bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Roth Project - Music and Memory: A Community Agency Initiated Individualized Music Intervention for People with Dementia
Authors: Buller Emmali , Martin Phillip K. , Stabler Anthony , Tucker Breana , Smith Jenna , Norton Lindsey , Schroeder Ryan W. 
Published: June 2020

Introduction
“The Roth Project - Music and Memory” is a music based intervention program, implemented by the Alzheimer’s Association of Central and Western Kansas, which provides a nonpharmacologicalmeans for addressing neuropsychiatric symptoms in individuals with dementia.
Methods
Participants were individuals with dementia who were enrolled in The Roth Project - Music and Memory. Post-intervention surveys were distributed to caregivers of participants which assessed caregiver satisfaction with the program as well as caregiver perception of the impact of individualized music on mood and behavioralsymptoms.
Results
Of returned surveys (n = 79), 99% of caregivers indicated they were satisfied or very satisfied with the program and 94% of caregivers perceived participants to like or very much like listening to the music. While a substantial number of participants required assistance with iPod use (95%), the majority of participants were observed to listen to the music with stable or increased frequency over time. Personalized music was observed to improve mood in 78% of cases, with the most frequent benefits being improved overall happiness, decreased anxiety, increased positive emotional expression, and decreased depression.
Conclusions
The Roth Project - Music and Memory was well received by caregivers and was perceived to benefit mood of individuals with dementia. These results provided ongoing support for individualized music-based interventions and demonstrated that such interventions, when implemented by community agencies, can be well received by those who use them.
Assessing Loneliness and Other Types of Emotional Distress among Practicing Physicians
Authors: Ofei-Dodoo Samuel , Ebberwein Christopher , Kellerman Rick 
Published: June 2020

Introduction. Loneliness has been linked to clinician burnout and other types of emotional distress. Research assessing the prevalence of loneliness among physicians is growing. Little is known, however, about how loneliness relates to other types of emotional distress among practicing physicians. The objectives of the study were to determine the prevalence of loneliness, and to explore the relationship between loneliness, burnout, depressive symptoms, and suicidal ideation among active member physicians of the Medical Society of Sedgwick County (MSSC).
Methods. The study involved a convenience sample of 197 practicing physicians who were active members of the MSSC. The 3-item University of California, Los Angeles Loneliness Scale, the Abbreviated Maslach Burnout Inventory, and 2-item Primary Care Evaluation of Mental Disorders Patient Health Questionnaire were used to measure prevalence of loneliness, manifestations of burnout, and symptoms of depression, respectively.
Results. Using an email survey, 442 practicing physicians received an invitation to participate; 197 (44%) completed the survey. The prevalence of loneliness was 43%. Loneliness prevalence was associated positively with age (p = 0.017) and more likely in those who reported manifestations of burnout (p < 0.01) or screened positive for depression (p < 0.01). Depression (OR = 2.24; 95% CI, 0.97-5.19) and emotional exhaustion (OR = 1.05; 95% CI, 0.39-2.84) were significantly associated with loneliness, including when adjusted for participants’ sex, age, and duty hours.
Conclusion. Loneliness is prevalent among active member physicians of the Medical Society of Sedgwick County. Given that loneliness is associated with burnout and other emotional distress, there is an important need to understand its implications better.
Kansan Guardian Perceptions of HPV and the HPV Vaccine and the Role of Social Media
Authors: Luisi Monique 
Published: June 2020

Introduction. Human papillomavirus (HPV) vaccination rates in Kansas historically have been low among children and adolescents. How Kansas parents and guardians perceive the HPV vaccine may influence vaccination rates among Kansas youth. Social media messages also may influence perceptions, suggesting implications for current and future disease and cancer burden.
Methods. Eligible Kansas guardians of children aged 9 - 17 years completed an online survey. The survey assessed their perceptions about a) HPV and the HPV vaccine, b) HPV and HPV vaccine representation on social media, and c) the effects that social media has on their perceptions about HPV and the HPV vaccine.
Results. Most Kansas guardians (n = 55, 57.9%) indicated seeing information about HPV and the HPV vaccine on social media. Kansas guardians who had reported seeing information on social media about the HPV vaccine were significantly more likely to perceive that the HPV vaccine could kill their child than those who had not seen information (t(79) = 0.019). Additionally, children of wealthier Kansan guardians were vaccinated more than children of less wealthy guardians.
Conclusion. Social media messages may be influencing Kansan guardians to think the HPV vaccine is lethal in their children. Future campaigns increasingly should be focused on HPV vaccine safety and effectiveness.
Terminal Sterilization of Anterior Cruciate Ligament (ACL) Allografts: A Systematic Review of Outcomes
Authors: Vopat Bryan , Gross Daniel , Wong Jeffery , Golijanin Petar , Parada Stephen , Tarakemeh Armin , Provencher Matthew 
Published: June 2020

Introduction. Anterior cruciate ligament (ACL) injuries are common and reconstruction can be completed with either autograft or allograft tissue. However, there is concern about an increased failure rate with allograft tissue. The purpose of this study was to systematically review the available evidence to determine the effect of irradiation and level of dose on the failure rates of allograft in ACL reconstruction.
Methods. A literature search was performed using PubMed, Scopus, and Web of Science from January 2000 to September 2013. Inclusion criteria consisted of the following: (1) primary, unilateral, single-bundle allograft ACL procedure, (2) studies with data documenting graft type and terminal sterilization technique, (3) subjective assessments of outcome, and (4) objective assessments of outcome. Studies without reported subjective and objective outcomes and those pertaining to revision ACL reconstruction were excluded. Failures were defined and compared between irradiated and non-irradiated grafts, as well as between grafts irradiated with 1.2 - 1.8 Mrad and those with 2.0 - 2.5 Mrad.
Results. Of the 242 articles identified via initial search, 17 studies met the final inclusion criteria. A total of 1,090 patients were evaluated in this study, all having undergone unilateral primary ACL reconstruction with allograft tissue with 155 failures. The failure rate between non-irradiated (98/687, 14.7%) and irradiated (57/408, 14.0%) was not statistically significant (p = 0.86). Grafts in the high-dose irradiation group (27/135, 20.0%) had a statistically significant higher (p < 0.001) rate of failure than those in the low-dose irradiation group (30/273, 10.6%).
Conclusion. The irradiation of an allograft increases the risk of failure after an ACL reconstruction but the use of lower doses of radiation decreases that risk.
Enhancing Splinting Confidence through Inter-Residency Education: An Educational Workshop
Authors: Wendling Alexander , Vopat Matthew , Patel Om , Wool Nathan , Davis Nancy , Dart Bradley 
Published: June 2020

Introduction. The initial treatment for many orthopaedic injuries is splinting. Unfortunately, formal musculoskeletal training is limited in primary care leading to deficiencies in competency and confidence. Suboptimal splints can result in complications such as skin breakdown, worsening of deformity, and increased pain. Our orthopaedic surgery clinic often cares for patients who initially present to an emergency department or primary care clinic for their orthopaedic injury. Previous studies have shown that a high number of splints are applied improperly in the primary care setting, which could result in in avoidable skin complications and fracture instability.
Methods. Orthopaedic surgery residents held a splinting workshop for family medicine residents. The workshop involved didactic and skills portions. Pre- and post-surveys were administered using a 10-point scale to assess confidence in applying three common splints. The data were analyzed using student’s t-test and qualitative feedback.
Results. Confidence in applying and molding each splint type improved significantly (p < 0.05). Knowledge in splint construction improved significantly as well (p < 0.05). Subjective feedback was positive.
Conclusion. These results showed inter-residency education can increase residents’ confidence in skill-based medical care significantly. The results are encouraging and should facilitate further collaboration between multispecialty residency programs to improve patient care. Further investigation is needed to determine how well skills gained in workshop are retained.
Proximal Humerus Fractures in the Elderly: Concomitant Fractures and Management
Authors: Zachariasen Kelly , Dart Bradley , Ablah Elizabeth , Lightwine Kelly , Haan James 
Published: June 2020

Introduction. The purpose of this study was to identify additional injuries commonly seen with proximal humerus fractures experienced by patients 65 years or older and to evaluate discrepancies in the management of these patients with regard to provider type.
Methods. A retrospective review was conducted of all patients 65 years or older who sustained a proximal humerus fracture. Patient data collected included demographics, injury details, hospital course, and discharge destination.
Results. Patients with a concomitant fracture (45.5%, n = 65) had a slightly higher Injury Severity Score (ISS; 8.3 ± 3.0 vs. 6.4 ± 3.0, p < 0.001) and experienced one additional death than those with an isolated fracture (54.5%, n = 78). Slightly more patients were managed by a trauma provider (51.7%, n = 74) than by a non-trauma provider (48.3%, n = 69). Those managed by a trauma provider sustained the most pelvic fractures (12.2% vs. 2.9%, p = 0.038), were more likely to be injured in a motor vehicle collision (8.1% vs. 0%, p = 0.005), had a higher ISS (8.0 ± 3.3 vs. 6.4 ± 2.8, p = 0.003), and had more imaging performed than those treated by a non-trauma provider. There was, however, no difference in operative rates, concomitant injuries, length of stay or discharge disposition regarding provider type.
Conclusions. It is important to recognize proximal humerus fractures as a sign of fragility and to optimize hospital management of these patients.
Clinical Outcomes of Intermediate-Length Cephalomedullary Nails for Intertrochanteric Femur Fracture Repair in Older Adults
Authors: Enns Paul , Nyberg Sue , Berg Gina , Galliart Morgan , Sarauer Brent , Scheer Andrew , Dart Bradley , Corrigan Chad 
Published: June 2020

Introduction. Hip fracture is a major cause of morbidity and mortality in older adults. Intertrochanteric hip fractures often are treated surgically using cephalomedullary nails (CMN), in either a short or long length. Their outcomes are documented in the literature; however, outcomes of the intermediate-length CMN have not been well described.
Methods. A retrospective review was conducted of older adults with intertrochanteric hip fractures that were treated with cephalomedullary nail fixation using an intermediate-length (235 mm Synthes Trochanteric Fixation® nail or 240 mm Stryker Gamma 3®) nail. Outcome data were collected during the inpatient stay and 16 months post-operatively.
Results. Seventy-seven patients met inclusion criteria and were reviewed during inpatient stay; however, only 42 had documented post-operative outcomes. Of those, two patients died post-discharge and were not included in the 16-month follow-up. Comparison of results to published literature suggested that intermediate-length nails are comparable to short-length nails with regard to time in the operating room and estimated blood loss. The rate of blood transfusion was lower and length of hospital stay was shorter than in comparable studies of both short- and long-length nails. There were no post-operative periprosthetic fractures in the 16-month follow-up. This rate was lower than published rates for short and long nails. The hardware failure rate (3/42, 7.1%) of intermediate-length nails was higher than comparison studies of both short- and long-length nails.
Conclusions. Patient outcomes for intermediate-length nails were similar to outcomes of shorter length nails. Utilization of the intermediate-length nail appears to be an effective treatment option for repair of intertrochanteric femur fractures. However, direct comparison is difficult since periprosthetic fracture rate may increase over time and nail length and hardware failure are not defined consistently in the literature. Further study is needed with a larger sample size followed over a longer period of time to confirm our findings.
Twenty-year experience of examining biopsies of signal lymph nodes in breast cancer
Authors: Semiglazov V. F. , Krivorotko P. V. , Zhiltsova E. K. , Kanaev S. V. , Trufanova E. S. , Krzhivitskiy P. I. , Komyakhov A. V. , Tabagua T. T. , Nikolaev K. S. , Bessonov A. A. , Ivanov V. G. , Gigolaeva L. P. , Ivanova O. A. , Zernov K. Yu. , Dashyan G. A. , Semiglazov V. V. , Emelyanov A. S. , Busko E. A. , Chernaya A. V. , Artemyeva A. S. , Novikov S. N. 
Published: June 2020

Biopsy of signal (sentinel) lymph nodes (LN) has been performed at the N.N. Petrov National Medical Research Oncology Center, Ministry of Health of Russia, for almost 20 years. In the first few years, contrast-visual method (1 % blue isosulfan and triphenyl methane control) was used in 640 patients with early (T1–2N0M0) breast cancer. In 150 patients from this cohort, standard axillary dissection was performed irrespectively of the results of signal (sentinel) biopsy. The rate of false positive responses varied between 4.6 and 6.6 %. Since 2012, radioisotope method of visualization of signal LN with intratumor administration of99mТс-technephyte colloid particles has been used (in 708 patients with T1–3N0M0 breast cancer). This type of signal LN biopsy had the following diagnostic characteristics: sensitivity was 58.9 %, specificity was 96.2 %, diagnostic accuracy was 87.1 %.In parallel with this study, in 2016 a study of diagnostic accuracy and safety of biopsy of axillary LN after neoadjuvant systemic therapy was started. The study included 263 patients with T1N1–3M0, T2–3N0–3M0, T4N0–1M0 breast cancer. To evaluate clinical status of axillary LN, ultrasound, single-photon emission computed tomography, mammography at baseline and after completion of neoadjuvant chemotherapy ± targeted therapy (trastuzumab) were performed. In some patients, in the recent years a double method of signal LN labeling (radioisotope and fluorescent methods) was used.In patients with baseline cN+-status, the rate of false positive signal LN biopsy conclusions was 13.6 %, in patients with baseline cN0-status it was 7.7 %.The study of double contrast of axillary LN and targeted label of metastatic LN prior to neoadjuvant systemic therapy continues. In total, various modifications of biopsy of signal LN were performed in 2,000 patients with breast cancer.The study protocol was approved by the biomedical ethics committee of N.N. Petrov National Medical Research Oncology Center, Ministry of Health of Russia.All patients gave written informed consent to participate in the study.
Optimizing Earthquake Early Warning Alert Distance Strategies Using the July 2019 Mw 6.4 and Mw 7.1 Ridgecrest, California, Earthquakes
Authors: Saunders Jessie K. , Aagaard Brad T. , Baltay Annemarie S. , Minson Sarah E. 
Published: June 2020

ABSTRACTThe ShakeAlert earthquake early warning system aims to alert people who experience modified Mercalli intensity (MMI) IV+ shaking during an earthquake using source estimates (magnitude and location) to estimate median-expected peak ground motions with distance, then using these ground motions to determine median-expected MMI and thus the extent of MMI IV shaking. Because median ground motions are used, even if magnitude and location are correct, there will be people outside the alert region who experience MMI IV shaking but do not receive an alert (missed alerts). We use 91,000 “Did You Feel It?” survey responses to the July 2019 Mw 6.4 and Mw 7.1 Ridgecrest, California, earthquakes to determine which ground-motion to intensity conversion equation (GMICE) best fits median MMI with distance. We then explore how incorporating uncertainty from the ground-motion prediction equation and the GMICE in the alert distance calculation can produce more accurate MMI IV alert regions for a desired alerting strategy (e.g., aiming to alert 95% of people who experience MMI IV+ shaking), assuming accurate source characterization. Without incorporating ground-motion uncertainties, we find MMI IV alert regions using median-expected ground motions alert fewer than 20% of the population that experiences MMI IV+ shaking. In contrast, we find &gt;94% of the people who experience MMI IV+ shaking can be included in the MMI IV alert region when two standard deviations of ground-motion uncertainty are included in the alert distance computation. The optimal alerting strategy depends on the false alert tolerance of the community due to the trade-off between minimizing missed and false alerts. This is especially the case for situations like the Mw 6.4 earthquake when alerting 95% of the 5 million people who experience MMI IV+ also results in alerting 14 million people who experience shaking below this level and do not need to take protective action.
Stress Changes on the Garlock Fault during and after the 2019 Ridgecrest Earthquake Sequence
Authors: Ramos Marlon D. , Neo Jing Ci , Thakur Prithvi , Huang Yihe , Wei Shengji 
Published: June 2020

ABSTRACTThe recent 2019 Ridgecrest earthquake sequence in southern California jostled the seismological community by revealing a complex and cascading foreshock series that culminated in a Mw 7.1 mainshock. But the central Garlock fault, despite being located immediately south of this sequence, did not coseismically fail. Instead, the Garlock fault underwent postseismic creep and exhibited a sizeable earthquake swarm. The dynamic details of the rupture process during the mainshock are largely unknown, as is the amount of stress needed to bring the Garlock fault to failure. We present an integrated view of how stresses changed on the Garlock fault during and after the mainshock using a combination of tools including kinematic slip inversion, Coulomb stress change (ΔCFS), and dynamic rupture modeling. We show that positive ΔCFSs cannot easily explain observed aftershock patterns on the Garlock fault but are consistent with where creep was documented on the central Garlock fault section. Our dynamic model is able to reproduce the main slip asperities and kinematically estimated rupture speeds (≤2  km/s) during the mainshock, and suggests the temporal changes in normal and shear stress on the Garlock fault were the greatest near the end of rupture. The largest static and dynamic stress changes on the Garlock fault we observe from our models coincide with the creeping region, suggesting that positive stress perturbations could have caused this during or after the mainshock rupture. This analysis of near-field stress-change evolution gives insight into how the Ridgecrest sequence influenced the local stress field of the northernmost eastern California shear zone.
Patología benigna del cuello
Authors: Ruíz Castillo Jaime , Jaramillo U. Roberto , Ruíz Acevedo Jaime , Pedraza Gaitán Jaime 
Published: June 2020

1. El Departamento de Ginecología y Obstetricia de la Facultad de Medicina del Colegio Mayor de Nuestra Señora del Rosario elaboró un estudio retrospectivo basado en 7.100 historias clínicas extractadas de la consulta externa y analizó las Cervicopatías benignas, en relación directa con los datos de 4.210 citologías cervicovaginales tomadas durante el año de 1976 que se relacionan con edad, paridad y anticoncepción, en los Hospitales Universitarios de San José e Infantil "Lorencita Villegas de Santos".2. Flujos siendo el síntoma más frecuente según los diversos autores, solo encontramos 442 pacientes con este padocimiento como causa principal de consulta. Se presenta en la edad reproductiva y no hay diferencia en relación con la incidencia en los dos Hospitales. La causa más frecuente es la triconomiasis y sólo el 50% de las pacientes practican algún método anticonceptivo. 3. Se analizan 895 historias clínicas con diagnóstico de cervicitirs y 75 más de otras patologías benignas de cérvix; se concluye que esta es la cervicopatía más común en nuestro medio, en los que están de acuerdo los autores, consultados.4. Los pólipos, el ectropión, etc. constituyen una patología muy pobremente representada en nuestro estudio; quizá merezca el futuro una mayor insistencia en su investigación.5. El estudio establece factores socio-económicos y culturales determinantes en cierto tipo de patología en cada uno de los Hospitales.
The functional properties of the vegetable filler Melissa officinalis L. in the composition of curd products
Authors: Novak A. I. , Lyashchuk Y. O. 
Published: June 2020

The results of the development of a curd functional product with vegetable filler Melissa officinalis L. are presented. An analysis of the health status of the population carried out in recent years by the World Health Organization shows that the world community is facing acute questions related to the need to prevent the so-called “diseases of civilization”, which include diseases of the cardiovascular system, oncology, diseases associated with impaired lipid metabolism and the gastrointestinal tract, al ergii, decreased immunity, disorders of the nervous system. According to experts, many of these diseases leading to death, disability or disability have a steady upward trend. Up to 44% of the population of our country suffer from cardiovascular diseases (as of December 2019), while more than 82% have functional disorders leading to them. Malignant neoplasms and precancerous conditions are observed in 39% of the adult population, diseases of the gastrointestinal tract are found in more than 48% of the working population of the country. The solution to these problems may be the development of functional food products.
To “Heed the Call” Amidst the COVID-19 Pandemic
Authors: Kuhn Andrew W. , Coxe Francesca R. , Kunze Kyle N. , Bernstein David N. 
Published: June 2020

Abstract:
As incoming orthopaedic surgery interns, we enter the workforce amidst a global pandemic—a pivotal moment in history. We do not know what the landscape will look like later this summer, but it will most likely be different for each of us and from those of our predecessors. Regardless whether COVID-19 will still be rampant or under better control, we know that we can start our internship and orthopaedic residency embracing a set of principles to "heed the call" no matter the circumstance.