bluuebunny/crossref_metadata_2025_split huggingface dataset:
Professionals’ views and experiences in supporting decision-making involvement for people living with dementia
Authors: Sinclair Craig , Bajic-Smith Julie , Gresham Meredith , Blake Meredith , Bucks Romola S , Field Sue , Clayton Josephine M , Radoslovich Helen , Agar Meera , Kurrle Susan 
Published: July 2019

Background The provision of supported decision-making for people living with disabilities is an emerging area of practice and rights-based law reform, and is required under international law. Objectives This qualitative study aimed to understand how Australian health and legal professionals conceptualised their professional roles in the practice of providing decision-making support for people living with dementia. Methods The methods were informed by grounded theory principles. In-depth, semi-structured interviews were conducted with 28 health and legal professionals involved in providing care or services for people with dementia. Interviews explored how professionals described their practice of providing support for decision-making and how they conceptualised their roles. The analysis was underpinned by the theoretical perspective of symbolic interactionism. Results Participants described providing support across a range of decision domains, some of which were specific to their professional role. Four key themes were identified: ‘establishing a basis for decision-making’, ‘the supportive toolbox’, ‘managing professional boundaries’ and ‘individualist advocacy versus relational practice’. Participants identified a range of generic and specialised techniques they used to provide support for people with dementia. These techniques were applied subject to resource limitations and perceived professional obligations and boundaries. A continuum of professional practice, ranging from ‘individualist advocacy’ to ‘relational practice’ describes the approaches adopted by different professionals. Discussion Professionals conceptualised their role in providing support for decision-making through the lens of their own profession. Differences in positioning on the continuum of ‘individualist advocacy’ through to ‘relational practice’ had practical implications for capacity assessment, engaging with persons with impaired decision-making capacity, and the inclusion of supporters and family members in decision-making processes. Further progress in implementing supported decision-making (including through law and policy reform) will require an understanding of these inter-professional differences in perceived roles relating to the practice of providing decision-making support.
Development of novel patient selection criteria for a short stay endovascular aneurysm repair pathway: Improving patient selection for short stay endovascular aneurysm repair
Authors: Preece Ryan , Shaw Sarah , Wiltshire Joseph , Stenson Katherine , Budge James , De Bruin Jorg , Loftus Ian , Holt Peter , Patterson Benjamin 
Published: July 2019

Objectives A short-stay endovascular aneurysm repair (SS-EVAR) pathway for infrarenal abdominal aortic aneurysms offers the potential to improve service efficiency and patient satisfaction by reducing the hospital length of stay. This study aimed to determine whether the implementation of a novel set of patient selection criteria for a theoretical SS-EVAR pathway could facilitate an expansion of the proportion of suitable patients, whilst maintaining patient safety and limiting unplanned emergency readmissions. Methods Two SS-EVAR selection criteria (low and high risk) were generated based upon patient pre-operative comorbidities. The low risk criteria essentially selected fit and healthy individuals, whereas the high risk criteria included patients with a range of comorbidities that could still theoretically enable enrolment onto a SS-EVAR pathway. A retrospective analysis, whereby both criteria were applied to all elective EVARs recorded in the National Vascular Registry between 2013 and 2016 at a single tertiary vascular unit was performed. Rates and timings of postoperative complications, reinterventions and unplanned readmissions for patients meeting each criteria were assessed. Results In total, 188 patients were included (92% male, mean age 75.4 ± 7.2 years). Twenty-nine patients (15%) met the low risk criteria. Two (7%) of these experienced an inpatient complication which were both detected within 24 h of operation (including one who required reintervention), and no patients in this group had an unplanned readmission within 30 days. One-hundred and ten patients (59%) met our high risk criteria and 19 (17%) experienced an inpatient complication, with 4 (4%) of these occurring beyond 24 h post-EVAR (three urinary problems and one acute on chronic kidney injury). Six (6%) of these patients required a reintervention; however, all of these complications were detected within 24 h. Two (2%) high risk cohort patients required unplanned readmission within 30 days for a femoral pseudoaneurysm and musculoskeletal back pain. Conclusions With high risk patient selection criteria and appropriate post-operative safeguards, up to 60% of infrarenal abdominal aortic aneurysms patients could be safely enrolled onto a next-day discharge SS-EVAR pathway with minimal readmissions, thus allowing more effective resource utilisation.
Non-invasive sensor technology for prehospital stroke diagnosis: Current status and future directions
Authors: Walsh Kyle B 
Published: July 2019

Background The diagnosis of stroke in the prehospital environment is the subject of intense interest and research. There are a number of non-invasive external brain monitoring devices in development that utilize various technologies to function as sensors for stroke and other neurological conditions. Future increased use of one or more of these devices could result in substantial changes in the current processes for stroke diagnosis and treatment, including transportation of stroke patients by emergency medical services. Aims The present review will summarize information about 10 stroke sensor devices currently in development, utilizing various forms of technology, and all of which are external, non-invasive brain monitoring devices. Summary of review Ten devices are discussed including the technology utilized, the indications for use (stroke and, when relevant, other neurological conditions), the environment(s) indicated for use (with a focus on the prehospital setting), a description of the physical structure of each instrument, and, when available, findings that have been published in peer-reviewed journals or otherwise reported. The review is organized based on the technology utilized by each device, and seven distinct forms were identified: accelerometers, electroencephalography (EEG), microwaves, near-infrared, radiofrequency, transcranial doppler ultrasound, and volumetric impedance phase shift spectroscopy. Conclusions Non-invasive external brain monitoring devices are in various stages of development and have promise as stroke sensors in the prehospital setting. Some of the potential applications include to differentiate stroke from non-stroke, ischemic from hemorrhage stroke, and large vessel occlusion (LVO) from non-LVO ischemic stroke. Successful stroke diagnosis prior to hospital arrival could transform the current diagnostic and treatment paradigm for this disease.
Risk factors for instability after reverse shoulder arthroplasty
Authors: Guarrella Vincenzo , Chelli Mikael , Domos Peter , Ascione Francesco , Boileau Pascal , Walch Gilles 
Published: July 2019

Background This study aims to identify risk factors related to postoperative instability after reverse shoulder arthroplasty and evaluate the modalities and results of treatments in a large series of patients, with medium to long-term follow-up. Methods Retrospective multicenter series of 1035 consecutive Grammont type reverse shoulder arthroplasties implanted between 1992 and 2010. 19.9% had a reverse shoulder arthroplasty with bony lateralization on the glenoid side. Patients were reviewed and radiographed with minimum five years’ follow-up. Results At a mean follow-up of eight years, the overall rate of postoperative instability was 3.0%. Instability was more frequent in case of reverse shoulder arthroplasty for revision surgery, in younger patients, in case of scapular notching, and tuberosity resorption. Lateralized reverse shoulder arthroplasties were associated with a lower instability rate. A reoperation to restore stability was needed in 70% of cases. The improvement in Constant Score was lower in patients with unstable reverse shoulder arthroplasties when compared to stable reverse shoulder arthroplasties. Conclusions Younger patients are at higher risk for instability after Grammont type reverse shoulder arthroplasty implantation. Conversely, lateralized reverse shoulder arthroplasties resulted protective. When conservative treatment had failed, shoulder stability can be obtained with reoperation or prosthetic revision (needed in 70% of the cases), but to the price of lower functional results.
Syndesmotic Fixation Utilizing a Novel Screw: A Retrospective Case Series Reporting Early Clinical and Radiographic Outcomes
Authors: Stenquist Derek , Velasco Brian T. , Cronin Patrick K. , Briceño Jorge , Miller Christopher P. , Riedel Matthew D. , Kwon John Y. 
Published: July 2019

Background. Syndesmotic disruption occurs in 20% of ankle fractures and requires anatomical reduction and stabilization to maximize outcomes. Although screw breakage is often asymptomatic, the breakage location can be unpredictable and result in painful bony erosion. The purpose of this investigation is to report early clinical and radiographic outcomes of patients who underwent syndesmotic fixation using a novel metal screw designed with a controlled break point. Methods. We performed a retrospective review of all patients who underwent syndesmotic fixation utilizing the R3lease Tissue Stabilization System (Paragon 28, Denver, CO) over a 12-month period. Demographic and screw-specific data were obtained. Postoperative radiographs were reviewed, and radiographic parameters were measured. Screw loosening or breakage was documented. Results. 18 patients (24 screws) met inclusion criteria. The mean follow-up was 11.7 months (range = 6.0-14.7 months). 5/24 screws (21%) fractured at the break point. No screw fractured at another location, nor did any fracture prior to resumption of weight bearing; 19 screws did not fracture, with 8/19 intact screws (42.1%) demonstrating loosening. There was no evidence of syndesmotic diastasis or mortise malalignment on final follow-up. No screws required removal during the study period. Conclusion. This study provides the first clinical data on a novel screw introduced specifically for syndesmotic fixation. At short-term follow up, there were no complications and the R3lease screw provided adequate fixation to allow healing and prevent diastasis. Although initial results are favorable, longer-term follow-up with data on cost comparisons and rates of hardware removal are needed to determine cost-effectiveness relative to similar implants. Level of Evidence: Level IV: Retrospective case series
Evidence of altered brain network centrality in patients with diabetic nephropathy and retinopathy: an fMRI study using a voxel-wise degree centrality approach
Authors: Wang Yu , Jiang Lei , Wang Xiao-yu , Chen Weizhe , Shao Yi , Chen Qin-kai , Lv Jin-lei 
Published: July 2019

Background: Over recent years, some researchers believe that diabetic nephropathy (DN) and diabetic retinopathy (DR) both independently increase the incidence of brain diseases, such as stroke, cerebral infarction, and cerebral hemorrhage. In the present study, we used the voxel-wise degree centrality (DC) method to investigate potential changes of functional network brain activity in patients with DN and retinopathy (DNR). Methods: Twenty DNR patients (9 men, 11 women) and 20 healthy controls (HCs; 9 men, 11 women) were recruited; the controls were matched for age, sex, and educational background. All subjects underwent resting-state functional magnetic resonance imaging. Ophthalmoscopy, renal biopsy and single-photon emission computed tomography were used to evaluate microvascular lesions in the eye and kidney. Data were categorized using receiver operating characteristic curves, and correlation analysis was performed using Pearson’s correlation analysis. Results: Compared with HCs, DNR patients showed reduced mean DC values in the right inferior temporal gyrus (RITG) and left subcallosal gyrus regions (LSG) and increased mean DC values in the bilateral precuneus (BP). Moreover, mean DC in the BP was correlated with renal estimated glomerular filtration rate (eGFR; r = 0.762). The area under the curve (AUC) value was 0.829 for BP and 0.839 for RITG and LSG. Conclusion: DNR patients showed dysfunction in three different brain regions. The linear correlation between eGFR and mean brain DC values indicates the presence of common diabetic microangiopathy in the brain and kidney, which may provide new ideas for multiorgan microvascular lesions of diabetics.
Prevalence of hyperlipidaemia in adults and its relation to the Mediterranean diet: the Hellenic National Nutrition and Health Survey (HNNHS)
Authors: Magriplis Emmanuella , Panagiotakos Demosthenes , Mitsopoulou Anastasia-Vasiliki , Karageorgou Dimitra , Bakogianni Ioanna , Dimakopoulos Ioannis , Micha Renata , Michas George , Chourdakis Michail , Chrousos George P , Roma Eleftheria , Zampelas Antonis 
Published: July 2019

Objectives A long-term abnormal blood lipid profile increases the risk of cardiovascular disease (CVD). A probable protective role may be played by the Mediterranean diet. The aim of this study was to assess prevalence of dyslipidaemia, assess blood lipid status and treatment and examine the association between blood lipids, dyslipidaemia and Mediterranean diet. Methods Data were from the Hellenic National Nutrition and Health Survey (HNNHS). Data from 3775 adults (40.8% males) were obtained by trained personnel and disease status was categorized according to the International Classification of Diseases codes (10th version). Blood lipid measurements were obtained from a subsample ( N = 1080, mean age 40.1 years; 37.8% male). The Mediterranean diet score (MedDiet score) was calculated from 24-h recalls. The relationships between higher MedDiet score (>23), lipid levels and status were examined using linearized multiple linear and logistic regressions, respectively. Results In total, 20.7% of the population was dyslipidaemic, with 59.0% (no sex differences) receiving treatment, and 46.6% of the treated having a normal lipid profile. Lipid status awareness was 35.5% (64.5% unaware). Males aged 19–39 had higher total cholesterol, low-density lipoprotein cholesterol and triglycerides, and lower high-density lipoprotein cholesterol levels than females (in mg/dl; p for all <0.05); these were significantly higher in overweight and obese individuals in all age groups, except high-density lipoprotein cholesterol ( p for all <0.001). Higher MedDiet score was associated with significantly lower low-density lipoprotein cholesterol in the pooled sample (−6.39 mg/dl; 95% confidence interval (CI): −12.60, 0.17), in all males (−10.61 mg/dl; 95% CI: −19.89, −1.34) and in overweight and obese males (−15.6 mg/dl; 95% CI: −29.25, –1.94). Conclusion This study underlines the abnormal lipid profile in the young, mostly male, population who are highly unaware and under-treated.
Occupational risks evaluation in a centralized antineoplastic agent preparation unit
Authors: Dubray Quentin , Diallo Taibou , Loeuillet Richard , Andre Emilie , Fauqueur Anne-Sophie , Poil Sandrine , Thromas Nathalie , Secretan Philippe-Henri , Cisternino Salvatore , Schlatter Joël 
Published: July 2019

Objective: The global professional risk assessment applied to the central unit of antineoplastic agent preparations is part of a mandatory approach required by the European legislation for workers. This study identified the hazardous situations related to the staff activity and then enabled the preparation of a formal plan of occupational prevention. Methods: The nature of study approved by a working group constituted by experts was the global risk analysis. After identifying the hazardous situations, the global risk analysis estimated the risk level of each hazardous situation based on a criticality score, including severity and frequency. The global risk analysis highlighted the initial and residual risks after establishing a plan to reduce the high criticality risks. Results: Hence, 33 unacceptable hazardous situations were identified. The critical categories of professional risks were “Product, emissions, and waste risks” with 17 (55%) hazardous situations; “Psychosocial risk factors” with 8 (24%) hazardous situations; and “Risks related to work equipment” with 6 (18%) hazardous situations. Once the risk reduction plan was in place, all hazardous situations were considered under control. The corrective actions led to a reorganization of human resources, the update of protection protocols, and optimization of ergonomic work tools. Staff-specific medical monitoring and regular surface contamination tests have been scheduled annually. In addition, initial and continuous training, specific to product and waste risks, has been updated. Conclusion: The global professional risk assessment related to centralized antineoplastic agent preparation unit generated failure in our system and enabled corrective actions for staff safety.
New arsenate minerals from the Arsenatnaya fumarole, Tolbachik volcano, Kamchatka, Russia. XIII. Pansnerite, K3Na3Fe3+6(AsO4)8
Authors: Pekov Igor V. , Zubkova Natalia V. , Koshlyakova Natalia N. , Agakhanov Atali A. , Belakovskiy Dmitry I. , Vigasina Marina F. , Yapaskurt Vasiliy O. , Britvin Sergey N. , Turchkova Anna G. , Sidorov Evgeny G. , Pushcharovsky Dmitry Y. 
Published: July 2019

AbstractThe new mineral pansnerite, ideally K3Na3Fe3+6(AsO4)8, was found in the Arsenatnaya fumarole at the Second scoria cone of the Northern Breakthrough of the Great Tolbachik Fissure Eruption, Tolbachik volcano, Kamchatka, Russia. It is associated with aphthitalite, hematite, sanidine, badalovite, khrenovite, achyrophanite, arsenatrotitanite, ozerovaite, tilasite, calciojohillerite, johillerite, nickenichite, svabite, katiarsite, yurmarinite, anhydrite, rutile, cassiterite and pseudobrookite. Pansnerite forms tabular to lamellar (flattened on {010}), usually pseudo-hexagonal crystals up to 0.2 mm × 0.7 mm × 1 mm and crystal clusters up to 2 mm across. It is transparent to translucent, light green, pale greenish, yellowish–greenish or yellowish, with vitreous lustre. The mineral is brittle, with perfect {010} cleavage. The Mohs’ hardness is ca 3. Dcalc is 3.596 g cm–3. Pansnerite is optically biaxial (–), α = 1.702(4), β = 1.713(4), γ = 1.717(4), 2Vmeas = 45(10)° and 2Vcalc = 62°. Chemical composition (holotype, wt.%, electron microprobe data) is: Na2O 6.39, K2O 8.52, CaO 0.08, MgO 0.08, MnO 0.02, NiO 0.02, CuO 1.35, ZnO 0.34, Al2O3 7.35, Cr2O3 0.04, Fe2O3 16.72, SiO2 0.16, P2O5 0.22, V2O5 0.09, As2O5 57.76, SO3 0.04, total 99.20. The empirical formula based on 32 O apfu is K2.86Na3.26Ca0.02(Fe3+3.31Al2.28Cu0.27Zn0.07Mg0.03Cr0.01)Σ5.97(As7.95P0.05Si0.04V0.02S0.01)Σ8.06O32. Pansnerite is orthorhombic, Cmce, a = 10.7372(3), b = 20.8367(8), c = 6.47335(15) Å, V = 1448.27(7) Å3 and Z = 2. The strongest reflections of the X-ray powder diffraction pattern [d,Å(I)(hkl)] are: 10.49(100)(020), 5.380(88)(111), 4.793(65)(220), 3.105(46)(311, 002), 3.079(32)(112, 061), 2.932(35)(260), 2.783(65)(202) and 2.694(52)(400, 222). The crystal structure was solved from single-crystal X-ray diffraction data, R1 = 2.82%. The structure is based on heteropolyhedral layers formed by MO6 octahedra (M = Fe3+ and Al) sharing common vertices and connected by AsO4 tetrahedra. Na+ and K+ cations are located in the interlayer space. The mineral is named in honour of the German–Russian mineralogist and geographer Lavrentiy Ivanovich Pansner (1777–1851). Pansnerite forms a solid-solution series with the isotypic mineral ozerovaite, ideally KNa2Al3(AsO4)4.
Rede de atenção à saúde bucal: a realidade no município de Caruaru
Authors: Sousa Adelaine Maria de , Lyra Arine , Freire Romero Correia 
Published: July 2019

Todo cidadão tem direito ao acesso com qualidade aos serviços de saúde bucal. Apesar de ser garantido legalmente, existem dificuldades. Há um conjunto de atores e fatores que deverão estar relacionados e harmonizados para que haja eficiência nos serviços oferecidos à população. O objetivo deste estudo foi fazer uma análise crítica sobre a realidade da rede de atenção à saúde bucal no município de Caruaru. Os resultados foram obtidos através de pesquisas publicadas e foi constatado que, apesar de ser o mais importante pólo econômico, médico-hospitalar, acadêmico, cultural e turístico do Agreste, não possui uma rede de assistência em saúde bucal ideal para garantir a saúde que a legislação vigente normatiza.
Retraction
Authors: International ASTM 
Published: July 2019

Abstract
Original Article Title: Effect of Particle Size of Silica Nanoparticles on Hydration Reactivity and Microstructure of C-S-H Gel
Original Authors: U. Sharma,1 L. P. Singh,2 D. Ali,1 and C. S. Poon3
This article has been retracted due to duplicate publication.
ASTM International
August 2021
Correlating Genotype and Phenotype in the Asexual Yeast Candida orthopsilosis Implicates ZCF29 in Sensitivity to Caffeine
Authors: de San Vicente Kontxi Martinez , Schröder Markus S , Lombardi Lisa , Iracane Elise , Butler Geraldine 
Published: July 2019

Abstract
Candida orthopsilosis is diploid asexual yeast that causes human disease. Most C. orthopsilosis isolates arose from at least four separate hybridizations between related, but not identical, parents. Here, we used population genomics data to correlate genotypic and phenotypic variation in 28 C. orthopsilosis isolates. We used cosine similarity scores to identify 65 variants with potential high-impact (deleterious effects) that correlated with specific phenotypes. Of these, 19 were Single Nucleotide Polymorphisms (SNPs) that changed stop or start codons, or splice sites. One variant resulted in a premature stop codon in both alleles of the gene ZCF29 in C. orthopsilosis isolate 185, which correlated with sensitivity to nystatin and caffeine. We used CRISPR-Cas9 editing to introduce this polymorphism into two resistant C. orthopsilosis isolates. Introducing the stop codon resulted in sensitivity to caffeine and to ketoconazole, but not to nystatin. Our analysis shows that it is possible to associate genomic variants with phenotype in asexual Candida species, but that only a small amount of genomic variation can be easily explored.