bluuebunny/crossref_metadata_2025_split huggingface dataset:
Compulsory Interventions in Severe and Persistent Mental Illness: A Survey on Attitudes Among Psychiatrists in Switzerland
Authors: Stoll Julia , Hodel Martina A. , Riese Florian , Irwin Scott A. , Hoff Paul , Biller-Andorno Nikola , Trachsel Manuel 
Published: May 2021

Background: Some psychiatric patients develop severe and persistent mental illness (SPMI), which, for a variety of reasons, can be therapy-refractory. Sometimes, treatment is not considered helpful by the patients themselves and does not improve their subjective quality of life. Furthermore, many SPMI patients experience compulsory interventions such as seclusion, restraint, or treatment against their will, which can cause harm.Methods: In a cross-sectional survey of 1,311 German-speaking psychiatrists in Switzerland, participants were asked about the care of SPMI patients in general, and about their attitudes with regard to compulsory interventions in particular, using three case vignettes of patients with severe and persistent anorexia nervosa, schizophrenia and depression.Results: Out of 1,311 contacted psychiatrists, 457 (34.9%) returned the completed survey. In general, 91.0% found it important or very important to respect SPMI patients' autonomy in decision making. However, based on three different clinical case vignettes, 36.8% of psychiatrists would act against the wishes of the patient with severe and persistent schizophrenia, 34.1% against the wishes of the patient with severe and persistent depression, and 21.1% against the wishes of the patient with severe and persistent anorexia nervosa, although all patients were stated to have preserved decision-making capacity. With regard to the case vignettes, 41.1% considered compulsory interventions leading to a temporary reduction of quality of life acceptable in the patient with severe and persistent schizophrenia, 39.4% in the patient with severe and persistent depression, and 25.6% in the patient with severe and persistent anorexia nervosa, although it was stated in all three case vignettes that two independent experts ascribed the patients decision-making capacity regarding their illness and further treatment.Conclusions: Many psychiatrists in our sample found themselves in an ethical dilemma between autonomy and the provision of medical care. While most respondents respect the autonomy of SPMI patients, many saw the need to perform compulsory interventions even though it was clearly and prominently stated that two independent psychiatrists had ascribed the patients in the case vignettes decision-making capacity. Further examination of these conflicting views is warranted, perhaps along with the development of guidelines for such situations.
Genetic and Metabolite Variability in One-Carbon Metabolism Applied to an Insulin Resistance Model in Patients With Schizophrenia Receiving Atypical Antipsychotics
Authors: Ward Kristen M. , Burghardt Kyle , Kraal A. Zarina , Jaeger Andrew , Yeomans Larisa , McHugh Cora , Karnovsky Alla , Stringer Kathleen A. , Ellingrod Vicki L. 
Published: May 2021

Background: Patients with schizophrenia are at high risk of pre-mature mortality due to cardiovascular disease (CVD). Our group has completed studies in pharmacogenomics and metabolomics that have independently identified perturbations in one-carbon metabolism as associated with risk factors for CVD in this patient population. Therefore, this study aimed to use genetic and metabolomic data to determine the relationship between folate pharmacogenomics, one-carbon metabolites, and insulin resistance as measured using the homeostatic model assessment for insulin resistance (HOMA-IR) as a marker of CVD.Methods: Participants in this pilot analysis were on a stable atypical antipsychotic regimen for at least 6 months, with no diabetes diagnosis or use of antidiabetic medications. Participant samples were genotyped for MTHFR variants rs1801131 (MTHFR A1298C) and rs1801133 (MTHFR C677T). Serum metabolite concentrations were obtained with NMR. A least squares regression model was used to predict log(HOMA-IR) values based on the following independent variables: serum glutamate, glycine, betaine, serine, and threonine concentrations, and carrier status of the variant alleles for the selected genotypes.Results: A total of 67 participants were included, with a median age of 47 years old (IQR 42–52), 39% were female, and the median BMI was 30.3 (IQR 26.3–37.1). Overall, the model demonstrated an ability to predict log(HOMA-IR) values with an adjusted R2 of 0.44 and a p-value of &lt; 0.001. Glutamate, threonine, and carrier status of the MTHFR 1298 C or MTHFR 677 T allele were positively correlated with log(HOMA-IR), whereas glycine, serine, and betaine concentrations trended inversely with log(HOMA-IR). All factors included in this final model were considered as having a possible effect on predicting log(HOMA-IR) as measured with a p-value &lt; 0.1.Conclusions: Presence of pharmacogenomic variants that decrease the functional capacity of the MTHFR enzyme are associated with increased risk for cardiovascular disease, as measured in this instance by log(HOMA-IR). Furthermore, serine, glycine, and betaine concentrations trended inversely with HOMA-IR, suggesting that increased presence of methyl-donating groups is associated with lower measures of insulin resistance. Ultimately, these results will need to be replicated in a significantly larger population.
Understanding Adolescents' Perceptions of Diarrhea: A Formative Research Study of a Visual Scale to Measure Self-Reported Diarrhea in Low-Resource Settings
Authors: Gold-Watts Anise , Aamodt Geir , Gandhimathi Subramanian , Sudha Rajamani , Bastien Sheri 
Published: May 2021

Introduction: Although water, sanitation, and hygiene interventions are effective in reducing diarrhea, there are methodological issues regarding the research tools used to evaluate their health impact. Moreover, there is limited research on individuals' subjective interpretations of diarrheal illness which may introduce further limitations in relying on self-reported data. Therefore, we conducted a study that aims to understand adolescents' perceptions of diarrheal illness in rural Tamil Nadu, India. Next, we wish to explore the acceptability of the Bristol Stool Form Scale to assess self-reported diarrhea in water, sanitation, and hygiene interventions involving adolescent participants in low-resource settings.Materials and Methods: The study was conducted as part of the formative research phase in the cultural adaptation of Project SHINE, a school-based educational water, sanitation, and hygiene intervention in Thirumalaikodi, Tamil Nadu, India. A convergent parallel mixed-methods study design with a purposive sampling strategy was used. Qualitative data included 10 in-depth interviews with student participants aged 13–14. Quantitative data were collected through interviewer-administered face-to-face surveys (n = 14) and one-week stool diaries (n = 14). Each data set was analyzed separately and compiled during the interpretation of the findings.Results: Across all data sets, diarrhea was reported to be perceived as unhealthy and an irregular occurrence among participants. Participants also reported diarrheal-taboos, local methods to cure or control diarrhea, and discussed how diarrheal illness can lead to absenteeism or withdrawal from school and social activities. Moreover, participants were able to understand and answer questions about their stool using the Bristol Stool Form Scale, suggesting that is an acceptable tool.Discussion: Visual tools demonstrate promise in improving self-reported diarrheal illness among adolescents in low-resource settings in India. However, until we address diarrhea-related taboos it will be difficult to address methodological issues in the assessment and reporting of diarrheal illness among adolescents.
Minimally Invasive Dentistry: Parent/Carer Perspectives on Atraumatic Restorative Treatments and Dental General Anaesthesia to the Management of Early Childhood Caries
Authors: Arrow Peter , Forrest Helen , Piggott Susan 
Published: May 2021

Introduction: Parents of children treated under dental general anaesthesia (DGA) have reported feelings of concern and anxiety. This study elicited the views of parents/carers (P/C) of children with early childhood caries (ECC) who participated in a randomised trial (core study) which tested the effectiveness of care under DGA or care using alternative minimally invasive Atraumatic Restorative Treatment and the Hall Technique approaches (ART/HT).Methods: P/C of children treated using the ART/HT (test) approach or care under a DGA (control) were interviewed. Focus group semi-structured interviews with P/C were undertaken in community facilities. The transcripts were read and inductively coded into domains to identify emergent themes. The codes were entered into NVivo software to assist data management and were further refined into broad themes.Results: Seven grouped interviews with 14 participants were conducted and one test participant provided a written response. Four groups with eight test participants; two groups with four control participants; and one combined group with one test and one control participant were interviewed. Five broad themes emerged after thematic analysis: (1) Impacts on the child and the family; (2) Child-/family-centred care; (3) Timeliness of care; (4) Affordable care; (5) Accessible care. Impacts were related to that of the effects of the disease, and of the care for the disease. Child-centred/family-centred care (CCC) was a source of appreciation by P/C of both groups when it was experienced. Frustration at the lack of timely care of their child's treatment needs, coupled with the perceived expensiveness of care and difficulties in physically getting to the location for a specialist consultation was expressed by P/Cs in the study.Discussion: The use of the ART/HT enabled the establishment of a relationship between the clinical team and the child and P/C which was central to the delivery of CCC. P/Cs in the DGA arm of the study expressed dissatisfaction more often with the issues of timely care, cost of care and accessibility of care. P/C of both groups were equally satisfied with the treatment, where treatment had been received in a timely, child-centred manner.Conclusion: The findings suggest that minimally invasive approaches which facilitated CCC are acceptable alternative options to the DGA and should be considered for the management of ECC.Australian New Zealand Clinical Trials Registry: ACTRN12616001124426.
Cannabis Use Is Associated With Recurrence After Primary Spontaneous Pneumothorax
Authors: Wakefield Connor J. , Seder Christopher W. , Arndt Andrew T. , Geissen Nicole , Liptay Michael J. , Karush Justin M. 
Published: May 2021

Purpose: Primary spontaneous pneumothorax (PSP) is a frequently encountered entity that carries a high rate of recurrence. The current study aims to investigate if cannabis use at time of initial PSP is associated with disease recurrence.Methods: Patients presenting with PSP between 2010 and 2018 at a single institution were identified. Exclusion criteria included secondary pneumothorax, severe chronic lung disease, lung cancer, and lost to follow-up. Patients were compared relative to their cannabis usage with Fisher's exact test, Wilcoxon rank-sum test, and logistic regression.Results: Overall, 67 patients (53 male) met inclusion criteria with a median body mass index (BMI) of 21.5 kg/m2 (IQR 19.1–25.2) and age of 34 years (IQR 22–53). Initial treatment consisted of chest tube in 42 patients (63%), video-assisted thoracoscopic surgery wedge resection in 19 patients (28%), and observation in 6 patients (9%). Cannabis users (n = 28; 42%) had a higher rate of tobacco use (79 vs. 38%; p = 0.005), lower BMI [21.0 kg/m2 (IQR 18.3–23.1) vs. 22.2 kg/m2 (IQR 19.9–28.6), p = 0.037], and were more likely to require intervention at first presentation compared with non-marijuana users. Cannabis use was associated with PSP recurrence when adjusting for tobacco use, BMI, and height (OR 1.85, 95% CI 1.38–18.3, p = 0.014).Conclusion: There is a high rate of cannabis usage in patients presenting with PSP. Cannabis usage is associated with PSP recurrence and eventual need for operative intervention.
Anterior Inferior Cerebellar Aneurysm Treated by Aneurysm Resection and Intracranial Artery Anastomosis in situ: A Case Report and Literature Review
Authors: Huang Chaojue , Qin Shixing , Huang Wei , Yu Yongjia 
Published: May 2021

Background: Anterior inferior cerebellar artery (AICA) aneurysms are relatively rare in clinical practice, accounting for &lt;1% of all intracranial arteries. After the diagnosis and location are confirmed by angiography, magnetic resonance, and other imaging examinations, interventional, or surgical treatment is often used, but some complex aneurysms require reconstructive surgery.Case Description: An 8-year-old male child was admitted to the hospital due to sudden disturbance of consciousness for 2 weeks. The head CT showed hematocele in the ventricular system with subarachnoid hemorrhage in the basilar cistern and annular cistern. On admission, he was conscious, answered correctly, had a soft neck, limb muscle strength was normal, and had no cranial nerves or nervous system abnormalities. A preoperative examination showed the right side of the anterior distal arteries class under the circular wide neck aneurysm, the distal anterior inferior cerebellar artery supplying a wide range of blood to the cerebellum, the ipsilateral posterior inferior cerebellar artery absent, and the aneurysm close to the VII, VIII nerves. The aneurysm was successfully treated by aneurysm resection and intracranial artery anastomosis in situ of a2 AICA-a2 AICA.Conclusions: AICA aneurysms are relatively rare; in this case, a complex wide-necked aneurysm was successfully treated by aneurysm resection and anastomosis in situ of a2 AICA-a2 AICA. This case can provide a reference for the surgical treatment of complex anterior cerebellar aneurysms.
Screening of Functional Compounds in Supercritical Carbon Dioxide Extracts from Perennial Herbaceous Crops
Authors: Ostolski Mateusz , Adamczak Marek , Brzozowski Bartosz , Stolarski Mariusz Jerzy 
Published: May 2021

The bio-based economy concept requires using biomass not only for energy production but also for bioactive compound extraction, application or biotransformation. This study analyzed the possibility of obtaining bioactive compounds from biomass before its transformation into biofuel. This involved an analysis of the total content of polyphenols (TPC), flavonoids (TFC), and spectral analysis using Fourier transform infrared spectroscopy (QATR- FTIR) as well as analysis of the antioxidant activity of extracts from selected perennial herbaceous crops cultivated on marginal lands in Poland. The extracts were obtained by supercritical carbon dioxide extraction (scCO2) or scCO2 with water as a cosolvent (scCO2/H2O) from biomass of the following plants: Helianthus salicifolius, Silphium perfoliatum, Helianthus tuberosus, Miscanthus × giganteus, Miscanthus sacchariflorus, Miscanthus sinensis and Spartina pectinata. The biomass was harvested twice during the growing period (June and October) and once after the end of the growing period (February). For most of the analyzed extracts obtained from biomass at the growing stage using scCO2 or scCO2/H2O, a higher TPC was noted than for samples of semi-wood or straw biomass obtained after the end of the growing period. Higher contents of polyphenolic compounds were recorded in extracts obtained using scCO2/H2O. A positive correlation between TPC and antioxidant activity was noted for the analyzed substrates. Flavonoid contents varied in the analyzed samples, and higher contents were generally obtained in scCO2 extracts from biomass harvested at the beginning of the growing period. A high diversity of extract compositions was confirmed by spectral analysis. The presented data can be used at the initial stage of planning a biorefinery.
In Silico Prediction and Prioritization of Novel Selective Antimicrobial Drug Targets in Escherichia coli
Authors: Svanberg Frisinger Frida , Jana Bimal , Donadio Stefano , Guardabassi Luca 
Published: May 2021

Novel antimicrobials interfering with pathogen-specific targets can minimize the risk of perturbations of the gut microbiota (dysbiosis) during therapy. We employed an in silico approach to identify essential proteins in Escherichia coli that are either absent or have low sequence identity in seven beneficial taxa of the gut microbiota: Faecalibacterium, Prevotella, Ruminococcus, Bacteroides, Lactobacillus, Lachnospiraceae and Bifidobacterium. We identified 36 essential proteins that are present in hyper-virulent E. coli ST131 and have low similarity (bitscore < 50 or identity < 30% and alignment length < 25%) to proteins in mammalian hosts and beneficial taxa. Of these, 35 are also present in Klebsiella pneumoniae. None of the proteins are targets of clinically used antibiotics, and 3D structure is available for 23 of them. Four proteins (LptD, LptE, LolB and BamD) are easily accessible as drug targets due to their location in the outer membrane, especially LptD, which contains extracellular domains. Our results indicate that it may be possible to selectively interfere with essential biological processes in Enterobacteriaceae that are absent or mediated by unrelated proteins in beneficial taxa residing in the gut. The identified targets can be used to discover antimicrobial drugs effective against these opportunistic pathogens with a decreased risk of causing dysbiosis.
Ten Years of Deformed Wing Virus (DWV) in Hawaiian Honey Bees (Apis mellifera), the Dominant DWV-A Variant Is Potentially Being Replaced by Variants with a DWV-B Coding Sequence
Authors: Grindrod Isobel , Kevill Jessica L. , Villalobos Ethel M. , Schroeder Declan C. , Martin Stephen John 
Published: May 2021

The combination of Deformed wing virus (DWV) and Varroa destructor is arguably one of the greatest threats currently facing western honey bees, Apis mellifera. Varroa’s association with DWV has decreased viral diversity and increased loads of DWV within honey bee populations. Nowhere has this been better studied than in Hawaii, where the arrival of Varroa progressively led to the dominance of the single master variant (DWV-A) on both mite-infested Hawaiian Islands of Oahu and Big Island. Now, exactly 10 years following the original study, we find that the DWV population has changed once again, with variants containing the RdRp coding sequence pertaining to the master variant B beginning to co-dominate alongside variants with the DWV-A RdRp sequence on the mite-infested islands of Oahu and Big Island. In speculation, based on other studies, it appears this could represent a stage in the journey towards the complete dominance of DWV-B, a variant that appears better adapted to be transmitted within honey bee colonies.
Dinamika Kebijakan Pemerintah Pembatasan Sosial Berskala Besar dalam penanganan Covid-19 Di Kota Tarakan
Authors: Aulia Nurul Rahmi , Mustari Nuryanti , Hartaman Nursaleh 
Published: May 2021

Upaya pemerintah Kota Wilayah Tarakan dalam kewaspadaan terhadap virus covid-19 ini mengeluarkan peraturan walikota yang sebelumnya telah disetujui oleh Kementrian Kesehatan yang tertuang dalam UU NO.17 tahun 2020 tentang Pembatasan Sosial Berskala Besar (PSBB). Adanya pro dan kontra dimasyarakat terkait pelaksanaan PSBB ini menimbulkan berbagai dinamika. Penulis menemukan permasalahan dalam penelitian ini, yaitu bagaimana dinamika kebijakan yang dihadapi pemerintah kota Tarakan pada penerapan (PSBB) penanganan covid-19 untuk menekan angka penularan covid-19 di Kota Tarakan. Pemerintah Kota Tarakan telah melakukan Evaluasi dan pemantauan terhadap efektifitas pelaksanaan PSBB. Penelitian yang digunakan adalah kualitatif dengan menggunakan metode penelitian secara daring, dan dengan menggunakan data sekunder sebagai analisis utama penelitian. Hasil Penelitian menujukkan bahwa Selama Pelaksanaan PSBB Pemerintah Kota Tarakan telah melakukan evaluasi di masyarakat dan ditemukan beberapa aturan yang dikeluarkan belum berjalan dengan tertib salah satunya yang paling banyak ditemukan pelanggaran pada akses laut (baik itu masyarakat, ASN, bahkan anggota dewan). Penerapan 3M juga belum berjalan dengan efektif karena masih banyaknya masyarakat yang kurang kesadaran untuk menggunakan masker pada saat diluar rumah. Berbagai dinamika yang terjadi, Pemkot Tarakan sebisa mungkin mencari solusi yang tanggap terhadap permasalahan seperti yang terjadi pada pengiriman swab dari Kabupaten Nunukan ke Surabaya yang harus melalui Kota Tarakan.
Identifikasi Karakteristik Pengecilan Ukuran dengan Metode Sonikasi dari Formula Insektisida yang Ditambahkan Surfaktan Berbasis Sawit
Authors: Yunira Eka Nur'azmi , Suryani Ani , Dadang Dadang , Tursiloadi Silvester 
Published: May 2021

Size reduction of pesticide formulation can improve its performance to pest and disease control in plant. Size reduction methods were high speed agitation, ultrasonic emulsification, high pressure homogenization, microfluidic and membrane emulsification. Homogenizer and sonication methods were most widely used because its high effectivity in size reduction. The purpose of this research was to identify the effect of size reduction on physico chemical properties of the insecticide formulation by adding palm oil surfactant. The method of this research was to make an emulsifiable concentrate (EC) formulation using 15% active ingredient of emamectin benzoate, xylene, cationic surfactant of 1%, nonionic surfactants of 6% with DEA and APG surfactant ratio of 2:3. This formulation was mixed using Homogenizer at a speed of 4000 rpm and sonication with frequencies of 42 kHz at various times of 15, 30 and 45 minutes. The best result of this research was using sonication method for 45 minutes. The best physico-chemical properties were emulsion stability after 2 hours, cream formation after 24 hours emulsion, particle size of 0.70 μm with homogenous dispersion, surface tension of 25.54 dyne/cm, contact angle at 0 minutes of 25.05⁰ and contact angle after 15 minutes of 0⁰.