it connects to the brainstem and supplies various parts of the head and face with sensory innervation. In this review, we describe the neuroanatomical structures and pathways implicated in the sensation of the trigeminal system. Furthermore, we present the current understanding of several primary headaches, painful neuropathies and their pharmacological treatments. We hope that this overview can elucidate the complex field of headache pathologies, and their link to the trigeminal nerve, to a broader field of young scientists.