bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exposure to physical and psychosocial stressors in relation to symptoms of common mental disorders among European professional football referees: a prospective cohort study
Authors: Kilic Özgür , Johnson Urban , Kerkhoffs Gino M M J , Rosier Philippe , Gouttebarge Vincent 
Published: March 2018

ObjectivesThe study aim was to explore the association of physical and psychosocial stressors (severe injuries, surgeries, recent life events, social support) with one-season onset of symptoms of common mental disorders (CMDs) among European professional football referees.MethodsAn observational prospective cohort study over a follow-up period of one season (2015–2016) was conducted among professional football referees from Belgium, Finland, France, Germany, Norway, Russia, Scotland and Sweden. Based on physical and psychosocial stressors as well as symptoms of CMD, an electronic questionnaire in English and French was set up and distributed by eight football federations involved.ResultsThe prevalence of symptoms of CMD ranged from 5.9% for distress to 19.2% for eating disorders. A higher number of severe injuries and a lower degree of satisfaction about social support were significantly related to the occurrence of symptoms of CMD with an OR of 2.63 and an OR of 1.10, respectively.ConclusionA higher number of severe injuries and a lower degree on satisfaction about social support were found to be significantly associated with the onset of symptoms of CMD among European professional football referees. Referees suffering from severe injuries were nearly three times more likely to report symptoms of anxiety and depression. Referees who reported a low satisfaction of social support were significantly more likely to report symptoms of eating disorder.
Physician–patient interactions and communication with conscious patients during simulated cath lab procedures: an exploratory study
Authors: Kelay Tanika , Ako Emmanuel , Cook Christopher , Yasin Mohammad , Gold Matthew , Chan Kah Leong , Bello Fernando , Kneebone Roger K , Malik Iqbal S 
Published: March 2018

BackgroundThis exploratory study investigates the feasibility for observing and evaluating intraoperative communication practices using simulation techniques. Complex procedures are increasingly performed on patients under local anaesthesia, where patients are fully conscious. Interventional cardiac procedures are one such example where patients have reported high levels of anxiety undergoing procedures. Although communication styles can serve to alleviate patient anxiety during interventions, leading to a better patient experience, there has been little observational research on communication, while patient perspectives in intraoperative contexts have been underexplored.MethodsIn this mixed-methods study, observational analysis was conducted on 20 video-recorded simulated scenarios, featuring physician operators (of varied experience levels), communication and interactions with a simulated patient (trained actor), in a controlled and highly realistic catheter laboratory setting. Two independent raters and the simulated patient embedded in scenarios retrospectively rated physician communication styles and interactions with the patient via four key parameters. Patient perspectives of communication were further explored via a quantitative measure of anxiety and semistructured qualitative interviews.ResultsWhile independent ratings of physician–patient communications demonstrated few discernible differences according to physicians’ experience level, patient ratings were consistently higher for experienced physicians and lower for novice physicians for the four interaction styles. Furthermore, the patient’s anxiety scores were differentiable according to operators’ experience level. Thematic analysis provided further insights into how patient perspectives, including affective dimensions are characterised, and how physician interactions can amplify or attenuate feelings of anxiety through tone of voice, continuity in communication during the procedure, communicating while multitasking and connecting with the patient.ConclusionsOur findings indicate underlying patient assumptions about physicians’ experience levels, intraoperative communication styles and impact on anxiety. While observational methods can be applied to simulated intraoperative clinical contexts, evaluation techniques such as observational rating tools need to incorporate patient perspectives about undergoing conscious surgery.
Standardising assessment and documentation of pouchoscopy
Authors: van der Ploeg Valerie Annerijn , Maeda Yasuko , Faiz Omar D , Hart Ailsa L , Clark Susan K 
Published: March 2018

Background/aimsVariation in quality of reporting on endoscopic procedures is a common clinical problem. Findings are not documented in a standardised manner and there is a tendency towards reporting abnormal findings only. This study aimed to review quality of flexible pouchoscopy reports and to develop a standardised reporting template.MethodsIleo-anal-pouch experts (n=5) compiled a list of items that should be documented at flexible pouchoscopy. Reports were reviewed retrospectively for their completeness compared with the template. The template was then introduced and quality of reports was analysed prospectively.ResultsOne hundred and twenty-one reports produced between March 2015 and June 2015 were reviewed. Between August 2015 and November 2015, the template was introduced and reports were analysed. There was significant improvement in documentation of anus and perianal area (before template (B) 12% to after template (A) 51%, p<0.0001), rectal cuff (B: 55% to A: 75%, p=0.01), pouch-anal anastomosis (B: 37% to A: 67%, p=0.0002) and pouch inlet (B: 13% to A: 41%, p<0.0001). Pouch body was described in high percentage regardless of introduction of the template (B: 98% to A: 97%, p=0.61).ConclusionsDocumentation of pouchoscopy findings was suboptimal and introduction of a template improved documentation of flexible pouchoscopy significantly.
Association of nursery and early school attendance with later health behaviours, biomedical risk factors, and mortality: evidence from four decades of follow-up of participants in the 1958 birth cohort study
Authors: Batty G David , Ploubidis George B , Goodman Alissa , Bann David 
Published: March 2018

BackgroundAlthough early life education for improved long-term health and the amelioration of socioeconomically generated inequalities in chronic disease is advocated in influential policy statements, the evidence base is very modest.AimsTo address this dearth of evidence using data from a representative UK national birth cohort study.MethodsThe analytical sample comprised men and women in the 1958 birth cohort study with prospectively gathered data on attendance at nursery or primary school before the age of 5 years who had gone on to participate in social survey at 42 years (n=11 374), or a biomedical survey at 44/5 years of age (n=9210), or had data on vital status from 18 to 55 years (n=17 657).ResultsRelative to study members who had not attended nursery, in those who had, there was in fact a higher prevalence of smoking and high alcohol intake in middle age. Conversely, nursery attenders had more favourable levels of lung function and systolic blood pressure in middle age. This apparent association between nursery attendance and lower systolic blood pressure was confined to study members from more deprived social backgrounds of origin (P value for interaction 0.030). There was no apparent link between early school attendance and any behavioural or biological risk factor. Neither nursery nor early school attendance was clearly related to mortality risk.ConclusionsWe found no clear evidence for an association of either attendance at nursery or primary school before the age of 5 years and health outcomes around four decades later.
Sinonasal adenocarcinoma following styrene exposure in the reinforced plastics industry
Authors: Nissen Mette Schou , Stokholm Zara Ann , Christensen Mette Skovgaard , Schlünssen Vivi , Vestergaard Jesper Medom , Iversen Inge Brosbøl , Kolstad Henrik Albert 
Published: March 2018

BackgroundSinonasal adenocarcinoma is a rare disease expected to have rare causes and potential for strong risk factors as reflected by the strong association with occupational wood dust exposure. High level styrene exposure is a rare and suspected carcinogen, and this study examines the exposure–response relation between occupational styrene exposure, sinonasal adenocarcinoma and other subtypes.MethodsWe followed 73 092 styrene-exposed workers from 1968 to 2011 and identified sinonasal cancers in the Danish Cancer Registry. We modelled cumulative styrene exposure and estimated incidence rates and age, sex and wood-industry adjusted ORs.ResultsDuring 1 585 772 person-years, we observed nine cases of adenocarcinoma, corresponding to a fivefold non-significantly increased OR for estimates of high versus low cumulative styrene exposure (OR 5.11, 95% CI 0.58 to 45.12). The increased risk was confined to exposure received during the recent 15 years. The other histological subtypes showed no increased risk.ConclusionThis study suggests increased risk of sinonasal adenocarcinoma following styrene exposure. The observations are, however, few, confounding from wood dust exposure cannot be ruled out, and additional studies are needed before firm conclusions can be drawn.
Effect of annealing temperature on microstructure and mechanical properties of a Ti–18Zr–12.5Nb–2Sn (at.%) alloy
Authors: Li Shuanglei , Nam Tae-Hyun 
Published: March 2018

In this study, the effect of annealing temperature on microstructure and mechanical properties of a Ti–18Zr–12.5Nb–2Sn (at.%) alloy was investigated by using optical microscopy (OM), X-ray diffraction (XRD) measurement and tensile test. The cold-rolled plate was annealed at temperatures between 773[Formula: see text]K and 1173[Formula: see text]K. Recrystallization occurred in the specimen annealed at 873[Formula: see text]K. Grain size increased from 8[Formula: see text][Formula: see text]m to 80[Formula: see text][Formula: see text]m with increasing temperature from 873[Formula: see text]K to 1173[Formula: see text]K. The ultimate tensile strength decreased from 1590[Formula: see text]MPa to 806[Formula: see text]MPa with increasing annealing temperature from 773[Formula: see text]K to 973[Formula: see text]K, and then showed similar value in the specimens annealed at temperatures from 973[Formula: see text]K to 1173[Formula: see text]K. The fracture strain increased from 3.8% to 41.0% with increasing annealing temperature from 773[Formula: see text]K to 1173[Formula: see text]K due to the recovery and recrystallization. The recovery strain increased with increasing of annealing temperature attributed to the evolution of recrystallization texture.
Changes in potassium channel modulation may underlie afterhyperpolarization plasticity in oxytocin neurons during late pregnancy
Authors: Wang Lie , Chandaka Giri Kumar , Foehring Robert C. , Callaway Joseph C. , Armstrong William E. 
Published: March 2018

Oxytocin (OT) neurons exhibit larger afterhyperpolarizations (AHPs) following spike trains during late pregnancy and lactation, times when these neurons fire in bursts and release more OT associated with labor and lactation. Calcium-dependent AHPs mediated by SK channels show this plasticity, and are reduced when the channel complex is phosphorylated by casein kinase 2 (CK2), and increased when dephosphorylated by protein phosphatase (PP)2A, by altering Ca2+ sensitivity. We compared AHP currents in supraoptic OT neurons after CK2 inhibition with 4,5,6,7-tetrabromobenzotriazole (TBB), or PP1-PP2A inhibition with okadaic acid (OA), to determine the roles of these enzymes in AHP plasticity, focusing on the peak current at 100 ms representing the SK-mediated, medium AHP (ImAHP). In slices from virgin and two groups of pregnant rats [embryonic days (E18–19, or E20–21], ImAHPs were evoked with 3-, 10-, and 17-spike trains (20 Hz). With 3-spike trains, TBB increased the ImAHP to the greatest extent in virgin compared with both groups of pregnant animals. A difference between virgins and E20–21 rats was also evident with a 10-spike train but the increases in ImAHPs were similar among groups with 17-spike trains. In contrast, OA, while consistently reducing the ImAHP in all cases, showed no differential effects among groups. In Western blots, CK2α, CK2β, PP2A-A, PP2A-B, and PP2A-C were found in supraoptic lysates, and expression of CK2α and CK2β was reduced in E20–21 rats. Coimmunoprecipitation revealed that calmodulin, CK2α, and PP2A-C were associated with SK3 protein. The results suggest that a downregulation of SK3-associated CK2α during late pregnancy may increase the sensitivity of the SK calmodulin (Ca2+) sensor for ImAHP, contributing to the enhanced ImAHP. NEW & NOTEWORTHY The article demonstrates for the first time that enhancement in spike afterhyperpolarizations in oxytocin neurons during pregnancy may be related to a downregulation in the small-conductance Ca2+-activated potassium channels (SK)/calmodulin binding protein casein kinase 2, which phosphorylates the SK channel complex and reduces its Ca2+ sensitivity.
Response properties of saccade-related neurons of the post-arcuate premotor cortex
Authors: Neromyliotis E. , Moschovakis A. K. 
Published: March 2018

We studied the phasic saccade-related discharges of single neurons (S neurons) of the premotor cortex of female rhesus monkeys, mostly in the caudal bank of the arcuate sulcus. As described in previous work from our laboratory (Neromyliotis E, Moschovakis AK. Front Behav Neurosci 11: 1–21, 2017), some of these cells emitted phasic discharges for coordinated movements of the eyes and hand as well as for movements of either effector executed in isolation (motor equivalence, Meq). Other cells (S) did not emit phasic discharges for hand movements unaccompanied by saccades. In contrast to frontal eye field (FEF) neurons, but similar to forelimb-related neurons (H neurons) and Meq cells, the discharges of S cells did not display contralateral bias; their on-directions were as likely to be ipsiversive as contraversive. Because the onset of their discharge preceded that of FEF neurons, S cells are unlikely to convey to their targets corollary discharges of the FEF. We also encountered a small number of neurons that could function as logic gates: cells that discharged for saccades if they were not accompanied by hand movements, cells that discharged for saccades or movements of the hand but not for coordinated movements of both effectors, and cells that discharged only for coordinated movements of the eyes and the hand but not when one of the effectors moved unaccompanied by the other. Our findings are discussed in terms of sequences of decision processes stitching effector-specific motor plans onto effector-invariant movement primitives. NEW & NOTEWORTHY The premotor cortex, traditionally associated with skeletomotor control, is shown to contain cells that emit strong discharges time-linked to saccades but not for hand movements unaccompanied by saccades (S cells). Unlike frontal eye field (FEF) neurons, the S cells of the premotor cortex did not display contralateral bias, and because their presaccadic discharges preceded those of FEF neurons, they are unlikely to serve as conveyors of FEF efferent discharges.
Genome-Wide DNA Methylation in Prediagnostic Blood and Bladder Cancer Risk in the Women's Health Initiative
Authors: Jordahl Kristina M. , Randolph Timothy W. , Song Xiaoling , Sather Cassandra L. , Tinker Lesley F. , Phipps Amanda I. , Kelsey Karl T. , White Emily , Bhatti Parveen 
Published: March 2018

Abstract
Background: Differential DNA methylation as measured in blood is a promising marker of bladder cancer susceptibility. However, previous studies have exclusively used postdiagnostic blood samples, meaning that observed associations may be markers of disease rather than susceptibility.
Methods: Genome-wide methylation was measured in prediagnostic blood samples, using the Illumina Infinium HumanMethylation450 Bead Array, among 440 bladder cancer cases with the transitional cell carcinoma (TCC) subtype and 440 matched cancer-free controls from the Women's Health Initiative cohort. After normalization and probe filtering, we used conditional logistic regression models to test for associations between methylation measurements at 361,184 CpG sites and bladder cancer risk.
Results: Increased methylation at cg22748573, located in a CpG island within the 5′-UTR/first exon of the CITED4 gene, was associated with an 82% decreased risk of bladder cancer after adjusting for race/ethnicity, smoking status, pack-years of smoking, and leukocyte cell profile and accounting for multiple testing (OR = 0.18, q-value = 0.05). The result was robust to sensitivity analyses accounting for time between enrollment and diagnosis, race, tumor subtype, and secondhand smoke exposure.
Conclusions: Although results need to be confirmed in additional prospective studies, differential methylation in CITED4, as measured in blood, is a promising marker of bladder cancer susceptibility.
Impact: Identification of biomarkers of bladder cancer susceptibility in easily accessible tissues may allow targeting of screening efforts so as to improve bladder cancer prognosis. This is particularly important among women, who tend to have poorer bladder cancer outcomes than men. Cancer Epidemiol Biomarkers Prev; 27(6); 689–95. ©2018 AACR.
Incidence and Clinical Significance of New-Onset Device-Detected Atrial Tachyarrhythmia
Authors: Belkin Mark N. , Soria Cesar E. , Waldo Albert L. , Borleffs C. Jan Willem , Hayes David L. , Tung Roderick , Singh Jagmeet P. , Upadhyay Gaurav A. 
Published: March 2018

Background:
Despite the clear association between atrial fibrillation and risk for thromboembolic events (TEs), the clinical significance of new-onset device-detected atrial tachyarrhythmia (DDAT) and TE remains disputed. We aimed to determine the risk of TE in patients with new-onset DDAT.

Methods and Results:

The OVID Medline, Cochrane, and Scopus databases (inception to November 2016) were searched. Randomized controlled trials, prospective, or retrospective studies of pacemaker or defibrillator patients reporting incidence of DDAT were selected. Summary statistics were used for analysis. Of 4893 reports identified, 28 studies following 24 984 patients were included: average age 69.9 years, 34.7% women, mean study duration 21.8±18.6 months. New-onset DDAT was observed in 23% of patients. Among 9 studies (n=8181) reporting TE, the absolute incidence was 2.1%. TE risk was significantly greater among patients with new-onset DDAT (relative risk [RR], 2.88; 95% CI, 1.79–4.64;
P
<0.001). TE risk was correlated with DDAT duration, with an increased risk associated with DDAT ≥5 minutes (RR, 3.86; 95% CI, 2.04–7.30;
P
<0.001) compared with <1 minute (RR, 1.77; 95% CI, 1.15–2.74;
P
=0.01). Notably, the risk of TE was also increased in patients with adjudicated atrial electrograms (RR, 3.60; 95% CI, 2.06–6.30;
P
<0.001) compared with nonadjudicated electrograms (RR, 2.05; 95% CI, 1.06–3.97;
P
=0.03), even when lower mean thresholds for detection were used.

Conclusions:
New-onset DDAT is common, affecting close to one quarter of all patients with implanted pacemakers or defibrillators. Adjudication of atrial electrograms further identifies at-risk patients, even when relatively short detection thresholds are used.
Atrial Infarction-Induced Spontaneous Focal Discharges and Atrial Fibrillation in Sheep
Authors: Avula Uma Mahesh R. , Hernandez Jonathan J. , Yamazaki Masatoshi , Valdivia Carmen R. , Chu Antony , Rojas-Pena Alvaro , Kaur Kuljeet , Ramos-Mondragón Roberto , Anumonwo Justus M. , Nattel Stanley , Valdivia Héctor H. , Kalifa Jérôme 
Published: March 2018

Background:
The mechanisms underlying spontaneous atrial fibrillation (AF) associated with atrial ischemia/infarction are incompletely elucidated. Here, we investigate the mechanisms underlying spontaneous AF in an ovine model of left atrial myocardial infarction (LAMI).

Methods and Results:

LAMI was created by ligating the atrial branch of the left anterior descending coronary artery. ECG loop recorders were implanted to monitor AF episodes. In 7 sheep, dantrolene—a ryanodine receptor blocker—was administered in vivo during the 8-day observation period (LAMI-D, 2.5 mg/kg, IV, BID). LAMI animals experienced numerous spontaneous AF episodes during the 8-day monitoring period that were suppressed by dantrolene (LAMI, 26.1±5.1; sham, 4.3±1.1; LAMI-D, 2.8±0.8; mean±SEM episodes per sheep,
P
<0.01). Optical mapping showed spontaneous focal discharges (SFDs) originating from the ischemic/normal-zone border. SFDs were calcium driven, rate dependent, and enhanced by isoproterenol (0.03 µmol/L, from 210±87 to 3816±1450, SFDs per sheep) but suppressed by dantrolene (to 55.8±32.8, SFDs per sheep, mean±SEM). SFDs initiated AF-maintaining reentrant rotors anchored by marked conduction delays at the ischemic/normal-zone border. NOS1 (NO synthase-1) protein expression decreased in ischemic zone myocytes, whereas NADPH (nicotinamide adenine dinucleotide phosphate, reduced form) oxidase and xanthine oxidase enzyme activities and reactive oxygen species (DCF [6-carboxy-2′,7′-dichlorodihydrofluorescein diacetate]-fluorescence) increased. CaM (calmodulin) aberrantly increased [
3
H]ryanodine binding to cardiac RyR2 (ryanodine receptors) in the ischemic zone. Dantrolene restored the physiological binding of CaM to RyR2.

Conclusions:
Atrial ischemia causes spontaneous AF episodes in sheep, caused by SFDs that initiate reentry. Nitroso–redox imbalance in the ischemic zone is associated with intense reactive oxygen species production and altered RyR2 responses to CaM. Dantrolene administration normalizes the CaM response, prevents LAMI-related SFDs, and AF initiation. These findings provide novel insights into the mechanisms underlying ischemia-related atrial arrhythmias.
Risk and Prognosis of Cancer After Lower Limb Arterial Thrombosis
Authors: Sundbøll Jens , Veres Katalin , Horváth-Puhó Erzsébet , Adelborg Kasper , Sørensen Henrik Toft 
Published: March 2018

Background:
Venous thromboembolism can be a presenting symptom of cancer, but the association between lower limb arterial thrombosis and cancer is unknown. We therefore examined cancer risk and prognosis of cancer in patients with lower limb arterial thrombosis.

Methods:
Using nationwide population-based Danish medical registries, we identified all patients diagnosed with first-time lower limb arterial thrombosis (1994−2013) and followed them until the occurrence of any subsequent cancer diagnosis, emigration, death, or November 30, 2013, whichever came first. We computed standardized incidence ratios with 95% confidence intervals as the observed number of cancers relative to the expected number based on national incidence rates by sex, age, and calendar year. To examine the prognostic impact of lower limb arterial thrombosis on all-cause mortality after cancer, we constructed a matched comparison cohort of patients who had cancer without lower limb arterial thrombosis.

Results:
Among 6600 patients with lower limb arterial thrombosis, we observed 772 subsequent cancers. The risk of any cancer was 2.5% after 6 months of follow-up, increasing to 17.9% after 20 years. During the first 6 months of follow-up, the standardized incidence ratio of any cancer was 3.28 (95% confidence interval, 2.79–3.82). The standardized incidence ratio remained elevated during 7 to 12 months (1.42; 95% confidence interval, 1.09–1.83) and beyond 12 months (1.14; 95% confidence interval, 1.05–1.24). The strongest associations were found for lung cancer and other smoking-related cancers. Lower limb arterial thrombosis also was associated with increased all-cause mortality after colon, lung, urinary bladder, and breast cancer, but not after prostate cancer.

Conclusions:
Lower limb arterial thrombosis was a marker of occult cancer, especially lung cancer, and was an adverse prognostic factor for mortality in common cancers.