bluuebunny/crossref_metadata_2025_split huggingface dataset:
Are morphologic features of recent small subcortical infarcts related to specific etiologic aspects?
Authors: Eppinger Sebastian , Gattringer Thomas , Nachbaur Lena , Fandler Simon , Pirpamer Lukas , Ropele Stefan , Wardlaw Joanna , Enzinger Christian , Fazekas Franz 
Published: April 2019

Background: Recent small subcortical infarcts (RSSIs) mostly result from the occlusion of a single, small, brain artery due to intrinsic cerebral small-vessel disease (CSVD). Some RSSIs may be attributable to other causes such as cardiac embolism or large-artery disease, and their association with coexisting CSVD and vascular risk factors may vary with morphological magnetic resonance imaging (MRI) features. Methods: We retrospectively identified all inpatients with a single symptomatic MRI-confirmed RSSI between 2008 and 2013. RSSIs were rated for size, shape, location (i.e. anterior: basal ganglia and centrum semiovale posterior cerebral circulation: thalamus and pons) and MRI signs of concomitant CSVD. In a further step, clinical data, including detailed diagnostic workup and vascular risk factors, were analyzed with regard to RSSI features. Results: Among 335 RSSI patients (mean age 71.1 ± 12.1 years), 131 (39%) RSSIs were >15 mm in axial diameter and 66 (20%) were tubular shaped. Atrial fibrillation (AF) was present in 44 (13.1%) and an ipsilateral vessel stenosis > 50% in 30 (9%) patients. Arterial hypertension and CSVD MRI markers were more frequent in patients with anterior-circulation RSSIs, whereas diabetes was more prevalent in posterior-circulation RSSIs. Larger RSSIs occurred more frequently in the basal ganglia and pons, and the latter were associated with signs of large-artery atherosclerosis. Patients with concomitant AF had no specific MRI profile. Conclusion: Our findings suggest the contribution of different pathophysiological mechanisms to the occurrence of RSSIs in the anterior and posterior cerebral circulation. While there appears to be some general association of larger infarcts in the pons with large-artery disease, we found no pattern suggestive of AF in RSSIs.
Workforce survey of Australian graduate health information managers: Employability, employment, and knowledge and skills used in the workplace
Authors: Riley Merilyn , Robinson Kerin , Prasad Natasha , Gleeson Barbara , Barker Emma , Wollersheim Dennis , Price Julie 
Published: April 2019

Background: Employability, employment destinations and utilisation of knowledge–skill domains of new graduate health information managers (HIMs) have not been explored. Objectives: To capture the timing from course completion to employment and employment locations of a 5-year cohort of health information management graduates of La Trobe University, Australia, in 2017–2018; identify professional knowledge and skills used by the graduates in executing their roles; and map these to four domains of the health information management curriculum. Method: A mixed-methods descriptive study utilising a survey investigated early career pathways of new graduates of health information management courses from 2012 to 2016. Demographic data included age, year of graduation, lead time from course completion to employment, position title, number of positions held post-graduation and knowledge–skills used in the workplace. Results: Eighty percent ( n = 167) of graduates working in Australia with known contact details responded to the survey. Of these, 96.4% ( n = 161) worked in at least one “health information management-related” position since graduation. Forty-five percent ( n = 72) of graduates obtained a position before course completion, and over 94% ( n = 150) were employed in the profession within 6 months of completion. Sixty percent ( n = 97) of graduates had worked in two or more positions from 2012 to 2016. The large majority of new graduate HIMs (82.4%) were employed in the public healthcare sector in “health information management” (44%), or “health classification” (28.1%) roles. Most graduates (61%) had utilised at least three or four domains of professional knowledge–skills in the workplace. Whereas 16% ( n = 26) of graduates used, solely, their health classification knowledge–skill set, almost 74% ( n = 117) undertook some health classification-related activities. Only 16% ( n = 26) of graduates were over 40 years of age, and there were no statistically significant differences between Bachelor and Master (Combined Degree Programs) graduates and Graduate-entry Master degree graduates in terms of lead time to employment, number of positions held, type of employing agency and professional knowledge–skills utilised in the workplace. Conclusion: Graduate HIMs have very high employability, demonstrate job mobility consistent with the national trends, are largely represented in the public sector but have presence throughout the healthcare system and utilise most or all of the specialised domains of professional knowledge and skills studied at university.
A Holistic Approach to Risk for Early Kidney Injury in Indigenous Youth With Type 2 Diabetes: A Proof of Concept Paper From the iCARE Cohort
Authors: Dart Allison B. , Wicklow Brandy , Blydt-Hansen Tom D. , Sellers Elizabeth A. C. , Malik Sayma , Chateau Dan , Sharma Atul , McGavock Jonathan M. 
Published: April 2019

Background: Indigenous youth with type 2 diabetes (T2D) are disproportionately affected by early onset albuminuria and are at high risk of kidney failure in early adulthood. Traditional biological approaches have failed to fully explain the renal morbidity seen in this population. The improving renal Complications in Adolescents with type 2 diabetes through REsearch cohort (iCARE) study was therefore designed in collaboration with patients, to more holistically evaluate risk factors for renal morbidity. We hypothesize that both biological factors and mental health influence renal outcomes, mediated via inflammatory pathways. Objective: The objective of this study was to evaluate the iCARE analytic framework which evaluates relationships between biological factors, mental health, inflammation, and albuminuria utilizing a structural equation modeling (SEM) approach. Methods: The first 187 youth with T2D (10-25 years) from the Manitoba iCARE cohort are presented here to evaluate our theoretical and analytic framework. An SEM was chosen to evaluate the statistical significance of proposed associations. The primary outcome was a nonorthostatic urine albumin:creatinine ratio ≥2 mg/mmol. Main exposures (ie, latent factors) included psychological health (distress, perceived stress, positive mental health and resilience), hypertension (24 hour monitored), and inflammatory markers (C-reactive protein [CRP], erythrocyte sedimentation rate [ESR], fibrinogen). Hemoglobin A1c (HbA1c) and duration of diabetes were covariates. Results: Within the initial cohort (median age = 15 years, duration of diabetes = 2.3 years, 66.8% female), 30.5% (n = 57) had nonorthostatic albuminuria (ALB), and the majority of ALB was persistent (confirmed in 2/3 samples over a 6-month period; n = 47). Youth with ALB had higher HbA1c (10.9% vs 8.9%; P < .001), more hypertension (94.2% vs 78·2%; P = .02), longer duration of diabetes (3.4 vs 2.4 years; P = .01), higher distress (9.2 vs 7.3; P = .02), and stress scores (28.7 vs 26.4; P = .03), and elevated inflammatory markers (CRP: 4.9 vs 3.1 mg/L; P = .01, fibrinogen: 3.7 vs 3.3 µmol/L; P = .02). Factors directly associated with ALB in the SEM were hypertension (0.28; P = .001), inflammation (0.41; P < .001), and HbA1c (0.50; P < .001). Psychological health was independently associated with inflammation (−0.20; P < .001) but not directly associated with ALB. Conclusions: Albuminuria is highly prevalent in Indigenous youth with T2D. This preliminary analysis supports a theoretical framework linking glycemic control, hypertension, and inflammation, potentially mediated by psychological factors with albuminuria. These data support the need for more holistic models of evaluation and care for youth with T2D and multifactorial interventions to prevent complications.
Discreditation of the pyroxenoid mineral name ‘marshallsussmanite’ with a reinstatement of the name schizolite, NaCaMnSi3O8(OH)
Authors: Grice Joel D. , Lussier Aaron J. , Friis Henrik , Rowe Ralph , Poirier Glenn G. , Fihl Zina 
Published: April 2019

AbstractSchizolite, originating from the type locality, Tutop Agtakôrfia, in the Ilímaussaq alkaline complex, Julianehåb district, South Greenland, was described initially by Winther (1901) with additional data being supplied by Bøggild (1903). Recently, a proposal for the new mineral ‘marshallsussmanite’ was submitted to, and approved by, the International Mineralogical Association Commission on New Minerals, Nomenclature and Classification (IMA2013-067) by Origlieri et al. (2013). Results from the detailed examination of two schizolite cotype samples presented here, using single-crystal and powder X-ray diffraction, and optical properties, confirms it to be equivalent to ‘marshallsussmanite’. Historical precedence sets a priority for discrediting the name ‘marshallsussmanite’ in favour of the original, more-than-a century-old name, schizolite. The two schizolite samples investigated vary slightly in physical and chemical properties but are consistent overall. The prismatic crystals are pale red or pink to brownish. Schizolite is brittle with a splintery aspect. It is biaxial (+), with average optical parameters: α = 1.626 ± 0.003, β = 1.630 ± 0.002, γ = 1.661 ± 0.002, 2Vmeas = 71(4)° and 2Vcalc = 40°; there is no pleochroism. Electron microprobe analysis shows both samples have nearly identical compositions (differences &lt;0.4 wt.% oxide), with the mean values of: SiO2 52.6(4); Al2O3 0.005(1); FeO 2.54(2); MnO 13.86(9); CaO 17.9(4); Na2O 8.9(1); and H2O 2.59(2) wt.% oxide; this corresponds to a mean formula of: Na1.00(2)Ca1.11(7)Mn0.68(1)Fe0.12(0)Si3.041(1)O8(OH). Final least-squares structure refinements for both samples converged at R1 values ≤2.0%; H atoms were located in all refinements.
Characterisation of fibrous ferrierite in the rhyolitic tuffs at Lovelock, Nevada, USA
Authors: Zoboli Alessandro , Di Giuseppe Dario , Baraldi Cecilia , Gamberini Maria Cristina , Malferrari Daniele , Urso Giancarlo , Lassinantti Gualtieri Magdalena , Bailey Mark , Gualtieri Alessandro F. 
Published: April 2019

AbstractFerrierite is the name for a series of zeolite-group of minerals which includes three species with the same ferrierite framework (FER) crystal structure but different extra-framework cations. Recent studies have shown that ferrierite can exhibit a fibrous-asbestiform crystal habit and may possess the same properties as carcinogenic fibrous erionite. Characterisation of the ferrierite in and around a mine location will be helpful in assessing the potential for toxic outcomes of exposure in the mine and any local population.The zeolite-rich tuff deposit of Lovelock, Nevada, USA is the largest occurrence of diagenetic ferrierite-Mg. A previous survey reported that ferrierite hosted in these rocks displays a fibrous morphology. However, these observations concerned a limited number of samples and until now there has been little evidence of widespread occurrence of fibrous ferrierite in the Lovelock deposit.The main goal of this study was to perform a mineralogical and morphometric characterisation of the tuff deposit at Lovelock and evaluate the distribution of fibrous ferrierite in the outcrop. For this purpose, a multi-analytical approach including powder X-ray diffraction, scanning and transmission microscopies, micro-Raman spectroscopy, thermal analyses, and surface-area determination was applied.The results prove fibrous ferrierite is widespread and intermixed with mordenite and orthoclase, although there are variations in the spatial distribution in the bedrock. The crystal habit of the ferrierite ranges from prismatic to asbestiform (elongated, thin and slightly flexible) and fibres are aggregated in bundles. According to the WHO counting criteria, most of the ferrierite fibres can be classified as breathable. While waiting for confirmatory in vitro and in vivo tests to assess the actual toxicity/pathogenicity potential of this mineral fibre, it is recommended to adopt a precautionary approach for mining operations in this area to reduce the risk of exposure.
Cuatrocapaite-(NH4) and cuatrocapaite-(K), two new minerals from the Torrecillas mine, Iquique Province, Chile, related to lucabindiite and gajardoite
Authors: Kampf Anthony R. , Chukanov Nikita V. , Möhn Gerhard , Dini Maurizio , Molina Donoso Arturo A. , Friis Henrik 
Published: April 2019

AbstractThe new minerals cuatrocapaite-(NH4) (IMA2018-083) and cuatrocapaite-(K) (IMA2018-084) are the NH4- and K-dominant members of a series with the general formula (NH4,K)3(NaMg□)(As2O3)6Cl6·16H2O. Both minerals were found at the Torrecillas mine, Iquique Province, Chile, where they occur as secondary alteration phases. Both minerals occur as hexagonal tablets up to ~0.3 mm in diameter. They are transparent, with a vitreous lustre and white streak. For both, the Mohs hardness isca. 2½, the crystals are somewhat flexible, but not elastic, the fracture is irregular and the cleavage is perfect on {001}. The measured densities are 2.65(2) and 2.76(2) g/cm3for the NH4- and K-dominant species, respectively. Optically, cuatrocapaite-(NH4) is uniaxial (–) with ω = 1.779(3) andε= 1.541(3) and cuatrocapaite-(K) is uniaxial (–) with ω = 1.777(3) andε= 1.539(3) (white light). The minerals are insoluble in acids, but decompose in NaOH(aq). The empirical formulas, determined from electron-microprobe analyses, are (NH4)2.48Na1.66Mg0.87K0.09(As12O18.05)Cl5.88·16.02H2O and K2.68Na1.33Mg0.93(NH4)0.31(As12O18.01)Cl6.16·16.04H2O. The minerals are trigonal, space groupR${\bar 3}$m; the cuatrocapaite-(NH4) cell parameters area= 5.25321(19),c= 46.6882(19) Å,V= 1115.80(9) Å3andZ= 1; the cuatrocapaite-(K) cell parameters area= 5.2637(15),c= 46.228(8) Å,V= 1109.2(7) Å3andZ= 1. The structures, refined for cuatrocapaite-(NH4) toR1= 1.78% for 544Io> 2σIreflections, contain four types of layers: (1) a planar neutral As2O3(arsenite) sheet; (2) an (${\rm NH}_{\rm 4}^{\vskip -2pt\rm \scale65% +} $,K+) layer that links adjacent arsenite sheets; (3) a Cl–layer placed on the As side of each arsenite; and (4) a layer containing partially occupied Na, Mg and H2O sites that is flanked on either side by Cl layers. The layer sequence for the type 1, 2 and 3 layers is identical to the Cl–As2O3–K–As2O3–Cl layer sequence in the structures of lucabindiite and gajardoite.
Monoclonal gammopathy of undetermined significance
Authors: Mouhieddine Tarek H. , Weeks Lachelle D. , Ghobrial Irene M. 
Published: April 2019

Abstract
Monoclonal gammopathy of undetermined significance (MGUS) is a premalignant plasma cell dyscrasia that consistently precedes multiple myeloma (MM) with a 1% risk of progression per year. Recent advances have improved understanding of the complex genetic and immunologic factors that permit progression from the aberrant plasma cell clone to MGUS and overt MM. Additional evidence supports bidirectional interaction of MGUS cells with surrounding cells in the bone marrow niche that regulates malignant transformation. However, there are no robust prognostic biomarkers. Herein we review the current body of literature on the biology of MGUS and provide a rationale for the improved identification of high-risk MGUS patients who may be appropriate for novel clinical interventions to prevent progression or eradicate premalignant clones prior to the development of overt MM.
Pragmatic neuroscience for clinical psychiatry
Authors: Steele J. Douglas , Paulus Martin P. 
Published: April 2019

SummaryMental health and substance use disorders are the leading cause of long-term disability and a cause of significant mortality, worldwide. However, it is widely recognised that clinical practice in psychiatry has not fundamentally changed for over half a century. The Royal College of Psychiatrists is reviewing its trainee curriculum to identify neuroscience that relates to psychiatric practice. To date though, neuroscience has had very little impact on routine clinical practice. We discuss how a pragmatic approach to neuroscience can address this problem together with a route to implementation in National Health Service care. This has implications for altered funding priorities and training future psychiatrists. Five training recommendations for psychiatrists are identified.Declaration of interestJ.D.S. receives direct funding from MRC Program Grant MR/S010351/1 aimed at developing machine learning-based methods for routinely acquired NHS data and indirect funding from the Wellcome Trust STRADL study. M.P.P. receives payments for an UpToDate chapter on methamphetamine and is principal investigator on the following grants: NIGMS P20GM121312 and NIDA U01 DA041089 and receives support from the William K. Warren Foundation.
Advancing Cancer Research in Africa Through Early-Career Awards: The BIG Cat Initiative
Authors: Vogel Amanda L. , Freeman Jordan A. , Duncan Kalina , Alaro James , Welch John J. , Rodrigues Belmira , Vanderpuye Verna , Harford Joe B. , Williams Makeda 
Published: April 2019

PURPOSE The burden of cancer in Africa is growing rapidly, and increased cancer research on the continent is a critical component of an effective response. In 2010, the US National Cancer Institute, in partnership with the African Organization for Research and Training in Cancer, launched the Beginning Investigator Grant for Catalytic Research (BIG Cat) initiative to support cancer research projects conducted by early-career African investigators. METHODS To date, BIG Cat has provided 18 awards of up to $50,000 to support 2-year cancer research projects. In 2017, the National Cancer Institute evaluated BIG Cat’s early outcomes for cancer research and impacts on career development and local cancer research capacity. Data collection consisted of a review of project documentation and a survey fielded to the 12 investigators who had completed their BIG Cat awards. RESULTS BIG Cat–supported research projects have generated locally relevant findings that address a range of cancer sites and multiple areas of scientific interest. The 11 survey respondents produced 43 scholarly products (e.g., publications, presentations) about findings from their BIG Cat research. They reported increases in cancer research funding applications and awards after receipt of the BIG Cat award compared with before the award. They also reported increased resources for cancer research, participation in teaching and mentoring on cancer research, and supervision of cancer research staff. Investigators identified scientific mentoring as a key facilitator of the success of their BIG Cat projects and limited time and funding as key challenges. CONCLUSION Findings provide early evidence that BIG Cat advanced locally relevant cancer research and facilitated career advancement and development of local cancer research capacity. Findings have implications for the design of future related efforts.
Blood Pressure Profile, Catecholamine Phenotype, and Target Organ Damage in Pheochromocytoma/Paraganglioma
Authors: Petrák Ondřej , Rosa Ján , Holaj Robert , Štrauch Branislav , Krátká Zuzana , Kvasnička Jan , Klímová Judita , Waldauf Petr , Hamplová Barbora , Markvartová Alice , Novák Květoslav , Michalský David , Widimský Jiří , Zelinka Tomáš 
Published: April 2019

Abstract

Context
Impaired diurnal blood pressure (BP) variability is related to higher cardiovascular risk.

Objective
To assess diurnal variability of BP and its relation to target organ damage (TOD) and catecholamine phenotype in a consecutive sample of pheochromocytoma/paraganglioma (PPGL).

Design
We included 179 patients with PPGL All patients underwent 24 hours of ambulatory BP monitoring to determine dipping status. Differences in plasma metanephrine or urine adrenaline were used to distinguish catecholamine biochemical phenotype. To evaluate TOD, renal functions, presence of left ventricle hypertrophy (LVH), and the subgroup (n = 111) carotid-femoral pulse wave velocity (PWV) were assessed. Structural equation modeling was used to find the relationship among nocturnal dipping, catecholamine phenotype, and TOD parameters.

Results
According to the nocturnal dipping, patients were divided into the three groups: dippers (28%), nondippers (40%), and reverse dippers (32%). Reverse dippers were older (P < 0.05), with a higher proportion of noradrenergic (NA) phenotype (P < 0.05), a higher prevalence of diabetes mellitus (P < 0.05), and sustained arterial hypertension (P < 0.01) and its duration (P < 0.05), as opposed to the other groups. All parameters of TOD were more pronounced only in reverse dippers compared with nondippers and dippers. The presence of NA phenotype (=absence of adrenaline production) was associated with reverse dipping and TOD (LVH and PWV).

Conclusions
Patients with reverse dipping had more substantial TOD compared with other groups. The NA phenotype plays an important role, not only in impaired diurnal BP variability but also independently from dipping status in more pronounced TOD of heart and vessels.
Dose Dependency of Iatrogenic Glucocorticoid Excess and Adrenal Insufficiency and Mortality: A Cohort Study in England
Authors: Mebrahtu Teumzghi F , Morgan Ann W , Keeley Adam , Baxter Paul D , Stewart Paul M , Pujades-Rodriguez Mar 
Published: April 2019

AbstractContextAdrenal insufficiency and Cushing syndrome are known adverse events of glucocorticoids. However, no population estimates of dose-related risks are available.ObjectiveTo investigate dose-related risks of adrenal dysfunction and death in adults with six chronic inflammatory diseases treated with oral glucocorticoids.Design and settingRetrospective, record-linkage, open-cohort study spanning primary and hospital care in England.PatientsA total of 70,638 oral glucocorticoid users and 41,166 nonusers aged ≥18 years registered in 389 practices in 1998 to 2017.Main outcome measuresIncidence rates and hazard ratios (HRs) of diagnosed adrenal dysfunction and death.ResultsDuring a median follow-up of 5.5 years, 183 patients had glucocorticoid-induced adrenal insufficiency and 248 had glucocorticoid-induced Cushing syndrome. A total of 22,317 (31.6%) and 7544 (18.3%) deaths occurred among glucocorticoid users and nonusers, respectively. The incidence of all outcomes increased with higher current daily and cumulative doses. For adrenal insufficiency, the increases in HRs were 1.07 (95% CI: 1.04 to 1.09) for every increase of 5 mg per day and 2.25 (95% CI: 2.15 to 2.35) per 1000 mg of cumulative prednisolone-equivalent dose over the past year. The respective increases in HRs for Cushing syndrome were 1.09 (95% CI: 1.08 to 1.11) and 2.31 (95% CI: 2.23 to 2.40) and for mortality 1.26 (95% CI: 2.24 to 1.28) and 2.05 (95% CI: 2.04 to 2.06).ConclusionWe report a high glucocorticoid dose-dependent increased risk of adrenal adverse events and death. The low observed absolute risk of adrenal insufficiency highlights a potential lack of awareness and a need for increased physician and patient education about the risks of adrenal dysfunction induced by glucocorticoids.