bluuebunny/crossref_metadata_2025_split huggingface dataset:
Common feline problem behaviors: Urine spraying
Authors: Horwitz Debra F 
Published: February 2019

Practical relevance: Urine spraying (synonymous terms include urine marking or scent marking) is commonly described as urine deposited on vertical surfaces while the cat is in a standing position. With the increasing trend of keeping cats indoors in some countries and the potential resultant increase in frustration-related behaviors, urine spraying may occur in the home. Although also a normal feline behavior, it is usually not deemed acceptable when the cat targets household possessions. Urine spraying is a common behavioral complaint that practitioners receive from cat owners and has the potential to disrupt the human–cat bond. In fact, feline elimination issues are a frequent reason cited by owners when they relinquish their cats to shelters and rescue organizations. Clinical challenges: While the location of the deposited urine should be diagnostic, this is not always the case. Urine marking can occur on horizontal surfaces, thus complicating the diagnosis. Urine spraying by intact males and females is used to signal availability for mating but the behaviour can also be exhibited by neutered animals. Multiple factors including medical problems can trigger the onset and maintenance of urine spraying, and correct identification of these is necessary for treatment to be most successful. Evidence base: This review draws on information from multiple studies that have been published on the normal aspects of urine spraying in cats, the frequency as reported by owners, the relationship of urine spraying to intercat aggression and various treatment options including behavior modification, pheromone therapy and use of psychoactive medication.
Common feline problem behaviours: Owner-directed aggression
Authors: Amat Marta , Manteca Xavier 
Published: February 2019

Practical relevance: Aggression towards owners is a common behavioural problem in cats, particularly in cats that have been obtained from pet shops or other sources where there has been inadequate socialisation with people, and in those kept only indoors. Very often aggression is associated with a stress response and it may potentially lead to relinquishment and euthanasia of the cat. Therefore, preventing and treating owner-directed aggression has significant benefits for the welfare of the cat and the quality of the cat–owner bond. Aim: The objectives of this article are to highlight the characteristics of the most common types of feline aggression towards human family members and to describe, in a very practical way, the main treatment strategies. The article is aimed at general practitioners; for severe cases of aggression and/or cases involving feral cats, referral to a specialist behaviourist is recommended. Clinical challenges: Veterinarians and behaviourists are not always able to witness the aggressive behaviour of the cat and therefore a detailed and accurate interview, as well as the use of complementary tools such as video recording, is essential to reach a diagnosis. Evidence base: This review draws on evidence from an extensive body of published literature as well as the authors’ clinical experience and own research.
Pleomorphic Mantle Cell Lymphoma of the Tongue Base Presenting With Dysphagia
Authors: Ryan Marisa A , Cheng Tracy , Yoo David S , Fisher Samuel R 
Published: February 2019

Objectives: We aim to increase awareness of pleomorphic mantle cell lymphoma as a rare, but aggressive form of lymphoma with propensity for recurrence in secondary locations. Methods: We report the case of a 70-year-old man who presented with chronic post-nasal drainage, dysphagia, and voice changes caused by a tongue base mass. Results: Partial excision and pathology showed a pleomorphic mantle cell lymphoma, and radiation treatment was completed. A regional recurrence was detected 3 years later and treated with radiation. He had no evidence of disease 17 months after treatment of the recurrence and is under close surveillance. Conclusions: Pleomorphic mantle cell lymphoma is an aggressive subtype of non-Hodgkin lymphoma that can affect the head and neck. Confirming the diagnosis with immunotyping and genotyping from fresh specimens can guide appropriate treatment and then close clinical follow-up.
Intersection of Cultural and Religious Beliefs About Mental Health: Latinos in the Faith-Based Setting
Authors: Caplan Susan 
Published: February 2019

Introduction: Hispanics/Latinos utilize mental health care at a rate that is about half that of non-Hispanic Whites. Stigma and cultural and religious values play a significant role in mental health care utilization disparities. The purpose of this study was to explore beliefs about mental illness among Latino faith-based communities. Methods: A qualitative approach was used to explore perceptions of mental illness that were elicited during “El Buen Consejo,” a mental health literacy intervention delivered within three faith-based settings. Results: Participants were socialized to believe that persons with mental illness were dangerous, out of control, and suffering from an incurable illness that resulted in rejection and ostracism. Most families would deny the existence of depression and mental illness, unless symptoms greatly interfered with daily functioning or were life-threatening. Religious coping such as prayer, and faith in God, were believed to be protective factors. Causal attributions for depression were both biomedical and religious, such as lack of faith, not praying, demons, and sinful behaviors of parents. Conclusion: Latinos rely upon churches as a major social, educational, and spiritual resource. The cultural values among Latinos can be a source of strength but also contribute to stigma. The faith-based community is an important target for mental health literacy and antistigma interventions.
StressadaMente: Mental health promotion program for direct care workers of older people
Authors: Figueiredo Margarida , Teixeira Laetitia , Paúl Constança 
Published: February 2019

Background: In the current context, associated with the increase in longevity, there is a greater need for institutionalization of old people in search of formal support. The direct care workers of institutionalized older people, who work at day care centers and residential homes, are at risk of being victims of occupational psychosocial risks. There are several psychological complaints of these workers, highlighting the need to develop a mental health promotion program aiming at job satisfaction of direct care workers, improving their provision of care at work and quality of life. Aim: The StressadaMente program is a mental health promotion program for direct care workers of institutionalized older people in day care centers and residential homes. This article aims to describe the StressadaMente program and to evaluate the level of satisfaction of the direct care workers with the program. Methods: The program was implemented in two day centers/residential homes, enrolling 25 participants, and comprised one session per week, with 90 min per session, during 7 weeks. Sociodemographic information of direct care workers was collected. The assessment protocol comprised a satisfaction questionnaire of the program. Results: In general, the program was evaluated as “very good” and “excellent” by 9.5% and 90.5% of the participants, respectively. These results may indicate that mental health promotion intervention seems to encourage new skills and changes to a better practice, prevent adverse effects of caregiving by improving the mental health of professionals.
Neurolymphomatosis caused by T-cell lymphosarcoma in a cat: imaging description and treatment review
Authors: Beasley Michaela J , Hiebert Elizabeth C , Daw Danielle N , Alexander Kayla J , Gambino Jennifer M 
Published: February 2019

Case summary A 16-year-old domestic shorthair cat was evaluated for acute-onset right pelvic limb monoparesis localized to the sciatic nerve. MRI revealed a homogeneously contrast-enhancing, well-demarcated mass effacing the right sciatic nerve from its intravertebral origin to the end of the viewable field (mid-femur). Abdominal ultrasound revealed thickened small intestinal loops and enlarged mesenteric lymph nodes. Cytology of the small intestine was suggestive of lymphosarcoma. T-cell lymphosarcoma of the sciatic nerve and small intestines was confirmed with incisional biopsy. Treatment consisted of systemic chemotherapy with vincristine followed by the Wisconsin–Madison feline lymphosarcoma protocol, but despite treatment the patient neurologically worsened and was euthanized after 54 days. Relevance and novel information We present herein one of the first descriptions of neurolymphomatosis in the domestic cat that included post-intravenous contrast MRI. Treatment options based on recommendations for people with neurolymphomatosis include systemic chemotherapy, intrathecal chemotherapy and/or localized radiation chemotherapy. The authors recommend that all cats be screened for concurrent non-neuronal areas of lymphosarcoma before undergoing treatment for neurolymphomatosis, regardless of clinical signs.
Risk Factors for Baseball-Related Arm Injuries: A Systematic Review
Authors: Agresta Cristine E. , Krieg Kevin , Freehill Michael T. 
Published: February 2019

Background: Contributing factors for arm injuries among baseball players have been described. However, no review has systematically identified risk factors with findings from prospective cohort studies. Purpose: To systematically review prospective cohort studies that investigated risk factors for arm injury among baseball players. Study Design: Systematic review; Level of evidence, 3. Methods: Electronic databases were searched for relevant English-language studies. Titles, abstracts, and full-text articles were screened by 2 blinded reviewers to identify only prospective cohort studies and randomized controlled trials. Two independent investigators screened each article for appropriate criteria. Results: Fourteen prospective articles were selected for this review. Youth, high school, and professional baseball players (N = 2426) were pooled, and 43 risk factors were assessed in relation to general arm, shoulder, and elbow injuries. All studies evaluated players for at least 1 season. Deficits in preseason shoulder range of motion and strength were significant risk factors for general arm or shoulder injury among high school and professional players. Elbow and shoulder varus torque at peak external shoulder rotation during pitching, high pitch velocity, and shoulder rotational and flexion deficits were risk factors for elbow injuries among professional pitchers. Pitching >100 innings in 1 year, being aged 9 to 11 years, being a pitcher or catcher, training >16 hours per week, and having a history of elbow pain were significant risk factors for elbow injury among youth players. Conclusion: History of elbow pain and age had a high risk of associated elbow injury among youth players. Training or pitching load also increased elbow injury risk for youth athletes. Loss of shoulder range of motion appears to increase risk for elbow injury among professional athletes. Single time-point data collections per season, studies with the same sample population, and studies with self-reported injury and risk factor data may limit the interpretation of these findings. Health care professionals should use caution when assessing injury risk during evaluation and making decisions about the training workload and playing time of baseball players.
Everyday life experiences of spouses of patients who suffer from pulmonary arterial hypertension or chronic thromboembolic pulmonary hypertension
Authors: Ivarsson Bodil , Sjöberg Trygve , Hesselstrand Roger , Rådegran Göran , Kjellström Barbro 
Published: February 2019

IntroductionSpouses play a crucial role, both physically and psychologically, for patients with pulmonary arterial hypertension (PAH) and chronic thromboembolic pulmonary hypertension (CTEPH). Our aim was to investigate the spouse's experiences when living with a partner diagnosed with PAH or CTEPH.MethodsWe used a qualitative interview study design based on open-ended questions analysed using qualitative content analysis.Results14 spouses were interviewed. Two categories that describe spouses' experiences of dealing with everyday life were identified: “Living in an insecure life situation” and “Providing and receiving information and support”. The experiences reported by the spouses were that their life situation was insecure, and that they had challenges in providing and receiving information and support. Most spouses also wanted and felt a need to be more involved in the care.ConclusionThe spouses were only partly satisfied with their life situation. To support the spouse's participation, the PAH/CTEPH team should encourage the patient to bring their spouse along, and offer them the opportunity to participate in the contacts with healthcare and provide information on an individual family perspective.
Treatment response in COPD: does FEV1say it all? Apost hocanalysis of the CRYSTAL study
Authors: Kostikas Konstantinos , Greulich Timm , Mackay Alexander J. , Lossi Nadine S. , Aalamian-Mattheis Maryam , Nunez Xavier , Pagano Veronica A. , Patalano Francesco , Clemens Andreas , Vogelmeier Claus F. 
Published: February 2019

The association between clinically relevant changes in patient-reported outcomes (PROs) and forced expiratory volume in 1 s (FEV1) in patients with chronic obstructive pulmonary disease (COPD) has rarely been investigated.Using CRYSTAL, a 12-week open-label study in symptomatic, nonfrequently exacerbating patients with moderate COPD, we assessed at baseline the correlations between several PROs (Baseline Dyspnoea Index, modified Medical Research Council dyspnoea scale, COPD Assessment Test (CAT) and Clinical COPD Questionnaire (CCQ)), and between FEV1and PROs. Associations between clinically relevant responses in FEV1, CAT, CCQ and Transition Dyspnoea Index (TDI) at week 12 were also assessed.Using data from 4324 patients, a strong correlation was observed between CAT and CCQ (rs=0.793) at baseline, with moderate or weak correlations between other PROs, and no correlation between FEV1and any PRO. At week 12, 2774 (64.2%) patients were responders regarding TDI, CAT or CCQ, with 583 (13.5%) responding using all three measures. In comparison, 3235 (74.8%) were responders regarding FEV1, TDI, CAT or CCQ, with 307 (7.1%) responding concerning all four parameters.Increases in lung function were accompanied by clinically relevant improvements of PROs in a minority of patients. Our results also suggest that PROs are not interchangeable. Thus, the observed treatment success in a clinical trial may depend on the selected parameters.
Exploiting temporal-spatial patterns of informal settlements using GIS and remote sensing technique: a case study of Jimma city, Southwestern Ethiopia
Authors: Abebe Misgana Secho , Derebew Kiros Tsegaye , Gemeda Dessalegn Obsi 
Published: February 2019

Abstract
Background
Temporal change detection of informal settlement was conducted using geographic information system and remote sensing in order to evaluate the land use land cover change (LULCC) in Jimma city, southwestern Ethiopia. We analyzed the LULCC since 1997 using Landsat imagery of 1997, and aerial photography of 2007 and 2017. Qualitative and quantitative data was also collected from city residents by using structured questionnaires focusing on peoples’ perceptions to understand the pattern of informal settlements in the study area. Maximum likelihood supervised classification methods was employed to create the signature class of the five land cover classes: built up, vegetation, barren land, open land and agricultural land.

Results
The results indicated that the informal settlement has been increased in the peripheries from 29% in 1997, 37% in 2007 and 41% in 2017. This study focuses on the continued transformation of various land uses into informal settlements, causing encroachment on agricultural and open land particularly in the city periphery. The unprecedented population growth and unplanned development activities in urban areas results in urban agglomeration, which increase the price of land market for construction. This implies that rapid population growth, shortage of formal housing and unaffordable cost of formal housing for urban dwellers contributed to informal settlements.

Conclusions
Increasing urbanization and rapid population growth are often associated with the development of urban informal settlements. Informal settlements and urban informality are the common problems particularly in the periphery of Jimma city. These results can be used as a basis for informal settlement assessment in other cities in the country and beyond.
Mobile Device Applications for Electronic Patient Portals in Oncology
Authors: Pho Kelvin K. , Lu Rong , Gates Samantha , Cai Jennifer , Xie Donglu , Xie Yang , Lee Simon J. Craddock , Gerber David E. 
Published: February 2019

PURPOSE Mobile devices provide individuals with rapid and frequent access to electronic patient portals. We investigated how oncology patients use this technology to review test results and communicate with providers. PATIENTS AND METHODS We performed a retrospective study of patients enrolled in the MyChart electronic health portal associated with the Epic electronic medical record at the Harold C. Simmons Comprehensive Cancer Center from 2012 to 2017. We recorded type of portal access according to year and patient characteristics. Associations among patient characteristics and types of portal access were tested using Mann-Whitney U test, χ2 test, and linear Gaussian regression models. RESULTS Since the availability of a mobile device application in 2012, 2,524 patients with cancer accessed MyChart from a mobile device at least once, which accounted for 291,526 mobile log-ins. The number of patients with MyChart mobile application log-ins increased from 4% in 2012 to 13% in 2017 ( P = .004). Among these patients, the median proportion of log-ins that occurred through mobile device use increased from 22% to 72% during this time period ( P < .001). Mobile access occurred more frequently among younger ( P < .001), black ( P = .002), and Hispanic ( P = .004) patients. Since 2012, total portal log-in frequency increased approximately 110% among patients who used the mobile application compared with 25% among those who did not use the mobile application ( P < .001). CONCLUSION Mobile access to electronic health portals has increased patient portal use, particularly among traditionally underserved populations. How this widely and immediately available technology affects patient expectations and experiences warrants additional study.
Case Report: Sarcoidosis mimicking head and neck cancer progression
Authors: Pratas Edgar , Carvalho João , Domingues Isabel , Pinheiro Sara , Amaral Susana , Khouri Leila , Costa Miguel , Eufrásio José , Pires Isonda , Davies Michael , Garcia Rita , Teixeira Margarida 
Published: February 2019

Several case reports have been published describing the coexistence of sarcoidosis and cancer. In the literature, simultaneous occurrence of head and neck cancer and sarcoidosis is rarely reported. In this paper we present a case of a 42-year-old man with squamous cell carcinoma of the oral cavity, locally advanced, which after surgery and adjuvant radiotherapy developed local persistence and progression in the mediastinal lymph nodes. The patient was submitted to chemotherapy and after a complete response, new suspicious mediastinal and hilar lymph nodes appeared in the thoracic computed tomography (CT) scan and 18F-fluorodeoxyglucose positron emission tomography (FDG-PET) scan. To enroll the patient in a clinical trial, the patient underwent mediastinoscopy with mediastinal lymph node dissection. The histopathological findings were consistent with sarcoidosis and no metastatic disease was found. Since the patient had no symptoms and the levels of serum angiotensin converting enzyme were normal, no further pharmacological intervention was done. After 4 years of follow up the patient remains without evidence of cancer. This case shows that although imagological techniques (CT and FDG-PET scan) are extensively used to assess the tumor response, false-positive cases can occur. Whenever it is possible a biopsy of the suspected metastatic site should always be performed.
The mediating role of types of coping styles in the relations between temperamental traits and staff burnout among psychiatric nurses
Authors: Brudek Paweł , Steuden Stanisława , Ciuła Grzegorz 
Published: February 2019

Cel pracyWśród predyktorów wypalenia zawodowego wskazuje się na cechy temperamentu. Jednocześnie badacze podkreślają, że znaczenie właściwości temperamentalnych dla wystąpienia syndromu wypalenia u personelu medycznego uzależnione jest od wielu zmiennych pośredniczących, w tym także od sposobów postępowania w sytuacji problemowej. Nadrzędnym celem prezentowych badań było więc zbadanie, czy style radzenia sobie ze stresem pośredniczą w związkach między cechami temperamentalnymi a poszczególnymi komponentami wypalenia zawodowego pielęgniarek psychiatrycznych.MetodaPrzebadano 60 kobiet pracujących w sektorze psychiatrycznej opieki zdrowotnej. W projekcie badawczym zastosowano trzy metody psychologiczne takie, jak: (1) Formalna Charakterystyka Zachowania – Kwestionariusz Temperamentu Strelaua i Zawadzkiego (FCZ-KT); (2) Kwestionariusz Radzenia Sobie w Sytuacjach Stresowych Endlera i Parkera (CISS); (3) Kwestionariusz Wypalenia Zawodowego Maslach (MBI-HSS).WynikiPrzeprowadzone analizy pozwoliły na konfirmację pośredniczącej roli stylu zadaniowego i stylu emocjonalnego w związkach cech temperamentu (żwawości, perseweratywności, reaktywności emocjonalnej wrażliwości sensorycznej, aktywności) z wypaleniem zawodowym. W przypadku stylu unikowego nie ma podstaw do uznania go za mediatora w obszarze analizowanych zależności.WnioskiW pomocy świadczonej pielęgniarkom psychiatrycznym: (1) w większym stopniu należy koncentrować się na wzmacnianiu zadaniowego, aniżeli na uświadamianiu szkodliwości unikowych tendencji w obszarze radzenia sobie; (2) ważne wydaje się kształtowanie umiejętności kreatywnego przeżywania emocji negatywnych ujawniających się w kontakcie z pacjentem.
Practice-Based risk assessment − a practical guide for oral healthcare teams: tooth wear
Authors: O'Toole Saoirse , Mylonas Petros , Bartlett David 
Published: February 2019

Abstract: This paper discusses the presence of, and interplay between, erosion, abrasion and attrition as risk factors of tooth wear progression. The Basic Erosive Wear Examination is recommended as a simple practice-based screening tool to integrate into a risk assessment. Finally, the risk indicators are summarized and categorized using a high, medium or low risk classification system to facilitate practical risk assessment.CPD/Clinical Relevance: This paper provides a practical guide for oral health providers to screen and risk assess tooth wear.