bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sexual Dysfunction Among Egyptian Idiopathic Parkinson’s Disease Patients
Authors: Elshamy Ahmed M. , Mohamed Ehab S. , Al-Malt Ayman M. , Ragab Osama A. 
Published: December 2021

Background One of the non-motor features of idiopathic Parkinson’s disease (IPD) is sexual dysfunction (SD) which is under-recognized and, consequently, undertreated. This study aimed to evaluate SD in patients with IPD. Patients and methods The study was conducted on 67 IPD patients; 30 healthy subjects with age and gender matching with the patients served as the control group. All participants were subjected to sexual function assessment using the Arabic version of Arizona Sexual Experience Scale (ASEX), Mini-Mental State Examination (MMSE), and Beck Depression Inventory (BDI), while the severity of IPD was assessed using the modified Hoehn and Yahr scoring scale and MDS-Unified Parkinson’s Disease Rating Scale (MDS-UPDRS). Results There were no statistically significant differences between patients with IPD and the control group regarding MMSE, hypertension, diabetes mellitus, or dyslipidemia. However, BDI scores were significantly higher in patients with IPD. The rate of SD among our patients was 64% compared to 30% in the control group. The total score and subscales of ASEX were significantly higher in IPD patients than in controls. SD showed a significant correlation with the severity of the IPD irrespective of other variables, including patient age, sex, disease duration, hypertension, diabetes, dyslipidemia, smoking, and dose of L-dopa. Conclusion SD is a commonly underrated feature in patients with IPD; it should be investigated carefully as it is an important non-motor symptom that correlates with disease severity.
The Association Between Post-Traumatic Stress and Depressive Symptoms Among Older Puerto Ricans in Boston: How Does Loneliness Matter?
Authors: Wang Kaipeng , Zhang Anao , Cuevas Adolfo G. , De Fries Carson M. , Hinton Ladson , Falcón Luis M. 
Published: December 2021

Objectives To examine the association between post-traumatic stress and depression and whether such an association differs by level of loneliness among older Puerto Ricans. Methods Data were collected from 304 Puerto Ricans aged 60 and above living in the Greater Boston area who responded to questionnaires. We used ordinary least squares regression to examine the association between post-traumatic stress, loneliness, and depressive symptoms. Results Post-traumatic stress was significantly associated with higher levels of depression. The association between post-traumatic stress and depression was stronger for those experiencing a higher degree of loneliness. Discussion In working with older Puerto Ricans experiencing post-traumatic stress, it is important for mental health professionals to incorporate the assessment of loneliness and to prevent and reduce comorbid depression by addressing loneliness through improving social skills, enhancing social support, and reducing maladaptive social cognition.
Validation of the automated neuropsychological assessment metrics for assessing cognitive impairment in systemic lupus erythematosus
Authors: Yuen Kimberley , Beaton Dorcas , Bingham Kathleen , Katz Patricia , Su Jiandong , Diaz Martinez Juan Pablo , Tartaglia Maria Carmela , Ruttan Lesley , Wither Joan E. , Kakvan Mahta , Anderson Nicole , Bonilla Dennisse , Choi May Y. , Fritzler Marvin J. , Green Robin , Touma Zahi 
Published: December 2021

Objective We previously demonstrated the utility of the Automated Neuropsychological Assessment Metrics (ANAM) for screening cognitive impairment (CI) in patients with systemic lupus erythematosus (SLE) and developed composite indices for interpreting ANAM results. Our objectives here were to provide further support for the ANAM’s concurrent criterion validity against the American College of Rheumatology neuropsychological battery (ACR-NB), identify the most discriminatory subtests and scores of the ANAM for predicting CI, and provide a new approach to interpret ANAM results using Classification and Regression Tree (CART) analysis. Methods 300 adult SLE patients completed an adapted ACR-NB and ANAM on the same day. As per objectives, six models were built using combinations of ANAM subtests and scores and submitted to CART analysis. Area under the curve (AUC) was calculated to evaluate the ANAM’s criterion validity compared to the adapted ACR-NB; the most discriminatory ANAM subtests and scores in each model were selected, and performance of models with the highest AUCs were compared to our previous composite indices; decision trees were generated for models with the highest AUCs. Results Two models had excellent AUCs of 86 and 89%. Eight most discriminatory ANAM subtests and scores were identified. Both models demonstrated higher AUCs against our previous composite indices. An adapted decision tree was created to simplify the interpretation of ANAM results. Conclusion We provide further validity evidence for the ANAM as a valid CI screening tool in SLE. The decision tree improves interpretation of ANAM results, enhancing clinical utility.
Solution-Focused Brief Therapy for Depression Among Adolescents and Young Adults Diagnosed With Cancer: An Open Pilot Trial
Authors: Zhang Anao 
Published: December 2021

Purpose This pilot study evaluates the acceptability and preliminary efficacy of solution-focused brief therapy (SFBT) for depression, anxiety, and hope among adolescent and young adult (AYA) diagnosed with cancer. Method: 10 AYAs with a primary sarcoma diagnosis participated in an open pilot of SFBT for their depression between January and June 2019 delivered by trained social work interns. Results All participants completed four planned sessions and reported strong acceptability of SFBT. Statistically significant improvements were observed for pre- and post-treatment scores for depression, anxiety, and levels of hope. These improvements were maintained at 1-month follow up, with significant patterns of difference in study participants’ depression, anxiety, and levels of hope over time. Conclusions SFBT is an acceptable intervention approach for depression (and anxiety) among AYAs diagnosed with cancer. SFBT offers a brief, strength-based, and hope-engendering approach to address mental health concerns among young adult diagnosed with cancer.
Understanding the Course of Critical Illness Through a Lifeworld Approach
Authors: Flinterud Stine Irene , Moi Asgjerd L. , Gjengedal Eva , Ellingsen Sidsel 
Published: December 2021

An increasing number of individuals receive and survive intensive care treatment; however, several individuals experience problems afterward, which may threaten recovery. Grounded in a lifeworld approach, the aim of this study was to explore and describe what intensive care patients experience as limiting and strengthening throughout their illness trajectories. Ten former intensive care patients were interviewed three to eight months after hospital discharge. Using Giorgi’s phenomenological analysis, a general structure of gaining strength through a caring interaction with others was revealed. The structure consisted of three constituents: feeling safe through a caring presence, being seen and met as a unique person, and being supported to restore capacity. Being met with a humanistic approach and individualized care appeared to be important, and the findings are discussed within the framework of lifeworld-led care. To facilitate improved aftercare of the critically ill, more tailored support throughout the illness trajectory is needed.
The Healthcare Journey of Women With Advanced Gynecological Cancer From Diagnosis Through Terminal Illness: Qualitative Analysis of Progress Note Data
Authors: Dillon Ellis C. , Chopra Vidita , Mesghina Elizabeth , Milki Anthony , Chan Ava , Reddy Ravali , Kapp Daniel S. , Silver Barbara A. , Chan John K. 
Published: December 2021

Objective To examine women’s journeys with gynecologic cancer from before diagnosis through death and identify elements of their healthcare experience that warrant improvement. Methods This exploratory study used longitudinal progress notes data from a multispecialty practice in Northern California. The sample included women with stage IV gynecological cancer diagnosed after 2011 and who died before 2018. Available progress notes from prior to diagnosis to death were qualitatively analyzed. Results We identified 32 women, (median age 61 years) with mostly uterine (n=17) and ovarian (n=9) cancers and median survival of 9.2 months (min:2.9 and max:47.5). Sixteen (50%) received outpatient palliative care and 18 (56%) received hospice care. The analysis found wide variation in documentation about communication about diagnosis, prognosis, goals of care, stopping treatment, and starting hospice care. Challenges included escalating/severe symptoms, repeated urgent care/emergency department/hospital encounters, and lack of or late access to palliative and hospice care. Notes also illustrated how patient background and goals influenced care trajectory and communication. Documentation styles varied substantially, with palliative care notes more consistently documenting conversations about goals of care and psychosocial needs. Conclusion This analysis of longitudinal illness experience of women with advanced gynecological cancer suggests that clinicians may want to (1) prioritize earlier discussion about goals of care; (2) provide supplemental support to patients with higher needs, possibly through palliative care or navigation; and (3) write notes to enhance patient understanding now that patients may access all notes.
Factors Associated With Self-Perception in Oral Health of Pregnant Women
Authors: Corchuelo-Ojeda Jairo , González Pérez Guillermo Julián , Casas-Arcila Alejandro 
Published: December 2021

Background Health perception is a subjective predictor of long-term morbidity and mortality. Few studies address the perception that pregnant women have of their oral health. Objective The objective of this study was to explore the relationship between socioeconomic factors and self-assessment of oral health in pregnant women from Cali, Colombia. Method A cross-sectional study was carried out with a sample of 998 pregnant women, calculated using the formula to estimate a proportion in finite populations, with a confidence level of 95%. A questionnaire was applied for sociodemographic characterization, as well as to enquire about oral health perception, knowledge, and practices of oral health. Results The mean age of the surveyed mothers was 24.7, with a standard deviation of 6.1, of which 23.6% were adolescents. The perception they had about their oral health status was considered good by 60.8%. Of the 82.9% who reported having attended dentistry, more than half perceived good oral health. Pregnant women with no history of oral problems, with a perception of medium or high income, and with good oral hygiene practices tend to have a good perception of their oral health. Conclusion Pregnant women with no history of oral problems, with a perception of medium or high income, and with good oral hygiene practices tend to have a good perception of their oral health.
Disease-modifying drugs for multiple sclerosis and subsequent health service use
Authors: Ng Huah Shin , Zhu Feng , Kingwell Elaine , Zhao Yinshan , Yao Shenzhen , Ekuma Okechukwu , Svenson Lawrence W , Evans Charity , Fisk John D , Marrie Ruth Ann , Tremlett Helen 
Published: December 2021

Objective: We assessed the relationship between the multiple sclerosis (MS) disease-modifying drugs (DMDs) and healthcare use. Methods: Persons with MS (aged ⩾18 years) were identified using linked population-based health administrative data in four Canadian provinces and were followed from the most recent of their first MS/demyelinating event or 1 January 1996 until the earliest of death, emigration, or study end (31 December 2017 or 31 March 2018). Prescription records captured DMD exposure, examined as any DMD, then by generation (first-generation (the injectables) or second-generation (orals/infusions)) and individual DMD. The associations with subsequent all-cause hospitalizations and physician visits were examined using proportional means model and negative binomial regression. Results: Of 35,894 MS cases (72% female), mean follow-up was 12.0 years, with person-years of DMD exposure for any, or any first- or second-generation DMD being 63,290, 54,605 and 8685, respectively. Any DMD or any first-generation DMD exposure (versus non-exposure) was associated with a 24% lower hazard of hospitalization (adjusted hazard ratio, aHR: 0.76; 95% confidence intervals (CIs): 0.71–0.82), rising to 29% for the second-generation DMDs (aHR: 0.71; 95% CI: 0.58–0.88). This ranged from 18% for teriflunomide (aHR: 0.82; 95% CI: 0.67–1.00) to 44% for fingolimod (aHR: 0.56; 95% CI: 0.36–0.87). In contrast, DMD exposure was generally not associated with substantial differences in physician visits. Conclusion: Findings provide real-world evidence of a beneficial relationship between DMD exposure and hospitalizations.
Flexibility in autism during unpredictable shifts of socio-emotional stimuli: Investigation of group and sex differences
Authors: Lacroix Adeline , Dutheil Frédéric , Logemann Alexander , Cserjesi Renata , Peyrin Carole , Biro Brigi , Gomot Marie , Mermillod Martial 
Published: December 2021

Considering the mixed nature of reports of flexibility difficulties in autism, we hypothesized that a task that more closely resembles the challenges faced in real life would help to assess these difficulties. Autistic and typically developing adults performed an online Emotional Shifting Task, involving non-explicit unpredictable shifts of complex socio-emotional stimuli, and the Task Switching Task, involving explicit predictable shifts of simple character stimuli. Switch cost (i.e. the difference in performance between Shift and Non Shift conditions) was larger in the autistic group than in the comparison group for the Emotional Shifting Task but not for the Task Switching Task. Females responded faster than males in the Emotional Shifting Task. On the Task Switching Task, typically developing males responded faster than typically developing females, whereas there was a female advantage in the autistic group. Our findings suggest that factors such as predictability, explicitness of the shift rule, stimulus type as well as sex could play a critical role in flexibility difficulties in autism. Lay abstract Flexibility difficulties in autism might be particularly common in complex situations, when shifts (i.e. the switch of attentional resources or strategy according to the situation) are unpredictable, implicit (i.e. not guided by explicit rules) and the stimuli are complex. We analyzed the data of 101 autistic and 145 non-autistic adults, without intellectual deficiency, on two flexibility tasks performed online. The first task involved unpredictable and non-explicit shifts of complex socio-emotional stimuli, whereas the second task involved predictable and explicit shifts of character stimuli. Considering the discrepancies between laboratory results and the real-life flexibility-related challenges faced by autistic individuals, we need to determine which factor could be of particular importance in flexibility difficulties. We point out that the switch cost (i.e. the difference between shift and non-shift condition) was larger for autistic than for non-autistic participants on the complex flexibility task with unpredictable and non-explicit shifts of socio-emotional stimuli, whereas this was not the case when shifts were predictable, explicit and involved less complex stimuli. We also highlight sex differences, suggesting that autistic females have better social skills than autistic males and that they also have a specific cognitive profile, which could contribute to social camouflaging. The findings of this work help us understand which factors could influence flexibility difficulties in autism and are important for designing future studies. They also add to the literature on sex differences in autism which underpin better social skills, executive function, and camouflaging in autistic females.
Resting-state Functional Connectivity After Occipital Stroke
Authors: Räty Silja , Ruuth Riikka , Silvennoinen Katri , Sabel Bernhard A. , Tatlisumak Turgut , Vanni Simo 
Published: December 2021

Background Resting-state functional magnetic resonance imaging (rsfMRI) reflects spontaneous activation of cortical networks. After stroke, these networks reorganize, both due to structural lesion and reorganization of functional connectivity (FC). Objective We studied FC in chronic phase occipital stroke patients with homonymous visual field defects before and after repetitive transorbital alternating current stimulation (rtACS). Methods This spin-off study, embedded in the randomized, sham-controlled REVIS trial, comprised 16 chronic occipital stroke patients with visual field defect and 12 healthy control subjects. The patients underwent rsfMRI at baseline, after two weeks of rtACS or sham treatment, and after two months of treatment-free follow-up, whereas the control subjects were measured once. We used a multivariate regression connectivity model to determine mutual prediction accuracy between 74 cortical regions of interest. Additionally, the model parameters were included into a graph to analyze average path length, centrality eigenvector, centrality degree, and clustering of the network. The patients and controls at baseline and the two treatment groups were compared with multilevel modeling. Results Before treatment, the patients and controls had similar whole-network prediction accuracy and network parameters, whereas centrality eigenvector differed in perilesional regions, indicating local modification in connectivity. In line with behavioral results, neither prediction accuracy nor any network parameter changed systematically as a result of rtACS rehabilitation compared to sham. Conclusions Whole-network FC showed no difference between occipital stroke patients and healthy population, congruent with the peripheral location of the visual network in relation to the high-density cortical core. rtACS treatment in the given setting did not affect FC.
MicroRNA-17-5p, a novel endothelial cell modulator, controls vascular re-endothelialization and neointimal lesion formation
Authors: Liu Xiaopei , Chen Jing , Liu Gen , Zhang Bofang , Jin Xing , Wang Yun 
Published: December 2021

Background The functions of miR-17-5p in tumorigenesis have been explored. However, their functionalities in arterial endothelial cells (ECs) have not been investigated. Besides, the issue of vascular remodelling is barely addressed. Objectives The study aimed to determine the effect of overexpression or inhibition of miR-17-5p on arterial endothelial cells’ (ECs) function and vascular remodelling in vitro and the rat carotid arteries model. Methods Quantitative RT-PCR analysis was performed to examine the expression of miR-17-5p. Then, gain-of-function and loss-of-function approaches were employed to investigate the functional roles of miR-17-5p in cultured human coronary artery endothelial cells (HCAECs); further, TargetScan software analysis and luciferase reporter activity assay were performed to investigate the potential mechanism. Lastly, the results of the cell segment were verified in a rat carotid artery balloon injury model by Western blot analysis, measurement of the vascular cGMP level and plasma 8-iso-prostaglandin F2 (8-iso-PGF2) testing. Moreover, morphometric analysis was implemented to detect the re-endothelialization and neointimal formation in rat carotid artery after balloon injury. Results This study firstly found that miR-17-5p expression was upregulated in the injured vascular walls and highly expressive in ECs; overexpression of miR-17-5p inhibited HCAECs’ proliferation and migration, whereas miR-17-5p knockdown strengthened its proliferative and migratory roles, influenced inflammatory response, through regulating VEGRA and VEGFR2. It was found that miR-17-5p bind to VEGFA and VEGFR2 at the 3′UTR. Next, downregulation of miR-17-5p promotes re-endothelialization, and attenuates neointimal formation as measured by the I/M ratio (0.63±0.05 vs 1.45±0.06, antagomiR-17-5p vs. Lenti-NC, p < 0.05). In addition, the functional recovery of the endothelium was also accelerated by miR-17-5p knockdown. Conclusion Our study suggests that miR-17-5p is a feasible strategy for the selective modulation of endothelialization and vascular remodelling through regulating VEGFA and VEGFR2.
Different change of direction tests assess different physical ability parameters: Principal component analysis of nine change of direction tests
Authors: Kozinc Žiga , Šarabon Nejc 
Published: December 2021

Change of direction (CoD) ability is critical for the success of athletes in many sports. The purpose of this study was to perform a principal component analysis using 9 CoD tests in order to reveal possible subcomponents of CoD ability, which could aid practitioners in test selection. Male and female kinesiology students (n = 76) performed all CoD tests and a 30-m sprint test in a quasi-randomized, counterbalanced order. Three components for males and two components for females were extracted from principle component analysis (variance explained = 82.3 and 71.4%, respectively). It seems that the CoD test should be subdivided into at least two components: a) “pure CoD tests” (such as 505 test, T-test and 180° turn) and maneuverability tests (such as AFL run, Illinois test and Figure of Eight test). Considering that different factors seem to underlie CoD and maneuverability, our findings have important practical implications for training design. If hopping/jumping CoD is important for a given athlete, it should also be tested separately.
How food supply in rubbish dumps affects the breeding success and offspring mortality of cattle Egret Bubulcus ibis?
Authors: Gherbi-Salmi Rachida , Bachir Abdelkrim Si , Ghazi Cherif , Doumandji Salah Eddine 
Published: December 2021

The objective of this study was to evaluate the effect of food supply in garbage dumps on the reproductive fitness of Cattle Egret Bubulcus ibis and offspring losses. A total of 236 nests were monitored during two distinct periods of 2 years for each: 146 nests during a period without food supply in dumps (1998–1999) and 90 with food supply in dumps (2007–2008). The study was carried out in the colony of El-Kseur in the Lower Soummam Valley (northeast Algeria). For the entire study period, the mean of clutch size, average number of hatched chicks, productivity, and breeding success varied significantly between years (Kruskal–Wallis test: p < .05). Also, the average calculated losses for eggs, chicks, and total offspring vary significantly (Chi2 test: p > .0001). The clutch size and the number of hatched chicks per nest were highest during the period with food supply in garbage dump (respectively: 3.46 ± 0.86; 2.85 ± 1.11), compared to the period when cattle egrets feed in natural or agricultural habitats (3.04 ± 0.87; 2.54 ± 1.03). However, productivity and breeding success were highest during the period without food supply (respectively: 2.11 ± 1.16 fledging’s/nest; 0.70 ± 0.35) than in the period with food supply (1.14 ± 0.91; 0.35 ± 0.30). While egg losses were substantially similar between the two study periods, chick’s mortality (59.9%) and total offspring losses (36.7%) were higher during the period with food supply. The generalized linear mixed model (GLMM) analysis indicated a large negative effect of food supply in dumps on the productivity, on the chick’s losses; and a positive effect on the total offspring losses ( p < .001). Also, feed in dump garbage revealed a significant negative effect on the breeding success linear mixed model (LMM, p = .01). However, no significant effects (GLMM, p > .05) of food supply in dumps were noted on average clutch size, the mean number of hatched chicks per nest, and egg losses.