bluuebunny/crossref_metadata_2025_split huggingface dataset:
Transplantation of cardiac allografts with left ventricular hypertrophy 1.5 cm and more
Authors: Poptsov V. N. , Spirina E. A. , Ustin S. Yu. , Masutin S. A. , Dogonacheva A. A. , Voronkov V. Yu. , Zolotova E. N. , Skokova A. I. 
Published: May 2019

Introduction. In case of donor heart shortage and expanding pool of patients waiting for heart transplantation (OHTx) liberalization of donor selection, especially use of donors with left ventricular hypertrophy (LVH), may be one of most realistic methods to extending number of OHTx.Aim: to evaluate early and late outcomes after OHTx from donors with LVH ≥1.5 cm.Methods. We reviewed 160 heart recipients who underwent OHTx from donors with LVH 1.5 cm or more from 2011 to 2017.Results. The duration of anesthesia was 6.5 ± 0.7 h, surgery – 4.7 ± 0.3 h, cardiopulmonary bypass – 63–290 (145 ± 47) min and ischemia time was – 86–426 (168 ± 44) min. ICU stay was 7.4 ± 8.5 days. Hospital mortality in the study group was 8,1% (n = 13) and 30-day survival was 91.9%. Patients with or without donor LVH had similar early and long-term survival (p = 0.659).Conclusions. Own experience demonstrates the satisfactory results of HT from donors with LVH. In more cases, LV systolic function of cardiac allograft quickly normalized in the early period after HT.
Radyolojik ve patolojik tanısı konan safra kesesi fibromu: Olgu sunumu ve literatür taraması
Authors: İBİLOGLU İbrahim , ALABALIK Ulaş , TÜRKÇÜ Gül , KELEŞ Ayşe Nur , ÇETİN Alpay 
Published: May 2019

Fibromlar,
vücudun herhangi bir yerinde özelliklede diz ve parmaklarda görülen, yavaş büyüyen,
ağrısız ve sert kitlelerdir. Safra
kesesi fibroması nadir bir tümör olup literatürde sadece birkaç adet olgu
sunumu olarak yer almaktadır. Biz burada ultrasonografi ve manyetik rezonans
kolanjiyografide preoperatif olarak safra kesesi polipi tanısı konan 49 yaşında
bir kadın hastayı sunmayı amaçladık. Kolesistektomi spesmeni hidropik görünümde
olup kesitlerinde kese boynunda polipoid bir kitle izlendi. Mikroskobik olarak
nodül, kollajenöz stromada oval yuvarlak şekilli hücrelerden oluşuyordu.
Stromal hücreler Vimentin ile pozitif immünreaktivite gösterdi; Desmin, S-100,
SMA ve CD34 negatifti. Lezyonu safra kesesi fibromu olarak teşhis ettik.
Literatürde safra kesesi fibromu tanısı alan iki olgu bulunmaktadır.
Association between postpartum depression and synthetic oxytocin use for postpartum hemorrhage prevention and treatment
Authors: KARAKUŞ Resul , PULATOĞLU Çiğdem 
Published: May 2019

Objective:The aim of this study was to examine the relationship between postpartum synthetic oxytocin administration and the development of depressive and anxiety disorders after delivery.Materiyal and methods: We hypothesized that women exposed to postpartum exogenous oxytocin would have a reduced risk of postpartum depressive and anxiety disorders compared with those without exposure. The cases were examined under two groups as "Oxytocin users" (n = 100) and "Control" (n = 100) groups . Oxytocin group was given introvenous oxytocin just after the delivery for postpartum hemorrhage prevention and treatment. Questionnaires of depression and maternal anxiety were performed at the sixth week after the delivery. Results: The incidence of depression (4%) in the oxytocin group was significantly lower than the control group (14%) (p: 0.026, p &lt;0.05). Patients who do not use oxytocin have a 3.9-fold greater risk of developing depression. We identified a relationship between using oxytocin for postpartum hemorragie and decreased postpartum depressive symptoms. Conclusion: Our findings suggest using exogenous oxytocin may contribute to postpartum symptoms of depression and anxiety among women. Future research should watch the longitudinal role of exogenous oxytocin in maternal mood and anxiety, the safety of high-dose long-term use of oxytocin.
Assessment of depression among patients undergoing haemodialysis: a cross-sectional study
Authors: R. Divyashree C. , K. Nalini G. , P. Deepak , N. Sahana G. , Nagaral Jayashree V. , N. Mohith , V. Rakshitha B. 
Published: May 2019

Background: Depression is the most important neuropsychiatric complication in chronic kidney disease because it reduces quality of life and increases mortality. The beginning of dialysis treatment causes subtle changes in the life of CKD patients, mainly in the physical and social spheres. It affects the self-care of these patients which lead to poor adherence to dialysis. Hence, the present study was conducted to screen for depression.Methods: This was an observational study among 100 patients undergoing haemodialysis at HIMS, HASSAN. After taking informed consent, subjects were requested to complete Beck, depression Inventory, a 21-question multiple-choice self-report inventory for measuring the severity of depression. Descriptive statistics was applied to infer the findings.Results: The study population showed depression of mild (31%), borderline (10%), moderate (17%), severe (7%) and extreme (3%) grade and the remaining subjects did not show depressive symptoms (32%).Conclusions: Majority of patients undergoing hemodialysis were depressed. Major risk factors for depression were marital status of the patients, low literacy rate, gender and those started on dialysis recently.
Determining Laboratory Reference Values of TREC and KREC in Different Age Groups of Iranian Healthy Individuals
Authors: Shakerian Leila , Pourpak Zahra , Shamlou Somayeh , Domsgen Erna , Kazemnejad Anoshirvan , Dalili Hossein , Nourizadeh Maryam 
Published: May 2019

Assessment of the number of T-cell receptor excision circles (TREC) and kappa-deleting recombination excision circles (KREC) copies has been recently described as biomarkers of newly formed T and B cells respectively. In this study, we aimed to explore the effects of demographic variables including age, gender, weight, height and ethnicity on these two episomal DNA molecules. Second, for the first time in our country, we determined the reference values of TREC and KREC copy numbers in different age groups of Iranian healthy individuals as a threshold for identifying T cell and B cell lymphopenia.
The TREC and KREC copy numbers were evaluated in 251 dried blood spot (DBS) samples from healthy volunteers (age range: 0-60 years). Six primary immunodeficiency (PID) patients were included as disease controls.
TREC and KREC copies were markedly reduced with increasing age. Although the levels of TREC and KREC were higher in females than males, this difference did not reach statistical significance.
These findings suggest that demographic variables including age should be considered for interpretation results of the TREC/KREC assay.
T Cell Subsets Profiling in Unexplained Infertile Women with Successful and Unsuccessful in vitro Fertilization Outcome: Focus on the Effect of Seminal Plasma
Authors: Kanannejad Zahra , Namavar Jahromi Bahia , Gharesi-Fard Behrouz 
Published: May 2019

Unexplained infertility (UI) is one of the most common diagnoses in the fertility care. Seminal plasma (SP) plays a crucial role in the regulation of female immune responses and the success of a pregnancy. In vitro fertilization (IVF) is a well-known method for the treatment of UI. In this study, we aimed to investigate the effect of SP on the differentiation of T helper (Th) cell subsets and the relationship between these subsets with the rate of IVF success in a group of women complicated with UI compared to those with normal pregnancy.
This study was conducted on 20 UI couples (ten with successful and ten with unsuccessful IVF outcome) and 10 fertile couples as the control group. Four color flow cytometry technique was used to detect Th cell subsets in the peripheral blood mononuclear cells (PBMC) with or without stimulation by SP.
Results indicated that the frequencies of IL-17+ and Foxp3+ T cells after incubation with SP was significantly increased in couples with unsuccessful IVF outcome as compared to successful and healthy groups (p<0.05). Additionally, a positive correlation was observed between Th1 and Th2 cells in the unsuccessful IVF group (R=0.6, p=0.03).
In summary, the results of the present study demonstrated that exposure to SP might increase Th17 and Treg cell frequencies in infertile women with unsuccessful IVF, and might also balance inflammatory to regulatory responses to finally tune-up the Th1/Th2/Th17/Treg balance and support the success of IVF.
Comparison of CDC Bottle Bioassay with WHO Standard Method for Assessment Susceptibility Level of Malaria Vector, Anopheles stephensi to Three Imagicides
Authors: Vatandoost Hassan , Reza Abai Mohammad , Akbari Morteza , Raeisi Ahmad , Yousefi Hemn , Sheikhi Soraya , Bagheri Akbar 
Published: May 2019

Background: The detection of insecticide resistance in natural populations of Anopheles vectors is absolutely necessary for malaria control. CDC bottle bioassay as a new tools has been employed for detecting the insecticide resistance. For a limit number of mosquito vectors, diagnostic doses and diagnostic times for some insecticides have already been deter­mined using this new assay. For the first time in the area, susceptibility levels of Anopheles stephensi was done with DDT, deltamethrin, and bendiocarb using CDC bottle bioassay and compared results with WHO standard test method.
Methods: Anopheles stephensi were collected in larvae stage from the cisterns of drinking water in Chabahar port which considered as old malaria foci, Sistan and Baluchistan province. The field collected larvae were colonized at the insectary of School of Public Health (SPH), Tehran University of Medical Science. The susceptibility tests were carried out on sugar fed female mosquitoes aged 2–3 days, against DDT 4%, bendiocarb 1% and deltamethrin 0.05% using WHO and CDC susceptibility methods. The mortality and knockdown rates, as well as the parameters of regression analysis, includ­ing LT50 and LT90, was calculated separately for the WHO and CDC methods.
Results: The 24h mortality rates of An. stephensi were 28.6% and 25.6% for DDT, 60.8% and 64.6% for bendiocarb and 100% for deltamethrin using both WHO and CDC assay at 30 and 60min respectively. The 50% lethal times (LT50) were estimated 44.9 and 66.2min, 38.9 and 81.8min and 0.7 and 15.0min respectively using both WHO and CDC susceptibility tests.
Conclusion: The similar results of susceptibility levels were shown for DDT, bendiocarb and deltamethrin. The lethal times (LT50) showed significant difference using both WHO and CDC bioassay methods.
Molecular Detection and Phylogenetic Analysis of Endosymbiont Wolbachia pipientis (Rickettsiales: Anaplasmataceae) Isolated from Dirofilaria immitis in Northwest of Iran
Authors: Khanmohammadi Majid , Falak Reza , Meamar Ahmad Reza , Arshadi Mehdi , Akhlaghi Lame , Razmjou Elham 
Published: May 2019

Background: The purpose of this study was molecular detection and phylogenetic analysis of Wolbachia species of Dirofilaria immitis.
Methods: Adult filarial nematodes were collected from the cardiovascular and pulmonary arterial systems of natural­ly infected dogs, which caught in different geographical areas of Meshkin Shahr in Ardabil Province, Iran, during 2017. Dirofilaria immitis genomic DNA were extracted. Phylogenetic analysis for proofing of D. immitis was car­ried out using cytochrome oxidase I (COI) gene. Afterward, the purified DNA was used to determine the molecular pattern of the Wolbachia surface protein (WSP) gene sequence by PCR.
Results: Phylogeny and homology studies showed high consistency of the COI gene with the previously-registered sequences for D. immitis. Comparison of DNA sequences revealed no nucleotide variation between them. PCR showed that all of the collected parasites were infected with W. pipientis. The sequence of the WSP gene in Wolbach­ia species from D. immitis was significantly different from other species of Dirofilaria as well as other filarial spe­cies. The maximum homology was observed with the Wolbachia isolated from D. immitis. The greatest distance be­tween WSP nucleotides of Wolbachia species found between D. immitis and those isolated from Onchocerca lupi.
Conclusion: PCR could be a simple but suitable method for detection of Wolbachia species. There is a pattern of host specificity between Wolbachia and Dirofilaria that can be related to ancestral evolutions. The results of this phylogenetic analysis and molecular characterization may help us for better identification of Wolbachia species and understanding of their coevolution.
Method Development for Describing Content of Multitasked Interventions Using the Omaha System
Authors: Altiner Merve , Secginli Selda , Mathiason Michelle A. , Monsen Karen A. 
Published: May 2019

BackgroundUnderstanding multitasking within nursing and midwifery is needed for efficient, effective, and cost-effective health services. Methods are needed to measure and analyze multitasking in alignment with the nursing process. The Omaha System operationalizes the nursing process and may be a valuable resource for multitasking analysis.PurposeThe purpose of this study was to develop and test a method for describing intervention content of nurse/midwife multitasked interventions using the Omaha System and Time Capture Tool (TimeCaT) in a family health center in Turkey.MethodsEight nurses/midwives were observed with TimeCaT in a family health center in 2016. Preidentified 84 nurse/midwife interventions employed in the center were mapped on Omaha System terms and entered in TimeCaT software for data collection. Co-occurring interventions were analyzed using descriptive and inferential statistics and visualization techniques.ResultsOf 1066.8 total minutes observed, 34.0% included more than one intervention that occurred at the same time. Caretaking/parenting and postpartum problems, teaching, guidance, and counseling category, and caretaking/parenting skills target were more often multitasked than others.Implications for PracticeIt was feasible to use the Omaha System and TimeCaT to categorize, describe, and measure multitasking nursing/midwifery interventions. This method may be applied to other time–motion data when more than one co-occurring intervention is recorded.
Use of Music Therapy to Improve Cognition in Older Adults With Dementia: An Integrative Review
Authors: Domínguez-Chávez Claudia Jennifer , Salazar-González Bertha Cecilia , Murrock Carolyn J. 
Published: May 2019

Background and purposeDementia is considered a public health priority due to physical, psychological, economic, and social repercussions in older adults, their families, and caregivers. To address this issue, healthcare providers can use music therapy as a complementary therapy. This manuscript was elaborated to analyze and synthesize the current evidence of the use of music therapy to improve cognition in older adults with dementia.MethodsUsing the Whittemore and Knafl (2005) method, databases searched were PubMed, CINAHL, Ovid, EBSCO, ProQuest, and PsycINFO, using the terms such as “Music Therapy,” “Acoustic Stimulation,” “Music,” “Cognition,” “Memory,” “Attention,” “Aged,” and “Dementia.” Studies that met the eligibility criteria were screened by title, abstract and full text. Quality of the studies were evaluated using critical appraisal tools and Cochrane “Risk of Bias” tool.ResultsA total of 211 articles were screened by title and abstract, but only 28 articles met the inclusion criteria and were full text screened. Of the 28 articles, only five studies were analyzed and synthesized as they focused specifically on music therapy and cognition. Three of the studies showed that active and active–passive approaches of music therapy produce significant effect on cognition in older adults with dementia. The common characteristic was the participation of music therapists or music teachers who delivered the music therapy sessions that resulted in improved cognition.Implications for practiceAs a safe, inexpensive intervention, it should be considered as a complementary therapy to positively impact cognition in older adults with different types of dementia and levels of severity.
Fuzzy Clustering Method for Spherical Data Based on q-Divergence
Authors: Higashi Masayuki ,   Shibaura Institute of Technology 3-7-5 Toyosu, Koto, Tokyo 135-8548, Japan, Kondo Tadafumi , Kanzawa Yuchi 
Published: May 2019

This study presents a fuzzy clustering algorithm for classifying spherical data based on q-divergence. First, it is shown that a conventional method for vectorial data is	equivalent to the regularization of another conventional	method using q-divergence. Next, based on the knowledge that q-divergence is a	generalization of Kullback-Leibler (KL)-divergence and that	there is a conventional fuzzy clustering method for	classifying spherical data based on KL-divergence, a fuzzy clustering algorithm for spherical data is derived based on q-divergence. This algorithm uses an optimization problem built by extending	KL-divergence in the conventional method to q-divergence. Finally, some numerical experiments are conducted to verify the proposed methods.
Willingness to Become Deceased Organ Donors among Post-graduate Students in Selected Colleges in Kathmandu Valley, Nepal
Authors: Paneru Pragya , Uprety Samyog , Budhathoki Shyam S. , Yadav Birendra K. , Bhandari Suman L. 
Published: May 2019

Introduction: Globally, there is a discrepancy between demand and availability of organs for transplantation. Transplantation is done from a living donor as well as a brain-dead/deceased donor. However, the World Health Organization (WHO) encourages deceased donor transplantation, since there is no risk to the donor. Although, the Transplant Act of Nepal 2016 opened the doors for deceased donor organ transplantation, the rate of transplantation from deceased donors is very low. Thus, this study assesses factors associated with willingness for deceased organ donation among post-graduate students of law, medicine, and mass communication streams.
Methods: A total of 9 colleges, 3 from each specialty were selected via lottery method. The total sample size calculated was 440. Self- administered questionnaire was used to collect the data. 170, 140 and 130 forms were distributed in law, medicine and mass communication respectively via convenient sampling. Multivariate analysis among the variables that had p- value <0.05 in bivariate analysis was carried out to find out the strongest predictors of willingness to be deceased organ donors.
Results: In all, 53.2% were willing to become deceased organ donors. Family permission in one's wish to donate organs, having someone in family with chronic disease, having attended any conference or general talk on organ donation, knowing a live organ donor and knowing that body will not be left disfigured after organ extraction were found to be the strongest predictors for willingness to be deceased organ donors; while lack of awareness was reported as the main barrier for the same reason.
Conclusion: There is a need for extensive awareness programs and new strategies to motivate individuals and family members for organ donation.
Key words: • Deceased Organ Donation • Willingness • Kathmandu • Nepal • Organ Transplantation • Living Donor • Deceased Donor

© 2019 Paneru et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Stress Coping Strategies Among Secondary School-Aged Students in Government Schools in Northern West Bank/Palestine
Authors: Al-Tell Mariam Amer , Mansor Khulud 
Published: May 2019

Background or Objectives: All humans by nature cope with stressors by using productive and non-productive coping strategies. Adolescents and students in particular experience stress mainly due to academic examinations but the strategies adopted by students in the West Bank/Palestine are largely unknown and understudied. This study examines stress-coping strategies adopted by general secondary school-aged students in government schools in Northern West Bank.
Methods: This is a quantitative designed study of 334 students selected from 39 schools utilizing a stratified random sampling method. A self-reporting questionnaire composed of Brief Coping Orientation of Problems Experienced (COPE) was used to identify stress management methods among the students. A scale consisting of 14 domains representing 28 coping methods was created with the following 4-likert-scale response choices: 1) "I haven't been doing this at all," 2) "I've been doing this a little bit," 3) "I've been doing this a medium amount," and 4) "I've been doing this a lot." Respondents reported their views scoring them from 1-4; the mean for each method was calculated and ranged from scores 2-6.
Results: In all, religion (6.30±1.6,1) and planning (6.11±1.35) methods were the predominant domains of coping methods used by majority of the students. Problem-focused and emotion-focused coping methods were used more than the "less-useful" coping methods more among females than by their male counterparts. The "use of instrumental support," "denial," and "behavioral disengagement" were methods used more by students in the humanities than their counterparts in the scientific branches.
Conclusion and Implications for Translation: Almost all of the students have different levels of stress with different effects. The useful (i.e., "problem-focused" and "emotion-focused") coping methods were mostly used by students, and the "less useful" coping once were used a "little bit." Religion and planning were the predominant coping methods used by students. It is recommended that schools should emphasize on the use of useful evidence-base coping methods to deal with their stress.
Keywords: • Stress • Coping • Coping methods • Secondary schools • Students

© 2019 Al-Tell et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Measuring Tiller Development and Mortality in Winter Wheat under Field Conditions
Authors: Scott Tilley M. , Heiniger Ronnie W. , Crozier Carl R. 
Published: May 2019

Core Ideas
Seeding rate is important for measuring phyllochron interval and maximum number leaf.
As seeding rate increases, phyllochron interval increases; as seeding rate increases, maximum leaf number decreases.
High seeding rate led to an increase in tiller production per m2 compared with low seeding rate.
Neither seeding rate nor N application timing increased tiller viability.
Vegetative growth in the form of tillers is crucial in development of wheat (Triticum aestivum L). To better understand wheat development and tiller initiation, a study was conducted using two seeding rates (193 vs. 676 m−2) and two N application timings (single vs. split). Using a detailed marking technique to track leaf and tiller growth, tillers plant−1, rate of leaf appearance tiller−1, phyllochron interval (PI), accumulated heat units, and maximum leaf number (MLN) were measured. Although the timing of tiller initiation did not differ among the two seeding rates, results showed that at the low seeding rate (LSR) the frequency of leaf appearance on each tiller was increased, resulting in tillers having more leaves at decimal growth stage (DGS) 30. At the high seeding rate (HSR), leaf appearance among tillers was reduced, resulting in only fall tillers having enough leaf area to sustain growth from DGS 30 to harvest. The MLN was significantly greater at the LSR compared with the HSR. The MLN for the main stem was greater than those found on Tiller 1, and MLN for Tiller 1 was greater than those found on Tiller 2. There were no significant interactions or main effects involving the timing of N. It is difficult to determine the role that N application timing has on tiller and leaf development since there was not a consistent effect of N timing on PI and no effects of N timing on MLN.