bluuebunny/crossref_metadata_2025_split huggingface dataset:
Characteristics of the schizophrenia suicide attempts in comparison with the suicide attempts with other diagnosed psychiatric disorders: An Egyptian study
Authors: Abdeen Mai SeifElDin , Shaker Nermin Mahmoud , Elrassas Hanan Hany , Hashim Mostafa Ahmad , Abo Zeid Mohamed Youssef 
Published: May 2019

Background: There has been much literature on schizophrenia, but little is known about the characteristic features of suicide attempts with schizophrenia in comparison with the suicide attempts with other diagnosed psychiatric disorders. Aims: The objective of this study was to clarify the specific characteristics and risk factors among suicide attempters with schizophrenia that differentiate them from other psychiatric disorders. Methods: Thirty-three suicide attempters diagnosed with schizophrenia and 87 suicide attempters with other psychiatric disorders were included. Suicide attempts seriousness were appraised by the Beck’s Suicide Intent Scale (BSIS). Standardized scales were applied: Suicide Probability Scale (SPS) and Barratt Impulsiveness Scale, Version 11 (BIS-11). The Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) and The Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II) based on the Diagnostic and Statistical Manual of Mental Disorders-IV ( DSM-IV) was applied to assess the psychiatric status of individuals. Demographic and clinical characteristics, method of suicide and suicide probability scores and impulsivity were compared among both groups (schizophrenia group and other psychiatric disorders group). Results: In total, 27.5% of suicide attempts suffered from schizophrenia. The current study found that having more past history of medical diseases, longer duration of illness, using more violent suicidal methods, and having less significant suicidal ideations were the significant factors that differentiated schizophrenia suicide attempts from those diagnosed with other psychiatric disorders. The schizophrenia group did not show more impulsivity or hostility than other psychiatric disorders group. Conclusion: These results indicated that each group shows its unique characteristics. They give us new perspectives to prevent suicides in schizophrenia according to their different characteristics.
Circulating microRNAs and vascular calcification in hemodialysis patients
Authors: Lee Chien-Te , Lee Yueh-Ting , Tain You-Lin , Ng Hwee-Yeong , Kuo Wei-Hung 
Published: May 2019

Objective Vascular calcification is common in chronic dialysis patients and is associated with increased morbidity and mortality. However, the role of circulating microRNAs (miRs) in vascular calcification has rarely been investigated. We aimed to determine circulating levels of miRs in hemodialysis patients, and analyzed their relationship with vascular calcification. Methods Sixty-one stable hemodialysis patients were enrolled, including 31 with vascular calcification and 30 without. Demographic and biochemical data were collected and reviewed. The presence and severity of vascular calcification were determined by lumber spine X-ray. Blood levels of miR29a/b, miR223, miR9, and miR21 were determined. Results Patients with vascular calcification were older (65.6 ± 9.0 vs. 59.1 ± 7.1 years) with a higher proportion of vascular disease (55% vs. 23%) than those without vascular calcification. Additionally, high-sensitivity C-reactive protein (3.90 vs 2.09 mg/dL) and fibroblast growth factor 23 (17311 vs. 6306 pg/mL) were significantly higher. Patients with vascular calcification also had higher levels of miR29a/b and miR223. Regression analysis indicated that age and miR29a were significant associates of the calcification score. Conclusions Hemodialysis patients with vascular calcification had higher levels of miR 29a/b and miR223 than those without vascular calcification, and circulating miR29a was associated with calcification severity.
Improving rapid response system performance in a Chinese Joint Commission International Hospital
Authors: Yang Minfei , Zhang Lanlan , Wang Yuwei , Zhan Yue , Zhang Xiaofei , Jin Jinfen 
Published: May 2019

Objective To assess the impact of a regional rapid response system (RRS) implemented in a Chinese Joint Commission International Hospital on the timely treatment of patients with serious adverse events (SAEs). Methods Clinical SAEs, activation periods, reasons for RSS activation, and patient outcomes were assessed using SAE response sheets at admission to the hospital and over 31 months of follow-up. Results We found that 192 events were called by medical staff and 6 were called by auxiliary staff. Reasons for the 385 RRS activations included: unconsciousness (133; 34.5%), and airway obstruction and absent carotid pulse (49 each; 12.7%). The average arrival time of the medical emergency team was 2.4 ± 0.1 minutes. There were 123 (62.1%) RRS activations during daytime working hours (8:00–17:00); CPR was performed in 86 (43.4%) cases. Outcomes of RRS were: vital signs stabilized in 82 (41.4%) patients and 61 (30.8%) patients were transferred to ICU. Conclusion Our experience showed that the regional RRS has led to better integrated multidisciplinary cooperation and reduced time for treating patients with SAEs, resulting in success of the RRS.
“Exposed and Vulnerable”: Parent Reports of Their Child’s Experience of Multidisciplinary Craniofacial Consultations
Authors: Billaud Feragen Kristin , Myhre Anita , Stock Nicola Marie 
Published: May 2019

Objective: Childhood is a period of extensive socioemotional development, which can be impacted by the presence of a congenital craniofacial anomaly (CFA). Complex multidisciplinary treatment and long-term follow-up are normally required, yet understanding of children’s treatment experiences is limited. The objective of this study was to investigate children’s experiences of multidisciplinary team (MDT) consultations from the perspective of their parents. Design: Thirty-eight parents of children with a rare CFA were interviewed in person or over the telephone. Interviews were transcribed verbatim, translated into English, and explored using thematic analysis. Results: Background factors influencing the child’s experience of the consultation included age, developmental stage, personality, and prior treatment experiences. Participants tried to prepare their child for meeting the MDT, but did not fully understand what to expect themselves. During consultations, participants were acutely focused on their child’s emotional state, making it difficult to balance their desire to protect the child from potentially negative experiences, and the need to engage in a constructive dialogue with health professionals. Participants believed that health professionals’ conduct could considerably influence the child’s well-being and subsequent treatment decisions. Finally, participants highlighted the need to debrief their child to help them adjust positively. Conclusions: The ultimate goal of craniofacial care is to help children develop into confident adults who are able to cope with the challenges associated with their condition. Multidisciplinary teams play a vital role in creating a safe and supportive environment in which children feel genuinely informed and involved in key aspects of their care.
Value of Preoperative Imaging and Intraoperative Histopathology in Morton’s Neuroma
Authors: Raouf Tammer , Rogero Ryan , McDonald Elizabeth , Fuchs Daniel , Shakked Rachel J. , Winters Brian S. , Daniel Joseph N. , Pedowitz David I. , Raikin Steven M. 
Published: May 2019

Background: Recent studies have demonstrated that clinical diagnosis of Morton’s neuroma is highly correlated with operative and histopathologic diagnosis, whereas others have questioned the cost-effectiveness of intraoperative histopathology of excised specimens. The purpose of this study was to determine the utility of both preoperative imaging and intraoperative histology in the treatment of Morton’s neuroma in making an accurate diagnosis, guiding treatment decisions, and altering clinical outcomes. Methods: A retrospective review was performed on all patients who underwent operative resection suspected Morton’s neuroma with 4 fellowship-trained foot and ankle surgeons between 2007 and 2017. Procedures were excluded from the study if the pathology report was not available for review. Diagnoses were made either by clinical examination and/or by the results of preoperative imaging. All pathology reports were reviewed to determine the final diagnosis, considered the “gold standard.” Postoperative chart notes were reviewed to determine if any treatment regimen was altered based on the pathology report revealing an alternate diagnosis other than Morton’s neuroma. Two hundred eighty-seven procedures in 269 patients with 313 clinically suspected neuromas met inclusion criteria. Results: Of the 313 suspected neuromas, 309 (98.7%) were confirmed Morton’s neuromas on histopathologic examination. For no patient did the results of the pathology report alter the postoperative treatment course. Preoperative imaging results were available for 179 (57.2%) suspected neuromas, with magnetic resonance imaging (MRI) and ultrasonography used to preoperatively image 121 and 71 suspected neuromas, respectively, including 13 using both. The total estimated cost of histopathologic analysis for the cohort was $143 667, and the estimated combined cost of preoperative imaging and intraoperative histopathology in our cohort totaled $278 567. Conclusion: Our study found that the diagnosis of Morton’s neuroma could be made clinically with extreme accuracy and positive predictive value, calling into question the utility and costs of other imaging modalities and intraoperative sampling for histopathologic diagnosis. Level of Evidence: Level IV, retrospective case series.
Prognostic and Predictive Values of Metabolic Parameters of 18F-FDG PET/CT in Patients With Non-Small Cell Lung Cancer Treated With Chemotherapy
Authors: Li Xueyan , Wang Dawei , Yu Lijuan 
Published: May 2019

Objectives: Increasing interests have been focused on using artificial intelligence (AI) to extend prognostic value of medical imaging. Feature extraction is a critical step for successful application of AI. The aim of this study was to explore several metabolic parameters measured by 18F-fluorodeoxyglucose positron emission tomography/computed tomography (PET/CT) as potential AI features in predicting the effectiveness of chemotherapy in patients with non-small cell lung cancer (NSCLC). Methods: A set of metabolic parameters of PET/CT and clinical characteristics were detected from 137 patients with NSCLC treated with at least 1 cycle of chemotherapy. Survival receiver–operating characteristic (ROC) analysis was used to define the more significant parameters chosen for the following survival analysis. Patient survival was analyzed by Kaplan-Meier method, log-rank test, and Cox regression. Results: Survival ROC showed that maximum standardized uptake value (SUVmax), metabolic tumor volume 50% (MTV50), and total lesion glycolysis 50% (TLG50) had larger area under the curve, and the optimal cutoff values were 11.72, 4.04, and 34.55, respectively. Univariate and multivariate analyses synergistically showed that late PET/CT stage and MTV50 >4.04 were independent factors of poor survival in patients with NSCLC who received chemotherapy. Conclusions: Several potential prognostic biomarkers of PET/CT imaging have been extracted for predicting survival and selecting patients with NSCLC who are more likely to benefit from chemotherapy. The identification may accelerate the development of AI methods to improve treatment outcome for NSCLC.
Wearable devices in healthcare: Privacy and information security issues
Authors: Cilliers Liezel 
Published: May 2019

Background: Mobile health has provided new and exciting ways for patients to partake in their healthcare. Wearable devices are designed to collect the user’s health data, which can be analysed to provide information about the user’s health status. However, little research has been conducted that addresses privacy and information security issues of these devices. Objective: To investigate the privacy and information security issues to which users are exposed when using wearable health devices. Method: The study used a cross-sectional survey approach to collect data from a convenience sample of 106 respondents. Results: Half of the respondents did not understand the need to protect health information. There also appeared to be a general lack of awareness among respondents about the information security issues surrounding their data collected by wearable devices. Conclusion: Users were not knowledgeable about the privacy risks that their data are exposed to or how these data are protected once collected. Implications: Users of wearable devices that collect personal information about health need to be educated about privacy and information security issues to which they are exposed when using these devices.
Method of biometric measurement of glenoid cavities: Study scannographic 200 glenoid cavities
Authors: Menu G , Boyer E , El Ramadan S , Torrens C , Obert L , Aubry S 
Published: May 2019

Introduction: Evaluating the size and morphology of the glenoid can help customize the prosthetic treatment. But there are few large workforces in studies examining CT scan measures the glenoid. We report an analysis of the dimensions of the glenoid. Materials and Methods: 100 consecutive chests CT performed 15 months including two non-pathological glenoid cavities were analyzed by three operators. There were 54 women and 46 men with a mean age of 64.8 years (20-92). Each glenoid was evaluated in 2D reconstruction, on several sections, on the CARESTREAM software. We made our measurements only on healthy or slightly worn glenoid. The largest vertical axis, the largest horizontal axis, the surface of the glenoid, and the circle tangent to the inferior pole of the glenoid were analyzed. The depth and the bone stock of the glenoid were measured in 9 points of the circle, divided into four quadrants, corresponding to the screw positions of a metaglenoid. Results: For each patient, both glenoid cavities were symmetrical compared to the measured criteria. Measurements on 200 glenoids found themselves: the largest vertical axis reached 38.5 mm (25-51), the largest horizontal axis: 27.9 mm (20-56) and the area circle tangential to the lower pole of the glenoid 624.5mm² diameter (324-983). The analytical study to classify the glenoid cavities by size in 3 families: small (area of the circle = 420mm²), medium (525mm²) and large (685mm²). The average size of the patients was de166.9 (147-192). The dimensions of the glenoid were correlated with the size of the patient for 3 families. The most representative measure of the size of the glenoid was the largest horizontal axis, also corresponding to the diameter of the circle inscribed in the glenoid. We measured the depth of the glenoid at the frequent passage of screws during the placement of glenoid implants. Above 10.7 mm, there is an increased risk of suprascapular nerve injury in the posterosuperior dial of the circle inscribed in the glenoid. We compared intra and inter individual measures between the 3 operators. The measurement method is reliable and reproducible with an average difference of 2.7 mm over all the measurements compared. Discussion: These results are similar to those already present in the literature. The large number of patients included in this cohort associated with the reliability and reproducibility of the measurements allow us to adapt this method to the preoperative planning of the placement of glenoid implants in prostheses. The main limitation remains the two-dimensional character of our study.
Critically Exploring Value Destruction to Create More Value
Authors: Mahajan Gautam 
Published: May 2019

The purpose of this article is fourfold. The first is to get practitioners and academics understand the value of a value destruction focus. How can it improve value creation? This is a brand new area that has not hitherto received much attention. The second is to get practitioners to use this thinking more actively in building their strategy, operational thinking, compliance thought process and regulatory and political (environmental and external) thinking. The third is to open up a new area of research for academics who work on various subjects where value creation is a goal or is important. Perhaps they can analyse past failures and come up with recipes for greater value creation and a process for analysis before committing to a path of action or they can find better processes for looking at, designing, developing or monitoring strategy, new products and services, new technologies and new operational thinking. What new tools can be developed to analyse or mitigate value destruction or simply foresee these? This should also open a debate and papers in Journal of Creating Value and perhaps lead to a special issue. What techniques can be used to change managerial mind-sets. Finally and fourth, the aim is to get away from reactive and ‘after-the-fact’ analysis to proactive value creation and reduce value destruction and learn from value destruction potential.
The validity of breath collection bags method in detecting Helicobacter pylori using the novel BreathID®Hp Lab System: a multicenter clinical study in 257 subjects
Authors: Richter Vered , Gonzalez Jeff O. , Hazan Sabine , Gottlieb Gary , Friedenberg Keith , Gatof David , Ganeshappa Ravi , Delgado Jorge-Shmuel , Abramowitz Dov , Hardi Robert , Coates Allan , Haq Mahmudul , Mehta Nilesh , Jones Blake A. , Moss Steven F. , Shirin Haim 
Published: May 2019

Background and Aim: The BreathID® Hp urea breath test provides several advantages over other 13C breath analyzers for the detection of Helicobacter pylori. We evaluated the sensitivity and specificity of a new BreathID® Hp Lab System (Exalenz Bioscience Ltd, Israel), a 13C-urea breath test system using breath sampling bags that facilitates multiple testing in a multicenter international clinical study. Methods: A total of 257 subjects with evaluable results for urea breath test, rapid urease test, and histology were enrolled into two study groups: 189 naïve subjects were included in the pre-therapy group, and 68 subjects comprised the post-eradication therapy group. Analytical studies were conducted to evaluate the stability, reproducibility, and repeatability of the 13C-urea breath test results using a delta over baseline cut-off value of 5. Results: Among the pre-therapy subjects evaluated with the composite results from the rapid urease test and histology/immunohistochemistry, 176 results matched those of the urea breath test, resulting in an overall agreement of 98.3% with a sensitivity of 100% and specificity of 97.9%. In the post-eradication therapy cohort, the overall agreement between the urea breath test and the biopsy diagnosis was 98.5%; the sensitivity of the urea breath test in this cohort was 92.3% and the specificity was 100%. There was uniformly high overall reproducibility (99.48%) of the test results over different batches of breath sample bags, when analyzed on different days and under different storage conditions, showing stability of the breath samples in the breath collection bags Conclusion: The BreathID® Hp Lab System is a highly accurate and dependable method for the diagnosis of H. pylori infection.
Ultrasound elastography: a novel tool for the differential diagnosis of pleural effusion
Authors: Jiang Bin , Li Xue-lian , Yin Yan , Zhang Qin , Zang Tong , Song Wang-shu , Wang Xue-mei , Kang Jian , Herth Felix J.F. , Hou Gang 
Published: May 2019

IntroductionTraditional thoracic ultrasound (TUS) is often the initial tool used to help diagnose malignant pleural effusion (MPE). Ultrasound elastography, a relatively new technique, has been used to differentiate malignant disease from benign disease by evaluating tissue “stiffness”. However, no studies evaluating the efficacy of ultrasound elastography for diagnosing MPE are available. We assessed the value of ultrasound elsatography for diagnosing MPE prospectively.MethodsAll 244 enrolled patients were divided into a development set and a validation set in chronological order. The cut-off elasticity index was established using a receiver operating characteristic curve constructed from the continuous data of the patients in the development set. The diagnostic performance of ultrasound elastography was compared with that of TUS in the validation set.ResultsIn the development set, the mean elasticity index (47.25 kPa) was the optimal cut-off. In the validation set, pleural ultrasound elastography had a sensitivity of 83.64%, a specificity of 90.67%, a positive predictive value of 86.79%, a negative predictive value of 88.31%, a positive likelihood ratio of 8.96 and a negative likelihood ratio of 0.18 for diagnosing MPE. The sensitivity of ultrasound elastography was significantly higher (p=0.006) than that of TUS (60%).ConclusionPleural ultrasound elastography is a better technique than TUS for differentiating MPE from benign pleural disease.
Suicide in Scotland in Comparison with England and Wales
Authors: Kreitman Norman 
Published: May 2019

Over 70 years ago, Sibbald (1900) commented that the official statistics on suicide showed Scotland to have lower rates than England and Wales. It seems that Scotland has always been regarded as one of the countries with relatively few suicides. A recent World Health Organization publication (1968) commented on the official suicide rates in a sample of 20 different nations; among these Scotland ranked nineteenth in 1952–4. However, this picture appears to have been gradually changing over the last two decades, and the same W.H.O. publication, citing official statistics for the period 1961–3, quotes a value for Scotland which raises it to fifteenth in the list of 20 countries. Moreover, the Scottish rates and those for England and Wales have gradually come closer together over the last 20 years.The aim of this paper is to examine the trends in Scottish statistics for the last two decades and to compare the current suicide rates with those of the rest of the United Kingdom. All the data quoted are based on the publications of the Registrars General for Scotland and for England and Wales.
“The Surging Tide of Pauper Democracy”
Authors: Phemister Andrew 
Published: May 2019

AbstractNamed and developed during the Irish Land War, boycotting quickly spread beyond Ireland and became a favored tactic for labor organizers in Britain and the United States. This article traces its emergence and growth, as well as the reaction generated by the novel aspects of the practice. It argues that boycotting constituted an intellectual challenge to late Victorian-era liberals, and had profound implications for the conceptions of freedom, rationality, and individual autonomy that underpinned Anglo-American liberalism. By examining the difficulties faced by British and American legislatures and political thinkers in proscribing the practice, the boycott can be more clearly conceptualized both as a political philosophy and as democratic praxis.
Reframing Palestine
Authors: Feldman Ilana 
Published: May 2019

Abstract
The movement to engage in Boycott, Divestment, and Sanctions (BDS) of Israel has become a significant political force over the past decade. This commentary reflects on the importance of that movement, highlighting how it reframes Palestine as a political space. By making the political demands of Palestinian refugees in exile outside of historic Palestine, Palestinian citizens of Israel, and Palestinian residents of the West Bank and Gaza all BDS demands, the movement brings the three primary segments of the Palestinian population into the same political frame. By calling for global solidarity with Palestinians, by highlighting the complicity of many parties (government, corporate, individual) in Israeli oppression of Palestinians, and by insisting on the intersections of the Palestinian struggle with many others around the world, BDS undermines the language of exceptionalism that has long been an impediment to action.